Auto news on Youtube Jul 26 2018

Obesity is a disease that many patients cannot fight on their own.

They get to the stage where they need professionals

to help them regain a healthy weight.

You cannot compare it with someone who is simply overweight.

Around 13% of Dutch adults are obese,

and 1.5 to 2% are morbidly obese.

This accounts for around 250,000 people in the Netherlands,

making obesity a huge social problem.

You just can't be bothered anymore.

You go to bed early, you don't go to the cinema because you know you're too big for the seats.

I didn't see it as a handicap because I thought I still could do anything I wanted.

Looking back, it was definitely an obstacle.

There was no way I could run around with my children or teach them to ride a bike.

I had to leave that to other people.

One day, I sat down and realized that I couldn't even tie my shoelaces.

That's when I thought: it's got to stop.

The Dutch Obesity Clinic is unique in offering the best surgery

in combination with an extensive lifestyle change programme.

We treat around 7,000 new patients in our clinics every year,

and we see patients we treated in previous years for regular check-ups.

Patients are referred to us by their GP or a medical specialist.

They come to the clinic,

where we give them detailed information about the procedures involved in our treatment.

After meticulous screening, they start a course of treatment,

under the supervision of a fixed, multidisciplinary team.

We've noticed how important it is to assign a patient

just one psychologist, one physiotherapist and one dietician

so they don't have to tell their story over and over again.

Safety is hugely important to patients.

It's only natural to worry about what might go wrong,

so it's our job to minimize this risk by providing patients with the most

experienced surgeons and the very best teams.

At present, an operation is the most effective way

to treat serious cases of obesity.

All surgical treatments mean that you can eat less in one go,

and that you feel less hungry.

Your intestines interact with your brain, telling you whether you've had enough to eat or want more.

The procedures we perform have a knock-on effect on the mind,

which is why an operation makes it so much easier to lose weight,

and keep your weight down.

The group sessions are so effective because patients can offer each other support and reassurance

during the run-up to an operation, but also afterwards.

If you're too nervous to ask a question, someone else will probably ask it instead.

As an organization, we are an example to many others.

Thanks to the measures we are taking,

the number of morbidly obese patients seems to be stabilizing.

We're delighted to see vast improvements in nearly all our patients,

and glad that they are having fun and doing all the things they used to enjoy.

The Dutch Obesity Clinic has given me a whole new life.

My grandchildren say 'Grandad's half the size he used to be!'

It's much nicer to see a Mum at the school gates who isn't overweight.

I'm more confident now,

and I can do more.

Life seems worth living now.

I couldn't fit into a cinema seat before, but now you could get two of me in!

I can do things now that I would never have dreamt possible.

I'm alive. More than ever before.

For more infomation >> Quro Obesity Center - The European market leader in morbid obesity treatment - Duration: 3:55.

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Verruca 10 natural treatment - Duration: 5:06.

For more infomation >> Verruca 10 natural treatment - Duration: 5:06.

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New initiative, 'Homeless Vision 2018' to provide better housing, treatment - Duration: 0:42.

For more infomation >> New initiative, 'Homeless Vision 2018' to provide better housing, treatment - Duration: 0:42.

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FDA Approves Treatment For Period Pain Faced By 200 Million Women - Duration: 0:24.

For more infomation >> FDA Approves Treatment For Period Pain Faced By 200 Million Women - Duration: 0:24.

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Rheumatoid Arthritis - Treatment | Johns Hopkins - Duration: 8:06.

(slow music)

- When a patient is first diagnosed

with rheumatoid arthritis, one of their main questions is

how are we going to treat this?

How am I going to be feeling better?

And there are several ways to treat rheumatoid arthritis.

We try to use medications that we call

disease-modifying drugs and what we mean by that

is that they change the course of the disease.

They prevent erosions in the joints and permanent damage.

And these are key medications to get started early

in rheumatoid arthritis, so our patients

don't have that permanent damage in their joints.

Within this category of medications,

these disease-modifying medications,

there are two main subcategories.

So there are conventional oral disease-modifying medications

and there are biologic disease-modifying medications.

(slow music)

Often, people will start first with the conventional

oral medications to treat their rheumatoid arthritis

and so some examples of these medications are

Sulfasalazine, Methotrexate and Leflunomide.

And these medications work by modulating

the immune system so that it's not as active

damaging the joints as it normally is

in rheumatoid arthritis.

And these medications have been used for decades

in rheumatoid arthritis.

They are generally well tolerated.

There are some side effects for the particular medications

that need to be considered.

We need to always watch out for side effects

when we're starting any new medication.

When you're on these types of medications,

the main thing to know is that your blood work

will need to be monitored regularly

and this is to make sure that the liver functions

are normal and that the blood counts all stay normal

with these types of medications.

