Category: Law

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Law

Water is one of the most vital products you can have in your body

Your body is made up of 66% water so it’s important that you put the right type of water into your body. Water does not just consist of H2O it also provides you with your essential minerals, namely calcium. You require approximately 2 liters of water a day but these days tap water contains nitrates, trihalomethanes, lead and aluminium, which are toxic to your body. In the UK and US the levels of toxins in our water exceeds safety limits.

toxic water exposure on base

These days people are reverting to bottled water and filtered water, however these sources of water not only take out the toxins they also take out the vital minerals. That’s why I recommend having a filtering system that puts the minerals back in or adding an electrolyte solution. A brand I recommend is ‘elete’.

Another major concern is the amount of pharmaceutical drugs that end up in your water supply, especially the contraceptive pill. Have you noticed that the height of the new generations is increasing because of the amount of hormones that are in your water supply and your food? Chlorination of the water supply isn’t helping and in fact it can be making it worse. In 2002 a report by the US Geological Service discovered that the water supplies have microbial and viral contaminants, pharmaceuticals and hormones. In 2004 the USGS tested a water plant – the water going in and the water coming out – in the water entering the plant scientists found 40 prescription and non prescription drugs and their metabolites, fragrance compounds, flame retardants, disinfectants, cosmetics detergents, plant and animal steroids.

The standard chlorination treatment took care of the detergents, disinfectants and steroids but allowed the rest of the drugs to enter the drinking water. Not only were contaminants still in the water but how safe is chlorine for us? The source of these drugs is from literally throwing the unused prescription drugs down the toilet and also peoples urine. These end up in the sewerage system and get recycled back into the water supply. In some areas of London the water supply may have already passed through the kidneys of five people. Chlorination is the major way to be rid of bacteria and viruses but it doesn’t work on some parasites. However chlorine can react with some organic matter in the water and form chlorine-related ‘disinfection by-products’ (trihalomethanes THMs). Studies have shown that it can cause cancer such as colorectal and pancreatic and a slight increase in brain cancer. The strongest link is with bladder cancer and studies also show that it’s linked to miscarriages. Chlorination has also been attributed to fetus growth defects and cancer. Not only when you drink THMs does this have an effect but also because you bathe, swim and shower in it.

So what’s the solution? Bottled water is not a good substitute because of the problems with plastics, therefore the only option is to have a reverse osmosis water purifier (a plumbed-in system) or carbon-block filters. Attach this to the water as it enters your house. We may be thinking that buying bottled water is a good substitute, but is it? In 1999 the NRDC (National Resources Defence Council) did a report on the bottled water industry in the US. They found that 35 out of the 103 brands had contaminations, many had ‘bacterial overgrowth’, others had high levels of arsenic, chloroform, trihalomethanes or fluoride; some had high levels of arsenic and phthalates that aren’t even allowed in tap water.

Phthalates are chemicals that are added to plastics to make them flexible. Concluding that the biggest contamination of bottled water is from its container, phthalates mimic estrogen and causes damage to genitals, liver, kidneys and lungs. Ironically there are strict limits on phthalates for tap water but not for bottled. Bisphenol-A (BPA) a polycarbon is another toxin that mimics oestrogen and disrupts the hormonal system and causes genetic abnormalities. So any bottled water can be classed as unhealthy even the big office bottled water fountain. A biodegradable bottle made out of cornstarch only leeches small quantities of lactic acid that isn’t harmful; the brand is called bleu and is found in Waitrose supermarkets in the UK.

So what’s the solution? Drink tap water but filter it and store it in a glass container or get a stainless steel bottle. Brita removes 85% of chlorine, 70% pesticides, and none of the fluoride and nitrates at all. Under the kitchen sink filters remove 99% of bacteria, 95% of chlorine, heavy metals and pesticides. Plumbed in systems use reverse osmosis; it totally removes everything but also the nutrients. Using a good quality electrolyte will provide the solution and put the good nutrients back in.

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Law

Canine Epilepsy is a disorder of the brain in which abnormal

Canine Epilepsy is a disorder of the brain in which abnormal electrical activity can trigger nerve transmission that is not coordinated. The chaotic and uncoordinated nerve tissue activity is a scramble of messages to muscles in your pet’s body. The use of muscles is then hindered.

IDIOPATHIC OR SYMPTOMATIC

There are numerous reasons for chronic recurrent seizures in dogs and canines, it is not an individual disease, or an individual condition however, it is rather a wide group of disorders. Canine Epilepsy is broadly divided into symptomatic and idiopathic disorders. Idiopathic Epilepsy or primary epilepsy means that there is no discernible brain abnormality apart from seizures. The term “symptomatic epilepsy” (or secondary epilepsy) is epileptic seizures that are result of a specific trigger.

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Most dogs suffering from epilepsy with idiopathic causes experience their first seizures between the years of one to five years old. The possibility of a genetic cause for epilepsy idiopathic is thought to exist in a variety of breeds, including the purebreds involved in the development of Australian Labradoodle and Labradoodle.

