Charlene DeGidio never smoked marijuana in the 1960s, or afterward. But a year ago, after medications failed to relieve the pain in her legs and feet, a doctor suggested that the Adna, Wash., retiree try the drug.

Ms. DeGidio, 69 years old, bought candy with marijuana mixed in. It worked in easing her neuropathic pain, for which doctors haven’t been able to pinpoint a cause, she says. Now, Ms. DeGidio, who had previously tried without success other drugs including Neurontin and lidocaine patches, nibbles marijuana-laced peppermint bars before sleep, and keeps a bag in her refrigerator that she’s warned her grandchildren to avoid.

“It’s not like you’re out smoking pot for enjoyment or to get high,” says the former social worker, who won’t take the drug during the day because she doesn’t want to feel disoriented. “It’s a medicine.”

For many patients like Ms. DeGidio, it’s getting easier to access marijuana for medical use. The U.S. Department of Justice has said it will not generally prosecute ill people under doctors’ care whose use of the drug complies with state rules. New Jersey will become the 14th state to allow therapeutic use of marijuana, and the number is likely to grow. Illinois and New York, among others, are considering new laws.

As the legal landscape for patients clears somewhat, the medical one remains confusing, largely because of limited scientific studies. A recent American Medical Association review found fewer than 20 randomized, controlled clinical trials of smoked marijuana for all possible uses. These involved around 300 people in all—well short of the evidence typically required for a pharmaceutical to be marketed in the U.S.

Doctors say the studies that have been done suggest marijuana can benefit patients in the areas of managing neuropathic pain, which is caused by certain types of nerve injury, and in bolstering appetite and treating nausea, for instance in cancer patients undergoing chemotherapy. “The evidence is mounting” for those uses, says Igor Grant, director of the Center for Medicinal Cannabis Research at the University of California, San Diego.

But in a range of other conditions for which marijuana has been considered, such as epilepsy and immune diseases like lupus, there’s scant and inconclusive research to show the drug’s effectiveness. Marijuana also has been tied to side effects including a racing heart and short-term memory loss and, in at least a few cases, anxiety and psychotic experiences such as hallucinations. The Food and Drug Administration doesn’t regulate marijuana, so the quality and potency of the product available in medical-marijuana dispensaries can vary.

Though states have been legalizing medical use of marijuana since 1996, when California passed a ballot initiative, the idea remains controversial. Opponents say such laws can open a door to wider cultivation and use of the drug by people without serious medical conditions. That concern is heightened, they say, when broadly written statutes, such as California’s, allow wide leeway for doctors to decide when to write marijuana recommendations.

But advocates of medical-marijuana laws say certain seriously ill patients can benefit from the drug and should be able to access it with a doctor’s permission. They argue that some patients may get better results from marijuana than from available prescription drugs.

Glenn Osaki, 51, a technology consultant from Pleasanton, Calif., says he smokes marijuana to counter nausea and pain. Diagnosed in 2005 with advanced colon cancer, he has had his entire colon removed, creating digestive problems, and suffers neuropathic pain in his hands and feet from a chemotherapy drug. He says smoking marijuana was more effective and faster than prescription drugs he tried, including one that is a synthetic version of marijuana’s most active ingredient, known as THC.

The relatively limited research supporting medical marijuana poses practical challenges for doctors and patients who want to consider it as a therapeutic option. It’s often unclear when, or whether, it might work better than traditional drugs for particular people. Unlike prescription drugs it comes with no established dosing regimen.

“I don’t know what to recommend to patients about what to use, how much to use, where to get it,” says Scott Fishman, chief of pain medicine at the University of California, Davis medical school, who says he rarely writes marijuana recommendations, typically only at a patient’s request.

Researchers say it’s difficult to get funding and federal approval for marijuana research. In November, the AMA urged the federal government to review marijuana’s position in the most-restricted category of drugs, so it could be studied more easily.

Gregory T. Carter, a University of Washington professor of rehabilitation medicine, says he’s developed his own procedures for recommending marijuana, which he does for some patients with serious neuromuscular conditions such as amyotrophic lateral sclerosis, or Lou Gehrig’s disease, to treat pain and other symptoms. He typically urges those who haven’t tried it before to start with a few puffs using a vaporizer, which heats the marijuana to release its active chemicals, then wait 10 minutes. He warns them to have family nearby and to avoid driving, and he checks back with them after a few days. Many are “surprised at how mild” the drug’s psychotropic effects are, he says.

States’ rules on growing and dispensing medical marijuana vary. Some states license specialized dispensaries. These can range from small storefronts to bigger operations that feel more like pharmacies. Typically, they have security procedures to limit walk-in visitors.

At least a few dispensaries say they inspect their suppliers and use labs to check the potency of their product, though states don’t generally require such measures. “It’s difficult to understand how we can call it medicine if we don’t know what’s in it,” says Stephen DeAngelo, executive director of the Harborside Health Center, a medical-marijuana dispensary in Oakland, Calif.

Some of the strongest research results support the idea of using marijuana to relieve neuropathic pain. For example, a trial of 50 AIDS patients published in the journal Neurology in 2007 found that 52% of those who smoked marijuana reported a 30% or greater reduction in pain. Just 24% of those who got placebo cigarettes reported the same lessening of pain.

Marijuana has also been shown to affect nausea and appetite. The AMA review said three controlled studies with 43 total participants showed a “modest” anti-nausea effect of smoked marijuana in cancer patients undergoing chemotherapy. Studies of HIV-positive patients have suggested that smoked marijuana can improve appetite and trigger weight gain.

Donald Abrams, a doctor and professor at the University of California, San Francisco who has studied marijuana, says he recommends it to some cancer patients, including those who haven’t found standard anti-nausea drugs effective and some with loss of appetite.

