Life Fitness R3 recumbent Lifecycle Review

Life Fitness you can not just do an average of bicycles, which provide excellent machine in each time, and R3 is no exception. E 'incredibly comfortable to sit on a bike and use. The padded seat can be adjusted up to 20 degrees and has a breathable back for comfort - a must if you want the sweaty type: 0)

The pedals have a cushioned non-slip surface and are in step with the straps on the feet in place. The action, as with its motorcycles, is silky smooth and very, very quiet. If you have agentle introduction to this exercise bike is a great starting point. But is not everything, if you're already in shape then it will also challenge your limits!

Fitness

As with their other bikes, you should go for the advanced console version of the R3 because it has more programs and a built-in chip for a heart rate monitor chest strap. The basic version is 145 pounds less, but do not get the heart rate programs or the chest strap.

The console is very easy to use and 10preset programs offer enough variety to keep fit and keep exercising. The programs include Hills, Cardio, Race mode and burn fat as appropriate. The fat-burning workout has a resistance to your heart pumps 65% of the maximum him! The program, heart rate hill is even harder to bring up and down variation of the resistance to your heart to 70%, 75% and 80% get the most and let it fall back down to 60% above the valleys. You can almost feel the fat burningout! Good job, has a breathable back: 0)

He also has training programs in the voice of the destination where you want ', calories or distance of the heart rate to reach. You can also run on your computer through a predetermined path with the program of race-mode. The console also features two user profiles, so you and your partner can keep track of your progress.

E 'self-powered so you can put it anywhere because it does not require power. The guarantee is your complete life to the frame, 5 yearsthe alternator, 3 years parts and labor for the rest.

Conclusion:

R3 Advanced The benefit is a superb machine, which is for the beginner and challenge even the strongest individual. It will keep you going for years with its range of programs and well worth the money, in our opinion.

Life Fitness R3 recumbent Lifecycle Review

Physical fitness as an employee pays for employees and employers

More and more these days, employers, from large corporations to small firms, recognizing the value of supporting the efforts of physical fitness of their employees. Your participation in supporting and promoting personal fitness and provide space for various fitness equipment at work and / or time for physical fitness programs to full-scale training and health monitoring.

But what are the benefits for employers and employees of these attitudes andPrograms? Are the benefits worth it?

Fitness

Well, every employer has to judge for yourself, but here is what are the small and large companies linked to the potential benefits are helping their employees improve their health and fitness.

One of the first things that employers can find is that worker productivity improved. This happens for several reasons. First, it is usually reduced the rates of illness and injury, and absenteeismbecause of this and because people feel better about themselves and their job performance. You have more energy to get through the day, both at work and at home, and cope better with stress, from whatever source, and this can help not only their physical presence and power, but can be a very positive impact on their have relationships with other employees. Employees are better able to concentrate and focus on work, and tend to develop theirLeadership and performance capabilities to a greater extent than physically fit.

Of particular interest to employers is the fact that costs can be cut for health care benefits to all employees fitness programs are available. This is because many health professionals recognize that their lower cost if the workers are fit and healthy.

As mentioned earlier, employees in better health and a better ability to cope with stress benefit.It is also generally more experienced and improved self-image, self-esteem and general feeling overall physical and mental well-being. Many people report a better ability to depression or even disappearance of symptoms when they reach the states to support good condition.

Improved physical fitness usually takes more strength, cardiovascular health and reduce weight. The weight loss is in itself is of great importance such as obesity is aMajor risk factors in these diseases and conditions such as heart disease, cancer, hypertension, stroke and diabetes.

Of course, if people are healthy, employers have a better chance of being healthy. However, do not eliminate the health and fitness, if the worker goes home! Physically fit employees are more likely to better relations with family members and can have, and have to spend more able and willing to spend more time with their children. It has long beenknown that parental involvement with children can make an important factor in helping combat problems such as drug abuse, teen pregnancy and obesity in children.

If employees are in shape, size, industry, communities and all stakeholders and able to conduct their personal, business and government activities.

On the third Wednesday in May, the National Association for Health and Fitness (www.physicalfitness.org) operates National Employee Health & FitnessDay, the largest construction site health and fitness event in North America.

Physical fitness as an employee pays for employees and employers

Universal Health Care

Universal Health Care has created a kind of government where every citizen is given a country's access to various forms of medical care, even if you do not have the resources to pay out of pocket. While citizens may be able to pay out of pocket for some services, most of the money for universal health care will come through taxes or insurance. One of the first countries to establish this form of health care success in Germany with Otto von Bismarck. But thefirst universal health care program was created in Britain.

Some of the other countries that offer universal health care are Australia, France and Italy. Virtually all industrialized countries currently offers a kind of universal healthcare except the United States. While the definition of universal health care remains largely the same, the very structure of this system vary from country to country. The system also varies in terms of how theGovernment is involved. For example, while some countries allow private doctors to offer their services, not elsewhere. In the United Kingdon, doctors may decide to offer services outside the government system, but Canada has more restrictions on their medical services.

Health

It 'important to identify for the reader that Universal Healthcare is a very broad concept. There are a number of ways in which such a system can be used. But the key factor in the implementationthe process belongs to the way all citizens within a nation are given access to medical care at an affordable price. Since the implementation of this system requires a large amount of money to fund many governments tax their citizens around him. The government also decides how the care should be given and which may receive certain benefits. While many countries use taxes to finance the health system, the patient may still need to pay a fee as its relatively smallgood.

Since the system of universal health care has worked so well in many countries, some citizens and politicians in the United States to establish such a system at home is proposed. American supporters of universal health care are rapidly rising cost of commercial insurance as evidence that Universal Health Care would work point. In reality, the cost of health insurance in the United States has so high that millions of Americans go without healthInsurance each year, and they are sick or injured, the cost of medical care that they go bankrupt.

Supporters of universal health care, maintain that their system would be to use more accessible for all Americans can afford health care, and millions would not have to go without health insurance. While the U.S. currently does not have universal health care, providing health care for certain segments of the governmentPopulation, such as veterans, disabled, elderly, or those currently serving in the army.

It 'important to note that universal healthcare is not without its opponents. Those who oppose universal health care often raise questions that they would pay more taxes in such a system. These people argue that it is due depending on the amount of fees, many of the same people who can not afford health insurance there are currently difficult to pay taxes for aUniversal Health Care System. When taxes are too high, they argue, then the rich would suffer the largest tax burden, but this is the same group who need universal health care, at least in the first place is because they can afford to pay for private health care .

Many Americans with high incomes should be rejected for Universal Health Care because they feel compelled, for something that I personally do not need to condemn. Supplements of their private doctorInsurance, which would then pay taxes for universal health care, a service, would probably not have used. Opponents of universal health care argue that the constitutional issues that come into play. They argue that the 10th Amendment of the Constitution states that all SU powers not granted to the U.S. government in the Constitution may be adopted by countries.

Opponents argue that the 10th Change indicates that only the American states ofPower on the question of universal health care, not the federal government to decide. However, supporters of universal health care counter this by saying that the system worked successfully in other industrialized nations, and if it works, it could also in the U.S. Sun One thing is sure that there are strong arguments to be seen by both sides of the fence, and only time, which side is right. It should also be noted that about 15% of U.S. GDP on health care must bePayments, and this is the highest for a country on the planet.

It should also be noted that over 80% of the U.S. population has some form of health care, both through their work, the government or a private company. This has led some opponents of universal health care say that this system is not necessary, since only a small percentage of the American population has no health insurance. However, according to supporters, who, although 80% of Americans have some form of communication,20% which is not too much. Does the fact that 20% of the U.S. population would be about 60 million people, to examine not be the subject of reports, it is hard to argue with that point.

It should also be noted that the cost of health care in the United States one of the fastest growing phenomena in recent history. In fact, the rising cost of healthcare is rising faster than the rate of general inflation. From 2001 to 2007, the rate of family health insurance premiumsmore than 70%, which is unprecedented. In addition to a program of government based on universal health care, many cities and states in the U.S. is already in the process of implementing their plans for universal health care.

Universal Health Care

Are you taking the right medication?

Let's face it: playing doctor as the most exciting children exposed distinction between boys and girls. But new research has found some less obvious differences between the sexes, in particular, our responses to medicines.

Men and women have changes in every organ of the body, says Marianne Legato, MD, director of Columbia University's Partnership for Gender Specific Medicine. For starters, our liver produces different versions of enzymes (chemicals that break down drugs) which affect how the drug. We've compiled some essential facts of drugs to help you avoid getting treated like one of the boys.

Acetaminophen (Tylenol)

What is the diff?
A woman's liver takes longer to process pain reliever found in many OTC medications, making overdose liver damage and more likely.

What to do about it
Try to limit your intake to four 325-milligram tablets or less per day. Check labels for paracetamol in all OTC medicines.

Antidepressants

What is the diff?
Women have more brain cells that bind to serotonin receptors sense, so are more susceptible to mood effects of growth.

What to do about it
If you're worried you might be depressed, ask your doctor about Paxil, Prozac and other selective serotonin reuptake inhibitors (SSRIs). We meet probably better because SSRIs prolong serotonin while hanging on brain cells. Other drugs such as monoamine oxidase inhibitors (MAOIs) and Marplan Nardil and tricyclic antidepressants such as Elavil, not as effective target serotonin.

Prednisolone

What is the diff?
This treatment with steroids for asthma is less effective when progesterone levels are high, because the hormone drug absorption rate. As a result, output meds and leave the system faster, more vulnerable to attack during the two weeks before your period.

What to do about it
Talk to other medications with your doctor. Sometimes, the pill can regulate the levels of progesterone, a steroid can work different, or prednisolone in the premenstrual increase when you could be an option.

