Clinics Rush to Warn Patients of Tainted Steroid

By MIKE STOBBE AP Medical Writer

NEW YORK October 5, 2012 (AP)

Health providers are scrambling to notify patients in nearly two dozen states that steroid shots they got for back pain may have been contaminated with a fungus tied to a deadly meningitis outbreak.

It became apparent Thursday that hundreds, and perhaps thousands, of people who got the shots between July and September could be at risk. Officials disclosed that a steroid suspected in the fungal meningitis outbreak in the South had made its way to 75 clinics in 23 states.

The Food and Drug Administration urged physicians not to use any products at all from the Massachusetts specialty pharmacy that supplied the steroid.

On Friday, the FDA released a list of about 30 medications distributed by the company, including other steroids, anesthetics and blood pressure medicine.

So far, 35 people in six states — Tennessee, Virginia, Maryland, Florida, North Carolina and Indiana — have contracted fungal meningitis, and five of them have died, according to the Centers for Disease Control and Prevention. All received steroid shots for back pain, a highly common treatment.

It is not clear how many patients received tainted injections, or even whether everyone who got one will get sick. The time from infection to onset of symptoms is anywhere from a few days to a month, so the number of people stricken could rise.

AP

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The pharmacy involved, the New England Compounding Center of Framingham, Mass., has recalled three lots consisting of a total of 17,676 single-dose vials of the steroid, preservative-free methylprednisolone acetate, Massachusetts health officials said.

Investigators this week found contamination in a sealed vial of the steroid at the company, FDA officials said. Tests are under way to determine if it is the same fungus blamed in the outbreak.

Several hundred of the vials, maybe more, have been returned unused, but many others were used. At one clinic in Evansville, Ind., more than 500 patients received shots from the suspect lots, officials said. At two clinics in Tennessee, more than 900 patients — perhaps many more — did.

The company has shut down operations and said it is working with regulators to identify the source of the infection.

"Out of an abundance of caution, we advise all health care practitioners not to use any product" from the company, said Ilisa Bernstein, director of compliance for the FDA's Center for Drug Evaluation and Research.

Massachusetts health officials said the company has a pending complaint against it from this year, related to the potency of a medication used in eye surgery. It appears unrelated to the current outbreak, said Dr. Madeleine Biondolillo, director of the state's Bureau of Healthcare Safety.

Biondolillo said two prior complaints, including one for sterile compounding procedures, were both resolved in 2006. The pharmacy was inspected and cleared by the state Department of Public Health last year after relocating its operations on the same site, she said.

The first known case in the meningitis outbreak was diagnosed about two weeks ago in Tennessee, which still has by far the most cases with 25, including three deaths. Deaths have also been reported in Virginia and Maryland.

Meningitis is an inflammation of the lining of the brain and spinal cord. Symptoms include severe headache, nausea, dizziness and fever.

The type of fungal meningitis involved is not contagious like the more common forms. It is caused by a fungus often found in leaf mold and is treated with high-dose antifungal medications, usually given intravenously in a hospital.

Robert Cherry, 71, a patient who received a steroid shot at a clinic in Berlin, Md., about a month ago, went back Thursday morning after hearing it had received some of the tainted medicine.

"So far, I haven't had any symptoms ... but I just wanted to double check with them," Cherry said. "They told me to check my temperature and if I have any symptoms, I should report straight to the emergency room, and that's what I'll do."

The company that supplied the steroid in question is what is known as a compounding pharmacy. These pharmacies custom-mix solutions, creams and other medications in doses or in forms that generally aren't commercially available.

Other compounding pharmacies have been blamed in recent years for serious and sometimes deadly outbreaks caused by contaminated medicines.

AP

UPDATE adds Indiana as the sixth state to report a case; map shows states affected by meningitis outbreak

Two people were blinded in Washington, D.C., in 2005. Three died in Virginia in 2006 and three more in Oregon the following year. Twenty-one polo horses died in Florida in 2009. Earlier this year, 33 people in seven states developed fungal eye infections.

Compounding pharmacies are not regulated as closely as drug manufacturers, and their products are not subject to FDA approval.

A national shortage of many drugs has forced doctors to seek custom-made alternatives from compounding pharmacies.

The New England Compounding Center makes dozens of other medical products, state officials said. But neither the company nor health officials would identify them.

