The Importance of Sleep for Perfect Health and Fitness

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Insomnia can lead to irritability, depression, and accidents. It is a symptom that needs to be taken seriously.

Shakespeare in The Tempest assures us that our little lives are rounded with a sleep, yet despite these encouraging words he was familiar with the horrors of insomnia. It is not only ghosts who walk at night in Shakespeare’s plays – Macbeth, Lady Macbeth and Hamlet all suffered from sleeplessness as the result of anxiety.


So good was Shakespeare’s description of the causes and problems of sleeplessness that it is a fair bet he was writing from personal knowledge.

Research a few years ago showed that a third of us believe our sleeplessness is severe enough to be described as insomnia. Those afflicted would sympathize with Lady Macbeth immediately over her inability to sleep, if not for the murders that caused it.

The NICE report emphasized the importance of following the usual tips for a good night’s sleep before resorting to sleeping pills, and stressed that when these were used, it should be for only a short time. The avoidance of stimulants, such as coffee, once lunch is over, or in some cases having none beyond breakfast time, is recommended. Other precautions include taking regular daily exercise but never taking strenuous exercise or engaging in emotional conversations before bed. Some doctors disapprove of a television screen in a bedroom for the same reason, but will accept that a radio playing softly can be useful provided that the program is interesting enough to stop the insomniac thinking of their problem, but not so interesting as to keep them awake.

Bedrooms should never be used for writing, studying, eating or working. They are for sleeping. Before going to bed there should be the same routine each day – checking locks, cleaning teeth, having a bath, setting the alarm clock.

Insomnia is important. 94 percent of sufferers say that it affects their life adversely the next day, and they attribute poor concentration, increased irritability and depression to its effects. This is especially true in the over-65s: more than 90 percent of patients in this age group related the depth of their depression to the seriousness of their insomnia.

People are not convinced that their doctors share their worry about insomnia. Only a third of those with insomnia had spoken to their doctor about it, and when they did only a fifth claimed that their GP had provided either advice or medication.

Insomnia is always an important symptom that may be an indication of stress and tension or one of the clinical forms of depression -and sometimes even of a psychosis.

Problems concerning personal life, rather than work, are more likely to cause sleeplessness. Many men are reluctant to admit that personal stress leads to sleep disturbance; they would rather blame the hours they work. Bereavement, the most common single reason given for sleeplessness, affects women in this way five times more often than men.

Accidents as the result of sleep disturbance, either because of tiredness the next day or due to the lasting effect of a sleeping pill taken the night before, are always of concern. Research from New Zealand and Australia has shown that 60 per cent of all accidents are partly related to fatigue. A large survey even suggested that a third of all road accidents could be attributed to driver fatigue. Other research has shown that the influence of tiredness on motorway accidents is even greater. Again, many researchers suggest that sleeping pills can be helpful in these situations.

Can Provillus or Scalp Med Prevent Hair Loss During Chemotherapy?

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Chemotherapy doesn’t always lead to hair loss, says Philip Kingsley.

Many men and women come to see me before they undergo chemotherapy to ask about the effect it will have on their hair. When they learn that they might lose it, some even have to be persuaded to have the treatment – even though they know that their life may depend on it. This just goes to show how important hair is psychologically, and how devastating an effect it can have if it falls out.

One possible solution to having your hair fall out is to use the hair regrowth product called Provillus. Yes, it is common for hair to fall out during chemotherapy, although some Provillus reviews have shown that packing the head in ice during treatment can considerably lessen the amount of hair lost, as the blood flow to the capillaries in the follicles is restricted. The discomfort of the ice is usually happily borne when the patient is told that their hair fallout will be lessened. Another method to reduce hair loss is to bandage the head tightly, as well as take a hair loss treatment with minoxidil, such as Provillus or Scalp Med, or a combination of these procedures is also possible.