SIZURE CAUSES AND Diagnostics:

The cause of seizures can be circumstances in the brain (such as tumors, trauma or infections) or by circumstances that are centered in the outside of the brain (such as low blood sugar levels, hypothyroidism, circulating metabolic toxins as well as other external poisons). First, it is important to identify the possibility of situations which are outside of the brain. This can be done with blood tests. Ophthalmic examinations can also be done because the retina might reveal signs of a brain disease. If these tests prove to be negative the next step is determined by the pet’s age. My opinion is that the most effective testing lab is run by Dr. Jean Dodd’s. Samples are set by your vet for her company Hempet. According to me, it is Dr. Dodd’s office and UCDavis are the best-organized information in the field. The blogger is not associated with either of them.

After BLOOD Testing, ANIMALS LOWER than one year old

The majority of seizures are caused by inflammation of the brain. The analysis of cerebrospinal fluid that is gathered by tapping under anesthesia, is vital.

After BLOOD testing and ANIMALS BETWEEN AGES 1 and 5

When these pets suffer, generally there is no cause so the phrase “epilepsy,” which simply signifies “seizure disorder” is used. If seizures are frequent enough, then medication is prescribed to stop seizures. To better understand the effects of medications, consult your veterinarian or visit canine-epilepsy.net and join owner forums regarding the subject.

Following BLOOD Testing, ANIMALS OVER than age five years old

In this class seizures are often caused by tumors growing from the skull and pressing down on the skull (a “meningioma”). The majority of these tumors can be operated should they be detected in the early stages. ACT test or MRI is your next option. In the case of patients for whom surgery isn’t an optionfor them, corticosteroids can be utilized to decrease the swelling in the brain.

GENETIC OR TUMOR OR OTHER Cause

The causes of seizures can be easy to eliminate However, there are some that are more severe. Do not make rash conclusions eliminate the most common problems first. Our bulldogs each had seizures (first one, then just a few months later, after that the third). We changed their diet to a low protein diet to a less protein-rich food, and they never had another seizures.

Some epilepsy types are caused by genetic. The three elements potassium, sodium, and calcium are used by the brain as ions. They produce electrical charges that need to be fired often to enable steady flow of electricity between nerve cells one after another. If the channels carrying their currents are damaged or damaged by birth, an imbalance develops that could cause misfires or seizures.

The brain is a place where cancerous as well as non-cancerous tumors can trigger seizures. Brain tumors are the main reason for seizures that start after the age of five. If a dog in the senior years starts to experience seizures and other causes like trauma, toxins and diabetes have been eliminated the possibility of a brain tumor is something to consider.

Liver disease is a degenerative , inflammatory condition that causes formation of scars and hardening of liver cells. The liver is unable to function normally due to scarred tissues, which block the normal flow in blood to the liver.

Severe worm infestation can result in seizures. Parasites release toxic substances that can cause a negative impact on the nervous system of central.

Low blood sugar or hypoglycemia that can cause feelings of stress and fatigue and can be a trigger in the triggering of seizures. Scientists have calculated that 50-90 percent of epileptics have low blood sugar levels, and 70% have abnormal levels of glucose tolerance.

Toxic metals, such as mercury, lead, copper as well as aluminum have been linked to seizures. Some pets are extremely sensitive to the presence of these metals and exposure is commonplace through aluminum cookware automobile exhaust industrial pollutants cleaning products, household cleaners and water pipe pipes made of copper.

Collars, sprays and garden sprays can be harmful for pets. It is crucial to ensure that your dog is free of chemical pollutants as is possible. Consider the environment your dog is in. Are you using chemical sprays for your yard? Sometimes, dogs will only seize when your lawn is being sprayed to control weeds. What about the cleaning product that you apply to your floors? There are dogs who have been known to have seizures after floors have been cleaned with a pine-scented cleaner. The tick and flea medications may also trigger seizures. It is suggested that epi dogs receive Interceptor as an annual heartworm preventative as well as Frontline is used to treat fleas. Do not use products containing Ivermectin because it has been proven to trigger seizures in certain breeds. There are many factors that can reduce the dog’s seizure threshold. Keep a journal of your pet’s seizures. Keep track of anything you’ve done or anything that your dog came into contact with during the day that could have triggered seizures. There is also the recognized fact that dogs can be prone to seizures around the full moon.

Because vaccines could contain organisms or proteins and/or organisms, they can trigger an allergic encephalitis that causes inflammation in the brain. The vaccinations can reduce a dog’s seizures and cause seizures. If you believe this may be the case for your dog, request the vet to divide the shots and give the shots at every two weeks or at intervals and request for an Rabies shots to be administered two weeks after the initial shot. We strongly recommend testing for titers against vaccines, and always. It is a blood test to determine if the appropriate levels of vaccinations are present and are therefore not needed. It’s incredible how long a dog are able to go without having to get vaccinated again.

