CATS AND DOGS AS CAUSES OF PERENNIAL ALLERGIC RHINITIS

December 17th, 2010

Cats
The exact incidence of cat allergy has not been established, but in my own practice it is one of the five most common allergens. Allergies to birds, gerbils, hamsters, and rabbits occur, although much less frequently than allergy to cat. Their exact incidence is likewise not clearly established.
If you are a cat-allergic person, you are well aware of the sneezing, nasal congestion, and runny nose that can occur within a few minutes of entering a home inhabited by a house cat. The substance responsible for these symptoms is a protein allergists refer to as Fel d I (this protein is the 1st allergen derived from Felines). Derived primarily from cat salivary glands and sebaceous (oil) glands of hair roots, Fel d I is primarily distributed by cat saliva and dander (material common to the superficial skin). Cat urine and feces contribute little to Fel d I’s load in homes.
Easily airborne, Fel d I appears to remain so for hours, even in an undisturbed house (a house with no one in it). Walking on carpet or sitting on furniture containing this protein causes significant amounts of it to be released into the air. A protein of relatively low molecular weight, it can easily lodge in the nose and eyes or evade nasal entrapment and find its way into the lungs, thus wreaking misery upon cat-allergic family members or guests. It will take months for the cat allergen to abate from your home even after the cat itself has been banished to the outdoors.

Dogs
Like cats, dogs are common causes of perennial allergic rhinitis. The exact nature of the dog’s allergenic proteins responsible for symptoms has not been delineated to the degree that that of cats and house mites has been. We do know that the allergens are proteins and that they are found primarily in the dog’s shed skin and saliva. They also are found in dog hair, blood serum, urine, and feces, but these are not the sources of our primary exposure.
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UNDERSTANDING STRESS BREAKDOWN: COMPLEX PATTERNS OF PREPAREDNESS – THE ‘AS IF SYNDROMES

December 10th, 2010

The design and operation of the human body and the way in which it operates on an automatic level never ceases to astound me. Among the things I find really fascinating is the way the human body knows how to hold to life, to protect its existence. As part of its innate knowledge about how to protect itself, the body tends to prepare itself in ways that I call the as if syndromes. The body changes of these ‘as if patterns of preparedness can cause physical symptoms in stage one stress breakdown. For example:

‘As If I’m fighting for my life
There was an interesting article in one of the medical journals a few years ago about the use of onions and garlic to reduce the risk of thrombosis, that is, the clotting of blood within veins and arteries. It was based on an old French veterinary remedy for thrombosis in horses, and it sparked off some witty letters to the editor about this proposed method of preventing heart attacks. An experiment was described where medical students going into examinations had their blood tested for its clotting ability, some of them having had a meal with onions and some having had a meal without them. The researchers purported to show that the students who had not eaten onions prior to the examination showed an increased tendency for the blood to clot as a result of the stress of the examinations.
What interested me more than the onions or their effects on interpersonal relationships was that the blood of healthy young people should be more ready to clot when they go ‘to do battle’ with the examiners. I have heard that people in hiring and firing jobs have a higher risk of heart attack. (Heart attacks are usually caused by a clot of blood blocking up the coronary artery to the heart – coronary thrombosis.)
It is as if the person going out to face some conflict has his body made ready to respond to a possible loss of blood. It is said that soldiers sustaining severe wounds in battle often don’t bleed much at all, whereas if a person sustains a severe, unexpected wound, as in the case of a butcher severing a femoral artery while boning the ribs of a carcass, there is a real risk of dying immediately from loss of blood. Clearly, readiness for conflict can minimize blood loss.
It is as if the body tones up the blood vessels so they are all ready to shut down the moment they are severed and the blood made ready to clot at a moment’s notice. Unfortunately, if the battle involves a politician under attack from his opposition having to defend himself against a barrage of criticism at question time in the parliament, the toned up blood vessels and quick-clotting blood would be of no good use to him at all. Instead, the increased tone of the blood vessels and the extra clotting ability might cause a clot to form in a vein or artery. I remember how President Nixon suffered from thrombosis of his leg veins when he was in a beleaguered state prior to his resignation.

