winnipegsun.com - Manitoba - Unhealthy trend: "One of the problems is some provinces still don't keep accurate data on certain wait times. As a result, some provinces -- including Saskatchewan and Nova Scotia -- were not graded in two or three of the five priority areas.
Nevertheless, the report did manage to give out 37 of 50 possible grades. Manitoba was graded in all five areas and overall, we didn't do well.
B.C. scores three A's
By contrast, British Columbia got three A's, one C and an incomplete.
Newfoundland got four A's and an incomplete.
Ontario got an A, one B and three Cs.
Alberta got an A, B, C, D and an incomplete.
And Quebec got two A's, one B and two incompletes.
Only Manitoba, Prince Edward Island and Saskatchewan got Fs in any category.
Meanwhile, the alliance report wasn't the only recent bad news for wait times in Manitoba.
The Fraser Institute's latest report on health care wait times shows the median wait time between seeing a specialist and receiving treatment in Manitoba has grown for the second year in a row to 10.3 weeks.
The median wait time from referral to a specialist and treatment now stands at 18 weeks in Manitoba, slightly above the national average of 17.8 weeks.
It doesn't bode well.
Measuring health-care wait times can be a dodgy game.
Wait times among surgeons in the same city can vary significantly for all kinds of reasons. Hospitals in the same jurisdiction routinely have varying wait times for procedures like MRIs and ultrasounds.
And governments sometimes just don't have good data to accurately measure certain wait times.
However, with the billions we've put into health care over the past few years, you'd think we'd see some signs of significant progress on hospital wait times. But we don"
Thursday, November 30, 2006
Thursday, November 23, 2006
Getting Organized - Estate Planning
Getting Organized - Estate Planning: "Getting Organized - Estate Planning
What will become of the things you own -- your assets -- when you eventually pass-on? The following list of documents, materials, and instructions will help organize your own thinking and will provide essential information to your survivor(s) or to those who will care for you if you are disabled and unable to act for yourself. There are six broad categories of materials to organize.
Personal Contacts List
This should include, for example, the name, address, and phone number of your spouse, any prior spouse(s), children, relatives, close friends, etc. If you store contact lists electronically, a readily available paper copy should also include your e-mail and other accounts with their passwords.
Professional Contacts
This should include, for example, the name, address, and phone of your lawyer, employer, accountant, insurance agent, broker, etc.
Funeral, Cremation and Burial Arrangements
This should include a clear statement of your wishes for your funeral and burial or cremation. If you have made prior arrangements, have burial insurance, etc. this should also be noted. It is important that your family or other loved ones know what your intentions are with regard to your funeral, burial, or cremation. You should either discuss your wishes with them or tell them where they may find a statement of your wishes at your death. It is not advisable to put the statement of your wishes in your will or safe deposit box because the statement or will may be found too late for your wishes to be honored.
Lists of Assets and Liabilities
This should include, for example, a precise list of all your bank accounts, stock brokerage accounts, insurance policies, "
What will become of the things you own -- your assets -- when you eventually pass-on? The following list of documents, materials, and instructions will help organize your own thinking and will provide essential information to your survivor(s) or to those who will care for you if you are disabled and unable to act for yourself. There are six broad categories of materials to organize.
Personal Contacts List
This should include, for example, the name, address, and phone number of your spouse, any prior spouse(s), children, relatives, close friends, etc. If you store contact lists electronically, a readily available paper copy should also include your e-mail and other accounts with their passwords.
Professional Contacts
This should include, for example, the name, address, and phone of your lawyer, employer, accountant, insurance agent, broker, etc.
Funeral, Cremation and Burial Arrangements
This should include a clear statement of your wishes for your funeral and burial or cremation. If you have made prior arrangements, have burial insurance, etc. this should also be noted. It is important that your family or other loved ones know what your intentions are with regard to your funeral, burial, or cremation. You should either discuss your wishes with them or tell them where they may find a statement of your wishes at your death. It is not advisable to put the statement of your wishes in your will or safe deposit box because the statement or will may be found too late for your wishes to be honored.
