Addressing Dementia: How to detect, evaluate and approach suspected cognitive impairment
By: Jennifer Pilcher, Ph.D., CMC
Talking about dementia can be hard and scary. However, learning about the common symptoms, the difference between dementia and normal aging, and what you can do if you get a diagnosis of dementia can help to alleviate fear and help you be more prepared to address this issue for yourself, a client or a family member.
What is the difference between normal aging and dementia?
It is important to understand and acknowledge that there is a difference between Normal Aging and Dementia. As people age, there are several changes that occur in the brain that are related to the normal aging process including:
- Takes longer to encode, store, and retrieve information
- Rate at which new information is learned is slower
- Greater need for repetition
- Long and short- term memory changes
- Word finding ability declines
- Abstraction and mental flexibility shows some decline
Dementia, on the other hand, has symptoms that are above and beyond what we would expect to see in a normal aging process. Dementia is not a disease itself, it’s a syndrome or a description of a collection of symptoms.
The symptoms of dementia can include increased confusion, short term memory loss, poor judgment, difficulties with language and word finding, visual-spatial reasoning and changes in mood including: paranoia, suspicion, depression, anxiety and agitation.
The important distinction between normal aging and dementia are two things:
- Most people with cognitive changes related to normal aging are able to use compensatory strategies such as making lists or using a calendar to manage the changes.
- People with dementia, on the other hand, they are less likely to be able to use these strategies independently. Most importantly, the changes they are experiencing are interfering with their ability to function in regular life and having a serious impact on their lifestyle.
What causes dementia?
The most common cause of dementia and the one most people are familiar with is Alzheimer’s disease. Alzheimer’s alone makes up to 70% of dementia cases. Alzheimer’s disease systematically shrinks and destroys many of the areas of the brain. The cortex shrivels up, the ventricles grow larger and the hippocampus shrinks which is a key area of the brain that allows us to store memories. In fact, there are actually over 20 different variants of these diseases that can cause dementia. These other variants include Vascular Dementia, Frontotemporal Lobe Dementias, Lewy Body Dementia and many others.
Recognizing that there are other causes of dementia is important because these variants present very differently. Pretty much everyone knows at this point that the first and most prominent symptom of dementia caused by Alzheimer’s disease is memory loss. However, the non Alzheimer’s dementias have very different initial symptoms that may be overlooked or misinterpreted if you aren’t aware of them. For example, people with Frontotemporal Lobe Disorders may appear withdrawn, experience personality change or have issues with their language. People with Lewy Body Dementia have hallucinations, sleep disorders and Parkinson’s like symptoms. People with Vascular Dementia often have issues with executive functioning and cognitive slowing as well as apathy and falls. For many of these atypical dementias, if you didn’t know better you might suspect depression, mid life crisis or substance abuse. It can be very difficult for people who have these variants to get a diagnosis.
Importance of Medical Evaluation
If you or someone you know is experiencing any of these symptoms, it is important that you first pursue a medical workup to rule out other reasons for the symptoms you are having. There
are several illnesses that are not dementia, but have dementia-like symptoms. Depression can often have symptoms that look like dementia, but are actually treatable. As well, there are metabolic and organic changes or illnesses that could create dementia-like symptoms but are actually reversable. It is vitally important to rule out these other causes of these symptoms before assuming a person is experiencing dementia.
How is a Diagnosis of Dementia Made?
There are a series of imaging and other tests, including blood tests that can now help neurologists to narrow down which disease a person may be experiencing. Both MRI and PetScan are routinely used to identify changes that are not related to normal aging, but also to identify what part of the brain is being affected. Lastly, a lumbar puncture is now routinely being done to rule out or rule in Alzheimer’s disease.
However, the imaging that is done is only half of the diagnostic process. Additionally, the neurologist takes a thorough patient history and extensive interviews with the patient’s family or friends. These interviews are combined with a battery of tests that are called neuro – psychological testing. This testing usually takes a few multiple hour sessions to complete. If you or someone you know are experiencing symptoms of dementia, it is vitally important that they have this testing done.
Despite the fact that we have these two systems for determining a diagnosis, it can still be quite difficult to get a diagnosis, especially if you are experiencing symptoms of one of the atypical dementias.
Differential diagnosis and why it is important
It is important not just to have a neurologist determine that you are experiencing symptoms of dementia, but also to be able to identify what kind of dementia you are experiencing. This is called getting a “differential diagnosis”. Part of the reason that a diagnosis of atypical dementia is difficult to get is that the routine screening mechanisms we use are not set up to detect the symptoms of atypical dementias. There are several screening tools that are typically used for this purpose. For example, the Mini Mental Status Exam (MMSE) or The Montreal Cognitive Assessment (MOCA). These tools are created to detect changes in several different kinds of memory and executive functioning. However, they are not able to assess judgment, impulse control, personality change, and/or rational thinking, all of which are common signs of atypical dementias such as Frontal Temporal Lobe Dementia. A patient can have a decent score on one of these screening tools but still be experiencing dementia. For this reason, if you are experiencing a non-Alzheimer’s dementia, it may take several visits to the neurologist 6 months 3 years to get a differential diagnosis.
Getting a differential diagnosis is important for two reasons:
- Because these atypical dementias are so different, they are also treated differently both pharmaceutically and non pharmaceutically. Some of the medications that neurologists would use to treat one dementia could actually exacerbate the symptoms of another.
- Getting a differential diagnosis can help the caregiver understand the brain science behind what is happening and that the behaviors the person is exhibiting are not intentional, but rather disease related. This explanation can go a long way to avoiding caregiver burnout.
But How Do We Talk About It?
Thus far, we have discussed how to recognize your client or their family member may have a cognitive impairment and what the diagnostic process looks like.
Next we need to talk about how to talk with your Client or the family about your concerns.
This is tricky business. The first thing to know is that almost all people with dementia have a symptom called Anosognosia: a lack of insight or awareness of their impairment, the severity of their impairment or how their impairment impacts their daily life. For people who have this symptom, it is virtually impossible to have a rational and straightforward conversation with them about their illness or potential illness. In some ways, this is seen as a protective measure for the person with the illness. But for caregivers or those trying to get the person evaluated or more support as they need it, this is really difficult. It is important to acknowledge this is NOT denial, this is true lack of awareness. If you are seeing potential signs of cognitive impairment, it is very important for you to understand and explain to your client’s family that that the person with the impairment may not be able to acknowledge the illness no matter what you say.
Given that lack of insight is an issue, how do you talk with your clients about the concerns you or they are observing?
- Reassure the client or family member that many people experience changes in cognition as they age.
- Ask questions, ask the client or family member to give details about their symptoms and how or if these symptoms are interfering with their daily life.
- Ask these questions separately to the client and the caregiver and watch for difference in reports.
- Whatever you say, don’t use the “word” dementia. Talk about symptoms, not labels. Refer to symptoms the person themselves have talked about experiencing. Rather than saying. “If you are worried you have dementia, you should see a doctor”. You would say “For other clients of mine who have experience memory loss/cognitive changes/difficulty with attention, I have suggested the following……..”
The key to a successful conversation is to reflect back what the client and/or their family members are reporting without creating more fear.
Other Talking Points
Educate about Causes
Previously we discussed what causes dementia. However, there are other illnesses that can cause dementia-like symptoms that are not actually a result of dementia. For example, things like depression, delirium or even dehydration in extreme cases can cause dementia-like symptoms.
When I am speaking to a family and/or the client about the need for testing, I am often pointing out that it is possible their symptoms are being caused by something that is treatable and that it would be a shame if we didn’t know that. This is often something that both clients and their family members can hear and will help motivate them to seek out evaluation. A person experiencing symptoms should get a full medical workup in order to rule out organic or metabolic causes.
Pointing out the importance of early detection is another way to approach this subject.
At the current time, although we have some medications that can slow the progression of the dementia and treat the common side effects of these diseases, there is no prevention or curative treatment. However, early detection of these diseases is critically important for a few important reasons.
First. research has shown that there is a pre-clinical phase of dementia where the patient is not experiencing any symptoms. This phase can be up to 10-15 years before the person is showing symptoms we can identify. Our detection has gotten better over the years. In the past, we could only recognize symptoms of cognitive decline when a person had fully developed Alzheimer’s disease. Now we are able to recognize a syndrome called Mild Cognitive Impairment (MCI), which is often a precursor to developing Alzheimer’s disease.
Second, much of the research about the medications we have available to treat dementia today are believed to be more effective the earlier you receive them in the
process of the disease. In fact, there is a common belief among the developers of these drugs that they would be more effective if they were given in the pre-clinical stage of the illness.
Lastly, there are things we can do to address both the progression of the illness and the common symptoms. For example, we can provide interventions to help with:
- Communication with Speech Pathologists
- Physical and motor issues with Physical and Occupational Therapists
- Diet and lifestyle
- Cognitive strengthening and training
- Avoiding social isolation, depression and anxiety
- Adjusting estate plans and creating documents
Solo Conversations with Caregiver
Keeping the client’s lack of insight in mind, it may be very important for you to have a 1:1 conversation with the well family member to reinforce or introduce ideas you may have mentioned in a group setting. This is important even if the client appears to have insight about their symptoms and is willing to address or evaluate it. You may need to give the family member more information about the reasons for getting a full neuro psychological workup to determine if what they are seeing is a result of normal aging or a disease process.
It is important to talk to the caregiver about the fact that it will take time to get a differential diagnosis and that they may have to push for more definition over time if symptoms don’t resolve. Getting a differential diagnosis can also help the family member understand the symptoms of the illness and allow them to learn strategies for addressing the symptoms. Most importantly, this will help the caregiver to understand the behavior is not intentional and to plan supports accordingly.
Lastly, it is essential to speak to well family member alone about supports for themselves as they go through this process. The data on caregiving is not good. In one recent study 17% of caregivers reported that their health was either fair or poor – this is 7 percentage points higher than the general population average. In this same study 38% of caregivers reported feeling highly stressed due to caregiving responsibilities. Equally as shocking are the number of caregivers that predecease the person with dementia due to stress of caregiving. For these reasons, planning for both emotional and practical support is essential for the caregiver’s well being and survival.
Bringing in Other Professional Support
Once you have begun the conversation with a client and/or their family member about potential concerns, you may want to consider bringing in other professionals to help. Here are some examples of when it would be a good idea to do so:
- If a client or family member is seeking out education about dementia and how to get connected to a neurologist.
- If client is highly resistant to getting an evaluation or doesn’t acknowledge the problem
- If there are complicated family dynamics or co-mingling problems
- When the care or supervision of a person with dementia is getting difficult
- If the person you are concerned about is younger (-65 years old), a diagnosis like this can be financially devastating. (For this age group, there are many different implications for disability benefits and the need for Medicaid planning. This would be a good time to introduce an Elder Law Attorney if the client does not already have one).
Below are some resources you can utilize to find professionals that can be helpful.
For information about dementia and caregiver training/support
Alzheimer’s Association (https://www.alz.org/manh)
The Dementia Care Collaborative (https://dementiacarecollaborative.org/)
To search for an Elder Law Attorney in your area:
For help with caregiver education, resistance to evaluation or care, complicated family dynamics or co-mingling problems or for problem solving when the care of supervision of a person with these symptoms is getting difficult, consult an Aging Life Care Professional in your local area:


New Shared Care Record delivering better, safer care for all our patients
We wanted to let you know that we have finally connected our systems to offer joined-up health and care records, which will enable better, safer care and treatment for all our patients.
As a GP, it is difficult to provide joined-up care with so many separate systems for handling patient information. These were not connected, meaning that you often had to repeat your story each time you received care at a different organisation, or with a different health professional. The Shared Care Record means up-to-date records will be immediately available to professionals caring for you as a patient, when you need direct care.
It will mean, for instance, a doctor in a hospital, or a paramedic who attends a 999 call will be able to confidentially access the same crucial information that we can at the Practice, such as details of any allergies and current medications, bringing potentially life-saving benefits.
Robust security measures are in place to protect your health information and all staff must follow the law on keeping your information confidential.
The Shared Care Record is not the same as the General Practice Data for Planning and Research Directions (GPDPR), which is a national NHS Digital initiative to use GP practice data for research and planning purposes.
The Shared Care Record is a local initiative to share information with organisations directly involved in your care to ensure that you receive prompt and appropriate treatment when you need it.
For more information, you can:
Please do not contact the Surgery - we are unable to process these opt-out requests.
H&W Shared Care Partner Organisations - November 2021
General Data Protection Regulations
26th May, 2018
The General Data Protection Regulation (GDPR) is a new data privacy law that was introduced in the UK on 25th May 2018 requiring all public organisations to identify changes that need to be made to achieve GDPR compliance in their personal data processing activities. The regulation will put you in control of your personal data, allowing you to choose how (and whether) Practices can use your data. The new regulation will still apply to organisations once the UK leaves the EU in 2019.
GDPR Practice Privacy Notice
GDPR Privacy Notice for Children
Due to Covid-19 and to be compliant with NHS Digital transparency, we have a temporary additional privacy notice during this time
Having read the information above you may decide that you would like to restrict some of the information we hold on your medical record from being shared. There are several options that we can add locally and these are detailed on the Data sharing opt-out form below. Should you wish to complete the National Opt-out there is also an information leaflet below.
Where a patient has previously opted-out from sharing their medical record this has been coded on your record and will remain, preventing this information being shared as per your wishes. The National Opt-out Team will write to you if this needs to be updated. If you chose to prevent any information leaving the practice, you have until 2020 to confirm this to the National Opt-out team – details of how to do this are on the leaflet below.
Data sharing opt-out form
National Opt-out leaflet
More info and to opt out online


DHR Health Integrates TeleHealth into Specialty Clinics to Keep Patients Healthy Amid the Pandemic
(April 20, 2020) - Edinburg, TX — While hospitals across the country report a decline in patients admitted for strokes, heart attacks, emergency appendectomies and other urgent health concerns, physicians at DHR Health caution that the decline may be attributed to people’s fears about being admitted to the hospital during the COVID-19 pandemic. With policies and protocols in place to prevent disease spread within the hospital and clinics, doctors are reminding patients to pay close attention to their health and to contact their healthcare provider when experiencing unusual pain or symptoms.
DHR Health’s main focus is caring for the needs of patients. The hospital’s surgeons, trauma team and Comprehensive Stroke Center team, among other specialists, continue to be on call for the emergent medical needs of the community. DHR Health specialty clinics remain open and are offering TeleHealth services to patients. Additionally, patients who are experiencing non-life-threatening symptoms but need immediate attention can visit one of DHR Health’s three urgent care locations.
“In spite of the ongoing crisis and as we fight to prevent the spread of COVID-19 in the Rio Grande Valley, the medical personnel at DHR Health would like to remind the public that WE ARE HERE FOR YOU and that we’re taking all necessary precautions to safeguard and protect our patients in our community,” said Carlos Garcia-Cantu, M.D., chairman of the board of the Renaissance Medical Foundation. “It’s important to remember that there are many other healthcare problems that need immediate close attention. Please contact our physicians and do not wait before it is too late."
Doctors are particularly concerned about patients with chronic conditions such as diabetes, heart disease or kidney disease as well as those who maybe immunocompromised due to a recent transplant, cancer treatments or other conditions. Additionally, expectant mothers should stay in regular communication with their obstetricians.
To help provide patients continuity of care, DHR Health is offering TeleHealth services so that providers can conduct appointments via audiovisual services such as videoconferencing through the internet, streaming media, or through wireless communications.
“Through TeleHealth we’re providing a lifeline –literally and figuratively—to our patients in the Valley, allowing them to maintain their medical care while also practicing social distancing.” “We’re able to conduct follow up appointments and surgical consultations,” said Jose Almeda, M.D., Director, DHR Health Transplant Institute. “It has really added another dimension to the doctor-patient relationship with more personable interaction right from the patient’s living room. The patients really seem to like it and are more appreciative, especially because of the convenience factor.”
Many of the physicians at DHR Health’s specialty clinics, school-based clinics and urgent cares also appreciate the flexibility that the technology offers them to conduct assessments, provide clinical care and engage with patients.
Marcel Twahirwa, M.D., Medical Director of DHR Health’s Diabetes and Endocrinology Institute, says that it’s critical to have the TeleHealth capabilities for his team and patients in the Rio Grande Valley, especially because diabetes is one of the leading causes of death in the United States and the fifth leading cause of death among Hispanics.
“People with diabetes have a higher risk for secondary health conditions including heart disease and kidney disease, so they need this extension of their medical care that TeleHealth offers,” said Twahirwa. “We’re urging patients to contact us if they are experiencing lower or higher than normal glucose levels or getting low in their medications and supplies. We’re equipped to provide patients with all the resources necessary needed to control their diabetes.”
Marissa Gomez-Martinez, M.D. says TeleHealth has had a major impact with patients at the DHR Health Edinburg CISD School Based Health Center.
“TeleHealth has been a game changer for us during this time. It has been very useful and has helped us save patients from falling through the cracks,” said Gomez-Martinez. “Patients are relieved to know that they can still see us. Just hearing our voices has helped our patients remain calm and helped reduce their fears. Being able to talk to a physician has allowed them to know that they are not alone”.
This virtual visit enables DHR Health physicians to safely treat patients while following social distancing guidelines. When needed, physicians will call in prescriptions to a patient’s pharmacy. With step-by-step instructions available on the DHR Health website, www.DHRHealth.com patients have found the TeleHealth services to be very accessible and convenient.
“I loved having the TeleHealth option and I highly recommend it. You don’t need to be technology smart to use this, it was a great experience, very personalized, great communication and the app is easy to use,” said Magdalena Ojeda, a DHR Health patient. “I loved it, you are face to face with your doctor and do not need to worry about getting exposed at a doctor’s office since this method allows you to stay home. The doctors are asking the same questions they ask when you go to their office.”
For more information about DHR Health TeleHealth, please call Rene Hinojosa at (956) 362-3087 or visit our website; www.DHRHealth.com


New US research has found that adding yogurt into your diet could be one way of reducing high blood pressure, a major risk factor for cardiovascular disease.
Carried out by researchers from Boston University, Brigham and Women’s Hospital and Harvard Medical School, and Harvard T.H. Chan School of Public Health, the team looked at more than 55,000 women ages 30-55 and more than 18,000 men ages 40-75 who all had high blood pressure.
High blood pressure, also known as hypertension, affects about one billion people worldwide. Previous studies have shown that a higher dairy consumption could have a beneficial effect on the condition, as well as other cardiovascular risk factors such as type 2 diabetes and insulin resistance.
In the new study the team found that a higher intake of yogurt — consuming more than two servings a week — was associated with a 30 percent reduction in the risk of heart attack among women and a 19 percent reduction in men, compared to those who ate one serving of yogurt a month.
In addition, women also showed a 17 percent lower risk of major coronary heart disease or stroke, and men a 21 percent lower risk.
Higher yogurt intake in women was also associated with a 16 percent lower risk of undergoing revascularization, a surgical procedure which restores blood supply to a body part or organ.
“We hypothesized that long-term yogurt intake might reduce the risk of cardiovascular problems since some previous small studies had shown beneficial effects of fermented dairy products,” said one of the paper’s authors, Justin Buendia. “Here, we had a very large cohort of hypertensive men and women, who were followed for up to 30 years. Our results provide important new evidence that yogurt may benefit heart health alone or as a consistent part of a diet rich in fiber-rich fruits, vegetables, and whole grains.”
The findings can be found published online in the American Journal of Hypertension.


