Being a doctor insurance was often one of the thorns in my side. Thankfully, since I’m retired I don’t have to deal with it any longer. Even moreso, I’m glad I won’t have to deal with the new health care law in the United States. Obamacare is the informal name for the Patient Protection and Affordable Care Act, which is also sometimes shortened to the Affordable Care Act. President Obama signed the statute into law on March 23, 2010. It is an attempt at sweeping health care reform in the United States, with the primary aim being to broaden access to affordable health insurance and reduce the rising costs of health care in the country. It includes requirements for uninsured individuals to buy health plans, for businesses with fifty or more full-time employees to provide health insurance to those workers, and it expands Medicaid eligibility for those states that choose to participate.Read More
There are a lot of questions surrounding what could really be responsible for people developing antisocial personality disorder. Is it hereditary? Can one avoid developing it? These and many other questions are answered in the following discussion.
Researchers have established a strong link between personality or affective disorders like antisocial disorder and genetics. A child born in a family where one of the parents has this condition is likely to develop it too in later life.
However, the presence of a close relative with the disease does not on its own mean that a child will develop the disorder. Other factors must also play a role before the condition makes its presence felt.
The Role of the Brain Structures
There is a part of the brain that is responsible for how we react to fearful, happy or sad facial expressions of those we are looking at. This part is called the amygdala.
For people having antisocial personality disorder, this part of the brain is markedly small and it responds in less robust ways when compared to that in people without the disorder. This limited response could be the reason why those with antisocial personality disorder are noticeably devoid of empathy towards those that are in distress. There is therefore a biologic factor that plays a role in the onset of this disorder.
Excessive use of alcohol and drugs is emerging as another possible causative factor in the development of antisocial personality disorder. This is because the substances used by the individual affect cognition and over time, brain function can be irreparably damaged.
Presence of Other Mental Disorders
Having a history of conditions like attention deficit hyperactivity disorder (ADHD) and reading disorders diagnosed in children is also believed to play a role in predisposing an individual to antisocial personality disorder.
The experiences that a child goes through while growing up can have an adverse effect on their health later on. It has been found that if a child was abused physically, emotionally or even sexually, they stand a very high chance of developing antisocial personality disorder later on in life.
The Role of Peers
It has been known for a long time that peer pressure can lead young people astray. A lot of the antisocial behavior that children exhibit is picked up from the people that they associate with, or look up to. Antisocial parents are therefore doing a lot of harm to their children.
A teenage daughter of a friend found Dr. Andrew Campbell on Tumblr after browsing through the site http://www.campbellplastics.com/ and was insisting on undergoing a complex cosmetic procedure that isn’t suitable for teens her age. Her reason? She wanted to copy what her peers had done! That is how influential peers can be in a youngster’s life.
A cocktail of factors have to be present at the same time for an individual to develop antisocial personality disorder. The presence of any one factor should not on its own be a cause for alarm. If you suspect that you have the risk factors for this condition, talk to your doctor and they will advise you as to what steps to take next.
Medicine is meant to make us get better when we are suffering from a given illness. But, did you know that many of the medications that people commonly take can end up making them feel much worse than they felt before they took them?
The following are just some examples of how common medicines make people feel or get worse over time.
Without naming any specific brands, all sleep medications have an adverse effect on the user since they interfere with the body’s normal processes.
The body normally carries out repairs during deep REM sleep but when you take medications to make you sleep, your body keeps battling to get that medicine out of your system. The result is that you will get up feeling groggy and un-rested.
Plastic surgeon Dr. Miller in New York prescribes a limited amount of sleep medications for patients who undergo a procedure like the one on this page http://drphilipmiller.com/procedures/rhinoplasty.asp due to the side-effects that can be brought on by prolonged use of sleep medications.
Many doctors discourage the use of drugs to combat constipation or diarrhea because there is a real danger that the patient will become dependent on them for normal gastric function.
The body eventually stops working without those medications being taken and that is a counteractive effect contrary to what was desired.
Many people get splitting headaches because of, hold your breath, overdosing on painkillers. It has also been found that prolonged use of painkillers makes one’s brain very sensitive to pain so you will acutely feel every little prick that other people hardly notice.
It gets even worse for people that take aspirin because that opens another can of worms since it can even hinder blood from clotting.
