For individuals who cannot walk, a mobility scooter or an ambulatory device is essential. Today, there are many types of mobility scooters, each one has different features and accessories, and even the prices vary tremendously. For the beginner who is buying a first mobility scooter, this can get all very confusing. Essentially, there are two basic types of mobility scooters- three or four wheel scooters. Both have some pros and cons. The key differences between the two are following
Better mobility: one of the distinct advantages of owning a 3-wheel mobility scooter is that they are a lot easier to maneuver in close spaces. Four-wheel mobility scooters are slightly larger and are not able to turn or maneuver easily in narrow alleys, elevators or in apartment buildings. Three wheel mobility scooters are more compact, smaller and are preferred for individuals who live in small apartments
Room for Leg. The lack of a 4th wheel offers more leg room for individuals who own a 3 wheel mobility scooter. It can be tiresome sitting on a scooter for a few hours and thus the 3 wheel scooter allows one to stretch the legs.
Compact: The majority of 3 wheel mobility scooters are small and compact. This gives the 3-wheel scooter a major advantage over the 4-wheel mobility scooter. Beside easy use in tight spaces and narrow lanes, the 3-wheel scooter is also great for use in crowded shopping malls, supermarkets and in congested alleys.
Stability: While 3 wheel mobility scooters are great, they do have one big disadvantage. Unlike a 4-wheel scooter, the 3 wheels scooters are not always stable. The stability is fine when one drives slow and along flat roads. The stability does come into play when one goes around corners, over bumps, and potholes. In addition, when someone heavy uses a 3-wheel mobility scooter, the vehicle can become unstable. In such scenarios, a 4-wheel scooter may be more appropriate
Durability: While both scooters are durable and built with solid stainless steel framework, the 4 wheel scooters are more suited for the outdoors and can be driven on all types of terrain. The 4 wheel scooters also more sturdy and can handle the environment a lot better than the 3 wheel scooters
Space: As predicted, the larger 4 wheel scooters have more room and thus can carry more weight. The latest 4 wheel scooters also have extra spaces to carry baskets both in the front and back.
Bulk: The four-wheel vehicles are significantly more bulky and bigger than the 3 wheel mobility scooters. For this reason, they may not be suitable for use in crowded places like shopping centers, plazas, or congested supermarkets
Cost: Because the 4 wheels mobility scooters are slightly bigger, they are also more expensive. There are some basic 4-wheel mobility scooters which are not expensive, but they may not have all the accessories. The basic scooters usually start at about $700 but the fancy one with gadgets and accessories can cost about $1,000-$1,300
Before you buy a mobility scooter, go and check one out; test drive it to determine if this is suited for you. Make sure it is comfortable, stable and whether it suits your living environment.
For more on mobility scooters, visit www.medexsupply.com
Wednesday, April 29, 2009
Friday, April 10, 2009
Decompressive Spinal Surgery for back pain part 2
What is Laminectomy?
Laminectomy involves removal of the entire roof (lamina) along with adjacent joint segment and ligaments over the spinal cord. This procedure is often done when the spinal stenosis is long and there is extensive narrowing.
What is laminotomy?
Laminotomy involves removal of a small piece of the lamina and ligaments on one side. Today, this procedure is often performed using a camera and a very tiny incision.
What is Foraminotomy?
Foraminotomy is removal of the bone where the nerve exits the spinal cord. It is often combined with the above two procedures and is helpful to relieve pressure from a pinched nerve.
What is laminoplasty?
Laminoplasty is a procedure done in the neck area to increase room in the spinal canal.
What is spinal fusion?
Spinal fusion may be done with any of the above procedures. When bone is removed from the back, instability can result. To prevent instability, the surgeon may fuse the back using bone grafts or metal rods. Fusion also prevents restenosis of the spinal canal from recurring.
Is spinal decompression surgery an emergency?
Unless one has cauda equina syndrome (a disorder where there is severe compression of the nerves which results in loss of bowel and bladder control), all back surgery is strictly elective.
Because there are side effects and possible complications, it is important to discuss with the surgeon what the best procedure is for your back. One should remember that no matter what type of decompressive surgery, only the symptoms are relieved. Disorders like arthritis will continue to progress.
Final Word
The overall results of spinal surgery are terrible. It is hard to meet anyone today who has had successful spine surgery. So do not rush for surgery, no matter how nice the surgeon looks or talks. Spine surgery is big business for the doctors. It is an expensive undertaking, is associated with many complications and there is no guarantee it will work. You do no get any refunds.
Laminectomy involves removal of the entire roof (lamina) along with adjacent joint segment and ligaments over the spinal cord. This procedure is often done when the spinal stenosis is long and there is extensive narrowing.
What is laminotomy?
Laminotomy involves removal of a small piece of the lamina and ligaments on one side. Today, this procedure is often performed using a camera and a very tiny incision.
What is Foraminotomy?
Foraminotomy is removal of the bone where the nerve exits the spinal cord. It is often combined with the above two procedures and is helpful to relieve pressure from a pinched nerve.
What is laminoplasty?
Laminoplasty is a procedure done in the neck area to increase room in the spinal canal.
What is spinal fusion?
Spinal fusion may be done with any of the above procedures. When bone is removed from the back, instability can result. To prevent instability, the surgeon may fuse the back using bone grafts or metal rods. Fusion also prevents restenosis of the spinal canal from recurring.
Is spinal decompression surgery an emergency?
Unless one has cauda equina syndrome (a disorder where there is severe compression of the nerves which results in loss of bowel and bladder control), all back surgery is strictly elective.
Because there are side effects and possible complications, it is important to discuss with the surgeon what the best procedure is for your back. One should remember that no matter what type of decompressive surgery, only the symptoms are relieved. Disorders like arthritis will continue to progress.
Final Word
The overall results of spinal surgery are terrible. It is hard to meet anyone today who has had successful spine surgery. So do not rush for surgery, no matter how nice the surgeon looks or talks. Spine surgery is big business for the doctors. It is an expensive undertaking, is associated with many complications and there is no guarantee it will work. You do no get any refunds.
Decompressive Spinal Surgery for back pain
What is spinal decompression?
This is a big word but is very simple to explain. When people have back pain, the nerve in the center of the spinal cord gets compressed or pinched. The compression may be from bone, ligament, tumor, or any type of mass. When the nerve is pinched, it causes pain. Spinal decompression means relieving the pressure in the joint space so that the nerve is no longer pinched
What is classic treatment of back pain?
Back or neck pain are common problems in society. In most cases, it is a nerve that is pinched that is causing the pain. Sometimes besides pain, one may also have numbness or tingling sensations.
The traditional treatment of back pain is rest and pain control for a few days and most individuals recover in 4-6 weeks. However, there are a number of patients who fail to improve. These individuals then go through a wide range of therapies including physical therapy, exercise, traction, massage, acupuncture, yoga, praying, and when all that fails, some undergo surgery.
IS back surgery essentially spinal decompression?
Yes, in simple all surgery for back pain is designed to remove pressure from the nerves. However, surgery is not the only way to remove compression from the disc joints. There are also various traction devices that do the same thing.
Can spinal decompression surgery be performed only on the back?
No, spinal decompression surgery can be performed anywhere along the spine when there is evidence of a pinched nerve. The two most common areas are the neck and lower back
How is the surgery done?
Under general anesthesia, a small incision is made over the mid spine. The lamina (the bone that covers top of the spinal canal) is removed. This allows the nerves more freedom and removes the compression.
There are several types of decompressive spinal procedures but the principle is the same- remove pressure off the nerves.
This is a big word but is very simple to explain. When people have back pain, the nerve in the center of the spinal cord gets compressed or pinched. The compression may be from bone, ligament, tumor, or any type of mass. When the nerve is pinched, it causes pain. Spinal decompression means relieving the pressure in the joint space so that the nerve is no longer pinched
What is classic treatment of back pain?
Back or neck pain are common problems in society. In most cases, it is a nerve that is pinched that is causing the pain. Sometimes besides pain, one may also have numbness or tingling sensations.
The traditional treatment of back pain is rest and pain control for a few days and most individuals recover in 4-6 weeks. However, there are a number of patients who fail to improve. These individuals then go through a wide range of therapies including physical therapy, exercise, traction, massage, acupuncture, yoga, praying, and when all that fails, some undergo surgery.
IS back surgery essentially spinal decompression?
Yes, in simple all surgery for back pain is designed to remove pressure from the nerves. However, surgery is not the only way to remove compression from the disc joints. There are also various traction devices that do the same thing.
Can spinal decompression surgery be performed only on the back?
No, spinal decompression surgery can be performed anywhere along the spine when there is evidence of a pinched nerve. The two most common areas are the neck and lower back
How is the surgery done?
Under general anesthesia, a small incision is made over the mid spine. The lamina (the bone that covers top of the spinal canal) is removed. This allows the nerves more freedom and removes the compression.
There are several types of decompressive spinal procedures but the principle is the same- remove pressure off the nerves.
Thursday, April 9, 2009
Spinal injections for back pain Part 2
Epidural injections are done as outpatients and either performed by an anesthesiologist or a physician who is familiar with this procedure. The technique is pretty simple. One lies down on a flat table with the knees folded towards the chest. This helps open up the disc spaces and then the needle is guided into the epidural space. When done well, it is a relatively painless procedure. Sometimes, there may be difficult guiding the needle into the epidural space and one may to perform the injection under X ray guidance.
Once the steroid is injected, it migrates to where the nerve roots are located and starts to work by decreasing inflammation. The pain relief is gradual and not immediate.
Epidural injections also have a fair share of side effects that include:
- Back pain at injection site. The pain is mild in
most cases and resolves in a few days. However,
some individual have prolonged pain at the injection
site.
- Very rarely some individuals may develop nausea,
vomiting or abdominal cramps. These side effects
resolve in a day or two.
- Some individuals do develop light-headedness and
some feel dizzy. Some individuals do complain of a
headache which may last anywhere from a few days to
several weeks.
When many epidural steroidal injections are performed, the following complications may occur:
- Loss of bone density, leading to osteoporosis
and possible bone fractures
- Easy bruising of skin
- Decreased muscle mass and strength
- Increased susceptibility to injections because of
suppression of the body’s immune system
The most common drug used for epidural injections is a corticosteroid. Corticosteroids are potent ant inflammatory agents, reduce inflammation, and nerve irritation. While they do relieve pain, the injections do not work in everyone with back pain. Even the degree of pain relief is not the same in all individuals
Clinical data indicate that less than 10-30 percent of individuals get decent pain relief. The pain relief only lasts from a few weeks to a few months. Epidural injections for back pain are not curative.
The cost of an epidural steroidal injection varies but generally is more than $2000. The cost is often not covered by many medical insurance health carriers.
Once the steroid is injected, it migrates to where the nerve roots are located and starts to work by decreasing inflammation. The pain relief is gradual and not immediate.
Epidural injections also have a fair share of side effects that include:
- Back pain at injection site. The pain is mild in
most cases and resolves in a few days. However,
some individual have prolonged pain at the injection
site.
- Very rarely some individuals may develop nausea,
vomiting or abdominal cramps. These side effects
resolve in a day or two.
- Some individuals do develop light-headedness and
some feel dizzy. Some individuals do complain of a
headache which may last anywhere from a few days to
several weeks.
When many epidural steroidal injections are performed, the following complications may occur:
- Loss of bone density, leading to osteoporosis
and possible bone fractures
- Easy bruising of skin
- Decreased muscle mass and strength
- Increased susceptibility to injections because of
suppression of the body’s immune system
The most common drug used for epidural injections is a corticosteroid. Corticosteroids are potent ant inflammatory agents, reduce inflammation, and nerve irritation. While they do relieve pain, the injections do not work in everyone with back pain. Even the degree of pain relief is not the same in all individuals
Clinical data indicate that less than 10-30 percent of individuals get decent pain relief. The pain relief only lasts from a few weeks to a few months. Epidural injections for back pain are not curative.
The cost of an epidural steroidal injection varies but generally is more than $2000. The cost is often not covered by many medical insurance health carriers.
Spinal injections for back pain
All over the country, doctors have set up pain clinics offering to give injections to anyone and everyone with pain. Treatment of back pain is a lucrative business and many physicians have exploited this aspect of medicine.
Many people with back pain remain disabled and have a very poor quality of life. There are many individuals with back pain who have gone through the entire gamut of surgery, physical therapy, acupuncture, massage and so on and nothing has worked. For these individuals, the only other treatment is to get pain relief. One of the ways to relieve pain is with injections. The injections are made in the spine with steroids. Anesthesiologists, orthopedic surgeons, rheumatologists, and many other physicians have set up clinics to provide pain relief to the individuals suffering from back pain.
For the consumer, it has to be understood that epidural injections are not the first treatment of choice. One has to try oral pain pills before jumping the gun.
Do epidural injections relieve back pain?
Well, not everyone finds relief from epidural injections and the pain relief is not immediate. Less than 10-20 percent of people with back pain have any significant pain relief. The pain relief is never complete and not permanent. The pain relief is noticed at around 3-4 weeks and lasts for a few months only. Most individuals can only have 2-3 injections of steroids per year. Repeated uses of steroids can lead to bone softening, ulcers and weight gain.
Prior to the epidural injections, one has to have an MRI or CT scan of the back. These radiological studies help identify location of the problem. However, most physicians who perform epidural injections generally go ahead and inject irrespective of the findings.
Many people with back pain remain disabled and have a very poor quality of life. There are many individuals with back pain who have gone through the entire gamut of surgery, physical therapy, acupuncture, massage and so on and nothing has worked. For these individuals, the only other treatment is to get pain relief. One of the ways to relieve pain is with injections. The injections are made in the spine with steroids. Anesthesiologists, orthopedic surgeons, rheumatologists, and many other physicians have set up clinics to provide pain relief to the individuals suffering from back pain.
For the consumer, it has to be understood that epidural injections are not the first treatment of choice. One has to try oral pain pills before jumping the gun.
Do epidural injections relieve back pain?
Well, not everyone finds relief from epidural injections and the pain relief is not immediate. Less than 10-20 percent of people with back pain have any significant pain relief. The pain relief is never complete and not permanent. The pain relief is noticed at around 3-4 weeks and lasts for a few months only. Most individuals can only have 2-3 injections of steroids per year. Repeated uses of steroids can lead to bone softening, ulcers and weight gain.
Prior to the epidural injections, one has to have an MRI or CT scan of the back. These radiological studies help identify location of the problem. However, most physicians who perform epidural injections generally go ahead and inject irrespective of the findings.
Monday, April 6, 2009
Smokeless Tobacco: “Can there be fire when there is no Smoke” Part 8
Tobacco Control
Unlike the rigid anti smoking activities, most health care worker agree that substituting smokeless tobacco for smoking is a wise risk-reduction strategy because it reduces all smoking-related risks and introduces no new risks. There is some who agree that an oral cavity cancer does occur after use of both smoking and smokeless tobacco-but now we are relegated to choosing which is the lesser evil.
Concerned physicians and dentists understand that it is their moral and ethical obligation to help patients make informed lifestyle choices, all of which involve benefits and risks. Providing information about an alternative to smoking that is significantly more safer is not only consistent with the highest standards of medical ethics, it is required of them.
The past few decades have brought ever more assertive public health campaigns against cigarette smoking. Numerous well-funded public and private agencies has set as its goal a reduction in the epidemic of cigarette smoking. The organization’s influence has resulted in pervasive health warnings, ever more intensive quit-smoking programs, and recently the social ostracism of smokers and the industry that supplies them. Yet many Americans continue to smoke, and the number of women starting to smoke is on the rise.
