Daily Archives: November 10, 2022

A weight-loss surgery is considered successful when the patient loses at

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For severely overweight individuals that have failed to see results from diet and exercise alone, weight-loss surgery has become the safest and most effective means of achieving significant weight loss. In fact, studies have shown that with diet and exercise alone, nearly 95% of obese patients will gain all the lost weight back within 5 years. On the other hand, long-term success rates for weight-loss surgery – including the LAP-BAND procedure – are remarkably high, allowing patients to maintain a loss of between 50-70% of their excess body weight. Though there are many factors that can impact an individual patient’s weight-loss success, weight-loss surgery is simply the most effective long-term weight loss and healthy lifestyle solution for severely obese patients.

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Studies show that most patients that undergo weight-loss surgery will lose between 50-70% of their excess body weight within the first three years following their procedure. Those that undergo gastric bypass surgery will lose excess body weight more rapidly in the first 12 months than those that choose LAP-BAND surgery. However, gastric bypass patients typically experience a greater number of complications and side effects than LAP-BAND patients, as the LAP-BAND procedure allows for more gradual and natural long-term weight loss.

From a clinical perspective, a weight-loss surgery is considered successful when the patient loses at least 50% of their excess body weight and keeps the weight off for at least five years. While important lifestyle changes need to be made to ensure that the weight loss is maintained in the long term, studies have shown that most weight loss surgery patients are able to maintain a 50-60% loss of excess body weight 10 years after the surgical procedure. However, it is important to note that a weight loss of just 10% of total body weight can begin to have positive health effects in resolution of obesity-related condition like asthma, gastric reflux (GERD), and diabetes. As weight-loss surgery is usually performed on patients that are at least 75-100 pounds overweight or have a Body Mass Index (BMI) of at least 35 with a health condition, overall weight loss can range anywhere from 40 pounds to over 100 pounds. But the patient is really the leader behind achieving these results.

While patients will certainly look and feel better after weight-loss surgery, there are also numerous health benefits associated with successful weight loss. In most cases, health conditions that develop as a result of excessive body weight or are worsened by obesity can be improved upon or, in some cases, remedied by weight-loss surgery.

But there are other ways to measuring success with weight-loss surgery, like the LAP-BAND System. For instance, many weight loss surgery patients take great pride in being able to perform certain activities that may not have been possible for a number of years, like crossing their legs, bending over to tie a show, walking up stairs without being easily winded or sitting comfortably in an airplane seat.

While most patients that undergo weight-loss surgery experience incredibly positive results, there are many factors that can impact the overall success of an individual patient’s procedure and follow-up treatment. Here are some important factors to consider as you try to determine whether weight loss surgery is right for you.

Pre-surgery Weight

Generally speaking, the higher a patient’s pre-surgery weight or BMI, the more excess weight the patient can lose after surgery. However, recipients of weight-loss surgery with less excess body weight will eventually come closer to their ideal weight when committed to long-term diet and exercise. Also, resolution or improvement in obesity-related diseases can occur with even moderate amounts of weight. Often many diseases can become closer to cured than improved with earlier intervention at a lower weight.

Overall Health

While pre-existing health conditions can impact the overall success of weight-loss surgery (for instance, patients with type 2 Diabetes typically lose less excess body weight after surgery), studies have shown that many ailments linked to obesity are either improved upon or fall into remission after a successful procedure. For instance, a 2000 study performed on 500 weight loss surgery patients showed that nearly 96% of health conditions associated with obesity – such as high blood pressure, depression, sleep apnea, back pain and diabetes – improved greatly following loss of excess weight and long-term commitment to diet and exercise.

Surgical Procedure

As there are potential risks and complications associated with any surgical procedure, potential patients should always seek to have their weight-loss surgery performed by a trusted medical staff. Prospective patients should inquire about their surgeon’s success rates with weight-loss surgery and listen to the experiences of former patients. Additionally, a patient’s weight-loss success may also be impacted by the quality of post-surgery care and counseling provided by their bariatric outpatient facility.