Not Guilty on All Counts – Healthcare Fraud (Pt. II)
In the first post, we discussed the nature of the charges and the history of chelation therapy in the United States. In this post, we will discuss the main issue at trial under count one and the legal principles at issue in a medical judgment case. Other posts written by our health care fraud attorneys can be found at our page devoted to health care fraud.
Battle of the Experts – Is Chelation Therapy Medically Necessary?
Under the Medicare guidelines, a doctor promises to bill for procedures that are medically necessary. Medical necessity is defined as “Services or supplies that: are proper and needed for the diagnosis or treatment of your medical condition, are provided for the diagnosis, direct care, and treatment of your medical condition, meet the standards of good medical practice in the local area, and aren’t mainly for the convenience of you or your doctor.” See The Center for Medicare and Medicaid Services (CMS) Guidelines.
The prosecution alleged the use of chelation therapy to treat disease in patients with blood lead levels under 20 µg/dl was not medically necessary. In their view, chelation therapy was not an accepted standard of care for patients absent acute lead poisoning.
The main issue was determining the medical necessity of chelation therapy to treat underlying diseases caused by the presence of lead in the patients’ blood. This argument centered on the testimony of two experts from different areas of medicine. Each having a unique view on chelation therapy as a treatment.
The government called a toxicologist to set the foundation for their case in count one. Relying on standards promulgated by OSHA in the 1970’s, their expert stated she had never heard of using chelation therapy to treat any condition other than acute poisoning. She had not read any of the studies over the last 20 years though many of these studies were published in reputable health journals in the United States.
The government’s expert essentially recited the OSHA standards and provided her view that chelation therapy is only appropriate for acute poisoning. She could not define a blood lead level where treatment would be necessary but admitted the threshold would be far greater than the levels seen in the defendant’s patients (OSHA does not advise chelation therapy prior to 50-70 µg/dl. The defendant treated patients from 2 to 20 µg/dl).
The defense expert was an epidemiologist who graduated from Harvard University. He had a compelling work history including consulting with the United Nations and working with local governments during the lead event in Flint, Michigan. The defense expert was well versed in the OSHA standards as well as the ongoing studies testing the efficacy of chelation therapy to treat various diseases. The expert was a listed author in many of these studies.
Noting that the defendant’s actions were “cutting edge,” the expert laid out the history discussed previously in part I of this post. He was unwilling to state he would have performed chelation therapy on the defendant’s patients under the current science. However, he believed it was reasonable for a doctor to believe this therapy was necessary to treat patients in the Galveston region (highlighting the increased lead exposure history of the elderly in the Galveston area).
The Mens Rea of Fraud
The litigation seemed to center around a fight over the science. Throughout trial, the government attempted to show that chelation therapy was not medically necessary or the accepted standard of care. Though important, this fight failed to address the crux of the allegation. Not every procedure performed, later determined as not medically necessary, constitutes criminal fraud.
This was not a civil case. Fraud requires the government to show the defendant acted with the guilty mind necessary for criminal conviction. Notably, the government must prove the defendant acted willfully and with the specific intent to defraud the Medicare system. These mens rea terms boil down to one overarching principle – to commit fraud, the defendant must KNOW the procedure was not medically necessary when the claim was submitted. And in a criminal case, that fact must be proven beyond a reasonable doubt.
The case cannot be prosecuted effectively if the government focuses on proving the medical necessity of the procedure. The more time that is spent attacking that element, the more reasonable it seems the defendant honestly believed in his version of the science. Put differently, if the defendant can force the government to defend their medical necessity position, their ability to show the mens rea required is greatly diminished.
The mens rea elements of fraud were the key to obtaining a not guilty in count one. The district court believed there was science supporting the defendant’s use of chelation therapy and the defendant reasonably believed his actions were helping his patients. When these elements are met, the correct answer is always not guilty. Congress understood this principle when they enacted the health care fraud statute – “The Act is not intended to penalize a person who exercises a health care treatment choice or makes a medical or health care judgment in good faith simply because there is a difference of opinion regarding the form of diagnosis or treatment.” H.R. Report 104-736, July 31, 1996, page 258.)
The Case Always Needed Deceit
Some medical necessity cases are simple to prove. If a doctor is billing Medicare for wheel-chairs linked to patients with no ambulatory issues, it is obvious the claim was not medically necessary. Likewise, billing Medicare for services that are not rendered is obvious fraud. However, many cases, including the one above, are not that simple. The close cases are those that involve medical judgment. If the defendant honestly believes he is performing a medically necessary procedure, the government’s disagreement with that judgment should not lead to a conviction for fraud. Of course, the reasonableness of his belief will be affected by the science that supports his position.
Medical judgment cases are prosecuted at a lesser rate than clear fraud schemes. This has led to miniscule guidance from the Circuit Courts defining the sufficiency of evidence in medical judgment cases. However, two circuits have addressed the sufficiency issue. Successful prosecution requires deceit:
United States v. Rutgard, 116 F.3d 1270 (9th Cir. 1997)
In Rutgard, the defendant was charged with billing Medicare for unnecessary cataract procedures. Each side produced experts with differing opinions on the usefulness of the procedures. The Ninth Circuit found the evidence insufficient to support a conviction when there were no other indications of fraud, including no deception in the patient charts or oral lies to the patients.
United States v. McLean, 715 F.3d 129 (4th Cir. 2014)
In McLean, the defendant was charged with billing Medicare for medically unnecessary stent procedures. The defendant argued on appeal the evidence was insufficient because the determination of a patients’ need for a stent is subjective and his error rate was within the national average. The Fourth Circuit upheld the conviction noting the other indications of fraud distinct from medical judgment. The fraud indicators were: 1) the defendant overstated blockage percentages in patient charts, 2) employee testimony stating the defendant placed a stent with no blockage “because it was easy”, 3) the defendant showed patients fabricated charts with blockage that did not exist, and 4) the defendant shredded files requested by the government.
All these factors cut against the defendant’s reasonable belief the procedures were medically necessary. These signs of deception pushed the facts over the line drawn in Rutgard and supported by the Court’s verdict in our case. The government’s argument was not merely a battle of scientific opinion. McLean had taken numerous steps to deceive his patients and the government. The mens rea for fraud can be met under such circumstances.
These cases lead to a general theme for medical judgment prosecutions. The case law demands the government prove overt deceptions prior to meeting the elements of fraud. Simply showing a procedure is not medically necessary is insufficient. The fraud statute should not be used to review a physician’s judgment after the fact. If the defendant runs a legitimate practice, advises his patients accurately, and takes no deceptive actions with the government, he should have a valid defense to the mens rea component of health care fraud. This is true regardless of the fact finders’ opinion on the actual necessity of the procedure. Though some scientific backing is likely needed.
Part I of this post can be found here.


London has long had a reputation as a world leading centre of excellence in the area of bariatric surgery. This reputation is built on a commitment to clinical professionalism and a devotion to excellent patient care.
The London Weight Clinic offers a comprehensive multidisciplinary weight loss programme which includes lifestyle, medical and surgical options for weight loss and is run by a team of dedicated and highly trained professionals.
It seems so simple: Eat less, exercise more and lose weight. But for many severely overweight people, diets and exercise just do not work. Fortunately, we have the solution - bariatric surgery, which has a near 100% success rate in sustained weight loss. And for those who wish to try non surgical techniques at weight loss, we offer comprehensive programmes in both lifestyle and medical (tablet) treatments.


Olive Oil Info
Olive Oil Links
Information on Health Benefits of Olive Oil
On November 1, 2004, the U.S. Food and Drug Administration announced that producers of olive oil may place the following health claim on product labels: “Limited and not conclusive scientific evidence suggests that eating about two tablespoons (23 grams) of olive oil daily may reduce the risk of coronary heart disease due to the monounsaturated fat in olive oil. To achieve this possible benefit, olive oil is to replace a similar amount of saturated fat and not increase the total number of calories you eat in a day.”
Recent medical studies have provided evidence in support of the health benefits of incorporating olive oil in a person’s diet. Olive oil has been shown to have the following health benefits:
- Heart Health – reduces cholesterol levels; lowers blood pressure.
- Anti–Cancer Properties – oleic acid in olive oil blocks the action of a cancer-causing agent found in some breast cancers; protects the cells of the colon from certain types of cancer-causing chemicals.
- Anti–Inflammatory Benefits – associated with lower rates of asthma and rheumatoid arthritis; monounsaturated fats in olive oil help reduce inflammation.
- Weight Loss – replacing saturated fats with monounsaturated fats may result in loss of body weight and fat mass. http://www.brownalumnimagazine.com/content/view/2917/40/
In March 2005, Dr. Javier Menendez of Northwestern University Feinberg School of Medicine in Chicago published a study in the Annals of Oncology that the oleic acid found in olive oil blocks the action of a cancer–causing oncogene which is found in about 30% of breast cancer patients. The study also found that oleic acid improved the effectiveness of a certain breast cancer drug. http://annonc.oxfordjournals.org/cgi/content/full/16/3/359


