How to relieve aches, pains and muscle disorders, with plants?

Some of us have benefited from summer to get back to sports holiday.

 If you are part of those who have instead preferred to enjoy their holidays to win nothing and letting go, September has been the occasion for many make resolutions again practicing their favorite sport.

But beware related to violent and unprepared sports recovery disorders, muscle damage can be significant



Fight against inflammation

If inflammation is present, the first step that is needed is to provide your muscles the rest they deserve. Meanwhile, the ice will reduce inflammation. Wrap ice in a cloth and apply ice to the painful area for about twenty minutes.



At this stage, several options are available:

-drug

-painkillers

-anti-inflammatory

-infiltration

But there are also other solutions, I called remedies grandmother's home remedies herbal or traditional medicines, which are equally effective relief without side effects.



To relieve pain and muscle défatiguer three plants will help.


1. chamomile

2. laurel

3. willow



Here is the solution:

- Made a decoction of Roman chamomile and drink with honey every four hours.

Its anti-inflammatory action in the muscles and due to its essential oil

- Pour into your bath, two to three liters of decoction laurel sauce to relax your aching muscles and relieve their pain through its tannins and its active ingredients.

- When the white willow bark, it will drink several times a day to get a significant result. its anti-inflammatory properties are due to its tannins.


  But be careful not mistaken diagnosis, because these muscle cramps can be the first signs of an infectious disease.

- Last tip but not least: Mix the garlic and olive oil and massage it on the painful areas. Not no joke, try it is very effective!



You now have natural solutions to relieve your muscle disorders through these three plants for therapeutic purposes which are:



-Roman chamomile,

-laurel sauce,


-The white willow bark


Any questions I `m just leave me a question that will be answered .

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Cinnamon, a miracle diet!

Cinnamon figures among the world's oldest spices. This small evergreen tree is grown in Sri Lanka, Vietnam, Egypt, Brazil, Indonesia and India. it is prepared in two ways, either by drying cinnamon bark and roll sticks (quills) or by crushing powder.

The special taste of cinnamon and the smell come from cinnamic aldehyde or (cinnamaldehyde), is the major component (90%) of cinnamon oil. This substance in the oil of cinnamon bark has one of the highest antioxidant spices all levels, and many foods also. You have as much antioxidants in one teaspoon of cinnamon That a full cup of pomegranate juice or a half cup of blueberries, both known for their antioxidant content foods.

Millions of people are looking for ways that helps to lose weight, and drink tea with cinnamon diet or eating cinnamon in other forms, can definitely help a lot in their weight loss goals.

How cinnamon to cause weight loss?

Cinnamon is a spice often used in the winter time because it "warms up" the body. This thermogenic response may accelerate the body's metabolism causing weight loss.

Cinnamon actually generates heat in the body due to a chemical reaction. The body's metabolism speeds up to counteract the excess heat and the body temperature balance. Excess calories are burned throughout the process. According to another theory, cinnamon lowers blood sugar, which increases insulin levels. The highest amount of insulin is supposed to reduce fat cells.


Some experts believe that weight loss through cinnamon is especially effective for people with diabetes because they need more insulin. Fat cells in the abdomen are particularly sensitive to high insulin levels, and are very effective for storing energy - far more so that fat cells you can find in other areas such as the lower body (ie hips, rear end, thighs). Because abdominal fat cells are so close to our digestive organs, and there is an extensive network of blood vessels circulating in the abdominal area, it is even easier for fat cells to store excess glucose there .

recommended amount

Recommended cinnamon bark diet doses are 1 to 4 g per day. It is suggested ½ to 3/4 teaspoon (2-4 grams) of powder per day. A tea can be prepared from the herb powder with 1/2 tablespoon boiling (2-3 grams) of powder for ten to fifteen minutes, allow to cool, then drink. Cinnamon oil is typically used at doses of 0.05 to 0.2 g per day.

Cinnamon and tea is also presented as a weight loss remedy when made with other ingredients. You can get better results with this recipe for Cinnamon with tea and honey. Regularly prepare tea with cinnamon and add 1 tablespoon of pure honey, after waiting for the tea is cooled so that the boiling water does not destroy the beneficial properties of honey. It is recommended to drink all the cinnamon tea before bedtime and wake up to.

 Et vous, connaissez vous d’autres plantes comme la cannelle pour maigrir ?        

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Bariatric surgery: under what conditions?

Bariatric surgery is a type of surgery of restricting food absorption, decreasing, in fact, the daily calorie intake in order to fight against obesity. It is a heavy machinery, reserved in case of major obesity, called "morbid", characterized by an index greater than 40 kg / m² body mass, with the failure of various attempts at dieting. (Source: wikipedia.org)

Under certain conditions:

There are many effective ways to lose weight but people with a lot of pounds to lose sometimes choose to use bariatric surgery. This surgery may be an option in one of the following: body mass index (BMI) greater than 40 or BMI of 35 or more conditions such as hypertension, diabetes and sleep apnea.

Such an operation is not taken lightly because the side effects can be numerous.

The browsing experience some herbal supplements and daily exercise can be a solution, but you should keep in mind that this type of weight loss surgery can be very harmful to your health. Some people too concerned with their weight sometimes make the wrong decision on this type of surgery.

People are not aware of the real significance of this kind of surgery do not pay attention to its negative effects.

Bariatric surgery is a medical process that involves particular to make some changes in the small intestine and stomach. In this surgery, the size of the stomach is reduced by removing a portion thereof. Due to the removal of a significant portion of the stomach, the person can not digest a restrictive amount of food.

The consequences:

It is never good to cut a significant part of your body. I had the opportunity to talk to a person who undergoes the operation and told me it was the worst decision. This has completely ruined her life because now she has stomach problems and must follow a mandatory treatment each day.

