Chemo Baths

A photographer by the name of Jon Upson was diagnosed with appendix cancer. We was said to have a strong stomach pain and decided to ignore it. One day, he was unable to stand up. Appendix cancer is rare and very aggressive. The cancer spread throughout his entire stomach and the doctor said it would eventually crowd his organs and find a way into his blood stream. He was told that there was no hope and that it would take over his body.

Jon found a new type of cancer treatment called a hot chemo bath. He met with Dr. Andrew Lowy, an oncologist at UC San Diego. Jon’s rapid spread of his disease and young age made him the perfect candidate. Dr. Lowy started by making in incision from his rib cage to his pelvis, and then cut out the visible tumors. Using tubes he filled up Jon’s abdominal cavity with cancer killing drugs in a process dubbed “shake and bake.” These are the same drugs used in chemotherapy but the drugs are heated to almost 108 degrees. Dr. Lowy then sloshed the hot chemicals inside of his belly for 90 minutes for a total operation time of ten hours.

 “There are cancer cells that aren’t visible to our eyes, and can’t be operated on,” Lowy said. “We are trying to kill those tumor cells that could be a source of a recurrence. The rationale for using heat is that is has been known for over a century that heat is toxic to cancer cells.”

 

You can actually kill cancer cells at the right heat without killing healthy cells. Many hospitals do not accept this new type of cancer treatment because they feel it is too invasive and risky. The patient is open for many hours and their vital organs are exposed meaning the risk of infection is very high. Dr. Lowy is proving that these chemo baths are effective on colon and stomach cancers.

Yehuda Bock, a 61 year old received the treatment and it proved to be effective. He was diagnosed with stage 4 colon cancer by another doctor who had told him that they would try an make him comfortable in his remaining days. The median survival time for colon cancer is 32 months, Yehuda is currently at 49 months with no trace of cancer. Many hospitals around the country are running clinical trials on chemo baths because of the high amount of success rates.

I think that after the clinical trials are completed on this new type of treatment, hospitals should use chemo baths as much as possible. Any type of treatment for cancer is considered an advancement and I feel as though they should all be used to save people’s lives. Chemotherapy is just as risky as chemo baths in my opinion. Chemotherapy is a poison that can have as equally many side effects as chemo baths.

http://www.cbsnews.com/8301-18563_162-57336043/hot-chemo-baths-get-a-fresh-look-in-cancer-fight/?tag=cbsnewsMainColumnArea

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ADHD in Children Diagnosis

If your child is restless and hyperactive, this may not mean that your child has ADHD. There are many other contributing factors to hyperactivity and being inattentive. Does your nine year old have a cell phone that is linked to Twitter and Facebook? Or does she have a game boy strapped to their hands? These modern ways of entertainment could be affecting a child’s behaviors. Hallowell has written several books on ADHD says that “It can be hard to tell ADHD from what I call a ‘severe case of modern life.’ ” This could not be any more true. Busy parents are turning to these electronic types of entertainment because they do not have time to play with their children. I recently had a conversation with my mother in law about the pre-school children she teaches. She said that some of these four year olds have never colored before! They do not know how to hold a crayon or a pencil. Her opinion is that the children are watching fast paced video games and television shows and are unable to sit still and focus on every day human interaction, like talking to others or reading. This could mean a serious problem for our children’s generation.

Caffine overload is a contributing factor to ADHD like behavior. Too much pop, candy, or sugar can make your kids seem ‘too jittery.’ Parents need education on how to properly nourish their children. Pop and candy should not be in a child’s diet. It isn’t even healthy for adults.

Your child may be a perfectionist. It is hard for a child to write an assignment if they are too worried about the pencils on their desk being in perfect order or if their paper has any foreign marks on it.

I know it’s hard to believe but some children are just too immature to handle their surroundings at school. If the word ‘bottom’ still makes them giggle in the fifth grade, chances are that they are just silly and not mature enough to focus on certain things.

Medical problems could also be an issue. Thyroid gland over activity can make a child more restless and irritable. An under active thyroid can cause lethargic behaviors. High or low blood sugar levels leading to diabetes can also make a child seem hyper active or lethargic. A child with poor hearing could show ADHD symptoms as well as a child with dyslexia. Autism is a big learning and teaching barrier. Children with autism are so focused on what is going on inside of their brains that they cannot focus on the outside world. Drug abuse, allergy medications, and epilepsy all make a child sluggish and tired making them unable to pay attention.
Your child may also be showing symptoms of ADHD because of anxiety. Maybe your child is being bullied at school or is dealing with friend issues that he or she does not know how to cope with. Depression could also be a contributing factor to inattentiveness. Is there a lot of tension between you and your spouse? Children pick up on this and will act out accordingly.

Take all of these into consideration before diagnosing your child with ADHD. Parents really must communicate with their children to find the source of their behavior problem.