Cancer, cysts, and infections can cause seizures.

A head injury that causes head injury from an auto accident, abuse , or another accident could cause permanent seizures.

The job of the kidneys is to eliminate excessive fluid and toxins. When kidneys are afflicted or damaged, also known as Renal Kidney Insufficiency, the kidney can cease to function effectively, leading to a toxic build-up within the body, resulting in seizures. The toxic build-up may cause a seizure disorder.

Research suggests mineral and vitamin deficiencies as possible causes for epilepsy. The main nutrients lacking in epileptics include vitamin B6 vitamin A, vitamin A, folic acid zinc, vitamin D taurine magnesium, calcium, and zinc. Diet plays a significant part in the treatment of Canine Epilepsy. It is crucial to feed a dog a food which is without preservatives. Preservatives like Ethoxyquin or BHT, BHA should be avoided since they could cause seizures. Dogs shouldn’t eat grains.

Genetics (from the Canine Epilepsy Project)

“The Canine Epilepsy Project is an inter-disciplinary study of how epilepsy is caused in canines. The project is funded by grant funds from AKC Canine Health Foundation (CHF), National Institutes of Health (NIH) as well as breed clubs, and private donations. The grants supporting this research include CHF Completed Grant #1718, CHF Completed Grant #1729, CHF Completed Grant #1845, CHF Active Grant #2252, CHF Active Grant #2304 along with NIH Awards #1K08NS0224501.

Their aim is to discover epilepsy-related genes in dogs, so that smart breeding could reduce the risk of this disease in dogs. We hope that knowing which genetic factors control epilepsy in dogs could assist us in tailoring our treatments to address the specific causes.

The goals of their studies to understand the causes of hereditary canine epilepsy include:

Samples of recruits from a vast variety of individuals affected as well as those who are their closest family members (siblings parents, siblings and grandparents) and from a variety of breeds of dogs.

Analyze the genotypes of the selected families to determine connections among DNA markers as well as epilepsy. You can then analyze the results to determine the mutation that is the cause or mutation.

Develop the testing method for DNA markers that can detect and differentiates between abnormal and mutational (epilepsy-causing) alleles. Then, offer this test to breeders to ensure that they can create epilepsy-free breeds.

The genes responsible for seizures in dogs are not fully identified. This project aims to identify what marker(s) as well as the mutation(s) for the cause. If these are discovered A blood test can identify if a particular dog is carrying the mutation or not, or is likely to develop an illness (even before the symptoms start). With these data, breeding professionals can select breeding partners that will not breed affected puppies.

Owners and breeders frequently ask what information is available about the idiopathic inheritance epilepsy (also known as primary epilepsy or epilepsy genetic). This is a crucial issue because if breeders understand the way in which inheritance occurs (that is how inheritance patterns change over generations) and have a good understanding of the pattern of inheritance, they might be able to devise breeding strategies that allow them to avoid breeding for epilepsy. In some cases, if the mechanism of inheritance that causes an illness is known and controlled, selective breeding could allow breeders to significantly decrease, or even eradicate the disorder, while allowing breeders to maintain their bloodlines. Of course, when breeders and owners are asked about the inherited epilepsy they hope to establish that seizures in their dogs aren’t due to inheritance of epilepsy. Sometimes, they have a reason to believe this. But, often they are forced to face the possibility that the cause was inheritance (genetics) is the root reason for the seizures.

For those who aren’t familiar with the concept of “mode of inheritance” we’ll try to explain. The definition of “mode of inheritance” is the term used to define whether the disorder can be described as a straightforward recessive condition or a dominant simple characteristic, or more complex trait. A trait that is “simple” are passed down by one gene, whereas those complex require multiple genes. Complex genetic traits mean that the various genes may combine or interact and they may be interacting with the dogs’ surroundings. Naturally, basic genetic characteristics are more straightforward to research. The phrase “recessive” implies that a dog can only be affected by the disease in the event that the defective gene is transmitted by both parents. Therefore, if just one parent carries this defective gene their children will not be affected by the disorder, even though they could have the potential to be “carriers” and eventually transfer their deficient gene offspring. The phrase “dominant” signifies that the dog could suffer from the disorder even though only one parent is affected by this defective gene.

As stated, there aren’t any conclusive results on the mechanism of inheritance in canine epilepsy with idiopathic nature. There are however certain general theories. Researchers have speculated that, at a minimum, for the breeds they examined it could be recessive since frequently two parents epilepsy-free have offspring that have epilepsy. Another hypothesis is that genetic defects are carried by the sexual the chromosomes. (Each pet has 39 pairs of the chromosomes that are able to carry all the genes of his or her parents. Each pair of chromosomes is passed down from one parent. Thirty-eight pairs of these are autosomes. One pair is the sexchromosomes.) In most cases, when there are differences between sexes in an attribute the gene responsible for the characteristic is carried on sex chromosomes. But it is true that some breeds (though not all) have a higher incidence of epilepsy in males than females this pattern of inheritance across generations suggests that epilepsy-related genes are likely to be carried by at least one of the autosome pairs. Although these two theories (recessive or autosomal) could be the case for a variety of breeds, at this moment, there is insufficient evidence to make any conclusive conclusions, not just on the breeds specifically for which studies of pedigrees have been conducted.

