Dizzy Dean, the great baseball pitcher of the 1930s-1940s, once quipped, “The doctors x-rayed my head and found nothing.”

That is as good an analogy as any in describing what often happens to patients with the symptom of dizziness. They see a doctor, get an MRI scan (the x-ray of the 21st century) and nothing is found.

To extend the baseball theme, patients sometimes complete a triple-play-going from family doctor to ear specialist to neurologist. And when all is said and done, none of the doctors is willing to own the symptom. Each says it’s the other doctors’ problem!

So where does that leave the patient? Probably out of a lot of bucks and getting more frustrated by the minute!

But, upon close analysis of the symptom, a case of dizziness can give up its secrets. It turns out that the word “dizziness” gets used to describe a variety of experiences, and those different experiences can themselves result from a number of underlying causes.

So the way one gets to first base is to sort through the patterns and narrow down the list of possibilities. In analyzing the symptom of dizziness, sometimes a multiple-choice approach works best. Most people can select one of the following three descriptions as most resembling their symptom:

#1. A sense of motion, perhaps spinning, rotating or even just drifting in space. It doesn’t matter if the person feels they are spinning or that the room around them is spinning: both mis-perceptions have the same significance. These perceptions are known as “vertigo.”

#2. A feeling of unsteadiness or imbalance in the body more than in the head.

#3. A feeling of light-headedness, wooziness, giddiness, or even verging on losing consciousness.

That the term “dizzy” can sometimes have still other connotations is illustrated by Mr. Dean’s own nickname. He probably didn’t get it because of attacks of imbalance. In fact, the pitcher supplied his own explanation with another of his famous quips: “The good Lord was good to me. He gave me a strong body, a good right arm, and a weak mind.”

Let’s focus on the more usual three patterns.

Distinguishing among these patterns helps separate the cases involving the head’s balance (vestibular) system from those that don’t. In short, pattern #1 (vertigo) is most likely to involve a disturbance in the balance system, while pattern #3 (light-headedness) is least likely. Instead, light-headedness or wooziness can be due to a momentary drop in blood pressure (for example, when standing up too quickly) or due to the same factors that produce outright fainting. Pattern #2 (bodily imbalance) is somewhere in-between-sometimes caused by a disturbed balance system and sometimes due to something else.

The vestibular system consists of the left and right inner ears, certain pathways within the brainstem (junction between the upper brain and the spinal cord) and the nerves that connect the inner ears to the brainstem. A problem in any of these components can lead to the symptom of vertigo. But the kinds of problems that can disturb the brainstem-like stroke, tumor or multiple sclerosis-are quite different and usually more serious than most the conditions that disturb the inner ears or their associated nerves.

So once the pattern of vertigo (mis-perception of movement) has been distinguished from the other kinds of dizziness, there is still more figuring to do-is the problem in the brain (central pattern) or in the inner ears and their connecting nerves (peripheral pattern)?

Luckily, central and peripheral vertigos can usually be distinguished from each other based on the clinical history and physical exam. The key is in looking for any symptom or physical abnormality that can’t be blamed on the vestibular system.

How about nausea, vomiting, unsteadiness, walking into walls, blurred vision or even jumping vision? A malfunctioning vestibular system could easily account for them all. But double vision, slurred speech, weakness or numbness on one side of the body? No way. These symptoms would have to be generated outside of the balance system, and imply that other pathways in the brainstem are damaged.

Where does the MRI scan fit in? The MRI is good at seeing areas of abnormal growth or damage within the brainstem, as from tumors, strokes or multiple sclerosis. It can also see tumors that arise from the nerves connecting the brainstem to the inner ears. But that’s about all it can see that is at all related to the symptom of vertigo.

However, there are far more cases of peripheral vestibular disease than of central (brain-based) disease causing vertigo, so that’s why most MRI scans turn out negative. In short, the MRI is normal, but the patient isn’t.

So what can cause peripheral vestibular disease? The causes are varied, but are more usually annoying than life-threatening. The most explosive form of peripheral vestibular disease is vestibular neuronitis or “inner ear attack.” The typical story for this condition is that the person awakes with violent spinning, nausea and inability to walk a straight line. This condition is at its worst on the first day, gradually improving over subsequent days and weeks.