Erythromycin

What is the diff?
High levels of erythromycin, used to treat bacterial infections such as bronchitis and strep can cause irregular heartbeats. Because a woman's heart is normally a fraction of a second longer to return to rest between beats, further disruption can be life threatening.

What to do about it
Ask your doctor if an antibiotic does not affect heart rate would be safer.

4 Healty Mood Boosting Foods

You began to feel a little down? The mood began to suffer in recent times? If so it could be up to the foods you are eating.

You may not know this, but the foods you eat can have a significant impact on how you feel. That is why today I'm going to provide you with a list of four mood boosting foods.

1) DARK CHOCOLATE: - Most people like to eat chocolate because of its taste, but few are aware of their mood boosting properties. Dark chocolate contains a substance called phenylethylamine, which has a strong influence on mood. Besides all that increases serotonin levels in the body which has a key role in regulating your mood and helps prevent depression.

2) NUTS - Nuts are a fantastic food and healthy snack is high in fiber, healthy fats and proteins. They can also help improve your mood, because they contain high levels of omega 3 fatty acids. Research suggests that eating foods containing omega 3 fatty acids increases the amount of gray matter in the brain linked to mood. Other studies have also suggested that people with low blood levels of omega-3 will have a worse outlook on life.

3) Tea - This popular hot drink is a fantastic way to boost your mood. Do not just sit for a cup of tea to allow you to have a little break and relax the mind, but can also improve your mood. Research suggests that the ingredients in tea may help you recover faster and reduce the stress levels of cortisol (stress hormone) in blood.

4) SALMON - Salmon has a number of health benefits and more sources of health suggests that eating at least two servings of fish per week. However, it is also a great mood booster as being rich in omega 3 fatty acids and vitamin D. As discussed above omega 3 can improve your mood in a number of ways. Vitamin D also helps to control your mood, increasing your serotonin levels.

As you can see the ingredients of the foods you eat can have a major influence on mood. Not only are the healthy foods mentioned in this article, but they can all help improve your mood too. So if you feel you could make your mood a boost, then start adding one or more of the above foods in your diet today.

Easy Guide To Dental Health

People begin to learn about oral health from a very young age, when the first teeth start to appear. But despite the early awareness, many people fail to maintain good oral health through their adult life.

Good dental health comprises brushing and flossing every day, and regular visits to the dentist or dental hygienist as well.

Besides, people supplement their services with the use of dental products like mouthwash or advanced mouth care of. You should keep this in mind that the lack of proper dental care will result in decay and gum disease.

In general, we recommend that you use a soft bristle brush in order to protect your gums. Some people, however, prefer to brush energy systems that help break down plaque and bacteria in your mouth.

But it takes more than brushing your teeth to maintain their good health. Some other measures must be taken to ensure that people do not lose their teeth as they become older.

To begin, you must understand their own oral health needs with your oral health depends on your diet, the type and amount of saliva in your mouth, your health and your oral hygiene routine. Try to follow a daily routine, in consultation with your dentist.

How Does Fluoride strengthens developing teeth in children and prevents tooth decay in adults, toothpastes and mouthwashes containing fluoride should be used. You should brush your teeth at least twice a day if possible or three times after each meal. You should also floss at least twice a day. Brushing and flossing removes plaque, a mass of bacteria that constantly forms on teeth.

Limit consumption of snacks and follow a balanced diet plan. Tobacco in any form will increase the risk of oral cancer and cause stains on teeth. Visit your dentist regularly and get your mouth examined.

Should You Kick the Multivitamin Habit? (chapter3)

Buyer Beware: Who's minding the shop's vitamin?

It still shocks people that the FDA does not regulate supplements, including vitamins, minerals and herbs, just as for drugs. Supplements will not need to undergo any safety testing before arriving in stores. Despite 2007 legislation that increased marginally to FDA authority, health and safety Critics say the FDA has sufficient resources to oversee the sector.

Some new bills proposed in Congress would give FDA more oversight and execution of the muscle, but in the meantime, these corridors are truly buyer beware areas. Protect yourself: Choose products with seals of quality-testing companies such as United States Pharmacopeia (USP) and NSF. Supplement companies pay to have their products evaluated according to the strictest protocols that check for contaminants and to ensure that the products contain exactly what their labels say. You can also subscribe to ConsumerLab.com, an independent testing organization, for reports on groups of specific supplement such as omega-3. Finally, do not take supplements without talking to your doctor. Many interact with medications or can worsen health conditions.

Are you eating more vitamins than you think

You will find that many of the same vitamins and minerals in their multiples also are plentiful in fortified foods like orange juice, cereals, yogurt, juice, bread, pasta, and more. Check food labels to see how many nutrients you consume from these popular choices and integrate these in your supplementation.

Supplement

Vitamin D
Over 50% of U.S. adults are deficient in D-no wonder, considering that it is virtually impossible to get enough food and most of us do not spend time outdoors enough for our body to synthesize this nutrient from the light solar. Vitamin D can prevent bone fractures is well documented, and a series of new research shows it may also protect against heart disease by improving levels of immunity and fight weight gain.

Omega-3
Best known for benefits to heart health (doctors prescribe high doses of pills for treating high triglycerides / low HDL cholesterol), these unsaturated fatty acids, which most of our diets lack, you can also improve skin and protect against depression and dementia. Get those with combined DHA / EPA.

Calcium
Deficiencies are linked to osteoporosis and bone fractures, and most women are up to 33% below recommended levels. However, vitamin D is essential for proper absorption of calcium, and getting plenty of calcium without enough vitamin D can cause health problems, including an increased risk of heart attack, according to the results of a new British study Medical Journal. Your doctor can help you determine whether a calcium supplement is right for you based on your diet and other risk factors for osteoporosis.

Should You Kick the Multivitamin Habit? (chapter2)

Moreover, the very concept of a multivitamin as a system of nutrient supply is limited. We now have a much better understanding of how whole foods deliver their nutritional benefits. A typical multi contains 10-25 isolated nutrients, but fruits and vegetables have hundreds of active compounds with a long list of health properties. "Vitamin C in a multivitamin is probably just not as effective as vitamin C in citrus fruits, which is also surrounded by fiber and flavonoids and carotenoids. All these nutrients work together is what really keeps you healthy," explains Dr. Neuhouser.

Thus, even when you're not eating a healthy diet, there is no evidence that a multivitamin is the right tool to fill the gaps. "And do not offset the major nutrients to combat the disease of average American woman is missing, such as fiber, omega-3 and vitamin D," says Dr. Katz.

For his part, Dr. Katz does not recommend multis most of their patients, nor take them yourself. Neither Kathleen Fairfield, MD, associate chief of medicine at Maine Medical Center and co-author of the JAMA article of 2002, which recommended multivitamins as prudent health measure. Many advisors who specialize in cancer prevention and nutrition research recently told us that they stopped taking and recommend multis too.

Therefore, you should quit cold turkey? It is true that the average American woman is a healthy eater or not, probably will not benefit from a multivitamin. But the supplements are still recommended for certain groups based on dietary habits or lifestyle. And most women still need some supplements to compensate for certain strategic gaps in the diet.

Can not give up your Multi?

If you still can not bear to part with his security blanket multivitamin or if you need a base in the chart below, make sure you choose the right path. In an ordinary pharmacy, you will find about 50 different versions for adults, with very different formulations and add-on ingredients. Some guidelines:

First, avoid "overstuffed" brands. Pay attention to the words tip-off, as an advantage, ultra, mega and / or formulas for specific health needs, such as menopause or energy. These are likely to contain higher doses than you need or questionable herbal ingredients.

Second, read the label so you never OD on your multivitamin is best to get to the most pared-down you can find. Avoid those with 100% or more of the Daily Value of vitamins A, E and K (unless you're pregnant), folic acid, many of these can cause health problems. Higher levels than are good for some nutrients such as vitamins B complex

Should You Kick the Multivitamin Habit? (chapter1)

If you are like many readers, Prevention multivitamins were an essential part of your daily routine since ... well, forever.

As recently as 2002, no less an authority than the Journal of American Medical Association recommends that "all adults take a multivitamin daily." We at Prevention have suggested you dozens of times over the years as well. And many doctors and nutritionists also encourage a multivitamin for any "eater of less-than-perfect" to compensate for dietary deficiencies.

But today, a tsunami of scientific data that resulted in a reversal in the thinking of many experts, including community health and nutrition, including Miriam Nelson, PhD, director of the John Hancock Center for Research in Physical Activity, Obesity and Nutrition at Tufts University . "The multivitamin as an insurance policy is a fairy tale," and we need to demystify it, "she says.

Radical change is supported by two massive studies. The first, a review of 63 randomized, controlled studies (the gold standard research method) in multivitamins, published by the Agency for Healthcare Research and Quality, found that multis did nothing to prevent cancer or heart disease in most populations ( with the exception of developing countries where nutritional deficiencies are common). In the second article, published last year, scientists at the Fred Hutchinson Cancer Research Center followed 160,000 postmenopausal women for nearly 10 years. The researchers' conclusion: ". Multivitamins could not prevent cancer, heart disease and all causes of death for all women whether the women were healthy eaters or eat fewer fruits and vegetables, the results were the same," says author Marian Neuhouser, PhD

Maybe you never expect the Multi to prevent breast cancer or head of a heart attack. Maybe you just felt that it would take a make it healthier by increasing their immunity or energy level. But research on the benefits is also disappointing, especially in groups that specialize in what you would expect them to have an impact. For example, a British review of eight studies found no evidence that multis reduction of infections in older adults. Another study found that the vitamins did not improve fatigue in patients with breast cancer undergoing radiotherapy. And the inner city school that had a cross made no better on tests and have fewer sick days than those students who do not have one.