‘As If I’m hanging on by the skin of my teeth
There are many patterns of preparedness characterized by chronic contraction of specific muscle groups. A common pattern is seen in the person who is expecting the worst and has the teeth clenched and the head held rigidly in anticipation. This may cause severe pain in the temporo-mandibular joint in front of the ear, as well as headaches and neck pain. In general, I find that people who are always psychologically bracing themselves for disaster tend to suffer with stiffness and pain of the extensor muscles of the body. These include not only the muscles at the back of the neck, but those of the shoulders and the lower back.

‘As If I’m starving to death
Diabetes mellitus, or sugar diabetes, used to be considered a psychosomatic disorder, particularly when it was discovered that the extra Cortisol released by the adrenal cortex under conditions of stress tends to increase the body’s blood glucose level and produce symptoms similar to diabetes.
However, there is now no real need to think of diabetes mellitus as a psychosomatic disorder (it doesn’t avail us much), because the treatment for diabetes is by insulin injections and diet, or diet and pills, or diet alone. However, I have been impressed with the number of diabetic patients who have in (their history a significant cause of deep insecurity, an insecurity so profound that they may have feared, at least unconsciously, starving to death.
In diabetes mellitus, the body behaves as if it only has fat from the body stores to live on, as if it is starving to death. The body seems to ignore food coming in to the stomach – with regard to secreting suitable quantities of insulin at least – and occupies itself with breaking down stores of body fat. The result is a combination of excess acid in the blood from breaking down fat, plus an inability to metabolize carbohydrates, with excess glucose flowing out in the urine.
Let me say, however, that while this theory is an interesting one and attention should be paid to deeply-held fears of being abandoned and starving, the correct treatment of diabetes mellitus is by the medically proven methods of diet, hypoglycemic drugs and insulin.

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SEX AND PUBERTY: SAFE SEX

September 27th, 2010

Embarrassment about buying condoms is almost a tradition. With the increased publicity about safer sex, and the widespread acceptance that condoms will give you some protection against both sexually transmitted diseases and pregnancy, that embarrassment is disappearing. Gone are the days when you had to lurk around the men’s toiletry section of the pharmacy, waiting for the other customers to leave, then go through the awkward charade of asking the pharmacist for fifteen dollars worth of shampoo and cotton buds before you could pluck up the courage to ask for the condoms. The fact that you can pick them up off the shelf in the supermarket or the service station, or get them from a vending machine, makes them easier to buy.

One of the world’s biggest condom manufacturers, Durex, has designed a range of condoms targeted directly at sixteen year olds. The bright packaging, multi-colors and familiar chewing-gum flavors see to that. Now this marketing exercise is bound to draw harsh criticism from those who claim that .inning condoms at a teenage market is just giving them the go-ahead to ‘do the business’, so the manufacturers are expecting a controversy, but let’s take a look at the facts.
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SEX AND PUBERTY: UNPROTECTED INTERCOURSE

September 27th, 2010

Some girls faced with longterm unemployment see pregnancy and motherhood as a career option, without thinking through the implications on the rest of their lives. They need to be shown the unromantic reality of coping twenty-four hours a day with the responsibility of a baby, and all the restrictions that it entails.

Certainly another big factor has to be lack of anticipation. Unprotected intercourse often happens when it is unplanned, yet taking a condom along to a party means admitting that you are expecting intercourse. Interestingly, a recent British study showed that eighty-five percent of sixteen- to twenty-year-old males now believe that girls should carry condoms, so that attitude appears to be changing.