Another peripheral vestibular condition is Meniere’s disease in which recurrent bouts of vertigo occur in conjunction with deafness and “roaring” tinnitus, or ringing in the ear. This is due to high fluid pressure within the inner ear which is also wired for hearing.

Yet another peripheral vestibular disease involves a stone (otolith) rattling around within the canals of an inner ear. This variety can sometimes be fixed by “vestibular repositioning” in which the patient’s head is put through a series of abrupt position-changes designed to make the otolith stick in one place.

Medications can also be useful in diminishing the symptom of vertigo. The most widely used drug is meclizine (brand name Antivert) which is related to the antihistamines and helps simmer down an overactive inner ear. A second drug used in the same way is scopolamine, usually delivered via a patch on the skin (Transderm Scop). Finally, diazepam (Valium) can also be used a “vestibular suppressant” though is usually the last choice owing to its possibility of becoming habit-forming.

And how about those other forms of dizziness that involve lightheadedness, wooziness or giddiness? As a baseball player might say, “That’s a whole other ball game.”

As an ADD coach I am often asked about the treatment options available for Attention Deficit Disorder. Generally when someone says “ADD” the first thing that will come to the layperson’s mind is ‘Ritalin’ or an image of a hyperactive “Dennis-the-Menace” type. Fortunately, there is a lot more to Attention Deficit Disorder than drugs and hyperactivity. Each individual is unique and therefore different people will respond well to different treatment options.

There are a number of treatment options available for children and adults with ADD. Let’s explore some of the most common options.

1) Medication - Medication such as stimulants (i.e. Ritalin, Dexedrine, Concerta, Adderall) is probably the most common treatment for ADD. Often antidepressants (such as Prozac, Paxil, Effexor, Wellbutrin) are used instead of or in combination with the stimulants. Some individuals will respond quite well to treatment with medication while others will see little to no difference. It is important to discuss the pros and cons of treatment with medication with your doctor.

2) Counseling and Therapy - Many children and adults with ADD will benefit from counseling from a Psychiatrist, Psychologist, Social worker or other mental health practitioner. There is no one form of counseling ? some professionals will focus on exploring events in the past or emotions while others will work with behavior modification techniques. Some professionals will use a combination of approaches depending on the individual.

3) ADD Coaching - Coaching can be conducted in person or over the telephone and focuses on the whole-person. An ADD coach creates a partnership with each client to explore treatment options for ADD while focusing on creating balance and satisfaction in each area of the client’s life. ADD coaching is recommended for a period of 3-6 months for maximum effectiveness. Coaching utilizes regular communication, goal setting, personality and interest inventories and an extensive battery of tools to design an individualized strategy for each client.

4) Biofeedback and Neurofeedback - Biofeedback uses monitoring devices to furnish information regarding autonomic body functions such as heart rate or blood pressure. The individual patient is therefore trained to gain some voluntary control over that function. Neurofeedback uses technology to train individuals to gain self-regulation of individual brain wave states so as to remain alert, relaxed and focused.

5) Nutritional Therapy and Natural Treatments - Naturopathic and Homeopathic Doctors, Dieticians, Nutritionists, Allergists and other practitioners stress the importance of the dietary treatment of Attention Deficit Disorder. These professionals can design a customized diet that will help to reduce the symptoms of ADD. Nutritional supplements and vitamins are often recommended to ensure a balanced diet and proper levels of essential vitamins and minerals.

6) Supplemental Education - Educational centres such as Sylvan Learning Centre and Kumon Math & Reading Centre offer educational programs for children who fall behind in the classroom. Current research indicates that an estimated 50% of children with ADD have a co-existing learning disability. Supplemental Education also exists for adults in the form of career-based training in facilities such as the Academy of Learning.

With all of these possibilities how does any ADDer know where to turn? Remember that no one treatment is a miracle! Often the best treatment comes from a combination of several of the treatments listed above. If you are struggling to find the treatment that is right for you we are here to help.

Cybill Shepherd has revealed that she suffers from irritable bowel syndrome (IBS). The star of Moonlighting and Taxi Driver says that she has struggled with her symptoms for many years, and is now hoping to raise awareness of IBS and encourage sufferers to talk more openly with their doctors.

