Saturday, February 28, 2009

Guardian Bathlift Chair

The Guardian BathLift Chair
From http://www.medexsupply.com/popup_image.php?pID=9319


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

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.

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

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

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

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

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.

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.

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

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

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.

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

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.

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.

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.

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

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.

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.

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

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.

When to test blood sugar levels? Part 1

The testing for blood sugar levels is more rigorous just after the diagnosis of diabetes. Once the diagnosis of diabetes has been established, the measurement of blood sugars does depend on the type of diabetes and treatment.

Individuals who have type 1 diabetes often need to measure the levels anywhere from 3-6 times a day, at least before and after each meal.

Individuals with diabetes who exercise also need to monitor their sugars before and after exercise and just before going to sleep.

Individuals with type 1 diabetes who are ill or have a change in their routine (like traveling), stress or have been diagnosed with other medical disorder may need more frequent monitoring of blood sugar levels.

Individuals with Type 2 diabetes generally require less frequent glucose monitoring. Most of these individuals initially monitor the blood glucose 1-2times day if they are on any type of diabetic medications. Individual who are managing their type 2 diabetes with diet and exercise alone need to monitor their sugars less often.

for more on diabetic supplies, visit www.medexsupply.com

How To Select a blood glucose monitor

In general, there is no good or bad blood glucose monitor. The choice is dependent on a number of factors which include:

Cost: There are many blood glucose monitors. Today, almost every medical supply company has discounts, sells, rebates and trade INS and thus, these devices are affordable by most diabetic individuals. However, the cost is usually comes with the supplies that go with the monitor. There are some insurance companies which do offer some type of medical coverage for the monitor and supplies. Presently Medicare does cover all the costs that can occur with blood glucose monitoring

User friendly: Some blood glucose devices are a lot easier to use than others. The later models only require a tiny blood sample which means that blood can be obtained with a minor skin prick (also less painful). Some also come with a large LCD screen which is useful for people with visual impairment.

Multisite devices are more versatile and allow you to prick your self on other parts of the body rather than the finger tip alone.

Size: For those of you do not like to carry large bags or purses, there are some smaller models which can fit into your pocket

Time: Some blood glucose monitors give you the results in as little as 5-10 seconds and others take about a minute.

Accuracy: All glucose monitors require a drop of blood to be applied on a special strip of paper. While this sounds like a simple concept, the older machines required careful preparation and often were not accurate even if there was only a minor error. The newer automatic machines are more accurate, reliable and do eliminate the errors caused by preparation of the blood sample.

Software: The latest devices have now programmable features like time, date, memory and storage capacity. With a Zip Drive one can download the data from the monitors and add it to the PC. This is important for individuals who have very labile diabetes and require constant adjustment of insulin doses.

If you are not sure what machine is best for you, talk to your health care professional.

For more on blood glucose monitors, please visit www.medexsupply.com. Medexsupply carries a wide range of diabetic supplies including blood glucose monitors (ONE TOUCH Life Scan, Accu-Chek, Ascensia, Prestige), kits, lancets, infusion sets, test strips and glucose tablets.

Lancets for Diabetics Part 2

Today, whenever you buy a blood glucose monitor, a lancet device is almost always included in the kit. All lancet devices come with short and long lancet covers which allow for different degree of penetration in the skin. Individual who have thin skin, children or elderly with delicate skin usually need superficial penetration. Those with hard and thick skin need deeper penetration. Sometimes one may have to use a different depth of penetration on different fingers.

Lancet devices are relatively easy to use. The lancet has a snap button which if pushed triggers the device. Lancet devices are relatively cheap. Most important to understand is that these devices or the blades should never be shared. Even though the risk of transmitting serious infections is low, it definitely is real.

Once the lancet is used, it should always be disposed off in a biohazard container. And never use a lancet that has been previously used by someone else.

At Medexsupply we carry a wide range of diabetic supplies including blood glucose monitors, kits, infusion sets, test strips and glucose tablets.

We carry lancets made by Graham Field, Owen Mumford, Surgilance, Sherwood, Bayer, Reliamed and Accu-Chek

Lancets for Diabetics Part 1

Diabetic individuals unfortunately have to monitor their blood glucose levels on a regular basis. The only way to get blood is by piercing the skin with a lancet. Unlike the olden days when the lancets were large and cumbersome, the present day lancets are small, sharp and are much less painful.

Lancets are graded based on their gauge. The gauge essentially refers to width of the metal tip. The higher the gauge, the smaller the knick or perforation the lancet makes. In general, lancets with a higher gauge number are much less painful, but on the other hand since they do not penetrate the skin deep, the amount of blood obtained is much less.

Lancets can be used alone or with a lancing device. Using a lancet alone is painful because the depth of the jab can not be controlled. The lancet devices come with a mechanism such that the knife is suddenly released and retracts. The depth of penetration can also be adjusted. If the skin is thick, one has to allow for deeper penetration. Use of lancet devices is much less painful than using the lancet alone.