Other types of surgery such as malabsorptive surgery involves reduction of the small intestine. Normally it contains the amount of food to be digested but this surgery, its size is reduced. This can be very damaging to the person concerned.

Get help:

The top priority for every person facing a weight problem that should be avoided bariatric surgery. In any case be sure you have exploited natural solutions such as different types of exercises that are very effective in this regard and a nutritional program tailored.

If need be made to help you with health professionals who can guide you to the best path, physician, trainer, nutritionist ...

There are effective ways to lose weight without resorting to bariatric surgery.



What do you think of bariatric surgery and its risks? Leave your comment below?

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Nutritionist or dietitian: what differences?

I wrote this article for réppondre a question: "What are the differences between a dietician and a nutritionist"?

This is an interesting question because people often associate nutrition and dietetics as the same thing.

Or else, he wondered how to choose between one or the other of these practitioners. Here in this article some answers to help you make the right choice.

Dietician

The dietitian is a health professional recognized since 2007.

Its function is to help people to feed or replenish against a disease such as diabetes or people wishing to lose weight or gain weight instead.

The dietician at a state diploma and can therefore exert hospital, nursing homes or independent practice. Its role can be educational and preventive in different departments or schools.

The Nutritionist:

The nutritionist is not a health professional in their own right. Simply because there is no dipmlôme nutritionist in France.

In general they are general, gastroenterologist or diabetologist who provides nutrition counseling, having followed during their course of additional training.

He consults in office or clinic mainly. This profession is not recognized by a diploma, anyone can use the title.

The nutritionist has roughly the same purpose as the dietician. He provides most of the time plans and tailored advice to help his patient.

How to choose?

To help you make the right choice, here are the important points to consider:

The dietitian recognized by the state degree, specializing in nutrition and diet. Consultations are reimbursed by the safety and mutual.

nutritionist can be a doctor, but not necessarily. Consultation refunded if GP. Check if there are no honorary exceeded for such consultation.

So you ask well. There are files with qualified professionals listed, you can check on some website.

If like christian, you have questions, do not hesitate to write me in the comments. I have the pleasure to meet in an article there.

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Does the coconut oil is good for your heart health?

You probably know that saturated fats are bad because it can cause all kinds of heart related diseases.

Does the coconut oil is good for your heart health

But Did you know that coconut oil contains 92% saturated fat?

So why many advise oil coconut oil as a good health?

Is not that a contradiction?





Proponents of virgin coconut oil argue that it helps to improve the skin condition, have more energy and even lose weight. Huh? Saturated fat to lose weight? How is this possible?

This logic goes against the conventional wisdom, is not it?



When shortening (trans fat) was invented as hydrogenated margarine, it was supposed to replace unhealthy saturated fats like butter.

It had to be a healthy form of fat, until it was discovered in recent years that trans fats are more dangerous to your heart health than saturated fats.



The coconut oil, good or bad? Opinions are divided


Dr. Bruce Fife, a naturopathic doctor based in the United States and author of "The Miracle of coconut oil," noted at a press conference in Singapore that "all fats are not saturated with Similarly. The fat in coconut oil is different from most other fats and has many beneficial health benefits ".



He added that "Lauric acid" (coconut oil) boosts the immune system, has antioxidant properties and that, according to Dr. Bruce Fife, it could reduce the viral load in HIV-infected patients.

You must also take into account the size of the carbon chain in the fatty acid. Most oils and fats we consume are long-chain fatty acids.

Coconut oil is the most rich in medium chain fatty acids, which actually behave very differently than long-chain versions "source.



"The medium chain fatty acids in coconut oil boosts the body's metabolic rate and promote weight loss. They are vented immediately into the liver to produce energy and are not stored as "fat.



Another expert, Dr. Annie Leong, deputy director of the department of nutrition at the Office of Health Promotion. "There is not enough evidence to prove that the medium chain saturated fat can reduce cardiac risk. "



Nutritionist Anna Jacob argued that "Kerala is the capital of coconut in India and it is also the highest rate of heart disease.

Although it is not possible to say that Indians are genetically predisposed to heart disease, but a diet rich in saturated fat may increase this risk. "



However, this leads me to ask the following question:


Since Indians are prone to heart disease, these rates should be evenly distributed throughout India, not just in Kerala, under the pretext that it is the capital of the coconut. Do not you think?

Therefore, I am a bit skeptical on the analysis of Anna Jaccobs.



I will fall more on the fact that their bad eating habits are quickly installed. In India, one schoolboy 3 is overweight.

These children ingest the recommended four times a day and the country now has a sad world record of the largest number of diabetics quantity.



So who is right and who is wrong? For me, the benefits of coconut oil are no longer show, I will continue to eat, alternating with other preparations or dressings with olive oil and rapeseed oil .



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Is that your liver is working as it should?

Many people are concerned with improving the health of their liver. The reason is that the liver is involved in the digestion and assimilation. It processes nutrients to give life to your body, to repair diseased or damaged tissues.

It removes toxins and eliminates pathogens that enter the bloodstream and circulate in all the cells of your body.

More than 27,000 people each year die from chronic liver disease such as cirrhosis. People with diabetes accounts among the largest number of deaths due to liver damage.

 

More than 60,000 people die from liver failure.

It is estimated that 9,000 die from chronic hepatitis C and more than 12,000 liver cancer.

More than 25 million people create some form of liver disease and gallbladder each year.






Liver disease is the seventh leading cause of death.


Stay alert when the proper operation of the liver can greatly improve overall health. Most people have some weaknesses in the liver but did not even know it until it is too late. Why not learn what you can do to treat your liver so that it can lend you a long life?



Here is a list of symptoms that you may have when your liver is not functioning as it should.