Conclusion
Despite what the Swedes and the Tobacco industry claims, the risk of oral cancer is increased if you use smokeless tobacco products. These cancers of the oral cavity may involve the tongue, cheeks, lips, gums and jaw. The treatment of all oral cancer is surgery and the surgery is no walk in the park. It is a major undertaking and results in severe disfiguring. The majority of patients are completely disabled after surgery- that is if they leave long enough. The people who use smokeless tobacco do not die of gum and dental disease. The majority die of oral cancer.
There is no easy answer to curb the smoking epidemic. There are no magical portions or cures to help one stop smoking. The smoking industry is a billionaire industry which also is an important economic powerhouse. Despite all the health risks and complications of smoking, this habit is universal and consumes a lot of health care dollars. Everyone claims as to what is the best remedy but so far none is effective. It's never too late to quit using tobaccos products. There may not be fire with the use of smokeless tobacco products, but one can rest assured the potential to burn one’s mouth and body is enormous. The only way to stop smoking is never to start it in the first place.
Unlike the rigid anti smoking activities, most health care worker agree that substituting smokeless tobacco for smoking is a wise risk-reduction strategy because it reduces all smoking-related risks and introduces no new risks. There is some who agree that an oral cavity cancer does occur after use of both smoking and smokeless tobacco-but now we are relegated to choosing which is the lesser evil.
Concerned physicians and dentists understand that it is their moral and ethical obligation to help patients make informed lifestyle choices, all of which involve benefits and risks. Providing information about an alternative to smoking that is significantly more safer is not only consistent with the highest standards of medical ethics, it is required of them.
The past few decades have brought ever more assertive public health campaigns against cigarette smoking. Numerous well-funded public and private agencies has set as its goal a reduction in the epidemic of cigarette smoking. The organization’s influence has resulted in pervasive health warnings, ever more intensive quit-smoking programs, and recently the social ostracism of smokers and the industry that supplies them. Yet many Americans continue to smoke, and the number of women starting to smoke is on the rise.
Conclusion
Despite what the Swedes and the Tobacco industry claims, the risk of oral cancer is increased if you use smokeless tobacco products. These cancers of the oral cavity may involve the tongue, cheeks, lips, gums and jaw. The treatment of all oral cancer is surgery and the surgery is no walk in the park. It is a major undertaking and results in severe disfiguring. The majority of patients are completely disabled after surgery- that is if they leave long enough. The people who use smokeless tobacco do not die of gum and dental disease. The majority die of oral cancer.
There is no easy answer to curb the smoking epidemic. There are no magical portions or cures to help one stop smoking. The smoking industry is a billionaire industry which also is an important economic powerhouse. Despite all the health risks and complications of smoking, this habit is universal and consumes a lot of health care dollars. Everyone claims as to what is the best remedy but so far none is effective. It's never too late to quit using tobaccos products. There may not be fire with the use of smokeless tobacco products, but one can rest assured the potential to burn one’s mouth and body is enormous. The only way to stop smoking is never to start it in the first place.
Smokeless Tobacco: “Can there be fire when there is no Smoke” Part 7
Smokers versus smokeless tobacco
When smokeless tobacco products are compared to smokers, there are definite benefits for the uses of the former drugs. The number of deaths from smoking is almost 70 times higher than the number from smokeless tobacco use. In terms of life expectancy, the smokeless-tobacco user loses only about 2 weeks on average, compared with the eight years lost by the smoker.
Another major health benefit: smokers who switch to smokeless tobacco produce no passive smoke to harm others. The American Heart Association estimates that 40,000 Americans die annually from diseases related to second-hand smoke. No one dies from the secondary effects of smokeless tobacco use. Thus, this proposal could be recommended solely on the basis of lives saved through the elimination of the effects of passive smoking.
These published facts are uncontested. Today a transition to smokeless tobacco is not merely a theoretical proposition based strategy of smoking cessation; it has already become accepted as an alternate to smoking tobacco in many States.
Has the government strategy of getting smoker to switch worked? Data from the CDC does indicate that more than 1.5 million smokers have used smokeless tobacco to quit smoking. This transition has been possible because the smokeless products also contain nicotine- which is more effective transferred to the body. In addition, the newer smokeless products have been designed in various flavors, packages and resemble candy or chewing gum. Most industry based data reveals that long terms smokers have made a successful transition to these smokeless products and the relapse has been minimal. With the newer variety of smokeless tobacco products, the outmoded and disgusting habit of spitting the smokeless products is only for the history books.
Industry based data reveal that once smokers switch over to the smokeless products, they regain the normal life expectancy. The risk of lung and heart disease is also decreased. The companies mention that switching to smokeless tobaccos is associated with giant gains in health benefits.
One always has to be aware that a lot of studies are sponsored by the companies who make these products and unfortunately the articles/newsletters are almost always written by health care workers who have genuine interest in these companies. So the current scientific data on health benefits of switching should always be taken in with a grain of salt.
When smokeless tobacco products are compared to smokers, there are definite benefits for the uses of the former drugs. The number of deaths from smoking is almost 70 times higher than the number from smokeless tobacco use. In terms of life expectancy, the smokeless-tobacco user loses only about 2 weeks on average, compared with the eight years lost by the smoker.
Another major health benefit: smokers who switch to smokeless tobacco produce no passive smoke to harm others. The American Heart Association estimates that 40,000 Americans die annually from diseases related to second-hand smoke. No one dies from the secondary effects of smokeless tobacco use. Thus, this proposal could be recommended solely on the basis of lives saved through the elimination of the effects of passive smoking.
These published facts are uncontested. Today a transition to smokeless tobacco is not merely a theoretical proposition based strategy of smoking cessation; it has already become accepted as an alternate to smoking tobacco in many States.
Has the government strategy of getting smoker to switch worked? Data from the CDC does indicate that more than 1.5 million smokers have used smokeless tobacco to quit smoking. This transition has been possible because the smokeless products also contain nicotine- which is more effective transferred to the body. In addition, the newer smokeless products have been designed in various flavors, packages and resemble candy or chewing gum. Most industry based data reveals that long terms smokers have made a successful transition to these smokeless products and the relapse has been minimal. With the newer variety of smokeless tobacco products, the outmoded and disgusting habit of spitting the smokeless products is only for the history books.
Industry based data reveal that once smokers switch over to the smokeless products, they regain the normal life expectancy. The risk of lung and heart disease is also decreased. The companies mention that switching to smokeless tobaccos is associated with giant gains in health benefits.
One always has to be aware that a lot of studies are sponsored by the companies who make these products and unfortunately the articles/newsletters are almost always written by health care workers who have genuine interest in these companies. So the current scientific data on health benefits of switching should always be taken in with a grain of salt.
Smokeless Tobacco: “Can there be fire when there is no Smoke” Part 6
Chemicals in Smokeless Tobacco
Oral smokeless tobacco contains numerous carcinogens, including polonium 210, tobacco-specific N-nitrosamines, volatile aldehydes, and polycyclic aromatic hydrocarbons. An analysis of the nicotine content of 11 brands of popular smokeless tobacco products found that moist snuff has the highest nicotine content, whereas loose-leaf chewing tobacco has the lowest nicotine content. In addition, a lot of other chemicals including heavy metals are found in these products. These metals include cadmium, zinc and polonium. These heavy metals are thought to be leached into the products from insecticides and agricultural sprays.
Pure nicotine and smokeless tobacco extract (STE) have been compared for their oxidative stress actions by measuring the generation of reactive oxygen species. Pure nicotine has been found to be less toxic than STE with equivalent amounts of nicotine.
Addiction potential
There is no doubt that smokeless tobacco is just as addictive as smoking. Both products contain nicotine which is the additive agent. Despite the fact that the smokeless products are safer than cigarettes, they are still addictive. Just as with smoking, withdrawal from chewing tobacco causes signs and symptoms such as intense cravings, increased appetite, irritability and depressed moods.
People who use chewing tobacco eventually develop a tolerance for nicotine and need more tobacco to feel the effects of the nicotine. Some people switch to brands with more nicotine and tend to use chewing tobacco more frequently the longer they've been using smokeless products.
Government regulations and taxation on cigarettes has led to more individual turning to the smokeless products. Whether these products are less harmful than their counterparts, will only be known in the near future
Oral smokeless tobacco contains numerous carcinogens, including polonium 210, tobacco-specific N-nitrosamines, volatile aldehydes, and polycyclic aromatic hydrocarbons. An analysis of the nicotine content of 11 brands of popular smokeless tobacco products found that moist snuff has the highest nicotine content, whereas loose-leaf chewing tobacco has the lowest nicotine content. In addition, a lot of other chemicals including heavy metals are found in these products. These metals include cadmium, zinc and polonium. These heavy metals are thought to be leached into the products from insecticides and agricultural sprays.
Pure nicotine and smokeless tobacco extract (STE) have been compared for their oxidative stress actions by measuring the generation of reactive oxygen species. Pure nicotine has been found to be less toxic than STE with equivalent amounts of nicotine.
Addiction potential
There is no doubt that smokeless tobacco is just as addictive as smoking. Both products contain nicotine which is the additive agent. Despite the fact that the smokeless products are safer than cigarettes, they are still addictive. Just as with smoking, withdrawal from chewing tobacco causes signs and symptoms such as intense cravings, increased appetite, irritability and depressed moods.
People who use chewing tobacco eventually develop a tolerance for nicotine and need more tobacco to feel the effects of the nicotine. Some people switch to brands with more nicotine and tend to use chewing tobacco more frequently the longer they've been using smokeless products.
Government regulations and taxation on cigarettes has led to more individual turning to the smokeless products. Whether these products are less harmful than their counterparts, will only be known in the near future
Smokeless Tobacco: “Can there be fire when there is no Smoke” Part 5
Smokeless tobacco that is placed in the oral cavity also causes direct damage to the mouth (e.g., gingivitis, periodontal recession) and oral soft tissue. The risk to the user arising from use of a smokeless tobacco product varies by product and why some individuals are prone to the complications remains unknown. This is particularly so when it comes to heart complications of smokeless tobacco. All agree that the majority of individuals who use smokeless tobacco have a lesser incidence of heart problems. Why not everyone remains a mystery but is probably related to presence of other risk factors.
The use of smokeless tobacco is associated with a spectrum of oral cavity lesions, including leukoplakia, speckled leukoplakia, erythroplasia, tobacco-associated keratosis, carcinoma in situ, verrucous carcinoma, and invasive squamous cell carcinoma. The benign tobacco-related lesions can change over time and may become cancerous.
Snuff and chewing tobacco have also been associated with an increased risk for oral cancer. A single study of females in the southern United States revealed that chronic users of snuff were estimated to have a four times greater risk of developing oral cancer. In addition, a significant number of oral cancers in smokeless tobacco users developed a cancer at the site where the tobaccos was placed. However, the use of smokeless tobacco appears to be associated with a much lower cancer risk than that associated with smoked tobacco. Despite all the studies showing an increase in oral cancer with smokeless products, there is no direct correlation between use and cancer. In the US, the highest use of smokeless tobacco is in West Virginia, but the oral cancer rates are below the national average.
Recent studies from Scandinavia have suggested that the use of Swedish snuff (which is non-fermented and has lower nitrosamine levels) is not associated with an increased risk for oral cancer
Any patient with an oral lesion in the mouth must be seen by a doctor. Biopsy is mandatory for any persistent red lesion without an obvious cause. Treatment depends on the results of a histologic examination. Avoidance of tobacco and alcohol is of utmost importance.
The American Cancer Society recommends a cancer-related check-up annually and appropriate counseling should be offered to those persons who smoke cigarettes, pipes, or cigars, those who use chewing tobacco or snuff, and those who demonstrate evidence of alcohol abuse." The USPHSTF document also notes that "...both the National Cancer Institute and the National Institute of Dental Research support efforts to promote the early detection of oral cancers in individuals who use tobacco products during routine dental examinations
The use of smokeless tobacco is associated with a spectrum of oral cavity lesions, including leukoplakia, speckled leukoplakia, erythroplasia, tobacco-associated keratosis, carcinoma in situ, verrucous carcinoma, and invasive squamous cell carcinoma. The benign tobacco-related lesions can change over time and may become cancerous.
Snuff and chewing tobacco have also been associated with an increased risk for oral cancer. A single study of females in the southern United States revealed that chronic users of snuff were estimated to have a four times greater risk of developing oral cancer. In addition, a significant number of oral cancers in smokeless tobacco users developed a cancer at the site where the tobaccos was placed. However, the use of smokeless tobacco appears to be associated with a much lower cancer risk than that associated with smoked tobacco. Despite all the studies showing an increase in oral cancer with smokeless products, there is no direct correlation between use and cancer. In the US, the highest use of smokeless tobacco is in West Virginia, but the oral cancer rates are below the national average.
Recent studies from Scandinavia have suggested that the use of Swedish snuff (which is non-fermented and has lower nitrosamine levels) is not associated with an increased risk for oral cancer
Any patient with an oral lesion in the mouth must be seen by a doctor. Biopsy is mandatory for any persistent red lesion without an obvious cause. Treatment depends on the results of a histologic examination. Avoidance of tobacco and alcohol is of utmost importance.
The American Cancer Society recommends a cancer-related check-up annually and appropriate counseling should be offered to those persons who smoke cigarettes, pipes, or cigars, those who use chewing tobacco or snuff, and those who demonstrate evidence of alcohol abuse." The USPHSTF document also notes that "...both the National Cancer Institute and the National Institute of Dental Research support efforts to promote the early detection of oral cancers in individuals who use tobacco products during routine dental examinations
Smokeless Tobacco: “Can there be fire when there is no Smoke” Part 4
Does cancer occur with smokeless tobacco
Unlike cigarette smoking, it is still not known completely known whether smokeless tobacco can cause cancer of the oral cavity. Numerous studies have been done and the results are conflicting. Some researchers claim that smokeless tobacco products have a very low risk for causing cancer of the oral cavity and that the products could be used as a means to stop smoking. If the data show that these products are harmless, it really makes one wonder why the government would make it mandatory for warning signs to be placed on all smokeless tobacco products.
Health Hazard of Smokeless Tobacco
For decades there had been a big debate about the association of oral cavity cancer with the use of smokeless tobacco products. Smokeless tobacco is not harmless. There is a lot of evidence that smokeless tobacco products used in SE Asia and in the United States cause oral cancer. Today, all studies have confirmed that Oral cancer is 4 times more likely to occur in users of smokeless tobacco than in those who do not use tobacco products. The annual incidence of oral cancer is estimated at 26 cases per 100,000 users of smokeless tobacco. Today, the incidence of oral cancer in the United States is estimated to be 30,000 cases per year, with an estimated 7800 deaths from oral cancer in 2001.
The survival rates for individual who develop oral cavity cancers is variable and dependent on the size of the rumor, time of diagnosis, location of the lesion and whether the tumor has spread to the adjacent neck lymph nodes. For most individuals who have an oral cavity cancer, at 5 years less than 35% are alive. Other studies do show that a significant number of individual who have used smokeless tobacco products have an increased risk of heart disease and also breast cancer
Unlike cigarette smoking, it is still not known completely known whether smokeless tobacco can cause cancer of the oral cavity. Numerous studies have been done and the results are conflicting. Some researchers claim that smokeless tobacco products have a very low risk for causing cancer of the oral cavity and that the products could be used as a means to stop smoking. If the data show that these products are harmless, it really makes one wonder why the government would make it mandatory for warning signs to be placed on all smokeless tobacco products.
