ERYSIPELASA similar treatment programme can be used for Erysipelas, which is an acute infection of the skin caused by a haemolytic streptococcus, usually displaying red swollen areas with some ‘flu-like symptoms and inflammation. The streptococcus bacteria lies at the root of many problems and infections caused by this bacteria should not be underestimated: treatment should be undertaken immediately on discovery. The American doctor Edward Rosenow has specialised his research in viral infections for over sixty years. Since 1925 he has written and published more than 450 medical papers, mainly on the subject of the effects of different viruses on the body. Dr Rosenow has discussed the streptococcus bacteria on several occasions and believes that millions of organisms exist in the human body, although a specific streptococcus bacteria is responsible for many diseases. He also discovered the strength of streptococcus, stating that to destroy this bacteria, it took 19 hours of boiling in H2Oz (hydrogen peroxide). Such is its strength that it can maintain life in temperatures ranging from 350 degrees Fahrenheit to minus 150 degrees Fahrenheit. He also found that it is so small that a trillion of this virus can live in one square centimetre alongside other bacteria. Both of these facts show what formidable opposition we are up against.Although an Erysipelas condition can be cured relatively quickly, one must never underestimate the strength and influence of a streptococcus infection in any skin disease. Its characteristics are shining skin lesions which can cause much damage and, although the area of inflammation may be small, it can be very persistent. Always make sure that exact hygiene measures are maintained and, wherever possible, disposable materials should be used and immediately disposed off and destroyed. A high dose of vitamins is recommended, especially vitamin A together with Health Insurance Plus, Echinaforce and Petasan. It is also important to ensure a good flow of urine. Drink ample amounts of fluid and make sure that there is no restriction or blockage of the urine flow and, to this end, a natural diuretic may be advisable. A good natural diuretic, for example, is asparagus and celery used with some Solidago (Golden Rod) as a herbal remedy.Yet another persistent problem that is occurring more frequently, is Herpes simplex, sometimes referred to as fever blister, cold sore, or Herpes menstrualis. This acute virus infection can be a downright nuisance, and a frequently recurring plague. An individual or multiple infection, filled with clear fluid and raised in an inflammatory base, occurs on the skin, the mucous membranes and the conjunctiva. This infection can easily occur in infancy or among young people and the local areas of infection can be very irritable, depending how often they occur and the manifestation of the variety. Usually the mouth and lips are affected, but inflammation can also appear on the extremities. Some severe reactions can take place and treatment becomes more difficult when it affects the eyes, the cornea, the nose, cheeks, elbows, or even the vagina, which sometimes causes extreme and persistent discomfort. Genital herpes is also an ever-increasing and very persistent problem. I recognise that this is most uncomfortable, but it can be cured*26\147\2*

Scientists writing in The New England Journal of Medicine, The Lancet, The Journal of Clinical Investigation, and many other journals have reported a physiological dysfunction that leads to overweight in many people. This dysfunction results in the wrong amount of insulin in the blood. Although overweight may be caused by a number of different disorders, an insulin imbalance appears to be very important to understanding some of the underlying mechanisms involved in many people who are overweight.
In order to understand what goes wrong in the carbohydrate addict, it is important to know what happens in someone who is not a carbohydrate addict.
If carbohydrate consumption continues for a prolonged period of time, additional insulin is released. Again, the amount of insulin is appropriate to what is needed, in proportion to the amount of carbohydrates eaten at that particular time. When a normal person consumes carbohydrates, his or her body releases insulin within a few minutes of eating. The amount of insulin released is based upon what that person has eaten in previous meals. When the system is functioning normally, just enough insulin is released to help deliver the carbohydrate energy (in the form of the blood sugar glucose) to the liver and to muscle or fat cells throughout the body.
As the cells take in the glucose, the level of insulin in the blood drops. The drop in insulin also results in the release of a brain chemical called serotonin. The presence of serotonin produces a feeling of satisfaction.
Insulin is sometimes called the hunger hormone because it stimulates people to eat. When insulin is released in normal people minutes after they start eating, it may cause them to feel hungrier than they thought they were when they started eating. But upon completing their meal they feel satisfied—their insulin level drops and their brains get the signal to stop eating.
Hours later, after the body has used some of the glucose that remains in the blood, the insulin-to-glucose ratio in blood changes. It appears that this increase signals the body to eat again. We recognize this signal as the sensation of hunger. The normal person then eats, and the whole process begins again.
The balance of carbohydrates and insulin is a delicate one—and it can malfunction. Within a few minutes of eating carbohydrates, in fact, the carbohydrate addict’s body releases far more insulin than is necessary. If the carbohydrate addict has recently consumed another serving of carbohydrates, the amount of insulin that is released will be greater still. The overabundance of insulin “insults” the cells that should be taking up the carbohydrate energy (glucose), interfering with the normal absorption of glucose.
An excess of insulin remains in the bloodstream. As insulin levels fail to drop, the brain levels of the chemical serotonin fail to rise, and the carbohydrate addict may not feel satisfied. Some carbohydrate addicts report that they do feel satisfied after eating, others that they find that they again feel like eating within two hours or so. And if the carbohydrate addict attempts to satisfy his or her hunger by again consuming carbohydrates, the insulin release that follows will be even greater and the sense of satisfaction even less.
The repetition of this cycle appears to form the physical basis of what we call carbohydrate addiction.
*4\236\2*

