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Sixteen-year-old Dara collapses while running on a treadmill.
At the movies with his family, 48-year-old Martin sips his soda, gasps, and blacks out.
Moments after waking up on a Saturday morning, seven-year-old Liam turns gray and stops breathing.
Three different scenarios, ending in a single, life-threatening diagnosis: sudden cardiac arrest (SCA). SCA occurs when the heart stops beating, abruptly and without warning, after electrical impulses in the heart become rapid or chaotic. Without treatment, death can occur in just minutes.
On average, an SCA occurs about every 90 seconds,1 affecting seemingly healthy individuals both young and old alike, including 7,000 children and teens each year.
Close to 500,000 Americans die from SCA each year, making it a leading cause of death in North America. Two-thirds of SCA deaths occur while at home, work, or play, while the remaining one-third of SCA-related deaths are found in hospitals.
According to the American Heart Association, nearly 90% of out-of-hospital SCAs are fatal.2
Dara, Martin, and Liam above (not their real names) are extremely fortunate. All three are alive today, thanks to quick-thinking bystanders who were trained in administering cardiopulmonary resuscitation (CPR) and the ready availability of automated external defibrillators (AEDs). An SCA is often reversible if addressed within a few minutes. The chances of surviving an SCA decrease by 10% for every minute the affected individual goes without CPR.
SCA Versus Heart Attack
SCA is not a heart attack; instead, SCA could be considered as an electrical problem, while a heart attack is a plumbing problem.1
SCA is usually triggered by ventricular fibrillation, an electrical disturbance that results in a loss of heart function. This “power failure” adversely impacts the supply of blood to the brain and other vital organs. Without treatment—consisting of the delivery of an electrical shock, either via an AED or an implantable cardioverter-defibrillator (ICD)3—death can occur within minutes.
Conversely, a heart attack, known as a myocardial infarction, occurs when the flow of blood to the heart via the arteries is interrupted or blocked, usually by plaque. This blockage, similar to a backup in a plumbing line, must be “unclogged” with drugs or surgery in order to avoid damage to the heart or other adverse occurrences.
Importantly, SCA and heart attack signs and symptoms vary widely. Signs of SCA, if they occur at all, include sudden collapse, lack of pulse or breathing, and a loss of consciousness. One-quarter of adults treated by emergency responders for SCA had no prior symptoms.2
In comparison, heart attack symptoms such as chest pressure or pain, nausea or vomiting, cold sweats, and dizziness may occur days or even weeks before a heart attack.
If either an SCA or a heart attack is suspected, emergency medical services (911) should be called immediately.
SCA Risk Factors
Because SCA strikes without warning and indiscriminately, it can be challenging to pinpoint its source and causes. However, the Heart Rhythm Society has identified certain factors clinicians can use to estimate SCA risk in patients, as follows:
- A previous heart attack: the majority of people who die of SCA show signs of a previous heart attack
- A family history of sudden cardiac death, heart failure, or massive heart attack
- An abnormal heart rate or rhythm of an unknown cause
- An unusually rapid heart rate that comes and goes
- Episodes of fainting of an unknown cause
- The presence of a congenital heart defect before and after a surgical repair attempt
- A low ejection fraction: the ejection fraction is a measurement of how much blood is pumped by the ventricles with each heartbeat, with a healthy heart typically pumping 55% or more of its blood with each beat; the pumping of less than 35% indicates an elevated risk of SCA
Technology for the Early Detection of SCA Probability
Individuals suspected to be at a high risk for SCA are usually referred to cardiac specialists, who use a number of diagnostic tests and procedures4 to stratify SCA risk. These tests include electrocardiography (ECG), a simple, painless evaluation that detects and records the heart's electrical activity. The test monitors how fast the heart is beating and its rhythm (steady or irregular). ECG also records the strength and timing of electrical signals as they pass through each part of the heart, and can pinpoint evidence of heart damage or previous or current heart attack.
ECG can also be used to spot another deadly SCA red flag known as long QT syndrome (LQTS). The ECG measures the heart’s electrical impulses as a series of waves labeled with the letters P, Q, R, S, and T. During SCA risk assessments, physicians focus on the heart’s QT interval, which is the time it takes the muscle to contract and then refill with blood before the next contraction.5
LQTS is present when the heart muscle takes longer than usual to recharge between beats. LQTS patients are at a greater risk of SCA due to the threat of torsade de pointes (TdP). Translated as “twisting of points,” TdP is a life-threatening ventricular tachycardia found in LQTS patients that makes the waves on an ECG monitor appear “twisted.” 5
LQTS is either inherited (congenital) or acquired. Acquired LQTS can result from certain disease states; electrolyte imbalances; or adverse reactions to some medications including volatile anesthetics, antibiotics, antinausea drugs, and antipsychotic agents.
LQTS can be treated either with medications such as β-blockers and anti-arrhythmic medications, or, in some cases, implantable cardioverter-defibrillator (ICD) insertion.
During perioperative and critical care treatment, arenas in which many LQTS-triggering drugs are used, LQTS patients face an increased risk of developing TdP or other deadly cardiac arrhythmias, setting the stage for SCA. Therefore, monitoring of the QT interval in LQTS patients throughout the hospitalization period is recommended to reduce the likelihood of an in-hospital SCA.6
Manual calculation of the QT interval is cumbersome and therefore not feasible in the high-stress settings of perioperative and critical care. Instead, the use of equipment that provides continuous automatic monitoring of the QT interval can help to increase the safety of patients suffering from or at risk of developing LQTS during surgery or the provision of critical care.
Sudden cardiac arrest can be deadly, but it can be stopped in its tracks with proper monitoring. The display of QT interval data on the patient monitor as well as the presence of sophisticated arrhythmia alarms can go a long way toward detecting an individual’s risk of TdP and preventing SCA.
- Heart Rhythm Society. Sudden cardiac arrest (SCA)—who's at risk?. Available at: https://www.hrsonline.org/Patient-Resources/Heart-Diseases-Disorders/Sudden-Cardiac-Arrest-SCA/SCA-Who-s-At-Risk. Accessed May 3, 2019.
- Benjamin EJ, Muntner P, Alonso A, et al. Heart disease and stroke statistics—2019 update: a report from the American Heart Association. Circulation. 2019;139(10):e56–e528. DOI: 10.1161/CIR.0000000000000659. Accessed May 6, 2019.
- Zipes DP, Camm AJ, Borggrefe M, et al. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death—executive summary. a report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death). J Am Coll Cardiol. 2006;48(5):1064–1108. DOI: 10.1016/j.jacc.2006.07.008. Accessed May 6, 2019.
- National Heart, Lung and Blood Institute. Sudden cardiac arrest. Available at: https://www.nhlbi.nih.gov/health-topics/sudden-cardiac-arrest. Accessed May 3, 2019.
- Mayo Clinic. Long QT syndrome. Available at: https://www.mayoclinic.org/diseases-conditions/long-qt-syndrome/symptoms-causes/syc-20352518. Accessed May 7, 2019.
- Friederich P. Monitoring of the QT interval in perioperative and critical care. Available at: https://www.gehealthcare.com/en/white-paper/automated-qt-interval-monitoring. Accessed May 6, 2019.


Researchers at the University of Utah's
Huntsman Cancer Institute have identified a genetic variant in the MET
proto-oncogene predictive of colon cancer risk for individuals with a family
history of colon cancer. Presence of this variant is associated with
cancer diagnosis at an average age of 63 years, 8 years earlier than the average
age of diagnosis in the general population. Genetic testing for this variant
will allow improved assessment of risk for individuals with a history of
familial colon cancer.
Features & Benefits
- Genetic testing for the MET gene variant, especially for those with a
family history of colon cancer, would identify individuals who would most
benefit by frequent and early screening.
- A more comprehensive and widely applicable test could be created by
adding the MET gene variant to existing genetic testing panels for evaluating
inherited colon cancer risk.
Colorectal cancer (CRC) is the
fourth most common cancer in the United States and worldwide, the second leading
cause of cancer death, leading to a cost of approximately $14B to the US
healthcare system. It has been estimated that up to 30% of CRC is due to
genetic factors. About 5-8% of colon cancers are associated with well
defined genetic syndromes, including hereditary nonpolyposis colorectal cancer
(HNPCC) and familial adenomatous polyposis (FAP). Approximately 20% of
additional CRC cases involve patients with a strong family history, consistent
with inherited risk, but for whom no genetic marker of risk is
Intellectual Property: An international patent
application was filed in July 2012.
Inventors: Dr. Deborah Neklason and Dr. Randall Burt,
Huntsman Cancer Institute, University of Utah
Related Publications: Neklason,
et al; "Activating mutaion in MET oncogen in familial colorectal cancer",
BMC Cancer, 2011 11:424