Health Hazard of Smokeless Tobacco
For decades there had been a big debate about the association of oral cavity cancer with the use of smokeless tobacco products. Smokeless tobacco is not harmless. There is a lot of evidence that smokeless tobacco products used in SE Asia and in the United States cause oral cancer. Today, all studies have confirmed that Oral cancer is 4 times more likely to occur in users of smokeless tobacco than in those who do not use tobacco products. The annual incidence of oral cancer is estimated at 26 cases per 100,000 users of smokeless tobacco. Today, the incidence of oral cancer in the United States is estimated to be 30,000 cases per year, with an estimated 7800 deaths from oral cancer in 2001.
The survival rates for individual who develop oral cavity cancers is variable and dependent on the size of the rumor, time of diagnosis, location of the lesion and whether the tumor has spread to the adjacent neck lymph nodes. For most individuals who have an oral cavity cancer, at 5 years less than 35% are alive. Other studies do show that a significant number of individual who have used smokeless tobacco products have an increased risk of heart disease and also breast cancer
Smokeless Tobacco: “Can there be fire when there is no Smoke” Part 3
Types of smokeless tobacco
Dipping tobacco (also known as American moist snuff or spit tobacco) is a form of smokeless tobacco. Unlike chewing tobacco, Dip is 'pinched' out of the tin, and placed between the lower or upper lip and gums. The dip then stimulates saliva secretion and the nicotine in the tobacco is transferred by the saliva to the body. The effects of nicotine take about 20-30 minutes to take effect.
The dip always causing an excess of salivation. The saliva is best spit out because swallowing can cause a lot of irritation to the back of the throat, nausea and vomiting. There are a few long terms users who are able to swallow this excess saliva without any undue problems.
With cosmesis of an importance to the tobacco industry, user friendly products have been devised. Gone are the days when gobs of spit were common after use. The current day products come in all flavors and smells and the majority do not cause excess spit. One more tactic by the industry to lure more users.
Nicotine and Chemicals in Smokeless tobacco
Smokeless tobacco contains numerous chemicals with the potential of causing cancer. Despite all industry claims, nicotine is found in high concentration in all smokeless products and moist snuff has the highest nicotine content, whereas loose-leaf chewing tobacco has the lowest nicotine content. Numerous studies have shown that twice as much nicotine per dose from smokeless tobacco is absorbed per dose from smokeless tobacco than cigarettes. The nicotine which is ingested from the mouth stays longer in the body compared to smoking.
Exactly what the other additives are in smokeless tobacco are hard to know because there are so many products. These smokeless tobacco products are made in many different countries by many different companies with little regulation of their content. The additives, their composition, dose and purity remain unknown.
Dipping tobacco (also known as American moist snuff or spit tobacco) is a form of smokeless tobacco. Unlike chewing tobacco, Dip is 'pinched' out of the tin, and placed between the lower or upper lip and gums. The dip then stimulates saliva secretion and the nicotine in the tobacco is transferred by the saliva to the body. The effects of nicotine take about 20-30 minutes to take effect.
The dip always causing an excess of salivation. The saliva is best spit out because swallowing can cause a lot of irritation to the back of the throat, nausea and vomiting. There are a few long terms users who are able to swallow this excess saliva without any undue problems.
With cosmesis of an importance to the tobacco industry, user friendly products have been devised. Gone are the days when gobs of spit were common after use. The current day products come in all flavors and smells and the majority do not cause excess spit. One more tactic by the industry to lure more users.
Nicotine and Chemicals in Smokeless tobacco
Smokeless tobacco contains numerous chemicals with the potential of causing cancer. Despite all industry claims, nicotine is found in high concentration in all smokeless products and moist snuff has the highest nicotine content, whereas loose-leaf chewing tobacco has the lowest nicotine content. Numerous studies have shown that twice as much nicotine per dose from smokeless tobacco is absorbed per dose from smokeless tobacco than cigarettes. The nicotine which is ingested from the mouth stays longer in the body compared to smoking.
Exactly what the other additives are in smokeless tobacco are hard to know because there are so many products. These smokeless tobacco products are made in many different countries by many different companies with little regulation of their content. The additives, their composition, dose and purity remain unknown.
Smokeless Tobacco: “Can there be fire when there is no Smoke” Part 2
Only in the last 2 decades has there been a major thrust to reduce the morbidity and mortality of smoking.
Faced with increasing smoking bans and declining cigarette consumption in North America, the tobacco industry has been trying to discover newer smokeless tobacco products. The products have already initiated a lot of critic. The tobacco industry claims that these products enable one to stop smoking and are much safer- the tobacco antagonists on the other claim that these products are a mere alternative to smoking and just as addictive. Critics also claim that these products are attracting an increasing number of younger adults, many who have never smoked before. None of the companies is claiming that the new products are safer than cigarettes.
It is estimated that close to 10-12 million individuals in the USA use smokeless tobacco products. The term smokeless tobacco is used to define non smoking products such as dip, plug, chew, snuff or spit tobacco, refers to both chewing tobacco (coarse or fine cut). Snuff may be used in a dry form, which is inhaled nasally, or in the more commonly used moist form, which is placed in the mouth.
Over the past 2 decades, the popularity of oral smokeless products has rapidly especially among white males. Data from the US centers for disease control and prevention indicate that use of smokeless tobacco products is widespread across the nation and the percentage of male high school students users is increasing annually. The highest prevalence of smokeless tobacco use is in West Virginia, Arizona and Wyoming. The most surprising result of the data was that smokeless tobaccos use among older women was also increasing in most US states.
Current data indicates that the use of smokeless tobacco products begins relatively early in life for most users. Surveys indicate that children and high school students have experimented with these products as early as age 9. The majority of users claim to have started using these products at an early age and continue throughout life.
Smokeless tobacco goes by numerous synonym- smokeless tobacco, spit tobacco, chew, snuff, pinch, plug or dip — but whatever it is called it sure is not harmless. If one is led to believe all what the tobacco industry claims, then switch from cigarettes to smokeless tobacco is a godsend. However, be warned this is exactly what the tobacco industry claimed about cigarette 50 years ago. All Tobacco products are harmful; irrespective whether one inhales them, chews them or swallows them.
Faced with increasing smoking bans and declining cigarette consumption in North America, the tobacco industry has been trying to discover newer smokeless tobacco products. The products have already initiated a lot of critic. The tobacco industry claims that these products enable one to stop smoking and are much safer- the tobacco antagonists on the other claim that these products are a mere alternative to smoking and just as addictive. Critics also claim that these products are attracting an increasing number of younger adults, many who have never smoked before. None of the companies is claiming that the new products are safer than cigarettes.
It is estimated that close to 10-12 million individuals in the USA use smokeless tobacco products. The term smokeless tobacco is used to define non smoking products such as dip, plug, chew, snuff or spit tobacco, refers to both chewing tobacco (coarse or fine cut). Snuff may be used in a dry form, which is inhaled nasally, or in the more commonly used moist form, which is placed in the mouth.
Over the past 2 decades, the popularity of oral smokeless products has rapidly especially among white males. Data from the US centers for disease control and prevention indicate that use of smokeless tobacco products is widespread across the nation and the percentage of male high school students users is increasing annually. The highest prevalence of smokeless tobacco use is in West Virginia, Arizona and Wyoming. The most surprising result of the data was that smokeless tobaccos use among older women was also increasing in most US states.
Current data indicates that the use of smokeless tobacco products begins relatively early in life for most users. Surveys indicate that children and high school students have experimented with these products as early as age 9. The majority of users claim to have started using these products at an early age and continue throughout life.
Smokeless tobacco goes by numerous synonym- smokeless tobacco, spit tobacco, chew, snuff, pinch, plug or dip — but whatever it is called it sure is not harmless. If one is led to believe all what the tobacco industry claims, then switch from cigarettes to smokeless tobacco is a godsend. However, be warned this is exactly what the tobacco industry claimed about cigarette 50 years ago. All Tobacco products are harmful; irrespective whether one inhales them, chews them or swallows them.
Smokeless Tobacco: “Can there be fire when there is no Smoke”
Some facts are indisputable. Close to 50 million Americans smoke and about half a million die each year from smoking related health complications. These health complications include heart and lung disease, including lung cancer and emphysema. In addition life expectancy in smoker is reduced by at least 8 years in comparison to non smoker. The cost of looking after the health problems is in the billions annually.
With an increased recognition of the health related problems connected to smoking, a major thrust by the pharmaceutical industry over the past 4 decades has been the search for the ultimate drug to cure smoking related addiction.
Numerous drugs have been developed over the years to help stop smoking. This industry has just become as profitable as the manufacturers of tobacco related products because none of the products work. Both the nicotine patch (in variable doses) and bupropion are recommended in treating nicotine dependence, with an additive effect when used in combination. Other medications useful in treating nicotine dependence include nicotine nasal spray inhalers; nicotine gum; herbs, nutritional supplements and non tobacco snuff products containing mint, clover, alfalfa, and flavorings.
The majority of these products contain nicotine in variable doses and may help curb the craving effect after cessation of the tobacco product. The latest drug to have shown some benefit in decreasing tobaccos dependence is bupropion. A few studies do show that it may decrease the nicotine craving; however, there are just as many studies which show no effect. The major cause of failure is relapse after a few months.
With an increased recognition of the health related problems connected to smoking, a major thrust by the pharmaceutical industry over the past 4 decades has been the search for the ultimate drug to cure smoking related addiction.
Numerous drugs have been developed over the years to help stop smoking. This industry has just become as profitable as the manufacturers of tobacco related products because none of the products work. Both the nicotine patch (in variable doses) and bupropion are recommended in treating nicotine dependence, with an additive effect when used in combination. Other medications useful in treating nicotine dependence include nicotine nasal spray inhalers; nicotine gum; herbs, nutritional supplements and non tobacco snuff products containing mint, clover, alfalfa, and flavorings.
The majority of these products contain nicotine in variable doses and may help curb the craving effect after cessation of the tobacco product. The latest drug to have shown some benefit in decreasing tobaccos dependence is bupropion. A few studies do show that it may decrease the nicotine craving; however, there are just as many studies which show no effect. The major cause of failure is relapse after a few months.
Sunday, April 5, 2009
Mobility Scooters 101 Part 2
Make sure that the scooter you buy can be transported. If you use your scooter at work then you need to carry it in your car. If it is a large bulky scooter, you will have a hard time transporting it. Most of the latest designs of scooters have folding features which allow you to fold and store the scooter in the trunk of the car. For a frequent traveler, this feature is a major requirement
Get a scooter which is easy to use. The old mobility scooters had long handles and access to many parts can be difficult. Never buy a scooter without first trying it. Sit on it, ride it, and get the feel. The other feature of a scooter one needs to asses is how it operates; is it stable, can you maneuver the scooter in tight spaces and corner and can it go up an incline?
Further, for those who live in apartment, the mobility scooter must be capable of going backwards and turning in tight spaces. Always make sure the scooter is stable on all planes.
Comfort should be another feature to look for when buying a scooter. Make sure that the handlebars and seat height is adequate. Some large scooters also come with removable parts for easy transport. Most large scooters have many more features and are stable but can be difficult to store/transport. The more fancy scooters come with padded seats and many even have a back rest. The more accessories you add, the more expensive the scooter becomes.
For those who work or shop, one needs to get a scooter which can carry luggage. If you go grocery shopping, you need to the scooter to safely carry the bags. Determine what weight you can carry on the scooter. Most current scooters can carry a weight of 300-350 pounds. Some scooters even have a baggage comportment near the handlebars.
Cost: The cost is a major factor when buying a scooter. The least fancy ones cost around $600 and the more expensive one go above $1000. If you do not know what you want, go browse online and write to the reps. The last thing you should do is buy a scooter in a rush and find out that it does not have any of the above features
For more on mobility scooters, go to www.medexupply.com
Get a scooter which is easy to use. The old mobility scooters had long handles and access to many parts can be difficult. Never buy a scooter without first trying it. Sit on it, ride it, and get the feel. The other feature of a scooter one needs to asses is how it operates; is it stable, can you maneuver the scooter in tight spaces and corner and can it go up an incline?
Further, for those who live in apartment, the mobility scooter must be capable of going backwards and turning in tight spaces. Always make sure the scooter is stable on all planes.
Comfort should be another feature to look for when buying a scooter. Make sure that the handlebars and seat height is adequate. Some large scooters also come with removable parts for easy transport. Most large scooters have many more features and are stable but can be difficult to store/transport. The more fancy scooters come with padded seats and many even have a back rest. The more accessories you add, the more expensive the scooter becomes.
For those who work or shop, one needs to get a scooter which can carry luggage. If you go grocery shopping, you need to the scooter to safely carry the bags. Determine what weight you can carry on the scooter. Most current scooters can carry a weight of 300-350 pounds. Some scooters even have a baggage comportment near the handlebars.
Cost: The cost is a major factor when buying a scooter. The least fancy ones cost around $600 and the more expensive one go above $1000. If you do not know what you want, go browse online and write to the reps. The last thing you should do is buy a scooter in a rush and find out that it does not have any of the above features
For more on mobility scooters, go to www.medexupply.com
Mobility Scooters 101
Why does one need a mobility scooter?
Today, there are many individuals not only in North America but globally who have gait problems. The majority of these individuals are the elderly who are frail, have weak bones, joint disease or are simply too old to walk. These individuals need to get outside the home and for them a mobility scooter can be life saving.
What are common causes of gait problems?
There are many medical disorders which can affect an individual’s ability to walk. Some of the more common disorders that affect gait include stroke, diabetes, chronic back problems, multiple sclerosis, paraplegia (partial), severe arthritis and old age.
What are general options when one has gait problems?
There are several options for individuals who need to get around. For those who can still walk, a cane or a walker may suffice. However, there are some individuals who have little ability to walk far and for them mobility scooters are ideal
What are benefits of a mobility scooter?
There are several benefits of owning a scooter including giving one a sense of independence, restore confidence and allows him/her to live a life of quality.
How does one select a mobility scooter?
There are many types of mobility scooters on the market today. The choice is strictly personal and what one can afford. Most mobility scooters available on the market today are easy to use, light weight, portable, and compact. Many have decent power and can take you back and forth a fair distance. The latest mobility scooters are ultra light weight and can even be folded for transport in car or a van.
What does one need to know before buying a mobility scooter?
It is extremely important to get a light weight scooter. For individuals who live in apartment buildings or need to transport their scooters in a car, weight should be the foremost priority. Never get a scooter which is extremely heavy and cumbersome,. Most of the old scooters were extremely heavy, bulky and took up space. So look for something light weight, compact and easy to use.
Today, there are many individuals not only in North America but globally who have gait problems. The majority of these individuals are the elderly who are frail, have weak bones, joint disease or are simply too old to walk. These individuals need to get outside the home and for them a mobility scooter can be life saving.
What are common causes of gait problems?
There are many medical disorders which can affect an individual’s ability to walk. Some of the more common disorders that affect gait include stroke, diabetes, chronic back problems, multiple sclerosis, paraplegia (partial), severe arthritis and old age.
What are general options when one has gait problems?
There are several options for individuals who need to get around. For those who can still walk, a cane or a walker may suffice. However, there are some individuals who have little ability to walk far and for them mobility scooters are ideal
What are benefits of a mobility scooter?
