Updated:
5/31/05
OTHER MEDICAL INFORMATION   P-2
  • FIVE TIPS FOR MANAGING CHRONIC ILLNESS from
    "HEALTHNEWS:
1)  Do your own research and collect information.  People who successfully managed
their chronic illness were more likely to read and study their illness.
2)  Look out for depression.  People with chronic illnesses will often get depressed at
some point in their illness.  The sooner you recognize depression and treat it usually
feel better because depression aggravates their chronic condition.
3)  Partner with your doctor.  This is more easily said than done because of the limited
you get to really spend with your doctor. (See "Being a Good Patient" in the
Management Section.)  However, if you have done your homework sufficiently to
honestly discuss selected treatments with your doctor the better off you are.  If you
have a problem creating a working relationship with you doctor, you should consider
finding a new doctor.
4)  Take action quickly on recommended lifestyle changes and/or medication.
5)  Managing a chronic illness requires challenging changes in diet, exercise, and
other daily activities.  You need to seek and get support from family members and
friends.  Try to forgive some of those who withhold their support.  Often, the only
reason is that they just don't know what to do and feel uncomfortable with chronic
illnesses,

  • Eight Simple Steps to an Agile Mind
The fallowing is an excerpt from a "Johns Hopkins Medical Letter" by Peter V. Rabins,
M.D. basically concerning forgetfulness and Alzheimer's Research.  However, we feel
some of this information will help people with CFS.

We all lose a little of our memory as we age.  Our basic philosophy "use it or lose it" is
our formula for keeping you mind as sharp as possible.  The following specifics may
also prove useful.

Treat high blood pressure. Over time, hypertension can damage brain cells and
trigger transient ischemic attacks—ministrokes that may impair memory. Keeping
blood pressure controlled (120/80 mm Hg or less is the goal) maximizes blood flow to
the heart and brain.  High blood pressure has to be watched for heart attacks as well.
Eat right. A balanced diet that contains low-fat dairy products and nine servings
daily of fruits and vegetables can improve alertness and energy. Foods rich in omega-
3 fats (especially wild salmon, mackerel, trout, sardines, walnuts, and flaxseed) may
be particularly beneficial for brain function. For increased protection from free radicals
(molecules that are thought to contribute to the aging process), consider taking 400 IU
to 1,000 IU of natural vitamin E daily. If you have a blood-clotting problem, be sure to
speak to your physician first—doses in excess of 800 IU daily have been reported to
increase the risk of bleeding.
Exercise. Better fitness translates into better cognitive function. Regular aerobic
exercise seems to maintain brain cells and to encourage the growth of new neurons.
Exercise also helps optimize blood pressure and increases an important brain protein
called brain-derived neurotrophic factor (BDNF).  Remember to stay comfortably
within your ability range as mentioned in CFS Management.
Drink only in moderation. Moderate alcohol consumption (no more than about 4 oz of
wine, 1 oz of spirits­its, or 10 oz of beer daily) may lower the risk of severe memory
loss. How­ever, studies have found that people who drink excessively—more than four
drinks daily—were 1.5 times more likely to develop both normal memory problems and
dementia.  Again, people with CFS MUST watch alcohol consumption period.  If it
bothers your illness, don't do it.
Check your medicine cabinet. Many common prescription medications can
impair memory. If you reg­regularly take drugs for ulcers, pain, depression, anxiety,
hypertension, Atkinson's disease, a thyroid condition, or any other medical problem
and have noticed a decline in memory function, speak to your physician about the
possibility of adjusting your regimen in some way.
Practice good sleep hygiene.  Sleep deprivation stresses the brain, which can
affect your ability to concentrate, to learn, and to recall information. We know that this
is a tough one for PWS (see CFS Management), but do the best you can.  
Remember, improved sleep helps our illness.
Stay mentally active. People who regularly seek intellectual challenges
generate more synapses between brain cells in the hippo campus (the part of the
brain essential for consolidating immediate thoughts and impressions into longer-
lasting memories). Learn a new language (if you can), play chess, take a class,
practice the piano read, etc  Studies show that reading is one of the best brain
stimulants, while watching television is far less effective.
Protect your head from falls. Maintain your sense of balance, eliminate household
tripping hazards, and wear protective headgear for active sports. Studies have
reported that people who have suffered severe head trauma were more likely to
develop AD and other forms of dementia.

