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Donald Saunders

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    10 Questions To Ask Before Accepting A Health Insurance Quote

    On August 26, 2008
    Categories: Family
    by Donald Saunders

    When you are considering health insurance it is essential that you ask a number of specific questions about a health insurance plan quote to ensure that you get the right cover at the right price. Here we look at 10 questions that you need to ask:

    Question 1. What out of pocket expenses and deductible are there? No health insurance plan will cover one hundred percent of your medical expenses and you will normally have to pay a deductible before your insurance company will pay out anything at all and will also ask you to meet certain other expenses.

    Question 2. What examinations and health screenings are you covered for? Health plans vary widely when it comes to preventative care and you will have to look to see what screening tests are covered. For example, does the plan cover all family members including babies, kids and adults and allow for things like as breast examinations, mammograms and pap smears?

    Question 3. Is specialist care and referrals covered? When you require a referral to a specialist this might or might not be covered and, if it is covered, might have restrictions placed upon that cover.

    Question 4. How does the plan treat emergency care and hospitalization? In some cases you will find that both emergency care and hospitalization will only be covered when they are pre-approved and you must fully understand the conditions under which this form of treatment is covered.

    Question 5. What prescriptions costs are covered? You will have to check out any accompanying prescription plan carefully to determine what drugs are covered and the extent to which you might be required to meet part of the cost of any drugs prescribed.

    Question 6. Are dental and vision care covered? In a lot of cases health insurance plans will not provide cover for dental and vision care and these then have to be covered under a separate plan.

    Question 7. Does the plan cover psychotherapy, psychiatric services or mental health services? Although many health plans will cover mental illness in various different forms such cover is frequently limited and you will normally find that there is a cap on the amount of cover provided.

    Question 8. Is hospital, home health and nursing home care covered? While the majority of plans will offer reasonably good hospital cover you will have to look at exactly what cover is provided for nursing homes and home health care.

    Question 9. Is rehabilitation and physiotherapy covered? Medical plans will frequently separate out initial treatment and follow-up rehabilitation and physiotherapy and so it is vital to find out exactly what is and what is not covered.

    Question 10. Does the plan cover alternative care? As an increasing number of people are turning to alternative treatments like acupuncture or holistic treatments health insurance companies are increasingly including cover for such treatments. It is however still early days for alternative treatment and, if this is something that you want to take advantage of, you will need to look to see to what extent it is covered.

    The ten questions here are important when you are considering any health insurance quote but you might wish to include other items to your own list like how much paperwork is involved when making a claim under the plan and how much choice you will have in terms of hospitals, doctors and other care facilities. The most important thing however is to ensure that you fully understand just what cover you are getting and how much it will cost before signing an application for cover.

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    What Risks Do You Run With Gastric Lap Banding?

    On August 24, 2008
    Categories: Weight Loss
    by Donald Saunders

    Obesity surgery has seen tremendous advances in the past 50 years and modern forms of surgery like gastric lap banding are certainly a lot safer and have many fewer complications than early forms of open gastric bypass surgery. All the same, there are still risks and these need to be fully discussed with your surgeon before you embark on surgery.

    Gastric lap banding carries several risks that are specific to this type of surgery but also carries the same risks that come will any type of major surgery. Additionally, there are some general risks that are common to any surgery which involves patients who are severely overweight.

    The first and most serious risk is that of death occurring either during surgery or immediately following and directly related to surgery. At this early stage (gastric lap band surgery has been around for approximately 13 years now and has only been licensed for use in the United States since 2001) there have been very few deaths reported and it is not easy to give a figure, though it is generally held that the risk of death from gastric lap band surgery is less than 1%.