*Frequent headache not related to stress, eyestrain, or muscle tension of the shoulders

*Frequent menstrual problems

*Blurred vision or red eyes

*Bitter taste in the mouth constant

*Excessive anger, depression or bad mood

*Sensitivity in the liver area - just below your rib cage on the right

*Acne, psoriasis, eczema, rashes and other skin problems

*Weakness in the muscles and common areas


Any of these symptoms may be an indication of a possible weakness of the liver.

If you have two or three of these symptoms, then it deserves further attention.



So what can you do if you feel you have some liver weakness?


The first thing to do is to examine the types of fats and oils you eat and make changes that will give you a healthier liver.

Saturated, as found in butter, meat, lard and other fats oils are very susceptible to damage by oxygen in the process called oxidation.

When these fats are oxidized they become rancid and form free radicals.

But saturated fats are not the only fat that can be oxidized. Even unsaturated fats, good oils, can be oxidized.

Nevertheless, it is best to consume most of our unsaturated fats, saturated fats are associated with heart disease.

Liver cells are very sensitive to free radicals. These free radicals are destructive to liver cells and weaken over time.

In addition, scientists have found that 17% of the oxygen that you breathe in your body becomes a free radical. These free radicals once again, attack and destroy liver cells.

To counteract the free radicals that are created in your body, you need to take supplements and antioxidants and eating fruits and vegetables.

Fruits and vegetables yellow and red are the highest in antioxidants. Of course, it is best to avoid fried foods and do not use oils that are staying in the open air for too long.



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benefits of resistance training

Do you want to jazz a stronger and many resplendent body? Then the unexcelled artifact to do is get on your feet and play doing the resistance activity.

What Is Status Upbringing?

Opposition upbringing involves activities that use weights, machines and smooth embody coefficient to transmute out the muscles right. It is also illustrious as magnitude upbringing or metric preparation. This can be rattling assistive in achieving a healthier embody.

This kindhearted of training is unremarkably related with athletes who somebody to create up their bodies. Most group would conceive that when action activity is done, the body gift discolour bigger. Actually it will not. Resistivity preparation is just near flaring the posture of the body, not its situation.

Actually, this can be practiced by anyone. It essentially builds and tones the muscle to cater the embody a wagerer care. This training program is flatbottomed very some advisable to the elders. The usual activity programs undergone by the elders are slack free-weights resistivity or the moderate-intensity sitting organisation grooming. 

How Does Opposition Breeding Operate?  

A condition breeding announcement will let the use of different apply equipment and machines same the governance machine, dummy or barbell. When the equipment is victimised, the muscles of the embody give be pitted against the coefficient. The cells of the body instrument then accommodate to the actor metric. This testament then result to hypertrophy or the enlarging and acceleratory of the nervus cells to amend in the muscle contraction. 

Before doing any resistivity breeding, it will be mortal to refer eldest with the mountebank. This goes especially for people who score medical conditions or are adiposis. This form of upbringing is not something that you can explore on your own. You jazz to hump the victorian equipment for the needs of your body. The body moldiness also be healthy first before action in the weights.

Condition preparation can also be finished without resorting to the equipment. Doing push-ups is one nifty monition. You can do it honorable about anywhere where there is sufficiency grapheme for you to displace. This case it is your own embody weight that present be pitted against the muscles. So those who are a bit unnatural in the budget can relieve do status trainings.

What Are the Benefits of Status Grooming?

1. Amount Pearl Mineral Density
Maraca are constantly remodeling, idea the tissues hap low at the self minute they frame up. The maximal of remodeling takes abode during puberty. Notwithstanding, as a human ages, there may be problems with the bone petrified denseness as the remodeling may not be as alive anymore. This is especially a difficulty to post-menopausal women. 

Ivory mineral denseness is unremarkably founded by the hormones. To accost the job of not having the hormones to affirm the take mineral denseness, fleshly manifestation is the succeeding unsurpassable choice. Condition grooming is one physiologic activeness that can accost this. 

2. Increment Strength
Toughened bones and muscular muscles testament be formed as you support the action training papers. 

3. Increment the Arrange of Activities
When your embody is brawny sufficiency to hold some goodly unit, then definitely you leave also be adequate of doing solon strenuous activities. You are less liable to be lazy and you can unfilmed a much astir style.

4. Reduce the Embody Fat
Roughness the weights on your sinew instrument definitely cater it the embody the exercise it needs and get rid of the ineligible fats. Thus expect the ambiance of the embody to modify. Flatbottom many, wait the embody to perception modify, to be leaner. 

5. Alter Propose of the Elders
For the older, undergoing a action upbringing software testament work change their welfare and fall the risks brought nearly by the age. They can be author nonparasitic, without needing to rely on new fill for doing unanalyzable things. Being healthy to do so present also alteration the venture of injuries in the elders

6. Change Temperament Procedure
Regularly doing resistance grooming can outcome to a down ticker evaluate and down gore somesthesia, especially after employ. The assay of hunch diseases is low to a hefty extent.

This benignant of upbringing however moldiness be decently through. It requires loyalty and consistency. It testament have to be done in a systematic foundation, people a schedule that the mountebank or the somatic simulator would advise. If through wrongly, the benefits of the show may not be enjoyed and it can level outcome the trauma. 

The key here is to only hold your indication. Do things one manoeuvre at a measure right. As your embody statement improves, then suggest on to writer difficult tasks. The magnitude of the embody and its gross face are at portion in the resistance breeding. So you alter be trusty to do it decent.

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Mental Health Maintenance Is Made Simple

Your mental health is often drastically improved by using the techniques Dr. Kuhn teaches in this article. When you are able to experience this improvement, your relationships blossom, open races, and people find you attractive and accessible. You deserve to have fun and joy in your life - and Cliff Kuhn, MD will help you do so.