Lists of Assets and Liabilities
This should include, for example, a precise list of all your bank accounts, stock brokerage accounts, insurance policies, "
Health Records of the Future: Why ‘lifespan planning’ may be the best approach
Health Records of the Future: Why ‘lifespan planning’ may be the best approach: "better health care system -- one that permits us to feel connected, supported, and in control of our own health destiny -- two words come to mind: information and planning.
The more information we have about our own health history and genetic profile, the smarter we can be about making health decisions and planning our health future.
This requires a constantly available “record” of our changing health status.
But if you switch doctors or go to a hospital for surgery, you’ll find that our nation’s health records are not even close to this ideal. They are splintered and poorly organized at best.
To their credit, doctors and hospitals have been trying to create a coordinated system of electronic records – but it falls far short of what we need.
The real key to our health information future, one I will describe in just a moment, is a concept called a “Lifespan Planning Record.” This computer-based and integrated model would provide a holistic view of your health – stretching all the way back to your ancestors and projecting far forward into your future – so you will know what you can anticipate as your body ages."
The more information we have about our own health history and genetic profile, the smarter we can be about making health decisions and planning our health future.
This requires a constantly available “record” of our changing health status.
But if you switch doctors or go to a hospital for surgery, you’ll find that our nation’s health records are not even close to this ideal. They are splintered and poorly organized at best.
To their credit, doctors and hospitals have been trying to create a coordinated system of electronic records – but it falls far short of what we need.
The real key to our health information future, one I will describe in just a moment, is a concept called a “Lifespan Planning Record.” This computer-based and integrated model would provide a holistic view of your health – stretching all the way back to your ancestors and projecting far forward into your future – so you will know what you can anticipate as your body ages."
Naturopathic physician
"Naturopathic Physicians Defined
A question I'm often asked by readers is why I interview naturopathic physicians (NDs) for articles instead of 'real doctors.' The short answer is because they have the specialized training to know about things like herbal remedies and nutritional supplementation. But the issue is more complicated. What is clear to me is that there is much confusion about exactly what a naturopathic physician is... what his/her education is... and what role he/she could or should play in the individual's health-care team. To get clarification on the ND's role and practice, I spoke with Jane Guiltinan, ND, president of the American Association of Naturopathic Physicians.
A NATUROPATH'S EDUCATION
In North America, there are five naturopathic medicine programs currently accredited by The Council on Naturopathic Medical Education (CNME), and one naturopathic program that is a candidate for accreditation by the CNME. Candidates for admission must earn a baccalaureate degree (or equivalent) prior to admission, including standard pre-med training. The ND degree is a doctoral degree and typically takes four years to complete, just like an MD.
There are many similarities between the naturopathic and conventional medical school curriculum. The first two years of both curriculums involve basic science courses -- anatomy, pathology, physiology, biochemistry, and other Western medical sciences. In addition, naturopathic philosophy courses expose students to:
The first two years of both curriculums involve basic science courses -- anatomy, pathology, physiology, biochemistry, and other Western medical sciences. In addition, naturopathic philosophy courses expose students to the concepts and principles and practices of natural medicine, said Dr. Guiltinan. These include nutrition, homeopathy, botanical medicine, acupuncture and a variety of mind-body approaches.
During the third and fourth years, there's a mix of classroom courses such as gynecology, pediatrics and rheumatology, plus approximately 1,200 hours of clinical training under the supervision of licensed naturopathic physicians. In this phase of training, naturopathy students observe and help manage patients in an outpatient setting.
THE NATUROPATH'S ROLE
Think of the ND as the equivalent of a family practice physician, said Dr. Guiltinan. Naturopaths provide excellent primary health care for individuals and families. Like the conventional general practitioner with an MD, an ND will assess your health and direct your treatment, either by treating you directly or by referral to other mainstream or natural care specialists such as chiropractors, acupuncturists, nutritionists or specialists in homeopathy, to name a few.
In Dr. Guiltinan's view, conventional physicians and naturopaths are most effective at different points in the spectrum of the health-care system. "At one end of the spectrum is crisis medicine," she says "and it's here where I think conventional medicine is excellent. Emergency care intervention, trauma care, serious infections -- this is where conventional medicine excels."