As stated that there are a number of researchers currently investigating the genetic causes of canine epilepsy idiopathic. If you have a dog that has epilepsy idiopathic, and/or one of them has given birth to epilepsy offspring, you should get in touch with the Canine Epilepsy Network.”

If your dog suffers from seizures, it is essential to inform the breeder as well as any associations or clubs that they are a part of. Only through sharing information and pedigree studies that genetic issues can be discovered and utilized to select the best breed.

Find out the source of seizures (WHEN IS IT A MEDICAL EMERGENCY?)

Generalized Seizure, also known as Tonic-clonic. The tonic-clonic seizures have two phases and could manifest in either a moderate and/or Grand Mal version. In the Grand Mal seizure the “tonic” stage is when the dog is lowered to the ground, then rigidly extends his legs and begins to lose consciousness. At this point, his breathing also ceases. The seizure typically lasts from ten to 30 minutes. Following this, the “clonic” phase begins. At this point that the owners begin to notice the stereotypical behavior that is often referred to as an “fit.

When the dog is in the clonic phase it is possible to start any or all of the symptoms listed below:

1. Paddling of limbs, or “running in the same place”.

2. Jaw movements that resemble the dog trying to chew gum.

3. Eye pupils dilate (become massive) and become unresponsive.

4. Dog begins salivating or drooling.

5. Dog loses control of its bodily functions and starts to urinate or vomit onto the floor.

Different types of seizures

In mild cases of Tonic-clonic seizures, there’s usually very little paddling and there isn’t any losing consciousness. Uterine and defecation could also not be observed.

Petit Mal Seizures have short moments of the dog being unconscious , and exhibiting signs of loss of muscle tone as well as blank eyes. These seizures are thought to be extremely uncommon in dogs and need the evidence of EEG abnormalities to diagnose for certainty.

Partial seizures are atypical in which the seizure activity like muscles spasms in the legs or neck and head bends or the major body part or facial spasms occur in a specific part that is the human body. These kinds of seizures may become more severe until they appear as Grand Mal or Mild Tonic-clonic however the distinction is in how the seizures began. Both Tonic-clonic types appear to be a general body seizure from the beginning but partial seizures could begin at the face or on one hip.

Status Epilepticus type seizures can be life-threatening. They may occur as one continuous seizure lasting more than 30 minutes, or as an ongoing series of seizures that end with the dog not getting back to consciousness. Status epilepticus seizures may occur in dogs who have an underlying background of Grand Mal or Mild Tonic-clonic seizures, and also epilepsy diagnosis. They can also be seen in dogs that have never had seizures but suffered an injury to the brain exposed to toxic substances such as enormous amounts of chocolate poisons and pesticides. They also could result from a disease.

Cluster seizures are like the status epilepticus loop seizures, and both are frequently classified as one or the other. The main difference between the status epilepticus and Cluster seizures are that the puppy is able to return to consciousness between every seizure.

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Preventing severe asthmatic attacks requiring hospital stays or visits to the Emergency Room

There is no cure for asthma. Aim of management is to achieve control of the disease. This includes the following:

Prevent chronic and recurrent symptoms like nocturnal coughing
Reduce the use of medications
Maintenance of lung function
Maintenance of regular activities
Preventing severe asthmatic attacks requiring hospital stays or visits to the Emergency Room
Practical tips to control asthma:

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Control other conditions that can aggravate asthma
Avoid known allergens
Maintain an active lifestyle
Have an action plan in the event of asthma attacks
The asthma action plan should include the medications regime, avoidance of triggers, tracking of asthma attacks, and actions to be taken if asthmatic symptoms become more severe despite treatment. Eg When to proceed to the Hospital Emergency Department for treatment

Medications for Asthma

Asthmatic medications can be broadly divided into medications that exert long term control and medications that provide rapid relief from asthmatic symptoms.

Both types of medications aim at reducing airway inflammation to control asthma.

Initial treatment depends on how severe your asthma is. Follow up treatment depends on how well the patient follows the asthma action plan and how effective the action plan is.

Note though that the asthma action plan will vary with changes in your lifestyle and social environment because different social exposures result in exposure to different allergens in your environment.

Adjustment of medication dosage should be at the discretion of your primary physician. If you have adjusted the dose of medication on your own, you should let your primary physician know immediately to facilitate proper titration of medication dosing with each visit to the doctor.

The doctor will always aim to use the least amount of medicine necessary to achieve control of your asthma so it is imperative that the doctor be made aware of how much medications you have been using.

Certain groups of patients require more intensive titration regimes – these include pregnant women, young children, or patients with special needs.