Side effects can be a problem for some people. Thea Sagen, 62, an advanced neuroendocrine cancer patient in Seaside, Calif., says she expected something like a pharmacy when she went to a marijuana dispensary mentioned by her oncologist. She says she was disappointed to find that the staffers couldn’t say which of the products, with names like Pot ‘o Gold and Blockbuster, might boost her flagging appetite or soothe her anxiety. “They said, ‘it’s trial and error,’ “she says. “I was in there flying blind, looking at all this stuff.”

Ms. Sagen says she bought several items and tried one-eighth teaspoon of marijuana-infused honey. After a few hours, she was hallucinating , too dizzy and confused to dress herself for a doctor’s appointment. Then came vomiting far worse than her stomach upset before she took the drug. When she reported the side effects to her oncologist’s nurse and her primary-care physician, she got no guidance. She doesn’t take the drug now. But with advice from a nutritionist, her appetite and food intake have improved, she says.

Other marijuana users may experience the well-known reduction in ability to concentrate. At least a few users suffer troubling short-term psychiatric side effects, which can include anxiety and panic. More controversially, an analysis published in the journal Lancet in 2007 tied marijuana use to a higher rate of psychotic conditions such as schizophrenia. But the analysis noted that such a link doesn’t necessarily show marijuana is a cause of the conditions.

Long-term marijuana use can lead to physical dependence, though it is not as addictive as nicotine or alcohol, says Margaret Haney, a professor at Columbia University’s medical school. Smoked marijuana may also risk lung irritation, but a large 2006 study, published in Cancer Epidemiology, Biomarkers & Prevention, found no tie to lung cancer.

Some studies and reviews examining the possible medical uses, and side effects, of marijuana are being conducted by.

    * Center for Medicinal Cannabis Research, University of California

    * American College of Physicians

    * Institute of Medicine

To read more on Marijuana and its effectiveness, the following periodicals have spent time reviewing certain aspects of medical marijuana.

To treat pain:

    * Neurology

    * Journal of Pain

    * Neuropsychopharmacology

To treat nausea:

    * Annals of Internal Medicine

    * Cancer

    * Pharmacology Biochemistry and Behavior

To restore appetite:

    * Journal of Acquired Immune Deficiency Syndrome

    * Psychopharmacology

To treat spasticity:

    * Neurologist

Overviews of Potential Side Effects:

    * Canadian Medical Association Journal

    * Clinical Toxicology

Mental Effects:

    * Neuropsychology Review

    * Lancet

Withdrawal:

    * Current Psychiatry Reports

    * Current Opinion in Psychiatry

Effects on Lungs

    * Cancer Epidemiology, Biomarkers & Prevention

Here Are Some Terms Used in Homeopathy – Easier to Understand

Terms of homeopathy seem confusing sometimes particularly for them who never know about homeopathy before. Basically, homeopathy is formed from the word “Homeo” and “pathy”. “Homeo” means similar or same, while “pathy” means pain. The base of this alternative medication is concentrates on the use of natural substances to stimulate the mind and the body in order to heal the diseases. For detail knowledge of terms of homeopathy, you might need to read the information below.

Glossary of Terms

In the terms of homeopathy, you’ll find aggravation. It is a name for an obvious enhancement in the symptoms of the disease. Then there’s also an antidote for a material or a remedy that neutralizes the effects of homeopathy medication. Dose that is recommended might be given an antidote to counteract the effect when the patient is not responding well to the homeopathy.

Tissue salts termed as cell salts and biochemic remedies are several of the most important terms of homeopathy. According to homeopaths, use twelve dissimilar salts are significant for the functioning of the body. These cell salts are prepared in low potency and used under homeopathic signs.

Symptoms that are general to a specific sickness or disease like yellow skin in jaundice are known as a common symptom. In terms of homeopathy, symptom of concomitant refers to the symptom that happens at the same time as the main complaint. Those symptoms that refer to location etiology, concomitants sensation and modalities all together give what is known as complete symptom.

Centesimal is one of the three effectiveness scales used in the homeopathy pharmacy. It’s the process of repeated dilutions and successions. In terms of homeopathy and its standards, it’s notated by 10 or 100 scales.

Taking one part of the medicinal substance, tincture or dry blended with alcohol or 99 parts of lactose, and shaken will result 1c potency. In the other hand, taking 1 part of this potency and mixing it with 99 parts of lactose or alcohol and then shaken will yield 2c. A 300c has gone through this process 300 times. A 1M has gone through the process 1000 times.

Furthermore, the decimal scale is the other potency scale in terms of homeopathy. This is a process of taking one part of the medicinal element and blending it with 9 parts of diluents, and shaken well determines a 1X (D) potency.

One part of this potency and 9 parts of diluents, then successes, yields 2X (D) potency. This continuous till the desired potency is reached. The third potency scale is the LM(50 millesimal, Q) conceived by Hahnemann. Effectiveness refers to the strength of homeopathic remedy in terms of homeopathy.

If you’re keen on implementing homeopathy into your life, you are recommended to comprehend the terms of homeopathy. By knowing the terms of homeopathy before implementing homeopathy into life, it will make you easier to gain its advantage.

Anyone living with Parkinson’s disease knows that there are good and bad days. For days when there are challenges, a new treatment, one that is relatively inexpensive, effective, and safe has been discovered.

Not only is this a safe solution for treating Parkinson’s disease, it is also highly effective. This means people with this disease have a fighting chance for normalcy. While it does not cure the disease, IV Glutathione therapy does slow down the progression.

In clinical trials, results show that up to 90% of participants using Glutathione therapy experience significant improvement. In the case of Parkinson’s, the brain’s dopamine receptors lose their sensitivity but with Glutathione, the receptors are restored to normal function.

With this form of treatment, dopamine within the brain is able to function more effectively. This means dopamine sensitivity is improved, as well as the brain’s serotonin levels that can help decrease levels of depression.

In most cases of Glutathione therapy and Parkinson’s, the patient is given 1,400 milligrams on a daily basis with saline. Using an IV drip for ten minutes, three times each week grants the medication to enter the bloodstream so it can get to work swiftly.

