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 Information For Getting Healthy And Staying Healthy

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 Tobacco is a mood-altering, addictive drug that kills 500,000 Americans a year (200 million worldwide)
Costs $400 billion each year, according to "Smoking and Health Review," (1992). 

The American Lung Association says tobacco contains more than 4,000 chemicals, 60 of which causes cancer. 
Some of the 'killers' are radioactivity, arsenic, ammonia, lead, formaldehyde, nitrogen dioxide, cadmium, phenol, benzene and hydrogen cyanide (the 'gas chamber' gas that poisons the respiratory enzymes) 


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============================
=> IN THIS ISSUE!
============================


==> Editors' Ranting & or Warnings
==> Something To Think About
==> Health Thought for the day!
==> Showcase Health Spotlight
==> Monthly Spotlight Ads
==> Today's Health Tip
==> Food of The Week
==> Health Today
==> Environmental Report
==> Life Changing Information


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EDITORS' RANTING
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Greetings and thank you for subscribing! 

Are you ready for the weekend? Did you do the most that you can do for your health this week? I receive calls and emails every day from people who haven't done everything they should do to be the healthiest they can be and end up very ill. Don't let that be you!!! Have a restful and relaxing weekend...

Don't forget the tsunami Victims they are going to need us for many more months to come... Devastation picture to remind you Click Here...   
*Red Cross Click Here 
*Whole host of other organizations helping out Click Here

If you have a question or comment (good or bad) send it to me... Click Here 
Remember ANEH Facts archives now exist  Click Here 

Ask Lena Health Q & A Archives
 Click Here
Take charge of you and your family's health before it takes charge of you!
Lena


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==================================
Something To Think About
===================

For a Hospital Stay, Only a Select Few Qualify
By ABIGAIL ZUGER, M.D.
May 3, 2005


The first time Mrs. Harris got a blood clot in her leg, back in 1998, she spent almost three weeks in the hospital. So when the other leg swelled up and began to throb last month, she came to the emergency room with a good-size suitcase, ready to stay.

As it happens, she never even got to unpack. She was riding back home in an ambulette barely 24 hours later with a sore leg, a bag of medicines to dissolve her new clot, and a vague sense of unease.
 
Medicine is full of diagnostic subtleties. There are the small symptomatic differences between the flu and pneumonia, the tiny visual cues that differentiate malignant cells from normal ones, the almost identical memory lapses of normal aging and senile dementia. But perhaps the trickiest distinction of all these days is the one between an inpatient disease and an outpatient one.

Hospitals in this country have become cruelly selective institutions of higher healing. Only the most qualified applicants are admitted (and then only a fraction of them get to unpack). The underlying financial principles are simple enough: most admissions generate a lump sum compensation. The simpler the illness, the smaller the sum. The longer the stay, the further it must stretch. The hospital thrums to a simple bottom line: get 'em in, get 'em out.

This credo does not translate particularly well into medical terms. Criteria for hospital admission tend to follow an unwritten code composed of local traditions, logical principles, idiosyncratic habits and worst-case scenarios. Discharges are an elaborately negotiated three-way truce among patient, doctor and illness.

It all sorts out in unpredictable ways. A life-threatening illness will get you in - unless you are truly beyond all help, in which case you may be encouraged to pass your last days at home. A mysterious illness may get you in, but when the puzzle is solved you often convalesce elsewhere. An illness requiring intensive nursing care may get you in - or not, if devoted relatives will chip in at home. A famous name will generally get you right in or right out, wherever it is you want to be.

Until a few years ago, a clot in the leg got you in and kept you there. In view of the worst possible outcome - that the clot would move to the lungs and cause respiratory collapse - observation and bed rest seemed essential. To dissolve the clot, one blood thinner had to be given by vein until a second oral one began to take effect, and levels of both needed frequent monitoring, lest spontaneous bleeding occur.

Then the technology changed. The intravenous medication was reformulated so that patients could inject it themselves, like insulin. The new drug did not need such careful monitoring. Studies showed that bouncing around at home with a clot in the leg was not particularly dangerous. Frequent blood tests were still necessary, but patients could get them as outpatients, and watch for bleeding themselves.

Lo, an outpatient disease was born.

Mrs. Harris, then, has a different disease than she did in 1998. Of course, she has exactly the same problem, but now it is an outpatient problem and thus somehow, by definition, imbued with less complexity, less gravitas, less need for thought. The hospital staff got her in and got her out.

Unlike her disease, though, not too much about Mrs. Harris herself has changed since 1998. She still weighs close to 300 pounds, has a bad heart and stiff lungs, and lives a good hour from the hospital. She is still not very good at reading medication bottles or remembering drug doses.

She still cannot stand giving herself injections. She still hates having strangers (like visiting nurses) in her home. She is still the person who began to bleed from some unidentified site in her intestine while she was taking blood thinners the first time.

And so, it has been a hectic month for Mrs. Harris and her outpatient caretakers, of whom I am one, what with the missed injections, confused prescriptions, frantic phone calls, specially dispatched ambulettes and blood tests that are consistently off the mark. So far, she is doing fine despite it all. The rest of us are a little fatigued.

