Diseases Cause by Biological Warfare

There are a variety of toxins, synthetic chemicals and genetically engineered substances which could be created, to create epidemics of disease in the form of diseases caused by biological warfare. Such weapons could be used to act as a deterrent or used in reality.

There are a number of diseases which could be spread by the use of biological weaponry, which include –

1. Anthrax.

 Anthrax results from an infection by the bacterium Bacillus anthracis which can occur naturally in humans and other animals in many regions of the world. The bacteria can be ingested in food, inhaled, or absorbed through the skin, so it would not be difficult to infect a population by the release of airborne anthrax bacteria.

2. Botulism. 

The botulism bacterium Clostridium botulium can be taken via contaminated food or drink. The bacteria produce a substance which is toxic to the nervous system and leads to serious paralyses. This is another bacterium which could readily be introduced into a population.

3. Plague.

 This disease is readily transmitted to humans by suffering a bite from infected rodents or fleas. These creatures become infected by the bacterium Yersinia pestis and pass it on to humans by either a bite or by having direct contact as would be the case with a flea. Bubonic, Septicaemic, and Pneumonic plagues are the types which affect humans.

Both Smallpox and Tularaemia are another two highly infectious diseases which could be introduced deliberately into populations. Smallpox has largely been eradicated but could readily be resurrected in a laboratory along with tularaemia to cause widespread biological diseases.

One Year After ObamaCare, Health Insurance Premiums Are Still Rising

As the a year jubilee of the Patient Protection andAffordable Care Act nears, The New York Times notices that illness insurance premiums still haven’t vanished down.Just the opposite, in fact:

The new sovereign illness caring law might finally “bend the costcurve” downward, as proponents argue. But for now, at manyworkplaces here, the taking flight cost of illness caring is promptinginsurance premiums to ascend whilst coverage is shrinking.
As Congress continues to discuss the new illness caring law, healthinsurance expenses are still rising, quite for smallbusinesses. Republicans are seizing on the direction as indication thatthe new law includes costly features that are pushing uppremiums. But the insurance attention says premiums are risingprimarily since the underlying cost of caring and a growingdemand for it.
Across the country, premiums have more than doubled in the lastdecade, with not as big companies quite hard strike in recentyears, sovereign officials say.

The essay presents the two stories of the taking flight cost ofhealth care”costs are taking flight since supervision mandates, andcosts are taking flight since flourishing urge for costly care”ascompeting. But they do not have to be. In a few sense, they’re bothright.

We know, for example, that gain mandates expostulate up the cost ofinsurance. This ought to be obvious to any person who’s everpurchased, say, automobile insurance: A bigger gain package means moreexpensive premiums. The same is loyal in the illness insurancemarket. In 2009, the Council on Affordable Health Insurance, aninsurance-industry group, counted 2,133 state-level insurance mandates national andestimated that the life of the mandates adds wherever from 20to 50 percent to the cost of illness insurance.

But a multiple of technological advances and urge probablyplay a purpose too. But where does that urge advance from, and what isdriving spending on new technology? There’s great reason to believethat this is moreover a product of supervision policy.

When MIT’s Amy Finkelstein looked at thebeginnings of Medicare, that clearly supposing a outrageous speed up inthe nation’s illness insurance figures, she found indication that itwas the foreword of a new, infinite illness insurance benefitthat gathering both the urge for caring and the embracing a cause of expensivenew medical technologies. The National Bureau of Economic Research summarizes someof her findings:

Unlike an removed individual’s change in illness insurance,market far-reaching changes in illness insurance might enlarge marketplace demandfor illness caring sufficient to make it inestimable for hospitals to incurthe prearranged cost of taking advantage of a new technology. Consistent with this,Finkelstein presents revealing indication that the foreword ofMedicare was related with faster embracing a cause of then-new cardiactechnologies.

Call it the Buffet Effect: When illness caring is presented as anall-you-can-consume affair, urge for it goes by the roof.This helps notify why Medicare’s primary cost-estimates were solow. Experts guessed that people would go on to use roughlythe same amount of caring as they did previous to having healthcoverage. In fact, it incited out that the Medicare race usedfar, far more coverage immediately. First year expenses were almostfour times the limit projected figure . Ultimately,Finkelstein estimates that the foreword of Medicare might havebeen accountable for about 40 percent of the complete enlarge in percapita illness spending between 1950 and 1990.

And as Finselstein suggests, all that additional urge helped pavethe way for additional supply: More allowance poured in to costly newhospital apparatus and specialized staff. No skepticism there have beenupsides to all this additional spending”life-saving technologiesdeveloped and life-extending procedures polished that might nothave been in a not similar world.

But overall, it’s not coherent that Medicare and its all butunlimited undertaking to illness spending have significantly improvedhealth outcomes. Finkelstein found no change in aged mortalityduring Medicare’s first decade in operation. A massivestudy of the belongings of illness insurance by the RANDCorporation between 1971 and 1982″considered the attention standardin conditions of illness insurance research”found that introducingcost-sharing in to the illness insurance equation produced, onaverage, no lessen in illness outcomes, but significantly reducedthe use of illness caring services. Subsidized coverage resulted inimproved illness outcomes for a handful of ailments, often inlower-income populations. A metastudy of consumer-driven skeleton with high deductibles foundsimilar results: Cost-sharing and reduction thorough coverageresulted in dramatically descend expenses, but no median reductionin illness outcomes.

Again, it’s the Buffet Effect: When illness caring is a buffet,people use more, mainly when it’s being paid for by someoneelse. There’s not ample evidence, however, that carrying out so increasesoverall health.

So mandates probably help notify segment of the story. Butgovernment-subsidized coverage is expected a considerable reason too. Yetthe reply of the who authored the PPACA was not to change theway the supervision provides coverage. It was to spread thesubsidization of inexhaustible coverage and, at the same, time, make itmore tough for insurers to weed out waste products by actions likefraud avoidance and utilizationreview . A decade from now, we suspect, The New YorkTimes will be revelation the same story.

What Happens When You Walk?

Walking is healthy, it has long been known. Here is the explanation of what was going on in the body during the 60 minutes of walking.

From 1 to 5 minutes

Already with the first steps in the cell leads to the secretion of chemicals responsible for energy, that give you fuel for walking. Heart rate increases (from 70 to 100 beats per minute), which stimulates circulation and warms muscles. Reduces stiffness, because the joints secrete a fluid that lubricates them, which facilitates the movement. As you walk, your body burns 5 calories for 1 minute (when sitting or resting, burn only 1 calorie per minute); body additional fuel is required, and he is taken from stocks of fats and carbohydrates.

From 6 to 10 minutes

Heart rate increases to 100-140, burn 6 calories for 1 minute. Pressure increases slightly because the body secretes chemicals that affect the expansion of blood vessels to bring more blood and oxygen reach the muscles.

From 11 to 20 minutes

Rising body The temperature, you start to sweat, because the blood vessels near the skin surface rapidly to eject the heat. As your walking becomes more vigorous, so you burn more calories (7 to 1 minute) and accelerated breathing. It increases the level of hormones such as epinephrine and glucagon, which feed the muscles.