Adolescent health workers tell me that one of the reasons girls give for having unprotected intercourse is that they want to find out if they can conceive. It’s a way of testing their womanhood. By the time they find out that they are in fact fertile, they don’t want to know anymore. But it’s a bit late. They are then faced with the harsh reality that they are going to have a baby or an abortion.
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NUTRITION FOR INFANT’S GROWTH AND DEVELOPMENT: SUPPLEMENTARY FEEDINGS

June 3rd, 2010
Neither human nor cow’s milk will meet the full nutritive needs of the infant during the first year of life. Several factors require consideration when planning for supplementary feedings.
Iron-deficiency anemia
It is perhaps the most common nutritional problem in the first year of life. Although supplementary foods furnish some iron the amount is usually not enough to meet the needs of the rapidly growing infant. Therefore, many pediatricians recommend that iron-fortified formulas be continued when the infant substitutes cup feedings for the bottle. Commercial infant cereals fortified with iron are preferable to family-type cereals that are not as highly enriched.
Salt
Babies, like adults, require some sodium and they respond to the taste of salt. During the early months the formula supplies most of the sodium intake. Thereafter, supplementary foods provide increasing amounts of sodium, often far in excess of needs. Nutritionists have criticized the excessive use of salt for two reasons: (1) the infant becomes accustomed to ingesting higher levels that are continued throughout life, a practice that may have some influence on the incidence of hypertension; (2) the intake of excessive salt increases the excretory load on the kidneys. The sodium level of most proprietary infant foods now comes within the levels recommended by a committee of pediatricians and nutritionists.
Over-nutrition
It is a relatively common problem during the first year, and sometimes sets the pattern for later obesity. It can be prevented by allowing the infant to take what he wants from his bottle feeding rather than urging him to finish it, and by using some moderation in the amounts of supplementary feedings that are given.
Many pediatricians believe that the early introduction of supplementary feedings contributes to overfeeding and excessive weight gain.
Skim-milk formulas should not be used during the first year to reduce the caloric intake. To meet the normal requirements for growth such formulas supply excessively high ratios of protein and carbohydrate. The high protein intake increases the load upon the kidneys for the excretion of nitrogenous products, and a high intake of lactose could contribute to diarrhea.
Baby foods
Most pediatricians recommend that semi-solid and solid foods be introduced at 3 to 4 months rather than at 6 weeks to 2 months as had been common practice in recent years. This delay results in fewer instances of excessive weight gain.
Many mothers derive much satisfaction from the preparation of foods for the infant. To do this successfully they must have an understanding of the methods for retention of nutritive values and for maintenance of sanitary controls. Also needed is the appropriate equipment for pureeing foods.
Commercially prepared baby foods are generally higher in cost than those prepared at home. For many mothers they possess these advantages; convenience; safety from bacteriologic contamination; variety; and uniform consistency and composition. The methods of manufacture currently employed result in the high retention of nutritive values, often higher than that achieved in home preparation. Nonetheless, the mother should be aware of the contribution each food makes to the baby’s needs. For example, a high-meat dinner will provide considerably less protein than the strained meat.
Sequence of feeding
Practices vary widely on the sequence with which foods are added and on the age of introducing these foods. Some babies need supplements earlier than others; some are ready for changes in texture sooner than others.
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GENERAL HEALTH

