Archive for January 7th, 2010

Substance Abuse Evaluations in Child Custody Cases

Thursday, January 7th, 2010

I make a number of assumptions when conducting a substance use evaluation as part of a litigation process: 1) the individual’s use is usually not less than the individual reports, but it might often be more (or much more); 2) inaccurate accusations of substance abuse are common because there is usually little negative consequence for inaccurate accusations; 3) the parties to the litigation, and those connected with them, may provide biased and inaccurate information. Therefore outside corroboration of their reports is essential for determining the extent and consequences of substance use.

As a practical matter, getting outside corroboration (information from sources not connected with the litigation) is difficult because such information may simply not exist, or obtaining it would require work performed by other professionals (such as private investigators) rather than by psychologists. That work would be outside the scope of the psychological evaluation the individual has consented to. An evaluation that obtained outside corroboration could be conducted at great expense, but would require weeks to months of effort and at best would only establish the history of substance problems (or lack of them). Such an evaluation would be appropriate when litigation is only concerned with history and not with the future (as it is in child custody litigation).

In my typical evaluation I document what is reported by the parties, conduct basic psychological and addiction testing, review documentation, and interview collaterals, as appropriate to each case. In some cases I am able to identify reports that are unlikely or impossible (e.g., consuming only 2 beers would not result 90 minutes later in BAL of .22). In some cases the information I obtain allows me to offer a firm diagnostic opinion. However, in most cases I will not have a firm diagnostic opinion, because I will not have sufficient firm evidence.

Even with a firm diagnostic opinion, the prediction of future substance use is problematic. An individual’s substance use can change, suddenly, dramatically and without treatment or support group attendance, in response to changes in the environment. Litigation often produces substantial environmental changes, and therefore has the potential to lead to significant decreases (or increases) in substance use. The diagnostic manual (DSM-IV-TR, page 221) recognizes that “some individuals (perhaps 20% or more) with Alcohol Dependence achieve long-term sobriety even without active treatment.”

Consequently, if the litigation has a future focus, my normal recommendation is to obtain substance testing on a continuous basis. I will monitor the results of this testing if the court requests it. Random testing might work in some cases, but it allows a significant potential for delay in discovering problems. Such delay is unacceptable when the best interests of children are involved. Depending on the substances of concern, testing involves the individual stopping at a drug testing facility two to three times per week to provide a urine sample. Modifications to the basic plan need to be made if the individual tested is a reportedly moderate drinker, but in some instances such individuals are willing to abstain completely for the sake of eliminating suspicions about their having alcohol problems.

I normally recommend that the testing be paid for by the other party, and continued as long as the other party feels it is worth paying for. Solomon knew that the true mother would only want what was best for her child. Even Solomon did not try, simply based on the reports he received, to determine which mother was telling the truth.

  • Share/Bookmark

Japanese: The Japanese Culture of Anime

Thursday, January 7th, 2010

The impossible becomes mundane, and taboo topics become commonplace. That was my initial reaction to the Japanese culture of anime. Most of their stories bordered from the impossible to the ridiculous, unlike anything I have ever watched. I mean, come on, I have never seen eyes so exaggerated, reactions too theatrical, and characters too complex I had to wonder if they were schizophrenic or possibly high on something. Their plots were unbelievable too. From a guy transforming into a buxom girl when doused with cold water to an alien group of frogs out to conquer the planet while looking like a Sanrio stuff toy. Laws of gravity are disregarded, as characters are able to fall from great heights in slow motion.

I remember the first Japanese anime with English subtitles I ever watched. It was given to me by a friend who just returned from his vacation in Tokyo. It was about a samurai vagabond who carried problems the size of a ten-wheeler truck on his shoulders. Then, I didn’t know how, but I was soon watching Naruto, an anime about a hyperactive young ninja’s journey to power and adulthood, who screamed too often for his tonsils to still be functioning if he existed in real life. Yes, one thing led to another, and soon enough, I was hooked. Probably because of the complexities of Japanese anime that is evident in their twisting plots and multi-dimensional characters who almost always seem to be a totally different personality from what you originally think them to be.

The thing about languages is that even if they are tricky, it’s not impossible to learn. All you need to do is use it with every opportunity you have, and repeat it. The human brain is an amazing tool, and what is even more amazing is that we only use a portion of it. Imagine what we can be capable of if we use even half of its capacity to store information and different languages. For people who think that it’s a fruitless cause, may I remind you that when we were still cute tots, we had to learn how to speak from scratch. Whether we liked it or not, we listened to dear old mom and dad as they cooed, first in incomprehensible baby talk to ‘grown-up speak’. We listened to those nursery rhymes over and over the whole day and fairy tales during the night until we were able to recite them from memory. We were like sponges, absorbing everything we can get our hands on. So why not learn now instead of leaving your brain to rot?

Watching animes enabled me slowly to comprehend Nihongo. Okay, so my knowledge is basic, so don’t talk to me in Nihongo unless you want me to make a fool of myself. But I’m still darn proud to know a few words and phrases, and that’s just by watching an episode for about 5 times. By reading the English subtitles, wrong grammar withstanding (just edit it mentally), I found myself slowly understanding the words. For instance, to say “good morning” in Nihongo is to say Ohayo (think OHIO, but stress on the end of each syllable). If greeting an older or superior person, boss or teacher, say Ohayo Gozaimasu. “Thank you” is Arigatou/*Arigatou Gozaimasu*, or as English-speaking Japanese characters would say, ‘Sankyu’. And of course, I also learned really good cuss words! A really good thing that came out of it was that I had the freedom to scream what I want in Nihongo at home without my mom walloping me for saying inappropriate words. FYI, she only knows ‘Bansai!’

Of course, I still plan to take up Nihongo formally. I plan to enroll in a center where a Japanese teacher or sensei can help me with my studies. Maybe I should get some audiotapes on how to speak Nihongo as well. Someday I just might go to Japan, just to test everything that I’ve learned (although I will arm myself with a dictionary and my sensei’s cellphone number on speed dial), and foray into shops to look for more of my favorite anime titles to indulge myself into.

  • Share/Bookmark

Seroquel – to help in the treatment of schizophrenia and bipolar disorder, is available Online against medical prescription

Thursday, January 7th, 2010

Like other antipsychotics, Quetiapine blocks the chemicals that nerves use to communicate with each other. Dopamine type 2 and Serotonin type 2 receptors are believed to mar the normal functioning of our brain cells, leading to abnormal behavior and thinking in individuals. Quetiapine is thought to successfully block these two receptors from causing further damage to our brain cells, thus providing relief to those who have been afflicted by schizophrenia, hallucinations, delusions, paranoia, catatonia or acute manic episodes of bipolar disorder. Seroquel is not meant for use in dementia-related psychosis, and can be fatal if given to older adults with this condition.
<br>
Seroquel has to be daily taken twice, maybe thrice, as the psychiatrist says with a glassful of water, with/without food. Doctors gradually increase the dosage over several days or weeks before the desired effect is reached. The initial dose given by doctors for schizophrenia is 25mg twice/thrice daily; target – 300mg- 400mg daily. The initial dose for bipolar disorder is 50mg twice daily, target – 400mg a day, but doctors don’t go beyond 800mg. Patients must not exceed the dose. If a dose has been missed, you can take it if there is much time left for the next dose, otherwise leave it, doses must be properly spaced.
<br>
As with other medications, Seroquel brings its side effects, which may include agitation, headache, dizziness, drowsiness, tiredness, weight gain, stomach upset or constipation. To counter dizziness on getting up from bed or a chair, one must get up slowly; while those who are handling heavy machinery or driving, have to be extremely alert while taking quetiapine, or they can assess how this drug effects them before they plan to continue such activities.
<br>
If a patient has new/worsening of panic attacks/anxiety/hostility/ aggressiveness, insomnia, hyperactivity, depression, thoughts of suicide, call the doctor at once or if the patient experiences fast/uneven heartbeats, stiff muscles, uncontrollable jerky muscle movement, sudden numbness, problems with vision-speech-balance, frequent or no urination, hives, difficulty in breathing, or swelling of the face-lips-tongue-throat, then immediate medical help has to be sought.  
<br>
There could be other side effects, some of which could be fatal or cause irreversible damage, so the patients must give their complete medical history to the treating doctor, informing him of all the ailments they have suffered from, medicines taken in the past and medicines they are allergic to this will enable the doctor to prescribe the dose best suited for them, and to help them to avoid drugs which if taken alongwith Seroquel, could be potentially harmful.
<br>  
Quetiapine may increase levels of cholesterol and triglycerides. Hyperglycemia could also take place, so patients with family history of diabetes have to get blood tests done regularly to detect the onset of diabetes. Quetiapine is also associated with the development of cataracts, so eye examinations should also be taken regularly. If diabetes or cataract formation results in a patient, then treatment with Seroquel has to be stopped. Alcoholic beverages have to be avoided while taking Seroquel, as well as overheating and dehydration. All antipsychotic drugs increase the risk of death in elderly patients those being treated with quetiapine need proper supervision by their doctor and family. Seroquel is not recommended for pregnant women while nursing mothers who take this drug should not breastfeed their infants. Doctors prescribe it for children who are 10 or above. The drug has to be stored away from heat, light or moisture; out of reach of children and pets. Never share your medicine with anyone else as it can harm that person.

  • Share/Bookmark

Mother Nature’s Solution For Excessive Sweating

Thursday, January 7th, 2010

If you suffer from excessive sweating, or hyperhydrosis, and want to solve the problem, you would probably try anything. But if you look to high-stregth anti-perspirants and other medications, are you potentially swopping one health problem for another?

But you don’t want to get rid of one health issue just to end up with another, possibly worse one – so what do you do? Should you just accept your condition and all the social embarrassment that comes with it? Well, thanks to good old Mother Nature – there just might be happier solution.

A number of natural remedies are becoming increasing popular with sufferers of excessive sweating. Although it seems to be the case that there is no single guaranteed solution – isn’t this also true of chemical treatments? But since these are natural remedies, you can try all or any of them without worrying about side-effects. It’s safe to keep trying and testing so you can find something that works for you. So, here are just a few popular alternatives to those nasty chemical-laden products: Apple Cider Vinegar & Honey. Take 2 tsp of thick raw, organic honey and mix it with 2 tsp of apple cider vinegar (the non-acidic kind). Take three times a day on an empty stomach.

Magnesium supplements. These have been known to be helpful in stopping excessive sweating. Due to their possible laxative effect, a small dose of less than 500 mgm is probably best to start with. (Magnesium is also helpful for calming the nerves, relieving depression and reducing stress and sleep problems.)

Sage. Boil a few sage leaves for 10 minutes in 1 1/2 cups of water then drink first thing in the morning. If one cup a day doesn’t work, try another one a few hours later. Also try adding sage to food.

Baking soda. Make a paste by mixing the rubbing alcohol and a teaspoon of corn starch and baking soda. Add a couple drops of a nicely scented essential oil and it will smell good too! Apply it last thing at night and then wash it off when you wake up in the morning.

Tea soak. Brew a nice strong pot of black tea, let it cool, pour it into a plate of some sort, and soak hands/feet for 3-5 minutes. (Note: soaking too long could turn your skin brown.) For underarms, just get some tea on your hand and rub, let dry, rub again. You can also try this with sage tea.

It’s only natural that you want to cure your excessive sweating but equally you don’t want to set yourself up with other health concerns. So why not try Nature’s Way? Many people have already used these alternative remedies to free themselves from the embarrassment of hyperhidrosis – and you can too. Naturally.

  • Share/Bookmark

My mom is an alcoholic and her drinking has had my two brothers put in to foster care what should i do?

Thursday, January 7th, 2010

This is a desperate question because she is going into rehab this week and i need as many good answers as i can get!!!!!

  • Share/Bookmark

Arthritis Pain Relief- What your Doctors Forgot to Tell you About Arthritis Treatment

Thursday, January 7th, 2010

A car lasts 20 years. A microwave could last 25 years. A human body lasts 80 years. And if you suffer from arthritis, you might be thinking that your body will only 40 years. But you’re wrong!

Arthritis could now be labeled the newest epidemic to plague all industrial countries. And I emphasize ‘industrial’. And if you have researched the statistics on arthritis and treatments, you would know that both cases and costs for arthritis have literally quadrupled in recent decades. But why is this? Could arthritis pain relief be as simple as looking into our past?

What our past tells us about arthritis pain relief

A close friend of mine grew up on a farm in Iowa and during his childhood he worked! In fact, their whole backyard was a garden growing produce for the 12 member family’s meals for the rest of the year. And as I picture a dinner table with 12 hungry mouths, my mouth drops to consider what things would be like only 50 years ago. But recently, I asked my friend a question.

“Did your dad or mom ever suffer from arthritis?” I wondered. My friend reflected and to the best of his ability he never thought arthritis was a problem until their late 70s. Can you imagine not feeling the pain of arthritis up until you are 70+ years old?

But how come we are part of the first generation that arthritis is affecting so young?

Could your diet and activity level be the problem? If you consider how most people lived 100 years ago (pre-industrial), you might speculate how diets and activity levels differed. But what does this have to do with arthritis? Everything!

How Nutrition, Breathing and Exercise Cure Arthritis

Obviously things have changed over the course of a half of century. For one, our diets have completely changed because of our now fast-lifestyle. Secondly, our exercise patterns have also changed in the past century. Instead of working out with a ‘blue collared’ job; we now take the stairs instead of the elevator for our daily workout. And thirdly, because of our sedentary lifestyles, our bodies are also starving for oxygen which is typically not a problem if you work on your feet all day.

The result of our 21st century lifestyle! Almost 100 million arthritis sufferers in the United States alone and billions elsewhere. That is about 1 in every 3 adults sufferer from one form of arthritis or another. And as gas prices rise so will arthritis cases!

But what are we to do? Fortunately, arthritis pain relief might be simpler than you expect if you watch your diet, begin to slowly work into an exercise routine and increase your oxygen levels with simple breathing exercises you can do right in your work office!

Arthritis Pain Relief Tips

1. Nutrition! What you put in your mouth has the greatest impact for hurting or helping your arthritic symptoms. You must begin to think of your diet as your treatment as opposed to satisfying your palette. The basic rule for eating arthritis pain away is eating fresh and raw foods in their natural state. Stay away from fast foods, processed foods and anything that is canned. Large amounts of additives and preservatives will wreak havoc on the joints.

2. Working out! Did you know that you need about 20 minutes of moderate activity level for your body to reach the level to release chemicals for a ‘runner’s high’. Unfortunately, most people exercise for about 15 minutes and never get that addicting ‘runner’s high’ to keep the momentum going. Start working out slowly and eventually work your way up to at least 20 minutes a day. My friend’s 70 year young, ex-arthritis mother is arthritis-free and now works out an hour each day. You can do it too!

3. Water! This needs to become your drink of choice in all situations. Avoid caffeinated and carbonated drinks at all costs. Drink 10-12 tall glasses per day.

4. Breathe! Did you know that those who have poor posture are also getting less oxygen to their body? It is kind of a vicious cycle! But if you can learn simple breathing exercises, you can actually feel years younger and your joints will too!

5. Vitamins! The average person knows very little about vitamins. And unfortunately, the average arthritic sufferer knows even less! Our report gives a detailed report on what vitamins are essential for rebuilding cartilage between worn joints and which ones are a waste of your money. Are you taking your vitamins?

6. Alkaline vs. Acidic Foods! You might not realize what foods are acidic or alkaline but you should if you have joint pain. You should be eating a composition of 70% alkaline compared to 30% acidic. For a list of foods please see our report.

7. Deer Antler Velvet? You might be scratching your head on this but if you know anything about the male deer you know that they regenerate their deer antlers. And the same compound could regenerate cartilage in your joints.

8. Stress! Finally, you need to play again. Do you remember when you had a little fun and forgot about the bills, job and busyness. Find that thing that makes you come alive and do it again.

Are You Ready for Freedom?

I have this favorite quote I live by, “Don’t ask what the world needs, but ask yourself what makes you come alive. Because what the world needs are people who come alive.” Are you ready to live again? Are you ready for the freedom of arthritis pain relief? If you are serious about a guaranteed arthritis treatment cure, please visit our website which will lead you to a beacon of everything you need to know about arthritis and natural health. What heals and why it heals is at your fingertips! My company’s researchers, personal natural health doctor and I would love to help you save thousands of dollars and naturally treat arthritis with a step-by-step treatment.

  • Share/Bookmark

Thrush Treatment – Treatment for Thrush

Thursday, January 7th, 2010

Thrush is a condition caused by an overgrowth of a yeast fungus known as Candida Albicans. Although it can be the cause of much irritation and inconvenience, it is rarely serious. There are many ways to treat the condition. The most common ways are a consultation with a family physician and the use of the doctor prescribed and over-the-counter medications. But there are also many ways to treat the condition from home.

Click for 12 Hour Natural Cure For Yeast Infection

Thrush typically appears as milky white patches on the sides of the throat and mouth. Additionally, the throat and tongue may show red spots. Besides the mouth, this condition, known medically as Candidiasis, can also take place in the colon and vagina. The most common symptoms of which are burning, itching, and discomfort.

It is strongly advised to consult your doctor if this is your first bout with the condition or if you have had more than a few outbreaks. Because thrush shares many of the same symptoms as other more serious illnesses, it’s important to rule these other conditions out before setting on a proper course of treatment.

How To Treat Oral Thrush
• Decrease the intake of carbohydrates and sweets from your daily diet because they both contribute to the growth of Candida.
• Add a teaspoon of apple cider vinegar to about half a cup of warm water. Then rinse out the mouth out with this mixture. Do this up to 4 times daily.
• Take garlic pills or incorporate garlic into your diet.
• There are certain herbs that inhibit the growth of Candida. Do a search online for those suitable for you. Live acidophilus cultures also prevent the growth of Candida. So, either eat plain yogurt or take acidophilus pills.

How To Treat Vaginal Thrush
• Take a very warm bath.
• Menstruation also helps because it adjusts the vaginal pH level, which disrupts the infection’s ability to survive and grow.
• Don’t use lubricants, spermicidal creams, and latex condoms.

Suggestions
• Make sure the affected area stays clean by washing with warm water.
• Don’t use soaps, bath and shower gels, and deodorants on the affected area.
• Keep the affected area as clean and dry as possible by wearing breathable fabrics and clothes that are loose fitted.
• Stress is often a contributing factor in the onset of thrush, so do what you can to avoid triggers of stress. 