    It is however interesting to see that that in one Australian study no deaths at all were reported in a group of some 2,700 patients who have undergone laparoscopic adjustable gastric band surgery since 1994. It should be noted however that Australia has been in the forefront of establishing the use of the laparoscopic adjustable gastric band and that more than ninety percent of all weight loss surgeries undertaken in Australia now use this method. This is significant as, in interpreting data from this particular study, you have to bear in mind that the experience of the surgeon is an important factor in terms of both risk and complication. Surgeons with a lot of experience of this technique exhibit a far higher rate of success.

    Many of the risks during the course of surgery are general as opposed to lap band specific and are common surgical risks to do with such things as your weight, age, reaction to anesthetic and the presence of disease (whether or not this is directly associated with your weight problem). The chief lap band specific risk during the course of surgery is that of gastric perforation (a tear in the wall of the stomach) which happens in about 1% of cases.

    By far and away the majority of complications occur after surgery and the majority of patients will experience some form of complication in the weeks and months after their operation. These complications will not necessarily be serious and will range from very mild to quite severe.

    Around half of patients will suffer varying degrees of nausea and vomiting and approximately one-third of patients will also experience regurgitation (gastroesophageal reflux). About a quarter of patients will suffer band slippage and roughly one patient in seven will suffer a blockage to the passage joining the two parts of the stomach.

    Other mild to severe difficulties after surgery can include the erosion of the band into the stomach and twisting or leakage of the access port. Problems with swallowing, constipation and diarrhea are also fairly common.

    In a very small number of patients (less than 1%) a whole series of non-serious problems can arise including gastritis, migration of the stomach above the diaphragm, pancreatitis, dehydration, abdominal pain, gas, chest pain and infection.

    In general lap banding, particularly when it is carried out laparoscopically, carries fewer risks and complications than other forms of weight loss surgery, but these risks are still significant and need to be fully discussed with your surgeon and fully understood before you take any decision to undergo surgery.

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    2 Natural Alternatives For Treating An Enlarged Prostate

    On August 22, 2008
    Categories: Men's Issues
    by Donald Saunders

    There are various alternative or natural treatments for the problem of an enlarged prostate and two of these are to use saw palmetto or pumpkin seeds.

    Odd as it may seem, pumpkin seeds have a variety of healing properties and they appear to be particularly effective for many men with an enlarged prostate. Pumpkin seed have three properties which are particularly useful in this case.

    The first is that pumpkin seeds contain fatty oil that acts as a diuretic and assists in improving the flow of urine and counter the restrictive effect which an enlarged prostate gland has on the urethra.

    The second property of pumpkin seeds is that they contain particularly high levels of zinc so that just a half a cup of pumpkin seeds contains about eight milligrams of zinc. It has been clearly shown that taking zinc can reduce the size of an enlarged prostate and many doctors recommend taking sixty milligrams o zinc a day. Care should be taken though and it is wise to consult your doctor before increasing your daily zinc intake to this level as it is higher than the normally recommended daily level.

    The third benefit of pumpkin seeds is that they are high in amimo acids such as alanine, glycerine and glutamic acid, all of which have once more been shown to give significant symptomatic relief.

    Another widely used treatment for prostate problems is saw palmetto. Grown in the southeastern states, saw palmetto is a form of palm tree the seeds of which used to form a significant part of the diet of Seminole Indians.

    Saw palmetto acts by turning testosterone into dihyrotestosterone and this is the same process used in Proscar, which is one of only a handful of non-prescription treatments which have been approved for prostate problems by the Food and Drug Administration. Its essential benefit is that it raises urine flow, minimizes the difficulty of residual urine and reduces the frequency of urination.

    As is the case with most natural treatments views vary widely over the effectiveness of saw palmetto, but we have seen various studies in recent years that have clearly shown that it does produce a sizable benefit. In one study, a clinical study looking at more than 2,000 German men with benign prostatic hypertrophy, a daily dose of only one or two grams of saw palmetto seeds produced a substantial reduction in symptoms.

