Tag Archives: Chronic (medicine)

Young U.S. Women Are The New Face Of Heroin Use

July 23, 2015

Young U.S. Women: New Face Of Heroin Use

Heroin use in the United States (U.S) like in other parts of the world has been predominantly men. The few women found in this category have been those in the inner city, rich and spoilt. However this is fast changing. Within this past decade heroin use has hit a staggering 62%. In 2005 heroin use was reportedly slightly over 1.6% in every 1000 Americans, aged 12 and over. In 2015 however the percentage went up somewhere above 2.6% per a similar number in U.S.

The rate of heroin use doubled that of men in a similar period. According to a report by the Centers for Disease Control and Prevention (CDC), the percentage gradually increased from a mere 0.8% back in the year 2002 to 1.6% women alone. According to the report, the face of heroin use has changed from a stern faced man in the city unexpectedly to a young beautiful woman in the suburb. The report also indicated heroin-related deaths have hit of 300 percent.

heroin-addiction

Increasing Heroin Use in Women a Result of Pain Killer Prescriptions

The report pointed out different groups in the U.S. that have never been known to use heroin have been lured into the same in more recent times. It indicates a leading group of increasingly heroin users are women, those with higher incomes and private insurance. In as much as the net of heroin use reportedly caught indiscriminately across gender and societal status, many experts agree women have become more vulnerable to the increasingly available substance. Dr Dalal Akoury of Integrative Addiction Institute notes there is more than a double increase in number of heroin-related cases of addictions among women than men lately as opposed to some years back.

The increase of heroin use among women has however been attributed to increased pain killer prescriptions for a number of related complicated medical conditions over time. Various experts argue this happened gradually over time. “I suspect it’s been a more of a gradual thing, because more women have been exposed to pain medication for various problems. They have developed first an opiate addiction then have moved on to heroin,” said Onsrud, a consultant on Addiction Services at the Mayo Clinic.

Form Heroin Task Force to Fight Increasing Use

Various authorities argue the war on heroin use has been in existence for some time, with a few successes however it has continued to increase. In La Crosse County, the officials noticed heroin use was getting out of hand and decided to face it head-on. They formed the little known La Crosse County Heroin Task Force.

“We noticed heroin use had increased as early as the year 2010-2011,” said Al Bliss, then the task force coordinator. However he noted even at that, a lot more still has to be done. “I think we’ve made some end roads at decreasing availability of heroin but it still remains a problem,” added Bliss.

The task force coordinator also said in order to curb the menacing heroin problem, communities needed to form programs more or less similar to the Heroin Task Force so as to get like-minded people working together at attaining a single determined goal. “We need to further educate the community in offering help, treatment, and preventive care; and to conduct a lot of awareness in order to address the comprehensive problem of drug abuse,” he said.

Heroin Use

Substance Addiction Increasing Heroin Use

In a separate interview, Dr. Akoury echoed Mr. Bliss’s earlier observations; she said people suffering from substance abuse are more likely to form a habit of popping in pills. She added they are more susceptible to heroin use. A number of studies and medical reports also support this claim. One commonly cited study indicates alcohol and cigarette smokers have a higher chance of about 5 times their fellows who do not. The CDC report actually indicated 96% of heroin users used at least one more addictive drug. Also, that 61% of the heroin users used at least three more addictive substances.

In conclusion Dr. Frieden, director of CDC empathized with the current state of heroin use. He said: “It is heartbreaking to see injection drug use making a comeback in the U.S.” He said solving the heroin issue boils down to preventing addiction in the first place by hunting down the primary cause, which according to him were opioid prescriptions. “It also means; increasing access to rehabilitation including medications such as methadone or suboxone, cracking down on heroin sales, and increasing use of naloxone to reverse overdose. These are the traditional basics to deal with addiction, hence also key in combatting heroin use,” quickly added the CDC director

For the latest about heroin use in the U.S and the rest of the world please sign up for this year’s August Integrative Addiction Medicine Conference. http://www.integrativeaddiction2015.com is the link to catch with speakers lined up for the event among other possible attendants participants

White Young U.S. Women, New Face Of Heroin Use

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Gluten Free Diet for Fibromyalgia

March 29, 2015

Gluten Free Diet is good Fibromyalgia patients

Gluten free dietFibromyalgia is a disorder characterized by widespread muscle pain, joint stiffness, and fatigue. The condition is chronic but pain comes and goes and moves about the body. The cause of this disorder is unknown and therefore it is often misdiagnosed or unrecognized and is most of the times complicated by anxiety and mood disorders. this is a common disorder that according to the American College of Rheumatology diagnosis criteria affects about 3-5% of women, most of whom are between ages 20 and 50, but only 0.5- 1.6% of men. This disease is more common in adults than in children but it affects women more than men.

