Sunday, August 21, 2011

History of medicine


Prehistoric medicine incorporated plants (herbalism), animal parts and minerals. In many cases these materials were used ritually as magical substances by priests, shamans, or medicine men. Well-known spiritual systems include animism (the notion of inanimate objects having spirits), spiritualism (an appeal to gods or communion with ancestor spirits); shamanism (the vesting of an individual with mystic powers); and divination (magically obtaining the truth). The field of medical anthropology examines the ways in which culture and society are organized around or impacted by issues of health, health care and related issues.
Statuette of ancient Egyptian physician Imhotep, the first physician from antiquity known by name.
An ancient Greek patient gets medical treatment: this aryballos (circa 480-470 BCE, now in Paris's Louvre Museum) probably contained healing oil
Early records on medicine have been discovered from ancient Egyptian medicine, Babylonian medicine, Ayurvedic medicine (in the Indian subcontinent), classical Chinese medicine (predecessor to the modern traditional Chinese Medicine), and ancient Greek medicine and Roman medicine. The Egyptian Imhotep (3rd millennium BC) is the first physician in history known by name. Earliest records of dedicated hospitals come from Mihintale in Sri Lanka where evidence of dedicated medicinal treatment facilities for patients are found.[4][5] The Indian surgeon Sushruta described numerous surgical operations, including the earliest forms of plastic surgery.[6][dubious ][7]
The Greek physician Hippocrates (ca. 460 BCE – ca. 370 BCE), considered the father of Western medicine.[8][9]
The Greek physician Hippocrates, the "father of medicine",[9][10] laid the foundation for a rational approach to medicine. Hippocrates introduced the Hippocratic Oath for physicians, which is still relevant and in use today, and was the first to categorize illnesses as acute, chronic, endemic and epidemic, and use terms such as, "exacerbation, relapse, resolution, crisis, paroxysm, peak, and convalescence".[11][12]
The Greek physician Galen was also one of the greatest surgeons of the ancient world and performed many audacious operations, including brain and eye surgeries. After the fall of the Western Roman Empire and the onset of the Early Middle Ages, the Greek tradition of medicine went into decline in Western Europe, although it continued uninterrupted in the Eastern Roman (Byzantine) Empire.
After 750 CE, the Muslim Arab world had the works of Hippocrates, Galen and Sushruta translated into Arabic, and Islamic physicians engaged in some significant medical research. Notable Islamic medical pioneers include the polymath, Avicenna, who, along with Imhotep and Hippocrates, has also been called the "father of medicine".[13][14] He wrote The Canon of Medicine, considered one of the most famous books in the history of medicine.[15] Others include Abulcasis,[16] Avenzoar,[17] Ibn al-Nafis,[18] and Averroes.[19] Rhazes[20] was one of first to question the Greek theory of humorism, which nevertheless remained influential in both medieval Western and medieval Islamic medicine.[21] The Islamic Bimaristan hospitals were an early example of public hospitals.[22][23]
However, the fourteenth and fifteenth century Black Death was just as devastating to the Middle East as to Europe, and it has even been argued that Western Europe was generally more effective in recovering from the pandemic than the Middle East.[24] In the early modern period, important early figures in medicine and anatomy emerged in Europe, including Gabriele Falloppio and William Harvey.
The major shift in medical thinking was the gradual rejection, especially during the Black Death in the 14th and 15th centuries, of what may be called the 'traditional authority' approach to science and medicine. This was the notion that because some prominent person in the past said something must be so, then that was the way it was, and anything one observed to the contrary was an anomaly (which was paralleled by a similar shift in European society in general - see Copernicus's rejection of Ptolemy's theories on astronomy). Physicians like Vesalius improved upon or disproved some of the theories from the past.
Andreas Vesalius was an author of one of the most influential books on human anatomy, De humani corporis fabrica.[25] French surgeon Ambroise Paré is considered as one of the fathers of surgery. Bacteria and microorganisms were first observed with a microscope by Antonie van Leeuwenhoek in 1676, initiating the scientific field microbiology.[26] Partly based on the works by the Italian surgeon and anatomist Matteo Realdo Colombo the English physician William Harvey described the circulatory system.[27] Herman Boerhaave is sometimes referred to as a "father of physiology" due to his exemplary teaching in Leiden and textbook 'Institutiones medicae' (1708). It is said that the 17th century French physician Pierre Fauchard started dentistry science as we know it today, and he has been named "the father of modern dentistry".[28]
Modern scientific biomedical research (where results are testable and reproducible) began to replace early Western traditions based on herbalism, the Greek "four humours" and other such pre-modern notions. The modern era really began with Edward Jenner's discovery of the smallpox vaccine at the end of the 18th century (inspired by the method of inoculation earlier practiced in Asia), Robert Koch's discoveries around 1880 of the transmission of disease by bacteria, and then the discovery of antibiotics around 1900.
The post-18th century modernity period brought more groundbreaking researchers from Europe. From Germany and Austria, doctors Rudolf Virchow, Wilhelm Conrad Röntgen, Karl Landsteiner and Otto Loewi made notable contributions. In the United Kingdom, Alexander Fleming, Joseph Lister, Francis Crick and Florence Nightingale are considered important. Spanish doctor Santiago Ramón y Cajal is considered the father of modern neuroscience.
From New Zealand and Australia came Maurice Wilkins, Howard Florey, and Frank Macfarlane Burnet.
In the United States, William Williams Keen, William Coley, James D. Watson, Italy (Salvador Luria), Switzerland (Alexandre Yersin), Japan (Kitasato Shibasaburō), and France (Jean-Martin Charcot, Claude Bernard, Paul Broca and others did significant work). Russian Nikolai Korotkov also did significant work, as did Sir William Osler and Harvey Cushing.
As science and technology developed, medicine became more reliant upon medications. Throughout history and in Europe right until the late 18th century, not only animal and plant products were used as medicine, but also human body parts and fluids.[29] Pharmacology developed from herbalism and many drugs are still derived from plants (atropine, ephedrine, warfarin, aspirin, digoxin, vinca alkaloids, taxol, hyoscine, etc.). Vaccines were discovered by Edward Jenner and Louis Pasteur.
The first antibiotic was arsphenamine / Salvarsan discovered by Paul Ehrlich in 1908 after he observed that bacteria took up toxic dyes that human cells did not. The first major class of antibiotics was the sulfa drugs, derived by French chemists originally from azo dyes.
Pharmacology has become increasingly sophisticated; modern biotechnology allows drugs targeted towards specific physiological processes to be developed, sometimes designed for compatibility with the body to reduce side-effects. Genomics and knowledge of human genetics is having some influence on medicine, as the causative genes of most monogenic genetic disorders have now been identified, and the development of techniques in molecular biology and genetics are influencing medical technology, practice and decision-making.
Evidence-based medicine is a contemporary movement to establish the most effective algorithms of practice (ways of doing things) through the use of systematic reviews and meta-analysis. The movement is facilitated by modern global information science, which allows as much of the available evidence as possible to be collected and analyzed according to standard protocols that are then disseminated to healthcare providers. The Cochrane Collaboration leads this movement. A 2001 review of 160 Cochrane systematic reviews revealed that, according to two readers, 21.3% of the reviews concluded insufficient evidence, 20% concluded evidence of no effect, and 22.5% concluded positive effect.[3