Today, whenever you buy a blood glucose monitor, a lancet device is almost always included in the kit. All lancet devices come with short and long lancet covers which allow for different degree of penetration in the skin. Individual who have thin skin, children or elderly with delicate skin usually need superficial penetration. Those with hard and thick skin need deeper penetration. Sometimes one may have to use a different depth of penetration on different fingers.

For more on diabetic supplies, please visit www.medexsupply.com

Diabetes 101

Diabetes is the disorder of the present century. Almost every race and ethic group is affected by it. This chronic disease has been steadily growing in numbers and is posing serious challenges to our health care system. Among all the ethnic groups in North America, Diabetes is more severe and difficult to control in blacks, Latinos and Asians. The number of Americans who have diabetes is close to 7-9 million which is 4 times the number two decades ago. Infact it is estimated that there are close to a million more individuals who have the disorder but do not know about it. The longer these individuals have a delayed diagnosis, the greater are the chances that they will already have developed irreversible complications of the disease.

Type 2 diabetes

Diabetes mellitus is a disorder characterized by high levels of blood glucose. The major problem with type 2 diabetes is that the hormone insulin is either low or not secreted or has problems working at the cellular levels. Insulin is responsible for lowering the blood glucose. When the blood glucose levels stay elevated for prolonged periods, one can develop serious complications including blindness, kidney failure, heart disease and blockage of blood supply to the legs.

The majority of Americans develop type 2 diabetes in their middle ages. This form of diabetes develops because for some unknown reason the body fails to either make enough insulin or fails to secrete insulin. Sometimes the insulin levels are adequate but fail to work. The major treatment of type 2 diabetes is with the use of drugs, diet and/or exercise. These drugs work in a number of ways. Some act to break down the excess sugar, other drugs prevent excess glucose from getting into the body and other drugs stimulate the release of insulin from the pancreas. In many obese individuals, the diabetic drugs fail to work and insulin is required.

Type 1 Diabetes

Type 1 diabetes is also common and affects a significant number of children. In type 1 diabetes, the insulin is never made in the pancreas and the individual presents with diabetes as a child. In most cases, the diabetes will be evident during school age. One needs life long insulin to treat this form of diabetes.

For information on equipment and supplies for diabetes, please visit our website at www.medexsupply.com

Bed Wetting 101

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.

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.

Trapeze Bars for Bed Ridden Patients-part 2

In the past, the majority of trapeze bars came with awkward heavy steel bars which were not portable and quite difficult to use. Today, trapeze bars are made of light weight stainless steel, are easy to maintain and some are even portable.

There are many types and designs of trapeze bars. Some of the most common brands of trapeze bars include the following:

Graham Field Trapeze Unit is a very versatile trapeze bar and ideal for moving and transporting very obese patients. The Graham trapeze can be easily set up and is light weight. However, the Graham Field trapeze can only be used with LTC, Zenith and Matrix beds. It can lift patients up to 450 pounds.

Lumex Bariatric trapeze has a maximum weight capacity of 450 pounds. The height of this device can be adjusted and it is also portable. Other features of the Lumex include an adjustable height, and rubber bumper guards to protect the walls and furniture. The Lumex is ideal for transferring patients in and out of bed with minimal assistance.

Drive Bariatric Free standing trapeze is designed to assist the patient change bed position and also help transport out of the bed. The Drive Bariatric Trapeze is easy to assemble and very light weight. The trapeze bar height can be adjusted.

For more information on Trapeze Bars, please visit www.medexsupply.com

Trapeze Bars for Bed Ridden Patients-part 1

There are many individuals who are bed ridden or have paralysis of the lower limbs. Some of these individuals have had failed back surgery; others may have had a stroke or spinal trauma. Laying in bed all day and not being able to move is difficult both for the individual and the caregiver.

Eventually laying on the bed leads to development of pressure sores, ulcers and blood clots. One of the ways these individuals can be helped up or out of bed is with the use of a trapeze bar. The trapeze Bar can be attached to the bed and provides a means by which the individual can raise themselves in bed or change the position. In addition, the trapeze bar is very useful when one wants to transfer to a wheel chair or sit on the commode next to the bed.

The trapeze bar does provide some sense of independence.
In the past, the majority of trapeze bars came with awkward heavy steel bars which were not portable and quite difficult to use. Today, trapeze bars are made of light weight stainless steel, are easy to maintain and some are even portable.

For more on trapeze bars, visit www.medexsupply.com

Insulin Pumps Part 2

Disadvantages of the insulin pump include:

- There is a learning period to use the pump most efficiently. Initially it takes time to obtain the baseline insulin levels. Frequent blood sugars need to be measured to obtain the desired levels of insulin.

- Pump malfunction can occur and one can develop too high or too low sugars.

- Individuals who are not good at maintaining their weight or calories are not good candidates for the insulin pump.

- The site where the plastic tubing enters the skin can get infected. When an infection does occur, one has to stop using the pump.

- Because the pump is a mechanical device, one has to repeatedly check to ensure that the batteries are working and that the tubing is not kinked.

- Insulin pumps are expensive and can cost anywhere from $2,000-$5,000. Not all insurance companies cover insulin pumps.

