Archive for the Category ◊ General health ◊

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Situations arise right throughout life that we react to instantaneously and sometimes think later … ‘Why did I say that?’ Most of these reflex reactions have their origins in our own childhoods and show just how much the attitudes from our early training can stick.

One of the common dilemmas for parents comes up when they see their children handling their genitals and it can be hard to know how best to deal with it. Sure, some children are never seen doing this. On the other hand there’s the exceptional case where it seems to be an obsession, but for the most part self-exploration can be seen as a normal activity, even for babies. As they explore their bodies they discover that touching their genital area feels good. Unfortunately some parents don’t know how to handle the situation. I suppose calling it a ‘situation’ at all is probably blowing it out of proportion in the first place. Because of their own upbringing, their own fears and embarrassment, they may even see it as a punishable offence. Less than a century ago, parents sent their children to bed in metal mittens or strapped into straitjackets. They tied their legs together or wrapped them from the waist down in cold, wet sheets. Little boys’ penises were placed in spike-lined metal tubes to discourage erections and heavy punishments meted out for touching the goods. For decades children were threatened with, ‘Don’t touch, you’ll go blind or mad!’

No wonder we are left with a few hangups!

Spare a thought for all those poor young lads of previous generations who were told they needed glasses and blamed themselves because they believed the warnings. Now let’s think about the effects of punishing a child for the offence of touching their own genital area.

Melissa is thirty-five, and has two children. Although she felt loved and was close to her parents, she never felt comfortable talking to them about anything to do with sex.

One afternoon when her son James was about three, she found him lying face down on the floor with his hands underneath his groin. At first she thought he had fallen asleep, but he was rocking rhythmically back and forth and was quite hot and sweaty. It was then that she realized what he was doing.

Although looking back now she can’t explain her reaction, she felt immediately embarrassed and angry. Melissa picked him up off the floor, smacked his hand and said, a little too loudly, that only dirty boys did that sort of thing and that if anyone saw him doing it at kindy he wouldn’t be allowed to go back, and he wouldn’t see his friends anymore. Well, there were the predictable tears. How did it all look from James’ point of view? There he was, minding his own business and feeling pretty relaxed when suddenly he is wrenched up to his feet and Mummy is shouting at him that he’s done something very wrong, very naughty; but he can’t understand why. This doesn’t happen when he does anything else that feels nice. If this situation is repeated a few times, he learns, ‘This feeling makes Mum yell and hurt me so I won’t do it anymore. Well, not while she’s around anyway.’ Even though he may continue, he becomes anxious and furtive, and quite likely guilty about it.

Punishing boys for masturbation is rarely successful. The penis is right there, they have to hold it many times a day when they go to the toilet, it rises to greet the dawn, and it feels good when they touch or rub it. There’s no escaping its prominence in the life of any male. There’s an old joke that goes along the lines of  ‘ninety percent of men have masturbated and the other ten percent lie.’ Punishment doesn’t make the penis any less sensitive or any less interesting. What punishment achieves is furtiveness. ‘Let’s get this over with before I get sprung.’ Experts have linked this early ‘aversion therapy’ with later premature ejaculation and excessive sexual inhibitions.

With girls, you will most likely succeed in stopping them from touching their genitals. Hidden away from view and easy reach, a girl who is punished for touching her genitals is quite likely to stop. But what sort of triumph is this? Is it a Pyrrhic victory? Research has shown that women who never masturbated prior to having a sexual relationship have more difficulty with sexual responsiveness and orgasm with a partner.

If a child learns to link sexual pleasure with punishment, it leads to a logical thought progression. Thinking of a feeling of sexual pleasure as ‘wrong’ leads to a reaction of guilt whenever that sensation arises. That guilt shows itself as anxiety in sexual situations.

Let’s just think for a moment what would happen if we were just to ignore the whole thing. By the time they get to school age many children will masturbate quite regularly, but by this stage they have usually learnt through observation of other people that it is a private and personal matter, and will wait until they are on their own. Again, this is considered to be a normal part of a child’s development.

However, some children will need to have it spelt out with a distraction or a gentle reminder from time to time, if they continue to masturbate in public. By avoiding a big confrontation, they will escape that sense of anxiety or guilt that so many people have focused on their sexual organs, psychologically separating those parts from the rest of the body.

