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Elizabeth B. Yerkes, MD

Other local features are absent in the beginning and become apparent in the course of disease allergy treatment bioallers generic loratadine 10mg amex. Gram stain of this material that reveals intracellular gram-negative diplococci suggests Neisseria gonorrhoeae dog allergy symptoms uk purchase 10mg loratadine, which can also be cultured using standard agar-based techniques allergy forecast allen tx purchase loratadine amex. Nucleic acid amplifcation techniques are preferred for diagnosing the other etiologic agents of this condition (see Table 52-1) allergy to milk buy 10mg loratadine. Infection with Neisseria gonorrhoeae is generally treated with third-generation cephalosporins allergy symptoms with fever purchase discount loratadine on line, but resistance is an emerging concern allergy medicine reviews over the counter generic loratadine 10mg mastercard. Men with bacterial epididymitis may have underlying urologic pathology or recent genitourinary tract manipulation. Chlamydia trachomatis and Neisseria gonorrhoeae predominate in young men, and coliform or Pseudomonas species predominate in older men. A urethral smear for Gram stain and midstream urine culture is useful for establishing other etiologies. Quinolone resistance is increasingly common, especially afer genitourinary tract instrumentation. Many patients who have chronic bacterial prostatitis harbor only small numbers of bacteria in the prostate. Unlike viral and chlamydial conjunctivitis, there is no preauricular lymphadenopathy. It is associated with a watery to mucous discharge and enlargement of preauricular lymph nodes. Topical azithromycin has been shown to be efective in treating bacterial conjunctivitis with a 3-day course. Two weeks of oral erythromycin therapy is given to the newborn with laboratory-proven chlamydial conjunctivitis; a second course may be given if adequate resolution is not achieved with the initial treatment. Subconjunctival injections, parenteral and oral routes, and antibiotic-soaked collagen shields/sof lenses are used infrequently. Oral itraconazole or voriconazole have also shown favorable out comes when added to topical therapy. It is either exogenous, in which infection is introduced from the outside in, or endogenous, in which the eye is seeded from the bloodstream. No fever or leukocytosis is present in exogenous cases and may also be absent in endogenous cases on presentation. Gram-positive cocci cause 95% of cases, with coagulase-negative staphylococci the major pathogens (70% of all cases). Rare, this category presents as low-grade infammation in aqueous postoperatively that persists for months. It may respond to topical corticosteroids initially but recurs as the drug dosage is tapered. Major pathogens are coagulase-negative staphylococci and streptococci (25% of cases), the latter usually causing severe endophthalmitis. A fltering bleb is a bleb of conjunctiva overlying a surgically created defect in the sclera. Endophthalmitis typically occurs suddenly, months to years postoperatively; incidence is 1. Infection is ofen fulminant because streptococci, including Streptococcus pneumoniae, and Haemophilus infuenzae are major pathogens. Incidence is 3% to 10% afer penetrating eye trauma (open globe) but may be much lower afer protocol that includes 48 hours of prophylactic antibiot ics. Sources include endocarditis (Staphylococcus aureus and streptococci are major pathogens), intraabdominal abscess (liver abscess due to Klebsiella pneumoniae in East Asian nations), transient bacteremia. This category is usually endogenous, and chorioretinitis, the earli est manifestation, is ofen asymptomatic. Chorioretinitis usually responds to systemic anti fungal treatment alone, but cases with endophthalmitis (marked vitreous infammation) also require intravitreal antifungal injection and ofen vitrectomy. Usually exogenous, this infection occurs afer eye surgery, eye trauma, or as an extension of keratomycosis (fungal corneal infection). Endogenous cases with positive blood cultures