What is gluten

Gluten is the protein in wheat, barley, rye, spelt, Kamut and triticale. Just as any other foods there are people who are allergic or tolerant to gluten. It is suggested that for these people removing gluten from their diets can help them as it may lead to improved skin, including fewer problems with breakouts, eczema and psoriasis; fewer migraines; and a lessening of vague, general symptoms of malady. Gluten has been linked to fibromyalgia and now it is suggested that those who are suffering from fibromyalgia can benefit from a gluten free diet.

Fibromyalgia is characterized by chronic pain sleep disturbance and fatigue combined with a general increase in medical symptoms such as problems of memory and often psychological distress. The pharmacological treatment of Fibromyalgia does not result in full healing but only offers partial relief. Fibromyalgia is mostly associated with depression and irritable bowel syndrome. On the other hand, Celiac disease is a frequent disease, affecting about 1 % of the population that can be diagnosed at all ages under different clinical settings. The classic presentation of Celiac disease is chronic diarrhea, positive anti-tissue transglutaminase antibodies (anti-tTG), and villous atrophy with intraepithelial lymphocytosis observed by duodenal biopsy. Celiac disease often does not conform to the classical clinical description, and up to 50 % of patients with adult Celiac disease lack prominent gastrointestinal symptoms. Clinical manifestations of Celiac disease include muscle and osteoarticular pain, fatigue, and neurological and psychological symptoms.

Research report on gluten-free diet

In a research that was aimed to describe selected patients with fibromyalgia, non-celiac gluten sensitivity, duodenal intraepithelial lymphocytosis, and clinical response to gluten-free diet, in order to raise the hypothesis that non-celiac gluten sensitivity could be a treatable cause of fibromyalgia it was found that remarkable clinical improvement can be achieved with a gluten-free diet in patients with fibromyalgia.

This study involved a trial of a strict gluten-free diet that was conducted with the help and training of the Celiac Disease Patients Association of Madrid. In addition, iron, vitamin D, and multivitamins supplements with oligoelements were prescribed to patients on this study. A lactose-free diet was also recommended when lactose intolerance was suspected on clinical grounds or demonstrated by a breath hydrogen test after lactose administration. Clinical response was defined as the achievement of at least one of the following scenarios: remission of fibromyalgia pain criteria, return to work, return to normal life as judged by the patient, or opioid discontinuation.

For this study, the mean follow-up period for the gluten-free diet was 16.4 months .Eight patients were also on a lactose-free diet. For five of these eight patients, a lactose-free diet had been attempted before the gluten-free diet, resulting in partial relief of the gastrointestinal symptoms but no improvement in the fibromyalgia symptoms. For three patients, a lactose-free diet was started concurrently with the gluten-free diet. The level of widespread chronic pain improved dramatically for all patients; for 15 patients, chronic widespread pain was no longer present, indicating remission of fibromyalgia. Fifteen patients returned to work or normal life after good improvements with the gluten free diet. In three patients who had been previously treated in pain units with opioids, these drugs were discontinued. Fatigue, gastrointestinal symptoms, migraine, and depression also improved together with pain. The clinical improvement for some patients began just a few months after beginning the gluten free diet therapy this was striking and showed how effective the gluten free diet therapy is beneficial to those suffering from fibromyalgia. For others the improvement was rather slow and gradual and took many months of follow up. It was also seen that some patients’ conditioned worsened when they took gluten but this was save when they were put on strict-gluten free diet.

Gluten Free dietIn this research it was observed that the reduction in the level of pain was accompanied by improvements in asthenia and gastrointestinal and neurological symptoms. This shows that a common underlying cause of fibromyalgia is related to gluten.

For this research, the clinical response definition was decided upon after the initial observations of impressive improvement in some patients after starting the gluten-free diet. This was the chosen outcome measure; the remission of fibromyalgia or return to normal life, rather than changes reflected by questionnaires. This is one of the treatments that have shown the highest degree of improvement in treatment of fibromyalgia. Most of the patients that were used for this research were under severe distress and disability and were unable to cope normally with daily activities or on sick leave, despite having been treated with many different regimens for years. This fact endorses the fact that gluten-free diet can help patients suffering from chronic pain as a result of fibromyalgia.

