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MUSCULOSKELETAL SYSTEM: JOINTS
The joints allow you motion and flexibility. They are not just hinged bones that move at will, but rather lubricated, highly developed mechanisms that account for mobility and dexterity. Connected to the brain via nerves, muscles, and tendons, they are truly responsible for the activities of daily living. They are also prime targets of rheumatic diseases like rheumatoid arthritis.
The musculoskeletal system is the structural support of the body. It is composed of your bones and the muscles, tendons, ligaments, and cartilage attached to the skeleton. The skeleton protects the organs of the body. The nerves and the muscles that attach to the joints are important to movement of the body, including lifting, running, and standing still.
Joints
A joint is the point at which two or more bones connect. These bones allow movement of the extremities. Fibrous tissues, cartilage, tendons, ligaments, and muscles connect them. Some, such as the elbows, knees, and those in the fingers and toes, move; others, such as those present in the skull, are immobile.
There are many different kinds of joints. For example, the joints between the plates of the skull are called synarthrodial joints. By adulthood, these joints are connected by a series of fibrous bands and do not move. Some joints are connected by cartilage and move only very slightly. Such joints are those of the vertebrae and in the front of the pubis of the pelvis. This kind of joint is called an amphiarthrodial joint. Probably the most important type of joints, at least for the purposes of a discussion about rheumatoid arthritis, is the diarthrodial joint. These joints are lined with tissue made up of synovial cells that produce fluid that bathes the joint. They are also called synovial joints and further can be classified as ball-and-socket, hinge, saddle, and plane joints.
All joints, except for those in the skull, can become inflamed at some point. Sometimes the space between the bones can fill with cells, fluid, and even germs. These problems are often the cause of, or the result of, arthritis.
*6/141/5*

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STRESS – AND COPING WITH IT
External pressures are an inevitable part of your life. What counts is your reaction to them. Healthy ambition is fine; problems arise only from an excess of it. Don’t seek new responsibility for its own sake; use your judgment and share the decision with others. Certainly hope for a reasonable rate of promotion; but don’t get carried away by competitiveness. Of course someone has to make the decisions, but many problems are better solved by a group than by an individual. On the other hand, too little responsibility brings its own emotional problems: the boredom and frustration that result from too mundane a job.
Faced with any problem, you have only two options – to deal with it or to accept the situation. If the difficulty is beyond your capacity to alter it, try to cultivate a mature acceptance. If you are angry about it, let the emotion out; don’t repress it. Learn to do so quietly and effectively. If you do, you are far less likely to lose a friend, or antagonize a colleague. Repressed anger is bad for you and for your relationships: it is all too likely to burst out in an uncontrolled way.
If you have a tendency to Type A behaviour, it is worth trying- as far as you can-to develop this mature unhostile attitude. It is equally important to lessen your other sources of risk by stopping smoking, getting rid of obesity, following a prudent diet, and taking your doctor’s advice about a high-blood-pressure problem or diabetes.
*8/202/5*

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ILLNESSES IN CHILDREN: BOILS
Children often get boils and these can be particularly painful. Most boils are a staphylococcal infection of the hair follicle or sebaceous gland. The most common places for boils to form are on the face, the back of the neck, lower back or under the arms.
It is very important not to pick at, squeeze or pierce the boil as this may spread the infection causing further boils. If the infection enters the bloodstream it can be quite serious. Use a hot compress and poultice to draw the boil to a head and to relieve pain.
To make the poultice, use equal parts of slippery elm bark powder, marshmallow and burdock leaves. This should be applied to the boil and changed regularly during the day. Any pus should be cleaned up and disposed of properly and the area cleaned with antiseptic before re-dressing.
When the immune system is compromised, infections including boils can and do develop. It is therefore very important to ensure that your child’s diet is well balanced and should include at least 3 pieces of fruit per day, a variety of cereals, fresh leafy green vegetables, orange vegetables, fish and eggs. Avoid too much fat in the diet. Supplementing the diet with extra vitamin Ў and the herb echinacea will help increase immunity to infection and boils.
Celloid minerals such as silica help remove waste from the body and potassium chloride and iron phosphate reduce inflammation and fight infection.
Supplements
Vitamin Ў children 6 to 12 years
250-500mg daily
children over 12 years
l,000mg daily
Echinacea complex children 6 to 12 years 1 tablet
175 mg dried herb with food morning and night
or liquid extract children over 12 years
1 tablet with food 3 times daily
For extract follow directions on bottle.
*9/199/5*