are usually presumed to be due to the same organism. Systemic antibiotics alone are not used to treat endophthalmitis, except in cases of Candida chorioretinitis. Ocular syphilis is presumed in cases of uveitis with positive specifc treponemal serology. Subperiosteal abscesses usually require surgical drainage, and orbital abscesses almost always do. Table is updated to refect supplanting of the less effective drugs by the best available antiviral drugs. As of January 2015, telaprevir is no longer recommended for treatment of hepatitis C (see Table 61-6). As of January 2015, boceprevir is no longer recommended for treat ment of hepatitis C (see Table 61-6). Preventive Services Task Force, and the cost for opt-out testing will be substantially underwritten through the Afordable Care Act. Primary human immunodefciency virus type 1 infection: review of pathogenesis and early treatment intervention in human and animal retrovirus infections. Shigella fexneri Aeromonas hydrophila Plesiomonas shigelloides Yersinia enterocolitica Vibrio spp. Empirical treatment with pyrimethamine and sulfadiazine is useful when clinical and radiologic fndings are consistent with the diagnosis. Symmetrical paresthesia, numbness, and painful dysesthesia of the lower extremities can occur. Additional challenges may be posed by interrupted health insurance, homelessness, and stigma among young men who have sex with men. Disclosure is best accomplished by early adolescence to more fully engage youth in their own care, preferably before the age of sexual debut. Some are transmitted person to person, whereas others are present in certain environmental niches. Prognosis depends on the severity of the acute illness as well as prognosis for comorbidities and availability of efective and well-tolerated therapies. For some infections such as Pneumocystis pneumonia, Toxoplasma encephalitis, and disseminated Mycobacterium avium complex, primary prevention is efective, safe, and well tolerated and should be part of standard patient management. Patients should be afebrile Chemoprophylaxis can be for 48-72 hr and clinically considered for patients stable before stopping with frequent recurrences antibiotics. Addition of clindamycin to vancomycin (but not to linezolid) can be considered for severe necrotizing pneumonia to minimize bacterial toxin production. Must mm3: 2-6 wk weigh beneft against risks For gastroenteritis with of long-term antibiotic bacteremia: exposure. Syphilis For individuals exposed Benzathine penicillin G For pencillin-allergic to a sex partner with a 2. The chronic fatigue syndrome: a comprehensive approach to its defnition and study. A substantial reduction or impairment in the ability to engage in pre-illness levels of occupational, educational, social, or personal activities, that persists for more than 6 months and is accompanied by fatigue, which is often profound, is of new or defnite onset (not lifelong), is not the result of ongoing excessive exertion, and is not substantially alleviated by rest, and 2. Unrefreshing sleep* At least one of the following manifestations is also required: 1. The diagnosis of systemic intolerance disease (myalgic encephalomyelitis/chronic fatigue syndrome) should be questioned if patients do not have these symptoms at least half of the time with moderate, substantial, or severe intensity. Other Poxviruses That Infect 72 Humans: Parapoxviruses (Including Orf Virus), Molluscum Contagiosum, and Yatapoxviruses Brett W. Clinical manifestations depend on the anatomic site, age, and immune status of the host and antigenic type (1 or 2) of the virus. Recurrent lesions on the vermilion border of the lip (herpes labialis) are the most frequent manifestation of latent infection. Complications include aseptic meningitis, trans verse myelitis, and sacral radiculopathy. Magnetic resonance imaging is the neuroimaging technique of choice to identify abnormalities. Infants younger than 6 weeks have the highest frequency of visual and central nervous system involvement. Suppression of Oral acyclovir, 400 mg bid (I) recurrent genital Valacyclovir, 