Chronic pain is a serious symptom of many diseases. Very many people who have bee to opioid use as a result of chronic pain sometimes end up being addicted to them. There is need to come up with safer alternatives to pain management. This is why here at AWAREmed Health and Wellness Resource Center we are committed to availing the best integrative approaches to treatment of diseases. Visit as at Myrtle Beach, South Carolina where Dr. Dalal Akoury (MD) will be of help.

Gluten Free Diet for Fibromyalgia

 

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Sugar and Pain

March 26, 2015

Beat Pain by Avoiding Sugar

Sugar and painNutritionists know it better, whatever you eat affects your body in a way, and this can either bring you joy or pain. Good health begins with what you put down your stomach so it is very important to carefully choose on what you eat even as you look out for what you should not even think about eating. Sugars are part of most snacks that we interact with, needless to mention most drinks are rich in sugar content. Researchers have shown us some of the bad sides of eating foods that are rich in sugar. First on the list is that they can lead to hyperglycemia. Hyperglycemia may be described as an excess of sugar (glucose) in the blood. Your endocrine system regulates the amount of sugar that is stored and used for energy. It is important in brain cell function, and energy levels. This will come about as a result of your body having higher sugar levels than what the insulin can handle. When there is too much sugar in your system that can’t be handled by insulin then certain conditions and disorders may cause you to have difficulty processing and storing blood glucose, resulting in hyperglycemia or hypoglycemia. Consuming foods that are high in sugar content will cause such problems as inflammation, aches and pain throughout your body.

The pain that you suffer as a result of consuming foods that are high in sugar content will manifest as joint pains, aching muscles, migraines, and added asthma or Post Menstrual Syndrome symptoms. when his pain becomes chronic you will suffer big time to an extent that you may stop gaging in activities that you once enjoyed for example when eating high sugar content foods you may suffer joint pains which will make you stop doing your normal exercises and activities like playing golf, running with your dogs or even playing your soccer.

Your pain might have originated from excessive sugar consumption and therefore Instead of relying on pain relievers to manage aches and pains the better solution you should think of adopting should be eating real foods. Real foods are rich in nutritional content and are not high in calories like the cakes and muffins that you can lay your hands on in a coffee shop. Research and clinical experience have shown that food choices directly affect levels of pain and inflammation in the body. One of these research findings was reported in the American Journal of Cancer Nutrition in March of 2002 that found that foods high in sugar resulted in inflammation. When researchers measured inflammation with a blood test called C-reactive protein (CRP), they discovered that a high concentration of sugar in foods increased the CRP numbers. This is now a proof that eating foods that are high in sugar content can be a cause for your pain.

The past researchers have been able to link consumption of foods that are high in sugar content to pain and inflammation and therefore you should consider stopping having most of your meals in these coffee shops where you spend more than half of your meal time stuffing your body with unnecessary sugars from cakes, mocha and muffins that will end up doing you more harm than good. As you enjoy your sweetened muffins you should think of what will happen when these sugars will maim you so much that you won’t be able to walk all by yourself to the cafeterias you have been frequenting.

Sugar and PainThe biggest problem is that most people believe that after leaving eating refined sugars then you are good to go, this is a lie as there are very many foods that are very high in sugar levels but we never really think they are. just to mention a few, the yoghurt and ketchup that has since become your favorites are rich in sugars that gradually will have worse effects on you as sugars have been directly linked to pain and inflammation. As known to you inflammation is the immune system‘s healthy response to restore the affected area to normal following an injury, irritation or infection. However, in response to high sugar intake, which includes simple carbohydrates, the body is flooded with insulin and stress hormones. These flood your blood supply triggering the inflammation process which creates stress and pain on your organs and joints. Therefore the lesser the sugar you take lesser the inflammation and the pain you will suffer and the stronger your immune system will be.

Eating real foods to avoid sugar

Now that we have known that sugary foods are not very healthy, it is good to begin avoiding them. Nutritionists advise that the best way to avoid sugars and still leave the body with good nutrients is by eating real foods instead of processed foods. Real foods include; meat, eggs, vegetables, and healthy fats. These foods will help package the body with required nutrients and reduce pain and inflammation. Fats that are healthy include butter, olive oil, avocados, olives and nuts. Eating real foods will help you evade very many diseases like cancer and heart diseases just mention a few.