"There is still a small body of evidence that may suggest damage of a cross," says David Katz, MD, MPH, director of the Prevention Research Center Yale University School of Medicine. A study of 2010 Swedish women found that those who took multivitamins were 19% more likely to be diagnosed with breast cancer over a period of 10 years than those who did not. A document dated 2007 in the Journal of National Cancer Institute found that men who took multivitamins along with other supplements were at increased risk of prostate cancer. And other research related to excessive intake of folic acid with an increased risk of colon cancer in people who are predisposed. "In terms of a risk-benefit ratio," says Dr. Katz, "Why would you take even a small risk, if you're not getting any benefit?"

So why previous researchers so wrong? One reason is that they were studying the wrong people. It is now known that people who take vitamins tend to be healthier than some of the planet to begin. Researchers have shown that vitamins tend to be thinner, richer and more educated. They smoke and drink less because they exercise more and go to the doctor. In other words, they are healthy, despite their use of multis.

Five Signs It May Be Time to Break Up With Your Doctor

Recently an interesting discussion has been taking place at Caring.com. The subject? What to do when the doctor isn't listening to you or the person you're caring for, not carrying out your wishes when it comes to treatment and medication choices, or recommending drugs or treatments that seem inappropriate for much older patients. Here are a few examples:

• LindaSD says her mom's doctor tries to make her feel guilty when she asks to remove a medication from her mom's regimen or refuses a procedure. Her mom, who is 90, is in late-stage Alzheimer's, so she decided not to give Aricept and to refuse a colonoscopy, but had to fight those battles with the doctor who disagreed.

• Grannylove2 feels it's important to honor her mom's decision not to take Aricept for her advancing Alzheimer's, and told a story of her mom being admitted to the ER for a cracked ankle, then falling off the bed while having X-rays and shattering her heel and arm.

• Anonymous says it's important to find a doctor with geriatric experience, and you may need to change doctors if the relationship isn't working. If you don't know any doctors in your area with geriatric experience, you might try asking someone at a local senior center or assisted living facility; they usually have experience working with local doctors with expertise in aging.

• Oldylocks reminds everyone to get an irrevocable POA for medical decisions and make sure you or someone else attends all medical appointments to advocate for the elderly patient.

Here are five signs it may be time to "break up" with your doctor:

1. You feel the doctor blames, ignores, or criticizes you or the person in your care
2. The doctor doesn't respond to your feedback, or becomes defensive or unpleasant
3. It seems the doctor isn't taking your family member's pain or other symptoms seriously enough
4. You find out about treatments that can help that the doctor hasn't told you about
5. The doctor doesn't explain treatment options clearly, resulting in mistakes

In this case, your best bet is to change doctors, and find one you can work with to provide the best care. Doctors often say that if a patient is going to change doctors, they'd appreciate hearing it directly rather than suddenly receiving a "sneak" request for medical records to be sent to another doctor. In general, I think they're right; honesty is the best policy. But if you've had a truly unpleasant exchange with your doctor, I believe it's your prerogative to find a new doctor and ask the staff to fax over the request for records. You're not obligated to engage in another confrontation.

6 healthy ways to detox

Find yourself eat junk food a lot lately? You must feel free to rehab. But resist the appeal of the juice diet, fasting and other clean fashion, but potentially dangerous. Our plan involves "eating clean", focusing on naturally nutrient-rich whole foods, cuts and bites processed.

1. Skip added sugar
"White sugar, brown sugar, honey pumps, all the sugar calories in your diet and your blood sugar spikes," says nutritionist Joy Bauer. Consume much of which also promotes inflammation, which may increase the risk of heart disease and certain cancers and make you feel tired and foggy.

What to do? Stay away from foods that list sugar, corn syrup or glucose-fructose on the label. syrup, high fructose corn sweetens many processed foods, including meats and ketchup, and food manufacturers often add it to foods low in fat to make them more palatable. Like table sugar, HFCS can cause spikes and dips in your blood sugar level, and some research suggests that may interfere with the signals of hunger and fullness hormone leptin sends, leaving it less satisfied.

2. Avoid Bad Fats
Saturated fats and trans fats can clog your arteries and promote inflammation. Nix trans fats in fried foods and dodge anything made with hydrogenated vegetable oils (check labels). And to limit saturated fat to less than 7 percent of their total daily calories, cleaning the high-fat meat, and choosing marble or skim milk 1 percent fat instead of full fat.

What to do? Saturated fat also can do it ... well ... fat. According to a recent study, certain types of saturated fat (think: red meat, whole milk, cheese and butter) can actually replace the handy "whoah, I'm stuffed, stop eating!" signals your body sends. But not entirely clear fat off your plate: oleic acid, the type of unsaturated fat in olive oil, avocados and nuts, has the same effect. Oleic acid also helps reduce hunger and improve the digestion of fat.

3. Pump Up Proteins
Lean protein from sources like chicken and wild salmon preserve lean mass, and have some at every meal stabilizes blood sugar levels and helps you feel fuller. Divide your weight in pounds per second which is how many grams of protein you should aim to give every day, says Bauer.

What to do? Pump up your protein intake of non-animal origin such as whole grains, tofu and beans can also reduce your blood pressure. These foods are also rich in fiber and magnesium, which can help reduce the risk of dying from heart disease by 5 per cent. Toss tofu into salads or snack on unsalted nuts and seeds.

4. Be a teetotaler
"Alcohol is taxing on the liver, and that decreases your inhibitions, making it hard to resist unhealthy foods," says Bauer. Stick to water, seltzer, tea and coffee mostly, but not enter into a glass of red wine. Resveratrol, the potent antioxidant vino tinto, may help prevent cancer, keep the heart and brain healthy, reduce inflammation, and even help prevent diabetes! Not to mention how it can help you relax and feel a little better after a long day, right?

What to do? But do not forget to keep one cup per day, drink a lot, not only increases the risk of high blood pressure, liver damage and obesity, also mess with your skin!

5. Reach Fiber
Soluble fiber in oats and beans are filling, making it a key tool in weight loss. It also helps to pull out cholesterol from the bloodstream by passing through the digestive tract.

What to do? Make a list of fiber-rich foods you love and keep a supply at the ready. We're not just talking about cereal berries, fruits, potatoes and edamame all count. Work as many as you can into your day. Studies suggest that people absorb up to 6 percent fewer calories when they follow a diet rich in fiber, and at least 34 grams of fiber per day. Having two foods with at least 3 grams of fiber per serving each day.

6. Chew, swallow, repeat
Having calories at regular intervals keeps your blood sugar steady and strong metabolism. Breakfast within 90 minutes of waking, says Bauer, and aim to eat about every four hours. And did you know that certain foods you can eat more to weigh less, including meat, eggs and parmesan cheese? The right foods help you drop pounds by revving your calorie burn and reduce cravings.

What to do? Eat every four hours also means being prepared. Store healthy snacks to work and maintain an energy bar in your purse for emergencies hungry!

Beautiful Skin as Easy as A-B-C [part2]

Vitamin C: All-Around Anti-Ager
Find it in moisturizers formulated to keep vitamin C stable (opaque, airtight containers are ideal). Look for C near the middle of the ingredients panel to help ensure the 5% or higher concentration needed to see benefits, advises Hema Sundaram, MD, a dermatologist in the Washington, DC, area.

Proven to mop up the free radicals that trigger wrinkling, sagging, and other aging changes. Vitamin C also helps smooth and firm skin and fade brown spots. In one study, women who treated sun-damaged skin with a C cream for 6 months saw significant improvement in fine lines and discoloration. Though the benefits of retinoids (see vitamin A) and vitamin C sound similar, using both delivers more complexion perfection. "Skin aging occurs in various ways, so you need multiple forms of defense and repair," says Lupo.

How to use
Apply vitamin C in the morning before sunscreen to shield your skin from any UV-generated free radicals that get by your sunblock.

Try
SkinMedica Vitamin C Complex ($85; skinmedica.com) or Avalon Organics Vitamin C Renewal Facial Cream ($21; avalonorganics.com). These products contain ascorbic acid or magnesium ascorbyl phosphate (the skin-friendliest forms of C) in combination with vitamin E (it's listed as alpha-tocopherol or tocopherol acetate). This duo provides 4 times more protection against free radicals when applied together.


Vitamin E: Eases Dryness and Bolsters Skin's UV Defense
Find it in sunscreens and after-sun products. The best products contain at least 1% vitamin E, so it will be listed near the middle of the ingredients panel.

Proven to quell dryness by helping skin retain its natural moisturizers. Also, vitamin E's potent ability to neutralize damaging free radicals has earned it the moniker "the protector." A slew of studies document its superstar status. In one, E significantly reduced the number of these unstable molecules created after exposure to cigarette smoke. Others show that when it's used before UV exposure, skin is less red, swollen, and dry.

How to use
Apply before and after serious sun exposure. A single strong blast of UV light can destroy half the skin's natural supply of E, so shore up defenses by slathering on a sunscreen supplemented with E and C before going into the sun — the C helps ensure effectiveness. An after-sun salve with E helps, too, says Oceanside, CA, dermatologist Jens Thiele, MD, PhD, a vitamin E expert; some studies show that the anti-inflammatory action kicks in to reduce damage even after you've been in the sun.

Try
Neutrogena Age Shield Face Sunblock SPF 55 ($9.50; drugstore.com), MD Skincare Powerful Sun Protection SPF 30 Sunscreen Packettes ($42; sephora.com), Clinique After-Sun Rescue Balm with Aloe ($20; clinique.com), or Hawaiian Tropic After Sun Body Butter ($6; drugstores).

Beautiful Skin as Easy as A-B-C [part1]

The solution: applying vitamins topically to deliver maximum benefits — everything from improving texture and tone to fading under-eye circles

Vitamin A: Best Overall Age Fighter
Find it in OTC lotions, night creams (vitamin A derivatives are known as retinoids), and prescription products.