500 mg daily (I) or Consider for patients with frequent (>6 herpes 1000 mg daily (I) or 250-500 mg bid (I) episodes) or severe recurrences, in prevents symptomatic reactivation. Short-course options should be Famciclovir, 1500 mg once (I) considered based on increased convenience and likelihood of adherence and are listed in bold. Given the brief period of viral replication and rapid evolution of lesions, patients should be given drugs for self-administration when prodromal symptoms occur. These topical preparations should be applied to the lesions once daily for 5 consecutive days. Short-course therapy for recurrent genital herpes and herpes labialis: entering an era of greater convenience, better treatment adherence, and reduced cost. It is a two-dose series with the frst administered at 12 to 15 months of age and the second between 4 and 6 years. This two-dose series has dramatically decreased the incidence of chickenpox and its associated complications. Recent evidence points to great genomic variability during replication in a single patient. Genomic analysis using high-throughput deep sequencing in congenitally infected infants reveals extensive genomic variability and diversity. Heterophile antibodies in a person with clinical infectious mononucleosis is sufcient to establish the diagnosis. Recommendations for prevention and therapy of persons exposed to B virus (Cercopithecine herpesvirus 1). A biopsy is indi cated when the diagnosis is in doubt or a malignancy or its precursor is a consideration. Human Parvoviruses, 84 Including Parvovirus B19V and Human Bocaparvoviruses Kevin E. By age 15, 50% of children in America and Europe will have been infected and have IgG. The virus has been isolated in 11 states, primarily within the Rocky Mountain region, as well as southwest ern Canada. Louis Encephalitis, 90 Tick-Borne Encephalitis, Kyasanur Forest Disease, Alkhurma Hemorrhagic Fever, Zika) Stephen J. Severe disease is infre quent (~2% to 4% of apparent cases) but potentially fatal. Clinically apparent cases with neurologic manifestations have a predilection for older individuals. She was the author for this and other chapters for previous editions of this book. Multiple outbreaks have been detected subsequently in Bangladesh and India, including cases that have involved human-to-human transmission. Clinical manifestations of Hendra virus infection range from a self-limited infuenza-like syndrome to a fatal respiratory illness or encephalitis. Marburg and Ebola Hemorrhagic 101 Fevers (Marburg and Ebola Viral Diseases) (Filoviruses) Thomas W. They cause epidemic acute respiratory disease characterized by fever, cough, and systemic symptoms. Tree types (A, B, and C) are recognized, as well as many subtypes within the type A viruses. In addition to infecting humans, infuenza A viruses infect a wide variety of animals, particularly migratory waterfowl. New infuenza A virus subtypes sporadically emerge in humans to cause widespread disease, or pandemics. They undergo constant antigenic evolution, referred to as antigenic drif or shif that allows them to reinfect individuals who have had previous infections. Rapid detection of virus in respiratory secre tions also can be accomplished by antigen detection or molecular techniques such as poly merase chain reaction assay. Terapy is most efective when used early in the course of illness (see Table 102-1). Food and Drug Administration-approved prescribing information for 2013-2014 infuenza vaccines for the most complete and updated information, including (but not limited to) indica tions, contraindications, and precautions. The preferred site for infants and young children is the anterolateral aspect of the thigh. Specifc guidance regarding site and needle length for intramuscular administration may be found in the Advisory Committee on Immunization Practices General Recommendations on Immunization. California Encephalitis, Hantavirus 103 Pulmonary Syndrome, and Bunyavirus Hemorrhagic Fevers Dennis A. In most cases, the diagnosis is based on serologic investigation of acute and early convalescent sera.