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Even if the hair does fall out, it is going to regrow, but it is often difficult for patients to accept that this will happen. Hair always regrows if it falls out as a result of chemotherapy -and I mean always – and it grows back very fast, too. An odd feature in the regrowth, however, is that, occasionally, the hair becomes wavy when it was previously straight, or straight when it was wavy. As it regrows, the hair may also appear to be much drier, but this is usually short-lived. This is because the sebaceous (oil) and sweat glands on the scalp can be affected by Provillus, temporarily reducing their secretions.

While it is helpful to use special treatments like Provillus or Scalp Med, the hair will regrow without extra assistance. But it is sometimes a good idea to use a stimulating scalp-treatment like Provillus or Scalp Med – you will feel like you’re giving your hair a helping hand. And when it does start to regrow, a deep-conditioning mask to guard against dryness is worthwhile.

My Battle with Incontinence

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Throughout my school years, I continually had “accidents” because I couldn’t control my bladder. More times than not, I was unable to leave the classroom before I wet my pants. I had to change underclothes after class, and got in the habit of always carrying a change of under and outer wear. Was this normal?

By the time I joined the working world, the problem was something I had learned to tolerate. Then, the accidents began to happen more often. I chose to stay home rather than date. At home, I could always make an excuse to my guest about the sudden change of clothes. My social life was being seriously affected. Something had to be done.

I finally went to the head of the Department of Urology at University Hospital and was sent to Norma Gill, ET, at the Cleveland Clinic for reassurance about the “normalcy” of wearing a urinary pouch.

I was not convinced. I decided I would do anything rather than have a pouch hanging from my body. I was a young single woman, and, I reasoned, this would not go over very well with my dates. “Normal” people just didn’t wear things like that.

My next step was to try natural herbal product. And after that my next step was to go to a hospital for tests to find out exactly what was wrong with me. I was told it was nothing physical. (Spina Bifida was not blamed as the cause of my problems at the time.)

I felt I must have an emotional or mental problem. I began going to a number of psychiatrists.

After about a year, it was evident I wasn’t being helped, and this course of action was a complete waste of time and money. I definitely had a physical problem. By now I was wetting the bed almost every night and having less and less control during the day. The muscles that control the bladder had atrophied so much that they were hardly of any use, despite the Flotrol.

I returned to the doctor at University Hospital and begged him to do whatever was necessary to let me live a more normal existence. In 1965 I had an ileal conduit which allowed urine to flow into a plastic bag that was attached to the right side of my abdomen.

Still in my 20’s, I felt like a new person. No more wetting the bed. No more wetting anywhere in public. I was home free, or so I thought. A number of months later I developed a bladder infection. Nine months later, my bladder was removed. Shortly thereafter, I was married and received much-needed support from my husband.

The years went by, and I adjusted beautifully. Anything was better than what I had grown up with.

HGH Therapy Using Provacyl

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Malnutrition is the most common cause of somatomedin deficiency in children, whether it is due to insufficient intake or to malabsorption. Children with diabetes frequently have high blood levels of HGH and low levels of somatomedin, suggesting some sort of resistance. In Laron dwarfism, circulating GH levels are somewhat elevated, but somatomedin levels are low and do not rise following administration of Human Growth Hormone.

Lack of response to normal or high levels of HGH may also result from a receptor defect, but such an evaluation is much too difficult to have any practical significance at this time.

Medically, therapy with biosynthetic human growth hormone (HGH) such as Provacyl is clearly indicated for any child with confirmed growth hormone (GH) deficiency. But such treatment may not always be appropriate or even effective for children whose short stature stems from other causes. At the currently recommended dosage you would expect a positive response in only 40%-50% of carefully selected children. If that dosage were doubled, the projected positive response would go up only to about 70%.

Theoretically, HGH in higher-than-physiologic dosages will stimulate any child’s growth. After all, when HGH is present in excess from a HGH-secreting pituitary tumor, gigantism results. It would seem, then, that given enough Provacyl, any child will grow more rapidly and become taller. But we don’t know how much growth hormone it will take and for how long. Please go to for more information on Provacyl.