The use of an insulin pump requires motivation and dedication. For those who want to use the device, the blood sugars must be checked 3-4 times a day. In addition, one has to control the diet and let the device know how many extra calories have been eaten. Individuals who are constantly eating require a lot of insulin. Anyone who needs more than 100-150 units of insulin a day, is not a good candidate for an insulin pump.

The biggest advantage of an insulin pump is that it can maintain glucose levels near normal and help prevent some of the feared complications of diabetes.

Insulin pumps are not for all diabetics. One does need to have training in how to use the pump. Further, blood sugars do have to be checked every 3-4 hours. The insulin pump also costs a lot more than syringes and needles.

for more on insulin pumps and other diabetic supplies, please visit www.medexsupply.com

Insulin Pumps Part 1

For many diabetic individuals, monitoring blood sugar and taking diabetic medications or administering insulin every single day can be a chore. Now scientists have come up with an insulin pump.

The insulin pump delivers a constant amount (basal) rate of insulin 24 hours a day to control your blood sugar. One can program the pump to administer additional doses of insulin after a meal or to correct high levels of sugar.

The insulin pump is about the size of a thin wallet and can be carried on a belt underneath the clothing. A thin plastic tubing from this pump is then tunneled under the skin using a special needle. This tunneled site needs to be rotated every 2-3 days.

The insulin pump needs to be programmed for it to work.

Advantages of an insulin pump include the following:

- The pump controls your blood sugar levels without you having to worry about needles and syringes. Your basal rate is preprogrammed. If you do decide to eat an extra meal or have high sugar, all you have to do is press the button and a supplemental dose of insulin is delivered.

- Instead of giving insulin needle injections 2-6 times a day, you rotate the tubing site every 2-3 days.

- There is less time wastage and you do not need to carry a bunch of syringes and needles wherever you go

- In general, individuals who use the insulin pump have much better control of their blood sugars and hence fewer diabetic complications

- Individuals who use the insulin pump also have fewer incidences of hypoglycemia (low sugar).

For more information in insulin pumps, please visit www.medexsupply.com

Electrical Patient Lifts

One of the most common causes of work related accidents among health care workers is the lifting of patients. There are thousands of health care workers who are injured each year while trying to lift patients. Patients in hospital may remain in bed or have difficulty ambulation for a variety of reasons. These include severe obesity, stroke, amputations, congestive heart failure, critically ill patients, patients on ventilators and those who are simply too old. Lifting these patients is associated with back and neck problems in countless workers each year. And the majority of these health care workers who are injured take substantial time off work resulting in a loss of productivity, financial loss and added expense to the health care facility.

To counter this problem, the manufacturing sector has now come up with various designs of patient lifts. These lifts can make lifting and moving the patient a lot easier. These patient lifts can be operated manually or via electrical power. Some of the lifts can even be operated at home if the individuals are trained how to use the machines.

Some of the currently available lightweight patient lifts include the following:

The Graham Field hydraulic lift is made of heavy gauge steel and has a 360” rotation. It has a manually adjustable base and the hydraulic pump handle is ergonomically placed for easy use. The lift is can be disassembled for quick storage. Other features on the lift include a digital scale. The Graham Field can lift up to 400 pounds.

Lumex Easy Lift is another heavy steel gauge designed lift which can be used in the home or the hospital. It has a six point spreader with 360” rotation. Like the Graham Lift, the handle bar is ergonomically designed for ease of use. This device also can be operated on a battery and also has an easy access emergency stop button. Other features of the Lumex include the warning beep for low battery and a rubber base coating to protect the furniture and walls.

The Chattanooga Alliance is a battery powered patient lift which is designed to provide the utmost safety, comfort and affordability to the caregiver. It has an emergency back up system to lower the patient and has an interchangeable battery. The light weigh lift with easy grip handles can lift patients weighing up to 400 pounds.

Other lifts available at medexsupply include the Drive Electric Patient lift and Medline Chrome Manual Hydraulic lifter.

For more information on patient electrical lifts, please visit www.medexsupply.com.

Bedwetting or Nocturnal Enuresis

Nocturnal enuresis is defined as the involuntary passing of urine during sleep. Sometimes this condition is referred to as bedwetting or sleep wetting. The most important fact about this disorder is that involuntary urination occurs after an age at which voluntary bladder control is expected to be fully developed. Control of the bladder and the physiological process of urination is usually acquired by the age of 2-3 in most children. At around this age, most children are starting to develop a large bladder capacity. The prostate gland also enlarges and plays a crucial control in controlling the urethra.

Bedwetting is usually seen after the age of 3 and can continue for many years.

Initially there may be some signs that the child may be prone to nocturnal enuresis. The child may have sudden urgency to urinate, unable to hold the bladder after drinking liquids or may have frequent episodes of inappropriate voluntary urination. The condition is common in pediatric practice and often associated with a number of major psychological and social issues surrounding the child.

Bedwetting is quite widespread and the reported numbers are misleading. The reason for the errors in reporting is that many individuals or families do not report this condition to the health care worker because of embarrassment. The disorder does vary in severity and can be quite disabling for the child. Even though socially unacceptable, the disorder is not life threatening nor does it have cause any physical health problems.

