health, medicine

Temporal Mandibular Joint Disorders, Hypersensitive Teeth And Bite Problems

Written by practitioner Raymond G. Hatland D.D.S. –  

Approximately 80% of all people, have some kind of occlusal (bite) discrepancies. Because of these occlusal problems about 70% of these patients will have destructive, oral habits or compression disorders such as clenching, bruxing or grinding their teeth together.

These oral habits are the main reason patients get headaches and injure the jaw joints known as the temporal-mandibular joint. Oral compression habits are the second most common reason for having pain in the teeth or cold sensitivity.

If these oral habits, which may be unknown to the patient, are stopped or at least greatly reduced and weakened, the damage to their temporal mandibular joints will stop and many times a healing process begins. The patient can save their teeth and dental work from further chipping, fracture, or excessive wear. Also, many. periodontally weakened teeth caused by untreated gum disease can be saved and stabilized.

The great majority of patients have no idea they have a bite problem or clench or brux. Most patients and humans in general have discounted any signs or symptoms because of well-developed coping mechanisms and lack of awareness. Also there are differences in the degree of force and frequency that patients use with compressive habits that affect the awareness or severity of symptoms.

How do I know if I have a bite problem, and/or a compression disorder such as clenching or bruxing?

Signs and symptoms to look for:
1. Hyper sensitive teeth
2. Headaches more than once a week.
3. Enlarged jaw muscles
4. Keeping your teeth together for long periods during the day.
5. Waking up with pain or stiffness in your jaw.
6. Difficulty sleeping and waking up two or three times during the night.
7. Mild to moderate, wear facets on your teeth (this usually takes a dentists to see)
8. Clicking or popping sounds in your TMJ when you open or close.
9. Grating sounds, called crepitus, in your TMJ when you open or close
10. Chronic neck tension or low back pain

11. Unable to hold a Chiropractic  adjustment or manipulation
12. History of trauma to the head or jaw from a car accident or fall

The next most common cause is trauma to the head, neck and jaw due to an accident or fall. Auto accidents are major causes of whiplash injuries to the jaw joint as well the head and neck. The resultant bleeding inside the temporal mandibular joint capsule can create adhesions to the articular disk that eventually prevent the coordinated movements of the mandibular condyle and the internal fibrous disc.

This creates clicking and popping sounds in the joint. . Early joint therapy and the use of a proper oral appliance, that is precisely modified to your ideal bite, can prevent this from happening and speed up the healing process.

What can you expect on your first examination appointment?
Everyone gets a thorough examination. Along with an examination of your teeth, soft tissue, gums, x-rays, aesthetics and health …


Sleep Apnea Mask – How To Get A Great Night Of Sleep

People who suffer from sleep apnea may seek many different remedies to alleviate their daytime discomforts and nighttime arousal. The best cure on the market for people suffering from this sleeping disorder is CPAP machines. These machines are connected to a sleep apnea mask that the sleeper must wear during the night. In many cases, these machines and masks are only available by prescription after an overnight stay at a sleep lab. These light and compact machines can then be purchased for home use and reimbursed by insurance companies or Medicare. It is important that the sleep apnea mask fits the mouth and nose of the sleeper appropriately, and the sleeper should know what a tight fit feels and sounds like, incase of malfunction, and comfortable breathing may take some getting used to. Nonetheless, with the right fit and a better understanding of how the sleep apnea masks work, the sleeper can expect a great night sleep.

These machines are generally available by prescription only. This is not necessarily due to the risk of abuse, but due to the risk of improper use. Generally, a patient will need to stay overnight in a sleep lab under careful observation by a doctor. The doctor is usually trained in sleep medicine, respiratory medicine, and sometimes otolaryngology. The doctor will then look at the test results and may have a follow up sleep study or test. The follow up test will be used to adjust the settings on the apparatus. Over the course of the second test, the doctor will adjust the CPAP machine pressure until the appropriate pressure for the individual sleeper is reached. In some cases, the machine can be purchased from the doctor or the doctor may know of a supplier. In other cases, the sleeper may want to purchase the machine and sleep apnea mask themselves. In this case, the patient is responsible for handling the insurance or Medicare reimbursement.

