Health

May 21, 2013
With the widespread attention given to some diseases almost everyone, no matter their age knows that they are diseases of some sort. But when Alisha Woodside recently wore a band with the words Cure for Lupus, she got the strangest reaction from friends. They wanted to know who lupus was. The other day she asked another group of friends whether they would like to join her at a tea party for lupus. Their response was "For who?" She used the opportunity to speak to her friends about the autoimmune disease.
At 15, Alisha is doing what she can to educate her peers and bring awareness to the chronic inflammatory disease that occurs when the body's immune system attacks its own tissues and organs. It's a disease that can be difficult to diagnose because its signs and symptoms often mimic those of other ailments. The most distinctive sign of lupus is the facial rash that resembles the wings of a butterfly unfolding across both cheeks. Some people are born with a tendency toward developing lupus, which may be triggered by infections, certain drugs or even sunlight. While there's no cure for lupus, treatments can help control symptoms.
Alisha is the youngest member of the group Lupus 242 with the disease. She was diagnosed at age 11.
Before her diagnosis her mother, Allison Woodside said her daughter used to always complain about joint pains and always had unexplained bruises on her body.
Alisha fell victim to the difficulty in diagnosing the disease. Early on she was diagnosed with sickle cell. Her parents (Allison and her dad Etwood Woodside) persisted in trying to get help for their daughter and took her to another doctor who upon learning that their was a history of lupus in Alisha's paternal lineage (her father's aunt had lupus), tested her for lupus. But by the time the parents got their daughter to that doctor, Allison says the pains were so severe, Alisha could not walk or talk and was in a wheelchair. The doctor diagnosed Alisha with lupus.
Will my child survive?
"When the doctor confirmed that it was lupus, one of the questions I had for them was: Was she going to die? She looked that bad," said Woodside. "And I didn't know much about lupus ... actually, the only things I'd heard about lupus was when talking to people they would say I had a friend with lupus and they died -- so that was one of my main fears. The only thing going through my mind was: Was she going to live? And if she was going to live, was she going to be a normal child?"
At the diagnosis, Alisha's parent sought help at a specialty clinic in the United States. Today, Woodside says her daughter is much better, and gets the occasional flare. Her last flare was a year ago.
Woodside said her daughter's medication pretty much keeps the disease under control. Alisha downs seven medications daily most of which have to be taken two to three times a day. Taking the medication is something the teenager says she hates doing, but knows she has to in order to control the disease.
And no two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly. They may be mild or severe and may be temporary or permanent. Most people with lupus have mild disease, characterized by episodes called flares, when signs and symptoms get worse for a while, then improve or even disappear completely for a time.
Before she was diagnosed, her mother was really scared for her
daughter. Now she says she knows Alisha can live a normal life, but will always have to be on medication.
"We hope that in time, the medications will be reduced and it will go into remission of some sort," she said. But she said her daughter is the normal teen who is quite active -- Alisha plays both basketball and volleyball. Her mother says they try to ensure that Alisha, a tenth grade student at Queen's College, gets a lot of rest, and stays out of the sun at the hottest periods of the day.
While Alisha may have lupus she says she does not let it get her down and prefers to look at the bright side of things.
"I'm actually happy I have lupus, because it shows that having a disease does not stop you from living a normal life, because I see other people with diseases just sit down to themselves, but I ignore that. I don't even think I have a disease. It's just a condition."
Over the years she's had to miss school from time-to-time, the longest was for a three-month period during her sixth grade year when she was diagnosed and was taken to the United States to the doctor. Kids being kids it didn't phase her peers at all, they just welcomed her back into the fold with a fruit basket. She said it wasn't until her ninth grade year that people really started to question her about why she always had to go to the hospital and about the disease.
Normal teenager
Just like a normal teenager, she has her outfit already squared away for the Purple Hat Tea Party Affair at St. Matthew's Parish Hall on Sunday, May 26 and wanted to keep it under wraps so that she could surprise everyone at the event.
And her one wish is that a cure for lupus is found. Alisha is part of a study in the United States for a cure. In the meantime she says she's doing her part to raise awareness about the disease.
During the month of May, Bahamians will join millions around the world to raise awareness for lupus. Nassau-based support group, Lupus 242, is leading the way with events planned to educate locals about the debilitating disease affecting many people living in The Bahamas.
An estimated 5.5 million persons globally live with the chronic autoimmune disease brought on by genetics, environment and hormonal imbalances in the body. There are no real statistics on the number of persons in The Bahamas with lupus.
"May is Lupus Awareness Month and we are appealing to the general public and to corporate Bahamas to support our events and activities," said Shanelle Brennen, Lupus 242 president and a lupus fighter for more than 20 years. "It's amazing the amount of Bahamians who are suffering in silence. We want to provide them with much-needed support through events and through our monthly meetings. Lupus is not an easy illness to live with, but there is hope."
Since Lupus 242 launched in April 2012, person throughout the country have shared their stories on how lupus has impacted their lives. In addition to the events, the group is also releasing a public service announcement entitled "But You Don't Look Sick" and will be selling wristbands and bumper stickers to the general public.

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May 21, 2013
Have you ever noticed how easy it is for total strangers to acknowledge that they have migraine headaches, or are being treated for high blood pressure? Contrast that with discussions about mental health issues -- somehow, we all have the idea that talking about mental health is completely off-limits. We are afraid to think about it sometimes, let alone discuss it or seek necessary treatment.
A study done in 2008 questioned African Americans being treated for depression about reasons why they tend to underuse mental health services. The most frequent response was stigma, but shame and denial were also among the top factors listed. That is not likely significantly different for Bahamians. The question is though, how long are we willing to suffer in silence ourselves, or to permit our family members to suffer needlessly?
Deep down inside, you suspect that refusing to get help when you know that something is not quite right only prolongs the agony for everyone, and increases the likelihood of a poor outcome, such as suicide or other dangerous behaviors. Family members of people with emotional problems do themselves a disservice when they fail to talk about the struggle because then they are cut off from the amazing support and understanding of countless others who are walking the same walk. The better we can deal with mental illness as family members, the stronger and healthier we can be for ourselves and for our families.
In terms of the basics of mental illnesses, among the most common is depression. This involves a pervasive feeling of sadness for weeks at a time, with associated sleep and weight/appetite changes, as well as difficulty concentrating or making decisions. Many people -- especially the elderly -- experience it as feeling constantly tired and even physically ill, with frequently unexplained aches and pains. They might start to isolate from friends and family, and start being more careless about the way that they carry themselves, perhaps not dressing so well or attending to shaving or neatly grooming their hair. At its worst, depression can also lead to thoughts about wanting to die, or about killing oneself. If someone you love should express such thoughts to you, it is important that they not be left alone, that any means to harm themselves is made unavailable if possible (pills, guns etc.), and that they receive immediate professional help.
Summarily, if you are reading this article, and recognize yourself or repeatedly think of someone you love as you read it, I would encourage you to get help for yourself or that person. We know that mental illnesses exists among us; the good news is that they can be treated successfully. The health of our minds is just as important as the health of our bodies. It is time for us to take charge of both. If you need help, call the National Suicide Hotline at (242) 322-2763.

o Juandalyn Peters, M.D. is a board-certified adult and pediatric psychiatrist in private practice in Davie, Florida. She is author of the recently published book "How to Stop a Suicide".