    Of course these are merely two of the many natural treatments available but there is no doubt that they can and indeed do work. By way of a further example, it is believed that roughly thirty percent of American men have undiagnosed prostate cancer by the time they reach the age of sixty against a mereone percent of Arctic Inuit men at the same age. Of course there might be various reasons for this enormous difference, but one difference which many doctors consider to be very significant is the fact the diet of Arctic Inuit men is high in fish oil.

    As a result, if you are suffering from an enlarged prostate then, before turning to your physician for treatment, you might find that simply adjusting your diet and taking some vitamins and minerals might be all that you need to do.

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    Step Parents Frequently Find That It Is Hard To Share Authority

    On August 22, 2008
    Categories: Parenting
    by Donald Saunders

    Step parenting frequently brings its own particular problems as the new step parent finds himself or herself caught in the middle between the children and the biological parent. precisely how much of a problem you are going to meet depends upon a whole variety of factors, not the least of which will be the degree of co-operation you receive from the biological parent and the ages of the children involved.

    The key to successful step parenting is to be found first in clearly establishing your role with the biological parent as you are certainly going to have an uphill struggle if the two of you are not fully in agreement from the outset. As with any changes in a relationship though you also have to appreciate that adjustment takes time and you will need to adopt a ’step by step’ approach. An attempt to rush things, or to push the situation, will unquestionably lead to frustration and even confrontation. The biological parent could well feel threatened by the need to share parenting responsibilities and will need to have time to adjust and to acquire confidence and trust in you as a parent to her or his children.

    Your next step will be to establish your position with the children who, unless they are very young, will usually resent being guided by an ‘outsider’. You will have to take things gradually and accept that the children will need time to adjust to the situation before they will accept you in the role of a parent. Once again, you will need the assistance of the biological parent in building your relationship with the children.

    A successful move into step parenting has to begin with a clear and frank discussion with the biological parent, during which both parties have to communicated freely and honestly about how they see their own role, and the role of the other party, and you must both arrive at a clear agreement about exactly how you ought to share parenting responsibilities. This discussion also needs to set clear boundaries but must be adaptable to allow for modification, particularly in the all important initial weeks and months following the establishment of this new relationship.

    This first discussion will naturally not be the end of the matter and several such conversations will need to take place before any truly meaningful and lasting shift in parenting responsibilities can happen.

    Once you have reached agreement the next step is to get the children on board and this must initially be led by the biological parent. At the right time everyone should sit down together and the biological parent has got to lead off a discussion during which the plan which you have come up with can be given to the children and discussed with them.

    At this point it is important to emphasize that this must be a true discussion and not simply a case of the parents ‘laying down the law’ to the children. It is critically important that the children contribute to the discussion and that their thoughts and views on what you have agreed be heard. Just like adults, children need to be permitted to have a sense of control over their own lives and need to feel comfortable with the situationthey find themselves in. This is not to say that the children must be given control over the situation, which should stay firmly in the parents’ hands as the ultimate decision makers, however, every effort should be made to make sure that they comprehend the situation and that they are as happy with it as is possible.

    The mere fact that the children can see that their parents have obviously considered the position very carefully, and agree about it, will do a great deal to stop the children from playing one parent off against the other and the fact that they are included in the process will also assist considerably in getting them on board.

    Arriving on the scene as a step parent can be very difficult for not only the step parent but for the biological parent and for the children and everybody will have to work together carefully and take their time to establish an environment in which everybody can live together happily.

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    What Risks Are There With Gastric Lap Band Surgery?

    On August 22, 2008
    Categories: Weight Loss
    by Donald Saunders

    Obesity surgery has come a long way over the last few years and modern types of surgery such as gastric lap banding are without doubt much safer and have far fewer complications than early types of open gastric bypass surgery. Nevertheless, there are still risks and these ought to be fully discussed with your surgeon before you undergo surgery.

    Gastric lap band surgery has several risks that are specific to this form of surgery and also has the same risks which come will any major surgery. Additionally, there are some general risks that are seen with any surgery involving patients who are overweight.