Saturday, August 20, 2011

Default What Is the Medical Device Industry?






The medical device industry supplies equipment and machines to the health care and medical industries. Some purposes for the machines and equipment include patient care, surgery, diagnosis and therapy. The medical device industry manufactures and distributes supplies that range from tongue depressors to X-ray machines. Generally, there are four primary players in the medical device industry: manufacturers, distributors, users and consumers.

The manufacturers are the companies that actually create and build the medical devices. Generally, a medical device company specializes in one type of machine. This is especially true for the more expensive units. Other medical device manufacturers specialize in categories, so they may manufacturer all heart-related medical devices. For smaller medical items, such as cotton swabs and tongue depressors, one manufacturer may supply a variety of items.

The manufacturers in the medical device industry build the machines, but tend to depend on distributors or sales people to sell the devices to the users. Some distributors may be medical device stores or pharmacies, where the retail store buys directly from the manufacturer. This tends to be for walking canes, walkers, hospital beds and other items that a consumer may buy directly from a store or pharmacy.

X-ray machines and high-end equipment that hospitals and doctors use are typically sold through a sales representative or distributor. These professionals have accounts that they visit on a regular basis to present the equipment or medical device that they are selling. The representative demonstrates the use of the equipment and tries to sell it to the hospital or doctor’s office.

After the hospital or doctor’s office purchases the equipment, the representative may even train the staff on how to use it. The users in the medical device industry tend to be medical and health care professionals. These are the customers in the industry that have their hands on the machine and are using the machines and equipment to perform their job duties, typically on a daily basis.

The final category in the medical device industry is the consumer. In the healthcare industry, these are the patients that need the machines for diagnosis, surgery, therapy or some other form of patient care. The users of the medical devices must have patients in order to put the equipment and machinery to good use.

Some experts even divide the medical device industry into two regions: European and United States. This is because there are some medical devices that become available in one region, but are not yet available in another. Primarily, this is due to the standards and guidelines that are set by the bodies in each region that govern the manufacturing and distribution of medical devices and equipment

Symptoms of Mesothelioma

Symptoms of Mesothelioma

Symptoms MesotheliomaAbout 15% of
Mesothelioma cases are found in the early stages, before the cancer has spread to nearby lymph nodes or elsewhere. The 5 year survival rate for people with mesothelioma is 50% if there is no evidence of cancer in lymph nodes at the time of surgery. Unfortunately, in most cases, the spread of cancer has already occurred even if not detected by current medical tests. When all mesothelioma stages are considered together, the 5 year survival rate is only about 14%. Many early mesothelioma are diagnosed incidentally - they are found as a result of tests that are done for an unrelated medical condition. Although mesothelioma does not cause any symptoms until it has spread too far to be cured, symptoms do occur in some patients with early mesothelioma . Prompt attention to symptoms, leading to early diagnosis and treatment can result in a cure for some patients. For others, prompt attention to symptoms can improve the likelihood that treatment can extend their life and relieve many of their symptoms.
Common signs and symptoms of mesothelioma include:
A. Pleural mesothelioma Symptoms
Some of the symptoms of pleural mesothelioma (mesothelioma cancer of the lung lining) include:

Symptoms Mesothelioma
pain in the lower back or the side of the chestSymptoms Mesotheliomashortness of breathSymptoms Mesotheliomaa persistent coughSymptoms Mesotheliomadifficulty swallowing foodSymptoms Mesotheliomafever and sweatingSymptoms MesotheliomafatigueSymptoms Mesotheliomaweight loss.
These symptoms are also common to many minor ailments and, therefore, may not cause a doctor to suspect mesothelioma.

Pleural Effusion-fluid in the Lungs
One of the most common and specific symptoms of pleural mesothelioma is the accumulation of fluid between the lungs and chest cavity. This generally causes shortness of breath, and requires a doctor to drain the fluid, called fine-needle aspiration, to make breathing easier and relieve chest pain. This symptom is more unique to mesothelioma, making it more likely that you may have the disease.

B. Peritoneal mesothelioma Symptoms
Symptoms of peritoneal mesothelioma (abdominal mesothelioma - mesothelioma of the lining of the stomach) include:

Symptoms Mesothelioma
stomach pain nausea and vomiting weight loss.Like pleural mesothelioma, these symptoms are also common to many minor ailments and, therefore, may not cause a doctor to suspect mesothelioma

Carpal Tunnel Syndrome



Overview, Causes, & Risk Factors

Carpal tunnel syndrome (CTS) is a condition in which the median nerve in the wrist is compressed. This causes numbness and pain in the fingers and hand.
What is going on in the body?