From 21 to 45 minutes

In the brain to secrete endorphin, the hormone of good mood, and you therefore feel dynamic and relaxed because the body releases tension. The more fat is burned, the level of insulin (which helps in storing fat) falls; Among other things, so walking and recommended for people with diabetes or those who are struggling with being overweight.

From 46 to 60 minutes

Should decrease in stocks of carbohydrates, so it is possible to feel fatigue in the muscles. As you slow down, thereby reducing the heart rate. Reduces the number of calories you burn, but the number is still higher than before the walk, and will remain such for an hour after you returned from the walk.

Whether This is The Best Cure For The Common Cold?

German scientists say that the best cure for the common cold is actually very simple and completely free.

When we have a cold, immediately resort to those generally known treatments – antibiotics, aspirin, fruit, hot soup and tea …

But German scientists say that the best cure for the common cold is actually very simple and completely free. It’s a holiday!

“It’s the same when it comes to a high temperature. A good vacation is improving immunity better than everything else,” was published in the medical journal Naturatz.

They explained that pills that reduce temperature subjective state of repair, so people very quickly get out of bed and can not rest as necessary to the body really recovered and pushed a cold.

The magazine also advises that you take plenty of fluids, fruits and vegetables, in order to accelerate the strengthening of the immune system and fight the virus, but also point out that the lack of sleep and rest cause why you are cold every time is delayed and will not go away.

Savor the Flavor for Better Health

As Americans, we tend to be a nation of gobblers when it comes to eating.  In other cultures, meals and conversation can run on into the evening, with family members enjoying conversation and sharing the news of the day.  On average, our meals last a whopping 11 minutes—and that’s for dinner.  Breakfast and lunch clock in at under 5 minutes for some people.

The good news is, to realize an abundance of health benefits all we need to do is slow down.  And here are few good reasons why:

• You will actually have a chance to taste and enjoy the flavors of your food.  You could actually begin to look forward to a variety of flavors, smells and textures your poor taste buds have probably forgotten about.
• You’ll find it easier to lose weight.  By eating more slowly and chewing your food thoroughly, you give your body a chance to begin the digestive process so it can signal you when it starts to get full—and well before you’ve consumed double helpings of everything.  Set aside 20 minutes to savor each bite and enjoy your meals; your body will thank you for it.
• You’ll probably start to eat healthier, better-for-you foods.  Once you begin to recognize and appreciate the melding of different flavors and textures in a well-prepared meal, you should be less inclined to consume the fat- and salt-laden fare from the local fast food joints.  Add new spices and try different ingredients in your meals.  Begin to enjoy the process of eating again.
• Enjoying meals with family and friends at home or trying new restaurants together is a great way to socialize and broaden your food horizons.  Talking, laughing and enjoying good company over a leisurely meal not only benefits your body; socializing with others also reduces stress and contributes to your emotional well-being.

Whether you’re eating with a group or on your own, take time and live in the moment.  The emails, the phone calls and to-do lists can take a back seat for 20 minutes, while you nourish body and soul.

Every little bit counts! Recyling facts that may surprise you.

“Going green” by recycling efficiently is something everyone can do to preserve and protect our environment and natural resources.  To drive this fact home, below are some interesting facts about America’s consumption of recyclable materials.

Statistics from the Clean Air Council include:

• The average office worker uses about 500 disposable cups a year — a good incentive to bring your own coffee mug to work!
• In America we use approximately one billion shopping bags annually — creating 300,000 tons of landfill waste.
• During the 2009 annual International Coastal Cleanup, the Ocean Conservancy tallied shopping bags as the most common form of waste, comprising 10% of the waste items picked up.

The City of Mesa, Arizona, also supplies some fascinating stats:

• Each year we manufacture enough plastic film to shrink wrap the entire state of Texas!
• Recycling five plastic soda bottles can create enough fiberfill for one ski jacket.
• Nearly 40% of the U.S. waste stream is comprised of paper.
• By recycling just two gallons of used oil, enough electricity can be generated to run an average American household for nearly 24 hours.
• Take the small steps needed to eliminate the use or  increase the recycling of the common items above.  By simply changing just a few of our daily habits, together we can make a discernible difference in protecting our environment.

Heartburn or Heart Attack: Know the Difference

One of the most common ailments is heartburn, named because it feels as if your heart just inside or below the rib cage is on fire. In reality, this condition has nothing to do with your heart. But heartburn is a common occurrence, affecting an estimated 44% of the population. And even though it’s common, only 25% of people who experience and suffer from heartburn seek medical help for their health problem.

Heartburn experts urge women similarly “to trust their gut” when they begin experiencing stomach problems or symptoms of heartburn. Typically, it is the body’s way of sending a message that
something is out of kilter and needs to be addressed.

What happens is that stomach acids that are hard at work digesting food can back up from the stomach into the ecophagus, and because acid is irritating , it causes a burning sensation in the chest and above the rib cage. A variety of heartburn symptoms include:

• A “burning” sensation in the upper chest
• Coughing
• Laryngitis
• Constant throat clearing
• Spasms of the ecophagus

Heartburn or Heart Attack?

Some women in fact mistake heartburn symptoms for angina or a heart attack, and, even scarier, may mistake a heart attack for heartburn. Symptoms can be similar, and if there is the slightest question, please, seek medical attention immediately.

Heartburn and upset stomachs take an emotional toll as well. You may not be able to eat the foods you want or enjoy the activities that bring pleasure – gardening, dancing, exercising or taking a walk with a walking cane, for example. You may wake up in the middle of the night and experience restlessness and fatigue for the rest of the day. You may feel trapped inside of your house, always wondering when the next bout or heartburn would strike, or when you go out socially you may worry constantly or refrain from enjoying food.

Some health conditions and medical situations can cause heartburn or worsen its effects. They include:

• Pregnancy
• Gastroesophageal reflux disease (GERD)
• Hiatal hernia
• Diabetes
• Certain medicines

Educate yourself and learn more about heartburn and how to treat heartburn. We encourage you to consult a medical professional before taking any medications to improve your health condition when you suffer from heartburn.

Space Clearing for Better Health – 4 Starter Tips

If you constantly feel disorganized, out of time and overwhelmed, you are probably among the many of us who need some space clearing and de-cluttering at home or work.  Living and working surrounded by unorganized “stuff” can be fuel for the fire of unhealthy stress.  And who needs more stress and anxiety?  Begin by clearing just a counter space, storage area or cluttered corner.  It will generate a great feeling of accomplishment and energize you.  Here a four simple tips to get started:

Start small. When a task seems daunting — like your office, the garage at home or the big closet in the hall — break it down into manageable chunks.  Set a time limit, schedule it and stick to it.  Book 30 minutes after lunch on Monday to clear your desktop; do the same on Wednesday and Friday, 30 minutes each for the main file drawer, then the storage box in the corner.  Set a manageable pace to finish the room – this stuff’s not going anywhere and every bit of headway you make will lighten your load.

Carry something away. Whenever you leave a room, be it your office, your kitchen or the family rec room, take something with you and put it where it really belongs or get rid of it.  Keep it simple:  just one item, every time you leave a room, and you’ll be seeing a difference in a matter of days.