Syndromes

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He reminds us properties of the skin during rapid and slow tissue that tissue expansion results in a distortion of body expansion for breast reconstruction allergy symptoms pollen buy 10mg loratadine with visa. Elasticity did not change sig nificantly and neither did hysteresis (a measure of Potential complications of tissue expansion include the skin turgor and plasticity) allergy vent covers loratadine 10mg overnight delivery. In summary allergy drugs best purchase loratadine, there infection allergy treatment for cats cheap loratadine 10mg without a prescription, hematoma allergy testing guelph loratadine 10mg with mastercard, seroma allergy shots tallahassee purchase 10mg loratadine fast delivery, expander extrusion, were minimal differences in skin properties between implant failure, skin necrosis, pain, and neurapraxia. Austad56 notes a remark gested to relieve pain during expansion,61 but Sinow able absence of disasters in a survey of more than and Cunningham62 report no difference in pain 50,000 tissue expansion procedures, and points out after expansion between patients receiving that the overall incidence of complications associ lidocaine analgesia and placebo. Only recounts four cases of partial flap necrosis after the by adding sodium bicarbonate to commercially expander had been removed and the flap advanced available lidocaine to raise its pH to 8. Minor complications were noted in 17% and tion that could lead to lidocaine overdose in the included pain on expansion, seroma, and widening event of implant failure. Argenta and associates18 also noted a 24% Infrequent reports of erosion and deformation of complication rate early in their series, but this sub bone underlying an expander have appeared in sequently fell to 7%. Infection is usually reported in the literature, specifically rib concavity with tho 1% of cases, and only in patients with predisposing racic skin expansion and calvarial deformity and factors. The most frequent cause of exposure is an remodeling with scalp expansion in children. Sharp edges in the scalp of a child caused by erosion of the or irregular folds in the prosthesis should also be outer table of the skull and bone spur formation smoothed out or risk thinning of the shell from fric from pressure by the expander. Argenta rec ommends waiting for 2 weeks after implantation of the expander before beginning inflation. Plast Reconstr Congress of the International Society of Reconstructive Mi Surg 10:149, 1952. Koshima I, Inagawa K, Urushibara K, Moriguchi T: Paraum and clinical implications. Plast Reconstr Surg 102:599, bilical perforator flap without deep inferior epigastric 1998. Koshima I, Inagawa K, Yamamoto M, Moriguchi T: New the head and neck: anatomic study and clinical applica microsurgical breast reconstruction using free paraumbilical tions. Koshima I, Moriguchi T, Fukuda H, et al: Free, thinned, venous territories (venosomes) of the human body: ex paraumbilical perforator-based flaps. Plast Reconstr microvascular anastomoses: an experimental study and Surg 109:2197, 2002. Nakajima H, Imanishi N, Fukuzumi S, et al: Accompany consensus on perforator flap terminology: preliminary ing arteries of the lesser saphenous vein and sural nerve: definitions. Cho B-C, Lee J-H, Byun J-S, Baik B-S: Clinical applications Guide to Clinical Practice, 2nd Ed. In: Cohen M (ed), Mastery of Plastic eral thigh flaps for reconstruction of head and neck and Reconstructive Surgery. Wei F-C, Jain V, Suominen S, Chen H-C: Confusion comprehensive classification of V-Y plasty and its ana among perforator flaps: what is a true perforator flap Plast logues: the pros and cons of inverted versus ordinary Reconstr Surg 107:874, 2001. Cervical and Clavicular Tubed retrospective comparison of abdominal muscle strength Skin flaps. Chen H-C, Tang Y-B: Anterolateral thigh flap: an ideal soft fasciocutaneous flaps. Kimata Y, Uchiyama K, Ebihara S, et al: Anatomic varia of the septocutaneous vessels of the leg. Plast Reconstr Surg tions and technical problems of the anterolateral thigh 76:354, 1985. Hsieh C-H, Yang C-C, Kuo Y-R, et al: Free anterolateral Gegenbaurs Morphol Jahrb (Leipzig) 121:492, 1975. Plast Reconstr Surg supplied by the vascular axis of the sensitive superficial 107:1766, 2001. Koshima I, Inagawa K, Urushibara K, et al: Deep inferior Plast Reconstr Surg 89:1115, 1992. Nakajima H, Imanishi N, Fukuzumi S, et al: Accompany tion of craniofacial contour deformities. Plast Reconstr ing arteries of the cutaneous veins and cutaneous nerves Surg 106:10, 2000. Marchetti C, Gessaroli M, Cipriani R, et al: Use of