 

Read more: http://www.cbsnews.com/2300-204_162-10004608-2.html#ixzz1fm3iNxQB

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Obese Children

I read an article on CBSnews.com about an obese child who was taken from their parents.  He was the youngest child in the U.K. to have ever been taken away from their parents for obesity concerns. A spokesperson from the Tameside council said, “Parents should be supported to address their child’s obesity, and social workers should only act if parents fail to engage with the proposed plan to improve their child’s safety and well-being.”

In 2007, more than 15 children were taken from their parents because of obesity concerns in the U.K. In Ohio a 200 pound 8 year old was taken from his parents by social workers. The boy’s mother is recorded saying that just because her son is over weight, that does not mean she does not love him and that she is not a fit mother. She has a point, the social workers have no idea how this mother parents her child. Could this child just be genetically obese?

According to the Center for Disease Control and Prevention (CDC), seventeen percent of adolescents in the United States are clinically obese. Obese children are categorized as ones who are  above the 95th percentile for weight in their age group and gender. Over 2 million children in the United States are over the 99th percentiles.

Dr. Arthur Caplan, professor of medical ethics and health policy at the University of Pennsylvania says that foster care is not the cure for childhood obesity. He thinks that a child should only be taken from their parent if their life is being threatened. He even said that he finds it hard to imagine that obesity can threaten a child’s life. How does obesity threaten an adults life? The same way it can threaten a small child’s; heart disease, diabetes, cancer, and the list goes on. I do agree with Dr. Caplan when he says that in order to fix childhood obesity we should not be taking the child away from the problem through foster care, but we should fix the problem within the home.

Many childhood obesity problems are not only because the parent is over feeding the child. The child could be depressed or they could be experiencing other problems within the family or with friends. If we take the child away from where they are comfortable, we could be creating bigger problems with foster care. These types are decisions are so hard to make in today’s world. The questions of ethics and moral codes are over whelming. No one can be told how to parent their children, but when a parent is taught how to properly feed and nourish them I feel that great benefits will be exemplified.

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Early and Middle Childhood Studies

 

According to Healthy People 2020 early and middle childhood studies of health show room for improvement. Many studies are being held in research for the development of young children. The main areas of study are their social, physical and cognitive developments. There are considered to be three different stages of a child’s development. One being early childhood, this is usually from the birth of a child to about age eight. Many developmental milestones are reached in this stage. This time is so important to a human being because they learn everyday behaviors such as how to eat, walk, talk, and sit. Studies show that the first couple years of life are crucial for the future health of the child. Many of the typical milestones will not be reached or delayed in children who experience poor parental upbringing or any other traumatic events during this stage. Children become accustomed to many everyday health behaviors such as eating habits, dental hygiene, and personal hygiene that they will take with them for the remainder of their lifetime.

Middle childhood ranges from about six to twelve years of age. During this time children learn how to foster relationships with friends and also family. Middle childhood is when most children learn how to behave in public or at home. They develop character and shape themselves for adult life. Children in this stage learn self discipline and good decision making skills. Many adult disorders such as obesity, dental health, social or developmental disorders, and abuse form from early to middle childhood traumas.

Adolescence is the last stage of childhood and is commonly known as the teenage years. During this time children learn independence and are turning into adults. By this time, children have formed their health routine and behavior they will take with them for the rest of their adult lives. In order to insure the lifelong health of children, there are a few basic things a child must have. A nurturing family, safe environments in school, pubic and at home and access to high quality health care.

Many government funded programs such as SCHIP ensure health care for children who live below the poverty level in America. This program is important because children’s health behaviors are often dependent on how they are raised. If their family lives much below the poverty level, chances are many of them are not getting adequate health care. By educating parents about their health, we can hope that they will pass this down to their children and create an overall healthy community.

The National Institute of Health Care Management states that:

“Many nations have already begun to con- struct such a scaffolding by guaranteeing mean- ingful health care coverage, routinely utilizing teams of visiting maternal child health nurses, establishing readily accessible child care and child development centers, and providing other income and family support for families with young children. These kinds of supportive meas- ures are now the norm in the Scandinavian coun- tries, France, the Netherlands, many parts of Italy, Spain and elsewhere.”

English speaking countries such as America, UK, Canada, and Australia are lagging in early childhood development programs. IT doesn’t come as a surprise then, that these countries rank very low in childhood health categories.

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Analysis of C.W. Williams Health Center Decision from 1994

The following is an analysis using Strategic Management:

I think that C.W. Williams Health Center should become allies with one or two of the major hospital systems and establish another health center location in the community.