There are several benefits of owning a scooter including giving one a sense of independence, restore confidence and allows him/her to live a life of quality.
How does one select a mobility scooter?
There are many types of mobility scooters on the market today. The choice is strictly personal and what one can afford. Most mobility scooters available on the market today are easy to use, light weight, portable, and compact. Many have decent power and can take you back and forth a fair distance. The latest mobility scooters are ultra light weight and can even be folded for transport in car or a van.
What does one need to know before buying a mobility scooter?
It is extremely important to get a light weight scooter. For individuals who live in apartment buildings or need to transport their scooters in a car, weight should be the foremost priority. Never get a scooter which is extremely heavy and cumbersome,. Most of the old scooters were extremely heavy, bulky and took up space. So look for something light weight, compact and easy to use.
Friday, April 3, 2009
Herniated Discs 101 part 2
Does everyone develop shrinkage of the herniated discs?
Yes, it is important to understand is that regardless of treatment type, spontaneous shrinkage does occur to some degree in all individuals.
How should herniated discs be treated?
The first treatment for herniated discs is always non surgical. This hold true as long as there is no loss of bowel or bladder control. If a surgeon recommends surgery before trying out any other therapies, you need to get a new physician.
How long does improvement take?
Generally the pain can be moderate/severe during an acute episode of disc herniation and last anywhere from 2-10 days. The majority of individuals will improve without any aggressive treatment. In most cases, this simply means rest and pain control. Gradual decrease in pain will occur over the next two months
What are treatment options for herniated discs?.
The currently available non surgical methods to treat herniated discs include:
- use of over the counter pain medications (Advil)
- use of prescription pain medications
- use of heat packs
- use of ice packs
- application of TENS
- Wearing braces or corsets
- Hydrotherapy once the pain has subsided
- Use of ultrasound
- traction devices to help ease pain and increase range of motion
- Stretching of muscles
- Aerobic exercises
Which treatment should a patient with herniated disc undergo first?
Most individuals should undergo a trial of one or more of above treatments for at least 3-9 months before any decision about surgery is made.
When should one undergo surgery for herniated disc?
If you can help it- avoid surgery. However, sometimes there is no choice. In any case, the decision to undergo surgery is complex and needs to be thoroughly discussed with the surgeon. You need to get a surgeon who is more interested in your back than the money. Plus, the surgeon must be competent. Thirdly check out the surgeon’s experience and record. Ask to talk to his/her former patients. And most important, get to know the procedure and its possible complications. Surgery for back pain has a very poor track record of success.
What types of surgery is available for herniated disc?
The two currently available surgical options for herniated discs include:
- minimally invasive surgery (small incisions)
- decompression surgery to remove pressure off the nerve
If you have a herniated disc, the best thing to do is have a consultation with a physician who specializes in back disorders.
Remember read about the procedure and surgery is always the last option. There are no refunds when things go wrong.
Yes, it is important to understand is that regardless of treatment type, spontaneous shrinkage does occur to some degree in all individuals.
How should herniated discs be treated?
The first treatment for herniated discs is always non surgical. This hold true as long as there is no loss of bowel or bladder control. If a surgeon recommends surgery before trying out any other therapies, you need to get a new physician.
How long does improvement take?
Generally the pain can be moderate/severe during an acute episode of disc herniation and last anywhere from 2-10 days. The majority of individuals will improve without any aggressive treatment. In most cases, this simply means rest and pain control. Gradual decrease in pain will occur over the next two months
What are treatment options for herniated discs?.
The currently available non surgical methods to treat herniated discs include:
- use of over the counter pain medications (Advil)
- use of prescription pain medications
- use of heat packs
- use of ice packs
- application of TENS
- Wearing braces or corsets
- Hydrotherapy once the pain has subsided
- Use of ultrasound
- traction devices to help ease pain and increase range of motion
- Stretching of muscles
- Aerobic exercises
Which treatment should a patient with herniated disc undergo first?
Most individuals should undergo a trial of one or more of above treatments for at least 3-9 months before any decision about surgery is made.
When should one undergo surgery for herniated disc?
If you can help it- avoid surgery. However, sometimes there is no choice. In any case, the decision to undergo surgery is complex and needs to be thoroughly discussed with the surgeon. You need to get a surgeon who is more interested in your back than the money. Plus, the surgeon must be competent. Thirdly check out the surgeon’s experience and record. Ask to talk to his/her former patients. And most important, get to know the procedure and its possible complications. Surgery for back pain has a very poor track record of success.
What types of surgery is available for herniated disc?
The two currently available surgical options for herniated discs include:
- minimally invasive surgery (small incisions)
- decompression surgery to remove pressure off the nerve
If you have a herniated disc, the best thing to do is have a consultation with a physician who specializes in back disorders.
Remember read about the procedure and surgery is always the last option. There are no refunds when things go wrong.
Herniated Discs 101
What is a herniated disc?
A herniated disc is one of the most common reasons for long term disability in young people in North America. Basically, all of us have a jelly like substance in our vertebral joints. For some unknown reason (e.g. trauma, heavy lifting) this jelly-like substance leaks and impinges on the nerves which are leaving the spinal cord. When the nerves are pinched or compressed, the patient feels pain. When a herniated disc develops, it can limit how an individuals functions on a daily basis- the chief reason is because of continuous pain. The pain is a dull ache which often radiates to the back of the legs.
How is diagnosis of herniated disc made?
The diagnosis of a herniated disc can be made very easily with an MRI. However, even with a diagnosis, the treatment is somewhat difficult. There is no one type of treatment that works in everyone. Even the same treatment may not work in the future. For most patients with back pain, the treatment has to be individualized. Unfortunately, most health care professionals simply write a pain prescription, send you to a physical therapy exercise (owned by the physician), and then recommend surgery.
Who makes decision about treatment?
In general both the patient and physician should discuss the issue. However, since many patients do not know of all the options, they are at a major disadvantage. Physicians in general will recommend therapies which they know or therapies which are expensive
Can herniated discs occur in the neck?
Sure, herniated discs in the neck are common. But it is herniated discs in lower back that are frequently more disabling that those seen in the neck region.
Can the pain resolve on its own?
Definitely, if one is patient enough, pain from herniated discs will subside with time. In the majority of cases this may take anywhere from 4-6 weeks. Of course, you will need some pain medications for the first few weeks. Once the pain has diminished, one can start physical therapy.
Over time, the herniated disc will shrink and limit the compression on the nerves. Shrinkage of the herniated disc can take anywhere from 4-6 weeks. That is why it is extremely important not to undergo any surgery before this time.
A herniated disc is one of the most common reasons for long term disability in young people in North America. Basically, all of us have a jelly like substance in our vertebral joints. For some unknown reason (e.g. trauma, heavy lifting) this jelly-like substance leaks and impinges on the nerves which are leaving the spinal cord. When the nerves are pinched or compressed, the patient feels pain. When a herniated disc develops, it can limit how an individuals functions on a daily basis- the chief reason is because of continuous pain. The pain is a dull ache which often radiates to the back of the legs.
How is diagnosis of herniated disc made?
The diagnosis of a herniated disc can be made very easily with an MRI. However, even with a diagnosis, the treatment is somewhat difficult. There is no one type of treatment that works in everyone. Even the same treatment may not work in the future. For most patients with back pain, the treatment has to be individualized. Unfortunately, most health care professionals simply write a pain prescription, send you to a physical therapy exercise (owned by the physician), and then recommend surgery.
Who makes decision about treatment?
In general both the patient and physician should discuss the issue. However, since many patients do not know of all the options, they are at a major disadvantage. Physicians in general will recommend therapies which they know or therapies which are expensive
Can herniated discs occur in the neck?
Sure, herniated discs in the neck are common. But it is herniated discs in lower back that are frequently more disabling that those seen in the neck region.
Can the pain resolve on its own?
Definitely, if one is patient enough, pain from herniated discs will subside with time. In the majority of cases this may take anywhere from 4-6 weeks. Of course, you will need some pain medications for the first few weeks. Once the pain has diminished, one can start physical therapy.
Over time, the herniated disc will shrink and limit the compression on the nerves. Shrinkage of the herniated disc can take anywhere from 4-6 weeks. That is why it is extremely important not to undergo any surgery before this time.
Fecal Incontinence and Dietary Changes
In many cases there is no effective treatment for fecal incontinence. Sometimes an individual may have a stroke or permanent injury to the rectal area and no treatment can completely reverse the incontinence. In such cases, one can still do a few things to better control bowel movements and prevent skin from breaking down.
The first thing all patients with fecal incontinence should do is alter their diet
One must eat the right foods to correct fecal incontinence and this simple maneuver alone can lead to a marked improvement in symptoms.
Make a list of foods you eat and observe when you get more incontinence over a month. This way you will be able to get rid of foods in your diet that make your condition worse. Often many people find out that it is only certain foods that worsen incontinence. Once you know which foods worsen your incontinence, you can stop eating them.
In general, foods that cause create a lot of gas and diarrhea worsen fecal incontinence. These foods generally include processed foods, oriental spices, fatty and oily foods, many soda beverages and dairy products (in individuals who are lactose intolerant).
Excess consumption of alcohol, artificial sweeteners, or cola beverages can also stimulate bowel movements and worsen incontinence.
Try and eat a number of small meals rather than 3-4 large meals. Large meals often stimulate the bowels resulting in diarrhea.
One of the best dietary products recommended for individuals with fecal incontinence is fiber. Fiber can increase bulk, soften stool and leads to slower bowel movements. Fiber containing foods are not expensive and include fruits, vegetables whole grains, and cereals. An average of 20-30 gr of fiber a day is ample. If you add too much fiber in the diet, the side effects will be too much gas, bloating and even diarrhea. If you go slow, then more fiber can be added to the diet.
One should drink an average of 6-8 glasses of water to keep the stools from becoming hard.
Sometimes if an individual has diarrhea, one may need medications to reduce bowel motility. While Loperamide (Imodium) is an excellent drug, it can also induce severe constipation. For those who are chronically constipated, one can try milk of magnesia or Senna. One of the things to note is that medications should be avoided whenever possible. Medications always induce a cycle of constipation/diarrhea and never cure the fecal incontinence. Before starting out on medications, one should try changes in diet to resolve the constipation or diarrhea. Once dietary changes are made, most individuals find that fecal incontinence is less and tolerable
For fecal incontinence supplies, please visit www.medexsupply.com
The first thing all patients with fecal incontinence should do is alter their diet
One must eat the right foods to correct fecal incontinence and this simple maneuver alone can lead to a marked improvement in symptoms.
Make a list of foods you eat and observe when you get more incontinence over a month. This way you will be able to get rid of foods in your diet that make your condition worse. Often many people find out that it is only certain foods that worsen incontinence. Once you know which foods worsen your incontinence, you can stop eating them.
In general, foods that cause create a lot of gas and diarrhea worsen fecal incontinence. These foods generally include processed foods, oriental spices, fatty and oily foods, many soda beverages and dairy products (in individuals who are lactose intolerant).
Excess consumption of alcohol, artificial sweeteners, or cola beverages can also stimulate bowel movements and worsen incontinence.
Try and eat a number of small meals rather than 3-4 large meals. Large meals often stimulate the bowels resulting in diarrhea.
One of the best dietary products recommended for individuals with fecal incontinence is fiber. Fiber can increase bulk, soften stool and leads to slower bowel movements. Fiber containing foods are not expensive and include fruits, vegetables whole grains, and cereals. An average of 20-30 gr of fiber a day is ample. If you add too much fiber in the diet, the side effects will be too much gas, bloating and even diarrhea. If you go slow, then more fiber can be added to the diet.
One should drink an average of 6-8 glasses of water to keep the stools from becoming hard.
Sometimes if an individual has diarrhea, one may need medications to reduce bowel motility. While Loperamide (Imodium) is an excellent drug, it can also induce severe constipation. For those who are chronically constipated, one can try milk of magnesia or Senna. One of the things to note is that medications should be avoided whenever possible. Medications always induce a cycle of constipation/diarrhea and never cure the fecal incontinence. Before starting out on medications, one should try changes in diet to resolve the constipation or diarrhea. Once dietary changes are made, most individuals find that fecal incontinence is less and tolerable
For fecal incontinence supplies, please visit www.medexsupply.com
Wednesday, March 25, 2009
Humidifiers 101 part 3
Home care of humidifiers:
Regularly empty the tank wipe the surfaces with a cloth and refill with water. Make sure you unplug the device from the power supply before you attempt the cleaning
Try and use water with lower mineral content to prevent build up of residue
Follow the instructions recommended by the manufacture regarding cleaning and use of filters
Remember the steam humidifiers do get hot and emit a warm steam which can easily cause a burn- so keep children away from the device
Try not to humidify the home to more than 50 percent. There are a variety of thermostats available which can give you a reading of humidity
If you see water condensing on your windows every time you use a humidifier, you need to decrease the levels of use
Check for dampness around the machine, if excess humidity occurs, it will wet the carpets and ruin your furniture
When the humidifier is not in use, store it away dry
If you develop worsening of your respiratory problems, stop using the humidifier and see a health care professional.
Humidifiers have been around for many years and generally are very safe. For the most effective use of your humidifier, follow the recommendations made by the manufacturer.
For more on humidifiers for medical use, please visit www.medexsupply.com
Regularly empty the tank wipe the surfaces with a cloth and refill with water. Make sure you unplug the device from the power supply before you attempt the cleaning
Try and use water with lower mineral content to prevent build up of residue
Follow the instructions recommended by the manufacture regarding cleaning and use of filters
Remember the steam humidifiers do get hot and emit a warm steam which can easily cause a burn- so keep children away from the device
Try not to humidify the home to more than 50 percent. There are a variety of thermostats available which can give you a reading of humidity
If you see water condensing on your windows every time you use a humidifier, you need to decrease the levels of use
Check for dampness around the machine, if excess humidity occurs, it will wet the carpets and ruin your furniture
When the humidifier is not in use, store it away dry
If you develop worsening of your respiratory problems, stop using the humidifier and see a health care professional.
Humidifiers have been around for many years and generally are very safe. For the most effective use of your humidifier, follow the recommendations made by the manufacturer.
For more on humidifiers for medical use, please visit www.medexsupply.com
Humidifiers 101 part 2
There are four basic types of humidifiers:
Ultrasonic machines which create a cool aerosolized mist by means of ultrasonic vibrations
Impeller devices can generate a soothing cool mist by a fast spinning disk
Evaporative devices, which blows moisture into the surrounding air with the use of fan. The fan blows on a moist wick or filter and fine water droplets are created which disperse in the room
Steam vaporizer devices create water vapor by heating the water with electrodes. The water mist in this case is warm. Some of these devices also cool the mist before it leaves the device.
How to use the humidifiers
Devices like the evaporative and steam vaporizer allow water to stand for long periods and this allows growth of mold and other organism. There is evidence from the Environmental Protection Agency (EPA) that certain ultrasonic and impeller (or “cool mist”) humidifiers can transmit materials like mold, dust mites, microorganism from the tank into the indoor environment. However, the consumer should rest assured that so far no one has shown that dispersal of these materials is harmful to health. In any case, precaution is advised.
Therefore, all consumers who use humidifiers should get in the habit of regularly taking care of these machines. Besides regularly adding clean water, the tanks should be cleaned at least once a week and the old water thrown away. There is absolutely no need to use any special sprays, soaps, or detergents to wash these portable devices. Just throw the old water, dry the device and it is ready to be used again. Another advice is to use water with low mineral content. The type of water may be of concern to individuals who have allergies, smokers or those with other lung ailments
There are a lot of myths about tap water. No one has yet proven that tap water used in humidifiers causes any illness. As long as you do not use contaminated or dirty water, there is no reason why tap water cannot be used.