Diet and Exercise

As diet and exercise are two of the most important factors in any weight loss plan, patients with the physical ability to exercise after weight-loss surgery have increased chances of meeting their goals. To maintain the weight loss achieved by surgery, both exercise and healthy eating habits must become integral parts of a patient’s lifestyle.


The ability to remain committed to suggested dietary guidelines, exercise regimens and any follow-up care recommended by the bariatric outpatient facility is important for both short-term weight loss and long-term weight management.


Patients that are motivated to lose weight and willing to follow through with diet and exercise prior to receiving weight loss surgery may experience greater levels of success immediately following the procedure and in the long term. Most people did not find themselves severely obese overnight. It took years to reach that weight and therefore patients should be patient with the weight-loss process, which will also not occur overnight. Successful patients find small victories along the way to celebrate and stay motivated.


As weight-loss surgery will require some time away from everyday activities, it is important to have the support of family, friends and coworkers before undergoing any surgical procedure. Furthermore, as the ongoing weight-loss process following bariatric surgery may require a certain level of emotional support, prospective patients may want to establish a support network – including friends and family members that can join in on exercise and healthy eating.

If you have minor convictions, they will be considered when applying for a job

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Wouldn’t you love it that you could enter the exam room and do well on the exam , and be on the way to securing a firefighter job? Every person who takes the exam for firefighter wants the same thing as you do, however most fail to pass the exam phase, and why? Because they didn’t prepare for it. You are, however, accomplished and your firefighter career is now a reality, not a wish.

Where to Go

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If you’re looking for firefighter jobs, then there are many possibilities available to you. Blue pages in a phone book are one option and the other is the internet. On the internet you can check out sites that feature government job openings.

Looking for a Firefighter Jobs

When you submit your resume, make sure it’s up-to-date. The information you provide to your resume are important and could make the difference between surviving or failing. Things like military service, a higher education or learning a new language are all considered to be beneficial to you, as do any volunteer work you perform.

If you have minor convictions, they will be considered when applying for a job in firefighting, however, an indictment for a crime or arrest for any type of drug violation will likely disqualify you and you will not be able to go any further on your path of becoming a firefighter.

If you’re unsure about what to expect, you should speak to a firefighter and ask any questions and a current firefighter will provide valuable details about what is expected when looking to get an emergency response job.

The Next Step

Achieving success in submitting your application is only the first step to take if you’re interested in a career in firefighting. Next comes to take the test process that tests you on a range of skills that the fire department believes they should be able to recognize. These include basic math, memory verbal expression, problem solving to name but a few. Therefore, it is essential to familiarize yourself with the test procedures prior to when you attempt the test.

Where to Go

There are many methods to learn more about what tests are and every avenue must be considered:

Certain book stores offer mock test papers, so you can look them up.

The internet is a great resource for mock tests for virtually every job that you can imagine, with numerous pages full of assistance and guidance on the steps that are required for getting a firefighter job. It could be a good starting point to begin.

If you have a friend who is an active firefighter, then why not approach them? They may be able to help you in without end and become an invaluable source.

A Hard Job, But It’s Worth It

In the search for information that will allow you to get an opportunity to work as a firefighter, it’s important to look through every avenue and get the most information you can before going to submit your application. It’s not straightforward, but once the dust settles and the people around you are shattered, you will be able to stand tall and become what you’ve always hoped to be.

Central Sleep Apnea is a more rare condition than Obstructive Apnea

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Are you ever awake in the middle of the night and be a bit worried that you’re in a coma or having trouble breathing? It’s probably not an experience you’ve ever had, and this is most likely a symptom which needs to be looked into. When you have these symptoms, it’s likely that you suffer from Sleep Apnea which can be an extremely serious sleep disorder.