Trash junk mail – every day.  Take a quick look, and if it’s not something you feel compelled to even open and skim, don’t set it aside for later.  Shred it or tear it up, and into the recycle bin it goes.  You may also want to check out options for reducing junk mail by visiting Direct Mail’s Facebook page for information  on its “National Do Not Mail List.”

Make a Donate box. Pick a box of manageable size and keep it near the exit door.  Whenever you come across something useable and in good repair that you don’t need anymore, put it in the box.  Each time the box gets reasonably full (meaning you can still easily carry it), put it in the car and drop it off the next time you go out.  As your de-cluttering becomes habit, you’ll become a familiar face at the Goodwill and other local charities.

Give yourself three weeks of using these simple starter tips (they say that’s how long it takes to make habits stick), then take a look around and enjoy your cleared space and reduced stress level!

Stairlifts Help To Stay Active And Independent

Choosing a stair lift is not an especially pleasant process, particularly if you are facing it for the first time. You – or someone else – might need a stair lift because of a recent traumatic injury or illness. You might be going through a time of grief and deep emotion. Sad or angry feelings might be stirred up by the very notion of choosing a stair lift. You might anticipate that you will recover from your injury or illness, and think a walking cane or stair lift is not necessary. But the right mobility aid is a liberator, not a prison.

Choosing a stairliftWhen you choose the right mobility equipment, your quality of life increases dramatically. Even people with severe disabilities can have a considerable degree of independence and activity with the right mobility aids. For those who no longer need a stair lift at some point, having had the right one will mean better health and greater strength.

Perhaps you have already considered several choices with stairlifts. Make sure to take full advantage of new features and design of modern mobility equipment.

Stair lift design has advanced tremendously in just the last decade. Modern stair lifts are also better looking, they have become less bulky and obtrusive. There has been much effort to reduce the visual emphasis on the disability, and to bring more attention to the person. There are different options available to users: regular or straight stair lifts, curved stairlifts, vertical lifts, wheelchair lifts – just to name a few.

All manufacturers of mobility aids put extra effort to make their products attractive to the customers. Because of the growing market, wheelchair and walking cane manufacturers can now justify continuing advanced efforts to help people keep on with their lives with the greatest possible independence. The same can be said about stairlift suppliers.

So, whatever option you go for, mobility aids will make a positive impact on your health and will help you enjoy living active life.

Four Heart Health Myths You Should Know About

As American Heart Month draws to a close, it’s important to encourage continued, year-round awareness of heart health as well as correct some of the common heart health myths or misconceptions people may have about heart disease:

People who are physically fit and active are not at risk for heart disease.   While it’s great to be fit and get plenty of exercise, it’s not a guarantee of good heart health.  Cholesterol levels, genetics and other factors can contribute to heart issues — and no matter how fit and active you are, smoking and overindulging in less-than-healthy foods will still take a toll on your body.

Women are at higher risk of dying from breast cancer than heart disease.  Wrong, by a long shot. Statistics indicate that across all age groups (including childbearing years), death from heart disease is more common among women than breast cancer.  Young women especially should begin taking care of heart health right now — the combination of smoking and birth control increases their heart risks by as much as 20%.

When blood sugar levels are under control, diabetes is not a heart threat.  Think again.  Though good levels are healthier for diabetics, what many people don’t realize is that the diabetes itself can cause inflammation, which in turn can damage blood vessels.  Monitoring and maintenance of  blood pressure, cholesterol and weight remain important to overall health.

Heart disease primarily affects the aging and the elderly.  Yes, many of the symptoms of heart disease manifest as we age – but the seeds of risk are often planted early in our lives.  They range from poor eating habits acquired in early childhood (including over-consumption of fast-foods or processed foods containing high levels of fat, sugar and sodium) to discreased levels of physical activity, increasingly sedentary lifestyles, smoking, excessive alcohol consumption and more.

Plaque does not accumulate in our arteries overnight.  It can take years to develop, so the earlier we become conscious  of healthier heart habits for ourselves and our children, the better our odds of avoiding heart disease later in life.   

Exercise And Nutrition: When To Eat?

Do you want to get the most out of exercise or being just a short entertainment ?

If you eat before exercise, it will help you exercise longer and with greater intensity compared to when you do so on an empty stomach.

Eating before exercise will do very burning Klor be slower because the body will not spend the reserves, as when it is done on an empty stomach.

Exercising on an empty stomach will make and the defense mechanism of the immune system to be compromised. But if you’re taught to eat after exercise, it is important to eat immediately after the exercise and eating to be composed of more protein and less carbohydrates.

Do you want to burn fat and lose weight?

If the fat melting your primary goal, then moderate exercise on an empty stomach is your primary goal. But if you skip breakfast and start the exercises, risk exercises to feel as heavier than usual because it will be extremely low energy. To lose weight you must eat three small meals throughout the day for long-lasting results. It will make your body not to do to restore the weight that you have lost the moment you reduce the intensity of the exercises themselves or when you stop them.

Overall Catherine recommended balanced diet consisting of 3 meals throughout the day and regular exercise results. Did you eat before or after exercise remains you and your metabolism and eating habits you have acquired.

How To Properly Thawed Chicken

It is best to prepare the healthiest fresh chicken. No modern and rapid way of life does not allow us to always find time to go to the grocery store or butcher shop, so it has become common for a variety of foods, including chicken, freeze.

Chicken meat is quickly frozen, defrosted or long. If you are in a hurry to prepare a meal, meat can not thaw in hot water, but use a microwave oven.

Do you have a little more time, frozen meat is best thawed in the refrigerator, as this is the best way to thaw meat. For this you have to consider that the meat from the freezer to be removed day earlier.

Third way thawing is thawing in cold water, with the water should be changed every 30 minutes.

Thawing at room temperature and warm water is not recommended because rapid thawing, chicken meat loses its quality. Namely, thawing in warm water at room temperature run the risk of harmful bacteria that occur at higher temperatures, especially during the summer months.

When freezing meat, be sure to freeze a certain quantity of the portions, because once defrosted meat must not be frozen again .

The misconception is that the shelf life of frozen meat unlimited. Maximum recommended storage of chicken meat in the freezer (-18ºC) for all the raw pile is one year. Offal in the freezer can keep only 3-4 months and cooked.

Baked chicken pieces mesa./ In the refrigerator (at 4 ° C) raw chicken meat can stand only 1-2 days, and boiled, or baked chicken for 3-4 days.

7 Ideas For A Delicious Meal Of Vegetables

Roasted vegetables can be a great addition to certain foods or a meal. But addition salt and pepper to be even more add a spice or ingredient to be very delicious. 7 We suggest ideas for simple but very tasty meal of vegetables:

1. Carrot + honey + parsley + thyme

Carrots are sweet vegetables, so when you bake with a little honey, parsley and thyme, will seem as if you eat the finest dessert.For a good result, bake for 40 minutes at 190 ° C.

2. Pumpkin + copper + sage + rosemary

Pour pumpkin slices with a little honey, add a piece of sage and rosemary twigs and bake in the oven for 30 to 45 minutes at 200 °, while the pumpkin soft.

3. Beets + vinegar + honey + thyme

Wrap beets in aluminum foil and bake for about 45 minutes at 200 °. Unroll it, clean it and season it with a combination of vinegar, honey and spices.

