FLESH-EATING BACTERIA: VICIOUS ASSAILANTSRecently, a woman in Oregon was surprised by the net result of a shopping trip to a toy store. After reaching to a high shelf to get a toy, she noticed that she had cut her arm on the way down. She went home, bandaged it, thought nothing of it, and went about her business. What was to follow was a battle for her life, for unknowingly, she had come in contact with a deadly pathogen, a rare form of flesh-eating strep bacteria known as necrotizing fasciitis. She was one of over 800 cases diagnosed in the United States that year, with over 25 percent resulting in death. Within 24 hours after the infection, she, and others like her, experienced the following symptoms:- Some minor pain in general area of wound (most dismissed this as insignificant)- Pain that grew proportionately worse with time- Flu-like symptoms such as diarrhea, fever, confusion, dizziness, weakness, and general malaise- Intense thirst due to dehydration- A combination of all these symptoms, which made the victims feel worse than they had ever felt beforeWithout treatment, the disease progresses quickly, and within 48 hours the following may occur:- The infected, painful area begins to swell and may turn from blue to purple to black.- The area may begin to show large, dark marks that will become blisters filled with black, pus-like fluid that may begin to drain or weep.- The skin in the area will appear to die, taking on a bluish, white, or dark flaky appearance.If the disease progresses without effective treatment, the following will occur:- Blood pressure may drop severely. - The person may sweat profusely, get the chills, and have clammy, cool skin.- The body may go into toxic shock.- The person may lapse into sleep or coma-like state, characterized by unresponsiveness and disorientation.- The person may finally lapse into unconsciousness as the body becomes too weak to fight the disease.Early treatments for the disease include antibiotic therapy, treatment in a pure oxygen chamber to speed healing, immuno-boosting therapies, and rest. If victims don’t die, they may be left with a wide range of injuries an deformities, ranging from scarring to amputated limbs.Because the bacteria is so lethal, it takes only a very small opening, as small as a tiny pin prick or even a bruise, blister, or scrape for the bacteria to take hold. These bacteria are related I germs that cause strep throat and can be passed along even when only а droplet from a sneeze or cough by someone carrying it reaches an open wound. Preventive measures include thorough hand washing, especially after coughing and sneezing or before preparing foods or eating. Because door handles, toilet handles, handles on grocery carts, and other commonly touched items often are teeming with bacteria, hand washing becomes even more important in public places. About 15-30 percent of the population are carriers of strep A bacteria, in most cases with no symptoms and without being contagious.*25/277/5*

SURGERY, DERMATOLOGIC TREATMENT, AND OTHER NONPSYCHIATRIC MEDICAL TREATMENT FOR BDD:  WHAT ABOUT PEOPLE WITH BDD WHO DON’T GO TO A PSYCHIATRIST BUT ONLY SEE A SURGEON, A DERMATOLOGIST, OR A DENTIST? What about people with BDD who don’t go to a psychiatrist but only see a surgeon, a dermatologist, or a dentist? You may recall that 6%-20% of people who receive cosmetic surgery, and 9%-12% of people who receive dermatologic treatment, appear to have BDD. Are they any happier with the outcome of these treatments than people who eventually see a psychiatrist? Or are they even less happy? Although little systematic research has been done on BDD in dermatologic, surgical, and other medical settings, these patients have been well described in the professional medical literature. In the dermatology literature, BDD has been referred to as “dermatologic hypochondriasis,” “hypochondriacal preoccupation with trivial lesions,” and “dermato-logical non-disease.” Skin picking associated with BDD is subsumed by the term “neurotic excoriations.” In some reports the term “monosymptomatic hypochondriacal psychosis” is used, which refers to delusional BDD.BDD is even less precisely identified in the surgery scientific literature. Scientific papers discuss patients with characteristics that overlap with BDD, such as “insatiable” surgery patients, “polysurgical addicts,” and patients with “psychological problems” or “minimal deformity.” The problem is that these terms aren’t clearly defined, and can’t be assumed to pertain to BDD because it isn’t clear which patients in these studies, if any, had BDD.One study from Japan was an exception in that the patients were identified as having BDD. This was a study of 274 patients with BDD who went to a surgery clinic requesting cosmetic surgery. A review of the patients’ medical researchers concluded that surgery in people with BDD is risky because they often have unrealistic expectations, are often unhappy with the outcome, and may be angry with the surgeon about the outcome, even though it looks fine to other people. These surgeons therefore tended to avoid operating on people with BDD. Other articles in surgery journals have also cautioned surgeons against performing surgery on people with BDD because of poor outcomes that include patient dissatisfaction with the procedure or even violence toward the surgeon. There are several well-known cases of surgeons who were murdered by people who appeared to have BDD. A review of BDD in a German surgery journal concluded that such patients should not be treated with surgery.*350\204\8*