Sex therapists not only approve of masturbation as a normal activity, but use it as a form of therapy for sexual problems like premature ejaculation in men and failure to orgasm and sexual disinterest or inhibition in women.

On an even more serious level, if a child is trained to ignore their sexual organs, they don’t become familiar with what is normal for them. As adults, they will take longer to report sexual health problems and delay treatment.

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One of the first sexual decisions for boys is made for them at birth by their parents. Although it’s much less common these days, most parents still go through the motions of deciding whether to modify their sons’ sexual apparatus by circumcision. Boys are born with a hood of skin called the foreskin, covering the glans (knob) of the penis. Circumcision is a surgical procedure where this foreskin is cut off. Although there is no accepted medical reason to do it, parents have all sorts of motives for deciding to have this done. For followers of the Jewish faith, it is a non-negotiable issue. They see it as a physical mark of dedication to the service of God, and as such it is considered a religious rite rather than a medical procedure. As a family doctor I am occasionally asked for my opinion. Now aside from religious reasons, I tell parents ‘If it’s not broken, it doesn’t need fixing.’ In addition, the foreskin is loaded with sexual sensory nerve endings, so it is impossible to tell what difference that could make to his sex life.

Because the groundswell of medical opinion is now firmly against routine circumcision, some parents like to explain to me why they decided to go ahead with the operation; not that I think anyone needs to justify it after the fact. Some want their sons to look like their fathers, to have a set of matched penises in the family. Unfortunately, it’s going to be a long time before that little thing is going to look the slightest bit like Dad’s, and by then it’s not likely to be an issue. Some parents are worried that if the father is circumcized, he won’t know how to look after his boy’s foreskin, or teach him later how to maintain it himself. Certainly an uncircumcized penis does need a little more attention than a circumcized one, but it’s simple enough. In small boys, the foreskin is actually attached to the glans beneath. It can be tempting to pull the foreskin back before it’s ready, but this is not necessary. As a general rule of thumb, a foreskin is ready to be pulled back when a boy discovers he can do it himself. This usually happens by the time he is three or four years old. After that, he just needs to be taught to pull it right back and clean under it every day, just as you would teach him to wash behind his ears or brush his teeth. Of course there will be some foreskins that need to be removed at some stage because they are too tight or have become infected, but if we accepted that logic as a reason for routine circumcision, we would also take out everyone’s appendix and gall bladder at birth just in case something goes wrong there too.

You may have heard that recent evidence has suggested that the incidence of cancer of the penis, AIDS and urinary tract infection in males is slightly higher in the uncircumcized group. Taking a closer look, these findings are open to question, and the current opinion is that the results don’t justify recommending the operation.

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To get an idea of the intensities of the light sources used for treatment, think of a bright, sunny day. The light falling on your eyes is equal to 100,000 lux. A standard light box puts out between 2,500 and 10,000 lux.
There also are experiments with a visor, as on a baseball cap. This special visor has small battery-powered lights, and the illumination falls directly on the eyes. You cannot look away. Early results suggest that this device works at least as well as the panels of light, whether the light output is 600 lux or 32,000 lux.
Although these light sources are commercially available, all the experts warn against buying them without first consulting a psychiatrist trained to recognize SAD. (Take the test at the end of this article.) Diagnosing SAD can be tricky. The same symptoms may arise from other types of depression. Also, prescribed durations and intensities of light may vary. For some patients, light therapy doesn’t work at all. Dr. Rosenthal says they may need other treatments: drugs, psychological therapy, relocation to a warmer winterless climate. He adds that studies show fewer cases are found the closer you go to the equator (perhaps 10 percent of New Hampshire’s population may have SAD, but only 1.5 percent of Florida’s) and that women with SAD outnumber men by 7 to 2 – possibly, scientists say, because of hormonal differences.
Dr. Wehr says that children suffer from SAD and respond to the light as adults do. “It has a tremendous impact on their ability to function in school,” he observes. “They start out the school year fairly strong, thinking they will enjoy it. In November, it starts to fall apart. They sleep 12 hours a day. They’re not creative; they’ve lost the spark. Those with winter depression are slowed down. Their behaviors include overeating, oversleeping, and sluggishness.” Other SAD symptoms include anxiety, irritability, an inability to tolerate stress, and withdrawing from others.
And then there’s the summer SAD, a condition less studied than its winter form. Dr. Wehr says summer SAD patients have decreased sleep and loss of appetite and weight. “They are more agitated,” he adds.
One of Dr. Wehr’s patients, Helen O’Lone, a homemaker from Rockville, Maryland, suffered from depression all year. “But July was one of the worst months for me,” she says. “The whole world seemed black. I had no appetite.
My sleep was restless, agitated.” Dr. Wehr prescribed Prozac, an anti-depressive drug. “Now I feel the best I’ve ever felt in my life,” Mrs. O’Lone says. “I love to do water exercises and swim.”
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GENERAL HEALTH
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The Older Americans Act includes funding for a nutrition program that provides one meal a day for at least five days a week for elderly persons who can come to a center for senior citizens. Each meal is planned to furnish at least one third of the recommended allowances. Provision for modified diets can usually be made in these centers. Nutrition education, periodic health checks, and recreational activities are important components of this program.
Two programs provide meals for persons who are home bound. One of these is federally funded and originates in the centers for older Americans. At least one hot meal is delivered five days a week. In some circumstances arrangements are made for two daily meals, including weekends. “Meals on Wheels” is a program that provides a hot noon meal and a cold evening meal. The program is sponsored by community agencies, for example churches or hospitals. The recipient pays for the meals on a sliding fee scale according to ability to pay.
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GENERAL HEALTH
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If your child can see things clearly close up but distant objects seem blurred, it is likely that he is short-sighted.