4. Brussels sprouts + onions + balsamic vinegar + bacon

Mix sprouts and bacon with onions and vinegar and bake for about 20-30 minutes at 200 °, until golden-yellow color.

5. Broccoli + sesame oil + soy sauce + brown sugar + garlic

Create delicious plain broccoli. Find inspiration for baking in Asian cuisine and pour dressing with the aforementioned spices and bake for about 15 minutes at 220 °.

6. Potato + mustard + butter + onions + lemon

Potatoes brush with butter and mustard, place small pieces of onion so pour in lemon juice. Place the potato in the oven for 40 minutes at 190 ° C.

7. Asparagus + garlic + lemon + Parmesan

Roast the asparagus for about 10 minutes at 200 °, so when serving add the Parmesan and petty that you can replace it with cheese.

Pazopanib for the treatment of renal cell carcinoma

Pazopanib is a new drug used for the treatment of renal cell carcinoma. It belongs to a group of medications called multi-tyrosine kinase inhibitors. Multi-tyrosine kinases are molecules that are responsible for the growth, progression and metastasis of renal cell carcinoma.  Treatment of renal cell carcinoma with pazopanib stops the actions of these molecules and help to decrease the progression of the disease. Only advanced renal cell carcinoma is treated with pazopanib. It is made and marketed by GlaxoSmithKline as Votrient.

How is pazopanib administered for the treatment of renal cell carcinoma?

Pazopanib comes in tablet form. The most common starting dose is 800 mg, once a day. It is is taken in empty stomach, one to two hours before eating.

Pazopanib is a tyrosine kinase inhibitor that is used to advanced stages of kidney cancer (metastatic kidney cancer).

How effective is pazopanib treatment in renal cell carcinoma?

The treatment effect of pazopanib for renal cell carcinoma is determined by progression-free survival. In simple terms, progression-free survival is the length of time during and after the treatment the disease does not get worse. Treatment of renal cell carcinoma with pazopanib gives a progression-free survival of approximately 9.2 months. This means the treatment can stop the worsening of renal cell carcinoma for approximately 9.2 months. However, it does not prolong the lifespan of patients.

What are the adverse side effects of pazopanib treatment in renal cell carcinoma patients?

Renal cell carcinoma patients who are treated with pazopanib experience many adverse side effects. This does not mean that all patients who take the medication will experience all of these side effects. These are patient-specific. The general adverse side effects of pazopanib treatment include high blood pressure, liver complications, diarrhea, nausea, anorexia, abnormal heart function, abnormal liver enzymes, stroke and gastrointestinal problems and many more.

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Medicaid and Tony Keck

The following email was sent out by Thornton Kirby, President of the South Carolina Hospital Association, to membership. I believe Thornton sends these updates out to about 1,000 people. I think that is an example of his integrity and transparency. He really is the best hospital association executive that I have seen in my 25 years.

The email provides a great recap of the meeting and captures what I believe was a positive tone. However, I do want to speak to one comment that Tony made that did not make into the update. Those of you that have been following the Medicaid debate know that there has been some “chirping” back and forth between the association and the governor’s office. That came up in the meeting and Tony spoke to it. I am going from memory, but it was something like this…the Governor is not saying things about the providers because she is angry, but because she thinks you can do better. I thought about that comment the entire ride back to Greenville. At first I was defensive, but as I kept thinking about the comment, I became increasingly curious. As an aside, my experience is that whenever I get defensive, somebody is on to something. Next week we have set aside several days for our annual strategic planning meeting. We will be looking at what we need to do next year and for the next several years. The idea that we can do better will be a big part of that planning.

Letter from Thornton Kirby, President on South Carolina Hospital Association

Recap of SCHA Board’s Meeting with Tony Keck. Yesterday morning the SCHA Board held its regular meeting and invited Tony Keck to attend for an in-depth and less formal discussion of the Medicaid program. It seems odd to say a Board meeting would be less formal, but it was in the sense there were no reporters or elected officials waiting to seize on any nuance of the conversation. As a result, we covered a lot of ground and the Board members and Mr. Keck got a much better sense of each other. I want to use today’s update to share with you the highlights of yesterday’s conversation.

First of all, I would characterize Tony as forthright and open in his discussion of issues and opportunities. He was candid about the strengths and weaknesses in the system, the successes and failures of the agency and each provider group, and the urgency he feels to address them. In response to Tony’s openness, the Board members were quite open about their own assessment of the same issues. Based on the comments of Board members after his departure, the group felt Tony has a firm grasp on the Medicaid program and the policy implications surrounding it.

Rather than writing paragraphs about each topic discussed, I will share them in bullet format.

· Tony shared a lot of value-oriented comments about Medicaid, starting with this one. “We want to pay people fairly to do the right things for patients at the right time. We don’t want to pay people to deliver unnecessary care.�?

· The agency built into its FY 2011-12 budget an 8% growth factor ($114M) before implementing any cuts. As part of the cost-reduction plan, the agency will take $125M out of the provider line. According to Tony, the net reduction from the provider line (taking into account the 8% growth factor) will be $82M.

· Tony does not intend to accomplish 100% of the provider line savings through rate cuts; he intends to meet with each provider group and explore opportunities to reduce unnecessary spending. The more such opportunities can be identified, the less rates will have to be cut. He gave as an example pre-term births, which cost the Medicaid program tremendous amounts of money. If the provider community can legitimately reduce pre-term deliveries, the program can achieve savings without rate cuts. Mr. Keck and his team plan to schedule meetings with provider groups in the next few weeks, and he agreed with the Board yesterday that SCHA should organize a single, representative group of hospitals instead of having the agency meet with small groups or individual hospitals to discuss the impact of rate changes. The SCHA Board strongly encouraged Tony to deal with the hospital community as a whole, not as parts; everyone agreed a transparent process would engender more confidence in the end result, and Mr. Keck agreed.

· As part of the discussion on reducing costs, several hospitals noted the frustration they feel when they reduce costs and receive lower reimbursement in return (because of the cost settlement model). Tony noted this as a fundamental barrier to effective reform of Medicaid, and he expressed his desire to move toward a pure DRG system. By that he explained he wants to establish a payment rate that is fair and that rewards hospitals for driving down costs. Under such a system a hospital that reduced its costs to below the DRG rate would be entitled to retain the difference. He noted this as one example of how the Medicaid agency has too often disconnected policy issues from the reimbursement model.

· Tony also expressed his desire to make it easier for hospitals to develop Medical Home Networks (MHNs). He wants hospitals engaged in meaningful shared savings plans, and he believes they will serve to aid the transition to ACOs.

· The MHN conversation opened a discussion about Medicaid MCOs, and several Board members expressed their concerns about the lack of any concrete evidence to show the value MCOs have brought to the Medicaid program. Tony addressed these concerns forthrightly, explaining he has shared the same questions with MCOs and already begun to cut their administrative fees. He said he did not expect the initial cuts to administrative fees would be the only such cuts, and he is reviewing the value and cost of MCOs compared to similar programs in other states.

· When asked what hospitals should expect in terms of rate cuts July 1st, Tony said in the absence of agreed-upon opportunities to reduce unnecessary spending, hospitals should expect a rate cut of 10-11% as of July 1st. This number includes the 3% rate cut to be implemented April 1st. This information, though not unexpected, was obviously sobering to the Board. Their response was to direct SCHA to assemble a strong team to represent the hospital community in the cost-cutting discussions with Tony and his staff.