Click for 12 Hour Natural Cure For Yeast Infection

• Drink cranberry juice.
• Melaleuca Oil or tea tree oil is a good remedy for a case of persistent thrush.
• Avoid steroid therapy, oral contraceptives, alcohol, antibiotics, and sugar. If you suffer from anemia, iron deficiency, or diabetes, take steps to get these conditions under control.
• Plain yogurt and Aloe Vera gel can be applied to the affected area. Avoid drinks and foods made that contain yeast.
• Avoid diary foods, mushrooms, pickles, smoked fish and meat, and monosodium glutamate.

Points of Interest
• Thrush typically occurs with people who have a compromised immune system and in the mouth of and infants.
• It is often the case that when a newborn infant suffers this condition, the mother will also have a vaginal yeast infection.
• Prolonged use of potent antibiotics can also be a trigger for this condition because the antibiotics can eliminate the normally healthy bacteria present in the body. The body needs these healthy bacteria in order to keep the yeast from growing and spreading into an infection. Make sure to consult your doctor before stopping the use of antibiotics, though.
• If you are just beginning a long treatment of antibiotics, ask your physician what can be done to possibly avoid the use of these drugs.
• Diabetics may suffer frequent outbreaks of thrush if their blood sugar levels become elevated.
• Thrush is often a sign of a more widespread yeast overgrowth. For this reason, it is strongly advised to follow a diet restricted of the foods mentioned above for at least 4 weeks.
• To avoid future cases of thrush, acidophilus supplements support the growth of healthy bacteria in the body.

Click for 12 Hour Natural Cure For Yeast Infection

  • Share/Bookmark

Acne Scar Treatments – Get Rid of Acne Scars Easily

Thursday, January 7th, 2010

The Perils of Acne

Acne is a skin condition faced by teens and adults. It is predominantly caused by the clogging of oil glands and the resulting inflammation. For some, it is not just a matter of having pimples on the face but a potentially disfiguring condition. Acne often leaves scars on the face. Remember, your mom telling not to squeeze that annoyingly ripe-looking pimple sitting on your nose? She was right.

Then, what should we do? What are we going to make the scars go away? And how do we stop acne from making our lives so difficult? How do we start acne scar treatment?

Getting In Touch With Mother Earth It is not a hippy or flower-power thing. Getting in touch with Mother Earth is a healthy and wholesome way. And Mother Earth has some helpful tips and suggestions for all types of problems, including acne scar treatment.

One good way to start working hand-in-hand with Mother Earth is going the natural or herbal way. This method is gentle and non-invasive. Furthermore, you will get to know the benefits of herbs and plants.

So, what does Mother Earth has to say about acne scar treatment? Listen to her wisdom

Water

Water makes up seventy per cent of Mother Earth. And water is essential to the physical well being of every living being. The skin of your body is also made up of water and it is important to drink a lot of water to keep your skin (including the skin of your face) well hydrated.

Remember to wash your face regularly with clean water. Clean water also cools the inflammation and keeps scarring at bay.

Herbs Look around you. You are surrounded with lush plants and greenery. They are soothing to your senses… and they might also play an important role in acne scar treatment.

There are some herbs and plants that might be suitable for treating unsightly acne scars as well as keep them from forming.

Aloe Vera

Aloe vera is a good plant to use, especially to cool or reduce the inflammation caused by acne. It is also known for its gentle healing properties when it comes to scars, caused by either acne or other skin irritations. The liquid mucous substance that oozes out when you cut the tip of an aloe vera stalk is thought to reduce swelling and fights bacteria. Apply it to the scars regularly. It also reduces the oily secretions on the skin and acts as a good prevention against acne.

Lavender

Lavender smells heavenly. It is known to be good to stop scarring as well. Just use two drops of lavender essential oil and mix it with almond oil. Use medical gauze with this mixture and apply on the scars nightly.

Dandelion Root

For many people, the dandelion is a garden and yard pest. Yet, dandelion is known to be an edible herb, rich with nutrients. Dandelion root is great for acne scar treatment as it reduces toxicity and improves skin condition. It is a great purifier of the bloodstream. You can find dandelion root extracts in tablet or pill form.

Neem

Known as a revered Ayurvedic herb, neem is a tree found in India. It has anti-viral and anti-bacterial properties. Neem can be used either in oil or powder form and is known to improve skin elasticity. You can also use neem powder to wash your face.

Tea Tree

The Tea Tree is found in Australia. It is anti-septic and anti-fungal. Mix two drops of tea tree oil with almond oil. Apply on affected skin/scars with medical gauze. Tea tree is also an effective acne scar treatment.

Onwards To Healing

Going herbal is a good way to start working closely with Mother Earth and her wisdom. For people with acne (and scarring) problems, the herbal route might be a suitable alternate as it is gentle and non-medical in nature. Some herbs are known to reduce the swelling and the scarring caused by acne. They are beneficial to the body’s physical well-being.

If you want to know more, just type in ‘herbal acne scar treatment’ into your search engine of choice. Always carry out some research before you embark on any healing process. It pays to know more information.

Always remember: Wash your face and do not pick your acne, even if it is ripe and tempting you to squeeze it.

  • Share/Bookmark

Access to Catastrophic Benefits under the SABS Ontario Canada

Thursday, January 7th, 2010

Access to Catastrophic Benefits under the SABS: ONtario Personal Injury Law

Working with several injured accident victims who suffer life-altering changes as a result of traumatic events in their lives is both daunting and rewarding.  The injured victim and their families require immediate insurance coverage for a multitude of expenses for medical costs and attendant needs that are not available through the public health care system.

In the context of motor vehicle liability insurance, the Ontario Government has recognized over the years and since 1990 the need for an expense recovery system outside of the traditional tort system so that the injured party does not have to await the outcome of litigation against an at-fault party before getting reimbursed for their expenses.  Since 1990, the Statutory Accident Benefit Schedule (“SABS”) has provided up-front medical, rehabilitation, attendant care, income benefit and other expenses to injured accident victims regardless of fault (i.e. No-Fault Benefits).  Since 1996, the SABS have provided a two-tiered delivery of medical, rehabilitation, attendant care and housekeeping coverage depending on the classification of the injury.

The term “Catastrophic” is defined in the SABS and is used as a division for the most serious and permanently injured to access increased benefits past the fixed periods assigned for the “non-Catastrophic” claimants.

This paper will examine some of the legislative changes that have emerged since the introduction of Catastrophic Impairment in the SABS and the jurisprudence that has resulted from the most contentious clauses of the definition.

1.    Legislative Framework

Sections 2(1.2)(e) through (g) of the current version  of the SABS define “Catastrophic Impairment” as follows:

(1.2)  For the purposes of this Regulation, a catastrophic impairment caused by an accident that occurs after September 30, 2003 is,
(a) paraplegia or quadriplegia;
(b) the amputation or other impairment causing the total and permanent loss of use of both arms or both legs;
(c) the amputation or other impairment causing the total and permanent loss of use of one or both arms and one or both legs;
(d) the total loss of vision in both eyes;
(e) subject to subsection (1.4), brain impairment that, in respect of an accident, results in,
(i)    a score of 9 or less on the Glasgow Coma Scale, as published in Jennett, B. and Teasdale, G., Management of Head Injuries, Contemporary Neurology Series, Volume 20, F.A. Davis Company, Philadelphia, 1981, according to a test administered within a reasonable period of time after the accident by a person trained for that purpose, or
(ii)    a score of 2 (vegetative) or 3 (severe disability) on the Glasgow Outcome Scale, as published in Jennett, B. and Bond, M., Assessment of Outcome After Severe Brain Damage, Lancet i:480, 1975, according to a test administered more than six months after the accident by a person trained for that purpose;
(f)    subject to subsections (1.4), (2.1) and (3), an impairment or combination of impairments that, in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993, results in 55 per cent or more impairment of the whole person; or
(g) subject to subsections (1.4), (2.1) and (3), an impairment that, in accordance with the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 4th edition, 1993, results in a class 4 impairment (marked impairment) or class 5 impairment (extreme impairment) due to mental or behavioural disorder. O. Reg. 281/03, s. 1 (5).

If an individual meets any of the above criteria they are deemed to have sustained a catastrophic injury.

How does the determination affect the level of benefits?

Under the current version of the SABS, the following coverage is expanded if an individual is “Catastrophic”:

1.    Medical and rehabilitation limits are increased from $100,000 available for 10 years, to a lifetime maximum of $1,000,000;
2.    Attendant care coverage is increased from a maximum of $3,000 per month for two years to $6,000 per month, to a lifetime maximum of $1,000,000;
3.    Housekeeping coverage extends for life; and
4.    Case management services are covered.

Changes under Bill 198

In 2003, the Ontario Government made some changes to the definition of Catastrophic Impairment under Bill 198 that applies to accidents that occur after September 30, 2003.  One of the significant changes can be found in the re-wording of clauses (b) and (c) which included the loss of both arms and both legs, whereas the initial regulations did not include this in the definition.

Another considerable change was made to section 2(2) of the SABS (now 2(2.1) for accidents that occur after September 30, 2003), which focuses on the point in time in which an individual’s injuries can be deemed catastrophic.  The old regulation stated that the insured person’s condition had to have stabilized and was not likely to improve, but the definition is reworded to say that the “insured person’s condition is unlikely to cease to be a catastrophic impairment”.  Moreover, section 2(2) has also been amended to require only two years to have elapsed since the accident as opposed to the three years in the previous version before a catastrophic determination can be made.

2.    Jurisprudence

The severely injured and their families have extensive needs and whether one qualifies for “Catastrophic” under the SABS plays a dramatic role in one’s ability to obtain timely and necessary care.  The likelihood of a severely injured accident victim pursuing maximum recovery to independence will in part depend on the level of services one can obtain.  It is surprising that given what is at stake in obtaining higher level SABS coverage, that there has not been a litany of jurisprudence to interpret widely how the definition should be interpreted.

The definition is clear with respect to interpreting 2(1.1)(a) through (d) as these are objectively determined.  However with respect to 2(1.1)(e) through (g), the assessors must use subjective criteria to make the determination.  This is the area where litigation is most often seen.

Clause (e)(i):  Determination by Glasgow Coma Scale “GCS”

Under this clause of the definition an individual may be deemed under the SABS to have met the “Catastrophic Definition” if they have received a score of nine (9) or less on the GCS, according to a “test administered within a reasonable period of time after the accident and that the test is performed by a person trained for that purpose”.

The GCS measures brain impairment by evaluating the best response of an individual in three areas, being eye response, verbal response and motor response.  A rating is then given on a scale in each category as to whether there was no response to a full response.  This test is useful in determining the level of brain functioning that a person has at a given time.  Whether or not the individual has ultimately sustained a serious or permanent brain injury is not determined by the GCS alone and it does not play a role under subsection (e)(i).  Therefore, although the GCS score could indicate future brain impairment it may very well be that a person who has early low GCS scales will not be permanently impaired and can be perfectly independent.

This definition of Catastrophic Impairment is highly contentious as the GCS can be unreliable, particularly under the following conditions:

1.    Influence of alcohol or narcotics on the GCS score;
2.    Ability to speak English;
3.    Emergency Intubation;
4.    Pre-existing Disability (such as hearing impairment);
5.    Facial injury; and
6.    Other medical factors (such as diabetic, administration of drugs during treatment).

The timing of the reading is also important as set out in the SABS.  The SABS indicate the reading must be “administered within a reasonable period of time after the accident” to be valid.  Some injuries may result in a transient loss of consciousness for a matter of minutes after an accident followed by a full recovery.  Other injuries may provide for a high GCS reading followed by a gradual deterioration which later is determined to reflect a severe brain injury.

In a 2000 private arbitration decision, Unifund v. Fletcher , Arbitrator Robinson concluded that the claimant did not suffer a catastrophic impairment thereby overturning the decision of the assessors who previously found the claimant to be catastrophic.  In Fletcher, GCS scores of 6, 8 and 9 were taken within the first half hour of the accident.  However, the GCS score never fell below 9 after the first half hour following the accident.  The assessors relied only on the first GCS scores of 6 and 8 taken just minutes earlier than the above-9 GCS scores, and the Arbitrator concluded that this approach was incorrect.

Another decision on the issue of GCS is the Financial Services Commission of Ontario (“FSCO”) case of Young v. Liberty Mutua1 .  In this case, Arbitrator Allen was required to review an assessment by a Designated Assessment Centre which determined that the claimant was not catastrophically impaired.  The claimant’s GCS scores were below 9 in the initial 28 minutes of care post-accident before the claimant was intubated.  Arbitrator Allen held that there is no set time for what exactly constitutes a reasonable period of time but that it “must be determined in the context of the particular circumstances of each case”.

Additionally, in the Young case it was noted that the intubation did not occur until well after the initial GCS scores were taken and that the time prior to intubation was a reasonable period of time to make a determination of catastrophic impairment based on the recorded GCS scores.  The arbitrator’s decision in Young was upheld on judicial review .

In Holland v. Pilot , Keenan, J. delivered a judgment in the Superior Court on similar issues involving a 15-year-old pedestrian struck by a motor vehicle.  In this case the plaintiff had ingested both alcohol and marijuana and the main point of contention was whether or not the drugs and alcohol in the plaintiff’s system could have had an adverse affect on the GCS scores therefore rendering them invalid.

While the parties’ experts differed on the influence of drugs and alcohol on the GCS reading, Keenan, J. found in favour of the insured and in doing so he demonstrated a reluctance to deviate from the legislative intent and to rely upon the GCS scores.  He ultimately made the finding that the injured individual met the catastrophic impairment requirement.

In Tournay v. Dominion , the only issue in dispute was whether or not a GCS score recorded on an intubated patient was, in law, a “valid” GCS score.  In this case, during the four hours of her post-accident treatment where GCS scores were conducted, there were a number of GCS scores of less than 9 during both the times she was intubated and while she was not.  There was evidence presented that Ms. Tournay’s daughter recalled that she attempted to wake her mother up “by grabbing her arm and shaking her for approximately 10 minutes”.  Since she did not respond to her attempts, Ms. Tournay’s daughter feared that she had died.  

Arbitrator Kominar heard arguments from the insurer that GCS scores while intubated were valid for medical purposes; they were not valid under the SABS.  Arbitrator Kominar did not believe that the GCS scores should be interpreted differently under the SABS and noted “If the scores, as recorded, were perfectly valid for medical purposes, then they are perfectly valid for purposes of the Schedule”.  As a result, Ms. Tournay was deemed to be catastrophically impaired.

Similarly, in the case of Michalski (Litigation Guardian of) v. Wawanesa Mutual Insurance Co. , FSCO Arbitrator Alves noted that the insured person’s GCS scores as recorded by the paramedics and later by the hospital as 3 and 9 respectively.  She ruled that there is a presumption for treating the injured claimant as catastrophic unless there are arguments about whether the test was administered within a reasonable time or by qualified personnel.  A special award was also ruled as against Wawanesa for their failure to recognize the seriousness of the injuries almost two years after the accident.

The most recent Court interpretation on the GCS is the decision of Liu v. 1226071 .  In this case the plaintiff had GCS scores of less than 9 in less than 40 minutes of time, before they rose to 12 and 14 in the 40 and 42 minutes following the accident, respectively.  Wright, J. determined that less than 40 minutes was a reasonable amount of time, however, he felt that the DAC Assessment finding the plaintiff Catastrophically Impaired was in error.  Wright J. felt that since 2003 Mr. Liu (four years after his accident) was able to manage his property, care for himself in terms of nutrition, healthcare, shelter, clothing and hygiene, was capable of making complex decisions and traveled to China twice making his own arrangements, did not suggest to him that he was a Catastrophically Impaired person.  The jury award of $865,000 for future care costs.  Wright J. ordered that since the plaintiff was not “Catastrophic” the future care was not payable.  The case was decided under Bill 59 (accidents from November 1, 1996 until September 30 2003).  Under Bill 59 an individual had to be “Catastrophically Impaired” in order to be able to claim medical expenses.

Jurisprudence shows a trend that a GCS score of 9 or less will continue to favour the designation of catastrophic impairment.  With the exception of Liu and Unifund, insurers have had little success challenging the validity of GCS scores.

Clause (f):  55% or more Whole Body Impairment
Clause (g):  Class 4 or 5 Impairment due to Mental or Behavioural Disorder
Can Clauses (f) and (g) be combined?

The first case to thoroughly examine the definition of clauses (f) and (g) was Desbiens v. Mordini  in 2004.  In this case Speigal, J. was asked to interpret 2(1.1)(f) of the SABS.   Desbiens was the first trial decision in which a plaintiff was found to be Catastrophically Impaired on the basis of one of the definitions of Catastrophic Impairment outlined in the applicable statutes and regulations.  Prior to his accident, Mr. Desbiens was a paraplegic as a result of falling off a roof while in the course of his employment.  Despite his paraplegia, Mr. Desbiens claimed that he was quite independent as he still had the ability to move around in his manual wheelchair and drive his altered vehicle.  He was also able to take care of himself with little assistance.  In fact, very few accommodations were required to his home to facilitate his independence in that regard.

After the motor vehicle accident, Mr. Desbiens claimed to have lost the independence he once had as the new injuries he sustained did not permit him to perform some of the essential tasks he was once able to perform on his own.

The decision states that the AMA Guides clearly anticipate that a given physician’s judgment and discretion will play a role in the assessment of the impairment.  Spiegel J. opined that the AMA Guides should not be applied without consideration of the particular reality of the individual being assessed.

One debate in the Desbiens decision revolved around the fact that based on his physical impairments resulting from the accident, Mr. Desbiens did not meet the requirements of clause (f), 55% WPI.  However, the most contentious part of the Desbiens decision is Spiegel J.’s analysis concerning the combination of physical and psychological impairments to arrive at the 55% WPI.  Essentially, it was argued by plaintiff’s counsel that Mr. Desbiens’ physical and psychological impairments could be combined under clause (f) to determine whether he had a WPI rating that was greater than 55%.

It was Mr. Desbiens’ position that the definition of impairment in the regulations included both psychological and physical impairments and that since clause (f) referred to a combination of impairments and not a combination of just ‘physical’ impairments, both physical and psychological impairments ought to be included in evaluating WPI.