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May 21, 2013
Most diseases in caged birds are directly or indirectly related to malnutrition and stress. Malnutrition most often stems from what the bird eats, rather than how much he eats. Most birds are offered enough food, but they do not receive enough of the proper food and in the proper proportions. Stress results from any condition that compromises a bird's state of well-being. Examples include poor husbanding, inadequate diet, rapid temperature changes and trauma. All owners must understand that birds tend to "hide" signs of illness. Birds can compensate for serious internal diseases in such a way that they appear healthy externally.
Because of their disease-masking tendency, by the time a bird owner recognizes illness in a pet bird, the bird may have been sick for one to two weeks. Therefore, one cannot afford to take a wait and see approach and hope that the bird improves. Be observant and act promptly. Learn to look for subtle signs of illness and take special note of changes in the routine and habits of your pet bird. Seek veterinary assistance promptly if you suspect illness.
Easily recognizable signs of illness
o Discharge from the eyes;
o Closing of the eyes;
o Swelling of the eyes;
o Discharge from the nostrils;
o Sneezing;
o Reduced appetite, or not eating at all;
o Fluffed up feathers;
o Changed or no vocalization;
o Weight loss;
o Inability to perch;
o Limping or not bearing weight;
o Change in quality or quantity of droppings;
o Lumps or masses on the body;
o Bleeding;
If you suspect illness in your bird, do not delay in seeing your veterinarian. Transport your bird within its cage or some other suitable container. Never visit the vet with your bird perched on your shoulder. If you use the cage, do not clean it first because the material you discard could represent valuable information to the vet.
After a sick bird has been initially treated by a veterinarian, home care is important. Sick birds must be encouraged to eat and must be kept warm. Illness can cause significant weight loss in a matter of days, especially if the bird stops eating. If this happens, the patient must be hospitalized.
As a general rule of thumb, any caged bird that appears ill to its owner is seriously ill. One day of illness for a bird is roughly equivalent to seven days of illness for a person. The tendency for bird owners in this situation is to first seek advice from pet stores and then purchase antibiotics and other medication for the bird. With very few exceptions, those non-prescribed products are worthless. They allow the sick bird to become even sicker and greatly compromise the results of diagnostic tests that the veterinarian may require to properly diagnose and treat the patient.
Supplemental heat (heating pad under the cage, heated room and heat lamp) is vital for a sick bird.
It is especially necessary if the bird's feathers are fluffed up. Provide just enough heat so that the feathers appears normal. Overheating must be avoided at all costs as well. The environmental temperature should be kept at 80-95 degrees Fahrenheit for sick birds. If a bird refuses to crack seeds or eat other foods that require a great deal of work, offer easy foods such as worm cereal, cooked rice, cooked pasta, vegetables, fruit savers and peanut butter.
Remember, birds that refuse to eat must be hospitalized. Few people can successfully force feed a sick bird at home.o

o Dr. Basil Sands can be contacted at Central Animal Hospital at 325-1288.

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May 21, 2013
I first met Meowth when she wondered into our front yard hungry and lonely. She was so thin and frail-looking. I fed her, gave her a drink and a rub. The next day, she pounced her way into my heart and has been a part of my family ever since. Life has certainly changed since meeting Meowth.
About two months after Meowth adopted us, we adopted Tink. I found Tink through BAARK as a result of entering this essay competition and decided to adopt him since Meowth started to get bored with her wrestling buddy (my arm). Tink had been hit by a car and broken his hip. As a result, he was extremely timid but needed a lot of TLC (tender loving care).
Tink and Meowth did not get on well at first. Meowth was aggressive and playful while Tink was shy and still trying to recover from his injuries. Those first days and nights were really draining as I didn't want Meowth to further injure Tink, but I learnt that they needed to figure out their relationship. To make matters worse, Meowth started ignoring and avoiding me. I felt like I was the mother of a rebellious teenager! Not to mention that Tink became very clingy towards me. Meowth's attitude ended the night Tink snuck outside and didn't return home. Meowth whined and couldn't nap. She missed her little bro. The next afternoon we went on a hunt and found him hidden really well. He was a little cold and frightened, but felt better as soon has he got inside. Meowth began grooming him right away and started to play instead of swatting. That's when I started to breathe a sigh of relief. Today, Meowth is part big sis, part mom and part best friend to Tink. Meowth is now teaching him how to hunt, and Tink goes outside but can now find his way back home. Tink's hip also healed pretty quickly after getting out and becoming more active. He's still a bit timid but is slowly coming around. It helps that Meowth is around to teach him the ropes -- she isn't afraid of anything.
-- Chiara Anderson

o This beautiful adoption story came to us through our writing contest. Please spay and neuter your animals. By ensuring your animal cannot produce more litters, you are saving lives and decreasing the suffering of unwanted animals. Please consider donating or helping with Baark!'s efforts to improve animal welfare in The Bahamas. For more information, contact us at info@baarkbahamas.org, 427-SPAY or visit our website www.baarkbahamas.com.

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May 21, 2013
I'll bet that a whole lot of people may be a bit puzzled by the title of today's article Closed Doors define you, saying to themselves, I wonder what D. Paul means by that? Well, let me explain it like this. Everyone can be positive and upbeat when everything is going great in their life. For instance, I've got a wonderful well-paying job, I recently moved into a fabulous new home in an upscale neighborhood with my new bride, I'm driving a late model luxury car and enjoying the best of health; that's why I'm always smiling, positive and upbeat ... everything is absolutely great in my life! Well my friend, under those circumstances, it really doesn't take a whole lot of effort to be positive and upbeat, does it? No it doesn't!
However, when everything appears to be going wrong in a person's life, when doors of one kind or another keep on getting slammed closed in front of us; then how do we react? Do we then become downright negative as we start to blame everyone under the sun, so to speak, for our failures whilst displaying a terrible, negative attitude to everyone and to life itself, in all its aspects? Surely this is worth thinking about? You bet it is! You see, I honestly think, that the true character of a person really comes out when the chips are down, so to speak, and all hell seems to break out, as door after door is literally slammed shut in our face. When you're faced with a whole lot of failure, do you give in, or fight real hard to regain your dignity.
You see, what we actually do with our failures does indeed, in my opinion really define us, who we are for true. Abraham Lincoln failed in business twice as a young man. When he entered the field of politics, he failed to get elected to office on nine, yes that's nine different occasions; he most certainly had to deal with a whole lot of closed doors. But these tough times, these closed doors really did in the end define him as he was finally elected president of the United States of America in 1861. He simply refused point blank to quit in spite of his repeated failures; the closed doors he continually encountered only helped to make him much stronger and more persistent, which eventually led him straight to the door of the White House. Yes indeed, closed doors define you. Yes they do!
o THINK ABOUT IT! Email:dpr@corporatemotivation.org. Listen to "Time to Think" the radio program on STAR 106.5 FM at 8:55 a.m. & 6:20 p.m.

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May 21, 2013
Smoking cigarettes has long been known to have detrimental health effects on the body, contributing to problems such as heart disease and lung cancer. Smoking can also have many lesser known but just as deadly health effects on the feet. The feet are the farthest part of the body from the heart and the blood flow can be severely decreased by smoking, causing many effects on the skin and bones on the feet.
Smoking elevates the levels of nicotine in the blood which causes the blood vessels to constrict or get small. Nicotine, one of the toxic components of tobacco smoke, constricts blood vessels by approximately one quarter of their normal diameter. Because of the constriction of the vessels, decreased levels of nutrients and oxygen are supplied to the parts of the body including the skin and bones of the feet. Similarly, carbon monoxide, another toxic component in tobacco smoke, reduces oxygen flow through the body, thus reducing the supply of oxygen needed by damaged cells to regenerate and heal. Smoking contributes to developing Peripheral Arterial Disease (PAD) in which the arteries are hardened and blood flow is further decreased to the legs and feet. This lack of blood flow can lead to delayed healing of ulcers, infections and amputations to the lower leg.
Exposure to cigarette smoke decreases capillary and arteriolar blood flow, damaging skin cells and connective tissues that help maintain healthy skin. It is well known that smoking is associated with premature skin aging and wrinkles on the face but it can do the same on the feet. The skin loses elasticity and many fine red lines are seen in the skin. Smoking tobacco decreases the ability of skin to heal and repair wounds. This is particularly evident after the patients undergo surgery. Smoking reduces the moisture in the skin leading to dry skin.