A ligament and the bones at the base of the palm of the hand, just beyond the wrist, form the carpal tunnel. Through this tunnel passes the median nerve and tendons going to the fingers and thumb. The median nerve conducts sensation from the palm side of the thumb and fingers, except for the little finger. It also carries impulses to small muscles in the hand, particularly at the palm side of the base of the thumb. If the pressure in the carpal tunnel increases enough, the median nerve is compressed.
What are the causes and risks of the condition?

CTS can be caused by anything that increases pressure on the nerve in the carpal tunnel. CTS has been associated with repetitive stress injury. This type of injury occurs when a part of the body is used repeatedly or overused. People who use computers or vibrating tools are at particular risk. Factory workers on assembly lines, or those who do repeated actions involving the wrist, may develop CTS.

Other factors can also increase a person's risk for carpal tunnel syndrome. Examples include the following: chronic renal failure, a form of kidney failure
a cyst on the tendon
diabetes
gout, a form of arthritis
hemodialysis, a procedure for filtering blood of people with kidney failure
hypothyroidism, or low levels of thyroid hormone
obesity
oral contraceptives
pregnancy
rheumatoid arthritis
trauma, or injury, to the wrist
tuberculosis
Carpal tunnel syndrome is more common in women than in men. It is most common in middle-aged individuals.

Symptoms & Signs

What are the signs and symptoms of the condition?

CTS usually starts gradually, with a vague aching in the wrist, extending into the hand or forearm. Acute onset occurs when the compression of the nerve happens suddenly. This sudden onset is more likely to cause pain. The numbness and tingling is felt in the thumb, index finger, long finger, and half of the ring finger on the palm side. Sharp pains may radiate up through the arm or shoulder.
Often a person will wake up at night with pain or numbness. The individual may shake or massage the wrist in order to "improve the circulation." Similar symptoms can occur during the day, particularly when performing repetitive activities with the wrist bent. Eventually the nerve trouble can result in weakness of the thumb muscles and a tendency to drop things.

Diagnosis & Tests

How is the condition diagnosed?


The diagnosis of carpal tunnel syndrome begins with a medical history and physical exam. The healthcare provider may order additional tests, including: an electromyogram, or EMG, which tests the electrical activity of the muscle
an MRI of the wrist, which may show the compressed nerve
a nerve conduction velocity test, which measures electrical conduction along the median nerve

Prevention & Expectations

What can be done to prevent the condition?

Any underlying cause of CTS should be diagnosed and corrected. For example, medicine can be used to correct hypothyroidism.
Overuse of the wrist and fingers should be avoided. A small recovery time is needed to rest and lubricate the flexor tendons. Variety is the key. Workers whose motions are repetitious and prolonged are at risk. A mixture of activities, such as typing interspersed with filing, may help to rest the affected areas. Finding a new way to use the hand, by using a different tool, may help some individuals. Using the nondominant hand more often might help to relieve stress on the dominant extremity.
Computer workstations should be designed so that the wrists are well supported in a neutral position. Care should be taken to avoid striking the palm side of the wrist on hard surfaces. Special on-the-job equipment and training may be available.
Early identification of symptoms is important. Early symptoms, such as tingling in the fingers, may occur several hours after the aggravating activity has stopped. Making the connection between activities and symptoms is important. This gives the person a chance to correct working conditions. This may help to prevent further or worsening symptoms.
What are the long-term effects of the condition?

If carpal tunnel syndrome isn't treated, the hand may become weaker and number. Permanent numbness and weakness can result.
What are the risks to others?

Carpal tunnel syndrome is not contagious and poses no risk to others.

Treatment & Monitoring

What are the treatments for the condition?

Underlying diseases, such as diabetes, underactive thyroid, and rheumatoid arthritis should be treated. Weight loss or reduced salt intake may be helpful.
Repetitive use of the hand with the wrist bent must be avoided. Frequent changes of activity, with breaks for 5 minutes every hour, can help prevent overuse. Certain exercises can be done to increase flexibility in the wrist and fingers. People with CTS should not sleep on their hands or with wrists bent down. It is very important to sit properly at the computer, with good support for the wrists. Yoga-based exercises may be effective.
For mild cases, the first treatment is to splint the wrist at night and during the day if possible. A splint keeps the wrist from moving but allows for mostly normal hand activity. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen, can be used for a short time. If these do not help, a corticosteroid can be injected into the carpal tunnel. This may help permanently or only temporarily.
Surgery, called carpal tunnel repair, is reserved for people with muscle wasting and decreased sensation. This surgery is considered only when the symptoms are no better after several months of treatment.
What are the side effects of the treatments?

NSAIDs can cause stomach upset or allergic reactions. Injecting corticosteroids rarely can accidentally injure the nerve. Surgery can cause bleeding, infection, nerve damage, or allergic reaction to anesthesia.
What happens after treatment for the condition?

After the surgery, the wrist is immobilized for a short time. Exercises help to regain mobility of the wrist and fingers. It is important to practice proper use of the wrist.
How is the condition monitored?

Any new or worsening symptoms should be reported to the healthcare provider.