Although there’s oral Glutathione medication, IV Glutathione therapy is the only way in which Parkinson’s disease should be treated, making it much more effective. Depending on the physician providing the treatment, some will also add various drugs and herbs such as milk thistle and amino acids.

The advances seen over the years pertaining to IV Glutathione therapy are incredible. This allows Parkinson’s patients to get off medications such as Levodopa that have harsh side effects. Anyone interested in this treatment option should remain on any prescribed drugs and then speak to their doctor about eliminating them and switching over to Glutathione therapy.

There are so many wonderful benefits associated with IV Glutathione therapy but the number one is the elimination of side effects, something no patient wants to deal with. Not only do many of the traditional medications have side effects but some also come with serious health risk factors to include stroke and heart attack.

Although the cost of Glutathione therapy is a little higher than other options, it works exceptionally well. The good news is that most insurance companies are now providing partial or full coverage of this substance because it has been approved by the FDA.

Within a short time of a person with Parkinsons Symptoms being put on IV Glutathione therapy, they start to respond to the treatment. This means the patient starts to take back some control over his or her life. As you can imagine, both patients and medical professionals are anxious to get this treatment option out to the public. Although IV Glutathione therapy is used commonly to Parkinson’s, physicians are finding that it also helps with other health problems such as Chronic Fatigue Syndrome, Irritable Bowel Syndrome, and so on.

If you’ve Parkinson’s disease or another illness mentioned and find that current treatment is not providing you with the needed relief, then Glutathione therapy could be the perfect solution. More and more, this treatment option is becoming accepted among medical professionals and it might be the exact treatment you need.

US House Bill 3962 – Will Limit Alternative Health Care

House Bill 3962, in an effort to control costs, creates a new layer of government bureaucracy that inserts itself between the doctor and the patient.

A national health commissioner and task forces will evaluate and decide everything from what medications a physician will be allowed to prescribe for a patient, to what surgery will be approved, to what outcomes will be expected for a particular medical condition.

The ‘universal healthcare Czar’ along with the task forces will also decide whether or not hospitals will be reimbursed for care rendered based on predetermined outcomes. For example, if a patient is re-admitted within a prescribed number of days after discharge, the hospital will not be reimbursed for care given. It does not take into account factors such as how ill a patient may be.

This new layer of government effectively removes the power of the individual physician and patient to decide what is the best course of treatment.

Why should you care?

You should care because the application of evidence-based medicine can potentially limit health choices of both patients and physicians.  In the reformed healthcare system recommended by Congress, alternative treatments will be pressured to end, and physicians who practice alternative medicine in extreme cases will be criminalized. The money in the system will continue to flow to well funded studies underwritten by the pharmaceutical industry, and those companies without deep pockets will continue to be unable to afford the cost of  in depth studies to critically evaluate the efficacy of such treatments.

 Alternative treatments will fail to pass the standard of evidence-based medicine precisely because they lack the funds to enter the game, and thus the cycle will continue. In short, if alternative treatments are not evaluated by the guidelines of evidence based medicine, they will never be accepted as a valued treatment option.

It can also be argued that evidence-based medicine has exponentially increased the cost of health care. In theory, the essence of evidence-based medicine is science. However, in practice it has become more about money. The system has become one where the pharmaceutical industry has been given the edge. For example:

    * Many of the prescription drug trials are not independent

They are often funded by the very drug companies that stand to gain if their drug is found to be effective in trials and is approved

    * The relationship between medical societies and the pharmaceutical industry raises questions.

Over the past 10-15 years there has been a change in the parameters of our most common diseases (hypertension, obesity and high cholesterol ). For example, in the past normal blood pressure was 120/80, and now  it is 115/75.  In fact, those with a blood pressure of 120/80 are now considered to be pre-hypertensive and are eligible for medication.

The body mass index (BMI) number for obesity decreased from 40 to 30 while the parameters for being overweight have expanded from a BMI of 27.8 in 1995 to less than 25 today. High cholesterol (LDL) is now < 200 instead of the old parameter of  < 250.

The change in parameters have meant both a dramatic increase in the number of people who meet criteria for treatment with prescription drugs along with a resultant rise in the cost of healthcare. The question that has yet to be answered - why are we less healthy despite taking ever increasing amounts of prescription medication?

    * There is a tight financial relationship between the pharmaceutical industry and the medical industry.

The AMA, medical education and the underwriting of medical research has given the pharmaceutical industry a great advantage in the shaping of medical opinion and by extension evidence-based medicine.

    * There is a revolving door between those who work for the FDA and those who have worked in the pharmaceutical industry.

This cozy relationship raises the importance of Big Pharma and relegates natural/alternative methods to junk science. Inherently, this should make those of us who are critical thinkers question the statements that summarily denigrate the supplement industry which makes products, that in many cases are in direct competition with the drugs that are manufactured by pharmaceutical companies, but don’t need patents.

A more balanced approach to our healthcare system is necessary. If the same standard is applied to both alternative and conventional treatments, each will be given a level playing field to determine efficacy. This change would go a long way towards accomplishing the task of improving the health of Americans without bankrupting them.

Let’s try something new like  promoting prevention and wellness instead of just talking about it or actually giving  doctors and patients the freedom to choose how they approach health choices. No one can argue with the fact that a healthier population, will lead to a significant decrease in healthcare costs.  The current system clearly is not working.

True free-range eggs are far more nutritious than commercially raised eggs.

Compared to official U.S. Department of Agriculture (USDA) nutrient data for commercial eggs, eggs from hens raised on pasture may contain:

    * 1/3 less cholesterol

    * 1/4 less saturated fat

    * 2/3 more vitamin A

    * 2 times more omega-3 fatty acids

    * 3 times more vitamin E

    * 7 times more beta carotene

These dramatically differing nutrient levels are most likely the result of the differences in diet between free-range pastured hens, vs. commercially farmed hens.

Without citing any research of their own, most egg industry advocates hold fast to their claim that commercially farmed eggs are no different from pastured eggs, and that hens’ diets do not alter their eggs nutritional value in any significant way.