"Where I think conventional medicine has not done its most effective work is in chronic disease management and in conditions that don't really fit into a clear medical box -- chronic fatigue syndrome, for example, fibromyalgia or depression. With these types of conditions, the conventional, technological or pharmaceutical approach is not always effective as it focuses on symptom suppression, rather than the naturopathic process of finding the underlying causes and addressing these to support healing and the creation of health and wellness. This is where naturopathic physicians can play an important role."
THE ND OFFICE VISIT: WHAT TO EXPECT
What is different about a visit to an ND? At your initial visit you'll be asked about your health history and receive a physical exam that is similar to the physical at a conventional medical office. And like a conventional MD, an ND may order lab tests or diagnostic imaging tests. So, what's different?
"You'll find much more in-depth questioning about your current lifestyle," said Dr. Guiltinan. Naturopaths ask about your diet -- at minimum they will ask you to describe it but more likely you'll be asked to complete a diet diary, detailing your food intake for a week or so. We're also very interested in finding out if you exercise or not, and what your mental and emotional state is.
PHILOSOPHY AND TREATMENT
Dr. Guiltinan said that extensive questioning is necessary to get to the underlying issues around a health problem and address them, rather than just addressing the presenting symptoms of a problem.
Because naturopaths believe that the human body has an incredibly powerful ability to heal itself if given the chance, she said, one principle is to take a look at what the "obstacles to cure" are in an individual patients' life. What are obstacles to cure?
Well, sometimes its genetics, which we can do little about, she said, but some obstacles can be removed (for example, eating poorly, being too stressed out with work, exposure to environmental toxins, lack of exercise). If you can add support in the form of a good diet, proper exercise and stress reduction to promote the healing responses of the body, then you can further capitalize on the body's ability to heal.
In naturopathic medicine, most treatment plans, regardless of the condition, begin with diet modifications. The famous quote from Hippocrates, "Let food be thy medicine and medicine be thy food" is a basic tenet of naturopathic treatment. In addition, supplements (vitamins and minerals) may be prescribed. In some cases, NDs will do the nutritional counseling themselves... in other instances that require more sophisticated or specialized care, patients may be referred on to a nutrition specialist.
Other common treatment modalities are homeopathy, botanical medicine, physical medicine and acupuncture and mind/body therapies. Again, depending on the patient's needs, the ND may provide treatment himself or refer the patient on to a specialist. NDs also offer psychological counseling. In this area, Dr. Guiltinan said a big part of her naturopathic practice is preparing patients to make the little and big lifestyle changes that will impact their health. In naturopathic medicine, the patient's participation in his/her own health care is crucial.
HOW CAN I FIND A NATUROPATH IN MY AREA?
To find a qualified, licensed ND in your area, visit the American Association of Naturopathic Physicians Web site, naturopathic.org and click "Find a doctor."
So, to all my readers who wonder "why don't I interview 'real doctors'" ... I do. As always"
A question I'm often asked by readers is why I interview naturopathic physicians (NDs) for articles instead of 'real doctors.' The short answer is because they have the specialized training to know about things like herbal remedies and nutritional supplementation. But the issue is more complicated. What is clear to me is that there is much confusion about exactly what a naturopathic physician is... what his/her education is... and what role he/she could or should play in the individual's health-care team. To get clarification on the ND's role and practice, I spoke with Jane Guiltinan, ND, president of the American Association of Naturopathic Physicians.
A NATUROPATH'S EDUCATION
In North America, there are five naturopathic medicine programs currently accredited by The Council on Naturopathic Medical Education (CNME), and one naturopathic program that is a candidate for accreditation by the CNME. Candidates for admission must earn a baccalaureate degree (or equivalent) prior to admission, including standard pre-med training. The ND degree is a doctoral degree and typically takes four years to complete, just like an MD.