As a human being, there are fundamental ways I view and approach my interactions and relationships with strangers, loved ones, and clients. People close to me know one of my guiding quotes is “Be kind, for everyone you meet is fighting a great battle.” Treating people with grace, dignity, and compassion regardless of their behavior is a model of human interaction I strive to embody in my daily encounters, close relationships, and counseling sessions. I embody a non-pathologizing, collaborative, strengths-based approach to therapy.
The solutions to our world’s most challenging problems- world hunger, access to clean drinking water, treatment of infectious disease, international terrorism, and violence against women- may lie inside the mind of any one of us. However, due to the country, city, neighborhood, schools, and religion we are born into… our sex, race, and gender… how family, friends, and strangers treat us… the possibility of reaching our potential is either maximized or minimized by our life circumstances. Sometimes these circumstances work for us and sometimes they appear to work against us. I acknowledge we all have constraints, barriers, and obstacles we have to deal with- and, I view these as opportunities to gather strength, resilience, and motivation; to learn, think creatively, strategize, grow, and persevere; to be humble, to be bold, and to let yourself be transformed.
Domestically and internationally, I have provided trauma-informed services with children, adults, and families with varying levels of needs- from private practice, to school and community-based, to inpatient residential treatment. I utilize an effective mix of person-centered (i.e., you choose your goals, we work together), evidence-based (i.e., research backs it up) and strengths-based (i.e., honing in on assets, successes, and what is going right) approaches.
As a registered Marriage and Family Therapy Intern (IMF #89547) with the California Board of Behavioral Sciences, I currently provide therapy for eating disorder recovery at the PHP and IOP levels of care at the Lotus Collaborative in San Francisco, CA. Some particular areas of clinical interest include: Eating Disorders & Recovery, Body Image, Addiction & Recovery, and College and Young Adult Issues (e.g., transitioning to college, social anxiety, stress management, low self-esteem, etc.)
I lean on evidenced-based therapy models like Internal Family Systems Therapy, Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Mindfulness-Based Interventions. I have also completed a 200 Hour Yoga Teacher Training in India and have received additional training in Trauma-Sensitive Yoga and incorporate the philosophy and practice of Yoga and mindfulness into therapy. I help people explore their inner worlds and relationships, let go of negative beliefs about themselves, learn strategies to manage distress, and tap into their innate resources, wisdom, and strength. What does all this psychology jargon mean?
Person-centered therapy means just that- therapy is centered around your needs and goals. One of the basic tenets of person-centered therapy is that you are the expert of your own experience (i.e., the client always knows best). The role of the therapist is to be “real” (i.e., genuine and transparent), offer unconditional acceptance, and sensitively and accurately understand the client’s subjective view of the world (i.e., your thoughts and emotions).
A trauma-informed, systemic approach involves assessing how the systems people are embedded in function and contribute to the concerns and resources they bring to the table. A systemic therapist will explore the patterns of interaction in your relationships with family members, significant others, friends, and colleagues and the interplay of a variety of individual, relationship, family, community, and societal factors on your mental health and well-being.
Internal Family Systems (IFS) Therapy is a model of therapy which asserts that the nature of the mind is to be subdivided into parts- each of which contains valuable qualities. However, these parts can be forced out of their valuable roles by life experiences and can reorganize the internal system in unhealthy ways. Another important tenet of IFS is the belief that, in addition to these parts, everyone is at their core a Self containing many crucial leadership qualities (The 8 C’s: Confidence, Compassion, Courage, Creativity, Clarity, Calmness, Connection, and Curiosity).
Dialectical Behavior Therapy (DBT) is a type of Cognitive Behavior Therapy which teaches people practical skills to improve emotion regulation, distress tolerance, mindfulness abilities, and interpersonal effectiveness. The goal of DBT is to teach you the skills to improve your quality of life and replace ineffective behaviors and thoughts with adaptive, life-enhancing behaviors and thoughts. DBT supports people in balancing the emotional with the logical and change with acceptance.
Narrative Therapy separates people from problems (i.e., you are not the problem, the problem is the problem) and deconstructs the stories we tell ourselves about the world and who we are. How you frame a story might be oppressive, perpetuating a problem, or prohibiting you from leading a fulfilling life. Narrative therapists gently guide you as you re-author story lines- shifting your perspective from problem-saturated to hopeful and empowering.
I also integrate body and mindfulness based techniques into therapy since working with the mind-body connection is very healing especially for people who have experienced trauma.
The cultural mental health stigma and shortage of skilled mental health professionals are critical issues facing the world today. Mental health issues emerge from a combination of genetics, neurobiology, psychological influences, early childhood experiences, relational dynamics, and environmental factors. Many people wait to see a professional until their concerns are unbearable, instead of taking a preventative approach the moment they feel something is off. I define therapy as a journey to the heart of being yourself and nourishment for the soul. Therapy is nourishment, education, support, and guidance in understanding, solving, and coping with the events and experiences that tire our mind, body, and soul.
At some point, everyone experiences a sense of “I just don’t feel like myself” or “Something is off/up/wrong/missing/etc.”- this is normal. If something feels off in your body, you see a doctor. When you have a toothache, you go to the dentist. When you’re struggling with heartbreak, grief, or stress, consultation with a therapist makes total sense.
Human beings share many of the same struggles and needs- we all crave safety and security, connection to others, validation that we are seen and matter, and a sense of purpose in life. As Harry Stack Sullivan would say, “We are all much more human than otherwise.” And yet, the irony and beauty of the human experience is… even though 99% of our DNA is similar, we all vary– each one of us is refreshingly original. “A flower does not think of competing with the flower next to it. It just blooms.” My hope is that you are always blooming- simply, in your own way.
Copyright © 2015 Mariana Prutton. All rights reserved.


February 23, 2010
The human heart is what keeps your body moving, much like the engine of a car. Blood pumped by the heart is delivered to cells, organs, and tissues in the body. Like your engine, if you do not take proper care of your heart, it will not continue working correctly.
Dr. Denton A. Cooley, founder, president-emeritus, and surgeon-in-chief of the Texas Heart Institute, says some people will care for their car better than their own bodies. He says medical advances cannot rid heart disease, but prevention and good health can.
Taking care of your body is key to a healthy heart and lifestyle. Research indicates that it is necessary to exercise aerobically (brisk walking, jogging, or cycling, for example) at least three times a week for 30 minutes to condition your heart. Eating a low fat diet of fruits, vegetables, lean meats, fish, and grains can help reduce your blood cholesterol.
Stress and alcohol are two factors that can affect your heart. Moderate amounts of alcohol are acceptable (one to two drinks a day for men and one drink a day for women), but drinking more than the moderate amount can lead to high blood pressure, stroke, irregular heartbeats, and cardiomyopathy. When feeling stressed, your heart races and blood pressure rises. Extra hormones and increased blood flow during the stress can injure the arteries. Being aware of heart disease risk factors before any signs of illness is essential. By reducing your risk, you can add more years to your life.
Visit Texas Heart Institute’s Healthy Heart Guide for more information.
February 16, 2010
Researchers in California have developed a way to simulate blood flow on a computer to optimize surgical designs. This is a new tool that might help surgeons plan for a life-saving operation named the “Fontan” surgery, which is performed on babies that are born with severe congenital heart defects.
The Fontan surgery is one of three surgeries performed after birth to replumb the circulation of children born missing their left ventricles. The goal is to redirect the blood flow so it becomes properly oxygenated, allowing the patient to survive with only one functional pumping chamber. These types of heart conditions were consistently fatal before this surgery in the 1970s.
This tool uses imaging data to make a model of an individual baby’s heart and allows doctors to input their surgical designs. Then it applies fluid dynamics to simulate the blood flow after reconstruction. By using this type of technology, surgeons are able to test their plans before operating.
Find out more about Fontan surgery:
February 5, 2010
What are some risk factors for heart disease?
High blood cholesterol, smoking tobacco, inactive lifestyle, obesity, diabetes, and high blood pressure are all major risk factors for heart disease. However, these are all factors that you can modify, treat, or control by changing your lifestyle.
What are some risk factors that cannot be changed?
Increasing age, heredity, and male sex (gender) are factors that cannot be changed. According to the American Heart Association, over 83 percent of people who die of coronary heart disease are 65 or older. Men have a greater risk of heart attack than women do and have attacks earlier in life. African Americans have more severe high blood pressure than Caucasians and a higher risk of heart disease. Heart disease risk is also higher among Mexican Americans, American Indians, native Hawaiians and some Asian Americans.
What are other contributing factors?
Drinking too much alcohol and stress are some other contributing factors. Scientists have found a relationship between coronary heart disease risk and stress in a person’s life, their health behaviors and socioeconomic status.
Drinking too much alcohol can lead to high blood pressure, cause heart failure and lead to stroke. It can also contribute to cancer and other diseases, high triglycerides, and produce irregular heartbeats. Drinking too much alcohol also contributes to obesity, alcoholism, suicide and accidents.
For more information visit:
American Heart Association
February 1, 2010
The National Institutes of Health reports that congenital heart defects are responsible for more deaths in the first year of life than any other birth defects.
These types of heart defects are structural problems with the heart present at birth. They result when a mishap occurs during heart development after conception and usually before the mother knows she is pregnant. Defects range from simple problems, such as “holes” between chambers of the heart, to very severe malformations, such as complete absence of one or more chambers or valves.
Not all heart disease in children is congenital. Occasionally, heart disease is not congenital but “acquired,” (Kawasaki disease and rheumatic fever) and may occur during childhood such as heart damage due to infection. Children also can be born with or develop heart rate problems such as slow, fast, or irregular heart beats, known as “arrhythmias”.
Anyone can be at risk to have a child with a heart defect. Out of 1,000 births, nine babies will have some form of congenital heart disorder, most of which are mild. Your risk may be higher if you or other family members have a baby with a heart defect.
For more information, please visit:
American Heart Association