ReiThera expands large-scale viral vector production capabilities with opening of new manufacturing facility
- New 1,500 sq.m. facility granted operational authorisation from AIFA, the Italian Medicines Agency, to enable production scales of up to 3,000 liters;
- New facility will allow ReiThera to consolidate its competitive position as a leading Contract Development and Manufacturing Organization (CDMO) specialized in viral vector production
ROME, November 3 2022 – ReiThera, a biotech company dedicated to the development of new technologies, GMP production and the clinical translation of genetic vaccines and products for advanced therapies, today announces that it has received operational authorization from the Italian Medicines Agency (AIFA) to open the new production area at its pharmaceutical facility at the Castel Romano Technopole, for the large-scale production of viral vectors for vaccines and gene therapy.
Designed to meet the growing global demand for viral vector production, a sector in which ReiThera represents world-class excellence, the new facility offers maximum flexibility in processing scale, able to accommodate GMP productions based on Adenovirus (Ad), Adeno-associated virus (AAV) and Lentivirus starting from 50 litres up to a maximum of 3,000 liters.
The facility will serve ReiThera’s client base, which ranges from small biotechnology companies to large multinational pharma groups. To date, ReiThera’s team has successfully developed genetic vaccines against major infectious diseases, including hepatitis C, malaria, HIV, Respiratory Syncytial Virus, Ebola and Covid 19.
The construction of the new production facility, which covers an area of 1500 sq.m., began in May 2020 with investment of over 15 million euros by ReiThera. This investment enabled the installation of the latest generation bioreactors with scaled volume capacities of 200, 1,000 and 2,000 liters.
“Thanks to the operational authorization of this expanded facility, the ReiThera team, which combines high-level scientific knowledge with extensive experience in the engineering and bioprocessing of viral vectors, will be able to support companies engaged in the development of products in the field of vaccines and advanced therapies, from the fine-tuning of small-scale production processes to production on a commercial scale,” said Stefano Colloca, Chief Technology Officer and ReiThera co-founder.
A 2000L stirred-tank bioreactor for large scale production at ReiThera’s Castel Romano Technopole facility; courtesy of ReiThera Srl
About ReiThera Srl
ReiThera Srl is a biotech company dedicated to the technology development, GMP manufacturing and clinical translation of genetic vaccines and medicinal products for advanced therapies. The company’s management and scientific teams have developed a highly innovative technological platform based on simian adenoviral vectors that can be used for vaccine and advanced therapy applications. ReiThera is actively working in the setting up scalable processes applicable to different viral vectors: AAV, LV, MVA, HSV.
ReiThera is led by an experienced management team that has worked together for many years in previous successful enterprises and has a long-standing expertise in scalable processes for viral vector manufacturing, supported by a cGMP facility inclusive of filling suite and quality control laboratories.
Today ReiThera offers a wide range of services that include both process development and GMP production of viral vectors and analytical activities including immunological characterization of biological therapeutics. ReiThera offers immunomonitoring service capabilities for early stage drug or vaccine development.
ReiThera has its headquarters, R&D laboratories and GMP facilities in Rome, Italy.
For further information see: www.reithera.com
Media Contacts ReiThera:
Stefano Colloca, Chief Technology Officer
Shaad Cajee, Head of Marketing
MEDiSTRAVA Consulting – International Press
Sylvie Berrebi, Mark Swallow PhD, George Underwood
+44 (0) 203 928 6900


What is Adrenal Fatigue Syndrome?
Waking up exhausted day after day is just one signal that you're not feeling well. But how do you know if you're just plain tired or have adrenal fatigue syndrome? The syndrome is a serious endocrine or hormonal disorder that occurs when the adrenal glands, located at the top of each kidney, produce too little or too much of certain hormones such as cortisol.
Adrenal fatigue has been thrown around as a "minor form of adrenal insufficiency" and a catch-all for many unexplained symptoms. It’s also a disorder that isn’t recognized by the American Medical Association, something that worries Debi Silber, R.D., a functional diagnostic nutritionist, who has experienced it twice.
"I went through exhaustive testing with no answers or help and it was only when I did my own research that I learned how adrenal fatigue is one of the most common, yet undiagnosed conditions facing so many people today," Silber says.
In fact, Silber believes that the syndrome only gets recognized when it reaches the extremes of the disorder — appearing as either Addison's disease, a rare condition in which the adrenal glands gradually stop functioning, or Cushing's disease, which results from excess levels of the hormone cortisol in the body.
The adrenal glands are a key regulator that produce hormones that help us control blood sugar, burn protein and fat, react to stressors and regulate blood pressure.
What makes a diagnosis difficult is that individuals may experience symptoms such as weight gain, exhaustion, anxiety, hormonal issues, sleeplessness, low libido, digestive issues, muscle tension and thyroid issues, and those symptoms may overlap with other possible disorders and prevent individuals from getting the help they need, Silber says.
"All of the symptoms that have us feeling horrible are ones that can be due to so many other health problems," she says. "A diagnosis is so hard to pin down." However, there are some experts who are quite vocal about giving adrenal fatigue syndrome the credence it deserves.
"This syndrome comes about due to the lack of the necessary output of cortisol that can reduce inflammation in the body," says Barry Sears, Ph.D., a research scientist and author of "The Zone." "Like Type 1 diabetes, adrenal fatigue is most likely due to a similar inflammatory destruction of the cortisol-secreting cells in the adrenal glands."
In addition, this means that adrenal fatigue syndrome shares some similar attributes to such serious autoimmune diseases as rheumatoid arthritis.
The reasons we may be seeing more cases of this syndrome today may be directly related to the way we eat, including our consumption of processed foods, Sears believes. A diet that's high in processed foods may, in turn, be contributing to our elevated levels of diet-induced inflammation. Eating whole, natural foods is the answer.
So what can be done about this? Follow Sears' lead and aim to follow a strict anti-inflammatory diet, which includes eating oily, wild-caught cold water fish at least two times a week or supplementing with high-dose fish oil to reduce inflammatory response. It also means doing your best to eat "clean."
"By doing this, you'll reduce not only the need for higher levels of cortisol to reduce existing inflammation, but also reduce the likelihood of further inflammatory damage to the hormone-secreting cells in the adrenal gland," he says. You will be amazed how different you feel when eating clean. Try it!
Source: Adapted from MNM.com by Lambeth Hochwald


The Prenatal Massage focuses on helping future mothers accommodate to their specific needs as they go through pregnancy. It helps ease the stress on muscles and joints, while also improving circulation. It can help relieve fatigue as well.
$55 per 60 min
Reflexology applies pressure to reflux points on the hand, foot and Ear that are connected to specific organs, glands, etc., and help to relieve those certain areas of tension.
$30 per 30 min
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Since January, state lawmakers of Delaware have quashed criminal penalties for simple possession of marijuana and minors are allowed to partake in the state’s medical marijuana program. In an unprecedented move which they have done more quietly, lawmakers voted to establish a legal framework that allows facilities in Delaware to conduct research on the potential benefits of marijuana for medical purposes.
The legislation came more than four years after the General Assembly voted to legalize medical marijuana, but only days after the first marijuana dispensary opened in an industrial park west in Wilmington. The move provided Delaware with the opportunity to be in the forefront of pioneering research on medical cannabis.
Marijuana advocates praised the legislation, signed by Gov. Jack Markell, which allows facilities that meet U.S. Food and Drug Administration standards to initiate research on potential medical benefits of the drug. The research shall also include demonstrations of safety and efficacy for treatment of medical conditions that often fail to respond to conventional treatment.
Recently, the federal government removed barriers to medical marijuana research and the Obama administration decided that medical marijuana research no longer require review by the Public Health Services. The U.S. FDA, however, must review research plans.


