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Posted in 未分类 on 12月 26th, 2010 No Comments

Posted in 未分类 on 12月 26th, 2010 No Comments

Can you explain why anxiety is worse when waking up than at any other time of day? This has been my wife’s pattern for years.

Morning anxiety appears to be common, but many people suffer from anxiety at other times of day as well. I have a friend who gets anxious at sundown. Unless there is a particular set of circumstances that occurs every morning your wife may suffer from generalized anxiety disorder (GAD), which is different from feeling stressed out and anxious about specific situations.

With GAD, individuals can’t seem to shake their concerns, even though they usually realize that their anxiety is more intense than the situation warrants. They also seem unable to relax and often have trouble falling or staying asleep. Their worries are accompanied by physical symptoms, especially trembling, twitching, muscle tension, headaches, irritability, sweating or hot flashes, lightheadedness, and feeling out of breath.

As an alternative to drugs for managing anxiety, I recommend a number of lifestyle changes that may help. Chief among them are my breathing exercises, which I find to be very effective. Many people experiencing anxiety tend to hold their breath or hyperventilate without being conscious of their actions. Controlling breathing can offer immediate relief as well as a sense of empowerment. The relaxing breath is perhaps the best tool to use in addressing GAD, and the exercise I recommend as the cornerstone of any relaxation program.

Other worthwhile measures include exercise, meditation, eliminating caffeine (from all sources), cognitive behavioral therapy, journaling and taking a “news fast” by avoiding the daily onslaught of (mostly bad) news online, on television and in newspapers and magazines.

Can Sunglasses Lead to Skin Cancer?

Is it true that wearing sunglasses raises the risk of cancer?

The idea that sunglasses might increase risk of skin cancer comes from a British physician who published a book on the topic in 2007. The gist of his notion is that reducing the amount of ultraviolet (UV) light reaching key areas of the eye could trick the brain into believing that fewer harmful rays have penetrated the body. In response to this mistaken perception, the body might then produce less melanocyte-stimulating hormone, the chemical signal that thickens and darkens the skin as a defense against UV damage.

At the time this warning was issued, some British dermatologists signed on to the idea that sunglasses can decrease the skin’s natural tanning response, although they cautioned that further research would be needed to prove it. Some also suggested that clear, not dark, sunglasses would be preferable ; (colorless UV-protective coatings are available).

In the years since this theory was advanced, I haven’t seen any research supporting it. Indeed, UV-blocking sunglasses with wraparound or large frames are still recommended by the Skin Cancer Foundation to protect the eyelids and the sensitive skin around the eyes, which are common sites for skin cancer and sun-induced aging.

At this point, I see no reason to give up wearing sunglasses, especially as they also reduce risk of cataract and macular degeneration, common causes of age-related loss of vision. Your best defenses against skin cancer are staying out of the sun when it’s at a high angle in the sky, wearing hats and protective clothing, and using sunscreen with an SPF of 30 or higher (apply it at least 15 minutes before going out into the sun and reapply it every two hours). I prefer sunscreens with ; Z-COTE, a form of microfine zinc oxide.

However, don’t avoid the sun entirely: you need some exposure to optimize levels of vitamin D.

Probiotics: How Much is Too Much?

I started taking probiotics as an experiment because I was experiencing a lot of bloating and gas. As a result, the bloating and gas are gone, and my bowel habits are much improved. Can I continue to take probiotics indefinitely?

Supplemental probiotics provide the helpful bacteria (usually Lactobacillus or Bifidobacterium), which normally inhabit the human digestive tract. Most of these “friendly” bacteria occur naturally in cultured milk products, such as acidophilus milk and yogurt with active cultures.

Taken regularly, probiotics can help keep the digestive system in balance and functioning optimally, restore normal flora, and support immune system function, especially when you’re taking antibiotics, which can wipe out intestinal bacteria indiscriminately. I also frequently suggest probiotics as an effective treatment for diarrhea, lactose intolerance, irritable bowel syndrome, vaginal yeast infections, oral thrush, Crohn’s disease, and ulcerative colitis. When there’s a family history of allergy or eczema, babies receiving probiotics in their first six months of life (and whose mothers took probiotics during the last trimester of pregnancy) are less prone to develop skin problems. Children with autism can also benefit from probiotics, possibly because the beneficial bacteria decrease leakage of large molecules from the gut, a process that can trigger immune reactions that affect brain function.