Rockin Rind Relish
Watermelon rind also has some wonderful health benefits, it's a good source of fiber. It is also been known to relax and dilate blood vessels—like a tasty aphrodisiac. Use it as a condiment on burgers, hotdogs, fish or chicken. Zazz up your favorite potato, tuna or chicken salad with a spoonful or two. Heck, we've seen people eat it straight off the spoon.
Ingredients: Watermelon rind, onion, red bell pepper, jalapeno, vinegar, sugar, mustard seed, turmeric, salt, black pepper, nutmeg.
Refrigerate after opening. Lasts 2- 3 months if refrigerated properly.


Dario Piselli, programme manager of the Jean Monnet Module on EU Law and Sustainable Development) was invited to discuss the health impacts of EU biodiversity law during a seminar organised by the Centre for International Environmental Studies of the Graduate Institute of International and Development Studies, which took place on November 21st in Geneva. The seminar was part of the Fall 2019 edition of the CIES Lunch Seminar Series, a series of interdisciplinary research seminars on environmental, natural resource and development issues aimed at the dissemination of research results to academic experts and policymakers.
Mr Piselli, who is a PhD candidate and affiliate member of the Centre for International Environmental Studies, presented the book chapter on ‘EU biodiversity law and its health impacts‘ that he recently co-authored together with EULawSD academic coordinator Riccardo Pavoni. In particular, he focused on the interaction between EU nature conservation legislation and human health and well-being considerations, as articulated in the Birds and Habitats Directives (Dir. 2009/147/EC and Dir.92/43/EEC) and their interpretation by the Court of Justice of the European Union.
Prof Riccardo Pavoni and Dario Piselli, respectively academic coordinator and programme manager of the Jean Monnet Module in EU Law and Sustainable Development, have recently co-authored a chapter on ‘EU Biodiversity Law and its health impacts‘ for the upcoming volume ‘Environmental Health in International and EU Law‘, edited by Prof Stefania Negri and published by Routledge in the new series of Routledge-Giappichelli Studies in Law.
In recent years, and with growing intensity since the adoption of the Paris Agreement, the concept of environmental health has emerged as a fundamental prism through which to analyse the complex interplay between global health and environmental law. Environmental risks, ranging from soil, water and air pollution to waste management and land use change, are now estimated to contribute to one quarter of the global disease burden, amounting to at least 13 million deaths per year according to assessments conducted by the World Health Organization.
Debates proliferate in multilateral fora ranging from the World Health Assembly to the Conference of the Parties to the UN Framework Convention on Climate Change, covering aspects including the environmental determinants of health, the social-ecological dynamics of infectious disease emergence, and the direct and indirect health benefits arising from the fight against environmental degradation. As a consequence, the need to harness synergies between these two areas of global policy-making also becomes more urgent.
Within this context, the chapter deals with the health impacts of current European legislation in the field of biodiversity, and the possibility for a more effective integration of human health and well-being within its provisions. It addresses the progressive incorporation of health considerations in the Habitats and Birds directives and in the Invasive Alien Species regulation, the use of health-related arguments in the biodiversity jurisprudence of the Court of Justice of the European Union, and the linkage between environment and health in the application of the precautionary principle.
Overall, the chapter argues that if one excludes some limited attempts by the European Commission to mainstream socio-economic benefits in the management of the Natura 2000 network, the Habitats and Birds Directives’ critical role for health essentially remains a side-effect of their conservation aims. In particular, as the Directives continue to suffer from poor implementation and compliance at the national level, the chapter suggests that a more effective integration of human health and well-being within their provisions could significantly strengthen these instruments’ contribution to the achievement of the EU Biodiversity Strategy.
The volume ‘Environmental Health in International and EU Law: Current Challenges and Legal Responses‘ is now available for pre-order at this link.


In light of recent circumstances related to COVID-19, all Keystone Bank locations have temporarily moved to drive-thru banking services as of Monday, March 23.
What does this mean for you?
You can visit our drive-thru locations in Bee Cave and Ballinger during regular business hours for the same superior level of customer service you’ve come to expect from our team. Hartland Plaza customers can utilize the drive-thru at our Bee Cave branch to complete transactions from the comfort of your vehicle.
Online and mobile banking
With the Keystone Bank website and mobile app, you can also complete transactions at the touch of a button, 24 hours a day, seven days a week, and chat directly with a Keystone Bank representative.
As we closely monitor the evolving novel coronavirus (COVID-19) situation, the well-being of our customers remains our top priority. We already have strict health and safety standards in place at all of our Keystone Bank branches, but we want to share the additional, proactive steps our team is taking to ensure a safe and seamless banking experience.
- We are following daily COVID-19 updates and recommendations from the CDC, and we encourage you to do the same. Visit the CDC website or the Texas Department of Health & Human Services website for complete up-to-date information.
- With our current cleaning service, we have added extra maintenance that focuses on sanitizing all surfaces, door knobs and handles in our banks. We are also working to disinfect high-traffic areas throughout the day to limit the spread of germs.
- We are taking sensible steps to protect our team members, and everyone on the Keystone Bank team follows stringent guidelines for avoiding viral infection and transmission.
It is critical during this time that we all work together to follow recommended prevention guidelines from the CDC, which include:
Washing your hands
Wash your hands with soap and water for at least 20 seconds, or use hand sanitizer.
Covering your cough or sneeze
Cover your mouth or nose with a tissue if you cough or sneeze and avoid touching your eyes, nose and mouth.
Avoiding close contact
Put distance between yourself and others, especially those who are sick.
Clean and disinfect frequently touched surfaces in your home or at work. The CDC offers comprehensive disinfectant guidance here.
Staying home if you are sick
Stay home if you’re experiencing respiratory symptoms such as fever, cough, shortness of breath, sore throat, runny or stuffy nose, body aches, headache, chills or fatigue — and remain home until at least 24 hours after you’re fever-free (100 degrees F) without the use of fever-reducing medications.
COVID-19 symptoms include:
- Shortness of breath
Here are some ways you as a customer can actively limit your risk while continuing your regular banking activities:
- Utilize online and mobile banking to complete transactions. With the Keystone Bank website and mobile app, we put banking at your fingertips. Log in to your account online or download our free app to your mobile device to deposit checks, check and transfer balances, and even pay your bills — all without leaving home.
- If you need to visit a branch in person, use the drive-thru at our Bee Cave or Ballinger branches if possible. Our drive-thru is a great option to complete all of your banking transactions from the comfort of your vehicle.
- Use your debit card or mobile wallet versus cash. To mitigate the risk of spreading germs by touching cash, opt to use your debit card or the mobile wallet app on your phone for in-person payments.
As your community bank, we are doing everything we possibly can to provide a safe and healthy banking environment for you and your family. Our entire team is ready to work closely with you on any needs you may have during this uncertain time.
Check back here for updates as the situation evolves and please don’t hesitate to reach out by phone or email - we are here to assist with anything you need!
- Keystone Bank Team