She says: “For years I have been battling recurring constipation, abdominal pain and bloating. Go ahead and laugh. We laugh because we’re embarrassed. In order for us to get relief, we have to talk about our symptoms and stop suffering in silence.

“I have tried nearly everything: changing my diet and watching what I ate. I exercised regularly. I even tried taking fiber supplements and over-the-counter laxatives, but nothing helped with all of my symptoms.

“My doctor used to tell me it was all emotional and psychological. So I got a new doctor. And a year and a half ago, I was diagnosed with irritable bowel syndrome with constipation. It was a huge relief to find out that my IBS with constipation was not all in my head and that it was a treatable medical condition. My doctor prescribed Zelnorm and it has provided me with relief for all my symptoms. In a lot of ways, I feel like my old self again.”

And good for her! I think that many IBS sufferers will identify with what she says: from embarrassing, unmentionable symptoms to doctors who insist that our bowel problems are really in our heads.

We may identify less with her relief from one drug alone (although the new drugs Zelnorm and Lotronex have had a good success rate in America), but we could all benefit from talking more openly with our doctors and looking for more solutions rather than accepting that IBS will rule our lives.

What Cybill Shepherd has done, though, is more than just draw attention to the fact that IBS sufferers need more help. Just by revealing that she is an IBS sufferer she has shown that IBS can affect anyone. Here is a glamorous, successful actress, someone who has kissed Bruce Willis and won three Golden Globes, saying that she has trouble with her bowels.

The power of celebrity

In these celebrity-soaked times it can be easy to forget that famous people sometimes achieve genuinely selfless and compassionate things just by using their fame. The greatest power that they have is the ability to shine the light of their stardom on an issue which would otherwise have been ignored.

And yes, the issue may sometimes be whatever cause is most fashionable at the time - “Gay whales against racism” as one satirist put it ? or the one which helps the star more than the people (or whales) who are suffering. But sometimes there is no doubt that the celeb has really stuck their neck out to help others who are dealing with an issue that is considered untouchable.

And I can’t thing of a more untouchable issue than IBS, something that no-one in the public eye would readily admit to. Can you imagine Julia Roberts standing up and saying “Diarrhea is the blight of my life and hemorrhoids have driven me to drink”? No, of course not, because anything remotely digestive is considered highly embarrassing and distinctly unglamorous. Cybill Shepherd’s admission, therefore, is to be applauded.

Dare not speak its name

Before Cybill Shepherd ‘came out’, the only famous person I knew of who had IBS was Kelsey Grammar’s wife (Kelsey Grammar used to play Frasier in the eponymous sitcom and Cheers). Whoever you are, whatever your gender or problems or pain, it is vital that you find someone with whom you can identify. If you watch TV and never see a reflection of yourself, if you are a black man and only ever see white faces on screen, then you will start to feel alienated ? and the same goes for people who are ill.

If you constantly hear about diabetes sufferers and asthma sufferers but never hear a word about bowels then you begin to learn that your illness is far less important than these other worthy causes.

We need more people in the public eye standing up and saying “Me too”, so that everyone can start to realise just how widespread a problem this is.

Don’t suffer in silence

But it’s not just about how other people perceive us, and how we perceive ourselves. It’s also about making sure that anyone who has bowel symptoms seeks help, and at the moment that just doesn’t happen.

There are still many people with bowel problems who are too ashamed or embarrassed to go to the doctor, and just soldier on through their lives when they could be receiving treatment. And there’s always the risk, of course, that their symptoms could actually be the result of something other than IBS that may get progressively worse if it is left alone.

IBS often goes undiagnosed for years, and even when we pluck up the courage to visit the doctor we can be so tongue-tied that we don’t properly describe our symptoms. If we could leave our embarrassment in the waiting room it would be so much better for our health.

Cybill Shepherd says: “My goal is to urge all women to get over their embarrassment, to stop suffering in silence the way I did, and to talk to their doctors. Although it may be uncomfortable, it is very important for you to be open and honest with your doctor about all your symptoms”.

