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Staying Alive Q & A

Q. My friend suggested that injections of Botox to treat migraine, what do you think?

A. Recent studies abroad have strongly suggested that treatment with Botox can give long-term relief of migraine. The exact mechanism action is not fully understood, but may be linked to the drug's ability to relax the muscles of the head. The drug seems to alter the course of the disease migraine and its progression, even after the series of shots ended. Botox has been approved by the U.S. Food and Drug Administration (FDA) to reduce wrinkles frown and certain muscle spasms in the eye, head and neck. Botox is approved to treat migraines, but that may change soon.

Injections Botox is a purified form of the toxin that causes botulism. Allergan Inc., maker of Botox, conducts trials in the United States, which, if successful, States U.S. for regulatory approval for the use of medications for migraines. Treatment is not cheap. It will cost about $ 1000 for a period of 10 to 35 small injections in the head and scalp. And no, the shots will not help your sagging chin with headaches due to injections are intended only to the scalp. Al Like any other drug Botox side effects are usually mild and include pain at the injection site. Symptoms usually last a few days. So by now you have to do other remedies for headaches to which drug is tested and approved.

My message: Most quick fixes are rare and do not last!

Q. My doctor is expensive. I love him but can not really afford their fees. Any advice?

A. Negotiate. Ask a better price! If you find a doctor who respects you and takes good care of yourself, not be evicted without speaking franca. According to a recent Harris poll, 14% of patients reported having asked their doctors for a better price. When money is tight there is little harm in asking. Each has a different comfort level in negotiating discounts. I call it "special consideration".

Q. My doctor give me a break on their fees, because I am a student. He referred to a specialist. Can I expect the same discount specialist due to the orientation?

A. If your doctor refers you to be examined by a colleague, do not assume is that medical fees are the same. Very often, no, I understand that when the doctor says I need to see a specialist who is more concerned about their health than the quantity of the visit will cost. So before you get a bill that makes you mourn "ay", be proactive. What can you do? Do not be shy. When making an appointment – Questions about the doctor's fees. If the appointment is for reference see the number of Physician's phone. To confirm the appointment and speak frankly with the front office manager of the costs involved and the amount of insurance coverage. Do not hang until it is clear that the visit will cost. Insurance fees are also well established that should not be painted as an outsider. What if we universal health plan passed by Congress is anyone's guess!

My message: Even in health care, often " get what you pay! "

P. Can I take holidays when I'm pregnant?

A. Absolutely! You do not put your life on hold until your baby is born! Just follow my suggestions below and check with your doctor to ensure that travel is safe for you. Your doctor knows your exact state special needs and problems are likely. First, keep your health records and phone numbers of your doctor with you wherever you go. Be flexible and realistic. Listen to your body. Try to plan your trip around when you know you'll be better. Planning a trip in mid-pregnancy (14 to 28 weeks) is probably a safe bet. Note that the fastest way is often the best way to travel when she is pregnant. Save the trip cross-ski country after the baby is born. Limit to a maximum of five hours per day in the car. And if in the car, train, bus or plane, get up and walk around every hour. Stretch your legs decreases inflammation and reduces the risk of blood clots. And while you're standing, stretch your back also. Extend your arms upward and reach the roof.

Flying is safe when you are pregnant, but be aware that most airlines restrict travel for pregnant women a month before the delivery date. Reserve a place by running in front for a smoother ride and ask to be near the bathrooms. Or ask the front row in the wall between the cabins so that you have room to stretch your legs and feet. And do not worry about metal detectors, will not harm your baby.

Remember, good nutrition is especially important for pregnant travelers. Pack your own snacks and drink plenty of water. And when you sit down to a meal, choose light a nutritious meal that you know is good for you and your baby. Finally, the use of their feelings as a guide for how long you're doing. His own pace, sightseeing not defeated. An afternoon nap is a great way to get energy. Bon voyage!