· Tony wrapped up the conversation by advising the Board he wants to build a strong partnership with any and all organizations that share the core values of reducing waste, increasing quality of care, and improving the health of South Carolina’s Medicaid population. Several Board members emphasized the hospital community’s demonstrated commitment to reengineering the delivery of care in our state, and Mr. Keck acknowledged that every interaction he has had to date reinforces that commitment. He ended the conversation by reiterating his desire to work with hospitals as the central and necessary players in the redesign of our state’s delivery system.

I hope this recap is helpful; I will share more details as the conversations around rate cuts and system redesign continue to unfold.

Diseases Caused by Computer Use

In this modern electronic age where most people are familiar with computers and their use, it is not uncommon that many daily occupations demand the full time use of a computer. Even families who have personal computers at home spend many hours on the internet gaining information, or using one of the many social networks.

There can be a number of risks associated with using the computer for prolonged periods and there can be actual diseases caused by computer use. The continual use of the wrists and fingers in using the keyboard and the mouse along with staring at the monitor for long periods can have adverse effects on the body as follows. –

1. Diseases of the Eye. 

Our eyes are a vital part of our body and should be treated with respect. It is advisable to take short breaks from staring at the computer screen and to avoid staring at the screen without blinking as we work. There have been links established between the development of the eye condition Glaucoma and computer usage, especially in people already suffering from short sightedness.

2. Posture.

  Unless a good sitting position is adopted and maintained while working on the computer, the inevitable result will be pain in the lower back region, and stiffness experienced in the neck and shoulders. The ideal sitting position is to work with the hands at 90º to the key board and mouse, the back supported and straight, and the eyes just above the screen.

3. Wrists and Hands.

 Working in front of the computer all day can cause soreness of the wrist and hand. Frequent and continual use of the keyboard can bring on feelings of pain and numbness in the wrists, which can be indicative of Carpal Tunnel Syndrome. Make sure that break periods are taken and position the keyboard and mouse are beneath elbow level.

4. Stress. 

 Like most continual operations the continual use of the computer can lead to stress, and stress can be the source of many other types of disease. Stressful and frustrating conditions can be avoided by organizing the work correctly and taking frequent breaks away from the computer.

Remembering Cherry Ames, Revisited

Originally published back in 2009, and a visitor favorite, we’re re-posting our nostalgic remembrance of Cherry Ames for your reading pleasure this National Nurses Week, 2012.  Enjoy!

cherry ames army nurse 202x300 Remembering Cherry Ames, RevisitedThere was no one quite like Cherry Ames – at least not to those of us who, as adolescents and teenagers, dreamed of being nurses during the era from 1943 into the 1970s.  The lively pink-cheeked, dark haired young nurse was the star of the Cherry Ames series of books authored by the prolific Helen Wells.    Her sleuthing healthcare heroine traveled from hometown America to exotic locales including jungles, army bases, and anywhere else her enthusiastic bedside manner and crisp white cap were needed.  Though I don’t recall the details of every one of the series’ many volumes, I am relatively certain that the patients all lived, the mysteries were all unraveled, and that Cherry always returned home unscathed by tropical illnesses, war wounds or salacious surgeons.  That girl knew how to get the job done right, and move straight on to the next highly-specialized nursing assignment – and there were plenty of them!

As an assessment of my own professional skills, I decided to look back over my nursing career and see just how many nursing specialities Cherry and I had in common.  After all, we’re both Illinois natives who kind of grew up around the same time!  The results were interesting – and maybe even motivational:

Nurses I HAVE been:

• Student Nurse
• Visiting Nurse
• Veterans’ Nurse
• Senior Nurse
• Private Duty Nurse

Nurses I HAVE NOT been:

• Army Nurse
• Chief Nurse
• Flight Nurse (though I desperately wanted to enlist as a nurse in the Air Force during the Viet Nam era – but my father, a combat veteran, put his foot down on that notion)
• Cruise Nurse
• Boarding School Nurse
• Department Store Nurse

More nurses I HAVE NOT been – yet!

• Island Nurse
• Camp Nurse
• Jungle Nurse
• Dude Ranch Nurse

Want to learn even more fascinating insights about Cherry?  What was it like growing up in Hilton, Illinois?  Where is Hilton, Illinois?  How did Cherry get her name?  What are the clues to Cherry’s hidden past?  Learn the answers to these and many other burning questions by visiting the wonderful Cherry Ames Page !  Enjoy a nostalgic trip back to the days when nurses wore white (mostly) and no one had ever heard of out-patient surgery or HMOs.

Learn How to Know What Triggers a Migraine Headache

Americans spend in excess of $4 billion dollars a year on over the counter pain relievers and 25% of those are for the relief of pain from headaches. That is a great deal of money, but worse then money is all of the chemical in balances you are causing in your body by taking all of these drugs. These in balances can cause serious health problems for you. If medicine is not the answer for you, you may want to consider prevention of these horrible headaches. Our article will try and give you some tips to help.

First, stress is an obvious and common cause for headaches. All of the drugs in the world can not cure stress. Stress comes from within yourself and only you can control it. You must have a plan how you will control your stress. Many people find exercise an excellent release for stress. Most doctors will recommend a regular routine before they suggest anything else. Meditation is another great method for releasing your stress. Take 5 to 10 minutes everyday at the time you normally have your biggest stress build up. It will work wonders for you. Another suggestion for stress relief is do something you like. When you are doing something that makes you happy, your body doesn’t usually go in a stress mode.

Secondly, watch your diet, as with most health issues what you eat makes a big difference. A balanced healthy diet will make you feel better eating a diet with all the suggested foods from the daily food pyramid is a good idea. Cutting down on large amounts of junk food is recommended.There are also some foods that are known to raise your chances of getting a headache because of the food themselves or their ingredients. They are caffeine, red wine, processed meats, chocolate, and foods containing MSG, mono sodium glutamate.

Third, sleep habits, too little sleep can cause headaches, as will too much sleep. It is best to keep regular sleep patterns even on the weekend and holidays. Good sleep habits are in the new daily telling us how important they are for maintaining good health.

Meditation Made Easy

A daily meditation practice is one of the very best habits you can establish for yourself. Studies have shown that meditation reduces stress, lowers blood pressure and boosts immunity. It can also help you to let go of negative feelings and give you a more positive outlook without the use of medication. Unfortunately, many people are intimidated by the thought of meditation because they believe it is either difficult to do, overly time consuming or attached to a specific religious belief; all of which are false. Meditation is actually a very healthy practice that will result in less stress, a healthier body and more mental clarity. To reap the benefits to mind, body and spirit, you need only to practice a very basic form of meditation. Try these simple steps for just 10 minutes each morning:

Dress comfortably and find a quiet location where you will not be interrupted. (This is sometimes the most difficult part!)

Sit or lie down (some people say that meditation should never be practiced lying down, but it can as long as you are not prone to falling asleep… sleep and meditation are two very different things and do not have the same effects.)

