There is no drug, not even aspirin that does not have side-effects. It has been estimated that nearly one-third of all illnesses are iatrogenic, i.e. due to drugs. For this reason, most sufferers would prefer to do without drugs if possible. There are two main approaches to therapy: first, prevention and, second, treatment of the symptoms as soon as they occur. The majority of sufferers from migraine does not go to their doctor and will only do so if the frequency of the headaches suddenly increases. This increase may be due either to an alteration in life circumstances, e.g. increasing stress, or increased exposure to particular precipitants. There may also be a combination of the two, for example, when someone whose headaches are made worse by tobacco smokes more under stress; the combination of these two factors, smoking and stress, is likely to aggravate migraine more than either one singly.
The placebo responseThe word placebo means T will please’. It is used to describe a response found with many illnesses including, surprisingly, serious ones, namely the tendency of the patient to get better on treatment which theoretically should have no effect at all. Because the patient believes that the treatment is helping, he is helped because symptoms disappear; indeed occasionally ‘physical’ (organic) lesions have been known to diminish, showing the close relationship between the mind and body. Some types of faith-healing probably work in this way, fortifying the patient, boosting confidence that something is being done, and increasing the body’s recuperative powers. There is no doubt that the psychological status of a person affects many of the body’s mechanisms.The placebo response is influenced to a great extent by the attitudes and personality of the attending therapist and this is illustrated by the two following cases:A 30-year-old housewife had headaches of increasing frequency and intensity. Her 4 1/2-уear-old daughter was suffering from feeding problems and the woman was becoming increasingly frustrated and angry so that at times she assaulted the child physically. During her first clinic visit the woman confessed her problems to a friendly and sympathetic physician and, by the end of the interview, was much relieved. A remission from headaches of several weeks followed. At her next visit the physician adopted a stern and critical attitude and, ten minutes later, she began to have a severe migraine which responded to the injection of ergotamine.A 44-year-old woman had frequent migraine attacks. She was given a box of placebo pills with words of kindness, reassurance, and indications of extreme interest. It was also emphasized that she had no serious structural defect or tumour, and she left the clinic feeling relaxed and secure. For six weeks following the interview she was headache-free, but gradually the condition began to creep back.This case history exemplifies a characteristic of migraine. It is quite common for a migraine sufferer to respond very well initially to any new therapeutic regime, but it is nearly as common for the headaches to return subsequently as badly as ever. The explanation is that the initial placebo response wears off and indicates that the treatment has had no specific effect of its own. Another interesting feature is the amazing variety of totally different drugs which seem to be effective in the treatment of migraine. It is for this reason that claims of success for a particular form of treatment have to be carefully analyzed. The more attention and interest a patient gets, the greater the placebo effect will be. To some extent this may explain the good effect of certain dietary treatment or, indeed, any treatment in which the patient obtains a good deal of attention.

Unfortunately in our country, with its innumerable castes, customs and rituals, we have developed an allergy to touching and being touched. A male greeting a female or even a male does so with folded hands. In a namaskar even hand-contact is absent.Caste distinction abounds, despite our Constitution forbidding it. We do not touch individuals of certain castes. This unwillingness to touch has led to sensory deprivation and affected our sexuality. The male, owing to ignorance and upbringing, does not touch or feel the need of touching the female partner, except during sex.This is unfortunate, as true touch is the most powerful means of sexually exciting and gratifying the female. Dr. Masters calls it ‘sexual touching pleasuring’. It is the common grouse of many women that their partners do not touch them for touch’s sake. Many males are surprised when I tell them about the importance of touching their partners.*107\262\8*

Traditional medicine is a tightly controlled system of regulations, accreditation, approval, and licenses. Providers of health care—physicians, midlevel practitioners, nurses—must be licensed, and their licenses depend on training, postgraduate education, and certifying examinations. The settings in which health care is provided—hospitals, chronic care facilities, and home care programs—must be accredited by the Joint Committee on Accreditation of Health Organizations (JCAHO). The drugs must be approved by the Food and Drug Administration (FDA), the federal agency responsible for judging the safety and effectiveness of new drugs. The organizations that finance health care (private insurers, Medicaid, Medicare, Blue Cross/Blue Shield) are regulated by agencies of the federal and state governments. (In a way, the financers of health care largely drive the system: they will not reimburse for care by unlicensed care providers, for stays in nonaccredited facilities, or for treatment with unapproved drugs.)     This system of controls is set up to safeguard the public. The controls are meant to stop people or programs or institutions from claiming to offer services or cures that are in fact unnecessary, useless, or unproven.*176\191\2*