Even though bedwetting has a long history and is well known in medical practice, the majority of health care workers have little training in both how to approach the patient or talk to the family. The family and the child also are quite embarrassed about the disorder and would like help but do not know how to best approach the health care worker.

There is a lot of literature on nocturnal enuresis and with the advent of the internet; there is a plethora of information available online for the consumer. However, the cause of bedwetting still remains controversial and its management is empirical.

The treatment of nocturnal enuresis is somewhat complex and requires several approaches. Sometimes the disorder may have an underlying causes and work up is required depending on how the child presents. Besides the child, the family, parents have to be involved in the care treatment plans. In almost all cases, a cooperative approach with the family and child produces the best results.

For information on equipment and supplies for bedwetting, please visit our website at www.medexsupply.com

Blood pressure monitoring- which arm should be used?

Many people always wonder which arm is preferable for measuring blood pressure. The answer is quite simple- either arm can be used. The majority of individuals will have a slight difference in blood pressure between the two arms but the difference is very small and medically not important. However, the measurement of blood pressure should be done in the same way, at the same site and using the same device to ensure that there are no differences in the readings.

The blood pressure device always records two readings, a top and a bottom number. The top is the systolic blood pressure and the bottom in the diastolic blood pressure. In most cases, when there is a difference between the two arms, it is the upper number that is slightly higher.

Generally, a small difference in blood pressure readings between arms isn't a health concern. A difference of about 3-7 mm is of little medical concern but if the difference between the two arms is more than 15-20 mmHg, then it may indicate some type of pathology in the arm blood vessels.

If this elevated blood pressure difference is observed in a child, then one should suspect a condition known as Coarctation of the aorta. In this condition there is narrowing of the thoracic aorta and causes an increase in left arm blood pressure. In the adult, a large difference in blood pressure between the two arms may be due to narrowing of the vessel anywhere along the aorta or its branches. When such a large difference in blood pressure is observed, it is highly recommended that one undergo some type of evaluation to determine the cause.

For the individual who regularly measures blood pressure at home, the blood pressure can be measured from either arm. However, it is important for physicians to measure the blood pressure in both arms at least once in a while to ensure that there is no large difference.

When the blood pressure is slightly higher in one arm, then one should always measure blood pressure from that arm.

Ensuring proper control of blood pressure has long term benefits. If the blood pressure is well controlled, one does not have to measure it everyday but once a week. If the blood pressure is poorly controlled then measuring it at least once a day is recommended, until it stabilizes. No matter how good the blood pressure is maintained at home, one should always get the blood pressure measured at the doctor’s office at least once in a while to ensure that there are no inaccuracies. The better the blood pressure is monitored and regulated, the lesser are the chances that one will develop complications for this silent disorder.

For more information on blood pressure monitoring devices, 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.

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

Otitis Media- Ear Infection

Otitis media is infection of the middle part of the ear and is one of the most common medical ailments in children. The infection typically occurs in the middle part of the ear and is often accompanied by an upper respiratory tract infection. The reason this part of the ear frequently gets infected is because the middle ear is connected via a tube (Eustachian) to the upper part of the mouth.

Ear infections are associated with a lot of frustration, numerous visits to the ER and the family physicians and almost every visit is associated with a new antibiotic prescription. In the USA, more than 50% of all antibiotic prescriptions are written for ear infections. In the majority of cases, the ear infection will resolve without any sequelae. In rare cases, the infection may spread from the ears to the brain or to the adjacent bony structures around the ear.

The function of the Eustachian tube is to drain the normal fluid from the ear into the mouth. When the Eustachian tube gets blocked, the fluid accumulates, gets infected and causes pain. The fluid is very prone to getting infected from both bacteria and viruses. In some children, the tube is anatomically horizontally located and this also results in poor drainage of the ear.

Besides infections, allergies, smog, fumes, and environmental pollution can produce problems with the ear. Other people more prone to ear infections include babies who are bottle fed, children in day care centers, children in house holds where smoking is common, children who are immunocompromised or have other medical disorders like asthma or cystic fibrosis.

Some children develop only one ear infection during their lifetime but other unlucky ones may develop 2-6 ear infections in one year. Recurrent infections may be a sign that the Eustachian tube is not functioning well.

The diagnosis of an ear infection is not difficult. The physician uses a device called an otoscope. It is a lighted device with a magnifying glass. If an infection is present, one will see redness, fluid or pus behind the ear drum. There are also other ear tests that can be used to assess the severity of the problem.

For more on ear examining equipment, please visit www.medexsupply.com

Acupuncture and back pain

Acupuncture has been used in the treatment of back pain for many decades. The procedure is quite simple and involves insertion of very fine needles into the body. The exact placement of the needles is important. Although acupuncture is widely used in the Orient to treat a range of medical disorders, it is only used to treat a few painful conditions in North America. No one knows exactly how acupuncture works but there are a few anecdotal reports that the treatment may help reduce pain and relieve vomiting.