Dry skin can feel uncomfortable because it is less flexible, it becomes unattractive and may take on a red, flaky or scaly appearance. It is also more likely to crack or itch. Many smokers will have thickened, dry, scaly skin on the bottom of their feet, often with painful corns and thick calluses that dramatically clear up once they stop smoking. Smoking also increases the risk of skin cancer One study found that cigarette and pipe smokers were twice as likely as non-smokers to develop squamous cell carcinoma of the skin. The Nurses' Health Study found that nurses who smoked were also 50 percent more likely to develop squamous cell carcinoma of the skin, compared to non-smoking nurses. Tobacco smoke exposure also increases the risk of developing psoriasis.
Smokers are a high-risk group under any circumstances, but particularly so during and after surgery. Many dangers face smokers after surgery including longer healing times, blood clots, wounds that break open and a greater risk of infection. Perhaps the most serious threat to smokers who have foot and ankle surgery, however, is non-union or failure of the bone to mend. Smokers are four times more likely to experience non-union than non-smokers. The bone healing rates of smokers, revealed that smokers took nearly 50 percent longer to heal after surgery or a fracture than non-smokers and often the bones of some failed to heal at all.
Non-healing bone is very serious, they are painful, costly and time-consuming. It can take a long time to heal after surgery or fracture leading to extended time in crutches or immobilized. In some cases, bones that fail to mend can be treated with a non-surgical bone stimulating device. If the bone still does not heal, they will need more surgery. Options include using metal screws or plates to stabilize the bone, external fixation or bone grafts.
Smoking can be very dangerous everyday and in those who are undergoing foot and ankle surgery because it is so detrimental to healing bone and skin. It goes without saying that surgeons prefer patients to quit smoking to improve healing. Often, smoking cessation is required before surgery and the surgery can be delayed or canceled if the patient continues to smoke. It is critical for persons to understand the dangers of smoking -- delayed bone and skin healing, bone non-union and possibly more surgery.
The effect of smoking on health especially in the feet is well-known to have significant negative impact. If you are a smoker, you are encouraged to stop smoking especially if you are planning to undergo foot and ankle surgery. It is not easy to overcome a smoking/nicotine addiction however, there are many methods to assist with smoking cessation including gums, patches, electronic cigarettes, medications and many others. Contact your primary care physicians and request assistance. It is worth it to stop smoking to ensure healing and good functioning of your feet.
o If you are a smoker and would like to quit, see your primary care (clinic) physician for assistance. You don't have to do it alone. For more information on smoking cessation email us at foothealth242@gmail.com or visit www.foothealth.org. To see a podiatrist visit Bahamas Foot Centre on Rosetta Street or call 325-2996 or Bahamas Surgical Associates on Albury Lane or call 394-5820 for an appointment.

o For more information email us at foothealth242@gmail.com or visit us at www.apma.org, foothealth.org or feetforlife.org. To see a podiatrist, visit Bahamas Foot Centre, Rosetta Street or call 325-2996 or at Bahamas Surgical Associates, Albury Lane or call 394-5820 for an appointment today.

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May 15, 2013
Trigger Finger: A Common Ailement In Premenstral Women, Diabetes And Patients With Other Metabolic Conditions Miami May 15th, 2013- Trigger Finger (Stenosing Tenosynovitis) is a common musculoskeletal disorder characterized by the inflammation, snapping, catching and/ or locking of the involved finger. The descriptive name of “trigger finger” is used because when the finger unlocks, it pops back suddenly, as if releasing the trigger on a gun. Often painful, trigger finger is caused by a thickening of the tendon sheath (tenosynovial membrane) passing through a narrow anatomic tunnel (A1 pulley).

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May 14, 2013
Prior to 1999, Renee Dean had never even heard of the word lupus -- she did not even know that there was such a disease. So the day she visited the doctor because she was feeling under the weather, she thought she was suffering with the flu. That doctor prescribed medication that did not seem to improve her situation. Finally, frustrated with the fine bumps on her back that kept itching and from which she could get no relief, she went to see a skin doctor. After a battery of blood tests, she was told she had lupus. It was the first time Dean had ever heard the word and found out that it was a disease.
Lupus is a chronic inflammatory disease that occurs when the body's immune system attacks its own tissues and organs. It can be difficult to diagnose because its signs and symptoms often mimic those of other ailments. The most distinctive sign of lupus is the facial rash that resembles the wings of a butterfly unfolding across both cheeks. Some people are born with a tendency toward developing lupus, which may be triggered by infections, certain drugs or even sunlight. While there's no cure for lupus, treatments can help control symptoms.
Shortly after Dean's diagnosis in early 2000, she was hospitalized for the first time for approximately nine days. To this day she says she can't recall exactly what happened. She says she only knows what people have told her, and that it has not been good at all.
"It was like I was out of my mind or something, so I think they had me heavily sedated," said Dean.
The last time she was hospitalized for a flare-up was in 2008 as she suffered with severe leg pain.
No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly. They may be mild or severe and may be temporary or permanent. Most people with lupus have mild disease, characterized by episodes called flares, when signs and symptoms get worse for a while, then improve or even disappear completely for a time.
Dean says she is currently in remission. She has not had a flare since her 2008 episode.
The one downside to her lupus diagnosis was that she was told not to get pregnant because of the risk -- she could either lose her life or her child. Dean does not have any children. With the world recently celebrating Mother's Day, being childless is something she says she has accepted. And she says having lupus isn't the only reason she is not a mother.
"I've always said I don't want to have children unless I'm married ... and I'm not married, so it doesn't affect me a whole lot -- not now," said the 42-year-old.
Signs and symptoms of lupus depend on the body symptoms affected by the disease. Symptoms include fatigue and fever; joint pain, stiffness and swelling; butterfly-shaped rash on the face that covers the cheeks and bridge of the nose; skin lesions that appear or worsen with sun exposure; fingers and toes that run white or blue when exposed to cold or during stressful periods; shortness of breath; chest pain; dry eyes; headaches; confusion or memory loss.
"The flare-ups happen whenever they happen," she said. "You can look at someone today and say nothing's wrong with them and the next day you can see them totally different [and] in a lot of pain."
Dean who is naturally slim and who normally tips the scale at around 135 pounds said she lost weight during her flare. The needle on the scale dipped below 100 pounds.
"For me to wear my clothes I would have to wear like four pants to keep the main pants up," she said.
For the past 14 years, Dean has been taking five different medications -- some she takes once a day, others she takes twice daily in her fight against the disease. While she's comes to terms with lupus, the one thing she says she's certain of, it's that she is sick and tired of taking all the medication that she does.
"It's tiresome," she said. "Some days if I miss when I'm supposed to take it (medication) I don't worry about it, I take it the next day."
As she looks to her future her hope is that one day a cure is found or that one day she goes to the doctor and is told that her lupus is "all gone".
And Dean says it's her trust in God that has helped bring her through the last 13 years living with lupus.
"Even when they told me [I had lupus] I was calm straight through because I said I can't change the situation there's nothing I could do about it, so I just accepted it and trust and believe in God. I have had great support from family and coworkers and that too has helped me," she said.
During the month of May Bahamians will join millions around the world to raise awareness for lupus. Nassau-based support group, Lupus 242, is leading the way with events planned to educate locals about the debilitating disease affecting many people living in The Bahamas.
An estimated 5.5 million persons globally live with the chronic autoimmune disease brought on by genetics, environment and hormonal imbalances in the body. There are no real statistics on the number of persons in The Bahamas with lupus. In addition to raising awareness, Lupus 242 is working to establish a local database of lupus patients.
"May is Lupus Awareness Month and we are appealing to the general public and to corporate Bahamas to support our events and activities," said Shanelle Brennen, Lupus 242 president and a lupus fighter for more than 20 years. "It's amazing the amount of Bahamians who are suffering in silence. We want to provide them with much needed support through events and through our monthly meetings. Lupus is not an easy illness to live with, but there is hope," she said.
Since Lupus 242 launched in April 2012, persons throughout The Bahamas have reached out to share their stories on how lupus has impacted their lives. In addition to the events, the group is also releasing a public service announcement entitled "But You Don't Look Sick" and will be selling wristbands and bumper stickers to the general public.
Dean is appreciative of the Lupus 242 group -- a group that she says has interesting and informative meetings.
"The have different health persons come in and talk to us. And just to know different people that have lupus is good. Since I've been with Lupus 242 I haven't been sick, but it's a good support," said Dean.
LUPUS 242 CALENDAR OF EVENTS
Monday, May 20
9:30 a.m. - Hope Floats Balloon Release ceremony in honor of lives lost to lupus at the top of Fort Charlotte.
Sunday, May 26
3 p.m. - A Purple Hat Tea Party Affair at St. Matthew's Parish Hall.