The conclusion of Spiegel J. was that clause (f) was intended to be a ‘catch-all’ provision for the benefit of those who are in the greatest need of health care.  Spiegel J. concluded there was nothing in the legislation to indicate that physical and psychological impairments could not be added.  As he saw it, clause (f) used the wording ‘any’ combination of impairments.  While the definition in clause (g) did not include classes 1-3 psychological impairments, Spiegel J. found that there was nothing to prohibit those mild to moderate classes of psychological impairments from being considered in clause (f) for the purposes of the calculation of 55% WPI rating.  Spiegel J. believed that if the drafters had intended to exclude psychological impairments from clause (f), it could have easily specified that only physical impairments be included.

Desbiens has been followed in subsequent decisions and continues to be the leading Court decision on the issue of calculating WPI.

Another case to consider this issue was McMichael and Belair Insurance .  In McMichael, Arbitrator Muir was faced with the issue of whether or not the claimant had suffered a Catastrophic Impairment pursuant to clauses (f) and (g) of section 2(1) of the SABS. Arbitrator Muir first analyzed the application of clause (g), impairment due to mental and behavioural disorders.  He considered the impact of Desbiens and noted that Desbiens had established that “class 4” impairment in any one of the four areas of functioning was sufficient to establish Catastrophic Impairment.  He concluded McMichael had sustained “class 4” impairment and was therefore Catastrophically Impaired under clause (g).

Arbitrator Muir also considered whether McMichael met the catastrophic definition in clause (f), being whether he had a WPI of 55% or more.  On the basis of his physical impairments alone, Arbitrator Muir found that the claimant did not meet the 55% WPI threshold, but he then considered the issue of combining both physical and psychological impairments to reach the 55% WPI rating as set out in Desbiens.

Belair raised the argument that in Desbiens the Court had expert opinion evidence before it to comment on the translation of qualitative psychological impairment ratings into a WPI rating which was not the case in McMichael.  Arbitrator Muir rejected Belair’s argument and found that the plaintiff did not need an expert’s evidence to determine whether or not it was appropriate to add psychological and physical impairments.  He determined that this was a question involving the interpretation of the SABS.  Arbitrator Muir agreed with the claimant that the SABS required the addition of all impairments to arrive at the appropriate WPI and adopted the Desbiens analysis.  However, he did conclude that there would be some risk of double counting if the claimant’s psychological and physical impairments were added in this case and he therefore did not continue to assign a percentage to the psychological impairments.  While the facts giving rise to the circumstances in Desbiens and McMichael are very different, Arbitrator Muir appeared to have followed the reasoning in Desbiens.

The appeal of McMichael  was heard by Director’s Delegate Makepeace on the issue of the method of assessing Catastrophic Impairment under the SABS and Arbitrator Muir’s decision was ultimately upheld on appeal.  Director’s Delegate Makepeace adopted the statements in Desbiens that the AMA Guides are to be given a “fair, large and liberal” interpretation.  Director’s Delegate noted that ‘impairment’ is defined very broadly under the SABS thereby ensuring that the most seriously impaired claimants may qualify for enhanced benefits, whatever the nature of their impairments.  According to Director’s Delegate Makepeace, the drafters of the legislation created alternative ways of satisfying the Catastrophic Impairment definition to avoid under-inclusiveness and ensure that impairments of equal seriousness are treated equally under the SABS.  The appeal, however, did not consider the issue of combining physical and psychological impairments to arrive at a WPI rating.

In G. v. Pilot Insurance Co  the issue was whether the claimant had sustained a Catastrophic Impairment as per clauses (f) and (g) of the definition in the SABS.  Arbitrator Blackman adopted and followed the reasoning in Desbiens.  The Arbitrator noted that there are arguments to be made that psychological impairments should not be included in a WPI rating but then he rejected each one, stating that clauses (f) and (g) are separated by the word “or” which means that the clauses were meant to be mutually exclusive.  However, Arbitrator Blackman found that this was not the intent of the drafters of the legislation because this would mean that clauses (a) to (g) were mutually exclusive.

The second argument he rejected was the idea that a percentage could not be assigned to psychological impairments.  According to Arbitrator Blackman, he was in agreement with the decisions in McMichael and Desbiens that despite the practical difficulties, all impairments however caused must be included in the WPI.  Arbitrator Blackman stated that an insured person should not be penalized just because medical science lacks an objective means of rating psychological impairments via percentages.

Arbitrator Blackman also noted that the Guides deliberately did not use percentages to estimate mental impairment because of their subjective nature, the dilemma being that clause (f) requires a percentage analysis.  Arbitrator Blackman stated that the SABS provide that if an impairment, or by implication an impairment rating, is not provided, one must then look to a listed impairment most analogous to the impairment sustained.

As in Desbiens, Arbitrator Blackman notes that the 4th edition of the AMA Guides refer to the 2nd edition which provides ranges of percentages that can be applied to the classes of psychological impairments.  He not only assigned percentages to the claimant’s psychological impairments and added them to his physical impairments as in Desbiens, but also added a number of physical impairment ratings that had not been included in the CAT DAC in order to find that the claimant did meet the 55% WPI threshold set out in clause (f) of the Catastrophic Impairment definition.  Director’s Delegate Makepeace on appeal  confirmed the decision.

In P. (B.) v. Primmum  the applicant was involved in a motorcycle accident.  The damage to his right leg was so severe, that his leg was not salvageable and the amputation of his right leg from the knee down was required.  At issue in this case was whether the claimant was Catastrophically Impaired under clause (f) as a result of the amputation of his right leg.  

One of the experts in this case relied on his own interpretation of Desbiens and stressed that the AMA Guides are not a complete guide and that an assessor should exercise clinical judgment to adjust a score upwards.  He found that the claimant met the 55% threshold with an upwards final adjustment.  Additionally, it was argued that discretion lies with the decision maker to make a finding of Catastrophic Impairment in cases where the cost of future treatment exceeded the non-catastrophic limits.  In this case, the cost for future prosthesis and care were well beyond the non-catastrophic limits.  In his reasons, Arbitrator Blackman rejected this approach to the determination of Catastrophic Impairment and stated that:

“I am not persuaded by the … argument that I have discretion to make a finding of catastrophic impairment where the cost of future treatment exceeds the non-catastrophic limits under the Schedule.  That in my view, simply defeats the intent of the legislation that a requisite designation of impairment, in addition to reasonable and necessary need, determines entitlement at a certain monetary level.”

Fundamentally, Arbitrator Blackman did not agree with the opinion of Dr. Ameis that a final adjustment is warranted when examining the wording of the legislation and the AMA Guides.

Ultimately, Arbitrator Blackman followed Desbiens and his own judgment in G. v. Pilot and considered the various experts reports and based on a review of them and the AMA Guides, he attributed various WPI designations to both physical and psychological impairments which exceeded the 55% WPI threshold, therefore determining that the claimant was Catastrophically Impaired.

3.    Conclusion: Will the Cat stay in the Hat?

The “Catastrophic” definition has been in use for over 10 years and has only received a few minor changes by the legislature.  It is predicted that the areas that have been litigated that were highlighted in this paper are likely to face reform in the near future.

Currently, the Ontario Government is undertaking a five-year review on Auto Insurance.  Submissions from various stakeholders can be viewed on their website address:  http://www.fsco.gov.on.ca/english/insurance/auto/5yr-review/default.asp .  

The Insurance Bureau of Canada (“IBC”) has published their submissions which indicate that they have a working group of scientists who have collaborated to review the current evidence used to classify brain injury.  It seems clear that the IBC has targeted the elimination of Clause (e) as it relates to the use of the GCS scale score of 9 for entitlement.  By excluding the GCS score from the “Catastrophic Definition” the government will need to find a substitute measure in its place.  Alternative measures that have been considered reveal evaluations of post traumatic amnesia coupled with a lower score such as 5 or less on the GCS will be required to meet the proposed new definition.  Such strict and subjective measurements are certain to increase litigation costs and raise the uncertainty for entitlement for a much needed group of accident victims.  It is likely that the number of brain-injured accident victims who qualify for Catastrophic Injury under the SABS will drop significantly if such reform is allowed.  

While legislative changes to the Catastrophic Definition are likely in the next few years, the issue of interpretation will remain clouded requiring ongoing litigation.  Jurisprudence to date has favoured a trend of fairness allowing mostly the injured accident victim to succeed.   Insurers have argued to the government that the Courts have broadened the definition which has increased costs to insurers.   These comments do not reflect the reality of the benefit approval process embedded in the SABS.  Ultimately, if an injured accident victim requires medical or attendant care services; the individual is required to submit treatment plans and requests for reimbursement that are subject to the SABS requirement of approval and medical requirement.  The insurers routinely deny various treatment and attendant care request for Catastrophic and Non-Catastrophic claimants alike and thus the designation of Catastrophic does not designate the entitlement without satisfying the needs based test.  Benefits are only paid if they are deemed to be “reasonable and necessary”.  Thus, insurers are misguided by demanding tighter legislation to allow fewer claimants to be declared Catastrophic.

Auto Insurance under the SABS continues to be the subject of reform as we enter the 5th such reform since 1990.  Despite the insurance industry and government trying to strike a balance for a profitable industry and fair reparation system, it is clear that the most seriously injured accident victims needs should be fully indemnified without compromise. For more information visit http://www.gluckstein.com

  • Share/Bookmark

Is it good to drink milk? The text is too long but worthwhile read….?

Thursday, January 7th, 2010

“MILK” Just the word itself sounds comforting! “How about a
nice cup of hot milk?” The last time you heard that question
it was from someone who cared for you–and you appreciated
their effort.

The entire matter of food and especially that of milk is
surrounded with emotional and cultural importance. Milk was
our very first food. If we were fortunate it was our
mother’s milk. A loving link, given and taken. It was the
only path to survival. If not mother’s milk it was cow’s
milk or soy milk “formula”–rarely it was goat, camel or
water buffalo milk.

Now, we are a nation of milk drinkers. Nearly all of us.
Infants, the young, adolescents, adults and even the aged.
We drink dozens or even several hundred gallons a year and
add to that many pounds of “dairy products” such as cheese,
butter, and yogurt.

Can there be anything wrong with this? We see reassuring
images of healthy, beautiful people on our television
screens and hear messages that assure us that, “Milk is good
for your body.” Our dieticians insist that: “You’ve got to
have milk, or where will you get your calcium?” School
lunches always include milk and nearly every hospital meal
will have milk added. And if that isn’t enough, our
nutritionists told us for years that dairy products make up
an “essential food group.” Industry spokesmen made sure that
colourful charts proclaiming the necessity of milk and other
essential nutrients were made available at no cost for
schools. Cow’s milk became “normal.”

You may be surprised to learn that most of the human beings
that live on planet Earth today do not drink or use cow’s
milk. Further, most of them can’t drink milk because it
makes them ill.

There are students of human nutrition who are not supportive
of milk use for adults. Here is a quotation from the
March/April 1991 Utne Reader:

If you really want to play it safe, you may decide to join
the growing number of Americans who are eliminating dairy
products from their diets altogether. Although this sounds
radical to those of us weaned on milk and the five basic
food groups, it is eminently viable. Indeed, of all the
mammals, only humans–and then only a minority, principally
Caucasians–continue to drink milk beyond babyhood.

Who is right? Why the confusion? Where best to get our
answers? Can we trust milk industry spokesmen? Can you trust
any industry spokesmen? Are nutritionists up to date or are
they simply repeating what their professors learned years
ago? What about the new voices urging caution?

I believe that there are three reliable sources of
information. The first, and probably the best, is a study of
nature. The second is to study the history of our own
species. Finally we need to look at the world’s scientific
literature on the subject of milk.

Let’s look at the scientific literature first. From 1988 to
1993 there were over 2,700 articles dealing with milk
recorded in the ‘Medicine’ archives. Fifteen hundred of
theses had milk as the main focus of the article. There is
no lack of scientific information on this subject. I
reviewed over 500 of the 1,500 articles, discarding articles
that dealt exclusively with animals, esoteric research and
inconclusive studies.

How would I summarize the articles? They were only slightly
less than horrifying. First of all, none of the authors
spoke of cow’s milk as an excellent food, free of side
effects and the ‘perfect food’ as we have been led to
believe by the industry. The main focus of the published
reports seems to be on intestinal colic, intestinal
irritation, intestinal bleeding, anemia, allergic reactions
in infants and children as well as infections such as
salmonella. More ominous is the fear of viral infection with
bovine leukemia virus or an AIDS-like virus as well as
concern for childhood diabetes. Contamination of milk by
blood and white (pus) cells as well as a variety of
chemicals and insecticides was also discussed. Among
children the problems were allergy, ear and tonsillar
infections, bedwetting, asthma, intestinal bleeding, colic
and childhood diabetes. In adults the problems seemed
centered more around heart disease and arthritis, allergy,
sinusitis, and the more serious questions of leukemia,
lymphoma and cancer.

I think that an answer can also be found in a consideration
of what occurs in nature & what happens with free living
mammals and what happens with human groups living in close
to a natural state as ‘hunter-gatherers’.

Our paleolithic ancestors are another crucial and
interesting group to study. Here we are limited to
speculation and indirect evidences, but the bony remains
available for our study are remarkable. There is no doubt
whatever that these skeletal remains reflect great strength,
muscularity (the size of the muscular insertions show this),
and total absence of advanced osteoporosis. And if you feel
that these people are not important for us to study,
consider that today our genes are programming our bodies in
almost exactly the same way as our ancestors of 50,000 to
100,000 years ago.

WHAT IS MILK?

Milk is a maternal lactating secretion, a short term
nutrient for new-borns. Nothing more, nothing less.
Invariably, the mother of any mammal will provide her milk
for a short period of time immediately after birth. When the
time comes for ‘weaning’, the young offspring is introduced
to the proper food for that species of mammal. A familiar
example is that of a puppy. The mother nurses the pup for
just a few weeks and then rejects the young animal and
teaches it to eat solid food. Nursing is provided by nature
only for the very youngest of mammals. Of course, it is not
possible for animals living in a natural state to continue
with the drinking of milk after weaning.

IS ALL MILK THE SAME?

Then there is the matter of where we get our milk. We have
settled on the cow because of its docile nature, its size,
and its abundant milk supply. Somehow this choice seems
‘normal’ and blessed by nature, our culture, and our
customs. But is it natural? Is it wise to drink the milk of
another species of mammal?

Consider for a moment, if it was possible, to drink the milk
of a mammal other than a cow, let’s say a rat. Or perhaps
the milk of a dog would be more to your liking. Possibly
some horse milk or cat milk. Do you get the idea? Well, I’m
not serious about this, except to suggest that human milk is
for human infants, dogs’ milk is for pups, cows’ milk is for
calves, cats’ milk is for kittens, and so forth. Clearly,
this is the way nature intends it. Just use your own good
judgement on this one.

Milk is not just milk. The milk of every species of mammal
is unique and specifically tailored to the requirements of
that animal. For example, cows’ milk is very much richer in
protein than human milk. Three to four times as much. It has
five to seven times the mineral content. However, it is
markedly deficient in essential fatty acids when compared to
human mothers’ milk. Mothers’ milk has six to ten times as
much of the essential fatty acids, especially linoleic acid.
(Incidentally, skimmed cow’s milk has no linoleic acid). It
simply is not designed for humans.

Food is not just food, and milk is not just milk. It is not
only the proper amount of food but the proper qualitative
composition that is critical for the very best in health and
growth. Biochemists and physiologists -and rarely medical
doctors – are gradually learning that foods contain the
crucial elements that allow a particular species to develop
its unique specializations.

Clearly, our specialization is for advanced neurological
development and delicate neuromuscular control. We do not
have much need of massive skeletal growth or huge muscle
groups as does a calf. Think of the difference between the
demands make on the human hand and the demands on a cow’s
hoof. Human new-borns specifically need critical material
for their brains, spinal cord and nerves.

Can mother’s milk increase intelligence? It seems that it
can. In a remarkable study published in Lancet during 1992
(Vol. 339, p. 261-4), a group of British workers randomly
placed premature infants into two groups. One group received
a proper formula, the other group received human breast
milk. Both fluids were given by stomach tube. These children
were followed up for over 10 years. In intelligence testing,
the human milk children averaged 10 IQ points higher! Well,
why not? Why wouldn’t the correct building blocks for the
rapidly maturing and growing brain have a positive effect?

In the American Journal of Clinical Nutrition (1982) Ralph
Holman described an infant who developed profound
neurological disease while being nourished by intravenous
fluids only. The fluids used contained only linoleic acid -
just one of the essential fatty acids. When the other, alpha
linoleic acid, was added to the intravenous fluids the
neurological disorders cleared.

In the same journal five years later Bjerve, Mostad and
Thoresen, working in Norway found exactly the same problem
in adult patients on long term gastric tube feeding.

In 1930 Dr. G.O. Burr in Minnesota working with rats found
that linoleic acid deficiencies created a deficiency
syndrome. Why is this mentioned? In the early 1960s
pediatricians found skin lesions in children fed formulas
without the same linoleic acid. Remembering the research,
the addition of the acid to the formula cured the problem.
Essential fatty acids are just that and cows’ milk is
markedly deficient in these when compared to human milk.

WELL, AT LEAST COW’S MILK IS PURE

Or is it? Fifty years ago an average cow produced 2,000
pounds of milk per year. Today the top producers give 50,000
pounds! How was this accomplished? Drugs, antibiotics,
hormones, forced feeding plans and specialized breeding;
that’s how.

The latest high-tech onslaught on the poor cow is bovine
growth hormone or BGH. This genetically engineered drug is
supposed to stimulate milk production but, according to
Monsanto, the hormone’s manufacturer, does not affect the
milk or meat. There are three other manufacturers: Upjohn,
Eli Lilly, and American Cyanamid Company. Obviously, there
have been no long-term studies on the hormone’s effect on
the humans drinking the milk. Other countries have banned
BGH because of safety concerns. One of the problems with
adding molecules to a milk cows’ body is that the molecules
usually come out in the milk. I don’t know how you feel, but
I don’t want to experiment with the ingestion of a growth
hormone. A related problem is that it causes a marked
increase (50 to 70 per cent) in mastitis. This, then,
requires antibiotic therapy, and the residues of the
antibiotics appear in the milk. It seems that the public is
uneasy about this product and in one survey 43 per cent felt
that growth hormone treated milk represented a health risk.
A vice president for public policy at Monsanto was opposed
to labelling for that reason, and because the labelling
would create an ‘artificial distinction’. The country is
awash with milk as it is, we produce more milk than we can
consume. Let’s not create storage costs and further taxpayer
burdens, because the law requires the USDA to buy any
surplus of butter, cheese, or non-fat dry milk at a support
price set by Congress! In fiscal 1991, the USDA spent $757
million on surplus butter, and one billion dollars a year on
average for price supports during the 1980s (Consumer
Reports, May 1992: 330-32).

