Hearing Loss and Cigarette Smoking

Cigarette smokers are much more likely to develop hearing loss than non-smokers, according to research published in the Journal of the American Medical Association.

The findings are from a 5 year study that involved nearly 4,000 people between the ages of 48 and 92 years old, with an average age of 66 years. About half were smokers.

The study found that smokers were about 70% more likely to have significant hearing loss than non-smokers. Ex-smokers were about 30% more likely to have a hearing loss. Non-smokers living with smokers were also at significantly higher risk for hearing loss. Based on these findings, perhaps one of the Surgeon General's warning s printed on cigarette packages should be:

"Warning: cigarette smoking may be harmful to your hearing."

Smoking has long been suspected as a factor contributing to hearing loss because it can restrict blood flow to the inner ear. The researchers also believe that the nicotine in cigarette smoke may damage the cells of the inner ear directly. Other factors that can affect hearing include exposure to noise, hypertension, aging, genetics and physical injury.

And now we are introduced to E-Cig Vapor, another nightmare in the making ...

STAY TUNED!

Bottled Water or Tap?

The bottled water industry has exploded in recent years, and enjoys annual sales of more than $100 billion worldwide. Americans paid $13 billion for bottled water in 2014.

According to Co-op America, "as much as 40 percent of bottled water is actually bottled tap water, sometimes with additional treatment, sometimes not." The number one (Aquafina) and two (Dasani) top-selling brands of bottled water in the U.S. both fall in the category of purified water. Dasani is sold by Coca-Cola, while Aquafina is a Pepsi product. As U.S. News & World Report explains, "Aquafina is municipal water from spots like Wichita, Kansas."

There is a trade off with everything we choose in life and with bottled water there are several. There is an environmental issue to consider and often surprisingly a quality issue. A considerable number of used water bottles end up as litter, where they can take several hundred years or more to biodegrade. 90% of water bottles end up as either garbage or litter, at a rate of more than 200 billion bottles per year. When some plastic bottles are incinerated along with other trash, as is the practice in many municipalities, toxic chlorine is released into the air while heavy metals deposit in the ash. If plastics are buried in landfills, not only do they take up valuable space but potentially toxic additives such as phthalates may leak into the groundwater. This problem could be avoided simply by recycling used bottles regularly.

As mentioned above, some studies indicate that bottled water may be no safer, or healthier than tap water in many countries while selling for up to 1000 times the price.

There have been studies that have shown higher risk of certain diseases when regularly consuming city tap water and this is not likely to change in the near future. One of the best recommendations, and perhaps the best solution, would be the use of a home charcoal and reverse osmosis water filtration which will leave your water pure and tasting great.

This is one of the most important health habits you could possibly maintain. Water is essential and if you don't get enough clean water you will suffer health problems. Your exclusive beverage should be water. Try to have at least eight glasses of water a day.

The simple way to calculate the amount of water most of us need is to drink one half your body weight in ounces of water. The average adult is 150 pounds which would be two and one half quarts of water.

The bottom line is that you are better off not drinking unfiltered tap water. Chlorine used in most municipal purification processes is a toxic chemical and should not be consumed in large quantities. Avoid distilled water as it has the wrong ionization, pH, polarization and oxidation potentials. It will also drain your body of minerals.

When using bottled water, avoid purchasing the one-gallon cloudy plastic (PVC) containers from your grocery store as they transfer far too many chemicals into the water. The five-gallon containers and the ones in the clear bottles (polyethylene) are a much better plastic and will not give the water a plastic taste. If you have a question about the purity of the water call the company selling it and get an "independent lab assessment" of water quality and stick with the companies that can provide this information.

"About a quarter of the bottled water sold in the U.S. actually is just tap water."

Just Another Day

Today is just another day, as it will be tomorrow and the next day from now on until life's door has closed.

What of interest is going on? In Oregon, citizens protesting are being arrested by the government; ISIS continues to be the Islamic demon, the worst of all evil entities; floods in the east and south are and will be raging havoc over the land; horrible criminals have escaped their captivity and are now on the run; politicians are acting like juveniles in a quest for narcissist glory. What a wonderful record to start the day in this so-called modern, enlightened age. We are told that man is God's masterpiece created in His own image. Then, pray tell, why does man do such things?

Why the floods? It can be accounted for. Natural causes produce natural results and subsequent events. Man built his town in a hazardous place and the rain fell in super abundance moving everything in its path which accounted for the disasters. But why the man-produced tragedies? Why do some men regard life so cheaply as to destroy his own kind without cause? No other animal does so; they may kill for food to eat, but not as a game with little purpose or reason.

Somewhere in the Bible a psalmist exclaimed, "What is man that thou art mindful of Him?" What indeed!