This piece of equipment is a small and lightweight box with a long hose and sleep apnea mask attached. The box is slightly thinner than a shoebox and slightly wider. The box is small enough to fit comfortably on a nightstand. The hose can be various lengths but connects the box to the sleep apnea mask. The hose is about as round as a paper towel holder and is clear or white plastic. The sleep apnea mask is at the other end of the hose, and is available in a variety of models. Typically, the mask is large enough to fit around the mouth and the nose of the sleeping person. The mask has an elastic head strap attached. Lining the perimeter of the mask is comfort-fit padding.

It is important to find the perfect fit when using the sleep apnea mask. Before the machine is on or connected, the patient should place the mask around their nose and mouth. The patient should then press firmly to ensure a tight seal. Then, the elastic head straps should be placed …


Relieving Tension in the Home

There was a lot of tension in my home when I was growing up.  When we were at odds with each other we were taught a very simple coping strategy; avoid it!  Of course that didn’t solve anything or make it go away; the tension just built up over time, eventually exploding like an erupting volcano.

It’s important that our homes be a place where everyone can release their tension in appropriate ways and find a respite and relief.  If not, your teens will find ways to self-medicate the tension away through drugs, alcohol, promiscuity or self-harm. The pressures of their world are far greater than when we were kids, so let me share with you some practical ideas for relieving tension in your home.

<b>Hold the drama</b>

I got a question recently from the distraught mother of a sixteen year old.  She asked, “How do I get my daughter to stop being a drama queen and upsetting the entire family?  I feel that I have to protect my younger children from her blowups.”  I told her that drama occurs because drama works—teens do it because it produces a result they desire.  It is an easy way to gain center stage.

Drama is usually crisis-driven; something has happened that they’re responding to by creating drama. And if it works for them one time, they’ll do it again, and again. Of course while that helps them release their own tension, it tends to add tension for everyone else in the family. So I told this mother to say something like this, “If you can’t control the drama; if you insist on being the center of attention by acting out, there will be consequences. Drama is not an appropriate way to deal with whatever is bugging you.”  Putting an end to the drama in your home will help relieve a lot of tension for everyone, and especially you.

<b>Learn to laugh</b>

When was the last time your family laughed together about something?  Proverbs 17:22 says “A cheerful heart is good medicine.”  Laughter short-circuits tension.  So, watch a comedy together; find good clean comedians you can all enjoy.  Invite friends over who have a good sense of humor. Have a joke night at the dinner table where you assign everyone to bring at least two new jokes and engage in laughter together.  Post humorous cartoons on the refrigerator.  Text jokes to each other.  The point is this, it takes some work, but if your home is tense, you need to bring in some humor to offset it.

Your children watch to see how you respond when things go wrong, and they tend to pattern their behavior after yours. So, laugh at yourself.  When something goes wrong—when you break a glass—don’t get angry, make fun of your clumsiness.  When your teen makes a mistake, don’t get angry, make light of it — “Wow, you really blew it this time! I guess we have a lot of yard work to do together.”  Making anger part …

health, medicine

The Retainer Model or Single payer-What willsave primary care?


The Retainer Model or Single Payer — What Will Save Primary Care?

Robert M. Centor, MD; Charles P. Vega, MD

Point: The Retainer Model May Stimulate a Rebirth of Outpatient Internal Medicine

Robert Centor, MD

Outpatient internal medicine has joined the endangered species list, or at least so many commentators have opined.

Fewer internal medicine residents are opting for outpatient jobs. Many outpatient internists are leaving practice, either for fellowships or for hospitalist jobs.

As I consider the medical student’s choice of internal medicine for his or her career, I note that the fascination with internal medicine usually results from the complexity of the field. Internists champion the care of complex patients. We love diagnostic and management puzzles. In the 1970s and 1980s, many internists embraced a definition of primary care that the Institute of Medicine (IOM) codified:

"A set of attributes, as in the 1978 IOM definition — care that is accessible, comprehensive, coordinated, continuous, and accountable — or as defined by Starfield (1992) — care that is characterized by first contact, accessibility, longitudinality and comprehensiveness."[1]

Training programs produced internists who could care for complex disease and also handle a wide variety of clinical issues, including episodic care and preventive medicine. Over the following 30 years, our society apparently has redefined primary care to a definition that degrades the original concept. The American Heritage Dictionary in 2006 provides this definition for primary care: "The medical care a patient receives upon first contact with the healthcare system, before referral elsewhere within the system."

