GETTING READY FOR A NEW LIFE: HOW IMPORTANT IS FOOD IN YOUR LIFE? THE DEFEATING BINGE EATING
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COLON AND RECTUM CANCERSColorectal cancers (cancers of the colon and rectum) continue to be the third most common cancers in men and women today, with over 130,200 cases diagnosed in 2000. Despite an estimated 56,300 deaths from colon cancer and 8,600 deaths from rectal cancer in 2000, many people are unaware of their potential risk. Bleeding from the rectum, blood in the stool, and changes in bowel habits are the major warning signals. People who are over the age of 40, who are obese, who have a family history of colon and rectum cancer, a personal or family history of polyps (benign growths) in the colon or rectum, or inflammatory bowel problems such as colitis run an increased risk. Other possible risk factors include diets high in fats or low in fiber, although several studies have raised questions about whether a high-fiber diet makes any difference in cancer reduction.Because colorectal cancer tends to spread slowly, the prognosis is quite good if it is caught in the early stages. Colonoscopy or barium enemas are recommended screening tests for at-risk populations and people over age 50. Treatment for colorectal cancers often consists of radiation or surgery. Chemotherapy, although not used extensively in the past, is today a possibility. A permanent colostomy, the creation of an abdominal opening for the elimination of body wastes, is seldom required for people with colon cancer and even less frequently for those with rectum cancer.*22/277/5*
HIVES: ITCHING TO GET YOUR ATTENTIONHives are an allergic reaction. They are red, itchy, raised welts on the skin that may vary in size from less than a quarter-inch to more than an inch. Hives appear after you have been exposed to something that causes your body’s antibodies to react, prompting the release of histamine into the skin. Hives may appear immediately or a few days after exposure and may last a few minutes, several days or come and go at intervals for weeks.Common causes of hives include foods such as eggs, milk, wheat, berries, pork, chocolate, shellfish, nuts and cheese. Other triggers include molds, pollens, animal dander, insect bites, chronic infection, drugs, vaccines, heat, sunshine, cold, perfumes or stress.You can react on the first exposure or after many contacts with the cause of your hives. It is often difficult to determine the cause, and mild cases are treated only to relieve symptoms. Allergy tests are done if the symptoms become severe and interfere with your normal activities or if your hives are accompanied by other signs of an allergic response.PreventionAvoid foods, medications or contacts that may have caused hives in the past.Use insect repellent and extra caution when you are in areas that have insects you may be allergic to.Inform all your doctors and dentists of your allergies.Learn stress-management techniques if stress appears to be a trigger for your hives.What you can doRelieve itching skin areas by applying cool, wet compresses soaked in ice water or Burrow’s solution (available in most drugstores).Bathing in lukewarm water containing one-half to one cup of Aveeno powder, one cup of baking soda or finely ground oatmeal may ease itching in large areas.Try over-the-counter (OTC) oral antihistamines such as Benadryl or Chlor-Trimeton. Read the precautions on the label regarding drowsiness.Apply a very thin layer of over-the-counter (OTC) hydrocortisone cream on small areas. Do not use near your eyes, mouth or genitals.Cut nails short or wear cotton gloves at night to prevent harmful effects of scratching.Avoid the cause of your hives.*41\303\2*
INTRA-ABDOMINAL INFECTIONS: PANCREATIC ABSCESSPancreatic abscess most often occurs after an episode of acute pancreatitis but may also develop as a result of secondary infection of an established pancreatic pseudocyst. One to 9% of cases of acute pancreatitis are complicated by pancreatic abscess. Secondary infection of necrotic pancreas, possibly by reflux of contaminated bile, is the most likely pathogenesis. Up to one half of infections are polymicrobial, typically involving E. coli and other gram-negative facultative organisms, enterococci, viridans streptococci, anaerobes, and occasionally S. aureus.Pancreatic abscesses may result in two different clinical syndromes. In the first, the patient recovers from the initial acute pancreatitis but then develops fever, nausea, vomiting, and abdominal pain 1 to 5 weeks following the episode. These patients are usually found to have a well-defined abscess on CT scan. In the second group, patients never recover from the initial episode of pancreatitis and develop fever and hemodynamic instability.Computed tomography is the best study to detect pancreatic abbesses. Treatment requires early surgical debridement and drainage; percutaneous drainage appears to be inadequate in most cases. Initial empiric antibiotic therapy is the same as that recommended for secondary peritonitis.Complications of pancreatic abscesses include intra-abdominal hemorrhage, spread of infection to the lesser sac, and fistula formation. There is a 100% mortality rate in patients with undrained pancreatic abscesses and a 53% to 86% survival rate in those who undergo surgery.*98/348/5*
