Hub You - Health and Fitness

Gain More Muscle By Training Less Often
The more work you put into something, the better results you will achieve. This has always been a widely accepted truth that applies to many areas of life. The harder you study, the better grades you will achieve. The more time you spend fine-tuning your athletic skills, the better athlete you will become. The longer you spend learning to play an instrument, the better musician you will become. Therefore, it only makes sense that the more time you spend in the gym, the stronger and more muscular your physique will become, correct? Contrary to what you might think, the answer to this question is a gigantic, definite, absolute no! It is in this area of bodybuilding that conventional wisdom goes straight out the window, down the street and around the corner.I know what you might be asking yourself…“What? Spending less time in the gym will actually

ments (mini forceps, mini curettes, and mini cutters-shavers) and the laser probe are used for removal of only the damaged disc material. The laser is used for further removal and shrinkage of the disc for the purpose of disc decompression and tightening up of the annulus. The procedure takes about 30 minutes to an hour per disc, on the average. The amount of disc removed and shrinkage by the laser varies, but includes only the herniated and damaged portion. The supporting structure of the disc is not affected. Upon completion, the probe is removed and a small Band-Aid is applied over the needle incision. Since the patient is awake during the procedure frequently they are interested in watching the monitor as we remove the damage disc material.

Cat Scratch Fever
It is doubtful that when rocker Ted Nugent ripped his guitar into the song "Cat Scratch Fever" he was thinking of a cute, little furry kitten causing you a fever and swollen lymph nodes.According to the Center for Disease Control (CDC) about 40% of cats carry the Cat Scratch Disease (CSD) at some point in their lives. Bacteria known as Bartonella henselae cause CSD. Kittens are most likely to carry these bacteria and can pass it on to people through bites and, more commonly, scratches.There is little cause for alarm though because the likelihood of contracting the disease and it being very serious is slim. An estimated 2.5 cases per 100,000 people in the U.S. per year contract it. Those with poor immune systems are at the greatest risk for complications.Usually, the site of the scratch will show signs of infection such as redness, swellin

TRANSFORAMINAL SELECTIVE ENDOSCOPIC DISCECTOMY: extremely minimally invasive surgical treatment for lower back and leg pain.

While 95% of people who sustain an injury to their lower back will recover with a combination of conservative treatment and preventative measures there is a small group of patients who fail to respond to these measures.

This article is meant for those patients who remain unhappy with their symptoms and have been advised by their treating physicians that they would have to live with their present symptomatology or undergo extensive spinal surgery. The following information is about SELECTIVE ENDOSCOPIC DISCECTOMY an alternative procedure for those patients who do not want to live with chronic pain, undergo extensive spinal surgery and do not want to have general anesthesia.

The typical patient frequently presents several months or more after having sustained an injury to the lower back with no previous history of any back problems. Initial treatment from the general practitioner, chiropractor or emergency room physician might include that the patient take anti-inflammatory medication, analgesics, muscle relaxants, limit activities and receive physiotherapy. When the patient's problem did not resolve the patient may have been sent to an orthopedic or neurosurgical specialist who scheduled the patient for an MRI scan that may have revealed one or multiple disc bulges, disc protrusions or disc herniations. The patient may have been provided with additional treatment in the form of a lower back brace and a series of epidural cortisone injections along with specific trunk/abdominal/lower back stabilization exercises or Pilates exercises. While the patient may have noticed some partial improvement with any or all of the above measures he or she may have significant residual lower back pain and radicular pain into one or both of the legs. At that point the patient may have been told that surgical intervention would be necessary in the form of either a micro lumbar laminectomy or a Metrx discectomy under general anesthesia or if the problem was more extensive that a spinal fusion or disc replacement surgery might be indicated.

At that point after thorough review of the patient's history and performing a complete physical examination and discussing the patient's MRI scan I might find that the patient could be a candidate for the SELECTIVE ENDOSCOPIC DISCECTOMY procedure if the patient was found to have either a contained lumbar disc protrusion or lumbar disc herniation unassociated with elements of severe arthritic changes. At that point we would recommend to the patient that additional confirmatory testing be performed in the form of a provocative discogram to determine the exact disc that is causing the residual pain and then follow the discogram with a SELECTIVE ENDOSCOPIC DISCECTOMY procedure.