venoadipofascial and/or neuroadipofascial pedicled perforator flaps in skull base reconstruction after tumor fasciocutaneous flap. Ann Plast Surg neuroadipofascial pedicled fasciocutaneous flap: a radio 50:90, 2003. Fraccalvieri M, Verna G, Dolcet M, et al: the distally based breast reconstruction with the deep inferior epigastric superficial sural flap: our experience in reconstructing the perforator flap. Plast Reconstr Surg flap: clinical experience and evolution to the posterior 103:1191, 1999. Celik N, Wei F-C, Lin C-H, et al: Technique and strategy Reconstr Surg 111:837, 2003. Chen S-L, Chen T-M, Chou T-D, et al: the distally based analysis of 15 complete and partial failures in 439 cases. Wungcharoen B, Pradidarcheep W, Santidhananon Y, on blood flow and metabolism in a skin flap. Plast Reconstr Chongchet V: Pre-arterialisation of the arterialised venous Surg 79:375, 1987. Wungcharoen B, Santidhananon Y, Chongchet V: Pre Plast Reconstr Surg 75:88, 1985. Imanishi N, Nakajima H, Aiso S: A radiographic perfusion and a preliminary haemodynamic study. Koshima I, Soeda S, Nakayama Y, et al: An arterialised pure venous flap: direct observation of microcircula venous flap using the long saphenous vein. Plast Reconstr Surg 82:892, and area of survival with one flow-through vein preserved. Klein C, Kovacs A, Stuckensen T: Free arterialized venous alized venous forearm flap. Ger R: Muscle transposition for treatment and prevention study of delay of flow-through venous flaps. Orticochea M: New method of total reconstruction of the experimental and clinical study. Yajima H, Tamai S, Ishida H, Kisanuki O: Prefabricated Reconstr Surg 60:341, 1977. Gosain A, Chang N, Mathes S, et al: A study of the using tissue expanders: an experimental study in a rat relationship between blood flow and bacterial inocula model. Plast Reconstr antibiotic irrigation and mobilization of pectoral muscle Surg 101:1296, 1998. Br J Plast Surg Can infected prosthetic grafts be salvaged with rotational 50:428, 1997. Otolaryngol free muscle flaps for chronic empyema with broncho Head Neck Surg 111:509, 1994. Plast Reconstr Surg flow in delayed random skin flaps in the pig: effect of 67:653, 1981. Otolaryngol measurements in delayed skin flaps: a reconsideration of Head Neck Surg 107(4):549, 1992. Rees R, Punch J, Shakeen K, et al: the stress response in comparison of delay procedures. J Reconstr Microsurg and B2-agonist salbutamol in salvaging ischemic skin flaps 8(5):375, 1992. Hira M, Tajima S, Sano S: Increased survival length of 40 on patency following severe trauma in small arteries experimental flap by calcium antagonist nifedipine. Jernbeck J, Dalsgaard C-J: Calcitonin gene-related peptide complications in head and neck microsurgery: do the treatment of flaps with compromised circulation in hu benefits outweigh the risks Sawada Y, Hatayama I, Sone, K: the effect of continuous flap survival using nitroglycerin ointment. Plast surgical anastomotic patency with low molecular weight Reconstr Surg 75:847, 1985. Plast Reconstr Surg tion and flap survival: a comparative study with prostag 96(3):643, 1995. Br J Plast Surg dose aspirin on thrombus formation at arterial and venous 34:264, 1981. Ann Plast Surg vasoconstrictor and vasodilator responses in human skin 19:49, 1987. Plast reactive oxygen species in distal flap necrosis and its Reconstr Surg 8:59, 1951. Svensson H, Svedman P, Holmberg J, Jacobsson S: Detect free tissue transfer: its importance and reliability. Lange K, Boyd L: the use of fluorescein to determine the necrosis: a comparative study between laser doppler adequacy of the circulation. Heden P, Eriksson E: Skin flap circulation: simultaneous operation with the use of fluorescein dye. Ann Plast Surg 31(4):307, fluorometric assessments of skin perfusion in isolated 1993. Myers B, Donovan W: An evaluation of eight methods of doppler recordings from free flaps. Scand J Plast Reconstr using fluorescein to predict the viability of skin flaps in the Hand Surg 27:81, 1993. Plast Reconstr viability by pH, temperature and fluorescein: an experi Surg 105:55, 2000. Holm C, Mayr M, Hofter A, et al: Intraoperative evaluation sion using laser doppler flowmetry: an adjunct to mi of skin-flap viability using laser-induced fluorescence of crovascular augmentation. Eren S, Rubben A, Krein R, et al: Assessment of microcir a new visual blood flow meter utilizing a dynamic laser culation of an axial skin flap using indocyanine green speckle effect. Still J, Law E, Dawson J, et al: Evaluation of the circulation Plast Surg 8:510, 1982. Scand J Plast Reconstr Hand Surg flow ultrasound for delineating microsurgical vessels: a 24:27, 1990. Radiol