Relax your body by taking a few slow, deep breaths. (Make sure that your belly rises before your chest as you breathe in. This is known as deep breathing, diaphragmatic breathing or “belly” breathing and helps the body to relax. Deep breathing is a great relaxation technique on its own.)
Now, simply close your eyes and try to clear your mind of all thoughts while focusing on your breathing… as thoughts do come into your mind (and they will), gently acknowledge them and then let them go, refocusing each time on your breathing. Your goal is to stop thought as much as possible and you will find that as you practice meditation daily, it will become much easier and more beneficial. Some people find that listening to a constant sound such as the air conditioning or a hum will help them focus. In this type of basic meditation, there is no need to use a mantra (a word or phrase used to focus the mind in some types of meditation).

Rx for Good Health: Helping Others

It’s true – volunteering and helping others in need not only makes a difference in the lives of recipients, it can improve our own mental and physical health and well being. The good feeling we get from lending a helping hand benefits us in a variety of ways:

There is the social aspect of joining with others in our communities, making friends and assisting worthy organizations in achieving their goals. Volunteering enables us to engage cooperatively with other human beings in a world where even the busiest and most successful among us sometimes find that we have a sense of detachment, or the vague feeling that something is missing from our lives.
A report from the President’s New Freedom Commission recommended that people with mental illness participate in volunteer activities, as a way to decrease the symptoms of mood disorders and enhance functional abilities.

  Other studies suggest that young people engaged in volunteer work are less inclined to participate in risky or illegal behaviors such as smoking, drinking and drug use.
We benefit physically as well.  Volunteering can get us out and about in a myriad of ways – building, painting, cleaning, even something as simple as boxing up food donations or gathering roadside trash.  If you want to get moving, there are many non-profits, churches and other organizations that will be happy to provide you with the opportunity to work up a healthy sweat.

A commitment of just two hours a week can reap benefits for all involved, and is a great way to exercise self-care at the same time as we care for our communities.

Not sure where to start?  Your local United Way, church or community center can all be good resources for information about volunteer opportunities.

PATH..our partnership with the YMCA

The following is an internal communication that speaks to our commitment to work with existing, strong organizations and bring more to the community.  I welcome your thoughts or comments, on this blog or at the gym….Mike

GHS and the YMCA of Greenville launch second phase of partnership

December 1, 2010 – Greenville Hospital System University Medical Center (GHS) and the YMCA of Greenville established the PATH (Partners Achieving Total Health) initiative in 2008 with the goal of providing fitness and preventative care that’s affordable, easily accessible – and focuses on reaching people before they get sick.

The first phase of the initiative included creation of a PATH membership, which grants members access to all four Greenville County Y locations and two Life Center locations, and Wellness Way, a six-week exercise prescription program for patients at risk for chronic diseases like diabetes and hypertension.

The second phase, being launched now, focuses on improving access to health and wellness services in the Golden Strip area. The Y is currently under contract to purchase the 60,000 square foot LivN Nsidout wellness facility on I-385 in Simpsonville and anticipates transfer of ownership to occur on Dec. 10. The plan is to consolidate the Y’s at-capacity facility on Highway 14 to this new facility over the next 18 months.

The new facility will be co-branded with GHS as the GHS Family YMCA in recognition of the strong, evolving partnership between GHS and the Y and our combined commitment to improving the health of the community. In return for naming rights of the facility and involvement in health-related programs across all YMCA of Greenville sites, GHS has agreed to support the new Y facility with $100,000 a year for 10 years.

“We are thrilled to continue our relationship with GHS and to name this facility in a way that reflects our shared commitment to improving the health and wellness of our community,” said Scot Baddley, president and CEO of the YMCA of Greenville.

 “Our investment in this facility is an investment in the health of the Golden Strip community,” said GHS President and CEO Michael Riordan. “By working together, GHS and the Y can create conditions in which everyone has the opportunity to succeed in their journey to better health.”

 In addition to consolidating the Golden Strip Y, GHS’ Simpsonville Life Center Health and Conditioning Club will also consolidate to the new GHS Family YMCA.

 “Integrating fitness center operations will improve and expand fitness options for Y, Life Center and LivN Nsidout members,” said Baddley. “Consolidating services will also eliminate any unnecessary duplication of services and allow the Y and GHS to better leverage their resources to meet our community’s health and wellness needs.”

The Y plans to begin construction on an aquatic center at the GHS Family YMCA in December, which will take approximately four to seven months to complete. During this time, the Y will begin transitioning its Golden Strip members to the new facility.

 Members of the Simpsonville Life Center will begin transitioning to the GHS Family YMCA in January with the Life Center expected to close in May 2012.

The Y will honor all current LivN Nsidout memberships and accept applications from LivN Nsidout employees interested in becoming Y employees.

 Current Golden Strip Y and Simpsonville Life Center employees will also have an opportunity to apply for positions at the GHS Family YMCA.

 “Our goal is to make this transition as seamless as possible and to keep as many jobs intact as we can,” said Baddley.

 A ribbon cutting ceremony and open house for the GHS Family YMCA is planned for Thursday, January 13 at 10 a.m. Employees and the public are welcome to attend. Information on how to join the GHS Family YMCA or obtain a PATH membership will be available at the open house and is currently available at all Greenville County Y locations.

How A Colon Detox Can Improve Anyone’s Health In A Lot Ways

How a colon detox can improve your health immensely. Whichever way you look at it, your body is a system that depends on all its organs functioning for it to work properly. When one of those parts starts to fail all the others are affected. Of course, they try to work overtime and that exacerbates the problem.

The colon is the area where toxic waste material accumulates. This toxicity kills off the good bacteria living in the area which have been helping to produce the necessary enzymes that the body needs. These enzymes serve the dual purpose in helping the body to absorb nutrients. If they are all killed off, the toxins become dangerous. And, the longer they’re in there, the more dangerous to your system it becomes.

If your Colon is clogged and full of these toxins, you won’t be able to flush out all the harmful bacteria. That means there is a good likelihood that you will start having problems with your overall health, difficulty in focusing, developing food intolerances, and may suffer from malnutrition.

But, if you undertake a colon cleanse, not only will you start to feel better overall, you will be more alert mentally, and will even see improvements in your skin.

Colon cancer is more likely to occur in individuals whose systems are full of these dangerous toxins. In order to explain this better, you can compare a person with a city. Each one has a sewer system, in people it’s called the colon. If the city’s sewers back up, it is likely to cause many illnesses among residents. The same could be said for those individuals in that type of situation.

So, the harmful bacteria and toxins have to be flushed out of the system. This can be done in different ways. Some people utilise diets, whilst others undertake cleansing, or medication. As a first step, start to eat more foods that contain fibre. Fiber is crucial and essential to the body, softening the stools, and enabling the expelling of waste more easily. Fibre is found in various fruits and vegetables, legumes, oats and oat bran, to name a few.

But, when you do start increasing your fibre intake, it must be done gradually. Additionally, it is important to increase the amount of water you drink to compensate for the increase in fibre else you may be creating a new problem with constipation. It’s important that it’s done this way, because your body will need the time to adjust.

The toxins are building up in the body every day. That is why a colon detox will be beneficial to your health. Colon cleansing is popular today, because it will get rid of those toxins and give you more energy.