This is part of a larger series of writing around my recovery from Complex PTSD. I developed a tool kit of healing methods treating the root cause, not merely the symptoms. I charted my journey in a series of essays. I’ll be writing bi-monthly articles, publishing podcasts, and hosting workshops on healing, recovery, and the root causes of pain. Twice a month, I send out a personal story of healing. Sign up for two stories per month, that’s it.
“Ryan, I think you have a form of insidious ongoing childhood trauma called Complex PTSD. Let’s talk more in the next meeting.”
Towards the end of the couples’ therapy session, our social worker looked at me and said those exact words.
That first sentence rocked my world.
I was shocked, surprised, and scared.
What does insidious mean?
What does it mean to have trauma?
I had the pressures of a family, work, and being a dad.
How would I go through trauma recovery?
I felt desperate. After years of following the traditional rules of mental health: chatting about my feelings on therapy couches, ingesting mood-stabilizing drugs like candy, and trusting medical doctors’ advice—I felt that Western medicine abandoned me.
Since college, I ran the gauntlet of mental health professionals. I saw a therapist, psychiatrist, group psychologists, cognitive behavioral experts, and many different doctors. I accepted that I was in pain and had to manage it. I knew there was a better way to live, yet no one showed me how to get on that path.
Healing trauma with ancient methods
To heal my trauma I went against traditional health advice. I sought out the wisdom of fourth-generation sound healers, and connected with some of the best breathworkers and meditation leaders in the United States. I experimented with psychedelics, plant-based medicine on the bleeding edge of mental health, dove into an emotional balance workshop through the Dalai Lama, and met with modern-day shamans to build myself back up. I conversed with the legendary Buddhist trained monk Jack Kornfield, learned Vipassana meditation with Mingyur Rinpoche, studied Pranayama breathwork meditation under David Elliott, and worked with sound healers who liberated my body with Tibetan singing bowls.
Now a year later, I’ve survived to live another day. By the grace of God, I finally found the healing practices of thousand-year-old eastern traditions. Many of these practices are from India, pre-colonial America, and indiginious tribes around the world. These ancient methods helped solve my modern mental health problems. Resiliency came through my bones. My healing work culminated in a series of mystical journeys that changed my life.
How We Treat the Symptoms, and Not the Root Cause
I’m grateful that my wife and I opted into marriage counseling. On that day we were in a dimly lit room, sitting next to one another on a small couch. While in the offices of a clinical social worker Dr. Julie Hoine, Wally, her service dog, ran around the floor. Julie sat across the room, on a sturdy black office chair, with a desk and an Apple computer behind her.
I always seem to misremember things. However, I would not soon forget this day. I had been taking a drug called Lamictal for well over a decade. On the surface it stabilized my mood. In addition to therapy, I had been seeing a psychiatrist for years. While the drugs treated depression/anxiety-like symptoms, they also covered up the root cause of my pain. I recall specifically crying during one therapy session over a painful childhood memory. The psychiatrist’s solution to my grieving was a prescription for an antidepressant. I began doubting this psychiatrist over the past year. Like many Americans, I numbed the symptoms of my problems, while living in denial that there was an actual root cause.
Julie told me something that shook up my life, my family, and my mind forever.
“Ryan have you ever been diagnosed with trauma?”
“No. What do you mean?” I replied.
“You sound like you’ve been through trauma, would you like to go through a trauma checklist with me?”
After hearing this, I stopped breathing. In utter disbelief, I agreed to do a trauma checklist with Julie. She asked my wife if it was okay for us to go down this trauma rabbit hole. She said yes.
Julie spun around her chair to her computer, and searched online for a trauma checklist. I had no idea what she was doing, and was equally curious and shocked. In my decades of searching for answers to my symptoms of depression, anxiety, frustration, sadness, relief and anger, I had not heard the word “trauma” any time in any doctor’s office.
What is Complex Post Traumatic Stress Disorder (Complex PTSD)?
Wally was now on the floor resting on her back, no longer running around. The room was calm and we waited an eternity for Julie to pull up the complex trauma checklist. She then asked me if I sometimes felt like I had:
- A lack of emotional regulation
- Changes in consciousness (dissociation)
- Negative self-perception (extreme guilt or shame)
- Difficulty with relationships (lack of trust)
- Loss of systems of meanings (feeling hopelessness and despair).
I barely recall my answers. My mind felt blank. Complex PTSD is the result of prolonged exposure to trauma over long periods of time, often during the formative years of childhood. It’s different than PTSD, which is often a result of one single traumatic event. C-PTSD is a result of ongoing and long-lasting trauma. The trauma can last for a series of months or even many years. C-PTSD is repetitive trauma, and if left untreated the effects can last a lifetime.
Some of the most common aspects of C-PTSD are:
- Memory issues (often blocking out reminders of the traumatic event)
- Heightened irritability
- Decreased interest in once-enjoyable activities
- Dissociative flashbacks (oftentimes emotional flashbacks)
- Severe feelings of guilt and shame
- Difficulty maintaining close and trusting relationships with others
Suddenly I felt exhausted. I learned from my therapist that Complex PTSD and complex trauma is under-diagnosed. To which I said, “No shit.”
Since graduating from college, I’ve been on as many different pharmaceutical drugs as you can imagine. Feeling like a human guinea pig, I’ve been prescribed antidepressants, anti-psychotics, and mood stabilizers. None of them has completely worked.
Past doctors diagnosed me with depression, anxiety, and other normal-ish symptoms around mental health, but never trauma. Complex PTSD sounds like something that military veterans and survivors of sexual assault have, but I had experienced neither. I was a father and husband with a career, and I was floored by the diagnosis. I thought to myself, “WTF?”. I felt totally f*cked. I asked myself, “what does recovery even look like?” I wondered, “How am I going to meet my client deadlines next week?”
How Recovery Works
Now I am in recovery; something I will gratefully continue for the remainder of my life. In the coming series of essays you’ll hear how, why, and which ways I’ve healed. I merged Eastern and Western treatments to get better. Rather than return to the well of psychiatric and psychological evaluations, I forged a new path. I’m the happiest I’ve ever felt. I have to thank entheogens, breathwork, meditation, practicing gratitude, journaling, therapy, support groups, and yoga for some of this continual effervescent feeling that I have. Now in retrospect, I understand what worked for me. Equally as important, I learned what did not work for me. I’ll share my results, as I experimented with many different types of healing methods. I waited decades for my oneness with the world to bubble up to the surface from down below. I genuinely feel whole, connected to people, and believe that my best days are ahead. This feeling is a stark contrast from how I felt just a year ago.
I want to share with the world the story of how my final trauma therapy uncovered the truth. I would like no one else to go through the decades of pain that I felt. What many people call healthy isn’t necessarily right. Rather than fighting a traditional mental health system of what we define as healing, I invite you to follow along so that you too might chart your own path through the recesses of the mind and psyche. The needless suffering that I went through must end now, and we can all collaborate to work on a more human experience to help people who’ve been traumatized. There are more people like me —zombies living with unknown pain, looking for answers to questions that they don’t even know exist. I invite you to follow along so that you too might chart your own path through the recesses of the mind and psyche. This is the journey to getting unf*cked.
Big thanks for edits from: Ross Gordon, Stew Fortier, Tom White, Joel Christiansen, Drew Stegmaier, Sara Campbell, Richie Bonilla, John McGarvey, Chris Holinger, David Rosenblatt, Lyle McKeany, Steven Ovadia, Charlie Bleecker, and Joshua Mitchell.


Wellness and getting healthy is more about motivation than information. Yes, accurate health information is important but when I started to get healthy I basically had known for a long time what the problems were and what I needed to do about them. It was a lot more about deciding to taking charge and doing something about it than knowing how to change. So I took a broad look around for motivation, and I found it nearly everywhere. I found it in the eyes of my wife, my family, my friends, the people walking down the street, and even my wallet. There was a better way to do this, so I took the challenge and went for it.


Highspeed rotation allows rapid data acquisition and shortens scan times, while the fast reconstruction unit further improves throughput, reducing the time required for diagnosis. Aquilion PRIME is the latest addition to the Aquilion ONE family with key features such as “Adaptive Iterative Dose Reduction 3D” (AIDR 3D), an iterative reconstruction algorithm which has been designed to further enhance clinical examinations.
Ultra Low Dose Examination
Aquilion PRIME, incorporates Toshiba`s latest technologies to reduce exposure dose, while maintaining high image quality.
– AIDR 3D
– Active Collimator
– SUREExposure 3D Adaptive
– Dose Report
– Dose Index Value Display
With the integration of AIDR 3D into SUREExposure controls, radiation exposure is automatically reduced before the scan, ensuring that the lowest possible dose is employed for the specific diagnostic objective irrespective of the size or shape of the patient. AIDR 3D integrated in SUREExposure 3D Adaptive can be applied to all acquisition modes for routine clinical use and is able to remove up to 50% of image noise resulting, which corresponds to a dose reduction of up to 75% by the same Standard Deviation (SD) for noise.
Key features of AIDR 3D:
– Full integration in scan protocols for improved workflow
-Dose reduction in clinical setting by up to 75%
– Full automatic iterative reconstruction process
-Minimal penalty in reconstruction times
-Noise reduction and improved Spatial Resolution
-Superb artifact suppression
Ultra Fast Workflow
Aquilion PRIME ensures fast data to diagnosis that meets the requirements of increasingly complex examinations and accelerate the process of providing the information you need to make treatment decisions.
– Fast Reconstruction
– 80-detector row helical
– 78 cm gantry aperture
– Metal less Head rest
– Metal less Arm up holder
Aquilion PRIME incorporates a variety of functions based on technologies that were developed for Aquilion ONE with the aim of significantly reducing the patient exposure dose, including Active Collimator, AIDR 3D, SUREExposure 3D Adaptive, and Boost3DTM. During helical scanning, Active Collimator blocks X-rays not required for image reconstruction by limiting the extent of the X-ray beam at the start and end of the helical scan range. Aquilion PRIME achieves consistent image quality with industry-leading low-contrast resolution of 2 mm at 0.3% in low-dose scanning.


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Is Psilocybin the Better Antidepressant?
Psychoactive mushrooms, commonly known as "magic mushrooms", are primarily used as an awareness-enhancing drug. The substance psilocybin is responsible for the intoxication effect. A current study shows that taking psilocybin once has an anxiolytic and antidepressant effect that lasts up to five years.
As early as 2016, researchers announced that the hallucinogenic active ingredient psilocybin has a possible effect against depression and anxiety. Following the study, the NYU Grossman School of Medicine research team found that a single treatment with psilocybin in combination with psychotherapy can alleviate the emotional and existential suffering of cancer patients. The effects lasted for almost five years. The results were recently presented in the "Journal of Psychopharmacology".
Psilocybin gave cancer sufferers new hope
In the first study in 2016, the research team associated psilocybin with immediate, substantial, and sustainable improvements in anxiety and depression. In cancer patients, this led to a decline in general demoralization and hopelessness, and to an improvement in mental well-being and quality of life. The fear of impending death was also alleviated.
Effect still demonstrable after more than four years
In the current long-term study, this effect was observed over a longer period. Follow-up followed three and 4.5 years after a single dose of psilocybin. 60 to 80 percent of participants continued to benefit from a clinically significant antidepressant effect 4.5 years after treatment. Participants reported a continuing reduction in anxiety (including fear of death), depression, hopelessness, and demoralization. Over 70 percent rated the treatment as a personally significant and spiritual life experience.
A paradigm shift in psychological care
"Our results, which add to the knowledge already gained in the 1950s, strongly suggest that psilocybin therapy is a promising means of improving the emotional, psychological and spiritual well-being of patients with life-threatening cancer," emphasizes Professor Dr. Stephen Ross, the study’s senior psychiatrist. This approach has the potential to bring about a paradigm shift in the psychological and existential care of cancer patients.
Antidepressants are not very effective in cancer
An alternative means of treating cancer-related anxiety and depression is urgently needed, according to Ross. Because a third of all people with cancer also suffer from anxiety and / or depression and other forms of stress. This goes hand in hand with a reduced quality of life, an increased suicide rate and ultimately a lower survival rate. According to Ross, conventional pharmacological treatment methods such as antidepressants only work for less than half of those affected. In addition, antidepressants would have no effect on existential fear of death.
Effects not yet sufficiently understood
Ross points out that the reasons why psilocybin has this antidepressant effect are not yet well understood. The researchers are currently assuming that the active ingredient will make the brain more flexible and thus more receptive to new ideas and thought patterns.
Previous studies have shown that the active ingredient targets a network in the brain that is also active in self-reflection and thought wandering. This network is downright hyperactive for patients suffering from anxiety or depression. This in turn is associated with brooding, worry and rigid thinking. Psilocybin appears to be acutely shifting activity on this network, helping people to see their behavior and life from a different perspective. (vb)
Author and source information
This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.
Graduate editor (FH) Volker Blasek
- Gabrielle I. Agin-Liebes, Tara Malone, Matthew M. Yalch, et al .: Long-term follow-up of psilocybin-assisted psychotherapy for psychiatric and existential distress in patients with life-threatening cancer; in: Journal of Psychopharmacology, 2020, journals.sagepub.com
- NYU Grossman School of Medicine: Antianxiety and antidepressant effects from a single dose of psychedelic drug persist years later in cancer patients (published 01/28/2020), eurekalert.org


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Image depicts a primary lymphedema patient, before and after CDT treatment. Photo courtesy of the Norton School of Lymphatic Therapy.