Any lactating mammal excretes toxins through her milk. This
includes antibiotics, pesticides, chemicals and hormones.
Also, all cows’ milk contains blood! The inspectors are
simply asked to keep it under certain limits. You may be
horrified to learn that the USDA allows milk to contain from
one to one and a half million white blood cells per
millilitre. (That’s only 1/30 of an ounce). If you don’t
already know this, I’m sorry to tell you that another way to
describe white cells where they don’t belong would be to
call them pus cells. To get to the point, is milk pure or is
it a chemical, biological, and bacterial cocktail? Finally,
will the Food and Drug Administration (FDA) protect you? The
United States General Accounting Office (GAO) tells us that
the FDA and the individual States are failing to protect the
public from drug residues in milk. Authorities test for only
4 of the 82 drugs in dairy cows.

As you can imagine, the Milk Industry Foundation’s spokesman
claims it’s perfectly safe. Jerome Kozak says, “I still
think that milk is the safest product we have.”

Other, perhaps less biased observers, have found the
following: 38% of milk samples in 10 cities were
contaminated with sulfa drugs or other antibiotics. (This
from the Centre for Science in the Public Interest and The
Wall Street Journal, Dec. 29, 1989).. A similar study in
Washington, DC found a 20 percent contamination rate
(Nutrition Action Healthletter, April 1990).

What’s going on here? When the FDA tested milk, they found
few problems. However, they used very lax standards. When
they used the same criteria, the FDA data showed 51 percent
of the milk samples showed drug traces.

Let’s focus in on this because itÂ’s critical to our
understanding of the apparent discrepancies. The FDA uses a
disk-assay method that can detect only 2 of the 30 or so
drugs found in milk. Also, the test detects only at the
relatively high level. A more powerful test called the
‘Charm II test’ can detect drugs down to 5 parts per
billion.

One nasty subject must be discussed. It seems that cows are
forever getting infections around the udder that require
ointments and antibiotics. An article from France tells us
that when a cow receives penicillin, that penicillin appears
in the milk for from 4 to 7 milkings. Another study from the
University of Nevada, Reno tells of cells in ‘mastic milk’,
milk from cows with infected udders. An elaborate analysis
of the cell fragments, employing cell cultures, flow
cytometric analysis , and a great deal of high tech stuff.
Do you know what the conclusion was? If the cow has
mastitis, there is pus in the milk. Sorry, itÂ’s in the
study, all concealed with language such as “macrophages
containing many vacuoles and phagocytosed particles,” etc.

IT GETS WORSE

Well, at least human mothers’ milk is pure! Sorry. A huge
study showed that human breast milk in over 14,000 women had
contamination by pesticides! Further, it seems that the
sources of the pesticides are meat and–you guessed it–
dairy products. Well, why not? These pesticides are
concentrated in fat and that’s what’s in these products. (Of
interest, a subgroup of lactating vegetarian mothers had
only half the levels of contamination).

A recent report showed an increased concentration of
pesticides in the breast tissue of women with breast cancer
when compared to the tissue of women with fibrocystic
disease. Other articles in the standard medical literature
describe problems. Just scan these titles:

1.Cow’s Milk as a Cause of Infantile Colic Breast-Fed
Infants. Lancet 2 (1978): 437 2.Dietary Protein-Induced
Colitis in Breast- Fed Infants, J. Pediatr. I01 (1982): 906
3.The Question of the Elimination of Foreign Protein in
Women’s Milk, J. Immunology 19 (1930): 15

There are many others. There are dozens of studies
describing the prompt appearance of cows’ milk allergy in
children being exclusively breast-fed! The cows’ milk
allergens simply appear in the mother’s milk and are
transmitted to the infant.

A committee on nutrition of the American Academy of
Pediatrics reported on the use of whole cows’ milk in
infancy (Pediatrics 1983: 72-253). They were unable to
provide any cogent reason why bovine milk should be used
before the first birthday yet continued to recommend its
use! Doctor Frank Oski from the Upstate Medical Centre
Department of Pediatrics, commenting on the recommendation,
cited the problems of acute gastrointestinal blood loss in
infants, the lack of iron, recurrent abdominal pain, milk-
borne infections and contaminants, and said:

Why give it at all – then or ever? In the face of
uncertainty about many of the potential dangers of whole
bovine milk, it would seem prudent to recommend that whole
milk not be started until the answers are available. Isn’t
it time for these uncontrolled experiments on human
nutrition to come to an end?

In the same issue of Pediatrics he further commented:

It is my thesis that whole milk should not be fed to the
infant in the first year of life because of its association
with iron deficiency anemia (milk is so deficient in iron
that an infant would have to drink an impossible 31 quarts a
day to get the RDA of 15 mg), acute gastrointiestinal
bleeding, and various manifestations of food allergy.

I suggest that unmodified whole bovine milk should not be
consumed after infancy because of the problems of lactose
intolerance, its contribution to the genesis of
atherosclerosis, and its possible link to other diseases.

In late 1992 Dr. Benjamin Spock, possibly the best known
pediatrician in history, shocked the country when he
articulated the same thoughts and specified avoidance for
the first two years of life. Here is his quotation:

I want to pass on the word to parents that cows’ milk from
the carton has definite faults for some babies. Human milk
is the right one for babies. A study comparing the incidence
of allergy and colic in the breast-fed infants of omnivorous
and vegan mothers would be important. I haven’t found such a
study; it would be both important and inexpensive. And it
will probably never be done. There is simply no academic or
economic profit involved.

OTHER PROBLEMS

Let’s just mention the problems of bacterial contamination.
Salmonella, E. coli, and staphylococcal infections can be
traced to milk. In the old days tuberculosis was a major
problem and some folks want to go back to those times by
insisting on raw milk on the basis that it’s “natural.” This
is insanity! A study from UCLA showed that over a third of
all cases of salmonella infection in California, 1980-1983
were traced to raw milk. That’ll be a way to revive good old
brucellosis again and I would fear leukemia, too. (More
about that later). In England, and Wales where raw milk is
still consumed there have been outbreaks of milk-borne
diseases. The Journal of the American Medical Association
(251: 483, 1984) reported a multi-state series of infections
caused by Yersinia enterocolitica in pasteurised whole milk.
This is despite safety precautions.

All parents dread juvenile diabetes for their children. A
Canadian study reported in the American Journal of Clinical
Nutrition, Mar. 1990, describes a “…significant positive
correlation between consumption of unfermented milk protein
and incidence of insulin dependent diabetes mellitus in data
from various countries. Conversely a possible negative
relationship is observed between breast-feeding at age 3
months and diabetes risk.”.

Another study from Finland found that diabetic children had
higher levels of serum antibodies to cowsÂ’ milk (Diabetes
Research 7(3): 137-140 March 1988). Here is a quotation from
this study:

We infer that either the pattern of cows’ milk consumption
is altered in children who will have insulin dependent
diabetes mellitus or, their immunological reactivity to
proteins in cows’ milk is enhanced, or the permeability of
their intestines to cows’ milk protein is higher than
normal.

The April 18, 1992 British Medical Journal has a fascinating
study contrasting the difference in incidence of juvenile
insulin dependent diabetes in Pakistani children who have
migrated to England. The incidence is roughly 10 times
greater in the English group compared to children remaining
in Pakistan! What caused this highly significant increase?
The authors said that “the diet was unchanged in Great
Britain.” Do you believe that? Do you think that the
availability of milk, sugar and fat is the same in Pakistan
as it is in England? That a grocery store in England has the
same products as food sources in Pakistan? I don’t believe
that for a minute. Remember, we’re not talking here about
adult onset, type II diabetes which all workers agree is
strongly linked to diet as well as to a genetic
predisposition. This study is a major blow to the “it’s all
in your genes” crowd. Type I diabetes was always considered
to be genetic or possibly viral, but now this? So resistant
are we to consider diet as causation that the authors of the
last article concluded that the cooler climate in England
altered viruses and caused the very real increase in
diabetes! The first two authors had the same reluctance top
admit the obvious. The milk just may have had something to
do with the disease.

The latest in this remarkable list of reports, a New England
Journal of Medicine article (July 30, 1992), also reported
in the Los Angeles Times. This study comes from the Hospital
for Sick Children in Toronto and from Finnish researchers.
In Finland there is “…the world’s highest rate of dairy
product consumption and the world’s highest rate of insulin
dependent diabetes. The disease strikes about 40 children
out of every 1,000 there contrasted with six to eight per
1,000 in the United States…. Antibodies produced against
the milk protein during the first year of life, the
researchers speculate, also attack and destroy the pancreas
in a so-called auto-immune reaction, producing diabetes in
people whose genetic makeup leaves them vulnerable.” “…142
Finnish children with newly diagnosed diabetes. They found
that every one had at least eight times as many antibodies
against the milk protein as did healthy children, clear
evidence that the children had a raging auto immune
disorder.” The team has now expanded the study to 400
children and is starting a trial where 3,000 children will
receive no dairy products during the first nine months of
life. “The study may take 10 years, but we’ll get a
definitive answer one way or the other,” according to one of
the researchers. I would caution them to be certain that the
breast feeding mothers use on cows’ milk in their diets or
the results will be confounded by the transmission of the
cows’ milk protein in the mother’s breast milk…. Now what
was the reaction from the diabetes association? This is very
interesting! Dr. F. Xavier Pi-Sunyer, the president of the
association says: “It does not mean that children should
stop drinking milk or that parents of diabetics should
withdraw dairy products. These are rich sources of good
protein.” (Emphasis added) My God, it’s the “good protein”
that causes the problem! Do you suspect that the dairy
industry may have helped the American Diabetes Association
in the past?

LEUKEMIA? LYMPHOMA? THIS MAY BE THE WORST–BRACE YOURSELF!

I hate to tell you this, but the bovine leukemia virus is
found in more than three of five dairy cows in the United
States! This involves about 80% of dairy herds.
Unfortunately, when the milk is pooled, a very large
percentage of all milk produced is contaminated (90 to 95
per cent). Of course the virus is killed in pasteurisation–
if the pasteurisation was done correctly. What if the milk
is raw? In a study of randomly collected raw milk samples
the bovine leukemia virus was recovered from two-thirds. I
sincerely hope that the raw milk dairy herds are carefully
monitored when compared to the regular herds. (Science 1981;
213:1014).

This is a world-wide problem. One lengthy study from Germany
deplored the problem and admitted the impossibility of
keeping the virus from infected cows’ milk from the rest of
the milk. Several European countries, including Germany and
Switzerland, have attempted to “cull” the infected cows from
their herds. Certainly the United States must be the leader
in the fight against leukemic dairy cows, right? Wrong! We
are the worst in the world with the former exception of
Venezuela according to Virgil Hulse MD, a milk specialist
who also has a B.S. in Dairy Manufacturing as well as a
Master’s degree in Public Health.

As mentioned, the leukemia virus is rendered inactive by
pasteurisation. Of course. However, there can be Chernobyl
like accidents. One of these occurred in the Chicago area in
April, 1985. At a modern, large, milk processing plant an
accidental “cross connection” between raw and pasteurized
milk occurred. A violent salmonella outbreak followed,
killing 4 and making an estimated 150,000 ill. Now the
question I would pose to the dairy industry people is this:
“How can you assure the people who drank this milk that they
were not exposed to the ingestion of raw, unkilled, bully
active bovine leukemia viruses?” Further, it would be
fascinating to know if a “cluster” of leukemia cases
blossoms in that area in 1 to 3 decades. There are reports
of “leukemia clusters” elsewhere, one of them mentioned in
the June 10, 1990 San Francisco Chronicle involving Northern
California.

What happens to other species of mammals when they are
exposed to the bovine leukemia virus? It’s a fair question
and the answer is not reassuring. Virtually all animals
exposed to the virus develop leukemia. This includes sheep,
goats, and even primates such as rhesus monkeys and
chimpanzees. The route of transmission includes ingestion
(both intravenous and intramuscular) and cells present in
milk. There are obviously no instances of transfer attempts
to human beings, but we know that the virus can infect human
cells in vitro. There is evidence of human antibody
formation to the bovine leukemia virus; this is disturbing.
How did the bovine leukemia virus particles gain access to
humans and become antigens? Was it as small, denatured
particles?

If the bovine leukemia viruses causes human leukemia, we
could expect the dairy states with known leukemic herds to
have a higher incidence of human leukemia. Is this so?
Unfortunately, it seems to be the case! Iowa, Nebraska,
South Dakota, Minnesota and Wisconsin have statistically
higher incidence of leukemia than the national average. In
Russia and in Sweden, areas with uncontrolled bovine
leukemia virus have been linked with increases in human
leukemia. I am also told that veterinarians have higher
rates of leukemia than the general public. Dairy farmers
have significantly elevated leukemia rates. Recent research
shows lymphocytes from milk fed to neonatal mammals gains
access to bodily tissues by passing directly through the
intestinal wall.

An optimistic note from the University of Illinois, Ubana
from the Department of Animal Sciences shows the importance
of one’s perspective. Since they are concerned with the
economics of milk and not primarily the health aspects, they
noted that the production of milk was greater in the cows
with the bovine leukemia virus. However when the leukemia
produced a persistent and significant lymphocytosis
(increased white blood cell count), the production fell off.
They suggested “a need to re-evaluate the economic impact of
bovine leukemia virus infection on the dairy industry”. Does
this mean that leukemia is good for profits only if we can
keep it under control? You can get the details on this
business concern from Proc. Nat. Acad. Sciences, U.S. Feb.
1989. I added emphasis and am insulted that a university
department feels that this is an economic and not a human
health issue. Do not expect help from the Department of
Agriculture or the universities. The money stakes and the
political pressures are too great. You’re on you own.

What does this all mean? We know that virus is capable of
producing leukemia in other animals. Is it proven that it
can contribute to human leukemia (or lymphoma, a related
cancer)? Several articles tackle this one:

1.Epidemiologic Relationships of the Bovine Population and
Human Leukemia in Iowa. Am Journal of Epidemiology 112
(1980):80 2.Milk of Dairy Cows Frequently Contains a
Leukemogenic Virus. Science 213 (1981): 1014 3.Beware of the
Cow. (Editorial) Lancet 2 (1974):30 4.Is Bovine Milk A
Health Hazard?. Pediatrics; Suppl. Feeding the Normal
Infant. 75:182-186; 1985

In Norway, 1422 individuals were followed for 11 and a half
years. Those drinking 2 or more glasses of milk per day had
3.5 times the incidence of cancer of the lymphatic organs.
British Med. Journal 61:456-9, March 1990.

One of the more thoughtful articles on this subject is from
Allan S. Cunningham of Cooperstown, New York. Writing in the
Lancet, November 27, 1976 (page 1184), his article is
entitled, “Lymphomas and Animal-Protein Consumption”. Many
people think of milk as “liquid meat” and Dr. Cunningham
agrees with this. He tracked the beef and dairy consumption
in terms of grams per day for a one year period, 1955-1956.,
in 15 countries . New Zealand, United States and Canada were
highest in that order. The lowest was Japan followed by
Yugoslavia and France. The difference between the highest
and lowest was quite pronounced: 43.8 grams/day for New
Zealanders versus 1.5 for Japan. Nearly a 30-fold
difference! (Parenthetically, the last 36 years have seen a
startling increase in the amount of beef and milk used in
Japan and their disease patterns are reflecting this,
confirming the lack of ‘genetic protection’ seen in
migration studies. Formerly the increase in frequency of
lymphomas in Japanese people was only in those who moved to
the USA)!

An interesting bit of trivia is to note the memorial built
at the Gyokusenji Temple in Shimoda, Japan. This marked the
spot where the first cow was killed in Japan for human
consumption! The chains around this memorial were a gift
from the US Navy. Where do you suppose the Japanese got the
idea to eat beef? The year? 1930.

Cunningham found a highly significant positive correlation
between deaths from lymphomas and beef and dairy ingestion
in the 15 countries analysed. A few quotations from his
article follow:

The average intake of protein in many countries is far in
excess of the recommended requirements. Excessive
consumption of animal protein may be one co-factor in the
causation of lymphomas by acting in the following manner.
Ingestion of certain proteins results in the adsorption of
antigenic fragments through the gastrointestinal mucous
membrane.

This results in chronic stimulation of lymphoid tissue to
which these fragments gain access “Chronic immunological
stimulation causes lymphomas in laboratory animals and is
believed to cause lymphoid cancers in men.” The
gastrointestinal mucous membrane is only a partial barrier
to the absorption of food antigens, and circulating
antibodies to food protein is commonplace especially potent
lymphoid stimulants. Ingestion of cows’ milk can produce
generalized lymphadenopathy, hepatosplenomegaly, and
profound adenoid hypertrophy. It has been conservatively
estimated that more than 100 distinct antigens are released
by the normal digestion of cows’ milk which evoke production
of all antibody classes [This may explain why pasteurized,
killed viruses are still antigenic and can still cause
disease.

Here’s more. A large prospective study from Norway was
reported in the British Journal of Cancer 61 (3):456-9,
March 1990. (Almost 16,000 individuals were followed for 11
and a half years). For most cancers there was no association
between the tumour and milk ingestion. However, in lymphoma,
there was a strong positive association. If one drank two
glasses or more daily (or the equivalent in dairy products),
the odds were 3.4 times greater than in persons drinking
less than one glass of developing a lymphoma.

There are two other cow-related diseases that you should be
aware of. At this time they are not known to be spread by
the use of dairy products and are not known to involve man.
The first is bovine spongiform encephalopathy (BSE), and the
second is the bovine immunodeficiency virus (BIV). The first
of these diseases, we hope, is confined to England and
causes cavities in the animal’s brain. Sheep have long been
known to suffer from a disease called scrapie. It seems to
have been started by the feeding of contaminated sheep
parts, especially brains, to the British cows. Now, use your
good sense. Do cows seem like carnivores? Should they eat
meat? This profit-motivated practice backfired and bovine
spongiform encephalopathy, or Mad Cow Disease, swept
Britain. The disease literally causes dementia in the
unfortunate animal and is 100 per cent incurable. To date,
over 100,000 cows have been incinerated in England in
keeping with British law. Four hundred to 500 cows are
reported as infected each month. The British public is
concerned and has dropped its beef consumption by 25 per
cent, while some 2,000 schools have stopped serving beef to
children. Several farmers have developed a fatal disease
syndrome that resembles both BSE and CJD (Creutzfeldt-Jakob-
Disease). But the British Veterinary Association says that
transmission of BSE to humans is “remote.”