Attribution

Author:John A.K. Davies, MD
Date Written:
Editor:Crist, Gayle P., MS, BA
Edit Date:04/30/01
Reviewer:Barbara Mallari, RN, BSN, PHN
Date Reviewed:09/04/01
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Tuesday, August 16, 2011

Medifocus Guidebook on Peripheral Neuropathy



What is Peripheral Neuropathy?
The nervous system controls the smooth functioning of all systems in the body as well as all interactions between the human being and the environment. The nervous system is comprised of millions of neurons that are interconnected and form a communications network within the body that governs many vital functions including:

  • The five senses (sight, hearing, touch, smell, and taste)
  • Voluntary functions (e.g. walking, holding an object)
  • Involuntary functions (e.g. breathing, blood pressure)
  • Cognitive reasoning
The human nervous system has two major components:
  • Central nervous system - includes the brain and spinal cord
  • Peripheral nervous system - includes the nerves that lead from the brain and spinal cord to all parts of the body. An extensive system of specialized nerves makes up the peripheral nervous system which is responsible for a variety of important functions. These specialized nerves include:
    • motor nerves which carry messages from the brain to the body and are responsible for the ability to move any part of the body (e.g., hands, feet)
    • sensory nerves which carry information from organs to the central nervous system where it is processed into sensation (e.g., touch, temperature changes, and vibrations)
    • nerves that control autonomic (involuntary) functions including heart rate, blood pressure, breathing, digestion, and bladder function
Peripheral neuropathy is a term used to describe damage to nerves of the peripheral nervous system which leads to symptoms such as pain, numbness, tingling, burning, and weakness most commonly affecting the hands and feet. Peripheral neuropathy can be caused by a variety of precipitating factors including trauma, infection, diabetes, alcohol abuse, and cancer chemotherapy.
The incidence of peripheral neuropathy is not known with any degree of certainty. It has been estimated that approximately 2 to 3 million Americans have some form of peripheral neuropathy. The prevalence of peripheral neuropathy worldwide has been estimated to range from 2% to 8% of the population. Peripheral neuropathy affects both genders at all ages but symptoms are unique to each individual in terms of frequency, quality, and severity of pain. Idiopathic peripheral neuropathy typically affects adults over the age of 50. Peripheral neuropathy can significantly impact an individual's quality of life and daily activities by causing major disruptions including:
  • Sleep disturbances
  • Mood changes
  • Impairment of social, occupational, and recreational functioning
Knowledge is Critical when Dealing with a Life-Altering Condition such as Peripheral Neuropathy
If you or a loved one has been diagnosed with peripheral neuropathy, it's critical to learn everything you possibly can about this condition so that you can make informed decisions about your treatment. That's why we created the Medifocus Guidebook on Peripheral Neuropathy, a comprehensive 187 page patient Guidebook that contains vital information about peripheral neuropathy that you won't find anywhere in a single source.
The Medifocus Guidebook on Peripheral Neuropathy starts out with a detailed overview of the condition and quickly imparts fundamentally important information about peripheral neuropathy, including:
  • The underlying causes and risk factors for developing peripheral neuropathy, which include:
    • Diabetes
    • Autoimmune disorders
    • Metabolic disorders
    • Hereditary disorders
    • Infectious diseases
    • Alcohol abuse
    • Trauma
    • Cancer chemotherapy
  • The different types of peripheral neuropathy that can occur based on the pattern of nerve involvement and the distribution of pain, which include:
    • Mononeuropathy
    • Mononeuropathy multiplex
    • Polyneuropathy
  • The signs and symptoms associated with peripheral neuropathy based on the specific underlying cause, when known.
  • How peripheral neuropathy is diagnosed based on a variety of factors and diagnostic tests including:
    • Signs and symptoms
    • Patient history and physical examination
    • Pattern of distribution of pain along sensory or motor nerves
    • Special electrodiagnostic studies, such as nerve conduction tests and electromyography (a test which measures the response of muscles to electrical stimulation)
Understanding the Standard Treatments...and the Treatment Options
The primary goals of treatment for peripheral neuropathy include accomplishing the following objectives:
  • Determining and treating the underlying cause of the condition, if possible.
  • Controlling and alleviating pain and other bothersome symptoms associated with the condition.
  • Preserving function of the affected limbs, such as the hands and/or feet.
  • Preventing a significant decrease in the patient's quality of life.
An important aspect for successfully achieving these goals is understanding the treatments - and the treatment options - for peripheral neuropathy. As you read through the section of the Guidebook that focuses on the treatment of peripheral neuropathy, you will specifically learn about:
  • The management of peripheral neuropathy in patients where the underlying cause can be identified, such as diabetes, autoimmune disorders, infectious diseases, nerve compression, and cancer chemotherapy.
  • The major types of medications that are often prescribed to relieve pain associated with peripheral neuropathy, which include:
    • Antidepressants
    • Anticonvulsants
    • Selective serotonin reuptake inhibitors
    • Narcotic analgesics
    • Topical agents such as capsaicin and lidocaine patches