Cause

Short-sightedness is due to the length of the eyeball from front to back being greater than usual. This interferes with the way light is reflected from the back of the eye, distorting the image transferred to the brain. Short-sightedness can run in families. Contrary to popular belief, reading a great deal does not cause shortsightedness.

Clinical features

Short-sightedness tends to become worse as the child approaches adolescence. You may notice that your child always sits very close to the television, or holds a book very close to his eyes while reading. If he sits at the back of the class, he may complain that he has trouble reading what is written on the blackboard.

Treatment

Children with short-sightedness invariably need to wear glasses. These are prescribed after a thorough eye test and need to be checked every year, as vision tends to change as the child grows. Adolescents may prefer to wear contact lenses.

When to see your doctor

If you suspect that your child is short-sighted, see your doctor who will refer him to an eye specialist for tests. If your child is having learning difficulties, it is a good idea to get his eyes checked.

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I don’t plan on letting any guy have it unless he is really special. I might give it to a guy if he shows he loves me, but not just because he wants it. They lie anyway, and they will say they love you. You have to be sure before you give it to them.

SIXTEEN-YEAR-OLD GIRL

You make it sound as though intercourse is a gift. It is really something you do with someone else for joy, closeness, and love in a| relationship that you think will last a very long time. It’s for you, too, not just your lover. Intercourse is an exchange of feelings emotionally and physically, something for both people to enjoy. It is n0t a thing you give to someone, it is a process of life you share with someone. Doing it for someone is not intercourse, it’s just “course.” The “inter” part of intercourse is what is important, and that means together, between. You can’t tell you love someone by whether or not you have had intercourse with them and you shouldn’t hold intercourse out as something to be earned. You will only end up being hurt, because when the boy thinks he has to earn it, he won’t be thinking of you, he’ll be thinking of it. He might try to make making love a goal, and then the lies and manipulation start.

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I knew I would pay for it. I masturbated when I was a kid and I continued it into marriage. Now I just don’t enjoy sex. This is my punishment, I guess.

HUSBAND

This man guesses wrong. Masturbation cannot cause any trouble for anyone unless it is engaged in against one’s own moral sanctions. It is an excellent educational opportunity, can lead to intense orgasms and a degree of psychasms through imagery, and is one way to develop sexual comfort and sexual self-esteem.

One problem, though, is that men tend to masturbate incorrectly. They try to get it done quickly, and their posture, technique, process, timing, and stimulation are all wrong. It does not train them for interaction with a partner but rather to “get off” or to “get rid of tension.” For men and women, masturbation offers an excellent opportunity for learning about the body, but may end up teaching a lesson of guilt, hurriedness, and secretiveness about sex.