Other indicators to look out for are snoring so frequent it wakes your partnerup, headaches in the morning as well as dry mouth. If these signs are happening to you, then you should visit a doctor immediately. All of these signs indicate that you could be suffering from Sleep Apnea.

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There are many stories of those suffering from sleep disorders, as well. Sleep Apnea can be one of the most serious on the list. “Apnea” is derived from Greek and translates to “want to breathe”. When you experience an Apnea episode the breathing of your body is affected by slowing down or completely stopping for a brief period of duration. These interruptions can happen frequently, as many as 20 times in just one hour each episode, and can be a period of 20 seconds that your body’s condition is at risk of dying.

It is a serious sleep disorder. Apnea is a dangerous disorder that can not only disrupt your sleep but also impacts your body in general. There are three types of sleep apnea and at their most severe each could be fatal.

The widespread problem Ossificive Sleep Apnea

The condition is known to be Obstructive Sleep Apnea (OSA) is by far the most prevalent kind. While you sleep, your muscles of your tongue, located at the tongue’s base are relaxed and block your airway. If this occurs, the oxygen levels in your blood is reduced, which causes hypoxia. Your blood pressure rises and a significant amount of strain is put onto your heart. All of these issues keep you from entering into the deeper, more sound periods of your sleep cycle and your body begins suffering from sleep lack. In addition to this there is the snoring or choking that could keep you awake several times throughout the night. Your body becomes desperate for sleep.

Rare, but fatal Central Sleep Apnea

Central Sleep Apnea is a more rare condition than Obstructive Apnea due to the fact that it’s caused by a malfunction inside the brain. In this situation, the brain sends the incorrect or delayed signals to the breathing systems of your body. Due to these incorrect signals throat, abdominal, and oral breathing stop simultaneously for a couple of seconds. While it’s not for long, it could decrease the amount of oxygen that is delivered to your tissues and blood and may cause elevated blood pressure as well as irregular heartbeats and even heart stroke.

Dual Ursaches for Mixed Sleep Apnea Apnea

If you have both of the conditions mentioned previously, Obstructive Apnea and Central Apnea it is believed to suffer from Mixed Sleep Apnea. If you suffer from this condition, you’ll experience the combination of symptoms of loose throat muscles as well as faulty breathing signals from the brain. This combination is clearly more harmful to your health.

Because Obstructive sleep apnea (OSA) is by far the most prevalent type of sleep apnea that sufferers experience it’s an excellent idea that everyone knows the signs to look out for, as well as what causes the condition , and the best way to treat it in the event that you or someone in your family, experience the disorder.

What causes Obstructive sleep Apnea?

There are a variety of diverse factors that can block your airway during sleep and trigger cases that are Obstructive Apnea. It is possible that you have tissues in the tongue or throat that are too small as your body relaxes during sleep , causing them to block the functioning in your airway. If you’re obese, the airways could be blocked due to the soft tissues in your throat growing more rigid and sturdier. If your tonsils or adenoids are enlarged, that as well, can affect the flow of air.

What are the symptoms for Obstructive Sleep Apnea

You wake up because you’re choked and being unable to breathe and snoring are typical signs that are a sign of Obstructive Apnea. Being extremely sleepy during the times of day can be an indication that your sleep pattern is disturbed. In this type this condition, you could be unable to concentrate and suffer from dry mouth, experience headaches, experience rapid weight gain or low blood pressure, lethargy and even depression.

What are the options for treating Obstructive sleep Apnea?

There are a few things you can do to stop or stop the development of Obstructive Apnea, even if you haven’t seen any doctor regarding the issue. The solution could be as simple such as losing weight altering your sleeping position or eliminating the consumption of alcohol in your evening routine. In more serious instances, medical treatment might be required, however. A few of the most common medical procedures to treat apnea are Continuous Positive Airway Pressure (CPAP), Oxygen Administration and surgical procedures such as the an tracheostomy.