Dentist and Hygienist Recommended
BioFilm is the bacterial film on your teeth often described as plaque. With oral dryness, saliva's natural ability to cleanse and control the BioFilm is reduced.
With 2 additional enzymes, biotene PBF Oral Rinse and regular brushing can help loosen BioFilm formation, for a cleaner, fresher mouth.
Like Original biotene Oral Rinse, biotene PBF Oral Rinse also contains enzymes to help maintain the oral environment.Free Of Alcohol and Saccharin. Disclaimer These statements have not been evaluated by the FDA. These products are not intended to diagnose, treat, cure, or prevent any disease.


CBD Interview 101
Chief Science Officer at EVIO Labs Anthony Smith returns to the podcast to share his thoughts about the recent CBD vaping controversy surrounding health issues induced from CBD vape cartridges. Anthony shares what his lab has experienced from extensive product testing, and points directly to harmful and irresponsible additive use by the CBD product manufacturers. Then Anthony extrapolates on the extreme dangers of the most recent target of the vape investigation- vitamin E acetate. He also proposes a theory that more MCT oil is being used to dilute cartridges (also extremely dangerous) because it's perceived as more "natural" than other more traditional dilutants like propylene glycol. Anthony wraps up the show by explaining how his CBD oil company,full spectrum edibles is currently developing a simple testing protocol for vitamin E acetate, and how this may even eventually lead to a consumer test that CBD vapers can check their products with before consuming. You can visit to find out more!
Michael Harinen from Bluebird Botanicals CBD oil joins the show to talk about Bluebird's mission, and the state of the CBD industry. Michael talks about the challenges that producers have faced, and the overwhelming wave of demand that has caused the CBD oil boom. Michael discusses different standards and practices when it comes to sourcing, and talks about different facets of hemp growing that should be considered. He goes on to share where he feels many CBD gummy producers are falling short, and what that entails for their future. Michael also talks about product standards and testing, which leads to a larger conversation about the modern consumer's shift in mindstate when it comes to product selection. Jordan and Michael wrap the show talking about new/exciting delivery systems for CBD edibles, and the future of the industry.
Interview with CBD Doctor
Cannabidiol (CBD) is being used to treat a variety of conditions, such as pain, inflammation, insomnia, anxiety, and severe forms of epilepsy. It is one of many cannabinoids derived from marijuana and hemp. You can consume CBD in several ways—vaping, ingesting, or applying topically. CBD capsules are a convenient, taste-free way of ingesting CBD in a controlled daily dose like a supplement. There are dozens of brands of CBD capsules to choose from online and in retail stores, so how do you decide which is the best option for you?
Types of CBD products
Generally, there are three types of CBD capsules:
- Full-spectrum CBD oil
- Broad-spectrum CBD
- CBD isolate
Let’s examine the details of these different types of CBD oil.
Full-Spectrum CBD gummies
Capsules with full-spectrum CBD oil contain a mixture of cannabinoids, terpenes, and other compounds. You can think of it as the unfiltered extract of hemp or marijuana. The main differentiator is that full-spectrum CBD oil can contain both THC and CBD. However, in hemp-derived CBD, this level is not sufficient to cause any psychoactive effects.
Broad-Spectrum CBD oil Capsules
Broad-spectrum CBD capsules are high in CBD but contain no THC while retaining some of the other cannabinoids, terpenes, and other compounds found in full-spectrum CBD.
CBD Isolate Capsules
CBD capsules with CBD isolate powder are derived from hemp and contain 0.3 percent or less THC. CBD oil containing isolate are treated as supplements, have few regulatory compliance standards, and limited legal restrictions.
Are there benefits from using one type of CBD oil?
User experiences indicate that full-spectrum or whole-plant extracts provide longer-lasting relief faster and superior results to CBD isolate. Research is limited, but user experience suggests that full-spectrum CBD capsules are beneficial for conditions such as:
- Pain and Inflammation
- General Anxiety Disorders
- Nausea and Vomiting
CBD isolate compound enable users to take specific amounts of CBD in a controlled dose. CBD oil for cancer is also thought to have a beneficial effect for relieving conditions such as:
- Pain and Inflammation
CBD isolate capsules don’t have the flavor of cannabis or hemp and may be better suited for cooking or blending into beverages given the powder form.
Are water soluble CBD softgels legal to buy in my state?
Most states restrict the sale and distribution of marijuana-derived CBD capsules. All hemp-derived CBD is not considered illegal by the US Drug Enforcement Administration (DEA), though only one pharmaceutical product is approved by the Food and Drug Administration (FDA). Some states don’t allow sales of cannabis products of any kind, while states with legal cannabis can sell both THC and CBD products. You can check online whether your state allows the legal sale of CBD capsules, and if there are any restrictions by type of CBD.
What are the benefits of water soluble CBD softgels?
CBD capsules or pills contain a specific dose of CBD. There’s no need to measure out a dose, and you have greater control over the amount you ingest. The effect of digested CBD tends to last longer, too.
Capsules are also an excellent alternative for people who don’t care for the taste of CBD oil, and who don’t want the extra sugar and other ingredients included in gummies and different types of CBD edibles.
Look for CBD oil from a Reputable Source
Determining if your CBD capsules come from a reputable source may be challenging. Read all product labels and review information on manufacturer’s websites carefully, so you are sure you understand the product you’re buying.
Suggested information to review:
- Look for capsules made from US-grown hemp, which is subject to regulation and quality standards.
- Check for a certificate of analysis (COA) with independent laboratory test results for potency and contaminants from a lab that meets ISO 17025 standards.
Considered supplements, organic CBD oil capsules are not subject to the same stringent regulations as FDA-approved drugs. Verify that the ingredients don’t contain extra fillers (excipients) you don’t want to ingest. Common excipients in CBD capsules include starch, calcium, and lactose.
Some CBD oil users purchase CBD isolate powder and make their own CBD capsules. Vegans may prefer the option of using non-gelatin capsules. It can also be more cost-effective to make your own.


Do you feel overwhelmed by thoughts of food and ways to lose weight? Are you terrified of gaining weight? Do you feel stuck in patterns of restriction, chronic dieting, bingeing, purging and/or exhausting exercise? Do you long for freedom with food and to feel content in your body but fear what that might look like? Or have you been told by others, even professionals, something is wrong with your body and fear the repercussions if you let go of these behaviors?
Maybe you have been through some painful circumstances, your body remembers, and this continues to impact you daily. Do you long for freedom and feel held back?
Maybe you are the parent of a child who is struggling, and want to learn how to come alongside them in loving and effective ways.
If so, you are in the right place, and we are so glad you are here.
Alice Baker is a Registered Dietitian, Certified Eating Disorder Specialist, an iaedp approved Consultant, Certified Body Trust® Provider, Certified Invitation to Change provider, a Licensed Mental Health Counselor in the State of Florida, and a Licensed Professional Counselor in the State of Arizona.
She is committed to and passionate about coming alongside individuals on the treacherous yet worthwhile path of recovery and freedom with food. Here you will find information regarding both her nutrition and counseling practice and how she can help, find resources that can empower you on your journey, and read articles on topics Alice is passionate about including relationships, parenting teens, body image, trauma, weight stigma, Health At Every Size®approach, and Eating Disorder Recovery
Alice Baker MSRD CEDS-C CBT®P LMHC LPC LD/N has over 27 years’ experience in the field of Eating Disorders and has served clients with eating disorders through the full spectrum of care from inpatient to outpatient. Alice currently sees clients in private practice as a dietitian and/or therapist, facilitates support groups, presents locally and nationally, and supervises new dietitians in the eating disorder field.
Joyful Nutrition is an anti-diet, weight inclusive nutrition practice fiercely committed to empowering individuals towards recovery from disordered eating, freedom with food, and contentment in their body. Your body is not the problem, diet culture is.
Courageous Hearts Counseling
Courageous Hearts Counseling is a faith-based therapy practice passionate about coming alongside others as they bravely enter their stories of harm, name their self-protective responses, and find freedom. Your coping is rooted in wisdom, often a natural response to unnatural circumstances.
What others are saying...
Alice Baker is one of the most compassionate, insightful, and dedicated practitioners in the field of eating disorder treatment.
"As a psychotherapist and a Registered Dietitian Nutritionist, she has both the psychological and scientific background to help clients fully heal from their disconnected eating. With her ability to connect with her clients, she brings them to a place of peace with eating and their body. She is a gem in our profession!"
I am grateful for her passion, knowledgable, and genuine compassion for her clients.
I have known and worked with Alice Baker, MSRD, CEDRD-S, LDN, LMHC, for the past ten years. Alice is an expert in the field of eating disorders and is a true joy to work with. I am grateful for her passion, knowledgeable, and genuine compassion for her clients. Alice and I consult on a regular basis as we help our clients find their path to wellbeing and recovery. My clients trend to describe Alice as kind, positively challenging and a catalyst to their recovery. This community is fortunate to have her!
Celine Passeri, Psy.D. CEDS-S
Her wisdom and passion in the field of eating disorders is truly unmatched.
As a Registered Dietitian working towards my CEDRD, meeting with Alice for supervision has been invaluable. Her wisdom and passion in the field of eating disorders is truly unmatched. I have learned so much from working with her and know I am able to provide better care for my clients because of her supervision. Alice’s support, encouragement, compassion and knowledge have shaped me as a provider, and it is an absolute joy working with and learning from her. If you are a Dietitian interested in working with clients struggling with eating disorders, I would highly recommend Alice as a CEDRD supervisor.
Kelsey Pukala RD LDN
I have known Alice for years. She brings a true commitment, deep compassion, and unwavering faith to her work and life.
Tara Harvill, LMHC // Maitland, Florida
With strength and love, she invites others on the healing journey that she herself walks.
I have had the privilege of knowing and working with Alice for 10 years and count her as a trusted colleague in the field. She brings a balance of strong clinical expertise, compassion, and wisdom to the counseling room. With strength and love, she invites others on the healing journey that she herself walks. I highly recommend her as a therapist and refer to her often.
Amy E. Roza, LMHC // Winter Springs, Florida
She brings a keen mind, tender heart, and sensitivity to the voice of the Holy Spirit to her therapy
Alice is a tender and wise woman who has courageously faced the pain of her own story and tasted the hope, joy and redemption of the Gospel. She brings a keen mind, tender heart, and sensitivity to the voice of the Holy Spirit to her therapy. Alice carries a unique perspective on the therapeutic process because of her extensive experience on the impact of trauma on the body in her work as a dietitian with eating disorders, her curiosity for the intricacies of each client’s story, and her tenacious belief in the healing work of Christ. I would recommend Alice to anyone hoping to receive more healing and in effect live more wholeheartedly.
Rachel Blackston, LMHC Redeemer Counseling // Winter Springs, Florida


