By E. Kirk. University of Louisiana at Lafayette.

Herpes lives in your nerve centers (ganglia) and it is from here that you can be attacked after the initial infection generic 3mg ivermectin with visa. But a meal of aflatoxin or other moldy food suddenly “gags” your white blood cells and lets a viral attack happen trusted 3 mg ivermectin. The viruses can also be “triggered” which lets them out of hibernation (latency) to multiply and travel along the nerve fiber to the skin order ivermectin 3mg otc. Triggers are things that put these nerve centers to work: sudden cold and heat, trauma from chafing and friction. Begin your prevention program by raising the immunity of your skin; this means removing all toxins from the skin. Use only natural lotions, softeners, cleansers on your skin made from recipes in this book. This will get rid of nickel, chromate, titanium, zirconium, aluminum, and benzalkonium from your skin and probably your whole body! Do laundry with borax and washing soda, only, to eliminate commercial detergent as a source, too. Attacks probably occur when the triggers act at the same time as an immune drop occurs. When you get an outbreak, mop up a droplet of the blister fluid and prepare it as a specimen for yourself. If you search for it in your white blood cells when your attack is over, it will not be found because it is in hiding inside your nerve cells. Nevertheless, you can totally eliminate them by repeated zapping provided you kill them at their earliest warning. Even after you have been Herpes free for a long time, stick to your preventive principles. Although you may stop the virus in its tracks by zapping, healing the lesion takes time. A lysine mush helps too: crush a lysine table with a large wooden spoon, add a pinch of vitamin C powder and a pinch of zinc oxide. Bazezew Hailey, 38, started breaking out in the genital area after a period of antibiotic use. By the time she had it filled, the next day, her lesion had stopped enlarging, and she could reduce her supplements. Her ratio of segmental to lymphocyte white blood cells was low, evidence for a chronic viral condition. She stopped using tooth- paste (strontium), salt, deodorant, detergents (aluminum). She got the metal out of her mouth and eliminated her radon problem by opening crawl space vents. Fatigue Fatigue, whether minor or extreme, is always associated with blood sugar disturbances. We have three organs that do most of the sugar regu- lating: our adrenals, the liver, and the islets in the pancreas. In severe fatigue, that keeps you partly bedridden, all three organs are heavily parasitized. Killing the viruses is not as important as killing the larger parasites and getting your organs functioning for you again. The adrenals (the outer layer called the cortex) help to regulate the blood sugar in a complex way. The heart of sugar regulation is in your pancreas in the tiny islands of cells that secrete insulin, called the islets of Langer- hans. There is wood alcohol in store-bought drinking water, fruit juice, powders meant to be stirred into bev- erages, even if they are health food varieties. The only beverage you can safely buy (not safe unless you sterilize it, though) at a grocery store is milk. Your first step toward curing your fatigue syndrome is to kill the pancreatic fluke and all other living invaders of the pancreas, liver, adrenals and thyroid. Your energy can bounce back in a few weeks by attending your liver, adrenals and pancreas. Take these supplements for three weeks, then cut the dose in half, and take on alternate days only, as a hedge against possible pollution in these. Although your energy may be normal in three weeks, you are at higher risk for fatigue than the average person. Reinfection with anything will put the new parasites right back where the old ones were. Other bacteria, solvents and toxins will head for the pancreas, liver and adrenals again because these are weakened organs. It could take two years to build your health to its previous level, but is well worth it to have youth, initiative, and a beautiful appearance again. Going back to school is a good use of your time when your initiative has returned but your physical strength is still not up to housework or a job. When your energy comes back to you, it is tempting to overwork: to clean the whole house or to get into some gardening. Our test showed her body was full of bismuth (fragrance) and silver (tooth fillings) especially in the ovaries. She cleansed her kidneys and killed parasites but could not make up her mind to do the expensive dental work. Her skin, kidneys, breasts, brain, ovaries and pancreas were all loaded with mercury, platinum and other metals. Before the moving date arrived she had cleansed kidneys, killed parasites and done dental work and was feeling noticeably better. She immediately was very fatigued again and worried that the move had been in vain. This time she had a liver full of Salmonella and a return of phosphate crystals in her kidneys. But it was easy to clear up and it was a very useful lesson to her to avoid unsterilized dairy products. Her tissues were full of arsenic from pesticide; her urinalysis showed kidney crystals and her eosinophil count was high 5. She had sheep liver flukes and stages in her pancreas due to a buildup of wood alcohol there. In four months after killing parasites and doing a kidney cleanse she was much improved. She had Ascaris and pancreatic flukes in her pancreas and reacted to sugar in her diet quite strongly, so avoided it. In 6 weeks she had done everything except the mercury removal and was feeling much better. She cleaned her home and cleansed kidneys, killed parasites, and did two liver cleanses. Meanwhile, though, her infertility problem got solved (she got pregnant) and this encouraged her to continue the battle against fatigue after the baby was born. Hector Garcia, age 14, was getting gamma globulin injections every three weeks for his chronic fatigue syndrome.