using osmotically active hydrogel systems for direct clo ogy 173:755, 1989. Plast Reconstr Surg 91(2):213, the method for securing skin for subtotal reconstruction of 1993. Radovan C: Adjacent flap development using expandable tissue expansion: clinical implications for the surgeon. Plast physical changes in the skin in an experimental animal Reconstr Surg 81:204, 1988. Hirshowitz B, Lindenbaum E, Har-Shai Y: A skin-stretching fibers around silicone expander. Clin Plast electron microscopic evaluation of the pectoralis major Surg 21(2):309, 1994. Reinisch J, Myers B: the effect of local anesthesia with therapy: effects on expanded skin. Arch Otolaryngol Head Neck Surg remodeling following prolonged scalp expansion in a 122:1107, 1996. Start no earlier than 4 weeks after delivery, in these highlights do not include all the information needed to use women who are not breastfeeding. Consider an alternate contraceptive method for Women over 35 years old who smoke should not use women with uncontrolled dyslipidemia. The ring must remain in place sensation), nausea/vomiting, vaginal discharge, increased weight, continuously for three weeks, followed by a one-week ring-free interval. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. It is removed for a one-week break, during which a withdrawal bleed usually occurs. The user can choose the insertion position that is most comfortable to her, for example, standing with one leg up, squatting, or lying down. An optional alternative is to insert the ring using the applicator for NuvaRing [see Applicator for NuvaRing Instructions for Use]. The exact position of NuvaRing inside the vagina is not critical for its function. The vaginal ring must be inserted on the appropriate day and left in place for three consecutive weeks. This means that the ring should be removed three weeks later on the same day of the week as it was inserted and at about the same time. NuvaRing can be removed by hooking the index finger under the forward rim or by grasping the rim between the index and middle finger and pulling it out. The used ring should be placed in the sachet (foil pouch) and discarded in a waste receptacle out of the reach of children and pets (do not flush in toilet). After a one-week break, during which a withdrawal bleed usually occurs, a new ring is inserted on the same day of the week as it was inserted in the previous cycle.

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Metal Pollution Biochemists know that a mineral in raw element form always inhibits the enzyme using that mineral allergy testing jersey uk buy loratadine 10mg low price. Inorganic copper allergy earache order loratadine australia, like you would get from a copper bottomed kettle or copper plumbing allergy testing groupon quality 10 mg loratadine, is 3 carcinogenic allergy testing uk generic 10 mg loratadine amex. We put metal jewelry on our skin allergy kiosk animal kingdom discount loratadine on line, eat bread baked in metal pans food allergy symptoms quiz order loratadine 10 mg without prescription, and drink water from metal plumbing. Mercury amalgam fillings, despite the assurances of the American Dental Association, are not safe. And sometimes the mercury is polluted with thallium, even more toxic than mercury! Gold and silver seem to have fewer harmful effects, but no one should have any pure metal in or on their body. Other prevalent toxic metals include lead and cadmium from soldered and galvanized plumbing, nickel and chromium from dentalware and cosmetics, and aluminum from food and drink cans, and cooking pots. From Carcinogenicity and Metal Ions, volume 10, page 61, of a series called Metal Ions in Biological Systems, edited by Helmut Sigel, 1980. One small moldy fruit or vegetable can pol lute a huge batch of juice, jam or other product. Although molds are alive, and can be killed by zapping, mycotoxins are not, and must be detoxified by your liver. But because mycotoxins are so extremely poisonous, a tiny amount can incapacitate a part of the liver for days! For that reason I am always cautioning people to eat only perfect citrus fruit, and never drink commercial fruit juice. Of the thousands of oranges that go into the batch of orange juice you drink, one is sure to be moldy, and that is all it takes to give your liver a setback. It also helps get rid of aflatoxin before it is consumed, right in the food container. So keep a plastic shaker of vitamin C powder handy and use it like salt on all your food. Physical Toxins Breathing in dust is quite bad for you so your body rejects it by sneezing, coughing, spitting up and out. But because it is sharp it gets