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ETHICAL ISSUES IN OBESITY TREATMENT: THE RESPONSIBILITIES OF PROVIDING ADVICE

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  2. May 8th, 2009 |
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When someone comes to you for help, they assume that you have the power to help them. How much power they provide you, as the professional, will depend on the individual. Some will expert you to be very powerful, perhaps able to bring about great changes and protect them from harm in the process. Others will expect less, seeing the power as being equally shared or confined to areas of knowledge and expertise that they believe themselves to lack. This may have little to do with your real powers but be an expression of the client’s needs and habitual ways of dealing with other people. Of course, often you will have knowledge and expertise that the client lacks and they trust you to give advice that is safe, effective and appropriate.

You have an obligation to act responsibly with this power, especially where the client expects a lot or is unaware of how much they are putting themselves in your hands. You are often in the better position to understand any complications in managing his or her needs.

*228\186\4*

THE G.I. FACTOR: CARBOHYDRATE REQUIREMENTS FOR BIGGER EATERS

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  2. May 8th, 2009 |
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The picture of an average eater would fit you if you are:

• doing regular physical activity (but not strenuous exercise),

• an adult of average frame size.

Bigger eaters need to eat:

• around 6 slices of bread or the equivalent (crackers, rolls, muffins)

PLUS

• about 3 pieces of fruit or the equivalent (juice, dried fruit)

PLUS

• 1 cup of high carbohydrate vegetables (corn, legumes, potato, sweet potato) PLUS

• at least 2 cups of cereal or grain food (breakfast cereal or cooked rice, or pasta or other grain)

PLUS

• 2 cups of low-fat milk or the equivalent (yoghurt, ice cream).

This provides 260 grams of carbohydrate which is suitable for a 7500 kilojoule (1800 Calorie) diet. This is appropriate for a young, active adult of average build.

Carbohydrate is the most satiating of all nutrients. This simply means that it satisfies your appetite and fills you up. Overconsumption of food is highly unlikely on a high carbohydrate and low-fat diet. So, base your diet on high fibre carbohydrate foods like whole-grain breads, cereals, fruit, vegetables and legumes and let your appetite dictate how much you need to eat.

*18\33\4*

EXERCISES IN PAIN FOR THE SELF-MANAGEMENT OF PAIN: EXPERIENCING PAIN IN PURE FORM

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  2. April 29th, 2009 |
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We are now in a better position to discuss this idea. We can relax and stick a pin into our skin without feeling discomfort, and we can touch our skin with the burning string as it glows red hot without any real feeling of hurt. In both instances we feel something, as we have not made our arm numb by dissociation. I find it very hard to describe what we do actually feel. There do not seem to be the right words to describe it. This is so because it is a feeling which we do not ordinarily experience. It is not just the feeling of touch because there is more in it than that. It is not pain as we ordinarily know it because it does not hurt. It is in fact the feeling of pure pain.

As we learn to do our exercises with less and less regression, we become more fully aware of this new sensation. It is not a nice sensation, neither is it nasty. There is no pleasure in it as in the masochistic embellishment of pain. We can feel pleased in a natural way with our newly learned ability to experience pain in this fashion, but this is a reality-based pleasure and quite distinct from the perverted pleasure of masochism.

As with the other aspects of this system, of self-management of anxiety and pain, we integrate this principle into our ordinary way of life. When by chance we are exposed to pain, we recollect the sensation of pure pain which we experienced during our exercises, and as we relax, the present pain merges into this new sensation. We must practise this in all the incidents of trivial pain which befall us. In the past we could have borne these minor incidents just as best we could; but now we use them to practise our new-found ability.

*144\57\2*

THE AUTONOMIC NERVOUS SYSTEM IN THE IRIS

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  2. April 29th, 2009 |
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The question arises: Is it true that the sympathetic nervous system registers in the iris as a square, as shown in several iris charts?

After studying the existing systems, I have come to the conclusion that the sympathetic trunk and the sympathetic ganglia have their proper place around the iris-wreath, but before giving my interpretation, I would like to outline the relevant observations given in these systems.

Irisdiagnosis has been greatly enriched by Anderschou’s location of the ganglionic plexi in the iris. He portrays the ganglionic plexus as a chainlike range of elevations between the nutritive organ areas (stomach and intestines) and the other organ areas of the body. Observation of it in the iris is rather difficult, and not possible in an iris of compact and dense texture.