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May 14, 2013
EMG (Electromyography) is the study of electrical activity of the muscles. NCS (Nerve Conduction Study) is the study of electrical activity of nerves. When combined these tests provide a very effective tool in the diagnosing of neurological disorders. MRI (Magnetic Resonance Imaging), CAT (Computed Axial Tomography) Scans and X-rays are diagnostic tests that look for structural abnormalities in specific body parts. While determining if there is structural damage, these radiology tests cannot determine if the structures are functioning, or how these structures are affecting nerves and muscles, or if they themselves are being affected by the abnormal functioning of nerves or muscles. EMG/NCS is extremely helpful whenever there is possibility of nerve or muscle damage.
The study is conducted in two parts. The NCS is usually performed first by the neurodiagnostic technologist, who test the nerves by applying surface recording electrodes over various muscles or nerves on different parts of the body (e.g. hands, arms, legs and feet). The technologist then stimulates various nerves by using a probe/stimulating electrode that provides a small electrical current to the nerve, which is then measured and recorded. This small electrical stimulus can be compared to the sensation of a static shock felt from rubbing your body on a carpet or touching a refrigerator. The speed, shape, height and pattern of the electrical response of the nerves provides information on whether or not the nerves are injured and where the injury is located.
The second part of study is usually performed by a physician with specialized training in Neurophysiology/Neurodiagnostics after reviewing the NCS. The physician uses a small recording needle electrode, very similar in size to an acupuncture needle, which he inserts through the skin into various muscles that receive nerve supply from different nerves or spinal nerve roots. The needle electrode is connected to a machine, with an oscilloscope that records the electrical activity. This electrical activity also generates sounds that allows the doctor to both listen and see the electrical activity of the muscles at rest and during muscle contraction. While some find it uncomfortable, the more relaxed the patient is, the easier it is to tolerate the needle exam.
The entire study is then analyzed by the physician trained in neurophysiology who generates a comprehensive report, presenting objective findings and stating if the study is normal or abnormal and if possible, the likely site(s) of the injury.
This study looks very specifically at muscles and nerves. Some of the more common medical conditions which benefit from EMG/NCS testing include carpal tunnel syndrome, cervical radiculopathy (pinched nerve in the neck), low back pain, spinal injury, sciatica, traumatic nerve injury (e.g. gunshot or motor vehicle accidents) along with numbness and tingling of the feet. Some more severe but not as common conditions include ALS (Amyotrophic Lateral Sclerosis), Myopathy (muscle disease which can be congenital or acquired) and Guillain-Barre syndrome to name a few.
The EMG/NCS has been and continues to be a very important diagnostic test that helps in the management of neurological disorders to not only diagnose, but also to evaluate the effectiveness of various treatment options.
o Michael A. Morris is a neurodiagnostic technologist with 25 years in the field, who has training in EEG, Evoked Potentials, IOM and NCS. He became an American board-certified EDT (Electro-Diagnostic Technologist) in 1995. He relocated from Henry Ford Hospital in Detroit, Michigan in 2000. He is the Neurodiagnostic lab manager at the Bahamas Neurological Center.

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May 14, 2013
Excuse this bit of a rant but there is something that has to be said. There is a disturbing mindset, all too common in our country, that animals are disposable. There is a habit of throwing away our animals when their age or infirmities become more of a hassle to the owner than is desired. This has to stop.
Puppies and kittens are cute, but for most, the aging dog or cat is just a nuisance and consequently many aging animals are neglected or let loose on the streets. There was an initial attraction to the animal but obviously at some point, the family lost interest or compassion for the animal and decided to dispose of it or let it suffer without care right before their eyes.
Our stance is that you not take in an animal if you are not prepared to care for it properly.
During our spay and neutering campaigns, we go out into neighborhoods, and we come across many dogs and cats who have been left neglected and mistreated all because they are no longer wanted. We come across people who tell us to just take their animals -- that they are too old to be of use or too sick to care for. It breaks our hearts for the animal that is discarded with such little concern. Old dogs are left to starve; sick animals remain untreated and suffer intensely, all because the animal is no longer what they want or need. This is unacceptable. Taking ownership of an animal is a lifelong commitment. You are promising to care for the needs of this animal because you value its life, not because it looks cool or can benefit you in some way.
Baark!'s efforts with our spay and neutering campaigns are making a huge difference in the animal population here in The Bahamas. We are working towards and making great strides in helping to eliminate the needless suffering of unwanted and homeless animals. Our mandate is to help create a more humane Bahamas. Our spay and neutering campaigns are just the start. We need to educate and enable more responsible animal owners. Please consider helping to change the mindset of animal owners all across Bahamas, speak up for the wrongs you are seeing and be an advocate for those voiceless animals.
The dog that inspired this column is pictured here. His name is Lover Boy, he was given away because he was too old. He obviously had been left unattended for a long time. He is still awaiting his forever home. Please consider helping this beautiful animal. Contact us for more information.
o Please spay and neuter your animals. By ensuring your animal cannot produce more litters, you are saving lives and decreasing the suffering of unwanted animals. Please consider donating or helping with Baark!'s efforts to improve animal welfare in The Bahamas. For more information, contact us at info@baarkbahamas.org, 427-SPAY or visit our website www.baarkbahamas.com.

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May 14, 2013
Wouldn't it be a wonderful world if every single soul presently inhabiting planet earth were taking the instructions given in today's title to heart, thereby treating each and every person whom they encounter throughout the day, evening and night with profound kindness? Yes indeed it would! Today's message is, I believe, extremely important, that is to be kind today. After all, it really doesn't take a whole lot effort to be kind to people, it really doesn't. It just requires the right mindset, the right sort of attitude toward being kind.
Of course, I believe, that to develop a consciousness of kindness, one should commence the day with an early morning meditation, when we once again make contact with the God within who is pure love and living kindness. Once we have centered ourself on the God of our being and quieted our mind, we commence our daily affirmations sending love and light to one and all. When we have completed our morning meditation we should be fully immersed in a consciousness of love and kindness, which will ensure that we are indeed kind to one and all, everyone whom we encounter throughout the day, evening and into the night.
Let this kindness start with you. That's right, you need to vow to be kind to you, by treating yourself with love and respect, remembering always, that you are God's special creation, and awesomely made in His image. So, make sure to treat yourself in a special way today, as you are continually kind to yourself.
After being kind to you, make sure that you're kind to your spouse, significant other and the children. Treat them all in a gentle, loving way as God's kindness radiates out from your being to give them an inner feeling of really being loved by you, as an air of kindness permeates the whole family. Don't forget to be kind to your pets and all of God's beautiful animals as you go about your daily activities. As you drive to work, be kind to other motorists.
When you get to work, smile and be kind to your employer, employees, fellow workers and customers. When you go for lunch, be kind to everyone, even strangers as you smile pleasantly at one and all as you, through your words and actions, allow God's loving kindness to permeate your life and affairs, and the lives and affairs of all those whom you encounter throughout each and every day. Yes indeed be kind today and I guarantee, that you'll have a super day, and so will all those who come in contact with you.

o THINK ABOUT IT! Email:dpr@corporatemotivation.org. Listen to "Time to Think" the radio program on STAR 106.5 FM at 8:55 a.m. & 6:20 p.m.