There are many similarities between the naturopathic and conventional medical school curriculum. The first two years of both curriculums involve basic science courses -- anatomy, pathology, physiology, biochemistry, and other Western medical sciences. In addition, naturopathic philosophy courses expose students to:
The first two years of both curriculums involve basic science courses -- anatomy, pathology, physiology, biochemistry, and other Western medical sciences. In addition, naturopathic philosophy courses expose students to the concepts and principles and practices of natural medicine, said Dr. Guiltinan. These include nutrition, homeopathy, botanical medicine, acupuncture and a variety of mind-body approaches.
During the third and fourth years, there's a mix of classroom courses such as gynecology, pediatrics and rheumatology, plus approximately 1,200 hours of clinical training under the supervision of licensed naturopathic physicians. In this phase of training, naturopathy students observe and help manage patients in an outpatient setting.
THE NATUROPATH'S ROLE
Think of the ND as the equivalent of a family practice physician, said Dr. Guiltinan. Naturopaths provide excellent primary health care for individuals and families. Like the conventional general practitioner with an MD, an ND will assess your health and direct your treatment, either by treating you directly or by referral to other mainstream or natural care specialists such as chiropractors, acupuncturists, nutritionists or specialists in homeopathy, to name a few.
In Dr. Guiltinan's view, conventional physicians and naturopaths are most effective at different points in the spectrum of the health-care system. "At one end of the spectrum is crisis medicine," she says "and it's here where I think conventional medicine is excellent. Emergency care intervention, trauma care, serious infections -- this is where conventional medicine excels."
"Where I think conventional medicine has not done its most effective work is in chronic disease management and in conditions that don't really fit into a clear medical box -- chronic fatigue syndrome, for example, fibromyalgia or depression. With these types of conditions, the conventional, technological or pharmaceutical approach is not always effective as it focuses on symptom suppression, rather than the naturopathic process of finding the underlying causes and addressing these to support healing and the creation of health and wellness. This is where naturopathic physicians can play an important role."
THE ND OFFICE VISIT: WHAT TO EXPECT
What is different about a visit to an ND? At your initial visit you'll be asked about your health history and receive a physical exam that is similar to the physical at a conventional medical office. And like a conventional MD, an ND may order lab tests or diagnostic imaging tests. So, what's different?
"You'll find much more in-depth questioning about your current lifestyle," said Dr. Guiltinan. Naturopaths ask about your diet -- at minimum they will ask you to describe it but more likely you'll be asked to complete a diet diary, detailing your food intake for a week or so. We're also very interested in finding out if you exercise or not, and what your mental and emotional state is.
PHILOSOPHY AND TREATMENT
Dr. Guiltinan said that extensive questioning is necessary to get to the underlying issues around a health problem and address them, rather than just addressing the presenting symptoms of a problem.
Because naturopaths believe that the human body has an incredibly powerful ability to heal itself if given the chance, she said, one principle is to take a look at what the "obstacles to cure" are in an individual patients' life. What are obstacles to cure?
Well, sometimes its genetics, which we can do little about, she said, but some obstacles can be removed (for example, eating poorly, being too stressed out with work, exposure to environmental toxins, lack of exercise). If you can add support in the form of a good diet, proper exercise and stress reduction to promote the healing responses of the body, then you can further capitalize on the body's ability to heal.
In naturopathic medicine, most treatment plans, regardless of the condition, begin with diet modifications. The famous quote from Hippocrates, "Let food be thy medicine and medicine be thy food" is a basic tenet of naturopathic treatment. In addition, supplements (vitamins and minerals) may be prescribed. In some cases, NDs will do the nutritional counseling themselves... in other instances that require more sophisticated or specialized care, patients may be referred on to a nutrition specialist.
Other common treatment modalities are homeopathy, botanical medicine, physical medicine and acupuncture and mind/body therapies. Again, depending on the patient's needs, the ND may provide treatment himself or refer the patient on to a specialist. NDs also offer psychological counseling. In this area, Dr. Guiltinan said a big part of her naturopathic practice is preparing patients to make the little and big lifestyle changes that will impact their health. In naturopathic medicine, the patient's participation in his/her own health care is crucial.
HOW CAN I FIND A NATUROPATH IN MY AREA?
