28 Şubat 2014 Cuma

NHS data will not be offered to insurance coverage companies, Jeremy Hunt says

Jeremy Hunt

The wellness secretary, Jeremy Hunt, says patient opt-outs will be subjected to statutory safety. Photograph: Richard Gardner/REX




Insurance organizations will not be able to buy patient healthcare records via the NHS data scheme, the overall health secretary has announced.


Jeremy Hunt is to legislate on the care information programme to appease some of the worries that have been raised about the scheme. Hunt plans to give “rock-reliable” assurance to sufferers that confidential data will not be offered for commercial insurance functions, the Division of Health explained.


He is to place a raft of measures in place which includes a statutory necessity that any patient’s opt-out will be respected and legislation that will stop the Overall health and Social Care Info Centre (HSCIC) – the entire body which will control the data – from sharing private details exactly where there is “not a clear wellness or care benefit for individuals”.


A Division of Overall health spokeswoman mentioned this “puts past any doubt that the HSCIC can not release identifiable, or possibly identifiable, patient information for business insurance or other purely commercial purposes.”


The HSCIC will also be bound by laws to defend patient confidentiality when anonymised information is released. And any researchers who want to accessibility identifiable data need to show “an ethical explanation to do so”.


A source shut to the wellness secretary said: “The rules about this programme, which will bring genuine rewards to patients, are fundamentally proper, and we fully assistance them.


“But, alongside a new campaign from NHS England to describe the programme to the public and GPs, we also require to ensure that robust legislation is in location to address their worries.”


The care.information programme was pushed back until finally the autumn following NHS England, the entire body behind the scheme, bowed to stress from patient and health-related groups including the Royal College of GPs and the British Health care Association (BMA).


Patients, physicians and other expert organisations, raised concerns that they had not been provided enough time to find out about the project.


NHS England has said it will work with sufferers and professional groups to encourage awareness of the scheme.


The programme is made to hyperlink data from GP records with information from hospitals to give an thought of what transpires to patients at all stages of NHS therapy.


The information that will be extracted from GP techniques includes data on household historical past, vaccinations, referrals for treatment, diagnoses and data about prescriptions.


It will also contain biological values such as a patient’s blood strain, entire body mass index and cholesterol levels. Individual confidential information will also be taken, such as date of birth, postcode, NHS amount and gender. The written notes a GP helps make for the duration of a consultation will not be extracted.


The data will be held by the HSCIC and anonymised by officials there. Entirely anonymised information will be created obtainable publicly to any person outdoors the NHS.


Data regarded to be potentially identifiable – for instance in which a patient in a little town has a unusual condition – will only be released to approved organisations for the specific goal of benefiting the wellness and social care technique.


Numerous which includes a massive amount of healthcare investigation organisations have backed the scheme, saying it will alert the NHS when requirements drop, help produce a much better knowing of what occurs to people, especially those with lengthy-term problems, who are cared for away from hospital, and offer data essential to help and help analysis into new medicines, prevention and treatment of condition.




NHS data will not be offered to insurance coverage companies, Jeremy Hunt says

FDA Proposes Adjustments To Nutrition Label Including A lot more "Realistic" Serving Sizes

Get pleasure from a late-night bowl of ice cream? Confident you are consuming a “sensible” quantity of calories obtaining surveyed the back-of-package labeling? If that is you, the FDA is about to drop a sugar, unwanted fat and calorie-laden bomb all over your midnight delusions.


As portion of its proposal to update the Nutrition Details label that’s found on most food packages in the United States, as unveiled by 1st Lady Michelle Obama on Thursday, the FDA is revising serving sizes to reflect how considerably Americans in fact consume in one sitting nowadays. The recent serving sizes had been place in area in 1994, and there’s no question that appetites have grown because then.


At present, the labeling on a pint of ice cream claims to supply 4 servings that is just half a cup a serving. The new labeling doubles the portion sizes. A pint will give only two portions considering that that quantity is a much more genuine representation of how considerably is scooped into a bowl at a time. Ben &amp Jerry’s Chocolate Fudge Brownie taste currently functions 270 calories a serving. If the FDA’s modifications are implemented, the calorie count shoots up to 540 calories a serving. Less sensible, far more sensational.


Still, at least you’ll no longer be mystified as to why your jeans no longer match.


LABEL_REVISIONS_FINAL4_no_captions


In one more example of a lot more practical serving sizes, each twelve ounce and 20 ounce bottles of drink will equal one serving (at existing, twenty ounce bottles declare to offer 2.five servings), since men and women generally consume the two drink sizes in one particular sitting. The calorie estimate will enhance by 50 percent or 150 percent accordingly and will aid folks realistically calculate and track their calorie consumption. And buyers will not be in a position to miss these markers either since the most visible adjust is that the calorie counts are greater and bolder for greater emphasis.


While most food items and drinks are consumed in higher quantities than the labeling presently admits, this isn’t the situation with every thing. In accordance to in depth FDA research single-sitting consumption quantity for yogurts have shrunk from eight ounces to six ounces and the new labeling will be amended to reflect this.


“For 20 many years shoppers have come to depend on the iconic nutrition label to assist them make healthier food choices,” explained FDA Commissioner Margaret A. Hamburg, M.D. “To remain relevant, the FDA’s newly proposed Nutrition Details label incorporates the newest in nutrition science as a lot more has been discovered about the connection in between what we consume and the advancement of serious persistent illnesses impacting millions of Americans.”


The Nutrition Facts label was launched 20 years ago and the label has not transformed drastically considering that 2006 when details on trans body fat had to be disclosed on the label. Companies had been successful impelled to reduce partially hydrogenated oils, the major supply of trans unwanted fat, in a lot of processed foods merchandise, says the FDA.


In another substantial proposed label change, the panel will feature a separate line for additional sugars. This is meant to support customers differentiate in between sugars that are naturally present in food items and sugars that are added in the manufacturing process. The end goal is to have consumers make a lot more healthful choices where they opt for meals with normal sugars from substances this kind of as fruit purees or dried fruits.


Additionally, companies have to maintain data for a time period of two many years so they can show the variation amongst natural and added refined sugars if questioned by the FDA.


Nutritionists advise that we need to get only about ten percent of our calorie consumption from sugar. This is equivalent to about 13 teaspoons of sugar per day. On average, Americans get over 42 teaspoons of sugar a day (based on two,000 calories per day).


To make the dietary labeling a lot more pertinent and a lot more streamlined, the proposal suggests cutting the listing of calories from fat. Experts say this marker can be misleading given that type of unwanted fat is much more considerable to wellness than sum, a consideration of the truth that there are very good fats and undesirable fats. As a reflection of this, “Total Excess fat,” “Saturated Body fat,” and “Trans Fat” will nonetheless be required on the label.


“For 20 years shoppers have come to rely on the iconic nutrition label to help them make healthier food choices,” stated FDA Commissioner Margaret A. Hamburg, M.D. “To remain relevant, the FDA’s newly proposed Nutrition Facts label incorporates the latest in nutrition science as more has been learned about the connection among what we consume and the advancement of severe persistent illnesses impacting hundreds of thousands of Americans.”


The FDA says that it is accepting public comment on the proposed adjustments for 90 days. Need to they be authorized, there is no timeline set for when the new specifications will be implemented.


Extra proposed label alterations, in accordance to the FDA:



  • Present “dual column” labels to indicate the two “per serving” and “per package” calorie and nutrition data for greater packages that could be consumed in one particular sitting or multiple sittings.



  • Demand the declaration of potassium and vitamin D, nutrients that some in the U.S. population are not obtaining ample of, which puts them at increased threat for chronic condition. Vitamin D is crucial for its function in bone well being. Potassium is advantageous in reducing blood strain. Nutritional vitamins A and C would no longer be required on the label, although companies could declare them voluntarily.



  • Revise the Daily Values for a range of nutrients this kind of as sodium, dietary fiber and Vitamin D. Daily Values are utilized to calculate the Percent Every day Worth on the label, which aids shoppers understand the nutrition data in the context of a complete daily diet plan.



FDA Proposes Adjustments To Nutrition Label Including A lot more "Realistic" Serving Sizes

NHS legally barred from marketing patient information for commercial use

The revelation came days after controversial programs to extract patient information from GP information were put on hold, amid concerns above the scheme.


In a bid to allay public considerations Mr Hunt will this week announce a series of amendments to the Care Bill.


A source shut to Mr Hunt mentioned: “The ideas around this programme, which will deliver true positive aspects to sufferers, are fundamentally proper, and we will assistance them.


“But alongside a new campaign from NHS England to clarify the programme to the public and GPs, we also need to make certain that robust legislation is in place to deal with their worries.”


These in charge of the NHS information programme have repeatedly insisted that it will be unlawful for information extracted from GP files to be offered to insurers, who may possibly seek to target clients or put up their prices.


Even so, The Telegraph disclosed on Monday that in 2012 the Institute and Faculty of Actuaries obtained the information about 47million patients for about £2,220. It utilized the data to support “refine” essential illness cover.


In response the government will this week enshrine in law a ban on the Well being and Social Care Details Centre, the physique in charge of NHS data, from releasing the information for commercial purposes.


The new legislation will also introduce new measures deter organisations which obtain NHS information from misusing it.


Below the information safety act, businesses which “reckless disclose” individual information are committing a criminal offence can be fined up to £500,000.


Nevertheless, MPs have raised concerns that the fines are “small change” to global firms and will do small to deter wrongdoing.


Beneath the new laws, NHS information will only be launched to organisations which have abided by data safety guidelines.


Those that have committed even one particular prior offence involving patient data will be barred from accessing NHS health-related data indefinitely as part of a “one strike and you are out” technique.


Firms that wish to use personalized health care data will have to demonstrate that they are performing so on an “ethical basis” which will benefit individuals that they will not breach their privacy.


A supply close to the Department of Overall health explained: “For some organisations, the risk of no longer being able to access this type of information may possibly show a far more powerful sanction than the existing optimum £500,000 fine beneath data safety.”


Ministers will also introduce into law a legal necessity that the wishes of individuals who want to opt out of the NHS database are “respected”.


People that pick not to participate will be ready to opt out above the phone and obtain a legally-backed assurance that “no identifiable information” about them will enter the database.


The two bodies which advise the government on releasing info will also be provided a legal basis to make them a lot more accountable.


They will have to publish details about which organisations have acquired NHS information and the justification for the selection.


On Thursday Jane Ellison, the well being minister, stated that the new measures were necessary to restore “public confidence”.


She explained that the use of NHS data had assisted alert authorities to the scandal at Mid Staffordshire hospital and would aid doctors fight antibiotic resistant superbugs.