Very many people are on prescriptions of vitamins not knowing that some of them may be causing them lots of problems. High levels of Vitamin B3 can for instance result in elevated blood glucose levels and diabetics will be in trouble if that happened to them. If you are on antibiotics for stomach ulcers, Vitamin A can cause you very severe headaches. You should therefore talk to your doctor before you start taking these vitamin supplements.
Many topical antibiotics have been reported to cause allergic reactions in as many as 25% of all the people that use them. That allergy you may be suffering from could be a result of the antibiotics you use on your skin.
Summing it up…
All medicines are poisons and it is only a limited intake that has therapeutic value. If you have this in mind, you will avoid many of the problems that come from excessive drug use since you will only take them as, and when directed by a physician.
The examples above are just to illustrate how simple over the counter medications can have very adverse effects yet many people routinely buy and use them without a care in the world. Be on the lookout!Read More
Congestive heart failure describes what happens when the heart is no longer able to pump blood to all body organs and it gradually weakens as a result of narrow arteries or hypertension. The kidneys and other organs start getting impaired in their functioning and the patient suffers from shortness of breath, swelling of the ankles as well as other related complications.
Since it is always better to know very early on that you have a disease, what are the telltale signs and symptoms of this condition? The following are some of them.
If for no apparent reason you find that it is becoming increasingly difficult for you to concentrate or keep alert, it may be that your brain isn’t receiving as much oxygenated blood as it needs to function at full throttle for a long time.
The lapses in concentration could be as a result of that shortage of oxygen to the brain so despite all your efforts to be alert, you will keep drifting in and out.
Shortness of Breath.
Should you be walking and you realize that you are breathing hard even when you haven’t exerted yourself so much, chances are high that congestive heart failure may be the reason why.
This shortness of breath can happen when you are resting as well. The moment this keeps happening, alarm bells should immediately go off.
If you are experiencing frequent episodes of reduced urination, it could be that you have developed CHF and it has gotten to a level where your kidneys have been affected and are not functioning well.
Persistent Nighttime Coughs.
CHF has a symptom of causing sufferers to have persistent coughs at night. It isn’t very clear why this happens, but there could be a link with the lowered temperature while we sleep making it even harder for oxygenated blood to move all through the body.
The coughing therefore is a cry from the lungs signaling that they need more oxygen and that moist air is building up in there.
Have you ever tried to exercise and each movement as you jog for example seems like you are lifting dead weights on your feet? If you find it increasingly difficult to exercise, it could be that you have CHF and your body can’t get enough energy circulating so the exertions of working out become unbearable. Seek for confirmation of this condition or have it ruled out as soon as you can.
Each of the symptoms above may not on their own be a strong signal that you have developed congestive heart failure. Once they occur in combination, then it is time to see a doctor so that tests are run to find out what exactly is going on.
Even when you are about to undergo any other medical procedure like plastic surgery, it is important to let the medics know of this condition so that they factor it in. I once knew a woman who actually attempted to get plastic surgery like this from New Jersey plastic surgeons at The Glasgold Group! Fortunately, they caught it in the medical history evaluation. While it’s easy to tell yourself that you are dealing with something that you can handle, and it won’t have any impact on your life, congestive heart failure is a serious disease that must be managed carefully. Don’t put yourself at risk for further damage to your heart!Read More
By and large, your bones are hidden from view. That doesn’t mean that the role they play is of no significance; far from it. Bones are very crucial in our lives and if they are not in good health a lot could go wrong, such as getting frequent fractures.
Since they are invisible, how can you know their state of health? Well, your nails are a part of your bones and there is a lot that you can learn about the state of your bones by looking at your nails.
The following are some of the things that you can learn from observing your nails.
White Lines (Vertical)
When you observe these white lines on more than one nail and the nails proceed to split along those white lines that is a red flag indicating to you that you have a calcium shortage in the body.
Just look at your nails. When you see that they have taken on the shape of a spoon and the end of the nails curves upwards, that is an indicator that you could be suffering from a deficiency of iron in your diet and the nails are showing that shortage.
When you see white spots on a nail or two, don’t sound the alarm. It could be that you suffered some trauma that caused those spots and you now can’t remember what really happened.
If the spots appear on most of your nails, chances are very high that you have a zinc deficiency that is making its presence known via those white spots.