Proven to reduce wrinkles, fade brown spots, and smooth roughness. "There are more than 700 published studies on retinoids — they're tried-and-true ingredients. Anyone who wants younger-looking skin should use one," says Doris Day, MD, assistant clinical professor of dermatology at New York University Langone Medical Center.

How to use
Apply your retinoid at night — sunlight inactivates most forms of vitamin A. Prescription retinoids work fastest, within 4 to 8 weeks. The downside: They're irritating, causing redness, scaling, and flaking that last for weeks or longer. OTC products are best for beginners; you'll experience fewer side effects because the retinol they contain is slowly converted to retinoic acid, the active ingredient in Rx creams. To avoid irritation, apply an OTC or prescription retinoid every second or third night, at least for the first 2 weeks, and build up to nightly use. Apply sparingly; a pea-size amount is enough to cover your entire face.

Try
Neutrogena Dermatologics Retinol NX Serum ($65; qvc.com) or RoC Multi-Correxion Night Treatment ($25; drugstores). If your skin is sensitive, two new retinoids are particularly gentle. Clinical studies show that retinyl propionate, available in Olay Professional Pro-X Deep Wrinkle Treatment ($42; drugstores), significantly improves skin after 12 weeks without being as drying as the more potent retinol. Ready to trade up to an Rx retinoid? Ask about Atralin (about $150), which contains two potent emollients. "Even my most sensitive patients are able to tolerate it," says Day.

Vitamin B3: Boosts Hydration to Reduce Redness
Find it in lotions, creams, and serums. It's often called niacinamide on the label.

Proven to increase production of ceramides and fatty acids, two key components of your skin's outer protective barrier. "As that barrier is strengthened, skin is better able to keep moisture in and irritants out — making B3 a great ingredient if your complexion is dry or sensitive," says Leslie S. Baumann, MD, director of the University of Miami Cosmetic Medicine and Research Institute. In one study, a moisturizer with niacinamide improved the flushing and blushing of rosacea, a common condition that can worsen with age. Another B3 benefit: It inhibits the transfer of pigment to skin cells, minimizing dark spots.

How to use
For maximum results, apply B3 in the morning and evening. To reduce irritation from your retinoid, use it in conjunction with niacinamide. "Mix them together in the palm of your hand before applying—they won't inactivate each other," says Baumann. Besides decreasing side effects, the combo produces superior anti-aging benefits.

Try
La Roche-Posay Rosaliac Anti-Redness Moisturizer ($30; CVS) or Olay Regenerist Micro-Sculpting Cream ($25; drugstores).

Acid reflux may disrupt sleep

Chronic acid reflux often people can wake up at night, even when no symptoms of heartburn, a small study suggests.

The study, 39 adults with gastroesophageal reflux disease (GERD) and nine adults without GERD, found that those with digestive disorder tends to wake up more frequently during the night - an average of three times a night, compared to just under twice a night for their counterparts without GERD.

Their sleep disruptions are often associated with episodes of reflux, as measured by a tube placed in the esophagus during the night.

However, according to the study, most of awakenings were not stimulated by perceived heartburn symptoms, GERD patients reported symptoms in detecting only 16 percent of sleep disruptions.

The results, although based on a small group of patients suggest that GERD may be contributing to poor sleep more often than has been suspected, said lead researcher Dr. Ronnie Fass, head of gastroenterology at Southern Arizona VA Health Care System in Tucson.

In an interview, Fass said that when physicians evaluate patients for the night GERD problems usually ask about your symptoms. However, current findings suggest that "some to wake up is symptomatic, but many will not," he said.

Fass suggested that people with GERD tell your doctor if you are waking up frequently during the night, even if it feels that the symptoms of heartburn are the cause.

Then they could see if gaining better control of GERD improves your sleep, "said Fass.

Some forms of management of GERD include weight loss, if necessary, avoid foods that stimulate the symptoms and eating small, frequent meals, and for the problems of the night, elevating the head of the bed 6-8 inches using blocks of wood under the bedposts.

Medications for the relief of symptoms include antacids and acid-reducing drugs known as H2 blockers - such as ranitidine (Zantac) and cimetidine (Tagamet). Another class of drugs known as inhibitors of proton pump (IBP) can be prescribed to help prevent episodes of acid reflux, particularly in people with more severe GERD.

The study, published in the journal Clinical Gastroenterology & Hepatology was funded in part by Takeda Pharmaceuticals, which makes the PPI drug Prevacid. Fass served as a consultant and researcher at the company.

The results are based on 39 middle-aged adults with GERD who had been taking at least three episodes of heartburn per week over the previous three months, along with nine other healthy adults.

All participants underwent monitoring of sleep during the night, when a device worn on the wrist recorded their movements and a probe placed in the esophagus measured cases of acid reflux. The H2 blockers stopped using drugs at least three days before entering the study, and any use of PPI was arrested at least three weeks before.

In general, the study found that 90 percent of GERD patients are awakened at least once during the monitoring during the night, with most of awakenings (52 percent) is associated with an episode of acid reflux.

In the healthy comparison group, 78 percent were awakened at least once, but never in relation to acid reflux.

Fass and his colleagues also found that in patients with GERD, reflux episodes do not usually came before, but then woke up. If acid reflux usually happened later, and most of awakenings were not accompanied by symptoms of heartburn, it is unclear why GERD patients tend to wake up more often, researchers say.

One possibility, they say, is that the activity of the nervous system helps trigger the acid reflux actually wake people from sleep before reflux occurs. Why are these episodes so often be free of symptoms is unclear, but one theory is that sleep reduces the sensitivity of the esophagus to stomach acid.

However, Fass and his colleagues note, some previous studies have found that the vast majority of episodes of acid reflux seen in GERD, no matter what time of day, can not actually cause clear symptoms.

Are You Living in America’s Top 10 Fittest Cities?

A new American Fitness Index report, published by the American College of Sports Medicine, has revealed survey results from America’s largest metropolitan areas.

Ranking 50 communities by fitness levels, obesity rate and 30 other factors came up with a few surprises.

1. Washington, D.C.

• Overall Score: 73.5
• Obesity Rate: 22.6%
• Exercise Rate: 80.1 %
Given the sedentary rate of bureaucrats, you wouldn’t think of this as the #1 city, but this East Coast metropolis likes its veggies and farmers markets, has a low percentage of population with diabetes or heart rate, and has a high ratio of parks to residents.

2. Boston, Massachusetts

• Overall Score: 72.6
• Obesity Rate: 19.9%
• Exercise Rate: 78.6%
One of the few states that mandates health insurance, residents enjoy a high rate of health care providers, parks and recreation offerings, and keep smoking to a minimum.

3. Minneapolis, Minnesota

• Overall Score: 71.7
• Obesity Rate: 29.5%
• Exercise Rate: 84.3%
The higher obesity rate is offset by a physically active community, where people cycle to work and love to play golf and tennis.

4. Seattle, Washington

• Overall Score: 70.5
• Obesity Rate: 22.8%
• Exercise Rate: 81.9%
This is an area with abundant parkland and outdoor activities, from boating on one of the lakes or bays, to cycling and jogging.

5. Portland, Oregon

• Overall Score: 70.4
• Obesity Rate: 23.9%
• Exercise Rate: 82.3%
Public transit is big in this Northwest area and is used in conjunction with walking and cycling. There is also a lower percentage of smokers and people affected with diabetes.

6. Denver, Colorado
• Overall Score: 69.9
• Obesity Rate: 19.3 %
• Exercise Rate: 83%
A physically active town with more than its share of swimming pools, golf courses, tennis courts and baseball diamonds.

7. Sacramento, California

• Overall Score: 65.8
• Obesity Rate: 21.4%
• Exercise Rate: 82.3%
Sitting in the heart of California’s farmland, farmers markets and farm stands are plentiful meaning that residents get their fill of fruits and vegetables. Add to that the high number who cycle or walk to work and the abundance of parks, playgrounds and recreational amenities.

8. San Francisco, California

• Overall Score: 64.7
• Obesity Rate: 18.4%
• Exercise Rate: 81.5%
A slightly lower obesity rate than its northern cousin, but residents don’t quite get as much exercise. The factors affecting these scores is pretty identical to those of Sacramento.

9. Hartford Connecticut

• Overall Score: 64.4
• Obesity Rate: 21.1%
• Exercise Rate: 77.2%
Higher incomes and lower poverty rate contribute to these scores, along with recreational amenities and higher numbers of primary health care providers.

10. Austin, Texas

• Overall Score: 63.9
• Obesity Rate: 22.5%
• Exercise Rate: 78.4%
The lone Southern community to be ranked in the top 10, employment and diet have a lot to do with its success in this ranking, as well as keeping asthma, diabetes and cardiovascular disease lower.

10 dirtiest hospital secrets [chapter5]

9. "Stay away from hospitals in July like the plague."

If possible, stay out of hospital during the summer, especially July. That is the month when medical students are interns, interns become residents and fellows and medical residents in networking. In other words, a good part of the staff in a teaching hospital because it is new to the job.

Summer hospital horror stories are not just medical science: The adjusted mortality rate rises to 4% in July and August for the average major teaching hospital, according to the National Bureau of Economic Research. That means that the deaths of eight to 14 more are produced in major teaching hospitals than normal without the turnover.

Another programming advice: Try to book surgeries first thing in the morning, preferably early in the week, when doctors are at their best and before schedules the backup.

10. "Sometimes we do not know how to keep his mouth zipped."

Contrary to belief, the exchange of patient information with a third party is often perfectly legal. In some cases, the law allows your medical records to be disclosed without asking or even notifying you. For example, hospitals will deliver information about your treatment to other doctors, and easily share the details with insurance companies to make payments.

That means that about millions of entities that are not heavily involved in the system of health care have access to this information. These matches can even transfer the data to its trading partners, says Deborah Peel, founder of the Foundation of Patient Privacy Rights in Austin, Texas.