    The first and most serious risk is that of death occurring either during surgery or immediately following and directly related to surgery. At this early stage (gastric lap band surgery has been around for approximately 13 years now and has only been licensed for use in the United States since 2001) there have been very few deaths reported and it is not easy to give a figure, though it is generally held that the risk of death from gastric lap band surgery is less than 1%.

    It is however interesting to see that that in one Australian study no deaths at all were reported in a group of some 2,700 patients who have undergone laparoscopic adjustable gastric band surgery since 1994. It should be noted however that Australia has been in the forefront of establishing the use of the laparoscopic adjustable gastric band and that more than ninety percent of all weight loss surgeries undertaken in Australia now use this method. This is significant as, in interpreting data from this particular study, you have to bear in mind that the experience of the surgeon is an important factor in terms of both risk and complication. Surgeons with a lot of experience of this technique exhibit a far higher rate of success.

    Many of the risks during the course of surgery are general as opposed to lap band specific and are common surgical risks to do with such things as your weight, age, reaction to anesthetic and the presence of disease (whether or not this is directly associated with your weight problem). The chief lap band specific risk during the course of surgery is that of gastric perforation (a tear in the wall of the stomach) which happens in about 1% of cases.

    By far and away the majority of complications occur after surgery and the majority of patients will experience some form of complication in the weeks and months after their operation. These complications will not necessarily be serious and will range from very mild to quite severe.

    Around half of all patients will suffer varying degrees of nausea and vomiting and in the region of one-third of patients will also suffer from regurgitation (gastroesophageal reflux). In the region of a quarter of patients will experience band slippage and approximately one patient in seven will experience a blockage to the passage joining the two parts of the stomach.

    Other moderate to severe problems after surgery include erosion of the band into the wall of the stomach and twisting or leakage of the access port. Difficulty in swallowing, constipation and diarrhea are also fairly common.

    In a very small number of patients (less than 1%) a whole series of non-serious problems can arise including gastritis, migration of the stomach above the diaphragm, pancreatitis, dehydration, abdominal pain, gas, chest pain and infection.

    In general lap banding, particularly when it is carried out laparoscopically, carries fewer risks and complications than other forms of weight loss surgery, but these risks are still significant and need to be fully discussed with your surgeon and fully understood before you take any decision to undergo surgery.

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    Frequent Fliers Can Learn To Live With Jet Lag

    On August 21, 2008
    Categories: Travel
    by Donald Saunders

    Dealing with jet lag is quite simple for people who only fly once in a while, perhaps just a couple of times a year on vacation or for the odd business trip, but for aircrews and regular long-haul fliers, jet lag frequently brings in its wake several health problems that can become more or less permanent.

    Long-haul travelers will be more than familiar with the disturbance to their sleep pattern and the insomnia which can result from a long trip, in addition to such things as changes in mood, irritability, gastro-intestinal problems and difficulty in processing information. However, for very frequent fliers these generally transient symptoms become a part of daily life and are habitually joined by menstrual cycle problems for women and even by short-term psychiatric problems for some people.

    The main factors which influence the degree of jet lag that you experience, apart from how often you travel, are the distances traveled, the direction in which you travel and your age.

    If you are regularly traveling across just two or three world time zones then any affects will probably be very mild. But, as soon as you start to cross more than three world time zones, and particularly when you get up to frequently traveling over six or more time zones, jet lag symptoms start to increase significantly.

    The symptoms of jet lag are also much more evident when you are traveling east and affect you less if you fly west. For instance, if you are traveling from London to Singapore on vacation you will experience greater jet lag when you arrive in Singapore at the beginning of your holiday than you will in London when you get home.

    As a general rule when you are flying east you can expect that jet lag will last for several days and a good guide is approximately two thirds of the number of time zones traveled across. For example, if you fly across six time zones you could expect jet lag to affect you for up to four days. Traveling west jet lag should be expected to last about half of this time.