For families with medically fragile children, the idea of receiving medical care at home can be a source of tremendous relief and comfort. Pediatric Home Service (PHS) has emerged as a beacon of hope for such families, providing comprehensive and compassionate healthcare services tailored specifically for pediatric patients in the cozy and familiar environment of their homes.
A Specialized Approach to Pediatric Care
Pediatric Home Service understands that caring for a medically fragile child can be emotionally and physically demanding. Their specialized approach is designed to alleviate the challenges that families face when dealing with complex medical conditions. PHS provides a wide range of services, including nursing care, respiratory therapy, pharmacy services, and medical equipment supply, all delivered with a gentle touch and a smile.
Skilled and Compassionate Caregivers
One of the cornerstones of PHS’s success is its team of skilled and compassionate caregivers. These professionals are not just healthcare providers but also emotional support for families navigating the difficult journey of caring for a medically complex child. They build strong relationships with their young patients and their families, fostering trust and a sense of security.
Enabling a Sense of Normalcy
Caring for a medically fragile child often means frequent hospital visits and long stays, which can disrupt the family’s routine and impact the child’s sense of normalcy. Pediatric Home Service strives to change that by bringing healthcare to the child’s home. This approach allows the child to remain in a familiar environment, surrounded by the love and support of their family, while still receiving the necessary medical care.
Pediatric Home Service Empowering Families
PHS takes a holistic approach to pediatric care, recognizing that the family is an integral part of a child’s healing process. They provide education and training to parents and caregivers, empowering them to manage their child’s medical needs confidently. This not only enhances the child’s quality of life but also eases the burden on families.
A Commitment to Quality of Life
Pediatric Home Service is not just about medical interventions; it’s about enhancing the quality of life for the child and their family. They offer services like palliative care to ensure that every child’s journey is as comfortable and pain-free as possible, respecting the unique needs and wishes of each family.
Technology and Innovation
PHS leverages technology and innovation to provide the best care possible. Telehealth services allow for remote consultations and monitoring, reducing the need for frequent in-person visits. This not only adds convenience but also helps ensure that the child’s condition is closely monitored.
A Support System for Families
Beyond medical care, Pediatric Home Service offers a support system that extends beyond the clinical aspects of caregiving. They connect families with support groups, counseling services, and resources to help them navigate the emotional and financial challenges that often accompany the care of medically fragile children.
Pediatric Home Service is more than a healthcare provider; it’s a lifeline for families with medically fragile children. Their unwavering commitment to compassionate and specialized care, combined with a focus on enhancing the quality of life for both the child and the family, makes PHS an invaluable partner in the journey of healing and hope. With Pediatric Home Service, children can experience the comfort and security of home while receiving the medical care they need, allowing them to thrive and enjoy their childhood despite the challenges they face.


This Medigold vacuum penis enlargement pump comes from a premium-quality brand trusted over the years for making penis enlargement pumps. This pump has been proven effective in enlarging the penis size of various men, irrespective of their health conditions. However, the size increment may vary from person to person depending upon their health.
This penis enlargement pump increases the blood flow in the penis that helps to increase the penis size as per desire during sex. However, the increment length differs upon the medical history of men. Moreover, the duration of elongation may be subjected to the health of the person who wears it.
For people who have erectile dysfunction or any other penile disorder, this penis pump has proven an effective and cost-friendly method. Plus, this penis enlargement pump is safe to use alongside medications as guided by doctors.
This penis enlargement pump fills the penis’s blood vessels with blood upon suction. This method is temporary, allowing the penis to swell, making it bigger and harder. However, people with extreme medical conditions must visit the doctor before using it for the first time or longer durations.
How to use:
To operate an enlargement penile pump correctly, follow these steps:
Step 1: Lubricate the joint- Apply lubricant to the base of your penis. This assists in the formation of a seal between your skin and the pump. To help with the seal, some experts recommend shaving your pubic hair in that area.
Step 2: Start pumping- To apply the suction device to your penis, follow the instructions on the packaging.
Step 3: Increase the pressure- Slowly increase the pressure on the pump to ensure that it remains comfortable. Pumping might take anything from 30 seconds to three minutes, depending on the apparatus. If it hurts, take a deep breath and release the pressure.
Step 4: Most penis pumps have a release valve that makes it easier to remove them. To do it correctly, follow the instructions on the package.
Step 5: To enhance the pump's effects endure longer, place a rubber ring around the base of your penis.


Reflexology is a natural healing method based on the premise that there are reflex points in the head, ears, hands and feet that correspond to every organ and gland in the body. Utilizing hand and finger techniques, reflexology releases tension, and helps normalize body functions by releasing toxins.
Content includes the theory and history of reflexology, biomechanics of the foot and foot assessment techniques, session documentation, anatomy and physiology of body systems, working specific conditions, warm-up techniques, the foot routine, and business and financial information.
NOTE: Bring two hand towels, a blanket, two large pillows, witch hazel or hydrogen peroxide, cotton balls or pads and pencil crayons. Please have short finger/toenails.
Reflexology certification requirements
• 35-hour in-class
• 25 hours of independent study
• 60 practice treatment sessions with documentation - 120 hours
• Written exam and practical exam - 3.5 hours
• Six month review of case histories - 3 hours
• One year to complete all components
• 186.5 hours in total
|Course Title||Course Code||Equivalents||Mandatory|


Our community visits are made possible through our Health Care Volunteer Venture program twice a year and by custom programs we coordinate for hospitals or medical schools when possible. Volunteers including doctors, P.A.s, dentists, nurses, physical therapists, and willing assistants sign up for these programs and spend one or two weeks in Ecuador. Together with Tandana staff and local professionals including interpreters, these groups visit various communities in the canton of Otavalo. We coordinate with the Ecuadorian Consulates in the United States, the Ministry of Public Health, the Quinchinche and Gualsaqui Subcentros, the Mojandita Health Center, and the Union of Indigenous Communities of Quichinche. We have provided over 9,000 patient visits since we began the program in 2007.
Our Health Care Volunteer Venture groups work mostly in communities pertaining to the Quichinche and Gualsaqui Subcentros (rural health centers). We collaborate with Subcentro staff to visit the more distant communities that are served by their center. The Subcentro staff are mandated to visit these communities regularly, but are given no funding to do so and have very limited supplies of medications. With Tandana’s help, they are able to fulfill their mission of providing care in these distant communities, from which access to the Subcentro is difficult.
When patients arrive at the school, community center, or health center where we are working, Tandana staff and volunteers take their names, ask basic questions, and take vitals, preparing them to see the health care providers. The providers examine the patients, make diagnoses, and prescribe medications from our portable pharmacy. We ask a contribution of $1 per family for the medications in order to promote valuation of the medicines and avoid creating dependency. Following the providers' recommendations, a nurse or other volunteer performs basic laboratory tests, such as those for h. Pylori, urinalysis, pregnancy, and streptococcus, and does ear cleanings as necessary. We are also able to do ultrasounds during our visits. Our providers fill out referral forms for any patients they feel need additional care, tests, or specialists.
During our community visits, we can also address dental, vision, pediatric, and preventative care needs. Local and visiting dentists use our portable dental equipment to fill cavities, extract teeth, and do preventative treatments such as sealants and fluoride. For vision complaints, we conduct vision screening, provide reading glasses to those who need them, and refer those who require more specialized diagnosis and treatment to Fundacion Vista Para Todos. At schools, we weigh and measure the children, a nurse or doctor listens to their hearts and lungs, and we provide parasite medication if the children have not received it within 6 months of our visit.
For all of these services, we keep records in our Electronic Medical Records system so that as patients return for subsequent community visits, we have their history accessible.
The Tandana Foundation is committed to providing culturally- and individually- respectful care. Volunteers receive an orientation including an introduction to the local culture and a discussion of the cross-cultural aspects of our work. Our team always includes at least one fluent Kichwa speaker, and we take the time to listen to patients fully even while trying to be efficient so that we can see as many patients as possible. We promote a spirit of collaboration with local health care options, including both professionals in Western medicine and traditional healers such as shamans and yachaks. We see our work as complementary rather than contradictory to that of traditional healers, and we make efforts to meet with, discuss with, and learn from local individuals with these specialties.


What: DFA Meetup: Making the Most of the Affordable Care Act
Where: Gettysburg Lutheran Seminary, Valentine Hall Auditorium
When: Wednesday, November 6, 7:00 PM
Since October 1st, the healthcare insurance marketplace of the Affordable Care Act (often called Obamacare) has been open for business amidst a host of problems. On Wednesday, November 6, the Gettysburg Area DFA will present a program called “Making the Most of the Affordable Care Act” to help local citizens address questions they may have. According to panelist Jeanne Duffy, “The new health care exchanges may have opened with not-surprising technical problems, but given the insufficiencies of our previous health care ‘system’ the ACA is an important step in the right direction and needs to be given a chance.” Three members of the Democracy For America’s healthcare task force, chaired by Will Lane, will address such questions as, How does the ACA affect you? Who should sign up for the exchanges? What is happening with the Medicaid expansion in PA, and what is the effect on Pennsylvania’s Medicaid-eligible population?
Panelists for the Meetup include: Jeanne Duffy, Ph.D., Janet Landon, RN, and Moriah Adams of Gettysburg College. Duffy is a retired Director of Foundation, Corporate, and Government Support at Gettysburg College. Duffy’s 18-year career in this field was preceded by 12 years in the corporate world as an analyst, researcher, and writer/editor and ten years as a College English professor. Since her retirement, Duffy has devoted much of her time to researching healthcare issues in the U.S, and advocating for universal healthcare as a human right. Janet Landon is now a school nurse in the Vida Charter School. She previously worked for both a health insurance company and a hospital, gaining a first-hand perspective on the inequities of the U.S. health care system. Moriah Adams is a third-year Health Sciences student at Gettysburg College. Adams became a strong advocate for health care reform after her own hard personal experience of what it means to be sick and uninsured in the United States.
The public is invited to participate in the Meetup and working session at 7:00 pm on November 6 in Valentine Hall Auditorium at the Lutheran Theological Seminary in Gettysburg.