Asthma Action Plan

Every Asthma Action plan should be crafted to the individual patient. The plan should include the medication regime, avoidance of triggers, tracking of asthma attacks and actions to be taken should symptoms of asthma become progressively severe.

It is best to work with your primary physician to draft your asthma action plan. The plan should describe all the above in detail.

In the case of children, parents and caregivers should know the child’s asthma action plan. This should include babysitters, workers at day care centers, parents, schools and organizers of outdoor children activities.

Avoidance of Triggers

An entire multitude of allergens have been documented to be linked to asthma. To the individual patient, the most important thing is to know what triggers asthma in you. Following that, know what steps to take when asthma is triggered.

Simple common sense is essential. For example, if you have a known allergy or sensitivity to pollen, please limit your exposure to pollen and stay indoors if needed. If you are sensitive to pets, or pet fur, please do not keep pets at home or allow pets to enter your bedroom.

Of note, physical activity can also trigger asthmatic attacks. However, it is recommended that asthmatics exercise on a regular basis because in the long run, exercise will help with control of asthma. Speak with your primary physician if you experience asthmatic attacks when engaging in physical activities. There are medications available to control asthma during exercise.

In the event your asthma correlates strongly to allergens that cannot be avoided (eg dust), your primary physician might advise on use of medications against allergies.

Medications for Asthma

Please consult with your primary physician for medications suitable for control of your asthma. Your primary physician will adjust the dose of medications as needed. If you have self adjusted the dose, you must inform your primary physician on your next visit.

Generally speaking, medications for asthma can either be in the form of a pill, an injectable, or as a nebulized drug consumed via use of an inhaler. Nebulized drugs are inhaled directly into the lungs where it exerts its effects.

Please note that use of inhalers will require a certain technique and should be taught by a doctor or a trained health care provider.

Medications targeting Long Term Control

Chronic asthmatics will need medications to achieve long term control of their asthma. These medications work slowly and reduces airway inflammation.

Inhaled Corticosteroids

Inhaled corticosteroids are most commonly used for long term control of asthma. They act by reducing inflammation in the airways of the lungs. Use of inhaled corticosteroids daily will greatly reduce the severity and frequency of symptoms.

The most common side effect of inhaled corticosteroids is oral thrush. Use of a spacer when using the inhaled corticosteroid can reduce the incidence of oral thrush. Check with your primary physician if you are unsure of how to use a spacer. Simple rinsing of the mouth after cosuming inhaled corticosteroids can also reduce the incidence of oral thrush.

Patients who have severe asthma might need to consume oral corticosteroids instead of inhaled corticosteroids to achieve sufficient control of their asthma. Unlike inhaled corticosteroids, which can be taken for years, oral corticosteroids will have significant side effects if used for prolonged periods.

Long term use of oral corticosteroids increases the risk of diabetes, osteoporosis, cataracts, and abnormal metabolic activity.

Consult with your primary physician to measure the risks and benefits before consuming oral corticosteroids.

Other long term medications:

These include:

Cromolyn – This drug prevents airway inflammation and is used as a nebulized drug delivered via an inhaler.
Omalizumab – This drug is a form of immunotherapy and acts against Immunoglobulin E (anti-IgE) which triggers narrowing of airways. This medication is usually given as an injection once or twice a month and prevents the immune system from reacting to triggers of asthma. It is, however, not a first line treatment for asthma and might not be offered upfront by your primary physician.
Inhaled long-acting beta2-agonists – These medications are usually taken together with inhaled corticosteroids to achieve a synergistic effect on expanding the lumen of the lung airways.
Leukotriene modifiers – These are oral medications that reduce airway inflammation.
Theophylline – Theophylline can be consumed orally or via an injection and acts to open the lung airways.
Please note that there is a likelihood of symptoms rebounding if long term medications are suddenly ceased. Also, all long term medications will have side effects. Please discuss with your primary physician before commencing long term treatment regimes

Rapid Acting Medications

Short acting Beta 2 – Agonists are usually the first line medications in this group. They are often delivered in the nebulized form through an inhaler. They act by relaxing the muscles in the airways, thereby allowing more air passage through.

Rapid acting medications should be consumed as soon as symptoms appear.

Should the medication be required for more than 2 days a week, you should inform your doctor to formulate more strategies for your asthma action plan.

Asthmatics are advised to carry their quick relief inhaler with them at all times.

Of note, these medications do not reduce inflammation of the airways and hence cannot replace long acting medications.

Documentation of Asthma Progression

Regular use of the peak flow and regular visits to your primary physician will be the primary means of documenting progression of Asthma.

As a rule of thumb, asthma is well controlled if:

Symptoms occur no more than 2 days a week
Symptoms do not disturb sleep more than twice a month.
There are no limitations to your daily activities.
Quick-relief medicines are required less than 2 days a week.
Less than one severe asthma attack a year requiring oral steroids
Peak Flow Meter readings remain at 80% of baseline level
Peak Flow Meter

Your primary care physician will instruct on the use of the peak flow meter.