  • The treatment options that are available for controlling pain that does not adequately respond to drug therapy, including nerve blocks with local anesthetics and spinal cord stimulation.
  • The role of physical and occupational therapy in functional rehabilitation of patients with peripheral neuropathy.
  • The role of complementary and alternative therapies in the management of peripheral neuropathy.
  • The impact of peripheral neuropathy on the patient's psychological well-being and quality of life, including aspects such as:
    • Anxiety and depression
    • Social relationships
    • Activities of daily living
    • Employment issues
    • Sleep disturbances
    • Recreational activities
    • Feelings of self-worth
  • Practical tips and suggestions for how to minimize the negative impact of peripheral neuropathy on your quality of life and learn how to better cope with the condition.
  • Important questions to ask your doctor about peripheral neuropathy.
A "One-of-a-Kind" Reference Guidebook on Peripheral Neuropathy that Goes Way Beyond the Fundamentals
Since 1996, when Medifocus was founded, we've learned that many people with Peripheral Neuropathy are seeking more specific information that goes beyond the fundamentals, such as the causes, diagnosis, standard treatments, and treatment options. That's why we developed a "one-of-a-kind" reference Guidebook that goes way beyond the basics and also includes the following sections:
  • A Guide to Recent Medical Literature on Peripheral Neuropathy - This section of the Guidebook contains an extensive bibliography of over 100 references to recently published articles about Peripheral Neuropathy in authoritative, peer-reviewed medical journals with links to the absracts (summaries) of the articles. These articles represent the latest advances in the field and focus on cutting-edge research, new developments, and the lessons learned from recently published clinical trials involving patients with Peripheral Neuropathy. This is the same level of that is used by doctors who treat people with Peripheral Neuropathy to keep abreast of the latest developments and breakthroughs in this specialized field of medicine.
  • Centers of Research for Peripheral Neuropathy - We've compiled a unique directory of doctors, hospitals, medical centers, and research institutions with special interest and, in many cases, clinical expertise in managing people with Peripheral Neuropathy. The "Centers of Research" directory is a valuable resource for quickly identifying and locating leading medical authorities and medical institutions both within the United States and other countries who are considered to be at the forefront in clinical research and treatment of Peripheral Neuropathy. You'd have to spend days - or even weeks - attempting to compile your own list of doctors and medical centers but, with the "Centers of Research" directory, the information is already right at your fingertips. All you have to do is act on the information by selecting and contacting the experts or medical institutions listed in the directory by state and country.
  • Organizations and Support Groups for Peripheral Neuropathy - The Guidebook also includes a directory of organizations and support groups whose goal is to help people with Peripheral Neuropathy by providing access to information, resources, and services. Many of these organizations can answer your specific questions, enable you to "network" with other patients, and provide guidance in areas such as financial, social, or medical-legal issues. This valuable directory of organizations and support groups includes complete contact information, including phone numbers and E-mail addresses.
The Guidebook is a Value-Added Proposition that Comes with a Risk-Free Satisfaction Guarantee so that...You have Nothing to Lose and Everything to Gain
Still not sure if you'll benefit from the Medifocus Guidebook on Peripheral Neuropathy? Still not convinced that the information included in the Guidebook is worth the minimal cost? If that's the case, then please consider the following value-added proposition that comes standard with your purchase of the Guidebook:
  • Free Updates for One Year - With your initial purchase of the Guidebook, you also receive access to free updates for one-full year. The Guidebook is updated with new information every 4 to 6 months, so that you will be able to access the updated information several times during the course of a year for up to one full year after the date of your initial purchase.
  • Free Digest E-Mail Alerts - When you purchase the Guidebook, you will also automatically receive a free subscription to our monthly newsletter - the Medifocus Digest Alert for Peripheral Neuropathy. This is an expertly selected listing of the latest articles published in the medical literature about Peripheral Neuropathy with convenient links to the abstracts of the articles that focus on cutting-edge research, clinical trials, and the latest treatment advances. The Medifocus Digest Alert for Peripheral Neuropathy is automatically delivered straight to your "inbox" monthly and is a valuable resource for keeping up with the latest developments in Peripheral Neuropathy almost as soon as the new information is published in the medical literature.
  • 10% Discount - For a limited time, you can purchase the Medifocus Guidebook on Peripheral Neuropathy at a special 10% discount off the regular list price. Your 10% discount will automatically be applied when you go to "Checkout".
  • Risk-Free Satisfaction Guarantee - Your purchase comes with our RISK-FREE satisfaction guarantee. If, for whatever reason, you are not totally satisfied with the content of your Guidebook, simply contact us within 30-days of your purchase for a prompt, full refund. We are so confident that you will be satisfied with your Guidebook that we offer this RISK-FREE satisfaction guarantee unconditionally - no questions and no hassles