The USDA agrees that the British epidemic was due to the
feeding of cattle with bonemeal or animal protein produced
at rendering plants from the carcasses of scrapie-infected
sheep. The have prohibited the importation of live cattle
and zoo ruminants from Great Britain and claim that the
disease does not exist in the United States. However, there
may be a problem. “Downer cows” are animals who arrive at
auction yards or slaughter houses dead, trampled, lacerated,
dehydrated, or too ill from viral or bacterial diseases to
walk. Thus they are “down.” If they cannot respond to
electrical shocks by walking, they are dragged by chains to
dumpsters and transported to rendering plants where, if they
are not already dead, they are killed. Even a “humane” death
is usually denied them. They are then turned into protein
food for animals as well as other preparations. Minks that
have been fed this protein have developed a fatal
encephalopathy that has some resemblance to BSE. Entire
colonies of minks have been lost in this manner,
particularly in Wisconsin. It is feared that the infective
agent is a prion or slow virus possible obtained from the
ill “downer cows.”

The British Medical Journal in an editorial whimsically
entitled “How Now Mad Cow?” (BMJ vol. 304, 11 Apr. 1992:929-
30) describes cases of BSE in species not previously known
to be affected, such as cats. They admit that produce
contaminated with bovine spongiform encephalopathy entered
the human food chain in England between 1986 and 1989. They
say. “The result of this experiment is awaited.” As the
incubation period can be up to three decades, wait we must.

The immunodeficency virus is seen in cattle in the United
States and is more worrisome. Its structure is closely
related to that of the human AIDS virus. At this time we do
not know if exposure to the raw BIV proteins can cause the
sera of humans to become positive for HIV. The extent of the
virus among American herds is said to be “widespread”. (The
USDA refuses to inspect the meat and milk to see if
antibodies to this retrovirus is present). It also has no
plans to quarantine the infected animals. As in the case of
humans with AIDS, there is no cure for BIV in cows. Each day
we consume beef and diary products from cows infected with
these viruses and no scientific assurance exists that the
products are safe. Eating raw beef (as in steak Tartare)
strikes me as being very risky, especially after the Seattle
E. coli deaths of 1993.

A report in the Canadian Journal of Veterinary Research,
October 1992, Vol. 56 pp.353-359 and another from the
Russian literature, tell of a horrifying development. They
report the first detection in human serum of the antibody to
a bovine immunodeficiency virus protein. In addition to this
disturbing report, is another from Russia telling us of the
presence of virus proteins related to the bovine leukemia
virus in 5 of 89 women with breast disease (Acta Virologica
Feb. 1990 34(1): 19-26). The implications of these
developments are unknown at present. However, it is safe to
assume that these animal viruses are unlikely to “stay” in
the animal kingdom.

OTHER CANCERS–DOES IT GET WORSE?

Unfortunately it does. Ovarian cancer–a particularly nasty
tumour–was associated with milk consumption by workers at
Roswell Park Memorial Institute in Buffalo, New York.
Drinking more than one glass of whole milk or equivalent
daily gave a woman a 3.1 times risk over non-milk users.
They felt that the reduced fat milk products helped reduce
the risk. This association has been made repeatedly by
numerous investigators.

Another important study, this from the Harvard Medical
School, analyzed data from 27 countries mainly from the
1970s. Again a significant positive correlation is revealed
between ovarian cancer and per capita milk consumption.
These investigators feel that the lactose component of milk
is the responsible fraction, and the digestion of this is
facilitated by the persistence of the ability to digest the
lactose (lactose persistence) – a little different emphasis,
but the same conclusion. This study was reported in the
American Journal of Epidemiology 130 (5): 904-10 Nov. 1989.
These articles come from two of the country’s leading
institutions, not the Rodale Press or Prevention Magazine.

Even lung cancer has been associated with milk ingestion?
The beverage habits of 569 lung cancer patients and 569
controls again at Roswell Park were studied in the
International Journal of Cancer, April 15, 1989. Persons
drinking whole milk 3 or more times daily had a 2-fold
increase in lung cancer risk when compared to those never
drinking whole milk.

For many years we have been watching the lung cancer rates
for Japanese men who smoke far more than American or
European men but who develop fewer lung cancers. Workers in
this research area feel that the total fat intake is the
difference.

There are not many reports studying an association between
milk ingestion and prostate cancer. One such report though
was of great interest. This is from the Roswell Park
Memorial Institute and is found in Cancer 64 (3): 605-12,
1989. They analyzed the diets of 371 prostate cancer
patients and comparable control subjects:

Men who reported drinking three or more glasses of whole
milk daily had a relative risk of 2.49 compared with men who
reported never drinking whole milk the weight of the
evidence appears to favour the hypothesis that animal fat is
related to increased risk of prostate cancer. Prostate
cancer is now the most common cancer diagnosed in US men and
is the second leading cause of cancer mortality.

WELL, WHAT ARE THE BENEFITS?

Is there any health reason at all for an adult human to
drink cows’ milk?

It’s hard for me to come up with even one good reason other
than simple preference. But if you try hard, in my opinion,
these would be the best two: milk is a source of calcium and
it’s a source of amino acids (proteins).

Let’s look at the calcium first. Why are we concerned at all
about calcium? Obviously, we intend it to build strong bones
and protect us against osteoporosis. And no doubt about it,
milk is loaded with calcium. But is it a good calcium source
for humans? I think not. These are the reasons. Excessive
amounts of dairy products actually interfere with calcium
absorption. Secondly, the excess of protein that the milk
provides is a major cause of the osteoporosis problem. Dr. H
egsted in England has been writing for years about the
geographical distribution of osteoporosis. It seems that the
countries with the highest intake of dairy products are
invariably the countries with the most osteoporosis. He
feels that milk is a cause of osteoporosis. Reasons to be
given below.

Numerous studies have shown that the level of calcium
ingestion and especially calcium supplementation has no
effect whatever on the development of osteoporosis. The most
important such article appeared recently in the British
Journal of Medicine where the long arm of our dairy industry
can’t reach. Another study in the United States actually
showed a worsening in calcium balance in post-menopausal
women given three 8-ounce glasses of cows’ milk per day.
(Am. Journal of Clin. Nutrition, 1985). The effects of
hormone, gender, weight bearing on the axial bones, and in
particular protein intake, are critically important. Another
observation that may be helpful to our analysis is to note
the absence of any recorded dietary deficiencies of calcium
among people living on a natural diet without milk.

For the key to the osteoporosis riddle, donÂ’t look at
calcium, look at protein. Consider these two contrasting
groups. Eskimos have an exceptionally high protein intake
estimated at 25 percent of total calories. They also have a
high calcium intake at 2,500 mg/day. Their osteoporosis is
among the worst in the world. The other instructive group
are the Bantus of South Africa. They have a 12 percent
protein diet, mostly p lant protein, and only 200 to 350
mg/day of calcium, about half our women’s intake. The women
have virtually no osteoporosis despite bearing six or more
children and nursing them for prolonged periods! When
African women immigrate to the United States, do they
develop osteoporosis? The answer is yes, but not quite are
much as Caucasian or Asian women. Thus, there is a genetic
difference that is modified by diet.

To answer the obvious question, “Well, where do you get your
calcium?” The answer is: “From exactly the same place the
cow gets the calcium, from green things that grow in the
ground,” mainly from leafy vegetables. After all, elephants
and rhinos develop their huge bones (after being weaned) by
eating green leafy plants, so do horses. Carnivorous animals
also do quite nicely without leafy plants. It seems that all
of earth’s mammals do well if they live in harmony with
their genetic programming and natural food. Only humans
living an affluent life style have rampant osteoporosis.

If animal references do not convince you, think of the
several billion humans on this earth who have never seen
cows’ milk. Wouldn’t you think osteoporosis would be
prevalent in this huge group? The dairy people would suggest
this but the truth is exactly the opposite. They have far
less than that seen in the countries where dairy products
are commonly consumed. It is the subject of another paper,
but the truly significant determinants of osteoporosis are
grossly excessive protein intakes and lack of weight bearing
on long bones, both taking place over decades. Hormones play
a secondary, but not trivial role in women. Milk is a
deterrent to good bone health.

THE PROTEIN MYTH

Remember when you were a kid and the adults all told you to
“make sure you get plenty of good protein”. Protein was the
nutritional “good guy”” when I was young. And of course
milk is fitted right in.

As regards protein, milk is indeed a rich source of protein-
-”liquid meat,” remember? However that isn’t necessarily
what we need. In actual fact it is a source of difficulty.
Nearly all Americans eat too much protein.

For this information we rely on the most authoritative
source that I am aware of. This is the latest edition (1oth,
1989: 4th printing, Jan. 1992) of the Recommended Dietary
Allowances produced by the National Research Council. Of
interest, the current editor of this important work is Dr.
Richard Havel of the University of California in San
Francisco.

First to be noted is that the recommended protein has been
steadily revised downward in successive editions. The
current recommendation is 0.75 g/kilo/day for adults 19
through 51 years. This, of course, is only 45 grams per day
for the mythical 60 kilogram adult. You should also know
that the WHO estimated the need for protein in adults to by
.6g/kilo per day. (All RDA’s are calculated with large
safety allowances in case you’re the type that wants to add
some more to “be sure.”) You can “get by” on 28 to 30 grams
a day if necessary!

Now 45 grams a day is a tiny amount of protein. That’s an
ounce and a half! Consider too, that the protein does not
have to be animal protein. Vegetable protein is identical
for all practical purposes and has no cholesterol and vastly
less saturated fat. (Do not be misled by the antiquated
belief that plant proteins must be carefully balanced to
avoid deficiencies. This is not a realistic concern.)
Therefore virtually all Americans, Canadians, British and
European people are in a protein overloaded state. This has
serious consequences when maintained over decades. The
problems are the already mentioned osteoporosis,
atherosclerosis and kidney damage. There is good evidence
that certain malignancies, chiefly colon and rectal, are
related to excessive meat intake. Barry Brenner, an eminent
renal physiologist was the first to fully point out the
dangers of excess protein for the kidney tubule. The dangers
of the fat and cholesterol are known to all. Finally, you
should know that the protein content of human milk is amount
the lowest (0.9%) in mammals.

IS THAT ALL OF THE TROUBLE?

Sorry, there’s more. Remember lactose? This is the principal
carbohydrate of milk. It seems that nature provides new-
borns with the enzymatic equipment to metabolize lactose,
but this ability often extinguishes by age 4 or 5 years.

What is the problem with lactose or milk sugar? It seems
that it is a disaccharide which is too large to be absorbed
into the blood stream without first being broken down into
monosaccharides, namely galactose and glucose. This requires
the presence of an enzyme, lactase plus additional enzymes
to break down the galactose into glucose.

Let’s think about his for a moment. Nature gives us the
ability to metabolize lactose for a few years and then shuts
off the mechanism. Is Mother Nature trying to tell us
something? Clearly all infants must drink milk. The fact
that so many adults cannot seems to be related to the
tendency for nature to abandon mechanisms that are not
needed. At least half of the adult humans on this earth are
lactose intolerant. It was not until the relatively recent
introduction of dairy herding and the ability to “borrow”
milk from another group of mammals that the survival
advantage of preserving lactase (the enzyme that allows us
to digest lactose) became evident. But why would it be
advantageous to drink cows’ milk? After all, most of the
human beings in the history of the world did. And further,
why was it just the white or light skinned humans who
retained this knack while the pigmented people tended to
lose it?

Some students of evolution feel that white skin is a fairly
recent innovation, perhaps not more than 20,000 or 30,000
years old. It clearly has to do with the Northward migration
of early man to cold and relatively sunless areas when skins
and clothing became available. Fair skin allows the
production of Vitamin D from sunlight more readily than does
dark skin. However, when only the face was exposed to
sunlight that area of fair skin was insufficient to provide
the vitamin D from sunlight. If dietary and sunlight sources
were poorly available, the ability to use the abundant
calcium in cows’ milk would give a survival advantage to
humans who could digest that milk. This seems to be the only
logical explanation for fair skinned humans having a high
degree of lactose tolerance when compared to dark skinned
people.

How does this break down? Certain racial groups, namely
blacks are up to 90% lactose intolerant as adults.
Caucasians are 20 to 40% lactose intolerant. Orientals are
midway between the above two groups. Diarrhea, gas and
abdominal cramps are the results of substantial milk intake
in such persons. Most American Indians cannot tolerate milk.
The milk industry admits that lactose intolerance plays
intestinal havoc with as many as 50 million Americans. A
lactose-intolerance industry has sprung up and had sales of
$117 million in 1992 (Time May 17, 1993.)

What if you are lactose-intolerant and lust after dairy
products? Is all lost? Not at all. It seems that lactose is
largely digested by bacteria and you will be able to enjoy
your cheese despite lactose intolerance. Yogurt is similar
in this respect. Finally, and I could never have dreamed
this up, geneticists want to splice genes to alter the
composition of milk (Am J Clin Nutr 1993 Suppl 302s).

One could quibble and say that milk is totally devoid of
fiber content and that its habitual use will predispose to
constipation and bowel disorders.

The association with anemia and occult intestinal bleeding
in infants is known to all physicians. This is chiefly from
its lack of iron and its irritating qualities for the
intestinal mucosa. The pediatric literature abounds with
articles describing irritated intestinal lining, bleeding,
increased permeability as well as colic, diarrhea and
vomiting in cows’milk-sensitive babies. The anemia gets a
double push by loss of blood and iron as well as deficiency
of iron in the cows’ milk. Milk is also the leading cause of
childhood allergy.

LOW FAT

One additional topic: the matter of “low fat” milk. A common
and sincere question is: “Well, low fat milk is OK, isn’t
it?”

The answer to this question is that low fat milk isn’t low
fat. The term “low fat” is a marketing term used to gull the
public. Low fat milk contains from 24 to 33% fat as
calories! The 2% figure is also misleading. This refers to
weight. They don’t tell you that, by weight, the milk is 87%
water!

“Well, then, kill-joy surely you must approve of non-fat
milk!” I hear this quite a bit. (Another constant concern
is: “What do you put on your cereal?”) True, there is little
or no fat, but now you have a relative overburden of protein
and lactose. It there is something that we do not need more
of it is another simple sugar-lactose, composed of galactose
and glucose. Millions of Americans are lactose intolerant to
boot, as noted. As for protein, as stated earlier, we live
in a society that routinely ingests far more protein than we
need. It is a burden for our bodies, especially the kidneys,
and a prominent cause of osteoporosis. Concerning the dry
cereal issue, I would suggest soy milk, rice milk or almond
milk as a healthy substitute. If you’re still concerned
about calcium, “Westsoy” is formulated to have the same
calcium concentration as milk.

SUMMARY

To my thinking, there is only one valid reason to drink milk
or use milk products. That is just because we simply want
to. Because we like it and because it has become a part of
our culture. Because we have become accustomed to its taste
and texture. Because we like the way it slides down our
throat. Because our parents did the very best they could for
us and provided milk in our earliest training and
conditioning. They taught us to like it. And then probably
the very best reason is ice cream! I’ve heard it described
“to die for”.

I had one patient who did exactly that. He had no obvious
vices. He didn’t smoke or drink, he didnÂ’t eat meat, his
diet and lifestyle was nearly a perfectly health promoting
one; but he had a passion. You guessed it, he loved rich ice
cream. A pint of the richest would be a lean day’s ration
for him. On many occasions he would eat an entire quart -
and yes there were some cookies and other pastries. Good ice
cream deserves this after all. He seemed to be in good
health despite some expected “middle age spread” when he had
a devastating stroke which left him paralyzed, miserable and
helpless, and he had additional strokes and d ied several
years later never having left a hospital or rehabilitation
unit. Was he old? I don’t think so. He was in his 50s.

So don’t drink milk for health. I am convinced on the weight
of the scientific evidence that it does not “do a body
good.” Inclusion of milk will only reduce your diet’s
nutritional value and safety.

Most of the people on this planet live very healthfully
without cows’ milk. You can too.

It will be difficult to change; we’ve been conditioned since
childhood to think of milk as “nature’s most perfect food.”
I’ll guarantee you that it will be safe, improve your health
and it won’t cost anything. What can you lose?
es esta pagina

link

http://notmilk.com/kradjian.html

The most important information dissemination my.

Not that, but I can make your text too long jajaja.

If I write bad is that I am leading a translator jaja

  • Share/Bookmark

need to find drug rehab center in CA that mom can bring children 2 with her low income family in need of help?

Thursday, January 7th, 2010

DESPERATELY SEEKING A INHOUSE DRUG FACILITAION THAT ACCEPTS MOTHERS WITH CHILDREN single mother of two one 10 yrs old the other 4 months old desperately wants to change her life around she wants a better future for her and espeacially her children She is currently receiving county aid ane is low income they can’t afford much, if any even more so she can’t afford to keep on the path she has been on. she didn’t use while pregnant both children were born drug free but now that she’s no longer pregnant she is headed down a road of destruction. she knows there’s a better life for her and her babies she just doesn’t know where she can go and take her kids with her she doesn’t have any family members she could leave her children with, the family that she does have is addicted as well same goes for all her friends they to are practicing addicts she needs a safe place to go for her and her children to start rebuilding a new healthier life for them SO IF YOU HAVE ANY INFO PLEASE HELP THANK YOU

  • Share/Bookmark

Complementary and Alternative Treatments for Menopause

Thursday, January 7th, 2010

Menopause is an important event in the aging process for all women. This physical transition from the reproductive years to non-reproductive years is clinically defined as having had no menstrual period for 12 consecutive months. The average age of menopause in the United States is 51, but it can be affected by such factors as smoking, alcohol use, having irregular cycles in the decade prior to menopause (all associated with earlier age at menopause), and mother’s age at menopause.