caught in your tissue, then works its way deeper and deeper. We are unaware that it fills our homes when fiberglass insulation is left imperfectly sealed off. Any hole made through the ceiling or wall, even if covered with cloth, lets swarms of broken glass bits into the house air. Of course, fiberglass should never be used in home construction, draperies, or around water heaters. The best advice is to have it all removed while you are away and then vacuum and dust. Chronic exposure from a single small hole in the ceiling does a lot of harm, leading to cyst formation. And that cyst is a perfect place for parasites and bacteria to settle and multiply. Asbestos is another tiny bit, sharp as glass, that moves through your body like a swordfish, impaling your cells until it, too, gets routed into a cyst. We have been led to believe that we no longer have asbestos in our homes because we have outlawed the fireproofing mate rials it was used in. While that may be true, the source I find most often is all too prevalent: the clothes dryer belt. As it gets hot the belt releases a blast of asbestos particles that are forced through the seams of your dryer, and also openings in your exhaust hose, by the high pressure formed inside. By the time your air conditioner or refrigerator needs recharging, you have been exposed for a long time. Our diligent scientists have studied the mechanism of arsenic poisoning in great detail. Then why are we allowed to put it on our lawns to be carried into our carpets via shoes As a result, foam fur niture, pillows and mattresses give off formaldehyde for about two years after manufacturing. If you sleep with your nose buried in a new foam pillow all night, you are risking major lung problems. And what if you found that although many people had them, those who were sick with a cold always had at least one of them. Would you ask whether a sudden buildup of mycotoxins is what really lets colds develop What if you always found every mysteriously ill person had some unsuspected parasite or pollutant They forced me to alter my entire outlook on what really causes some of our incurable, mysterious diseases. This multicausal concept is what made the study of medicine so difficult that only a few could undertake it. But these diagnoses are based on a description of what is happening at a particular place in your body. This is like calling a mosquito bite behind the ears by one name and a mosquito bite behind the knee by another name. If you never see the true cause, a mosquito at work, this system could be excused as somewhat sensible. And you can find them yourself by building the electronic diagnostic circuit (page 457)! Once you have seen a mosquito at work on your body you no longer need to go to the doctor for a red, itchy bump. Once you have seen how common house dust is implicated in the common cold you get rid of the house dust. Once you have seen the mold in your food facilitate the cold virus you throw out that moldy food. The electronic resonance method described in this book will let you see all these things for yourself. You are not a hapless pawn attacked by bacteria and viruses that dart at you from nowhere to make you ill. You are not at the mercy of diseases all around you, hoping, by chance, to escape, like a soldier hoping to come home from the war. You can replace faith with your own hard headed observations by building the diagnostic circuit (Syncrometer). When you personally find the mold in your peanut butter, or Shigella in your cheese, you have the knowledge, not faith, that convinces and guides you. That it is due to catching something, not eating what we should, like roughage or vitamins, or not doing what we should, like dressing properly, exercising or going to bed on time. The current concepts on disease causation blaming our actions and our genes are simply not logical. After you have found the parasite interlopers hiding in your body you can kill them electronically. And after you have iden tified the pollutants stuck in your organs you can stop eating them, breathing them or putting them on yourself. In response, your body will begin to heal, just as surely as a mosquito bite heals. It will be an exciting adventure to watch yourself lose your symptoms and get stronger. Self Health the entire purpose of this book is to enable you to diag nose and treat yourself for any disease. You have three new approaches that make this wish a reality: the understanding that only pollution and parasites make you sick, the quick and inex pensive diagnostic circuit that lets you find which pollutants and parasites they are, and the zapper or herbal recipe that kills