I believe that most insurers and other physicians no longer consider comprehensiveness when they think of primary care.

I would argue that internists do not want and are not trained to do this limited conceptualization of primary care as defined by the American Heritage Dictionary; rather, we are trained to add primary care services to our comprehensive care. Such distinctions underlie the angst of many practicing internists. We have trained a generation of internists to provide comprehensive care, including episodic and preventive care, and yet insurers and especially health maintenance organizations complain that internists are not good at providing quick, efficient primary care. Family physicians are in a similar situation. We have a problem of semantics and thus our discussions about primary care remain confused.

Our reimbursement system also does not pay internists sufficiently to provide high-quality comprehensive care, although our patients are too complex and require more time than what insurers believe constitutes a standard office visit.

Specifically, patients need various levels of intensity. A 30-year-old mother with a sore throat has different physician needs than a 55-year-old man with chronic obstructive pulmonary disease, heart failure, and type II diabetes mellitus.

Clearly, the latter patient will need longer and more frequent visits. Moreover, our current system does not reimburse out-of-office continuity. We have no reimbursement for telephone calls or emails, although patients often have questions

for their physicians. They would like to call their physician for advice, or to …

health, medicine

Universal Healthcare And Death Panels – Sarah Palin Was Right

Sarah Palin was roundly criticized, laughed at, and excoriated by supporters of Obama when she said that the universal health care plan would lead to death panels. The characterization of the term ‘death panels’ was quickly associated with people wearing tin foil hats. It is ironic that a group of people who believe the twin towers were brought down by inside conspiracies and that a plane never crashed into the Pentagon, could call other people ‘tin foil hat wearers’.

When liberals are afraid of a person or of a particular point, they attack it with a vengeance. It’s much like the story ‘The Emperor’s New Clothes’ by Hans Christian Andersen. The Emperor is told that his clothes will be invisible only to the incompetent and the stupid. He doesn’t want to seem incompetent so, of course he says that he sees the clothes, as does everyone else until a child says “He hasn’t got any clothes on!”

The moment the term ‘Death Panels’ is labeled as a lunatic term; everyone is supposed to be afraid to explore the logic behind the term. It is a strategy often used by liberals. We see the proof that there are, in fact, ‘Death Panels’ but we are supposed to be afraid to say it for fear of being labeled incompetent or stupid – but if you see the emperor wearing a pair of stripped boxer shorts, it’s stupid to pretend that he’s wearing a three piece suit.

When this health care debate started, the first instinct was to look at other countries which have tried universal health care. What we saw was frightening – long waits for MRIs, horrific survival rates for cancer, waits for hip surgeries and on and on. It is so bad in England that there is a waiting list just to get on the waiting list! There are 40,000 people in the UK who have been waiting over a year for surgeries. There are shortages of critical supplies, drugs and medical equipment. According to the Burton Report, it is so bad in some countries that there is a black market in health care. In Japan life saving devices such as defibrillators are rarely available.

Socialized medicine has ruined the medical profession in any country where it has been tried. It’s basic economics. Increase the demand for a product and decrease the incentive to supply that demand and you create a shortage. Not only is there a shortage in medical care, there is little to zero medical innovation and advancement. There is no money to invest in research and no incentive to even try. There is a reason why most new medical innovations come out of the United States – it is called the free market.

People who support the Obama-Pelosi-Reid Health care plan say that their plan is different. They say their plan will give people a choice; that people will be able to keep their current plan and won’t be forced into anything they don’t want. Their own …


The Effective of Turmeric within the Human Body

Turmeric is one of the most popular spices that are entirely derived from the rhizomes of the herbaceous perennial plant of the ginger family. The powder of turmeric is mainly extracted from the horizontal underground stems or roots of the plant. After attaining those roots, they are boiled for several hours and then dried in ovens to get that yellowish-orange coloured spice. It is commonly used by the name curries. It is mainly harvested in the regions of South and Southeast Asia and so is the prime ingredient of the Asian dishes. Moreover, the yellowish colour of the spice mainly comes from fat-soluble and polyphenolic pigments known as curcuminoids. The most active constituent of turmeric is curcumin along with varied others such as demethoxycurcumin and bisdemethoxycurcumin. Not only this, it is also used as one of the important medicine as well, including significant impact over anti-inflammatory and anticancer disorders.