Diseases Caused by Rodents

Rats are the commonest form of animal which come to mind when the word rodents is mentioned. There are in fact many other types of rodent such as the beaver, the muskrat, and the gerbil often owned by young children as a domestic pet.

Certainly most people class rodents as being urban pests but most rodents live in other environments were they have little interaction with humans. However any close proximity to human habitation means that they can spread and transmit infections which do have an effect on people, there are a number of diseases caused by rodents. –

Leptosporosis. This disease is primarily caused by bacterial infection from the Leptospira pathogen. These pathogens dwell in the kidney of the host carrier and are passed out in the urine. Some leptospires which are harmful to humans may be benign to the host carrier although there are cases whereby other wild and domestic animals can suffer from the same type of symptoms as humans affected by the bacterium. The symptoms follow a similar pattern to influenza but in two stages. The first stage lasts only a couple of days then is followed by a second stage which in severe cases will lead to organ failure and death unless immediately treated.

Plague The bacteria for plague (Yersinia pestis) is not only carried by rodents but can be carried by other small mammals as well. The plague which devastated Europe a few centuries ago is thought to have been caused by fleas carried by rats. Urban rodents are thought to pick up the infection by having direct interaction with other wild species and transferring the infection to humans. Bubonic plague appears as black spots on the skin and a swelling of the lymph glands and if untreated has a very high death rate. The disease if unchecked can spread to the lungs causing pneumonic plague which can become fatal within 48 hours unless immediately treated.

Toxoplasmosis. The pathogen Toxoplasma gondii is responsible for this disease, and is often to be found in domestic cats. The bacteria can reproduce within the animal and be passed out in the feces of the cat. Quite often the cat feces are eaten by other animals and the cycle is repeated causing the pathogen to spread. Humans can become infected by the bacteria by eating food or drinking water which has become infected by the pathogen. The symptoms are very similar to influenza and can last for several weeks, but fatalities rarely occur from this form of disease.

For any person suffering from toxoplasmosis then following a successful recovery life long immunity is gained against the disease. However there is a danger to any pregnant lady contracting the disease for the first time since there is a high degree of risk associated with her either suffering a miscarriage, or the baby suffering from some form of genetic def

Diseases Caused by Chromosome Disorders

A chromosome is a rod shaped structure within the animal cell which carries the stretches of DNA referred to as genes. They are located in pairs within the nucleus of the cell and determine the sex and the characteristics of the organism inherited from its parents. In the human species there are 46 chromosomes arranged in sets of 23 pairs, one set being donated by the mother and one by the father.

The sex cells are referred to as gametes; the male gamete being the spermatozoa, and the female gamete being the egg or ova. Commonly there is no problem associated with chromosomal crossing over during gamete formation but occasionally things go amiss and cause an alteration in the number of chromosomes in the nucleus or the internal gene structure within the chromosome becomes changed in some way.

Sometimes an extra chromosome can be embodied in the divided cell during gamete formation in which case on of the gamete cells will have a double copy of the same chromosome, and another gamete cell will be short of that particular chromosome. This is referred to as a nondisjunction.

Some Diseases Caused by Chromosome Disorders.

Chromosomal nondisjunction is not uncommon in humans and can often develop into the fatality of the fetus, but children can be born with the following disorders.

Down Syndrome. With this type of genetic disorder the child is born with a broad head accompanied by blunted facial features. The child is often short in height and has severe difficulty in learning. It is the most common type of chromosomal disorder and occurs because the baby receives 47 chromosomes instead of the usual 46 chromosomes. This is due to the presence of an extra copy of chromosome 21. The characteristics of the disorder can often show in the forms of dementia, slow physical and mental development, and increased rates of disease associated with the thyroid gland and intestines. If conception takes place in a 35 – 40 year old female then the risk of delivering a child suffering from Down syndrome is relatively high.

Patau Syndrome. This syndrome is a result of trisomy in chromosome 13. It seems to affect female babies more than male, but perhaps this is due to affected male fetuses dying in the womb. The child often suffers neurological problems and physical defects such as having extra fingers or toes, facial defects (cleft lip or palate), and serious heart defects.

Klinefelter’s Syndrome. This chromosomal disorder is known as the XXY condition. The female is characterized by the XX chromosome and the male by the XY chromosome. In Klinefelter’s syndrome the male has an XXY chromosome. It is estimated that about one male in every five hundred is affected by the condition which shows as the male having body proportions which closely resemble that of the female, and having small non sperm producing testes. Males can have multiple copies of the X chromosome (XXXY) or even (XXXXY) and the female characteristics become more pronounced with every increase in the number X chromosomes.

When Clutter Becomes Hoarding

The Mayo Clinic defines hoarding as “… the excessive collection of items, along with the inability to discard them” and states that “compulsive hoarding and compulsive hoarding syndrome, may be a symptom of obsessive-compulsive disorder (OCD).”

We are not talking everyday household mess and clutter here, or collections of specific objects that may, in the opinion of other family members, be taking up too much space in the house.  True hoarding can be a sign of mental and/or physical illness that manifests itself in the obsessive accumulation of things—items that can range from mounds of clothing, unopened shopping bags, stacks of newspapers, magazines and mail, to piles of trash and rotting garbage that are dangerous to the health of an individual or a family.

According to Gail Steketee, author of Stuff: Compulsive Hoarding and the Meaning of Things, epidemiology studies show that a range of 6 million to 15 million people in the United States may suffer from some type of hoarding disorder.  However, many of those people don’t see their hoarding activities as a problem, making it difficult to convince them to get the help they need to improve their quality of life.

Hoarding is of particular concern for elderly persons living on their own, as it can compromise both their physical safety and overall health.  An additional factor is that hoarding is a disorder that can start from a young age and become progressively more severe with aging.

Are you concerned about yourself, a family member or friend who is exhibiting these symptoms?:

• Excessive attachment to or inability to discard items
• Moving things from pile to pile, without throwing anything out
• Little or no social life or interaction with family or friends
• Taking home useless or unneeded items, such as trash or restaurant napkins
• Difficulty managing daily activities
• Trouble making decisions and procrastination
• Shame or embarrassment about living conditions
• Fear of letting others touch or borrow items.

If you recognize these symptoms in yourself or a loved one, it’s important to talk with a doctor or professional experienced in dealing with hoarding disorders. 

How To Choose A Walking Cane

If need a walking cane for support as well as fashion, choose one that “fits” in several ways.

An ideal walking cane or stick -

Fits your height

A cane must be adjusted to your height. It’s best to have someone else measure you, a doctor, nurse, or therapist if possible, or anyone with a careful eye. Stand in your usual walking shoes, hands comfortably at your side. Measure from the wrist joint straight to the floor. If you already have a cane that fits properly, you can use it as a template. Half one’s height (in shoes) is also a reasonable estimate.

Fits your weight

This is especially important if you weigh 250 lb. or over, the maximum weight for many canes. Wooden canes are quite sturdy, however it may be necessary to own a bariatric cane. These are designed to support up to 500 or even 700 lb. Also, check out extra strong, or heavy duty canes from walking cane manufacturers.

Fits your hand

Your walking stick may need to be anatomically and or ergonomically correct. If you are using a cane because of an injury to your leg or hip, it’s usually necessary to use your cane on the opposite side. Or, if you suffer from arthritis, a handle like the Fritz style may increase your comfort. A palm grip handle may be very helpful if you have a condition that makes holding things difficult. Here you can find more information on how to choose a cane handle.

