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The doctors and medical experts mentioned above are only a few of the outstanding rheumatologists to whom we owe a vote of thanks. Hundreds of professional men like them also believe that research on cartilage will help solve the “wear and tear” phase of arthritis. This book maintains that we already have a way to aid the cartilage: through proper diet.
To prevent loss of elasticity in cartilage—and to overcome dryness in the linings of the joints-certain dietary oils must be brought into our system with every meal. (The specific oils we need to do this lubricating job are named and discussed in later chapters of this book.)
We have just been reading a great deal about cartilage and how to keep it from “drying out.” We have used cartilage as the main example because it particularly applies to people with osteo-arthritis— and osteo-arthritis encompasses the largest number of cases in America.
May we emphasise, however, that a similar “drying” process also occurs among victims of rheumatoid arthritis. In their case, all the dietary facts in this book still apply. If you have rheumatoid arthritis, the dryness starts in your joint linings In lead of in the cartilage. Your “oiling” problem therefore somewhat easier to solve. Why?
Because the inner structure of the joint lining does have blood vessels and lymphatic channels. Linings can take oil and nourishment directly, while the cartilage cannot. As long as your diet keeps the right nourishment coming in, the joint lining can send oils to the joint cavity. From there, some iodised oil will travel on even farther and reach your cartilage through osmosis.
So, as you can see, everything we have been discussing applies to rheumatoid arthritis, too.
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Nothing is more likely to precipitate a family crisis than suicidal thinking or behavior, which isn’t uncommon. When this occurs, you may be able to help.
The most important thing you can do is to get psychiatric treatment. Contact the treating psychiatrist or therapist, a local psychiatric hospital, a community mental health center, or a hospital emergency room. You shouldn’t deal with suicidal thinking or behavior on your own. Suicidal thinking and behavior are serious warning signs that the person is suffering greatly; furthermore, they may culminate in actual suicide.
A common response is to deny or minimize suicidal thinking in a loved one. It’s a very difficult situation to face, and you may be tempted to ignore it in the hope that it will simply go away. But it’s a serious mistake to ignore these warning signs or assume they will pass. They may not, and they may worsen if untreated. If a person with BDD appears severely depressed, it’s/advisable for you to ask if they’ve had thoughts that life isn’t worth living, thoughts of harming themselves, or a plan to end their life. Asking such questions won’t put the thought of suicide in their head and may even be life saving.
Usually, suicidal thinking is associated with an underlying psychiatric disorder, such as BDD or depression, which is amenable to psychiatric treatment. Insist that your loved one obtain psychiatric treatment, including medication, which often effectively treats BDD symptoms as well as associated depression, anxiety, and suicidal thoughts.
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Lorazepam
Brand Name
Ativan
Also available in generic form.
Be Aware That:
* Long-term use of lorazepam at unusually high dosages, or even at recommended-dosage levels, can cause physical addiction. Anyone who has a history of drug addiction or alcoholism may be at a greater risk of becoming physically addicted to lorazepam.
* Taking lorazepam with alcohol or other sedatives can cause extreme, even fatal, side effects. Because lorazepam by itself may cause drowsiness, you should be careful when driving, operating machinery, or doing tasks that require concentration.
*You should not suddenly stop taking lorazepam, since this may cause withdrawal symptoms, such as convulsions, vomiting, muscle cramps, and sweating. Withdrawal from this drug should occur only under your doctor’s supervision.
Tell The Doctor If:
*You have any reason to suspect you are allergic to lorazepam.
*You have a history of drug or alcohol addiction.
*You are pregnant (or think you possibly might be). Because lorazepam may affect your unborn baby, your doctor should not prescribe this drug unless the benefits clearly surpass any potential danger to your baby. Lorazepam is not recommended for nursing mothers.
*You are taking any prescription or over-the-counter drugs.
*You have kidney or liver disease.
*You have acute narrow-angle glaucoma.
Watch Out For:
Drowsiness, fatigue, and loss of coordination. Make sure you notify your physician if any of these side effects occurs. In addition, there have been reports of vivid dreams associated with the benzodiazepine class of drugs.
The Drug May Interact With:
*Alcohol, narcotics, other antidepressants, barbiturates, MAO inhibitors and antihistamines, causing potentially dangerous side effects.
The Drug’s Usual Dosage:
Initially, for insomnia in ADULTS: a single dose of 2 to 4 mg, given at bedtime. Initially, for the ELDERLY patient: One-half the usual adult dosage. All dosages to be established by your doctor.
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