 Turmeric or Curcuma Longa plays a major role in Ayurvedic medicine. Curcumin can also be used for boron quantification that can be named curcumin method. It mainly reacts with the boric acid forming a red coloured product named rosocyanine. It is also used for its antioxidant, anti-inflammatory, antiviral and antifungal actions. It is not a toxic but extremely friendly with the digestive organs of the human body. Along with this, it also helps in reducing atherosclerosis by preventing the formation of clots of blood. Not only this, this medicinal herb is also used as an inhibitor of cyclooxygenase, 5-lipoxygenase and glutathione S-transferase. Moreover, this herb created a strong hold in the west as well, due to its medicinal effectiveness. So, it is also used as a potential antioxidant.

 Apart from this, as it is a powerful antioxidant, so is used as a medicine to reduce the effects of cancer. It can also be used for the protection of liver functions and premature aging. It also helps in easing several other disorders such as back pain, arthritis, bursitis and many others. It also lowers the production of inflammation by introduction of histamine. It also improves the level of circulation by generation of toxins from small joints of the body. Along with this, it also helps in the levels of digestions of the body. Due to such reason, it is widely preferred by the individuals all-round the world. Other than this, the Curcuma Longa also helps to body to fight against varied disorders namely cancers. It also helps in the immunity power of the body, resulting in improvement in the quantity of anti-bodies. It is also quite useful for the females at the time of pregnancy and lactation as well. Furthermore, as cortisone is present within curcumin, so it is also extremely effective in resolving the effects of inflammatory disorders. According to the medical research of turmeric, it can be found that, arthritis, diabetes can also be prevented with the help of this herb. Due to its various medicinal features, it is also used as a tropical analgesic in china. Thus, it can …

health, medicine

Why Doctors Can’t Practice Good Medicine

Bette Dowdell

Arizona, where I live, is a standard-of-care state–as are many others, although that’s kind of a secret that you have to discover on your own.

Let me describe in a nutshell what this means: Patients get one-size-fits-all treatment, whether it works or not.

Big Pharma muscles its way onto State Medical Boards. Once there, they use that significant power to shut down real medicine. If healing happens, it’s an accident.

The Board sets standards for each medical condition, which sounds hopeful. However, the standards are intended to minimize costs and guarantee legal protection to doctors no matter what happens to patients.

For instance, the standard of care for thyroid is the TSH test, ignoring the fact this test is perhaps the premier example of unreliability, and treatment with Synthroid or a generic equivalent. Synthroid doesn’t work for the vast majority of us. That’s bad enough, but it causes an allergic reaction in lots of folks. So the TSH test is bogus, the only medicine allowed doesn’t help and may harm, your hair continues to fall out, your brain continues to be consumed in a pea-soup fog and life loses all its joy. But the standard of care has been met.

And standard-of-care State Medical Boards don’t approve of the adrenal saliva test, although it’s accurate while their preferred bloods tests are pointless. So adrenal problems remain unaddressed and untreated, wreaking all sorts of health havoc. If your adrenals are suffering, so are you–in spades.

And it’s not just about thyroid (et al) problems. State Boards decree normal cholesterol levels are too high and insist doctors prescribe statin drugs to lower them–although cholesterol has nothing to do with heart disease and statins are a disaster, with serious side effect upon serious side effect. And for nothing. Research says statins save less than one life per twenty years of patient suffering and expense.

And on and on. Standard-of-care means inferior care.

And your doctor can’t do anything outside the very limited bounds of standard-of-care without risking his/her medical license. A doctor I admire said she fears the State Medical Board above everything.

Want more? If you refuse to do as you’re told, the doctor’s supposed to dismiss you as a patient.