    Age is also an important factor when it comes to jet lag and, as you age, you will find that you are increasingly affected by jet lag.

    A true jet lag cure does not exist but there is a lot that can be done to assist in reducing the symptoms of jet lag.

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    Acne Myths Exploded

    On August 20, 2008
    Categories: Acne
    by Donald Saunders

    There is a lot of information available about acne and what causes it and this information is a mix of both fact and fiction. Thus, let us take a look at some of the things that are being said and see if we can work out the myth from the fact.

    Food

    First of all there is no direct connection between eating such things as greasy hamburgers and chocolate or drinking too many soft drinks and developing acne spots. It is the case however that diet plays an important role in the way the body functions and therefore it does have a minor role to play in whether acne is more or less likely.

    For example, greasy foods do not directly convert into rising oil production within the sebaceous glands that contributes to acne, but foods that do contribute to an increase in oil production would of course have an effect. However, iodized salt is as yet the only food substance that has been shown to have any real effect and it just worsens acne but does not cause it.

    Hygiene

    The chances of developing an acne spot are increased when a pore becomes plugged and bacteria get trapped inside. This means that hygiene habits that tend to close the skin’s pores can play a role. However this effect is only very small and the bacteria and dead cell skins that become trapped and are unable to make their way out of the pore are influenced only to a small degree by an absence of regular face washing.

    Nevertheless, once acne occurs good skin care is particularly important and mild cleansing two times a day with soap and water can help to treat acne and encourage healthy skin in general. Good hygiene is an excellent for a number of reasons but it helps most in treating acne by providing a good surface for medications to work most effectively.

    Acne spots are greatly influenced by excess skin oil (sebum) production that is triggered in the main by hormones and abrasive cleansers that are applied roughly do not just clear away this excess oil but also damages the the ability of the skin to cope with it.

    Stress

    As stress tends to weaken the body’s immune system and also influence its hormone levels it could be thought that stress would play a role in the onset of acne. However, there is no evidence to suggest that stress leads to acne, although there is some evidence to show that it might play a small role after acne has arrived.

    One difficulty with assessing the role played by stress is that people who suffer from chronic stress normally also suffer from additional health problems which complicate the picture. Do not forget also that here we are talking about clinical stress and not just the worries which we all experience as part of the ups and downs of day to day life.

    Medications

    Many us are tempted to raise the dosage of an over-the-counter medication believing that if a little can do a bit of good a lot of medicine will do a lot of good. Unhappily, this is not so and it is both a waste of medication and could actually harm the skin. You should always follow the instructions on any medication and if an over-the-counter medication is not showing signs of working within a reasonable period of time then it is a good idea to consult a dermatologist.

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    Get Ahead Of The Game By Learning Forex Currency Trading Online

    On August 19, 2008
    Categories: Currency Trading
    by Donald Saunders

    To succeed in the Forex currency trading game it is essential to lay the foundations by getting the right sort of Forex education.

    Today’s business world is cut-throat and it pays to know your way around. In the world of Forex trading this means that you must understand the market, the players and the stakes. You must know things like the value of the currency you are trading, the factors which alter the value of your currency and the strategies for trading and trends in the market.

    As a newcomer this also means that your starting point must be some type of Forex education. A Forex trading course will teach you all about predicting and charting movements of the market together with the ideal time to purchase or sell a commodity and will aquaint you with basic terminology and the process of trading.

    Because Forex trading is undertaken in real time and decisions often need to be made quickly, a trader should also be emotionally prepared to cope with the challenges, demands and stress of the market and these will also be covered in a good Forex trading course.

    So exactly what should you be looking for in a Forex training course?

    Every Forex training course needs to cover the basics on such things as types of orders, margins and leveraging which are essential to all Forex transactions. It also has to cover basic terminology, the types of analyses being used and the software available.

