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Approximately one million Americans per year take high doses of prednisone and related drugs. While these medicines may be necessary to treat serious illnesses, they may also have unpleasant, and even devastating, side effects, including changes in mood, weight, and physical strength, and vulnerability to infection. In 1997, after acclaimed flutist Eugenia Zukerman was prescribed prednisone for a rare lung disease, she teamed up with her sister, Harvard physician Julie Ingelfinger, to write the first book that helps patients deal with the side effects of the prescription. This welcome update to a superb resource—which is still the only book on the subject— covers the latest knowledge about bone health, the use of steroids for children, and new steroid compounds, along with additional strategies and exercises based on their own experiences and responses from other patients and physicians.
Having practiced yoga for more than thirty years, Audrey Pearson had always felt fit, strong, and flexible. Then one day in October of 2004, she awoke to flu-like symptoms, unable to move her limbs. These symptoms never decreased and only inflated. She was diagnosed with Polymyalgia Rheumatica (PMR), a mysterious autoimmune disease; and was treated with the steroid drug Prednisone. Written in diary format, My Four-Year PMR & Prednisone Challenge describes Pearson's daily struggle not only with the disease but with managing steroid treatment and her painful journey of withdrawing from Prednisone use. She attributes her successful recovery to her long-term practice of yoga, a gentle way to optimize the flow of life energy to help a person feel their personal best at any given time. The yoga practices helped her understand the counterintuitive healing purpose of the presence of the autoimmune disease in her life. Though the four-year experience was difficult, Pearson realized that PMR was an important and strict teacher who arrived at her door to teach her tolerance and acceptance. In My Four-Year PMR & Prednisone Challenge, Pearson relates how PMR and Prednisone withdrawal was tolerated, embraced, and experienced as an opportunity for personal and spiritual transformation.
Provides a guide to making treatment with this steroid as effective and trouble-free as possible.
Polymyalgia Rheumatica (PMR) and Giant Cell Arteritis (GCA) are linked rheumatic inflammatory illnesses that affect older people - generally, people over 50. They are chronic autoimmune conditions that cause untold misery, pain and debilitation. More acutely, undiagnosed GCA can lead to blindness, which is irreversible. In the United Kingdom each year, there are an estimated 40,000 new cases of PMR and 10,000 new cases of GCA, with a significant degree of overlap, many people having both conditions together. Many people, when they first get their diagnosis, have never heard of PMR or GCA before, and have to get used to the idea of having a chronic inflammatory illness, together with the steroid therapy that is the only standard effective treatment widely available. Several months into their diagnosis they often have many questions about why their journey through PMR and GCA isn't as smooth as they were led to expect. This book is written to give people who have Polymyalgia Rheumatica, or Giant Cell Arteritis (sometimes known as temporal arteritis), and their friends and carers, information about these illnesses, drawing on recent research. It also aims to give insights into what it is like to have these conditions, and how sufferers and those close to them can help themselves in the self-management of their condition towards recovery. It is not intended to replace information provided by your doctor or clinician. This second edition incorporates recommendations by international working groups on the diagnosis and management of PMR and GCA, and findings from research published since 2014. A full references list and index have been added. The author, Dr Kate Gilbert, PhD, is a semi-retired lecturer in management development, now concentrating on writing and voluntary work. She has spent several years, as a PMR survivor, studying these conditions and working as a volunteer with the PMR and GCA charity, PMRGCAuk. A former Chair of Trustees, she helps to edit the charity's website www.pmrgcauk.com and its regular newsletter. She has also served as a patient representative on a number of working groups, including the ACR/EULAR group to develop international recommendations for PMR, and has recently contributed a chapter on patient education to a medical textbook on PMR and GCA published by Oxford University Press.
The Third Edition of this popular book brings up to date the material that so many readers found helpful in the previous editions. The text has been revised and reorganized with current chapters focusing on the history of cortisol use, sources of confusion regarding cortisol therapy, the significance of normal adrenocortical function, generally accepted uses of physiological dosage, viral infections, miscellaneous clinical conditions, and future directions for research and therapy. The author provides explanation and confirmation of the rationale for the effectiveness and safety of the uses of physiological dosages of cortisol in the treatment, not only of patients with rheumatoid arthritis and other autoimmune disorders, but also of patients with chronic allergies, chronic fatigue syndrome, gonadal dysfunction, infertility, shingles, acne, hirsutism, respiratory infections, and other less common disorders. It is a known fact that the influenza virus attacks the human body by impairing the production of the adrenocorticotropic hormone (ACTH), which, in turn, impairs the production of cortisol; the only hormone that is absolutely essential for life. In addition, within the past two years, a new infection has developed in central China and has been labeled Severe Acute Respiratory Syndrome (SARS). The ACTH hormone and the SARS epidemic is addressed, and it is hoped that this type of cortisol therapy will not only be helpful in the treatment of the various disorders mentioned but will lead to a better understanding of the factors that contribute to the development of these disorders and ultimately contribute towards their prevention.