Arizona has a doctor shortage, at least in part because doctors are leaving. They want to practice medicine in a state that still allows them to use their knowledge and skills to treat patients. Those states are few and far between.

Because of the Arizona State Medical Board, I’ve lost some doctors, and I’ve made others crazy by my unwillingness to ride with the tide. I recognize the doctor’s dilemma, but, golly gee whiz, I”m not about to live half a life.

Fortunately, my years of study give me a huge edge in self-care. So I try to break doctors in with the idea of being a coach. I’ll study, I’ll experiment on myself and I’ll tell them all about it–if, and I have to be really diplomatic about …

health, medicine

LPN Programs in Delaware

There are many allied and exclusive healthcare industry careers. Some of you must be familiar with Emergency Medical Technology (Paramedic) – degree/certificate, MT: Management, Exercise Science, Health Information Management, Histotechnician, Medical Assistant – degree/Diploma, Medical Coding Studies – diploma, Medical Laboratory Technician, Nuclear Medicine field. But how many of you know about the nursing career- its’ growth and demand over the state? Well, nursing is in high demands and touching glorious heights in the state. Nurse Assistants and diploma holders in nursing have a golden career opportunity ahead of them. Licensed Practical Nurses are the supervising staff over CNA (certified nurse assistant) and are responsible for certain duties such as preparing medical plan with Registered Nurse and taking care of patients in absence of RN and Physicians. Licensed Practical Nurses cannot medicate the patients directly. Although they have the same knowledge as Registered Nurse but they need a supervising staff before giving medication to the patients. They need to consult the physicians before changing the prescribed medical assistance to patients.

The LPN programs in Delaware comprise both classroom and clinical training. These programs are a bit costly as most of the training schools are privately run. You will need $8000 to go through a LPN training program. Learning sterilizing procedures, providing geriatric care, conducting glucose testing and understanding the IV monitoring are the major responsibilities of a LPN. LPN and CNA both are done after the high school graduation and the admission criterion is also almost the same for both but there is a great difference in their job responsibilities. You must not be a drug or alcohol addict. You cannot enroll in any of the nursing program if you have a criminal background. Nurse aides have a lesser duties and are less paid than the LPN. The average salary of a LPN in Delaware is $48000 which is at least 30% more than the average salary of CNA in Delaware. The certification program for the LPN is the NXLEX-PN. It is conducted by Pearson-Vue and costs $200. In case you fail in passing the exam the re-examination is mere $20. You can carry on with your job after the NCLEX-PN exam and need not worry about exam result as a temporary licensure is provided till the examination result is declared.

Here is a list of schools that are accredited by the state nursing board of Delaware. You can opt from any one of these colleges according to your training location preference.

  • Camtech, Inc., New Port
  • Delaware Institute of Health Sciences, Wilmington
  • Delaware Skills Center, Wilmington
  • Delaware Technical and Community College, Georgetown
  • Delaware Technical and Community College
  • Delcastle Technical High School, DE
  • Leads School of Technology, New Castle
  • Polytech Adult Education
  • Delaware Technical and Community College
  • Beebe School of Nursing, Lewes

Ayurvedic Management of PCOS

Polycystic ovarian syndrome (PCOS), also known by the name Stein-Leventhal syndrome, is a hormonal problem that causes women to have a variety of symptom.

In Ayurveda Acharya Sushruta has mentioned Bandhya (Su/UT/38/10) a type of yonivyapada whose symptom is amenorrhoea or oligomenorrhoea. Similarly Acharaya Charaka has described Arajasaka (Ch/ChiS/30/17), a Yonivyapada indicating Amenorrhoea A combination of classical history, close observation of patient and the following investigations are important tools to confirm a case of polycystic ovarian syndrome.

Ayurvedic Treatment
The treatment principle is to pacify Vata, to clear obstruction in the pelvis( shrotorodha) , to normalise metabolism, to Assist cleansing and regulate the menstrual system (arthava shrotus).

Ayurveda has a wide range of phytosterons to strengthen ovarian functions.

Various Ghritas like “Phalaghrita” are made from herbs and cow ghee are used to balance out hormones.