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May 14, 2013
It was just a few short years ago that 19-year-old Tatianeia Rolle would have hauled off and punched you in the face or literally beat you down, simply because you made the mistake of looking at her in what she perceived to be the wrong way. And she got into fights often. Today she admits that she has an anger problem that she says she has learnt to control to the point where if she does get angry about a look or something someone says to her, she doesn't say anything at all. And she says it's all because of what she has learned at the Butterfly Club.
The Butterfly Club is a club for girls between the age of 10 and 18 (they have had younger participants) with a vision for girls and young women to reach their full potential through the process of change, in an effort to impact their families, communities, country and the world.
The club's mission is to mentor girls and young women through empowerment and transformation, recognizing that each individual has hidden treasures (gifts and talents) waiting to be discovered.
Through mentorship the girls are encouraged to develop their true beauty and self-esteem. They speak to them about sexual purity and abstinence, hygiene, etiquette and wellness. The girls are also talked to about their future and topics that include college, career, entrepreneurship and money management. They are also spoken to about the wisdom to learn from the experience of others. The girls also learn what it means to be a leader.
Rolle was 16 when she was invited to her first Butterfly Club meeting from one of its founders, Patrice Paul, who attends her church. Rolle said topics that were addressed -- the mother/daughter relationship, and how young ladies should present themselves -- during her first meeting spoke to her. She's been attending meetings ever since. Now she helps out in the role of an aid, helping to start up discussions and ensuring that girls show up for meetings.
"I wanted to get some knowledge," said Rolle of why she attended that initial meeting. "It was interesting at first, but when they started to speak and get into it, they really related to me because I had no one to teach me. [And] the other discussions talking about mental and emotional states really got to me. I had an anger issue and the Butterfly Club has really helped me with that. They showed me that anger is not the only emotion you can have. The mentors at Butterfly Club were like mothers," she said.
"The main objective of the Butterfly Club is to deal with the transformation of the mind, to get girls to change their mind and view as to what true beauty is," said Patrice Paul, a founding member of the club. "We teach inner beauty and outer beauty, but the beauty we really focus on mainly is emerging beauty which we call potential. We try to get the girls to see that they are beautiful inside and out."
The club started out in October 2004 as a seminar during which they promoted entrepreneurial, career and schooling, with a seminar in Quakoo Street Urban Renewal Center. Paul said the parents said more than just a seminar was needed to reach the girls and monthly meetings held on the last Saturday in each month was the result with the formation of the Butterfly Club. The core group that founded the organization comprised Paul, Antonise Collie, Alma Knowles, Dr. Kenice Paul and Otalia Pinder-Whylly -- singers in a group called Inner Harmony.
Since those early days, there are now four operational Butterfly Clubs --one at Centreville Primary for 45 sixth grade students (A coach goes in to conduct the club meeting every Monday between 12 noon and 1 p.m.). There is a club at the Community Center at Coke Methodist Church that meets the last Saturday in every month. There is one at Bethany Assembly and one at the Urban Renewal Center on Deveaux Street.
At the last Deveaux Street club meeting, 22 girls were in attendance. There were 18 at the Soldier Road club and at Coke Methodist, 12 girls were in attendance.
"A club like this is important because when I was younger, I didn't think there was enough women that mentored girls to say you can do this and be the best you can be. And whatever gifts and talents you have, you can use those gifts and talents to make yourself a better person, to make your community better, to make your world better, so I was very shy," said Paul. "I want girls to know that even though they may be shy, there are things in them that are untapped that they need to tap into.
Paul also said it is important for girls to know for themselves that they are sexy and do not need a boy to tell them that they are sexy.
The girls promise to love, honor and respect themselves and others. And to believe that they are fearfully and wonderfully made and are being transformed to discover their hidden gifts and talents. During club meetings they promise that with God's help, others and their own commitment that they will reach their full potential.
According to Tatianeia, for her, The Butterfly Club means change and the opportunity for girls to develop into something better than they already are, in the direction God wants them to go.
"I would recommend it (Butterfly Club) to girls because I think all females can benefit from the Butterfly Club," she said.

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May 14, 2013
Ingrown toenails are one of the most common and most painful nail complaints seen by the podiatrist. Ingrown nails are often a splinter or spike of nail digging into the soft tissue on the side of the nail, often leading to redness, swelling and can be extremely painful. In more severe cases, it can become infected, leading to pus and bleeding. Usually, toenails grow straight out, however, sometimes one or both corners or sides of the nail curve and grow into the flesh. Any of the toenails can become ingrown, but the problem most often affects the big toe.
What causes ingrown toenails
o Most common cause is improperly trimmed nails.
o Heredity -- the nail is just too large for the toe and has curled edges.
o Tight shoes causing pressure and crowding the toes.
o Repeated trauma to the feet from normal activities or from stubbing the toe or having the toe stepped on, may also cause an ingrown nail.
o The most common cause is tight shoe wear causing pressure and crowding the toes.
o Footwear and socks can push your toe flesh onto the nail so that it pierces the skin and, if you sweat excessively, or don't rotate your footwear, this makes the skin moist and weak, so it can be pierced by the nail.
Who gets ingrown toenails
o Ingrown toenails are more common in teenagers especially those who are active in sports.
o Persons who pick their nails or cut them too low.
o Persons who wear socks or support hose that squeeze the toes or narrow mouth shoes with tight toe boxes.
Prevent ingrown toenails
Cut the nails straight across, don't cut too low, no shorter than the edge of the toe or longer than the tip of the toes. Use a sharp toenail clipper to cut nails without tapering or rounding the corners. The corner of the nail should be visible above the skin. It's better to cut the nails after a bath or shower when they are softer and easier to cut. Good hygiene can go a long way to preventing ingrown toenails. Avoid moist feet by rotating your footwear so they can dry out thoroughly. Choose cotton socks and leather shoes or other materials that are breathable and fit well. Protect the feet from trauma and wear shoes and hosiery (socks) with adequate room for the toes. Keep feet clean and dry at all times.
If left untreated, and they become infected, the infection can spread to the rest of the toe and foot. The quicker you treat them, the less painful the toe and the treatment.
Treating ingrown toenails
Treatment of an ingrown toenail depends on how bad it is. For the most basic ingrown toenail, the podiatrist will carefully remove the offending spike of nail causing the problem.
If the ingrown toenail progresses and becomes too painful to touch, the podiatrist may have to use a local anesthetic to numb the toe, before removing the offending portion of nail. The podiatrist will cut the ingrown portion of the nail and may prescribe a topical or oral medication to treat the infection. Very seldom are antibiotics needed to treat this condition as long as the ingrown portion of the nail is removed. If ingrown nails are a chronic problem, your podiatrist can perform a procedure to permanently fix the problem. The corner of the nail that in-grows, along with the matrix or root of that piece of nail, is removed and a chemical, a laser or other method is used to prevent re-growth. This procedure developed by podiatrists, is over 97 percent successful. After the procedure, the nail will be narrower but appears the same as before. You will have to return for post-op visits so the podiatrist can make sure the area heals correctly.
If you have an ingrown toenail you should see a podiatrist as soon as possible. While you are waiting to see the podiatrist, if you suspect an infection due to the ingrown toenail, immerse the foot in cool water and vinegar soak for a few minutes, or a basin of soapy water, then apply an antiseptic and a bandage to the area. Rest your foot as much as possible and wear shoes with plenty of room or with open toes. Persons with diabetes, peripheral arterial disease or other circulation problems must never soak their feet or try to treat the ingrown nail themselves. They should see the podiatrist as soon as possible.

o For more information email us at foothealth242@gmail.com or visit us at www.apma.org, foothealth.org or feetforlife.org. To see a podiatrist, visit Bahamas Foot Centre, Rosetta Street or call 325-2996 or at Bahamas Surgical Associates, Albury Lane or call 394-5820 for an appointment today.

