Selasa, 09 April 2013

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Minggu, 07 April 2013

Weaning patients off therapy

The therapy has a snowball effect.

It is often said that when patients enter treatment most of the therapeutic work is done between sessions. This is because of a snowball effect that occurs when a therapist is involved in the life of a patient. A Hypnotherapist will intervene in such a way as to cause a chain reaction. This chain reaction is therapeutic because it allows some cause-and-effect mechanisms occur in a person’s life between sessions of therapy and even after treatment has been completed.

The role of the therapist is not only as a problem solver, the therapist should look upon themselves, as well as a teacher. The patient must learn not only to solve their problems in the here and now, but how to avoid future problems. More importantly, the patient must learn to achieve long-term objectives. There comes a time in every patient’s experience when they have to give up treatment. This is not to suggest that therapy should be a long-term experience. A patient may only be in therapy for one, two, three or four sessions. Although treatment is usually short term a snowball effect remains even after he completed therapy.

It is not uncommon to find dramatic changes happening much later in the life of a patient following the intervention of the therapist during the phase of life problem. Sometimes these changes can be perceived as the result of a direct intervention of the therapist, at other times, there seems to be no direct cause and effect relationship, but in retrospect as the therapist or the patient looks back over the life of the patient can be seen when certain events or situations that may not have occurred had it not been for the intervention of the therapist.

Sometimes patients may need to be “weaned” off of therapy.
The last thing you want is for patients to become dependent on us. Ideally patients should feel responsible for their own edits, while acknowledging the participation of the therapist as part of the process, but no more. When the therapist believes that the treatment is almost over him should begin the process of weaning patients off therapy. This is usually done in two steps:

1. Re-framing relationship therapist/patient.
2. Clearly define long-term goals for the patient.

Phase 1. The patient/therapist relationship should be framed.

It is common for the patient to consider that the therapist is an at least partially responsible for therapeutic changes occurring in the patient. A friendship sort often develops for the duration of therapy and while this is useful for building rapport should not become so strong that the patient feels reluctant to finish the treatment. It would be wrong for a patient to stay in treatment simply because he or she is afraid of losing a friend. So the therapist has to re-frame special positions of the therapist and patient. Ideally the patient needs to feel confident that the therapist is still going to be available as support, even if the patient does not need therapy. The patient should feel responsible for their recovery, while acknowledging the help of therapist. Knowing that the therapist is available, the patient may feel more independent and able to leave the therapeutic relationship.

Phase 2. Patients should clearly define the long-term results.

As part of this process of weaning is important for the therapist to make sure the patient knows where it will go in the future. Clearly defined long-term results are very useful. They are important not only in order that the patient continuously move forward in a positive direction, but also for the patient to feel that having a “map of their future”. Having this map gives the patient the confidence to finish the treatment.

The decision about when to end therapy the therapist’s skills may be in knowing that the patient is independent enough to be able to move forward on their own. Usually this decision will be made after you have experienced significant changes in the patient’s life. These changes are sometimes directly related to the problem that was presented when the treatment started or related to subsequent changes that occurred as a result of therapeutic interaction.

The therapist should already identified the patient’s needs, beliefs, values and criteria and intertwined with the future long-term goals of the patient. Integrating the meeting these requirements with the therapeutic goals of therapy, the therapist will motivate the patient to feel more independent and positive

Sabtu, 06 April 2013

What causes high cholesterol and what are the symptoms?

Everyone is probably aware, that cholesterol exist naturally within your body, as is necessary for the effective execution of functions of the body. However, too much cholesterol, waxy lipids are building within the blood stream and they stick within the coronary arteries the heart.

This article will not attempt to provide precise guidance to feel the symptoms of high cholesterol. If you have increased levels of cholesterol, it doesn’t feel pain, tiredness, nausea, or anything else within your body. You will feel good and healthy again. The problem, associated with high cholesterol, is that there is no accurate way to determine if you can have it or not, because it cannot cause you any kind of physical discomfort–until it’s too late.