We must consider God the creator of the universe including the plants, the Milky Way, the moon and stars, and all forms of life. Man being supreme in nature also does wonders. Even God would be without meaning if it were not for man and his intellect. Yet what a question mark when we consider His shortcoming on so many occasions.

"Remember when charity was a virtue, and not an organization.?"

Trouble To Yourself

Are you too much trouble to yourself? Do you take yourself too seriously, or do you just drift along the easy way with little concern?

There are different ways to consider yourself. You may be motivated by personal pride or just by ordinary habits, doing things that arouse the interest of others, or out of curiosity concerning the way you have of doing things that have a bearing on other people's lives.

Visualize if you will, a ragged hillbilly watching a man at a tourist court making use of a comb and brush, a toothbrush and nail file, and a whisk broom and shoe polish. The hillbilly boy finally, as he scratched his head, asked, "Hey Mister, are you always that much trouble to yourself?"

How much trouble are you to yourself? It is wise to have concern about appearance, all the while knowing there is a time and/or place for all things. Try to look your best on all occasions without too much public display. Be of service to others in a helpful manner without becoming subject to criticism.

Your body is "fearfully and wonderfully made" the Bible tells us; so you do not need to exercise too much trouble about yourself.

Have you thought of how wonderful your body really is? You become hungry and your appetite calls for food. You supply food of various kinds according to your taste. At once, the chemistry of your body begins to prepare the food for immediate use, exercising little thought on your part. In the process of time, common food is converted into flesh and bones, hair, skin, and nails; including blood, lymph glands, organs, and nerves with NO real trouble to yourself. It's nature's way of doing things, simple as that.

Be good to yourself without being too personal and others will love you as much as you love yourself.

Pain In The Forecast

Obviously, the most accurate method of predicting storms is to see how full the waiting room is. But why do some people seem to be able to predict coming rains based on their aches and pains?

It's true that many people with back pain, neck pain or other joint complaints are often surprisingly accurate in predicting when storms are approaching, and believe it or not, there is some validity to their weather forecasting abilities.

The phenomenon is nothing new. As early as the 5th century B.C., Hippocrates suggested many illnesses were related to changes in the weather. Since then, a number of musculoskeletal disorders have been identified as being especially sensitive to changing weather conditions, including osteoarthritis, tension headaches, back pain and fibromyalgia.

A variety of meteorologic factors have been suggested as the culprit, including temperature, precipitation, humidity, thunderstorms and increased ionization of the air. But while reliable conclusions about the link between weather and musculoskeletal pain have yet to be established due to the lack of controlled studies, most research points to the lowered atmospheric barometric pressure that often precedes storms and other weather changes.

In one of the first empirical studies on the effect of weather on joint pain, published in 2010 by the International Journal of Biometeorology, researchers established a direct connection between low barometric pressure, inflammation and joint pain in rats. For the study, scientists artificially produced a state of chronic inflammation in the feet of lab rats, mimicking the clinical features of neuropathic pain in humans. When the rats were placed in a low-pressure environment, they exhibited signs of exacerbated foot joint pain not seen in their control counterparts.

Additional research has demonstrated the same phenomenon occurs in humans. For instance, a 2002 study from the Journal of Spinal Disorders and Techniques concluded that "back pain may be aggravated by atmosphere depression in patients with lumbar disc disease." And a 2007 study from the American Journal of Medicine determined that "changes in barometric pressure are independently associated with osteoarthritis knee pain severity."

Various mechanisms have been proposed to account for this relationship, but the most likely explanation involves the expansion of fluid in swollen joints following fluctuations in barometric pressure. Inflammation due to dysfunction, disease or injury will lead to swelling in and surrounding a joint. Because materials of varying densities are affected differently by pressure changes, drops in barometric pressure expand this extra fluid more than the muscle, ligaments and connective tissue that make up the joint capsule, stretching sensitized tissues and activating a nociceptive (pain) response.

A good illustration for the layperson is a balloon in a barometric chamber. If the pressure outside the balloon drops, the air on the inside expands and stretches the walls of the balloon. When the same happens to a swollen joint, the expansion stretches soft tissue, irritates nerve endings and causes pain.

It's important to note that this contraction and expansion of excess fluid in joints is happening on such a small scale that it cannot be quantified by any scientific means and the process is therefore entirely theoretical. But whatever the mechanism, the takeaway is that some degree of inflammation must already exist, whether we are aware of it or not, for barometric pressure changes to lead to joint pain. Weather changes can't cause pain by themselves; they can only exacerbate inflammation that's already there. After all, not everyone experiences pain when a storm is brewing, and those who do don't experience pain in every joint.