If you’ve got reason to suspect that you suffer from sleep apnea, and you are showing the signs mentioned above, do not avoid seeing the doctor, thinking that you could solve the issue yourself. An appointment with your doctor will establish the cause and its root cause, so you are able to follow the correct method of treatment to ensure rapid recovery.

Source of your water appears clean, you’ll need examine the drinking water

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In a new analysis of EPA information 21 power plants across 10 states, including Alabama, Kentucky, North Carolina and Ohio have disposed arsenic in rivers or other body of water. Reports show that landfills for power plants have polluted groundwater with harmful compounds in nearly 12 states. Although we have witnessed an increase in the amount of people who drink the water in bottles, it doesn’t mean you and your family are secure. Plastic bottles could release harmful chemicals into the water when they are kept exposed to the sunlight or are used repeatedly. However, you can take precautions to safeguard your family.

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1. Find an Municipal Water report.

The report has to be available to you pursuant to law. The report will reveal the levels of lead, nitrates, and the nitrites within your drinking water. The report will also indicate the acceptable percentages. When animal and human wastes come in contact with water they are able to show up as nitrates or Nitrites. Fertilizers, run-off of chemicals and erosion could also result in increased levels of these harmful substances. The report should also reveal whether there are any mercury levels arsenic, cyanide, or mercury.

2. Conduct a test for water safety inside your home.

Although the source of your water appears clean, you’ll need examine the drinking water inside your home to ensure that it is clean. The test will look for lead, bacteria Ecoli, lead, chlorine pesticides, nitrates and Nitrites. If your water is high in acidity it can lead to corrosion of your pipes that can cause lead to leach out into the water supply. The test at home is cost-effective and easy to carry out.

3. Use carbon filtering systems to purify your water

The carafe system is among of the cheapest methods of filtering the water you drink. You can also put filters on your faucet. The majority of them are straightforward screw-on installations that don’t require plumbing.

4. Make use of Carbon Filtering systems that cleanse your bath water

Many people are conscious of the necessity to shield their children from poisonous water, yet bath water is often a bit of a mystery. A clean bath is particularly essential for babies and toddlers. Warm water bathing can open the pores and lets chemicals be into the skin. It is possible to purchase an attached shower filter for low cost. You could also install carbon-filtering systems to your entire home. It is, of course, an costly alternative.

We generally expect illnesses and apathy in people who are older

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Although epilepsy may begin at any time in the course of a person’s life, typically epilepsy diagnoses occur during childhood and especially in the beginning of the year – about 140 out of 100,000 infants less than the age of one are diagnosed with epilepsy each year. The number drops to around 40 adults for every 100,000. Recent reports have revealed that epilepsy has been increasing among older adults which account for about a quarter percent of new diagnosis according to a study from the National Society for Epilepsy. Epilepsy is twice as common among older individuals than for the overall population.

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It could be more frequent than what is recorded since a portion of it is likely to go unnoticed. The diagnosis of epilepsy in older adults can be a challenge. Most of the time, seizures aren’t severe and while this is an excellent sign of controlling them, it can be a sign that it’s hard to recognize them for what they really are. Aunt Alice’s daydreaming, or Gran’s “funny turns” may be part of the folklore of your family and are certainly not considered as a reason to conduct a medical examination.

We generally expect illnesses and apathy in people who are older in the normal course of things. But, epilepsy that occurs in later life might be one of the most avoidable manifestations of the disease. The more we age the more susceptible we become to less health and fitness. However epilepsy, specifically, in an older person is typically caused by cerebrovascular disease that results in small scars on the brain. The risk of developing epilepsy in people who are older could be reduced by paying care for their lifestyle, which includes regular exercise, healthy diet as well as not smoking and drinking alcohol in moderate amounts. Being aware of your lifestyle can help individuals of any age attain better control of seizures and improve overall health and can also stop the epilepsy from getting worse as you the advancing years.