In the classic film by Frank Capra, this is a wonderful life, mental health of George Bailey is overwhelmed by the difficulties of his life and would not have emerged. Guardian angel grants George his wish and took him to a sad reality, as it would have been without him. George feels nothing when he puts his hand in his coat pocket to retrieve the flower of his daughter, Zuzu, placed there - and this is where George knows that his wish came true ... who was never born.

Wishing she had never emerged, Roberta became my patient, desperate to improve their mental health. As the fictional character George Bailey, depression and anxiety Roberta became so strong as to threaten his ability to lead a semblance of normal life. Fortunately for Roberta, soon discovered exactly why the natural medicine of humor is one of the most powerful treatments adjuvants to improve mental health, because humor literally pours water on the fire of depression and anxiety.

Roberta is not the only one. 35% of Americans suffer from depression and anxiety, twins who are mental health inaccessible for millions. His depression and anxiety is exacerbated by its gravity - take yourself too seriously. As we enter adulthood, unfortunately accept the idea that people should be responsible and productive "serious". As we are the biggest mistake of our lives and relegate our nature with humor and fun recreational activities (if we experience pleasure at all), we condemn all the symptoms of a corresponding gravity that fills the gap - the deterioration health, increased stress, increased pain, decreased energy, impaired creativity, and more.

The good news for mental health, however, is that we know how to reduce their severity deadly for almost nothing and reduce almost completely the influence it has on their health, vitality, wellness, and zest. Natural medicine of humor is a powerful resource that already, just forgot how to use it for maximum efficiency. You'll soon discover that, while not being a panacea, the natural remedy of humor is a wonderful tonic for depression or anxiety, and also boost other treatments because it is a complementary medicine incredible!

I tapped into the natural medicine of humor, through my years of medical practice in a amazing recipe that I call the fun factor. Based on what I've learned over twenty years of a terminally ill fifteen years, patient, I created a unique set of principles I call the Fun Commandments, then forged these Commandments in my Fun Factor prescription and prescribed fun with great success for years. This report will show you how to use only three commands my pleasure to turn your mental health at all, and get a new joy, enjoyment and appreciation of his life!

Improve your mental health by using my Fun Factor prescription

Step one: Go always smiling additional

Fun first command that I recommend for better mental health is: Always Go Smile extra. This command is doubly beneficial for depression and anxiety, because they not only provide measurable physical and emotional relief, but is entirely under your control - regardless of their situation. Because smile is totally under their control, may be your best resource for the use of natural medicine of humor to accelerate your mental health.

Smile produces measurable physical benefits that you can experience immediately, reduces stress, strengthens the immune system, which increases the pain and frustration tolerance, and increases creativity. And guess what? Discover all the advantages, even if your smile is "false". So ... forcing a smile on the face of the benefits your immune system and lowers your mood as easily as a genuine smile. Fake a smile and soon feel well enough to use a real one!

This is great news for its proactive health mental development. You have an incredible amount of control over their favorite mood - you can literally choose more energy and happiness. The key to using this command Fun in improving your mental health is to start practicing now, so smile becomes a method rooted, regular access to the natural medicine of humor. If you wait to smile until his mental health took a turn for the worse, depression or anxiety has taken hold of you, it will not be as effective.

Second step: act and interact

Smile leads us directly to the second commandment Fun find a decisive role in maintaining your mental health: action and interaction. Natural medicine humor works best when we share this commandment and teach you how to leverage that we have taken control of their physiology and mood with a smile. Act and interact is now easier for you to do because you smile more. Not only improved his mood, but his smile is also a kind invitation with others.

My suggestion is to consolidate the power of the command by setting a reasonable goal for the number of people who interact with every day. These social interactions are excellent for mental health, which led to exchange information and ideas with someone else. In combination with its commitment to smile, their interactions must be nice, because your high energy, decreased pain and decreased levels of stress are very attractive to others.

Beyond his solitary confinement, there is another reason to act and interact with the people you meet promotes better mental health. This allows you to avoid spiritual "puncture". Spiritual punctures occur when you dodge or avoid interaction will happen naturally - to look in an office to avoid meeting someone in a hallway or does not answer the phone because he does not want to talk to the caller. Such fraud drains and eliminates the natural energy reserve and siphons powerful mental reservations.

Have you noticed that usually takes twice as much mental and physical energy to avoid doing the work that it would spend what is it? It also has the power to prevent double act and interact with the people who cross your path, because they are, in effect, saying: "I will correct the error is likely to put the person on my way I'll fix and I being mentally and spiritually negligent. "The mental and spiritual neglect has the same effect as physical neglect (is not it strange that you are tired, if you do not exercise?). If your mental state can afford to let this amount energy to evacuate, then you have a much larger deposit than me!

But spiritual punctures are more than drain our energy, damaging at least two other ways:

Miss interaction with a teacher. If nature has no lesson for you, just avoid this person had not put in his path. You say that the person who has narrowly avoided a negative influence or had lost time? I know we have legitimate schedules to keep, but if I avoid people on the basis of my prejudices of them, I'm out with my great teachers - the same people.
We all learn tolerance of intolerance patience, looking forward to temperance, intemperance, the softness of bandits, etc. I am extremely grateful for the teachers and the lessons they give me.

We create a small gap, persistent dishonesty spiritual kind of dishonesty which prevents us from putting our heads every night with confidence. Our spiritual puncture caused by the pothole our avoidance created, but is a natural consequence or a symptom of our spiritual dishonesty. These consequences clutter our lives with mental and emotional baggage we most drains our energy and vitality.

Step Three: All celebrations

The third commandment Fun will help you use the natural medicine of humor to recharge your mental health: Celebrate all. Celebration of all that can seem a daunting task for someone that mental health is not up to it, but is it in my doctor's orders much easier once you start practicing my first two commandments . In fact, the celebration of all that is more than a maintenance step providing sustainable mental health. It will also become your lifestyle, most who practice it, and you will enjoy good results.