ALCOHOLISM TREATMENT TECHNIQUES AND APPROACHES: GROUP AS THERAPYBeing a part of a group can do some powerful therapeutic things. The active alcoholic is afraid of people “out there.” The phrase “tiger land” has been used by alcoholics to describe the world. That’s a fairly telling phrase! Through group treatment, the alcoholic will ideally reexperience the world differently. The whole thing need not be a jungle—other people can be a source of safety and strength. Another big bonus from a group experience is derived from the alcoholics’ opportunities to become reacquainted with themselves. A group provides a chance to learn who they are, their capabilities, their impact on and importance to others. Interacting honestly and openly provides opportunity to adjust and correct their mental pictures of themselves. They get feedback. Group treatment of those in a similar situation reduces the sense of isolation. Acoholics tend to view themselves very negatively and have an overwhelming sense of shame for their behavior. Coming together with others proves that one is not uniquely awful. Yet, mere confession is not therapeutic. Something else must happen for healing to occur. Just as absolution occurs in the context of a church, in a group that functions therapeutically, the members act as priests to one another. Members hear one another’s confession and say, in essence: “You are forgiven, go and sin no more.” (A short lesson in linguistics: the word sin is derived from the Greek word meaning “to miss the target.” It is what the person standing by the target called back to the archer, so that the archer could readjust his aim. It does not imply evil, or bad, as is so often assumed.) That is to say, group members can see one another apart from the alcoholic behavior. They can also often see a potential that is unknown to the individual. This is readily verified in our own lives. Solutions to other people’s problems are so obvious, but not so solutions to our own. Members of the group can see that people need not be destined to continue their old behaviors. Old “sins” need not be repeated. Thus, they instill hope in one another. Interestingly enough, one often finds that people are more gentle with others than with themselves. In this regard, the group experience has a beneficial boomerang effect. In the process of being kind and understanding of others, the members are in turn forced to accord themselves similar treatment.What has been discussed is the potential benefit that can be gleaned from a group exposure. How this group experience takes place can vary widely. Group therapy comes in many styles and can occur in many contexts. Being a resident in a halfway house puts the alcoholic in a group, just like the person who participates in outpatient group therapy. Group therapy means the use of any group experience to promote change in the members. Under the direction of a skilled leader, the power of the group processes is harnessed for therapeutic purposes.*126\331\2*
TAKING PRESCRIPTION ANTIHISTAMINE-DECONGESTANT MEDICATIONS SAFELY Seldane-D Extended-Release Tablets is the only non-sedating antihistamine (terfenadine)-decongestant (pseudoephedrine) combination. These tablets combine terfenadine (60 milligrams) and pseudoephedrine (120 milligrams) in an extended-release format designed to be used on a twice daily dosing schedule. The terfenadine component is contained in the outer coating of the tablet and is released immediately upon ingestion, which is fine, because its effect will last up to 12 hours. The pseudoephedrine is released in two stages. Ten milligrams is present in the outer coating and is released for immediate action along with the terfenadine. The other 110 milligrams of pseudophedrine is contained in the inner portion of the tablet and is made available slowly over several hours. The recommended dose for children over twelve years and adults is one tablet each morning and evening. The same cautions one observes in the use of either component alone should be observed when using the combination. Seldane-D carries with it the same warnings as Seldane: it should not be taken with any erythromycin product, Biaxin (clarithromycin), Zithromax (azithromycin), TAO (troleandomycin), Nizoral (ketoconazole), or Sporanox (itraconazole). Because of the close similarity between antifungal medications, it should not be used with Diflucan (fluconazole), Flagyl (metronidazole), and intravenous Monistat (miconazole). It should not be taken in the presence of liver disease. It should be taken only in the dose recommended by your physician.*46/322/5*
ALTERNATIVE THERAPIES FOR RHEUMATOID ARTHRITIS: MEDITATION, MASSAGE AND ACUPUNCTURE Meditation Meditation is another relaxation technique. There is much data available that show that meditation and prayer play major roles in both the treatment and prevention of disease. While these techniques may not be for everyone, they have proven to be quite effective in those patients receptive to their benefits.