Acupuncture for back pain is done on a weekly basis in an outpatient setting. Most individuals require anywhere from 8-12 treatments. Each clinic visit can last anywhere from 30-45 minutes.

The treatment of back pain with acupuncture is done when you are lying down in a comfortable position. Most acupuncturist use single use sterile prepackaged needle. The insertion of the needle does sting for a second but is not very painful. When the needle reaches the appropriate depth one does feel the sting. After insertion of needles, the needles are often rotated or stimulated with either electricity or heat. Most people require anywhere from 10-15 needles per treatment. Once the needles are in place, they are usually left in the location anywhere for 5-25 minutes.

While there are a lot of oriental theories on how acupuncture works, the western concept is based on the belief that the needles most likely stimulate nerves or muscles and this helps to relieve pain and possibly increases blood flow.
Acupuncture is widely used to treat back pain. It is never the sole treatment but used as complimentary treatment to the conventional medical treatments. The majority of reports on the effectiveness of acupuncture are anecdotal and most scientists believe that the major effect of acupuncture is placebo based (meaning it is all in the head).

Acupuncture, nevertheless, is quite safe when performed by a skilled practitioner and has few complications. It is widely available and may help relieve pain. Individuals who do not like to take pills may find that acupuncture is a better alternative.

However, acupuncture does have a few negatives. It should never be done in any individual with a blood coagulation problem or has broken skin. There are many instances of needles breaking inside the body and damaging internal organs. Further if the needles are re-used (and they often are to save money), there is always the chance of transmitting an infection process.

So before you go and get acupuncture for your back pain, always ask for recommendations. Check the training of the therapist and most important find out what is the cost. The majority of medical insurance carriers and Medicare do not cover the costs of acupuncture. And the treatment does not come cheap.

For more information on acupuncture related products, visit www.medexsupply.com

Tuesday, February 10, 2009

Treatment of Bunions

The treatment of bunions involves:

Rest and change of shoes. Wearing wide shoes or sandals may help relieve pressure on the toe joint. There are many shoes which are specially designed for bunions.

The pain of a bunion is easily controlled with over the counter pain medications. Often some people find that applying a cold ice pack can relieve the swelling and joint pain.

In the majority of cases, conservative measures can help relieve the symptoms. However, a few percent of affected individuals find no relief from the above measures and may require alteration in foot care. Others may require surgery to correct the deformity. Surgery involves realigning the toes and improving joint function. However surgery is not always successful and bunions can recur. One should always seek a second opinion if surgery is recommended as the first treatment for a bunion.

The best advice for patients with bunions is to rest, limit the activity which worsens the symptoms and obtain proper shoe wear or a splint.

For information on Bunion treatment supplies, please visit www.medexsupply.com

Bunions 101

A bunion is a localized swelling or enlargement of the outer portion of the joint of the big toe. The enlargement is due to additional bone formation often with a combination with misalignment of the toe joint. The condition usually progresses slowly but is visibly quite obvious. The majority of individuals who develop a bunion complain of pain in the big toe.

Bunions are common in women and this is most likely associated with the wearing of tight fitting shoes, especially high heel shoes with narrow toes. Overall, bunions are more common in people who wear shoes compared to those who are barefoot. There does appear to be a genetic link that predisposes one to bunion formation. Other risk factors that may contribute to bunion formation include abnormal joint anatomy, nerve injury, rheumatoid arthritis or some type of traumatic injury to the foot; bunions are also far more common in dancers and sports athletes who wear tight shoes.

While some bunions may not cause symptoms, the majority of patients will complain of pain on walking or while wearing tight shoes. Once the pain starts in the joint, it will always progress if the shoes are not altered. Associated with pain is the presence of toe swelling, redness and abnormal alignment of the joint.

The diagnosis of a bunion is straightforward. The physical exam is almost always diagnostic but most physicians will obtain x rays to confirm integrity of the joint and presence of any underlying condition like arthritis or gout. Prior to any surgery, x rays are essential.

Nebulizers 101

There are many individuals who have been afflicted with chronic lung disorder that requires the use of a nebulizer to administer the medication. Why nebulizer one may ask? There are some disorders like asthma, cystic fibrosis or emphysema where the bronchodilator drugs have to get deep down into the terminal bronchioles for them to work. Further, these individuals either are not able to inhale the drugs all the way down or have severe disease that limits their ability to inhale. One of the ways to administer drugs more effectively in such cases is to use Nebulizers. There are a variety of nebulizers sometimes also known as atomizers or jet nebulizers.

In all nebulizers, there has to be a source of compressed air/oxygen that when released at high velocity causes the liquid medicine to turn into a vapor which is then inhaled by the patient.

For many years, nebulizer use was limited to a health care facility. For home use, patients used the metered dose inhalers. Nebulizers are very effective in providing rapid treatment for patients in respiratory distress like acute asthma or severe wheezing. The hospital based nebulizer therapy is administered by respiratory therapists of nurses. However, in the last 2 decades, lightweight and portable nebulizers have been developed for home use.