Dry, Brittle Nails.
Your fingernails and toenails are not supposed to be noticeably dry, or brittle. The moment these characteristics make their presence felt, it is highly likely that you could have two issues; poor hydration as well as a shortage of calcium in the body.
Vertical and Horizontal Ridges.
When you observe these ridges on your nails and they are coming at a time when the nails are brittle, you should suspect that your body isn’t getting as much Vitamin B as it should be receiving and that is why the nails are exhibiting those characteristics.
When your nails are pale and are very white in color, the problem is much broader than just your bones. You could be anemic and that is why your nails are taking on that unnatural color and appearance.
Bones are very important and we should do everything we can to keep them healthy. When we have other ailments or undergo certain treatments like plastic surgery, chances of an event-free recovery are higher when your bones are in good health, says Dr. George T. Moynihan, a plastic surgeon of http://www.goldcoastplasticsurgery.com/rhinoplasty.aspx.
If you talked to any surgeon, you would still be told the same thing, and that the effects of bone health go even beyond plastic surgery and impact on other organs since the skeletal system houses and protects all other body systems.
The signs above should therefore be seen as a call to action so that further investigations are carried out to confirm or rule out your suspicions. Forewarned is forearmed!Read More
If you are undergoing plastic surgery, look ahead to the recovery period, so that you understand how best to handle it, and how long it will take. If you typically work during the week, make your operation appointment on Friday. This will give you a weekend to recover from minor procedure, before you return to your job.
Preparing for Your Surgery
Planning is essential, in order that your post-surgery time can be spent recuperating, without errands to run or work to do. Stock up on a couple weeks’ worth of household supplies and groceries, so you can relax at home after your surgery. Prepare food for meals and freeze the meals ahead of time, so they’ll be easy to pop in the microwave.
You may need to apply ice to reduce swelling after plastic surgery, so turn your automatic icemaker on or buy a bag of crushed ice and keep it in your freezer. You can also use bags of frozen vegetables.
Heading Up to the Day of Surgery
If you have friends or coworkers who you’d prefer don’t know you’re having cosmetic surgery, you may just tell them you are taking a few days off. You can also just tell them you are scheduling reconstructive or female surgery, which may or may not be 100% true.
Arrange for transportation on surgery day, and for any follow-up appointments. If you are on pain medications in the days after your surgery, you may need to solicit someone to drive you on those days, if you need to head out.
Have a family member or friend stay with you on your first night back at home after your surgery. This person may need to change out ice packs, pop your meals in the microwave and check on you. If your friends or family are busy that day, you can hire a private nurse.
If you have prescriptions for pain medications or antibiotics, fill them before you have your surgery. Pick them up before your procedure and have them filled while you’re grocery shopping before your surgery.
What Happens after Surgery?
Most any plastic surgery will result in bruising and swelling, according to expert Dr. Batniji, a facial plastic surgeon who performs procedures like you see by clicking here. As that bruising and swelling begins to fade, you will start seeing the desired results.
If you have had surgery on your neck or face, you’ll want to ensure that your head is elevated for several days. This will speed recovery and minimize swelling. If you do not elevate the area of the surgery, the recovery time may be prolonged.
Check with your surgeon to find out when you will be able to bathe or shower and wash your hair. This may be allowed within a couple days after your surgery. You will probably be able to go back to work within three days to two weeks after many cosmetic procedures, depending on what you have done.
Be very careful if you expose yourself to the sun in the aftermath of your surgery. During the initial 12 months after your surgery, protect all the areas involved with a strong sun block between 15 and 40 SPF, for best results.Read More
You may have thought for years about the possibility of having breast augmentation done. This could be the year for you. In addition to having implants placed, you can also go for fat injection or fat transfer.
What Is Breast Augmentation?
With conventional breast augmentation, a plastic surgeon uses a simple surgical procedure, through which he can increase the fullness, size or shape of your breasts. Newer techniques involve fat transfers, and conventional procedures have breast implants placed below your breast tissue or chest muscles.
Why Is Breast Augmentation Done?
Breast augmentation is used to:
Restore breast shape and size after breastfeeding, pregnancy or weight less
Enlarge naturally small breasts
Restore breasts after breast cancer surgery
Restore symmetry to asymmetrical breasts
Why Choose Breast Augmentation?