The doctors order ivermectin 3mg amex, God bless them generic ivermectin 3 mg line, pulled the sick through; they would all have died if it had not been for the Faculty generic ivermectin 3mg without a prescription. It is wonderful how statistics take the conceit out of some people and some things. When we find hundreds of cases of severe disease tabulated - such as typhoid fever and pneumonia - with a mortality of but one to three per cent. This brings the matter home, and one doesn’t like to confess his own sins, as a rule. Now I am glad to know that you, and Eclectics as a rule, have a very much better practice than theory. Whilst they occasionally wander off after these phantasms, it is the exception and not the rule. As a body of physicians we recognize the fact that disease in all its forms is an impairment of life. And we recognise the necessity of conserving this life, and of employing such means as will increase it, and enable it to resist and throw off disease, and restore normal structure and function. We recognize the importance of the functions of circulation, innervation, excretion, etc. And all experience shows, that just in proportion as we get this normal performance, disease is arrested. From its inception Eclecticism has been, to a very considerable extent, Specific Medication. Hydrastis for enfeebled mucous membranes, Aralia and Apocynum for dropsy, Baptisia for putrid sore throat, and similar conditions of mucous membranes, Hamamelis for hemorrhoids, Macrotys for rheumatism, etc. In our Materia Medicas, remedies were classed as Emetics, Cathartics, Diaphoretics, Tonics, Alteratives, etc. In all acute, and most chronic diseases, our examination of the patient and our therapeutics will take this order: 1. With reference to the condition of the stomach and intestinal canal - bringing them to as nearly a normal condition as possible, that remedies may be kindly received and appropriated, and that sufficient food may be taken and digested. With reference to the presence of a zymotic poison, or other cause of disease - which may be neutralized, antagonized or removed. With reference to the processes of waste and excretion - that the worn out or enfeebled material may be broken down and speedily removed from the body. With reference to blood-making and repair - that proper material be furnished for the building of tissue, and that the processes of nutrition are normally conducted. We may illustrate this further by calling attention to the tongue as a means of diagnosing conditions of the stomach and intestinal canal, and of the blood. You will bear in mind that diagnosis - or determining the real condition of disease is the most important part of Specific Medication. And that it is not that rough diagnosis which will enable us to guess off a name for the associated symptoms, at which name we will fire our Materia Medica promiscuously. Hence, when we question the tongue, it is not with reference to a remittent or typhoid fever, an inflammation of lungs, or rheumatism, but it is - I want you to tell me the condition of the stomach and intestinal canal, and especially the condition of the blood. Now let us briefly see what it will tell us, with regard to the condition of the primœ viœ: If the tongue is heavily coated at its base with a yellowish-white fur, we know that there are morbid accumulations in the stomach; and we have to determine between the speedy removal by emesis, the slower removal by the Alkaline Sulphites, or the indirect removal by catharsis. If the tongue is uniformly coated from base to tip with a yellowish fur, rather full, moist, we have the history of atony of the small intestine, and we give Podophyllin, Leptandrin, and this class of remedies with considerable certainty. The therapeutics is plain: get rid of the irritation first, and be careful not to renew it by harsh medication. It is variously colored, but it looks as if a fly should light on it he would slip up and break his neck. It is the evidence of a want of functional power, not only in the stomach and bowels, but of all parts supplied by sympathetic nerves. We treat such a case very carefully, avoid all irritants, and use means to restore innervation through the vegetative system of nerves. The tongue tells us of acidity and alkalinity of the blood, and in language so plain that it can not be mistaken: The pallid tongue, with white fur, is the index of acidity, and we employ an alkali - usually a salt of soda, with a certainty that the patient will be benefited. Indeed one who has never had his attention directed in this way, would be surprised at the improvement, in grave forms of disease, from one day’s administration of simple Bicarbonate of Soda. The deep-red tongue indicates alkalinity, and we prescribe an acid with a positive assurance that it will prove beneficial. Grave cases of typhoid fever and other zymotic diseases, presenting this symptom, have been treated with Acids alone, and with a success not obtained by other means. But it makes no difference what the disease is, whether a recent diarrhœa, or a grave typhoid dysentery, if there is the deep-red tongue, we give Muriatic Acid with the same assurance of success. Impairment of the blood - sepsis - is indicated by dirty coating, and by dark-colored fur - brownish to black. When we have either the one or the other we employ those remedies which