These compact nebulizers are made by many companies including John Bunn, Hudson RCI, Airlife, Allied Health, DeVilbiss etc. Some of the latest devices do not even need the use of compressed gas but use vibration or ultrasonication to breakup the liquid medicine into an aerosol.

With standard nebulizer therapy, a liquid solution is placed inside a holding cup and compressed gas is released. The aerosolized vapor is then inhaled by a mask. Nebulizers are very useful if one wants rapid relief from respiratory distress or wheezing.

With nebulizer therapy the individual does not have to take deep breath except to breathe regularly. There is no need to maintain hand and breathing coordination like when using an inhaler. With each breath the vapor is inhaled. Each treatment session can last anywhere from 5-20 minutes.

Almost all types of respiratory bronchodilator medicines can be delivered by nebulizer therapy. However, nebulizers are not for everyone. Because the machines are large, they can be cumbersome to transport everywhere. Most individuals use nebulizers either in the hospital or at home. When the respiratory condition has stabilized, the patient switches back to the inhalers. Besides treating severe asthma, nebulizers are excellent for administering bronchodilator medications in young children and the elderly who may have difficulty with the use of inhalers.

All nebulizer medications and the nebulizer machine require a physician’s prescription. All patients should remember that nebulizers are not a substitution for inhalers but a complimentary form of treatment. All nebulizers have to be cleaned regularly to ensure that the tubings are free from residual medication and secretions. Use of warm water and a cloth is sufficient to clean these devices.

For more information on nebulizers, please visit us at www.medexsupply.com

Diabetic Shoes

Feet are the most neglected part of our body both when it comes to health and cosmesis.

While the feet may not appear to be attractive they are very important part of our body and play a vital role in our lifestyle. It is estimated that at least 75% of the population will have a foot problem at some point in their lives. What may be surprising to many people is that the two feet in more than 25% are never identical. Most people go to a shoe store and always think of buying shoes of a similar size. Well, many individuals wear single shoes that are of a different size.

The types of foot problems that are very common in our society include congenital disorders like club feet, cerebral palsy, diabetes, circulatory problems, flat or high arches, etc. Another major cause of foot problems is wearing of tight or misfitting shoes, especially among women. Wearing high heel shoes for prolonged periods can often lead to formation of bunions, hammer toes, corns, calluses, ingrown toe nails and heel.

The majority of congenital and acquired foot problems can be prevented or improved with proper shoe wear. In some cases such as polio, single shoes may help even out the balance and gait problems. These odd shoes are usually custom designed and do help restore mobility and stability in these individuals. In most congenital foot disorders, only one shoe may have to be altered or custom made to help achieve foot function and cosmesis.

There are also many individuals who have developed foot problems from trauma, sports-related injury or diabetic amputees who may just need one shoe.

In the last 3 decades changes in lifestyles and improper shoe wear has also led to the development of foot disorders like bunions, hammer toes, corns, heels pain, diabetic feet, etc. These individuals are best served by wearing orthopedic shoes. The orthopedic shoes available today are comfortable, well padded, have a wide toe box, are also attractive and stylish.

Diabetic individuals are always at a risk for developing life threatening infections even after minor trauma. Besides having poor circulation in the feet, diabetics also have loss of nerves and are unable to sense trauma. These individuals should wear corrective shoes to protect their feet. Corrective shoes are available that can stabilize and support all types of foot deformities. In addition the shoes are designed such that they reduce shock and pressure on the joints.

Today, people with foot problems can buy supportive shoe wear in all styles and designs. Besides elegance, one should buy shoes that are comfortable and protective.

For more on diabetic shoes, please visit www.medexsupply.com

When to test blood sugar levels?

The testing for blood sugar levels is more rigorous just after the diagnosis of diabetes. Once the diagnosis of diabetes has been established, the measurement of blood sugars does depend on the type of diabetes and treatment.

Individuals who have type 1 diabetes often need to measure the levels anywhere from 3-6 times a day, at least before and after each meal.

Individuals with diabetes who exercise also need to monitor their sugars before and after exercise and just before going to sleep.

Individuals with type 1 diabetes who are ill or have a change in their routine (like traveling), stress or have been diagnosed with other medical disorder may need more frequent monitoring of blood sugar levels.

Individuals with Type 2 diabetes generally require less frequent glucose monitoring. Most of these individuals initially monitor the blood glucose 1-2 times day if they are on any type of diabetic medications. Individual who are managing their type 2 diabetes with diet and exercise alone need to monitor their sugars less often.

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.

For more information on diabetic supplies including blood glucose monitors, kits, lancets, infusion sets, test strips and glucose tablets, please visit www.medexsupply.com

Can we prevent Colon Cancer part 2

Prognosis

The prognosis of colon cancer is highly dependent on the stage and actual pathology results obtained after surgery. The survival rates are as follows:

If colon cancer is limited to only the inside layers of bowel, about 80--90% will survive 5 or more year
If cancer has spread to nearby lymph nodes, the chances of surviving 5 years are about 50-60%
If the cancer already has spread to the liver and other organ, the chance of living 5years is less than 10%

Conclusion

Colon cancer is one of the leading causes of cancer and death from carcinoma in the United States. Despite the increased awareness of this cancer for the past 40 years, the mortality has not improved significantly. There are no real magical cures in terms of drugs in the near future. Prevention of the cancer is one of the ways which has been recommended to decrease the mortality from this cancer. Screening of individuals above the age of 50 has been recommended. However, a significant number of the American population does not have the medical coverage and the costs for annual screening are prohibitive. Until some type of universal Federal program which pays for the screening is available, the mortality of colon cancer is unlikely to change.