Tap water sometimes does contain materials that precipitates on the surfaces and appears like white dust. Some experts claim that this will be a breeding ground for organisms- just a speculation so far.
For those who are overly concerned bout the water they use, bottle water labeled distilled is recommended by the EPA. The distilled water contains less minerals and retards growth of organism. For those who prefer to use tap water, consider the use of demineralized cartridges or filters as recommended by the manufacturer of the humidifier.
All consumers should note that it is important to use the humidifier only when required. There is always a possibility that humidifiers can disperse microorganism so care should be exercised.
Individuals who use Nebulizers often need humidification and there are a variety of micro humidifiers and accessories available for such use.
Ultrasonic machines which create a cool aerosolized mist by means of ultrasonic vibrations
Impeller devices can generate a soothing cool mist by a fast spinning disk
Evaporative devices, which blows moisture into the surrounding air with the use of fan. The fan blows on a moist wick or filter and fine water droplets are created which disperse in the room
Steam vaporizer devices create water vapor by heating the water with electrodes. The water mist in this case is warm. Some of these devices also cool the mist before it leaves the device.
How to use the humidifiers
Devices like the evaporative and steam vaporizer allow water to stand for long periods and this allows growth of mold and other organism. There is evidence from the Environmental Protection Agency (EPA) that certain ultrasonic and impeller (or “cool mist”) humidifiers can transmit materials like mold, dust mites, microorganism from the tank into the indoor environment. However, the consumer should rest assured that so far no one has shown that dispersal of these materials is harmful to health. In any case, precaution is advised.
Therefore, all consumers who use humidifiers should get in the habit of regularly taking care of these machines. Besides regularly adding clean water, the tanks should be cleaned at least once a week and the old water thrown away. There is absolutely no need to use any special sprays, soaps, or detergents to wash these portable devices. Just throw the old water, dry the device and it is ready to be used again. Another advice is to use water with low mineral content. The type of water may be of concern to individuals who have allergies, smokers or those with other lung ailments
There are a lot of myths about tap water. No one has yet proven that tap water used in humidifiers causes any illness. As long as you do not use contaminated or dirty water, there is no reason why tap water cannot be used.
Tap water sometimes does contain materials that precipitates on the surfaces and appears like white dust. Some experts claim that this will be a breeding ground for organisms- just a speculation so far.
For those who are overly concerned bout the water they use, bottle water labeled distilled is recommended by the EPA. The distilled water contains less minerals and retards growth of organism. For those who prefer to use tap water, consider the use of demineralized cartridges or filters as recommended by the manufacturer of the humidifier.
All consumers should note that it is important to use the humidifier only when required. There is always a possibility that humidifiers can disperse microorganism so care should be exercised.
Individuals who use Nebulizers often need humidification and there are a variety of micro humidifiers and accessories available for such use.
Humidifiers 101
Humidity is defined as the amount of moisture (water vapor) in the environmental air. Most individuals feel comfortable when the relative humidity averages between 35-60 percent. When the humidity gets low like in the winter, many individuals will develop a dry mouth, dry itchy skin, lips, and throat. Low humidity also causes damage to the home by increasing static electricity, cracks in the walls, floors, and peeling of wallpaper. On the other hand, high humidity can cause difficulty breathing nasal congestion, extreme stickiness of the body. Persistent high humidity also causes mold and dust mites to thrive. These mild and dust mites later cause problems with allergies and generalized illness. To make the home environment more comfortable, one either adds or decreases humidity
Today, there are a variety of thermometers which can immediately indicate the humidity in the home.
The most convenient way of adding moisture to the home air is with the use of a home humidifier. Individuals who use bronchodilator medications or have lung disorders like COPD, Emphysema or cystic fibrosis may benefit significantly from the use of humidifiers. For those individuals who do not have an already installed humidifier with the AC, there are a variety of portable devices available
Today, there are a variety of thermometers which can immediately indicate the humidity in the home.
The most convenient way of adding moisture to the home air is with the use of a home humidifier. Individuals who use bronchodilator medications or have lung disorders like COPD, Emphysema or cystic fibrosis may benefit significantly from the use of humidifiers. For those individuals who do not have an already installed humidifier with the AC, there are a variety of portable devices available
Hypollaergenic Pillows
Pillows are rarely discussed in public, but when it comes to a comfortable night of sleep, a good pillow is vital. Most people do not realize how important a pillow is until they go and sleep elsewhere for the night. The other point of note about pillows is that they do get old and need changing every few years. Pillows are a magnet for dust mites and even mold. For the individual with allergy, it is vital that one buy a hypoallergenic pillow.
There are many factors involved when it comes to buying a pillow. Some individuals like the pillow to be soft, others want it firm, and some want it in the middle.
Over the years, it has become known that individuals with allergy can fare much better when they buy a hypoallergenic pillow. These specially designed pillows are made of fabric that is dust and mite proof. The fabric is tightly weaved decreasing the space for mites to crawl into. Individuals who use hypoallergenic pillows notice an immediate decrease in sneezing, runny eyes, and dry cough first thing in the morning.
Hypoallergenic pillows are made from 100% polyester. To further protect you from allergies, there are also pillow covers that provide a barrier to dust mites and many other allergens. The hypoallergenic pillows are machine washable and easily last 2-3 years.
One of the best allergy free pillows is the Duro-Med Stress-Ease. It also provides excellent neck support and is ideal for individuals who have suffered whiplash injury or have neck sprains. The average cost of hypoallergenic pillows starts around $15-$30.
For more on hypoallergenic pillows, visit www.medexsupply.com
There are many factors involved when it comes to buying a pillow. Some individuals like the pillow to be soft, others want it firm, and some want it in the middle.
Over the years, it has become known that individuals with allergy can fare much better when they buy a hypoallergenic pillow. These specially designed pillows are made of fabric that is dust and mite proof. The fabric is tightly weaved decreasing the space for mites to crawl into. Individuals who use hypoallergenic pillows notice an immediate decrease in sneezing, runny eyes, and dry cough first thing in the morning.
Hypoallergenic pillows are made from 100% polyester. To further protect you from allergies, there are also pillow covers that provide a barrier to dust mites and many other allergens. The hypoallergenic pillows are machine washable and easily last 2-3 years.
One of the best allergy free pillows is the Duro-Med Stress-Ease. It also provides excellent neck support and is ideal for individuals who have suffered whiplash injury or have neck sprains. The average cost of hypoallergenic pillows starts around $15-$30.
For more on hypoallergenic pillows, visit www.medexsupply.com
Friday, March 20, 2009
Pulse Oximeters part 3
In general, the pulse oxygen saturation in normal people should be above 95%. In patients with lung disease and heart disease, the oxygen saturation may be lower. When the pulse oximeter reads less than 88%, the individual has signs of respiratory distress.
Pulse oximeters available today are very sensitive and reliable. The degree of accuracy has led to their widespread use not only in the hospital setting, but also for use in ambulatory medicine, outpatient or walk in clinics and even at home.
Advances in Oximetry have now led to the development of devices which can also measure the levels of carbon dioxide at the skin level. The pulse oximeter had been of a tremendous advance in medicine and serves as a vital tool for monitoring the oxygen status of an individual. The cost of pulse Oximetry is variable depending on the type one wants. The price ranges from $170-$950
For more on pulse oximeters, please visit www.medexsupply.com
Pulse oximeters available today are very sensitive and reliable. The degree of accuracy has led to their widespread use not only in the hospital setting, but also for use in ambulatory medicine, outpatient or walk in clinics and even at home.
Advances in Oximetry have now led to the development of devices which can also measure the levels of carbon dioxide at the skin level. The pulse oximeter had been of a tremendous advance in medicine and serves as a vital tool for monitoring the oxygen status of an individual. The cost of pulse Oximetry is variable depending on the type one wants. The price ranges from $170-$950
For more on pulse oximeters, please visit www.medexsupply.com
Pulse Oximeters
Pulse Oximetry is sometimes not accurate in the following situations:
1. During shock when the blood vessels are constricted and
there is no pulse. Other conditions where the pulse may
be absent included dehydration, heart failure, low blood
volume, excessive blood loss, peripheral vascular disease
and some heart problems
2. Bright lights in the room can sometimes interfere with
the accuracy of the oximeter.
3. The oximeter may also be influenced in the operating room
when the surgeon uses a diathermy or other electronic
equipment.
4. Those individual who are shivering or have a tremor may
give unreliable readings
5. Nail varnish/polish can also cause erroneously low
readings.
1. During shock when the blood vessels are constricted and
there is no pulse. Other conditions where the pulse may
be absent included dehydration, heart failure, low blood
volume, excessive blood loss, peripheral vascular disease
and some heart problems
2. Bright lights in the room can sometimes interfere with
the accuracy of the oximeter.
3. The oximeter may also be influenced in the operating room
when the surgeon uses a diathermy or other electronic
equipment.
4. Those individual who are shivering or have a tremor may
give unreliable readings
5. Nail varnish/polish can also cause erroneously low
readings.
Pulse Oximeters
Oximetry is a simple non invasive medical procedure used to measure the concentration of oxygen in the blood. Oximetry is widely used in the hospital care setting to assess individuals who have a variety of medical disorders. The measurement of oxygen is done by an oximeter which is a photoelectric device. The majority of oximeters are small, portable and reusable.
The oximeter can be placed on the finger tip, ear lobe or the toes on the feet. Pulse oximters are so called because they react only to pulsations of the blood vessels.
Pulse oximeters are an absolute must in all ICU, neonatal units, Emergency rooms. CCU units and the operating room. Many times, these devices are used on the general medical floor to assess the breathing status of a patient. The majority of patients with moderate to severe heart and lung problems need pulse Oximetry.
The pulse oximeters work by passing a beam of red and infrared light though a pulsating blood vessel. The ratio of red to infra red blood light transmitted provides a measure of the oxygen saturation of the blood. The oximeter notices the pulse and then deducts the intensity of color perceived when the pulse is absent. The residual intensity of color corresponds to only the oxygenated red blood. This is shown on the electronic screen as a percentage of oxygen saturation in the blood.
The oximeter can be placed on the finger tip, ear lobe or the toes on the feet. Pulse oximters are so called because they react only to pulsations of the blood vessels.
Pulse oximeters are an absolute must in all ICU, neonatal units, Emergency rooms. CCU units and the operating room. Many times, these devices are used on the general medical floor to assess the breathing status of a patient. The majority of patients with moderate to severe heart and lung problems need pulse Oximetry.
The pulse oximeters work by passing a beam of red and infrared light though a pulsating blood vessel. The ratio of red to infra red blood light transmitted provides a measure of the oxygen saturation of the blood. The oximeter notices the pulse and then deducts the intensity of color perceived when the pulse is absent. The residual intensity of color corresponds to only the oxygenated red blood. This is shown on the electronic screen as a percentage of oxygen saturation in the blood.
Tuesday, March 17, 2009
Treating lymphedema with compression stockings
Lymphedema is a chronic debilitating disorder with no cure. The basic problem with lymphedema is that the small vessels (lymphatics) that collect all the fluid from tissues and transport it to the large vessels get blocked or obstructed. In some cases, the cause of blockage is a cancer, surgical trauma or in other cases, the vessels have been blocked since birth.
In any case, one of the most effective treatments for this disorder is use of compressive garment and sequential compression pumps.
Compressive garments can help when they are worn on a regular basis. Wearing a compression bandage is a poor person’s version of a compression garment. The bandages often fall off, become loose, and one cannot control the amount of compression. Moreover, compression bandages always lose their elasticity after multiple uses.
For the individual who can afford compression garments, the stockings are ideal. There are many types of compression stockings available today. These stockings come in all styles, designs, sizes, and grades of pressure. It is very important for a consumer to get the proper size of stocking. The chief reason why many consumers fail to get benefit from these stockings is that they buy stockings which are either too small (and hence too tight) or too large. One needs to get size of the extremity measured and get the right fit.
Once the stockings are bought, they must be worn religiously, everyday. The stocking can be removed at night. When stocking are worn as prescribed, they will feel comfortable and work immediately. The stockings are made in such a way that they are tighter at the toe and then have less pressure along the length. This helps squeeze the muscles and push the fluid out of the tissues.
When stockings are worn regularly, most people see relief of their lymphedema in a few weeks. As the size of the extremity decreases, one should get another pair of stockings. Stockings for lymph edema are life long.
These same stockings also prevent varicose veins, blood clots, and formation of ulcers on the extremities.
To get the best use out of your stockings, hands wash them and air-dry them.
A decent pair of garment compression stockings usually costs anywhere from $7-$10. These stockings are generally available at a lower price from medical suppliers rather than going to a fashion store or a pharmacy
For more on compression stockings, please visit, www.medexsupply.com
In any case, one of the most effective treatments for this disorder is use of compressive garment and sequential compression pumps.
Compressive garments can help when they are worn on a regular basis. Wearing a compression bandage is a poor person’s version of a compression garment. The bandages often fall off, become loose, and one cannot control the amount of compression. Moreover, compression bandages always lose their elasticity after multiple uses.
For the individual who can afford compression garments, the stockings are ideal. There are many types of compression stockings available today. These stockings come in all styles, designs, sizes, and grades of pressure. It is very important for a consumer to get the proper size of stocking. The chief reason why many consumers fail to get benefit from these stockings is that they buy stockings which are either too small (and hence too tight) or too large. One needs to get size of the extremity measured and get the right fit.
Once the stockings are bought, they must be worn religiously, everyday. The stocking can be removed at night. When stocking are worn as prescribed, they will feel comfortable and work immediately. The stockings are made in such a way that they are tighter at the toe and then have less pressure along the length. This helps squeeze the muscles and push the fluid out of the tissues.
When stockings are worn regularly, most people see relief of their lymphedema in a few weeks. As the size of the extremity decreases, one should get another pair of stockings. Stockings for lymph edema are life long.
These same stockings also prevent varicose veins, blood clots, and formation of ulcers on the extremities.
To get the best use out of your stockings, hands wash them and air-dry them.
A decent pair of garment compression stockings usually costs anywhere from $7-$10. These stockings are generally available at a lower price from medical suppliers rather than going to a fashion store or a pharmacy
For more on compression stockings, please visit, www.medexsupply.com
Saturday, February 28, 2009
Bath Lifts Part 2
Almost all the newly designed bath lifts can be installed in less than an hour. Once installed, the device can be used immediately. There are both manual and automatic lifts. The manual lifts cost slightly less but one needs to use hands to raise and lower the lift. The automatic lifts have buttons. One button lifts you up and the other brings you down.
All bath lifts have a seat and many have straps to keep you steady. The majority of automatic lifts come with a safety measure. The lift will only operate if it has enough battery power. This is to prevent you from getting stranded in the bathtub. Some bath lifts come with a small battery and a recharging unit.
For those who really like having a bath, the bath lifts also come with a reclining back wall and adjustable seat. The reclining features allow you to sit back and enjoy the shower. Some of them even come with side arms to protect you while you shower. Of course, you pay a little more to have these added features- but still a lot cheaper than renovating the bathroom.
There are also bath lifts which do not use electrical power but hydraulics or water pressure to lift you.
Unlike the old days, the modern day bath lifts are lightweight, waterproof, easy to maintain and durable.