10 dirtiest hospital secrets [chapter4]

7. "All hospitals are not created equal."

How to tell a good hospital from a bad one? For one thing, nurses. When it comes to their own families, medical workers favor institutions that attract nurses. But they are harder to find as the country's nursing shortage intensifies, for 2020, a deficit of about 1 million nurses. staffing under the nurse directly affected patient outcomes resulting in more problems such as urinary tract infections, shock and gastrointestinal bleeding, according to a 2001 study by Harvard and Vanderbilt University professors.

Another thing to consider: The local hospital could have been great to welcome his son into the world, but that does not mean it is the best place to undergo open heart surgery. Find the installation with the longest record of the track, the better survival rate and higher volume in the proceeding; dont want to be the replacement of hip team in third place, says Samantha Collier, HealthGrades chief medical officer, the hospital fees.

A website of the American Nurses Association lists "magnet" hospitals - those most attractive to nurses - and a call to the supervising nurse of a hospital must provide the nurse-patient relationship.

A good tool to help consumers evaluate hospitals is a website operated by the Department of Health and Human Services hospitals compared with national averages in certain areas. The site includes information about the ability of hospitals caring for patients with certain medical conditions, and the results of patient surveys asking them about their stay, said Anne F. Weiss, senior program director of the Robert Wood Johnson Foundation, a health care nonprofit.

8. "Most ERs are in need of some urgent care themselves."

A 2007 study from the Institute of Medicine found that emergency departments are overburdened hospitals, funds and ill-prepared to handle disasters as the number of people using ERs for primary care continues to rise. An ambulance was turned away from an ER once every minute due to overcrowding, according to the study, the situation is aggravated by the scarcity of many backup services on call for cardiologists, orthopedists and neurosurgeons.

Almost three quarters of ER directors reported inadequate coverage by specialists on call versus 67% in 2004, according to a 2006 survey conducted by the American College of Emergency Physicians.

If you can, avoid the RE 3 pm-1 am - The most active of change. For a short wait, early morning - anywhere 4-9 am - is your best bet. If you are having severe symptoms, such as the worst headache of your life or chest pains, a triage nurse is trained to recognize whether your symptoms are a medical emergency. I only know that the emergency department staff are stressful during busy times, but give "honest descriptions of their symptoms and really work with the staff is the best way to advocate for you and your family as a patient," says Darria E. Long, a doctor in the Yale department of emergency medicine.

10 dirtiest hospital secrets [chapter3]

5. "Yes, we take your insurance, but we are not sure about the anesthesiologist."

The last thing on your mind before surgery is to ensure that all doctors involved in the network. But because the answer is often no for anesthesiologists, pathologists and radiologists, which is a patient to do?

Los Angeles entertainment attorney and patient advocate Michael A. Weiss repeatedly turned away out of network medical management of pain in a hospital visit.

If you are alert enough, ask someone in your network. If you're seeing a doctor or go to any medical facility, call your insurance company to obtain a current list of network doctors, hospitals and laboratories. Also, if the appointment was referred by his primary care physician, the application programming staff to find specialists, hospitals and laboratories in the network. Then check with your insurance company, says Mary Jane Stull, President and CEO of the Patient Advocate, a company in South Bend, Indiana, which helps people with medical insurance claims.

Medical providers may withdraw from a network between the pre and postoperative appointment the actual date. And if you know your procedure is outside the network, call the medical providers: physicians, surgeon, anesthesiologist and hospital. It might be worth trying to negotiate a price and payment plan with the billing department, Stull said.

6. "Sometimes we bill you twice."

Find the code of medical bills, and you may find some surprises: charges for services never received or routine items such as gowns and gloves, which will not be charged separately. material errors often the reason for errors. A number added to a billing code can result in a charge for placing a catheter into an artery in comparison with a vein - which can reach a difference of thousands of dollars.

So how to find out if your bill is incorrect codes or duplicate charges? Start by asking for an itemized bill with a breakdown of all charges clearly defined, says Dr. Geni Bennetts, director of Health Promotion Resolve billing Napa, California Some errors revealing: charge for three days he was kept in hospital for night, a circumcision to newborn girl or drugs he never received. Ask the hospital billing office for a key to decrypt the charges, or hire an expert to detect problems and deal with the insurance company and doctors (you can find one in Defenders Medical Billing of America) .

His experience will usually cost between $ 65 and $ 85 per hour, a percentage of the savings, or some combination of both. You want to be your own detective billing, talk to the senior manager you can find on the funding of hospital or in the accounts to begin to unravel any code wrong.

10 dirtiest hospital secrets [chapter2]

3. "Good luck finding the person in charge."

Helen Haskell repeatedly told nurses something did not seem right with his son Lewis, who was recovering from surgery to repair a defect in the wall of his chest. For nearly two days following asking a veteran - or "participants" - when assessing first-year medical resident seemed off. But Haskell could not convince the right people that her son was deteriorating.

"It was like an alternate reality," he says. "I had no idea where to go." Thirty hours after her first child complained of severe pain, the South Carolina teen died of a perforated ulcer.


In a sea of blue gowns, calling attention to the right person can be difficult. Who's in Charge? Nurses do not report to doctors, but rather to a nursing supervisor. And your personal doctor has little say over radiology or the labs running your tests, which are administered by the hospital. Some facilities employ "hospitalists" - doctors who act as a key person to carry out the flow of information. Most hospitals now have rapid response teams - trained personnel that can run alongside the bed to assess a patient's decline. Haskell urges patients to know the hierarchy of the hospital, read the name tags, get the doctor's phone number and know how to get quick response team. If all else fails, demand a nursing supervisor - probably the most senior person that can be accessed quickly.

4. "Everything is negotiable, including the hospital bill.

When it comes to getting care, hospitals have to work hard for them. Medical bills are one of the leading causes of bankruptcy in the U.S., and when collectors are put on the case, they take up to 25% of what is claimed, according to Dr. Mark Friedman, founder of billing for consulting services Premium HealthCare. This leaves room for some negotiation.

If you are among the uninsured - which can pay up to three times more for procedures - not hurt to ask for a deduction. Some hospitals offer a 35% to 40% discount for uninsured patients, says Candice Butcher, CEO of Medical Billing Lawyers of America. Hospitals frequently work with patients that offer payment plans or discounts. But to succeed, you have to call the right door: Look for the office of patient accounts or the financial aid office.

If you do not have insurance and are scheduled for a colonoscopy in a week, Butcher suggests doing some research to find out how much of this procedure is typically run in your area. Health Blue Book site allows users to access health care prices by zip code. You can use that as a negotiating tool. But remember, "if the hospital agrees to your price, you have to get it in writing and signed it receives," says Butcher.

10 dirtiest hospital secrets

1. "Oops, wrong kidney."

In recent years, errors in treatment have become a serious problem for hospitals, ranging from operations in parts of the body to the wrong medication mix-ups.

At least 1.5 million patients are harmed every year by medication errors, according to the Institute of Medicine of the National Academy of Sciences. One reason these mistakes persist: Only 15% of hospitals are fully computerized, with a central database to track allergies and diagnoses, Robert Wachter said, the chief of medical service at the University of California at San Francisco Medical Center.

But signs of change are emerging. More than 3,000 U.S. hospitals, or 75% of beds in the country, signed a contract to a campaign by the Institute for Healthcare Improvement to implement preventive measures such as controls on multiple drugs. In the first 18 months of the campaign, these hospitals have prevented an estimated 122 300 deaths.

Although the system is improving, still has a long way to go. Patients should always have a friend, relative or patient advocate from the hospital staff at his side to take notes and make sure that the right medicines are being distributed.

2. "After leaving the hospital does not mean you are out of danger."

A recently published study by Resources for the Future, a nonprofit group that undertakes independent research on public health issues, said that infections sepsis and hospital-acquired pneumonia can kill 48,000 people each year. What's more, the study shows, these infections cost $ 8,100,000,000 to treat and result in 2.3 million total days of hospitalization.

These revelations, along with the recent increase in antibiotic-resistant bugs and the mounting cost of health care, have mobilized the medical community to implement procedures to reduce infections. These include using clippers rather than a razor to shave surgical sites and administering antibiotics before surgery, but shortly after stopping them to avoid drug resistance.

For all the advances of modern medicine, the best way to minimize the risk of infection is low-tech: Make sure someone touches you wash your hands. Tubes and catheters are also a source of errors, and patients should ask daily if necessary.

Five self-health checks

Feeling anxious about your health? These five health checks "do it yourself" should ease your mind - and help you maintain control over his body

Eyeball it
In addition to overseeing his vision, there are some easy ways to keep tabs on your eye health. If the whites of the eyes are truly yellow, you may be suffering from jaundice caused by hepatic dysfunction. A milky white ring around the iris (the colored part of eye) is a sign of high cholesterol. To check for iron deficiency, pull your lower eyelid down slightly. If the inner covers are a very pale pink (not bright pink, as it should), this could be a symptom of anemia or low iron.

Eat well: The best way to keep your eyes healthy is to eat a mixture of fruits and vegetables, says Catherine Cervin, associate professor in the department of family medicine at Dalhousie University. Orange and yellow fruits and vegetables contain vitamins A, which are to promote eye health.

How low can you go?
When picking up the morning paper, you can easily bend to pick it up without bending your knees? If not, you may be prone to injury in the back and hips. If you have a good range of motion and are forced to make a sudden movement (eg shoulder check while driving) could risk muscle strain. Flexibility is helpful not only to reach the top shelves is a key indicator of health. While agility is partly determined by our genetics, we tend to lose with age.

Reduce stress: In order to remain flexible throughout life, stretching exercises. Always stretch before physical activity routine to avoid injury and promote circulation. To stretch the neck, try rolling your head in circles while sitting at a red light. While at your desk, take a break to lift the arms overhead, bending your elbows to touch the shoulders.

