Category Archives: Wellness Programs

Arthritis, Wellness Programs

For Arthritis Patients the Wrong Doctor Could Spell Disaster

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For Arthritis Patients the Wrong Doctor Could Spell Disaster
Rudy Silva

For Arthritis Patients the Wrong Doctor Could Spell Disaster

New Book “Take Back Control of Your Arthritis: The 12 Critical Steps” Debuts During National Arthritis Awareness Month in May

San Antonio, Texas – April 14 /Xpress Press/ – Choosing the wrong physician may have disastrous consequences for an arthritis patient,” says Dr. Joel Rutstein, a board-certified rheumatologist and author of the new book “Take Back Control of Your Arthritis: The 12 Critical Steps.”

Dr. Rutsteins book debuts during May, which is also National Arthritis Awareness Month.

“Finding a Doctor You Can Trust” is the books first chapter and first step in Dr. Rutsteins 12-step road-map, which teaches arthritis sufferers how to avoid “the wrong doctors” and better self-manage their rheumatic condition.

How do you know if you are seeing the “the wrong doctor”?

— Dr. Rutstein suggests asking yourself the following questions the next time you see or call your doctor. If you answer yes to any of them, you may be seeing a physician who is not providing treatment that is in your best interest.

— Is your doctor unsympathetic when it comes to your complaints about pain?

— Does your doctor under-treat your pain, or do you feel your doctor does not believe your complaints of pain?

— Is your doctor excessively busy or a “bad listener”? Does he or she seem uninterested in hearing your medical history or evaluating your multiple complaints?

— Is your doctor too rough when examining your joints and muscles? Do you sometimes leave the medical office in more pain then when you arrived?

— Finally, is your doctor a poor communicator? Is your doctor not explaining your diagnosis and plans for treatment clearly and in simple and understandable terms?

Patients should spend as much time picking the perfect doctor as they would the perfect spouse, cautions Dr. Rutstein. “After all, your physician is the medical expert responsible for making life and death decisions concerning your health.

“Take Back Control of Your Arthritis: The 12 Critical Steps,” ($19.95, 229 pages) is available for sale at www.ArthritisMall.com or by calling toll free 800-980-6255. Multiple helpful video programs, including innovative exercise videos, are also available for purchase at the site.

About Dr. Joel E. Rutstein

Dr. Rutstein is the publisher of ArthritisCentral.com, one of the largest patient information websites dealing with the subject of arthritis and osteoporosis. A Spanish language version of the site may be accessed at www.ArtritisCentral.com.

In 1978, Dr. Rutstein founded the Arthritis Diagnostic & Treatment Center in San Antonio. He is currently the clinic’s director. He is a fellow member of the American College of Rheumatology and the American College of Physicians and is also the Clinical Professor of Medicine at the University of Texas Health Science Center at San Antonio. BestDoctors.com recently named Dr. Rutstein as one of the “Best Doctors in America for 2003-2004.”

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Alternative Health, Wellness Programs

Acupuncture and Drug Abuse

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Acupuncture is a bright light on the road to recovery for many drug addicts and alcoholics. As an addict is recovering, the physical and psychological urge to get another fix or get another drink can be overwhelming. If the addict can get past that feeling, there is more hope for another successful day on the road to recovery. Currently there are a number of chemicals to help reduce that feeling, such as the nicotine patches to help people stop smoking. However, a major advantage of using acupuncture is that it uses no chemicals in the treatment, can be used for a number of different addictions, and is quite inexpensive compared to a number of other treatments.

Let’s take a look into a clinic that uses acupuncture to treat recovering addicts. Before the clinic used acupuncture, it was somewhat loud and not a pleasant place to be. The treatment room holds dozens of clients at the same time, each sitting in a chair. Each person sits with five long needles dangling from each ear. Depending on the person, a few also have some acupuncture needles in their hands, arms, or feet. When the time comes to remove the needles, some are removed by one of the acupuncture practitioners, or an assistant, or some clients remove their own needles at the appropriate time. Needles are left in the patient for an average of about forty-five minutes. The chairs are arranged so that the clients can see and talk to each other if they wish. This helps when they share experiences, and helps if some of the new clients are nervous about the use of acupuncture. The room, though it holds a number of often troubled patients, is generally quite calm and peaceful.

What advantage is there in using acupuncture for a recovering addict? Most of the addicts describe a release of that feeling that insists they must find a fix or must find a drink. The patient describes it as the feeling when you get home after a long day and take off your shoes. The effect of the treatment lasts for about a day, and so newly recovering addicts are scheduled for daily treatments. People such as dry alcoholics can come by on a periodic basis, or when they feel they need another acupuncture treatment. Many dry alcoholics are fine as long as their daily life is not stressful, but if a family problem arises at home or at work, the familiar feeling becomes strong once again. At those times an acupuncture clinic is a great help, for it affects an actual physical change in the person.

Many detox clinics that use acupuncture in its regimen incorporate it into an overall program, where the acupuncture treatments are the first steps that a patient takes. A typical clinic will schedule a new patient for daily acupuncture sessions, and at each session take a sample to ensure the patient has not used drugs during the past day. After 10 “clean” days, the patient is considered in sufficient shape to start additional therapy, such as a twelve step program. Acupuncture treatments continue during this time. If a patient has a relapse, the patient just starts all over again with the ten day acupuncture treatment.

Using acupuncture in recovery programs has definite advantages, both economically and in support of physical and mental health for the recovering addicts. It is just another example where the use of acupuncture incorporates healing in all areas: physical, mental, and emotional.