When used, the peak flow meter measures the maximum rate of flow of air out of the lungs during exhalation. Regular measurements will allow documentation of asthma progression and it is recommended that patient record their peak flow every morning.

During the initial phase after diagnosis, it is important to ascertain baseline peak flow. This is often touted as the patient’s “Personal Best” peak flow reading. Future control of asthma relies on this baseline. Good asthma control being maintenance of peak flow to at least 80% of baseline.

Regular peak flow readings also help predict impending asthmatic attacks. Progressively deteriorating peak flow readings often indicate an impending attack and should be incorporated into the Asthma Action Plan.

Medical Reviews

Frequent medical reviews with your primary physician every fortnightly is the norm during the initial phase of treatment. Once asthma is controlled, your primary physician might elect to see you across a longer stretch of time.

During the medical reviews, important information required by your primary physician include:

Frequency of Asthma Attack
Changes in Symptoms
Changes in Peak Flow Readings
Changes in daily activities like exercise tolerance
Difficulties with adherence to the Asthma Action Plan
Problems with current medications
Emergency Situations

Seek Medical advice if:

Regular medications fail to treat an asthma attack.
Peak flow readings falls to less than 50% of baseline
Proceed immediately to the nearest Hospital Emergency Room if:

You experience severe shortness of breath to the stage where walking becomes difficult
Your lips and tongue turn bluish
Asthma – A Lifelong Issue

There is no cure for asthma. Successful management of asthma requires the patient to take an active role in the control of asthma by conforming to an asthma action plan.

Your primary physician is your best partner to develop your asthma action plan. The action plan will keep you reminded of your medication regime, triggers, and protocols to follow when asthmatic symptoms develop or worsen. Even children should be involved in the creation of their action plan because it is the individual effort that counts in the long term care of asthma.

Asthma will not be going away. But it can be controlled.

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How to become a firefighter

1. Be aware of your responsibilities and obligations

Being a firefighter not just about putting water on the fire. The responsibilities of a firefighter at the entry level are incredibly important. Shifts for work are different by department, and typically run for 24-hours or even 24 hours, with 2-3 days of time off in between. Firefighters are accountable for maintaining equipment and trucks, planning regular meals and cleaning the living spaces and maintaining their fitness levels and performing fire inspections, drills, as well as other chores. Although there will be time for rest on duty, firefighters must be ready to respond to any emergency at any time. The emergency response is never scheduled, which can cause disturbances to meals, sleep and bathroom breaks.

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2. Graduate from high school or get GED

The completion of an high school degree or GED certificate are the minimum requirements for most community firefighter posts. Although candidates can be employed with only a basic education, those who have a solid academic background are usually more appealing. Firefighters must create incident reports, and they could be asked to appear in court. A lack of writing ability can easily be an indication of and a reason to question the credibility and honesty that a firefighter has.

3. Participate into the Emergency Medical Technician (EMT) course.

A majority of fire departments require the basic EMT certification. It also gives you an idea of what it’s like to help patients during medical emergencies or emergencies, as well as fire emergencies. If you have a hard experience with the sight of blood or the act of administering CPR firefighters, the profession may not be the right choice for your career. An appealing way to present yourself to firefighters would be to be certified or certified as a paramedic. The future subject matter related to EMT and Paramedics/EMS will be covered.

4. Make an appointment for the Firefighter Academy

Prior to taking the entry-level test, a variety of fire agencies require accomplishment in Firefighter Academy 1. A fire academy will offer the potential candidate a broad range of information and details, including the fire commission’s protocols and ordinances including fire science, technology, fire assessment as well as the safety of firefighters, hose protocols and fire extinguishers, the organization of a pre-incident building construction, and numerous other subjects. If you are planning becoming a firefighter,, enrolling in a firefighter’s academy needs be considered seriously. In the near future, articles about Firefighter Academies will be presented.

5. Obtain Firefighter Written Assessment Training Material

The test written is a method to reduce the pool of candidates in order to enable them to advance to the physical test. Written tests aim to determine if the candidates have sufficient competence levels. The subjects could be reading mathematics, science, math and English. Reading road maps and following directions can be examined. The tests are usually assessed as pass/fail with the average scores exceeding 70 percent. Certain textbooks that have been approved by the government comprise “Smoke The Firefighter’s Written Test” written by Paul S. Lepore, “Firefighter Exam Preparation Book” written by Norman Hall and Arcos “Master the Firefighter Exam”. These training books improve readers’ basic understanding of exam preparation. Certain facts might not apply to your state or location. Before purchasing any book, ensure that you communicate with the fire department that you’ll be working with. Ask the fire chief to determine if they have any particular books they recommend using.

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Law

What is the Cure For Sleep Apnea

Trying to find the best cure for sleep apnea is a normal attempt for those who suffer. There isn’t only one cure for sleep apnea that could be recommended to everyone. As you probably know, each case is different and requires a specific solution.