The company said in a statement Thursday that despite the FDA warning, "there is no indication of any potential issues with other products." It called the deaths and illnesses tragic and added: "The thoughts and prayers of everyone employed by NECC are with those who have been affected."

A 2011 state inspection of the Framingham facility gave the business a clean bill of health.

———

Associated Press writers Travis Loller in Nashville, Jay Lindsay in Boston, Randall Chase in Wilmington, Del., and AP chief medical writer Marilynn Marchione in Milwaukee contributed to this story.

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How to Understand the Difference Between Type 1 and Type 2 Diabetes

There's a distinctive trend in the questions that diabetics and their family members usually ask. This article will help answer one of these most prominent questions: What is Diabetes and most importantly, how do one differentiate between type 1 and type 2 Diabetes?

                         

Steps

1. Understand that diabetes is a condition in which the body cannot control the level of glucose (sugar) in its blood because of one of the following (or both):
   • The pancreas (not kidneys) does not produce enough insulin.
   • The body cells are resistant to the action of insulin.
2. Realize the fact that type 1 and type 2 diabetes are two totally different types of diabetes. Diabetes, unlike the common myth, does not begin with Type 1 and then progress to Type 2.
3. Understand that people diagnosed with Type 1 diabetes do not produce any insulin. They need to be treated with insulin given by insulin syringes & injection or via insulin pumps for diabetics. (Insulin via a tablet would not be effective as it would be destroyed in the digestion process)
4. Understand that type 2 Diabetes is the more common form of diabetes. Obesity is the primary reason for Type 2 diabetes. People diagnosed with Type 2 diabetes do not produce sufficient quantities of insulin. Initially your pancreas respond to the demand (created by obesity), by producing more insulin. However, it cannot do so indefinitely. Corrective action includes reducing body fat by checking through body fat analyzer and leading a healthier lifestyle. If corrective action is taken soon enough, then people suffering from Type 2 diabetes need not take any medication such as diabetes glucose tablets or diabetes supplements and can lead a healthy normal life. Failure to take corrective action will create a need for insulin injections to supplement the inadequate quantum of insulin produced by your pancreas.
5. Know that Type 2 is likely to be more serious a condition than Type 1 diabetes. Myth: Type 1 diabetes is serious, Truth: Yes and No. Type 2 is likely to be more harmful because people often have it for years before being diagnosed. Having it for years can lead to long term complications.
6. Diabetes is a serious matter. Did you know? Diabetes is a silent killer.Plus, type 1 diabetes occurs in most kids and young adults. Plus, there is no cure for Type 1 diabetes compared to Type 2 diabetes.. at least with type 2 diabetes you have a chance to reverse it by dieting and losing weight.

Toxic America

How to Save Yourself from Toxic People

You're in the best of moods and the day feels just great. Suddenly you feel sapped of energy and your spirits have been dampened. The source of the deflation? You've just encountered someone else's bad attitude and it has cast a pall over your own mood. While it's a personal choice to seek to deflect the negative moods of others, it's not always that easy – emotions are contagious and we're programmed to empathize with others around us and to tune into their emotions. The negative moods and thinking of a toxic person are pervasive - nervous energy, anger, sadness, complaints, clinginess, a view of the world constantly tinged with negativity. And if you happen to be caught up with toxic people daily in your life, by letting their negativity get to you, it can erode your own sense of self and deflate even the most optimistic outlook. Constantly negative emotions can lead to illness and a shortened lifespan – toxic personalities are not healthy for themselves or for you. And since misery loves company, miserable people will try to drag you into their fold; however, take charge of defending yourself and learn how to break free from toxic attitudes around you, to sustain your healthy, fulfilling, and optimistic outlook.

              

