Bottom Line Health
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| DIAGNOSING AND TREATING SHINGLES
If you feel a strange sensation that you suspect may be shingles, your best bet is to see a dermatologist at once. diagnosing the early signs of shingles, before the rash appears, can be difficult. The rash itself can also be misleading, because it may resemble herpes simplex or contact dermatitis. A trained dermatologist will be able to spot the symptoms of shingles immediately and confirm the diagnosis by a viral culture. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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 Gastroenterologist: A medical doctor who specializes in diagnosing and treating conditions of the digestive tract.
¦ Otolaryngologist (aka otorhinolaryngologist): A medical doctor who specializes in evaluating and treating ear, nose, and throat problems.
¦ Pulmonologist: A medical doctor who specializes in diseases and disorders of the lungs and respiratory system.
¦ Speech Pathologists or Therapists: Health care professionals who have advanced degrees in communication sciences. |
Benjamin H. Natelson, M.D.
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 Essentially they took the syndromic approach by diagnosing diseases based on the existence of certain symptoms. Over the years, the DSM has gone through four updates, with a fifth in the works. Although psychiatrists fiercely argue among themselves about certain diagnoses in the DSM, for better or worse it has put all psychiatrists on the same page. Schizophrenia for one psychiatrist is pretty much schizophrenia for every other psychiatrist. |
Ray D. Strand
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 Unfortunately, diagnosing magnesium deficiency is very difficult. Typically, serum magnesium levels are tested where only a trace amount of the body's total magnesium is located. Cellular levels of magnesium are much more sensitive and accurate; however, these can be tested only in research labs, not in hospitals. This is why magnesium deficiency is so underdiagnosed.
We all need at least 400-500 mg of magnesium in supplementation.
Vanadium is not a well-known mineral, but it is very important for the diabetic. |
C. W. Randolph, M.D.
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 Patients come to see me from all over the world because it's not always easy to find a physician who has experience diagnosing hormone imbalances and BHRT as the preferred treatment. BHRT is not yet taught in medical schools, and most physicians remain uneducated about it.
However, since the World Health Institute has begun detailing the significant health risks of synthetic hormone replacement, this trend is shifting. In the last several years, hundreds of doctors have attended national continuing medical education forums on the subject of BHRT. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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| Otolaryngologist (also known as otorhinolaryngologist): A medical doctor who specializes in diagnosing and treating ear, nose, and throat diseases and disorders.
¦ Otologist: An otolaryngologist (see above) with additional training in ear disorders.
¦ Audiologist: A health care professional trained in testing for and treating hearing and other ear-related problems such as poor balance. They can also fit hearing aids and perform other hearing rehabilitation services. lis enormous!...Know That I am proud possessing such appendice. |
Roberta Bivins
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 They rarely, if ever, touch the bodies of their patients, diagnosing instead on the basis of astrological charts, visual examination of the patient's blood and urine, and close attention to the patient's spoken testimony and social position (see Figures 1 and 2). Surgery is only performed as a desperate last resort, since few survive its rigours and none opt for its agonies readily in a world without antiseptics and anaesthesia. |
Dr Ron Roberts
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 BER tests require no needles, are painless and are primarily used by naturopaths, homeopaths and acupuncturists because the information they provide is relevant to the holistic philosophy of diagnosing problems and treating them before disease or abnormal conditions actually appear.
Vegatests
Vegatests use points on the skin to determine specific allergies. Vials of a possible allergic substance are transmitted through the Vega machine and the patient is connected to it. |
| There are also lesser known methods of diagnosing asthma, which must be considered to be of dubious value. þHair sampling, where hairs from your head are examined under a microscope to make a diagnosis. þVEGA testing, in which the electrical conductivity in your body is measured by machine. VEGA testing is also used to detect allergies. þSEC (segmental electrograph) testing: a diagnostic method where segments of the body are stimulated in turn. The SEG machine gives readings that indicate how the parts of the body react to this mild stimulus and from them a diagnosis may be made. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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| The following are eye specialists who diagnose and/or treat eye and vision problems:
¦ Ophthalmologist: A medical doctor who specializes in diagnosing and treating eye diseases and disorders.
¦ Optometrist: Although not a physician, a doctor of optometry (OD) has specialized training in vision problems and in treating vision conditions with glasses, contact lenses, low-vision aids, and vision therapy. Optometrists can test for such conditions as glaucoma, cataracts, and macular degeneration and prescribe medications for certain eye diseases. |
| Hematologist: A medical doctor who specializes in diagnosing and treating diseases of the blood.
¦ Oncologist: A medical doctor who specializes in the diagnosis and treatment of cancer.
¦ Plastic surgeon: A medical doctor who repairs or reconstructs visible parts of the body.
¦ Rheumatologist: A medical doctor who focuses on inflammatory and degenerative diseases.