LEARNING ABOUT IMMUNITY

June 3rd, 2010
Immunity means the being free from the effects of something and, as generally used in medicine, this is freedom from infection by disease. The methods, with which the body works to accomplish this, affect other situations.
There is no doubt that many aspects of immunity are not understood by scientists; one well-known authority, in fact, says that our understanding of these matters is but that of children. It is self-evident that the writer of the treatise which you are reading cannot assimilate all the large amount of knowledge that these scientists have accumulated. By a sort of law of diminishing returns what is handed over to and taken in by you is bound to be sketchy, but it is believed and hoped that what you see as in a glass darkly is merely indistinct and not distorted.
Undoubtedly all persons are born with some, but varying, degrees of immunity to different diseases. For thousands of years their ancestors had been fighting disease in the body and if they had not developed an immunity they would have ceased to exist. This is called an inherent, or natural, immunity.
Then they acquire immunity in various ways. First is that which the mother passes on through the placenta. Thus measles, diphtheria, and chicken pox do not affect infants in the first few months of life. Their bodies are not making this immunity; it has been loaned to them by their mothers, and after a bit it disappears. This is called passive immunity. Other special immunities the mothers do not seem to pass on. It is notorious that infants do not get immunity to whooping cough.
Immunity refers to the ability which an individual possesses or acquires to resist or overcome infection. The body functions in several ways to secure the individual against invading bacteria. The blood carries with it at all times substances and special cells which help to combat bacteria and their poisons (toxins). If certain toxin-producing bacteria gain a foothold somewhere in the body and secrete their poison into the tissues, these poisons are absorbed and disseminated, by the blood and lymph, to bring death and destruction to certain body tissue cells; however, just as soon as this course of events begins, many factors operate to combat the invasion. The white cells gather about the invading bacteria and engulf and destroy them; in addition certain cells in the body respond to the toxin-producing bacteria (antigen) by producing antibodies which act in several ways to defend the body.
One kind of antibody (opsonin) affects bacteria in such a way that they are more readily picked up and destroyed by the white cells of the blood; another kind (antitoxin) neutralizes the specific kind of poison produced by the bacteria quite as an acid is neutralized by a base. A third kind of antibody (agglutinin) immobilizes the bacteria cells and clumps them so that they are more readily removed by the white cells. These substances and other antibodies are produced only when a foreign protein substance, as occurs in viruses, bacteria, and their toxins, gains entrance to the body.
The details of the ensuing skirmish or possibly great battle are complex. If the poison or bacteria win, the war is ended for that body. Fortunately most of us win innumerable skirmishes. These fighters which we enlist at short notice are so highly specialized that it will be necessary at this point to abandon the metaphor about a defending army. If a body is attacked by measles, the “antibodies,” as we call the resisting force, are of no value against pneumonia. Each kind of antibody defends against only one disease. But what a job some of them do in their narrow special line! You all know that there are a number of diseases, one attack of which gives immunity for life.
The enormous amount of antibodies that may be poured out in response to the poison of an infection is demonstrated in diphtheria. This was a terrific scourge a generation or so ago. Diphtheria localized itself on mucous membranes, usually in the throat, where a membrane formed; but it also produced a highly poisonous substance known as diphtheria toxin which circulated through the body. The antitoxin to combat it was obtained by injecting toxin into a horse; first a very small amount which the horse could stand. This dose was slowly increased until in six months the horse could take one thousand times the amount of toxin which would have killed him in the beginning. Then the antitoxin obtained from him, when injected into a child, proved a successful protection.
Years ago, when typhoid was still common, a friend of mine had an attack. Recently she planned to travel in Europe and she consulted me. Would her previous attack of typhoid make her immune to it? It has been generally understood that people did not have second attacks of certain diseases such as typhoid, smallpox, and measles. These surely did give long-lasting immunity. But now it has been found that second attacks may occur as the immunity weakens with time.
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GENERAL HEALTH

CHILD’S HEALTH/INFECTIOUS DISEASES: HEPATITIS

May 21st, 2009

Although hepatitis is more widespread in developing countries, cases do occur in Australia. It is also a health risk for those travelling overseas.

Cause

Hepatitis is an inflammation of the liver caused by infection with various viruses. These are hepatitis A (infectious hepatitis), hepatitis B (serum hepatitis) and non-A non-B hepatitis.

Investigations

The diagnosis of hepatitis can be confirmed with blood tests.

Treatment

If your child’s symptoms are severe he may need to be admitted to hospital for nursing care. A child with hepatitis A usually improves after 2 weeks, while hepatitis B can be a prolonged illness. There is no cure for hepatitis so treatment is directed to relieving symptoms and includes rest as well as a special diet free of fatty foods.