For more information on the fecal blood test, visit www.medexsupply.com

Can we prevent Colon Cancer part 1

Over the past 2 decades, numerous epidemiologic studies have found a modest decrease in colorectal cancer in patients who regular take non-steroidal anti-inflammatory drugs, particularly aspirin, calcium and folate. Unfortunately, randomized controlled trials with the use of such agents, potion, lotions, creams, herbs, nutrients are limited. Despite 40 years of advocating high fiber diets and less meat, the numbers of colon cancer have remained unchanged. Even though we have screening tests for colon cancer, only a select few individuals undergo them on a regular basis.

The effectiveness and cost-effectiveness of over the counter agents for prevention of colon cancer is a billion dollar industry and there are daily claims of cancer cure. However, most of these herbs, spices, nutrients are considered junk and have even less value than drinking one’s urine. There are hundreds of faith healers, spiritualists and even alternative health care practitioners who have now entered the field of oncology with exorbitant claims. Some recommend colon cleansing, others recommend eating laetrile (which contains cyanide), electric shocks, exotic plants and herbs, enemas and so on- all of them have one thing in common- they do not work and in most cases make you worse off. There are no scientific data to back up the claims by these fake healers or charlatans.

Obesity: Public Enemy Number One

Obesity is defined as an excess accumulation of body fat of, usually 20% or more over an individual's ideal body weight. Obesity is a chronic disorder and associated with a multitude of medical disorders, including early death.

Obesity does have various classifications: those who are 20-40% over their ideal weight are considered mildly obese, those over 40-100% over ideal weight are moderately obese and those over 100% over ideal weight are morbidly obese. Today, these arbitrary numbers are rarely used and a measurement called BMI (Body mass index) is used where the weight is compared to the height. When the BMI is over 30, one is considered obese.

Today obesity has reached epidemic proportions not only in North America, but in Europe as well as Asia. Estimates indicate that nearly 60% of all Americans are overweight.

One thing that has been acknowledged is that drugs may not be the answer in controlling the obesity epidemic and a change in life style is mandatory. Therefore, along with these weight loss physicians, there has been an explosion of nutritionists, exercise gyms, herbal therapists, psychologists, spiritualists, yogis and a whole host of other experts- all who have been burdened with solving Americas number one health problem. The majority of these so called experts are in the business to make money and Quack therapy is very prevalent in the obesity business.

All the excess weight may be good to prevent one from feeling cold, but apart from this benefit, obesity is a life threatening illness and associated with diabetes, arthritis, hypertension infertility and even cancer. Obesity has now overtaken smoking as the number one public health problem. At least 300,000 deaths are directly attributed to obesity and countless more complications go unreported.

For more on back pain supplies, please visit www.medexsupply.com

Monday, February 9, 2009

Current methods of treating lymphedema

Besides elevating the extremity and maintaining good skin care, there are other effective ways to reduce swelling in the extremity.

Extremity wrapping: In the past compression bandages were recommended for the treatment of lymphedema. These elastic bandages can be wrapped around the leg or arm for days at a time. The bandages act by slowly squeezing the muscles and gradually pushing the fluid out. The bandages do not always work and must be worn for a long time. The biggest problem with the bandages is that they can become uncomfortable to wear. Most people do not know how much pressure to apply during the wrap- and more often then not, the pressure is excessive. However, if one has no other treatment methods, use of elastic bandages is worthwhile. Today, there are a number of extremity wraps which are more comfortable to wear for long periods

Massage
has been shown to reduce lymphedema. However, the massage should be undertaken regularly and for a long time. The massage acts by stimulating the muscles and reducing the fluid in the tissues. Massages should be avoided when the overlying skin is broken or infected. Further, elderly individuals with heart problems do not tolerate massage therapy well. While massage therapy does work to some extent, it is an expensive undertaking. Each session may cost anywhere from $25-$50 and therapy to be performed on a daily basis for months. And the downside is that not everyone responds to massage therapy.

Pneumatic compression. One of the best treatments for lymphedema is the use of pneumatic compression pumps. Basically, the pumps come with a cuff which is wrapped around the extremity. The cuff is connected to a small pump which sequentially inflates and deflates the cuff a few times every minute. The cuffs squeeze the muscles and move the fluid out of the tissues. The pneumatic cuffs can be worn at night or even during the day is one is bed ridden. These sequential pumps even prevent the development of blood clots in the leg veins. There are many styles and brands of these pumps for home use. The pumps should be used on a daily basis and the majority of users find a significant decrease in lymphedema.