Ms. Marrs, the CEO, is entertaining the idea of building a new health center location in an urban area of North Carolina. She points out the fact that the two year strategic plan first designed in 1995 had not been looked at or talked about since then. The Board and CEO are beginning to develop a new strategic plan. The Board of Directors needs education on strategic management and look at possibility of new members. Part of their strategic plan was to go the people to make it easier for patients to visit C.W. Williams. They are running out of space at C.W. Williams which is inefficient for the doctors since they only have two examination rooms per doctor when ideally they would have three. Patient waiting times are very high. Upon expansion, more space would be available for physicians which will increase recruitment efforts and reduce patient waiting times.

One of the driving forces for change is that they are seeking reimbursement from the government for patients who are uninsured and who do not have Medicare/Medicaid. The poverty level is getting larger, so C.W. Williams would like to give coverage to those who have no money for health care coverage. C.W. Williams was established because Dr. Charles Warren Williams was concerned about the health needs of the poor and wanted to make the world a better place for those less fortunate. A second driving force would be that there has been a shift from “fee-for-service care” to “managed care.” Ms. Marrs states that another driving force of this decision is the need for upgrading technology. It is essential that the board members and Ms. Marrs hire a new CFO and COO before the purchase of a new facility.

Creating a new community health center would be cost effective because through managed care the number of illnesses discovered and treated at earlier stages would save the health center money. Expensive care interventions are often not needed when managed care is available. C.W. Williams staff needs to be educated about managed care in order to continue high quality of care.

We think that since they have no debt on their current building, that the purchase of the new building would be suffice. There are many opportunities when building a new facility including a number of universities in the Charlotte area that could bring in many insured college patients. Also located in the area are many middle-class minority patients as well as Medicaid beneficiaries which would add to the insured population. The staff at C.W. Medical has a high reputation for customer satisfaction and we think this would translate to high quality care at the new facility. However, when building this new facility, they should hire a Medicaid eligibility specialist who is also aware of state assistance programs for those patients in need of medical assistance.

One reason why the hospital should become allies with a few surrounding hospitals is due to the fact that C.W. Williams has been sending a great number of patients who are in need of hospitalization to these other hospitals anyway. Forming alliances would also broaden the range of services available to patients that come to C.W. Williams. C.W. Williams could act as an initial patient base for their allied hospitals.

Critical success factors for C.W. Williams would include: Patient’s satisfaction and good reputation with community, primary care provider with walk-in component, resources for disabled patients, culturally sensitive staff, large patient base, and excellent quality of care. In order to stay competitive, they have to expand their patient base like the dominant health care systems plan to in the area.

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H1N1 Information

H1N1 is a respiratory disease that is caused by the Type A influenza virus. It was first noticed in the United States in April 2009. It is a very new virus that is causing illness worldwide. The World Health Organization named H1N1 or the “swine flu” to be the first new pandemic of the twenty-first century. It is spread very similarly to the way a seasonal influenza virus is spread, by the infected person coughing or sneezing. Occasionally, someone can get H1H1 by touching a surface with the virus on it and touching their mouth or nose. H1N1 flu symptoms in humans can also vary in severity. Symptoms of H1N1 include fever, cough, runny or stuffy nose, sore throat, body aches, headache, fatigue and chills. Some people have also reported having diarrhea and vomiting. Alike the seasonal flu, severe illness and even death has occurred.

Since H1N1 has not been previously identified, it is now under intense research and scientists are collecting information rapidly. In July of 2009, the World Health Organization reported over 94,000 confirmed cases of H1N1 in 135 different countries. At least 700 people died because of the new virus and has been noted to be the fastest spreading pandemic ever reported. Mexican had reported nearly 8,000 confirmed cases and 115 deaths. Canada reported about 6,500 cases and 15 deaths. Other countries such as Columbia, Costa Rica, Dominican Republic, Guatemala, the United Kingdom, and the Philippines also reported deaths. It even reached to the Southern Hemisphere where Australia reported 2,857 cases and 2 deaths, Argentina reported 1,213 cases and 7 deaths, and Chile reported 4,315 cases and 4 deaths. WHO officials stopped focusing on the accumulating case counts and were in favor of concentrating on vaccine and anti-viral medication developments and delivery.

In the United States, seasonal influenza accounts for about 200,000 hospitalizations and 36,000 deaths each year. By the end of July 2009, about fifty percent of flu cases were present in ages between 5 and 24. The highest rates for hospitalization were found in infants and children under four years of age. There is no specific cause of H1N1 and the illness differs from the seasonal flu, which is usually found in the elderly. A report published in the medical journal The Lancet found that pregnant women are four times as likely to contract swine flu and then be hospitalized for it.

There are several ways to prevent prevalence of this disease. First, start by always washing your hands especially if you are coughing and sneezing. Cover your mouth with a tissue when coughing or sneezing and throw the tissue in the trash can immediately after. Alcohol-based hand sanitizers are effective. Avoid touching your eyes, nose, or mouth in order to prevent the spreading of germs. Avoid any contact with sick people and stay home if you become sick for at least 24 hours after being free of fever. There is also a seasonal H1N1 flu vaccine available and is highly recommended for those who are six months and older. Those at the highest risk of contracting H1N1 include the elderly, children under five, people with health complications, and those working in a health care setting where they are around the ill.