About 100 research staff with academic backgrounds that straddle multiple fields and disciplines are developing new ingredients by applying the latest biotechnology to fundamental ideas. In the field of dermatological research, they are challenging the task of identifying the skin mechanisms on the genetic level.
Stem cells give rise to all sorts of cells that form the tissues and organs of the body. In recent years, stem cells in regenerative medicine have been the focus of worldwide attention. Menard is conducting research into stem cells that generate skin, focusing on the themes of "where beautiful skin comes from" and ?whether beautiful skin can be continuously generated,? and exploring new frontiers in cosmetics.
Menard scientists have also worked on various ingredients for each line of products to guarantee both quality and results. For example, they worked on Reishi for Embellir, vitamin C for Fairlucent, collagen for Colax and Selenicereus for Tsukika. The company is also constructively involved in joint research programs with university hospitals as well as in making presentations at academic seminars. This devotion to research has made the company widely known and recognized especially for its dermatological research on skin cells.
To achieve the company`s goal, which is providing nothing less than complete customer satisfaction, Menard first implements a marketing research in order to accurately identify needs. Then, by mixing its culture with hi-tech science and minute considerations, Menard creates a new style of "beauty". Menard products not only include foundation, makeup, hair and body products, fragrance and men's cosmetics, but also health food that helps building beauty and health from within the body. The company is meeting the wishes of the customers with assuredly safe and good quality products.
Menard's priority is internationalization in order to convey widely its lifestyle and the excellence of its products. Since 2004, distribution agreements have been contracted with Germany, Italy, United Kingdom, Poland, Netherland, Ukraine, Kuwait and Vietnam. The firm now exports its products in more than 31 countries.


Wingspan Life Resources is licensed by the state of Minnesota to serve over 100 individuals between its 26 residential homes. Residents range in age from 18 to 103 years old, and in the past several years our residents have become younger with more people in their 30s, 40s and 50s. The functional level or our residents ranges from profoundly to mildly disabled.
Wingspan Life Resources residents have a wide variety of mental and physical challenges. Beyond their developmental disabilities, the great major of our population has a dual diagnosis for other disorders including: schizophrenia, schizoaffective disorder, bipolar disorder, depression anxiety disorder, borderline personality disorder, explosive personality disorder, depression with psychotic features, atypical affective disorder, autism, Alzheimer’s Disease, Down’s syndrome, Traumatic Brain Injury and cerebral palsy, to name some of the more common conditions.
Beyond these mental disorders, some of our residents also suffer from physical disorders such as: deafness, blindness, impaired or total immobility and diabetes.
The many disorders coupled with physical impairments and the wide age range makes it a real challenge for direct care staff who not only have to provide physical help as required but must also dispense numerous medications and injections and recognize changes in residents’ mental and emotional states. This places significant responsibility on the shoulders of direct care staff
Stability and continuity are very important to people with developmental disabilities. Wingspan’s residential program is a place for adults to call home from the time they enter one of our homes through hospice care if needed. Although people with developmental disabilities can now expect to live a long life, many experience major changes in health, function and psycho social status at much earlier ages than people who are not disabled. They show early signs of medical, functional and psycho social changes typically not experienced by persons without disabilities until much later in life. Persons with development disabilities, such as Downs Syndrome for example, have a 15 – 40 percent greater prevalence of early-onset Alzheimer’s disease which occurs 15 – 20 years earlier than the general population.


It’s All About That Colostrum!
All mammals produce colostrum. It is the thick, yellowish “first milk” that is produced by the female after she gives birth (parturition). Colostrum is rich in energy, protein, vitamins and minerals. Most importantly, it contains maternal antibodies that help protect the newborn from disease pathogens during the early part of its life. Colostrum is produced for about 24 hours (plus or minus a few hours) after offspring are delivered.
The type of antibodies the colostrum contains depends upon the antigens to which the dam was exposed (by disease exposure or vaccination). Pregnant females should be kept in the location where they are going to give birth for at least 14 days prior to parturition. This gives them time to manufacture the correct antibodies for their specific environment.
All newborn mammals need colostrum. While it is possible for a newborn to survive without colostrum in a relatively disease-free environment, the likelihood of disease and death is much higher in newborns that do not receive adequate colostrum. Orphan newborns are often more susceptible to diarrhea and pneumonia because they did not consume enough high quality colostrum.
Newborn livestock have limited energy reserves and need rapid access to colostrum to maintain body temperature and survive, especially those born when it is cold. Colostrum is usually rich in vitamin A and helps to build stores in the newborn.
Colostrum is also the first source of Vitamin E for the newborn. The iron content of colostrum is 10 to 17 times higher in colostrum than normal milk. Colostrum also has laxative qualities and helps to eliminate fecal matter in the newborn’s digestive tract.
Research has shown that livestock vary in the quantity and quality of colostrum they produce. Younger females tend to produce less colostrum than mature females. Inadequate nutrition during late pregnancy can reduce the quantity and quality of colostrum. Newborn livestock should nurse as soon after birth as possible in order to receive adequate colostrum. Antibodies are large protein molecules that can only cross the intestinal wall and enter the bloodstream of the newborn during the first 24 to 36 hours of life. Absorption is most efficient the first few hours after birth.
The best source of colostrum is from the newborn’s own dam or another female that has recently given birth. If this is not possible, fresh or frozen colostrum from other females in the flock or herd can be used. Colostrum from females from the same flock or herd is the best source of colostrum because it will have custom-made antibodies. When using colostrum from another flock or herd, try to choose a farm with a similar disease status.
It’s important not to confuse colostrum “supplements” with colostrum replacements or substitutes. Be sure to read the labels carefully. A colostrum product that is unable to raise the blood concentration of immunoglobulin-G (IgG) above the species standard is called a colostrum supplement. Milk replacer is never a substitute for colostrum. It should not be fed until the newborn has received adequate colostrum, usually over 24 hours of age.
University of Maryland Cooperative Extension


Updated 2017: My answers are: 1) No; 2) Asea.
I used to catch the flu whenever other people did, and I thought that was “normal”. Turns out that having the flu is normal — for people who don’t have enough redox molecules.
Original post follows:
Best resource I found for answering this question was Health.com
The decision whether to get a flu shot takes into account your personal feelings and the medical facts.
Reasons to get a flu shot
- You are older than 50.
- You have a chronic disease or a weak immune system.
- You live in a nursing home or long-term care center.
- You are in close contact with someone who is at high risk for complications of the flu.
- You want to reduce the chance that you will get the flu.
Reasons not to get a flu shot
- You are allergic to eggs.
- You had a severe reaction to a flu shot in the past.
- You had Guillain-Barr? syndrome after a previous flu shot.
- You are not in close contact with anyone at high risk of complications from the flu.
- You are not worried about getting the flu.
I’m thinking I’m not going to get it..
2009 update: health.com updated their advice a bit:
Who should get the flu shot?
You should get a yearly flu shot if you want to reduce your chance of getting the flu. Anyone older than 6 months can get a flu shot.
It’s important to get a flu shot if you are at high risk for complications. This includes:
- People who are age 50 or older. People age 65 or older are at highest risk.
- People who have long-term (chronic) diseases, such as heart disease, diabetes, kidney failure, and lung disease, including asthma.
- People who live in nursing homes or long-term care centers.
- People who have weak immune systems.
- Children 6 months through 4 years of age. (The flu shot is recommended for all children from 6 months to 18 years of age.)
People who could spread the flu to people at high risk should also get the shot. This includes:
- Anyone who lives with or cares for a child who is 6 months or younger. (Children 6 months or younger can’t get the shot.)
- Anyone in close contact with a person who is at high risk of complications. This includes family, friends, and caregivers.
- Health care workers.
Who should not get the flu shot?
Some people should not get the flu shot without talking to their doctor first. This includes:
- People who are allergic to eggs.
- People who had a bad reaction to the flu shot in the past.
- People who had a rare nerve disorder called Guillain-Barr? syndrome after a previous shot.
- Children who are younger than 6 months of age.
- People who are already sick. If you are ill and have a fever, wait until you are better to get the shot.