She explained: “It is clear that most folks agree with the aims, but they have justifiable considerations about how they are getting implemented.


“People want rights in excess of how their health and care data, particularly data that recognize them, are getting utilised. Safeguards will be put in location more than and above what NHS England does to create public self confidence.


“We know there is an tremendous prize in our grasp, but we know we will win that prize only if we are extremely careful and thoughtful about how to proceed, taking the public with us.”


Several of the measure ministers are adopting have been proposed by George Freeman, a Conservative MP who previously worked in the biomedical business.


Ministers are also expected to adopt numerous measures he has put forward in a personal members bill to help empower sufferers.


They include scrapping fees charged by some doctors for individuals to access their own medical information, and creating a duty for hospitals and GPs to share medical data with each and every other to make sure “joined up” patient care.


Mr Freeman explained: “Without information we wouldn’t have found Mid Staffs or Harold Shipman. While some of the objections to the NHS’s plans for use of information are ill-founded and irresponsible, there are legitimate public and GP issues which need to have to be addressed if we are to be capable to secure public support for ‘opt-out’ which is essential.


“I am delighted that the government has accepted the measures in my Bill, and our wider campaign, and agreed to adopt them in legislation”


* The head of the NHS has apologised for posting a spoof video mocking the beneath-fire well being support data-sharing task and lampooning Health Secretary Jeremy Hunt.


Sir David Nicholson was forced to say sorry to a senior colleague portrayed as Hitler in the newest of a prolonged historical past of world wide web parodies based on a scene from the film Downfall.


“Sorry this is what takes place when you give an outdated bloke with an over designed sense of humour new tech,” he told Tim Kelsey, national director for patients and information.


“You are undertaking a excellent occupation X”, he extra on Twitter, in which he had earlier produced a substantial stir by posting a website link to the clip – subsequently deleted from his account.


Titled “Tim Kelsey discovers that care.data is in problems”, the video has had a lot more than 3,000 hits given that it was posted to YouTube earlier this week.


In it, the subtitled words of the actor enjoying Hitler – recognized as Mr Kelsey – state that the task has “often been about generating income”.


“Who cares about ordinary folks, they never recognize issues,” it shows him saying.


“They never have my vision for a much better globe”


It attacks “scaremongering” information privacy campaigners and has him saying: “Men and women did not care when we offered off their NHS, they barely blinked”


At one particular level he is proven suggesting almost everything is Ok because “Jeremy Hunt is correct behind us”.


But he is then informed: “Jeremy Hunt is hiding behind a tree. The Government is saying practically nothing. They are all hiding behind trees.”


Responding on the social media site, Mr Kelsey mentioned: “My view on the YouTube film: funny but we chance underestimating how important data-sharing is for the NHS. Hitler was not a joke.”



NHS legally barred from marketing patient information for commercial use

What the new US serving sizes really imply – in photos


On Thursday, first lady Michelle Obama and the Food and Drug Administration (FDA) announced a plan to overhaul the US’ nutrition labels. Amid other adjustments, the new labels are intended to more accurately reflect how much Americans really consume. The proposed serving size adjustments got us asking yourself: how considerably of your favourite snack could you scarf down in ‘one serving’ below the outdated principles versus the new?


The FDA launched a listing of foods due for a serving-dimension overhaul. We tracked down and dissected a couple of favourites, so you really do not have to.


In the photographs below: current serving sizes on left, proposed serving size on the appropriate




What the new US serving sizes really imply – in photos

Fixing America"s crummy food method will take much more than nutrition labels | JP Sottile

Michelle Obama promoting her healthy eating plan.

Michelle Obama promoting her healthful eating program on 27 February 2014. Photograph: Carolyn Kaster/AP




If we are what we eat and information is electrical power, then the US Meals and Drug Administration’s (FDA’s) newly-proposed nutrition labeling specifications can only be a excellent issue. Proper?


Incorrect.


The problem with the considerably-ballyhooed and completely underwhelming alterations to foods labeling is that these modifications are not only minor and even now topic to a lengthy rulemaking procedure, but, on the problem of portion dimension, these proposals only affect 27 of the 157 merchandise categories topic to portion guidelines. Far more right, they do absolutely nothing to inform buyers about far more pressing issues troubling the industrial foods method.


Excuse me if I’m not excited about labels with larger fonts and small modifications. The massive White Residence press occasion simply makes use of the appearance of incremental “progress” to forestall actual, substantive adjustments to the 1 thing that unites us all: concern about the overall health and safety of the foods we eat.


These new principles are really just proposals. Even if they emerge unaltered soon after the “public comment” period and market-influenced “rulemaking” phase, these labeling needs are nonetheless a full two years away from implementation. When that process is comprehensive, the FDA and Big Food – represented in Washington by the Grocery Manufacturers Association (GMA) – will tout the new labels as an important cooperative accomplishment, when it is really just a shift in marketing and advertising and emphasis.


Anticipating the sausage-making to come, the GMA said:



We seem forward to operating with the FDA and other stakeholders as these proposed updates to the Nutrition Details label make their way by way of the rule creating procedure.



And they are ready to get to work. In accordance to the Center for Responsive Politics, the GMA spent $ 3.35m on lobbying in 2012, but suddenly opened the vault in 2013, lavishing a staggering $ 14.3m on their lobbying efforts. No doubt, they wished – and carry on to want – a say in what the FDA determines consumers ought to know about the foods they eat.


To be fair, there are some upsides to the new nutrition principles. It really is excellent that a “portion” of ice cream is currently being upsized from half-a-cup to one total cup, a lot closer to the variety of “large scoop” most of us eat when we want a cold deal with. It is also excellent that the total calories for “specified packages that are larger and could be consumed in 1 sitting or several sittings” will be added onto a bag of Cheetos or a pint of Chunky Monkey ice cream. And it is excellent that labels will lastly distinguish amongst sugar from certain elements (like sugar from the pineapple in a can of pineapple juice) versus the “added” sugars (like the refined or dreaded higher fructose varieties) that get poured in on best of the normal sweetness offered by Mom Nature.


But what about labeling “additional” pesticides? Or added fungicides and herbicides? Never customers have a appropriate to know what else (what some would contact poisons) is becoming utilized on their meals?


Perhaps we should know about the added chemical fertilizers that permit agribusiness to increase our meals on an industrial scale, but also appear to be harming lakes, hundreds of rivers and the Gulf of Mexico?


How about labeling the use of antibiotics? Shouldn’t folks know if their sizzling dog comes from animals that have been, basically, sick or at chance of sickness and needed to be drugged to get them to slaughter? There is no requirement to label use of development hormones. Isn’t that something shoppers should know? And if the FDA was truly serious about informing consumers, would not it demand labels for additional GMOs?


Therein lies the rub. These “extra elements” type the base of a corporate food pyramid scheme that dominates the industry, shapes federal policy-making, controls the yearly horse-trading around the Farm Bill and, far more and a lot more, operates with state legislatures to pass “Ag-Gag laws” that criminalize whistleblowers, activists and journalists who expose the excesses of factory farming or protest against the encroachment of genetically-modified organisms.


Ag-Gag laws have passed or are pending in almost a dozen states, with Idaho’s powerful dairy market now the newest to use these specious legal arguments to hide unsavory practices. According to Nathan Runkle of Mercy for Animals, the Idaho bill would target



…employees and journalists who get pictures or video to document misconduct on farms – regardless of whether it really is mistreatment of animals, meals safety hazards, employee security violations, sexual harassment, economic embezzlement, or environmental crimes.



The issue is that shoppers, when provided the details and a chance to choose, look unpleasant with the dark-side of industrial farming. In 2011, Mercy for Animals created shocking footage of abused chickens at Sparboe Egg Farms, a huge-scale supplier to McDonald’s. Apparently, they had to break a great deal of chickens to make some Egg McMuffins. It was not lengthy following the video hit the media that McDonald’s and Target both minimize ties with Sparboe.


It was a case-in-point of how consumers, if empowered with information, can force adjustments in corporate behavior and the food they manufacture. And it was a lesson realized for Big Food, Monsanto and the Grocery Makers Association. Now targeted intensely on fighting the labeling of GMOs, they invested $ 46m in California and $ 22m in Washington to defeat ballot initiatives requiring genetically-modified components be labeled. And the GMA recently launched a “pre-emptive strike” towards mandatory labeling at the federal level by pushing a “voluntary” labeling common by means of Congress that would supersede any state or local needs.


Like the FDA’s nutrition “improve”, it’s one more half-measure that delays true action to reign-in a foods method that all-also-frequently serves Americans inexpensive, industrial food items created with components you most likely wouldn’t want to consume if you knew about them.




Fixing America"s crummy food method will take much more than nutrition labels | JP Sottile

ObamaCare Increases Medicaid Eligibility For Hundreds of thousands

Buoyed by enrollment in government-run marketplaces known as exchanges, the Obama administration said far more than 8.9 million folks “were established eligible for Medicaid” overall health insurance plans for the bad.


The U.S. Department of Well being and Humana Companies mentioned these folks had been established eligible between October of final 12 months and January of this yr. The government, however, did not specify precisely how several came via the exchanges.


“More than two million individuals have been informed in January that they are eligible for Medicaid and the Children’s Overall health Insurance coverage Program (CHIP),” the  U.S. Division of Overall health and Human Services stated on its blog nowadays. “More of people folks are in states that have picked to broaden Medicaid coverage to much more of their residents.”


Underneath the Affordable Care Act,  eligible Americans can sign up for personal coverage via exchanges as effectively as an expanded Medicaid plan. “In states that increase coverage, most folks with incomes up to 133 percent of the Federal Poverty Degree, or $ 15,521 for an individual and $ 31,721 for a household of 4, will be eligible for Medicaid coverage that started January 1, 2014,” HHS explained.


The health law offers a income infusion of much more than $ 900 billion in federal bucks from 2014 to 2022 to expand Medicaid packages for states interested in the proposition.


Presently, health insurance firms have reported massive development in enrollment in their Medicaid ideas.


Enrollment in health plans that have contracts with Medicaid will rise by 20 % this yr and by virtually forty % from final yr to 2016, according to a report last month from Avalere Well being, a investigation and advisory solutions company on well being policy troubles tracking the Reasonably priced Care Act.


Significant gamers in Medicaid managed care marketplace integrated Aetna Aetna (AET), Centene (CNC), Humana Humana (HUM),  UnitedHealth Group UnitedHealth Group (UNH), Wellpoint (WLP) and its Americagroup (AMG) as properly as a host of Blue Cross and Blue Shield plans.