Breathe easy
Try this exercise to see if you are breathing properly. Close your mouth and breathe continuously through your nose for eight seconds. If you can not get eight seconds without feeling breathless, you're breathing through your mouth too. Since the normal reflex is to inhale through the nose, mouth breathing could suggest anything from allergies to sleep apnea. However, it also could be a sign of chronic obstruction, such as a deviated septum or persistent nasal congestion.

Reduce stress Cervin recommended counter nasal strips, which open the airways for the temporary relief of snoring and blocked airways. But unless you have a cold, you should consult with your physician to identify the root cause of chronic irregular breathing.

Check for a pulse
Take your pulse for one minute, motionless. An average resting heart rate is 60-90 beats per minute. The lower your resting pulse, the more fit you are. Then run down the field for two minutes, resting for a minute before you start taking your pulse. Your heart rate should return to rest in a minute of your shift. If a few minutes before proceeding with the pulse rate drops back to a normal range can mean not getting enough exercise. (Please note that caffeine, stress and anxiety raise your heart rate too).

Get moving: Cervin should arrive 30-60 minutes of activity at least five times a week. Start slowly and gradually the intensity and frequency of your workouts. You should be able to hold a conversation while exercising. Whatever your current level of fitness, be sure to get your pulse in the aerobic range - between 60-80% of your maximum heart rate. Measure your maximum heart rate by subtracting your age from 220.

Peek in your pee
Ok, may sound unpleasant, but has not taken a look at some point and has been a bit surprised by what they saw. Here is a decline of what is normal and when to have medical checks. In a healthy person, the urine should be clear and generally pale. A very dark yellow means you are dehydrated and need to drink more fluids. Orange and green are normal, believe it or not, and probably have to do with the supplements of vitamins or something you ate. B vitamins can also turn your pee a bright yellow for example. However, cloudy and odorous urine could mean an infection. And if your urine is dark tea color, consult your family doctor as this may indicate a liver problem.

Eat well: Drink plenty rarely feel thirsty, Cervin says, although often recommended eight glasses a day can stop for some.

The Tests Women Really Need [part3]

High Cholesterol
For adults 20 and older, a total cholesterol exam in the form of a simple blood test can assess your risk of heart disease.

Do it: Annually if your LDL, or "bad," cholesterol measures more than 130. If it's lower, get tested every five years.

Under/Over-Active Thyroid
An underactive thyroid, also measured via blood test, can lead to weight gain; an overactive thyroid can indicate an autoimmune disease.

Do it: Every two years if you're over 35 or show symptoms.

Chlamydia and Gonorrhea
Screenings for these STDs, which can cause pelvic inflammatory disease, are done with a cervical swab.

Do it: Annually if you're under 25 and sexually active, or older with multiple partners

HPV
The new HPV DNA test is used to detect the sexually transmitted infection in women over 30. It is performed on the same specimen taken at the time of your Pap smear.

Do it: Talk to your doctor about setting up a testing schedule.

Blood Pressure
It can be an early indicator of heart disease and kidney failure, and is sussed out with a sphygmomanometer (that pump-and-arm-cuff device).

Do it: Every two years if your readings are normal, or every year if they're abnormal.

The Tests Women Really Need [part2]

Breast Self-Exams
These are fast and free, and the USPSTF's recommendation against teaching them has caused a big-time brouhaha. The group argues that self-exams have not been proved to reduce cancer-related deaths, though no conclusive study has been done in the United States. Most doctors say not to quit altogether. "Women often discover their own cancers," says Runowicz . "So if you're not going to panic about every lump — and if you're young and menstruating, there will be lumps — there's little downside to doing self-exams."

Most lumps in younger women are caused by benign cysts, but there are no absolutes. "I've evaluated women as young as 22 who were diagnosed with breast cancer and found the abnormality while doing a breast self-exam," says Sandhya Pruthi, M.D., director of the breast clinic at the Mayo Clinic Cancer Center. "If we'd told them 'Don't touch your breasts,' a lump that was cancerous may have been detected at a much later stage."

The bottom line: Become familiar with the normal changes of your breasts by examining them monthly, in the days just after your period. For instructions, visit cancer.org.

Pap Smears
ACOG now says that women should get their first Pap smear, a screener for cervical cancer, at age 21, with follow-up tests every other year until they turn 30; women over 30 who have had three consecutive "normal" results can then wait three years between tests. The group points to studies showing that only 0.1 percent of cervical cancer cases occur in women under 21, but that does little to ease big fears that the killer disease could grow undetected between spaced-out exams.

The bottom line: "It's all about risk," says Celeste Robb-Nicholson, M.D., associate chief of general medicine at Massachusetts General Hospital. "A healthy woman who is HPV negative and is either not sexually active or has just one partner can be screened every three years. Women who have risk factors — such as smoking and having multiple partners — should be screened annually."

The Tests Women Really Need [part1]

The path to early detection of cancer used to be clear: You have your annual Pap first time after starting to have sex, and its inaugural annual mammogram at age 40 - also doing a breast self-exams. But recently, the American College of Obstetricians and Gynecologists (ACOG) and the U.S. Preventive Services Task Force (USPSTF) issued new recommendations of the evidence, not to postpone the initial trials and waiting longer between screenings, which unleashed a firestorm of controversy.

Why the sudden change? Both groups changed their positions after studying the evidence that less frequent testing may be as effective in the diagnosis of cancer, and that would cost less and deny unnecessary follow-ups. Most physicians, however, according to a one-size-fits-all exam schedule and the stress is critical for women to always have frank discussions with their gynecologists. (This adventure that we had last year in Las Vegas? His "social smoking" habit? Stroke.) Your MD will help you design a customized calendar, but you should start with the following tips.

Mammograms
The American Cancer Society has long held that women should have their first annual mammogram at age 40, but the USPSTF now says most don't need them until they turn 50

The reasoning? Younger, denser breasts are more likely to produce benign cysts, and aggressive testing on innocent lumps is expensive and unnecessary. But some doctors are sticking with earlier screenings until studies prove that fewer exams won't equal higher fatalities, says Carolyn Runowicz, M.D., director of the Carole and Ray Neag Comprehensive Cancer Center at the University of Connecticut. "Everyone agrees that mammography reduces mortality in women over 40," she explains. Still, she adds, "It's key to understand that mammograms are effective, but they're not perfect." They can miss cancers or "overread" some benign changes.

The bottom line: Get tested annually starting at age 40, or earlier if you have a family history of breast cancer. Start screenings 10 years earlier than the age of your relative at the time of her diagnosis (so if your mom was diagnosed at age 42, for example, you should have your first mammogram at 32).

Low Testosterone Raises Death Rates in Impotent Men

Among men with erectile dysfunction, those who also have low testosterone levels face a higher than normal risk of dying from cardiovascular disease, a new study has found.

In a second study, the same research team also found a link between obesity and impaired blood flow to the penis, which, in turn, is linked to cardiovascular disease in patients with erectile dysfunction.

In the first study, researchers led by Dr. Giovanni Corona, University of Florence, has examined testosterone levels of 1,687 men who seek treatment for erectile dysfunction. After an average follow up period of 4.3 years, 137 men had heart attacks, or other major heart problem, and 15 had died.

Those with lower levels of testosterone were more likely to die of heart problems, the study's authors found.

"Our work shows that the screening of low testosterone in men with erectile dysfunction may help doctors identify those most risk of cardiovascular events," Corona said in a press release of the European Society of Endocrinology. "However, at this moment we can not tell whether low testosterone levels are the cause or the consequence of this increased risk."

A second study found the same group of men and found a link between obesity clinic, which means a BMI greater than 30, and reduced blood flow to the penis. This reduced blood flow was significantly correlated with a higher incidence of cardiac events, such as heart attacks, in obese men but not in leaner men.

China says those who dumped dead babies near river will be punished

BEIJING - China's health agency said Thursday that health care workers to discard dead babies will be "harsh treatment" following an investigation into the dumping of several bodies along a river in east China.

A scandal erupted last month when the bodies of 21 babies and fetuses - some with hospital ID tags around their ankles and stuffed at least a yellow bag marked "medical waste" - were found washed ashore on Guangfu River on the outskirts of Jining City of Shandong Province.

The Health Ministry said on its website that hospitals should have dead babies as they would any other body.

"The incident highlighted the gaps in the hospital management, created a negative social influence and gave profound lessons," said Health Ministry report.

The report said the dead babies and fetuses should not be treated as medical wastes, but gave no details on how the local hospitals usually dispose of medical waste.

Calls to the Health Ministry rang unanswered Monday afternoon.

Two employees of the hospital morgue, Zhu Zhenyu and Wang Zhijun, were dismissed for their hospital and arrested by police as suspects, the official Xinhua news agency, quoting government spokesman Jining Gong Zhenhua. The families of the babies had paid the couple to dispose of the bodies, but instead of thrown into the River.

In China, most families are allowed to have only one or two children and a traditional preference for sons remains strong and abandonment, abortion and murder of newborn girls is still common in rural areas.

Babies who die from the disease are often abandoned or buried in unmarked graves, not old enough to be considered officially part of the family.

Top 10 Ways to Stay Healthy with HIV

The goal of anyone living with a chronic disease is staying healthy. HIV is no exception. Staying healthy is a realistic goal. By keeping a few things in mind, staying healthy while living with HIV is possible. Here are ten ways you can stay healthy while living with HIV.

1. Get Tested and Get into Care
Who should get HIV tested? The answer is anyone who doesn't know their status. If you are unsure whether you should be tested, use how-to guide in previous post.

2. Use a Condom Each and Every Time.
Using a condom is not enough. The key is using it correctly. This feature will help you use a condom correctly and keep you and your partner safe.