 Steps

1. Discover your current attitudes towards life in general. There is no point in striving to be progressive and successful, when you yourself possess the negative energy that holds you back. Take stock of your actions and words. If your own behaviors head in the direction of self-pity and pessimism (a self-perceived victim status), it's time to re-track and start over by making a choice to adopt more optimistic beliefs and attitudes. Life will give you what you expect, so that your expectations need to be balanced with realistic measures and a more positive framework. This starts with you as a person before looking to blame others for your failures and miseries.
2. Learn to pick up on the energy (or vibes) around you. Besides knowing yourself well, you need to know how you feel when toxic people are around you. You probably already know how to do this but learn to make it a conscious act, not just an unconscious reaction. For example, think about how you feel when you walk into a business where everyone is friendly and cannot do enough to engage you in casual conversation. Then, think about walking into a business where the mood is sour, the assistants are barely able to mumble a hello to you and appear to have other things to do than to engage with you, their faces filled with resentment and a desire to be anywhere than where they are. The energy in both cases is enormously different and you pick up on it immediately. It is the same with individuals; you will grow to consciously notice when you feel immediately uplifted or plunged downward by the people in your presence and you can take steps to make choices about how to react once you recognize these feelings.
3. Recognize the toxic personality types. We all have our down days, and each of us is prone to the blues now and then. However, when it comes to toxic people, the blues appear to be a permanent state of being and feeling down, glum, angry, etc., becomes a primary personality trait rather than a temporary state of mind. The following toxic personality types are ones to be on the watch for:
   • Angry at life: A person who is always angry, blowing up, shouting, and reacting to everyone in a volatile manner is a toxic person. They need a lot of help but you don't need to be their battering board. Staying around a person like this will cause you to become angry too, to see slights where there are none, to react instead of reflecting, and to fear things.
   • Everything in the world is rotten: A person with this worldview is always down and always finds the dark side in everything. And they love miserable company; the more dark thinkers agreeing with their conspiracies and frightening theories, the better. Oddly enough, this person will often be competitive about their misery, trying to outdo any other person's misery. Prone to seeing other people's mistakes as enormous transgressions (and therefore cannot forgive) and to fearing that people are going to let them down/let them go any moment, they live in constant state of fate-determining negativity and lack hope. Since they don't feel capable of changing their trajectory, they'll try to drag you in with them.
   • Attention seekers: Insecure, unable to create their own sense of self-worth, and emotionally immature, this person is a "clinger". They want your attention, they want it when they want it (now!) and they need to be at the center of everything. This person's constant need to be heard and rescued will wear you down eventually and their inability to settle down and take a good, long hard look at themselves means that they try to suck the energy and life from elsewhere, namely from you.
   • Gossips: When all else in your own life fails, spill the beans on other people's misfortunes is the motto of this difficult character. Instead of keeping confidences and being supportive, this person allows envious feelings to get the better of them instead of getting the better of their envious feelings. Unfortunately, gossip feels exciting to those receiving it initially but it's like a sugar high; it soon crashes and the nasty after-effects harm everyone. If you have found yourself caught up with a gossip and you've enabled them or benefited from them, don't get hung up on worrying about your complicity; forgive yourself, make a choice to only speak well of others from this point on, and remove yourself form their sphere.
   • Fearful frighteners: Worry, anxiety, "what ifs", and fear push this personality. Everything in life, from relationships to crossing the road, holds some potential for fear and terror, and this person's anxiety is unfortunately very contagious.
4. Take a look at the company you keep (or attract). Looking at the list in the previous step, analyze friendships, family relationships, working colleagues and decide objectively just how healthy these people are in terms of your overall well-being and composure. Do they bring out the best in you or do you serve as a sponge for all their problems and miseries? If the latter is the case, for your own sanity and well-being, let them go. This might be really hard initially because of the expectations and sense of obligation that builds up in relationships but staying with people who lead you into constant misery isn't going to be rewarded, so don't subject yourself to it. Disengage yourself from their company politely by minimizing contact until a healthy distance can be maintained. You need this time to ponder and reflect on saving and preserving yourself, drawing on the optimism, hope and positive energy you have within.
   • There is a primal instinct in each of us to mirror others we're with. It's a survival and a social technique. And if that mirror is murky, negative, and lacking in self-esteem, it's a mirror you need to throw a drape over for the sake of self-protection and moving forward. Remember that you can't change another person, only yourself, so don't bog yourself down with excuses about being responsible for them or feeling pity for them. You can only truly help a negative person when you're no longer influenced by them.
5. Listen selectively when engaging in any conversation. Seek to hold onto the positive and constructive aspects of any conversation. Train your mind to consciously throw out the bad essence of the conversation. It becomes a matter of choosing what it is you wish to dwell on; allow the good side to hold stronger for you and to serve as the thoughts you focus and ponder on. When negative Ned starts getting really trying, return positive energy through positive words or suggestions that are supportive. Doing this creates a space between you; while the other person may be internally struggling to refute to your positive insistence, it is clear to them that you aren't going to be won over to the dark side!