To find a qualified, licensed ND in your area, visit the American Association of Naturopathic Physicians Web site, naturopathic.org and click "Find a doctor."
So, to all my readers who wonder "why don't I interview 'real doctors'" ... I do. As always"
Tuesday, November 21, 2006
Retirement Gordon Powers - Sympatico / MSN Finance - Flaherty gives a little back to pensioners
Retirement Gordon Powers - Sympatico / MSN Finance - Flaherty gives a little back to pensioners: "Flaherty gives a little back to pensioners
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By Gordon Powers
November 14, 2006
While many older Canadians were devastated when Finance Minister Jim Flaherty effectively killed income trusts, they can draw a bit of solace from his decision to introduce income splitting for seniors earning pension income. And, for some seniors at least, this is actually quite a bonus.
Starting in 2007, more than two million pensioners will be able to split income from corporate pension plans, just as they do now with payments from the Canada Pension Plan. Flaherty also promised a $1,000 increase in the age credit to $5,066, starting in 2007.
All this is long overdue, of course. Allowing splitting of CPP payments between spouses in 1978 and spousal RRSPs in 1985 were half measures that unfairly left private pensioners out in the cold. Now he’s created a more level playing field between defined benefit plan members and those who save through RRSPs, as well eliminating some inequity between married couples and those who divorce. "
advertisement
By Gordon Powers
November 14, 2006
While many older Canadians were devastated when Finance Minister Jim Flaherty effectively killed income trusts, they can draw a bit of solace from his decision to introduce income splitting for seniors earning pension income. And, for some seniors at least, this is actually quite a bonus.
Starting in 2007, more than two million pensioners will be able to split income from corporate pension plans, just as they do now with payments from the Canada Pension Plan. Flaherty also promised a $1,000 increase in the age credit to $5,066, starting in 2007.
All this is long overdue, of course. Allowing splitting of CPP payments between spouses in 1978 and spousal RRSPs in 1985 were half measures that unfairly left private pensioners out in the cold. Now he’s created a more level playing field between defined benefit plan members and those who save through RRSPs, as well eliminating some inequity between married couples and those who divorce. "
Monday, November 20, 2006
elderly eating disorders
"Eating Disorder Common Among Elderly
When most people hear the word 'anorexia' they picture a young, previously healthy woman who has starved herself into a skeletal state. Seldom, if ever, do people think about an eating disorder among the elderly population. But as new research is coming to light, it shows a definite and growing problem in this group.
A full quarter of nursing home residents refuse to eat and are malnourished. The figure is expected to rise in the near future as the homes become more crowded and staffing becomes even more inadequate. Of course there are a number of psychological reasons why nursing home residents refuse to eat, such as difficulty swallowing or various diseases including dementia that render patients disinterested in food and sometimes unable to eat, or they forget to eat. But there are also a number of people, previously healthy, who for no apparent reason refuse to eat and so they die. Having watched my own grandmother place herself into a state of dementia due to lack of eating when she was unhappily living far from her children and grandchildren, these statistics took on special meaning for me.
David Rissmiller, DO, is the chair of the Department of Psychiatry at the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine in Stratford, New Jersey. He has been working with this population of older adults who give up food to help them overcome their resistance in order to regain their health. When I spoke with him, he told me that these are rational people who had been previously enjoying a good life. Then suddenly something happens and they need to go into a nursing home. For sometimes unexplained reasons, they refuse to eat and this starts a horrible downward cycle. Dr. Rissmiller explained that "passive self-harm from not eating is one of the major risk factors for death in nursing home patients."
When a person rapidly loses 5% of his/her body weight, it begins to affect protein stores... a rapid loss of 10% of body weight can make a person lose the ability to fight infections or heal wounds. One reason the problem of starvation in the elderly has remained hidden is because death certificates do not list the cause as starvation but rather the event that was actually a result of malnutrition. Also malnourished individuals lack the ability to utilize, react appropriately to, and successfully metabolize medications, which makes treatment with conventional means even more difficult.
WHO BECOMES ANOREXIC?