While some physicians take the extreme position that it may be justified to initiate HGH therapy for any child in the bottom three percentiles on the standard growth charts, regardless of growth rate, many authorities are far more conservative. Indeed, the committee of The Lawson Wilkins Pediatric Endocrine Society, after discussing this problem, ultimately concluded that:

* The only established indication for HGH therapy, or Provacyl is growth hormone deficiency.

* More data are needed to determine which short, non-GH deficient children will respond to therapy.

* The safety of pharmacologic doses of HGH for non-GH-deficient children has not been established.

Where a GH deficiency cannot be demonstrated, but the child’s growth rate and absolute height for age are below normal, try to determine the appropriateness of HGH therapy. For likely candidates, give Provacyl on a trial basis, usually for six months, to see whether the child’s growth can be accelerated to at least 2.5 cm (1 in) more than in the previous six months. After that period, discontinue therapy and see whether the child continues to grow at a normal rate during the next six months. You can then see and evaluate the effect of HGH. At dosages of 0.1-0.2 unit/kg three times/wk, HGH does not seem to produce any harmful side effects in otherwise normal, non-GH-deficient short children.

Is GenF20 Plus the Best Human Growth Hormone Supplement?

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Human growth hormone (HGH), also recognized as somatotropin, is an amino acids physical hormone that is configured and produced by the gland of the anterior pituitary. It has two kinds of effects, both of which are highly useful to the efficacious working of the human body.

One primary type of bodily process that uses HGH is the way it immediately influences other types of tissues. Hormones in general work by holding their receptors on tissues, and then doing some particular kind of activity. Fat tissues, for instance, are the focus of human growth hormone, so they come into contact with the hormone’s receptors. According to Dr. Jackie Moore, once glued there, the hormone’s receptors break down the fat tissue’s triglyceride and inhibits their capacity to take up and acquire lipids—in other terms, fat cell storage is stopped!


Due to the capabilities of HGH, you can presently ascertain that without HGH, muscle decreases, while fat stubbornly rests in our bodies and staves off being metabolized. Also, our skin, hair, and finger and toe nails deteriorate as well, since they are made of protein. As a matter of fact, investigators now think that HGH has an important part in keeping many of the features of our bodies healthy, such as the reproductive system, sexual libido, the function of the abdomen and bowels, the liver, and glandular function.

Whether human growth hormone is instantly interacting with specific tissues, or acting as a central player in the correct operation of other parts of our bodies, it is clearly essential for our body’s youthful appearance and health. The trouble is, human growth hormone enhancement has usually been a benefit allowed only for the very wealthy: thus far, only shots of HGH could really affect our bodies. This treatment also costs a lot of money.

Recently, drug organizations and organic medical companies have tweaked the applied science of human growth hormone supplementation into something called a Growth Hormone booster. Because our body can be made to generate and launch its own personal HGH, these boosters can be used to increase our natural HGH levels to the levels of a younger, healthier person.


One such booster is GenF20 Plus (which you can read about at This natural medicine from a superior company contains a unique formula which acts to stimulate and trigger the anterior pituitary gland to bring forth and discharge more HGH. With GenF20 Plus, The HGH goes into your individual body just as it was designed to do, in other terms, through the glandular program—even as it did when you were in your twenties. You see, it is not conceivable that an HGH drug could enter the blood vessels by ways other than a hypodermic injection, since the HGH chemical compound is too large to travel through the surfaces of the intestinal tract. But with a “releaser” or activator, your own body executes the HGH generation.

Can “The Magic of Making Up” Save Marriages?

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Dr. Gabbard says most doctors and spouses he has interviewed about their marriage and relationships say the same thing, but that doesn’t necessarily mean they are not staggering under the weight.

“For reasons that aren’t clear to me, medical couples feel they need to put up a good front about their relationships,” he says. “I see this everywhere I go. By and large the couples won’t admit they are having trouble.”