While some women never experience any discomfort during menopause, the majority of women do. Hot flashes are the most common complaint, occurring in 70 percent to 85 percent of women. Night sweats are also common, and can be especially troubling for some women. Night sweats can occur several times each night and frequently cause interrupted sleep, leading to fatigue, irritability, and mood disturbances. Other signs of menopause include heart palpitations, urinary symptoms such as incontinence or frequent urinary tract infections, vaginal dryness, low libido, headaches, anxiety, and poor memory or “fuzzy” thinking.

While menopause is a natural part of aging, many women who suffer from severe or prolonged symptoms seek help. Today, that help can come from many directions, including conventional, complementary, or alternative medicine. Conventional medicine is practiced by medical doctors (M.D.s) or doctors of osteopathy (D.O.s), and affiliated health care professionals, such as nurses, physical therapists, and dietitians.

Complementary medicine is used along with conventional medicine, and may include a diverse group of medical and health care systems, practices, and products such as acupuncture, herbs, lifestyle changes, or dietary supplements. Alternative medicine is used instead of conventional medicine. Some practitioners of conventional medicine also use complementary or alternative methods.

Conventional Treatment–Hormone Replacement Therapy

The main conventional treatment for menopausal symptoms for several decades has been hormone replacement therapy (HRT).  Replacement hormones are available by prescription and include estrogen alone or in combination with another hormone, progestin.

Using hormone therapy is very effective for women who are having severe symptoms or symptoms that have lasted a long time, especially hot flashes and night sweats. In addition, hormone therapy protects against osteoporosis, a bone-thinning disease that occurs with age. Osteoporosis is more prevalent in women as they age than in men, and can be responsible for bone fractures, especially of the hip and back.

For decades, women with uncomfortable menopause symptoms were routinely prescribed hormone therapy by their physicians. However, in 2002, a large study, the Women’s Health Initiative, was ended early because the researchers discovered increased risk for a number of serious health problems in women who had been taking hormones for several years. The researchers found greater risk for breast cancer, heart disease, stroke, and blood clots for women in the study who had been taking a combination of estrogen and progestin, and a heightened risk of stroke and blood clots for study subjects who were taking estrogen alone.

 As a result, hormone therapy is now cautiously prescribed on a case-by-case basis, taking into account each woman’s risk factors for breast cancer and heart disease. In addition, doctors are advised to prescribe the lowest dose possible for the shortest time possible. For many women, the symptoms are not uncomfortable enough, or their risk factors are such that they choose not to take hormones. Consequently, many women and their health care providers are exploring complementary or alternative options that may help alleviate the discomforts associated with menopause.

 Phytoestrogens

Soy is perhaps the best-know phytoestrogen, or estrogen that is found naturally in food. Soy, chickpeas and other legumes are a source of isoflavones, one kind of phytoestrogen. Flaxseed, whole grain foods, and some fruits and vegetables are the source of lignans, also a plant form of estrogen.

Isoflavones came to the attention of scientists studying the diets of women in China and Japan. They found that the Asian women they were studying had diets high in soy isoflavones and reported fewer and less severe symptoms associated with menopause. In addition, the Asian women had a lower incidence of osteoporosis and heart disease than Western women.

The research on the effectiveness of phytoestrogens is inconclusive, and it is unclear whether the estrogens found in these foods are strong enough to relieve menopausal symptoms. However, some women find that supplementing their diets with these foods helps to alleviate or reduce their hot flashes. The research is still ongoing as to whether phytoestrogens affect the risk of breast cancer-some studies actually show phytoestrogens to be protective against breast cancer, and no studies suggest that eating soy products are harmful if you have breast cancer. However, women who are at an increased risk for diseases affected by hormones or women who are taking drugs that increase estrogen levels in the body should check with their physician before using phytoestrogens.

 Vitamin E

While there is little research yet to prove its effectiveness, some women find relief from hot flashes by taking Vitamin E. Vitamin E is known for its antioxidant effect, and is available in several forms, both natural and synthetic. Natural Vitamin E is signified by the letter d, for d-alpha-tocopherol. Synthetic Vitamin E has antioxidant activity, but may actually prevent the natural form from entering the cell membranes. Synthetic Vitamin E is signified by the letters dl, for dl-alpha-tocopherol.  Vitamin E is a fat-soluble vitamin, which means that excess is stored in the body. Consequently, taking more than 400 i.u. of Vitamin E a day is not recommended.

 Botanicals

Several herbs are being studied for effectiveness in relief of menopausal symptoms.

Black cohosh is perhaps the most commonly used herb for treating women’s symptoms. For generations, Native Americans have called black cohosh “cramp bark” and used it for treating menstrual cramps. Black cohosh is a key herb in the practice of Chinese medicine, and is used extensively in Europe and the United States for relief of hot flashes. Due to its low risk for side effects, the American Menopause Society supports black cohosh for short-term use (less than six months). However, the National Institutes of Health has said that, although early evidence is encouraging, there is not enough data to recommend black cohosh for menopausal symptoms. The NIH’s National Center for Complementary and Alternative Medicine is funding a scientific study to determine whether black cohosh can reduce the frequency and intensity of hot flashes and other menopausal symptoms.

Dong quai is also a frequently prescribed herb in Chinese medicine, especially to treat a variety of women’s problems such as menstrual cramps, irregular periods, and heavy periods. In addition, dong quai is found in almost every Chinese herbal formula used to provide relief from menopausal symptoms. Other herbs used for menopause include red clover, ginseng, kava, and chaste berry.

 Acupuncture

Practiced in China for thousands of years, acupuncture is becoming popular in this country for a variety of conditions, including discomforts associated with menopause. Acupuncture is holistic in nature, and works by treating the source of the problem rather than just alleviating symptoms.

Acupuncture can be effective in treating hot flashes, night sweats, palpitations, insomnia, and other symptoms of menopause. In addition to acupuncture, a licensed acupuncturist may also incorporate dietary recommendations, an herbal formula, and lifestyle changes into an individualized treatment plan.

 Lifestyle Changes

Some women find they can alleviate or reduce menopause discomforts through lifestyle changes, such as diet, exercise, and stress management. Most women find that their hot flashes are worse when they are in stressful situations, and stress-reduction techniques like yoga, meditation, visualization or breathing techniques can be helpful.

Dietary changes that may be effective include avoiding caffeine, sugar, alcohol, and fatty foods, eating more fruits and vegetables, and drinking more water. Regular exercise is also recommended because it can elevate mood, reduce stress, and reduce the risk of developing osteoporosis and heart disease.

While there are a variety of options for women seeking relief from discomforts associated with menopause, there is no one clear answer as to what works best. Every woman needs to take into account her unique health history and personal preferences when choosing a conventional, complementary or alternative treatment for menopause symptoms.

 

 

 

  • Share/Bookmark

Alternative Treatments for Cataracts

Thursday, January 7th, 2010

What exactly is a cataract?  
A cataract is when the eye’s lens start becoming cloudy which prevents the eye from focusing on lights, colors, and shapes.  This causes images to appear fuzzy or blurred.  Cataracts usually happen due to the normal part of the aging process, but cataracts have been known to develop early as a result of disease, trauma to the eye, medications, or exposure to UV light.  

Most people aren’t aware that there are alternative treatments.  We usually are told that the best treatment for cataracts is surgery to remove and replace the cloudy lens.  I wish I had been aware of these alternatives before my mother had her cataract surgery.

So what does cataract surgery entail?  
A small incision is made in the eye.  The cloudy lens is then broken up and removed.  A flexible lens replacement is then inserted through the incision and unfolded into place.  This lens replacement is referred to as an intraocular lens, or lens implant.  Once in place, the lens implant naturally adheres to the eye.  In the majority of cases, the eye incision heals on its own.  This procedure is usually done as an outpatient and they are free to leave the same day.  Recovery entails just resting a little at home.  

This process is rather expensive and there is a slight possibility that the cataract will return.  It may appear in another area of the same eye or in the other eye.   

So do cataracts just come with aging or is there a specific cause?  
Although they normally appear with age, there are two main causes of cataracts; stress and health.  The majority of people lead pretty stressful lives.  Like in my mother’s case, my father had cancer for 42 years and he had six surgeries.   Being stressed over his health was unavoidable.  In my mother’s case, it was extremely hard to take the time to relax and not worry about things.   The other cause is a poor diet.  Eating more foods that are high in cholesterol and carbohydrates and never getting enough vitamins and fruits or vegetables.

If you can learn how to start relaxing more often and eating a more healthy diet, this definitely will help reduce the risk of cataracts.  Your diet should consist of more fruits and vegetables and foods that are high in Vitamins A-E.  Exercise is very important as well and can help reduce stress and mental strain.  It’s best to try and find the time to exercise at least five days a week, but if you can do nothing else, take a brisk walk around the block.  

Cutting back on your alcohol consumption is another way to improve your health along with cutting out smoking.  Try to find some time to just lie outside in the sun for at least 10 to 15 minutes and just close your eyes and relax.  Learn to say “no” more often and stop overworking yourself.  Don’t feel like you have to complete everything on your “to do” list every single day.  

Although it’s very difficult to rid all stress from your life, try to just relax more often and eat a healthy diet.  Talking a walk around the block can be invigorating as well as cutting back in other areas.  These small adjustments to your lifestyle can be an overall major improvement on your eyesight in the future.

  • Share/Bookmark

Swine Flu: Symptoms, Prevention and Treatment

Thursday, January 7th, 2010

Swine Flu: Symptoms, Prevention and Treatment

1Rathore K.S., 1Chauhan Priyanka, 1Sharma Surabhi, 1Rathore Savita, 1Vinod Kanwar, 2Nema R.K., 3Sisodia S.S.

1B.N.Girls College of Pharmacy, Udaipur-Raj.313002

2Rishiraj College of Pharmacy, Indore-Mp

3BN Pg College of Pharmacy, Udaipur

kamalsrathore@yahoo.com;mobile:+919828325713

Swine flu (swine influenza) is a respiratory disease caused by viruses (influenza viruses known as H1N1) that infect the respiratory tract of pigs and result in nasal secretions, a barking-like cough, decreased appetite, and listless behavior. Swine flu produces most of the same symptoms in pigs as human flu produces in people. Swine flu can last about one to two weeks in pigs that survive. Swine influenza virus was first isolated from pigs in 1930 in the U.S. and has been recognized by pork producers and veterinarians to cause infections in pigs worldwide.

In a number of instances, people have developed the swine flu infection when they are closely associated with pigs (for example, farmers, pork processors), and likewise, pig populations have occasionally been infected with the human flu infection. In most instances, the cross-species infections (swine virus to man; human flu virus to pigs) have remained in local areas and have not caused national or worldwide infections in either pigs or humans. Unfortunately, this cross-species situation with influenza viruses has had the potential to change.

Investigators think the 2009 swine flu strain, first seen in Mexico, should be termed novel H1N1 flu since it is mainly found infecting people and exhibits two main surface antigens, H1 (hemagglutinin type 1) and N1 (neuraminidase type1). Recent investigations show the eight RNA strands from novel H1N1 flu have one strand derived from human flu strains, two from avian (bird) strains, and five from swine strains.

Influenza, commonly called “the flu,” is an illness caused by RNA viruses that infect the respiratory tract of many animals, birds, and humans. In most people, the infection results in the person getting fever, cough, headache, and malaise (tired, no energy); some people also may develop a sore throat, nausea, vomiting, and diarrhoea. The majority of individuals has symptoms for about one to two weeks and then recovers with no problems. However, compared with most other viral respiratory infections, such as the common cold, influenza (flu) infection can cause a more severe illness with a mortality rate (death rate) of about 0.1% of people who are infected with the virus.

The history of swine flu (H1N1) in humans

In 1976, there was an outbreak of swine flu at Fort Dix. This virus is not the same as the 2009 outbreak, but it was similar insofar as it was an influenza A virus that had similarities to the swine flu virus. There was one death at Fort Dix. The government decided to produce a vaccine against this virus, but the vaccine was associated with neurological complications (Guillain-Barré syndrome) and was discontinued. Some individuals speculate that formalin, used to inactivate the virus, may have played a role in the development of this complication in 1976.

There is no evidence that anyone who obtained this vaccine would be protected against the 2009 swine flu. One of the reasons it takes a few months to develop a new vaccine is to test the vaccine for safety to avoid the complications seen in the 1976 vaccine. New vaccines against any flu virus type are usually made by growing virus particles in eggs. A serious side effect (allergic reaction such as swelling of the airway) to vaccines can occur in people who are allergic to eggs; these people should not get flu vaccines. Individuals with active infections or diseases of the nervous system are also not recommended to get flu vaccines.

Swine flu is caused by The H1N1 or “swine flu” virus, which first appeared in April 2009, has gone on to become a worldwide “pandemic.” H1N1 influenza is a virus that causes illness in people and spreads from one person to another in the same way as the common flu. Detected first in April 2009 in Mexico, the disease soon spread across different countries in the world and was declared the swine flu pandemic by the World Health Organization in June 2009. After conducting several laboratory tests, it was determined that the virus responsible for swine influenza was similar to those found in pigs, thus prompting scientists to name it the swine (pig) flu.

Illness caused by the swine flu virus ranges from mild to extreme in different cases. While many of the patients have recovered even without medical treatment, the virus has also caused a number of deaths as well as hospitalizations, which has made it a matter of grave concern for the authorities. Any person, irrespective of age or sex can contract the disease but the risk seems bigger in children and old age people as also in people with lower immunity levels, pregnant women and people suffering from heart disease, kidney ailment or asthma. A person displaying swine flu symptoms should consult a medical practitioner immediately and get himself tested.

 Link between Guillain-Barre syndrome and swine flu vaccines

Guillain Barre Syndrome (GBS), a rare neurological disorder, was an identified risk with swine flu vaccines used in the United States in 1976 – it is thought that one extra case of GBS occurred with every 100,000 doses of vaccine. The reason why the 1976 vaccine increased the risk of GBS remains unknown. Many studies have looked at whether other flu vaccines used since 1976 carry a risk of GBS and no robust evidence of a causal link has been found. No cases of GBS have been found in the clinical trials of H5N1 vaccines.

Most illnesses caused by the swine flu epidemic were of a mild nature and patients recovered even without or with very little medication required. However, recently the virus has caused a lot of panic after a number of deaths were reported. The swine flu virus is extremely contagious and spreads through coughing and sneezing or when a person touches a contaminated surface and then touches his nose or mouth. The symptoms of swine flu are very similar to those of the seasonal flu such as high fever, runny nose, loss of appetite, cough, sore throat etc.

Infectious Period

Persons with swine influenza A (H1N1) virus infection should be considered potentially contagious for up to 7 days following illness onset. Persons who continue to be ill longer than 7 days after illness onset should be considered potentially contagious until symptoms have resolved. Children, especially younger children, might potentially be contagious for longer periods. The duration of infectiousness might vary by swine influenza A (H1N1) virus strain. Non-hospitalized ill persons who are a confirmed or suspected case of swine influenza A (H1N1) virus infection are recommended to stay at home (voluntary isolation) for at least the first 7 days after illness onset except to seek medical care.

Reason for why swine flu (H1N1) now infecting humans

Swine flu viruses may mutate (change) so that they are easily transmissible among humans. Many researchers now consider that two main series of events can lead to swine flu (and also avian or bird flu) becoming a major cause for influenza illness in humans.

First, the influenza viruses (types A, B, C) are enveloped RNA viruses with a segmented genome; this means the viral RNA genetic code is not a single strand of RNA but exists as eight different RNA segments in the influenza viruses. A human (or bird) influenza virus can infect a pig respiratory cell at the same time as a swine influenza virus; some of the replicating RNA strands from the human virus can get mistakenly enclosed inside the enveloped swine influenza virus. For example, one cell could contain eight swine flu and eight human flu RNA segments. The total number of RNA types in one cell would be 16; four swine and four human flu RNA segments could be incorporated into one particle, making a viable eight RNA segmented flu virus from the 16 available segment types.

Various combinations of RNA segments can result in a new subtype of virus (known as antigenic shift) that may have the ability to preferentially infect humans but still show characteristics unique to the swine influenza virus. It is even possible to include RNA strands from birds, swine, and human influenza viruses into one virus if a cell becomes infected with all three types of influenza (for example, two bird flu, three swine flu, and three human flu RNA segments to produce a viable eight-segment new type of flu viral genome). Formation of a new viral type is considered to be antigenic shift; small changes in an individual RNA segment in flu viruses are termed antigenic drift and result in minor changes in the virus. However, these can accumulate over time to produce enough minor changes that cumulatively change the virus’ antigenic makeup over time (usually years).

Second, pigs can play a unique role as an intermediary host to new flu types because pig respiratory cells can be infected directly with bird, human, and other mammalian flu viruses. Consequently, pig respiratory cells are able to be infected with many types of flu and can function as a “mixing pot” for flu RNA segments. Bird flu viruses, which usually infect the gastrointestinal cells of many bird species, are shed in bird feces. Pigs can pick these viruses up from the environment and seem to be the major way that bird flu virus RNA segments enter the mammalian flu virus population.

Swine flu emergency

Children should get urgent medical attention if they have fast breathing or trouble breathing, have bluish or gray skin color, are not drinking enough fluid, are not waking up or not interacting, have severe or persistent vomiting, are so irritable that the child doesn’t want to be held, have flu-like symptoms that improve but then return with fever and a worse cough, have fever with a rash, or have fever and then have a seizure or sudden mental or behavioral change. Adults should seek urgent medical attention if they have trouble breathing or shortness of breath, pain or pressure in the chest or abdomen, sudden dizziness, confusion, severe or persistent vomiting, or flu-like symptoms that improve, but then come back with worsening fever or cough.

Swine flu precautions

Swine flu or the H1N1 virus is a type A influenza, which is normally reported in pigs and has rarely affected humans in the past. A few cases that had been reported in people, who had been around pigs, over the past few years, were of a mild nature. However, in April 2009, swine flu started to affect thousands of persons around the world, just days after being reported in a Mexican village, and thus prompted the World Health Organization to declare it a pandemic.

It is advisable to avoid travelling to affected countries and stay away from crowded places. The easily available swine flu mask can also protect from the virus. While there are no vaccines available that can guard against swine flu, certain precautions can ensure protection from this deadly disease.