There's not a big increased risk of infection

with these types of medications.

Some do not increase the risk of infection at all,

so that's a plus for this category of medications.

So the fact that these medications are oral

or available by pills you take by mouth,

that's attractive to a lot of patients

as opposed to injections or infusions

like some of the biologic medication.

So we'll often start patients with

a conventional disease-modifying drug

before going to a biologic drug.

And these medications, besides having been around longer,

end up being less expensive and often

there's less trouble with insurance

of getting these medications approved and paid for.

(slow music)

The other main class of medications

to improve outcomes in rheumatoid arthritis

are biologic disease-modifying drugs.

This class is ever expanding, new drugs are coming out

in the market, but the main categories are

TNF inhibitors, drugs that block an inflammatory protein

called TNF.

Abatacept, which is a drug that helps prevent T cells

from becoming too activated.

Tocilizumab, which is a drug that blocks

a proinflammatory protein that causes inflammation, IL-6.

Rituximab, which works on the B cells.

(slow music)

The biologic drugs, the first ones approved

were TNF inhibitors and that's about 20 years ago.

So we've been using some of these as long as

two decades for the treatment of rheumatoid arthritis.

The TNF inhibitors are only available in injection

or infusion form.

These medications work by turning down

the immune responses that are too active in RA.

So turning the dial down on your immune system.

So as a result, one of the main things

that we think about is the risk of infection.

Our immune system normally is supposed to protect us

from outside invaders, bacteria, viruses.

And so when we start turning down the immune system

we do somewhat increase the risk of infection.

So before you would start a TNF inhibitor,

your rheumatologist will check you for hepatitis,

viral hepatitis and also for tuberculosis

to make sure that you don't have a chronic infection

that could then come to the surface

as a result of being started on these drugs.

And while you're on these drugs,

if any signs of infection develop like fevers

or productive cough, coughing up stuff to suggest pneumonia,

urinary tract symptoms, skin infections,

anything of that sort, these drugs will potentially

be held while you're treated for those infections

so that you can heal and get back on track.

That's true in general for the biologics

using the TNF inhibitors as an example.

(slow music)

These drug classes can often be combined,

conventional oral disease-modifying drugs

with biologic drugs.

The oral drugs can be combined together themselves as well.

Sometimes biologic drugs are used on their own.

There are many different treatment options.

So when I have a patient who's diagnosed

with rheumatoid arthritis and they hear

it's a chronic disease that we don't yet cure,

they're often understandably upset by this diagnosis.

But I like to reassure people that in 2017

we have so many great treatment options

for rheumatoid arthritis and we can really manage

the disease well and help people achieve their goals

and stay functional.

(slow music)

An infusion is a medication that's given directly

into the vein.

So to have an infusion, patient's will go

to an infusion center or a clinic.

They'll have an IV started, so an IV catheter

put into their vein, usually into their arm

and then the medication will be given directly

into the IV.

The good thing about infusion type medications

is that compared to some medications,

which have to be injected by the patient

or a family member at home,

they are going to a healthcare setting

and they don't have to do anything.

They can just sit back and let the nurses there

take care of them and give them the infusion.

The downside of that is that they must then go

and make an appointment and take time out of their day

to have the infusions done versus injection medications,

which can be done at home by the patient

or by family or friends.

(slow music)

Infusions are often given with premedications

to prevent any bad reactions.

So patients will often receive Tylenol and Benadryl

and sometimes even steroids before they get their infusion

to make sure that everything goes smoothly.

Infusions often are given more frequently up front

and then spaced out.

They are dosed by body weight,

which is nice compared to other types of medications,

which are more one-size fits all dosing.

So infusions are good options

for treating rheumatoid arthritis and other forms

of autoimmune disease that we see in rheumatology

and to find out if that's right for you,

talk to your rheumatologist.

(slow music)

For more infomation >> Rheumatoid Arthritis - Treatment | Johns Hopkins - Duration: 8:06.

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Dr. Bob discusses Alzheimer's treatment and heart health - Duration: 3:37.

For more infomation >> Dr. Bob discusses Alzheimer's treatment and heart health - Duration: 3:37.

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Fundraiser Helps PA Treatment and Healing - Duration: 2:17.

For more infomation >> Fundraiser Helps PA Treatment and Healing - Duration: 2:17.

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When Children Give You the Silent Treatment - Duration: 3:16.

Hello! This is Dr. Paula Fellingham with Solutions for Families. Let's talk about

children giving us the silent treatment. Here's the challenge.