antagonize the septic process. The bitter tonics are indicated by fullness of tissue, with evident relaxation, impairment of circulation and muscular movement. We give Tincture of Chloride of Iron if the tongue is red, Iron by Hydrogen if the tongue is pale. The pale bluish tongue, expressionless, is the indication for the administration of Copper. You will notice that we have made this “unruly member” tell us a good deal, yet it might tell us more - it will tell us more when we thoroughly study it. My object is not to point out all that we might learn from it, but to show that it is possible to arrive at positive conclusions, from symptoms that are always definite in their meaning. We make the pulse tell us the condition of the circulation, and to some extent the nervous system that supplies it. One might suppose that diagnosis in this way would be a matter of great difficulty, as would the therapeutics based upon it, from the large number of remedies needed to meet these varying conditions of the several functions. The control of this life is centered in a common nervous system - the ganglionic - and through this the various parts and functions are united. Though it manifests itself in various ways, and though we study in detail as I have named, it is to grasp it at last as a unit, and oppose to it one or more remedies. In some cases we have a first preparatory treatment, to fit the patient for the reception of remedies which directly oppose disease. In other cases there are certain prominent symptoms indicating pathological conditions which may be taken as the key-notes of the treatment. As, when we have the full, open pulse, indicating Veratrum; the hypochondriac fullness, umbilical pains, and sallowness of skin, indicating Nux Vomica; the bright eye, contracted pupil and flushed face, calling for Gelseminum; or the dull eye, immobile pupil tendency to drowsiness, which calls for Belladonna. In some cases the indication for a special remedy, like one of these, is so marked, that we give it alone, and it quickly cures most severe and obstinate diseases. I would like to continue this subject further, for it is one in which I am greatly interested, and I know it is one in which you are interested, but the shortness of our session will not permit further remarks. But when we come together another year, with another year’s experience, we may discuss it again. The practice of medicine is proverbially uncertain, not so much possibly as regards the termination of disease, as regards the influence of medicine to palliate or arrest it. Instead of making this uncertainty a cardinal doctrine, a belief in which is absolutely essential to regularity, it seems to me it would be profitable to examine it carefully, and by analysis determine the “elements of uncertainty;” we might then hope to determine the “elements of certainty,” and by a simple process of reasoning, avoid error and attain truth.

Interventions to ensure an adequate exchange of air are discussed in Chapter 61 and include the following: Maintain the unconscious patient in a position that facilitates drainage of oral secretions generic ivermectin 3 mg otc, with the head of the bed elevated about 30 degrees to decrease intracranial venous pressure (Fan purchase 3 mg ivermectin with visa, 2004) discount ivermectin 3 mg without a prescription. The goal is to keep blood gas values within the normal range to ensure adequate cerebral blood flow. Monitoring Fluid and Electrolyte Balance Brain damage can produce metabolic and hormonal dysfunctions. Serial studies of blood and urine electrolytes and osmolality are carried out, because head injuries may be accompanied by disorders of sodium regulation. Hyponatremia is common after head injury due to shifts in extracellular fluid, electrolytes, and volume. Hyperglycemia, for example, can cause an increase in extracellular fluid that lowers sodium (Hickey, 2003). Hypernatremia may also occur as a result of sodium retention that may last several days, followed by sodium diuresis. Endocrine function is evaluated by monitoring serum electrolytes, blood glucose values, and intake and output. A record of daily weights is maintained, especially if the patient has hypothalamic involvement and is at risk for the development of diabetes insipidus. Promoting Adequate Nutrition Head injury results in metabolic changes that increase calorie consumption and nitrogen excretion. Early initiation of nutritional therapy has been shown to improve outcomes in patients with head injury. Parenteral nutrition via a central line or enteral feedings administered via a nasogastric or nasojejunal feeding tube should be started within 48 hours after admission (Bader, Littlejohns & March, 2003). Laboratory values should be monitored closely in patients receiving parenteral nutrition. Elevating the head of the bed and aspirating the enteral tube for evidence of residual feeding before administering additional feedings can help prevent distention, regurgitation, and aspiration. Enteral or parenteral feedings are usually continued until the swallowing reflex returns and the patient can meet caloric requirements orally. The patient emerging from a coma may become increasingly agitated toward the end of the day. It may indicate injury to the brain but may also be a sign that the patient is regaining consciousness. Strategies to prevent injury