Epilepsy is distributed almost equally between males and females, although some epilepsy disorders occur predominantly in females. Epilepsy is a little more prevalent among males and there are many reasons for this to be the case. One reason is that males are more susceptible to suffering head injuries as well as brain infections. A different theory suggests that brains of girls and boys babies are different in the womb, due to gender differences in hormones for sex. The brain develops faster in female babies than male ones, which means it is believed that females are more prone to the perinatal anoxia (lack of oxygen in the first few days of the time of birth) that can cause damage to the brain cells that are developing. The Y chromosome that causes maleness in newborn babies slows development , which means that boys have 2 to 3 weeks behind in their maturation rate than girls, which makes them more prone to injuries. This risk persists throughout adulthood.

A study revealed that in women, 50 percent of the chance of developing epilepsy had passed when they reached 19 but in males the risk was lower until they reached the age of at the age of 24. The risk of developing epilepsy is believed to surpass men’s bigger brain size. Another study found how the brains of males and women are same size after 100 years old, after they have both shrunk enough for them to be comparable! There is some evidence to suggest that the prognosis, or outlook, is significantly worse for women and it’s been suggested that this could be because the brains of women are stronger which is why a more severe event is required to trigger epilepsy. In reality the majority of these distinctions are not significant – yet every person suffering from epilepsy is a unique situation, and should be treated as such.

Despite its widespread incidence, epilepsy is considered to be the “Cinderella” of health care is not a major source of research funds – out of the annual PS2 billion budget for medical research just PS336,000 goes to epilepsy. This is lower than PS1 per epilepsy sufferer which is not a good comparison with for instance the PS250 for a person with muscular dystrophy or PS140 for people with multiple sclerosis.

An examination of recent health administrators in the UK revealed that just 5 percent had established the standards for services for epilepsy. However, this is likely to be changing as epilepsy gains more public attention and media coverage and is currently occurring – over the last few years. as per the National Society for Epilepsy, epilepsy has been a ‘interesting topic as studies on genetics and the latest brain scanning methods provide more insight into epilepsy.

Avoiding attacks of severe asthma that require hospitalization

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Asthma is a chronic condition that has no treatment. The aim of management is to control the condition. This can be accomplished by:

Avoid recurring and chronic symptoms such as nocturnal coughing

Reduce the dosage of medications.

Maintaining lung function

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Maintaining regular routine

Avoiding attacks of severe asthma that require hospitalization and visits to an Emergency Room

Tips for controlling asthma:

Manage other conditions that could worsen asthma

Avoid allergens known to cause allergic reactions.

Be active

Create an action plan for the case of asthma attacks.

The asthma action program should contain the medication regimen as well as the avoidance of triggers, monitoring of asthma attacks and the steps to take in the event that asthmatic symptoms become acute even after treatment. In other words, when should you go for treatment at an Hospital Emergency Department for treatment

Treatments to treat Asthma

Asthmatic medication are broadly classified into medicines that offer long-term control as well as those which provide quick relief from asthmatic symptoms.

Both medications are aimed at reducing inflammation in the airways in order to treat asthma.

The initial treatment is based on the severity of your asthma. The follow-up treatment is contingent on the extent to which the patient is following an asthma treatment plan as well as how effective the plan is.

Take note that your asthma action plan may change according to changes in your life and social surroundings due to the fact that different social interactions will expose you to different allergens that are present in your surroundings.

Adjustments to dosage of medications is determined by your primary doctor. If you’ve altered the dosage of your medication yourself then you must inform your physician immediately in order to allow the proper titration of your medication every time you visit the doctor.

The doctor will try to utilize the least amount of medicine needed in order to manage asthma. Therefore, it is essential that your doctor is informed of the quantity of medication you’ve been taking.

Certain patient groups require more intense titration regimens for example, infants, pregnant women or those with specific requirements.

Asthma Action Plan

Each Asthma action plan must be tailored to the specific patient. The plan should contain the regimen of medication, the avoidance of triggers, monitoring asthma attacks, and steps to be taken if the symptoms of asthma become more serious.