Most bath lifts are designed to lift individuals who weigh anywhere from 200-300 pounds. Many bath lifts come with accessories like a seat belt, wedge cushion, head rest and bath step. All bath lifts come with some type of warranty.
The cost of bath lifts is not prohibitive. The cheapest bath lifts sell anywhere from $ 600 and above. The upper end bath lifts like the Guardian Tublift cost about 1,000. It only weighs 19 pounds but can lift close to 200 pounds. The seat also rotates and has connections for a tub spout fixture.
For more on bathlifts, please visit www.medexsupply.com
All bath lifts have a seat and many have straps to keep you steady. The majority of automatic lifts come with a safety measure. The lift will only operate if it has enough battery power. This is to prevent you from getting stranded in the bathtub. Some bath lifts come with a small battery and a recharging unit.
For those who really like having a bath, the bath lifts also come with a reclining back wall and adjustable seat. The reclining features allow you to sit back and enjoy the shower. Some of them even come with side arms to protect you while you shower. Of course, you pay a little more to have these added features- but still a lot cheaper than renovating the bathroom.
There are also bath lifts which do not use electrical power but hydraulics or water pressure to lift you.
Unlike the old days, the modern day bath lifts are lightweight, waterproof, easy to maintain and durable.
Most bath lifts are designed to lift individuals who weigh anywhere from 200-300 pounds. Many bath lifts come with accessories like a seat belt, wedge cushion, head rest and bath step. All bath lifts come with some type of warranty.
The cost of bath lifts is not prohibitive. The cheapest bath lifts sell anywhere from $ 600 and above. The upper end bath lifts like the Guardian Tublift cost about 1,000. It only weighs 19 pounds but can lift close to 200 pounds. The seat also rotates and has connections for a tub spout fixture.
For more on bathlifts, please visit www.medexsupply.com
Bath Lifts Part 1
In North America the majority of homes have always had bathtubs. Showers are a relatively new comer in homes. However, there are millions of individuals who for some reason or another are simply not able to use their bathtub. These individuals have had a prior stroke, are not able to use their hands or legs, some are confined to a wheel chair, others are frail and many just do not have the strength to get inside the bathtub. One of the most common areas in the home where elderly often fall and injure themselves is the bathroom.
For years, these individuals have had limited options. For some who could afford it, the only way to use the bathtub was to perform costly renovations. These renovations meant spending a large amount of money that is not always available. Moreover, considering today’s economy, the investment is not worth it.
Well, now there are some better options for individuals who want to use their bathtub without spending too much money.
Various types of bath lifts have been designed for use in the home.
The bath lifts are easy to use, do not require a lot of workmanship to install and come in all styles and designs. The majority of bath lifts work in a similar fashion. One sits on the lift, it raises the individual and swings over to the tub.
One does not need to breakdown the home or the bathroom to get these lifts installed. There are no large holes, digging, drilling, or breaking down the toilet.
For years, these individuals have had limited options. For some who could afford it, the only way to use the bathtub was to perform costly renovations. These renovations meant spending a large amount of money that is not always available. Moreover, considering today’s economy, the investment is not worth it.
Well, now there are some better options for individuals who want to use their bathtub without spending too much money.
Various types of bath lifts have been designed for use in the home.
The bath lifts are easy to use, do not require a lot of workmanship to install and come in all styles and designs. The majority of bath lifts work in a similar fashion. One sits on the lift, it raises the individual and swings over to the tub.
One does not need to breakdown the home or the bathroom to get these lifts installed. There are no large holes, digging, drilling, or breaking down the toilet.
Friday, February 20, 2009
What causes Stools to become black?
Some individuals go to the bathroom and notice their stools are black. Often they may also smell terrible. While some stools can be dark, others can be maroon or very red. When stools have a dark color, this is often an indication of the presence of blood. The blood may have come from anywhere from the digestive tract. Dark stools often result because of combination with blood and acid. This commonly happens when someone has an ulcer in the stomach which is bleeding slowly. The blood has enough time to mix with the stools and turns them black. When blood is present in black colored stools it is often referred to as melena.
Blood in the stools can come from anywhere in the digestive tract. Small amounts of blood which are not visible with the naked eye can only be detected with a fecal occult blood test. If the fecal occult test confirms the presence of blood in stools, then the source of bleeding must be identified. The most common causes of black stools are due to bleeding from the esophagus or a stomach ulcer.
When stools have bright blood on them, the source of blood is usually in the colon or rectum. Causes of bright red blood include hemorrhoids, diverticulitis, inflammatory bowel disease and cancers.
Non medical causes of dark stools include ingestion of black licorice, iron pills, pepto bismol or blueberries. There are a variety of foods that can mimic blood in the stools. These include broccoli, cabbage, cauliflower, cucumber, vitamin C, potatoes and horse radish.
Drugs which one must be avoided prior to testing include aspirin and any blood thinners like warfarin or coumadin.
In any case, once blood has been identified in the stools, it is imperative that the health care worker determine the source. In general, the causes of black stool usually reside higher up in the esophagus and stomach. Thus, one may undergo an endoscopy (flexible scope with a camera) or some type of a radiological test (barium swallow). If it is suspected that you may have a bleeding problem in the colon, then a barium enema or a colonoscopy may be the next step.
For those of you who have dark stools and are concerned about the presence of blood, the occult fecal blood test kits are readily available and easy to use. The fecal blood test is relatively inexpensive and the kits costs anywhere form $10-$25. Some insurance carriers and Medicare do cover the costs of fecal blood testing.
For more information on kits to check for blood in the stools, please visit www.medexsupply.com
Blood in the stools can come from anywhere in the digestive tract. Small amounts of blood which are not visible with the naked eye can only be detected with a fecal occult blood test. If the fecal occult test confirms the presence of blood in stools, then the source of bleeding must be identified. The most common causes of black stools are due to bleeding from the esophagus or a stomach ulcer.
When stools have bright blood on them, the source of blood is usually in the colon or rectum. Causes of bright red blood include hemorrhoids, diverticulitis, inflammatory bowel disease and cancers.
Non medical causes of dark stools include ingestion of black licorice, iron pills, pepto bismol or blueberries. There are a variety of foods that can mimic blood in the stools. These include broccoli, cabbage, cauliflower, cucumber, vitamin C, potatoes and horse radish.
Drugs which one must be avoided prior to testing include aspirin and any blood thinners like warfarin or coumadin.
In any case, once blood has been identified in the stools, it is imperative that the health care worker determine the source. In general, the causes of black stool usually reside higher up in the esophagus and stomach. Thus, one may undergo an endoscopy (flexible scope with a camera) or some type of a radiological test (barium swallow). If it is suspected that you may have a bleeding problem in the colon, then a barium enema or a colonoscopy may be the next step.
For those of you who have dark stools and are concerned about the presence of blood, the occult fecal blood test kits are readily available and easy to use. The fecal blood test is relatively inexpensive and the kits costs anywhere form $10-$25. Some insurance carriers and Medicare do cover the costs of fecal blood testing.
For more information on kits to check for blood in the stools, please visit www.medexsupply.com
Wednesday, February 18, 2009
Buying a mobility Scooter- Part 2
Mobility scooters are not for all individuals. Before buying this ambulatory device, one should be assessed by a physical or rehabilitative therapist. it is important that one have some finger and hand dexterity, be able to sit up for a few hours, have good vision, be able to coordinate various arm and head movements and have proper balance. Individuals who can’t sit up straight should not get a scooter.
Driving a mobility scooter does not require a great deal of strength, but one is required to have the ability to bend the arms, hand and use the fingers. The most difficult part is to steer the scooter. Individuals who have poor vision and have moderate cognitive impairment or have little awareness of the safety issues should not drive a scooter.
One should not buy a mobility scooter simply because one can’t walk. You should know what you intend to use the scooter for and where you intend to travel. If you plan to take the scooter in your car/van, you must have facilities to carry the equipment in the automobile.
The answers to the above questions are not difficult but it is essential to talk to other people who have mobility scooters. This way you are prepared for the difficulties. Most physicians and physical therapists are very familiar with these ambulatory devices and can answer most of your questions. Always get a physical assessment before you buy a scooter, perhaps you may be fine with a cane or a walker and it will save you money.
Mobility scooters come in various styles and designs. The choice is strictly personal. For a first time buyer, it is important to sit and try out the scooter. Many sellers of these scooters allow future buyers to try out the scooter for a trial period. This time period will allow you to assess whether the scooter meets your expectations and how well it fits into your surroundings
Most mobility scooters can be used in the home or apartment and fairly easy to use. Things that one should assess before buying one include leg room, height, access to controls, comfort and ease of use. Like any vehicle, it is best to check out a few models.
For more on mobility scooters, please visit www.medexsupply.com
Driving a mobility scooter does not require a great deal of strength, but one is required to have the ability to bend the arms, hand and use the fingers. The most difficult part is to steer the scooter. Individuals who have poor vision and have moderate cognitive impairment or have little awareness of the safety issues should not drive a scooter.
One should not buy a mobility scooter simply because one can’t walk. You should know what you intend to use the scooter for and where you intend to travel. If you plan to take the scooter in your car/van, you must have facilities to carry the equipment in the automobile.
The answers to the above questions are not difficult but it is essential to talk to other people who have mobility scooters. This way you are prepared for the difficulties. Most physicians and physical therapists are very familiar with these ambulatory devices and can answer most of your questions. Always get a physical assessment before you buy a scooter, perhaps you may be fine with a cane or a walker and it will save you money.
Mobility scooters come in various styles and designs. The choice is strictly personal. For a first time buyer, it is important to sit and try out the scooter. Many sellers of these scooters allow future buyers to try out the scooter for a trial period. This time period will allow you to assess whether the scooter meets your expectations and how well it fits into your surroundings
Most mobility scooters can be used in the home or apartment and fairly easy to use. Things that one should assess before buying one include leg room, height, access to controls, comfort and ease of use. Like any vehicle, it is best to check out a few models.
For more on mobility scooters, please visit www.medexsupply.com
Buying a mobility Scooter- Part 1
There are thousands of individuals who have difficulty ambulating. There are many causes of gait difficulty including stroke, cerebral palsy, multiple sclerosis, motor vehicle accidents, polio, arthritis, congestive heart failure, cancer and so on. For these people the options for safe ambulation are a cane, wheelchair, walker or a mobility scooter.
For individuals who are not able to use their legs, perhaps a mobility scooter may be the best ambulatory device. However, before one buys this equipment, it is essential to know what you will use the scooter for and whether it can meets all your demands. Mobility scooters are not only for individuals who can’t walk. Individuals who tire easily can also use mobility scooters.
There are many types of mobility scooters. One can go to medical store website and browse at the different models and styles.
The great advantage of mobility scooters is that they give the individual a sense of freedom and independence. One can go to distance places which otherwise would not be possible with a cane. Mobility scooters can be used in most public places such as malls, airports, government buildings, libraries and recreational facilities. Unlike a wheelchair, mobility scooters are a lot easier to maneuver in small hallways. Plus they are easier to handle, control and operate. Depending on the budget, one can have all types of fancy gadgets on the scooter.
For more on mobility scooters, please visit www.medexsupply.com
For individuals who are not able to use their legs, perhaps a mobility scooter may be the best ambulatory device. However, before one buys this equipment, it is essential to know what you will use the scooter for and whether it can meets all your demands. Mobility scooters are not only for individuals who can’t walk. Individuals who tire easily can also use mobility scooters.
There are many types of mobility scooters. One can go to medical store website and browse at the different models and styles.
The great advantage of mobility scooters is that they give the individual a sense of freedom and independence. One can go to distance places which otherwise would not be possible with a cane. Mobility scooters can be used in most public places such as malls, airports, government buildings, libraries and recreational facilities. Unlike a wheelchair, mobility scooters are a lot easier to maneuver in small hallways. Plus they are easier to handle, control and operate. Depending on the budget, one can have all types of fancy gadgets on the scooter.
For more on mobility scooters, please visit www.medexsupply.com
Tuesday, February 17, 2009
Blood Pressure Measurement Devices in Malls and Pharmacies
Many individuals have high blood pressure in our society. The majority of individuals only get their blood pressure measured when they visit their physician, which may average about 1-3 times a year. Most of these individuals take several medications to help control the blood pressure but have little idea what the blood pressure is like on a daily basis.
High blood pressure is a silent disease and there are generally no symptoms. When high blood pressure is not adequately treated, serious complications can occur.Besides doctor’s office, blood pressure machines are often found in malls, pharmacies and health food stores. Even though these machines are for free usage, they are simply not maintained, calibrated and have cuffs of only one size.
Right off the bat, these devices are useless for measuring blood pressure in children (or those individuals with a small body size) and large or overweight individuals. The manufacturers of these outdoor automated blood pressure devices install them all over the place and rarely come back to service them. In some cases, parts are missing or the cuffs are ripped. Measuring blood pressure with a small sized cuff in a large individual always gives erroneously low readings.
To ensure that you are getting a reliable reading the inflatable portion of the cuff should cover more than ¾ of the upper arm.Individuals who routinely rely on these outdoor devices for blood pressure monitoring should always write down the number and compare it with the number obtained in the physicians’ office. If there is a difference of more than 10 mmHg, then the outside machines are useless. For machines to be valid, the difference in blood pressure must be less than 5 mmHg.
Many studies have indicated that automated blood pressure devices do not meet the criteria in terms of accuracy or reliability of measurements. Those individuals who have high blood pressure should get their measurements done at a health clinic or an outpatient medical facility.Today, there are a wide variety of blood pressure monitors available for home use.
All blood pressure monitors are available without a physicians’ prescription. However before you buy a blood pressure device, it is essential to buy the right device and develop the proper technique of measuring blood pressure. Measuring blood pressure at home has many advantages including making an early diagnosis. Individuals who have had a diagnosis of borderline hypertension or have diabetes or kidney problems are always at risk for developing full blown hypertension in the future.
Routinely measuring blood pressure can help one make the diagnosis much earlier. For more on blood pressure devices, please visit www.medexsupply.com
High blood pressure is a silent disease and there are generally no symptoms. When high blood pressure is not adequately treated, serious complications can occur.Besides doctor’s office, blood pressure machines are often found in malls, pharmacies and health food stores. Even though these machines are for free usage, they are simply not maintained, calibrated and have cuffs of only one size.
Right off the bat, these devices are useless for measuring blood pressure in children (or those individuals with a small body size) and large or overweight individuals. The manufacturers of these outdoor automated blood pressure devices install them all over the place and rarely come back to service them. In some cases, parts are missing or the cuffs are ripped. Measuring blood pressure with a small sized cuff in a large individual always gives erroneously low readings.
To ensure that you are getting a reliable reading the inflatable portion of the cuff should cover more than ¾ of the upper arm.Individuals who routinely rely on these outdoor devices for blood pressure monitoring should always write down the number and compare it with the number obtained in the physicians’ office. If there is a difference of more than 10 mmHg, then the outside machines are useless. For machines to be valid, the difference in blood pressure must be less than 5 mmHg.
Many studies have indicated that automated blood pressure devices do not meet the criteria in terms of accuracy or reliability of measurements. Those individuals who have high blood pressure should get their measurements done at a health clinic or an outpatient medical facility.Today, there are a wide variety of blood pressure monitors available for home use.
All blood pressure monitors are available without a physicians’ prescription. However before you buy a blood pressure device, it is essential to buy the right device and develop the proper technique of measuring blood pressure. Measuring blood pressure at home has many advantages including making an early diagnosis. Individuals who have had a diagnosis of borderline hypertension or have diabetes or kidney problems are always at risk for developing full blown hypertension in the future.