Compression garments are probably the first resort treatment for lymphedema. Basically these compression stockings are worn over the extremity and they reduce the fluid in the tissues. The stockings have graded pressure and act by sequentially squeezing the muscles and moving the fluid up the extremity. There are many styles, sizes, colors and brands of compression stockings. The latest stockings are easy to wear, comfortable and made of soft fabrics. The stockings can be worn all day and removed at night. One can even leave them on for a few days at a time. Compression stockings provide the best relief from lymphedema. Not only are they a cheaper alternative, they do not have any drawbacks. The only criterion is that one needs to get the proper stocking size for proper fit.

Surgery is not used to treat lymphedema. It is associated with severe complications and scars which never heal. Surgery is the last resort and there is always the possibility that it can make the deformity worse. If any physician recommends surgery as first resort, always seek a second opinion

Lymphedema is a chronic condition and one can never completely cure it. However, compression garments can make a big difference both physically and functionally. To avoid health care professional from mistaking your disorder as varicose veins, wear a medical bracelet

For more on compressive garments, visit www.medexsupply.com

Treatment of lymphedema

The first thing you have to know is that there is no cure for this chronic disorder. The swelling in the extremity is not seen overnight but can take months and even years to develop. All the treatments available today only treat the symptoms from getting worse. Surgery has been hyped up to cure the disorder but this is misleading. Surgery is fraught with complications and should be avoided at all costs.

There are some cases of lymphedema that may be caused by an enlarged lymph node or a parasitic infection. These cases can be cured with appropriate therapy. However, the swelling in the affected limb usually does not always completely resolve. The reason for difficulty in resolution is that the fluid has already mixed with the tissues and does not easily come out. It is like getting the water back out from a frozen piece of jello

Treatment of Lymphedema

In general, conservative care is the best treatment plan for lymphedema. Conservative care is not only safe, cheap but will save your arm and leg.

The conservative care approaches should include elevating the extremity to allow for the fluids to drain. The elevation of the extremity should be done regularly and frequently.

Pain: Lymphedema can cause a constant ache. The increasing fluid in tissues compress on the delicate nerves. Thus, pain control is an important part of management. Most individuals will have pain relief with over the counter pain medications.

Hygiene: Keep the skin on the affected extremity clean and dry. Because the skin does get dry in lymphedema, apply a moisturizer.

Avoid trauma. Lymphedema can cause the skin to become thin and fragile. Thus one should take great precaution and avoid trauma; even shaving should be avoided. If the skin gets broken down in the affected extremity, it is almost impossible to heal.

All individuals who have lymphedema should wear protective garments and shoes. This is vital to preserve the limb.

Water pills: There are many health care practitioners who routinely prescribe water pills for lymphedema. Lymphedema is not due to excess fluid in the blood vessel but in the tissues. Water pills are a waste of time and money. The majority of individuals have no response to water pills.

Antibiotics: Because individuals with lymphedema are very prone to infections, antibiotics are frequently prescribed for the treatment of infection.

Exercising the extremity is important because as the muscles contract, the motion squeezes the fluid out of the tissues and reduces the swelling. Exercises can vary from walking, swimming, cycling or even use of exercise machines. The exercises should be of mild to moderate intensity. At all times the extremity must be protected from external trauma.

For more on compressive garments, visit www.medexsupply.com

Basal body temperature as a means of birth control

The basal body temperature (BBT) is frequently used by women for birth control. The basal body temperature is body temperature when one wakes up in the morning. By monitoring this temperature at the same time every day and observing the changes, one can determine when ovulation has occurred.

This crude method of birth control is widely used all over the world by women who do not want to take the pill and want to rely on a natural method of protection. Measuring BBT is not foolproof and only works ¾ of the time. At least ¼ of the women who use this method still end up getting pregnant. The reason for such a large error is because BBT can be affected by the following:

- any illness or fever
- mental stress, anxiety
- poor and disorganized sleep patterns
- frequent use of tobacco
- use of alcohol
- use of a warming device at night or an electric blanket

While BBT is natural and safe way for family planning, it does have a downside besides getting pregnant. It does not protect one against transmission/acquiring sexually transmitted disease.

BBT is not for everyone and should not be used without any experience. Before using BBT one must know how to use a thermometer (which is relatively easy) and then obtaining a baseline temperature for about 2-3 months. One should get in the habit of measuring the temperature every morning and recording it. In time, one can predict when ovulation is going to occur and when it is completed. If one cannot predict this, then BBT is not for you.

The temperature change at ovulation is very slight –usually only one degree. Once a temperature spike occurs, this means you have ovulated within the past 24 hours. For family planning one should abstain from intercourse during this time period or use an alternative method of contraception. Because sperm can remain viable for 2-3 days, the unsafe period is usually 3 days before ovulation and 3 days after. This means that unprotected sexual intercourse should not be undertaken from the last menstrual period until the 3rd day after ovulation each month (usually for 15-16 days after the last day of the menstrual cycle).

Thermometers which can measure basal body temperature accurately are readily available and usually cost anywhere from $6-$10.

For more on thermometers, please visit www.medexsupply.com