Fits your needs

There are walking canes available to fit just about every situation. Your doctor or therapist may suggest a quad cane, or an offset cane for extra safety and support. You may need a travel folding cane that is easily packable. Bamboo canes or carbon fiber are particularly light weight and easy to carry.

Fits your budget

Walking canes and sticks come in every price range, and with a little research, you’ll find one that’s affordable. However, if you’re prescribed a more expensive cane for medical reasons, you may be able to get help from your insurance company.

Fits your style

Walking canes, even many medical ones, are more attractive than ever. Bright colors, pretty patterns and attractive handles are available and waiting for you to choose from.

Viewing Health In A New Way: Preventive vs Prescriptive

When it comes to health, healthy weight and healthy heart, why should we wait until it is too late to make changes that will affect how we spend our very limited time on this planet? Why should we wait until it is too late and we have some kind of health problems? Whatever weight loss program or healthy diet you have in mind, think of it as preventive versus prescriptive.

You will notice all sort of new things you never realized or even acknowledged in the past. As for me I like to learn anything that is new. But here’s a simple trick:  If you are learning to dance, you first need to learn how to have a dance frame and not to step on your partner’s toes. If you want to be a roof specialist, you need to learn about roof materials first.

It is revisiting some of those basics. Since birth we have all been doing that one thing: eating. Unfortunately, most of us have not been eating the right way. So now it is time to go back to some of the basics.

We are able to defend ourselves through old age. I can’t tell you how many people’s bodies break down early because they never made a connection that it is due to their lifestyle habits. Don’t you want to be vibrant and healthy right now? Why do we have to wait until we are old and infirm and trying to get ourselves back on the road? we are going to have a much harder job recovering after we have let ourselves go.  If you knew that something could improve the rest of your life, why wouldn’t you want the rest of your life to start right now?

Never put off a good thing and don’t save anything for special occasion. If you haven’t done this earlier, the time to develop healthy living habits is NOW.

Make Common Sense Part of Nutrition Planning

Yes, it’s National Nutrition Month, so be prepared to be presented with a smorgasbord of nutritional tips and resources throughout the month.

As with almost any health-related topic, we find ourselves bombarded with “expert” and frequently conflicting advice from all quarters — nutrition is no exception.  How many meals a day are the best?  How many servings of vegetables?  Of grains and cereals?  Is white sugar ever okay?  Is high fructose corn syrup the cause of all mankind’s ills?  Does deciding what fats are GOOD or BAD make feel like you’re spinning a dietary roulette wheel?  When it comes to good nutrition choices, what’s a well-meaning, intelligent person to do?

Of course we’re never going to get the so-called experts to agree.  Trends in nutrition can be like trends in clothing, what’s in and out can change from year to year or decade to decade (remember the food pyramid we boomers grew up with?).  And let’s not delve into the dark underbelly of food industry lobbying, that calls for a blog all its own.

Thank goodness for Common Sense.  Here are some fundamental questions to ask yourself when you decide what, when and how much to eat:

How hungry are you, really?  The American Dietetic Association tells us that skipping meals can have adverse effects.  It suggests that eating meals at regular intervals helps avoid trigger the “store calories” response in our bodies.  On the other hand, the American Journal of Clinical Nutrition maintains that three meals or six meals a day is not the question, that the deciding factor in unwanted weight gain is the total number of calories consumed.

Here’s a sensible suggestion.  Is a three-meal a day schedule working for you, or do you find yourself needing to refuel more frequently?  Listen to your body, and take the time identify your own metabolic rhythm; we each have different physiologies and levels of activity. What works for your best friend may be far off the mark for you.

What to choose, what to choose?  I bet that most of us — confronted with momentous decisions such as what to eat for lunch — could readily identify the healthier options.  Let’s face it:  Our nation’s obesity problem is not a result of making the wrong choice between the tuna on whole wheat and the Caesar salad – it’s choosing the high-fat, high-sodium, high-carbohydrate over-processed drive-thru fast food value meal over almost anything else.  It’s reaching for just about any beverage except good, old-fashioned water when we have a thirst.  It’s eating foods from the color palette of brown-browner-brownest.  It’s forgetting that what we put into us is going to have to come out in some way, shape or form (ideally, as expended energy), or we’re going to end up carrying it around with us on a daily basis.

Perhaps the most fundamental aspect of the nutrition issue is this:  Our daily food choices are actually critical decisions about how we fuel our bodies to generate the energy we need to live the best lives we can in the time that we have here.

This National Nutrition Month I’m going to begin taking my own advice and ask myself this question before every meal:  Is what I am about to consume going to serve me in pursuing my goals and passions?  Will eating this meal help me to achieve my dreams?

Article by Kim Washetas, contributing writer and enthusiastic whole health advocate.

Mobility Enduring Fitness

Surfing is perhaps the most popular water sport where you would have to ride on the forward face of a wave on you surfing board and eventually, the wave will carry you towards the shore.

It is a very popular and adventurous water sport and you can’t even feel the rush just by sitting at home and watch the surfers within wild water. We often witness the jaw-dropping actions they perform on their boards while riding one wave after another and getting barrels.

This whole scenario will definitely make you feel sad as you too wish that you had the same fitness like the surfers do. Good news for you – it is not impossible at all to achieve surfing fitness. There are 5 easy steps that you should follow in order to be fit enough to go surfing and here each and every one of them are described in details -

At first, you have to increase your paddle fitness with the help of energy system development. Surfing is such a sport where both of our aerobic and anaerobic energy systems are used . So, improvement in both of these energy systems are must if you want to take your cardiovascular fitness to a new level for surfing.

Only running along the beach is not of much help in order to increase the fitness. Proper interval training with the help of specific interval periods are more necessary. There are many more exercises that will surely help you improve your paddle fitness and also the surfing fitness.

Rotary power along with stability and strength should be increased from the body core. Many people are there who believe that a number of crunches or sit-ups daily morning can deliver the core strength needed for optimum surfing. Well, they are living in the fools’ world.

Core stability is such an area that should be worked upon on a daily basis. Bridge or plank type exercises are the best ones which can deliver you good amount of fitness.

Endurance, strength, and power of upper body are such things that needs extra stress. Our arms, back, and shoulders need great muscle endurance so that you can paddle at the same speed throughout your surfing session without getting tired.

Same words can be applied for our chests and arms. In surfing, one needs to pop up fast even if he/she is tired. Strength in chest and arms will definitely help in such situations.

Mobility is a must for all the surfers. It is the ability to move your limbs and joints to flexible positions. Without proper mobility, you could get into an accident with all the flexibility you have.

You can achieve great mobility with specific mobility drills. But, always keep in mind that a proper combination of mobility and flexibility is must for surfers, failing which, accidents can happen.

In the last step, you need to improve your balance along with lower body power. Exercises which are both hip and knee dominant, both single and double legs should be there in your daily workout along with stable and non-stable exercises.

So, in order to be a good surfer, you need to focus on your whole body fitness and that too in the most natural way. Order your copy of Total Surfing Fitness ebook today and be an expert surfer in no time.