It is recommended to collaborate with your primary doctor to create your asthma treatment plan. The plan should outline everything above in the smallest detail.

When it comes to children, caregivers and parents must know about the asthma action plan for their child. This includes babysitters, employees at day care centers school, parents, and those who organize outdoor child activities.

Avoidance of Triggers

A myriad of allergens have been proven as being linked to asthma. For the patient who is suffering the most important factor is to determine the triggers that cause asthma. Then, you should know the steps you should do when you are triggered by asthma.

Simple common sense is essential. For instance, if you are a victim of an allergy or sensitization to pollen be sure to restrict your exposure to pollens and remain indoors when needed. If you’re sensitive to animals, or even pet fur, do not allow pets to stay at home , or let pets be allowed into your bedroom.

It is important to note that physical activity can trigger asthmatic attacks. It is however advised that asthma sufferers regularly exercise since in the long term exercise can help in managing asthma. Talk to your doctor in case you have asthma attacks during sports. There are many medications to combat asthma while exercising.

If your asthma is strongly linked to allergens that can’t be eliminated (eg dust) your physician may suggest allergy medications.

Treatments to treat Asthma

Talk to your primary physician about medication that can be used to control your asthma. Your primary physician will modify the dosage of your medication depending on the needs. If you’ve made a self-adjustment to dosage, it is important to notify your primary physician prior to the next appointment.

In general, the medications for asthma are available as an injection, a pill or Nebulized drug that is consumed by means or inhalers. The nebulized drug is inhaled through the lungs from where it will exert its effects.

It is important to note that the use of inhalers requires a specific method and should be instructed by a doctor or certified health professional.

Treatments for Long Term Control

Asthma sufferers who are chronic will require medications to maintain the management of asthma. The medications are slow in action and can reduce inflammation of the airways.

Inhaled Corticosteroids

Inhaled corticosteroids can be employed for the long-term control of asthma. They reduce inflammation of the airways in the lung. Inhaling corticosteroids regularly will significantly reduce the frequency and severity of symptoms.

The most frequently reported adverse consequence of inhaled corticosteroids oral thrush. Spacers when using inhaled corticosteroids can lower the risk of developing oral thrush. Talk to your physician in case you’re not sure the proper way to use the spacer. Simple rinses of your mouth following the inhalation of corticosteroids may also help to reduce the likelihood in oral thrush.

Patients with severe asthma may have to take oral corticosteroids instead of inhaled corticosteroids for adequate treatment of their asthma. In contrast to inhaled corticosteroids which can be used for a long time however, oral corticosteroids may cause severe side effects if they are utilized for extended periods.

In the long run, oral corticosteroids may increase the risk of developing diabetes, cataracts, osteoporosis or abnormal activity in metabolic pathways.

Talk to your physician to assess the risks and benefits prior to taking corticosteroids orally.

Other long-term medications:

This includes:

Cromolyn – This medication prevents inflammation of the airways. It is also used in the form of a nebulized medicine that is dispensed through an inhaler.

Omalizumab is an immunotherapy type and works against the Immunoglobulin (anti-IgE) that causes the breathing passages to narrow. The medicine is generally administered in the form of an injection, either at least once a month and blocks your immune system from being triggered by triggers that cause asthma. However, it is not the first-line treatment for asthma, and may not be recommended by your physician.

Long-acting beta2-agonists inhaled are often used in conjunction with corticosteroids inhaled to create an synergistic effect in increasing the size of the airways in the lung.

Leukotriene modifiers These are oral drugs that help reduce inflammation in the airways.

Theophylline Theophylline Theophylline is taken orally or by injections. It works to let airways in the lung open.

Be aware that there’s an increased chance of symptoms resurfacing when long-term medications are abruptly discontinued. Additionally, all long-term medication will cause side negative effects. Discuss with your physician prior to beginning long-term treatment regimens.