Saturday, June 25, 2011

Howdy Folks:) Sue Relays Asked Me to Post My Results Here



I got to know Sue when she visited the Colorectal Board - she's been a good friend and terrific supporter to me. And since she does not get over to our side very much anymore, she asked me if I would post my results over Here so she could see them. I hope you don't mind.
From Sue:
"Will be waiting to see your results. Will you post on the anal board as well??"
This is a long post but covers the past year of my fight, currently at 7-years, Se IV.
Grab something to drink and you're welcome to read along with Sue. And maybe Joanne will show up Here - I miss her to and met her on the other board when she first got here.
Ok, Sue and everybody Here we go!
“SUNDANCE vs CANCER” – The results Post
Faster than a speeding locomotive – Able to leap tall buildings in a single bound – Look! – Up in the air! – It’s a bird! – It’s a plane! – It’s…..it’s……awww $hit, it’s only SundanceHowdy Folks:) Relays Asked Post
LOLHowdy Folks:) Relays Asked Post
The “Betting Windows” are now officially closed, so I hope you got your wagers down – there was sure plenty of timeHowdy Folks:) Relays Asked Post
Well, this is finally the post that I have waited for and waited to write. And also the one that many of you have waited for as well. Almost a year in the making and through it all, it has been a “Watershed Moment” in my journey.
I suppose when I reflect back on it, we could say that it’s the most influential battle of my entire campaign. There was much at stake to be won or lost. It carried huge significance as I motored on toward my 7th year of this incredible saga. And all the time, never knowing exactly which way the battle was going to go. Would I win? Or would I begin to slip?
The stakes we were playing for was my very existence, which I believe we can all agree, is worth playing for. The difference is we had to fight like there was never going to be tomorrow – because that’s always in the cards and is the key component that weighs so heavily on all of our minds.
It’s a funny feeling looking back on this past year. In many ways, it still feels like yesterday – and then on the other side, it seems like a lifetime ago.
Cancer played a dirty little trick on me this time. We know he does not play fair and is a dirty fighter. He used the DaVinci tumors the time before, to lull us into a false sense of complacency while he stealthily hid behind my lungs and gathered his forces, before he could again announce his presence in my body for this last year’s fight.
When I was still in the hospital after this lung surgery, I remember a nurse bringing me my pathology report. Even dazed on morphine and with blurred eyesight, I could still make out the words…”Colorectal Mets to Lung.”
And I remember thinking, “Now, you’ve showed yourself, you SOB!” I sat up in bed and thought, “I’ve got you now.” You’ve just kicked the sleeping dog – you just woke up the Gentle Giant. So, once again, it’s “officially back on.”
Strangely though, I felt some sense of comfort in those words, in the fact that I again knew what I was going back up against….there was no guessing anymore, there it was in the report. It was time once more to “get my mind right to fight.”
Once I found out the surgery did not completely remove the malignant tumors, I knew it was going to a really long and hard road, with no shortcuts. I was going to have to go all in and gut this one out for the long haul, if I was to have a chance at any kind of victory.
You all know there were times when it looked like I was beaten. Down and out for the count is what’s ahead for our good old Sundance, folks were probably thinking – put a fork in him, he’s done. But then again, you don’t know SundanceHowdy Folks:) Relays Asked Post
I’ve always said I may “bend or waver” during the fight, but that I would never “break.”
Maybe that’s not an entirely true statement. Perhaps, it depends on what your definition of “break” is. In fact, Cancer had me beaten and on my knees begging for either “Death or Mercy.” It had me beaten at the time, but not broken for the long haul of the fight.
“The CURE” had me beaten as well this time , but I stayed strong enough to complete the entire protocol “by the numbers.” It was really difficult this time to mentally and physically step through all the obstacles that stood in our way. As I’ve said before, it gets a little harder to keep taking the pounding, the longer you stay in the fight.
The mind and heart are still willing – but the body just doesn’t “bounce” like it used to. I think this is the biggest difference in an old veteran fighter vs the newly diagnosed.
While the surgeries and treatments have compromised our bodies, we learn we must adapt and use our experience and smarts to fight on, instead of relying on a new body that is just starting out.
My medical team continuously put the foot on the gas and we were very aggressive in our treatment plan and there was no time to rest. We relentlessly pursued our target and stayed in the attack mode the entire time.
Oh yes, I can be beaten – I can be hurt – I can bleed – I can hurt – I can suffer. I am just a mortal man, composed of blood & flesh..
However, on the other side of the coin, I can also be tenacious – persistent – stubborn – and relentless in my own pursuit. My horoscope is “Cancer, the Crab.” I’m a “July Baby.”
We’re loveable, friendly, and loyal – but when fuc*ed with, we raise our pinschers and will snap you. We’re a very formidable force to reckon with. When we hit back, it hurts too, just like we were hurt. We only fight when provoked though and let’s face it, Cancer does provoke us, doesn’t it?
Here’s the last topic I wanted to discuss. Let’s talk about our roommate – HOPE.
What an interesting fella’ this guy is, am I right?