include the following: The patient is assessed to ensure that oxygenation is adequate and the bladder is not distended. Because prolonged use of an indwelling catheter inevitably produces infection, the patient may be placed on an intermittent catheterization schedule. Maintaining Body Temperature An increase in body temperature in the patient with a head injury can be the result of damage to the hypothalamus, cerebral irritation from hemorrhage, or infection. If the temperature increases, efforts are made to identify the cause and to control it using acetaminophen and cooling blankets to maintain normothermia (Bader & Littlejohns, 2004; Diringer, 2004). If infection is suspected, potential sites of infection are cultured and antibiotics are prescribed and administered. Use of mild hypothermia to 34° to 35° C (94° to 96° F) has been tested in small randomized controlled trials for at least 12 hours versus normothermia (control) in patients with closed head injury (Alderson, Gadkary & Signorini, 2005). The clinical trials with small samples showed improvement in patient outcomes but need to be repeated in larger trials. Because hypothermia increases the risk of pneumonia and has other side effects, this treatment is not currently recommended outside of controlled clinical trials. Maintaining Skin Integrity Patients with traumatic head injury often require assistance in turning and positioning because of immobility or unconsciousness. Prolonged pressure on the tissues decreases 412 circulation and leads to tissue necrosis. Potential areas of breakdown need to be identified early to avoid the development of pressure ulcers. Specific nursing measures include the following: Assessing all body surfaces and documenting skin integrity every 8 hours Turning and repositioning the patient every 2 hours Providing skin care every 4 hours Assisting the patient to get out of bed to a chair three times a day Improving Cognitive Functioning Although many patients with head injury survive because of resuscitative and supportive technology, they frequently have significant cognitive sequelae that may not be detected during the acute phase of injury. Cognitive impairment includes memory deficits, decreased ability to focus and sustain attention to a task (distractibility), reduced ability to process information, and slowness in thinking, perceiving, communicating, reading, and writing. Psychiatric, emotional, and relationship problems develop in many patients after head injury (Hsueh-Fen & Stuifbergen, 2004). Resulting psychosocial, behavioral, emotional, and cognitive impairments are devastating to the family as well as to the patient. A neuropsychologist (specialist in evaluating and treating cognitive problems) plans a program and initiates therapy or counseling to help the patient reach maximal potential (Eslinger, 2002). Cognitive rehabilitation activities help the patient to devise new problem-solving strategies. The retraining is carried out over an extended period and may include the use of sensory stimulation and reinforcement, behavior modification, reality orientation, computer-training programs, and video games. Even if intellectual ability does not improve, social and behavioral abilities may. The patient recovering from a traumatic brain injury may experience fluctuations in the level of cognitive function, with orientation, attention, and memory frequently affected. Many types of sensory stimulation programs have been tried, and research on these programs is ongoing (Davis & Gimeniz, 2004). When pushed to a level greater than the impaired cortical functioning allows, the patient may show symptoms of fatigue, anger, and stress (headache, dizziness). The Rancho Los Amigos Level of Cognitive Function is a scale frequently used to assess cognitive function and evaluate ongoing recovery from head injury. Progress through the levels of cognitive function can vary widely for individual patients. To allow the patient longer times of uninterrupted sleep and rest, the nurse can group nursing care activities so that the patient is disturbed less frequently. Back rubs and other measures to increase comfort can assist in promoting sleep and rest. Supporting Family Coping Having a loved one sustain a serious head injury can produce a great deal of prolonged stress in the family. Such changes are associated with disruption in family cohesion, loss of leisure pursuits, and loss of work capacity, as well as social isolation of the caretaker. The family may experience marital disruptions, anger, grief, guilt, and denial in recurring cycles (Hsueh-Fen & Stuifbergen, 2004). To promote effective coping, the nurse can ask the family how the patient is different now, what has been lost, and what is most difficult about coping with this situation. Helpful interventions include providing family members with accurate and honest information and encouraging them to continue to set well-defined short-term goals. Support groups help the family members share problems, develop insight, gain information, network, and gain assistance in maintaining realistic expectations and hope. The Brain Injury Association (see Resources) serves as a clearinghouse for information and resources for patients with head injuries and their families, including specific information on coma, rehabilitation, behavioral consequences of head injury, and family issues.