ObamaCare Increases Medicaid Eligibility For Hundreds of thousands

Dad and mom jailed for manslaughter of infant who had rickets

Nkosiyapha Kunene, was jailed for three years for the manslaughter of his son Ndingeko

Nkosiyapha Kunene, was jailed for 3 years for the manslaughter of his son Ndingeko. Photograph: Mark Thomas/Rex




A couple have been jailed for the manslaughter of their 5-month previous son, who died from rickets right after they neglected his care because of their religious beliefs.


Nkosiyapha Kunene, 36, and his wife, Virginia, 32, admitted the manslaughter of their son Ndingeko. Mr Kunene was jailed for three years, and his wife for two many years, three months.


The pair repeatedly rejected health care therapy and ignored the suggestions of family members to look for support soon after their son grew to become ill, stating that only God offers daily life.


Virginia Kunene, was jailed for two years, three months, for manslaughter of baby son Virginia Kunene refused a scan in the course of pregnancy right after health-related employees expressed concern for the baby’s wellness. Photograph: Mark Thomas/Rex


Ndingeko later on died following contracting rickets as a consequence of a significant vitamin D deficiency triggered by the stringent vegan diet regime followed by his mother and father.


Passing sentence, Mr Justice Singh at the Outdated Bailey mentioned: “The secular courts of this nation apply the secular law of the land. They do so equally to all who come ahead of them. The law respects the appropriate of everybody to freedom of considered and belief.


“Nevertheless the correct to manifest one’s religion is not absolute. It is restricted in distinct by the rights of other individuals. The state has a notably important duty to protect the correct to existence, especially when a younger little one is concerned.”


The couple, from Erith, Kent, admitted the charge at earlier hearings.


The judge explained that the couple, otherwise “dedicated and humble”, had been strict Seventh Day Adventists. But he extra: “Nevertheless their views (in certain Mr Kunene’s) appear to be really extreme and do not reflect the official doctrine of that church.”


Mrs Kunene had sought health care consideration in the seventh month of her pregnancy, as the couple hoped to have a natural residence birth. She refused health-related focus following staff expressed concern for the baby’s health, saying it was “God’s will” that she did not have a scan.


Ndingeko was born on one December 2011 and died on 14 June 2012. He invested numerous days in a particular care infant unit due to his reduced birth fat but his severe vitamin D deficiency was not detected. Once discharged, the couple had promised to return to the hospital ought to he turn into unwell. The couple had not refused all healthcare interventions at all instances, but in the following months his overall health deteriorated and the couple declined check-ups.


When family members members expressed significant considerations, Mr Kunene responded by saying “we are praying” and “we can not do anything about it right up until the lord sanctions”.


On 14 June 2012, he named 999 saying his five-month outdated kid had no indicators of life. Police have been called to their house, exactly where they experimented with to resuscitate the infant, but he was pronounced dead later on that evening.


The judge explained that Mr Kunene realised , when he returned property from operate on that day, that Ndingeko may possibly die, but he did not get in touch with for health care assistance. His wife said that on that day she did want to look for healthcare interest but her husband said it would be a sin.


The judge ruled that the husband’s culpability was higher than that of his wife, which he reflected in the sentence.


The judge said he had heard evidence that the hospital also played a element in failing properly to advise the couple and prescribe vitamin D dietary supplements, including that a serious situation overview had been taking area and was due to report shortly. It was, according to Singh, to be hoped that all necessary inquiries will have been created by numerous authorities to establish that everything was completed to protect the boy’s lifestyle that could fairly have been done.


The Seventh-Day Adventist church has issued a statement stressing that church members ought to look for and pay attention to wellness tips.




Dad and mom jailed for manslaughter of infant who had rickets

Meet Men and women At SXSW ... Whilst Doing work Out And Losing Bodyweight

South by Southwest (SXSW) in Austin, TX has turn into a single of the most essential conferences of the tech industry, and I’m quite excited to attend for my first time (last but not least).  Our group at ff Venture Capital is internet hosting for the 2nd time ff Substantial, a 2.five day occasion (Friday-Sunday) at Empire Management Area &amp Garage in the heart of downtown Austin.


But, here’s the difficulty: SXSW is famous for a jam-packed schedule, infinite totally free food and drink, minimal rest, and radical overstimulation. With the crowds, plethora of panels, concerts, events, and events, it is also very straightforward to go into sensory overload and forget about overall health and wellness.  And that is not an final result I suspect many individuals are content with, specially when they depart the festivities, barely feeling alive.


We’ve created the ffVC “Fitness Office” to encourage overall health, and we’ve attempted to do the very same point at ff Massive. We’ve organized for the folks at our event and tech media to box 1 yet another with Rock ‘Em Sock ‘Em Robots, and they can exercising their brains with the Interaxon Muse.  We’ll be serving barbeque, which by paleo specifications is wellness-aware (even though I know some have different views on that!).


In getting ready for the conference, I looked at the 1st Timer’s Guide to SXSW and The Prime ten Events at SXSW, but I couldn’t locate any info about how to survive SXSW with out gaining fat and although retaining your instruction rhythm.  So, I asked our in a position intern Julia Sahin to do some study.


For both SXSW and other cities globally, a excellent resource for the fitness-minded traveler is Athletic Minded Traveler.  Jim Kaese, Editor-in-Chief and member of the EVEN Hotels Wellness Advisory Board, observed, “Go [to a conference] with the correct mindset.  Don’t feel you are going to have all sorts of time to start off a new or broaden on your coaching regimen that you adhere to at home.  Your aim must be to preserve fitness, not construct.  Plan on 20-thirty minutes of cardio, which is adequate to give you all the advantages of exercising: greater rest, immunity enhance, and brain power all through the day.”


If you have additional tips for how to remain match at SXSW, please include them in the remarks!



MEET Individuals AT SXSW Although SWEATING


Blood Sweat ‘n’ Beers. A kick-ass occasion for begin ups.


Friday, March seven


ten:thirty AM


$ 15-$ 20


Trip Indoor Cycling


117 Lavaca St


Dance with DJ Robert Delong from Octopus Project at ff Enormous


Friday, March 7


9 PM


Empire Handle Room &amp Garage


606 E 7th St


Armour3.9 Local community Run SXSW


Saturday, March 8


8-11 AM


1206 W 4th St


City Working Excursions presents SXSWi 5K 2014


Saturday, March 8


8:thirty-9:thirty AM


Luke’s Locker


115 Sandra Muraida Way


Dungeons &amp Dragons Yoga at Resolute Fitness


Saturday, March eight


Noon


5145 North FM 620


Suite F120


Dance with Vintage Trouble at ff Massive


Saturday, March 8


9 PM


Empire Control Area &amp Garage


606 E 7th St


#IWILL Austin Boot Camp with Underneath Armour SXSW


Sunday, March 9


eight-eleven AM


1206 W 4th St


Dance at ff Massive (Djs to be announced quickly)


Sunday, March 9


eight PM


Empire Manage Area &amp Garage


606 E 7th St


MapMyFitness + Adobe Monday Motor ride SXSW


Monday, March 10


9-11AM


1206 W 4th St


Lady Bird Lake Trail


A fantastic trail for working, accessible from most Downtown Austin hotels


You can also take benefit of your hotel gyms, offered at the Hilton, Courtyard Marriott, Hyatt Regency,  The W, Hilton Backyard Inn, The Driskill, Sheraton, Omni Hotel, Embassy Suites, and other people.  Gold’s Fitness center Austin location has courses between noon and two PM on Friday, 101 West 6th St.


Food


Austin Farmers’ Industry


422 W. Guadalupe in Republic Square Park


Pick up healthy snacks, baked items, or ready products


Open Saturdays, 9AM -1PM


Blenders and Bowls


206 E. 4th St


Austin’s 1st açaí café with smoothies and customizable açaí bowls


Day-to-day Juice


205 W. 3rd St


Fresh juices and salads. Day-to-day Juice also does grab n’go.


Intense Pita


515 Congress Ave #130


Fresh, chef-inspired recipes with pita: wraps, flatbaked pita, salads and soups


Kebabalicious


Storefront: 621 Congress Ave.


Meals Truck: 450 E. 7th St.


Turkish and Greek-design foods


Thistle Café


221 W. 6th St


Breakfast and lunch with a Mexican touch


Plated (ffVC portfolio company)


Get fresh, local elements for a sensible price delivered to where you are and create your personal gourmet meal in significantly less than 30 minutes.


Truluck’s Seafood


400 Colorado


Seafood and steakhouse


Uchi


801 South Lamar


Sushi bar and gourmet Japanese fusion cuisine


DISCUSSIONS ABOUT FITNESS AT SXSW (CONFERENCE REGISTRATION Required)


Discovering your match at SXSW Meet Up


Saturday, March eight


9:thirty-10:thirty a.m.


Meet Up tent


E 6th St &amp Neches St


A Fun, Match Potential: Social Media Will take on Fitness


Saturday, March eight


3:thirty-3:45 PM


Austin Convention center


Ballroom F


500 E. Cesar Chavez


Connected Fitness 2.: Shaping Healthy Behaviors


Saturday, March eight


five-six PM


Hilton Austin Downtown


Salon F


500 E. 4th St


Fitness Wearables &amp the Quantifiable Self


Monday, March 10


5-6 PM


Hyatt Regency, Texas Ballroom 5-seven


208 Barton Springs Rd


With this checklist and your panel schedules in hand, you’ll be prepared for all the festivities. Stay active, consume effectively, remain hydrated and check out us at ff Huge . See you at SXSW!


Picture: www.charlymorlock.com through 500px.com



Meet Men and women At SXSW ... Whilst Doing work Out And Losing Bodyweight

NHS information row exhibits rising public unease, info chief warns

NHS sign

Details Commissioner Christopher Graham warns the care.information scheme is a ‘line in the sand’ more than information use. Photograph: Graeme Robertson/Getty Pictures




The row above the government’s care.information scheme is a “line in the sand” that shows Britons’ developing awareness of the value of their private data, says the Information Commissioner, Christopher Graham.


Allied to the revelations from the NSA whistleblower Edward Snowden very first published in the Guardian in summer 2013, there is now “widespread public unease” above government use and access to data, mentioned Graham.


“Citizens and customers expect organisations to be open and upfront with how their information will be utilized,” Graham said, in advance of a speech on Monday to data protection professionals. “In a digital age, this knowledge is invaluable, and displays why the [information protection] act is so critical.”


The care.information scheme aimed to anonymously share GP and hospital medical records of hundreds of thousands of Britons in purchase to support diagnosis of drug side-results and the efficiency of hospital surgical units and procedures by monitoring their influence on individuals.


But widespread unease expressed by medical professionals and patient groups led in February to the scheme being put on hold for six months, rather than starting in April. All 26m households have been meant to have been informed about the plan, but approximately two-thirds of individuals asked stated they had not observed them.