Eggs are one of the healthiest foods in the world, and at their very best if you eat them raw. But the quality of your eggs is also important.

The REAL Definition of Free-Range Eggs

As this article clearly states, the nutritional difference between true free-range eggs and commercially farmed eggs is not an occasional fluke or misprint, as these findings are being backed up with a mounting body of evidence.    

The fact that the USDA and other organizations (which are often funded or influenced by industry) refuse to acknowledge that there is a direct link between the diet of the bird and the nutritional value of their eggs, is a clear indicator that there are strong financial incentives at work – not nutritional science. Because clearly, “garbage in, garbage out” applies here as well. This general rule will never change – it applies equally to hens, beef cattle, dairy cows, and your own body.

And don’t be fooled by the egg industry’s double-speak definitions of what free-range really is. True free-range eggs are from hens that range freely outdoors on a pasture where they can forage for their natural diet, which includes seeds, green plants, insects, and worms. A hen that is let outside into a barren lot for a few minutes a day but is fed a diet of corn, soy, and cottonseed meals, plus synthetic additives, is NOT a free-range hen, and will not produce the same quality eggs as its foraging counterpart.

An additional issue that is important, but not discussed here, is the fact that the main ingredients of commercially raised hens’ diets are genetically modified (GM). 

The three main GM ingredients in the United States’ food supply are corn, soy, and cottonseed. All the more reason to stay away from commercial eggs, even if they state “free-range” on their label.

Which Eggs to Buy, and Which You Should Avoid

Additionally, I would STRONGLY encourage you to AVOID ALL omega-3 eggs, as they are actually LESS healthy for you. Typically, the animals are fed poor-quality sources of omega-3 fats that are already oxidized. Also, omega-3 eggs do not last anywhere near as long as non-omega-3 eggs. Remember, omega- 3 eggs are highly perishable and should be avoided.

If you have to purchase your eggs from a commercial grocery store, I would advise getting free-range organic. Ideally, if at all possible  it would be far preferable to purchase your eggs directly from your local farmer, because this way you can be certain of the quality. This may not be as hard as you think. In my experience, this is one of the easiest foods to find from local farmers. To find free-range pasture farms you can try you local health food store or  try:

     www.eatwild.com

    www.localharvest.org 

If you cannot find a farmer to sell you eggs directly, and you’re not interested in raising your own, then organic eggs from the store would be your next best option. 

It is also wise to NOT refrigerate your eggs. If you have ever been to Europe or South America and gone into the grocery stores, you will know that this practice of non-refrigeration is common in those countries.

How to Eat Your Eggs for Maximum Health Benefits

Eggs are often one of your most allergenic foods, but I believe this is because they are cooked. If you consume your eggs in their raw state, the incidence of egg allergy virtually disappears. Heating the egg protein actually changes its chemical shape, and the distortion can easily lead to allergies.

It is my belief that eating eggs raw helps preserve many of the highly perishable nutrients such as lutein and zeaxanthin, which are powerful prevention elements of the most common cause of blindness: age-related macular degeneration.

Fresh raw egg yolk tastes like vanilla. It can be eaten “Rocky style,” combined with avocado or in a shake with whey protein powder, raw kefir, or a small amount of berries. However, egg protein is easily damaged on a molecular level, even by mixing/blending. If you choose not to eat your eggs raw, cooking them soft-boiled would be your next best option.

Scrambling your eggs is one of the worst ways to eat eggs as it actually oxidizes the cholesterol in the egg yolk. If you have high cholesterol this may actually be a problem for you as the oxidized cholesterol may cause some damage in your body.

If you are not used to eating fresh raw eggs, you should start by eating just a tiny bit of it on a daily basis, and then gradually increase the portions. 

For example, start by consuming only a few drops of raw egg yolk a day for the first three days. Gradually increase the amount that you consume in three-day increments. Try half a teaspoon for three days, then one teaspoon, then two teaspoons. When you are accustomed to that amount, increase it to one raw egg per day and subsequently to two raw eggs per day or more. 

One should not consume raw egg whites without the yolks as raw egg whites contain avidin, which can bind to biotin. If you cook the egg white the avidin is not an issue.  However if you consume them with raw egg yolk (whole egg) there is more than enough biotin in the yolk to compensate for the avidin binding.

There is a potential problem with using the entire raw egg if you are pregnant. Biotin deficiency is a common concern in pregnancy and it is possible that consuming whole raw eggs would make it worse. If you are pregnant you have two options. The first is to actually measure for a biotin deficiency. This is best done through urinary excretion of 3-hydroxyisovaleric acid (3-HIA), which increases as a result of the decreased activity of the biotin-dependent enzyme methylcrotonyl-CoA carboxylase.

Alternatively, you could take a biotin supplement, or consume only the yolk raw (and cook the whites).

If you choose not to eat your eggs raw, cooking them soft-boiled would be the next best option.

BLOOMINGTON - The Web is filled with products and practices that promise to “detoxify” the body through various means, from extreme diets to spa treatments to sweating.

Though some may be relatively harmless, the desire to detox was brought to a tragic conclusion last fall when three participants died and several were made seriously ill during a pricey sweat lodge ceremony in Arizona. Self-help guru James Arthur Ray was arrested Feb. 3 and charged with three counts of manslaughter in the deaths.

Doctors say the notion that you can — or should — undertake special efforts to cleanse the body of impurities is not only not necessary but potentially dangerous. The body has evolved through time to detoxify itself through its own processes, said Dr. Rachel Vreeman, an assistant professor of pediatrics at the Indiana University School of Medicine and co-author of Don’t Swallow Your Gum! Myths, Half-Truths and Outright Lies About Your Body and Health.

When it comes to removing toxins from the body, several organs are designed to do just that.

    * The liver plays a major role in breaking down and filtering substances from the bloodstream that the body can’t use.

    * The kidneys remove substances such as urea, a byproduct of protein metabolism.