I recommend taking probiotic supplements whenever you’re on antibiotics. Take them twice a day with meals as soon as you start your course of medication and continue for a few days after you finish. Look for brands containing Bacillus coagulans (BC-30) or Lactobacillus GG in liquid or capsule form. The dose is one tablespoon of the liquid culture or one to two capsules unless the label directs otherwise. Always check the expiration date to make sure that the bacteria these products contain are alive and in good condition, and look for brands with “colony forming units” (CFUs) in the billions. ; Be sure to protect your supplements from heat, moisture, and air.

Yes, you can stay on probiotics indefinitely. The only reason to avoid them is if you have had an allergic reaction to lactobacillus, acidophilus, bifidobacterium, or Streptococcus thermophilus.

As I shared in a previous post, 35% of businesses do not have an asset inventory. We wondered why not. This was extremely important to us, because this could tell us where we need to improve. Do we need to "fix" our presentations when we s…

I was travelling through Wakefield returning home when a dog ran out in front of a car coming the other way. Fortunately the car did not run the dog over, however it did knock it to the ground, but the dog had been running so fast that it spun about a…

I''ve been seeing the word "integrative" on medical center marquees. Who can legitimately claim to be an integrative physician? And what should you look for at an integrative center?

You raise an important question. As defined by the National Center for Complementary and Alternative Medicine at the National Institutes of Health, integrative medicine “combines mainstream medical therapies and CAM (complementary and alternative medicine) therapies for which there is some high-quality scientific evidence of safety and effectiveness.”

I view integrative medicine as healing-oriented medicine that takes account of the whole person (body, mind, and spirit), including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative. I’m gratified that the term “integrative medicine” is becoming more widely known, but I’m not sure that every physician or medical center claiming to be “integrative” meets the exacting standards established at the Arizona Center for Integrative Medicine (AzCIM).

I discussed this issue with Victoria Maizes, M.D., executive director of AzCIM. She notes that AzCIM has a two-year, 1,000-hour fellowship training program and lists its graduates at www.azcim.org. You can be sure if your physician is listed on that site that he or she is well qualified to practice integrative medicine. Our internationally known program is one way to discern that a physician has top-notch integrative training.

But Dr. Maizes noted that, unfortunately, physicians may describe themselves and their expertise as “integrative” even if they have had only minimal training. For that reason, patients need to be discerning when seeking out a practitioner of integrative medicine. Always ask about a physician’s formal and informal training. While some have thousands of hours of personal study, others may have only attended a weekend workshop.

It’s also important to bear in mind that integrative centers are likely to offer consultations with integrative physicians as well as complementary provider services. The range of services offered varies greatly from location to location, Dr. Maizes noted.

You should also be aware of the following principles when you’re seeking or assessing an integrative physician or health center:

A partnership between patient and practitioner in the healing process

Appropriate use of conventional and alternative methods to facilitate the body’s innate healing response

Consideration of all factors that influence health, wellness and disease, including mind, spirit and community as well as body

A philosophy that neither rejects conventional medicine nor accepts alternative therapies uncritically

Recognition that good medicine should be based in good science, be inquiry-driven, and be open to new paradigms

Use of natural, effective, less-invasive interventions whenever possible

Use of the broader concepts of promotion of health and the prevention of illness as well as the treatment of disease

Training of practitioners to be models of health and healing, committed to the process of self-exploration and self-development.

I hope this helps you to better evaluate whether or not your treatment is truly integrative.

This is hilarious. My friend Mike just rescued this cutie pie.

I was travelling through Wakefield returning home when a dog ran out in front of a car coming the other way. Fortunately the car did not run the dog over, however it did knock it to the ground, but the dog had been running so fast that it spun about a…

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For Roger

For Roger

This is a tribute to one of my mentors, Roger DeWinton, who passed...