A few years ago, the good folks at Men’s Health created the “Spartacus Workout.” Designed to get and keep you strong & fit by working muscles and cardio at once, it’s a great 35-min blast that you can do in the (dis)comfort of your own home.
We’ve done this ourselves – for a few years. It’s brutal, it’s agonizing, it’s loathsome, yes; but boy, does it get your heart rate up and your muscles screaming for mercy. All you need is a couple of sets of dumbbells: I’d recommend one 15 lb pair and another at 25 lbs.
The good (and evil) of this workout comes from the fiendish devotion to the clock it forces you into. Forget counting reps: you do 10 exercises, each one for a minute, with only 15 seconds’ interval between each exercise. Some exercises work your core, others your arms, others shoulders, others legs. All get you breathing hard – so by the end of the 10th exercise, you’re well & truly knackered. And you still have two more go-rounds of the 10 exercises left. Torture.
Whether you’re a runner out of season, a basketballer or footballer in season, or a locked-out NHLer trying to keep the pounds off, the Spartacus Workout is your best friend. Three times a week in your basement and you won’t need much else.


On top of being a Publicist for three major casinos, I also am on the Board of Directors for Susan G. Komen Nevada. My grandmother was a two-time breast cancer survivor, making the cause near and dear to my heart. I am empowered every day by the incredible stories of strength, heartache, survivorship and love that I get to hear from our community and being a part of this organization is a true honor.
For that, I hope you’ll join me at the Reno Race for the Cure on October 15 in Downtown Reno. I have a team, Sara’s RaRa for TaTas, that you can be a part of and together we can work towards a world without breast cancer. If you are unable to make the 5K Race, I make a personal goal to raise $500-$1,000 each year towards providing breast health services to women and men in Nevada and to funding research for a cure. I hope you will consider helping me reach that goal – every dollar counts. Click here to donate.
Susan G. Komen has a BOLD GOAL to reduce breast cancer deaths by 50%. We’re getting to half by breaking down barriers to quality care and by finding new treatments for the most aggressive forms of breast cancer. Join us in the fight against breast cancer at the Reno Race for the Cure on October 15. Register for the Susan G. Komen Reno Race for the Cure and start fundraising today. Be a hero; be more than pink. Visit KomenNevada.org/renorace.


The Health Centre
The health and care of your child while at The Oratory is very important to us all.
Clare McSoley is our Nurse Practice Manager and is responsible for the smooth running of the school's Health Centre, which is permanently staffed during term time by qualified nurses. The nurses work 12 hour shifts so that there is a duty nurse present during the day as well as the Nurse Manager. At night there are 2 residential nurses. Nurses also provide sports pitch side support.
The Health Centre is contactable 24/7 during term time only:
Tel: 01491 683535. Mob: 07786 396124. (email@example.com).
The Oratory School's Health Centre is equipped with:
- Nurses room – area for assessment and treatment of illnesses/injuries
- 1 x 4 bed bay – a room for any illness. It has a TV. There are also call bells to ring the nurses if required
- Doctor’s/Physiotherapy Room
- Practice Manager Office
- Nurse’s overnight room
- Toilet and shower facilities for pupils
- Small kitchen to provide basic food such as toast, soup, fruit, biscuits
The Oratory School Health Centre philosophy
Our priority is to provide a high standard of health care to all our patients, while maintaining a caring and safe environment for all. We have a team approach to patient care and endeavour to monitor the service provided to patients, to ensure that it meets current standards of excellence.
We provide 24/7 cover by trained nurses in the Medical Centre. Our nurses are always pleased to discuss any worries or concerns with pupils and parents. Nurses undergo regular updates and training to ensure care is evidence based and in accordance with current practice. We are there to support pupils with their physical and emotional well-being. We are able to provide homely remedies such as analgesia, antihistamines, cold medication etc. We are also trained in the use of Oxygen, Entonox, Salbutamol Nebulisers and Adrenaline which we have on site for medical emergencies.
If pupils need urgent or emergency treatment, they can obviously attend at any time. If they are physically unable to attend the Health Centre, then the nurse will attend to them onsite. Both Boarding and Day pupils are encouraged to attend the school Health Centre for routine health advice or treatment between the hours of 7.00am - 7.00pm. Ideally this is in their free time i.e., not during a lesson or school activity.
In an emergency a nurse will assess a pupil, contact parents and depending on whether they are day pupils or boarders we will refer them to the doctor on duty at the surgery. All boarders are expected to be registered with Woodcote Surgery.
Outside practice hours (after 7.00pm Monday to Friday and at weekends) the on-call nurse will contact Oxfordshire Primary Care Trust Out of Hours Service if she needs advice about a pupil. Injuries requiring further assessment or treatment are referred to a local Minor Injuries Unit or Accident and Emergency Department in Reading.
Dr Ed Capo-Bianco holds a doctor’s surgery for boarders in the School Health Centre twice a week on Mondays and Fridays during Michaelmas term and once a week on a Monday during Lent and Trinity term. If pupils need to attend a GP in holiday periods, they can attend any Woodcote Surgery GP as a ‘temporary patient’.
We ask the parents of all new pupils to The Oratory to fill out a detailed medical history form, including a vaccination history form and consent to medical treatment. This information enables our medical team to be aware of any health issues for the new arrivals as soon as they join us. All forms can be found on My School portal.
We also ask all parents to complete an Emergency Contact Form, where you nominate an alternative member of the family or guardian who can be contacted in an emergency if we are unable to contact you directly and immediately. Of course, we sincerely hope not to use this but it is far better to be prepared.
On entry to the school all pupils are offered a New Pupil Medical Check. This involves an individual baseline health assessment with a nurse, which enables the nurse to know what is normal for that particular pupil, alongside an informal chat about any health concerns they may have.
Boarding Pupils are referred to the School Medical Officer if there is a current or previous significant health condition or any concern of which the doctor should be aware.
There is a physiotherapist in attendance twice weekly, on Tuesday and Thursday afternoons. Our Physiotherapist is Amanda Watt with Physiobility. The Physio can be accessed following a GP referral via private insurance, or alternatively, it can be paid for separately.
The School counsellor is available to pupils free of charge.
Pupils' own medication
Under 16 years – pupils need to provide the Health Centre with any medication that they bring to school and this will be administered by the nurses.
Above 16 years - nurses will complete a medication assessment with the pupils and, if appropriate, the pupil can keep the medication in their rooms in a locked cupboard.
If a pupil is arriving from overseas with medication, please ensure that we are provided with a prescription and details of what these medications are, if they are not in English.
If a pupil is on a ‘controlled medication’ then regardless of age, the pupil will need to keep this in the controlled drugs cupboard in the Health Centre; nurses will administer this on a daily basis. It is also essential for any boarders to provide a prescription for this, in order for us to be allowed to administer it.
The Medical Team
- Dr Ed Capo-Bianco, School Medical Officer
- Clare McSoley, Practice Manager (Residential)
- Sarah Atkins RGN
- Jayne Reynolds RGN (Residential)
- Samantha Eldin RGN
- Mo Jackson RGN
- Joy Rose, Administrator
- Marguerite Gates, HSA
Tel: 01491 683535 / 07786 396124.


It is located in North Cheam, Surrey not far from the famous Nonsuch Park. I practise a combination of Chinese & French forms Auricular Acupuncture. This allows me to look at any medical complaint from both east and west perspectives.
Safe, painless, non-invasive techniques such as micro current stimulation and low level laser therapy are frequently used. Needles are rarely used. Where needles are used, these are sterile, stainless and disposable ones. To improve the success rate, an integrated treatment approach is chosen.
The treatment page will guide you to the conditions that I manage. For any condition that is not listed, please do contact me for further information. I am a registered comprehensive Auricular Therapist and licensed to practise by both British Complementary Medicine Association (BCMA) and the Society of Auricular Acupuncture (SAAc).
I have a special interest in depression & pain treatments. I have very good success rate with depression treatments, in some cases relieving it completely or bringing it to a level that people can live with. Auricular (ear) Acupuncture deals with 200+ points on the ear. It is very effective for pain management and can improve quality of life for those suffering from painful conditions such as arthritis and migraine.
Benefits of Auricular Therapy
Auricular therapy combined with micro current treatment of acupuncture points around the eyes offer good result for treatment of eye diseases, for example, conjunctivitis, glaucoma, blepharitis, age-related macular degeneration, Stargardt’s disease and retina pigmentosa.
For a confidential and professional consultation please contact us.