BODY SIGNS REVIEW
MULTISYSTEM DISEASES AND THEIR SIGNS
Many potentially serious diseases often affect several different and seemingly unrelated body parts and systems. |
Ann M. Coulston and Carol J. Boushey
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 Breath tests are the most widely used method for diagnosing carbohydrate maldigestion/malabsorption. The principle behind breath tests is that lactose, which escapes digestion in the small intestine, is fermented by bacteria in the colon, producing short-chain fatty acids and hydrogen, carbon dioxide, and methane (in some individuals). One breath test measures the amount of l3C02 excreted in the breath following administration of 13C-lactose [41]. |
J. Douglas Bremner
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 However, diagnosing Alzheimer's in its early stages is often difficult.
One of the factors weighing most heavily on families dealing with a loved one who suffers from Alzheimer's is its cost: $16,000 per year for the care of affected patients, including the costs of nursing homes, doctors, and medications. Once a patient with Alzheimer's loses the ability to care for him- or herself, the disorder quickly progresses to a total loss of function and eventual death. |
Benjamin H. Natelson, M.D.
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| If the doctor knows the requirements for diagnosing either of these, he or she may go on to make one of those diagnoses.
For Muscle Aches and Joint Pain
Let's say you are another twenty-eight-year-old whose illness started with a fever, a sore throat, swollen glands, and body aches. Eventually the symptoms of a potential infection—fever, sore throat, and tender glands—go away, and you're left with continuing achiness. Your discomfort gradually gets worse, so that any little motion causes you to feel horrible pain all over your body and extreme tenderness to the touch. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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| Gynecologist: A medical doctor who specializes in diagnosing and treating conditions related to the female reproductive system. Some gynecologists also perform surgery. Neurologist: A medical doctor who specializes in diseases and disorders related to the central nervous system (the brain and spinal cord) and the peripheral nervous system (the sensory and motor nerves).
Oncologist: A medical doctor who specializes in treating cancer. Some oncologists also perform surgery or further specialize in treating cancer with radiation therapy. |
Jack Challem
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 While doctors don't seem particularly interested in diagnosing coffee addiction or "Starbucks syndrome," some psychiatrists have argued that caffeine withdrawal should be listed as an official psychiatric diagnosis. They have pointed out that various symptoms, such as irritability, depression, muscle pain, migraines and other types of headaches, and even flulike symptoms, can be triggered when people miss their caffeine fix.
The increasing consumption of caffeine led to yet another problem: not only were people sleeping less, but they were also sleeping less rest-fully. |
Connie Bennett, C.H.H.C. with Stephen T. Sinatra, M.D.
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 United States National Institutes of Health. "Diagnosing and Treating Low Blood Sugar Levels." http://clinicaltrials.gov/ct/gui/show/NCT00001276;jsessionid=DF576B960DFD9AB94D62B5A 2D9F8CDD4?order=l.
Walsh, John. "Tales of the City: The Ups and Downs of Roy and Pam." Independent, February 19, 2004.
Weight Loss Control. "How Dieting Influences Your Metabolism." http://www.weightlosscontrol. com/metabolism.htm.
Wesson, Kenneth. "Brain Basics for the Teaching Professional." Sciencemaster. http://www
.sciencemaster.com/columns/wesson/wesson_part_05.php. Wolever, Thomas, et al. |
Bottom Line Health
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| Stuart Weiss, a clinical assistant professor of medicine at the New York University School of Medicine, says he is diagnosing more and more people in their 20s and 30s with double diabetes. "Many are type Is who have already been diabetic for years, and who are also eating a hypercaloric diet and require a lot more insulin," he says. "They become obese, and then become insulin-resistant."
COMPLEX TREATMENT
Kaufman says treatment for double diabetes may be more complex than what is needed for patients who have either type 1 or type 2 alone. |
| Errors in diagnosing sinusitis are a leading cause of unnecessary treatments, including the use of antibiotics and even surgery. CAUSES AND DIAGNOSIS
There are many small sinus cavities—over the eyes, along and behind the nose, above the teeth, etc. These cavities have tiny holes (ostia) that drain into the nose. Anything that interferes with normal drainage causes mucus to accumulate. This includes colds, allergies and other conditions that trigger congestion.
Many people have anatomical abnormalities, such as a deviated septum, that inhibit drainage. |
Marshall Editions
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 T
Treating back pain involves first diagnosing the cause of the pain. For example, back pain caused by a pulled muscle is treated differently to that caused by a herniated vertebral disc. The goal of treatment is to make sure a serious problem is not present, and to relieve symptoms.