Treatment for H1N1 is nearly the same as all influenza viruses. This includes drinking plenty of fluids, use of acetaminophen for aches and fever, and extended bed rest. H1N1 also responds to two anti-viral drugs, oseltamivir and zanamivir. Neither of these drugs cures or can prevent the flu but if they are taken within 48 hours of the start of symptoms, they will reduce the severity and duration of the flu.

At the end of April 2009, the US government released large amounts of antiviral drugs in order to combat H1N1. H1N1 is resistant to amantadine and rimantadine making these pre-existing flu medications ineffective. Antibiotics can be used to treat pneumonia, a bacterial complication of influenza. In June 2009, Denmark reported the first case of H1N1 that was resistant to oseltamivir. H1N1 resistance to oseltamivir has also been found in Japan, Hong Kong, and Canada. So far, zanamivir is still effective in the treatment of H1N1. Some home remedies have helped in the treatment of H1N1 also. Ginger is found to reduce fever and pain, settle the stomach, and suppress cough. Echinacea helps with sore throat,chills, sweating, weakness, body aches, fatigue, and headaches. Cordyceps “boost” the immune system and improve respiration. Eucalyptus or peppermint when added to a steam vaporizer can help clear chest and nasal congestion.

 

REFERNCES

“H1N1 influenza A (2009).” Brenda Wilmoth Lerner. and Tish Davidson, A.M. Gale Health Collection. Online Edition. Detroit: Gale, 2010.

 

http://galenet.galegroup.com.proxy.wichita.edu/servlet/HWRC/hits?r=d&origSearch=true&rlt=1&bucket=ref&o=&n=10&searchTerm=2NTA&l=d&index=BA&basicSearchOption=KE&tcit=1_1_1_1_1_1&c=1&docNum=DU2601090027&locID=ksstate_wichita&secondary=false&t=RK&s=1&SU=h1n1

 

http://www.newschool.edu/h1n1/facts.aspx?s=1

 

http://www.cdph.ca.gov/HealthInfo/discond/Pages/H1N1Public.aspx

 

Ashwani Sharma, Ashish V. Tendulkar, Pramod P. Wangikar. (2010) Medicinal Chemistry Research. Dec 2011 v20 i9 p1445(5). doi:10.1007/s00044-010-9375-5

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Poor Patients Are the Most Expensive Patients

This is based on a video found on Fronline.org http://www.pbs.org/wgbh/pages/frontline/doctor-hotspot/

Camden, New Jersey is considered one of the most dangerous cities in America. The poverty level is extremely high and so are health care costs. Dr. Jeffrey Brenner wants to lower the cost of health care and increase the quality of care. He thinks that the city of Camden might help discover how. Dr. Brenner was motivated to do this when he arrived on scene at a shooting. He had asked where the victim was and discovered that he still had a pulse. The victim was shot and had a chance of survival but the police officers did absolutely nothing to save his life at the time. They said that they did not want to “dislodge the bullet” with resuscitation. Their lack of motivation to tend to the victim left Brenner very angered. He then tried to involve himself in the local police reform but it proved to make little difference. In 2007 he turned to and organization known as “hotspotters”, known as The Camden Coalition of Health Care Providers. This organization studies local hotspots where each patient visited the hospital up to 40 times a year. More than 300 people in Camden were helped with organized care provided by the Camden Coalition. They discovered that high crime rate areas were also considered hotspots. One percent of people accounted for thirty percent of hospital charges and more than one million dollars of hospital bills were indebted to these patients.

People with chronic illnesses are being taken care of in the Emergency Room (ER) and treatments were not coordinated appropriately. Follow up appointments for these patients did not exist. The most expensive patients are receiving terrible care. Doctors would prescribe medicines and not tell the patients what was even wrong with them. ER visits are among the most expensive hospital visits and hospitals are required to admit every single person with an emergency regardless of insurance coverage. Those who had insurance and paid their hospital bills, end up paying for these ER patents who do not have insurance, thus making costs rise higher and higher. By lowering the amount of hospital visits through managed care, health care costs for these patients with chronic conditions dropped forty to fifty percent. Hospitals are weary of this idea of reducing hospital visits because it will in turn bring in less money. However, we need to fix this mess of chronic disease patients flooding the ER and focus on treating these chronic conditions through managed care. The ER will still remain busy, but with patients who are in need of immediate care for one time treatment. Dr. Brenner is working to create a better relationship between poor patients and the health care system to reduce health care costs. He is hoping that the entire nation will catch on to this way of thinking in order to lower over all health care debts.

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