Yes. We think a little common sense goes a long way. The most common problems for children with epilepsy are the paternalism of the physician and of society and overprotection by families. Sports are an excellent way for your child to develop skills and self-confidence. These skills will be useful in adult life, whether or not the seizures are cured or controlled. Children with epilepsy have enough problems without being made to feel different because of the overprotectiveness of others who fear another seizure.
We are far more permissive than many physicians. You or your doctor may put more restrictions on what your child can do, with or without epilepsy. The risks of participation in a particular sport will vary with your child and his seizures. The benefits of a particular sport also vary with the child. Participation in a sport like football may or may not be very important to your child. You and your child will have to weigh both the risks and the benefits of participation. Your physician may be a good advisor.
Sports, particularly competitive sports, are about participation, about being a member of a team. They’re about trying to be the best at something. They’re about self-esteem. Sports seem to be good for most children; perhaps they are even more important for the child with epilepsy.
*258\208\8*

Uterine sarcomas are rare malignant tumours of the muscular wall of the womb. As in endometrial cancer, total abdominal hysterectomy and removal of both tubes and ovaries (‘bilateral salpingo-oophorectomy’) is the common treatment. In some circumstances, lymph glands will also be removed to determine whether the cancer has spread.
Since the most common type of sarcoma – the ‘leiomyosarcoma’ – is usually found in association with fibroids, then it is not unusual for the diagnosis of this cancer to occur as an incidental finding following removal of the uterus because of abnormal bleeding due to uterine fibroids.
Under these circumstances, the ovaries are usually left because spread of sarcomas to the ovaries is very rare. In some cases, the ovaries have to be removed such as when an ‘endometrial stromal sarcoma’ is diagnosed since this sort of cancer may be hormone dependent.
There is increasing evidence that the addition of radiation to the pelvis in women with uterine sarcomas reduces the risk of recurrence in the pelvis. Because these cancers are rare, there has been no study comparing women who have been given radiation and those who have not. But studies of women who have been given radiation have shown that compared to other previous patient case histories, there is a reduction in local recurrence.

Survival Rates
The cure of cancer depends on many factors but the most important single factor influencing outcome relates to how far the cancer has spread at the time of diagnosis . . . ‘the stage’ or extent of the spread that the cancer is at.
*11/144/5*

Cancers of the lining of the uterus and of the uterine wall basically cause abnormal bleeding. In women   before menopause, this usually is irregular bleeding, but occasionally can cause just heavy periods alone. More than 80% of cases of endometrial cancers occur in older women and postmenopausal bleeding is the most common symptom. Very occasionally a watery discharge can be a symptom and in advanced cases it can spread outside the pelvis to the lungs, liver and bone that can cause cough, jaundice and/or bone pain.

I had had an endometriosis hysterectomy when I was 29, but the endometriosis kept growing on the bowel. When I was 34 I had a piece of the bowel taken but it kept coming back. After four years, they decided to give me radiotherapy because they couldn’t stop it growing. It turned into an endometriotic cancer on the bowel. The radiotherapy burst the bowel. I woke from surgery with five drainage bags on my stomach . . . and now I have none.
Alice
When a woman has irregular bleeding then usually a doctor will examine the cervix to see if it looks normal, do a Pap smear and sample the lining of the womb – an ‘endometrial biopsy’. This is usually done in the gynecologist’s office without anesthetic, but if the woman has never had a baby, then occasionally an anesthetic is required, as the cervix can be very tight.
If the endometrial biopsy fails to show any cancer and the bleeding persists, or if no tissue is obtained, then usually a transvaginal ultrasound is undertaken, where the ultrasound probe is   inserted into the vagina. This will show any abnormal areas within the lining of the womb, and in particular in the postmenopausal woman. It will show if the lining of the womb has abnormal thickening (> 5 mm thick). If the lining of the womb has thickened, then a closer examination of the lining of the womb is undertaken. This will be done either under general or local anesthetic by passing a 3-5 mm camera tube through the cervix (a ‘hysteroscope’) and a sample taken to exclude cancer.
For uterine muscle tumours, however, particularly those arising in fibroids, it is often difficult to get a sample. If fibroids are seen particularly in a postmenopausal woman, then a hysterectomy is usually recommended to exclude a malignant tumour (‘sarcoma’).
*9/144/5*