It is a cliché that once patients remove their street clothes and slip on hospital johnnies, they become invisible to medical staff, morphing from stockbroker, carpenter, musician into just one more generic body to process.

Exactly the same holds true, of course, when they slip on a disease. All their individuality tends to vanish behind its skimpy folds.

Would that someone had examined the lady with the blood clot in Room 9B24, discovered Mrs. Harris instead, overrode that inexorable get 'em in, get 'em out, and kept her right there.

 


=======================
Thought For The Day
=================

* Antioxidants *

Antioxidants protect key cell components by neutralizing the damaging effects of "free radicals," natural by-products of cell metabolism. Free radicals form when oxygen is metabolized, or burned by the body. They travel through cells, disrupting the structure of other molecules, causing cellular damage. Such cell damage is believed to contribute to aging and various health problems. Look for products that contain multiple antioxidants; think of it like giving your skin a multi-vitamin.


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 TODAY'S HEALTH TIP

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Review: Episiotomies May Bring More Risks
May 4, 2005
By CARLA K. JOHNSON

CHICAGO (AP) - For years, some doctors believed that an episiotomy, an incision to enlarge the vaginal opening during childbirth, would prevent spontaneous tearing that would be harder to repair. They also believed the procedure would help women avoid incontinence and improve their sex lives.

It turns out those beliefs were myths.

A new review of 26 research studies shows that episiotomies are linked with a higher risk of injury, more trouble healing and more pain.

Episiotomies also had no effect on incontinence, pelvic floor strength or sexual function. Women who had the procedure waited longer to resume sex after childbirth. And their first post-birth intercourse caused them more pain.

"This review puts together in one place all the evidence that we're not getting the results we want," said Dr. Katherine Hartmann, the study's lead author and a researcher at the University of North Carolina.

The review was published in Wednesday's Journal of the American Medical Association.

An episiotomy is usually a small cut - deeper than the width of a large metal paperclip and about as long, she said. But spontaneous tears often are smaller and don't need stitches.

Many women and their doctors already know episiotomies haven't proven beneficial, Hartmann said, adding that rates are dropping, but not fast enough.

She estimated that 1 million women each year have unnecessary episiotomies, citing studies that indicate they are done in about 30 percent of vaginal births.

An Associated Press analysis of hospital data found there were 616,702 episiotomies in 2002, but Hartmann said the procedures are underestimated in hospital records.

Since 1983, the American College of Obstetricians and Gynecologists has said episiotomies should not be done routinely. Dr. Laura Riley, of ACOG's obstetrical practice committee, said most doctors already know they should be done only when the baby is in distress.

"I think the message has been out there a while," she said. Her hospital, Massachusetts General in Boston, only does them in about 8 percent of births, she said.

However, the numbers vary widely. Women are more likely to get an episiotomy at some hospitals, Hartmann said. One study from the mid-1990s found that episiotomy rates at Philadelphia hospitals varied from 20 percent to 73 percent.

The Agency for Healthcare Quality and Research, which funded the review, planned to post a summary on its Web site Tuesday afternoon. Pregnant women should discuss it with their doctors or midwives, Hartmann said.

"Just in time for Mother's Day," Hartmann said. "This is a big gift for future mothers."

 JAMA
AHRQ 


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FOOD OF THE WEEK
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A "dried unripe berry"

This week's fruit is a bit different and most people have no clue that it's actually a fruit.  

Known as Jamaican Pepper, Myrtle Pepper, Pimento, Newspice, and Clove Pepper but most commonly called Allspice! A "dried unripe berry" of the Pimenta dioica, which belongs to the family Myrtaceae.  

The tree grows to a height of about 30 ft and has aromatic, glossy green leaves and white flowers. The fruit berry, when dried, is widely used as a spice. Its wood was once in such demand for the making of walking sticks that the tree became endangered and was nearly driven to extinction. 

Spanish explorers happened on to the Allspice plant in Jamaica in the beginning of the 16th century.  The Spaniards thought the fruits look like pepper so they gave it the name of Jamaican Pepper and pimento from the word "pimienta", Spanish for peppercorn. 

The English name "Allspice" was given because the spice is said to have the aroma of several spices including cloves, pepper and even cinnamon and nutmeg. 

The green Allspice berries are picked and then dried.  They are very high in eugenol which is the main flavoring substance of the berry. 

Allspice is used to treat indigestion, flatulence, and muscle pain. Allspice is an antioxidant, antifungal, and anti-inflammatory to reduce pain and inflammation. It contains Vitamins C, B-1, B-2 and beta carotene along with a few minerals. Allspice is sometimes added to commercial medicines to improve their flavor. 

Folklore has it that for centuries the Mayan Indians used Allspice to embalm the bodies of important leaders. 

Allspice is available as whole berries or ground.  Grinding your own whole berries will provide the most intense flavor and longest shelf life.  

Allspice is used in seasonings, sauces, sausages, ketchup, jams, pumpkin, gravies, roasts, hams, baked goods, and teas. Caribbean cooking relies on Allspice as the main ingredient in jerk seasoning. It is used in Caribbean, Mexican, Indian, English, and North American cooking and in seasoning blends such as jerk seasoning and curry. Allspice can be used in just about any food you can think of adding nutrients, flavor and taste. 