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Depending on what is causing the sleeping apnea (SA) and how severe it is, some of the cures can be very simple and can be done quickly. Starting with the simplest cure for SA, one that can be used immediately with no cost, would be to stop smoking. Yes, it seems trivial, but in some cases it works.

And the reason is that the upper airways will have more ability to allow air to pass. Smoking causes swelling in the upper airways which causes apnea. That is why many people find that they no longer have a problem with apnea when they quit smoking.

Another simple cure for sleeping apnea is to eliminate sleeping pills and alcohol from before bedtime activities or habits will greatly assist with reducing apnea. Many people suffer from blocked airways when they are in a drug induced sleep.

If you eliminate sleeping pills and alcohol before bedtime that will greatly help you to reduce apnea. Many people suffer from blocked airways when they are in a drug induced sleep.

Changing the type of pillow that one uses is often the first, and easiest, cure for SA. Often, when a person sleeps on a soft pillow and is on their back when they sleep, their throat will constrict and cut off air. By using a foam contour pillow made for apnea one will find that this issue is resolved.

Getting 7 1/2 hours of sleep every night is also a cure for sleeping apnea that is often the easiest to try. By going to sleep at the same time and getting the proper rest, a person often can avoid the conditions that constrict the trachea.

There are many products available to widen the nasal passages while one is sleeping. These provide a way to decrease sleep apnea and snoring. Other cures for this sleeping disorder can be more complex and involve the need for surgery.

When suffering from sleep apnea it is important to seek the advice of a physician. There are some causes of sleep apnea that are serious and need medical intervention. The physician will discuss options and sleep apnea cures that will be most helpful for the specific type of sleep apnea that a person has.

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Interstitial Cystitis Or Urinary Tract Infection?

While several folks experience pain in the abdomen, it can be difficult to define the difference between a bladder infection and interstitial cystitis. Even doctors sometimes tag the pain as a bladder infection and the real ailment remains untreated. I hope to provide you an accessible and clear way to understand the difference between these two unfortunate phenomenons.

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With a urinary tract infection (UTI) or as many call it, a bladder infection, you have essentially a bacterial infection. This infection can originate at any point along the urinary tract. People are often startled to learn that bacteria should not be in this area of their body. Urine, while it can be smelly, does not contain bacteria. The waste from our bodies in urine contains mostly water and salt, but it is bacteria-free. Unfortunately, when bacteria does get into the urinary tract, it can grow and spread fast, which causes a bladder infection.

Bladder infection symptoms include the following: urgency (needing to urinate as soon as possible) is probably the most common and prevalent symptom. Another symptom is stinging with urination. The urine can also be cloudy and develop a foul odor. In more severe cases, the individual may develop a fever.

Interstitial Cystitis (IC), on the other hand, reveals itself through bladder or urinary tract inflammation. Interstitial Cystitis is usually caused by autoimmune disorders such as fibromyalgia, lupup or scleroderma but it has also been know to manifest in people with no known health problems.

The symptoms of IC include pain-inducing bladder spasms, lower bladder capacity, frequency (needing urinate often) and in some unfortunately cases, incontinence (inability to hold it). One of the most frustrating aspects of IC is that it often isn’t diagnosed properly or diagnosed at all.

A bladder infection can be treated with antibiotics, cranberry juide and by drinking plenty of fluids. Interstitial Cystitis, however, does not yet have a clear and guaranteed treatment.

I urge you to seek the care of a physician if you experience any of the symptoms described in this article. Bladder infections can be treated fairly quickly, but interstitial cystitis will require careful adjustment and observation of your diet over time to properly treat it. It is best that you assert yourself in this matter and take action as soon as you can.

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It can break that vicious cycle of not ovulating

A continually growing cyst in a woman who has been on oral contraceptives for at least several months should be investigated to rule out tumor. Because women on oral contraceptives should not ovulate, they should not develop functional cysts, therefore we’re going to be looking at other types of cysts – the endometriomas, the cystadenomas, the dermoid cysts, occasionally polycystic ovaries, and rarely the cancerous cysts.

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Another thing, intrauterine devices, so things like Marina by Berlex, the old Copper Sevens, various intrauterine devices which are pieces of plastic, plastic and metal, plastic and metal secreting hormone, put into the uterus which through a complex mechanism causes no – basically causes no conception. And these are not – and I repeat are not associated with any increase in cysts, any increase in tumors. There absolutely is – it’s a non-event. Some women have a problem with intrauterine devices causing pain, and I don’t doubt that.

I’ve had to remove many of them, because the uterus contracts and it can cause pain. It doesn’t have to be right in the middle, can cause a right side, left side, but it is not causing a pathologic problem, something that’s going to develop into something. I’ve noticed some of your questions here, and I think some of these are important to hit on as part of this. And one question by one of your listeners was, am I able to have children if I have ovarian cysts? Absolutely, there’s no decrease in fertility if you have a diagnosis of ovarian cysts. The only case would be again, the endometriomas which are going to be – which is endometriosis in the wrong place if it’s associated with infertility. We can treat that, we can treat it with medication, reverse that process, and start the ovulation. The other case would be polycystic ovaries. These are not usually large cysts, but again the polycystic ovaries are associated with infertility. Again, treatable, and in fact in cases where just diet is not going to reverse if there are certain drugs that can cause ovulation, or you can take Clomiphene, Clomid, it causes one to ovulate.