Reduce the risk of coronavirus as more people return to the workplace.
As coronavirus spreads through the air, the virus can build up in poorly ventilated areas, increasing the risk of infection. It is a legal requirement for employers to ensure an adequate supply of fresh air (ventilation) in enclosed areas of the workplace.
The Health and Safety Executive (HSE) recommends maximising the fresh air with the following:
- Natural ventilation which relies on passive air flow through windows, doors and air vents that can be fully or partially opened
- Mechanical ventilation using fans and ducts to bring in fresh air from outside, or
- A combination of natural and mechanical ventilation
HSE is carrying out spot checks and inspections by calling and visiting all types of businesses. Make sure your business is following the latest guidance and advice by visiting HSE coronavirus web pages.


Eighteen images of Arnica montana is, native to Europe. The whole plant is used, but most often the flowers. Preparations of arnica flowers have long been a popular folk remedy, used externally in the form of creams, ointments or tinctures for the treatment of sprains, bruises, and in helping to accelerate wound-healing (once the wound is closed). It is seldom used internally because of potential toxicity. Arnica, often associated with homeopathic topical products, is widely used in Europe externally as an antiphlogistic, anti-inflammatory, mild pain reliever, and antiseptic for injuries, sprains, bruising, swelling related to bone fractures, insect bites, rheumatic pains, arthralgia and occasionally for the external treatment of phlebitis. In short, in Europe it is the number one herbal first aid cream, with as many as 300 products available in the German market alone.
Please contact Steven Foster for pricing and terms at email@example.com or call +1-479-253-2629.


The BIOsignal Analysis for Rehabilitation and Therapy Research Group (BIOART) is an officially recognized research group by the Generalitat de Catalunya and belongs to the Universitat Politècnica de Catalunya (UPC).
It is part of the Biomedical Signals and Systems Division, which belongs to the Department of Automatic Control (ESAII) and that is also part of the Biomedical Engineering Research Centre (CREB) of the UPC.
The group applies engineering techniques to the medical field to improve rehabilitation processes and clinical therapies. These are evaluated and monitored through multichannel biosignal processing. Algorithms are efficiently designed so that the same techniques adapt and apply to respiratory, neuromuscular and neurological studies.
Main research objectives:
- To develop quantitative tools to monitor muscular activity and fatigue tendency, as well as developing central nervous system control strategies for the muscular activation during rehabilitation exercises.
- To provide new aid tools to clinicians for the assisted ventilation of severe respiratory insufficiency patients and for monitoring ventilatory disorders by studying the respiratory muscles.
- To improve the detection and characterization of the brain’s activity and connectivity to evaluate it in the context of neuronal and neurodegenerative disorders, as well as in the drug therapy interaction with brain activity and its effects during sleep and wake.


Our mission is to improve existing health care facilities and create new medical and surgical care centres, operated by Foundation medical and paramedical staff and to upgrade the technical training of local health personnel.
“The initiative to establish a Foundation of medical volunteers in Central Africa was born in 1995 in Rwanda and Burundi after I spent a long period there as a volunteer surgeon. The miserable conditions of the population, especially the children, many of whom were seriously disabled, were being made more precarious. In 2000 the opportunity arose to run a local hospital in Bubanza in the Northern region of Burundi and although it had been looted, the structure was intact. With the moral support of Cardinal Ersilio Tonini, I created the International Foundation of Doctors for Central Africa (FIMAC), a not-for-profit organization.”.
Dott. Vincenzo Monti
THE SOCIAL PURPOSE
The Foundation is a not-for-profit organization focusing exclusively on health issues in Central Africa by:
Supporting hospital institutions through supplying medical personnel and equipment;
Establishing collaborative relationships with local, national and international institutions and organizations within the health sector.
Honorary President: Cardinale Mons. ERSILIO TONINI
President: VINCENZO MONTI
Treasurer: FRANCO MONTI
Board of Auditors: ALBERTO DE NIGRO, ANDREA MARUFFI
Board of Directors: FRANCESCO FALEZ, LUCIANO GUERRIERI, PAOLO MONTI, TULLIA MOSCARDIN, LUCA SABELLI
Scientific Committee: FRANCESCO FALEZ (coordinator), STEFANO CARBONE (communication manager), ROBERTO LANZONE, PAOLO MONTI, PIETRO ORTENSI, PIETRO PETRICCA, FRANCESCO ROSA
Secretary General: PATRIZIA SEMPREBENE BUONGIORNO
Under the Auspices of


The ultra-mild way to cleanse your skin. The fine-pored foam gently envelops your body and cossets your skin with nourishing sunflower lipids to keep it soft and silky all day long. Simply gorgeous!
Aqua, Sodium Laureth Sulfate, Isobutane, Coco-Glucoside, Cocamidopropyl Betaine, Propane, Glyceryl Oleate, Polyquaternium-10, Polyquaternium-7, Parfum, Butane, Citric Acid, Sodium Benzoate, CI 42090, Cinnamyl Alcohol, Coumarin, Linalool, Citronellol, Limonene.
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Pressurised container. Keep away from direct sunlight and temperature above 50° C. Do not force open or burn container, even after use. Keep away from fire. Don’t smoke. Do not spray into flames or onto incandescent materials. Keep out of reach of children. Do not inhale and do not spray in the eyes. Use only as intended. CFC free.


Most say that the words delicious and healthy just don’t go together. I’m here to prove naysayers wrong. Here are my 3 simple tips for making your road to a healthy lifestyle delicious.
- Load up on fresh herbs. Adding fresh rosemary, thyme and other savory herbs will help you lessen the need to include prepared seasoning in your meals.
- Make your own meal replacement while taking in your necessary daily servings of fruits and veggies by making a smoothie. Frozen fruits and some protein powder can go a long way.
- Keep the color! Don’t overcook your veggies. Quickly stir-fry or steam for crisp and nutritious veggies.
What are your favorite healthy but tasty meals? Sign off below!


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Customized MedicationFor the whole family
About Better Living Medical
Better Living Medical, a custom compounding pharmacy in Nederland, TX, opened its doors in July of 2003. In 2007, the pharmacy transitioned to a complete focus on crafting customized medications for people and pets. The personalized medication experts at Better Living Medical Compounding Pharmacy are passionate about patient care. The pharmacy staff at Better Living Medical strives to serve its patients with the highest level of friendly customer service possible.
- Custom Medication (Compounding)
- Custom Veterinary Medication
- Saliva Testing
- Serum Blood Testing
- Health Supplements
- Delivery and Mail Service
Why not get better service at no additional cost to you?
- Priority mail service is offered to anywhere in the state of Texas, Monday-Friday.
- Delivery service is also available for clinics and hospitals Tuesday and Thursdays.
See What Our Customers Say About Us
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If you have purchased or considered using sarms, including dietary supplement products labeled as containing a sarm (that is, with one or more sarms on the. This compound is described to possess selective androgen receptor modulator- and myostatin inhibitor-like properties. As yk11 is an experimental. The guys saying “oh best sarm, hell yeah” are commenting on a steroid, not a sarm. If you want a dht derivative anavar or winny are good You don't keep gaining muscle because you have chosen to extend the cycle, sarms australia mk-677 . If you are an experienced user, though, you can push it to 12 weeks. Marketing claims that this drug affects the genes regulated in physical health thereby improving stamina and increasing endurance, which leads to accelerated weight loss. When tested on mice, the drug proved to reduce anxiety, increased endurance, and decrease inflammation, weight, and cholesterol, sarms australia product review . While plenty of users choose to ignore a post cycle therapy (PCT) after a cycle of Ostarine, it's typically best that you take a PCT after your Ostarine cycle to ensure you keep your gains and get your natural testosterone levels back to normal, sarms australia product review . There is no single best time to take Ostarine ' you can take this drug at any time every day, so long as it is taken at the same time. It was not designed for use by bodybuilders or athletes, either. It was actually designed to help scientists study the circadian rhythm of the body, sarms australia sr9009 . Which PCT Supplement Should You Use, sarms australia product review . There are several PCT supplements out there that you can take advantage of. Buyer expressly represents and warrants to supplier that Buyer will properly test and use any products purchased from supplier and/or materials produced with products purchased from supplier in accordance with the practices of any reasonable person who is an expert in any appropriate scientific field of study and in strict compliance with all applicable state and federal laws and regulations, now and hereinafter enacted, sarms australia bodybuilding . Buyer further warrants to supplier that any material produced with products from supplier shall not be adulterated or misbranded within the meaning of the Federal Food, Drug and Cosmetic Act and shall not be materials which may not, under Sections 404, 505, or 512 of the Act, be introduced into interstate commerce. All you have to do is to see the Alexa traffic rank for that website, if you find a rank below one million, then you should stay away and never use that site, sarms australia sr9009 . The main reason is that with that rank, the site receives a maximum of 5 visitors per day, and in most cases, the visitor is the website owner. Ibutamoren, sometimes known as MK 677, is another one of those supplements that is sold for research purposes, and is not a selective androgen receptor modulator (SARM). Technically , this is not a SARM, but rather a growth hormone secretagogue, meaning it increases human growth hormone levels in the body, sarms australia afterpay . It also features in the S1 Anabolic Agent category of the World Anti-Doping Agency (WADA) Prohibited List, sarms australia mk-677 . It is also available under the name Enobosarm or MK-2866 or GTx-024. This leads to an increase in exercise capacity, stamina, and endurance without many of the negative side effects of drugs like anabolic steroids. We have many reported benefits of Stenabolic from users experimenting with the drug, sarms australia website review . Similar articles:


Tip 1: Protect Your Hair
Always protect your hair from extreme weather. Exposure to excessive sun, heat, dirt, pollution, etc. adds to our already existent hair woes. These can lead to dirt build up, drying out of hair and scalp and increased susceptibility to infections on the scalp. Cover your hair with an umbrella or a hat when out in harsh weather conditions and wearing a protective style during harsher elements will help as well.
Tip 2: Handle Wet Hair With Care
Straight/relaxed wet hair is very fragile and breaks easily. Shampoo the hair carefully with a sulfate shampoo to minimize tangles. Use a wide-tooth comb to detangle wet-hair and apply conditioner to help with slippage.
Tip 3: Condition The Hair Regularly and Correctly
Use a moisturizing conditioner after every wash. Conditioning needs to be done right. Conditioners are formulated to seal in the moisture and deposit protein to the hair shaft. Apply heat or cover the hair in order for it to be most effective.
Tip 4: Minimize Heat
Avoid using heat on your hair. Heat further strips the moisture content from your hair making it dry and frizzy. When overused, it can also burn your hair. Use iron/curl, straighteners only if necessary and remember to use a hair protectant before!
Tip 5: Avoid Pulling The Hair Too Tightly
Avoid using super tight hair ties or pulling the hair too tightly during styling and braiding. Traction alopecia or balding and thinning around the edges and in the crown of the hair is usually caused by pulling the hair too tightly and it can be severe and permanent if you aren’t careful.
Tip 6: Satin Pillowcases Work Better
Sleeping on satin pillow covers will reduce hair breakage due to friction. Cotton and other materials are quite rough in texture. Due to which they also cause more friction against your hair.
Tip 7: Don’t Rub, Pat Dry
When drying hair, pat dry. Do not ever rub. You might dry your hair faster but the amount of hair that breaks and falls away also doubles up.
Tip 8: Wash Your Hair In Cool Water
Use cool water to wash your hair as hot water affects hair the same way as heat styling methods do; it can cause dry feeling hair.
Tip 9: Healthy Eating
Health on the inside reflects on your hair too. The healthier you are, the better your hair looks. If you want healthy hair, eating right is a must. Certain nutrients like vitamins, iron and proteins are essential for your hair growth and health. If you are unable to obtain enough from your diet, then you need to consider supplements.


Bad breath, medically known as halitosis, is a common issue that can be embarrassing and socially uncomfortable. It often stems from various factors, including poor oral hygiene, dietary choices, medical conditions, and lifestyle habits. To effectively treat bad breath, it’s crucial to identify its underlying causes and take appropriate measures to address them. In this comprehensive guide, we’ll explore the common causes of bad breath and provide strategies for treating it effectively.
Common Causes of Bad Breath:
1. Poor Oral Hygiene: Inadequate brushing, flossing, and tongue cleaning allow food particles to remain in your mouth, leading to bacterial growth and the release of foul-smelling gases.
2. Dry Mouth (Xerostomia): Saliva naturally cleanses the mouth by neutralizing acids and washing away bacteria. A dry mouth can result from factors like dehydration, certain medications, or medical conditions, allowing odor-causing bacteria to flourish.
3. Dietary Choices: Foods with strong odors like garlic, onions, and spices can lead to temporary bad breath. Additionally, sugary foods and drinks promote bacterial growth and contribute to bad breath over time.
4. Tobacco Products: Smoking or chewing tobacco can cause persistent bad breath and lead to various oral health issues.
5. Alcohol and Coffee: These beverages can lead to dry mouth, contributing to bad breath. They also leave residues that bacteria feed on.
6. Medical Conditions: Some medical conditions can cause chronic bad breath, including sinus infections, respiratory infections, diabetes, liver or kidney disease, and gastrointestinal issues like acid reflux (GERD).
7. Medications: Some medications, such as those for allergies, high blood pressure, or depression, can lead to dry mouth or other side effects contributing to halitosis.
8. Dental Issues: Dental problems like gum disease, tooth decay, dental abscesses, or poorly fitted dentures can harbor bacteria and lead to bad breath.
9. Orthodontic Appliances: Braces, retainers, or dentures may trap food particles and bacteria, causing unpleasant odors.
10. Morning Breath: Reduced saliva production during sleep can lead to dry mouth and morning breath, which is usually temporary and resolves with regular oral hygiene.
Effective Treatment for Bad Breath:
To treat bad breath effectively, consider the following strategies:
1. Maintain Excellent Oral Hygiene:
– Brush: Brush your teeth at least twice a day, using fluoride toothpaste and a soft-bristle toothbrush. Pay special attention to brushing your tongue to remove bacteria and debris.
– Floss: Clean between your teeth and along the gumline daily to remove food particles and plaque.
– Tongue Cleaning: Use a tongue scraper or the back of your toothbrush to gently clean your tongue’s surface, where odor-causing bacteria often reside.
2. Stay Hydrated:
– Drink plenty of water throughout the day to prevent dry mouth. This helps maintain saliva production, which naturally cleanses your mouth.
3. Dietary Choices:
– Limit consumption of odorous foods like garlic and onions, especially when you have social events planned.
– Opt for foods high in fiber, such as fruits and vegetables, which can help naturally cleanse the mouth.
– Chew sugar-free gum or eat sugar-free mints to stimulate saliva production and freshen your breath.
4. Tobacco and Alcohol Cessation:
– Quit smoking or chewing tobacco to eliminate tobacco-related bad breath.
– Limit or eliminate alcohol and coffee consumption, especially if they contribute to dry mouth.
5. Address Dry Mouth:
– If dry mouth is a persistent issue, consider using over-the-counter artificial saliva products or consult your healthcare provider for possible medication adjustments.
– Use a humidifier in your bedroom to maintain moisture in the air during sleep.
6. Regular Dental Check-Ups:
– Schedule routine dental check-ups and cleanings every six months to address and prevent dental issues contributing to bad breath.
7. Manage Medical Conditions:
– If you have an underlying medical condition contributing to bad breath, work closely with your healthcare provider to manage and treat the condition effectively.
8. Medication Review:
– If you suspect medications are causing bad breath, consult your healthcare provider to discuss potential alternatives or solutions.
9. Orthodontic and Dental Appliance Care:
– If you wear braces, retainers, or dentures, maintain strict hygiene practices to prevent bacterial buildup.
10. Practice Good Oral Health Habits Consistently:
– Develop a daily oral hygiene routine and stick to it consistently, including weekends and vacations.
11. Rinse with Mouthwash:
– Use an antimicrobial or antibacterial mouthwash to help kill bacteria and leave your mouth feeling fresh.
12. Specialized Treatment:
– If gum disease, dental abscesses, or tooth decay is causing bad breath, your dentist may recommend specific treatments or procedures to address these issues.
13. Consult a Dentist or Dental Hygienist:
– If bad breath persists despite your efforts, seek professional help. A dentist or dental hygienist can perform a thorough evaluation to identify the root cause and recommend appropriate treatment.
14. Maintain a Healthy Lifestyle:
– Incorporate a balanced diet, regular exercise, and stress management techniques into your daily routine to promote overall health, including oral health.
15. Use Breath Fresheners as Needed:
– Carry sugar-free gum or breath mints with you for a quick refresh when necessary, but remember that these are temporary solutions.
In conclusion, addressing bad breath effectively involves identifying its underlying causes and implementing consistent oral hygiene practices and lifestyle changes. By following these strategies, you can maintain fresh breath and confidence in your social interactions while prioritizing your overall oral health. Remember that chronic or severe bad breath may indicate an underlying issue that should be addressed with the help of a healthcare provider or dentist.