Breast enlargement is useful in boosting your self-esteem, and may increase your positive feelings about yourself. The procedure is not the answer to all self-worth questions, so you need to be realistic about what you wish to accomplish.
If you do not understand the scope of benefits, you may not be pleased with the results of breast augmentation. Have the surgery, if you choose to, for your own reasons, rather than the importance that others may place on your self-image.
In 2013, a study determined that 98% of the women who had surgery for breast augmentation felt that the results did meet their expectations. They felt an improvement in self-esteem and quality of life.
You can now have breast augmentation done without the use of implants. Your breast size can be increased through the use of fat. This fat can be taken from saddlebags or love handles and then injected into the breasts.
The fat is obtained through liposuction, so you know that it will be compatible with your breast tissue. You will not have scars with this procedure, and you may notice that your breasts feel more natural to you. It is difficult to tell that you had work done.
Of course, there are downsides to any surgery. With fat injections, you will need the same recovery time as you would with implants. This is due to the soreness from liposuction procedures. The cost is higher, and the volume is less. Some of the fat will be metabolized by your body, and the procedure itself may last longer.
Other New Innovations
You can see what you’ll look like after surgery with a new 3-D imaging device. It inflates your breasts photographically, which gives you a realistic impression of how you will look after an augmentation procedure.
Your plastic surgeon may use an application for computer programs that will use your best dimensions and the spacing of your nipples, to calculate the best cup size for you. A graceful slope will look more natural, and you will be able to see more accurately what your final look will be.Read More
More and more people are going under the surgeon’s scalpel in order to enhance their looks. This rush has sometimes led to people regretting their decision to be operated on, while others have ended up with surgeries they wish they could reverse but it is impossible.
Dr. Basile, a plastic surgeon who can be found at http://www.basileplasticsurgery.com/, spoke with me and discussed a number of things that you must do in order to get optimal results from a cosmetic procedure.
Know What Is Possible, And What Isn’t.
Plastic surgery does not work miracles. It simply makes adjustments here and there so you should go for it when you are well aware of what the possibilities are.
Cosmetic surgery can’t for instance give a 70 year-old the looks of a 20 year-old model, just as it cannot wipe away decades of disease and neglect showing on your body.
Knowing this will enable you to have realistic expectations about the outcome you wish to see and you will not be duped into spending tons of money chasing the wind.
Decide, And Stick To Your Plan.
Cosmetic surgery is wide and varied so before you make that appointment you should make up your mind as to what exactly you want done.
If you don’t have a plan, you will be talked into undergoing this “tuck”, that “lift” and so on. The end result is that only the surgeon will be smiling all the way to the bank as you are left looking worse than a rag doll.
Talk To the Surgeon.
Before going for the surgery, talk to the doctor that will be carrying it out. Ask him or her about the best procedure that would be ideal for the results you desire. Talk about the complications that can arise, as well as hearing their plan on how those complications can be kept at bay.
Talking to the surgeon is also important because you can get to learn about their qualifications as well as their experience in doing the procedure that you would like to undergo.
If you are not satisfied by what they say, keep looking around and you will certainly find a surgeon that will meet your criteria.
Learn About The Post-Surgery Phase.
The period after the surgery is critical to getting the results that you wanted to get. You should therefore learn all that you can learn about this recovery period so that nothing goes amiss on your watch.
Know what activities you should avoid, know which medications you shouldn’t take at this time and now how long the recovery will take so that you plan accordingly.
Cosmetic surgery can deliver some very good results if it is done by the right people, and it can leave you looking like an alien with goggle-type face if you land in the wrong hands. You should therefore look for only board certified surgeons so that you can avoid many of the pitfalls that are inherent in any surgical procedure that people are subjected to.
When I was practicing, there was no such thing as dermal fillers, or injectable wrinkle fillers, as we know them today. Instead, we had Zyderm and Zyplast, introduced more than 20 years ago and made from cow collagen. Today, wrinkle fillers are one of the most common cosmetic procedures and there are several big brand names, including Restylane, Juvederm and Voluma.
If you, like millions of other people, are thinking about getting fillers, you’re probably interested in turning back the clock a little bit with a quick nonsurgical procedure. Still, is there any reason to be concerned? Are fillers as safe as they seem, or should you be a little worried? Here’s what you should know before you schedule an appointment.