Rapid acting Medicines

Beta 2 short-acting Agonists are typically the first line medication within this category. They are typically administered by nebulization using an inhaler. They work by relaxing the muscles of the airways, permitting more air flow through.

Fast acting medicines are best taken when symptoms start to appear.

If you require the medication for more than two days in a week, it is recommended to consult your physician to develop additional strategies to support your asthma treatment strategy.

Patients suffering from asthma are advised to keep their inhalers with quick relief on them in all times.

It is important to note that these drugs don’t reduce inflammation in the airways and thus can’t replace longer-acting medications.

Evidence of the Asthma Progression

The regular use of the peak flow, as well as periodic visits with your primary doctor is the most effective method to document the progression of Asthma.

As a general rule asthma can be managed If:

The symptoms do not occur more than two days per week

The symptoms do not disrupt sleep at least twice per month.

There are no limits for your daily activities.

The need for quick-relief medicine is less than two times a week.

A less then one major asthma attack each year, requiring oral steroids

The readings of the Peak Flow Meter are at the level of 80% of baseline

Peak Flow Meter

Your primary doctor will provide instructions on how to use the peak flow measurement device.

When it is used the peak flow monitor determines the maximum exhalation of air out of the lungs while exhaling. Regularly measured measurements can be used to document the progression of the progress of asthma. It is suggested that patients record their peak flow every day.

In the initial stage following diagnosis, it is crucial to establish the baseline peak flow. This is frequently referred to as the patients “Personal Most Effective” read of peak flow. The future control of asthma is based on this base. The best asthma control is the maintenance of the peak flow minimum 80 percent of the baseline.

Regular readings of peak flow can assist in predicting impending asthmatic attacks. The gradual decline in readings of peak flow can signal an imminent attack, and should be included in the Asthma Action Plan.

Medical Reviews

A series of medical checks with your primary physician each fortnight in the beginning of treatment. After asthma has been controlled the primary doctor may choose to consult with you for an extended period of time.

In the medical reviews essential information that must be provided by your primary physician are:

Intensity of Asthma Attack

Changes in symptoms

Changes in Peak Readings of Flow

The daily routine can be altered, for example exercise tolerance

Problems with adhering to The Asthma Action Plan

Troubles with the current medication


Get medical advice for the following conditions:

Regular medicines fail to treat asthma attacks.

The peak flow readings fall down to less than 50 percent of the baseline

Take immediate action to the closest Hospital Emergency Room if:

There is a severe breath shortness until the point that walking becomes difficult

Your tongue and lips turn to a blue

Asthma – A Lifelong Issue

There is no treatment for asthma. The successful control of asthma requires patients to be active in the treatment of asthma, by adhering the asthma treatment plan.

Your primary doctor is your ideal partner for developing the asthma treatment plan. The plan will remind you of your prescribed medication regimen as well as triggers and procedures to follow when symptoms of asthma become more severe or develop. Children should also be included in the development of their action plans because it is their individual effort that will be the most important factor in long-term treatment of asthma.

Asthma is not going to go out of fashion. However, it can be managed.

With the rapid growth of the population in the world as well

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With the rapid growth of the population in the world as well as the increased sense in general awareness for HIV/AIDS, has forced to think on birth control methods. The current world’s population is estimated to be around 6.4 billion with annual growth of 76 million and hence, it is estimated to reach 9 billion by year 2050. In next two decades, world’s two highly populous countries, China & India are expected to reach the population of 1.5 billion each i.e more than one third of the total world population of that time. It is alarming situation for the world to control this “population explosion”. Therefore, United Nations are urging countries specially highly populated countries to control their population.

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As per the survey report for birth control methods if applied in 169 countries, 137 million women willing to delay their contraceptives, 64 million women are using less effective birth control measures. If these women are helped with adequate birth control treatment (like pills, condoms), 23 million of unplanned births, 22 million induced abortions and 1.4 million infants could be avoided as estimated by United Nations Population Fund.

