Health Daily Tips

According to Sarah Palin, the European healthcare service operates like the Canadian cull of seals. On a regular basis, men armed with clubs go out among the unhealthy and older members of society, and put down those who no longer contribute to the strength of the group. Death panels decide who shall live and die. That means, by her standards, one of the leading panels is UK’s NICE – the National Institute for Clinical Excellence. This group of so-called experts draws up guidelines to be used by the medical profession. Whenever there is good research evidence that a particular treatment is effective, it is incorporated into the national practice standards. But if a given treatment or drug is not shown effective, the medical profession and hospitals are instructed not to use them. So, many of the procedures that are standard in the US are not allowed in the UK, and many of the drugs routinely prescribed in the US are either not available in the UK or only available if the patient pays privately. Despite this, people in the UK live longer and enjoy better health than Americans.

Anyway, NICE has just launched a consultation process to decide what advice to give pregnant women about weight loss. If you want to offer an opinion, you can do so during the next month through http://guidance.nice.org.uk/PHG/Wave18/3. NICE offers the opinion that women do not need to increase the amount they eat during the first six months of pregnancy. The idea that pregnant women are “eating for two” is a myth. The most needed is an extra 200 calories a day during the last three months. That said, it is always better for women not to get pregnant if they have a BMI of 30 or more. This is not to suggest there is a high risk to the fetus. But the evidence shows there are fewer complications during pregnancy if women lose weight before getting pregnant. In general, trying to lose weight during pregnancy is not advisable. Stability and consistency of behavior are more important. That means women who routinely exercise before pregnancy should continue. Finally, women should not be misled by celebrities who slim dramatically after giving birth. It is better to lose weight gradually. Even so, there is no evidence that the quantity or quality of milk is affected in women who do crash diet after giving birth. NICE simply suggests women do what feels right for them. If they are tired, they should rest. Hopefully, they are eating a healthy diet anyway. As long as they get back to their pre-pregnancy weight at some point, this will be good for their long-term health.

There have been no tests performed in the UK or the US to determine whether it is safe for women to take phentermine hcl during pregnancy. So applying the precautionary principle, it better if you do not take this drug during pregnancy unless your doctor has specifically approved it. What can be said with certainty is that the active chemicals do enter the mother’s milk and can have an adverse effect on nursing babies. Thus, if you do want to lose weight after giving birth, do not buy phentermine online and take it while breast-feeding. You should either wean the baby or find another drug that suppresses your appetite without endangering your child.

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We have to start with a slight problem of definition. The practice of massage varies significantly between different cultures. In some countries, it is not considered a part of medicine but serves a more social purpose, designed to improve mood and help people relax. In other countries, massage is fully integrated into the healthcare service as one of the many possible processes of physical therapy. In the US, massage would be considered a complementary or alternative medical treatment, i.e. it serves as a back-up to conventional medicine. Thus, when combined with other treatments, massage therapy helps to improve the mobility of joints, reduce swelling, ease muscle spasms and reduce pain. In accepting massage, the US medical profession is recognizing patients can get the best of both worlds: the healing powers of Western science and the more spiritual and relaxing powers of Eastern wellness. Massage is therefore increasingly made available to treat both physical conditions causing neck and back pain, nerve pain, etc., and also mental disorders such as anxiety, stress-related insomnia, etc.

In accepting massage in its hospitals, the US healthcare service is opening itself to the increasing body of scientific evidence showing massage as an effective treatment. Until a few years ago, the medical profession resisted holding clinical trials to test “alternative” remedies. Such studies as existed in other countries were treated with some contempt. Massage was nothing more that an indulgence in high-priced spas. Now the manipulation of the soft tissues by a skilled therapist is acknowledged to reduce physical pain, relieve stress and bring down blood pressure. The methods differ depending on the purpose of the treatment. In general, the therapist will press, manipulate and rub the relevant parts of the body. Most techniques rely on the use of the hands and fingers, but others use the forearm, elbow and, in a few cases, the feet. The pressure may be light and involve gentle stroking. Or it can involve the use of significant pressure to knead and reach down to deep layers of muscle.

If you are experiencing muscle spasms, i.e. an involuntary contraction like cramp that persists, the combination of massage therapy and the use of a muscle relaxant like skelaxin has been found particularly effective. This most commonly occurs in the back, buttocks and legs. It may be from a physical cause such as a herniated disk or sciatica with pain radiating from the nerve. The manipulation of the disk can rapidly reduce pain and improve mobility. As the more acute symptoms are relieved, the drug will ease the problems in the muscles and reduce the risk of further spasms. In the case of sciatica, more aggressive treatment may be required in the use of steroids or, if the pain does not subside, surgery. But, in all this, the therapist will be able to guide you through the process of relieving the acute symptoms and planning a rehabilitation regime to reduce the risk of the problems recurring. At this time, it is most useful if your doctor and the therapist work as a team. That gives you the best advice on the use of prescription painkillers and drugs like skelaxin, while receiving comprehensive physical therapy. It delays treatment and can lead to misunderstandings if you constantly have to move between different hospital or clinic departments.

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There is always a point where science collides with belief systems and sparks fly. Looking around the US right now, the continuing confrontation over the teaching of evolution is a classic example. At a slightly lower level of intensity is the continuing conflict between the “hard science” doctors and those who are persuaded that there are alternative approaches to treatment with equally good outcomes. Take acupuncture as an example. This comes out of nearly two thousand years of medical experience in China. Even though some of the Traditional Chinese Medicine (TCM) methods have been displaced in favor of Western methods, the healthcare service in many Asian and ASEAN countries continues to rely on acupuncture as an effective treatment for a range of different problems. Putting TCM to one side, there are also major claims made for different forms of meditation. Some are explicitly rooted in religions. Others are directly adapted to the management of pain. Unfortunately, the Enlightenment and the adoption of the scientific method by Western doctors leads them to a quick dismissal of everything not backed up by their science. Even when shown perfectly respectable research proving some of the claims for “unscientific” methods, they still refuse to even consider them. Their prejudices are deep-seated.

In the case of meditation, there is a growing body of Western-based research using the scientific method which shows excellent outcomes when people suffering from chronic pain are taught how to meditate. In essence, the point is to change the attitude of people towards their pain. Put another way: the level of intensity of the pain stays the same but the people change their emotional reaction to it. At some level, this represents a form of intellectual distraction. People are trained how to disconnect themselves from the pain and to search for ways to live their lives without worrying about it. Too often, people allow the pain to dominate their every waking moments. They fear the pain will always be there and this becomes a self-fulfilling prophesy that blights their lives. Avoiding this fear and focussing instead on positive ways to cope with the reality of the pain allows people to rebuild their daily lives and to function more effectively.

There is an old saying: give a starving man a fish and he eats well that night, but teach him how to fish and he can eat well every night. Teaching people how to meditate is the latter. It gives them a path to follow for the rest of their lives. For some there is a problem. It’s not a quick fix. rather it relies on them to invest time and effort into solving their own problems. At first, there may be a place for painkillers and tramadol is probably the best for relieving moderate to severe pain. But as people begin to feel the benefit flowing from this new discipline for the mind, the need for drugs will diminish. The ideal is to live without the help of any drug. If your private health insurance includes meditation for pain management, get an early appointment. If you have some savings, it is a good investment. Otherwise, buy tramadol. It will give you relief while the healthcare service catches up with the best research.