1.    Know your triggers. Become aware of when you crave certain foods. If you know that certain situations make you feel the need for certain foods, either avoid the situations if possible or else prepare yourself by taking something else to eat that may satisfy that need.

2.    Are your emotions a trigger? Are you eating differently when you feel sad, lonely or bored? Look at what else you could substitute instead of food. Perhaps do some voluntary work to shift the emphasis away from yourself. This can help with any feelings of self-pity. Find a new hobby or join an evening class – learn to scuba dive! Bring some excitement into your life.

3.    Habit eating. It is very easy to get into habits such as eating while driving or eating while watching TV. These can become so ingrained that you can end up always eating while watching TV. Have a look at what has become automatic. A patient came to see me who had got into the habit of coming home from work and automatically going to the fridge. This action had almost become unconscious. Awareness of what you are doing and when is the key. Stop, think and ask yourself, ‘Do I really need to eat this now? Will I be happy with the way I feel after I have eaten it?’

4.    Exercise. Exercise releases chemicals called endorphins that make us feel good. Going for a brisk walk or a swim when you feel cravings can even ward off the urge to binge.

5.    Go for complex carbohydrates. Complex carbohydrates, starchy foods such as rice, potatoes, millet, wheat, rye, oats and barley, keep the blood sugar in balance so that your body automatically stops craving a ‘quick fix’. Because complex carbohydrates burn slowly, they help us to feel satisfied with less food and also give us a good level of energy. It’s the difference between burning coal and newspaper on a fire. The complex carbohydrates are the coal. They slowly build up heat and keep up a good level of warmth over a long period of time. The newspaper, however, gives a quick burst of heat and then you have to fuel the fire again. You will amazed that you can eat filling and satisfying food, feel good and still lose weight.

6.     Distract yourself. What if you wait for the craving to subside? Yes, they do go, even if you don’t satisfy them. Do something else, read or make a phone call and see what you feel like after that.

7.    Eat little and often. Do not go more than three hours without food. Your blood sugar level will drop and then your body will automatically crave something sweet as a ‘quick fix’. If you leave a large gap between meals, you can actually end up eating far more. Long gaps increase the chemical neuropeptide Y in the brain which actually increases your hunger. Long gaps between meals can also put your body into the famine mode and slow your metabolism down so you can end up putting on more weight. This is why constant dieting makes you fat.

8.    Don’t deny yourself. If you say to yourself you are never going to eat chocolate again, you will almost certainly fail. Be realistic. We are all going to have foods that we are really better off without. If the main foundation of your nutrition is good, relax, go away on holiday and enjoy yourself. If you are out with a friend for a treat, don’t feel excluded if you fancy an ice-cream with them. Buy the best quality you can get of that ice-cream and really become aware of the taste when you eat it. If you keep denying yourself, the craving can just explode so that you end up eating far more than before. It becomes an obsession. If you eat little and often, with good amounts of complex carbohydrates, you will find the cravings will go automatically, without your having to use much willpower.
Jane came to see me knowing that during the week before each period she would sit and eat a box of chocolate every afternoon: she just couldn’t stop herself. I explained to her about the blood sugar swings and cravings and she agreed to eat little and often during her next cycle with more emphasis on complex carbohydrates. She said to me, ‘This isn’t going to work.’ I replied, ‘What have you got to lose by trying it,? Only the cravings.’ I saw her after her next period and she was just amazed. She was amazed not only that the cravings had gone, but the way they had gone. It wasn’t a case of willpower – ‘I will not eat chocolate’ – but that her body didn’t need the chocolate so it didn’t ask her for it. She had gone through the whole month without thinking about chocolate. She had even been out for dinner, was offered an after-dinner mint and felt she could just take it or leave it. And she left it.