It really drives home what chiropractors have been saying for decades: The absence of pain isn't the same as good health! So while there's validity to the idea of "aches and pains mean coming rains," anticipation of weather changes shouldn't interfere with patients' motivation to decrease underlying inflammation with the things they actually can control. Sunny days ahead are no substitution for proper exercise, good diet and supplementation, and regular chiropractic care.

Types of Auto Medical Payments Coverage

The following are types of Medical Payments (MED-PAY) Coverage that many consumers are NOT aware of. Worth the time to read and subsequently follow-up with your insurance agent. Could save thousands of dollars in the future.

"Non-reimbursable, Non-excess Med-pay" is coverage that many refer to as the last ''true med-pay", and is the type that would have been part of a "full-coverage" package many years ago. There is no repayment obligation by the consumer, and the applicability of coverage is independent of health insurance benefits. It is the most expensive of the medical payments coverage, but the added cost is not, by any means substantial. It is not uncommon for the coverage to cost $ 5-10 per $ 1,000.00 of coverage, over a six-month period. This is the type of coverage that you should have, as a consumer, and what we advise our patients to purchase.

"Reimbursable Med-pay" marks the first in the deviation from the type of Med-pay that was typically provided, and is one level lower on the scale of desired coverage. The reimbursement is described by many names, such as "Third Party Liability", "TPL", "subrogation" or "contractual reimbursement." All of these names have been used interchangeably to detail the concept that the original payor of the bills is due to receive a refund of amounts paid, from settlement or judgement against the responsible party, due to the fact that its policyholder was not at fault for the incident. The way this typically works, is that the med-pay insurer pays the bills as deemed reasonable and necessary, up to the limits of coverage. The insurer then has a claim against the settlement proceeds, or award of judgement, pertaining to the case of the policyholder. Upon settlement or judgement, the policyholder is required to pay the first funds of settlement back to the pay or of the med-pay benefits. This can cause friction between doctor and patient, and may ultimately lead to the possible destruction of the doctor-patient relationship, when it is perceived that the doctor received more money in his pocket than the patient, when the patient "was the one that was injured."

"Excess Med-pay" is the first in a series of coverage that many consumer groups feel represents illusory coverage. "Excess" refers to amounts of medical care that exceed that which the policyholder's health insurance will cover. Because of the status of the law, many carriers are refusing to consider billing above any contractual rate between the facility rendering care, and the health insurer. So, in essence, if you have health insurance and the facility is contracted with the health insurer, there cannot be excess, so therefore you have no med-pay, although you are paying for it. Most excess coverage also carries a reimbursement obligation; therefore, in the event the carrier does pay anything, they receive the amounts they paid as reimbursement. Further complicating this coverage, and giving further support for the allegations that the coverage is illusory, is the fact that without health insurance, many policies are subject to a deductible. Often times, the deductible, or "retention" is 40% of the coverage amount.

"Modified, or Coordinated Med-pay" further represents coverage which may be classified as illusory. The "Modification" or "Coordination" is between the health insurer and med-pay carrier, thus acting as excess med-pay. There is one little difference, separating the two; however, in that it pays only a percentage of the excess amounts, after the policyholder first pays a deductible. The same problems persist as with "excess" coverage, in that if there is health insurance the insurer may refuse to honor any amounts in excess of what was paid by the health insurer.

Caveats to Medical Payments Coverage

Insurance companies have been known to arbitrarily change your coverage from "Non-reimbursable" to "Reimbursable," and from "Non-excess" to "Excess." You should take the time to review any notices sent to you by your insurer, which reflect "changes to your automobile policy" and immediately reject any non-requested changes.

"Always better to have the correct coverage and not need it, than to need it and not have it."

Holiday Stress

For some people, the holidays bring unwelcome guests, stress and depression. And it's no wonder. In an effort to pull off a perfect Hallmark holiday, you might find yourself facing a dizzying array of demands, work, parties, shopping, baking, cleaning, caring for elderly parents or kids on school break, and scores of other chores. So much for peace and joy, right?

Actually, with some practical tips, you can minimize the stress and depression that often accompany the holidays. You may even end up enjoying the holidays more than you thought you would.

The trigger points of holiday stress
Holiday stress and depression are often the result of three main trigger points. Understanding these trigger points can help you plan ahead on how to accommodate them.

Here are the three areas that commonly trigger holiday stress or depression:

Relationships. Relationships can cause turmoil, conflict or stress at any time. But tensions are often heightened during the holidays. Family misunderstandings and conflict can intensify, especially if you're all thrust together for several days. Conflicts are bound to arise with so many needs and interests to accommodate. On the other hand, if you're facing the holidays without a loved one, you may find yourself especially lonely or sad.