Seven-year-old Matthew is having a wonderful time outside with his friend,

Joey. They were riding up and down the street on their bikes, seeing how fast

they could go. As mom watched out the window, she could see that the two boys

were going so fast they were just barely able to stop their bikes at the edge of

the sidewalk. Well, it was a very busy corner bordering a street that was

filled with fast-moving cars, so Mom called out to the boys to slow down, and

they did for a while. After mom warned Matthew two more times to slow down, he

still wasn't obeying, so she called him into the house. Well Matthew went up to his

room and sulked. He would not answer her questions. He refused to speak. So moms,

how do you handle children who sulk and give you the silent treatment when they're

disciplined? Mom, you shouldn't force Matthew to talk. Not talking is his

childish way of getting even, and if you retaliate with the silent treatment

yourself, not talking to him, you're being just as childish. Matthew's upset, and he

doesn't know how to handle his feelings very well. He's a little boy. Well, I would

give Matthew some time, and then I'd go to his room and say, "Honey, I know that

you were having a lot of fun out there with Joey. I like to see you having fun,

but I love you very very much, and what you were doing was dangerous.

When you ride really fast, you can't stop as easily at the corner. Cars drive fast

on that street, sweetie. It's part of my job as your mom to keep you safe from harm. I

want to be a really good mom for you and help you grow up to be the wonderful man

I know you'll be someday. You know, you've got a really good start of being a

wonderful man, because you're such an awesome boy. Now do you know how sad,

honey, your family would be if anything ever happened to our favorite

seven-year-old? And all the world? Now Matthew, what you need to understand is

that when Mom told you to slow down. you obeyed for just a little while. We're

always obedient in our family. When mom tells you to slow down, you should have

kept going slowly. That would have been obeying the right

way. Next time, I'm sure you'll obey the right way, because you're such an

obedient boy." Then, put your arms around your son. Hold him for a minute. You

shouldn't have any trouble with Matthew talking after those nice deposits of

love. If he's really stubborn and he still refuses to talk,

I'd say, "Matthew, if you choose to be silent and sulk, then you need to stay in

your room. Just as soon as you're ready to be happy and talk again, you can come

out and join the family. I love you!"

For more infomation >> When Children Give You the Silent Treatment - Duration: 3:16.

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Alternative depression treatment seeing success - Duration: 1:21.

For more infomation >> Alternative depression treatment seeing success - Duration: 1:21.

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Treatment for an Enlarged Liver - Duration: 3:25.

What Are the Treatments for an Enlarged Liver?

The liver is the largest organ in the abdominal cavity.

Located predominantly in the upper right quadrant, of the abdomen, the liver performs over 400

different processes that sustain a healthy body.

When exposed to the disease, the liver can enlarge, a condition referred to as hepatomegaly.

Treatment for this condition varies and depends upon the underlying cause, according to the

University of Southern California Department of Surgery.

Liver Function

The liver performs a variety of functions, but most importantly it removes toxic wastes

from the blood and excretes them in the stool.

It stores a form of glucose used to produce energy, and stores vitamins A, D, K and B12,

as well as the minerals iron and copper.

The liver produces bile, a substance used to break down fats ingested from food.

The liver produces the components to clot blood, a process imperative to stop bleeding.

It produces bilirubin, a substance synthesized from the breakdown of hemoglobin, a component

of red blood cells.

Lastly, the liver processes ingested carbohydrates, proteins and fats into smaller components

used cellular function, according to Brown University.

Causes

The liver works in conjunction with other organs, so disorders that affect other organs

of the body also affect the liver.

Diseases associated with an enlarged liver include hepatitis, fructose intolerance, mononucleosis,

congestive heart failure, alcoholism, glycogen storage disease, liver cancer, leukemia, Niemann-Pick

disease, biliary cirrhosis, neuroblastoma, Reye syndrome, steatosis, sarcoidosis and

sclerosing cholangitis, according to the University of Maryland Medical Center.

Signs and Symptoms

An enlarged, dysfunctional liver will present with yellowing of the skin, nausea, vomiting,

pale-colored stool and fever.

A normal liver is slightly palpable along the bottom of the rib cage in the upper right

portion of the abdomen.

An enlarged liver, however, is felt to a greater extent, according to the University of Maryland

Medical Center.

Diagnosis

An enlarged liver is diagnosed by an abdominal x-ray, ultrasound or CT scan, in addition

to a blood test to measure liver function, according to the University of Maryland Medical

Center.

Treatment

Treatment will vary according to the underlying cause of hepatomegaly.

For example, if cirrhosis is present, lifestyle and diet changes are recommended.

Avoid drinking alcohol or eating salt; consult a physician before taking any type of medication

or supplement since the diseased liver may not be able to process such substances.

Leukemia is treated with chemotherapy.

Inflammatory diseases such as sarcoidosis are treated with corticosteroids to reduce

inflammation.