On close examination with a lens, the small indications are found in conjunction with the organ-arcs. A part of the colon and intestines is to be found inside the sympathetic line, but all borders are dependent upon the mutual influences of the affected (diseased) parts. In this connection, I should like to point out that the medulla oblongata also has its place here.

In the Anderschou chart, the sympathetic line is indicated as a square around the iris-wreath, with arcs of different sizes directed inwardly and outwardly.

The solar plexus, a ganglionic plexus of the general nervous system, is also the control centre of the body-life, which through the umbilical cord has built up the whole body according to the three polar axes of the three dimensions. The animal nervous system, subject to consciousness and will, has its centre in the brain. The control centre of the vegetative nervous system corresponds in the iris with the central fibrous ring of the pupillary sphincter around the pupil.

The position of the solar plexus (plexus coeliacus) has been defined by only two or three investigators, who, however, are very vague in their exact location, and with whom I must completely disagree. According to the anatomical position, the solar plexus is found in front of the sympathetic trunk, in which case it is unquestionably a gastro-intestinal plexus. In spite of other opinion, it can only be placed with the sympathetic nervous system, whose location in the iris-wreath surrounding the digestive area, therefore the intestinal area, is quite definite. The sympathetic trunk shows as a ring-formation around the solar plexus in the region of the

iris-wreath.

He correlates the Vagus with the upper layer of the iris, the Sympathetic with the second layer, and the motor and sensory nerve fibres with the third layer. The correspondence with Hense’s view of the nerve layers is significant.

Kronenberger’s interpretation of the threefold arc-formation and the nerve rings is found in Hense in a different form. This interpretation of the three arc-formations has presumably also led to the introduction of the three major, six minor regions in the iris chart of Madaus-Flink.

However, that the sympathetic nervous system is not seen as a square, but that if signs such as black streaks or white lines go from the outer edge of the iris to the iris-wreath, or radiate out from the pupil and break through the iris-wreath, such signs always refer to the Sympathetic. It indicates that the complaints have a chronic character and would be difficult to cure.

Iris chart in which the sympathetic nervous system is indicated around the iris-wreath as a square, and on which he marks the lower line as the sympathetic ganglia, and the upper line as the sympathetic nervous system with connections to the head. Although the organ areas do not quite correspond with the modern chart, one must agree that even at that time a good understanding had been worked out. Everything is so arranged that it could be developed further, thus enabling later investigators to improve the existing system.

In the works of the more recent investigators, Maubach, Angerer and Deck, we find no localisation of the vegetative nervous system.

After concluding this review of different authors and of the anatomical relations, I think I can claim that the following key to the location of the vegetative nervous system in the iris is in accordance with the findings of many investigators.

The autonomic nervous system is described as a nervous system which functions according to its own laws. Anatomically considered, the autonomic nervous system, together with the glands of internal secretion and the body fluids, forms a functional unity.

The Vagus ( = Parasympathetic) is the 10th cranial nerve. It is also called the pneumogastric nerve. It consists of all those vegetative nerve fibres, including their origins and central connections, which arise in the mid-brain and the medulla oblongata, as well as in the sacral division. As the cranio-sacral system, it is functionally opposed to the thoracico-lumbar system (Sympathetic). The fibres of the parasympathetic do not run over the sympathetic trunk, but use true brain and spinal cord nerves as conductors.

The Sympathetic system, also known as the thoracico-lumbar system or the sympathetic trunk, has its cells of origin in the lateral horns of the thoracic and upper lumbar spinal cord. The spinal centres belonging to the vertebral column and spinal cord are subject to the influence of higher centres in the medulla oblongata, in the mid-brain, and in the cerebral cortex.

*35\78\2*

THE MONTHLY MENSTRUAL CYCLE: OLD-FASHIONED REMEDIES

  1. Posted by admin in Pain Relief-Muscle Relaxers |
  2. April 29th, 2009 |
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When a system as complicated as this seems to be going wrong, it’s very difficult to pinpoint exactly which part is at fault. This is why there are no easy remedies for period pain and why

different doctors in different clinics suggest different treatments. There was a time, about twenty or thirty years ago, when the standard remedy for the cramps was a strong dose of aspirin. If that failed, and it usually did, the only other possibility was to refer the patient for the operation called a ‘D and C, standing for dilatation and currettage. This involved giving you a general anaesthetic and then stretching the neck of your womb and scraping out the inner lining. In most cases this seemed to reduce the pain for a few months, but for most women the effect didn’t last very long and soon they were suffering as much as ever. Doctors now don’t suggest this operation so readily.