3. Choose the Right Condom
There are so many colors, shapes and sizes it's hard to know which is right for you.

4. Have Regular Doctor Visits
Getting into care means choosing the right doctor. But how do you do that? Take a look at this feature which will walk you through the steps in choosing the physician that is right for you.

5. Get Your Vaccinations
Vaccines are given to stimulate the body's immune response in order to produce antibodies that will protect against certain illnesses.

6. Eat Right to Stay Healthy.
While your doctor can help you stay healthy, you have to take some responsibility as well. The first step is eating right.

7. Learn All You Can Learn About HIV.
Knowledge is power. Knowing your illness will help you take charge of your life instead of letting HIV control you.

8. Know Your Own Body.
Knowing your body allows you to keep tabs on your health. Learn to recognize problems before they get serious with this guide to signs, symptoms and solutions.

9. Adhere to Your Therapy.
The advent of HAART therapy has given people infected with HIV a new lease on life. But along with these benefits there are some problems. The biggest obstacle to successful treatment is adherence to your regimen.

10. Practice Safer Sex...Even After a Positive Test
The question is a common one heard in HIV practices and prevention clinics across the country. "My partner and I are both HIV positive. Do we still need to use condoms?"

Should you be HIV tested?

If you answered "yes" to any of these questions, you should have an HIV test.

1.Have you had unprotected sex without knowing for sure that your partner was not HIV infected?
2.Have you had unprotected sex with someone you know has HIV or AIDS?
3.Have you had a sexually transmitted disease like genital herpes or syphilis? Having sexually transmitted diseases makes it easier to get HIV?
4.Have you had unprotected sex with a man or woman who has had multiple sex partners?
5.Have you had unprotected sex with someone who uses injectable drugs or shares needles?
6.Have you had unprotected sex with a man who has had sex with another man?
7.Have you paid a man or woman to have sex with you?
8.Have you had unprotected vaginal, anal, or oral sex?
9.Have you had a blood transfusion or received blood products prior to 1992?

Read the 10 Reasons Men Don't See A Doctor

Sitting around.
According to a study published in the American Journal of Public Health, the main reason why men do not visit the doctor is the waiting time involved. reluctance of men to visit the doctor anyway is only compounded by the amount of waiting time.

Shame.
Men find it difficult to speak of the intimate emotions, sexual difficulties, mental health problems such as stress and depression or physical problems that can affect the bowel or genital areas. Even the exchange of information with a best friend can be an embarrassment for both the person and his friend. Why? men are just not used to it and as a result of these situations are uncomfortable and to be avoided.

Men exaggerate the negative qualities of health care.
As part of its rationale, many men are reasons why health services are insufficient, a waste of time, more expensive, etc. Sometimes this is little more than an excuse, but there are times when a doctor visit leaves men feeling genuinely dissatisfied - and this can be for any number of reasons.

Health Services are feminized.
Dr Ian Banks, president of the Forum Men's Health, found that men and health professionals are health services that men feel unwelcome. One reason is the feminized form health practices are organized in terms of decoration and the bias of information to women. The men said they wanted to see more men magazines, posters of men's health, or even movies. Why, asks Ian Banks, surgery can not be held in bars, golf clubs or other places men are likely to be?

'Suck it up'.
From an early age men are socialized to internalize their emotions and physical discomfort. In some occupations that focus on the man of these qualities "are encouraged. Subsequently, many men who want to share information about your mood, or physical condition, I do not know where to start.

It makes no sense unless there is something wrong.
In 40 years, mostly men seen in terms of medical emergencies, surgery, or dealing with sick people. In these terms, men see much point in going to the doctor unless something is very obviously wrong with themselves.

Men are not socialized to visit the doctor.
John W. Saultz, MD, professor and chairman of Family Medicine at Oregon Health Sciences University said that about 16 girls continue to visit the doctor for routine gynecological care or maternity while the contact men often stops. This helps explain why the waiting rooms are almost always full of women, children and the elderly. This is a situation that many men are uncomfortable and find it difficult to associate with.

Defects are signs of weakness.
This refers to the issue of socialization. Not only visits to the doctor signal disease or an inability to cope, may seem to many men, to say something about masculinity. Many men simply prefer to grit our teeth and hope "that" will disappear.

The fear of being judged.
A common concern among men is that their problem or physical condition is unique. Nothing could be further from the truth and the chance that your doctor did not come across your situation before they are so small they do not deserve much thought.

Men exaggerate the negative qualities of health care.
As part of its rationale, many men are reasons why health services are insufficient, a waste of time, more expensive, etc. Sometimes this is little more than an excuse, but there are times when a doctor visit leaves men feeling genuinely dissatisfied - and this can be for any number of reasons.

Doctors do not match with preventive health.
From age 40 and older men usually have to see the doctor more regularly. At this point we can begin to see the benefits of screening rather than waiting until something goes wrong.

Why the Men Don't go to See A Doctor?

According to a study published in the American Journal of Public Health, a key reason why men don't visit the doctor is the waiting time involved. Men's reluctance to visit the doctor anyway is simply compounded by the amount of time spent waiting.

However, the amount of time required for a doctor's visit is just a drop in the ocean when compared to your entire life. And more importantly, the time needed for a doctor's visit is well worth it. Staying healthy should be priority but often isn't.

Let's see why a lot of men don't like to see a doctor?

to be continued..

What U.S. health care reform means for Canada

We try to stay away from politics as much as possible, but there is a movement that now it's pretty hard to ignore.

As you know, Barack Obama signed legislation yesterday that largely a system heavily criticized reform of U.S. health care.

And while that is great news for millions of Americans - despite being a thorn in the side about 100 million Republicans - could have positive effects for Canadians, here north of the border?

The reasoning is, with a public commitment to fund the attention of Americans health needs in place, millions of would the Yankees have now discovered the confidence (or is it 'no fear? ") For the treatment of their finances rationally without preparing for a medical pump that had hurt your finances.

For example, say that the family X has no health coverage and maintain a fund of $ 20,000 saved if the grandmother became ill with asthma or junior or whatever. In theory, now, which is $ 20,000 more than can be pumped into the U.S. economy on a variety of ways.

That's not much, but multiply in cash and in the estimated 32 million Americans who have had no coverage and that is on the increase.

What does this mean for Canadians? However, many experts - such as the Financial Post, Diane Francis - chalk this as nothing more than "good news" for countries like ours that depend on a prosperous America for our own success.

According to Francis, another big boost to U.S. economy come from the 3% of U.S. GDP is currently used for litigation to decide whether to cover medical expenses. With much of the bureaucracy eliminated on that front, which is money that can be spent, for example, subsidizing companies with subsidies to keep manufacturing on U.S. soil.

It will take time for Canadians to feel the real economic effects of the U.S. health reform, but some improvements have come earlier, at least.

TSX health care activities are already following the new U.S. law, according to the Montreal Gazette.

"People perceive that it will be a much more public money that comes in health care, so it might be good for a number of different companies that provide both equipment and services, or whatever," a privileged financial told the newspaper.

Let's use Electric cigarette

The electric cigarette that gives you a nicotine hit and gets round the smoking ban

Inventors have created an electric cigarette which gives a nicotine hit while at the same time manages to avoid the ban on smoking. The small white stick, which looks just as proper cigarette, contains a camera that vapourises pure liquid nicotine in a puff of steam.

Smokers can inhale the pair as they smoke cigarettes and still get the buzz - without taking in any harmful substances.

Nicotine is the only ingredient, unlike tobacco alternatives which contain over 4000 chemicals and resins. Electric cigarette on the batteries, has a glowing red tip and tastes like the real thing. Makers claim that can be used inside pubs and restaurants despite the national ban on smoking as it has no flame and does not create smoke.

They also say that cigarettes can cause lung cancer, because it only contains nicotine. Stick, called Gamucci Micro Electronic Cigarette, uses small cartridges filled with liquid material.

There are three types of cartridges, "low", which consists of six milligrams of nicotine, "medium", which is 11mg, and "high", which contains 16mg. Tiny cell spray inside the stick heats the liquid, when the user takes a drag, and a second later it comes down to a pair. Kick-effect almost immediately and provide Hit nicotine without the harmful tar and carcinogens. Passive smoking is impossible, which makes it ideal for indoor use.

Claim blog

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Best 5 Easy Ways to Drop Body Fat

Your health is measured by pounds alone! New research confirms that the key measure of a person's health is not weight, body fat.

Researchers at the Mayo Clinic recently issued a study that found people with normal weight with high body fat percentage (over 20 percent for women, 30 percent for men) may be at increased risk for heart disease and diabetes.

On Good Morning America did a report on the study of cool that a real woman is bettered her body fat percentage by lifting weights. A few months ago, we ran a story about body fat, and after taking this quiz I realized that my fat, not fighting habits were all that great. Ready to reduce fat? Here are some simple ways:

Log tube less time: Watching more than five hours of TV a week your risk UPS. Set your DVR to record your favorite shows to spend less time sitting (watching commercials) without losing a single episode.

Eat a salad a day: Even fans of Veggie often skimp on the green leaves, but munching salads six to seven times a week can take Jigga. Find toppers salad you like to encourage you to dig in: I go for goat cheese crumbled, dried nuts and Cranberries. Yum!

Cook at home: Room for more than six times a week can boost your risk of obtaining body fat. This includes lunch! Skip dinner and local container to make a salad twice your body good.

Chill Out: Stress is a body-fat booster. Unless of course you have to actively manage it. When tension builds, find an actively to simmer down, such as taking a walk or cleaning your kitchen. No time to exercise? Put on headphones, close your eyes and play a ton of favorite-whatever you do, do not reach for that cookie jar!