Swine Flu High Risk Groups -

Swine flu high risk groups, people who are thought to be at risk for serious, life-threatening infections, are a little different and can include:

pregnant women people with chronic medical problems, such as chronic lung disease, like asthma, cardiovascular disease, diabetes, and immunosuppression children and adults with obesity

It is already known that you are particularly at risk if you have:

chronic (long-term) lung disease, chronic heart disease, chronic kidney disease, chronic liver disease, chronic neurological disease (neurological disorders include motor neurone disease, multiple sclerosis and Parkinson’s disease), immunosuppression (whether caused by disease or treatment) or diabetes mellitus.

Also at risk are:

patients who have had drug treatment for asthma within the past three years, pregnant women, people aged 65 and older, and young children under five. It is vital that people in these higher-risk groups who catch swine flu get antivirals and start taking them as soon as possible.

The complications of swine flu

One of the most common complications of any type of flu is a secondary bacterial chest infection, such as bronchitis (infection of the airways).This can become serious and develop into pneumonia. A course of antibiotics will usually cure this, but the infection sometimes becomes life-threatening. Other rare complications include:

tonsillitis, otitis media (a build-up of fluid in the ear), septic shock (infection of the blood that causes a severe drop in blood pressure), meningitis (infection in the brain and spinal cord), and encephalitis (inflammation of the brain).

Swine flu symptoms – Know it to avoid it

As the H1N1 Influenza spreads its wings over different parts of the globe, it is extremely important to be familiar with the symptoms of swine flu so that the disease can be detected at an early stage and preventive measures can be taken to check its rise.

If you or any of the persons around you are suffering from fever in excess of 100.4 °F as well as any of the other below mentioned H1N1 influenza symptoms, then you may have contracted swine flu.

The most common of all swine flu symptoms is high body temperature, in excess of 38 °C/100.4 °F. Swine flu (swine influenza) is a respiratory disease caused by viruses (influenza viruses) that infect the respiratory tract of pigs and result in nasal secretions, a barking-like cough, decreased appetite, and listless behavior. Headache Loss of appetite Stinging throat Runny nose Extreme tiredness (fatigue) Aching muscles dyspnea chills Loss of energy, vomiting Diarrhea myalgia influenza-like illness (fever, cough or sore throat) mild respiratory illness (nasal congestion, rhinorrhea) without fever and occasional severe disease also has been reported Conjunctivitis Sudden, persistent cough

While these symptoms can be considered an indication of swine flu, the symptoms have also been reported in people suffering from other diseases. Therefore, despite having these symptoms, the patient or the doctor cannot be sure of swine flu until the test reports confirm the same. The disease is especially dangerous for children, where it can result in neurological disorders or alterations in the state of mind. It is still not clear why the situation occurs, but if not treated, it can prove to be fatal.

As with any sort of flu, how bad the symptoms are and how long they last will vary depending on treatment and individual circumstances. Most cases reported in the UK to date have been relatively mild, with affected people starting to recover within a week.

You can go back to school or work when you are feeling well and are no longer infectious. Adults are most infectious soon after they develop symptoms and remain infectious while their symptoms continue, which is usually for up to five days. They can normally return to work within seven days. In children, symptoms continue for up to seven days and they can normally return to school within 10 days.

Diagnosis of swine flu (H1N1)

Swine flu is presumptively diagnosed clinically by the patient’s history of association with people known to have the disease and their symptoms listed above. Usually, a quick test (for example, nasopharyngeal swab sample) is done to see if the patient is infected with influenza A or B virus. Most of the tests can distinguish between A and B types. The test can be negative (no flu infection) or positive for type A and B. If the test is positive for type B, the flu is not likely to be swine flu (H1N1). If it is positive for type A, the person could have a conventional flu strain or swine flu (H1N1). However, the accuracy of these tests has been challenged, and the U.S. Centers for Disease Control and Prevention (CDC) has not completed their comparative studies of these tests. However, a new test developed by the CDC and a commercial company reportedly can detect H1N1 reliably in about one hour; as of October 2009, the test is only available to the military.

Swine flu (H1N1) is definitively diagnosed by identifying the particular antigens associated with the virus type. In general, this test is done in a specialized laboratory and is not done by many doctors’ offices or hospital laboratories. However, doctors’ offices are able to send specimens to specialized laboratories if necessary. Because of the large number of novel H1N1 swine flu cases (as of October 2009, the vast majority of flu cases [about 99%] are due to novel H1N1 flu viruses), the CDC recommends only hospitalized patients’ flu virus strains be sent to reference labs to be identified.

Points to remember

Swine flu spreads through an infected person’s secretion released at the time of sneezing or coughing. People with symptoms of swine flu can pass on the disease to others from one day before to seven days after getting the infection. The virus can also contaminate surfaces and infect a healthy person if he happens to touch his nose or mouth after touching the dirty surface.

Swine Flu Test

Swine flu or the H1N1 virus is a disease that has spread in a large number of countries around the world in a very short span of time. It is the alarming rate with which the disease spreads that has worried experts, who are trying to check its rise. Swine flu symptoms are a lot like the symptoms of seasonal flu, which makes it extremely difficult to distinguish between the two without carrying out prescribed swine flu tests in the laboratories set-up especially for the purpose.

Steps to ensure swine flu protection

Simply by following the simple guidelines here, you should at least lessen your chances of becoming sick with Swine Flu. Like in the case of seasonal flu, the below mentioned precautions can help protect you against the H1N1 virus:

Avoid going near people with swine flu symptoms. Avoid going to crowded places. Cover your mouth and nose properly with a tissue while sneezing or coughing and dispose off the infected tissue in a proper way, away from the reach of other people. It is recommended to get a seasonal flu vaccination. Though it may not prevent you from swine flu, it won’t do any harm. Keep good hygiene and wash your hands regularly with soap and warm water. It is advisable to use an alcohol based hand wash. Use the antibacterial soaps to cleanse your hands. Wash them often, for at least 15 seconds and rinse with running water. Get enough sleep -Try to get 8 hours of good sleep every night to keep your immune system in top flu-fighting shape. Drink sufficient water-Drink 8 to10 glasses of water each day to flush toxins from your system and maintain good moisture and mucous production in your sinuses. Sick people should stay home to avoid passing on the disease to others. Always wear the swine flu mask when travelling to crowded places. Disposing of dirty tissues promptly and carefully. Cleaning hard surfaces, such as door handles, often and thoroughly using a normal cleaning product. Carry anti-viral medicines with you. If you feel sick or show any of the swine flu symptoms, consult your doctor immediately and get yourself tested for the virus. Boost your immune system-Keeping your body strong, nourished, and ready to fight infection is important in flu prevention. So stick with whole grains, colorful vegetables, and vitamin-rich fruits. Keep informed-The government is taking necessary steps to prevent the pandemic and periodically release guidelines to keep the pandemic away. Please make sure to keep up to date on the information and act in a calm manner. Do not risk it. If you are experiencing influenza like symptoms, simply stay home. Since these symptoms mirror regular cold and influenza symptoms, it is better to be safe than sorry. Find out how to cough and sneeze. Here’s the deal – cough or sneeze into the interior of your elbow on your arm. This is the only way to keep from spreading germs to your hands and to everything you touch.  A little hand sanitizer goes a long, long way. Simply have a tube of hand sanitizer with you at all time. This way you can continually clean your hands.  Be wary of public places. Door handles and even ink pens are breeding grounds for germs. Avoid touching them at all costs.  Be cautious on airplanes, trains and buses. The close quarters of an aeroplane is a place where germs like the swine flu pathogen lurk so protect yourself. Wash your vegetables and fruit entirely. Purchase your vegetables and vegetables locally if you can. Wash them with water and soak them to extend the effectiveness.  Go to your doctor. If you are experiencing any flu like symptoms you should see your doctor at once. As stated earlier, only your health practitioner can diagnose your particular strain of the flu.

Swine flu treatment – Don’t panic

Although swine flu has been spreading at a rapid pace in India as well as in most other countries of the world, it must be remembered that swine flu is a curable disease and can be effectively cured if treated properly. As is the case in seasonal flu, the treatment of swine flu includes-

Proper rest and care. A swine flu patient must not be involved in too much strenuous work and Should drink plenty of liquids to keep himself hydrated. Alcohol and tobacco are strictly prohibited for swine flu patients and medicines such as paracetamol can be taken to get relief from fever and muscle pain. In extreme cases, antiviral drugs and hospitalization may be required. The best way, however, to avoid any emergency situation is to contact your doctor immediately if you suspect of having swine flu. If you happen to recently travel to an infected region or have been around those infected with the virus, then contact your doctor and take all preventive steps to ensure your safety. Remember, early detection will lead to proper treatment being administered and could mean the difference between life and death. Keep the patient in a separate room, away from other members of the household. Everyone in the house should wash their hands regularly and wear a mask while going near the patient. The members of the house should also take antiviral drugs such as tamiflu, if the doctor prescribes it. Children should not be given medicines such as aspirin for its tendency to cause neurological disorders.

Remember, prevention is better than cure

Although no swine flu vaccine is available in the market to ensure safety against the disease, certain medicines, which can cure the disease, are available. This virus is resistant to the antiviral medications amantadine (Symmetrel) and rimantadine (Flumadine). There are 2 medications in the market that have been shown to be effective against swine flu zanamivir (Relenza) and oseltamivir (Tamiflu). These medicines have to be administered within 2 days of the onset of symptoms (which last about a week), and are said to shorten the duration of symptoms by about 2 days. Because early detection is vital for the efficacy of these drugs, rapid detection is necessary. Many manufacturers are currently working on versions of a rapid swine flu test to allow early detection in minutes, as opposed to days as is with traditional virus testing.

To reproduce and spread, a virus has to enter your body, take over healthy cells and force them to make copies of itself. Relenza stops the release of new copies of the virus from infected cells in the lungs. This slows the spread of the virus, reduces the symptoms and length of time that you feel unwell for and makes it harder for the virus to spread to other people. Relenza should first be taken within 48 hours of symptoms appearing in adults (36 hours in children). It works better the earlier you start taking it.

To reproduce and spread, a virus has to enter your body, take over healthy cells and force them to make copies of it. Tamiflu stops the flu virus entering your cells and blocks the release of new copies of the virus. This slows the spread through your body, reduces the symptoms and the length of time that you feel unwell for and makes it harder for the virus to spread to other people. Tamiflu should first be taken within 12 to 48 hours of symptoms appearing. It works better the earlier you start taking it.

Relenza reduces the duration of flu symptoms by one-and-a-half days on average. Tamiflu reduces the duration of symptoms by up to two days.

Vaccine for H1N1 swine flu

The best way to prevent novel H1N1 swine flu would be the same best way to prevent other influenza infections, and that is vaccination. The CDC has multiple recommendations for vaccination based on who should obtain the first doses when the vaccine becomes available (to protect the most susceptible populations) and according to age groups. The CDC based the recommendations on data obtained from vaccine trials and infection reports gathered over the last few months. The current (October 2009) vaccine recommendations from the CDC say the following groups should get the vaccine as soon as it is available:

pregnant women, people who live with or provide care for children younger than 6 months of age, health-care and emergency medical services personnel, people between 6 months and 24 years of age, and

People from the ages of 25 through 64 who are at higher risk because of chronic health disorders such as asthma, diabetes, or a weakened immune system.

Currently, the CDC is stating that people ages 10 and above are likely to need only one vaccine shot to provide protection against novel H1N1 swine flu and further suggest that these shots will be effective in about 76% of people who obtain the vaccine. New vaccine trial data showed that healthy adults produce protective antibodies in about 98% of people in 21 days. Unfortunately, the vaccine shot in children ages 6 months to 9 years of age is not as effective as it is in older children and adults. Consequently, the CDC currently recommends that for ages 6 months up to and including 9 years of age, the children obtain two shots of the novel H1N1 vaccine, the second shot 21 days after the first shot.

Pregnant women are strongly suggested to get vaccinated as stated above. Although some vaccine preparations (multidose vials) contain low levels of thimerosal preservative (a mercury-containing preservative), the CDC still considers the vaccine safe for the fetus and mother. However, some vaccine preparations that are in single-dose vials will not have thimerosal preservative, so those pregnant individuals who are concerned about thimerosal can get this vaccine preparation when it is available.

Another type of vaccine (currently named Influenza A [H1N1] 2009 Monovalent Vaccine Live, Intranasal) has been made available during the first week in October 2009. It is a live attenuated novel H1N1 flu vaccine that contains no thimerosal, is produced by MedImmune, LLC, and is sprayed into the nostrils. This vaccine is only for healthy people 2-49 years of age, and some data suggest that it is less effective in generating an immune response in adults than the vaccine injection. The dosing schedule is as follows:

Children 2-9 years of age should receive two doses (0.1 ml in each nostril; total equals 0.2 ml per dose) — the second dose should be given the same way about one month after the first dose Children, adolescents and adults, 10-49 years of age should receive one dose — (0.1 ml in each nostril; total equals 0.2 ml per dose)

The following is a list of the CDC-approved H1N1 vaccines and the companies that name and manufacture them as of 10/29/09:

Influenza A (H1N1) 2009 Monovalent Vaccine by CSL Limited Influenza A (H1N1) 2009 Monovalent Vaccine by Novartis Influenza A (H1N1) 2009 Monovalent Vaccine by Sanofi Pasteur Influenza A (H1N1) 2009 Monovalent Vaccine Live, Intranasal by MedImmune, LLC

The following vaccination schedule is recommended in the UK:

Pandemrix:

For all children aged from six months to nine years: – two half doses (0.25ml each) given with a minimum of three weeks between doses. For individuals aged 10-59: – one dose (0.5ml) given. For individuals aged 60 years and over: – one dose given (this advice will be reviewed when more data become available). For individuals aged 10 years and over with weakened immune systems:- two doses (0.5ml each) given with a  minimum of three weeks between doses.

Celvapan:

For children aged from six months and adults:- two doses (0.5ml each) given with a  minimum of three weeks between doses.  This dosage schedule is based on advice given by the Joint Committee on Vaccination and Immunisation, following consideration of clinical data available on the vaccines. The dosage and recommendations will be kept under review as more clinical data become available.

Recommendations for public health personnel

For interviews of healthy individuals (i.e. without a current respiratory illness), including close contacts of cases of confirmed swine influenza virus infection, no personal protective equipment or antiviral chemoprophylaxis is needed. See section on antiviral chemoprophylaxis for further guidance. For interviews of an ill, suspected or confirmed swine influenza A virus case, the following is recommended:

Keep a distance of at least 6 feet from the ill person; or Personal protective equipment: fit-tested N95 respirator [if unavailable, wear a medical (surgical mask)].

For collecting respiratory specimens from an ill confirmed or suspected swine influenza A virus case, the following is recommended:

Personal protective equipment: fit-tested disposable N95 respirator [if unavailable, wear a medical (surgical mask)], disposable gloves, gown, and goggles. When completed, place all PPE in a biohazard bag for appropriate disposal. Wash hands thoroughly with soap and water or alcohol-based hand gel.

Recommended Infection Control for a non-hospitalized patient (ER, clinic or home visit):

Separation from others in single room if available until asymptomatic. If the ill person needs to move to another part of the house, they should wear a mask. The ill person should be encouraged to wash hand frequently and follow respiratory hygiene practices. Cups and other utensils used by the ill person should be thoroughly washed with soap and water before use by other persons.

When crowded settings or close contact with others cannot be avoided, the use of facemasks or respirators in areas where transmission of swine influenza A (H1N1) virus has been confirmed should be considered as follows:

Whenever possible, rather than relying on the use of facemasks or respirators, close contact with people who might be ill and being in crowded settings should be avoided. Facemasks should be considered for use by individuals who enter crowded settings, both to protect their nose and mouth from other people’s coughs and to reduce the wearers’ likelihood of coughing on others; the time spent in crowded settings should be as short as possible. Respirators should be considered for use by individuals for whom close contact with an infectious person is unavoidable. This can include selected individuals who must care for a sick person (e.g., family member with a respiratory infection) at home.

The types of face masks and respirators

Unless otherwise specified, the term “facemasks” refers to disposable masks cleared by the U.S. Food and Drug Administration (FDA) for use as medical devices. This includes facemasks labeled as surgical, dental, medical procedure, isolation, or laser masks.

Such facemasks have several designs-

One type is affixed to the head with two ties, conforms to the face with the aid of a flexible adjustment for the nose bridge, and may be flat/pleated or duck-billed in shape. Another type of facemask is pre-molded, adheres to the head with a single elastic band, and has a flexible adjustment for the nose bridge. A third type is flat/pleated and affixes to the head with ear loops. Facemasks cleared by the FDA for use as medical devices have been determined to have specific levels of protection from penetration of blood and body fluids. Unless otherwise specified, “respirator” refers to an N95 or higher filtering facepiece respirator certified by the U.S. National Institute for Occupational Safety and Health (NIOSH).

Take note of what you’ve learned here about the swine flu. Look after yourself and protect yourself as best as you possibly can.