After D and Cs there was quite a vogue for what were called psychosomatic illnesses. Rather a lot of doctors thought that period pain was all in the mind and that if you cultivated a healthy attitude towards it, it would go away. For a handful of women who were genuinely snarled up, this approach was a help. For the rest it was absolutely demoralizing; being told it’s all in the mind doesn’t cure the pain, it simply makes you feel guilty or abnormal. This is precisely why a point was made of establishing right at the beginning of this book that period pain has physical causes. The trouble is that we don’t know exactly what they are.

*78\177\2*

THE ACHING MISERIES (CONGESTIVE DYSMENORRHOEA)-MOOD SWINGS: IRRITABILITY, NERVOUS ENERGY, DEPRESSION-NERVOUS TENSION

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  2. April 28th, 2009 |
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Many women are constantly on the go before a period; some can’t even sit down; some can’t stop talking. This type of mood swing seems to upset husbands and relations particularly, because the change is so abrupt. Many complain that they hardly recognize this new hyperactive woman. She wears them out. They don’t know how to respond.

It seems to me that there are two possible ways of dealing with this mood and they are the two extremes. You can either use your energy in the most violent work or exercise possible, or you can put your body into reverse by deliberate and lengthy relaxation. But it must be total relaxation, lying down, lasting at least half an hour, or it won’t have much effect. In a busy life I know how difficult that is to arrange. Fingertip massage can help you to relax too and so can dreamy background music. But even as I write I can remember women telling me that just attempting relaxation like this made them more tense and frantic than ever. So you’ll need to try both methods and see which is best for you.

*38\177\2*

CHILD MEDICAL ADVISER: VIRUSES

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  2. April 28th, 2009 |
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Symptoms: Vary according to the virus

Home care: In the case of illness caused by an intestinal virus, give aspirin or paracetamol to relieve pain and fever. Refer to the appropriate section for treatment of diseases caused by a specific virus.

Precautions

-    Because there are so many different types of viruses, diagnosis can be very difficult.

-    Immunity against any one virus is short-lived, so a child can have one virus infection right after another.

-    Call the doctor if your child has any of the following symptoms: stiff neck or back; severe headache and vomiting; extreme weakness or collapse; confusion.

-    The following are not symptoms of Coxsackie or ECHO viruses: rash resembling red sandpaper or red goose bumps; pus-like discharge from eyes, nose, or ears; reddish-purple spots; tender, red, enlarging lymph nodes; severe earache; blood in stool; severe cough; breathing difficulty.

A virus is a germ, smaller than a bacterium that can live only within a living cell. Many common illnesses are caused by a particular virus, among them mumps, chicken pox, measles, rubella (German measles), mononucleosis, cat scratch fever, hepatitis, warts, and roseola. Two large groups of other viruses – the respiratory viruses and the intestinal viruses – cause a variety of similar illnesses in children.

The respiratory viruses include the adenoviruses, parainfluenza viruses, rhinoviruses, influenza viruses, and the respiratory syncytial virus. The intestinal viruses (enteroviruses) inhabit the intestinal tract and are divided into Coxsackie viruses (of which 30 varieties are known so far), enteric cytopathogenic human orphan (ECHO) viruses (with 31 known types), and the three polio viruses. Coxsackie viruses are responsible for hand, foot, and mouth disease, herpangina, and pleurodynia. Herpangina lasts three to six days and produces a fever, sore throat, swollen neck glands, and painful ulcers on the soft palate, tonsils, and throat. Pleurodynia is an inflammation of the nerves between the ribs, and it causes intense pain, aggravated by breathing, on one side of the chest.

ECHO viruses may cause diarrhea. Coxsackie and ECHO viruses may cause symptoms of a common cold, a fever with or without a rash, encephalitis (inflammation of the brain), or paralysis.

The Coxsackie and ECHO viruses have an incubation period of three to five days or more, and they can be spread via the mouth or in the stool. Immunity against any one of them is short-lived. Therefore, a child can have one virus right after another.

