Health and medical news blog

Investigations

It is important to differentiate breath-holding episodes from actual seizures. Normally this can be done on the basis of a careful history, but the doctor may want to order an EEG (electroencephalogram) in order to be certain.

Treatment

There is no specific treatment for breath-holding episodes. Parents should try to stay calm during the episode. Make sure the child is in a safe position where he cannot roll off the bed or fall off a chair. Do not slap the child or splash water onto his face. Breath-holding episodes never cause any lasting harm to the child, and always disappear as he grows older. The main intervention is to reassure the parents, for whom these episodes are as frightening as a convulsion.

When to see your doctor

Some parents will be confident enough to take these episodes in their stride; others will want a medical check-up to ensure that there is no underlying medical condition. You should not hesitate to see your doctor if you are concerned, even though there is no treatment that can be recommended.

Prevention

Little can be done to prevent breath-holding attacks. While in theory it might be possible to minimise frustration for the child, in practice, of course, this is impossible. Do not change your parenting style radically in the hope of preventing these attacks from occurring.

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Remember that each of these questions was followed by long taped discussions. They are presented here in outline form to serve as stimuli for the intimate sharing of your marriage’s love maps. Couples enjoyed discussing their first date, often laughing at the memories most of us share. You will be reading about one such example in detail in Chapter Twelve. Here are two examples from the love-map histories.

‘ ‘He opened the door right on his own face,” she said, laughing. “He came around the car in tuxedo and all, opened the car door, and almost knocked himself out.”

“I can beat that,” added the husband. “I got up after the movie, and my leg was asleep. I mean, really out, like it had been amputated. I dragged it up the aisle with me. She never looked back. I tried to stomp it back to life, and she looked away. I was dying of embarrassment.”

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Panic anxiety management skills allow many of us to be free of our anxiety disorder. The skills can give us a control over our lives that we have never had before; but sometimes even this isn’t enough. A little-known aspect of the working-through process can hold us back, and be the final factor in the perpetuation of the disorder. It is our lack of sense of self.

Although this aspect is not related only to anxiety disorders, it can be the single most important issue in the disorders. Despite our ongoing attacks and anxiety, it can be the one issue we are most concerned about. It is as if we intuitively know the root cause of our suffering.

The lack of identification goes beyond our cry of ‘this is not me’. When we say ‘this is not me’ we are referring to the image we had before the disorder. Despite the image we had of ourselves, we have always known that we never felt any sense of who we are. We never had a real sense of self. This essential element was always lacking in our lives, and it is from this that our feelings of inadequacy, lack of confidence and lack of self-esteem arose.

We counteracted these by our need to be perfect. Over the years we adapted and modified our behaviour to what we perceived were other people’s expectations of us. We became who we thought we should be, and in doing so suppressed much of who we could be. Our identity became dependent on other people’s perceptions of us. The more dependent we became, the more we had to suppress our real self, even if we didn’t realise we were doing it. The more we suppressed our self, the more inadequate we felt. The more inadequate we felt, the more we felt the need to be perfect.

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As with other treatments, so it is with surgery— no one can look into the future and tell you exactly what will happen to you as an individual. In the case of surgery, they can’t even always tell you exactly what the operation will involve.

Let’s start with an example. Say a person agreed to removal of part of the lower bowel, on the understanding that this would give him a good chance of being cured of bowel cancer altogether. At the operation, his surgeon finds something that was not known before the operation—the cancer has grown through the bowel wall and into the wall of the bladder. The cancer cannot be completely removed without removing part of the bladder as well. Even if this is done, the chance of cure is much smaller than was advised beforehand. This surgeon has two choices. He or she can take the decision away from the patient by going ahead immediately with whatever operation seems best. This is what most surgeons do. Or the surgeon could simply sew the patient up again and discuss the new situation with him when he wakes up. Clearly this wouldn’t be good for the sick person, who would then have to consider having another operation within a very short time. It also wouldn’t be good for the surgeon. The average surgeon is much too concerned with maintaining his or her power and authority over the patient to even consider such a course of action. Doing this would mean admitting lack of care in planning the operation. More importantly, it would also mean acknowledging that the person having the operation was indeed the best person to make the decision.