It can break that vicious cycle of not ovulating, and oftentimes it’s very effective. Pregnancy usually does occur, and in rare cases there are certain surgical procedures on the ovary, very simple, that can stop the polycystic ovary disease symptom of not having periods. So that’s reversible. So how hard is it to get pregnant with a cyst? It’s easy. I mean you better have a cyst or you probably are pregnant because you’re going to have to have a follicular cyst, although you might not see it.

A large cyst, some of these other cysts as we said can prevent pregnancy, but once they’re removed or taken care of, it’s not going to affect fertility, it’s not going to affect a pregnancy outcome. You can have normal periods after a cyst. The only time your periods are usually abnormal is with endometriomas or polycystic ovary disease which we’ve talked about, and can be rectified. One woman notes that she had a cyst on her left ovary and she’s 12 weeks pregnant, and wanted to know if this will affect the unborn child.

Dr Christopher Freville ponders upon the question – she has given us a little bit of information. We already know from our discussion, what have we learned today, that cysts on an ovary are common. In fact they’re often necessary because the corpus luteum cyst of pregnancy is a functioning cyst necessary for the pregnancy and will not affect the unborn child at all. If it was a cyst – and sometimes I might add that cysts show up during pregnancy that don’t go away. What do we do about those? Well, we have a large cyst that shows up on exam, or shows up on ultrasound that does not go away, then it is mandatory that this woman have operative intervention, have a laparotomy.

Laparotomies do not cause an increase in miscarriages, do not cause an increase – any child birth defects. It’s just unfortunate complication unrelated to the pregnancy, but just as women are going to develop any of these cysts, women pregnant can develop any of these cysts. When they’re found they need to be taken care of because the persistent cysts during pregnancy – during delivery could cause a problem with the delivery, and we don’t want that. So as soon as you find out something during pregnancy we take care of it.

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The Best Strategies to Help You Becoming an Firefighter

Are you considering becoming firefighter? The firefighter’s profession is highly competitive. Every year , fire departments get hundreds of applicants for a limited number of jobs available. Learn our tips for practical use to gain an edge on how to stand out in the competition for these difficult to find yet rewarding job opportunities.

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The Best Tips for Becoming an Firefighter

Learn to become a certified Medical Technician in an emergency. Medical Technician

Most fire departments require firefighters to complete EMT (Emergency Medical Technician (EMT) training and certification. The completion of EMT education and certification can make you more competitive when you apply for a job as a firefighter.

Research Online

Visit the websites of fire departments in your neighborhood or other areas you’re likely to think about. If a fire department does not have its own website, you will normally find information regarding fire services under the city/municipal/county website. Visit the sites often to find out when they’ll be hiring. Additionally, you will find information on particular requirements and qualifications in addition to the application procedure and any application or documents you’ll need to fill out.

Search For Jobs Beyond Your Neighborhood

Everyone would like to work close to their house. But since new positions in firefighting are very few and far between and you should not be focusing on one particular fire department. Although some fire departments insist residents to reside within a specific distance of their fire station, some will let you stay in the area for several years after when you’re employed to be able to make the change. Keep in mind that at the beginning of your career, you’ll need to adapt and be ready to make concessions. After you’ve gained experience, you could always consider the possibility of transferring to a department nearer to your home.

Look into Firefighter positions that offer lower Pay Rates

If you’re just beginning to learn about firefighting, think about searching for jobs that pay lower grades. This can increase the number of positions you could apply.

Think about becoming a state firefighter

Think about wildland firefighting or other positions in firefighting under the state’s responsibility. The chances of getting an opening in the field of firefighting are higher since each summer, there is a huge need for new as well as experienced wildland firefighters in various states. While certain jobs (wildland firefighters) are seasonal, they can provide an excellent experience in the field and are an advantage over those with less experience in applying for a job in a local fire department.

You can apply to be a Volunteer Firefighter

Volunteer firefighters are able to perform the same duties as professional firefighters. If you sign up as a volunteer firefighter you’ll gain valuable working experience, as well as the necessary firefighter training. This gives you an edge when applying for a permanent , pay-per-hour firefighter job.

Think about a position in the field of Federal Firefighter

You can also think about other firefighter careers, like working with the federal government. This includes army, navy or air force firefighter. Your dedication to service is highly regarded by fire departments and can give you an edge in applying to join a local fire department. Additionally, you’ll acquire the abilities and experience needed to pursue the firefighter’s job with an area-based department.

Be sure to complete your job application thoroughly.

Be sure to complete all applications for firefighter positions carefully and submit all the required documents and data. You might not have a second chance.