San Jose Care Resource Guide: Anxiety, few do not have it, but there are levels. Here is a link to a good article on the topic of generalized anxiety disorder published by JAMA, the Journal of the American Medical Association.
Symptoms mentionned in JAMA:
Fast or irregular heartbeat (palpitations or “fluttering” in the chest)
Sweating or flushing of the skin
Muscle tension
Headaches
Difficulty sleeping
Changes in appetite
Nausea, vomiting, and diarrhea
Edginess or irritability
Note: Article mentions there can be physical reasons for the anxiety:
heart problems,
thyroid conditions,
or other medical issues
The symptoms look fairly general, and can probably be everything and anything. Which means, you have to talk to your Doctor…
“…The results of this study show that the more expensive, high tech therapy was not superior to intensive home strength and balance training, but both were better than lower intensity physical therapy..”
Key word is” intensive”. What constitutes intensive therapy is not clear. Below is a home stroke therapy that looks interesting focusing on the arm and hand. video from StrokeSurvivor2008 at YouTube
But it is difficult to understand how a home health rehab can beat a program for stroke survivers such as NorthwesternU see this YouTube video:
San Jose Care Resource Guide: Chronic shoulder pain can have many causes, the next link Chronic Shoulder Pain: Part I. Evaluation and Diagnosis will bring you to an detailed article from Kelton M. Burnank et. al. on the the diagnosis of the various aspects of it.
rotator cuff disorders,
adhesive capsulitis,
shoulder instability,
shoulder arthritis
This article is quite technical: as the it goes into the details of sub-categories of underlying illness or condition, , the complexities of the diagnosis of the causes of shoulder pain become apparent.
Then: “…Symptoms that persist or worsen after six to 12 weeks of directed treatment should be referred to an orthopedic specialist…”
Cure or long term relief does not seem a given.
Then come a method apparently more benign: accupuncture. Accupuncture seems to have some good rate of success according to an article in JAAPA Chronic Shoulder Pain and Acupuncture Treatment. This article concluded:
“… A treatment series of 15 acupuncture sessions produced significantly greater pain relief than sham acupuncture or conservative treatment in patients with chronic shoulder pain not due to osteoarthritis or rheumatoid arthritis…..”
SJCRG: There some online expert systems for the home care community. We will list some here
Warning:
Those Expert System have not put health providers out of business yet! They could be used though to help you decide to go see your Doctor. Also, do not forget your own expert system: what your body and gut feel are telling you!
SJCRG does not endorse the accuracy of the Expert Systems mentionned.
EasyDiagnosis.This is an easy to use, simple, system.
EverydayHealth:Designed by an MD, Stephen Schueler, MD, is an emergency physician, teacher, and author
San Jose Care Resource Guide: Chronic Fatigue Syndrome is not well undrerstood and it’s causes are unclear. Recent work has tried to tie it to a retrovirus [MediNewsDigest], but the the linkage is not necessarily causal.
Then there is this study on the benefits of CBSM or ”Cognitive Behavioral Stress Management”. This study was published in the Journal of psychosomatic research
Conclusions of this study are positive, quoting: “…Results suggest that CBSM is beneficial for managing distress, improving quality of life, and alleviating CFS symptom severity…’
But what is “Cognitive Behavioral Stress Management”. Here is a helpful introduction lecture video by Dr Jason Satterfield, UCSF, on Youtube/UCtelevision
San Jose Care Resource Guide:Adrienne Dellwo has an interesting blog on Fibromyalgia, this time the topic is sleep problems Click Here for link.
San Jose Care Resource Guide: Here is a link to a study showing some help from pregabalin (Lyrica)
San Jose Care Resource Guide: On an alternative note Hydrotherapy seems to also help sleep for FS patients, click here for link to Brazilian article in sciencedirect
San Jose Care Resource Guide: Yes, we sometimes have to sue Medicare, i.e. our government, to get proper care. Here is a link to the article in the Chicago Tribune. This article was brought to our attention by Ernest A. Wahrburg, BA(PSY), MSW, LCSW (NC & NY)/LinkedIn
Quoting the Chicago Tribune: “…The Center for Medicare Advocacy, which filed the lawsuit with Vermont Legal Aid on behalf of the National Multiple Sclerosis Society, Parkinson’s Action Network, Paralyzed Veterans of America, National Committee to Preserve Social Security and Medicare, and American Academy of Physical Medicine and Rehabilitation…”
So why are they suing Medicare, A.K.A, the (Obama) government?