   • Create a personal signal to remind yourself to keep deflecting the negative conversation and signals beamed at you from a toxic personality. It might be pulling a piece of your hair, digging your thumbnail into your palm, flicking your wrist, tapping your knee, etc. This minor action is a protective mechanism to remind you to consciously note that negativity is being sent your way and to make a conscious effort to refuse it entry into or lodgings in your own thoughts.
   • When dealing with blamers, shift the perspective. While the toxic personality wants another person to take the blame for a situation, stay calm and keep insisting that the problem be solved instead of discussing whose fault it is. Seeking to blame someone keeps things static, and stuck in time, and a solution won't be found because it has been lost from sight and the blamer doesn't want to take responsibility for improving their own situation anyway. Stick to the facts and point out what needs to be done to fix a problem. If they become hot-headed or violent, remove yourself from them and allow them the space to calm down.
   • Use empathy and compassion with those who seek to spread fear. Limit your exposure to their fear talk by turning their negative talk back on itself. For example, if they insist that your business venture is going to fail, ask them "Well, what if it doesn't?". Help them to see the possibilities rather than endless negatives. And when they really get to you, see their fear as a form of being upset and tell yourself over and over again that this is their reaction, not yours, and that you have the choice to remain grounded and true to your goals.
   • Always remind yourself that negative emotions have a time limit; they do not last, they will soon pass. You do not need to carry the ball of negativity with you beyond the encounter.
6. Develop a beautiful mind. This can be achieved by accepting the reality of things that cannot be changed. Let bygones be where they belong – in the historical archives of repressed memory. If these emotions become too difficult to attain closure, seek help to close this chapter fully and finally. In this way, you won't allow the negative thoughts to fester and control your present and future self; understanding and learning to accept what has been as a lesson in growth rather than a crystallization of who you in time for all time is the way to break free from negativity. Acceptance forms a great part of this beautiful mind, bringing closure and leaving the mind and body free to achieve a more fruitful and higher quality lifestyle.
   • Take up practices that help to ground you. Some things that might help you include meditation, yoga, reflection in nature, martial arts, endurance sports, a hobby that fulfills a passion, etc. Find something that calms and centers you and to which you can retreat when you need to re-energize yourself.
7. Know what your needs and desires are. Take time to decipher what is important to you. Know what your likes and dislikes are and develop some idea of where you would like to see yourself in the future. Write down your plans on paper. Paste it on a wall where you can constantly remind yourself and stay focused. This will also help you when times get tough and you feel the gripping desire to fall back into older negative habits. More importantly, knowing what you want in life acts as a shield to prevent you from taking on board other people's expectations for you and treating those as your own instead. By all means remain open to hearing what others have to say but don't be swayed by what doesn't fit with your needs and desires, or by what stops you from being true to yourself.
8. Stick to your own beliefs and be comfortable with yourself. The doubts, regrets, and misgivings that others feel should be of no consequence to you and the paths you follow in life. It is commonplace to hear such comments as "My parents wanted me to do X, so I did", or "My spouse wanted to go to X city, so we did" and then to see the speaker behave as if their life were determined by someone else's choices. Or, there is the perennial "If only I had done things differently, I'd be famous/rich/important by now, but X held me back." None of these thoughts about the past are helpful to the person you are now; don't allow other people or their preferences to serve as your excuse for a lack of an internal moral compass and set of beliefs. Your faith and confidence in your own beliefs will get you to where you want to be. Once again, listen if you have to, but do it selectively. Keeping away from people who confuse you is the next very best choice to make – make excuses to stay away.
   • At times, you will need to make compromises with the people close to you or who impact your professional life but do so knowingly and confidently, and not because you feel bludgeoned into making choices by a toxic personality.
9. Find like minded people. As we all know, no person is an island – we humans are social creatures. As time progresses, your entire being will become accustomed to happy and wholesome interactions. What you will discover when you focus on sustaining an optimistic mindset and refusing to dwell on the negativity is that you will attract people with a similar mindset to you. Mingle with company that helps you to develop a healthy body and mind – be with optimistic, upbeat, and happy people. The more time spent with people of this nature, the happier and brighter you will feel. Their nourishing, healthy, and positive attitudes are contagious in a good way and will help you to stay on an even keel. Equally, once you reach the point whereby anything or anyone who disrupts your sense of balance and inner peace starts to irritate you, you know how to politely deflect them, and this confirms that you're well on your way to a greater and more contented life.
   • Pass it on. Use the inspirational example of the more positive people in your life to guide yourself away from the toxic thought dwellers. In turn, become more like the optimistic people by seeing the best in others and complimenting the good you see in people. Be the source of a "healthy chain of emotions" by remaining upbeat when interacting with others; accept and give compliments with thankfulness, maintain eye contact with them, and smile.
10. Strive to become one with yourself, the environment and your needs. This may be difficult at the onset but given time, the routine of seeing everything as a wonder and finding the good and positive in everyday interactions will eventually fall into place. A calm and collected mind is ingenious and complements productive and sensible thinking.