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May 14, 2013
Kidney disease refers to any condition that damages the organs and results in impaired kidney function. Normally, the kidney works as an organic filtering system that screens waste products from the blood stream and excretes them into the urine. Kidneys also regulate the body's fluid composition and the nutrient content of the blood and produce hormones that control red blood cell production and blood pressure.
Kidney disease is characterized as a cube (of recent origination) or chronic (of long duration). Acute kidney disease affects animals at any age and is caused by trauma, disease or poison that damages the kidney. Common causes of acute kidney disease include chemical toxin like antifreeze, certain prescription drugs or infectious agents like leptospirosis.
Liver diseases
This refers to the diseases or conditions that interfere with any of the liver's normal functions. The liver is a large organ located in the most forward part of the abdomen, resting against the muscular portion (the diaphragm) between the abdomen and chest cavities. The liver is essential for life and performs over 100 important functions, such as detoxifying poisons and drugs, metabolizing fats, storing carbohydrates, manufacturing bile, plasma proteins and other substances, and assisting in blood clotting. The liver is essentially an organic filter that removes waste and detoxifies drugs and poison, and acts as a factory that manufactures and process nutrients and enzymes.
Food in the intestine is absorbed into the blood which then ferries specific components to the liver. There, sugars and fats are processed, amino acids are produced and certain vitamins and minerals are stored. The liver also manufactures hormones important blood clotting enzymes and a substance called bile that allows fat to be absorbed. Other substances such as drugs that are carried by the blood are metabolized or altered by the liver into other forms. Foreign materials, including viruses and bacteria or poisons, are filtered out in an effort to protect the rest of the body from damage. It is for this reason that an animal's liver is exposed to diseases and injury more than any other part of the body.
Other conditions affecting liver function include birth defects, parasites and cancer. Liver disease is serious and often life-threatening to your pet.
Liver disease is often difficult to detect until the illness becomes severe because there is an over-abundance of liver tissues, and the liver can partially regenerate itself. The signs of liver disease vary with the degree and location of damage. However, whatever their causes, the signs are remarkably similar. Commonly, liver diseases result in anorexia (lack of appetite), vomiting, diarrhea, weight loss and lethargy. When bile backs up in the circulation it can turn light-colored areas of the animal's body pale yellow or tea-colored. This is called jaundice and is most easily seen in the white of the eyes, gums or inner surface of the ear flap. Increased pressure of the veins that drain the liver may result in ascites, which is an accumulation of fluid in the abdomen. The animal's abdomen will appear swollen or bloated. Hemorrhages are another sign of advanced liver disease, with bleeding into the stomach, intestines and urinary tract.
Various blood tests are necessary to discover the extent and nature of liver damage. In many cases, surgical removal of small pieces of liver tissue (liver biopsy) is the only way to diagnose the type of liver disease.
Treatment
Treatment depends on the specific causes of the disease. Some types of liver diseases can only be treated in the hospital, while others are treated on an outpatient basis. Some liver diseases can be cured while in others, the goal of treatment is to control the disease.
Chronic hepatitis is the most common liver disease in dogs. Feline Hepatic Lipidosis also called fatty liver disease is the most common liver disease in cats. Overweight cats are at highest risk for this condition, and the definitive sign is when an obese cat suddenly stops eating. For reasons not completely understood, fat is moved into the liver and becomes trapped, resulting in compromised liver functions. Chronic hepatitis cases are idiopathic, which means that no definitive cause can be determined. When a cause can be determined, it is often due to another generalized disease such as cancer, kidney disease or an infection such as Leptospirosis. Treatment consists primarily of supportive care (IV fluids, antibiotics, etc.) Prognosis depends on the cause, but usually is not too good. About 30 percent of animals suffering from hepatitis will die within one week of diagnosis, despite treatment.
A congenital deficiency may result in portosystemic shunt, which is an abnormal connection of a vein into the liver that should normally close off shortly after the newborn is born. Surgical correction is the treatment of choice for some types of shunts.
A diet with a non-meat protein places less strain on the liver and gives it a chance to heal. However, it is best to follow your vet's advice since he or she is most familiar with your dog's diagnosis, clinical condition and dietary needs. There is no way to prevent congenial liver problems or to anticipate some immune or bacterial conditions that affect the liver. However, in cats you can reduce the risk of Feline Hepatic Lipodosis by keeping your cat slim. Also protecting your pets from poisons will help prevent toxicity induced liver damage.
o Dr. Basil Sands can be contacted at Central Animal Hospital at 325-1288.

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May 07, 2013
No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly, they may be mild or severe and may be temporary or permanent. Most people with lupus have mild disease, characterized by episodes called flares, when signs and symptoms get worse for a while, then improve or even disappear completely for a time.
Signs and symptoms of lupus depend on the body symptoms affected by the disease. Symptoms include fatigue and fever; joint pain, stiffness and swelling; butterfly-shaped rash on the face that covers the cheeks and bridge of the nose; skin lesions that appear or worsen with sun exposure; fingers and toes that turn white or blue when exposed to cold or during stressful periods; shortness of breath; chest pain; dry eyes; headaches; confusion or memory loss.
In 2011 at the age of 20, Tomeka Moss, a native of Grand Bahama noticed a rash on the side of her face. She paid no attention to it really, other than to cover it with her hair to avoid probing eyes and questions. But when the rash spread to her nose, she figured she was having an allergic reaction to something and sought medical assistance.
Noticing the distinct butterfly-shaped rash, medical personnel questioned Tomeka about her symptoms -- whether she was experiencing joint pains -- other than the rash she wasn't experiencing any pain. It wasn't until after the spring semester at The College of The Bahamas that she returned home for summer break and the fatigue set in. She developed a fever and developed the joint pain. Her hands were swollen. After a battery of tests, Tomeka was diagnosed with lupus.
Lupus is a chronic inflammatory disease that occurs when the body's immune system attacks its own tissues and organs. It can be difficult to diagnose because its signs and symptoms often mimic those of other ailments. The most distinctive sign of lupus is the facial rash that resembles the wings of a butterfly unfolding across both cheeks. Some people are born with a tendency toward developing lupus, which may be triggered by infections, certain drugs or even sunlight. While there's no cure fur lupus, treatments can help control symptoms.
When Tomeka was given a lupus diagnosis, she said people around her took it harder than she did. The biochemistry major, a college senior, said she was at least happy to know what it was.
"I figured everything happens for a reason and this is what I'm dealing with, I might as well just be optimistic about it and find a way to deal with it," she said.
"It didn't even bother me much. It was just that I wasn't used to having anything on my skin. So to see it (rash) on the side of my face, I was wondering what it was and I was concerned. But I could always cover the rash with my hair, so it wasn't much of a bother. But when it came out on the side of my nose ... I was like okay, something's going on."
She has not suffered any severe symptoms as yet, but some potential triggers include sunlight - exposure to the sun may bring on lupus skin lesions or trigger an internal response in susceptible people. Lupus can also be triggered by certain types of medications.
"God forbid. I just finished a semester and I walked to school, but joint pains I don't have."
Factors that may increase a person's risk of lupus include sex -- lupus is more common in women; age -- although lupus affects people of all ages, it's most often diagnosed between the ages of 15 and 40, and race - lupus is more common in blacks, Hispanics and Asians.
Inflammation caused by lupus can affect many areas of the body including kidneys, brain, blood and blood vessels, lungs and heart.
Since her diagnosis, Tomeka said she ensures that she gets frequent checkups to ensure that everything is good and to decrease any types of flare-ups.
She also said she tries to eat well.
"I would avoid processed foods and would mainly eat natural, organic, whole wheat foods. I don't indulge in fried, greasy foods. I eat a lot of fruits and vegetables because they're high in antioxidants that are supposed to be good. And I try to exercise on a regular basis doing yoga to help with flexibility and help with the joints," she said.
Tomeka is a member of Lupus 242 that fights to create awareness about the disease. She said she joined because she had to be active in the organization that's creating awareness among the populace because many don't know what the disease is.
"They think it's contagious. I did have a rash over my body and a lot of people didn't know it was. I just wanted to create that awareness and impact individuals who may be experiencing the same symptoms and don't know what it is. I believe everything happens for a reason and so I think I should be active in something that's creating that awareness among people because a lot of people don't know what it is."
Tomeka said there is a lupus group in Grand Bahama as well, and that the members of Lupus 242 are very supportive.
"I want people to not only know what the disease is. I want them to not point fingers, but to actually gain understanding of what it is. It is difficult living with this, but it is good to know that there are people who understand what you're going through," she said.
Lupus 242 kicked off its Awareness Month by worshipping at St. Matthew's Anglican Church.
The nonprofit group started in 2012 to provide support to people living with the chronic, autoimmune disease characterized by inflammation, fatigue and pain.
The group has a series of events planned for the month including P.O.P. (Put On Purple) for Lupus on Friday, May 10; Hope Floats (Balloon Release event in memory of the people lost to lupus) on Monday, May 20 and a tea party on Sunday, May 26 at St. Matthew's Parish Hall.

