Life and Death Struggle, An Ambo's Story

Day after day, paramedics pull mangled bodies from car smashes, crawl under fallen buildings and fend off attacks by drunks. They witness unspeakable trauma, some for decades, but when they collapse emotionally the ambulance service too often fails them.

One paramedic commits suicide each year in the state, on average, yet the ambulance service often refuses to accept battle fatigue is significant, in some cases blaming their personal lives instead.

The following article gives us an insight.

http://www.smh.com.au/nsw/everyday-heroes-pay-the-ultimate-price-when-the-siren-stops-20100430-tzah.html

Help Young Children Recognise Emotional Pain

"I've got a pain!"

Stress or indigestion?

Children may report emotional distress as a physical symptom. When children report a headache or tummy ache this may be a symptom of an underlying psychological problem. Parents can teach children from a young age to recognise emotional pain.

Clues to distinguish emotional pain could be that the onset is associated with another event such as fear or worry about a new or difficult situation .

If you suspect a psychological cause,

reassure the child and validate their experience.

Help the child understand the body signal for stress.

Assist them to relax and

make a plan about how to handle the stress.

teach how to cope do not avoid the situations

Congratulate the child when the pain eases.

Help them express their worry in a drawing, write a story, dance, play with a ball, be creative!. Children have a natural ability to use their imagination. This can assist them to be brave and face difficult situations.

Listen to the child's suggestions, they may come up with a magic thinking remedy! Remember we DO USE imagination with Santa Claus and the Tooth Fairy, why not try imagination for healing a psychological pain. Medical hynosis has a scientific basis which demonstrates how we can use the mind to improve health.

"If the pain persists of course, talk to your doctor."

Breathe in , Breathe out. Relaxxxxxx. Physical pain will be easier to manage when the patient is calm.

Lyn Everingham, Director
Focus Psychology

An Article by Dr Mark Donohoe, MB BS

Multiple Chemical Sensitivities

Multiple Chemical Sensitivities (MCS) is an acquired condition in which the sufferer becomes sensitised or abnormally reactive to volatile chemicals following prolonged, recurrent or high dose exposure to volatile chemicals. The most distinctive symptom is "cacosmia", or a heightened sensitivity and lowered threshold to odours that most of the population find inoffensive or would not notice.

Multiple chemical sensitivities is a condition that primarily affects the nervous system, particularly the brain, and most often has characteristic symptoms, including:
decreased short term memory,
poor concentration,
weakness,
fatigue,
dizziness, and
altered emotional states (emotional lability, often oscillating between anxiety and depression).

Recent published studies demonstrate alterations of SPECT brain scans, central evoked responses (especially visual and auditory), and altered autonomic nervous system function. The mechanisms of such damage remain unclear at present, but direct neurotoxicity is regarded as the most likely cause. There is no current evidence that the condition is reversible, and MCS appears to represent a form of subtle toxic brain damage with the potential for lifelong disability.

The sufferer's history and clinical state should meet the criteria laid down by Cullen et al, that multiple chemical sensitivities is "... an acquired disorder characterised by recurrent symptoms, referable to multiple organ systems, occurring if response to demonstrable exposure to many chemically unrelated compounds at doses far below those established in the general population to cause harmful effects. No single widely accepted test of physiologic function can be shown to correlate with the symptoms." (Cullen M. R. The worker with multiple chemical sensitivities: An overview. Occup Med 1987;2: 655-661).

This and subsequent publications suggest that the critical defining features of multiple chemical sensitivities are that:
it is an acquired disorder;
sufferers have recurring symptoms;
symptoms involve more than one organ system;
reactions and exacerbations are triggered by many chemically diverse substances;
reactions persist after separation of the person from the original causative agent(s);
reactions and exacerbations occur at very low dose of exposure.

Specific tests such as Auditory Evoked Response Potential (AERP) testing and SPECT brain scans have shown significant changes in people suffering Multiple chemical sensitivities, and these changes are consistent with neurotoxic brain damage. Minimising of exposure is the only proven way of reducing the disability experienced, as there is no form of treatment proven to be effective.

The degree of disability suffered by those suffering is very high, and there is currently no clear evidence as to whether the damage to the nervous system is permanent or temporary. My personal impression, based on my clinical experience with over 500 sufferers in the past nine years, is that recovery is rare, and that the condition is associated with permanent neurotoxicity, or brain damage, in adults.

I have insufficient data regarding recovery in children to make an informed judgement. From first principles, however, recovery would be more likely in pre-pubertal children, assuming that they have minimal ongoing exposure, because of the ability of neurons (brain cells) to regenerate and form new links during those years. Whether this does happen is an entirely different, and at present unanswered, question.