Kirk & Co. developed a strategic communications and consultation program for the implementation of Draft Conceptual Design, the first phase of consultation and planning for the BC Children’s and BC Women’s Redevelopment project. Kirk & Co. worked closely with the project team to implement the communications and consultation program, which included internal stakeholder meetings, one-on-one interviews, a discussion guide and feedback form and a consultation summary report.
The BC Children’s and BC Women’s Redevelopment Project is a three-phase initiative to improve care at BC Children’s and BC Women’s hospitals. Designed with patients, their families and care teams in mind, the redevelopment project’s vision is for a campus of patient-centred care that operates in an environment of quality, excellence and innovation.
BC Children’s and BC Women’s Redevelopment Project
Provincial Health Services Authority
Communications and consultation


Do negative thoughts keep you up at night, causing increased stress and exhaustion that make your waking life even more challenging? Are you suffering from uncomfortable physical symptoms, such as a racing heartbeat, trembling, nausea, or shallow breathing? Do you have a powerful urge to escape from everything, but don’t know where to turn for help? Maybe you have noticed that you’re often irritable and prone to snapping at friends and loved ones. Or, the fear of potential heightened stress might have you avoiding activities or people you once enjoyed. Perhaps, you worry too much about what others think of you, or in social situations, find yourself tongue-tied or stuttering. Are you desperate for relief from looping, incessant thoughts and the constant feeling of weight on your chest?
Your professional life could be suffering as well, especially if anxiety is impacting your ability to finish projects on time or you feel held back from promotions and new opportunities. Or, you might have drastically altered eating habits and are consuming far too much or too little food. Regardless of how your anxiety symptoms are manifesting, you might be feeling hopeless and helpless. It can seem like you’re in quicksand, and the more you fight it the further you sink. Do you want to find a way to manage your thoughts and feelings and not be at the mercy of the stress and fear that haunt you?
According to the National Institute of Mental Health, anxiety disorders affect about 20 percent of American adults. They are the most commonly diagnosed mental health disorders in the U.S., afflicting about 40 million adults, but only around a third of people with anxiety receive proper treatment. Some people struggling with anxiety try to cope on their own by using alcohol, drugs, shopping or food to self-medicate. The reality is that these methods only provide temporary relief from anxious thoughts and can do considerable harm to your relationships, career and health when used excessively. Although it might seem as if you’ve tried everything you can think of to ease your symptoms, the safe, proven way to achieve true, lasting peace and contentment is through anxiety treatment. With the help of an experienced, compassionate therapist, you can better understand what triggers your anxiety, learn proper coping strategies and stress-relieving techniques to effectively manage and even overcome it. It is possible to find both the immediate and long-term relief and peace you are desperately seeking.
For over 10 years, I have specialized in helping clients manage their anxiety and regain control of their lives. As a doctoral candidate at the Institute of Contemporary Psychoanalysis and as a trained EMDR practitioner, I’ve received advanced training specifically in anxiety treatment. In anxiety counseling sessions, my goal is to help you discover more about the reasons for you anxiety and identify the core issues that hold you back from true happiness and peace of mind. Since those suffering from anxiety are often in need of immediate relief, one of our first steps can be to discuss and develop some techniques to help you relax and calm yourself in the moments that anxiety heightens.
Alongside relaxation and stress-reduction techniques, I will work with you to create a therapy plan that is individualized to you and your personal experiences, needs, specific type of anxiety and therapy goals. You can build self-awareness and increase your understanding of anxiety and the patterns of thinking that lead to panic or fear. We can also identify the root source of your anxiety, and discover and address what factors trigger these feelings. Through using various proven techniques, such as mindfulness, EMDR and Cognitive Behavioral Therapy (CBT), you can learn how to reduce stress, reframe negative thought processes and manage the challenges that come up in your life with greater ease. I can guide you in safely and effectively exploring your deepest self, which can help you achieve lasting happiness and balance and ensure a bright future, with less anxiety and fear.
If you’re reading this, you probably already suspect that you’re suffering from anxiety. And, if you’ve tried other methods to reduce stress with limited to no success, you owe it to yourself to give anxiety therapy a try. Far too many people suffer in secret because they don’t want to appear weak or admit to themselves that they might need help. Anxiety is very common in our culture and there is no shame in seeking help. In fact, it’s a sign of strength.
Therapy for anxiety is an investment in you. Consider the amount of money you spend on your hobbies or vices, and the only return on investment in these cases is fleeting enjoyment. Treatment for anxiety can improve your quality of life now and in the future. Or, viewing it from a purely financial perspective, investing in therapy can ease the harmful thoughts and debilitating anxiety that keep you from realizing your full earning potential.
How often do you sacrifice to make friends, family members, and other people in your life happy? From childhood, we are taught to please others. Getting along with parents, teachers or siblings was an important lesson, but we aren’t told when—or how—to stop pleasing others and take care of ourselves. As an adult, you might find yourself stretched to your limits, trying to make everyone happy, but still feel guilty that it’s not enough. You already do so much for the people in your life; it’s time to make time for yourself. You deserve to be happy, too.
If you are ready to change and desire to be more content, connected, and engaged with life, I invite you to call me at (916) 822-2042 for a free, 15-minute consultation. I am happy to answer any questions you have about anxiety treatment and discuss how I can help. Don’t ignore your pain. Call me today.


Since I started working with Biestmilch / Colostrum, the diagnosis of “lactose intolerance” seems to have spread like an epidemic. Self-diagnosis and diagnosis by doctors seem – and I’m sorry to say so – so commonplace as a simple excuse for all kinds of gastrointestinal dysfunction that one has to become suspicious. When you take the time to read the latest studies on the subject, doubts about the reliability of this diagnosis appear more than justified. Don’t get me wrong, there is no doubt that people suffer from gastrointestinal symptoms, just the reasoning given may not apply.
The subject is very important for athletes who very often suffer from gastrointestinal dysfunction due to stress – be it mechanical, biochemical or mental. My impression is that these problems are seldom properly analyzed and diagnosed, instead they are hastily dismissed either as infections, lactose or stress-induced (i.e. vegetative). The following sections can only provide a very superficial insight into a complex problem.
What exactly is lactose and lactase? A more modern view of intolerance
As far as is known, lactose has no specific nutritional value for adults. It is the most important source of energy during the first year of life and covers almost half of the total energy needs of babies. Lactose is widely used in the food industry. You can find them in sweets, confections and sausages. Due to its physiological properties – lactose is a good binding agent due to its texture that binds water and color. It is also tasteless.
In order to be absorbed, lactose must be hydrolyzed. It does this through lactase. Lactase is abundant in the beginning of the small intestine. It is found at the tip of the villus and is therefore more prone to gastrointestinal diseases that cause cell damage (there are other enzymes deeper in the cell wall that break down other sugars). One speaks of primary lactase deficiency when the lactase secretion in the infant falls to 10% or less after weaning. Congenital lactase deficiency is extremely rare. Secondary lactase deficiency or poor digestion can occur after operations or if the intestinal mucosa is damaged (infections, inflammatory diseases). This is where Biestmilch comes into play. The smallest possible amount of lactose that could trigger symptoms is unknown and would be a very subjective sensation. On average, an amount of several dozen grams would have to be taken in order to cause symptoms (e.g. 50g are used in the lactose tolerance test).
Don’t forget that you consume lactose with a lot of food!
Biestmilch is low in lactose. It contains only 5-7% of the lactose content of milk. Those who can tolerate lactose in small to moderate amounts without noticeable discomfort can take colostrum without problems. Of course, this only applies if you have a proven lactose intolerance that is not part of a functional bowel disorder (see below). Our years of experience have shown that in most cases the symptoms of lactose intolerance decrease or go away. This may very well be due to the therapeutic effect of colostrum on the mucous membranes. Biestmilch has an anti-inflammatory effect on all mucous membranes, including the intestines. It also has the ability to regulate purely functional disorders.
The intestine does not have as many opportunities to show symptoms
Regardless of the cause, soft stools, constipation, diarrhea, abdominal cramps, flatulence, bowel noises, dyspepsia etc. belong to abdominal symptoms, as well as sensitivity to pain and disorders of intestinal motility.
The threshold at which people with these symptoms perceive pain or discomfort is lower compared to healthy individuals. What is not painful under normal conditions becomes painful for these people. All of these symptoms can be caused by a variety of diseases, ranging from gastrointestinal infections to functional disorders, with the majority suffering from gastrointestinal dysfunction. They are either chronic or seizure with no evidence of structural or biochemical abnormalities. The prevalence of functional bowel disease in Western society is very high. 17% suffer from irritable bowel syndrome alone. The symptoms of lactose intolerance are very similar, if not the same.
More recent studies have shown that subjects who can digest lactose well complained of symptoms after consuming low-lactose or lactose-free milk, just as subjects allegedly cannot digest the lactose. This suggests that many of the symptoms of lactose intolerance are unrelated to the ability to digest lactose. It seems that the subjective perception of lactose intolerance is strongly linked to the presence of a functional intestinal regulation disorder such as e.g. B. is linked to irritable bowel syndrome.
Is there a more complex, more serious illness hidden behind lactose intolerance? Thinking differently
Lactose intolerance is not an uncomplicated diagnosis based solely on a measurable lactase deficit. It may be based on more complex regulatory disorders of the bowel. Physiological factors that affect the amount of lactose broken down include gastrointestinal transit time, intestinal lactase activity, visceral sensitivity and the presence of functional bowel disease and, optionally, the composition of the microflora in the large intestine. On top of that, factors related to the sensory and central nervous systems change the perception of symptoms. To give you an idea of what this means, adults who frequently complained of abdominal pain in childhood appear to be more prone to developing functional gastrointestinal problems later in life.