Massage and RAMassage, or bodywork, can be useful in relaxing the muscles and easing tension. By all means, try some type of massage. There are many kinds of massage, so you’ll have to do some research first. Whichever type you choose, make sure the therapist is well experienced in bodywork.Never have any type of bodywork performed on inflamed joints, if you are having a flare of your disease, or where the skin is broken. Massage should not be painful; it should be a comfortable experience.
Would acupuncture be helpful in treating my RA?There is good documentation today that this area of medicine not only has benefit for you but is also being prescribed more and more by medical doctors. Acupuncture can relieve pain and discomfort for many arthritis sufferers – including those with rheumatoid arthritis. In fact, in many parts of the world, acupuncture is the only treatment available for RA. In many foreign studies, acupuncture has been found to decrease the number of non-steroidal medications that you have to take to remain pain free.
Should I abandon my medical doctor for acupuncture if it helps me?No! Never give up on traditional medicine. These medicines have been proven to help you beyond a doubt. Moreover, you may worsen again once you completely discontinue traditional medicines.*44/141/5*
HEART DISEASES: ANGINA PECTORISAngina pectoris is a pain-continuous, aching, burning, or with a feeling of constriction – behind the breastbone, sometimes over the heart, radiating to the arm, the neck or the jaws. The pain becomes worse upon walking or upon association with any emotional strain or other stimulus that increases the work of the heart. Immediate rest stops the pain. Immediate relief from stress also stops the pain. It is most important to be certain that the pain is that of angina pectoris. Associated with it is a feeling of impending death which is frightening. The cause of the pain is believed to be a deficiency of the supply of oxygen to the muscle of the heart. The muscle needs oxygen in order to function. An increased demand for oxygen is therefore associated with exercise, emotional strain or anything that causes the heart to beat faster. High blood pressure or constriction of the blood vessels to the heart will also lessen its blood supply. Experts say that the underlying cause of angina pectoris in the vast majority of cases is a constriction of the coronary arteries which impedes the flow of blood into the muscles of the heart. Obviously, in such cases there is always the danger of a sudden complete blocking of these blood vessels, as occurs in coronary thrombosis. When people who have had angina pectoris for a long time develop such attacks while at rest, there is a possibility that coronary thrombosis is threatening. Angina pectoris may occur in people of any business or occupation but is more likely to attack those who work under strain.Here are ten commandments for people who have angina pectoris:1. Do not subject your heart to sudden, strenuous, or prolonged physical activity.2. Eat regularly, slowly, and temperately.3. If you are excessively overweight, seek sound counsel as to how best dispense with this form of heart handicap.4. Try to avoid physical activity for at least thirty minutes after eating, particularly after the heaviest meal of the day.5. Avoid emotional stress and strain. Worry is an important factor in relation to heart strain.6. By appropriate measures, keep your body as free as possible from so-called foci of infection.7. Remember that regular intestinal elimination is highly important.8. Average not less than eight hours of sleep in a room abundantly supplied with fresh air.9. Remember that perennial health demands a proper balance between work, play, and rest.10. Have periodic medical examinations, in order to uncover defects of which you may be unaware.People with angina pectoris can now get relief by various drugs. There are small glass bottles or ampules which contain amyl nitrite. Inhaling this drug brings prompt relief. Some people do well with nitroglycerin tablets which are dissolved under the tongue. Relief of the acute attack is not difficult but the doctor must regulate the life of the person with angina pectoris to minimize attacks, both as to frequency and severity, as much as possible.*9/318/5*
NEW IN CANCER RESEARCH, PREVENTION AND TREATMENT Alcohol and cancerHeavy drinking is associated with an increased risk for several cancers – notably, cancer of the mouth, esophagus, pharynx, larynx, liver, and pancreas. An analysis of multiple studies published in the mid-1990s found that having two alcoholic drinks per day (any type of alcohol) increased a woman’s chances of developing breast cancer by nearly 25 percent. The reasons for this are unclear, but researchers speculate that alcohol influences the metabolism of estrogen and that prolonged exposure to high levels of estrogen increases breast cancer risk, particularly for women on hormone replacement therapy (HRT). The effect of one drink per day on increased risk is controversial, but most experts feel that one drink per day does not increase risk. But, before you decide to toss out all of your alcohol, you should know that there is increasing evidence that a glass of red wine, with its antioxidant potential and HDL-increasing potential, seems to provide protection against heart disease.