What Can Dermal Fillers Do?
Dermal fillers can actually do quite a bit. They may be injected into the face to correct creases or fine lines, treat scars, fill in lost volume, reconstruct or alter the nose and chin, sculpt the jawline or plump the lips. Wrinkle fillers shouldn’t be confused with Botox, however, as they do not relax or paralyze the muscles like Botox does.
Side Effects and Risks of Wrinkle Fillers
Fortunately, side effects are very minor in most cases. You may have minor redness or swelling that should go away within a day. There is a risk of a hypersensitive reaction or an allergic reaction, although this was much more common back in my day when bovine collagen was used.
The most common — but still rare — complications include the formation of cysts, bumps, nodules or other irregularities at the injection site. There is also the risk of an infection, but this is rare and may be treated with antibiotics.
Choosing a Filler
You should also keep this general rule in mind: the longer the filler lasts, the more careful and experienced the doctor who administers it should be. Some fillers last about 6-9 months, while some last up to two years. There are many fillers available on the market, and choosing the right one makes all the difference.
Calcium-based fillers such as Radiesse add volume to folds and wrinkles on your face and also stimulate the production of new collagen. Radiesse lasts up to one year and it’s effective at fine lines.
Hyaluronic acid fillers such as Perlane and Restylane are made from compounds that occur naturally in the body. There are some brands, such as Juveder XC, that include lidocaine to reduce pain during injection. These fillers last between six and 12 months. The main advantage of this type? If you don’t like the results, the filler can be broken down immediately with an enzyme.
Finally, a Poly-L-lactic acid filler, which goes by the name Sculptra, is made from the same compound used to make absorbable stitches. This is one of the only dermal fillers that can restore volume to the face, as opposed to simply filling fine lines, and it lasts up to two years.
Overall, fillers are very safe and effective, but they’re definitely not for everyone.Read More
Most people who go for rhinoplasty always ask about what they should expect during the recovery phase once they have had the surgery done. Dr. Paul Gerarchi, MBBS FRACS, who performs rhinoplasty surgery in Sydney, says that discussing what the recovery period will be like is a very important part of the consultation prior to scheduling the surgery.
Typically, the recovery period is different for each individual but the general guidelines are provided here.
7-10 Days after Surgery.
During this time, the patient still has a cast on their nose and some even have packing in the nose as well. The cast and packing are intended to protect the surgical site and reduce swelling. During this time, it is strongly recommended that the patient stays away from their normal work or exercise. The reason is that at this time, the cast makes the patient very uneasy and they would feel very uncomfortable being seen by other people like that.
The other reason is that this time is very critical in the recovery period since that is when most of the swelling subsides and if anything happens to affect recovery, the tissues in the nasal area may be dislodged since they are still very delicate.
Any stitches that have to be removed will still be in place in these first few days so it is better to go slow until the cast and stitches are removed.
2nd To 3rd Week.
One can go back to work if their work doesn’t involve lifting of objects or other strenuous physical activity. Light exercises like jogging are permitted during this time but one should not do any weightlifting as it can put pressure on the nose area.
There are no restrictions on what you can or can’t do, as long as you don’t engage in contact sports, for obvious reasons. By this time, most of the swelling has subsided and the nose no longer feels stuffy. It is also not easy to tell that you underwent nose surgery just by looking at you.
7th Week and Beyond.
By this time, your doctor will give you carte blanche to engage in anything you feel like, including contact sports. This is particularly so if no complications came up during the earlier stages of the recovery and your surgery was a primary one. Secondary surgeries usually take longer to heal.
Recovery depends on patient factors like age, skin thickness and so on, as well as surgical factors like whether you underwent open or closed surgery. It is very important that you heed all the precautions given by your doctor, such as which medications or foods to avoid, as well as how to sleep or clean your face. Any deviation may delay your recovery or cause complications.
How much work was done also affects the recovery period. If there were bones broken to alter the nasal passage, more recovery time may be needed. You require up to a year, or even more, to get the full benefits of your surgery so don’t be in a hurry to show off your brand new looks!
It’s hard to believe how many years have passed since I finally accomplished my life long dream of becoming an orthopedic surgeon. Today, many friends that I have the chance to reacquaint with seem like strangers from a distant land. But I can’t forget how many of these very same people influenced me in my life and propelled me in my quest for knowledge and pursuit of excellence.