He’s very elusive and if we’re not real careful, he can just slip out of our fingertips and just be gone. And when he goes, he’s sometimes hard to find again. And when Hope moves out, Depression can move in – then he invites Despair, Hopelessness and Loneliness to the party, and from there our lives can disappear and become nothing but existence.
And that’s a very bad place to be – especially for too long. I know, because I spent 9-months with all of these guys this year. They are not nice “house guests.” They try to rob you of that thing that we call “Our Lives.”
And then it becomes up to us to take back back what was so wrongly taken from us. Each of us must do that and find a way to get Hope moved back in with us, so we can flourish and feel optimism.
What is my definition of Hope?
I’ve come to think of Hope as that “Intangible element of humanity that we cannot see, but one that we feel.”
It’s the single common denominator that every single one of us has inside. It’s the driving force behind our individualism and more importantly, the one thing that we “Cling To” and “Reach For” in times of dire circumstances that beset each of us, somewhere in our lifetime.
As the old saying goes, “Let’s Keep Hope Alive!”
Hey, let’s go down to ringside right now, looks like Michael Buffer is about to announce “The Decision.” Who came out on top? Sundance or Cancer?
“Ladies and Gentlemen! The Winner by KO and still the Undefeated Cancer Champion of the World, with a 3-0 title defense, is……….your very own…….SUNDANCE! “
LOLHowdy Folks:) Relays Asked Post
And the crowd goes WILD……….Howdy Folks:) Relays Asked Post !!!
For any of you that bet against me…….”Suckerzzzz!” LOLHowdy Folks:) Relays Asked Post
That’s right folks – 3 recurrences Up and 3 recurrences Down – just like in ball, huh?
We did it again. We knocked Cancer “Back into the Shadows” once more. He’s gone back into hiding, licking his wounds, while I lick mine. But, we got Him down right now. You read the BAD in my other post…….and now for something completely different, Here is the GOOD:
1. Colon and Rectum = Clear
2. Liver = Clear
3. Lungs = All ClearHowdy Folks:) Relays Asked Post
Many of you might recall in my Thanksgiving Message to my Cancer, that I said, “I am down right now – but when I get up, I’m coming – and He11 was coming with me.
Well, with Big Billy by my side, we “Huffed and we Puffed”…and we “Blew the Doors to the Gates of He11 Wide Open!”
What looked like a highly improbable, if not impossible mission at the beginning of this fight, has come to a successful conclusion. I know how fortunate I am to be on the “positive side of the ledger” right now. It sure could have gone either way, but somehow we are on top right now.
We’re officially back to “Watching and Waiting.” I’ll talk to NED, if I make it “clean” for 5-years, with no further recurrences….. (June 2016).
So, it does not get much better than this….am I right?
I thought the balloons were supposed to fall out of the ceiling about now? Why isn’t the band playing? Where’s the cake and ice cream? Where is Jennie with my margaritas?
LOLHowdy Folks:) Relays Asked Post
Since I can’t get to any of you right now…we’ll just have to have a “Cyber Celebration!” I need some folks to share in this joy with me. It will mean more if I have all of you around me in the “same room.”
So, what’s next for Sundance?
I’m going to Disneyworld!...................................Not !
I’ll be lucky to get to Chicago for CP9 – with this very meaningful victory, it is my sincerest hope that I can make it there and get some lovin’ from my honeysHowdy Folks:) Relays Asked Post
What’s next is instead of escaping Cancer, I’m going to jump back into the deep end of the pool and go back to the beginning of the journey – first chapter titled “The Diagnosis.”
I want to jump on getting this written now, while the wounds are fresh and the feelings raw. I’m excited about making this a reality – now publishing will be another story – coming to an Amazon Kindle near you?
I’ll close this post with these final thoughts…..
On the day that Donna (Shayenne) aka “My Chicky” passed away, I posted on that thread that Her Lion had roared for the final time.
A beautiful chapter in my life and on this board and a real life story of friendship had come to a tragic and painful end. On this day a part of me died with her –Her Lion was dead and gone, and yet the memories still remained, but were now forever buried deep within the archives of the CSN posts.
This is a day where I wished Chicky were still Here with us – certainly a story she would have loved to hear about and rejoice in. I will miss not seeing her post in this thread.
In honor of her memory and to bookmark this momentous occasion, Donna’s Lion “ROARZZZZ” one more timeHowdy Folks:) Relays Asked Post Miss you, Chicky.
This one was for myself, but also for the Semi;Colon Nation. I stand before you as a living testimony to what Cancer “Can and Cannot” do to us. It will never be easy, but you too can do this. I’ll stand proudly beside each one of you and be with you for each stop in your journey. Don’t be afraid – get mad – get even – and get out there and fight!
I understand less and less as time goes by – have no idea of why I’m still Here after 7 years of battling this stuff. Don’t understand why my friends did not make it, but I am still here. I suppose I’ll never know.
And Cancer may indeed catch me one day – but guess what? It won’t be TODAY!!!
All of you know that Sundance is not the kind of guy that “Goes Quietly into the Night.”
I carry all of your hopes and dreams with me in my heart. I have the deepest respect and admiration for each one of you Here – both past and present. You are the finest group of people I know and I’m proud to know you all.
All of you are Winners – and Cancer will never, ever take that away from you! With all of the love I can muster, I thank you for staying with me and you are all in my thoughts, in my heart, and in my dreams. Semi;Colons Rock!
I SALUTE YOU!!!
Craig and Big Billy
“Team Sundance