*240/84/5*

DIABETES IN CHILDREN: CARE OF TEETH

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  2. April 23rd, 2009 |
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It is of course important that all children should visit their dentist regularly, but it is especially important that children with diabetes should see a dentist at least every six months. Infections of the teeth or gums may lead to an upset in the state of their diabetes, and painful teeth or gums may make it harder for them to take a properly balanced diet. The old belief that the milk teeth do not matter as they will be replaced by the second permanent teeth is now known to be unsound. Quite apart from the misery that the aching tooth may cause, the second dentition may be affected by disease of the milk teeth, and they may also grow out of proper alignment if the milk teeth are removed before they are due to be naturally shed. Your dentist will also discuss with you the best methods for the care of your child’s teeth and the best ways to prevent dental caries or ‘holes’ developing. Teeth should be brushed properly, and after each meal if possible. Ask your child’s dentist to demonstrate the best method of brushing. It is better to end the meal with a piece of raw fruit or raw vegetable rather than starchy food, as the starch tends to stick between the teeth, where it ferments and leads to caries.

If your child is under the age of 12 years and you live in an area where the water supply is deficient in fluoride, so that the risk of dental caries is increased, you may give him a fluoride tablet each day. It will not affect the diabetes in any way, and will reduce the risk of tooth decay.

When arranging a dental appointment it is best to have it soon after the meal so that there is little chance of a hypo reaction.

*74/54/5*

STRESS: LOSS IN THE QUALITY OF LIFE

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  2. April 23rd, 2009 |
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The poetry of it

“It seems strange to say it. But when things have been going well there has seemed a kind of poetry in life. Yes, I think ‘poetry’ is the right word. There has been something beyond the level of bed and breakfast, and getting the kids off to school. There has been something about it all that I felt within myself. A quiet knowing, an understanding, between my husband and I, and joy. And now it has all gone. The joy has gone, and the understanding has gone, and our marriage is on the way to going too.

‘Everything has changed. No, it has not all changed. Only one tiny bit of it; it’s me; and I know it.

‘What is the change? Simply that I am on edge. On edge, and the joy has slipped down the other side, along with the understanding I felt I had of things. And my husband and I are slipping apart, too.

‘Our quality of life, the things that are worthwhile, have all gone. And now a nothingness comes to my life; a nothingness in that which was so full.”

It is just that the nervous tension of stress inhibits what we might call the ‘poetry of life’.

Stress and love

“Oh, how I have loved! It has fulfilled my life, fulfilled my being. And it flowed on. It overflowed into the world around me; to the animate and the inanimate; to the heavens above me, and the earth which provides.

‘Now, something of it has gone from me. The joy, and the blessedness that I felt in the one whom I love, has gone from me. It’s running out of everything around me; it’s gone.

‘There’s loss in death; but this is more, it’s loss of life, life as it could be, and has been.

‘What caused this loss? Not him. Not me. Perhaps it was me? Perhaps it was my reaction to the problem? But how can I love when I feel so stressed?”

Quality of life varies from individual to individual. Not all of us will attain that degree of quality which is indicated in the example. However, what degree we do attain, whether great or small, is easily eroded by the tension arising from stress.

Suspicion and jealousy

“As a child I pulled the blanket over my head as a protection against the fears of the night. I feared the devils of the dark might set upon me.

‘Childhood fantasies are left behind with the years, but now I am beset by a new generation of devils – more vicious than those of the past – Suspicion and his son, the little devil called Jealousy. Suspicion and Jealousy. Mean qualities of little people. I can see that I have them both.”

Who are the suspicious and jealous? They are the insecure. The effect of stress, and the disordered action of nerve cells, is to make us uncertain of ourselves. Insecurity is the ground in which suspicion and jealousy grows.

*84/98/5*

INFERIOR PSYCHOLOGICAL REACTIONS TO ESCAPE STRESS: RATIONALIZATION

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  2. April 23rd, 2009 |
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Rationalization is the unconscious process by which we give socially acceptable reasons for things that we do from lesser motives. It is the unconscious excuses which our mind makes for us, without us being aware as to what is going on.

The businessman is coming under stress from worry about his tax return which he knows was not the complete truth. He rationalizes, ‘The accountant passed it. That’s his affair. It’s not my responsibility.’ Of course it is his responsibility. But by rationalizing in this way he saves himself stress from the problem.

A young man is feeling the effects of stress from his guilt about a sexual encounter in which he really seduced the girl. So he rationalizes, ‘She went along. She did not resist. Said “No”. That’s just at first. Just part of the game. A few tears to make it seem she meant it. She didn’t resist. What in hell am I worrying about?’

A girl laughed at her new lover’s impotence. ‘I shouldn’t have done it. He’s so sensitive. So very sensitive. Wish I hadn’t. Then what of me! My feelings! He shouldn’t have tried if he did not know he was all right.’ In this way she rationalizes her guilt and reduces the feelings of stress.

*77/98/5*

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