My message: Before designing new responsibilities

Q. With the recent developments and concerns, to change the color of warning to the government, how are we safe? I love traveling, but I fear.

A. There are a lot of nonsense going on in the world today. And you can think of your home is best. But the probability that have a new brush with death at home or at work is far greater than any real danger of terrorism. Look at the numbers: The risk for an American to develop disease heart rate is one in 300 risk of developing cancer is one in 509. Moreover, the chances of dying of a terrorist attack is one of 9.3 million. At about the same their chances of winning the Powerball jackpot!

My Message: Live your life with the utmost prudence and a lot of things beyond their control.

P. Is there a good how to use a seat belt when you are pregnant?

R. Good question. When you are pregnant, you should always wear both the lap and shoulder belt. The use of two belts properly can prevent the ribs broken and injuries to internal organs. Adjust the lap belt low on the hips, below your abdomen. Never place the lap belt over your abdomen. Put the belt through the center of your chest in the center of the chest, upper belt crosses the shoulder course and friction is not the neck. NEVER put the shoulder belt under the arm. Before starting the engine, remove all the momentum, ensuring that both straps are snug. Loop to protect yourself and protect your baby. Remember, injuries usually occur when serious safety belts are not used at all!

My message: Forget the wrinkled clothes, save their lives!

Q. How do I know if my neighbor's daughter to care what my children?

A: I understand your concern. Discount their children with a baby-sitter is a big decision. You want to make sure you are mature enough to handle any situation. You also want to make sure you are properly trained. So the first thing I recommend to you to discover the care, of course, in your community. Get all details and be ready to help provide this option if you decide that the young are ready to see their children.

It is also important to talk with parents before approaching the child in child care. Whether you think you can do the job and whether or not authorized. If they say yes, for a visit. This gives you the opportunity to observe how they interact with their children. You know your children to create likely scenarios and ask how you can handle. For example, saying: "Jack fell down the other day and scraped knee. If you need to care for him and what happened, what would you do? "Wait patiently for the answer. It is important not fall into the trap to answer his own question. You have to see if you have the ability to think on your feet. See if you allow your child to play with a particular toy, and ask when he thinks it is okay to play outside. Talk about basic care such as feeding and changing dirty diapers. You can also ask for help when it is time feed them. This will give you a good idea of whether or not it can do the job. If you think this is a good match for her children and she wants the position to provide information about child care course.

Once employed, continue to discuss and reinforce appropriate care, especially in regard to medical situations. If this is the administration of medications to provide simple, easy to follow instructions and to exercise it until you are sure you can do correctly. Share medical problems, allergies and phobias of their children may have. Please always leave written instructions, including emergency phone numbers. Sure you know that How to lock the house and the location of first aid kit. Provide your nanny with the knowledge and tools they need to care for his children and give you peace of mind when you are away.

My message: The best cure is when I dare not knowledge common sense!

Q. I think it may be time for my father to stop driving. My sister says I should just remove the keys. I tried, but he said 'no', do not have the courage to insist. After all he taught me to drive. I am suffering from this, what can I do?

R. This is one of the dilemmas of modern life. Driving is the ultimate measure of our independence. It's hard to trust anyone to self-regulate this activity and to recognize when they feel more competent and confident. It's even harder to convince someone they are innocent people in danger if they continue driving. There are many medical conditions that develop with age that may affect our ability to drive. Doctor may be able to help your dad. Call and explain your concerns. If the doctor is in agree that it is time to take the keys, you can schedule an appointment when you and your parent can not comply with your doctor to discuss the situation. May Together, you will able to convince his father that it would be wise to stop driving.

1. I should add that senior drivers are not the only ones who should stop driving because to their medical conditions. There are many drivers who take prescription and nonprescription medications in your concentration and alertness. They also should be encouraged to present their keys!

My message: Ask providers of health care in the difficult tasks of life altering!