While many elderly people stop eating because of depression, there is a sub-group of older anorexics that stop eating because of a traumatic event that has to do with food. This generally has three aspects to it, he says. It happens in people who tend toward anxiety problems... who are fastidious about their personal habits... and who had a bad reaction to something they ate. Sometimes it is that they choked on a piece of food... other times it was the humiliation they experienced by having an episode of unexpected, uncontrolled vomiting or a sudden onset of fecal incontinence and the resultant mess. At other times they fear a reoccurrence of severe constipation or impaction. Their fear of a repeat event grows and turns into a food phobia, known as sitophobia, that is stronger than their natural impetus to feed their body.
If this happens to a person in a nursing home or living on his own, his physical and mental health can deteriorate quickly. Of course this downward failure to thrive frightens family members, but most are frustrated by the fact that there is nothing they can do about it. Sometimes a psychiatrist will misdiagnose depression when the elderly person is really phobic of eating. In such cases, he urges family members to meet with the psychiatrist. He says that often the family can give the history of events that will bring the situation to light because the patient now is either too frightened to remember the incident or too embarrassed to talk about it. Inevitably, he says, once the catalyst event has been identified, the family will recognize that the anorexia started immediately afterward.
OVERCOMING THE FEARS
Food phobia is a difficult challenge, says Dr. Rissmiller. It requires reversing patients' nutritional patterns as well as their anxiety about what they perceived as a catastrophic event. In these patients, even the approach of food will be repugnant or cause panic, he adds. It is key at this point for family and staff to take a completely non-judgmental attitude, no tsk-tsking about how the patient "should" be eating. Instead, the patient and his/her doctors should explore the details of the event, including what the patient was eating at the time, where it took place, etc. Doctors should give reassurance that this kind of thing isn't uncommon and there is no need to feel humiliated so they can begin to build positive experiences with food. Working with a nutritionist, they begin to introduce foods that are safe -- the last thing a patient needs at this point is another bad experience -- and so they have him start with ice chips or perhaps a little yogurt (as well as nutritional supplements). Many patients also take low-dose medications that enhance appetite while decreasing anxiety.
Dr. Rissmiller has found that about one-third of the sitophobic elderly patients he has worked with resumed eating and recovered their health. Others are more recalcitrant and require further work, but he says that he and his staff continue to explore ways to resolve this problem. The first step, though, remains: to recognize anorexia in a formerly healthy person for what it is and treat it accordingly. This is true whether the patient is 25 or 75.
When most people hear the word 'anorexia' they picture a young, previously healthy woman who has starved herself into a skeletal state. Seldom, if ever, do people think about an eating disorder among the elderly population. But as new research is coming to light, it shows a definite and growing problem in this group.
A full quarter of nursing home residents refuse to eat and are malnourished. The figure is expected to rise in the near future as the homes become more crowded and staffing becomes even more inadequate. Of course there are a number of psychological reasons why nursing home residents refuse to eat, such as difficulty swallowing or various diseases including dementia that render patients disinterested in food and sometimes unable to eat, or they forget to eat. But there are also a number of people, previously healthy, who for no apparent reason refuse to eat and so they die. Having watched my own grandmother place herself into a state of dementia due to lack of eating when she was unhappily living far from her children and grandchildren, these statistics took on special meaning for me.
David Rissmiller, DO, is the chair of the Department of Psychiatry at the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine in Stratford, New Jersey. He has been working with this population of older adults who give up food to help them overcome their resistance in order to regain their health. When I spoke with him, he told me that these are rational people who had been previously enjoying a good life. Then suddenly something happens and they need to go into a nursing home. For sometimes unexplained reasons, they refuse to eat and this starts a horrible downward cycle. Dr. Rissmiller explained that "passive self-harm from not eating is one of the major risk factors for death in nursing home patients."
When a person rapidly loses 5% of his/her body weight, it begins to affect protein stores... a rapid loss of 10% of body weight can make a person lose the ability to fight infections or heal wounds. One reason the problem of starvation in the elderly has remained hidden is because death certificates do not list the cause as starvation but rather the event that was actually a result of malnutrition. Also malnourished individuals lack the ability to utilize, react appropriately to, and successfully metabolize medications, which makes treatment with conventional means even more difficult.