And things can change. Just think about breast cancer, which is now regularly discussed on TV and radio, but 20 years ago was stuck behind a wall of silence where breasts were not to be mentioned, cancerous or not.

Before a child can be appropriately diagnosed with cerebral palsy, their doctor must first have to look closely at both the child and the mother’s medical background to see if there are any known causes of cerebral palsy present in the case. The doctor will very carefully check the baby’s motor skills and the reflexes, and then will be tested by a physician, also they will try to determine the Childs hand preference often a child with cerebral palsy will use the hand that is not always the most practical to them due to the fact that depending on the brain damage one side of the body will be much stronger than the other side that is affected.

When cerebral palsy has been diagnosed doctors may go on to do x-rays, magnetic resonance imaging, ct scans and MRI, to determine the possible cause or causes of the cp. Here are just some of the signs that may be present in a child with suspected cerebral palsy: Weakness, early hand preference, abnormal postures, irritability, feeding difficulties, delayed or impaired speech, excessive or feeble crying, slow to gain weight, very slow or failure to develop motor skills.

Cerebral Palsy - Treatments and Alternative Approaches

When a child has been diagnosed with cerebral palsy they will generally need different types of treatment. Physical therapy - this will help to build up the strength of the Childs muscles working on their walking and keeping their balance. Speech-language pathology-this is to help the child learn to communicate mainly working on trying to teach the child to talk. Occupational therapy-this is to help the child with skills they need for everyday living to give them some independence like feeding themselves and dressing. There are also some alternative therapies that can help to control and manage the condition.

Conductive education - This is to help the child become more independent. Their day will be planned out with physiotherapists, speech therapists and what is called their conductor who will oversee all the tasks to see day to day how the child is progressing and set new more tasks for them, which when achieved will increase the Childs self-esteem. The conductor will form a very close bond with the child, which is vitally important for how successful this treatment will be. The conductor will look at the child not the special need and help to bring out the Childs personality and use their interests to help them learn and achieve more.

The Bobath concept - This concentrates on helping the child physically using play to increase muscle control, improve the Childs posture and reduce stiffness. The therapist involved in this use key points of the body when handling the child at all times. This can greatly improve the Childs mobility.

Patterning - This works on teaching the undamaged parts of the brain to takeover what the damaged part should be doing. This is quite an intense therapy for the child as rhythmic stimulation is used on the limbs for up to eight hours a day to help the child gain complete balance and control of their movements which may distress the child greatly and is very time consuming for the parents.

I am a strong believer in Cetyl Myristoleate for the treatment of arthritis. For the last three years I have been researching and writing about Cetyl Myristoleate. I am constantly searching for new research and contact and interview every doctor I can find that works with it. The purpose of the article is to evaluate the claims made about Cetyl Myristoleate on the myriad of web sites that sell it. It you want more information on the research that documents the effectiveness of Cetyl Myristoleate then do a search for my article, “Cetyl Myristoleate: Science or Speculation”.

Cetyl Myristoleate is an Immune Modulator. This is a tough question. We do not have any medical research yet that documents that it is an immune modulator. Many doctors believe that it is based on observations of their patients. Some people respond so well it appears that the benefits go beyond joint lubrication and a decreases in inflammation. Base on these results some doctors theorize that it is helping to correct some peoples immune systems. While this sounds wonderful it is a bold statement to make. I am not ready to call it an immune modulator.

Cetyl Myristoleate is a cure for arthritis. This is not only a bogus claim it is a lie. Not only is it a lie it is illegal to make that claim. If you are at a web site that makes this claim, leave, this person is not the kind of person you want to do business with. They need to be reported to the Federal Trade Commission.

All you need is one 15 or 20 day protocol. There are several companies that make this type of claim. You will notice that the companies that make this claim are among the most expensive. I believe that they use this to justify their high prices. Who would pay this price on a regular bases. While the double blind studies show that many people start finding relief in this amount of time, they were all short term studies and did not evaluate how long the results lasted. Every doctor I have talked to has disagreed with this statement. The people who find relief from Cetyl Myristoleate usually start seeing good results by the two week mark. But they continue to improve for the next two to four weeks. Almost everyone who discontinues use finds that with in a couple of weeks their symptoms begin to return. But they also find that once they max out their benefit they need much less to maintain that level of relief.