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Leave your children at home or with a relative or friend when you go shopping on hot days, or else take them with you.

And don’t forget that your dog may have even more trouble coping.

We sweat or perspire (whatever your preference) most of the time but this is invisible. It becomes obvious only when excessive.

Some people sweat more than others and this can be embarrassing and unpleasant.

Although hot weather increases the amount of perspiration, it allows you to wear lighter clothes and footwear.

In humid weather, evaporation of sweat is impaired and so the body may be bathed in this fluid. Tight clothing can irritate the skin and lead to the condition known as prickly heat or Miliaria rubra.

Some skins are more sensitive than others. Wearing loose, light clothing and bathing frequently in cool or cold water, without soap, may be all that is necessary to prevent or treat this condition. Drying the skin thoroughly will prevent chafing and applying talcum powder will also help.

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Many drugs may interact with others and patients need to be aware of this.

In these times, when a woman may have several different doctors treating her for illness of different parts of the body, each may not be aware of what the others are prescribing.

Doctors should always ask patients what drugs they are taking but some people are so used to taking some preparations, such as the Pill, that they no longer consider it a drug and may neglect to mention it, even when directly asked.

Being aware of the dangers of interaction of drugs should make patients more aware of their responsibilities.

Natural contraception, which makes use of modern scientific methods to determine when ovulation takes place, may become more popular. These methods are widely used, especially among Catholics who have a moral objection to artificial methods of contraception.

Of course, this means a certain amount of self-denial for the couple but, for those worried about the dangers of other methods, it is a small price to pay.

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The history of cosmetics dates back to antiquity. Creams for soothing the skin, removing superfluous hair, banishing wrinkles, preventing baldness and more, are described in Egyptian parchments written more than 3000 years ago. The word ‘cosmetic’ is itself derived from the Greek kosmetikos, to adorn.

The use of cosmetics is universal and prodigious, and the number used increases every year. Increasingly men too are being attracted by subtle advertisements suggesting means of improving their appearance—lured perhaps by the implied promises of sexual and material rewards.

People have been looking for the fountain of youth since time immemorial, and the emphasis on youth has never been greater than in today’s leisure and youth oriented society. Because ageing causes such visible changes in the skin, many men and women would like to delay or reverse these changes. Although many products on the market claim to do just this, unfortunately none has ever lived up to its claims. Some of these so-called rejuvenating creams contain Allantoin, Plankton and embryo or placental extracts. The particles of these extracts are too large to penetrate the skin, and so can have no effect on the skin. Others contain unibiogen’ from the butterfly cocoon. This is advertised as a ‘skin food or fertilizer which jolts tired cells back into their plump youthful state’. Aloe Vera, the juice of the aloe plant leaf which contains 99-5 per cent water and 0,5 per cent of various amino acids and carbohydrate, is also touted as a rejuvenating cream. As already mentioned, none of these appear to have the kind of effect that would iend any support to their therapeutic claims. Mink and turtle oil, marketed as superior to other oils in cosmetic preparations, owe their dubious reputations respectively to the expense and beauty of mink pelts and the longevity of the turtle.

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The G.I. factor is important in heart disease too. It has a role in the diets of people who already have heart disease, but perhaps of greater significance in the long term, it has a practical role in the prevention of heart disease.

Why do people get heart disease? Atherosclerotic heart disease develops early in life when the many factors that cause it have a strong influence. Over many decades doctors and scientists have identified the processes in fine detail and now most of the factors which cause heart disease are well known. Theoretically this type of heart disease might be largely prevented if everyone’s risks were assessed in youth and if all the right things were done throughout the rest of their lives. In practice there has been only a limited development of the ways to screen people for risk early in life, and the resources needed to achieve prevention are just not available. However a great deal is already being done to identify risk factors in healthy people and those with established heart disease. Those who take the necessary action reduce their risk.

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