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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Employee Wellness, General Health

Picking Up Bad Habits from Others

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You may feel that you have evaded the bad habits that many people have. That is, you feel that way until you catch yourself picking up the bad habits of others around you. The other person may pass on their habits intentionally or not, but they affect you all the same.

You can pick up bad habits from others in the way they eat. If you spend enough time around a person, you will often begin to eat the same way. It is just easier to make one meal and split it. It is easier to go to one restaurant instead of stopping at two. If that restaurant happens to have only greasy foods, you will end up eating things you would not otherwise eat. You are picking up your companion’s bad habits.

Smoking cigarettes is another bad habit you can easily pick up from other people. You sit in the room with your companion evening after evening as they puff away. You gradually either get very sick from it, or you get used to it. You may even come to enjoy it. That is when you are in danger of picking up the bad habit.

Fighting is a bad habit that many couples get into in a relationship. Your spouse may start a fight. You may have no intention of getting into the argument. You may get up to walk away from it. However, your spouse may not let you go. A fight ensues and pretty soon, you are both in it. This may go on over and over until it becomes a bad habit.

In the workplace, carelessness seems to be contagious. If one crew member is irresponsible with the heavy equipment, his attitude can contaminate the attitudes of the other workers. Before you know it, they all have bad habits at work.

Also, if one employee gets in the bad habit of telling everything he knows, the habit can spread. If one tells information about his pay, soon they all will. If one tells private company business, the gossip mill will start churning. The bad habits can get out of control.

If you have the bad habit of practicing one-upmanship, you can lead others to pick up the bad habit from you. A person tells something they did, and suddenly you are telling the better thing you did. Some people will fall into the trap of following your lead and trying to one-up you. This can go on ad infinitum.

Pessimistic people have the bad habit of looking on the negative side of everything. This can rub off on anyone who spends a good deal of time with them. You can only hear about the worst things in life so long before it has an affect on you. You may be next to predict bad times ahead.

Of course, you cannot blame the other person for your choice. That is all up to you. If you want to avoid the bad habits of others, you can do it if you stay strong. Remember that you do not have to always conform to those around you.

Children's Health

High Blood Pressure in Adolescents

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High blood pressure is a condition where the blood pressure is more than normal. It is also known as hypertension. Heart pumps out blood, so that oxygen can reach to different parts of the body via blood. The pressure with which heart pumps blood is known as blood pressure. The blood pressure comprises of two measures, the systolic pressure and diastolic pressure. Systolic pressure is the larger figure and represents the pressure within the artery of the heart, when contractions take place which pump blood to different parts of the body. Diastolic pressure is the pressure within the artery of the heart, when the blood is filling in the heart and it is at rest. Both the pressures are measured in millimeters of mercury or mmHg. High blood pressure is abnormal increase in systolic pressure or diastole pressure.

Blood pressure is measured by putting a blood pressure cuff on the arm and placing a stethoscope on the chest. There can be very little variation in blood pressure depending upon the time, emotional moods, age, gender, weight, height, physical activity, stress and other illness such as heart disease and kidney disease. Children and adolescents become anxious when they visit the doctor. This is also an important factor which affects the blood pressure and the readings taken get tampered because of it. That is the reason why many blood pressure readings are taken in order to determine whether the adolescent has high blood pressure or not. The nurse may even ask the adolescent to calm down while taken the readings. Time gap is given between each reading, so as to give time to the adolescent to calm down. Emotions can also affect the blood pressure reading.

An infant will have a normal blood pressure reading of 80/45, where as an adolescent will have a normal blood pressure reading of 110/70. Therefore, age, gender, and height are important factor when determining the normal blood pressure level. Adults will have a higher blood pressure than the infants and teenagers. Also, boys have a higher blood pressure when compared to girls and tall people have a higher blood pressure than short people. An adolescent is said to have high blood pressure when the blood pressure is more than the blood pressure of ninety percent people of his/her age, gender and height.

There are many risks associated with hypertension or high blood pressure. The risk of developing coronary heart disease increases proportionally. The arteries will develop greater resistance towards the blood flow, because of which the heart will pump blood harder. Stroke is also another risk. Adolescents who have had high blood pressure as a child, develop harmful effects on the blood vessels and heart till the time they turn twenty.

The causes of high blood pressure can be classified as primary and secondary. If the causes are definite, they are primary and if the cause is linked to some illness, it is secondary. Primary causes are high blood cholesterol levels, smoking, stagnant lifestyle and overweight. Secondary causes are obesity, immobility due to chronic illness, prescription drugs, intense pain due to burns or cancer and illegal drugs. High blood pressure can develop due to hereditary reasons.

Hypertension is diagnosed by blood test and urinalysis. The kidney function will also be checked, along with blood cholesterol levels. Family history check is another important factor. Adolescents eating habits, exercise levels, activities in school and home will also be studied thoroughly. High blood pressure is dealt with by weight reduction, healthy diet, and increase in physical activity. If hypertension is due to illness, the illness is treated first. These treatment measures will decrease the systolic blood pressure and diastolic blood pressure. It will also strengthen the heart and decrease the level of cholesterol in blood. This also helps to keep heart diseases at bay. The good thing is that only one percent of the adolescents, who have high blood pressure, need medication to bring back the blood pressure to normal.

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Mental Health

Living With Alzheimer’s Disease

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When someone is diagnosed with Alzheimer’s disease, those around should not think that it is the end of the world. The best thing to do is help the one who is suffering from it until the person dies.

There are drugs in the market that can help ease the pain but not reverse the process or stop the disease from spreading. The only thing it can do is slow down the process that could buy enough time until a cure has been found.

Family members should give this or hire a caregiver to do that when no one is able to take care of the person.

In time, the sufferer may not even recall the name of the children. One way to help the one living with Alzheimer’s is through the use of visual aids. The name and the picture of the person can be shown in a card and someone can conduct memory exercises on the individual.

It will also be a good idea to talk as often as possible with the patient. The person should be within the line of sight of the individual and must say each word slowly in order to understand each word being said.

The best place to treat someone with Alzheimer’s is in the home. The people who are there should make sure that there is order in the house and it is quiet at all times because noise will just aggravate the patient.

Living with someone who has Alzheimer’s can be compared to taking care of a toddler. This is because the person will touch anything in sight and might even get hurt in the process. The best thing to do is to take make sure there is no clutter in the house and items that are deemed unsafe are hidden from view.

Alzheimer sufferers are known to wander off. The person can lock the doors but should the patient manage to get out, it is best to have either a bracelet or a pocket card inserted in the clothing. This must have the name, address of the patient as well as the contact number where someone can be reached to pick up the wanderer.

Studies show that those who are suffering from Alzheimer’s disease really get worked up in the evening. This can be prevented by coming up with evening rituals such as washing the dishes, watching television or walking around for a while to make the patient calm and sleep tight.

Those who are suffering from Alzheimer’s aside from the medicine prescribed by the doctor also need exercise. It doesnt have to be anything extraneous but just enough to keep the strength up. An early morning walk or lifting small weights are just a few examples to promote a certain level of fitness for the patient.

It is not easy living with someone who has Alzheimer’s disease because the task of taking care of someone is both tiring and frustrating. People have to understand that no one wanted this to happen but the reality is that the problem is there.

It is a good thing there are support groups out there that can help family members and patients cope with this disease. The people can also live closer because it won’t be long before the inevitable will happen and this person will go off to a better place.

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