Although described and defined by Cullen in 1987, acceptance of Multiple chemical sensitivities as a distinct clinical entity (disease) has been slow in occurring. The fact that the dosage for such damage is so low, and apparently 'neurotic' symptoms are maintained many years after exposure, has led many people to dismiss it as a psychological complaint, or a psychiatric disease. As increasing evidence of neuro-biochemical and neuro-pathological changes accrue, this view is currently changing among serious researchers.

Of the 84 articles and letters in the peer reviewed literature from 1993 to 1996, the majority now support the view of Multiple chemical sensitivities as a distinct clinical entity deserving of further research. Of the original articles (as opposed to letters, opinions and editorials), 51 identify non-psychiatric causes and contributions as being of major importance in the development of Multiple chemical sensitivities, while 14 attribute the disorder to psychiatric or psychological causes. All note the neuropsychological abnormalities in sufferers. Thus is a significant reversal of the weight of medical opinion presented in the peer reviewed medical literature in the five years prior to 1993.

In my opinion, it would now be correct to say that the majority of the medical literature on the subject supports the existence of the disease, the organ specific pathology, and the low level exposure as a significant factor in causation and symptom generation. In Australia, the majority of physicians appear to be relatively unaware of the change in scientific perspective on this condition, while others who have previously publicly stated their incredulity about the existence of the syndrome appear to have understandable difficulties in changing their viewpoint based on the recent available data.

While the disease is now generally well accepted as a clinical entity, however, the mechanisms of damage and therapeutic approaches which may be of benefit to sufferers are far from elucidated. This is true for many diseases, however, including Multiple Sclerosis, most cancers, and sudden infant death, to name only a few.

Dr Mark Donohoe has asked that contact details are provided for himself as well as other useful contacts and resources.
Dr Mark Donohoe Mobile: 0411 193215. Fax: 02 9968 3378 or 02 9968 4778 Email: mark@geko.com.au or mailto:Mark.Donohoe@clubmac.asstdc.com.auInstitute of Functional Medicine.

Establishing a Morning Routine for Children

You may find these printable cards useful in helping your children establish their morning routine.

http://www.livinglocurto.com/2009/08/school-morning-routine-free-printable-cards/

Teens and Family Dinners

Researchers from the National Center of Addiction and Substance Abuse found that teens who have family dinners fewer than three times a week - compared with those who have family dinners five or more times a week - were much more likely to use drugs and alcohol and have less academic success. Teens who say they have family dinners but that there are distractions at the table also have higher rates of substance abuse than teens who have frequent family dinners without interruptions.

September 23 2009 from the National Center of Addiction & Substance Abuse

Study Links Cannabis Use With Psychosis

Young adults who used marijuana as teens were more likely than those who didn't to develop schizophrenia and psychotic symptoms, a seven year Australian study found.

Those who used the drug for six or more years were twice as likely to develop a psychosis such as schizophrenia or to have delusional disorders than those who never used it.

Research involving more than 3,800 young adults, released online by the Archives of General Psychiatry, found long-term users were also four times more likely to have psychotic-like experiences.

The findings build on previous research by author John McGrath Queensland Brain Institute at the University of Queensland. The study was the first to look at sibling pairs to discount genetic or envionmental influence and still find marijuana linked to later psychosis, the authors said.

"This is the most convincing evidence yet that the earlier you use cannabis, the more likely you are to have symptoms of a psychotic illness," said Dr McGrath, a professor a the institute in a statement.

The study also showed that among 228 sibling pairs, those who didn't use marijuana reported fewer psychotic-like delusions compared with those who used cannabis. That difference was statistically significant and reduces the likelihood that the psychotic problems caused by genetics or environment, the authors said.

St John's Wort

The botanical name is 'Hypericum Perforatum', this plant has a yellow flower with a long history originally named for the feast of John the Baptist. The old english word for plant is 'wort'.

This is the most popular herbal supplement for treatment of depression.

It contains a vast array of chemical compounds. of which Hyperforin is the most beneficial. Studies show that the measured amounts of the active ingredients varies considerably depending on the commercial preparation.

Action

Hyerian and hyperforin have been found to inhibit the reuptake of serotonin, dopamine and norepinephrine into the neural path . These pay a beneficial role in treatment of mild to moderately severe depression.

Caution

Before taking St Johns Wort, patients should discuss this with their doctor and/or pharmacist since there may be a problematic interactive effect when taken in conjuction with other substances.

Medscape Review 24/12/09