How do you celebrate everything and how mental health are increasing? The quintessence of this command is located in the old joke about the kid who wanted a pony for her birthday. Instead, he found a room full of manure planned. But he threw right into the dung, joyfully exclaimed: "With all this manure, there must be a pony here"

Laugh as we can, we are quick to point out that, as adults, we never allow such a "naive" enthusiasm. Why not? You realize what's behind this "great", "mature" decision? Your deadly seriousness (if you take it too seriously) encourages the attitude of a mature adult should not be allowed to be as optimistic threat to mental health and therefore.

We could do more to laugh at this imperturbable optimism birthday child - should inspire! When was the last time you found a dunghill unexpected in your life? You have absolutely no control over the mess, right? But I had full control of your reaction, which is the key to using celebration to maintain their mental health improved!

When you celebrate all the natural medicine of humor creates spiritual, emotional and mental than anything you've experienced before. You will find that your fears become much less control when it celebrates all because he did not much matter how things turn out. In fact, you're ready for anything, literally, because you are ready to find the blessing in everything that happens.

My daughter-in-law, for example, last year broke the back. My son, who is usually my model for the realization of my pleasure commands can check a long list of blessings that his family received a direct consequence of his wife "tragedy." Not that his mental health has not been disputed, but the election of depression and anxiety during an event that could not control off looking for the blessings that awaited him, a chose the second option.

The decision to organize everything that is not a panacea, the choice of my son does not change the reality of the injury to his wife. What change, however, was its ability to respond to injury and, therefore, maintain your mental health in balance. Celebrate everything changes our lives because we can control everything positive that we have control over - our actions, ideas and attitudes.

There you have it. Start by going the extra smile, use your energy and renewed vitality smile to act and interact with people, and celebrate every effort to maintain the positive momentum. Say goodbye to the prison of depression and anxiety and welcome your new world of mental health better!
Start using the fun factor to improve their mental health ... Now

Here are some simple and easy steps you can take now to turbo-charge your sanity.

Subscribe to my Fun Times newsletter. The Times is about using your natural power of humor to improve the quality of their lives - including their mental health. The Fun Times is 100% free, and is delivered instantly, every week, to your email inbox. If you register now, I'll also throw in a copy of my "Stop Your Seriousness" Ecourse and my book, Ten Ways to be happy ... Now! that shows you how you can use the Fun Factor prescription in your life to improve your mental health!

Discover the pleasure. This recipe has changed so many lives for the better - it would be a shame if he let go. Check it out here if you're sick of Mental Health and desired might want to get the mental health more!
Roberta My patient also learned to use these three commands Fun - and the rest of my Fun Factor prescription. He has held the same job for three years and was recently engaged to be married. Roberta sometimes setbacks, like most people who suffer from depression or anxiety do. However, mental health has never been as strong as it is the fun factor in your life.

In Life is wonderful, George Bailey is so surprised by the bleak vision of a world without she decides she wants to live again and asked again. He knows he's back when he finds Zuzu petals in his coat pocket again.

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A Prescription For the Health Care Crisis

With cries American health crisis passes, many are probably difficult to concentrate, much less understand the cause of the problems we face. I am appalled by the tone of the discussion (although I understand --- People are afraid), and bemused that anyone would presume clever enough to know how to improve our health care system simply because I found when people who have spent their entire careers studying it (and I do not mean politicians) are not sure what they do.

Albert Einstein would have said if he had one hour to save the world, spent 55 minutes defining the problem and only five minutes to solve. Our health care system is much more complex than most people by offering solutions admit or recognize, and unless we focus most of our efforts on defining its problems and thoroughly understanding their causes, changes to are likely to worsen because they are better.

Although I have worked in the American health care system as a doctor since 1992 and has a value of seven years as CEO of primary health care, I do not consider myself qualified to thoroughly assess the viability of most of the suggestions I ear to improve our health care system. I think, however, I can at least contribute to the discussion by describing some of their problems, make reasonable assumptions to their causes, and outlining some general principles that should be applied to solve them.

The problem of cost

No one disputes that health care spending in the United States has increased dramatically. According to the Centers for Medicare and Medicaid Services (CMS), health care spending is expected to reach $ 8160 per person per year by the end of 2009, compared to $ 356 per person per year was 1970. This increase was about 2.4% faster than GDP growth over the same period. Although GDP varies from year to year and is an imperfect means of assessing the rising costs of health care compared to other expenses from one year to another, we can conclude from these data in the last 40 years years, the percentage of our national income (individuals, businesses and government) has been devoted to health care has increased.

Despite what many people think, which may or may not be bad. Everything depends on two things: why health spending has increased compared to our GDP and the amount of value that we have been getting for every dollar you spend.

WHY HEALTH has become so expensive?

It is a difficult question to answer as many people believe. The rising cost of health care (on average 8.1% per year between 1970 and 2009, calculated from the data above) has exceeded the rise in inflation (4.4% on average during the same period), so we can not attribute the increase in the cost of inflation alone. The costs of health care are known to be closely linked to a country's GDP (the richest nation, we spend more on health care), but also the United States remains an outlier (Figure 3).

Is it spending on health care for people over 75 (five times what we spend on people aged between 25 and 34)? In a word, no. Studies show that this demographic trend explains only a small proportion of the growth in health spending.

Is it because of monstrous profits of health insurance companies are winning? Probably not. It is difficult to know for sure because all insurance companies listed and therefore balances available for public review. But Aetna, one of the largest insurance companies listed in North America, announced a profit quarter of 2009 seconds $ 346.7 million, which, if projected out, predicts an annual profit of 1.3 billion of the $ 19 million they provide. If we assume that the profit margin is the industry average (though false, it is unlikely to be several orders of magnitude different from the average), the total benefit to all health insurance private companies in the United States States, which said 202 million people (second paragraph) in 2007 would amount to about $ 13 billion per year. Total expenditure on health care in 2007 were $ 2.2 billion (see Table 1, page 3), which provides a health benefit private industry about 0.6% of total costs medical health care (although this analysis combines data from different years, maybe you can afford the numbers are probably different from any order of magnitude).