Emma Carr, deputy director of Large Brother Observe, explained: “The Information Commissioner is totally right to acknowledge that the care.data scheme was paused simply because the public have really tiny self-confidence in the way our healthcare records are dealt with. What has been demonstrated is that a lack of transparency all around how our data is used and who has entry to it undermines any constructive elements that a health-related information scheme may attain. A easy step to restore public self confidence would be to introduce custodial sentences for those who unlawfully access and disclose our personal information.”


Ahead of his speech, Graham said that he had warned organisations last year that “the public are now waking up to the value of their individual details and the importance of treating it appropriately. Any organisation or organization that failed to handle people’s information correctly in 2013, I explained, would speedily locate themselves losing believe in and dropping customers.”


The Snowden revelations – which have unveiled widespread data trawling by the United kingdom and US spy agencies – collectively with the care.information row “provoked widespread public unease,” Graham stated.


In November, Graham criticised the spy agencies’ information collection, warning that “security are not able to trump each and every other consideration… We do not have that public confidence [in the safety companies]. That has been the real harm.”


The newest row, he stated, had been part of an emerging trend in the direction of the public seeing greater worth in their data. “We should see these developments as a line in the sand. Members of the public know this nation has a data protection act, they realize it requires organisations and businesses to search following their information correctly.”


Graham’s predecessor, Richard Thomas, warned in 2004 that Britain was “sleepwalking into a surveillance society” by way of its widespread use of CCTV cameras. Graham echoed that in November 2010, warning that new privacy safeguards had been needed as surveillance improved.




NHS information row exhibits rising public unease, info chief warns

Levaquin, Cipro, Fibromyalgia and Leaky Gut – The Missing Website link.

An age old conundrum……which came first, the chicken or the egg? Well, one might ask the same question about fibromyalgia, fluoroquinolone toxicity and systemic candidiasis. What commonalities do they share if any? Why do doctors have no problem diagnosing “fibromyalgia” but it’s easier to get blood from a stone than to get a fluoroquinolone toxicity or systemic candidiasis diagnosis even though the symptoms all present the same.


When attempting to get a diagnosis after taking a fluoroquinolone drug (or ANY broad spectrum antibiotic) and experiencing all of the above symptoms and a suitcase full more, victims are routinely told they have fibromyalgia. My conundrum is that fibromyalgia and fluoroquinolone toxicity are exactly mirrored in symptom presentation. There is no criteria for a diagnosis of “fluoroquinolone toxicity” because doctors refuse to consider that a medication designed for ANTHRAX , a chemically synthetic drug with chemotherapeutic properties, can do damage to the nervous system as well as the intestinal tract in the way that fluoroquinolones do. The medical community is not exactly rushing to inform patients that the drug prescribed to them actually caused the patient to become sicker.


Victims who have been injured or disabled by broad spectrum antibiotics such as Levaquin and Cipro will tell a very common story. They experience all the same symptoms of fibromyalgia as well as “Leaky Gut” and many, many more. And by more, I mean very serious adverse events such as liver, heart, kidney damage as well as multiple organ failure, brain function issues and a long list of very serious health risks as well as serious nutritional deficiencies. Leaky gut and complete devastation of healthy gut flora will cause multiple system failure over time. Many victims never see it coming and begin to experience symptoms of fluoroquinolone toxicity months to years after the last pill. My guess is that gut devastation and systemic candida infiltration takes a little time, the nutritional deficiencies are not far behind which only compound the problems. Fibromyalgia suffers will tell of systemic body wide pain and muscle soreness.  Just for the record here….Fibromyalgia is not a medical diagnosis…it’s a collections of symptoms.  So why has this become so prevalent in the last 10 years?  I point the finger directly at the over use of fluoroquinolone drugs such as Cipro and Levaquin and other broad spectrum antibiotics.  It may not be the first RX that get you, it’s always the last one that kicks you into Hell.


Also, with fibromyalgia, they have a very long grocery list of drugs they can give you in an attempt to stop your mood disorder, sleep disorder, panic attacks, central nervous and peripheral nervous system damage and any other fibromyalgia symptom someone may have. They have a list of merchandise all lined up. Let’s not forget there are drugs for your irritable bowels because you are such a “nervous Nelly” as well. I wonder just how many Americans are being diagnosed as “fibro patients” when they are actually fluoroquinolone toxicity victims? I use the word victim because no one would actually take these drugs if they were properly informed of the chemical properties, potential risks and outcomes of their use.


So is fluoroquinolone toxicity really fibromyalgia and/or is fibromyalgia really mild to moderate fluoroquinolone toxicity?  Is Leaky and systemic candidiasis really at the core of all of this? I know many are also saying “My gut is fine but I hurt all over. WHY? I wonder…..? Let’s look at the descriptions of each.


FIBROMYALGIA
The defining symptoms of fibromyalgia are chronic widespread pain, fatigue, sleep disturbance, and heightened pain in response to tactile pressure (allodynia). Other symptoms may include tingling of the skin (paresthesias), prolonged muscle spasms, weakness in the limbs, nerve pain, muscle twitching, palpitations, and functional bowel disturbances.
Many patients experience cognitive dysfunction (known as “fibrofog”), which may be characterized by impaired concentration, problems with short and long-term memory, short-term memory consolidation, impaired speed of performance, inability to multi-task, cognitive overload, and diminished attention span. Fibromyalgia is often associated with anxiety and depressive symptoms.


FLUOROQUINOLONE TOXICITY
Some of the Central Nervous System effects that can occur include:
Insomnia, Panic/Anxiety,Brain Fog (impaired thinking), Memory loss (including impaired short term memory), Aphasia, Confusion, Abnormal dreams, Headaches , Depersonalization, Depression, Thoughts of suicide, Agitation / personality changes, Hallucinations, Seizures
Peripheral Neuropathy effects include:  Tingling, prickling, pins & needles, or numbness, bugs running on skin, water trickling, fabric moving, in arms or legs, allodynia, Buzzing, in arms or legs, Pressure or squeezing feelings, in arms or legs, Feelings of electrical zaps, shocks, or deep stabs, in arms or legs, Burning pain in arms or legs, Pain with normally non-painful touch or hypersensitivity to pain (allodynia), Teeth, mouth, and lip nerve pain, of any kind (shocks, tingling, buzzing, etc.), Facial nerve pain of any kind (Trigeminal neuralgia), Squeezing feelings on head, “Head pressure” feelings, Muscle twitching of small pieces of a muscle independently [Fasciculations], Muscle twitching of whole muscle body (Tremors),Neuralgia (pain along nerve trunk lines).


This is the short list of symptoms but you can now see where I am going with this.


LEAKY GUT / SYSTEMIC CANDIASIS


Symptoms Caused byLEAKY GUT / SYSTEMIC CANDIASISLEAKY GUT / SYSTEMIC CANDIASISLEAKY GUT / SYSTEMIC CANDIASIS  Allergies, sensitivities and intolerances that worsen in damp, muggy or moldy places or weather that is damp, muggy, humid or rainy, Hay fever and asthma.  Intolerances or allergies to perfumes, odors, fumes, fabric shop odors, grass, cats, dogs or other animals, tobacco smoke, chemicals, smog, molds, dust mites, dust, pollen, and other airborne substances, Athletes’ foot, Babies – colic, diaper rash, thrush (coated white tongue), and cradle cap, Bruising easily, Cheekbone or forehead tenderness, pain,  Cold hands or feet, low body temperature, Cold-like symptoms – excessive mucus in the sinuses, nose, throat, bronchial tubes and lungs, Cravings or addictions for sugar, bread, pasta and other high carb foods, and also alcohol, Cysts, abnormal formation of, in different parts of the body, especially around the neck, throat, and ovaries, and in the bladder or scrotum, Digestive problems – diarrhea, constipation, abdominal distention, bloating or pain, gas, mucus in the stools, hiatal hernia, ulcers, suffering from bacteria, i.e. salmonella, E. coli, h. pylori, etc, Ears – ringing in the ears (tinnitus), sounds in the ears, ear infections, dryness, itchiness, ear pain, ear aches, ear discharges, fluid in ears, deafness, abnormal wax build-up, Eyes – erratic vision, spots in front of eyes (eye floaters) and flashing lights; redness, dryness, itching, excessive tearing, inability to tear, etc, Fatigue, chronic fatigue syndrome or Epstein Barr or a feeling of being drained of energy, lethargy, drowsiness, Flu-like symptoms, Glands – swollen, too little saliva (dryness in the mouth), blocked salivary glands, swollen lymph nodes, Hair loss, scum on the scalp, dandruff, itchy scalp, scalp sores and dryness, Heart palpitations and irregular heart beat, Headaches, migraines, brain fog, dizziness, etc, Hemorrhoids, and rectal itching, rash, irritation and redness, Hypoglycemia (low blood sugar), and diabetes, Hypothyroidism, Wilson’s Thyroid Syndrome, Hashimoto’s disease, hyperthyroidism, erratic thyroid function, etc, Irritability, nervousness, jitteriness and panic attacks, Lesions on the skin, and inside the body, i.e. the brain, Male associated problems – jock itch, loss of sex drive, impotence, prostitis, penis infections, difficulty urinating, urinary frequency or urgency, painful intercourse, swollen scrotum, etc, Female health problems – infertility, vaginitis, unusual odors, endometriosis (irregular or painful menstruation), cramps, menstrual irregularities, pre-menstrual syndrome (PMS), discharge, painful intercourse, loss of sexual drive, redness or swelling of the vulva and surrounding area, vaginal itching or thrush, burning or redness, or persistent infections, Fungal infections of the skin or nails, i.e. ringworm, saborrheic dermatitis, dark and light patches on the skin (tinea versicolor), etc, Joint pain, stiffness or swelling (arthritis), Kidney and bladder – infections, cystitis (inflammation of the bladder with possible infection), urinary frequency or urgency, low urine output, smelly urine, difficulty urinating, burning pain when urinating, Lack of appetite, Mind and Mood – anxiety attacks, crying spells, memory loss, feeling spaced out, depression(including suicidal feelings), manic feelings, inability to concentrate, mood swings, irritability, etc, Mouth sores or blisters, canker sores, dryness, bad breath, a white coating on the tongue (thrush) and blocked salivary glands, Muscle aches and pain, numbness, burning or tingling, and lack of strength and coordination, Nasal congestion, postnasal drip, itching, dryness, Odor of the feet, hair or body not relieved by washing, Respiratory – cough, bronchitis or pneumonia, pain or tightness in the chest, wheezing, shortness of breath, asthma, Sick all over feeling, Sinus inflammation, swelling and infections, Skin – dryness, dry red patches, acne, pimples, hives, rashes, itching skin, eczema, psoriasis, seborrhoea, ringworm, contact dermatitis, rosacea, etc, Stomach – h. pylori bacteria (causes ulcers), heartburn, indigestion, hiatal hernia, acid reflux, belching, vomiting, burning, stomach pains, needle-like pains, food that seems to sit in the stomach like a lump, etc, Sleep – insomnia, waking up frequently, nightmares, restless sleep, etc, Sore throat, hoarse voice, constant tickle in the throat, laryngitis (loss of voice), etc..