  • HEARTBURN DRUGS LINKED TO PNEUMONIA:  A Netherland
    research study found the risk of pneumonia doubled for people who were taking
    heartburn medicine for prolonged periods.  According to the Oct. 27, 2004
    "Journal of the American Medical Association", the study said histamine
    antagonists and proton-pump inihibitors were both mentioned as increasing the
    risk of pneumonia such as Tagament, Pepcid, Axid. Zantac, Nexium, Prevacid,
    Prevpac, Prilosec, Protonix, and Aciphex.
  • SPECIAL BEDDING DOESN'T IMPROVE ALLERGY,
    ASTHMA:  The following is quoted from the "HEALTHNEWS", September
    2003.  Special bed covers that supposedly reduce exposure to dust mites (a
    common allergy trigger) do nothing to allay symptoms of asthma or nasal
    allergies, suggest two year-long studies in the July 17 New England Journal of
    Medicine. In the first study, roughly 1,100 asthmatics aged 18 to 50 used either
    allergen-impermeable or regular covers for mattresses, pillows, and quilts.
    Regardless of which type of bedding they used, the participants' force of
    exhalation improved during the study. The second study, involving roughly 230
    people with nasal allergies, found that people using allergen-impermeable bed
    covers had the same severity of allergy symptoms as those using regular
    covers. If you have asthma or allergies, you may have better luck reducing your
    symptoms by washing bedding in hot water and using a high-efficiency vacuum
    cleaner to keep dust mites at bay.
  • TAI CHI SOOTHES THE MIND AND CHALLENGES THE
    BODY according to the "Parade Magazine".  It stated the tia chi is so low-
    impact that it may even help combat pain associated with arthritis, multiple
    sclerosis and Parkinson's disease.  The advantages lie in its deep-breathing
    techniques and deliberate movements - a series of fluid motions that are
    cicular, slow, and together form a single, larger stance.  The breathing part
    cancan help dispel stress and anxiety.  Tai chi helps muscle strength, flexibility,
    and stamina.
  • DRUG-RESISTANT STAPH INFECTING MORE HEALTHY
    PEOPLE according to the Infectious Diseases Society of America.  Where
    staph used to be associated with hospitals, it is now infecting healthy children,
    athletes, and others with no connections to hospitals.  The following are some
    tips for prevention: (1) Wash hands thoroughly and often, (2) Keep cuts and
    abrasions clean and covered until healed, (3) Avoid contact with other people's
    wounds or contaminated material, (4) Do not share razors, soap, ointments and
    balms, towels or washcloths, clothing or uniforms, (5) If participating in contact
    sports, cover cuts, scrapes and other wounds.  Shower with soap immediately
    after each practice or game.  Wipe down all non-washable equipment with
    alcohol and antibiotic solutions after each use, (6) If caring for someone with an
    infection at home, was hands with soap after each contact and before going
    outside.  Use towels for drying hands only once.  Change and launder linens
    frequently after soiled, (7) When contact with body fluids is expected, wear
    disposable gloves and wash hands after removing gloves, and (8) See a
    physician promptly if you have a suspious skin sore or boil.
  • WHAT CAN YOU DO TO HELP AVOID A HEART ATTACK:  
    Stop smoking!  Get blood tests to check cholesterol!  Keep blood sugar within
    normal range!  Diet until your obtain normal weight for you height, age, and
    bone structure!  Find ways to control and manage stress!  Keep a heart healthy
    exercise program! Eat fruits and vegetables on a regular basis.  Consume
    alcoholic beverages in moderation, unless your beliefs prohibit it.  KNOW YOUR
    FAMILY TREE.  Generics play an important roll with your health.  Go to www.
    hhs.gov/familyhistory for the latest "My Family Health Portrait".
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