WHO BECOMES ANOREXIC?
While many elderly people stop eating because of depression, there is a sub-group of older anorexics that stop eating because of a traumatic event that has to do with food. This generally has three aspects to it, he says. It happens in people who tend toward anxiety problems... who are fastidious about their personal habits... and who had a bad reaction to something they ate. Sometimes it is that they choked on a piece of food... other times it was the humiliation they experienced by having an episode of unexpected, uncontrolled vomiting or a sudden onset of fecal incontinence and the resultant mess. At other times they fear a reoccurrence of severe constipation or impaction. Their fear of a repeat event grows and turns into a food phobia, known as sitophobia, that is stronger than their natural impetus to feed their body.
If this happens to a person in a nursing home or living on his own, his physical and mental health can deteriorate quickly. Of course this downward failure to thrive frightens family members, but most are frustrated by the fact that there is nothing they can do about it. Sometimes a psychiatrist will misdiagnose depression when the elderly person is really phobic of eating. In such cases, he urges family members to meet with the psychiatrist. He says that often the family can give the history of events that will bring the situation to light because the patient now is either too frightened to remember the incident or too embarrassed to talk about it. Inevitably, he says, once the catalyst event has been identified, the family will recognize that the anorexia started immediately afterward.
OVERCOMING THE FEARS
Food phobia is a difficult challenge, says Dr. Rissmiller. It requires reversing patients' nutritional patterns as well as their anxiety about what they perceived as a catastrophic event. In these patients, even the approach of food will be repugnant or cause panic, he adds. It is key at this point for family and staff to take a completely non-judgmental attitude, no tsk-tsking about how the patient "should" be eating. Instead, the patient and his/her doctors should explore the details of the event, including what the patient was eating at the time, where it took place, etc. Doctors should give reassurance that this kind of thing isn't uncommon and there is no need to feel humiliated so they can begin to build positive experiences with food. Working with a nutritionist, they begin to introduce foods that are safe -- the last thing a patient needs at this point is another bad experience -- and so they have him start with ice chips or perhaps a little yogurt (as well as nutritional supplements). Many patients also take low-dose medications that enhance appetite while decreasing anxiety.
Dr. Rissmiller has found that about one-third of the sitophobic elderly patients he has worked with resumed eating and recovered their health. Others are more recalcitrant and require further work, but he says that he and his staff continue to explore ways to resolve this problem. The first step, though, remains: to recognize anorexia in a formerly healthy person for what it is and treat it accordingly. This is true whether the patient is 25 or 75.
Saturday, November 18, 2006
50Plus.com - Scientists test anti-aging drugs
50Plus.com - Scientists test anti-aging drugs: "Scientists test anti-aging drugs
Article By: Cynthia Ross Cravit
Beam me aboard Scottie. A pill that can significantly extend your lifespan? Researchers in Massachusetts are testing this very thing, specifically drugs that mimic a substance in red wine called resveratrol that is believed to retard aging.
Red wine has been in the news recently for reducing the risk of heart attack, stroke, cancer and even obesity. Now some scientists are saying the wine extract known as resveratrol just might turn out to be the Holy Grail of anti-aging."
Article By: Cynthia Ross Cravit
Beam me aboard Scottie. A pill that can significantly extend your lifespan? Researchers in Massachusetts are testing this very thing, specifically drugs that mimic a substance in red wine called resveratrol that is believed to retard aging.
Red wine has been in the news recently for reducing the risk of heart attack, stroke, cancer and even obesity. Now some scientists are saying the wine extract known as resveratrol just might turn out to be the Holy Grail of anti-aging."
Thursday, November 16, 2006
Private health company seeking 'sponsors' for lawsuit over two-tier care - Yahoo! Canada News
and the war for freedom of choice goes on
Private health company seeking 'sponsors' for lawsuit over two-tier care - Yahoo! Canada News: "Private health company seeking 'sponsors' for lawsuit over two-tier care
Wed Nov 15, 5:09 PM
By Chinta Puxley
PUBLICITÉ
TORONTO (CP) - A company that refers patients to private health-care clinics in Canada and the U.S. is trying to raise money from private hospitals to 'sponsor' a threatened lawsuit against the Ontario government that it hopes could open the door to two-tier health care in Canada.