Cetyl Myristoleate helps 97% if the people who use it. I have seen this claim several times. It is simply not true. The research does not back it up and neither do those doctors who use it in practice. The percentage is closer to 70%. Of course the percentage changes depending on the type of arthritis you have. With nearly 100 types of arthritis nothing is going to work well on every type.

Cetyl Myristoleate is an anti aging agent. This is a powerful marketing tool. Every one wants to look and stay young. There is no research to back up this claim. Some of the doctors I have talked to believe it base on their observations. I have over a dozen family members and friends who take CM faithfully and none of us look younger. Yet almost all of us feel younger because we can now do things again that we had to give up because of our arthritis. If this is what they are talking about I concur. But if they are claiming it will make you younger or keep you from aging I think they are stretching it.

It is necessary to take digestive enzymes with Cetyl Myristoleate. This is a hard one. I personally do not think everyone does. Some people have a hard time digesting fats. If taking CM causes you stomach upset then you need to take a digestive enzyme. Make sure it has lipase because it is the enzyme that digests fat.

Cetyl Myristoleate will help you grow new cartilage. This is another unfounded claim. There is nothing in CM to help you grow cartilage. Once the inflammation is down then your body may find it easier to replace the cartilage damaged by the inflammation.

Will Cetyl Myristoleate help me with my arthritis? I would like to end the article with the question most ask of me. The answer is I do not know. All I can say is the research and my experience and the experience of the doctors I have talked to says that there is a 60% to 70% chance. Be reasonable about your expectations. CM is not going to repair bone damage, remove calcium deposits or repair other types of damage created by your arthritis. If you decide to try it do not pay too much. There is no need to pay $50, $80, $100 dollars or more. There are several good products in the $20 to $50 range. If the first bottle does not work for you do not waste your money on a second.

With the hum of the election campaign and the debate of “big business,” versus human interest, I decided to do a bit of muckraking into the art and science of the recent removal of Merck’s Vioxx. My motivation of course; to look for clues as to the role drug companies play in our health and wellness (or lack thereof).

Here’s some symptoms giving me trouble:

Symptom #1: After pulling Vioxx from the shelves, drug company, Merck, (as well as the media) made the “only 7.5 in 1,000 patients could be at risk for heart attack or stroke” sound like a simple omission.

Symptom #2: Prior to the pharmaceutical companies and pharmacies clearing their shelves of Vioxx, studies had shown the drugs destructive effects for over four years

Symptom #3: We are given all of this data in a most nonchalant fashion, prior to learning the amount of money Merck was pocketing on the drug: current tally, $2.6 billion (reference article above).

Symptom: #4: We are meant to be comforted by the fact that the drug, Vioxx, was released with only limited clinical testing. And gosh, if no one from the random sample had any cardiovascular consideration to begin with, who knew it would cause heart attacks or stroke ?

Symptom: #5: (Even if we are to digest this) Perhaps they shouldn’t have told us that in 2002, according to a report from the Blue Cross and Blue Shield Association ( www.bcbs.com ) over $160 million dollars was spent to advertise Vioxx (which was higher than advertisement dollars for both Pepsi and Nike).

Shall I continue?

Why not… here’s more off the cuff musings:

On the other side of the coin, Merck has set off a chain reaction. Each and every day I see advertisements from lawyers on my local upstate New York television asking for Vioxx users to step forward. Yes, if you dial 1-800 they’re at your disposal, poised and ready to sue the pants off Merck.

And so I ask you… Do two wrongs make a right?

Here’s my assessment of the situation based on clinical experience: When we’re sick, we trust our doctor to help us come back to health. We trust the pharmaceutical companies to support research and create drugs to prevent disease and ailments. Yet, in a fear based society (assuming death to be the fear we speak of) we hear precious little about the trust we should place on our bodies own natural ability to heal itself. It’s just that simple.

Let’s all be honest with each other, drug companies are betting that you are going to get sick ? and if and when you do they will be happy to accommodate you. When doctors prescribe drugs, pharmaceutical companies make money. And when a doctor prescribes a certain “brand” of drug, the doctor receives a kick-back from the company. It’s simple supply and demand.