TREATMENT OF SINUSITISThere are two general principles in the treatment of sinusitis:1. Promote opening of the sinuses. This can be done using the medications listed below:• Topical DecongestantsNose sprays or drops can be used, but, as in the treatment of rhinitis, they should never be used more than 3 to 5 days in a row. Since sinusitis will usually require two to four weeks of treatment, I have found that using these agents for five days, stopping use for seven days, using them again for five days, and so on throughout the course of treatment of sinusitis minimizes the development of an “addiction” to nasal sprays or drops.• Oral Decongestants/Antihistamine. The regular use of decongestants, such as a pseudoephedrine product, is a method commonly employed throughout the treatment course of sinusitis. They provide added decongestion both during and when “off’ topical decongestant nasal sprays. If you have allergic rhinitis and it is your allergy season, then the addition of an antihistamine or the use of a combination antihistamine-decongestant product might be in order.• Topical Nasal Corticosteroid Sprays. These are good anti-inflammatory agents and are commonly taken throughout the treatment of sinusitis.• Oral or Injectable Corticosteroids. These agents can hasten the reduction of the inflammation and are frequently taken at the beginning of treatment for sinusitis.2. Treat the infection. Antibiotics are the best defense here. The most common type of antibiotics used to treat sinusitis are:      Amoxicillin      Amoxicillin combined with clavulanate       Trimethoprim-Sulfamethoxazole       Erythromycin plus sulfisoxazole       Cefaclor
Because of the spectrum of bacteria it kills, amoxicillin is a good first-choice antibiotic for the treatment of sinusitis. Against certain organisms amoxicillin with clavulanate, trimethoprim-sulfamethoxazole, erythromycin plus sulfisoxazole, or cefaclor may be more effective. Penicillin allergic patients, however, should not take amoxicillin-containing antibiotics because amoxicillin is a penicillin derivative. They also should use cefaclor-type antibiotics with caution, because cefaclor-type antibiotics sometimes cause allergic reactions in penicillin-allergic patients. If you are allergic to penicillin, always tell your doctor of this before taking any antibiotic.If you have sinusitis, in all likelihood, you will take antibiotics for at least 14 days. At the end of that time, if you still are not well, you will be given another two to four weeks of antibiotics. In general, if you have been through two courses of antibiotics such as this (some four to six weeks of treatment) and still are not well, you may require sinus surgery. Remember that if you develop sinusitis it is important to take the medications exactly as directed and for as long as directed even if you begin to feel better before the medication is used up.*62/322/5*

The pituitary, 12 by 8 mm in size (like a bean), serves our body in a similar way to that of an inconspicuous general who commands a large army, or the person in the control tower who directs and manoeuvres huge jet planes entering and leaving an international airport. This gland weighs only a few grams and was at one time regarded as a vestigial organ. But when the news of its importance began to spread through the scientific world, and it was even discovered that the anterior and posterior lobes each produce com­pletely different hormones, the amazement was great indeed. Such a small gland, yet one with so many vital functions!
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During the productive years of youth an active person often neglects to think about the fact that the central nervous system and brain must still serve their purpose during the autumn of life. If we wish to be sprightly and in good spirits, feeling well physically and mentally during our old age, we must see to it that the engine in the control room, the brain, is given more attention than is usual in today’s world.

How many of us regularly curtail the brain’s wonderful source of energy and recharging by not getting enough rest and sleep! The body may be able to take one or two exceptions, but a continuous lack of sleep will undermine the health, lead to fatigue and will gradually diminish one’s efficiency and productivity. Let us there­fore, first and foremost, make sure to enjoy a healthy amount of sleep, going to bed early. We should also make an effort to eat wholefoods for adequate nutrition, get enough exercise for refresh­ing relaxation during our free time, and avoid the poisons threaten­ing us in so many ways.
Taking these precautions will not only contribute to our overall state of health but will render an incomparable service to our brain.
*100/28/1*
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Because scabies is highly contagious, your child must stay at home until treatment is completed. The entire family should be treated, even though only one person seems to be infected. Prior to treatment, give your child a bath or shower and dry the skin gently. Your doctor will prescribe a lotion or cream (e.g. benzoyl benzoate) which is to be applied to the skin, from the neck down. Make sure that you cover the skin thoroughly, paying special attention to the genital area, and under fingernails. Do not wash lotion or cream off for 24 hours! Clothing, linen, towels and soft toys should be washed in order to destroy mites and eggs. Vacuum all carpets and mattresses. If you cannot wash some items, spray them with insecticide and leave them tightly closed in a plastic bag for 2-3 days.