Besides population, HIV/AIDS is also very important factor forcing the need for birth control. An estimated, world has 38 million people have either AIDS or infected with HIV (human immunodeficiency virus). In seven African countries, one out of 5 adults is infected with HIV. Birth control methods are, therefore, become imperative to control further spread of HIV/AIDS, particularly in these countries. The population in these countries is projected at 35% lower by 2025 free from HIV/AIDS. It will further reduce the total life expectancy by an average of 29 years in these countries.

History of Birth Control

200 AD, Greek gynecologist Soranus said that women become fertile during ovulation. He suggested some birth control tips for women to avoid unwanted pregnancy like smearing olive oil, pomegranate pulp, ginger, or tobacco juice around vagina to kill sperm, drinking water used by blacksmith to cool hot metals and jumping 7 times backward after the sexual intercourse. Many birth control methods like ayurvedic treatments used centuries ago (aside from sexual abstinence). However, there are some historical records of Egyptian women are found who were using some herbal or acid substances like crocodile dung or lubricants like honey or household olive oil as vaginal suppository, which they may have found effective at killing sperm.

However, commercial use of birth control method started in 1960 in the form of birth control pill. It was in 1950, when Planned Parenthood Federation of America invited biologist Dr. Gregory Pincus to develop oral contraceptive pill that would be harmless, universally acceptable and safe for husband and wife. After under going many tests with more than 6,000 women in Puerto Rico and Haiti , it was 1960 when the first commercially produced birth control pill called Enovid-10 was introduced to women in USA . This first oral contraceptive was made with two hormones Estrogen (100 to 175 microgram) and Progestin (10 mg). They were proved to be 99% effective if taken as directed. With estimation, more than 18 million women in US are relying on birth control pills

Types of birth control pills

Unlike the decades old oral contraceptive pills (which had higher number of hormones), today’s birth control pills are in low-dose forms with health benefits. So, women can take birth control pills with much fewer health risks.

Generally there are three types of birth control pills available

1. Progestin only pills (POP)

It is also known as “mini-pill” containing no estrogen. It is recommended for breastfeeding women because estrogen reduced milk production. This POP pill works by thickening the cervical mucus and thus preventing sperm to enter uterus

2. Combination birth control pills

The widely known birth control pills are having combination of two hormones progestin and estrogen. These types of oral contraceptive pills come with the pack of 21 “active pills” and 7 “placebos” , which do not contain any hormones. These are, in fact, known as “reminder pills”

These combination pills are further sub-divided into three types of pills due to the level of two hormones progestin and estrogen.

i) Monophasic birth control pills

Here, every active pill contains the equal number of progestin and estrogen. The other seven pills are placebo having no hormones. Menstruation starts when these placebo pills are taken

ii) Multiphasic birth control pills

They are also known as biphasic or trphasic oral contraceptive pills due to different levels of hormones in active pills. These pills are required to be taken at specific time in its entire pills schedule. Multiphasic birth control pills help offsetting the risks of oral contraceptives.

iii) Continuous birth control pills

it is also known as 365 days pills to be taken continuously throughout the year without the year. This is the new entry of oral contraceptive pills in the birth control market. Food and Drug Administration (FDA) has approved Lybrel, which is the only continuous birth control pill approved so far and available for general women use. Women do not get menstrual period while they are under the treatment of Lybrel, however, they might find some breakthrough bleeding or spotting, particularly at the initial stage.

3) Emergency birth control pills

Also known as “morning after pills”, these are designed for immediate pregnancy protection after the unprotected sex. It is highly recommended to take emergency pills within 48 hours and maximum 72 hours to be effective in avoiding pregnancy. These are different than usual oral contraceptive pills where you plan your birth control much in advance. Emergency pills are also taken when the women are sexually assaulted. FDA has approved Plan B as the safest emergency pills. Due to OTC (over the counter) approval by FDA for women above 18 years, Plan B can now be ordered behind pharmacy counter.