One of the main causes of high cholesterol (or hypercholesterolemia) often is genetic. There are basically two types of genetic disorders, one is more rarely among people than the others. This rare, can result in several cardiovascular diseases during childhood. Several people associated with cholesterol symptoms are most likely to develop cardiovascular disease between 30 and 40.

Unfortunately, if your family members have died due to heart attack, a very young age, may be associated with high cholesterol. For this reason, it is essential to have a medical examination of your blood.

Excessive intake of dietary trans fatty acids and is a leading cause of hypercholesterolemia in Western society. Dietary cholesterol was considered a major cause of some time ago, but recent research has indicated that increase in cholesterol foods, like eggs can easily be consumed in moderation. For example, eating two or three eggs a week, seems to be OK.

High cholesterol may be induced in the body by both hereditary and environmental factors. Can be easily influenced by your current lifestyle, but the type of diet you eat, or level of exercise can be great contribution in its control. Any food that contains trans-fats, saturated fats, hydrogenated fats, can raise your cholesterol level.

High cholesterol level is linked to arterial deposits. The medical name for this condition is atherosclerosis, which can cause great stress for people. Causes build up of different types of deposits in the arteries, which restricts and reduces the flow and volume of blood flow through them. In cases where this condition persists, can cause the blood vessels, supply to your heart, become too tight, to deliver the required amount of oxygen to the heart muscle. One of the symptoms that started this condition, feels chest pain, within your body. If one of these plates is ousted, can cause blood clots, which are dangerous, because they can block the flow of blood, leading to heart attack and stroke. For this reason, we recommend that you check the cholesterol level, to avoid high cholesterol, instead of waiting for the symptoms to show up cholesterol.

The heart surgery patient unusable-many heart conditions unusable in fact can be treated

The medical establishment has become more effective in the treatment of heart disease even in advanced stages that have been classified as hopeless in the past. This article focuses on tips for patients who have said they have a heart condition in an unusable state. Don’t give up! There are many new surgical techniques and intensive protocols that have greatly improved the ability of a heart surgeon to treat even the most difficult cases. If you are given bad news, take the time to ask for a second or even a third opinion. The ability to live longer and better could be priceless.

You have to understand that not all heart surgery centers have the same threshold to describe a heart patient as unusable. Cardiac surgeons without a specific experience in treating problems of complex heart surgery will be more inclined to call those inoperable cases. The local cardiologist could compete with their opinion because they accept as a standard on what can be done in their region or city.

Thanks to the explosive growth of the internet and social media, many patients are finding that other surgery centers might be able to offer a solution to their problem. As Winston Churchill once said “never, never, never give up!” Here’s what you do:

Collect copies of all reports and medical information, including previous operational reports
Request copies of your imaging studies (CT scans, echocardiograms, left heart catheterisation
Find the doctor exactly what makes unusable
Research and find a reputable Cardiac Surgery Center that offers advanced minimally invasive techniques
Request a second opinion from an expert in minimally invasive heart surgeon and he have to evaluate medical information
If the expert surgeon believes that can be treated, consider setting up an appointment and journey to the center of the minimally invasive heart for a physical examination and a thorough evaluation of your case
Different advanced cardiac surgery techniques can make all the difference in the hands of an experienced surgeon. Here are some of them:

Beating-heart surgery. A coronary artery bypass graft surgery can be performed without stopping the heart and without using the heart-lung machine. In this way patients sick with kidney, lung, liver disease, or history of strokes a much easier recovery from surgery
Minimally invasive surgery can be performed through a tiny incision between the ribs 2 “without breaking a bone. Even older people and fragile patients will heal very quickly with this approach.
Advanced management of ICU. Most of the centers that deal with very sick patients have higher ICU experience in recovering from these patients no longer “unusable” after heart surgery
Experience of a Surgeon General in redo surgery can make a difference in patients who have already had a previous heart operation
Visit us for more info and pictures and videos of surgical Minimally Invasive Cardiac surgery techniques by Dr. Clump.