The fact is that masturbation is separate from other forms of sexual behavior. It is not something that is done because you don’t have a partner, because you can’t find a partner, or because it must be done to be “good at sex.” It is not something that means that sex with your partner is not as good as it should be. Masturbation is one form of sexual stimulation, and if it is an option chosen with comfort and a sense of self-enhancement, it is generally helpful to sexuality in all areas of life. If you don’t masturbate, it means one thing: You don’t masturbate. It is not a sign of a hang-up or deficiency. It is no big deal unless we make it so. It probably gets too much good press and too much bad press, and it needs much more truth in advertising. It is a human sexual option.

Masturbation, or at least pleasurable self-exploration, can teach much about the F and R areas (and the G and Ñ areas in women). It can teach about the types of orgasm, about psychasms. But it teaches nothing but negative lessons if you feel badly about yourself for doing it.

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This is another critical point in fasting. You can ruin most of your achievement, if you subject your body to a food shock. Your sub-conscious mind may not believe you the next time you fast. Without realising it, you may train it to expect a shock, rather than work spontaneously and purify itself with maximum efficiency.

Your body is now pure. Your mind developed in many directions. Treat them both with care and attention.

In the first day of breaking the fast,

start by eating small quantities of liquid food. Try to treat your body as that of a newly born baby.

Eating one spoon of natural yoghurt (no flavours !!!) is a good start. Include fresh fruit, but chew it very intensely. Eat very small quantities (baby size), but do so quite frequently, every hour or two for example. Squeezing fresh fruit juices and nectars will provide you with an excellent food. Continue drinking at least 2-3 litres of water. You may add honey to the (lukewarm) water if you wish.

Some experiences felt on the first day can be quite memorable. After fasting, you are very sensitive and your instincts are very sharp. Not only you will find food to taste differently. To your surprise you may discover some ordinary food like bread to be more toxic than others (natural yoghurt for example), especially if you take it as your first bit of food after fasting. The sensation after swallowing the first bite of such food can be compared to the one you experience after having an alcoholic drink. The major difference is that such a sensation lasts only a few seconds.

Do not eat anything in the evening. Drink water, with honey if you like.

In the second day of breaking fast,

Eat little, mostly in a liquid form. Cooked oats, semolina and other cereals, natural yoghurts are OK. Eat fruits several times a day. Drink at least 2-3 litres of pure water. Do not eat meat, fish or eggs.

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This disorder tends to arise in the middle or late years of life. Each attack begins suddenly, usually with a buzzing in the ears and then severe giddiness.

It may be so severe that the person feels he is being thrown to the ground.

Consciousness is rarely lost. Nausea and vomiting are common.

The giddiness, nausea and vomiting are the same symptoms which occur with motion sickness due to a temporary disorder of the balance due to external motion.

The attacks last from 15 to 60 minutes but it may take the sufferer hours to fully recover.

Most attacks come on without any precipitating factor or any prior warning. They may occur during sleep.

Associated with the attacks of giddiness is a slowly developing nerve deafness and accompanied with the deafness is this condition of tinnitus or ringing in the ears which is often only noticed under quiet conditions.

The disorder can affect both ears.

The diagnosis is usually made on the history which involves those three factors of periodic giddiness, deafness and tinnitus.

The initial treatment is by drugs. Sedatives may be useful also a variety of the anti-histamine or anti-allergy drugs.

If those measures fail surgery must be considered.

Modern surgical procedures which have been made possible by the operating microscope can overcome the giddiness without damaging the auditory nerve and therefore preserve the hearing.

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Like alcohol, cannabis is an intoxicant and has similar effects on mood and the appreciation of time and distance.

It is not regarded as physically addictive as there are no withdrawal effects when the drug is not continually used. It may cause psychological dependence and regular use does have profound and well-documented effects, both on physical and mental health.

Those who use the drug in a happy atmosphere with friends may feel good and relaxed. Those who use it when flat and depressed may find it intensifies these feelings or it may induce hallucinations or a psychotic reaction.

Regular use, daily or even twice weekly, may lead to considerable apathy. This can influence school work, tertiary study or one’s job. Apathy and lack of drive can lead to poor food intake and poor personal hygiene and this can then adversely affect health.

Although there are laws which prohibit driving while under the influence of any drug, it is hard to obtain convictions unless substantiated with proof such as a blood alcohol level. It is difficult to obtain a conviction unless the level is so high that the person was obviously so affected that he could hardly stand without assistance, let alone drive.

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