Tips

• Strive to see the best in everything you do. Once the voices on the inside echo louder than the voices on the outside, then you have achieved a higher level of thinking within yourself.
• It matters not if people think of you as antisocial or arrogant; such terminology is all too easily applied to a person who assertively strikes forth to make a mark in the world and to better themselves. You need to become the most important person in your own life. If their presence brings you undue grief, the you are better off without them or their presence and this is not disloyal or snobbish; remember that toxic people will attempt to make you see it that way so as to drag you back into their toxic worldview but even their judgment of you is wrongheaded and in reality an excuse for their own behavior rather than a level-headed summation of who you are.
• Find one thing a day to be grateful for. Force yourself to do this until it becomes a daily habit you cannot live without. You will discover that it causes negative encounters to move away from your thoughts and will replace these with more harmonious, happy, and productive thoughts.
• By remembering the above steps, your mind and psyche stands on guard against those to knowingly or unknowingly put you down or create misgivings about your own potential and capabilities.

How to Understand a Kidney Cleansing Fast

Kidney cleansing fasts, otherwise known as kidney detoxification, are used to improve kidney function and avoid kidney stones. In order to decide if kidney detoxification is personally beneficial, you must first understand its effects on the body. This article will show you how to understand a kidney cleansing fast.

 

  Steps

1. Understand the function of the kidneys and urinary system. The average person is born with 2 kidneys. They are a component of your body's urinary system, along with the ureters and the bladder. The kidneys have a number of functions, including balancing body fluids, balancing body chemicals, removing waste products and releasing essential hormones. They are essential to your other organs because they process and rid the body of waste products, including chemicals, salt and excess water. The following steps will analyze how the elements of a kidney cleansing fast affect the body.
2. Consult your doctor before starting a kidney cleansing fast.
   • Some people are at risk for kidney disease. If anyone in your family has had kidney disease, it is a good idea to get blood pressure, blood and urine tests to determine your overall kidney health.
   • A kidney cleansing fast may also inhibit medication absorption.
3. Reduce the amount of food you eat during the days leading up to your fast.
   • Fasting often increases feelings of hunger. This early reduction in diet can help to curb your hunger.
   • For some people this may be the only step required; eating a healthy diet and increasing your fluid intake may be enough to cleanse the kidneys.
   • Many kidney disease patients are asked to limit their intake of food that is high in protein, cholesterol and sodium. The kidneys are responsible for processing these substances, and this change in diet can allow the kidneys to rest before, during or after the cleanse.
4. Determine what your fluid intake should be. Most kidney cleansing fasts last about 3 days and they recommend that you consume half of your body weight in ounces. For example if you weigh 180 lbs. (81.6 kg), you should drink 90 oz. (2.66 l) of water each day.
   • Fluids are essential to a kidney cleansing fast because your kidneys filter and clean around 200 qt. (189.27 l) of fluid from your blood every day. About 198 qt. (187.377 l) are absorbed and 2 qt. (1.89 l) continue on to the bladder to form urine.
   • Many cleansing fasts recommend using distilled water because it does not have the mineral content of tap water. This also allows your kidneys to rest by limiting the number of minerals your kidneys will have to process.
5. Adopt a liquid diet for 3 days that includes water, juice, herbal teas and vegetable broth. Avoid alcohol, caffeine and dairy products.
   • Liquids help to rehydrate the body, which is essential to preventing kidney stones, which are crystalline deposits that form when a person is dehydrated and too much of a substance, like calcium, is in the urine.
   • Teas made from celery seeds or nettles act as natural diuretics. Parsley and bearberry are commonly used in teas as they aid the digestive and urinary systems.
   • Alcohol, caffeine and milk products act as diuretics, which cause you to urinate more frequently and get rid of fluids very quickly, thus dehydrating the body before essential fluids are absorbed.
   • Vegetable broth is made by boiling vegetables or vegetable peels, including carrots, celery and beets for an hour, and then straining and drinking the nutrient-rich fluid. Drink this broth 2 to 3 times a day to combat electrolyte and potassium loss.
6. Eat watermelon to cleanse kidneys after your 3 day fast.
   • Watermelon is a natural diuretic, but unlike alcohol and caffeine, it does not seem to strain the kidneys. A watermelon cleanse helps the liver to process ammonia, a waste from protein digestion, and deliver it to the urea. This also eases strain on the kidneys, while ridding the body of excess fluids.
   • There are many ways to derive this benefit from watermelon. It can be cut up and eaten whole (with seeds) or juiced. The seeds can be made into tea, and the flesh can be made into soup.
7. Ease yourself slowly out of the fast by eating raw vegetables.
   • Any change in diet should be slowly adopted to avoid lightheadedness, nausea or hunger. After eating vegetables for a few days, incorporate small amounts of protein, and then move back into a normal, healthy diet.