Sports Health, Wellness Programs

Tips for a Successful Career in Sports Medicine

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People are always looking for ways in which they can have a highly successful career and there are things that you can do to really increase the chances of being successful. However, if you simply overlook some tips you can still have a fulfilling career while other tips are quite necessary in order to succeed. Working towards a successful career often begins long before you actually start the career, and sports medicine is certainly no exception.

One of the first considerations that you should look into is ensuring if you are still in school that you are studying enough science to satisfy the needs of sports medicine. If you are someone, who hates biology class, and tries to figure out ways to avoid other science classes then sports medicine may not be the best idea for you. While sports medicine is not always about treating patients, it is still considered a medical field and someone who dislikes science is not likely to find happiness in the field. However, if you really do want to find a career in sports medicine you need to look into taking as many biology, anatomy and physics classes as your school possibly offers.

If you are not in school currently, look for a school that will offer excellent programs in the science fields that are required. If you have already completed your schooling, look and see if your classes that you studied will fulfill the science needs for getting started. If it does not, then it is best to start looking for a school that can satisfy your needs.

Another thing that you should closely look into is selecting the medical school you want to attend. Not all schools are created equally. Students who attend the best schools tend to get a higher quality education and are able to translate that higher education into better careers ultimately. You may have to compare prices of schools to find one you can actually afford, but attending the best school you can possibly afford will certainly pay off in the long run.

While you are looking for the perfect school to attend, consider which area of sports medicine you are interested in specializing in. Most doctors simply cannot attend to all of the medical needs of athletes; there are far too many specialties to even try so it is best that you look for a school that is excellent in your desired specialty. For example, a school that is highly regarded for their training of traditional medical doctors may not be as useful to you if you are looking into a career in orthopedics or even surgery. Ensure you are training for the correct field that you are really interested in.

Look for a residency program that is based in the exact specialty of sports medicine that you are interested in as soon as possible. While all doctors must do basic residency programs, many move on immediately from the residency program into sports medicine. This is not recommended at all, due to the complex nature of the body and the strains as well as considerations when sports are involved it is best to participate in a sports medicine residency program as well before fully starting in the field. This will allow you to maximize your hands on training and get the absolute most possible from all of your education. A career in medicine is certainly not cheap, so do your best to ensure you are putting that education to maximum usage.

Additionally, networking can be your best friend, especially for those who are beginning. Whether you offer your services to a semi professional team, or only to the little league team down the road it gives you the opportunity to help people learn who you are, and what you are capable of doing. You simply cannot purchase advertising that is as good for your practice. So volunteer some of your time monitoring games and helping ensure that athletes are taken care of; people will recognize your efforts and are much more likely to use you when they need a sports medicine doctor.

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Children's Health, Wellness Programs

Depression in Adolescents

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Depression in adolescents is a disorder which occurs due to persistent sadness, loss of interest, loss of self worth and discouragement. Depression is normally a temporary reaction towards situations of stress. Depression is a normal part of the maturation process of adolescents. It is even induced due to production of sex hormones. Adolescent females are depressed twice more than adolescent boys according to a study.

Adolescent behavior is normally marked with good and bad moods. The transition from a good mood to bad mood and vice-versa, can take minutes, hours and even days. That is the reason why true depression is very difficult to find out. Depression in adolescents can be caused due to bad school performance, break up with boyfriend or girlfriend, and failing relations with friends and family. These causes can lead to persistent depression. Other serious causes are chronic illness, obesity, child abuse, stressful lifestyle, poor social skills, unstable care giving and depression in family history.

Symptoms of depression in adolescents are eating disorders, weight change, irritable mood, excessive sleeping in daytime, excessive temper, criminal behavior, memory loss, fatigue, self preoccupation, sadness, difficulty in concentrating, worthlessness feelings, loss of interest, self hatred, obsession with death and thought & attempts of suicides. When these symptoms are being noticed for more than two weeks, it is important to get treatment for the adolescent. Depression not only affects interpersonal relationships, but school performance as well. Depressed adolescents are more prone to take onto drugs and alcohol as an attempt to overcome their depression. Such problems require intensive treatment.

The doctor will take blood test and perform physical examination to determine the cause of depression. The adolescent can also be tested for substance abuse such as smoking, heavy alcohol consumption, marijuana smoking, and usage of other drugs. After the physical examination, psychiatric evaluation is also done to understand the cause of sadness, loss of interest and irritability. Depression can also lead to the development of other psychiatric disorders such as schizophrenia, mania and anxiety. It is also important to determine whether the adolescent poses a risk for himself/herself and others. Family and school personnel can provide valuable information about the adolescent to the doctor.

Treatment for depression for adolescent is similar to the treatment of depression for adults. Along with the treatment, the adolescent are given antidepressant medication and psychotherapy. Antidepressant medications include tricyclics, Prozac, selective serotonin reuptake inhibitors or SSRI. Some of the medicines increase the risk, so it is a good idea that parents discuss the possible risks with the doctor. Only some of the antidepressant medications are meant for children and adolescents. Adolescents with severe depression need to be hospitalized as they are more prone to kill themselves.

Family and school support is necessary to tackle the depression of the adolescent. Parents can get their children admitted in emotional growth schools, boot camps or wilderness programs, to solve the behavioral problems. These programs consist of non medical staff and confrontational therapies. But care must be taken as some of the programs can in turn harm children who are depressed and sensitive. Adolescents, who get caught due to criminal offense, should be taken special care of by their parents. It is best that the child face the consequences and learn a lesson from it. Depressed adolescents respond well to treatment if they are treated comprehensively and early. More than half of the adults are known to have depression when they were in their teens.

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