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May 07, 2013
During the transition from childhood to adulthood we have heard a number of old wives' tales -- for instance, if the palm of your right hand is itchy, money will be coming your way. As odd as it seems, there are many people who believe in these tales and they are still being passed on from generation to generation. Are they true? We will leave it up to you to decide, but there are many myths about sleep and misleading information could cause catastrophic or even fatal events.
Myths
Snoring: Everyone knows someone that snores and the perception is, snoring is normal. The truth is although snoring can be harmless, it can be life-threatening if associated with a sleep disorder called sleep apnea. Sleep apnea is characterized by brief pauses in breathing or shallow breaths during sleep. The most common type of sleep apnea is obstructive sleep apnea (OSA). OSA is a serious medical condition that occurs when the airway collapses or becomes blocked during sleep. These episodes may occur 20 or more times per hour and may disrupt the quality of sleep. Eventually the individual is roused gasping for air and normal breathing resumes with a loud snort or choking sound. Persons who are overweight mostly suffer from OSA. Former health minister Dr. Hubert Minnis in 2011 reported that, 70 percent of the Bahamian population was overweight. This suggests that most of our population may be suffering from OSA and not being treated, because most persons believe snoring is normal. OSA does not only affect persons who are overweight, but individuals with small airways as well.
A sleep problem is not harmful: The problem is that the majority of persons consult with their physicians when they experience some pain or discomfort not when they are experiencing sleep complications. According to the National Sleep Foundation 40 million people suffer from chronic sleep disorders in the U.S. The National Department of Transportation reports that there is annual total of 1,550 motor vehicle fatalities and 40,000 traffic accidents that occur as a result of persons falling asleep at the wheel. Additionally, sleep disorders are now being linked to a number of chronic diseases including heart disease, hypertension, stroke, diabetes, depression and other chronic illnesses. With the overwhelming number of persons who suffer from sleep disorders and because they are linked to so many life threatening diseases, sleep disorders should be taken more seriously.
Dropsy: It is assumed that if a person is falling asleep at work or school, they are not getting enough sleep. In actuality he or she may be suffering from narcolepsy.
Narcolepsy is caused by the brain's inability to regulate sleep-wake cycles normally. One of the main features of narcolepsy is excessive daytime sleepiness (EDS).
EDS is a disorder in which an individual feels drowsy or has the urge to fall asleep when he or she should be alert. EDS is also a symptom of insomnia in which a person has difficulty falling, staying asleep or sleeping longer than usual and periodic limb movement syndrome (PLMS) in which a person exhibits restless sleep, including kicking or jerking of the legs, movements of the arms and body or excessive rolling that interrupts sleep. Although a person may be falling asleep at inappropriate times, it does not mean they are not getting adequate sleep. It may be because of an underlying sleep disorder.
At some point in our life we all have difficulties with either falling asleep or staying asleep due to stress, pain, illnesses or anxiety. This is normal as long as it is not a chronic factor. If a sleep problem is negatively impacting someone's daily life they may have a sleep disorder. A disturbance of a person's normal sleep pattern can result in a loss of energy, emotional imbalance and critical or fatal health issues. You can determine if you should consult a physician by answering the following questions. Do you:
o Show signs of sexual dysfunction?
o Snore, gasp or choke while sleeping?
o Feel you're performing below your full potential at work, school or in sports?
o Feel drowsy or fall asleep while driving, watching television or reading?
o Experience excessive daytime fatigue or require caffeinated beverages to stay awake?
o Have problems falling asleep or staying asleep at night?
If you answered yes to any of the questions listed you should consider speaking with your physician who may refer you for a sleep study.
A sleep study is an overnight painless procedure. A sleep technologist will connect recording electrodes to your body in an effort to sample various biological functions which include brain waves and muscle activity, heart rate, oxygen saturation and eye movement. The sleep study is scored by a sleep specialist and then the interpretation is done by the physician. It is recommended to practice good sleep hygiene, however if this fails you should consult a physician or a sleep specialist. When a sleep disorder is diagnosed and treated, persons usually report they have increased energy, healthier relationships and improvement in their overall quality of life.
A myth exists in almost every culture. We can only speculate about the origin of some old wives' tales or why we cling to them when we live in a world filled with science and medical expertise. Though some old wives' tales are not true, the few described here can be dangerous if taken lightly.

o Renaldo Clarke has been a neurodiagnostic technologist for six years. He received USA accreditation in sleep studies in July 2008 and then in EEG in 2011, becoming the first Bahamian to obtain double-boarded certification in the field of Neurodiagnostic Technology. He works at the Bahamas Neurological Center (BNC) a comprehensive neurodiagnostic facility which performs sleep studies, EEGs, evoked potentials and EMG/NCS. BNC was the first to introduce a number of these studies in The Bahamas including the first sleep study in 2000.

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May 07, 2013
To start off with, I'm quite sure, that in this age of abbreviations, just about everyone understands that the letters OMG stand for oh my God. So today's title is "Oh My God -- What Next?" So D. Paul what exactly are you referring to here today when you state OMG -- What text? many may query. Well, let me explain.
I was going through the various posts which people put on Facebook a while back, and one of these posts'on Facebook stated, that for personal relationships to work out, there needs to be a set of rules for the relationship. I commented, that I thought that the most important ingredient for any successful relationship was love, pure, unadulterated, unconditional love. However, the young lady who had put up the Ppst wasn't buying this concept and insisted that there must be a set of rules, for any relationship to last and be both fulfilling and successful. That's when I got a pad of paper and wrote down the title of this article "OMG --What Next?"
After thinking a whole lot about what this young lady had suggested, I came to the logical conclusion, that she in all probability is very insecure due to a combination of low self-esteem, and perhaps a relationship which failed in the past. This has contributed to this young lady wanting to control and dominate her partner by establishing a set of rules for any future relationships. I mean, how ridiculous can one get. Can you imagine anyone coming up to you stating that they'd like to have a personal relationship with you as they handed you a book of rules for the relationship. It's absolute madness!
Yes indeed, if ever anyone gave me a book of rules upon which a personal relationship with them would have to be based; believe me, I'd run a mile, and would in all probability break the existing world record. Why would I do that, you may say? Because, in my estimation, anyone who thinks like that is most likely to be extremely insecure, very controlling, and quite domineering. So, boys and girls, ladies and gentlemen, when you're thinking about having a personal relationship with someone, make absolutely sure that it is based on genuine love, respect, and a whole lot of trust. If you really don't trust a person to the point where you feel obliged to draw up a set of rules for the relationship, it is, in my estimation, completely doomed before it even starts -- believe me.
And one final point. If you agree with the concept, that a set of rules must be a part of any personal relationship which you may consider entering, you need to get immediate professional counseling, because, like it or not, you have low self-esteem. Yes you do!

o THINK ABOUT IT! Email:dpr@corporatemotivation.org. Listen to "Time to Think" the radio program on STAR 106.5 FM at 8:55 a.m. & 6:20 p.m.