Go fish: Eating three servings of omega-3 rich foods such as salmon, tuna, nuts or flax can help keep body fat at bay. Sprinkle nuts or cereal in the morning, and try versions of canned tuna and salmon in a pinch.

Is Your Pain Treatment Hurting? (continued)

Your instinct is surgery before therapy

Surgery may feel that the most effective option, but for chronic pain, research is mixed. Studies show that operating to relieve low back pain without evidence of nerve pressure, for example, may provide minimal if any benefit, compared with a rehabilitation program, not to mention that this is with risks. "The truth is, surgery has a chance to make the pain worse the infection, scarring and nerve damage," says Carey.

Get relief: Eight for medicines for pain, physical therapy, or exercise first. To treat back pain, for example, experts recommend trying a combination of all three for at least six months before discussing surgical options. Many people will be improved sufficiently to avoid or not be eligible for surgery, says William Abdu, MD, medical director of spine Center at Dart-mouth-Hitchcock Medical Center. You can also talk to your doctor about trying a shorter, more intensive rehabilitation program.

You are wary of narcotics

The news is filled with tales of unintentional deaths from Meds pain or celebrities, who became addicted to them so that people suffering from pain for many prefer to play safe with OTC antialgice. Even some doctors to avoid narcotics for fear of being punished for overprescribing them. But the reality is, most people in pain will not go or die dependent on pain Meds. And the benefits are huge-they take when you're in less pain, can be more actively and speed your recovery.

Get relief: Most doctors start patients on low doses of opioids and check-in needs assessments every three or four weeks to make sure the medication works well. If you experience that "drugged" feeling at first, do not worry-it'll disappear in a few days as your body adjusts to the medicine. Take only the medicine prescribed-growth, no dose or combined with other drugs, such as muscle relaxants or anti-anxiety, unless you talk to your doctor.

There are some people who may be predisposed to addiction. If you have a problem with alcohol or drugs in the past, should be monitored more closely by your doctor. Signs of addiction include feeling compulsive about taking drugs, being unable to control how much to take, and which shows no signs of improvement.

Not considered natural treatments

If you can not take the Meds pain because side effects or are simply looking to increase their impact, taking into account alternative treatment. Clinical studies show that acupuncture, for example, pain relieves osteoarthritis, sciatica, and lower back problems. People suffering from rheumatoid arthritis may benefit from anti-inflammatory effects of omega-3 fatty acid supplements, according to a large review of recent research, the patients taking Devil's Claw, willow bark, and Cayenne for Lower pain back had improved more than those taking a placebo.

Get relief: herbal treatments are not without side-effects and can interfere with other medications, so check with your doctor before taking them. Ground for a science-based natural pain fighters top, go to prevention.com / naturalpaincures.

Numerous studies show that also mental techniques can help ease the pain. Start with some simple relaxation techniques: deep breathing practices, and strengthening and relaxation of different muscles for 15 to 20 minutes each day. A therapist can help you find other types of relaxation, such as visualization, self-hypnosis, and biofeedback-ask your doctor for a recommendation.

You do not discuss depression

About 54 percent of people with chronic back pain suffer from depression, but only one third of them take antidepressants, according to a recent study. New brain-imaging research, however, clearly shows that our mental state is closely related to how the process make with-pain. Brain scans show that in patients with chronic pain, songs that ignite emotions are involved, not just feeling. "This means that our emotions have a profound influence on how we perceive pain, how much distress it causes, and ultimately how it affects our quality of life, 'says Portenoy.

Get relief: If you feel hopeless, sleeping more or less than usual, and gain or lose weight quickly, you could be suffering from depression. Discuss symptoms and options with your doctor, who may prescribe an antidepressant, recommend cognitive behavioral therapy (CBT), or even suggest a combination of both. CBT teaches you to cope better and adjust to your pain (and even train your mind to reduce it) which helps to decrease emotional stress, which can make pain feel worse.

"There is science that shows more than the benefit of cognitive behavioral approaches there than most medicines for pain," Portenoy says. In a recent study, patients with depression and pain were randomly assigned to receive antidepressants and, after three months, were given six sessions of CBT. A year later, the intervention group were significantly less depressed and had less pain than those who were only informed that they had depressive symptoms and should seek advice about treatment. To find a specialist CBT, visit the National Association of Cognitive-Behavioral Therapists to nacbt.org, for psychologists who focus on pain management, check out the AAPM website.

You don't do your own research

Doing a little digging on your own behalf you can open up new treatment options, helps reminded to ask questions and improve your sense of control over your care. Antonia Kent, 39, injured her back when she was 21 and underwent three surgeries not before deciding it's time to look into different options herself.

"I went to the library and read about my particular injury and pain treatment," says teacher from Union, NJ "It made me feel proactive, and not a victim of my Pain." Research has given her ideas about talking to doctors and therapies to try. After the third surgery, she started taking a strong medicine that turned her on her feet. Today it has a lighter product, herb supplements, and her pain is better controlled.

Get relief: specific research on your condition of patient advocacy sites Web, such as the American Pain Foundation (painfoundation.org). Also, consider subscribing local groups of chronic pain support, where you can get medical advice and share ideas about treatment.

You can find online tools and to help you decide whether to have surgery, take a special test, or continue with treatment. A good resource: Go to Dartmouth-Hitchcock Medical Center Web site (dhmc.org) and search for common center of decision-making. There, you can download videos from questionnaires or borrow to help weigh the risks and benefits.

Is Your Pain Treatment Hurting?

A year after giving birth to her third child, Teresa Shaffer began to feel excruciating back pain. An MRI revealed that cushiony discs behind it worsened, a sign of osteoarthritis, a degenerative joint disease which usually occurs much later in life. She was only 24. "Because I was so young, the doctor did not think I had the disease," says Shaffer, now 46. He said it takes antialgice OTC.

It was not until she visited a different doctor, that she really started to get help. He asked if she was depressed (back pain and depression often go hand in hand), prescribed an antidepressant, and referred her for counseling. He sent her to physical therapy and put on a fentanyl patch, a strong opioid for people who require constant drug. Now she is able to walk for an hour on the treadmill every day.

An estimated 43 million Americans living with chronic pain report defined as a period of at least three months. However, experts agree that it is terribly undertreated in our country. Despite progress in understanding the pain a few doctors are aware of these advances are trained in pain management, says Michel Dubois, MD, Director of Pain Medicine at New York University Medical Center Langon.

A major change in thinking is that chronic pain is now believed to be a disease not a symptom, and that treating pain is about simply does not cover the source, but treating the whole person. Like heart disease or other chronic conditions, there is no magic bullet, so we must rely on a number of approaches to exercise and medications for relaxation techniques and talk therapy.

Removing the pain can not fully realistic, what can be more than enough to improve your life and do things you love. If you make any mistakes that follows, we have the right formula for lasting relief.

You're trying to tough it out

One in four people suffering from pain expected at least six months before you see a doctor, usually due to pain or downplaying thinking it will pass on their own, according to the American Pain Society. And many sufferers self treatment with OTC analgesics.

Get relief: Ask treatment sooner rather than later. Studies show that most injuries resolve themselves in about four weeks, so if yours has not, or if your pain is affecting your ability work-see your doctor. Waiting can wreak havoc on the body and mind. When pain keeps you from being active, and reduce muscle weakness and strengthen joints, setting additional damage.

Research has shown that chronic pain can also lead to depression and even shrink your brain. A study of 26 patients who had back pain for at least one year found that they had a percent 5 to 11 percent of lost brain cells in two brain areas, prefrontal cortex and thalamus-compared with a group of control. One explanation is that neurons are overactive for so long that it causes them to break down and die, Dubois explains. Researchers hypothesis that if pain persists, it may become less responsive to treatment due to brain changes.

You have seen more than one specialist

In our fragmented health system, with a professional for all diseases, it is easy to jump from one doctor to another. But doctor hopping, experts say, can waste time and money, lead to excessive MRIs and other diagnostic tests, treatment and delay.

Get relief: Find a doctor who can be your point person to coordinate other treatments. Your primary care doctor is probably the best person for this. "Just make sure you have a feeling that he or she take pain seriously, offers a treatment strategy, and sees you often enough to monitor your progress or refer to a specialist if your plan is work, "says Russell Portenoy, MD, chairman of the department of pain medicine and palliative care at Beth Israel Medical Center in New York City. That's what made Shaffer. Although her doctor was not fully trained in pain management-and most physicians-are not "always did research to find out what my next step should be," she said.

If you have been suffering for months with no improvement, then it may be time to seek a comprehensive pain management center. (To find one, visit the website of the American Academy of Pain Management at aapainmanage.org.) If you have pain management experts near you, find a specialist who deals with the source of your pain, as an orthopedist for back pain or a rheumatologist for arthritis or fibromyalgia.

You are afraid to exercise

This may be the last thing you feel like you do when you're hurt, but study after study shows that exercise reduces all types of pain. It strengthens your muscles and joints oils, making you less likely to get reinjured. It also releases natural pain-relieving endorphins, which can boost your mood, and fight inflammation associated with a number of painful conditions such as gout and rheumatoid arthritis.

Get relief: Go slow and easy, especially if you have been sedentary for several months. Not five or 10 minutes of walking or other low-impact activity several times a day if that's all you can. Swimming or water aerobics, especially in warm water, making it easy to move, take the pressure on joints, reduce stiffness and pain. "The goal is to get to a comfortable level of functioning," says Judith Turner, Ph.D., professor of psychiatry and behavioral sciences at the University of Washington. For people who have fibromyalgia, low-to moderate-intensity activity reduces pain better than high intensity.

A physical therapist can guide and help establish a safe level. But physical therapists or other treatments are offered to practitioners such as ultrasound and electrotherapy, have little evidence to support their effectiveness beyond the short-term symptom relief said Tim Carey, MD, Director, Sheps Center for Health Services Research of University of North Carolina.

to be continue..