Molluscum contagiosum is caused by a poxvirus. Like warts, this infection occurs by direct contact. Typically, the lesions will resolve spontaneously within 9 months.The asymptomatic lesions are discrete papules measuring a few millimeters in diameter and are pink to pearly-white, dome-shaped, and umbilicated in the center. The periphery of the lesions is often erythematous. These lesions can be sexually transmitted, causing lesions on the genitals or the suprapubic area. The presence of extensive facial lesions should prompt suspicion of human immunodeficiency virus (HIV) infection. The diagnosis is usually made on inspection. If necessary, diagnosis can be confirmed by microscopic examination of the core of an individual lesion. The core is removed and placed on a slide with potassium hydroxide and heated. Infected epithelial cells lose their flat, rectangular shape and become dark, round, and non-adherent to their neighboring epithelial cells. Treatment options include liquid nitrogen, isotretinoin blunt dissection, electrocautery, and imiquimod (Aldara).*118/348/5*

Home pregnancy tests are available at most pharmacies, are based on the detection of human chorionic gonadotrophin (HCG) in a woman’s urine. HCG is a hormone that’s produced by the early developing placenta, released into the bloodstream, and then excreted into the urine.Though it’s possible to detect pregnancy as early as six days after conception, home pregnancy kits recommend waiting six to nine days after a missed menstrual period for testing. Instructions, chemicals, and equipment are provided, all you need do is supply a specimen of your first morning urine, but you should be aware of factors that can contribute to inaccuracy.Inaccurate results can occur . . .• if the test is performed – or results evaluated – too early;• if urine and/or chemicals are exposed to extreme temperatures;• if you have a urinary tract infection or recently completed taking medication for one;• if test equipment has been washed with soap (which could leave a residue and alter results);• if there are excessive amounts of protein in your urine;• if your pregnancy is ectopic (implantation occurs outside the uterus, most often the fallopian tube);Caution: Ectopic pregnancies can be dangerous. If you suspect that you’re pregnant and get negative results on your home test, I strongly recommend you see your doctor as soon as possible.• if you are on any medication, especially birth control pills, antihypertensive, or tranquillizers, which can produce false positive results;• if you have uterine cancer.Caution: Getting a positive result on your test should encourage you to see a doctor as soon as possible, not put the visit off.In all cases, a follow-up examination by a qualified physician is strongly recommended to protect your health – and your baby’s.*3/137/5*

Obviously, the developmental tasks facing a child in the first grade through early adolescence differ considerably from those met during infancy. The telltale symptoms of ADHD, such as hyperactivity and inattention, are also far more pronounced. As a result, this is the period during which most ADHD children are first brought to their doctors for testing and a diagnosis is made.One of the most important developments in a child this age is a move outside the family into a school setting where there are many more requirements. Some families have been extremely flexible up to this point and haven’t really challenged the ADHD child’s disruptive behavior; the child’s impulsivity and hyperactivity have been absorbed into the family setting, and the child may not seem different. Other times, a child is viewed as being “just like his father” because of his rambunctious behavior and thus considered typical (in cases like this, the father may have undiagnosed ADHD, too). But once in the school setting, with its requirements for standardized behavior, the child’s difficulties come under sharper scrutiny.This can happen right at the beginning or further along in the child’s education; it all depends on the school environment, the teachers, and the severity of the child’s condition. If a school has a laid-back, unstructured setting with relaxed teachers and small groups of children, the child’s behavior may not seem unacceptable. And if the child is bright enough, he may develop sufficient academic skills to hide his condition for years.It’s imperative that a child at this age learn to deal with the classroom situation. This may mean controlling his activity level, focusing his attention on the tasks required of him, listening to the teacher, being able to wait and delay action, making appropriate responses to a stimulus, and tuning out stimuli so that he can focus on the task at hand. It also means learning tasks that require attention, sitting still, and a certain level of cognitive skill. At this age we may begin to see that the child hasn’t developed balanced judgment and this may be a problem.*20\173\2*