Aloe vera, cinnamon, fenugreek, amalki, honey, glycosugars, shilajit, shatawari, aswgandha, Kauncha, Vidarikand, salam, ashoka, are the useful herbs. Herb “Latakaranj”(Caesalpinia crista) has shown encouraging results in PCOS cases. Use of ‘Latakarang extract has shown very good results in PCOS cases.

Some of the other useful ayurvedic preparations include

1] Arogyavardhini,

2]Dashmool preparations like Dashmoolarishta, Dashmool quath,Dashmool ghana etc.

3]Kanchanar guggul,

4]Pushyanug choorna,

5]Chandraprabha etc.

The goal of herbal medicine is to reduce circulating androgens, optimizing ovarian function, and supporting optimal endocrine function.


– Basti (the enema therapy) is the best choice to bring Vata in physiological proportion. The Matra Basti and Uttar Basti are highly efficient to calm down Vata dosha.

– Abhyangam the whole body massage with anti-Vata oils

– Swedan or steaming with anti Vata herbs

– Upnaha or poultice – A medical dressing consisting of a soft heated mass of herbal preparation or a castor oil packs

Sarvagasana, Matsyasana, Ardhmatsyendrasana, Paschimottanasana, Surya namaskar, Ushtrasana and all backward bending asana are recommended but they should be try under the supervision of an expert.…

health, medicine

Herbal and Natural Cure for Frigidity in Women

Frigidity occurring in women due to psychological or physical reason is quite curable by natural ways of treatment. Vaginal dryness, low interest in libido and pain during sex drive are some of the symptoms by which you can identify frigidity. Some medicines, especially intake of hormones create many negative impacts in female patients. Natural remedial measures help in preventing frigidity with no side effects. Let’s look vivid natural cure for frigidity in women. Consumption of Viagra of Amazon or Muira Pauma for a few weeks is an herbal cure for frigidity in women.

Herbalists some times suggest to intake wild yam for curing frigidity. It is a natural aphrodisiac given among female patients with frigidity. Ginseng mixed with caffeine is yet another natural cure for frigidity in women. Insomnia and irritability are two disadvantages caused due to excessive consumption of Ginseng. Kava Kava, known herbal medicine for curing frigidity is other option available for as a natural cure for frigidity in female patients. Studies say that, Kava Kava is forbidden for pregnant women and lactating mothers.

Consumption of Damiana extract is one among the natural cures for frigidity in women. Proper functioning of sex organs and improved libido are the some of the benefits in taking Damiana extract. Intake of asparagus helps in curing frigidity and promoting sex desire. Today various medicinal asparagus or Shatavari capsules are commonly available in the market. Chive consumption is another natural way by which controlling of frigidity can be done. Minerals present in chives stimulate the functioning of sex organs there by preventing frigidity.

Pumpkin seeds, fresh eggs, chocolates, alfalfa and sprouts are some natural food items used for curing frigidity in women. Oil is a best solution natural cure for frigidity in women. Make a controlled diet with adequate amount of oil in food. Olive oil is considered as a number one medicine for improving vaginal lubrication there by promoting libido. Soy oil and sesame oil are other natural cures for frigidity in women.

Maintaining a balanced diet with proper medication will do well in controlling frigidity. Always get the guidance of your health practitioner before taking these remedial measures. Certain medicines will create an adverse effect on patients. Kamni and fantasy are some of the commonly available herbal capsules which cure frigidity in women. Fantasy herbal capsule is a composition of Swarnapatra, Jawadi Kasturi, Jaiphal, Akarkara, Bang Bhasma, Kesar, Talmakhana, Salam mishri, Javitri, Lauha bhasma, Shilajit, Abhrak bhasma, Shudh kuchla, Musli safed, Ashwagandha, Kavach beej and Shatavari. Intake of fantasy capsules which is an herbal aphrodisiac helps in increasing libido and sexual sensations.

Capsules promote proper functioning of reproductive organs and interest in sex. Promoting multiple orgasms and excitement level are some other advantages in taking fantasy capsules. Dosage level can be adjusted as per the prescription made by physician. Usually capsule is taken along with milk for two to three months so as to give better result. These natural medicines take a bit time to be effective but last for long. …