                                                                           

WHAT IS Alzheimer

How to Recognize the Early Symptoms of Alzheimer's Disease

Alzheimer Disease

Alzheimer's Disease is a tragic illness that robs victims and their families of years of happiness by slowly destroying the mind and personality of the person afflicted. Though there is no cure yet, there are drugs available to treat symptoms and delay progression of Alzheimer's if it is diagnosed early. A new test called a bio-barcode assay, which may be able to identify a certain protein in spinal fluid associated with the disease, is being studied to determine its usefulness in the early detection of the disease. Hopefully this will prove to be a key tool in diagnosis and treatment in the near future. Until then, being aware of the early symptoms of Alzheimer's is the best way to catch it in its early stages.

Steps

1. Watch for memory loss, one of the first signs of the disease. If someone has trouble recalling where they parked the car or what they went to get in the pantry, that is not unusual and may be a normal part of aging. The loss associated with early Alzheimer's affects short term memory, things that recently happened, such as not remembering that they ate lunch an hour ago. Another indicator may be that they are increasingly and persistently misplacing everyday objects like glasses or keys. Or putting the items in unusual places, like the refrigerator.
2. Listen carefully. The inability to think of the word for common items like a spoon or hairbrush may also occur. This is not the same as being at a momentary loss of a descriptive word for something. The individual no longer knows what the object is called and may make-up or use a word that sounds like or has a similar meaning for the object. Speech and understanding become slower and they may lose their train of thought in mid sentence.
3. Pay attention. Difficulty learning new things and making new memories is another indicator. The individual has a shorter attention span, may ask repetitive questions, and resists change. They also have trouble organizing their thoughts and thinking logically. This loss of processing skills might be evident in the inability to do things such as balance a checkbook or forgetting to pay for an item.
4. Spend time observing. Being unable to perform simple everyday tasks as effortlessly as they once did is another symptom of mild Alzheimer's. The individual may take longer doing routine things and become agitated if rushed. They may also get lost easily, even going to familiar places, and sleep patterns can become disturbed.
5. Be aware of behavioral changes. One of the earliest changes might be a loss of interest in life or things once enjoyed. Less energy, a lack of spontaneity, emotional outbursts, and unprovoked hostility are other symptoms. The individual may also experience a loss of inhibition causing behavior such as undressing in public or making inappropriate remarks. The loss of the ability to judge time and space and what's going on around them can contribute to paranoid behavior.
6. Other signs can include going outside in their nightie/pyjamas, neglect of personal grooming and hygiene, accusing people of stealing/moving/hiding belongings.

                       

  Tips

• Drugs do exist that can treat some symptoms of the disease such as improving memory and calming anxieties. It is more likely that symptoms will respond to treatments early in the disease.
• Beginning treatment as soon as possible will make the individual afflicted more comfortable and better able to independently perform certain personal functions longer. This will also make things easier for the caregiver.
• Early diagnosis gives the patient and family the time needed to make decisions about the future, including health care, financial and legal concerns.

Warnings

• The symptoms listed above are associated with dementia. Mild dementia can be caused by early or mild Alzheimer's Disease, but could also be symptoms of other illnesses - including dehydration, vitamin deficiency, thyroid problems and reaction to medicines - which are treatable and reversible. If you are concerned about yourself or someone you care about it is important to seek medical treatment as soon as possible.
• Just because you forget things (car keys, water bottle, etc.) does not mean you have Alzheimer's disease. Check with a doctor if you think you have Alzheimer's.