the parasites. Suppose your doctor has already diagnosed you as having Atypical Lateral Sclerosis or Shoulder-Hip Girdle Metas table Aplasia. And so a new gift is given to humanity, like the gift of music or the art of cooking. How To Heal Your body has been trying to rid itself of its parasites and pollutants all your life! Can you help your body get rid of these accumulations and sweep itself clean again Sweeping your liver clean is the most powerful way of helping your body to heal itself after the parasites are gone. In days, not weeks or months, you can feel the healing effects of clearing gallstones and kidney stones from your body. But there are miles of bile ducts (50,000 ducts) in the liver; the herbal recipes that do this are used over and over, patiently, until all, the trash is removed. So, although you can stop your disease very quickly from progressing, the healing process may not be complete for years. Organs that have been damaged beyond the ability of our simple methods to reverse can be treated with the magic of modern surgery. Killing parasites, removing pollutants and clearing gallstones and kidney stones from your body is a powerful combination of treatments. Should you stop taking your prescription medicine while you are treating yourselffi Remember that the medicine is buying you the time to cure yourself, something to be grateful for. Parasites are things that live on us, using up our food and giving us their wastes. Pollutants are toxic things in us making it difficult for our organs to do their work. Our hair turns gray, we develop cataracts, the spine bends, nerves and muscles die. Second, we will remove the toxic molds, metals and chemi cals in our foods and body products. Third, we will clear away and wash away the stones, secre tions and debris already formed, that hinder healing. Fourth, we will use herbs and special food factors to hasten healing, being very careful to use pure products. What could be more exciting than finding the tremor is out of your arm or the pain is out of your shoulder Fortunately for us, pain killers are at hand to get us through it and buy us the time it takes to solve the real problem behind it. As we turn to electrical pain killing the need for addicting drugs should decline. There are other very useful pain killers: acupuncture, massage, listening to music, feedback devices, contemplation, hypnotism, and prayer. But we will focus on getting rid of the cause of pain and healing the organs that are in pain so none of these methods are needed. I am not talking about the pain of a broken bone, twisted ankle, bee sting or sunburn. I am not talking about the pain of a misaligned vertebra or stretch trauma in your leg muscles or arm muscles. All of these may have special names like rheumatoid arthritis, cluster headache, fibromyalgia, bursitis, tennis elbow and so on, but they are all the same phenomenon. Knowing that parasites and pollutants are the real culprits, let us get right down to the job of finding out which they are, where they come from, and how to get rid of them. Our cells try to keep their doorways tight-shut but, of course, they have to open to let food in, or hormones, or other life-signals. There is probably a specific electrical attraction between them and an exact physical fit. Your white blood cells are waiting for them, and will gobble them up in a grand feast. Step Three is to find the pollutants and identify them because this gives us a clue as to their source. An intriguing question will pop into your head as you search your organs for parasites and pollutants. Or do the bacteria come first, jamming open the doorways so the pollutants can enter The only ones that get away are those that are stuck in doorways andchannels with pollutants in them! Fortunately we do not have to know exactly how parasites and pollution make us sick in order to get well. Searching For Bacteria In order to find which organs have the bacteria and which bacteria are present you will need to learn the new technology that makes all of this possible. This technology is a simple electronic circuit that is capable of trapping frequencies in such a way that you can hear them. If your pain returned how would you know if it was the same old bacteria or a new one What You Will Find First we will study and cure pains of all kinds, starting with the toes and working our way up the body. The inside of your eyeball, the testi cle, the interior of gallstones, the middle of a tooth abscess or the bowel contents are such places. Your zapper current, because it is high frequency, prefers to go around these items, rather than through them.

Diseases

References