Finally, Here at AWAREmed Health and Wellness Resource Center we are committed to availing help to our patients by availing some of the most integrative approaches to healing. We advocate for natural healing to all kinds of diseases. If you are suffering from pain related illnesses, just call on Dr. Dalal Akoury (MD) at Myrtle Beach, South Carolina for help.

Beat Pain by Avoiding Sugar

 

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Adult Stem Cells Therapy Amplifies Anti-Aging

March 9, 2015

With New Technologies Stem Cell Therapy Has Become Effective For Anti-Aging

Every person would love to stay young forever. That is a fact. Being young has many advantages since that is the time when a person has unrivalled vitality and good health as well. However it is in human life cycles that at some point a person shall have to age, grow old. This to me is not a problem. Aging is just a stage in life just like puberty. In spite of aging being a step in the lifecycle of human beings, it comes with certain disadvantages, as people age production of crucial hormones that life depends upon may come to a halt giving rise to myriad complications. It is these complications that are the problem and not necessarily the aging itself. It is a basic fact that women in perimenopause and menopause tend to accumulate fat around the waist and hips. Some people may also become obese as they age, a condition which is a home to many diseases such as diabetes and some type of cancers. It is therefore important to prepare yourself and choose a lifetime that will help you live a healthy life even as you age. It has been encouraged that the best way to fight these illnesses and conditions that are associated with aging is by with increasing exercise, reducing alcohol intake and eating healthy foods. By reducing alcohol intake a person reduces the danger of calories being deposited right in the gut. You may also. Also, increase your healthy fat intake, omega-3 fatty acids and unsaturated fats. However you should eliminate Trans fats completely because there’s no safe amount of them.

Anti-Aging

When for instance you chose to live unhealthy lifestyle before aging, or with considerate leniency, you had to live an unhealthy lifestyle before aging and you begin suffering the consequences; diseases such as Alzheimer’s and dementia among other problems associated with aging, you will need medical help. Today researchers have discovered that stem cells can be used to help in fighting aging.  Researchers have verified that the stem cell therapy can be used as in anti-aging program. To many people the stem cell therapy may be a new term or better yet an innovative approach to treatment of diseases but the reality is that this approach to treatment of diseases and fighting aging has been used for ages now, but with recent breakthroughs in technology, the use of the stem cells in treatments have grown better. A bigger hurdle that many patients using stem cell therapy as anti-aging faced was that an aging person had less of the stem cells to be used in his own therapy. The procedure was also expensive too but now the stem cells can be easily obtained and effectively used as in fighting aging.

All people have stem cells, it’s only that their amount diminishes as a person ages. The most common is known as hematopoietic stem cells.  The type of adult stem cell that is most often seen in research associated with tissue repair is a mesenchymal stem cell (MSC)

Different types of stem cells used as anti-aging agents

Stem Cell TherapyThere are different types of stem cells that are located in different parts of the body. These stem cells can be used to fight aging effectively. There is a type of stem cell known as hematopoietic stem cells. Hematopoietic stem cells are found circulating in the blood and the bone marrow. They produce blood cells such white blood cells and red blood cells among others. These stem cells can be utilized in helping to produce other types of stem cells which can effectively help to repair the body. This process is called plasticity. This process works on the basis that the stem cells have the ability to turn into different types of stem cells. Doctors may therefore go from a stem cell, which produces blood cells, to one which produces cartilage tissue or tendon tissue. When a bone marrow aspiration is performed doctors obtain a rich source of these stem cells that can be turned into more useful stem cells and be utilized in fighting age related conditions.

Researchers have found a specific stem cell type to be very important in stem cell therapy to fight aging. These stem cells that are considered to be the most important are known as the mesenchymal stem cells.  The Mesenchymal stem cells are found in the bone marrow, the circulating blood as well as in fat cells. Mesenchymal stem cells are the most important stem cells for orthopedic purposes as they help to   repair and replace damaged tissues.

The Mesenchymal stem cells are very helpful, however as a person ages the number of mesenchymal stem cells in the bone marrow gets depleted and this is what results in aging. It is therefore very logical to go through a stem cell therapy as an anti-aging procedure that will also help on mitigating on the adverse effects of aging.  The used of stem cells in treatments of certain diseases is not knew. However it is good to mention that when compared to embryonic stem cells, adult stem cells have distinct advantages. For one, they do not cause an immune reaction, and two there are no ethical issues, as they are your own cells.

With improved technology and equipment, the stem cell therapy has become a very effective treatment for age related ailments. Dr. Dalal Akoury is an experienced doctor especially in the field of integrative treatment. Visit her at Myrtle Beach, South Carolina for more.