Dr. Ellen Cutler is one of the pioneering holistic doctors who have spent years of research to find the best ways to boost our immune system and get it back in its power. By following her advice, you can not only get younger biologically and become more vital, but you are also making your body more cancer-proof. There is no one I trust more than Dr. Ellen Cutler. To have her in your corner is already winning half the battle. Please study this book and apply all the advice as soon as possible. Your life and health could depend on it. Roy Martina, MD, bestselling author of Emotional Balance Four years ago, my fibromyalgia symptoms forced me to retire from medical practice. Thanks to Ellen Cutlers treatments, the guaifenesin protocol, and acupuncture, my health is so much better. I have been able to return to practice medicine as a fibromyalgia consultant, and I feel blessed to be able to continue my recovery with the help of Dr. Cutlers digestive enzymes and clearing treatments. Melissa Congdon, MD, fibromyalgia consultant If you are one of the millions of people who suffer from chronic fatigue syndrome, fibromyalgia, Crohns Disease, colitis, Hashimotos thyroiditis, candidiasis, sinusitis, hay fever, environmental illnesses, and other autoimmune disorders and sensitivities, youve probably tried a myriad of treatments just trying to gain control of your life. Clearing the Way to Health and Wellness presents the Ellen Cutler Method (ECM), an innovative technique that offers hope for those for whom other treatments have failed. It provides an empowering new explanation of allergies and sensitivities as the cause of chronic illness, as well as a groundbreaking approach to overcoming them. Allergies and sensitivities can be reduced or eliminated, not miraculously and instantaneously, but inevitably and permanently. With contributions from Dr. Richard Tunkel, Dr. Ellen Cutler outlines the relationships among allergies, sensitivities, and chronic health and autoimmune disorders, guiding both patients and health-care practitioners in identifying and eliminating sensitivities that trigger symptoms. Case studies and personal stories illustrate how this powerful new approach has ended the suffering for thousands of all ages without the use of drugs.
Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.
Chronic Obstructive Pulmonary Disease Exacerbations covers the definition, diagnosis, epidemiology, mechanisms, and treatment associated with COPD exacerbations. This text also addresses imaging and how it plays a pivotal role in the diagnosis and study of exacerbations.Written by today's top experts, Chronic Obstructive Pulmonary Disease Exacerbat
In the present monograph, we offer current insights into polymyalgia rheumatica and giant cell arthritis. Both diseases are typical for advanced age, and their incidences increase with aging. Both diseases are a center point of interest not only for rheu- tologists, gerontologists, ophthalmologists or neurologists, but also for general prac- tioners. Early diagnosis and rapid treatment, mainly with glucocorticoids can save one of the most precious senses-vision. Damage to other organs (heart, aorta, co- nary arteries, liver, lungs, kidneys), which are supplied by the arteries affected by ischemic syndrome in the setting of giant cell arthritis, has serious consequences as well. Late diagnosis of giant cell arthritis can have fatal consequences for affected patients. It is a matter of fact that the human population is aging. Therefore, more attention has to be paid not only to diagnosis, clinical course and treatment of rheumatic d- eases in elderly, but also to their genetic, immunologic, endocrinologic, chronobiologic mechanisms, and state-of-the-art diagnostic modalities. I am convinced that the int- disciplinary research of the diseases will allow us to diagnose and treat the rheumatic diseases even faster and more effectively in the future.
Handbook of Drug-Nutrient Interactions, Second Edition is an essential new work that provides a scientific look behind many drug-nutrient interactions, examines their relevance, offers recommendations, and suggests research questions to be explored. In the five years since publication of the first edition of the Handbook of Drug-Nutrient Interactions new perspectives have emerged and new data have been generated on the subject matter. Providing both the scientific basis and clinical relevance with appropriate recommendations for many interactions, the topic of drug-nutrient interactions is significant for clinicians and researchers alike. For clinicians in particular, the book offers a guide for understanding, identifying or predicting, and ultimately preventing or managing drug-nutrient interactions to optimize patient care. Divided into six sections all chapters have been revised or are new to this edition. Chapters balance the most technical information with practical discussions and include outlines that reflect the content; discussion questions that can guide the reader to the critical areas covered in each chapter, complete definitions of terms with the abbreviation fully defined and consistent use of terms between chapters. The editors have performed an outstanding service to clinical pharmacology and pharmaco-nutrition by bringing together a multi-disciplinary group of authors. Handbook of Drug-Nutrient Interactions, Second Edition is a comprehensive up-to-date text for the total management of patients on drug and/or nutrition therapy but also an insight into the recent developments in drug-nutrition interactions which will act as a reliable reference for clinicians and students for many years to come.