    * The gastrointestinal tract, including the colon, is also designed to get rid of what the body cannot use and to keep what it needs.

“There are myths that toxins clog up or get stuck in these organs,” Vreeman said. “That is just not true.”

And without a doubt, she said, sweating definitely would not be the way to go about it.

The primary reason we sweat is to regulate the body temperature. When moisture produced by the sweat glands evaporates, it cools the body.

Though the main component of sweat is water, sweat does contain small amounts of dissolved minerals and trace elements, including sodium, lactate, urea, potassium, calcium, magnesium, zinc, copper, nickel, iron, chromium — none of which are considered toxic, Vreeman said.

When you sweat, the major thing you lose is water — something your body can’t survive long without.

“The term ‘detoxify’ is used so often that it makes people think that special steps need to be taken so ‘detoxifying’ happens,” Vreeman said. “It leads to people not trusting their bodies. Your body, however, does not need special cleansing efforts. What it does need is for you to get enough fluids and to eat a healthy, balanced diet.”

That’s not to say sweating, or spending time in a sauna, has been proven to have no health benefits.

Some studies have indicated that saunas lower blood pressure, enhance blood flow and improve cardiac functioning in people with congestive heart failure or other cardiovascular disease, Vreeman said. One study found weak evidence that saunas could help with chronic pain, and another showed minor benefits for some with chronic fatigue syndrome. There have been almost no studies done specifically on steam rooms or sweat lodges.

Western medicine has largely ignored sweat lodges, but they continue to play a significant role in Native American culture, said David Delgado Shorter, an associate professor of world arts and cultures at the University of California, Los Angeles.

“Sweats” have been used for many centuries to purify the mind and body among tribes throughout the Americas, Shorter said. Women in Mayan and Aztec culture, for example, used them as a fertility ritual, and men among the Plains tribes used sweats in preparation for hunts, among other reasons.

“The combination of the physical, emotional, psychological and religious is something many tribes find incredibly important and have fought for their right to do that,” Shorter said.

During earlier times, when colonial settlers and government agents were sometimes violently suppressing Native American religion and culture, tribes fought to hold on to the tradition, for both spiritual and practical reasons. Sweat lodges offered a private place to sing, pray and gather.

That’s why many in the Native American community take offense to non-Native Americans co-opting and charging for participation in sweat lodges, Shorter said.

Anyone thinking of participating in a sweat lodge ceremony or something approximating it should exercise caution, experts say. In harsh environments, hot or cold, the body will work hard to balance how much heat it makes and how much it loses. But if you are in conditions that are too hot for too long, the body may not be able to cool you off sufficiently.

In Arizona, in addition to those who died, 18 people were hospitalized with burns, dehydration, respiratory arrest or kidney failure, according to published reports. Participants, who had paid $9,695 for the “Spiritual Warrior” retreat, said that some people were vomiting, lethargic and collapsing after an hour into the session.

“These are all signs of heat illness and are warnings that your body cannot keep itself cool,” Vreeman said. “Vomiting, thirst, dizziness, being uncoordinated or clumsy are all signs of heat exhaustion or heat stroke. Heat illness can kill you and should be treated as an emergency.”

Someone who becomes overheated should get to a cool place, drink fluids and seek medical care, Vreeman said. People with heart conditions should always talk to their doctor before trying a sweat lodge or sauna.

More information

The American Academy of Family Physicians has more on heat illness.

A Bangladeshi telemedicine company is set to provide healthcare services for more than five million South Asian workers in the Middle East and Malaysia in a couple of months.

Telemedicine Reference Centre Ltd (TRCL) has already signed agreements with around 25 Gulf and Malaysian companies that recruit workers from South Asia.

Telemedicine is a rapidly developing application of clinical medicine where medical information is transferred through the phone or the internet.

TRCL will launch the mobile phone-based service, said Dr Sikder M Zakir, managing director of the company.

“Under the project, we will start providing medical call-centre services to two million Bangladeshi, 1.5 million Indian and two million Nepalese and Pakistani workers,” Zakir added.

Prime Bank and two investors from the US and India are funding the project, he said.

TRCL has also signed deals with seven mobile phone companies in Malaysia, Saudi Arabia, Bahrain, UAE, Qatar and Kuwait.

The company is working to set up multilinguistic medical call centres in India, Pakistan and Nepal, from where dedicated physicians will provide healthcare advice to the expatriate workers.

All the workers under the 25 recruiting companies will be registered with TRCL to get the services free of cost. They will call a particular number and get advice in their own language.

The recruiting firms will pay the service charge to TRCL on behalf of the workers, which is no more than one US dollar a month for a person, Zakir said.

They will also be referred to hospitals if necessary.

Zakir said TRCL is now setting up branch offices in nine countries including Malaysia, UAE and Saudi Arabia to comply with those countries’ regulatory requirements.

“It’s a milestone for telemedicine service. The sector is getting institutional shape,” he added.

Established in 1999, TRCL is operating the first medical call centre or electronic referral centre manned by physicians for the largest cellphone operator in Bangladesh — Grameenphone. More than 10,000 people are using the service by dialling a hotline number (789) from their mobile phones every day.

LOS ANGELES - A new survey shows more than 75 percent of medical students believe patients would benefit if physicians were knowledgeable about complementary medicine—practices such as massage therapy and chiropractic—as well as conventional medicine. Almost three-quarters of respondents also say our medical system should include complementary and alternative medicine (CAM).

In the largest national survey of its kind, researchers from UCLA and UC San Diego measured medical students’ attitudes and beliefs about CAM.

Among the results:

* 77 percent of participants agreed to some extent that patients whose doctors know about complementary and alternative medicine in addition to conventional medicine, benefit more than those whose doctors are only familiar with Western medicine.

* 74 percent of participants agreed to some extent that a system of medicine that integrates therapies of conventional and complementary and alternative medicine would be more effective than either type of medicine provided independently.

* 84 percent of participants agreed to some extent that the field contains beliefs, ideas and therapies from which conventional medicine could benefit.