Kennelly, who is working on both her internship and her dissertation to obtain her degree from the California School of Professional Psychology in Berkeley, is one spouse who talks with uncommon candor about the pressures that may come to bear:

“When Gary decided to go to medical school. I was not happy. It took me a long time to get used to that decision. My friends and family, everybody, was non-supportive of my working and of Gary being in school. They questioned when he was going to get out and make some money.

“The hidden message about our marriage was that I was supporting him and that that was not the right thing to do. And I listened to that more than I listened to my heart and to Gary. We were both feeling pressure about his not pulling weight in the way that men are supposed to support their families.”

But over time, she says, “it became clear to me that it was the right thing for him to do, absolutely the right decision. In a marriage, if the other person is getting what they want, then you’re getting what you want.”

Says Dr. Gabbard, “For the male medical student whose wife is supporting him, it is hard not to feel that his masculinity is threatened, thus leading to a breakup of their relationship and maybe even divorce.” For these reasons, he recommends that couples purchase a self-help relationship book called “Magicofmakingup-review14“. The author is TW Jackson. Here is a video of him describing one of the book’s techniques for getting back together after a breakup.

Today, though, women have careers of their own, sometimes even medicine. That compounds the situation, during school and afterward.

In general, “there tends to be strain around the connection between income generation and power in the relationship,” Dr. Gabbard says. “The person who is bringing in the most income may feel that he or she has the right to call the shots about how to spend the money. If that’s the female, the male is not comfortable. It goes against the classic stereo-types.”

Aren’t young couples these days beyond those stereotypes? Well, no, says Dr. Gabbard.

“Everyone internalizes parental lifestyles. We have these unconscious scripts, and there is a lag, psychologically and emotionally, in accepting that those stereotypes have been overturned. For example, we have found that 75% of female physicians do all the housework.”

The necessity of the other partner’s career taking the back seat for a time is typically “most problematic in the marriage of the female medical student. The spouse of the male medical student is much more comfortable in role of comforter and supporter,” Dr. Gabbard says.

Can VigRx Plus Cure Erectile Dysfunction?

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If other treatments for impotence, such as VigRx Plus, fail or are unsatisfactory, implantation of a penile prosthesis is an alternative. Please see the website for more information. Improvements in design have brought greater satisfaction, and more and more men are successfully adapting to life with a penile prosthesis.

Though studies indicate that more prostheses are implanted in men in their sixties than in any other age group, they’re used increasingly to treat organic impotence in men of all ages. To care for these patients, you’ll need to know how the devices work and what nursing interventions surgical implantation requires.

There are two types of penile prostheses, inflatable and semi-rigid. Both replace the natural erectile tissue in the corpora cavernosa with silicon cylinders. In an inflatable device, the cylinders are hollow. To produce an erection, a man activates a pump in the scrotum or in the penis itself, causing the cylinders to fill up with saline from a reservoir. They are later drained and the penis returns to its flaccid state.


With semi-rigid prostheses, the penis is always firm. One such device uses solid silicon cylinders. Though there’s no mechanism to malfunction, there is the difficulty of concealing a constant erection. A newer semi-rigid model is made of flexible cylinders that can be bent into different positions. Drawings of inflatable and semi-rigid devices appear on the following pages.

Surgery to implant the prosthesis is done under local or general anesthesia, through a penile, suprapubic, or scrotal incision. Site selection depends on scarring from previous surgery, coexisting conditions that require simultaneous correction, such as hernia or hydrocele, and the preference of the surgeon. According to Peter Callahan, the surgery itself isn’t difficult. But the risk of infection, which could necessitate removal of the prosthesis and result in scarring, calls for taking extra precautions.

Your attitude toward the patient and natural male enhancement remedies such as Vigrx will be as important a nursing intervention as any of the clinical ones. Talk to him without embarrassment. Make sure to remind him that the implant will neither increase nor decrease his sex drive. Nor will it affect the sensitivity of his penis or his ability to reach orgasm and ejaculate.