As a fully recovered survivor of Levaquin and some one who has spoken with thousands of victims, I can tell you the reader that every victim I have ever consulted with has every symptom of systemic candidiasis. The question is why? The answer is gut devastation and the resulting devastation of systemic candida leaving the badly damaged bowels. It called “Hyperpermeable Intestines”.  A fancy medical term that means the intestinal lining has became more porous, with more holes developing that are larger in size and the screening out process is no longer functioning properly. In short, food particles as well as candida and toxins that would be harmless in the bowel, have leaked out into the blood stream. This floods the body with nasty things that do not belong there, traveling to the brain as well as any organ in the body that receives blood.  Your body is now in full on autoimmune overload and it lets you know by screaming out in pain.  The toxins do damage to every cell in the body. It’s slow, toxic poison. This poison puts a tremendous strain on the body and cells which results in severe lethargy. The lethargy, in my humble opinion, is the body struggling with oxygen deprivation due to a constant anerobic state caused by the candida overgrowth. This only complicates gut function since candida is a facultative anaerobe, basically meaning it can live in and oxygen rich environment or an oxygen deprived environment so it’s pretty flexible about surroundings and does well no matter what you throw at it.  Parasites love this dank, dark low oxygen environment, in fact they thrive in it, as well as fungus. Candida is a yeast, it’s a good healthy and beneficial in a healthy clean environment. It’s the building block of healthy gut flora. In a dank and dark low oxygen environment, it mutates from a good yeast to a very dangerous cousin called a fungus. It’s pretty scary and includes a serious condition called Candida Glabrata which has a 90% mortality rate and Candida Glabrata is presenting in astronomical numbers never seen before.  I’m not even going to talk about the parasite infestation we suffer due to the malfunction going on because it’s just too disgusting. Those little critters virtually take over our gut and the result is chronnic weight loss, severe, diarhhea and bathroom descriptions that defy logic and propriety.


For many sufferers of Leaky Gut, this issue is complicated by the fact that oral solution and cleanses are simply out of the question. The same way food particles and toxins leak out, so do those oral candida supplements and candida cleanse products used by the masses. Those work great…unless you are devastated like I was…then you have all your previous symptoms and a toxic reaction to the cleanse. No bueno.


As I mentioned earlier, I am a recovered victim. HOW? you ask. I did it in the most natural way possible. I needed a transdermal solution and I found it is 2 specific essential oils that brought my nightmare to an end in a matter of days. Even I did not believe it. The oils were specifically designed to kill parasites, fungus and bad gut flora that has set up camp in our gut. I had a dramatic lowering of inflammation levels and a colossal boost in oxygen to my body via these all natural organic plant concentrates. The oil designed to kill parasites and candida infestation is a blend of anise, caraway, corriander, fennell, ginger, peppermint and tarragon. These highly concentrated blend of plant extracts have been used for thousands of years as anti-inflammatorie, anti-bacterial, antiparasitic and anti-spasmodics. They work. They work better than the drugs that doctors are pushing on patients.
And who couldn’t use a little boost in energy brought to you by oxygen? Not only does the increase in oxygen give us more energy but it also provides the oxygen needed to heal the gut and cells damaged from the low oxygen environment we had been surviving in for so long.


Whether it’s Fibromyalgia, Fluoroquinolone Toxicity or Systemic Candidiasis, it’s pretty much misery. If it can be stopped it should be. Because all three have no real defined medical classification, we must take personal responsibility for our own recovery and be our own health advocates. Doctors don’t listen, some don’t care. There are pills that dull pain, pills to make us happier, pills to make us sleep and pills to keep us going through the day but there is no pill to heal the damage done to our bodies. Healing does not come in a plastic bottle, it comes from ourselves.


If you would like to read more about my recovery you can do so HERE


Visit the premier website for fluoroquinolone recovery HERE Here you will find alternative treatments and other success stories.


Learn more about essential oils and how to dramatically reduce inflammation and STOP THE PAIN!  OILS FOR RECOVERY


 



Levaquin, Cipro, Fibromyalgia and Leaky Gut – The Missing Website link.

Care.data is in chaos. It breaks my heart | Ben Goldacre

Medical records, Goldacre

When sharing private health-related records is proposed, vague guarantees and an imaginary regulatory framework are not adequate. Photograph: Owen Franken/Corbis




I am embarrassed. Final week I wrote in help of the government’s strategies to gather and share the health care information of all individuals in the NHS, albeit with enormous caveats. The investigation options are massive, but we presently knew that the implementation was chaotic, with poor public data, partly due to the fact the checks and balances on who gets accessibility to information – and how – have not however been devised or implemented. When you are proposing to share our most private health care information, vague guarantees and an imaginary regulatory framework are not reassuring.


Now it really is worse. On Monday, the Wellness and Social Care Details Centre admitted providing the insurance coverage market the coded hospital data of hundreds of thousands of sufferers, pseudonymised, but re-identifiable by anybody with malicious intent, as I explained final week. These have been crunched by actuaries into tables exhibiting the probability of death depending on different functions such as age or ailment, to assist inform insurance premiums.


We can fairly disagree on regardless of whether you uncover this use of your medical data acceptable, but the process must be competent and transparent. The HSCIC has now told the BBC that this release of your medical information broke the rules, and that there may have been other similarly erroneous releases: but it will not say more until finally “later this year”.


On Tuesday, at a overall health decide on committee hearing, things acquired worse. HSCIC stated it couldn’t share documentation on these releases because it had all been done by its predecessor physique, the NHS Information Centre – even however the HSCIC replaced the NHSIC in 2013, and is in the very same constructing, performing the exact same occupation, with virtually identical personnel and all the old information. Additionally, the actuaries’ report utilizing the hospital information carries the HSCIC’s brand – not the outdated NHSIC 1 – with the HSCIC’s admitted total consent. If HSCIC disapproves of NHSIC releasing this information – or regards it as unlawful – why did it add its logo and approval to the output?


Also, is it actually accurate that release to the insurance coverage business is unacceptable to the HSCIC? Its very own information governance evaluation from August says that access to person individuals data can “enable insurance businesses to accurately calculate actuarial danger so as to provide honest premiums to its [sic] customers. This kind of outcomes are an crucial aim of Open Data, an important government policy initiative.” Is that document binding? What are the rules? Are there previous dodgy information-sharing arrangements, agreed by NHSIC, that the HSCIC is nevertheless honouring, with data still flowing out of the constructing?


This is chaos. Then, on Thursday, to make issues worse, public well being minister Jane Ellison appears to have misled parliament, telling it that the information released by the HSCIC was “publicly available, non-identifiable and in aggregate type”. This is utterly untrue. It was line-by-line information – each personal hospital episode, for each and every personal patient, with unique pseudonymous identifiers– which was then aggregated into summary tables by the actuaries.


To summarise, a government body handed above parts of my health care records to folks I’ve by no means met, outdoors the NHS and health care research community, but it is refusing to tell me what it handed more than, or who it gave it to, and the minister is now incorrectly claiming that it by no means occurred anyway.


There are folks in my profession who think they can ignore this problem. Some are murmuring that this mess is like MMR, a public misunderstanding to be corrected with better PR. They are wrong: it is like nuclear electrical power. Health-related information, rarefied and condensed, presents large electrical power to do good, but it also presents huge dangers. When leaked, it can’t be unleaked when lost, public trust will take decades to regain.


This breaks my heart. I really like big health-related datasets, I operate on them in my day job, and I can feel of a hundred lifestyle-conserving uses for greater ones. But patients’ medical records include secrets and techniques, and we owe them our highest safety. In which we use them – and we have employed them, as researchers, for decades without having a leak – this have to be done safely, accountably, and transparently. New major legislation, governing who has accessibility to what, need to be written: but that’s not adequate. We also need to have vicious penalties for anyone leaking healthcare data and HSCIC needs to regain trust, by releasing all documentation on all past releases, urgently. Care.information wants to function: in medication, data saves lives.




Care.data is in chaos. It breaks my heart | Ben Goldacre

The Market place For DNA-Sequencing-Based Down"s Syndrome Exams Could Exceed $six Billion




On Wednesday evening the New England Journal of Medication published a research showing that a new, DNA-sequencing based blood test provides a dramatic improvement in accuracy at screening for Down’s syndrome and a 2nd, connected ailment. That could open up a $ 6 billion market to the biotechnology companies that are presently advertising these exams.


Each 12 months in the U.S. there are 6.six million pregnancies and 4 million births, in accordance the Centers for Ailment Management &amp Prevention. The record costs of the exams, which are sold by four distinct organizations, assortment from $ 700 to $ 2500. Assuming that pricing settles in the middle of that range and that there are 5 million women who select to have the test, that would be a $ eight billion marketplace.


But give that number a haircut. “I have to imagine pricing could come down much more aggressively if tips expanded,” says Douglas Schenkel, an analyst at Cowen &amp Co. Not each and every pregnant woman will ever get the check. But he still argues that the industry for these exams could increase six-fold from its present dimension of about $ one billion. Isaac Ro, an analyst at Goldman Sachs, supplied comparable estimates in a note to clientele.


Such a industry expansion could be critical to all of the companies that make the tests, such as Ariosa, which can make the lowest cost check, Natera, and Sequenom Sequenom. But the biggest winner could be Illumina, the San Diego maker of DNA sequencing gear that funded the trial and that obtained Verinata, a fourth maker of the new exams, for $ 350 million final year.


Illumina says it believes Verinata has strong intellectual home position in this booming new industry. Past that, however, all four producers run their exams on Illumina’s DNA sequencing machines, which means the firm wins no matter what. Francis DeSouza, Illumina’s president, stated in an interview that, if anything at all, he expects to commit significantly less on marketing Verinata and that the business is taking care for there to be an even playing field for the exams. It prices its check in the mid-range of the marketplace, at a $ one,500 checklist price tag.


Illumina also says that it does not anticipate a value war, since the market place expansion will be dependent on healthcare societies writing suggestions that endorse the new check. Right now the American University of Obstetricians and Gynecologists suggests the DNA-based mostly tests only for mothers at substantial danger, including people more than 35.