A discogram is an X-ray study performed under flouroscopic control in an outpatient surgical center using local anesthesia. A needle is placed in the center of the abnormal disk and in an adjoining normal disc and a solution consisting of X-ray contrast dye mixed with indigo Carmine blue dye is injected into these discs. Since the patient is awake as the dye causes increasing pressure in the center of the disc most likely this will reproduce the patient symptoms in the back and/or leg pain and also define the abnormal anatomy of the damage disc on the floroscope. If the patient's symptoms are reproduced by this discogram it is considered a positive concordant discogram and the patient can then be treated with the SELECTIVE ENDOSCOPIC DISCECTOMY either immediately or at a later time if insurance authorization is required.

The SELECTIVE ENDOSCOPIC DISCECTOMY procedure is then performed under local anesthesia with the patient awake and in the prone position on special pillows. A small needle is inserted into the disc space after local anesthesia has been administered. A 7mm (1/4inch) skin incision is made and a spine arthroscope is slipped into the abnormal disc. Under fluoroscopic control, the micro-instruments (mini forceps, mini curettes, and mini cutters-shavers) and the laser probe are used for removal of only the damaged disc material. The laser is used for further removal and shrinkage of the disc for the purpose of disc decompression and tightening up of the annulus. The procedure takes about 30 minutes to an hour per disc, on the average. The amount of disc removed and shrinkage by the laser varies, but includes only the herniated and damaged portion. The supporting structure of the disc is not affected. Upon completion, the probe is removed and a small Band-Aid is applied over the needle incision. Since the patient is awake during the procedure frequently they are interested in watching the monitor as we remove the damage disc material.

Public Relations for Transit Districts
If we are to ever break our addiction to Middle Eastern Foreign Oil then we must get more people to conserve fuel by car pooling and taking public transportation. Few people take public transportation in many areas and it is hard to get them out of their personal automobiles.Apparently the United States is a car nation indeed. Nevertheless, if everyone who worked in the city took public transportation it would free up lots of fuel and traffic too. Cars generally put out more pollution at idle in traffic jams than driving down the freeway at 55 mph. We can solve a bundle of America’s problems by car increasing the use of Public Transportation.Remember also that public transportation works on economies of scale and the more riders the less the cost for each individual. But how can you get citizens out of their cars and into the public transit syst

oner, chiropractor or emergency room physician might include that the patient take anti-inflammatory medication, analgesics, muscle relaxants, limit activities and receive physiotherapy. When the patient's problem did not resolve the patient may have been sent to an orthopedic or neurosurgical specialist who scheduled the patient for an MRI scan that may have revealed one or multiple disc bulges, disc protrusions or disc herniations. The patient may have been provided with additional treatment in the form of a lower back brace and a series of epidural cortisone injections along with specific trunk/abdominal/lower back stabilization exercises or Pilates exercises. While the patient may have noticed some partial improvement with any or all of the above measures he or she may have significant residual lower back pain and radicular pain into one or both of the legs. At that point the patient may have been told that surgical intervention would be necessary in the form of either a micro lumbar laminectomy or a Metrx discectomy under general anesthesia or if the problem was more extensive that a spinal fusion or disc replacement surgery might be indicated.

Payroll - More Than Just Paying Money
Payroll. If you ever worked at a company, large or small, the best day of the week or month, depending on company policy, was payday. For some, it's the only reason they even go to work but payday is more than just digging into a box and pulling out a fistful of money to give to the employees. Payroll management is actually a fairly complex process that can easily be screwed up at any one of various points along the way.Payroll actually starts with the employee signing up with the company. At this time the employee fills out a W4 statement that indicates to the company one of possibly several options. For starters, it indicates how many deductions the employee wishes to claim in calculating his paycheck. The more deductions the less money that's taken out. Some employees claim zero deductions in order to have more money taken out now, so that la

ectomy under general anesthesia or if the problem was more extensive that a spinal fusion or disc replacement surgery might be indicated.

