e By James L. Borders, MD
Chronic Obstructive Pulmonary Medications are unable to modify the long-
leading cause of death in the US. Because
smoking, the incidence of this disease is
inhalers that dilate the airways or inhaled
increasing. The rate of rise of this disease
of increasing smoking rates among women airway muscle spasm.
Pulmonary rehabilitation programs include
education and training to improve exercise
tolerance and reduce anxiety, shortness of
therapy programs offer this form of therapy.
patients who have reduced oxygen levels.
Disease Collaborative Effort of the World
whom it is required will prolong survival.
health professionals and the general public.
sensation of shortness of breath is not due
but, rather, increased carbon dioxide levels.
that is not fully reversible (as opposed to
asthma). It usually progressively worsens
Hypertension (continued from page 3)
inflammatory response to noxious particles
From recent clinical trials such as the Life
is published by
Trial with Cozaar, it has been established
Omega Medical Research
that angiotensin receptor blockers such as
angiotensin system. Other agents are being
monitoring COPD is office spirometry.
utilized that change sterol metabolism and
lth This is a simple breathing test which
thickness of heart muscle which is seen in
have a potential benefit in reducing blood
hypertensive patients. With the utilization
pressure and reducing obesity at the same
time. These drugs are currently in active
The primary risk factor is cigarette smoking
and stay in close touch with their personal
a although occupational dusts and chemicals physician at the first sign of any formof
development of strokes. Other studies with
reducing blood pressure to target goals so
decision to quit. It is helpful to set a quit
receptor blocker class have shown a major
e important and cost-effective measure at
thereby reduce the incidence of congestive
his family and friends the quit date, and to
function especially in hypertensive diabetic
patients who are spilling protein in their
infarction in the future. In addition, by
about smoking cessation, improving coping
targeting therapy as we are currently doing,
skills in those who have the disease, and
have been shown to reduce the proteinuria
in diabetic hypertensive patients and also
hypertrophied heart or thick heart muscle
in hypertensive patients and also protect
the kidneys, especially in diabetic patients.
released in this country for approximately
means of not only lowering blood pressure
Omega Medical Research is seeking patients for
the following studies. Compensation is available.
By Lynne A. Haughey, FNP, Omega Medical Research, Warwick, RI
We always need volunteers so we can conduct studies to learn more about important new
pain, redness, heat, swelling, stiffness,
investigational or marketed drugs for diseases. When you volunteer to participate in one of
our drug trials, you contribute to the development of medical therapies that can ultimately help
thousands of people. Please let us know if you would like to have your name added to our mailing
their life. People with insomnia report that
going through menopause will, at one time or
list. If you have a known chronic condition, it is very likely that you will be asked to participate in
they can’t fall asleep or can’t stay asleep. This
a study. Please contact our office if you wish to be removed from our mailing list.
leads to unsatisfactory sleep, followed by
We are currently enrolling individuals for these research studies:
Study Compensation up to:
OA, or degenerative joint disease, is the
more than 20 million adults in the US.
Some call OA “wear and tear” arthritis. It
Postherpetic Neuralgia (pain after shingles)
great pain and restriction of movement.
previously injured by trauma, infection or
people at any stage of life, it is reported more
hereditary. The quality of life of people
often in women and the elderly. In seniors, up
for an underlying condition can be considered.
to 25% are affected. Thus, poor quality sleep
So remember, it is important to talk to your
For more information, call 401-739-3573. Ask for Patty Feole, RN.
health care professional about your sleep
patterns and to have any health problems or
the joint lining. It most frequently affects
considered a normal part of aging. Continual
spoon cucumbers over sliced tomatoes.
loss of sleep can lead to depression or affect
other health conditions. Hot flashes are the
Melvin J. Tonkon, MD, FACC, FACP, Apex Research Institute
Some tips to help you fall asleep:
Over the years, hypertension has been treated
1. Visualize something peaceful:
Hypertension remains the silent killer in the by numerous and various classes of medications.
Just lie in bed with your eyes closed and imagine you are in your favorite, most peaceful place.
Americans have hypertension. The majority
Thirty years ago, blood pressure medications
It may be a sunny beach, or swinging in a hammock. Whatever it is, imagine you are there. See
of patients with hypertension are now at least
invariably consisted of high dose diuretics or
the surroundings; hear the sounds. Just relax and enjoy, and, drift off to sleep!
diagnosed which is a major improvement in the
water pills as well as combinations with other
last thirty years. However, only 25% of the
agents. Quality of life was not the issue and
2. Quiet Ears:
hypertensive population is controlled to the
many patients dropped off of anti-hypertensive
This is an ancient Eastern meditation used as a great way to fall asleep. Lie on your back with
goal levels now set at less than 140/90 for most
medication because of intolerable side effects.
tating, and life-changing joint damage.
your hands cupped behind your head, fingers interlocked, and palms cupping the back of
patients but less than 130/80 for diabetic
your head-get relaxed. Place your thumbs on your ears so you are pressing the outer flap of
With the arrival of Ace inhibitors in the mid-
your ear and blocking the entrance to the ear canal. Lie quietly and listen for a high-pitched
standard and most clinical research trials
and oil, stirring just until dry ingredients
sound that you will gradually hear inside your head. Lie there for 10-15 minutes and
angiotensive receptor blocks first released in
concentrate on that sound, then put your arms to your side and go to sleep!
the mid-1990’s, we now have effective anti-
lightly floured surface, and knead lightly
hypertensive drugs are looking for these goals.
hypertensive medications that do not adversely
that lasts for 30 minutes or less, and the
Hypertension is known as the silent killer
stiffness decreases with activity. Patients
dough into a 1⁄2-inch-thick round. Bake at
This will assist you to relax your body. Lie on your back and wiggle your toes up and down 12
because many do not recognize its ramifications
In fact, when we evaluate new investigational
times. Wiggle the toes of both feet at the same time. This will relax your body inside and out by
lightly browned. Cool on a wire rack.
for many, many years. The number one cause
that can last for an hour or longer.
anti-hypertensive agents today, it is not only
Cut shortcake in half horizontally; place
creating a relaxing free energy flow.
for hospital admissions for those over 65 years
getting patients to the goal blood pressures of
of age is congestive heart failure and the
less than 140/90 or less than 130/80 in diabetic
leading cause for congestive heart failure is
patients but also to have medications that have
poorly or inadequately treated high blood
including juice, over top of shortcake.
ENDOSCOPY ENDOSCOPY AUCKLAND AUCKLAND Ph: 09 623 2020 Fax: 09 623 1010 ENDOSCOPISTS PREPARATION FOR GASTROSCOPY MORNING APPOINTMENT: If your appointment is in the morning, it is very important that you do not eat anything from midnight (the night before your examination), but you may have clear fluids up to two hours before. Your stomach needs to be com
1. When you have headaches, how often is the pain severe? 2. How often do headaches limit your ability to do usual daily activities including household work, 3. When you have a headache, how often do you wish you could lie down? 4. In the past 4 weeks, how often have you felt too tired to do work or daily activities because of 5. In the past 4 weeks, how often have you felt fed up or irrit