*5/101/5*

The Low-Cal Hamburger Plate. Say it’s a hamburger patty, a cup of cottage cheese, a canned peach half, and some melba toast. By applying our Conscious Combining knowledge to this appetizing delight, we can see that the canned peach half will ferment in your stomach, and the cottage cheese is loaded with salt and qualifies as cheese, thus holding up the digestion of everything else on the plate. The melba toast turns to alcohol (since it’s a grain and fermented grains become alcohol) because it gets stuck in your stomach and along with the peach it ferments.
The Fruit and Cottage Cheese Plate. The cottage cheese traps the fruit in your stomach and causes it to ferment. Instead of getting skinny, you get bloated.
Chef’s Salad (also applies to tuna salad, chicken salad, egg salad, and shrimp salad—all protein based salads). The problem with these “diet” salads is twofold: they’re filled with veggies that don’t get processed properly but instead sit in a lump in your stomach because of the accompanying protein, and the dressing is swamped with salt.
Picture the size of your stomach. It’s about the size of a small grapefruit. Yet we’re forcing all that bulk to get stuck there. No wonder your stomach complains!
*52\251\8*

There is little available data on the intermittent use, or ‘pulse treatment’, of weight-loss drugs. Most guidelines advocate a consistent use of medication for up to 12 months duration, during which time significant and long-term habit change is to be encouraged and supported. However, as our experience of modern weight-loss agents grows, it is apparent that many patients need clinical support long after a formal weight-loss programme. It would seem reasonable that where a patient remains highly motivated, and where the clinical risk supports it, repeated periods of drug treatment are justified to support weight maintenance and prevent the return or worsening, of comorbid disease markers such as type 2 diabetes. Obesity is a chronic disease and even the most successful patients will require long-term support and intervention. It would seem short-sighted to withhold medication when the need is evident. This approach is not common in everyday practice but is likely to be increasingly seen in the years ahead as both the number of treated patients and general clinical experience increases.
*52/312/5*

Q: Do adults with ADHD need advocates too?
A: In a manner of speaking, yes. Most adults with ADHD are quite capable of taking care of themselves, that is, of being their own advocates. But sometimes the problems and issues associated with ADHD become so intense that the ADHD patient feels overwhelmed. In times like these, family members may need to act as advocates on their loved one’s behalf.
As with child advocacy, this can cover a lot of territory. For example, it may involve explaining to friends, neighbors, and family members what ADHD is and how it affects the patient’s behavior; or battling with your insurance company to ensure that medication and other forms of treatment arc hilly covered (many companies see ADHD only as a childhood disorder and are reluctant to reimburse treatment for adults); or working closely with the patient to help him avoid the day-to-day obstacles that can make life so miserable for people with ADHD.
In most cases, however, being an advocate for an adult with ADHD simply means offering ample amounts of love, compassion, and, most importantly, understanding. Dealing with ADHD can be extremely difficult when you’re a child. But it’s even more arduous when you’re an adult.
*143\173\2*

Looked at objectively, the use of will-power mechanisms to ignore a signal which is a warning of overload of the nervous system, would seem foolish, and expensive. It is. However, some people make a habit of doing just that. They have been trained to ignore body feelings of tension and anxiety, and to suppress open display of emotion.
Many different cultures set out deliberately to train young people to do this, placing great value on keeping a stiff upper hp. During World War II, the personality characteristic of being able to endure stressful circumstances, feeling fear and anxiety but not outwardly showing it, was considered a desirable quality for selecting people for aircraft crew. However, an undesirable side-effect of selecting unflappable people to fly aircraft and drop bombs in situations of great peril, was the selection of a number of people who had the potential to break down quite suddenly.
My understanding of the case histories of pilots and other air crew, who broke down under combat stress, is that these men habitually kept their emotions in check until they ran right out of inhibitory reserve and then, quite unexpectedly, they broke down. This is not to say that these people were any more or any less capable of carrying out their duties while under severe life-threatening stress than others who tended instead to express their anxiety and fear.
The airmen, who were able to suppress displays of emotion, gave their superiors no hint of warning before their breakdowns. On the other hand, those who displayed their feelings of anxiety readily tended to be grounded because their superiors felt they might break down and become unreliable and inefficient under further stress. For this reason, the men with stoic personalities were over- used and put at risk for sudden breakdown. On the other hand, the anxious worriers were not over-used and tended therefore to be less susceptible to breakdown under stress.

*17/129/5*