You and Your Insurance Deductible
What is a deductible anyway?It seems simple, but I get a lot of questions about deductibles, so I thought I'd take a minute and explain the basics to you.The deductible is the amount you pay when you have a claim. You must pay the deductible amount and then the insurance company will pay for the rest of the loss.There are a number of reasons why deductibles exist. For one, there's a lot of expense associated with processing a claim. By requiring deductibles, insurance companies reduce the expense of processing many small claims.This is why raising your deductibles can dramatically lower your premium in many cases. The insurance company wants you to raise your deductibles, so they only have to process big claims, and they give you a big price break for that.When you pay small losses yourself you not only get the premium b

normal disc and a solution consisting of X-ray contrast dye mixed with indigo Carmine blue dye is injected into these discs. Since the patient is awake as the dye causes increasing pressure in the center of the disc most likely this will reproduce the patient symptoms in the back and/or leg pain and also define the abnormal anatomy of the damage disc on the floroscope. If the patient's symptoms are reproduced by this discogram it is considered a positive concordant discogram and the patient can then be treated with the SELECTIVE ENDOSCOPIC DISCECTOMY either immediately or at a later time if insurance authorization is required.

Your Best Friend Just Got Divorced – Do's & Don'ts
Divorce is a painful and messy business. Divorce touches us all in some way. We maybe the product of divorce or we may know someone who has gone through a divorce. The scars that are left can be life altering to say the least.One of the most difficult things to witness is your best friend going through a divorce. You can see the pain and suffering a friend of yours is going through. Perhaps your friend is very angry and bitter and that can put a strain on the relationship.If your best friend is in the middle of a divorce or has recently gone through a divorce you must be patient and understanding in order to help them through this very difficult time.If you are talking with your friend and you happen to say something that makes them angry or upset, just remember they are probably not angry or upset at you. They are most likely; angry at t

After surgery the patient is sent home and advised to use ice packs on the lower back and take mild oral analgesics and rest for few days. Many patients are able to resume work within a few days. The patient are advised prior to the procedure that if the preoperative pain was primarily lower back that in excess of 86% good and excellent results should be expected. If the patient's pain was back and leg pain good and excellent results should approach 92%.

Most of the time the patient's return to the office one week later feeling much improved and wanting to know why this procedure was not performed on them earlier and why the procedure works. We believe that this technique is successful because the abnormal portion of the disc that is creating internal pressure against the annulus and nerve root is removed, the fissures in the annulus that allow leakage of disc fluid and material are sealed and tighten up and the constant flow of irrigating saline through the endoscope washes out the irritating damaged metabolites( prostaglandins, histamines,and substance P & X). No deep tissue is cut and generally no bone has to be removed.

The following patients are not candidates for selective endoscopic discectomy:

1. The rare patient than has a disk that has become a fully extruded and migrated up into the spinal canal.

2. The patient has extensive spinal stenosis will need an extensive amount of bone removed which is better done with open surgery.

3. The patient has extensive spinal instability and requires a spinal fusion that must be done with an open procedure.

For those patients who are afraid of having extensive spinal surgery and have been told that they will have to live with their lower back pain, SELECTIVE ENDOSCOPIC DISCECTOMY is an exciting successful minimally invasive surgical alternative procedure that it is performed under local anesthesia and has a very high rate of patient satisfaction. For further information see www.back-surgery-online.com.

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There are more and more top executives in Corporations calling it quits. Indeed this gives rise to the next generations to move up the ladder, unfortunately when we look at the cause of all these departures we see some huge problems. Namely all this change management is being caused by over regulation such as Sarbanes Oxley and CEOs realize that they will be hung out to dry if a mistake is made and find themselves in litigation or worse in Prison.

Shockingly, 4 out of every 10 eBooks offered for sale on the Internet are pirated. Material from legitimate eBooks are taken without the owner's knowledge, and passed off as original content every single day! Discover the top 4 ways to prevent this from happening to you.

Getting a treadmill has many benefits over other forms of taking exercise. Here, we look at just a few of them.

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