Dr. John b. Clump is a “superspecialist” minimally invasive aortic valve replacement, mitral valve repair, Coronary Bypass Surgery, ASD and repairs resection of atrial myxoma, familial. He has extensive experience in complex redo surgery. Is the Director of minimally invasive and bloodless heart surgery program at the heart Center Aultman. Currently runs a busy practice of cardiothoracic surgery renowned nationwide, where he takes care of many patients from the Cleveland Area and the rest of the country.

Minimally invasive cardiac surgery can be carried out safely and reliably in the renowned heart centers

Minimally invasive cardiac surgery is currently available in specialist centres throughout the country. This article is meant to address frequently asked questions and concerns a future patients or their doctors have on these techniques less invasive heart surgery. There are many regions in the United States where coronary or heart valve minimum invasive surgery are not offered because of the lack of local expertise. A growing number of well-informed patients are traveling to well-known pursued centers heart better surgical option. Here is a list of pertinent questions and answers to direct your search to the open-heart operation.

A minimally invasive coronary artery bypass graft surgery can be a good option for me? Might! A well-trained surgeon is able to offer this option to a large number of his patients. You would need to examine you and review your images left heart catheterization to respond fully informed.
My doctor told me that these minimally invasive operations are “experimental” and still don’t work. Is this so? These are the comments that we’ve heard from doctors and surgeons who have not had the opportunity, the desire or know-how to embrace these techniques. All less invasive heart surgery procedures currently available in reliable specialty centers regularly and successfully performed in thousands of heart patients with great results.
Heart valve surgery can be performed with less invasive techniques? Yes! These less invasive techniques are suitable for the full range of surgeries on tricuspid aortic mitral valves, as well as other conditions such as Ventricular septal defects, Atrial Septal defects, atrial myxomas.
How to get in touch with the right surgeon? Collect all the medical information and call center for minimally invasive heart respectable. A review of your medical records can help your surgeon will evaluate your case and set an option for less-invasive heart surgery.
Visit us for more info and pictures and videos of surgical Minimally Invasive Cardiac surgery techniques by Dr. Clump.

If I cut my hair, It Will Stop shedding?

Sometimes I hear from people who notice that their shedding of telogen effluvium improves after getting a haircut. Often, they are quite encouraged by this and are wondering whether more cuts would help the situation even more. I heard from a woman who said: “I have been shedding for four and a half months. I had put off getting my hair cut because every time I touch my hair, too. So you don’t want to be embarrassed by tons of hair coming out in the hands of the designer. However, my hair got so shaggy that I couldn’t put it off any longer. Amazingly, when I cut my hair, I had almost zero shedding for the next three days and this was just for a trim. So I wonder what would happen if I had a real cut and took away some length. This type of drastic haircut would stop my telogen effluvium? ”

I can only tell you my opinion on this, I’ve seen several times proved correct. It is very common for hair loss get better after color and cut my hair. Why? Because when we’re pouring so bad, we can develop a habit of closely managing our hair. We learn to wash particularly gently and take special care when you brush or groom. However, our stylist doesn’t take this kind of care. So, it’s likely that a lot of hair comes out when she’s cutting and styling. (And I usually don’t see this because we do not have eyes in the backs of our heads).

Due to all the hair loss to our appointment, we have a truce over the next few days. Sometimes, this lasts for a week or so. But generally, no matter how brief we cut hair, shedding resumes (unless the telogen effluvium solves internally, that is possible.) The reason for this is that, other than the hair cut, did not make any changes that would affect your shedding. And cut her hair only affects outward. Telogen effluvium generally just stops when it has finished its cycle. This means that once you start to spread, the hair cycle goes from growth of shedding. And similarly, the shedding stops once the cycle goes back to grow again. This happens internally. And nothing do externally affects this process. Hair cut can certainly help your hair and look like I said you can take a break from bloodshed. But, unless you get only coincidentally cut hair on the day that your shedding solved itself and went back into the line growing, you are not likely to see him stop just because you have a haircut.