How to Prevent Kidney and Liver Failure at a Young Age

Your kidneys and liver are extremely important organs, so you want to keep them as healthy as possible. There are several steps you can take to prevent damage to these vital organs.

                           

 Steps

1. Stay properly hydrated by drinking water. If you exercise a lot, you may also want to consume a few sports drinks to replace electrolytes lost via sweating.
2. If you are at risk for diabetes due to family history or lifestyle, get evaluated for the condition periodically & seek treatment if the evaluation results suggest you are having problems with your blood sugar levels.
3. If you are a diabetic, properly control your blood sugar levels.
4. Do not consume alcoholic beverages in excess. If you already have liver damage, consult with your doctor to determine if you should consume alcohol at all.
5. Avoid recreational drugs, especially IV drugs.
6. Maintain healthy eating habits, exercise regularly and get enough sleep.
7. Do Pranayam (especially Kapalbhati) for 10 minutes daily.

Tips

• Alcohol is metabolized by the liver and excess amounts over time can be toxic. If you already have liver disease or damage, even small amounts of alcohol are dangerous and should be avoided. Alcohol is also a diuretic and can contribute to dehydration.
• Many prescription and over-the-counter medications can effect the liver and kidneys. Read label instructions carefully and consult with your doctor if you have any concerns.

How to Use a Liver Cleanse

"90% of diseases are due to improper functioning of the colon." Dr. John Harvey Kellogg said this more than a century ago, and ordinary people around the world are discovering the truth in what he said every single day. On this page I'll tell you how to do a typical liver cleanse.

                            

 Steps

1. Prepare for the cleanse by drinking fresh apple juice for 3 days. Meals should be small amounts of raw salad or unprocessed fruit. The apple juice will help to flatten any gall stones that you may pass after the cleanse.
2. Buy the liver cleanse ingredients. You'll need Epsom Salts (4 tablespoons mixed in 4 cups of water), Olive Oil, Fresh Grapefruit juice and Lemon juice, and perhaps some sleep aids if you are a light sleeper.
3. Do the cleanse. Choose a Saturday if possible so that you have Sunday for recovery! Here is the routine you should follow:
   1. At 6pm, drink 1 cup of the Epsom Salt water. Repeat at 8pm.
   2. At 10pm, mix the fruit juices with one cup of olive oil. Drink it, go to bed and get a good sleep while the cleanse does its work!
   3. At 7am the next morning, drink 1 cup of the Epsom Salt water. Repeat at 9am and finish the mixture.
   4. Eat only light fruits and vegetables for the rest of the day, with lots of water. Your liver should be clean and emptied of gall stones and by the evening you should feel great!

MASTER CLEANSE SECRET

Tips

• Take a sleep aid - some light sleepers have problems dozing off during the cleanse.
• Lie down immediately after drinking the olive oil and fruit juice - being horizontal gets the mixture into your liver and gall bladder faster.

Warnings

• Try to do the cleanse on Saturday, you will be in no shape for work the next day!
• Be prepared for frequent purging after consuming Epsom Salt, lemon juice and olive oil.

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How to Prevent Liver Cancer

Liver cancer is a terrible disease. It does not just affect your liver, but also the way your body works. Here are some crucial tips to help prevent liver cancer.

Steps

1. Quit smoking/stay away from cigarettes. This is an important step. If you do smoke, quit smoking. Not only to prevent liver cancer, but smoking cigarettes affect your whole body in general. If you don't smoke, stay away from people who do. Second-hand smoke is worse as well.
2. Watch the level of alcohol you put through your body. Don't get drunk; only have one or even half of your alcohol bottle. Don't get drunk because your peers persuade you into drinking. Don't do underage drinking either.
3. Stay away from drugs that are not from your doctor. This does include drug dealers. These drugs are nothing good for you, unless your doctor tells you to take legal drugs.
4. Lose weight. If you are overweight, just simply do 30 minutes of exercise instead of eating chips and candies, or have a piece of fruit. Not only does it helps your body, but also your body will thank you in return.
5. Watch what you eat and drink. If you are at a club, don't leave your open drink unattended. Someone can come and dump anything in it. Just get a new one or finish it.
6. Follow a liver diet. This can help you prevent liver cancer as well. Just make sure you consult your doctor and build a liver diet. This will help your insides and make you feel better later on.

                              Tips

• Consult your doctor.
• Ask your friend to join you on preventing liver cancer.

Warnings

• Liver cancer is a critical disease.