Is it due to fraud in health care? Estimates of losses due to fraud to a maximum of 10% of all health care spending, but it is difficult to find reliable data to support this thesis. Although the percentage of fraud is almost certainly not be detected, perhaps the best way to estimate how much money is lost to fraud is to observe how the government actually recovers. In 2006, it was $ 2.2 billion, only 0.1% of $ 2.1 billion (see Table 1, page 3) in total health care expenditures for that year.

Is it because pharmaceutical costs? In 2006, total spending on prescription drugs was about $ 216 billion (see Table 2, page 4). While this represents 10% of the $ 2.1 billion (see Table 1, page 3) in total health care spending for this year and should be considered significant, that is still a small percentage of total health expenditure.

To administrative costs? In 1999, the total administrative costs were estimated at $ 294 billion, up 25% compared to $ 1.2 billion (Table 1) of total health spending that year. This was a significant percentage in 1999 and it is difficult to imagine that decreased significantly since then.

Ultimately, however, which probably contributed as much to the increase in health spending in the United States two things:

1. Technological innovation.

2. Overuse of health care resources for patients and health professionals themselves.

Technological innovation. The data show that the rising costs of health care are mainly due to technological innovation is surprisingly difficult to obtain, but estimates of the contribution to the increase in health care costs due to the range of technological innovation between 40% and 65% (Table 2, page 8). Although most of the time only empirical data, several examples illustrate this principle. Heart attacks are usually treated with aspirin and prayer. Now, they are treated with drugs to control shock, pulmonary edema and arrhythmias, as well as thrombolytic therapy, cardiac catheterization with angioplasty or stenting and CABG. You do not need to be an economist to understand that the scenario ends up being more expensive. We can learn to make these procedures less expensive over time (in the same way that we have found a way to make computers cheaper) but as the cost per procedure decreases the total amount spent on each procedure increases because the number of procedures performed increases. Laparoscopic cholecystectomy is 25% lower than the price of an open cholecystectomy, but both have increased by 60%. Technological advances become more widely available, which are more widely used, and the only thing we major in the United States, have made the technology available.

Overuse of health care resources for patients and health professionals themselves. We can easily be defined as the excessive use of unnecessary use of health care resources. What is not so easy to recognize. Each year, from October to February, most patients who come to the emergency clinic at my hospital are, in my opinion, doing so unnecessarily. What will they come? Colds. I can offer support, assured that nothing is really wrong, and tips on over-the-counter remedies --- but none of these things will make you better faster (although I am often able to reduce their level of concern). In addition, patients have difficulty believing that the key to achieving a correct diagnosis is in the collection of the history and careful physical examination rather than technology-based test (not that it n is not only important --- lesser extent than most patients think). How patient-centered system of exploitation costs of health care is difficult to determine because most have only anecdotal evidence as above.

In addition, doctors often disagree among themselves on what constitutes an unnecessary health. In his excellent article, "The Dilemma of cost," says Atul Gawande regional variation in the exploitation of resources in health care by doctors best accounts regional variation in Medicare spending per person. He goes on to say that if doctors might be motivated to control excessive use of high-cost areas of the country, it would save enough money to keep Medicare solvent for 50 years.

A reasonable approach. To do this, however, we need to understand why doctors are overutilizing health resources in the first place:

1. Judgement in cases varies in the literature is vague and unhelpful. When faced with diagnostic dilemmas or diseases for which conventional treatments have not been established, a change in practice still occurs. If a primary care physician suspects that the patient suffers from an ulcer, is itself empirically treat or refer to a gastroenterologist for an endoscopy? If certain "red flags" of symptoms, most doctors refer. If not, some and some not in accordance with their training and the exercise of judgment intangible assets.

2. Inexperience or lack of judgment. More experienced physicians tend to rely on history and physical examination rather than physicians with less experience and hence order fewer tests and less expensive. Studies suggest that primary care physicians to spend less money on tests and procedures than their subspecialties, but similar results, sometimes even better.

3. The fear of being sued. This is particularly common in ER settings, but extends to almost all areas of medicine.

4. Patients tend to require more rather than fewer tests. As previously mentioned. And physicians often have difficulty refusing requests from patients for many reasons (for example, want to please, the fear of losing diagnostic justice, etc.).

5. In many environments, excessive use makes doctors more money. There is no reliable incentive for doctors to limit their spending unless its capitation payment or receive a fixed salary.

Gawande article implies that there is a certain level of utilization of health care resources is optimal: using too little and you get errors and missed diagnoses, overfishing and excess money is spent without improving the results, Paradoxically, which sometimes leads to results that are actually worse (probably as a result of complications of all tests and treatments extra).

How can we encourage physicians to use judgment consistently order the exact number of tests and treatments for each patient --- the "sweet spot" --- in order to obtain the best results with the least risk of complications? It is not easy. No, fortunately or unfortunately, an art for the use of health resources good. Some doctors are more suited to this than others. Some are more diligent in keeping current. Some care more about their patients. An explosion of studies on tests and medical treatment occurred in recent decades to help physicians choose the most effective, safer and cheaper, even to practice medicine, but the spread of proof based medicine is a tricky business. That beta-blockers, for example, have been shown to improve survival after a heart attack does not mean that every physician knows or gives them. The data clearly show that many do not. What are the drivers of the information from the medical literature in medical practice is a subject worthy of an entire post in itself. Make things happen consistently proved extremely difficult.