But the NEJM paper makes a strong argument for expanding that recommendation. Proper now it is suggested that all pregnant females be presented a pair of tests – a blood test and an ultrasound to search for fluid at the base of the fetus’ neck – to display for 3 issues induced when the infant has an further copy of 1 of the 46 chromosome bundles that incorporate the human genetic code. There are 3 this kind of issues that occur commonly: trisomy 21, or Down syndrome, is the most common, creating diminished intellectual ability and slower development trisomies 18 and 13 are less typical, but are often fatal for the infant.


Present screening exams yield a huge variety of false positives, so they have to be followed up with an invasive test that samples cells from the fetus. One such check, chorionic villus sampling, has a miscarriage price of 1 in 200 the other, amniocentesis, causes miscarriages one out of every single 600 instances.


These invasive exams would nevertheless be essential to verify positives from the DNA exams, but they’d be utilised in ladies whose fetuses really do not have Down’s or other trisomies far less typically. The NEJM examine gave the old screening exams and the new DNA-based mostly test to 1,914 pregnant women and followed them right up until the baby was born. For Down Syndrome, the new test gave just six false positives compared to 69 for the previous screening exams. For trisomy 13, there had been 3 false positives with DNA sequencing in contrast to eleven with the classic number. For trisomy 13, the numbers were 1 and 6.


Assuming five million women are tested each and every year, that would indicate 245,000 would be spared an invasive check, and 358 miscarriages may possibly be prevented. Even at a larger expense, that could be tough for insurance coverage companies to say no to. Some professionals, which includes Illumina, assume that more studies will be needed to modify the recommendations.


How does the new check perform? Basically, by counting. Because some of the fetus’ cells circulate in the mother’s blood, researchers can sequence DNA and see if genes from any chromosomes appear also typically. For a much more complete description, examine out the video embedded from Steve Quake at Stanford, who co-invented Verinata’s technological innovation. His explanation commences at five:fifty five.


Not everyone is positive that the new technological innovation, recognized as non-invasive prenatal testing, is an unmixed blessing. Hank Greely, a professor of law at Stanford Law College who has written extensively on genetic concerns, says that the new test is “more reason to think NIPT will largely take more than Down’s screening.” But he warns that these very same approaches may possibly lead to exams for far more difficult tests. “If, say, 70% of American pregnancies obtained broad genetic screening, the up coming generation would look diverse – some will say for better, some for worse.”



The Market place For DNA-Sequencing-Based Down"s Syndrome Exams Could Exceed $six Billion

Natural Remedies for Tackling Coughs and Colds

Coughs and colds are usually belittled as mild illnesses but they can make carrying on with your day-to-day regimen quite hard. Every single time you get a cold, it is triggered by one particular of more than two hundred different viruses. It is no shock that we’ve by no means identified a genuine remedy!


With cold signs and symptoms ranging from a runny nose and sneezing via to muscle soreness and a headache, it is understandable that folks feel like they want anything to assist them battle by way of their day. But with worries about side results which can be broad ranging though rare, some choose to attain for a organic treatment to tackle the symptoms and help shorten the lifestyle-cycle of their cold.


Coughing can similarly cease your day in its tracks: interfering with your rest, it can be exhausting and prolonged poor coughs can be quite unpleasant. But, as the NHS Direct admits, it is debateable whether more than-the-counter cough medicines in fact perform and in accordance to a report by the Cardiff University’s Typical Cold Centre, their impact is most likely to be down to the placebo result:


In clinical trials on cough medicines, up to 85% of the reduction in coughs is linked with the placebo therapy and the energetic pharmacological element of the medication only contributes 15% of the reduction.


Understandably, several individuals seem for option remedies when hit with the signs and symptoms of a cough.


So which organic treatments for coughs and colds have proven to be effective? Beneath we seem at three remedies that have acquired reputation in excess of the many years and the science behind their effectiveness:


Echinacea


Echinacea items proceed to rank in the prime supplements sold to support the immune program and many individuals heavily endorse its use as a organic different to over-the-counter preparations. Supplements are broadly utilized to treat the widespread cold and a host of other infections, and some men and women find it is soothing for coughs when taken as a herbal tea. The Echinacea herb is considered to be an immunostimulator, which means that it stimulates your immune program to help fight infections and hold them at bay. Study into the supplement has shown that it is likely to decrease the duration and severity of cold signs at least by a modest sum, despite the fact that there is not enough evidence to say for definite whether it can avert a cold.


Zinc


Discovered in the body’s cells, Zinc is a trace component that helps your immune method to fight off invading viruses and bacteria. Analysis into the effectiveness of Zinc dietary supplements by the Cochrane Foundation in 2011 seems to be extremely favourable: a review that the NHS describes as ‘likely to be reliable’ showed that those that took Zinc inside of 24 hours of cold signs appearing saw a reduction in the duration and severity of their cold symptoms. The research also reviews that people taking the dietary supplements for at least five months have been significantly less likely to catch colds. Zinc supplements are for that reason likely to be valuable in not only fighting off coughs and colds, but trying to keep them at bay as well.


Steam


Inhaling steam is an age old remedy that is equally advantageous for coughs and colds. If you are struggling from a cold, this old trick can actually help to ease your drippy nose and congestion. If it is a cough that is creating your life miserable, it will aid flush out the mucus and moisturise dry, irritated air passageways.


Run boiling water into a pot, hold your head above it and breathe in by means of your nose for ten to fifteen minutes. Some individuals find placing a towel over their head can assist trap the steam, but really do not let the steam to intelligent or burn. Even though you can purchase a particular humidifier to help with this process, the steam will be just the same as that which you get from utilizing a bowl and they are almost certainly not well worth the added expense. Adding a couple of drops of eucalyptus oil can further increase the effectiveness of this remedy – the oil is deemed to be an effective respiratory decongestant.


A sizzling steamy bath or shower can also assist relieve congestion, as can a saline nasal spray. Guaranteeing that your space is humidified will also aid ease a cough, as dry air can be the result in of additional irritation.


Often consult your medical doctor or pharmacist if you are at all uncertain which cough or cold remedy is appropriate for you.


This write-up was written by Carly, a blogger who enjoys Zumba dancing, operating and organising her Filofax (yes, actually).  Carly writes on behalf of Nature’s Greatest, a firm that manufactures and exams foods dietary supplements in the Uk.


Wholesome Residing Site



Natural Remedies for Tackling Coughs and Colds

Vulnerable guy starved to death soon after positive aspects were cut

Mark Wood

Mark Wood, 44, was ruled fit for work towards the suggestions of his GP and in spite of getting complex psychological well being circumstances. He weighed 35kg (5st 8lb) when he died. Photograph: SWNS.com




The loved ones of a man who starved to death 4 months following his benefits had been lower off has known as on the government to reform the way it treats men and women with psychological wellness troubles when it assesses their eligibility for positive aspects.


Mark Wood, 44, who had a quantity of complicated psychological well being circumstances, died at his house final August, months following an Atos fitness-for-function evaluation found him capable of returning to work. This assessment triggered a decision by the jobcentre to cease his sickness and housing positive aspects, leaving him just £40 a week to reside on.


The Oxfordshire coroner, Darren Salter, mentioned that although it was impossible to recognize the trigger of death, it was most likely “triggered or contributed to by Wood being markedly underweight and malnourished”. He weighed 5st 8lbs (35kg) when he died his physician mentioned his entire body mass index was not compatible with existence.


Wood, of Bampton, Oxfordshire, was not told his housing benefit and employment and assistance allowance (ESA) had been stopped, and struggled to survive on the £40-a-week disability allowance that remained. He was reluctant to ask relatives for assist and they had been unaware his rewards payments had been eliminated until finally shortly just before he died.


Concerned about his patient’s situation, Wood’s physician, Nicholas Ward, wrote to the jobcentre in help of his rewards application, stating that he was “incredibly unwell and completely unfit for any operate whatsoever”.


The letter, presented to the inquest, stated that his anxiety disorder and obsessional traits had been produced “significantly worse” simply because of the pressure place on him by benefit modifications. It continued: “Please do not cease or minimize his positive aspects as this will have ongoing, important affect on his psychological overall health. He simply is not properly adequate to cope with this added anxiety. His psychological and medical situation is really severe.”


Dr Ward advised the inquest the Atos determination was an “accelerating aspect” in Wood’s decline and eventual death, according to his household.


Wood informed housing association workers he was extremely distressed housing advantage had been cut off, and by letters about growing lease arrears and warnings from the electrical energy company his provide would be cut off. A lot of letters had been unopened, so he was unaware he essential to go to the jobcentre to reapply for assistance, his sister, Cathie Wood, said.


He was a “sweet and gentle” individual, she mentioned. “He didn’t deserve to die. He wasn’t harming anyone.”


Her brother had struggled with undiagnosed psychological health concerns all his daily life, which created it unattainable for him to perform. He was diagnosed with Asperger syndrome and obsessive compulsive disorder in his late 20s, and had an eating disorder and cognitive behavioural difficulties when he died. He was sacked from his first task due to the fact his employer explained he was “unable to follow guidelines”.


“We worked for many years to produce a area for him to dwell securely. But that stopped when his rewards have been stopped. He tried so hard to survive,” Ms Wood explained.


She is to write to David Cameron, who was her brother’s MP, and to the perform and pensions secretary, Iain Duncan Smith, to ask them to acknowledge that the system is not doing work for vulnerable people with psychological health issues.


“I would like Iain Duncan Smith to end speaking about this as a moral crusade, and admit that this entire procedure of reassessing men and women for their advantages is a cost-cutting measure. I want and Cameron to acknowledge the private expenses of this flawed technique. This is not just somebody currently being inconvenienced – this is a death,” Cathie Wood said.


She is angry Atos did not seek out healthcare proof from her brother’s GP, and manufactured the assessment that he was capable of getting ready to return to perform soon after a half-hour interview at his house. The Atos report concluded his psychological state was “regular”.


Cathie Wood would like the government to place new safeguards in spot for vulnerable men and women when removing their positive aspects. She believes her brother was unable and probably unwilling to convey the seriousness of his problem to the Atos assessors and should have had an advocate to help him.


“He was really a proud individual. He would have needed to be observed as regular. He was desperate to get by as regular,” she stated. He was reluctant to contact for aid from his family members. “He didn’t want to impose on our mother. He desired to survive with out her aid.”


Wood’s vicar advised the inquest that he was a guy of “dignity and integrity”.


Amongst April and August 2013, Wood’s BMI dropped from 14.one to about eleven.five. The inquest heard that a BMI of amongst 18.five and 24.9 is deemed healthful for a guy. The inquest noted that he had created an consuming disorder.