    Analysis is fundamental to profitable trading and any Forex course has got to look in some detail at both fundamental and technical analysis including the tools that are used and the pros and cons of both.

    However the basics and theories of trading are not sufficient and good Forex education should also cover proper money management and the development of a good trading disposition and psychology. It is far too simple for traders to become overly involved emotionally in trading and it is crucial to success that traders are taught the importance of things like commitment, patience and discipline.

    Probably the most important part of the best Forex training courses however is the inclusion of an apprenticeship program allowing you to gain real-life experience. There is no better way to learn how to trade foreign currencies than experience gained in actual trading. Forex courses should therefore provide the opportunity to trade in a simulated environment which is as near as is possible to live trading. It is also important for students to be provided with the chance to discuss their trading with fellow students and to get one-to-one feedback as they practice trading.

    For people who wish to learn the rules of the game and get a good grasp of the market there are a lot of online sites that offer workshops and courses on Forex trading. The majority of these sites offer courses on trading strategies, money management, market trends, technical analysis, software and trading tools, fundamental analysis, networking and a great deal more.

    Today the Internet not only provides the perfect forum for learning Forex trading but also facilitates trading from the comfort of your home and allows both corporations and private individuals to play the game and make money in this virtual world.

    Internet trading has truly opened up the world of foreign currency trading and provides the opportunity for everybody to reap substantial rewards today. But, it is crucially important to equip yourself with the knowledge you need before plunging into trading.

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    Could You Be Suitable For Gastric Lap Banding?

    On August 19, 2008
    Categories: Health
    by Donald Saunders

    There are several different types of weight loss surgery available to patients now including the relatively new procedure of gastric lap banding which is rising in popularity and is fast becoming the favored choice for a significant number of severely overweight or morbidly obese individuals. But would you be a suitable candidate for gastric lap banding surgery?

    In answering this question we will start by presuming that you are a suitable candidate for weight loss surgery generally and that your only concern therefore is whether or not you should be considering lap banding. In simple terms this would mean that you are over 18, are severely overweight with a body mass index (BMI) in excess of 40 (or over 35 with at least one co-morbid condition|one or more co-morbid conditions) and that you have previously tried traditional weight loss methods (including possible drug treatment) without success.

    It is often believed that individuals facing weight loss surgery are merely overweight and it is all too easy to forget that individuals who are extremely overweight are frequently suffering from several other conditions, many of which result from the fact that they are overweight. It is the existence of these other conditions which often constitutes a hurdle when it comes to choosing between different forms of surgery.

    As gastric lap band surgery is a type of restrictive surgery where the stomach is physically reduced in size to limit the amount of food which can pass through the stomach and digestive system, it follows that this type of surgery is unlikely to be suitable if your esophagus, stomach or intestine are in any way abnormal. An abnormality might be inherited or acquired and a typical problem seen is a narrowing at some point along the digestive tract.

    Problems within the stomach or esophagus which might result in bleeding (such as esophageal or gastric varices ” a dilated vein) would also rule out gastric lap banding, as would problems at the site at which the band would be placed around the stomach, such as an injury, gastric perforation or scarring.

    Problems may also arise if you suffer from any form of inflammation or inflammatory disease in the gastrointestinal tract such as esophagitis, ulcers or Crohn’s disease.

    Finally, gastric lap banding is not suitable for pregnant women or where pregnancy is being contemplated. Should pregnancy occur after gastric lap banding it is possible to deflate the band to compensate for an higher nutritional requirement but, where deflating the band does not do the trick|is not in itself sufficient, the band might have to be removed.

    One advantage of the gastric lap banding system is that the operation can be reversed and, if it is necessary, the band can be removed returning the stomach to its previous state. However, this can also be a disadvantage of the system. Motivation is key to any type of weight loss surgery but becomes a particular issue when it comes to gastric lap band surgery. If there is any doubt about your determination to succeed then this type of surgery may not be the best choice for you.

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