References

Adiego SB, Omenaca TM, Martinez CS, et al. Human cases of swine influenza A (H1N1), Aragon, Spain, November 2008. Eurosurveill 2009 Feb 19;14(7). Bean B, Moore BM, Sterner B, et al. Survival of influenza viruses on environmental surfaces. J Infect Dis 1982 Jul;146(1):47-51. Brankston G, Gitterman L, Hirji Z, et al. Transmission of influenza A in human beings. Lancet Infect Dis 2007 Apr;7(4):257-65. Bridges CB, Kuehnert MJ, Hall CB. Transmission of influenza: implications for control in healthcare settings. Clin Infect Dis 2003 Oct 15;37(8):1094-1101. Faix DJ, Sherman SS, Waterman, SH. Rapid-test sensitivity for novel swine-origin influenza A (H1N1) virus in humans. N Engl J Med 2009 (published online Jun 29). Garten RJ, Davis CT, Russell CA, et al. Antigenic and genetic characteristics of swine-origin 2009 A (H1N1) influenza viruses circulating in humans. Science 2009 May 22; early online publication [Abstract] Gaydos JC, Top FH, Hodder AR, et al. Swine influenza A outbreak, Fort Dix, New Jersey, 1976. Emerg Infect Dis 2006;12(1):23-28. Gani R, Hughes H, Fleming D, et al. Potential impact of antiviral drug use during influenza pandemic. Emerg Infect Dis 2009;11(9):1355-62. Lekcharoensuk P, Lager KM, Vemulapalli R, et al. Novel swine influenza virus subtype H3N1, United States. Emerg Infect Dis 2006 May 12(5):787-94 . Myers KP, Olsen CW, Gray GC. Cases of swine influenza in humans: a review of the literature. Clin Infect Dis 2007;44:1084–8. Nava GM, Attene-Ramos MS, Ang JK, et al. Origins of the new influenza A(H1N1) virus; time to take action. Eurosurveillance 2009 June 4;14(22). Newman AP, Reisdorf E, Beinemann J, et al. Human case of swine influenza A (H1N1) triple reassortant virus infection, Wisconsin. Emerg Infect Dis 2008;14(9):1470-2. Taubenberger JK, Reid AH, Lourens RM, et al. Characterization of the 1918 influenza virus polymerase genes. (Letter) Nature 2005;437(7060):889-93. Taunbenberger JK, Morens DM. 1918 influenza: the mother of all pandemics. Emerg Infect Dis 2006 Jan;12(1):15-22. Tellier R. Review of aerosol transmission of influenza A virus. Emerg Infect Dis 2006 Nov;12(11). Van Reeth K, Nicoll A. A human case of swine influenza virus infection in Europe—implications for human health and research. Euro Surveill 2009 Feb 19;14(7) pii. Vaillant L, La Ruche G, Tarantola A, et al. Epidemiology of fatal cases associated with pandemic H1N1 influenza 2009. (Rapid Communications) Eurosurveill 2009 Aug 20;14(33):pii. Webster RG, Bean WJ, Gorman OT, et al. Evolution and ecology of influenza A viruses. Microbiol Rev Mar 1992;56(1):152-79. Zimmer SM, Burke DS. Historical perspective—emergence of influenza A (H1N1) viruses. N Engl J Med 2009 Jul 16;361(3):279-85.

  • Share/Bookmark

Gout Dietary Treatment

Thursday, January 7th, 2010

Gout (metabolic arthritis) is a type of arthritis caused by too much uric acid in the body. Uric acid is normally flushed out by the kidneys. Gout often affects the big toe but can also affect the ankle, knee, foot, hand, wrist or elbow. A disabling form of arthritis found most often in the feet – specifically the big toe – and occasionally in other joints. Symptoms include intense episodes of joint pain and swelling, which often happen at night, followed by pain-free periods. high uric acid blood level will sometimes allow formation of uric acid crystals in the joints, especially at the base of the large toe. Fortunately, gout almost always can be completely controlled with medication and changes in diet. this condition monosodium urate crystals are deposited on the articular cartilage of joints and in the particular tissue like tendons. Urate crystals may form in joints, resulting in inflammation and pain. Urate crystals may also form in the kidney and urinary tract, resulting in kidney stones.

Proper diet, nutrition, and metabolic balance all play crucial roles in the prevention and treatment of this disease. Non-steroidal anti-inflammatory drugs (NSAIDs) can also be used to treat gout. The NSAID that is most widely used to treat acute gout is indomethacin.

Tart cherries or cherry juice. A daily dose will help to prevent it and a few doses when he has a bout will help as well. It can reduce uric acid within an hour or less. You can also buy tart cherry in a dried capsule form though the fruit or juice is still better. It also helps with other muscle pain and can actually help the body heal faster from workouts. It’s a natural anti-inflammatory agent.

Apple Cider Vinegar : 1 x tablespoon mixed with a table spoon of filtered water, make sure it is organic with “Mother” still in it , add honey to taste and take about an hour after a meal 3 times a day..this will regulate your pH levels and reduce them…clean your teeth also after using this as it stains..then after an attack reduce this to once a day.

Drink 10-12 glasses per day of water, in order to help flush out uric acid crystals.

Intake of dried legumes, spinach, asparagus, fish, poultry, and mushrooms, should also be curtailed. Refined carbohydrates and saturated fats are best kept to a minimum.

Vitamin A in large amounts can exacerbate gout. Make sure you take no more than 5,000 I.U. daily. If you are having attacks, you should stop all vitamin A intake.

Cut back or eliminate alcohol consumption, because it interferes with the removal of uric acid from the body.

Exposure to lead can cause gout. So have your doctor test your system for excessive lead levels. Metallic toxins can be removed from the body with a number of naturopathic/alternative remedies

Always seek a medical opinion before starting any low purine diet or taking any herb or medicine. Check your medicines for side effects as there are many for any gout pills supplied by a doctor or health practitioner

  • Share/Bookmark

What do i if my dad drinks more then normal and my mom hates it?

Thursday, January 7th, 2010

My mom grew up around her uncle drinking and he use to beat her dad. Now my mom hates it when my dad drinks is there anything I can do to make him stop drinking? My mom finds it and dumps it but dad buys more. What should i do to get him to stop drinking?

  • Share/Bookmark

why do you wanna drive drunk????? MY MOM DIED WHEN A DRUNK DRIVER HIT HER AND I WAS ONLY 2 YEAR’S OLD!?!?!???!

Thursday, January 7th, 2010

I never got to know her….

  • Share/Bookmark

Medicine Q&A

Thursday, January 7th, 2010

Can you drink penicillin if you believe you hold appendicitis? What are the side effects/risks?
If you hold appendicitis, you need to have your appendix surgically removed. You shouldn’t take medicine like penicillin without your doctor prescribing it.You may be allergic to it. It may require different treatment. I suggest seeing a doctor, asap. Your symptoms might not be appendicitis….

Can you drink somebody’s blood to survive dehydration?
OK this is not my idea, neither am I intending to attempt it. I read an article of a person who gave his blood so that someone else will survive. Is this a medically nouns idea? Please situate that in the context of no other fluids available and the very actual possibility…

Can you drink while on Celexa/Citalopram?
I’m on Celexa (citalopram) 20 mg. I have heard that you shouldn’t drink while you were on it, but concluding night I drank in moderation (I had almost 4 or 5 drinks throughout the entire night). I didn’t feel like I was drunk at adjectives. And it’s the first time I’ve drank since before…

Can you efficient while your on Lexapro?
? I wouldn’t. I did a little research, and apparently some side effects that may concern you include weight change, nausea, diarrhea, and difficulty sitting still. All these things within themselves can cause a dramatic, unhealthy drop in bulk. Fasting would make the weight loss even more dramatic and even more unhealthy so…

Can you embezzle 1000mg of cephalexin? I hold lately be taking 1 500mg a daylight for 5 days. Some1 told me i have need of 2 ta?
More to help it out. I have noticed a big devolution in the past few days but today it seem approaching alittle has came back. It is used for a tooth infection. you…

Can you embezzle effexor while you are taking prozac?
I just started taking prozac last week, and if I were to embezzle effexor now, would that do any harm? some people do but ask your doctor – it prlly wouldnt but do not transport anything that is not prescribed to you – only if prescribed by your doctor!! natter to…

Can you embezzle selenium near birth control?
Im taking like ortho tri cyclen…. will selenium cancel it out or anything? You probably don’t need selenium. Too much selenium can front to dangerous toxicity. According to the monograph below, there are no known interactions, but that does not denote someone did experiments to evaluate drug interactions. Drug interactions usually are found…

Can you endorse a drug oral exam if your around weed but dont smoke it?
That depends how commonly you are around weed.Weed can settle in you hair and skin. It only bring back in your urine if you ingest it. If you hang around with relations that smoke it the whole time you are around then chances are you…

Can you endorse a drug tryout by?
putting clean piss into a condom and then keeping it body temp? but how would do you keep it body temp.? Tape it to the inside of your armpit, or between your inner thigh and your labia majora. Also, you can take a small tube, put the condom in that, fill it beside…

Can you endow with me a website beside the pictures or descriptions of:?
Positron Emission Tomography, Single Photon Emission Computed Tomography and functional Magnetic Resonance Imaging? Sure. For convenience’s sake, I’ve tinyurl’ed them: For PET images: http://tinyurl.com/m8npmz For SPECT images: http://tinyurl.com/ntzu2g For fMRI images: http://tinyurl.com/ncxmdg Source(s): www.lmgtfy.com

Can you enjoy 1 aspirin (Aleve) for a headache?
I heard that you can not have aspirin for a headache. This was adjectives I have right now. I do not know why but I was a moment ago wondering if it is safe or not. If it is not safe, please tell me why. Thank you for your responses. It’s…

Can you enjoy a energy if you`re a neurosurgeon?
I want to be a neurosurgeon. I also want to have kids. Is it possible to do both without being the world`s worse mom? And in need becoming a bad doctor because of all of the stress? If you have personal experience, I conspicuously want to hear from you! You have…

Can you enjoy cirrhosis of the liver and not know it?
I’ve read in more than one place that five or six drinks a day will give you cirrhosis of the liver surrounded by 10-15 years. Now that’s way more than I drink, but there’s got to be any number of guys who stop off at a lump after work…

Can you enjoy surgery when the hernia have “disappeared”?
I know that the hernia cannot actually disappear but it can move around and ‘hide’….im supposed to have surgery today and the lump is almost completely gone. Can they still repair my hernia if it is deeper down than usual? Yes, the anatomic defect — the opening– is still in that,…

Can you ever find sour your blood pressure medication if you hold a ancestral history of large blood pressure?
I’m 18, south asian, and I’ll be on medication to control my high blood pressure. However, I’m also overweight. So, I was wondering that if I make a transition to a in good health lifestyle while taking the medication, is there…

Can you explain the Peripheral Nervous System?
explain Peripheral Nervous System The Endocrine System Are you serious man? Which one do you want, these systems take more than a couple hundred words to explain. You need to look at a textbook or either ask specific question. I would be more than happy to answer any questions you have. Source(s): M.D….

Can you explain to me what drug THC is?
I keep reading about people getting caught beside possession of THC. WHat does it stand for and what is it? THC is chemically known as delta-9-tetrahydrocannabinol and it is the primary active component in adjectives drugs derrived from the plant which is scientifically known as cannabis sativa. The level or %…

Can you explain to me why Allopurinol does not disolve within the body for 18 hours?
My husband took his Allopurinol in the morning after breakfast and in the evening at 6:30 P. M. he had bowel movement and the pill be still in his stool. Can you tell me why? Does he take any antacids? The just reason I…

Can you fall through a drug trial for cocaine taking hydrocodone and carisoprodol?
i’ve been taking hydrocodone and carisoprodol for about eight months since my back surgery for strain perscribed by my doctor is it possible to fail a drug test for cocaine? Yeah you won’t fail for cocaine but will almost positively trial positive for opiates Source(s): erowid -…

Can you get hold of high/messed up rotten of Penicillin VK 500MG?
You can’t achieve high off of an antiobiotic but you can get “messed” up. As contained by sick. – Uh the with the sole purpose kind of messed up you can get off of any antibiotic is a messed up stomach. (upset stomach) – Lol. Yeah…you can definitely…

Can you get hold of within a great deal of trouble for carrying OTC pills at academy?
Such as Tylenol, Ibuprofen, or Midol? I was reading somewhere how some girls were suspended for a few months because of that. I carry tylenol contained by my backpack just in case, and sometimes if my best friends ask for one I supply…

Can you give a hand me please?
Hello, my name is Jon and I want to become a doctor when I’m older, and I want to work in an A&E department. (by the opening i live in wales,uk) Im very good at science and maths. Im starting my GCSE’s surrounded by a few weeks which im quite excited about. I…

Can you give somebody a lift buspirone and xanax?
I am on busprione daily twice a day,and i have xanax for my out breaks,produce buspirone takes up to 3 to 4 weeks to kick in,is it safe and sound after about 6.5 to 7 hours to take buspirone,I take partly of a xanax when needed Yes, you can. Your doctor…

Can you give somebody a lift ibuprofen and neocitran together?
I have a flu and i took a ibuprofen about an hour ago, i was wondering if i can own neocitran. I’m not sure what neocitran is. But i know you can take ibuprofen at the same time as a paracetamol based product. Look at the ingredients and if the…

Can you give somebody a lift ibuprofen and zyrtec together?
Like is it safe to do that? Ones for like headaches and the other for allergies right? Ibuprofen is a non-steroidal anti-inflammatory (NSAID), and Zyrtec is an antihistamine. There are no particular interactions with these classes of drugs. It is safe to take them together. Having said that, I wouldn’t…

Can you go and get addicted to ibuprofen?
There is a kid at my work that comes up everyday and asked for two packets of ibuprofen (4 pills) He says he’s just stressed. Can you be addicted to them? Yes you can get addicted to any drug. – ibuprofen doesn’t sedate, it can damage the stomach weakly,the people who are…

Can you go and get big bad of acetaminophen w/ codeine?
dont worry im not useing this to get high but i hurt my leg and my doctor activity me this and i was just wondering codeine yes lol tylenol no – It you are having agony it will relieve the pain. Take it as instructed by your Doctor. One…

Can you go and get lofty rotten motion sickness chewable?
I’ve heard of getting high off pills. But what around the chewable? If your just gonna say “don’t do it your dumb” Don’t even bother answer the freaking question if you know. I’m assuming you’re conversation about dramamine or meclizine. Meclizine has no euphoric effects, so no you can’t get…

Can you go and get some thoughtful of embolism from swimming?
I heard you can get a pulmonary or air embolism if you dive and accidently bring a breath. I looked up pulmonary embolism- its a blood clot in the lungs. killing the lungs. But this wouldnt be a blood clot? This relates to deep diving and bubbles of N2…

Can you grasp a ‘high sensation’ by drinking Robitussin?
my cousin tells me that you can get like a sleepy or well brought-up feeling by sipping a lil of robitussin… is this true?? if its not what is another legal way to receive like a sleepy feeling(legal) ps. can a 16year old buy a robitussin bottle like at a pharmacy…

More Medicine questions please visit : MedicineFreeFAQ.com

  • Share/Bookmark

Hepatitis B Transmission, Symptoms, Treatment and Prevention

Thursday, January 7th, 2010

Hepatitis B (HBV) is a viral disease that can cause inflammation of the liver, cirrhosis and cancer in worst case.

Hepatitis B is also considered as one of the sexually transmitted disease (STD) because it can spread by sexual contact.

Since Hepatitis B virus can cause serious damage to the liver. It is very important that you must know how liver work first and what would happen if the liver stop working.

Liver is a major organ inside the human body that performs over 500 essential tasks such as bile and urea production, metabolism of carbohydrates, proteins, fats and filtered bacteria from the blood etc. Any person can die in less than 24 hours if the liver stop working. Drugs and alcohol should be avoid because it can cause directly damage the liver.

From the static shown an estimate of about 1 miilion American peoples are infected with Hepatitis B and around 700,000 are in serious condition yearly.

For those peoples who often travel to different countries have a higher risk of infection which depend mainly on the destination country and individual immune status.

Hepatitis B can be accurately diagnosed by blood test.

For those peoples who never develop any signs or illness symptoms at all but still have the Hepatitis B virus inside their body is called HBV carriers.

Hepatitis B Transmission

HBV can be transmitted by contamination of blood, semen, body fluids and sexual activities. Newly born child have a chance of infected with the virus if the mother already infected with HBV.

Hepatitis B is not much contagious when compare with hepatitis A which can spreads to other peoples much more easily.

Hepatitis B Symptoms

Common symptoms of Hepatitis B are fever, fatigue, nausea, vomiting, joint pains and yellowish discoloration of the eye and skin (jaundice).

In worst case doctor have to perform liver transplant in order to save the patient life from liver failure.

A person who have strong immune can fully recover from hepatitis B eventhough the illness can last for month but after fully recovery individual will develop immune which can prevent themself from future infection of hepatitis B.

For peoples with weak immune can develop chronic infection with HBV for the rest of their life.

Hepatitis B Treatment

Normally viral diseases are not treated with specific medications such as antibiotics.

There are special medications developed for chronic HBV patients.

Hepatitis B prevention

HBV can be prevent by getting vaccinated before being infected with HBV. It is commonly recommended that every child must be injected with this vaccine to prevent the risk of being infect with HBV in the future.

Avoid unsafe sexual activities as possible including using the same objects with infected person.

  • Share/Bookmark

Parkinson’S Disease Ain’T For Sissies

Thursday, January 7th, 2010

My mom lived with Parkinson’s Disease the last seventeen ears of her life, Let me tell you for sure and for certain that Parkinson’s Disease (PD) is more like scaling Everest than walking in the park. It’s uphill all the way, with no certainty about the about the twists and turns you’ll encounter, and your determination in making the climb impacts how the trip will go.

Nobody really knows what causes PD. If doesn’t seem to be genetic. Brain injuries, though, commonly show up in the medical history of PD patients. My mom was almost killed by a drunk driver. The accident hurled her head into the windshield, then dragged her face down the dashboard, leaving her teeth embedded there. (I think all drunk driving accidents should be classified as felonies, with automatic conviction, but I digress.) My mother’s catastrophe aside, the head injury doesn’t have to be devastating; a simple concussion will do.

Some think a virus may cause PD, some say heavy metals from the environment, others blame pesticides, such as on fruit and vegetables.

In PD, the brain’s dopamine production diminishes. Since dopamine is an important pleasure center, PD takes away a lot of the ability to take joy in life. PD also takes away initiative. My take-any-hill mother became dependent and fearful. Knowing these problems are part-and-parcel goes a long way in dealing with them.

One Hallelujah! thing (as far as I’m concerned) is that studies show coffee, specifically the caffeinated variety, prevents PD. Turns out that coffee, for all its bad PR–all based on zero science–is one very potent antioxidant. Since the typical PD treatment of L-dopa releases free radicals by the carload, logic says coffee would also be beneficial for PD patients, but I haven’t seen any studies.

Turns out that lots of Vitamin D3 is a winner, too. Of course, that’s true in general.

Research the tar out of this mess. New discoveries are changing our understanding and treatment possibilities daily. Because of medical strictures, doctors are usually years behind the curve, but getting your doctor involved in your search would be a real blessing. At the least, run things past the doc as a necessary safety precaution.

Involuntary movement, as in the identifying rolling tremor, is usually the first noticeable symptom of PD. As time goes on, voluntary movement becomes more difficult, the face takes on a fixed expression, posture falters and a stride becomes a shuffle. Fight the good fight. Don’t give up or give in. This is not the time to turn into a girly-man or a girly-girl.

And celebrate every victory, no matter how small. If you’re going to fight, you deserve a prize–just (sorry!) not one with sugar in it.

A parting word of advice: Don’t watch the news; that depresses everybody.

Finally, please realize that you’re valuable, a one-of-a-kind treasure.

  • Share/Bookmark

Powered by Yahoo! Answers