Routinely measuring blood pressure can help one make the diagnosis much earlier. For more on blood pressure devices, please visit www.medexsupply.com
Inhalers for Asthma
Inhalers have transformed the treatment of asthma. These current day devices can be used at home or in the hospital without fear of developing an asthmatic attack. However, inhalers can be a little tricky to use initially and one needs to know some basic information about the different types of inhalers.
Even though there are a variety of inhalers available, they basically fall into two categories.
Metered Dose Inhalers use a chemical propellant to push a measured dose of medication out of the inhaler. These small light weight devices have a pressurized canister which contains the bronchodilator medication, a mouthpiece and a metering valve that dispenses the right dose of drug. The chemical propellant in the latest metered dose inhalers is hydrofluoroalkane (HFA).
These inhalers can be activated by either squeezing the canister or inhaling- either actions results in the release of the drug. Because metered dose inhalers can be difficult to use for some individuals, one can add a spacer to the inhaler. These small plastic tubes with a chamber can make the use of an inhaler easier and comfortable. When the inhaler is squeezed, the drug is first released into the chamber which then allows the individual enough time to inhale more slowly. Research has shown that the use of a spacer allows the medication to enter the lower lungs and not just remain in the throat/mouth. Many of the current metered dose inhalers have counters that let the individual know how many doses are remaining.
Dry powder inhalers do not use a commercial propellant to eject the medication out of the inhaler; instead the medication is released by taking a deep breath- much faster than one would with a traditional metered dose inhaler. Many people find the dry powders inhalers are a lot easier to use mainly because one does not require hand and inspiration coordination to get the therapeutic dose of the bronchodilator. There are several designs of dry powder inhalers, which include a dry powder tube inhaler, powder disc inhaler and a single dose dry powder disc inhaler. Dry powder inhalers are never used in combination with a spacer. The one minor negative about these inhalers is that they can be difficult to use during an acute attack, because it does require one to take a deep breath. And this can be very difficult in a person who is having an acute asthmatic attack.
For the majority of individuals who do not have the hand-deep inspiration coordination, a dry powder inhaler is recommended. These inhalers also require less maintenance. However, the dry powder often does gel or clump in the presence of excess humidity- so these devices must always be stored in a dry environment. Other than that, both inhalers function well.
Today, the majority of anti asthmatic medications can be used with either inhaler. For those individuals who have never used an inhaler, it is important to get a demonstration from a health care professional. For those who simply are not able to use an inhaler, the next step is to use a nebulizer. All individuals who use an inhaler require a prescription from their physician to determine which inhaler is right. Even if an inhaler is exchanged, a prescription is required.
Inhalers cost anywhere from $30-$60, however, the generic brands cost a lot less. There are programs that ensure that all individuals who can’t afford inhalers do get them.
Even though there are a variety of inhalers available, they basically fall into two categories.
Metered Dose Inhalers use a chemical propellant to push a measured dose of medication out of the inhaler. These small light weight devices have a pressurized canister which contains the bronchodilator medication, a mouthpiece and a metering valve that dispenses the right dose of drug. The chemical propellant in the latest metered dose inhalers is hydrofluoroalkane (HFA).
These inhalers can be activated by either squeezing the canister or inhaling- either actions results in the release of the drug. Because metered dose inhalers can be difficult to use for some individuals, one can add a spacer to the inhaler. These small plastic tubes with a chamber can make the use of an inhaler easier and comfortable. When the inhaler is squeezed, the drug is first released into the chamber which then allows the individual enough time to inhale more slowly. Research has shown that the use of a spacer allows the medication to enter the lower lungs and not just remain in the throat/mouth. Many of the current metered dose inhalers have counters that let the individual know how many doses are remaining.
Dry powder inhalers do not use a commercial propellant to eject the medication out of the inhaler; instead the medication is released by taking a deep breath- much faster than one would with a traditional metered dose inhaler. Many people find the dry powders inhalers are a lot easier to use mainly because one does not require hand and inspiration coordination to get the therapeutic dose of the bronchodilator. There are several designs of dry powder inhalers, which include a dry powder tube inhaler, powder disc inhaler and a single dose dry powder disc inhaler. Dry powder inhalers are never used in combination with a spacer. The one minor negative about these inhalers is that they can be difficult to use during an acute attack, because it does require one to take a deep breath. And this can be very difficult in a person who is having an acute asthmatic attack.
For the majority of individuals who do not have the hand-deep inspiration coordination, a dry powder inhaler is recommended. These inhalers also require less maintenance. However, the dry powder often does gel or clump in the presence of excess humidity- so these devices must always be stored in a dry environment. Other than that, both inhalers function well.
Today, the majority of anti asthmatic medications can be used with either inhaler. For those individuals who have never used an inhaler, it is important to get a demonstration from a health care professional. For those who simply are not able to use an inhaler, the next step is to use a nebulizer. All individuals who use an inhaler require a prescription from their physician to determine which inhaler is right. Even if an inhaler is exchanged, a prescription is required.
Inhalers cost anywhere from $30-$60, however, the generic brands cost a lot less. There are programs that ensure that all individuals who can’t afford inhalers do get them.
Compression Stockings
Over the year, various styles and designs of compression stockings have been developed. These specialized compression stockings can be worn just below or above the knee. First designed for use in hospitals, these stocking are now widely available for everyday use outside the hospital. Unlike the olden days when the stockings resembled thick and unattractive socks, the latest stockings are extremely attractive and aesthetic looking.
The major function of these stockings is to promote increased circulation of blood in the lower legs and prevent blood clot formation. The stockings are designed in such a way that they have a gradient of pressure which is greater in the foot and less as one goes above the leg.
The Compression stockings are made from durable elastic fabrics that fit snugly on the legs and feet. The stockings definitely feel a little tight around the foot and less so at the knee. The graded pressure allows for the blood to move upwards back to the heart.
The squeezing action of the stockings results in less swelling of the leg and prevents formation of blood clots. At the end of the day, most people who wear these stocking claim that they feel relaxed and do not have aching legs. Compressions stockings are a great addition to medical therapy for the treatment of many conditions including:
. Varicose veins
. Post phlebitic edema
. Lymphedema
. Prevention of blood clots
. Spider veins
. Pre and post surgery
. Treatment of venous ulcer.
The Compression stockings have to be worn daily for the most benefit. While the stockings do not eliminate varicose veins, they do help reduce the leg swelling, aching and fatigue that individuals develop after a long day’s standing. These stockings are also highly recommended to be worn when one flies on an air plane or plans to have any type of surgery. Over the years, it has become evident that when these stockings are worn in hospital, the incidence of blood clot formation is much less.
These stockings are ideal for patients who are bed ridden or non ambulatory for some time. All hospitals have protocols that require patients to be fitted with compression stockings if the duration of hospital stay is longer than 2 days.
The major function of these stockings is to promote increased circulation of blood in the lower legs and prevent blood clot formation. The stockings are designed in such a way that they have a gradient of pressure which is greater in the foot and less as one goes above the leg.
The Compression stockings are made from durable elastic fabrics that fit snugly on the legs and feet. The stockings definitely feel a little tight around the foot and less so at the knee. The graded pressure allows for the blood to move upwards back to the heart.
The squeezing action of the stockings results in less swelling of the leg and prevents formation of blood clots. At the end of the day, most people who wear these stocking claim that they feel relaxed and do not have aching legs. Compressions stockings are a great addition to medical therapy for the treatment of many conditions including:
. Varicose veins
. Post phlebitic edema
. Lymphedema
. Prevention of blood clots
. Spider veins
. Pre and post surgery
. Treatment of venous ulcer.
The Compression stockings have to be worn daily for the most benefit. While the stockings do not eliminate varicose veins, they do help reduce the leg swelling, aching and fatigue that individuals develop after a long day’s standing. These stockings are also highly recommended to be worn when one flies on an air plane or plans to have any type of surgery. Over the years, it has become evident that when these stockings are worn in hospital, the incidence of blood clot formation is much less.
These stockings are ideal for patients who are bed ridden or non ambulatory for some time. All hospitals have protocols that require patients to be fitted with compression stockings if the duration of hospital stay is longer than 2 days.
Monday, February 16, 2009
Defibrillators-Chance to save a life Part 3
Why buy a defibrillator?
Well, you never know when the heart of a family member, friend, or colleague may stop and you only have a few minutes before brain damage occurs. Buying a Defibrillator indicates that you are seriously concerned about the welfare of your family, customers and employees. It is not everyday that one gets a chance to save a life.
Somethings to consider before you buy an automatic external defibrillator:
Do you have a risk for sudden death? AED only work for certain heart disorders and rhythms. They do not revive everyone who arrests. Some individuals need much more than an AED to revive them.
Do you live alone? If you live alone, an AED is useless. You need someone to activate the machine on you.
Physical disabilities: If you live with someone who has physical disabilities or is cognitively impaired, then there is no point in getting the device. While the AED is simple to use, it does requires some ability to comprehend the situation.
Costs. On average an AED costs anywhere from $1,500 and above. No health plan or Medicare covers for this equipment.
Other medical problems. If you do have a cancer, a terminal illness, have a weak heart or you have decide that you do not want to undergo resuscitation, then an AED is not something you should buy.
Today, some AED are available without a prescription. The biggest question before you purchase one is to ask yourself whether you need done. If the answers are yes, go and discuses the topic with your health care provider who can better assess the pros and cons about having such a device at home.
For more on defibrillators, please visit www.medexsupply.com
Well, you never know when the heart of a family member, friend, or colleague may stop and you only have a few minutes before brain damage occurs. Buying a Defibrillator indicates that you are seriously concerned about the welfare of your family, customers and employees. It is not everyday that one gets a chance to save a life.
Somethings to consider before you buy an automatic external defibrillator:
Do you have a risk for sudden death? AED only work for certain heart disorders and rhythms. They do not revive everyone who arrests. Some individuals need much more than an AED to revive them.
Do you live alone? If you live alone, an AED is useless. You need someone to activate the machine on you.
Physical disabilities: If you live with someone who has physical disabilities or is cognitively impaired, then there is no point in getting the device. While the AED is simple to use, it does requires some ability to comprehend the situation.
Costs. On average an AED costs anywhere from $1,500 and above. No health plan or Medicare covers for this equipment.
Other medical problems. If you do have a cancer, a terminal illness, have a weak heart or you have decide that you do not want to undergo resuscitation, then an AED is not something you should buy.
Today, some AED are available without a prescription. The biggest question before you purchase one is to ask yourself whether you need done. If the answers are yes, go and discuses the topic with your health care provider who can better assess the pros and cons about having such a device at home.
For more on defibrillators, please visit www.medexsupply.com
Defibrillators-Chance to save a life Part 2
There are many types of AED.
The Cardiac Science device delivers life saving defibrillation therapy without having to push any buttons. The Welch Allyn and HeartStart Onsite Defibrillators are fully automatic and can even guide you through the CPR process. The automatic defibrillators also have a voice program which explains what needs to be done during a cardiac arrest.
Once the pads have been applied, the AED automatically analyses the individual heart rhythm and determines if a shock is required. If this is so, the machine will either sound an alarm or may announce the need. The user must stand back and press a button to deliver the charge. The process can be repeated 2-3 times until 911 emergency crew come over.
All AED are simple to use with minimal training. The current defibrillators will even make a determination as to whether a shock should be administered. The defibrillators come with a manual and instructions on how to use them. Accessories to the defibrillators include pads, batteries, paddles and battery chargers and these come with the AED.
For more on defibrillators, please visit www.medexsupply.com
The Cardiac Science device delivers life saving defibrillation therapy without having to push any buttons. The Welch Allyn and HeartStart Onsite Defibrillators are fully automatic and can even guide you through the CPR process. The automatic defibrillators also have a voice program which explains what needs to be done during a cardiac arrest.
Once the pads have been applied, the AED automatically analyses the individual heart rhythm and determines if a shock is required. If this is so, the machine will either sound an alarm or may announce the need. The user must stand back and press a button to deliver the charge. The process can be repeated 2-3 times until 911 emergency crew come over.
All AED are simple to use with minimal training. The current defibrillators will even make a determination as to whether a shock should be administered. The defibrillators come with a manual and instructions on how to use them. Accessories to the defibrillators include pads, batteries, paddles and battery chargers and these come with the AED.
For more on defibrillators, please visit www.medexsupply.com
Defibrillators-Chance to save a life Part 1
Defibrillators, sometimes known as Automated External defibrillators (AED), are medical devices that apply sharp electrical shocks to the heart when its rhythm becomes dangerously fast or irregular. The defibrillator shocks can immediately restore normal heart rhythm before the heart or brain suffer irreversible damage. In all cases of cardiac arrest, death can occur in 4-5 minutes if the heart rhythm is not restored back to normal.
The sooner the heart rhythm is restored, the better are the chances of survival without any permanent organ damage. Each minute is critical and the chances of survival dim with each passing minute.
Defibrillators can be used with in the home, business setting or in a hospital setting.
Today defibrillators are carried by police, ambulance crews, and are also available on planes, sport arenas, shopping malls, casino and hotels.
Automatic external defibrillators have been approved by the FDA. The only automatic defibrillator available without a prescription for home use is the Phillips Heart Start Home defibrillator. The HeartStart defibrillator can be used on children as young as 8 years in age.
The sooner the heart rhythm is restored, the better are the chances of survival without any permanent organ damage. Each minute is critical and the chances of survival dim with each passing minute.
Defibrillators can be used with in the home, business setting or in a hospital setting.
Today defibrillators are carried by police, ambulance crews, and are also available on planes, sport arenas, shopping malls, casino and hotels.
Automatic external defibrillators have been approved by the FDA. The only automatic defibrillator available without a prescription for home use is the Phillips Heart Start Home defibrillator. The HeartStart defibrillator can be used on children as young as 8 years in age.
Fecal Incontinence- Embarrassing but Treatable Part 2
The diagnosis of fecal incontinence is straightforward. Asides from a physical exam, there are several tests which can determine the rectal pressure and assess the sphincter tone. Ultrasound is now widely used to assess the rectal wall for masses. While the condition can be depressing, one should be aware that effective treatments are available.
Depending on what the cause is, the physician may sometimes recommend medications. If the incontinence is due to diarrhea, you may be started on anti diarrheal medications. If you have chronic constipation, then a laxative may be administered to help restore normal bowel movements.
Besides medications, the doctor may recommend a change in diet and help train the bowel. Bowel training is most successful in individuals who can comprehend what is going on and not very useful in individuals with dementia. Another novel treatment is sacral nerve stimulation, which can help strengthen the rectal sphincter muscles.
There are many surgical procedures designed to treat incontinence but they are never the first choice.
No matter what treatment you require, one can also improve fecal incontinence by using home made measures. This includes keeping the skin clean, dry and applying moisture barrier creams. There are many styles and designs of under pads and diapers available to treat incontinence. These absorbent pads can help you better manage the problem. Many of these pads are waterproof, are lined with antibacterial chemicals to eliminate infections and also dampen the odor. There are also a variety of Incontinent Pants which can be worn on a daily basis and these protect the clothes and bed linen. One can work comfortably without fear of any leaks.
While incontinence is an embarrassing problem, the best way to treat it is to seek help from your health care professional. The present treatments will not only help you solve the problem, but will also help you redeem your confidence and self esteem.