“Living Freely Mental Health Podcast” Show to Air Wednesday Mornings Beginning October 7
Norfolk Public Library (NPL) is launching a new mental health podcast show, “Living Freely: Mental Health Podcast,” hosted by Licensed Professional Counselor Rachel Ann Dine. All aspects of mental health and wellness will be discussed on the show with a focus on popular topics. Whether you are struggling with your own mental health, trying to support someone who is or simply want to make improvements, this podcast will give you resources, practical tips and useful tools to help take control over your mental, emotional and physical health to become the best possible version of you!
The first three episodes will air on Wednesday, October 7 at 6 a.m., just in time for listeners to tune in during their morning commute to work: Episode 1 – Dealing with Grief; Episode 2 – Achieving Work-Life Balance; and Episode 3 – Seasonal Affective Disorder. Follow the “Living Freely: Mental Health Podcast” by downloading the Anchor app at https://anchor.fm/npl-living-freely. You can also stream the show on Google Play, Apple, Spotify and all other major listening and social media platforms.
“These perilous times are overwhelming for many people in our community who suffer in silence trying to maintain a healthy mental state. Norfolk Public Library serves as a beacon of hope with resources and tools to empower our community. The podcast will help people without judgement or the stigma that often comes with mental health,” said Patricia Kendalls, NPL’s Adult Programming Coordinator.
Dine has been in the mental health field for 15 years and worked in a variety of settings: Crisis hotline, inpatient long-term residential and acute short-term psychiatric hospitals, military and family life counseling, and emergency departments providing mental health assessments. She has also written educational courses on psychiatric disorders for hospital employees.
“Information on achieving positive mental health should be straightforward, down to earth, and accessible! Living Freely: Mental Health Podcast seeks exactly to do just that; provide you with realistic strategies and information during a stressful time so you feel empowered to be your most content and healthy self. Live well and be well,” said Dine.
Episodes will be released weekly on Wednesday mornings with topics broken down into digestible parts to help listeners learn self-care and strategies to cope with stress in healthy ways.
Visit www.norfolkpubliclibrary.org to view the complete list and descriptions of all episodes.


In West Point, Nebraska, the Pediatric Therapy Department of Franciscan Healthcare has the dream and goal of making every child feel included. They want to play, laugh, and have fun! "Our mission is to help children with disabilities reach their highest potential by providing the best care to accomplish goals that are not only functional, but also meaningful to the entire family. We utilize play-based therapy interventions to target individualized therapy goals. "- Franciscan Healthcare Pediatric Therapy Team.
With the $960 they hope to raise they plan to purchase a handicap accessible, ADA regulated swing called the Freedom Swing Seat. With the big dream of a barrier free, adaptive play structure, the necessary equipment has become their main focus and a new accessible swing is one of the pieces of equipment they would love to bring to their patients and their families. The Freedom Swing Seat provides adequate support and comfort for children with special needs! Donate now to provide new equipment for kids in the community!


Primobolan is an anabolic steroid used in bodybuilding, known for its performance-enhancing effects. However, misuse or abuse can pose risks, including the potential for psychological dependence. This guide delves into understanding addiction risks and dependency associated with Clen, offering strategies for responsible use.
Section 1: Recognizing Addiction Risks
- Educate Yourself:
Research and understand the potential risks and side effects associated with PrimobolanEnanthate. Awareness is the first step in responsible use.
- Consult Healthcare Professionals:
Seek guidance from healthcare professionals, such as sports medicine doctors or endocrinologists, to gain insights into safe usage and potential risks specific to your health.
- Acknowledge Psychological Factors:
Recognize that the desire for enhanced performance or body image goals may lead to psychological dependence. Be honest with yourself about your motivations.
Section 2: Strategies for Responsible Use
- Follow Medical Guidelines:
Adhere strictly to recommended dosages and cycles provided by healthcare professionals. Deviating from these guidelines increases the risk of adverse effects.
- Regular Health Check-ups:
Schedule routine check-ups to monitor your health, including cardiovascular and liver function tests. Early detection of issues allows for prompt intervention.
- Cycle and Dosage Management:
Implement cycling strategies with periods of use followed by breaks to mitigate the risk of developing tolerance or dependence. Avoid escalating dosages beyond recommended levels.
- Consultation Before Stacking:
If considering stacking with other substances, consult with a healthcare professional to assess potential interactions and cumulative effects on health.
- Address Psychological Well-being:
Prioritize mental health and well-being. If you find your emotional state relying heavily on PrimobolanEnanthate use, seek support from mental health professionals.
- Educate Yourself on Withdrawal Signs:
Be aware of potential withdrawal signs, both physical and psychological. If you experience any, consult with a healthcare provider promptly.
- Alternative Fitness and Nutrition Strategies:
Explore alternative strategies for achieving fitness goals, such as varied workout routines and well-balanced nutrition plans. Diversifying your approach can reduce reliance on substances.
- Community and Support Systems:
Engage with a supportive community, whether it’s fellow athletes, trainers, or health professionals. Open communication can provide a valuable perspective on responsible use.
- Understand Legal Implications:
Be aware of the legal implications of using anabolic steroids. Abiding by legal regulations ensures a responsible and ethical approach to usage..
Understanding the risks associated with Primobolan Enanthate and adopting responsible usage strategies is paramount for maintaining long-term health and well-being. By educating yourself, seeking professional guidance, and prioritizing both physical and mental health, you can navigate the complexities of using this substance with a more informed and responsible approach.


Health Benefits of a Hot Tub
The Health benefits of warm water therapy have been well known for thousands of years. In fact Archeological evidence shows that as early as 4,000 years ago, hot therapeutic baths were enjoyed by the early Egyptians. Perhaps the first known hot tub was chiseled of solid granite for a King or Pharaoh. In the United States, hot water soaking has been a part of our culture for a long time. Drawn to natural hot springs, native Americans were likely the first to experience warm water therapy. By the sixties hippies began flooding the coast of California, looking for peace, love and... Whatever. With little money, and lots of free time on their hands, they set the stage for the proliferation of woodenhot tubsand the beginning of the hot tub craze we see today. Hydrotherapy, or warm water therapy in hot tub spas, consists of three main healing ingredients; heat, buoyancy, and massage. Together, they create an experience that is both relaxing and healthy. Hot tub hydrotherapy on a regular basis provides physical health benefits that go much deeper than just relaxation and pleasure.
Warm water massage stimulates the body to release endorphins that reduce stress naturally. Your body's natural endorphins are way more powerful than any anti-depressant or anti-anxiety medication. Deep muscle massages have always been known to alleviate stress, and owning a hot tub is like having 5 or 6 personal masseurs' right in your own home, ready to message you whenever the mood strikes you.
In addition to stress reduction Immersion in hot water raises the body temperature and causes the blood vessels to dilate, resulting in increased circulation. which helps to remove inflammatory particles from the area and relieves pain.-Warm, pulsating water increases blood supply to aching joints, -The buoyancy of the water relaxes muscles, and warm water decreases muscle tension that allows for greater flexibility.
Rehabilitation & Therapy Benefits
Many professional sports organizations, trainers and therapists recommend warm-water therapy to help patients resume their daily activities faster. By owning a hot tub, you may Improve Cardio Health: A recent study at the Mayo Clinic found that soaking in a hot bath gives many of the health benefits of exercise with less strain on the heart. Soaking in a hot bath increases the heart rate while it lowers blood pressure rather than raising it as does other forms of exercise. Four out of five Americans suffer from chronic back pain, according to the U.S. National Institutes Many studies show that hydrotherapy alleviates lower back pain and knee ailments by reducing stress and stiffness. If you have a medical condition or are pregnant, consult with your physician before starting any hydrotherapy regimen.
Get a Good Night's Sleep
The National Sleep Foundation recently conducted a poll which showed that 38% of men, and 48% of women suffer from some form of sleep disorder Lack of sleep can cause memory problems, shattered nerves, even mood swings and depression. By immersing yourself in hot water for 15 minutes before bedtime, your body temperature rises and enhances your ability to fall asleep The National Sleep Foundation suggests that soaking in a hot tub before you go to bed can ease the transition into a deeper, more fulfilling and healing sleep. And unlike using prescription sleeping pills the deep sleep you experience after using your hot tub is all natural!


Cosmetic Dental group
News from the practice
Love your smile
Here are Jon and Katie's dental secrets to promote a beautiful and healthy smile with a side of healthy body.
Many studies have shown a link between gum disease and systemic conditions, including:
- Heart disease
- Premature birth
- Respiratory disease
So what can you do?
- Brush your teeth for 2 minutes twice a day
- Clean between your teeth every day
- Visit your Dentist and Hygienist regularly
- Stop smoking
Remember: healthy gums DON'T bleed!
You're sweet enough!
- Every time you eat or drink anything sugary, your teeth are under attack for up to one hour
- Sugar reacts with the bacteria in plaque to form acid which then attacks the teeth and destroys the enamel
- Your saliva helps to neutralise this acid, however frequent sugary intake means that your saliva cannot keep up production to counter this
Knowing the damage that food and drinks can do to your teeth, what can you do?
- Drink through a straw and avoid 'swishing' around the mouth
- Avoid brushing straight after acid intake - wait at least an hour
- Reduce the frequency of your acid intake and seek more alkaline drinks including peppermint tea.
- Chew sugar-free gum
All of these healthy swaps, tips and ideas will not only promote the health of your teeth but your body too. With the media reporting each day on the dangerous levels of sugar consumption and risk of conditions including diabetes, starting with your teeth really could be the first step in your journey to fitness and health.