Medifocus Guidebook on Peripheral Neuropathy



What is peripheral Neuropathy?
The nervous system controls the smooth functioning of all systems in the body as well as all interactions between the human being and the environment. The nervous system is comprised of millions of neurons that are interconnected and form a communications network within the body that governs many vital functions including:
  • The five senses (sight, hearing, touch, smell, and taste)
  • Voluntary functions (e.g. walking, holding an )
  • Involuntary functions (e.g. breathing, blood pressure)
  • Cognitive reasoning
The human nervous system has two major components:
  • Central nervous system - includes the brain and spinal cord
  • Peripheral nervous system - includes the nerves that lead from the brain and spinal cord to all parts of the body. An extensive system of specialized nerves makes up the peripheral nervous system which is responsible for a variety of important functions. These specialized nerves include:
    • motor nerves which carry messages from the brain to the body and are responsible for the ability to move any part of the body (e.g., hands, feet)
    • sensory nerves which carry information from organs to the central nervous system where it is processed into sensation (e.g., touch, temperature changes, and vibrations)
    • nerves that control autonomic (involuntary) functions including heart rate, blood pressure, breathing, digestion, and bladder function
Peripheral neuropathy is a term used to describe damage to nerves of the peripheral nervous system which leads to symptoms such as pain, numbness, tingling, burning, and weakness most commonly affecting the hands and feet. peripheral neuropathy can be caused by a variety of precipitating factors including trauma, infection, diabetes, alcohol abuse, and cancer chemotherapy.
The incidence of peripheral neuropathy is not known with any degree of certainty. It has been estimated that approximately 2 to 3 million Americans have some form of peripheral neuropathy. The prevalence of peripheral neuropathy worldwide has been estimated to range from 2% to 8% of the population. peripheral neuropathy affects both genders at all ages but symptoms are unique to each individual in terms of frequency, quality, and severity of pain. Idiopathic peripheral neuropathy typically affects adults over the age of 50. peripheral neuropathy can significantly impact an individual's quality of life and daily activities by causing major disruptions including:
  • Sleep disturbances
  • Mood changes
  • Impairment of social, occupational, and recreational functioning
Knowledge is Critical when Dealing with a Life-Altering Condition such as peripheral Neuropathy
If you or a loved one has been diagnosed with peripheral neuropathy, it's critical to learn everything you possibly can about this condition so that you can make informed decisions about your treatment. That's why we created the Medifocus guidebook on peripheral Neuropathy, a comprehensive 187 page patient guidebook that contains vital information about peripheral neuropathy that you won't find anywhere in a single source.
The Medifocus guidebook on peripheral Neuropathy starts out with a detailed overview of the condition and quickly imparts fundamentally important information about peripheral neuropathy, including:
  • The underlying causes and risk factors for developing peripheral neuropathy, which include:
    • Diabetes
    • Autoimmune disorders
    • bolic disorders
    • Hereditary disorders
    • Infectious diseases
    • Alcohol abuse
    • Trauma
    • Cancer chemotherapy
  • The different types of peripheral neuropathy that can occur d on the pattern of nerve involvement and the distribution of pain, which include:
    • Mononeuropathy
    • Mononeuropathy multiplex
    • Polyneuropathy
  • The signs and symptoms associated with peripheral neuropathy d on the specific underlying cause, when known.
  • How peripheral neuropathy is diagnosed d on a variety of factors and diagnostic tests including:
    • Signs and symptoms
    • Patient history and physical examination
    • Pattern of distribution of pain along sensory or motor nerves
    • Special electrodiagnostic studies, such as nerve conduction tests and electromyography (a test which measures the response of muscles to electrical stimulation)
Understanding the Standard Treatments...and the Treatment Options
The primary goals of treatment for peripheral neuropathy include accomplishing the following ives:
  • Determining and treating the underlying cause of the condition, if possible.
  • Controlling and alleviating pain and other bothersome symptoms associated with the condition.
  • Preserving function of the affected limbs, such as the hands and/or feet.
  • Preventing a significant decrease in the patient's quality of life.
An important aspect for successfully achieving these goals is understanding the treatments - and the treatment options - for peripheral neuropathy. As you read through the section of the guidebook that focuses on the treatment of peripheral neuropathy, you will specifically learn about:
  • The management of peripheral neuropathy in patients where the underlying cause can be identified, such as diabetes, autoimmune disorders, infectious diseases, nerve compression, and cancer chemotherapy.
  • The major types of medications that are often prescribed to relieve pain associated with peripheral neuropathy, which include:
    • Antidepressants
    • Anticonvulsants
    • Selective serotonin reuptake inhibitors
    • Narcotic analgesics
    • Topical agents such as capsaicin and lidocaine patches
  • The treatment options that are available for controlling pain that does not adequately respond to drug therapy, including nerve blocks with local anesthetics and spinal cord stimulation.
  • The role of physical and occupational therapy in functional rehabilitation of patients with peripheral neuropathy.
  • The role of complementary and alternative therapies in the management of peripheral neuropathy.
  • The impact of peripheral neuropathy on the patient's psychological well-being and quality of life, including aspects such as:
    • Anxiety and depression
    • Social relationships
    • Activities of daily living
    • Employment issues
    • Sleep disturbances
    • Recreational activities
    • Feelings of self-worth
  • Practical tips and suggestions for how to minimize the negative impact of peripheral neuropathy on your quality of life and learn how to better cope with the condition.
  • Important questions to ask your doctor about peripheral neuropathy.
A "One-of-a-Kind" Reference guidebook on peripheral neuropathy that Goes Way Beyond the Fundamentals
Since 1996, when medifocus was founded, we've learned that many people with peripheral neuropathy are seeking more specific information that goes beyond the fundamentals, such as the causes, diagnosis, standard treatments, and treatment options. That's why we developed a "one-of-a-kind" reference guidebook that goes way beyond the basics and also includes the following sections:
  • A Guide to Recent Medical Literature on peripheral Neuropathy - This section of the guidebook contains an extensive bibliography of over 100 references to recently published articles about peripheral neuropathy in authoritative, peer-reviewed medical journals with links to the absracts (summaries) of the articles. These articles represent the latest advances in the field and focus on cutting-edge research, new developments, and the lessons learned from recently published clinical trials involving patients with peripheral Neuropathy. This is the same level of that is used by doctors who treat people with peripheral neuropathy to keep abreast of the latest developments and breakthroughs in this specialized field of medicine.
  • Centers of Research for peripheral Neuropathy - We've compiled a unique directory of doctors, hospitals, medical centers, and research institutions with special interest and, in many cases, clinical expertise in managing people with peripheral Neuropathy. The "Centers of Research" directory is a valuable resource for quickly identifying and locating leading medical authorities and medical institutions both within the United States and other countries who are considered to be at the forefront in clinical research and treatment of peripheral Neuropathy. You'd have to spend days - or even weeks - attempting to compile your own list of doctors and medical centers but, with the "Centers of Research" directory, the information is already right at your fingertips. All you have to do is act on the information by selecting and contacting the experts or medical institutions listed in the directory by state and country.
  • Organizations and Support Groups for peripheral Neuropathy - The guidebook also includes a directory of organizations and support groups whose goal is to help people with peripheral neuropathy by providing access to information, resources, and services. Many of these organizations can answer your specific questions, enable you to "network" with other patients, and provide guidance in areas such as financial, social, or medical-legal issues. This valuable directory of organizations and support groups includes complete contact information, including phone numbers and E-mail addresses.
The guidebook is a Value-Added Proposition that Comes with a Risk-Free Satisfaction Guarantee so that...You have Nothing to Lose and Everything to Gain
Still not sure if you'll benefit from the Medifocus guidebook on peripheral Neuropathy? Still not convinced that the information included in the guidebook is worth the minimal cost? If that's the case, then please consider the following value-added proposition that comes standard with your purchase of the Guidebook:
  • Free Updates for One Year - With your initial purchase of the Guidebook, you also receive access to free updates for one-full year. The guidebook is updated with new information every 4 to 6 months, so that you will be able to access the updated information several times during the course of a year for up to one full year after the date of your initial purchase.
  • Free Digest E-Mail Alerts - When you purchase the Guidebook, you will also automatically receive a free subion to our monthly newsletter - the Medifocus Digest Alert for peripheral Neuropathy. This is an expertly selected listing of the latest articles published in the medical literature about peripheral neuropathy with convenient links to the abstracts of the articles that focus on cutting-edge research, clinical trials, and the latest treatment advances. The Medifocus Digest Alert for peripheral Neuropathy is automatically delivered straight to your "inbox" monthly and is a valuable resource for keeping up with the latest developments in peripheral neuropathy almost as soon as the new information is published in the medical literature.
  • 10% Discount - For a limited time, you can purchase the Medifocus guidebook on peripheral Neuropathy at a special 10% discount off the regular list price. Your 10% discount will automatically be applied when you go to "Checkout".
  • Risk-Free Satisfaction Guarantee - Your purchase comes with our RISK-FREE satisfaction guarantee. If, for whatever reason, you are not totally satisfied with the of your Guidebook, simply contact us within 30-days of your purchase for a prompt, full refund. We are so confident that you will be satisfied with your guidebook that we offer this RISK-FREE satisfaction guarantee unconditionally - no questions and no hassles