VirusesViral infection by rotaviruses, Norwalk agent, adenovirus, and astroviruses are easily spread and frequent causes of diarrhea in children. Most cases are waterborne or food-borne, and after an incubation period of more than 12 hours, symptoms of nausea, vomiting, and watery diarrhea predominate. Bouts are self-limited, and treatment should include antidiarrheals and rehydration.
ParasitesGiardia lamblia, Entamoeba histolytica, Cryptosporidium, and Cyclospora are the most common parasites causing diarrhea in travelers, patients with acquired immunodeficiency syndrome (AIDS), and people in day care centers. Persistent diarrhea lasting longer than 2 weeks and travel to underdeveloped or mountainous regions should prompt evaluation for parasites in the appropriate patient. Giardia infection may be self-limited or chronic and is diagnosed by microscopic visualization, direct immunofluorescence, or, more commonly, enzyme-linked immunosorbent assay (ELISA). Empiric treatment may be justified in patients with persistent diarrhea without further testing. Preferred treatment is metronidazole or albendazole. Cryptosporidium parvum is transmitted fecal-orally, through contact with farm animals, food, or water, and is resistant to chlorination. Diagnosis is made by identification of oocysts in fresh stool or by ELISA. Patients with human immunodeficiency virus (HIV) infection whose CD count is less than 200 are at increased risk for chronic infection, severe dehydration, wasting, and death. In immunocompetent individuals, the disease is self-limited. Trials are currently underway to find an appropriate treatment. E. histolytica can cause a variety of illnesses, including bloody diarrhea, ulcerative colitis, and metastasis with liver abscesses and involvement of lungs, heart, and brain. Identification of cysts or trophozoites or positive ELISA findings should prompt treatment with metronidazole followed by diloxanide or paromomycin – the latter two agents for prevention of systemic invasion by remaining cysts.*71/348/5*

One of the most exciting possibilities with glucosamine and some of the other osteoarthritis treatments is the possibility that they can protect cartilage from damage, actually altering the course of the disease. Such a “chondroprotective agent” would be a major advance over all standard treatments.As we have already said, glucosamine is both a raw material for the production of proteoglycans, and it also seems to be able to stimulate the production of new proteoglycans and collagen. This might give the body a boost in delaying the joint destruction of osteoarthritis.Furthermore, recent evidence suggests that glucosamine can also inhibit the enzymes responsible for breaking down cartilage. This would mean that it was working from both sides, as it were, to prevent the joints from deteriorating.Unfortunately, we do not yet have any direct evidence that glucosamine really slows down osteoarthritis. What we really need are long-term studies comparing the X-ray evidence of joint damage in two groups of subjects: the first given glucosamine, the second given placebo. Until such studies are performed, the promise of chondroprotection with glucosamine will remain only a promise.*36/306/5*

There are two especially important points to remember as you put Immune Power to work:You may have withdrawal symptoms during the first week or so of the diet. These are nothing to worry about—in fact, they are positive proof that the diet is working. If this is a problem for you, go back and re-read the advice in chapter 3.If you take some medication regularly or are under a doctor’s care for chronic illness, you may notice changes in the effectiveness of your medicine as your “immune tune” improves. As you lose weight and get healthier, you may find that less medicine works just as well. You should always inform your physician if you are on the Immune Power Diet program, so that you can be monitored for these kinds of changes.WHAT DO YOU HAVE TO GIVE UP?I won’t deny that the Immune Power Diet asks you to make some real changes in how you look at food, but I am not asking you to become a food Puritan. All you must do is identify and then eliminate the hidden toxins which are now damaging your health and energy. Once your body has recovered from the effect of those hidden food sensitivities, you can eat them again on a moderate schedule. You will find very few foods that have to be totally cut out of your life. Of course, there may be foods that you decide to avoid permanently because you decide they produce such strong unpleasant reactions.*71\242\2*

Hormone treatment is only useful for women with acne. This treatment is based on the fact that acne often starts at puberty and may worsen just prior to a woman’s period. It may improve during pregnancy and when taking a high oestrogen, low progestogen contraceptive pill such as Biphasil or Sequilar.Other hormone treatments include taking Androcur and Aldactone tablets which block the male-type hormones which women produce just before a period. These drugs have minimal side effects but do cause irregular periods, so should be combined with the pill or an oestrogen hormone.Many women are averse to taking hormone treatment for fear of gaining weight. Although the pill may cause slight fluid retention, significant weight gain will only occur if excessive calories are eaten. Many people blame the pill for poor eating habits, which are the real cause of weight gain. The other fear of hormone treatment is that it will lead to infertility later in life. Although the pill does suppress ovulation, this is only temporary and will not cause long-term problems.

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