Finances. Like your relationships, your financial situation can cause stress at any time of the year. Overspending during the holidays on gifts, travel, food and entertainment can increase stress as you try to make ends meet while ensuring that everyone on your gift list is happy.

Physical demands. The strain of shopping, attending social gatherings and preparing holiday meals can wipe you out. Feeling exhausted increases your stress, creating a vicious cycle. Exercise and sleep, good antidotes for stress and fatigue, may take a back seat to chores and errands. High demands, stress, lack of exercise, and overindulgence in food and drink, these are all ingredients for holiday illness.

12 preemptive strategies for holiday stress
When stress is at its peak, it's hard to stop and regroup. Take steps to help prevent normal holiday depression from progressing into chronic depression. Try these tips:

• Acknowledge your feelings. If a loved one has recently died or you aren't near your loved ones, realize that it's normal to feel sadness or grief. It's OK now and then to take time just to cry or express your feelings. You can't force yourself to be happy just because it's the holiday season.

• Seek support. If you feel isolated or down, seek out family members and friends, or community, religious or social services. They can offer support and companionship. Consider volunteering at a community or religious function.

• Getting involved and helping others can lift your spirits and broaden your social circle. Also, enlist support for organizing holiday gatherings, as well as meal preparation and cleanup. You don't have to go it alone. Don't be a martyr.

• Be realistic. As families change and grow, traditions often change as well. Hold on to those you can and want to. But understand in some cases that may no longer be possible. Perhaps your entire extended family can't gather together at your house. Instead, find new ways to celebrate together from afar, such as sharing pictures, e-mails or videotapes.

• Set differences aside. Try to accept family members and friends as they are, even if they don't live up to all your expectations. Set aside grievances until a more appropriate time for discussion. With stress and activity levels high, the holidays might not be conducive to making quality time for relationships. And be understanding if others get upset or distressed when something goes awry. Chances are, they're feeling the effects of holiday stress, too.

• Stick to a budget. Before you go shopping, decide how much money you can afford to spend on gifts and other items. Then be sure to stick to your budget. If you don't, you could feel anxious and tense for months afterward as you struggle to pay the bills. Don't try to buy happiness with an avalanche of gifts. Donate to a charity in someone's name, give homemade gifts or start a family gift exchange.

• Plan ahead. Set aside specific days for shopping, baking, visiting friends and other activities. Plan your menus and then make one big food-shopping trip. That'll help prevent a last-minute scramble to buy forgotten ingredients — and you'll have time to make another pie, if the first one's a flop. Allow extra time for travel so that delays won't worsen your stress.

• Learn to say no. Believe it or not, people will understand if you can't do certain projects or activities. If you say yes only to what you really want to do, you'll avoid feeling resentful and overwhelmed. If it's really not possible to say no when your boss asks you to work overtime, try to remove something else from your agenda to make up for the lost time.

• Don't abandon healthy habits. Don't let the holidays become a dietary free-for-all. Some indulgence is OK, but overindulgence only adds to your stress and guilt. Have a healthy snack before holiday parties so that you don't go overboard on sweets, cheese or drinks. Continue to get plenty of sleep and schedule time for physical activity.

• Take a breather. Make some time for yourself. Spending just 15 minutes alone, without distractions, may refresh you enough to handle everything you need to do. Steal away to a quiet place, even if it's the bathroom, for a few moments of solitude. Take a walk at night and stargaze. Listen to soothing music. Find something that clears your mind, slows your breathing and restores your calm.

• Rethink resolutions. Resolutions can set you up for failure if they're unrealistic. Don't resolve to change your whole life to make up for past excess. Instead, try to return to basic, healthy lifestyle routines. Set smaller, more specific goals with a reasonable time frame. Choose only those resolutions that help you feel valuable and provide more than only fleeting moments of happiness.

• Forget about perfection. Holiday TV specials are filled with happy endings. But in real life, people don't usually resolve problems within an hour or two. Something always comes up. You may get stuck late at the office and miss your daughter's school play, your sister may dredge up an old argument, you may forget to put nuts in the cake, and your mother may criticize how you and your partner are raising the kids. All in the same day. Expect and accept imperfections.

• Seek professional help if you need it. Despite your best efforts, you may find yourself feeling persistently sad or anxious, plagued by physical complaints, unable to sleep, irritable and hopeless, and unable to face routine chores. If these feelings last for several weeks, talk to your doctor or a mental health professional. You may have depression.

Have it both ways
Remember, one key to minimizing holiday stress and depression is knowing that the holidays can trigger stress and depression. Accept that things aren't always going to go as planned. Then take active steps to manage stress and depression during the holidays. You may actually enjoy the holidays this year more than you thought you could.