In summary, then, most of the increase in health care spending seems to have made technological innovation and its excessive use of doctors working in systems that drive them to practice medicine instead of more s improve medicine and patients who require the old way of thinking that you get later.

But even if I could snap my fingers and magically remove all excessive use today, health care in the United States remains one of the most expensive in the world, which raises the question below ---

WHAT VALUE're get the dollars we spend?

According to an article published in the New England Journal of Medicine entitled The burden of health care costs for working families --- Implications for reform, the growth of health spending "may be defined as affordable to the extent increase the percentage of income spent on health care will not reduce the standard of living. When absolute increases in income can not keep pace with absolute increases in health spending, the growth of health may be paid only by the sacrifice of consumption of goods and services related to health care. "When it is still an acceptable state of affairs? Only when the marginal cost of health care is an incremental value equal to or greater. If, for example, they were told that in the near future that would devote 60 % of their income on health care, but would enjoy as a result of, say, 30% chance of living to age 250 maybe he found that 60% of a small price to pay.

This is, I believe, that the debate on health care spending really needs to be around. Certainly, we need to work on ways to eliminate overfishing. But the real question is not how much money is too absolute to devote to health care. The real question is what do we do for the price we paid and that is what we need to give up?

Those alarmed by the idea that health care costs rise, the authorities may decide to ration health care do not realize that we are already rationing at least part of it. It does not seem as if we were because we are rationing first-come, first-served basis --- leaving at least partly to luck and not politics, it is uneasy to define and apply. So why not our father 90 years old in Illinois can not have the liver as just a girl of 14 years, Alaska was facing (or any Once my father was in the first line and then get the girl of 14 years does not work). As most of us are not comfortable with the idea of ​​rationing health care based on criteria such as age or utility to society, such as technological innovation continues to drive spending health, which could have ultimately make critical judgments about medical innovations that deserve our society sacrificing access to other goods and services (unless we are stupid enough to repeat the fundamental error to believe that we can keep forever borrow money without having to pay).

So what do we do with the value? It varies. The risk of dying from a heart attack was reduced by 66% since 1950, as a result of technological innovation. Because the ranks of cardiovascular disease as the leading cause of death in the United States seems a high ranking on the scale of values, and it benefits a large proportion of the population in a major way. As a result of advances in pharmacology, now we can treat depression, anxiety, psychosis and even much better than anyone could have imagined even as recently as mid-1980 (when it was released on Prozac). Clearly, then, a certain increase in health care costs have been enormous value not want to abandon.

But how can we decide if we get good value innovation? Scientific studies show that innovation (whether a new test or treatment) actually provides a clinically meaningful benefit (Aricept is a good example of a drug that works, but does not provide patients dementia clinical benefit --- Big higher scores on tests of cognitive ability everything on it, but probably not much more functional and much better able to remember their children compared to when they are not). But comparative effectiveness studies are extremely costly, take a long time to complete, and can never be perfectly applied to individual patients, all of which means that the doctor must always apply good judgment for all medical problems patient.

Who is the best judge of the value to society of the benefits of innovation --- that is to decide whether the benefits of an innovation worth the cost? I would say that the group has finally paid off: the American public. As the public's views could be reconciled and then effectively communicate to policy makers efficiently enough to influence current policy, however, goes well beyond the scope of this post (and maybe someone's imagination).

The problem of access

A significant proportion of the population is uninsured or underinsured, limiting or eliminating their access to medical care. As a result, this group is the way of the smaller (and cheaper) ------ Resistance emergency rooms has greatly affected the ability of physicians to emergency represent our country really care emergency timely. In addition, polls show a shortage of primary care physicians regarding the demand for their services. In my opinion, this imbalance between supply and demand explains most of the patients in the poor of our customers every day of long waiting times for appointments, long waiting in doctors once their day appointment arrives, then spent short periods with doctors in the exam rooms, followed by difficulties in achieving their physicians between office visits and ultimately, delays in obtaining test results. This imbalance is likely to be partially offset by the overuse of health care for patients under.

GUIDELINES FOR SOLUTIONS

As the authors Freaknomics Steven Levitt and Stephen Dubner state "If morality represents how people would like the world to work, then economics represents how it actually does work." Capitalism is based on the principle of self-interest, a system that creates incentives to produce behavior that benefits both suppliers and consumers, and thus society as a whole. But when incentives suddenly, people start to behave to continue their profit, often at the expense of others, or even on their own in the future. All changes to our health care system (and there's always more than one way to skin a cat), we must be sure to align the incentives for behavior that results in each part of the system contributes to durability rather than its ruin.

Here is a summary of what I think the best advice I've found to deal with the problems I described above:

1. Change the way insurance companies think about doing business. The insurance companies have the same goal as any other business: maximize profits. And if a health insurance company and marketed in their 401k portfolio, you want to maximize the benefits, too. Unfortunately, the best way for them to do is to refuse service to customers who pay for themselves. It is more difficult for them to spread risk (the function of any insurance company) compared to say a car insurance company, because many more people make claims insurance claims car insurance. It would seem, therefore, from the point of view of the consumer, the model of private health insurance is fundamentally flawed. We must create a disincentive for insurance companies to deny health claims (or, conversely, an additional incentive to get paid). Allow and encourage competition among states aross sure that at least partially attack the forces of the free market to reduce insurance premiums, and open new markets for local insurance companies, benefiting both consumers and insurers. With its customers, now armed with the power of the utmost importance to look elsewhere, the health insurance companies would be an opportunity to see the quality with which it provides service to their clients (for example, payment of compensation) as a way to maintain and develop their business. For this to work, monopolies or quasi-monopolies should be dissolved or at least discouraged. Even if this is the case, however, the government still probably have to tighten regulation of the health insurance industry to ensure some flagrant abuses happening now stop (for example, companies Insurance should not be allowed to stratify consumers into subgroups according to age and risk premiums based on average higher group of diseases and health of older consumers, and end up being penalized for their age rather than their behavior). Karl Denninger suggests some interesting ideas in a post on his blog about requiring insurance companies to offer similar rates to businesses and individuals, as well as creating an obligation "open enrollment" period in which participants could only participate or not a system in a base year. Whether individuals can buy insurance only in case of illness, which eliminates the problem of adverse selection leading insurance companies refuse to pay for pre-existing conditions. I would add that, although the rates of reimbursement to providers of health care are determined in the future (again, a whole post in itself), all health insurance plans , whether public or private, must reimburse health care providers in a percentage equal to eliminate the existence of certain "good" and "bad" which is currently responsible for encouraging hospitals and doctors to limit or to refuse service to the poor and who may be responsible is the same for the elderly in the future (Medicare reimburses only slightly better than Medicaid). Finally, regarding the idea of ​​insurance "public option" open all, I fear that if it is significantly cheaper than private options, while providing almost the same benefits as the rush across the country to the ground, which the private insurance industry and we forcing everyone to subsidize another health care with higher taxes and fewer options, but at the same time, if the cost to the consumer of a "public option" is comparable to private options, even those that it is supposed to help you not be able to afford.

2. Motivate people to participate in healthy lifestyles that have been shown to prevent disease. Disease prevention probably saves money, although some have argued that living longer increases the chances of developing diseases that would not have happened otherwise, so that the overall consumption of health care more money ( that even if this is true, the more years of life would be considered by most valuable enough to justify the extra cost. After all, the purpose of health care is to improve the quality and quantity of life, not save money for the company. putting the cart before horse No). However, the idea of ​​avoiding a potentially bad result at some point in the future is only weakly psychological motivation that explains why so many people have so much trouble getting themselves to exercise, eat well, lose weight , stop smoking, etc. The idea of ​​a financial reward desirable behavior and / or financially punishing undesirable behaviors is highly controversial. Although I am concerned about this strategy may adopt policies that affect fundamental freedoms if it is done too far, I'm not against creative thinking about how they could strengthen the forces of motivation to help people to achieve the objectives of health outcome. After all, most obese people want to lose weight. Most smokers want to quit. They could be more effective if they could find a more powerful motivation.

3. Decrease the overuse of health care resources by doctors. I agree with Gawande that finding ways to get doctors to stop overutilizing health care resources is a worthy goal to control costs significantly, which will require a willingness to experiment, and it will take time. In addition, I agree that focusing solely on who pays for health care (public or private) do not address the problem adequately. But how can we encourage doctors, whose feathers are responsible for most of the money spent on health care in this country, to focus on what is truly best for their patients? The idea that external agencies --- if insurance companies or government --- panels could be used to establish standards of care doctors must follow in order to control costs seems absurd. These organizations have neither the training nor the concern for the well-being of patients to trust such judgments. Why doctors more if we use their knowledge of nuanced approaches to complex situations? While working on a free system of incentives that compete with their duty to their patients, they are in the best position to make decisions about what tests and treatments are worth examining a patient, as care is taken to avoid excessive paternalism confidence (refusing to get a head CT headache could be overconfidently paternalistic, refusing to offer chemotherapy for a cold is not). So maybe we should eliminate financial incentives to doctors worry about anything other than the well-being of their patients, ie, doctors' salaries must be disconnected from the number of surgeries performed and the number tests to order, and instead should be determined by market forces. This model already exists in academic health centers, which seemed to promote shoddy care when doctors feel they are fairly compensated. Physicians need to earn a living to compensate for years of training and massive amounts of debt that have accumulated, but no financial incentive to practice medicine should be allowed to join the good life.

4. Decrease the overuse of health care resources for patients. This, it seems, requires at least three interventions:

* Provision of adequate resources to the problems of law (so that patients do not go to the emergency room for a cold, for example, but rather to their primary care physician). This would require hitting the "sweet spot" in terms of the number of primary care physicians, the best access control frontline, not health spending as in the old HMO model, but sorting and treatment. There should also be a recalculation of reimbursement levels for primary care services in relation to specialized services to encourage more medical students choosing primary care (to reverse the alarming trend that we have seen for the last decade) .

* A massive effort to improve the health literacy of the general population to improve their ability to triage its own complaints (so patients do not really go anywhere MRI cold or request their return when doctors trust tell them that it's just a strain). It could be better with a series of educational programs (although, as a person in the private sector's interest to fund these programs, you can actually be one of the few things that the government should only --- we would of study and compare different teaching programs and methods to see which, if any, to reduce the unnecessary use without affecting patient outcomes and health outcomes savings above their cost).

* Redesigned insurance plans for patients more financially responsible for their health care options. We can not have people going bankrupt because of illness, or that people under-use of health care resources (avoid the emergency room when they have chest pain, for example), but we can not continue to support a system where patients are actually motivated to excessive use of resources, such as the "pre-payment for all" model done.

CONCLUSION

Given the enormous complexity of the health care system, no single article could solve all the problems that need fixing. Important issues not covered in this article are the challenges associated with rising drug costs, direct marketing to the consumption of drugs, care at the end of his life, the rising cost of cloud liability insurance The lack of cost transparency that allows hospitals to charge uninsured more than the insured paradoxically for the same care, extension of health care coverage for those who have not, the efficiency to reduce the administrative costs of implementation of electronic medical records to reduce medical errors, the financial burden on companies that are required to provide their employees with health insurance and tort reform. All are deeply interdependent, standing as the proverbial house of cards. To attend touches everyone, I run through the health care reform without careful contemplation risk of unintended consequences and potentially devastating. Rate it must come, but if we do not give you time to reflect on the problems clearly and intelligently and implement solutions to a certain extent, we may destroy this house of cards rather than build.

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