Overall, the goal of hepatomegaly treatment is to address the underlying pathology to

reduce the inflammation of the liver, therefore restoring normal liver size, according to

the University of Maryland Medical Center.

Visit the website.

Click Below

For more infomation >> Treatment for an Enlarged Liver - Duration: 3:25.

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El Paso, TX Cerebral Palsy Chiropractic Treatment And Crossfit Rehab - Duration: 4:27.

Hey, it's me Bobby again

So, yeah, I've been seeing Dr. Jimenez and I've been going to PUSH.

Every other day.

But this week I'm gonna go everyday to both

Dr. Jimenez and PUSH Fitness.

I've been seeing a whole lot more mobility on my upper body and

I'm feeling a lot more lose on my inner legs.

And especially visual, I'm starting to see less of a tilt on my hips.

I've been having trouble on my upper back, so I still felt stiff

But little by little I'm starting to see a lot more improvement

and

less pain than usual.

At PUSH

my trainer Daniel, Danny, he hates that name.

Yeah, I know. And yeah the people at PUSH, they make you feel like, at home.

You can say, hi my name is blah blah blah.

Yeah, everyone's doing their own business.

They, well, in the naming of the place, they "push" you, so

Well, he adjusts me on my upper, on my shoulders, of course, he sees how

tigh I am, how in. So he makes me do mostly upper

shoulder

exercises and yeah.

Actually, I

was interested I

asked Dr. Jimenez if I could go visit and I was talking to Daniel, and he seemed very

with everything, in parts. And he was like, yeah, come in today and we'll work with you.

I wanted to push myself.

Every, well, the night before I made myself a homemade

protein drink and I keep it for the next day. So

every morning I wake up, I drink my protein drink that I make, so it

could push

me while I leave and right after I come here and Dr. Jimenez goes with me.

So I go to PUSH even with my back and I go work out. Yeah on my hips

I've noticed less of a tilt, like before my

my hip well my butt would stick out and now it's more

how it's supposed to be.

but of course, of course my upper shoulders

are still, they want to go in so. Mostly this pain like, I sleep better now.

Walking. Yeah I believe so but less knee pain and

yes, better walking like I used to like trip a lot but now hardly that ever happens.

Well, I actually found a new

someone to look up to

and he needs enough therapies and

he has a problem where his arm is smaller and he is my new motivation

to look up to

He's a bodybuilder and he has like something wrong with his arm but he's so

For more infomation >> El Paso, TX Cerebral Palsy Chiropractic Treatment And Crossfit Rehab - Duration: 4:27.

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Danny Green makes plea to Spurs fans about treatment of Kawhi Leonard - Duration: 5:09.

Football News24/7  Details of Kawhi Leonard's bizarre saga with the San Antonio Spurs last season will probably never emerge which means we'll always wonder how that relationship deteriorated and ultimately became untenable

 The small forward got his trade wish last week when he was shipped to the Toronto Raptors in a deal that saw All-Star DeMar DeRozan head in the opposite direction

 It ended a seven-year stay in San Antonio for the 27-year-old where he enjoyed huge success

 Leonard played a major role in helping the franchise secure its fifth championship in 2014 and was named as the Finals MVP

 But that's likely to be forgotten by most Spurs fans as they'll surely give their former star a hostile reception when he makes his first return to the AT&T Center

Living in the present  The team also sent out a curious press release when they announced his trade to Toronto, choosing not to mention his accomplishments during his tenure

 Danny Green, who was also sent to the Raptors with Leonard as part of the deal, believes fans in Texas should be grateful for what he did for the team and shouldn't hate him

 "I don't think it was due to ill relationships or bad terms with people – regardless of the situation, it happened…" he said on his 'Inside The Green Room' podcast

 "They may not be happy with him. That's their opinion but there's a lot of details that fans don't know about, behind the scenes with players, and I don't even know

 ".the guy brought a championship to the city, brought some great years, won a lot of games

 "I don't know how you can hate him. Obviously, you're disappointed that he wants to be somewhere else but you still have to love the guy for what he's done for that city

"  Green knows Kawhi very well having spent the last five seasons as his teammate but he says he hasn't had the chance to sit down and speak to him

 The veteran shooting guard admitted that he wants to know what's going on with Leonard and is keen to ask him several questions face-to-face

 "I haven't had the chance to sit down [with Kawhi]. I feel like we have to have that sit-down," he said

 "I have to talk to him. I need to know what's going on. 'Since I'm with you now, I need to know what's going on

What happened? What's going on? Where's your head at? Because we're in this together now

'"  It'll be interesting to see if Green can get the answers he wants before they embark on a new journey together in Toronto

 CLICK HERE to listen to Episode Two of the new GiveMeSport NBA podcast, featuring New York Times senior writer Marc Stein

Subscribe for all future episodes.