Prevention

Good hygiene and proper sewerage are critical in the prevention of hepatitis. If you are travelling overseas with your child to areas where there is a high risk of exposure to hepatitis, an injection of human immunoglobulin can be given to help avoid infection with hepatitis A. A specific vaccine is now available against hepatitis B. This involves blood tests and three injections over several months — discuss this with your doctor.

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LEAVING YOUR CHILDREN SOMETHING TO LOVE BY/ THE DANGERS OF FLUNKING SEX EDUCATION: DEPRESSION

May 19th, 2009

Depression: I mentioned earlier that there is a direct relationship between feelings of loneliness and isolation and serious depression. The sexual needs of the developing person cry out for direction and understanding, for discussion and focus. Adolescent suicide is dangerously increasing, in part because sexual feelings in our young people are not tolerated and have few safe avenues for expression.

There are many myths about teen depression and suicide. If they threaten it, they won’t do it. If they are active andjnvolved, they won’t do it. If they are doing well in school, they won’t do it. If they come from a good home, they won’t do it. These statements are false. If you are worried, there is reason to worry, so reach out now. It is éîã just depressed people who kill themselves. Agitated, afraid, worried, insecure, hyperactive people kill themselves, too. Healthy sexuality is a key part of making it through the stress of young adulthood. Wrong turns on the love maps of these young people can result in death through sexual experimentation gone wrong. Some adolescents hang themselves to cause a high related to lack of oxygen while masturbating, failing at the last moment to control the lack of oxygen. This cause of death is known to all clinicians, but is not often talked about. The sexual problem, called asphyxiophilia, is one of the so-called paraphilias, problems with relationships and loving sexuality. We might hear the comment, “He never said anything at all to me about being really that upset,” after a young person has killed himself, because what he might have said was not something we wanted to hear or were too uncomfortable to allow him to tell us.

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YOUR MARITAL HEALTH/WIVES’ SEXUALITY: TEN MS. MYTHS

May 18th, 2009

True False

1. Women do not ejaculate.

2. Most women have orgasm in intercourse.    

3. Women take a longer time to respond than men.    

4. Women have sexual fantasies less often than men.

5. Women are less turned on by visual stimulation than

men.

6.    The more lubrication of the vagina, the more aroused the woman is.

7.    Women can go on and on. They do not have a re-

fractory period.

8.    Women relate sex and love together while men tend

to be able to separate the two.

9.    Women prefer one partner and are not interested in

variety.    

10.    Women do not like oral love but might do it if their

partner really wants it.

All of the answers to this quiz are false because each myth is based on the premise that men and women respond completely differently, and this is not necessarily true.

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TRUE HEALING – PRACTICAL ADVICE: SOME UNUSUAL EFFECTS OF DETOXIFICATION

May 18th, 2009

Your mind-body system remembers every damage you did to it in the days gone by. If some healing in the past has not been perfect, because of other emergencies in your body (and mind), some of the damage remains unrepaired.

When you purify your body and mind, resources within your body become available, enabling repairs which are long overdue .

The effect of this can be quite’ amazing. Many people on various detoxification programs (oxygen therapies, fasting) observe symptoms of their past diseases in quick succession and in reverse order. Basically, you can expect to re-live every serious disease you experienced in the past. Don’t be frightened. This is healing. Your body is just fixing things which are long overdue. Symptoms are usually very mild, and they last only an hour or two. Many active people do not even notice such symptoms, because they are so mild.

I would like to give you just one example drawn from my own personal experience. At the age of 7 I had a severe ear infection, which was very painful, took a long time to heal and doctors injected me with lots of antibiotics. At the age of 42, during fasting I experienced the symptoms of this disease, accurate in every minute detail. I was astonished, because the situation was restored so perfectly, that I remembered not only my feelings from childhood but also the taste and even the smell of antibiotics I took at that time. The experience lasted only for a few hours.

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