With New Technologies Stem Cell Therapy Has Become Effective For Anti-Aging

 

 

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It’s A Doctor’s Responsibility: Addiction Treatment

March 2, 2015

Life Time Risk of Imprisonment If Not Treated

The very existence of the medicine profession is to help find solution to patients who are suffering from various diseases. However in most situations the patients will have to pay for the services offered by the doctor. This is no crime; every profession exists so that those who specialize in those professions can make a living after offering their service. With this said it is good to note that there are times when a patient may need an emergent medical attention but may not be able to pay. During these times the patient should be able to be treated even if the doctor knows that he won’t pay. It is a responsibility of every doctor to tend his services to a patient who needs emergency care even without pay failure to which he will be imprisoned for failing to save a life that would have been saved had he offered his services to the patient on the right time.  Doctors know this and so they strive to give help when these situations pop up.

In medical laws any patient who needs an emergency response has a right to be treated and even a drug addict who is at the verge of losing his life as a result of addiction, withdrawal effects or drug overdose is termed an emergency case and so should be treated just like any other person who might have required a medical emergency from any unfortunate happening like road accident. Any person has a right to treatment at the times of emergency since without treatment the person may become disabled or may die.

Addiction treatment

Both public and private hospitals have a duty to administer medical care to a person experiencing an emergency. It is therefore in every doctor’s domain to treat a patient that needs emergency response failure to which he shall be legally responsible for the death of the patient.

If a hospital hasemergency facilities, it is legally required to provide appropriate treatment to a person experiencing an emergency. If the hospital is unableto provide emergency services, it must provide a referral for approriate treatment. Hospitals cannot refuse to treat prospective patient’s onthe basis of race, religion, or national origin, or refuse to treat someone with HIV or AIDS.

Emergency Medical Treatment and Active Labor Act 

In 1986, Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) (42 U.S.C.A. § 1395dd), which establishedcriteria for emergency services and criteria for safe transfer of patients between hospitals. This statute was designed to prevent transferring an undesirable patient to another facility.The law applies to all hospitals receiving federal funds, such asMedicare. The law requires hospitals to provide a screening exam to determine if an emergency condition exists, providestabilizing treatment to any emergency patient or to any woman in active labor before transfer, and continue treatment until a patient can bedischarged or transferred without harm. It also delineates strict guidelines for the transfer of a patient who cannot be stabilized. A hospitalthat negligently or knowingly and willfully violates any of these provisions can be terminated or suspended from Medicare.The physician,the hospital, or both can also be penalized up to $50,000 for each knowing violation of thelaw.

Addiction TreatmentAny patient who needs emergency attention should receive it since if it is delayed there might be a loss of life. Therefore if a doctor is asked to attend to a medical emergency as defined in this statement, he must respond. This is both an ethical and legal obligation and therefore every doctor should abide. However rare there will be times when attending a medical emergency is impossible or unsafe for the doctor or patient. If a doctor chooses not to attend he or she may be required to defend that decision in the event of a charge of professional misconduct or criminal prosecution. The patient who needs medical attention is therefore catered for and should not be ignored.

A doctor is at risk of being professionally or criminally responsible of the death of a patient if he or she fails to render prompt and appropriate medical care to any person whether the patient is a current patient has just came in, in a medical emergency. A doctor who chooses not to attend must have good reason and be able to defend this position at a later time otherwise he will be charged in a court of law for medical negligence.

However there are situations when a doctor, may or should not attend a medical emergency. These scenarios may include;

  • if he or she is already attending another emergency
  • if it is more appropriate for an emergency service to attend (i.e. ambulance or rescue helicopter);
  • the geographical location of the doctor is such that another doctor or medical service can attend more promptly;
  • if he or she is off duty at the time of the call and has been drinking alcohol or taken medication or other substances to a level that may adversely influence the doctor’s level of competence;
  • If attending the emergency places the personal safety of the doctor at risk.
  • The doctor may also not attend to the patient if he is not in the right state of health himself or when he knows he is not competent enough to help the patient.

However a doctor should be able to take good care of the patient even if he is not able to offer any reasonable help to the patient. He should be able to assist the patient to access another health center where he can be helped. If a doctor fails to attend to emergency because of matters of inconvenience he will be charged and prosecuted.

Addicts just like anyone else have rights to emergency attention that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to patients by availing the needed information and offering them a place to call home. Just call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Life Time Risk of Imprisonment If Not Treated

 

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