* 49 percent of participating medical students indicated that they have used complementary and alternative treatments; however, few would recommend or use these treatments in their practices until more scientific assessment has occurred

“Complementary and alternative medicine is receiving increased attention in light of the global health crisis and the significant role of traditional medicine in meeting public health needs in developing countries,” said study author Ryan Abbott, a researcher at the UCLA Center for East-West Medicine, in a press release. “Integrating CAM into mainstream health care is now a global phenomenon, with policy makers at the highest levels endorsing the importance of a historically marginalized form of health care.”

The findings were published recently in the online issue of Evidence-based Complementary and Alternative Medicine (eCAM).

The adrenal glands are the part of the body responsible for releasing three different classes of hormones. These hormones control many important functions in the body, such as:

• Maintaining metabolic processes, such as managing blood sugar levels and regulating inflammation
• Regulating the balance of salt and water
• Controlling the “fight or flight” response to stress
• Maintaining pregnancy
• Initiating and controlling sexual maturation during childhood and puberty

The adrenal glands are also an important source of sex steroids, such as estrogen and testosterone.

What are adrenal gland disorders?

Adrenal gland disorders occur when the adrenal glands don’t work properly.  Sometimes, the cause is a problem in another gland that helps to regulate the adrenal gland.  In other cases, the adrenal gland itself may have the problem.  The NICHD conducts and supports research on many adrenal gland disorders.  Some examples include:

• Cushing’s Syndrome - Cushing’s syndrome happens when a person’s body is exposed to too much of the hormone cortisol. In this syndrome, a person’s body makes more cortisol than it needs. For example, adrenal tumors can cause the body to produce too much cortisol. In some cases, children are born with a form of adrenal hyperplasia that leads to Cushing syndrome. Or, in some cases, certain medications can cause the body to make too much cortisol
• Congenital Adrenal Hyperplasia - Congenital adrenal hyperplasia is a genetic disorder of adrenal gland deficiency.  In this disorder, the body doesn’t make enough of the hormone cortisol. The bodies of people with congenital adrenal hyperplasia may also have other hormone imbalances, such as not making enough aldosterone, but making too much androgen.
• Pituitary Tumors - The pituitary gland is located in the brain and helps to regulate the activity of most other glands in the body, including the adrenal glands. In rare cases, benign (non-cancerous) tumors may grow on the pituitary gland, which may restrict the hormones it releases.

In some cases, tumors on the pituitary can lead to Cushing’s syndrome – this is called Cushing disease.  In other cases, the tumors reduce the adrenal gland’s release of hormones needed for the “fight or flight” response to stress.  If the body is unable to handle physiological stress—a condition called Addison’s disease—it can be fatal.

What are the treatments for adrenal gland disorders?

The treatment for adrenal gland disorders depends on the specific disorder or the specific cause of the disorder.  For example:

• The treatment for Cushing’s syndrome depends on the cause. If the excess cortisol is caused by medication, your health care provider can change dosages or try a different medication to correct the problem.  If the Cushing’s syndrome is caused by the body making too much cortisol, treatments may include oral medication, surgery, radiation, or a combination of these treatments.
• Congenital adrenal hyperplasia can’t be cured, but it can be treated and controlled.  People with congenital adrenal hyperplasia can take medication to help replace the hormones their bodies are not making.  Some people with congenital adrenal hyperplasia only need these medications when they are sick, but others may need to take them every day.
• Doctors can successfully treat most pituitary tumors with microsurgery, radiation therapy, surgery, drugs, or a combination of these treatments. Surgery is currently the treatment of choice for tumors that grow rapidly, especially if they threaten or affect vision.  The treatment plan for other pituitary tumors differs according to the type and size of the tumor.

LONDON - A special edition of the journal, Clinical Risk, published by the Royal Society of Medicine, looks at how the combination of an under-regulated market, “professional greed”, increased marketing and overwhelming media hype have created a “perfect storm” that threatens patients and practitioners alike. The journal’s editor argues that cosmetic surgery patients in the UK are at more risk than ever before.

Dr Harvey Marcovitch, who commissioned leading experts in the field to write for this special issue said, “Patient safety is this journal’s main aim and there can be no area of medicine where patients in the UK are more in need of protection. We need tight control of advertising of cosmetic surgery - including internet advertising. We need proper regulation of the industry and we need both surgeons and GPs to manage patient expectation.”

In one paper, entitled ‘Clinical Risk in Aesthetic Surgery’, Nigel Mercer, consultant plastic surgeon and President of the British Association of Aesthetic Plastic Surgeons (BAAPS) argues: “We have reached a stage where public expectation, driven by media hype and, dare one say, professional greed, has brought us to a ‘perfect storm’ in the cosmetic surgical market.”

He adds, “There has been a massive increase in ‘marketing’, including discount vouchers, 2-for-1 offers and holidays with surgery! In no other area of medicine is there such an unregulated mess. What is worse is that national governments would not allow it to happen in other areas of medicine. Imagine a ‘2-for-1′ advert for general surgery? That way lies madness!”

Highlights:

Clinical Risk in Aesthetic Surgery: Nigel Mercer discusses the role of the media and advertising and calls for tighter regulations in the UK, comparing this country’s lack of regulation with the Food and Drug Administration’s role in the US.

Key quotes:

- “Perhaps, like tobacco, there should be a Europe-wide ban on advertising all cosmetic ’surgical’ procedures, including on search engines…”.

- “If we have to sell anything, we should sell our advice, not procedures. If we cannot self-regulate, then, like the financial institutions, regulation will eventually be imposed…”

- “All cosmetic treatments are medical interventions, and every medical intervention has a complication and failure rate. Consequently, there are no ‘consumers’ or ‘clients’ but only ‘patients’…”

- “Perhaps the single most important factor in reducing clinical risk in cosmetic surgery is the motive for performing any procedure must never be financial gain, so I suggest we get our act together as an industry as we are in grave danger of biting the hand that feeds us.”