What’s more, now their digging a little deeper into your pocket and your psyche. Here’s a prime example. Turn on your television set during ? let’s say football season just to be timely. You’ll notice prime?time advertisements by your favorite (or not so favorite) celebrities promoting Celebrex, Levitra and so on… These advertisements bypass the medical profession placing drugs on the table for commercial consumption.

So this all begs the question - are drugs bad for you? The answer can be both yes and no. All drugs have side effects. Most drugs are created from organic sources but are then chemically manipulated to cause a favorable reaction in the body. When you take a drug, basically, you’re putting an inorganic substance into nature.

Therefore, the hullabaloo makes me think ? how do we stay out of the machine? Or better yet, if there are drugs which will help people become well (which I believe there are) how do we keep the money-hungry honest? Here’s my 5 remedies:

Remedy One: Educate Yourself

What drugs can do is be a means to wellness. But you need to know the facts. If you walk into your doctor’s office with a list of symptoms, you will receive a drug that promises to (on paper) relieve you of your symptoms.

But what if those symptoms are trying to tell you something? And what if the drug your doctor prescribes could make you sicker? Here’s what you can do: If you are given a drug, check out the side effects and interactions here, then decide:

Remedy Two: Think Complimentary Medicine

So, Laura, what is complimentary medicine? Complimentary medicine asks you to take a long look at yourself, your body and your beliefs about why an illness has developed. It’s not about treating one ailment (joint pain, an injury, an illness) ? it’s about looking at the whole picture: your posture, your diet, your lifestyle. Then, creating an exit strategy for your illness.

Complimentary medicine asks you to take a look at your relationship to the affliction and then ? with your doctor’s facilitation - developing a treatment program as a means to health (which can include medication). This way you become fully active in your illness and treatment.

Remedy Three: Practice Prevention

The best way to approach wellness is when you are well. Then, if the time should come for you to become a part of your own health care, you can be honest with yourself and how you feel about your body.

Start now. Take a long look at your self. Begin by checking your score on the wheel of life:  Are you taking ample time for yourself? Time for exercise, time for play? Are there outside forces instigating stress in your body? By taking the wheel of life exam you’ll understand that your personal fulfillment can pay dividends on your health.

Remedy Four: Have Routine Check Ups

This one is easy. Create a relationship with your doctor: Make continuous notes of all your concerns and talk to your doctor about them. Most doctors will only spend a limited time with you, so get your notes together before hand and aim to keep the lines of communication open.

Step Five: Live a Healthy Lifestyle

Be Kind To Yourself: Start by taking a few quiet moments each day to silence the outside world and allow the heart rate to slow. Continue your process to be well by becoming conscious of all that is around you.

Nutrition: Practice becoming aware of what you are putting in your mouth ? try to focus on the naturals: fruits and vegetables and go for lean meats and low fats. Finally, don’t forget to drink your 8-oz glasses of water.

Exercise: Be sure to find an exercise program you enjoy and be consistent with your workouts: My philosophy: spend 1 hour per day at least 5 days a week. This is just a guideline. Find what kind of exercise you enjoy most, and be consistent. Your body will thank you.

In Closure:

Learn to get to know your body. Your body and your relationship to it will give you signals as to how to take care of it. You can keep the drug companies honest by asking questions, challenging information and making the most of the time you spend with your doctor. By creating a positive atmosphere and a positive lifestyle you are certain to find yourself betting on wellness and keeping the pharmaceutical monies right where they belong: in you own pocket.

Online Pharmacy owners who haven’t been working within moral and governmental regulations are in for the ride of their lives. In past months, many of these so called “rogue pharmacies” have either voluntarily shut down or been closed by the powers that be. However, the major illegitimate players have been unable to cover their tracks, and some have been outright irresponsible.

Back in 2002, it was easy and comforting to start a personal affiliate site for one of the few legitimate online pharmacies around. However, from 2003 on it became clear that some business-savvy people thought it was fine to sell counterfeit prescription medications, or even go as far as charging a hefty “doctor’s fee” for processing an online consultation when no doctors were involved!