After 24 hours, wash your child thoroughly. Treatment should now be complete. Sometimes the itch takes up to a week to disappear. This is usually due to an allergic response, and does not mean that your child still has scabies. Do not reapply the lotion or cream unless advised to do so by your doctor.

When to see your doctor

• if itching persists for more than a week, or initially stops and then returns;

• if bleeding, scabs or pus-filled sores appear in the same area as the itching.

Complications

The itchy areas may become infected after excessive scratching.

Prevention

Initial infection with scabies cannot be prevented. To prevent the spread of scabies, wash linen, towels, clothes and soft toys. Treat all family members. Do not send your child to kindergarten or school until treatment has been successfully completed.

Even if only one child has scabies, treat all family members at the same time to avoid spreading the infection.

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It may take several weeks before breastfeeding becomes fully established. Breastfeeding your baby as soon as possible after birth is helpful, but sometimes this is not practicable when either mother or baby are unwell. Expressing breastmilk every few hours will ensure that your supply is maintained until you are able to start regular breastfeeding. Most babies will settle themselves into a routine of breastfeeding, and it helps not to be too rigid with the timing of feeds. Rather, try to flow with your baby’s rhythm; most babies will settle eventually to a pattern of 3-4-hourly feeds. Some do not, and appear to take a long time to establish a predictable pattern of sleeping and feeding. Night feeds in particular help to boost your milk supply, so do not be in a hurry to cut these out before your baby is at least 3 months old. If possible, avoid giving your baby formula feeds during the first few weeks of breastfeeding. Offering a complementary feed may in fact only serve to decrease your milk supply. If you think that your baby is still hungry after feeds, speak to your maternal and child health or community nurse.

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The posture of the future allows for more practice of your “telepathic sex,” a sending of messages beyond the see/touch world. Scientists are now turning their attention to the subjective, the possibility of communication beyond words and sound waves. All of us know that we communicate on many levels, that we sense each other. We know that this “sense of one another” can be particularly profound between lovers in long-lasting relationships. In this new posture, try to develop your sexual psychic powers. Be open to feelings coming from your partner and send them back. It will take time, but you will see that telepathic sexual arousal is as “send-able” and “receivable” as any other emotion. You will begin to feel a telepathic turn-on. Psychasm is the sensation not only of your own conscious and emotional experiences, but of those of your partner as well.

This is what super marital sex is all about. The posture of the future can help you both learn to develop your own form of sending and receiving free of the sexual prescriptions. The posture of the future is really your posture, so don’t worry about “getting it right.” If it feels right to both of you, it’s right.

“The first time we rushed it,” said the wife. “We stacked the pillows, got naked, and tried it. It was-terrible. Then we took our time. We moved the wedges around, changed distance and angles several times until we found the right face-to-face sort of semisitting postures. The lighting helped, because we had never really seen each other like that, actually looking right at each other and our genitals. The telepathy worked. He got a drifty look on his face that drove me crazy. I was really turned on. His F spot—I mean, area—was right there on my area. We almost quivered together. It was like in the movie Cocoon when that man and woman are in the pool together and he says, ‘If this is foreplay, I’m a dead man.’ It was very much like that scene. We felt each other on every level.”

Her husband added, “Never, never in a million years would I have thought this posture was anything special. I can tell you now that it just cannot be described. We insert the penis sometimes, I ejaculate sometimes, we have orgasms, psychasms, breastasms, 1 tell you, we just merge. With the music and the light, it is just another world for us. If you would have told me that erection or insertion was not necessary weeks ago, I would have thought you were crazy. I see now that it’s not really the posture, it’s the whole system.”

Try the posture of the future. You cannot do it wrong, because the two of you are doing it, sharing it, changing it, learning it together. The posture of the future, the marriage of the future, will evolve from a new emphasis on intimacy and the integration of sexuality into the whole of the marital system.

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