With all of that said, the woman in the previous scenario had been shedding for four and a half months. Telogen effluvium is said to resolve after three months. Therefore, it is possible that she had another type of hair loss happening. So while cutting hair you could provide with some relief, it was probably to stop shedding until she resumed her normal hair cycles or until he found out why she was losing her hair. But there is nothing wrong with cutting your hair if you think it will be better. Frankly, shorter hair can be easier to deal with when they are doing because it takes less space on your clothing and furniture.

Grow long hair fast using oil or Avocado fruit

Avocado is a fruit very nutritious, not only for the growth of healthy hair, but for our overall health. I’d love to eat avocados every day and using this product on my hair, but here, it can be considered quite expensive as avocado is thought of as one of those special and unique fruit ‘ high end ‘. Here, organic avocado oil costs about $ 25 for 50 ml, which for me can last for 6-7 months. Supermarket sales or discounts during weekend is the best time for fresh avocados as ‘ in dozens ” grab ‘.

Avocado, like most fruits and vegetables, are best eaten raw as with ham sandwiches, served with salads, mashed with another fruit like banana cakes perhaps mature (for kids too) or turned into mashed or blended with other fruit to make juice.

Sometimes, I like in my egg omelette or in my cereal with other fruits. Kids can find fun avocado dip in honey or peanut butter.

Now, other than to eat and mix in a bowl of fruit juices, ice cream, or in any way you like it, this amazing fruit may be used on our scalp and hair too-when is a paste and puree. You can mix and if you prefer.

Good thing for hair? When this is applied on the hair, we get all its nutrients, as when you eat? Not really, but it’s still great for hair.

Basically the avocado fruit is rich in proteins, amino acids, omega-3 fats and vitamins C, A, D and e. These nutrients look good and this is what we get when we eat avocado oil fresh, but not like avocado.

Avocado, used for the growth of hair and scalp

I don’t know if you understand this, but if you pick up a bottle of avocado oil, you will see that the avocado oil contains zero proteins. This is simply because when oil is extracted, we remove the proteins, carbohydrates and fats all based on substances.

In fact, the avocado oil also pressed cold is produced by separating the oil from the pulp. So this also means that most of its vitamins such as vitamin C, E and B are also lost in the process. In addition, the amount of omega-3 is not as much as you get when you take fish oil.

On the other hand, however, avocado oil has a very high content of monounsaturated fatty acids, which work well for hair-this is the most important thing is avocado oil, when it comes to how can help you maintain a healthy scalp to grow hair naturally very fast.

It is said that extra virgin olive oil is good for hair, but this I know-avocado oil has even higher monounsaturated fatty acids of extra virgin olive oil.

You have dry hair, brittle, damaged and weak? Here’s the good news-when applying directly on monounsaturated fats for your hair, can really moist, nourishing and make your hair strands stronger. So not only will the Crown well protected but shine and make heads turn!

Only for side track here, for a change, can also crush or blend (becomes ‘ more ‘ doughy) a really ripe avocado and then spread it over your hair as a deep conditioner. If you don’t mind the mess and can do this regularly, great.

As for me, I do it once a month, for a change from Virgin coconut oil. Really depends on my mood ‘ but certainly makes an avocado Hair Conditioner effective and wholesome or moisturizer. Otherwise, they also have many other natural recipes of the scalp and hair in my e-book to suit my moods and feelings.

Back to avocado oil, adding this oil to your regular conditioner and apply it to your hair before shampooing, makes a wonderful pre-treatment.

Or if you have fragile hair, sparkling, dry or towel dry just a bit of avocado oil hair styling to make it soft, shiny and attractive. I like this, for a natural look.

Scalp massage with Avocado oil

Now this is the part that I like to do. A scalp massage good, consistent and correct is the key to grow hair naturally very fast. So when I feel like avocado oil on your hair, just like my regular scalp massages, DAB this oil on my fingertips and massage my scalp.