For more on incontinence supplies, please visit www.medexsupply.com
Depending on what the cause is, the physician may sometimes recommend medications. If the incontinence is due to diarrhea, you may be started on anti diarrheal medications. If you have chronic constipation, then a laxative may be administered to help restore normal bowel movements.
Besides medications, the doctor may recommend a change in diet and help train the bowel. Bowel training is most successful in individuals who can comprehend what is going on and not very useful in individuals with dementia. Another novel treatment is sacral nerve stimulation, which can help strengthen the rectal sphincter muscles.
There are many surgical procedures designed to treat incontinence but they are never the first choice.
No matter what treatment you require, one can also improve fecal incontinence by using home made measures. This includes keeping the skin clean, dry and applying moisture barrier creams. There are many styles and designs of under pads and diapers available to treat incontinence. These absorbent pads can help you better manage the problem. Many of these pads are waterproof, are lined with antibacterial chemicals to eliminate infections and also dampen the odor. There are also a variety of Incontinent Pants which can be worn on a daily basis and these protect the clothes and bed linen. One can work comfortably without fear of any leaks.
While incontinence is an embarrassing problem, the best way to treat it is to seek help from your health care professional. The present treatments will not only help you solve the problem, but will also help you redeem your confidence and self esteem.
For more on incontinence supplies, please visit www.medexsupply.com
Fecal Incontinence- Embarrassing but Treatable Part 1
Fecal incontinence is defined as the inability to control one’s bowel movements, thus resulting in spontaneous leakage of fecal material from the rectum. Fecal incontinence can be mild- ranging from the sporadic leak of a small amount of stool to complete loss of bowel control. This problem affects close to 6 million Americans and countless more have not been diagnosed for fear of embarrassment.
There are many causes of fecal incontinence including constipation, diarrhea, nerve or muscle damage to the rectal sphincter. The rectal sphincter is under delicate nerve control. The nerves to the rectal sphincter may become weak with aging or the nerves or muscles can be injured during childbirth, multiple sclerosis, diabetes, excessive use of laxatives or rectal cancer. No matter what the cause of fecal incontinence, the disorder is both unpleasant and embarrassing. The only way to treat the condition is by talking to your health care provider.
There are a variety of treatments available today that can improve incontinence and help you lead a normal lifestyle. Fecal incontinence can occur at any age but is generally more common in the elderly. Females generally have a higher incidence of incontinence, which has been linked to either multiple births or complications at childbirth. Another common cause of incontinence is Alzheimer’s’ disease.
There are many causes of fecal incontinence including constipation, diarrhea, nerve or muscle damage to the rectal sphincter. The rectal sphincter is under delicate nerve control. The nerves to the rectal sphincter may become weak with aging or the nerves or muscles can be injured during childbirth, multiple sclerosis, diabetes, excessive use of laxatives or rectal cancer. No matter what the cause of fecal incontinence, the disorder is both unpleasant and embarrassing. The only way to treat the condition is by talking to your health care provider.
There are a variety of treatments available today that can improve incontinence and help you lead a normal lifestyle. Fecal incontinence can occur at any age but is generally more common in the elderly. Females generally have a higher incidence of incontinence, which has been linked to either multiple births or complications at childbirth. Another common cause of incontinence is Alzheimer’s’ disease.
Friday, February 13, 2009
Bed Wetting 2
In the years past, it was widely thought that psychological trauma was the cause of this disorder. Today, it is believed that the psychological problems are as a result of bed wetting. So far not a single study has shown that children with bed wetting have a higher incidence of psychological problems compared to the normal population. Bedwetting is not an act of defiance, rebellion nor is it linked to any type of personality disorder.
While primary enuresis may occur without a cause, there are secondary causes of nocturnal enuresis. These include trauma to the spinal cord, congenital spinal cord deformities, posterior urethral valves in boys and ectopic (abnormal origin or location) ureters in girls. Sometimes children who have severe constipation may also present with bed wetting.
Investigations for bed wetting depend on the physical findings and laboratory work up. If the physical exam is unremarkable and the urinalysis is normal, then no further work up is required. Individuals who are found to have urinary tract infection or physical abnormalities of the spinal cord, usually have to undergo more testing.
For more information on supplies and products for bed wetting, please visit www.medexsupply.com.
While primary enuresis may occur without a cause, there are secondary causes of nocturnal enuresis. These include trauma to the spinal cord, congenital spinal cord deformities, posterior urethral valves in boys and ectopic (abnormal origin or location) ureters in girls. Sometimes children who have severe constipation may also present with bed wetting.
Investigations for bed wetting depend on the physical findings and laboratory work up. If the physical exam is unremarkable and the urinalysis is normal, then no further work up is required. Individuals who are found to have urinary tract infection or physical abnormalities of the spinal cord, usually have to undergo more testing.
For more information on supplies and products for bed wetting, please visit www.medexsupply.com.
Bed Wetting 1
Bed wetting is a common problem in children all over the world. However, the disorder is not life threatening and most children over come the problem with time. Bed wetting is not considered a problem until the child reaches the age of 5. To make a diagnosis of nocturnal enuresis or bed wetting, the child must have reached the age of 5/6 and have at least two or more bed wetting episodes every 4 weeks.
While the exact number of individuals with this problem is not known, it is estimated that close to 20-25 percent of children wet the bed at least once a month. As the child matures, the numbers do decline.
By the age of 12, about 8-10 percent of boys remain enuretic and only about 4% of girls have the same problem. After puberty, it is estimated that about 1-3 percent of teenagers or young adults continue to wet the bed.
Despite a long history, the cause of nocturnal enuresis remains elusive and is believed to be multifactorial. While no definite genetic link has been identified, the incidence is much greater in families where one or both parents had the problem.
Factors such as stress, family life, social background or economic situation have not found to have any association with nocturnal enuresis.
While the exact number of individuals with this problem is not known, it is estimated that close to 20-25 percent of children wet the bed at least once a month. As the child matures, the numbers do decline.
By the age of 12, about 8-10 percent of boys remain enuretic and only about 4% of girls have the same problem. After puberty, it is estimated that about 1-3 percent of teenagers or young adults continue to wet the bed.
Despite a long history, the cause of nocturnal enuresis remains elusive and is believed to be multifactorial. While no definite genetic link has been identified, the incidence is much greater in families where one or both parents had the problem.
Factors such as stress, family life, social background or economic situation have not found to have any association with nocturnal enuresis.
Fecal Occult Blood Test Part 2
Besides blood, there are a variety of foods that can mimic blood in the stools. These include broccoli, cabbage, cauliflower, cucumber, vitamin C, potatoes and horse radish. Drugs which one must be avoided prior to testing include aspirin and any blood thinners like warfarin or coumadin.
Individual who taken iron tablets may also form dark stools which mimic blood.
If the stool test is negative for blood, nothing much needs to be done and one can repeat the test in 1-2 years.
If the test is positive, then it is recommended that the physician look for both the source and site of bleeding. Individuals with blood in stools may need additional testing like colonoscopy, upper endoscopy or a barium enema to look for lesions that can cause bleeding.
The fecal blood test is relatively inexpensive and the kits costs anywhere form $10-$25. Some insurance carriers and Medicare do cover the costs of fecal blood testing.
For more information on kits to check for blood in the stools, please visit www.medexsupply.com
Individual who taken iron tablets may also form dark stools which mimic blood.
If the stool test is negative for blood, nothing much needs to be done and one can repeat the test in 1-2 years.
If the test is positive, then it is recommended that the physician look for both the source and site of bleeding. Individuals with blood in stools may need additional testing like colonoscopy, upper endoscopy or a barium enema to look for lesions that can cause bleeding.
The fecal blood test is relatively inexpensive and the kits costs anywhere form $10-$25. Some insurance carriers and Medicare do cover the costs of fecal blood testing.
For more information on kits to check for blood in the stools, please visit www.medexsupply.com
Fecal occult blood test
The fecal occult blood test is widely used in clinical medicine to check for presence of blood in the stool. The test can check for minute amounts of blood that may not be visible to the naked eye. The reason for checking for blood in the stools is because the tests may indicate the presence of colon and rectal cancers.
However, the presence of blood in stools does not always signify a cancer. Other causes of blood in stools include peptic ulcer disease, inflammatory bowel disease, hemorrhoids or benign polyps.
If the test is positive, it does not mean that a cancer is definitely present nor can the test tell where the bleeding is coming from. Further testing is required to determine both the site and source of bleeding. Sometimes the bleeding may be from the esophagus or stomach and different radiological or endoscopic tests are required.
However, if the fecal occult blood test is present, then it is highly recommended that the individual undergoes tests to ensure that the no colon or rectal cancer is present.
The fecal occult blood test can be done at home or in any health care facility. There is no preparation required prior to the test. Today there are several kits available that can rapidly check for blood in the stools. The stool sample is obtained with an applicator stick and smeared onto a special chemically treated paper. Once a reagent is applied on to the paper, the paper will turn blue if blood is present. Individuals at home can mail in their sample paper to a lab for testing.
However, the presence of blood in stools does not always signify a cancer. Other causes of blood in stools include peptic ulcer disease, inflammatory bowel disease, hemorrhoids or benign polyps.
If the test is positive, it does not mean that a cancer is definitely present nor can the test tell where the bleeding is coming from. Further testing is required to determine both the site and source of bleeding. Sometimes the bleeding may be from the esophagus or stomach and different radiological or endoscopic tests are required.
However, if the fecal occult blood test is present, then it is highly recommended that the individual undergoes tests to ensure that the no colon or rectal cancer is present.
The fecal occult blood test can be done at home or in any health care facility. There is no preparation required prior to the test. Today there are several kits available that can rapidly check for blood in the stools. The stool sample is obtained with an applicator stick and smeared onto a special chemically treated paper. Once a reagent is applied on to the paper, the paper will turn blue if blood is present. Individuals at home can mail in their sample paper to a lab for testing.
Wednesday, February 11, 2009
Carpal Tunnel Syndrome Part 2
The causes of carpal tunnel syndrome are many and include any condition that will narrow the carpal tunnel. Such conditions include:
Rheumatoid arthritis, menopause, diabetes, pregnancy (all these conditions lead to fluid build up and narrow the tunnel , thus compressing the nerve)
Repetitive use or injury of the wrist
Bad luck is often a cause of many medical disorders
The diagnosis of carpal tunnel requires a couple of tests to determine where exactly the nerve is being compressed. Once the diagnosis has been confirmed, you will be referred to a surgeon or a neurologist.
Treatment
Those individual who have minor symptoms should discontinue whatever they are doing which arouses their symptoms. This includes taking break from repetitive work and applying cold packs to reduce the swelling on the wrist. The other options include wrist splints, pain medications, injection of corticosteroids and surgery.
Wrist splints can help relieve the pain while one sleeps. Splinting is ideal for individuals with mild to moderate symptoms. Most individuals need some type of medications to relieve the pain.
When the symptoms progress and the pain is continuous, surgery may be the only option. Today, the surgery can be accomplished using a camera and a very small incision. However, surgery should never be the first choice of carpal tunnel. The surgery is purely elective and should only take place after other non surgical interventions have failed.
Rheumatoid arthritis, menopause, diabetes, pregnancy (all these conditions lead to fluid build up and narrow the tunnel , thus compressing the nerve)
Repetitive use or injury of the wrist
Bad luck is often a cause of many medical disorders
The diagnosis of carpal tunnel requires a couple of tests to determine where exactly the nerve is being compressed. Once the diagnosis has been confirmed, you will be referred to a surgeon or a neurologist.
Treatment
Those individual who have minor symptoms should discontinue whatever they are doing which arouses their symptoms. This includes taking break from repetitive work and applying cold packs to reduce the swelling on the wrist. The other options include wrist splints, pain medications, injection of corticosteroids and surgery.
Wrist splints can help relieve the pain while one sleeps. Splinting is ideal for individuals with mild to moderate symptoms. Most individuals need some type of medications to relieve the pain.
When the symptoms progress and the pain is continuous, surgery may be the only option. Today, the surgery can be accomplished using a camera and a very small incision. However, surgery should never be the first choice of carpal tunnel. The surgery is purely elective and should only take place after other non surgical interventions have failed.
Carpal Tunnel Syndrome Part 1
Carpal tunnel syndrome affects many individuals in North America. In recent years, the diagnosis of Carpal tunnel has been more frequently made and partly this is related to our lifestyle and work habits. The carpal tunnel is a narrow passageway on the frontal aspect of the wrist. This tunnel protects the major nerve to the hand and the fingers.
In some individual this tunnel can narrow down and compress the nerve. This typically results in numbness, pain and tingling in the middle 3 fingers. Fortunately, today we have excellent treatments for carpal tunnel syndrome which can relieve all the symptoms and restore normal wrist and finger function.
The symptoms of carpal tunnel syndrome usually include the following:
tingling or numbness in the middle three fingers. These symptoms may occur while holding a phone or a grocery bag. Many people shake their hands to relieve the symptoms
pain which radiates to the wrist and arm also occurs as the disease progresses. The pain often worsens after repetitive use
weakness of the hands and a tendency to drop objects occurs as the disease worsens
when the disease is most advanced, most individuals will have atrophy of the muscles in the hand and continued numbness in the middle 3 fingers
In some individual this tunnel can narrow down and compress the nerve. This typically results in numbness, pain and tingling in the middle 3 fingers. Fortunately, today we have excellent treatments for carpal tunnel syndrome which can relieve all the symptoms and restore normal wrist and finger function.
The symptoms of carpal tunnel syndrome usually include the following:
tingling or numbness in the middle three fingers. These symptoms may occur while holding a phone or a grocery bag. Many people shake their hands to relieve the symptoms
pain which radiates to the wrist and arm also occurs as the disease progresses. The pain often worsens after repetitive use
weakness of the hands and a tendency to drop objects occurs as the disease worsens
when the disease is most advanced, most individuals will have atrophy of the muscles in the hand and continued numbness in the middle 3 fingers
When to test blood sugar levels? Part 2
Testing for blood sugar levels
Testing of blood sugar is not difficult. There are many portable kits available today for home use. To test the blood sugar levels one needs a few items including a blood sugar monitor, test strips, a lancet and alcohol swabs. The majority of blood sugar monitors available today are light weight and portable. The majority of these monitors have varied storage facilities like tracking time, date of each test and can also store your data. Some of the current devices also come with zip drives so that the information can be transferred to your PC.
Monitoring of blood sugar unfortunately involves a pin prick on your finger tip with a special lancet. Today there are a variety of lancet devices which will allow you to adjust the depth of the prick. Those with thick skin need deeper penetration. It does sound painful but eventually one gets used to it.
At Medexsupply one can buy a wide range of diabetic supplies including blood glucose monitors, kits, lancets, infusion sets, test strips and glucose tablets.
Testing of blood sugar is not difficult. There are many portable kits available today for home use. To test the blood sugar levels one needs a few items including a blood sugar monitor, test strips, a lancet and alcohol swabs. The majority of blood sugar monitors available today are light weight and portable. The majority of these monitors have varied storage facilities like tracking time, date of each test and can also store your data. Some of the current devices also come with zip drives so that the information can be transferred to your PC.
Monitoring of blood sugar unfortunately involves a pin prick on your finger tip with a special lancet. Today there are a variety of lancet devices which will allow you to adjust the depth of the prick. Those with thick skin need deeper penetration. It does sound painful but eventually one gets used to it.
At Medexsupply one can buy a wide range of diabetic supplies including blood glucose monitors, kits, lancets, infusion sets, test strips and glucose tablets.
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