Q. Should I worry if my family wants to go out with the West Nile virus around?

A. Mosquitoes that feed on birds infected with West Nile virus can be transmitted to humans. However, approximately 80 per cent of people infected not know they have because they have no symptoms. The rest develop flu-like symptoms such as fever, headache, body aches and swollen glands. Attention care should be sought if symptoms develop.

Well, of course, prevention is the best approach. Remember, when it comes to mosquitoes, it is water. They are attracted to standing water. Thus, repair of taps and pipes frequently move A / C drains and pipes. Update birdbaths and pet bowls frequently. When outdoors, use insect repellent and clothing that covers your arms and legs.

My Message: Check regularly with your health hotline of the Department of State Web site

P. How do I treat sore nipples, because I am breastfeeding?

A. The tenderness is one of the common problems in the early weeks of breastfeeding. Follow these tips to avoid or reduce pain: Ensure that the darker skin around the nipple (areola) instead of only the nipple is placed in the mouth of her baby. Do not let your baby chew nipples. Avoid washing the nipples and do not use perfumed soaps, creams. Do not use a towel to dry your breasts. Just expose your nipples to air and dry heat instead. And if you please, not plastic fastener shirts! Breastfeeding in the throat does not limit the first tender nursing and 5-10 minutes on one breast and "wound". If the chest is too "evil" we suggest using a pump 24 hours to allow the irritation to heal. Varies always room for breastfeeding, if a region of the nipple is not traumatized. Use liners between meals. If symptoms are still not "cut", consult your doctor.

My message: Food Beast is a natural magnet, convenient and cheap to feed your baby.

Q. I am a 51-year-old woman and do not trust that I will do everything I need for my cancer doctor. I know what I should get tested for cancer.

A. The answer depends largely on their individual risk factors and family history. If you smoke, for example, you are more likely risk of developing lung cancer. If you have a family history of breast cancer who are at higher risk of contracting the disease. Based medical history, your doctor will recommend the necessary evidence. Suppose you are at medium risk. Here is a list of test to be conducted on an annual basis:

1. Test Pap smear (to detect cervical cancer)

2. Mammography and breast exams by your physician per year (to detect breast cancer) (NOTE: You must also check your breasts monthly to detect signs of breast cancer.)

3. Skin tests of control performed by a dermatologist (for skin cancer)

4. Analysis of blood against the cancer antigen 125 (to detect ovarian cancer)

5. An examination of the colon (to detect colon cancer) NOTE: Here's a choice after 50 years: a colonoscopy every 10 years, an annual blood tests in stool, or 'flexible sigmoidoscopy or double contrast enema Barium every five years. Again, this recommendation is for those at medium risk.

Early detection of cancer can make a difference. Appropriate test, pay attention to family history and adopt a healthy lifestyle.

My message: Take the test, not a chance!

© DocHandal.com Copyright 2009 All rights reserved. Unauthorized use prohibited

About the Author

Kathleen A. Handal, MD is a long-standing believer in consumer education; she knows it does make a difference. Her thesis is that “we physicians need to come down to the consumer’s level to bring them up towards ours”. She is well understood, as she uses simple yet accurate examples in non-medical terms.

Dr. Handal’s first book, “The American Red Cross First Aid & Safety Handbook was written for the lay audience.

She is a trained emergency physician with over 25 years of patient care experience. Presently she is a Senior Consultant ASSERT INC (Associated Systems for Search Education Research and Training) and an educator.

Popularity and visibility with non-medical persons she hosted talk-radio health shows. She has also made TV appearances on CNN and the Today Show. She won an International Cindy Competition (Bronze Medal, 1993) and Telly Award (Finalist 1993) for medical videos focused for workplace emergencies. She wrote, directed and produced “Trauma Run”, (1996) a nationally distributed video (K2-6). The video (in Spanish and English) is designed to teach children how to respond and what to expect from emergency medical personnel when no adults are available.

Hobbies: live stand-up comedic performances.