Since those days began, numerous restrictions of trade have been put into effect over the whole span of online pharmacy industry. These restrictions are, so far, limited mainly to advertising. But, without quality advertising, how can one’s business acquire customers? For example, search engine giant Google made a policy change which prohibited online pharmacy advertisers from using its AdWords pay-per-click ad service; that is, unless they had a SquareTrade online pharmacy license. I won’t even get into the problems with that system.

In the past months, anyone who watches the health news sector has read all the stories of online pharmacy owners going to jail for 4 years on average and being required to forfeit most of their assets such as Porsche sports cars and penthouses. After all, when you get away charge large fees for services you don’t provide, the cash should just roll in.

Recent news reports talk of the software company Microsoft and Pfizer teaming up to shut down a whole network or ring of illegitimate online pharmacies. Out of a total of 17 law suits, named operations include “CanadaPharmacy,” “E-Pharmacy Direct,” “DiscountRx,” “VirtualRx”, and “EzyDrugStore.”

The reasoning behind this latest group of law suits stands on the platform of ridding the online pharmacy industry of sellers of counterfeit drugs. These cases involve counterfeit versions of Pfizer’s flagship medication, Viagra, a safe solution to the embarrassing and stressful problem of erectile dysfunction. If this is about drugs, you ask, then why is Microsoft involved? Well, as the owner of the Hotmail free email service used by millions of people, the company seems to have vowed to do all it can to kill off the companies such as those above, who send out hundreds of millions of emails to Hotmail customers, carefully crafted to get past current spam filters.

America’s war on drugs, which has been fought in the opium fields of Afghanistan and the cocaine plantations of Columbia, will have to reinvent itself to combat what is set to be America’s biggest drug abuse problem, pharmaceuticals. One in five American’s, nearly 48 million, have used prescription drugs for non-medical purposes at least once in their lives. The current past month misuse rate among Americans is 6.2 million. According to a recent white paper by Carnevale Associates, this rate of use is already higher than the historical highs of both cocaine and heroin epidemics.

For some, the road to illicit use of prescription medications starts innocently. After a car accident, back injury, or, even, a mental/emotional breakdown a physician prescribes medication for a legitimate use. Over time, tolerance builds up so that more and more of the drug is needed until a state of dependence is reached. At this point, there is no easy way to get off the drug, and stopping can involve painful withdrawal symptoms. Some doctors have been known to become afraid and cut their patients off at this point. Patients have been known to steal prescription pads, or visit numerous doctors to get the drugs they have become addicted to.

However, contrary to popular belief, it is not older adults or any adults who are most likely to abuse pharmaceuticals. In the past decade, abuse of prescription meds among youth has been growing at an alarming first-time use rate of more than fifty percent each year. In 2002, the latest year for which there are statistics, approximately 2.5 million American’s misused prescriptions for the first time and 44% of them were under the age of 18.

Unfortunately, as the media fixes its gaze on the methamphetamine problem; and the Office of National Drug Control Policy spends much of its time focusing on Marijuana the opportunity to address the pharmaceutical addiction and abuse is being missed. While certain steps have been taken they have been tentative. The ONDCP has drawn up a strategy for addressing synthetic drugs, but no serious media campaign to educate Americans about the problem has been undertaken. Nor has any pharmaceutical company been brought to heel for manufacturing drugs with high abuse potential even when alternatives may exist.

The next battle in America’s war on drugs must draw a bead on pharmaceuticals. The ONDCP must be willing to launch the same type of hard hitting ad campaigns against prescription drug abuse as it has against, marijuana, ecstasy and cocaine. The FDA must not be afraid to sanction drug manufacturers who continue to make unsafe drugs where safe alternatives exist. Pharmaceutical manufactures must become better citizens and spend the research and development dollars to make safe and effective drugs, rather than taking the easy way out.

This new phase of the war on drugs, without easily targeted foreigners to blame for America’s drug abuse problems, will take unwavering political resolve, corporate citizenship and ingenuity. Even then it is likely to take years before the trend of increases in prescription medicine abuse and addiction can be reversed.

Common Prescription Drugs of Abuse:

Opioids: these are synthetic versions of opium. Intended for pain management opioids are the most commonly abused prescription drugs. OxyContin (oxycodone), Vicodin (hydrocodone) and Demerol (meperidine) are the most popular for abuse. Short-term side effects can include pain relief, euphoria, and drowsiness. Overdose can lead to death. Long-term use can lead to dependence or addiction.