France Sets Standards for Practice of Aesthetic Surgery: French consultant plastic surgeon, Alain Fogli describes the strictly defined guidelines for cosmetic surgery in France which include:

- Surgical procedures can only be undertaken by surgeons who are registered specialists and deemed competent. Possession of a general medical degree, and the fact that the practitioner is ‘experienced’ are not deemed to be sufficient qualifications

- A ban on all forms and methods of publicity and advertising, direct or indirect, in whatever form, including the Internet

Minimizing Risk in Aesthetic Surgery: Foad Nahai, President of the International Society of Aesthetic Plastic Surgeons (ISAPS) and former president of the American Society of Aesthetic Plastic Surgeons (ASAPS) describes how to minimise risk in each facet of ‘the safety diamond’: patient, facility, procedure and surgeon.

He tells readers:

“Regulations governing the training of all cosmetic surgeons are sorely needed. Governments are reluctant to become involved, as they see this issue as a ‘turf battle’ between various physician groups and not a public safety or patient safety issue. However, there is no question that this is a patient safety issue of paramount importance and I take our governments to task for not addressing it.”

- Since by law any physician is allowed to practise cosmetic surgery, attempts by individual physicians or plastic surgery organisations to restrict those who are not qualified is viewed as a restraint of trade.

Improving the Safety of Aesthetic Surgery: Recommendations Following a 14-Year Review of Cases to the Medical Defence Union (1990-2004): Consultant plastic surgeon and BAAPS Secretary, Rajiv Grover, reveals a 14-year audit of claims to the MDU which shows why patients sue. He provides recommendations to avoid these situations such as careful pre-operative counselling, thorough documentation and exploring with the patient what degree of correction and scarring is realistic - and not being falsely optimistic about the likely outcome.

Managing Risk to Reputation: Magnus Boyd, Partner at leading UK solicitors, Carter-Ruck suggests how doctors can protect their reputation and how the media can influence the outcome of a professional investigation or the expression of anger from a disgruntled patient.

Both Dr Harvey Marcovitch and Mr Nigel Mercer are available for comment.

Clinical Risk

The journal Clinical Risk aims to give both medical and legal professionals an enhanced understanding of key medico-legal issues relating to risk management and patient safety, through authoritative articles, reviews and news on the management of clinical risk. The AvMA Medical and Legal Journal and the Healthcare & Law Digest, both included within Clinical Risk, contain articles on current medico-legal issues and reports on a wide range of recently settled clinical negligence cases.

NEW YORK - Use of herbal remedies results in poorer quality of life and increased frequency of symptoms in asthma patients, according to a study published this month in Annals of Allergy, Asthma & Immunology, the scientific journal of the American College of Allergy, Asthma and Immunology (ACAAI).

“Results indicate patients using herbal remedies are less likely to take their prescribed medications,” said Angkana Roy, M.D., lead author, Department of Pediatrics, Mount Sinai School of Medicine, New York. “These patients report worse asthma control and poorer quality of life than patients who follow medication plans. Underuse of prescribed medication is one of the main factors contributing to poor outcomes in asthma patients.”

The study tracked 326 asthma patients over a 33-month period. Of those, 25 percent reported herbal remedy use and lower adherence to use of prescribed inhaled corticosteroids (ICS). Patients using herbal remedies were younger, more likely to have been hospitalized or intubated for asthma, have concerns about possible adverse effects of ICS and have difficulty following a medication schedule.

“Patients interested in herbal remedies need to use them to complement treatment and not as an alternative, or they will not maximize their health and may actually hinder it as this study shows,” said Leonard Bielory, M.D., ACAAI Integrative Medicine Committee chair. “Remember, asthma is a serious disease and needs to be treated that way. Always ask your allergist about medication concerns and discuss use of herbal remedies.”

Consumers and patients can take a simple online test to gauge their asthma symptoms and obtain a personalized plan on how to get relief at http://www.AllergyAndAsthmaRelief.org.

“Anyone with asthma should be able to feel good, be active all day and sleep well at night,” said Dr. Bielory. “No one should accept anything less.”

NEW YORK -  Scientists at Memorial Sloan-Kettering Cancer Centre in New York City have found out why some women suffer relapses years after beating breast cancer.

Leading oncologist Dr. Larry Norton has revealed that breast cancer cells have the unique ability to lie dormant for years, even after the original tumor has been removed.

In a novel study, the researchers have found a genetic switch, called Src, that triggers dormant breast cancer cells.

“Wandering cells might relocate to the primary site just as they could - by using the same biological toolbox - locate to a distant site,” the Daily Express quoted Norton as saying.

“It’s just as a weed-bed overgrows and destroys a garden and then scatters its tiny seeds to invade neighboring gardens.

“Our results should encourage cancer specialists to think about further study of Src inhibitor drugs that attack reservoirs of these ‘wandering’ latent cancer cells and prevent spread of the disease in breast cancer patients after the tumour has been removed,” he added.

Dr. Helen George, Cancer Research UK’s head of science information, said: “This research is important because it offers an explanation of why some breast cancers can spread and return.

NOTE: CANCER CANNOT SURVIVE IN AN OXYGENATED AND ALKALINE ENVIRONMENT.   SEE POSTS FOR BI-CARBONATE AND L-ARGININE AND THE BUDWIG PROTOCOL

GENEVA -  Hormone replacement therapy might be beneficial for postmenopausal women at increased heart risk, say researchers.

“Although it is commonly understood that postmenopausal women, particularly those with early menopause, have an increased risk of developing coronary artery disease and it was thought that hormone replacement therapy (HRT) would help to remedy this, some well-known clinical investigations, such as the Heart and Estrogen/progestin Replacement Study (HERS), were unable to demonstrate an improved outcome in postmenopausal women using HRT,” said Dr. Thomas Schindler, chief of nuclear cardiology at the University Hospitals of Geneva, Geneva, Switzerland.

“The exact mechanism behind this increased risk, however, remains uncertain,” he added.