Quoting the Tribune, quoting them,
“…Under the law, Medicare is obligated to provide health care and therapy that are “reasonable and necessary for the diagnosis or treatment of illness or injury,” according to the legal complaint. Yet through the years, program administrators have decided that services will only be reimbursed if patients show signs of getting better, the complaint notes…..”
San Jose Care Resource Guide: This Medicare policy, of course, choose to ignore that , for many chronically ill, not getting worse is the name of the game!
San Jose Care Resource Guide: Fact is, bombast or not, liberal government will cut and/or weazzle out of social obligations like anybody else….Particularly when the group targeted for cuts does not seem politically significant. I.e. the disabled….The Obama admistration will rather spend our healthcare money on worthy causes like
San Jose Care Resource Guide: In End-of -Life decisions, it is important to realize how the “patient” would be
Euthanized, or
Terminated, or
Killed.
Pick your choice of terms according to your belief system, (yes, atheism is a belief system too…)
San Jose Care Resource Guide:
Since a lot of patients are on respirators at the time this would be done. [We use the word "done" instead of "happen" because this is an active decision on the part of the patient (if conscious), the medical palliative care team, and of the family.] We found this article in the Journal of Pain and Symptom Management . This study is about the influence of morphine injection on time to death after withdrawing ventilation from a terminal patient. Click Here Article is from East Carolina University.
San Jose Care Resource Guide, quoting: “…The mean time to death after terminal extubation was 152.7 ± 229.5 minutes without correlation with premorbid diagnoses..After extubation, each 1 mg/hour increment of morphine infused during the last hour of life was associated with a delay of death by 7.9 minutes …”(Extubation: remaval of the respiration devices}
San Jose Care Resource Guide: So,
152.7 + 229.5 minutes=382.20min 6.37 hrs: We are kinder to criminals with lethal injections…see below
152.7 - 229.5 minutes=382.20min=-76.8 min: Negative time a little confusing??
Compare the duration of death by extubation we mentionned above, to the duration of the death penalty procedure by lethal injection.
QuotingMedscape Today: “….According to the North Carolina Department of Corrections, once the ECG monitor displays a flat line for 5 min, the warden declares death and a physician certifies that death has occurred.Execution start times and declaration times were available for 33 of the 42 lethal injections conducted in North Carolina … Mean times to death [for lethal injection ececutions] were 9.88 ± 3.87 min for Protocol A, 13.47 ± 4.88 min for Protocol B, and 9.00 ± 3.71 min for Protocol C…..”
San Jose Care Resource Guide: You can draw your own conclusions…
San Jose Care Resource Guide:The Guardian brings us a podcast on the worsening financial burden of MSers. True, this is about NHS in England, but the austerity tidal wave has certainly hit the US too. For starters, look at our recent post on the cuts in California social and health safety net by Gov. Brown (Click Here for that post)
San Jose Care Resource Guide: The guardian’s podcast is not going to make MSers feel better about their plight. Maybe it could emphasize the need to advocate for them and their family caregivers. Here is the link to the ‘cast
San Jose Care Resource Guide: The recent change in the US Health Care system has emphasized dilution of the concept of disability and included questionnable ills in the society’s network. Just check out some of our previous posts:
We must force the government to distinguish between true the true hardship of the auto-immune diseases such as Multiple Sclerosis, Parkinsons’, Rheumatoid Arthritis, Lupus as well as all the forms of Cancers and Spinal cord Injury from more benign ills. The culprit? Here you have it :
San Jose Care Resource Guide: Gov. Brown announces “painful” [for whom?] cuts in California’s healthcare system. Click Herefor the Kaiser Health News/California Healthline link
Quoting:
The cuts, which total $12.5 billion, include some large reductions in health care services, including:
$1.6 billion cut from Medi-Cal;
$1.5 billion savings from reducing eligibility period for state health services;
$1 billion cut from developmental services;
$1 billion cut from In-Home Supportive Services; and
$ 716 million reduction in child care services, including reduction in levels of subsidies.
Ouch! Good thing it’s a liberal Democrat making the cuts……
Comments from San Jose Care Resource Guide (SJCRG) and it's Blogs are to bring your attention to topics that could benefit you and should discussed with your Doctor or Social Worker. Care Resource Guide will not be held liable for any damages incurred using the Blogs, data or links provided
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