Substitute one teaspoon ground allspice for the equivalent of approximately 5 whole berries. 

Enjoy this strange fruit,
Lena



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HEALTH TODAY

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Prostate Cancer Survival Rates Studied
May 4, 2005
By LINDSEY TANNER

CHICAGO (AP) - Men with nonaggressive prostate cancer who were treated with hormones or took no action at all are unlikely to die of the disease even 20 years later, new research shows.

Conversely, the disease is likely to be deadly for men with signs of more aggressive cancer treated with hormones or just observation.

The new study, with an average follow-up of 24 years, suggests men with low-grade, localized cancers might do well with little or no treatment, avoiding the surgery or radiation that can cause impotence and incontinence.

The findings are the latest to support a cautious approach in treating some prostate cancers, although there is still debate about how to define the riskiest cases. Prostate cancer is the most common major cancer, and a man's lifetime odds of getting it are 1 in 6.

The research, led by Dr. Peter Albertsen at the University of Connecticut, appears in Wednesday's Journal of the American Medical Association. It involves 767 Connecticut men aged 55 to 74 who were diagnosed between 1971-84 with cancer that had not spread beyond the prostate gland and who received either hormone therapy or observation - sometimes called "watchful waiting."

Prostate cancer ended up killing 228 men, mostly within the first 15 years after diagnosis; most of those men had high-grade tumors - those with cells that looked very abnormal under a microscope.

The study contrasts with a smaller, Swedish study published in JAMA last year suggesting that untreated, slow-growing localized tumors could turn deadly after 15 years.

The new study casts doubt on the earlier findings and suggests that "if you survive 15 years, it is unlikely that the tumor will turn ugly and progress," Albertsen said.

However, Dr. Peter Gann of Northwestern University, who co-wrote a JAMA editorial, cautioned that the studies aren't directly comparable because the Swedish men might have had different types of tumors and received hormone treatment later.

Gann said the new study reinforces the importance of measuring tumor grade in predicting outcomes for men with localized disease that has not spread. In the study, only 7 percent of the men with low-grade tumors died of prostate cancer during the study, compared with 66 percent of men with high-grade.

JAMA 

LENA'S COMMENT: This really isn't new news as I read almost the same article many years ago in another JAMA! This medical journal goes to every doctor that holds a license yet they will continue to put eighty percent of men through unnecessary hell with their cut or poison attitude.  Yes 80% of prostate cancer isn't a  fast growing deadly prostate cancer... Do you know why doctor's continue to give people false information? Because they do not read their journals!!! I've filed many away and was the only person in the office who read them... Their attitude of cancer is treat it whether it's proven safe and effective or not. "We can at least give them hope!" is the most often statement out of a doctor's mouth that I heard when I questioned them why do this when not necessary. I know I heard it so very many times over my 20+ years in medical offices...  It doesn't matter that they are actually lying to them with that attitude...  It behooves me to understand how they can continue that lazy and life threatening attitude, but you do not have to listen nor do as they suggest!!!
 


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    ENVIRONMENTAL REPORT      
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When Fruit Flies Send a Messy Message
By HENRY FOUNTAIN
May 3, 2005


In the home, the fruit fly can be a telltale indicator of neglect. When Drosophila melanogaster starts flitting around your fruit bowl, you know there's a forgotten peach in there somewhere.

On a much larger scale, the tiny fly can also be a useful marker for environmental neglect, Australian researchers report.
 
They've shown that over two decades in eastern Australia, fruit flies have undergone a genetic change as the climate has warmed.

"Fruit flies are model organisms for studying all sorts of things genetically," said Dr. Ary Hoffmann, a professor at the University of Melbourne and an author of a report on the finding published last week in the journal Science. "What you've got here is a situation where in nature over a short period of time, they have been adapting to climate change."

Dr. Hoffmann and his colleagues focused on one gene related to metabolism. This gene has two forms, or alleles - one that is adapted to hotter, tropical conditions, the other to cooler conditions.

Studying the genetic makeup of fruit flies along the east coast and comparing the data to similar analyses from 1979 and 1982, the researchers saw the tropical allele starting to show up in areas where the cold allele had been predominant.

Average temperatures in eastern Australia have increased by about 1 degree Fahrenheit over that period. This being the Southern Hemisphere, the colder allele had been more common in the southern parts of the coast, and the tropical allele more common toward the north, closer to the Equator.

"The genetic constitution of the population is shifting so it's more like the form seen in the north," Dr. Hoffmann said.

It's likely that other organisms will show similar genetic changes, Dr. Hoffmann added, so they may prove useful as markers for climate change in other regions. "What we need to start looking at is any single widespread species that covers a range and see if it shows this kind of change," he said.

But it would also be interesting to look for climate-related genetic changes in species that have a very restricted range - those that are stuck in a rain forest, for example. "In that case, they can't move," Dr. Hoffmann said. "But there may be rapid adaptation at a basic level."


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