To treat back pain caused by muscle strain: This is the most common type of back pain. Treatment may involve ergo-dynamic education (learning how to lift correctly), exercises to strengthen abdominal muscles, and weight loss to decrease strain on back muscles. |
Elaine Magee
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 But we know now that the systolic reading is as—if not more—important in diagnosing and treating high blood pressure. While it is true that systolic blood pressure does tend to climb in most people as they grow older, it still shouldn't be considered normal, because it comes with an increased risk of stroke, heart disease, and kidney disease.
Because blood pressure readings are affected throughout the course of the day by changes in activity, stress, fluid levels, and diet, I think it's a good idea to have a reading taken as often as possible. |
Marshall Editions
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| Conventional medicine aims at diagnosing the cause of the toothache and treating the underlying problem. In the interim, take pain relief, such as 800 mg of ibuprofen three times a day, as needed (but for a short period of time only).
Prevention: Preventing toothache involves rigorous oral hygiene including daily flossing, proper brushing, and avoiding sugar and processed foods in your diet. Maintaining good oral flora with probiotics is also helpful. Look for a product with colony-forming units of bifidus in the billions. |
| Treating catarrh first involves diagnosing the cause and ruling out any problematic illnesses. It is necessary to assess whether the catarrh is triggered by a viral infection or is an allergic reaction.
Decongestants: Over-the-counter decongestants, such as pseudephedrine, and nasal sprays, such as oxymetazoline (afrin), are effective for immediate, short-term alleviation. They can be used to relieve discomfort while searching for the cause of the discharge, but tend to cause rebound congestion if used for longer than three days. |
Michael T. Murray
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 An after-meal or postprandial measurement as well as a random glucose measurement is also quite helpful in diagnosing diabetes. A postprandial measurement is usually made 2 hours after a meal, while a random measurement is made anytime during the day without regard to the time of the last meal. Any reading greater than 200 mg/dL (11 mmol/L) is considered indicative of diabetes.
The "gold standard" in diagnosing diabetes, however, is the oral glucose tolerance test (GTT), a more functional test of blood sugar control that is performed in a doctor's office or a lab (see Table 1.2). |
Donna Jackson Nakazawa
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 In hopes of helping other doctors catch autoimmune disease earlier in their patients, before irreversible tissue damage has already occurred, Petri spearheads an international task force to rewrite the symptom list and lab criteria for diagnosing lupus.
The fact that so many front-line practitioners are ill trained in how to diagnose these diseases can result in patients facing costly delays—both physically and emotionally—in getting the help they need. As Dr. |
Charles Barber
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 We face the interesting possibility that as brain imaging techniques improve, these techniques might be useful not only for diagnosing various neurotic illnesses but also for monitoring the progress of psychotherapy.22
Again, researchers since Kandel have identified highly specific biological changes in the brain unleashed by the process of psychotherapy.
Psychotherapy affects cerebral metabolic rates in the brain. The OCD study described above also showed that psychotherapy and Prozac produced decreased cerebral metabolic rates in the right caudate nucleus. |
Tori Hudson, N.D.
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 Women who have one vertebral fracture are at high risk for a subsequent fracture,31 which makes diagnosing a single vertebral fracture that much more important.
Body weight should also be recorded. A body weight less than 127 pounds or a body mass index less than 21 kg/m2 is a risk factor for low BMD. Thinness is associated with low bone density and a twofold increased risk of fracture, especially in older women.32
Laboratory Tests. Laboratory tests are important in determining the cause of the low bone density or osteoporosis. |
| After the pelvic exam, a pelvic ultrasound is the most useful tool in diagnosing a fibroid. This
• Ensure regular ovulation.
• Avoid situations that promote lack of ovulation, such as stress.
• Avoid estrogen-only medications.
• Dietary phytoestrogens (soy, flax, red clover) do not appear to stimulate the growth of fibroids.
• Practice good nutritional habits with a diet that is higher in complex carbohydrates, higher in fruits and vegetables, and low in saturated fats, alcohol, sugar, or other foods that interfere with the liver's role in metabolizing hormones. |
| Licensed practitioners familiar with diagnosing and treating cervical dysplasias should be consulted to assist in making appropriate and safe decisions. For practitioners reading this book, the following criteria may be helpful in determining the appropriate treatment:
Criteria for Naturopathic Protocol
1. ASC-US.
2. ASC-US with documented HPV.
3. ASC-H: endocervical curettage is negative or positive with a satisfactory colposcopy.
4. Low-grade squamous intraepithelial neoplasia: endocervical curettage is negative with a satisfactory colposcopy.
5. |
| Seek the advice of a health-care practitioner in diagnosing an initial genital lesion; differentiate herpes from other causes of genital ulceration.
• Recurring eruptions are common and are generally less severe than initial episodes.
• Treating acute episodes can reduce symptoms and shorten the duration of the eruption.
• Immune supportive therapy and antiviral therapy can reduce the frequency of recurrences and can reduce symptoms in acute episodes. |
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