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…

• Treatments include
• Cognitive behavioral therapy(CBT)
• relaxation techniques
• medication

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San Jose care Resource Guide: Quoting MedicalNewsToday

“…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:

What do you think?

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•  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.

The classical treatments of such causes is described in another article by the same author.  Chronic shoulder pain: part II. Treatment.

Those treatments consist of

• Activity modification and analgesic medications
• physical therapy
•  Combined steroid and local anesthetic injections

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…..”

Talk to your Doctor

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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
• FamilyDoctor.org  

More Expert Diagnosis Systems to come….

Confirm whatever you find out with your Doctor.

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San Jose Care Resource Guide: So what is one to do? Some drugs are used but they are not necessarily FDA approved for that purpose . Click hear ffor a link to Adienne Dellwo’s article on the CFS drugs

San Jose Care Resource Guide: What about alternative medicine?

• Click here for a link to the Mayo Clinic on alternatives for CFS
• 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

What this post helpful to you? Click Here to let us know

Talk to your Doctor

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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

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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 what is the Center for Medicare Advocacy? Seems like a large well organized pro-Obamacare health care advocacy site. In fact one one their article’s title is “HEALTH CARE REFORM DOES NOT CUT MEDICARE BENEFITS” ….

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

See our previous posts on the topic

• With Medicaid waiver, California dives into health care reform (stateline)
• Multiple sclerosis and it’s Financial Burden: Comments on the Guardian’podcast
•  HealthCare: California’s Gov. Brown’s proposed steep healthcare cuts
• Ways The New Health Law May Affect You in 2011 (KHN)
• Health Care Law Should Help With Jail Inmate Treatment (thecrimereport)
• Medi-Cal and Gender Reassignment Procedures

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1.  Euthanized, or
2. Terminated, or
3. 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.  

Quoting Medscape 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…

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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:

• Ways The New Health Law May Affect You in 2011 (KHN)
• Health Care Law Should Help With Jail Inmate Treatment (thecrimereport)
• Is your government draining money away from the benefits of the highly disabled?

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 :

“SUMMARY OF KEY PROVISIONS: EEOC’S NOTICE OF PROPOSED RULEMAKING (NPRM) TO IMPLEMENT THE ADA AMENDMENTS ACT OF 2008 (ADAAA)”

Please help hep Advocate for the truly disabled and/or chronically ill! CLICK HERE TO CONTACT US

Either way, we would love to hear your comments!

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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.

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