Some of the factors putting women at risk are an accumulation of body fat, insulin resistance, inflammation, dyslipidemia (disruption of lipid metabolism) and increases in arterial blood pressure.

Another important factor is the deprivation of naturally occurring estrogen.

For the study, the researchers evaluated the effect of long-term hormone replacement therapy with estrogen, mostly combined with progestin, on heart vessel function in 48 postmenopausal women who had been treated for coronary risk factors, such as hypercholesterolemia (high blood cholesterol) or arterial hypertension.

They were divided into groups according to HRT. The first group comprised 18 women who were on HRT at baseline and at follow-up positron emission tomography (PET) assessment of coronary endothelial function (the inner lining of the coronary vessels).

The second group comprised 18 women who were not on HRT; and group 3 comprised 12 women who were on HRT at baseline, but not at follow-up PET exam.

“Given that preventive medical treatment of coronary risk factors, such as statins (cholesterol-lowering agents) or angiotensin-coverting enzyme inhibitors, usually improves coronary endothelial function, it is not known whether HRT, which commonly promotes the release of endothelial-derived NO in postmenopausal women with already medically treated coronary risk factors, might still exert an additional protective effect on the function of the coronary endothelium and, thus, the development of coronary artery disease,” said Schindler.

Applying PET, the researchers found that HRT widely maintained coronary endothelial function, while those postmenopausal women without HRT experienced a worsening in the endothelium function.

In addition, postmenopausal women who gave up HRT during the observational period demonstrated the most severe drop in the coronary endothelial function.

GENEVA - Over one million infants who are born too early die each year, according to a new White Paper.

Titled ‘The Global and Regional Toll of Preterm Birth’, it shows that in 2005, an estimated 13 million babies worldwide were born preterm - defined as birth at less than 37 full weeks of gestation - which was almost 10 percent of total births worldwide.

The paper attributes about one million deaths in the first month of life - or 28 percent of total newborn deaths - to preterm birth.

According to the White Paper, the highest preterm birth rates in the world are found in Africa, followed by North America - US and Canada combined.

These data are being presented at the 4th International Conference on Birth Defects and Disabilities in the Developing World to be held in early October in New Delhi, India.

“Premature births are an enormous global problem that is exacting a huge toll emotionally, physically, and financially on families, medical systems and economies,” says Dr. Jennifer L. Howse, president of the March of Dimes.

“In the United States alone, the annual cost of caring for preterm babies and their associated health problems tops 26 billion dollars annually.

“If world leaders are serious about reaching the United Nation’s Millennium Development Goals to reduce child mortality and improve maternal health, then strategies and funding for reducing death and disability related to preterm birth must receive priority,” Dr. Howse adds.

The White Paper is based on data published recently in The Bulletin of the World Health Organization (WHO).

Worldwide, the preterm birth rate is estimated at 9.6 percent, representing about 12.9 million babies. Though all countries are affected, the toll of preterm birth is particularly severe for Africa and Asia, where more than 85 percent of all preterm births occur.

The White Paper also suggests that babies who survive a preterm birth face the risk of serious lifelong health problems, including cerebral palsy, blindness, hearing loss, learning disabilities, and other chronic conditions.

It further states that even infants born late preterm have a greater risk of re-hospitalization, breathing problems, feeding difficulties, temperature instability (hypothermia), jaundice and delayed brain development.

The paper says that some known risk factors for preterm birth can be identified before or during pregnancy: for example, women who have already had one preterm baby are at greater risk.

According to the paper, some preterm births may be preventable by addressing known modifiable risk factors, including nutrition and body weight, existing medical conditions like high blood pressure and diabetes, alcohol and tobacco use, second-hand smoke and early elective inductions and elective Cesarean delivery.

However, Dr. says Christopher P. Howson, vice president for Global Programs of the March of Dimes, there is no reliable way to prevent or delay preterm birth.

“While much can be done right now to reduce death and disability from preterm birth even in low-resource settings, we need to know more about the underlying causes of premature birth in order to develop effective prevention strategies,” he says.

The authors of the white paper stress the need for greater efforts to inform health professionals, policy makers, women of childbearing age, and others about the worldwide toll of preterm birth and opportunities for prevention and for care of women with high-risk pregnancies and their babies.

Also called: RLS

Restless legs syndrome (RLS) causes a powerful urge to move your legs. Your legs become uncomfortable when you are lying down or sitting. Some people describe it as a creeping, crawling, tingling or burning sensation. Moving makes your legs feel better, but not for long.

In most cases, there is no known cause for RLS. In other cases, RLS is caused by a disease or condition, such as anemia or pregnancy. Some medicines can also cause temporary RLS. Caffeine, tobacco and alcohol may make symptoms worse.

Lifestyle changes, such as regular sleep habits, relaxation techniques and moderate exercise during the day can help. If those don’t work, medicines may reduce the symptoms of RLS.

SYDNEY - An Australian Government funded research group has developed a potential new material that can make early diagnosis of malignant melanoma, the most serious form of skin cancer possible.

Writing about their work in the ACS’ Journal of the Medicinal Chemistry, the Cooperative Research Consortium for Biomedical Imaging Develop has revealed that the novel material is currently being tested in laboratory animals.

Ivan Greguric, a group member, notes that about 130,000 new cases of malignant melanoma occur each year worldwide.

Although patients do best with early diagnosis and prompt treatment, according to the researcher, the positron emission tomography (PET) scans sometimes used for diagnosis sometimes miss small cancers, delaying diagnosis and treatment.

While searching for better ways of diagnosis, the researchers identified a new group of radioactive imaging agents, known as fluoronicotinamides.

Testing it on laboratory mice that had melanoma, the researchers observed that the novel substance revealed skin cancer cells with greater accuracy than imaging agents currently in use.

Consequently, note the researchers, this substance may become a “superior” PET imaging agent for improving the diagnosis and monitoring the effectiveness of treatment of melanoma.

They have revealed that clinical trials with this new agent are scheduled for 2010.