“I am not saying that the government shouldn’t reassess people’s eligibility for positive aspects, but somebody other than my brother must have been told that he had misplaced his benefits. This is an inappropriate procedure for folks who are mentally ill. The Atos test is crude they are not capable of creating a judgment on complex psychological illness in half an hour,” explained Wood.


Tom Pollard, policy and campaigns manager at Mind, mentioned: “We were deeply saddened to hear of the death of Mark Wood. Sadly this tragic situation is not an isolated incident. We hear also typically how adjustments to rewards are negatively impacting vulnerable folks, who struggle to navigate a complicated, and increasingly punitive, program.


“We know the evaluation procedure for people applying for employment and support allowance is extremely nerve-racking, and too crude to accurately assess the impact a mental well being dilemma has on someone’s ability to perform. This prospects to individuals not receiving the proper support and being put below extreme stress which can make their health worse and push them even more from the workplace.


“We urgently want to see a total overhaul of the system, to make certain nobody else falls by means of the cracks.”


An Atos spokeswoman mentioned: “Our thoughts are with the family members of Mr Wood at this tough time.”


On Thursday, a government minister apologised soon after it emerged that the Department for Perform and Pensions had written to a girl asking her to commence “intensive function-centered activity” although at the time she was in a coma.




Vulnerable guy starved to death soon after positive aspects were cut

The Undiet and Small Alterations Strategy to Wellness

As a extended time overall health nut I like to show people the rewards of a few factors of living a healthful way of life. We all are mindful of the outstanding alterations that happen to the body by just adding more fruits and vegetables to the diet regime, reducing meat consumption and limiting sodium intake. These adjustments have served my household well. Here are a number of other straightforward adjustments you may apply to dwell healthier and a lot more energized.


Commence a Little Natural Garden 


Natural generate is extremely lower in harmful pesticides. Because standard farming depletes soil of healthy microbes that give plants required nutrients for a healthful diet, eating organic food is the only way to get optimum nutrients. Allergy symptoms, problems digesting gluten, and other wellness troubles are prevalent due to the fact of inefficient soil.


Start off little by getting a tiny planting box and expand two of your favourite greens together. Maintain in thoughts that specific greens and herbs grow much better with each other. Try out these pairings:



  • Basil and tomatoes

  • Beets and garlic

  • Carrots and onions


Sugar Snaps and Strawberries: Simple Remedies for Producing Your Very own Little-Space Edible Garden

Get on an “Undiet”


Fad diets may aid you lose bodyweight, but they are challenging to follow and could impact your wellness in the long run. You must adjust your way of life steadily and adopt a nutritious diet plan. Eating healthier is about residing a healthier lifestyle for lengthy-term outcomes, NOT getting a swift repair for a lifetime of bad living routines. The best way to lose bodyweight is to consume a plant based diet. I eat 2-three servings of veggies every single day and drink natural beet and spinach juice.


Exchange Junk Foods with “Healthy Junk Food”


About nine in 10 grownups eat junk food each and every day. French fries, potato chips, and processed snacks are rich in saturated excess fat, salt, sugar and preservatives, so they should be averted at all charges.



  • Change potato chips with homemade kale chips or pickles.

  • Change cookies or brownies with baked sweet potatoes sprinkled with Himalayan salt or sea salt.

  • Substitute sour cream with fresh kefir mixed with Himalayan salt or sea salt.


Improve Bowel Overall health by Detoxing


Most people really don’t speak about the importance of getting regular bowel movements. It’s needed for excellent health and is how your entire body gets rid of harmful toxins.  If you eat plenty of fresh greens then there is no want to do a heavy detox. If you eat a great deal processed foods then I advise detoxing each two months.


Drink half a gallon of water a day. Drink filtered water with fresh organic lemon juice or herbal tea (with no sugar). Drink 8 ounces 1st issue in morning ahead of you consume your 1st meal.



  • For normal bowel movements drink a glass of water mixed with a teaspoon psyllium husks each and every day.

  • For detoxing soon after a spell of consuming poorly, drink 4 cups of scorching water with lemon and fresh cayenne pepper for two-3 days. (This is a modified model of the Master Cleanser diet program which involves employing Grade B maple syrup.)


 Ditch the Hormones in Meat


If you’re a meat eater, try out to cut consumption by 50 % and change with raw greens. Cutting down on how considerably meat you eat will support you afford to eat only organic farm-raised chicken or beef from a neighborhood co-op or farm to keep away from hormones. Hormones flood the female systems with extra estrogen and brings about plenty of problems. It leads to youthful ladies to start menstruation as younger as 9 years old.  Hormones can lead to uterine fibroids.   Eat bison considering that it has less fat and calories than beef. Each after in a even though I’ll eat a hamburger. I eat chicken possibly as soon as every single two months.


Consume Fish Responsibly


Eat at least two servings of (ideally), wild caught fish a week to stop heart disease, diabetes and large cholesterol. These fish are higher in omega-three fatty acids:


•           Mackerel


•           Salmon


•           Sardines


Take care not to consume the following fish due to overfishing:


•           Bluefin Tuna


•           Orange Roughy


•           Grouper


 Fresh and Raw Are Very best


Fresh, natural raw veggies are the most nutritious way to accomplish wonderful well being. Processed foods include trans-fats and saturated fats that can ruin your excess weight reduction efforts and cause cardiovascular difficulties. Stay away from purchasing canned or packaged meals. Twice a week I eat only mostly raw veggies with roasted veggies in the mix.


Dee Doanes is the founder and editor-in-chief of Health Plus Type, an option overall health lifestyle website. She’s passionate about spreading the philosophy of the entire body, thoughts, and spirit connection. Her motto is, “Be free, be open, be satisfied!”



The Undiet and Small Alterations Strategy to Wellness

Dr Le Fanu"s on-line wellness clinic, Friday 28th February 2014

It seems the hearing loss is permanent.


Dear Anon,


Thanks for being in touch and my sympathies for this serious, if rare, side effect of Erythromycin of which I must confess I was unaware. Your experience is a cautionary reminder of the potential hazards of even commonly prescribed drugs.


ALAMY


Dear Dr Le Fanu


I’m a widow of 80 years with severe back pain due to a very damaged spine, (scans).


My pain consultant is going to try more injections, but a new condition has been disturbing my sleep for the last week. It is only at night, when I have a continuous mild headache, back of the head. When I get up in the morning and move around it disappears. I’ve tried different number of pillows, warm or cold bed, nothing works. Could there be any connection between my other problem, irritable throat, which makes me sneeze and sometime gag? (My GP advised stopping Ramipril, but not enough time yet to see whether that works.)


At the moment he can’t suggest anything to help the headaches. Please Help!


Florence S


Dear Mrs S,


Thanks for your query. The location of these nocturnal headaches at the back of the skull would suggest they might be due to muscle spasm from pressure on the nerve of the neck which speculatively might be related to jarring of the vertebrae from the coughing and sneezing associated with the Ramipril. If so then a small dose (2mg) of the muscle relaxant Diazepam might be a useful preventive measure.


Dear Dr Le Fanu


Re your medical query in last Saturday’s Telegraph re Mr & Mrs HM from Bolton, I suffered with exactly those symptoms, plus a fear of being near large expanses of water, notably walking along the canal towpath. I suffered for over a year before going to my doctor. She promptly performed the Epley Manoeuvre, and I was fully recovered by the next morning.


Wikipedia describes it thus:


The Epley maneuver or repositioning maneuver is a maneuver used to treat benign paroxysmal positional vertigo (BPPV) of the posterior or anterior canals. Free floating particles from the affected semicircular canal are relocated, using gravity, back into the utricle, where they can no longer stimulate the cupula, therefore relieving the patient of bothersome vertigo.


And it is demonstrated on UTube via the following link:


http://www.youtube.com/watch?v=hq-IQWSrAtM


It will change their lives!


Best wishes


Trish M


Dear Trish M,


Thanks for being in touch and your personal experience of the benefits of the Epley Manoeuvre in countering your symptoms of vertigo. There has been a lot of correspondence on this matter which I will be summarising in the column of the 10th March.


REUTERS


Dr. Le Fanu,


I have two grandchildren (ages 11 and 8) who will visit Japan this coming summer for about 5 weeks. I am very concerned about radiation exposure data. Both the Abe government and Tepco have been caught at manipulating the data, so, finding accurate numbers has become problematic. I operate under the assumption that there is no safe level of exposure, even more so for children than adults. Yet, there are record levels of ionized hydrogen, cesium 134, 137, strontium 90 being released and now spread across the globe. Would you send children to that nation when there has been three core meltdowns, nearly three years of continual emissions and continuing dangers for an explosion at reactor #4? Would you allow your children/grandchildren to go?


Thanks for your time,


R J M


California, USA


Dear R J M,


Thanks for your query and I appreciate your concerns though I would not concur that there is ‘no safe level of exposure’ – as we are all exposed to background levels of natural radiation of around 2m/sev a year without it causing any harm. This, I gather, is on a par with the additional exposure of those in close proximity of Fukushima incident in 2011 but is well within the limit established for those in the radiation industry of 50m/sev a year. This is clearly reassuring and I would not have thought there is any reason why your grandchildren should not travel to Japan this summer.


In your last column there were three patients with what sounds very like Meniere Spectrum Disorder, a very common but widely misunderstood complaint. For a start, MSD is an otological disorder, not a neurological or psychiatric one. Thus the young woman with hearing problems and vertigo almost certainly had endolymphatic hydrops, a known otological side-effect from quinine-like drugs. While her facial numbness could have been of neurological origin, a quick check on Google confirms that this is also not uncommon among patients with Meniere’s disease. In the husband and wife with nausea and vertigo, either of these are of inner ear origin unless proven otherwise, and MSD is the likeliest diagnosis. Here vestibular function and balance fluctuate widely, probably as a result of a changing inner ear pressure, from dehydration for example. This lack of body and space stability can usually be compensated for by use of the eyes, except in the circumstances described where visual fixation is impossible — on cliff tops; descending a staircase with a central void; large cathedrals; and open spaces in general, which is likely to cause agoraphobia.


A G G


Dear A G G ,


Thanks for being in touch and drawing attention to Meniere Spectrum Disorder as a possible cause of vertigo. This, as you say, is an otological problem that is usually associated with other hearing related symptoms such as tinnitus or deafness. I will mention this in the column in the near future.


ALAMY


Hi doctor I hope you can help me I read in the telegraph a letter to you about the trouble a lady was having with taking lansoprazole tablets as I am having the same problem I wondered if the lady said what she was taking in place of them if not could you recommend another i’m 76 years of age thank you very much . Len H


Dear Len H,


Thanks for being in touch and it is interesting to learn that, like the lady featured in this column recently, your restless leg syndrome resolved after discontinuing Lansoprazole. I would advise that you take instead an acid neutralising medication such as Gaviscon.