Depressants: These drugs are commonly prescribed to treat anxiety; panic attacks, and sleep disorders. Nembutal (pentobarbital sodium), Valium (diazepam), and Xanax (alprazolam) are just three of the many drugs in this category. Immediately slow down normal brain functioning and can cause sleepiness Long-term use can lead to physical dependence and addiction.

Stimulants: Doctors may prescribe these to treat the sleeping disorder narcolepsy or attention-deficit/hyperactivity disorder, ADHD. Ritalin (methylphenidate) and Dexedrine (dextroamphetamine) are two commonly prescribed stimulants. These drugs enhance brain activity and increase alertness and energy in much the same way as cocaine or methamphetamine. They increase blood pressure; speed up heart rate, and respiration. Very high doses can lead to irregular heartbeat and hyperthermia.

Recently once taboo subjects like plastic surgery have become acceptable dinner conversation. Medical conditions are no longer whispered to friends, but have instead become part of the dinner table conversation with full blown discussions on Botox, erectile dysfunction and the feared colonoscopy. However recently there is a new kid on the block, well maybe not so new, it’s actually plain old heel pain. You might ask why is this happening? Why is it so important now? After all heel pain for the most part won’t kill you.

The answer is heel pain and specifically “plantar fasciitis can be extremely disabling ? affecting work, leisure and social activities” according to Luke D. Cicchinelli, DPM, Eastern Carolina Foot & Ankle Specialists. Heel pain can really make ones quality of life miserable and lead to bigger problems at work and at home.

The conversation around the dinner table is only reflecting the bigger trend with which doctors are already familiar, which is that heel pain, specifically plantar fasciitis is on the rise. “More people are suffering and consequently more people are looking for help from friends, doctors and the Internet.

Looking for the best doctor to suite your medical needs can be a problem, especially if you don’t have time and you need to research the doctor’s credentials. Whether you’re in urgent need of help, or just need a second opinion, I will show you how to access all the information you need ? through the Internet’s Virtual Top Doctor Consultant.

Information on Doctors’ Credentials Many organizations house comprehensive credentials, such as licensure, status and so forth. These organizations include:

• American Board of Medical Specialists
• American Medical Association
• Federation of State Medical Boards
• Your local State Medical Board
• Public Citizen Questionable Doctors
• Medical Societies

Then you have other establishments which gather up this information in their own logistical format and provide this information to consumers. Most companies provide information about doctors who have had disciplinary action taken against them. And most consumers want to know whether their doctor has had disciplinary action taken against them. At the same time, most doctors ? even the best ones ? are sued at one point or other during their careers. It’s important to recognize that just because a doctor has been sued (or not) does not mean he/she is incompetent, and that very often he or she is innocent of the alleged malpractice.

What is a Virtual Top Doctor Consultant As you probably know by now, there are literally hundreds of different types of consultants. We all want the best health care possible, so why don’t we shop around for a doctor like we do for a house or car? Over the past few years, through our own surveys and methodologies, MDNationwide has designed the first top doctor searchable database, which enables YOU to find the best doctor(s) in America without ever talking to anyone.

Virtual Top Doctor Consultant researches thousands of MDs through an extensive process, which reviews:

• How many years the doctor has been in service (over five years).
• Whether the doctor is board-certified.
• Whether disciplinary action has been taken.
• The extent of the doctors’ Internship, Residency, and Fellowship training
• Peer and patient recognition
• Their community involvement
• Experience with type of surgical procedure
• Contacting medical societies
• Contacting hospitals

Because YOU come first

• For peace of mind YOU know these MDs rank amongst the highest in the US
• We focus only on helping YOU find the best doctors through our extensive research
• YOUR Health is in good hands virtual top doctor consultant
• YOU have a team of professional consultants who care about YOU, not just your money.
• No, we are not doctors, we are experts in researching and recognizing the BEST MDs.
• Doctors don’t pay us, Health Insurance companies don’t pay us.
• We work for YOU; without YOU ours services would not exist.