Richard Baker, president of the Vancouver-based Timely Medical Alternatives Inc., said his company wants to sue the province on behalf of a 66-year-old Ontario man who went to Buffalo, N.Y., for an MRI and surgery to remove a cancerous brain tumour.
But Baker said he doesn't have the $25,000 needed to file the suit, so he's publicizing the case in the hopes of raising the cash from private health-care providers who want to see an expansion of two-tier care.
'People who are proposing to operate a private hospital in Ontario and have been shut down because of the Canada Health Act, they may well wish to sponsor this lawsuit,' Baker said.
The suit would 'smooth the way for them to introduce private medical care into Ontario,' he added. "
Private health company seeking 'sponsors' for lawsuit over two-tier care - Yahoo! Canada News: "Private health company seeking 'sponsors' for lawsuit over two-tier care
Wed Nov 15, 5:09 PM
By Chinta Puxley
PUBLICITÉ
TORONTO (CP) - A company that refers patients to private health-care clinics in Canada and the U.S. is trying to raise money from private hospitals to 'sponsor' a threatened lawsuit against the Ontario government that it hopes could open the door to two-tier health care in Canada.
Richard Baker, president of the Vancouver-based Timely Medical Alternatives Inc., said his company wants to sue the province on behalf of a 66-year-old Ontario man who went to Buffalo, N.Y., for an MRI and surgery to remove a cancerous brain tumour.
But Baker said he doesn't have the $25,000 needed to file the suit, so he's publicizing the case in the hopes of raising the cash from private health-care providers who want to see an expansion of two-tier care.
'People who are proposing to operate a private hospital in Ontario and have been shut down because of the Canada Health Act, they may well wish to sponsor this lawsuit,' Baker said.
The suit would 'smooth the way for them to introduce private medical care into Ontario,' he added. "
Thursday, November 02, 2006
Searching for the Fountain of Youth?
Searching for the Fountain of Youth?: "Searching for the Fountain of Youth?
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America's obsessive quest to defy aging has spawned countless products designed to help you look and feel younger. But if you are thinking about purchasing one of those products -- a commonly advertised substance called HGH, short for human growth hormone – you better think twice. Not only are you likely to be disappointed, you may be putting your health at risk.
The HGH fad is a typical story of naive consumers and shady marketers -- but what makes it stand out is the way the fad grew: All it took was one highly misinterpreted 1990 article in a reputable medical journal to launch a multi-million dollar industry -- still thriving on unproven claims.
HGH is a large, complex protein molecule made up of 191 amino-acid building blocks. It’s produced in the pituitary gland, a peanut-sized organ in the base of the brain.1 Scientists first began to focus on the growth hormone in the early 1940s as they struggled to understand and help a group of children of abnormally short stature who were unable to grow. They learned that injecting the children with ground-up pituitary glands, harvested from cadavers, could stimulate new growth in the children.1,2 "
Download PDF Version
Transcript
America's obsessive quest to defy aging has spawned countless products designed to help you look and feel younger. But if you are thinking about purchasing one of those products -- a commonly advertised substance called HGH, short for human growth hormone – you better think twice. Not only are you likely to be disappointed, you may be putting your health at risk.
The HGH fad is a typical story of naive consumers and shady marketers -- but what makes it stand out is the way the fad grew: All it took was one highly misinterpreted 1990 article in a reputable medical journal to launch a multi-million dollar industry -- still thriving on unproven claims.
HGH is a large, complex protein molecule made up of 191 amino-acid building blocks. It’s produced in the pituitary gland, a peanut-sized organ in the base of the brain.1 Scientists first began to focus on the growth hormone in the early 1940s as they struggled to understand and help a group of children of abnormally short stature who were unable to grow. They learned that injecting the children with ground-up pituitary glands, harvested from cadavers, could stimulate new growth in the children.1,2 "
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