New methods of detectionSeveral newer methods of breast cancer detection are on the horizon:- New blood tests. Researchers from the John Wayne Cancer Center in Santa Monica are developing biological markers that would identify microscopic tumors as they travel through the blood, before they are large enough to be picked up on conventional tests.- New “Pap smear for the breast.” Similar to the Pap smear, which checks fluids from the cervix for abnormal cells, this newer test analyzes fluids from the milk ducts (where most breast tumors originate) and checks for cancer, and it may be widely available soon. This test would pick up cancerous cells in their earliest, most treatable stages.- Better breast scans. Researchers at the University of Chicago and elsewhere are developing and exploring better computer programs to point out questionable spots on mammograms and better, more reliable machines such as MRIs.*18/277/5*
LIFE GOES ON—SO, LAUGH!Robert Frost said he could sum up everything he learned about life in three words: “IT GOES ON!” I believe that’s, oh, so true. The human spirit can survive pain, loss, death, taxes, and even wet panty hose and life goes on . . . and on and on. My encouraging word to all those I meet is “develop a sense of humor to carry you through these days. Without one, you are doomed to despair. With one, you can survive and actually enjoy the trip.”Years ago my Joy Box pulled me through the rough days when I had nothing else going for me. I felt all alone in that dark pit. I didn’t know then that others had been through it and had made it. Collecting the poems, cartoons, verses, and all kinds of paraphernalia and knickknacks was a way to MAKE myself look for joyful things. It brought me from where I was to where I am now. I can look back and remember it, but I’m not there anymore. It came to pass; it didn’t come to stay.So my word to you today is: Get yourself a Joy Box. Just decorate a shoe box, and start today to collect things that are fun, cute, inspiring. When you start collecting joy, you’ll find that it’s like a magnet. At first a shoe box may be big enough, but soon you’ll have to enlarge it to a basket. Then you’ll need a barrel, and before you know it, you may have to add a room to your house, just the way we did in order to have space for all that joy.One thing I treasure in my Joy Room is a wooden plaque on the wall with the name BARBARA on it. Printed below that name is its meaning: “COMING WITH JOY.” I’m so thankful to everyone who has made God’s love abundant and running over. So many have sent me care and love and turned my Joy Room into a haven where people can come to kick back, put it in neutral, and just learn to smile again. Some people who come to see me have not smiled or laughed for months, but sitting in the Joy Room is a form of therapy. Even the grandfather clock seems to chime its message, “I love you, friend, so very much!”I feel I have earned the Joy Room. I’ve come back from the Black Pit—back into life again.I was talking with a lady once and said: “I wonder if there is any place in the Bible where it says that Jesus laughed.”She said, “I don’t know where it says that in the Bible, but I do know that Jesus sure fixed it so we could!”And I thought, She’s so right. God fixed it by having Jesus die on the cross and then raising Him from the dead. He fixed it so we could have laughter and joy, so we could look up and say, “Thank you, Lord, for what You’ve given us —salvation and eternal life.” And we can laugh—I genuinely believe we can laugh and be joyful Christians because of what He has done on Calvary for us.*30\316\2*