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May 07, 2013
The classic taste of rich malt has made Vitamalt, a non-alcoholic malt beverage, one of the most-loved energy drinks by Bahamians. Made of 100 percent malt and zero fat, alcohol and preservatives, it is packed with naturally occurring vitamins and minerals and deemed suitable for vegetarians. Touted as delicious, nutritious and non-alcoholic, it still packs a whopping 210 calories per bottle -- which is quite a hefty number, especially for those people counting calories and trying to lose weight.
With an ever-growing health-conscious market place, Commonwealth Brewery, manufacturers of Vitamalt, took this into account and have rolled out a 50 percent lighter calorie version of the popular malt beverage with a calorie count of 105 per bottle. Vitamalt Light, which is distributed by Burns House hit the market on Saturday, May 4.
The manufacturers have taken out the sugar and replaced it with artificial sweeteners (acesulfame-k, saccharin-Na and steviol glycoside) in an effort to cater to the health-conscious market that likes their product.
"The only thing we have done is added sweeteners to our Light instead of just sugar," said Tanya Sweeting, the quality assurance manager at Commonwealth Brewery. "The vitamin complex remains the same, so it's very strong and high in vitamin B. The only difference between the Classic and the Light is the sugars," she said.
Acesulfame potassium is a non-caloric sweetener with a clean, quickly perceptible sweet taste. In the United States, acesulfame K was granted general purpose approval in December, 2003. It is approved for use in numerous products including carbonated beverages and alcoholic beverages.
Saccharin has been used to sweeten foods and beverages without calories or carbohydrates for over a century. Its use was considerable during the sugar shortages of the two world wars, particularly in Europe. Research also has shown that health professionals believe saccharin is especially beneficial to persons with diabetes and the obese, and helps reduce dental cavities.
Stevia is the new "thing" within sweeteners and is highly popular due to its natural origin from the stevia plant. As a sweetener and sugar substitute, stevia's taste has a slower onset and longer duration than that of sugar. It has a negligible effect on blood glucose and due to this it is an attractive natural sweetener for people on carbohydrate-controlled diets.
The three sweeteners, according to the manufacturers, give a positive contribution to taste and mouth-feel for the Vitamalt Light.
Sweeting describes the new Vitamalt offering as a smooth, refreshing drink. She said the switches from sugar to artificial sweeteners did not make for a really noticeable difference in flavor in the light malt when compared to the classic version.
"A classic is very robust and strong in terms of that malty flavor, but you also get the malty flavor also with the Vitamalt Light, so when this was introduced and we tasted it originally, we were very impressed that there was not much of a big difference," she said.
Dietitian Julia Lee was provided with samples to review the Vitamalt Classic and the Vitamalt Light nutrition labels. She said from the label, the light product could help a person reduce their calorie intake by half.
"[Vitamalt Light] has lower calories because it has
artificial sweeteners instead of sugar. They actually have what we call non-nutritive sweeteners -- that means they have no calories. The third one [steviol glycoside] does have some calories, but the Vitamalt Light has fewer total calories, because it does not have added sucrose to the bottle," she said. "It is sweetened, but it's using mostly sweetening from sweeteners that are artificial and do not provide too many calories."
Lee, a registered dietitian who has worked at Doctors Hospital for over 20 years, said as a result, the light malt beverage could help people who normally drink one bottle of Vitamalt Classic per day.
"They could reduce their calories by 100 calories a day and that could translate into a pound per month if they switched from regular Vitamalt to light Vitamalt," she said.
The dietitian said currently the medical world considers the artificial sweeteners used in the new malt beverage offering as safe, but she said medical science is always coming out with new information. But she said health professionals always try to get people to consume natural foods instead of artificial chemicals. For that reason she said it would benefit people to stick with the Vitamalt Classic, if they're concerned about taking in artificial chemicals.
"A lot of health professionals would try to get somebody to reduce their sugar, not switch to an artificial sweetener which is what I try to promote as well, still using sugar, [but] using less sugar. The person who drinks one Vitamalt [Classic] a day might then consider one Vitamalt [Classic] every other day and reduce their consumption by half. But if they have to have it everyday then they should consider the light one. If they're overweight especially it could help them," she said.
Lee also noted that Vitamalt is promoted as a big source of vitamins, but she said she would not consider it a main source of Vitamin B complex, but in the context of a healthy diet she said it could fit.
Vitamalt Light hit the market with less than 5,000 cases to test the market.
The planning for Vitamalt Light began early in January and the process was completed within three months in time for the product's May release.
Sweeting said because Vitamalt Light offers less calories, but still has the taste and flavor of a Vitamalt Classic she said at Commonwealth Brewery they believe it will definitely take off, and that they will definitely have to increase their production numbers.
"It is still a high-vitamin drink [that is] very refreshing and still gives you a lot of energy and it's less calories," she said.
The shelf life of Vitamalt -- whether it's the Classic or the Light is one year. The best before date is imprinted on the shoulder of each bottle.

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May 07, 2013
A bunion is a localized area of enlargement of the inner portion of the joint at the base of the big toe. This enlargement represents extra bone formation combined with a misalignment of the metatarsophalangeal (MTP) joint at the base of the big toe. The normal straight position of the big toe becomes distorted causing the big toe to turn inward bending toward the smaller toes and causing a painful bump on the foot. Since this joint carries a lot of the body's weight while walking, bunions can cause extreme pain if left untreated. The MTP joint itself may become stiff and sore, making wearing shoes difficult or impossible. A less common bunion is located at the joint at the base of the smallest (fifth) toe. This bunion is called a tailor's bunion.
Who develops bunions
Bunions occur most commonly in women. Some studies report that bunions occur nearly 10 times more frequently in women than men. Bunions are also more prevalent in people who wear shoes than in barefoot people.
Bunions form when the normal balance of the forces on the joints and tendons of the foot becomes disrupted. This leads to instability in the joint and results in the deformity after years of abnormal motion and pressure over the first metatarsophalangeal joint. This faulty foot mechanics is caused by the way we walk, inherited foot type, shoes or other sources that result in bone and joint deformities such as bunions.
Although bunions tend to run in families, it is the foot type and foot mechanics that are passed down, not the actual bunion. There are genetic factors that predispose one to developing bunions, especially when they occur in young people. It has been suggested that tight-fitting shoes, especially high heels and narrow-toed shoes increase the risk for bunion formation which explains the high prevalence of bunions in women. Other causes include foot injuries, neuromuscular disorders, or congenital deformities. People who suffer from flat feet or low arches, have arthritic or inflammatory joint disease are also more prone to developing bunions. Occupations that place stress on the feet such as ballet dancers also increase risk of developing the condition.
Symptoms
Bunions may or may not cause symptoms. A common symptom is foot pain when walking or wearing shoes that is relieved by resting or taking off the shoes. Bunions can cause marked pain associated with swelling of the soft tissues, redness and local tenderness. A small fluid-filled sac called a bursa can also form next to the joint. Other symptoms of a bunion may include a firm bump on the foot, at the base of the big toe, corns or other skin irritations caused by the overlapping of the first and second toes, restricted or painful motion of the big toe joint and difficulty fitting and wearing shoes.
Relief
Self treatment will not take the bunion away but can give you good relief from its symptoms. Changes in the type of shoes worn can definitely help -- wear shoes that are more squared or round mouthed with a wide and deep toe box (front of the shoe) to accommodate the bunion. You can apply commercial, non-medicated bunion pads around the bony prominence to relieve the pressure. If your bunion becomes inflamed and painful, apply ice packs several times a day to reduce swelling. Avoid high-heeled shoes over two inches tall and see your podiatrist if the pain persists.
Treatment options vary with the type and severity of each bunion. Identifying the deformity early in its development is important for early treatment and to avoid surgery. Non-surgical treatments involve simply resting the foot by avoiding excessive walking and wearing loose (wider) shoes or sandals that can relieve the pain of bunions. Sneakers are more comfortable and provide an advantage over high-heeled shoes that push the big toe outward further, making the deformity worse. The primary goal of early treatment options is to relieve the pressure on the bunion and slow the progression of the joint deformity. The podiatrist may recommend all or any of these treatments:
Padding and taping:
Padding the bunion minimizes pain and allows the patient to continue a normal, active life.
Medication:Anti-inflammatory drugs and cortisone injections are often prescribed to ease the acute pain and inflammations caused by the bunion.
Physical therapy: Ultra sound can provide relief of the inflammation and pain from the bunion. Stretching exercises can also reduce tension on the first metatasophalangeal joint. A bunion splint is usually worn at night and can provide further relief and slow the deformity.
Orthotics: Shoe insoles may be useful in controlling foot function and may reduce symptoms and prevent worsening of the deformity.
When these strategies are effective in relieving symptoms, the patients should avoid irritating the bunion again by optimizing footwear and foot care.
When to see the podiatrist If you have a bunion you should see a podiatrist at the first indication of pain or discomfort. If untreated, bunions tend to get larger and more painful.
When early treatments fail for those bunions that cause persistent pain, surgery is the option to remove the bunion. The surgical procedure is called a bunionectomy and is necessary to relieve pressure and realign the joint. Several surgical procedures are available that will remove the bony enlargement, restore the normal alignment of the toe joint and relieve pain. Recuperation after surgery takes time - up to several weeks - and some swelling and discomfort may occur for sometime following the surgery.
o For more information or to see a podiatrist visit Bahamas Foot Centre Rosetta Street, telephone 325-2996, Bahamas Surgical Associates, Albury Lane, telephone 394-5820 or email us at foothealth242@gmail.com or visit www.apma.org.

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