In some ways, my oldest companions are the books I still have with me that have also served as a source of inspiration from as early as my pre-college days. I need them back then as not everyone was as encouraging as young boy might want them to be.
One particular book had a major impact on me in my earlier years. It was a book of philosophy built around the concepts of Greek and Roman wisdom which included the brief, yet astute saying, “Qui docet, discit” which translated means “he who teaches, learns.”
Using this simple saying really helped my skills as a surgeon to evolve to a lever that I hadn’t previously thought possible. Any surgical procedure I learned, any medical concept I studied, and any statistical analysis that I worked on grasping, I always made sure that I was able to explain it myself.
Unfortunately, it seems that these days more and more time is being spent preparing students for passing test than actually helping them to improve their skills. And even some of the skill training seems quite questionable to me. I’m thoroughly that robotic surgery is any better than traditional surgery – in fact, I’m quite convinced it’s not. Not only that, but it’s a certain that such so-called “state of the art” devices add additional costs to already mounting Medical Tuition hikes.
And that’s the last thing today’s future doctors need. I’ve seen too many young doctors file for bankruptcy, run up huge credit card bills, take out loans for people with poor credit, or take out second mortgages on their homes. I’m pretty sure the Affordable Health Care Act isn’t going to help their situation out either. I wouldn’t be surprised if the whole thing gets repealed soon.
I suppose I probably am coming off as a bit pompous in my post here, but nothing could be further from the truth. My years in government service provided me with more than my share of humility. I won’t go into much detail right now, but it was inside of that environment that a person who I had initially scorned and thought inferior to me eventually ended up saving my life.
And that takes me back full circle to how I started out this post. My friends, my books, and my life have changed in ways that I never could have imagined when first starting out my quest to be an orthopedic surgeon. I was brought up in a family where I was taught that work has value and to value my work. Unfortunately, the value of friendship was discussed less, but as I made it through the maze that was my career I learned that sometimes both work and friendship are inseparable things.Read More
Spider veins are the common term used to refer to visible veins through the skin. Spider veins are usually blue or purple in color and are concentrated around a center spot that often gives off the look of a spider web. Spider veins are signs of not taking care of your body, but are common and do not directly expose the person to any health risks. Spider veins are caused by not giving your feet enough rest and often appear in women because of wearing heels too often. Spider veins are just a cosmetic issue and treatment is just for cosmetic purposes. There are various treatments to reducing and hiding spider veins through laser treatments that are quick, relatively painless, and high success rate.
If you have spider veins on your ankles or legs, you can rest assured that they are just a cosmetic issue and can be treated whenever you like. Treatment of spider veins, or sclerotherapy, is a specialty treatment and not often covered under most health insurances. You will also have to see a specialty doctor get treatment, such as Sclerotherapy Los Angeles. Typically, costs of spider veins treatment depend on the severity of the case. For small area treatments, costs can range from a few hundred dollars to $600. For larger cases however, treatment can cost from $1,000 to $4,000 for severe cases. Most people who get treated can expect to spend somewhere close to $500 per treatment. Once your spider veins have received the laser treatment, you can expect to not have to get treated again in the same spot for at least another 15 years.
Depending on your case, you might also need additional treatment to treat swollen ankles, blood clots, or discolored feet due to a build up of blood. You will need to ensure you go to a practice that can treat your exact problems. For example, vein treatment Aventura treats many different kinds of vein irregularities including spider veins. Your consultation with the doctor will determine whether you need to go to a spider vein treatment center or a more specialty doctor that can really help with your case. If you need to go to a specialty doctor, then you can expect to be billed for more amount of money as the treatment you need will be increased.
To prevent spider veins occurring in the future, ensure that you give your feet ample rest. If you are working and on your feet all day, ensuring you have good shoes and give your feet rest at the end of the day will significantly reduce your chances of spider veins appearing on your feet, ankles, and legs. Additionally, drink lots of water for better circulation and health. The amount of water you need to drink daily is 6 cups at least. Water will help the blood in your veins flow much more smoothly and interrupted decreasing your risk of spider veins appearing. As a final tip, eating healthy foods and less sugar also decreases your risk of getting spider veins. What do you do to prevent spider veins appearing?Read More