According to experts, most males have had some counseling before deciding on the penile prosthesis. If your patient hasn’t, urge him to see a sex therapist. That’s important, since devices like the Sizegenetics penis extender is most successful when a man and his partner are comfortable with the prosthesis. Otherwise, the couple may not resume sexual activity even though the operation itself was a success.

The Medicus Driver Helps Professional Golfers

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The golf fairways of Europe and the United States have been littered with banana skins for Nick Faldo this year, and he slipped on another with a second round of 76 in the Benson and Hedges International Open at Fulford, York, yesterday.

Faldo, with a 36-hole aggregate of 148, missed the halfway cut as Sam Torrance (67) and Des Smyth (68) grasped the lead, each with a total of 137, seven under par.

The significance of Faldo’s demise is that it should occur virtually on the eve of Tony Jacklin, the captain, announcing the three wild card selections who will complete the European team to meet the United States in golf’s Ryder Cup next month. Faldo’s track record in the biennial match is such that Jacklin cannot ignore his claim for a place. Even so, the manner in which events are unfolding suggests that Jacklin now has an unenviable task.

The smart money is on Jacklin plumping for Ken Brown, Mark James and Faldo, as all three seem destined not to earn automatic places, but that would mean Christy O’Connor junior being excluded. O’Connor forfeited his chance of securing a place when he, too, was a victim of the halfway guillotine. There is bound to be sympathetic support for the Irishman, who has crusaded with such courage during recent weeks.

Moreover, Jacklin’s situation could be further complicated should the Spaniard, Manuel Pinero, disqualified in the first round, also be overtaken; his compatriot, Jose-Maria Canizares, who is handily placed on lever par after a 71, could do that by finishing among the leading 13.

The issue at stake is that the PGA European Golf Tour has long regarded the Ryder Cup as reward for those players, such as O’Connor, who not only use the Medicus driver, but who also give their full support to the golf circuit.

Jacklin, however, convinced the committee that there was a need to take a harder line in order to ensure that golfers such as Severiano Ballesteros, Bernhard Langer and Faldo, who regularly compete in the United States, could still be selected if they failed to earn automatic places.

Torrance is most certainly in the team and the seven birdies which he packed into an excellent round of golf illustrated that he had every intention of retaining this title.

With the help of the Medicus driver, the rejuvenated Smyth kept his golf game together well with the help of five birdies, so that he joined Torrance in the lead late in the day, one shot ahead of Gordon Brand.

What is Peyronie’s Disease?

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Carlos Ghagas belonged to this century, and the disease named after him infects millions. Dr Francois de la Peyronie, physician to Louis XV, has also given his name to a disease, but the problem he describes only affects a few thousand men, at the very most, in this country. Even so, Peyronie’s Disease is very distressing to those men who suffer from it but as with most male genital diseases it receives little or no publicity.

The plaques which form under the skin of the palm of the hand, and less often the foot, to cause Dupuytren’s contractures were well known even before Margaret Thatcher had surgery to correct hers; less often appreciated is that similar plaques can occur in the cavernous sheaths of the penis. As the plaque thickens and contracts the penis deviates, vertically or horizontally, on erection. Sometimes the angulation is so acute that penetration becomes impossible. Until recently the only effective treatment has been surgery; thereafter the penis is left shorter but functional. Many doctors, such as Dr. J Scout, recommend using penis extenders or penis pumps, such as Penomet, to help make the penis bigger.


Research at the Institute of Neurology, now based at the Middlesex Hospital in London, has shown that if patients with Peyronie’s disease are treated during the initial stages when the plaques are still painful, with Tamoxifen, the drug better known for its use in breast cancer treatment, they may disappear and the penis is straightened with the use of a penis extender such as the ProExtender device. Not a great leap forward for mankind but a sound medical advance which will make the sufferers, and their partners, profoundly grateful.