I am 71 and eighteen years ago I was diagnosed with eczema on my lower legs. This was never a great problem, controlled by diprobase and betnovate, until last 0ctober when it spread all over my body almost driving me crazy with constant itching, especially at night, when excessive scratching caused cellulitis. No treatment, including steroids and antibiotics, has made the slightest difference to the eczema and the various creams only give a very temporary relief. An appointment with a dermatologist takes. Four months though my g.p. is trying to hasten things. No one seems to have any idea what has caused this sudden flare up nor what can effectively relieve the symptoms let alone cure it. Any ideas? R.G.M


Dear R G M,


Thanks for being in touch and my sympathies for this sudden severe exacerbation of your eczema. There are, as you will know, several recognised trigger factors such as infection, a viral illness and stress – but given that for most the underlying cause of eczema is not known the same probably applies to the fluctuations in its severity. I am sure the skin specialist can advise further but in the meantime you might discuss with your doctor taking a low dose of oral steroids to bring it under control.


ALAMY


Dear Dr. James, I have been meaning to write to you for years but have only now got round to doing so. I was first prescribed anti-depressants forty-four years ago for a chronic depressive illness and noticed some unusual side effects with different types of antidepressant drugs. They all made me thirsty and some produced unusual sexual effects: Clomipramine prevented me from ejaculating-an effect that is put to useful effect in its being prescribed for young men with premature ejaculation problems, I understand. Mianserin markedly enhanced the intensity of sexual orgasm when I was on this drug and this interesting side-effect occurred even when I was prescribed low doses of 20mg per day. More recently I have been prescribed Dosulepin at 150 mg per day and this produces considerably delayed orgasm. I think the most interesting side-effect was that of Mianserin and I wonder whether this has any useful role in treating sexual dysfunction. I never drew any of these side-effects to the attention of my GP as I had other things on my mind-my illness. Jeffrey J


Dear Jeffrey J,


Thanks for being in touch and your fascinating personal account of the diverse effects of antidepressant drugs on your sex life. The value of drugs such as Clomipramine for those with premature ejaculation is well recognised but I had not previously come across the orgasm intensifying effect of Mianserin – which I gather has been used to counter the reduced libido associated with SSRIs (see D Aizenberg, Clinical Neuropharmacology 1997 vol 20 pp 210 – 4).


Dear Dr Le Fanu,


I have been very interested to read in your column of others who have facial paralysis hearing problems and one eye closing when one is looking down – there must be a lot of us about! Mine arrived suddenly just over three years ago and was diagnosed as Ramsay Hunt Syndrome. Whilst I am lots better it is the synkinesis which makes my eye flutter. I seem to be winking when I talk, especially when I get animated, which I feel is the most tiresome. I had physiotherapy with the Lindens Clinic in Sale for some time.


My balance is not very good either, which I attribute to the lack of nerve activity in my left ear. Do you have any recommendations or helpful advice to offer? I would love to feel like myself again.


Yours hopefully,


Jillian C


Dear Jillian C,


Thanks for being in touch and it is good to hear that those unusual symptoms you describe seem to be improving. This winking while talking must be most disconcerting for yourself and others. As for the balance problems, several hospitals (such as St Thomas’ in London, Addenbrooke’s in Cambridge) now run special clinics offering ‘vestibular rehabilitation’ for those with chronic vertigo and it might be worthwhile discussing with your doctor whether a referral might be appropriate.


Dear Dr James


I hope you can help me with a very distressing problem that has cropped up about 5-6 years back. Every few months I suddenly wake in the night and find I have voided my bladder. It is so random and I have not been able to find a trigger. I have very good bladder control at all other times, no leakage nothing. I am 63 years old, active, slim, had a hysterectomy around 16 years back. I was told that following the menopause one can get low grade urinary tract infections, and if I feel at all like I might be getting one ( any change in frequency, odour) I take cranberry concentrate for a few days.


This problem is causing me such distress that I am worried to go on holiday, to stay with friends and almost to fall asleep! Please suggest something to help?


Thank you.


Kind regards


S V


Dear S V,


Thanks for being in touch. The random episodic nature of your nocturnal enuresis, as it known, without any other urinary symptoms would suggest this is likely to be due to spontaneous contraction of the detrusor muscle that empties the bladder. This is probably related to the altered state of consciousness and brain activity when asleep. It is, for example, of interest that enuresis is also a feature of epileptic attacks and may be a side effect of some psychiatric drugs. The fact that this occurs only every few months would rule out any preventive drug treatment – and the only option would seem to be to wear some sort of waterproof pants when visiting friends or on holiday.


Your correspondent Carol G might be interested in the (rather ancient) Dr. Hay diet, which actually enabled me to give up Omeprazole for my constant reflux problems.


Since the problems of acidity and reflux are a constant in your columns, may I also warn nut eaters of my own experience: following an attempt to peel some almonds by boiling them briefly, the whole house became permeated with the smell of bleach – thus identifying yet another cause of acid reflux! Since raw cashew nuts had a similar effect, I assume that some sort of acid bath is used to ensure there is no fungal/bacterial growth before packing. I now only buy nuts in their shells.


Kind regards (and keep up the good work!)


Dear Anon,


Thanks for being in touch and it is interesting, as several readers have observed over the years, that The Hay Diet has cured your reflux problems. Thanks too for the nut warning!


Please, please help! We are desperate! Eight months after lithotripsy for a 7 mm kidney stone my daughter (32) is still in severe pain, for which she is taking large amounts of temgesic and diclofenac prescribed by her GP.


All investigations by the kidney consultant – ct scans, blood tests for infection, etc. have proved negative, and no other cause has been suggested: could it be nerve damage, and if so, what can be done? We wonder if you, or your readers have any suggestions.


Thanks for taking the time to read this and hope you can help.


Dear Anon,


Thanks for your query. I am not sure when you say your daughter is ‘still’ in severe pain whether this is the same or a different pain from that associated with the kidney stone. If it is the same this would suggest that the original diagnosis attributing the pain to the kidney stone must have been in error – now that the stone is no longer present. There is, for example, a condition known as Loin pain/Haematuria Syndrome that can cause the symptoms of severe pain and bleeding similar to those caused by a kidney stone. If, on the other hand, the pain is different then this might suggest the Lithotripsy procedure itself might be responsible, by for example causing soft tissue damage to the kidney or other organs in close proximity such as the pancreas. I hope these comments are helpful.


Dear Dr Le Fanu


I would like to say how grateful my daughter and I are to your readers for the many kind and helpful replies to my letter to the online health clinic of 17 Jan 2014. Also thank you for featuring the letter (wrongly attributed, I think, to Mrs S D of York) in your column of 10 February. We will be investigating some of the suggestions made and will let you know the outcome when we have any news.


Thank you again


Barbara S


Dear Barbara S,


Thanks for being in touch again. I would be more than interested to hear the outcome of investigating the various suggestions made by readers.


Dear Sir,


I am recently experiencing cold numbness to right hand side of face and in right arm, it is as though the dentist has given me a minor injection to carry out a filling.


On Friday went to Neville Hall Hospital Abergavenny, had a head scan, throat scan (TIA) and everything appeared to be normal. 9 blood tests taken, all ok, except still waiting on the cholesterol result to come back. Brilliant service.


Have been put onto Aspirin and Statins would rather not be dependant on either. The cold experience seems to last a few minutes to 10 minutes.


The only “big” change in my lifestyle, is that I decided in mid January not to drink anymore at home, used to have a few glasses of wine most evenings, (cost and to lose weight), only drink now, when out socially, not to open up a bottle when I get home, to continue the partying. The first experience was, I had a steroid injection in my knee for a cartilage pain, then had the face numbness in the evening may not be connected in any way, although at the time of injection my blood pressure was extremely high.


I do keep fit and next Saturday have booked to go skiing, it was mentioned that they would prefer me to drive rather than fly? The flight is a very short one Bristol to Geneva at a low altitude, but of course skiing will be at high altitude. Any suggestions, or other avenues help or advice would be much appreciated.


Bye for now Patricia W


Dear Patricia W,


Thanks for being in touch. This numbness in the face and arm would certainly fit with a TIA or stroke – so it is reassuring (if a bit surprising) that the various tests and brain scans have all been reported as normal,. This pattern of symptoms can sometimes be due to migraine but beyond that it is difficult to know what might be responsible I would not have thought that either your changing drinking habits or the knee injection are implicated. It would certainly be sensible to be cautious about flying until this is sorted out.


Good afternoon, Doctor


In 2011 I experienced a sudden total deafness in my left ear


The condition was explored extensively after the usual suspects were eliminated


Eventually, from extensive blood tests, it was established that I had a gene mutation affecting the MTHFR gene, resulting in an excess of Homocysteine (HC) in my bloodstream. This was diagnosed to be the cause of a mini stroke on the nerves taking sound signals to the brain


Folic Acid and Aspirin were prescribed, but after four months the (HC) level had risen further to 16.


The consultant recommended a change to Megafolinic Acid from folic acid but this did nothing to the HC level.


My wife searched the Internet for any information related to the problem and uncovered a report by The Life Extension Foundation in the USA which recommended high levels of Tri Methyl Glycine (TMG) to counteract the HC level


This report was also insistent that the HC level should be below 7 whereas our local Path laboratory is saying that 5 to 15 is “normal”


The Life Extension Foundation report also insists that anything above 7 significantly increases the risk of heart attack and strokes


For three months I took 4.5 grammes of TMG and my HC level fell to 8. I then reduced the TMG to 0.5 g (a suggested ‘maintenance dose’) and my most recent HC reading is 10


Should I be happy to keep my HC level below 15 or should I be aiming for below 7?


Is The Life Extension Foundation a respected authority or just another pseudo-scientific commercial organisation?


Finally I would add that while seeking a local supplier of TMG, our Health Food Shop commented that we (Britain) were way behind the Americans on this topic – which itself gave me cause for concern


Should you require more info I would be very happy to provide a copy of my Consultant’s letters together with a copy of the Life Extension Foundation report


I would be grateful for your thoughts on this matter


Regards


Ian B


Dear Ian B,


Thanks for being in touch. There is, it would appear, an increased risk of stroke and circulatory disorders in those with an elevated level of homocysteine- where any reading above 13 is considered to be ‘raised’ But the benefits of lowering it to within the normal range appears equivocal. I am sure you are best guided by the advice of your specialist about this. There is a most useful summary of the condition by Elizabeth Varga ‘Homocysteine and MTHFR mutations’( Circulation 2005 vol 111 pp 289-293) that can be downloaded from the internet.



Dr Le Fanu"s on-line wellness clinic, Friday 28th February 2014