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ILLNESSES IN CHILDREN: DIARRHEA
Diarrhea in children is characterized by watery and loose motions, not the frequency of the bowel movements. Diarrhea can occur from a variety of causes. Some of the most common are infections of the digestive tract including gardia, amoebic and bacillary dysentery, coliform and staphylococci; or reactions to food or medication. Some of the foods that may cause diarrhea in children are cow’s milk, prunes, corn products and oranges.
Cow’s milk unfortunately can be a problem for many children, as an allergy to the protein may develop at an early age. If this is the case soy or goat’s milk may solve the problem. Lactose (sugar of milk) intolerance is another cause of diarrhea. This is caused by a lack of the enzyme lactase in the intestine, resulting in an inability to absorb the lactose, and leading to diarrhea. Lactose intolerance can be genetic or it may follow a gastro-intestinal infection. The signs and symptoms to look for if diarrhea is suspected may include loose and watery stools, cramps and fever. There may also be spots of blood and mucous.
Diarrhea in babies and very young children can be dangerous and must not be left unattended as dehydration may result. A loss of 5 per cent or more of a baby’s weight due to diarrhea could be an indication of serious dehydration. Hospital treatment of this condition may be necessary.
If the condition is caused by an infection then both the diarrhea and the infection need to be managed. Extra fluids to drink and mineral waters with added glucose are best. Restrict all fruits, vegetables, whole grain and high fibre foods. Apples and bananas can be given and don’t seem to cause any problem. Give the child dry foods to eat when starting back on the normal diet.
If infection is still present then further treatment may be needed. Also the intestinal flora will need balancing. The addition of garlic followed by acidophilus can help restore normal bowel bacteria. It should be noted, however, that garlic can upset some individuals and should not be given in large amounts to young children.
The herb echinacea can also be helpful in combating infection; even young children can take this herb. Speak to your naturopath about the dose for your child or follow the directions on the bottle.
Supplements
Agrimony Complex 6 to l2 years one 300mg tablet morning and night
Slippery elm 6 months to 2 years 300mg in food morning and night 1 to 6 years 300 mg twice daily 6 to 12 years 1 to 2 tablets before meals 3 times daily
*23/199/5*

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WHEN FIRST DIAGNOSED: UNDERSTANDING AND COMMUNICATING ABOUT
HIV
Anti-InfectivesOne of the first practical, concrete problems most people face after their diagnosis is deciding who to tell. This decision is difficult. Different people decide differently, depending on the situation, their own personalities, and the personalities of those they might tell. “I told my parents,” said Steven Charles. “I learned early in life I put nothing over on them. Everybody around me knows. I tell lots of people.” Alan Madison, on the other hand, says he is careful whom he tells: “Only my partner. And my mother, my sister, and my young nephew. No one else.” Lisa Pratt said, “In the eight months since I’ve known about my husband, I’ve told only my daughters, my father, and my stepmother. I have brothers and sisters I have not told.”
June Monroe is a fifty-five-year-old mother and housewife who lives in a close-knit neighborhood within a large city. “My son has AIDS,” she said. “I told my sister. The neighborhood we live in, the people are nice but I don’t think they could be helpful. I don’t think we’ll tell them.” Dean Lombard is a forty-year-old gay man who has AIDS. Dean has a son by an earlier marriage, and now owns a house with a long-term partner. “I told my partner, my parents, brother, and sister, my son, and my pastor,” Dean said. “I stopped there. It’s hard to explainЂ”I’m extremely close to other people and all my relatives. But I don’t want to tell them.”
In any case, the decision is complicated. With each person, you balance the reasons for telling against the reasons for keeping silent.
*15/191/2*

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DERMATITIS AND ECZEMA: CAUSES, SYMPTOMS AND TREATMENT
Broadly speaking, dermatitis and eczema are both skin disorders which can be similar in appearance and are usually caused by allergies. The two types of skin disorders are external. Dermatitis can be the result of a reaction to an external irritant such as household detergent, nylon, chemicals or an infection. Dermatitis on the hands is common and as it may be related to an external allergen, it is known as ‘occupational’ or ‘housewives’ dermatitis’.
Eczema is usually associated with, or related to, an allergy and is the more common of the two in children. Children who suffer from eczema often suffer from other allergic conditions such as asthma. The symptoms of eczema may manifest themselves from the age of 6 months, often first appearing as a rash on the cheeks or small weeping cracks behind the ears. This condition can worsen and become generalized eczema in which the whole body may become affected by the rash which can become crusty, weeping and very itchy. The medical management of these conditions may include antihistamines and compounds which give symptomatic relief but do not solve the problem.
Treatment naturopathically involves the patient avoiding the allergens that quite often are causing the condition. Also controlling or avoiding stressful situations can help as these can precipitate an outbreak. Ointments containing chickweed, pine coal tar, and juniper berry can help reduce inflammation and stop itching and help reduce inflammation. One such ointment is Eczema Balm, another is Chickweed Compound.
Diet also plays an important part. Foods rich in vitamin A and zinc are helpful as are the herbs sarsaparilla, red clover, burdock and dandelion. These herbs have been used traditionally in the treatment of many skin conditions. Evening primrose oil is of help in many skin disorders. One double-blind crossover study reported in the Lancet pp. 1120-22, 20 November 1982, showed that supplementation with evening primrose oil reduced overall severity of eczema by 43 per cent. Clinical studies have also shown that cow’s milk and eggs aggravate the condition in a number of children.
Topical treatment
Chickweed Compound
apply twice daily
Eczema Balm
apply when needed
Zinc cream
anhydrous wool fat
3ozs
olive oil
3ozs
zinc oxide
4ozs
solution of lime
4fl ozs
Apply to the affected parts as required.
Zinc cream
For young children and infants
Zinc oxide 6gms
Corn starch powder 6gms
Crude coal tar 1gm
Mix with soft paraffin to make 1 ounce.
*22/199/5*

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CHILDREN AND BEDWETTING
Bedwetting is a problem that affects up to 10 per cent of children over the age of five. True bedwetting is when the child consistently wets the bed after the age of five. It is quite normal for a child to wet the bed during illness or if overtired. Don’t make a fuss about this problem, or try to shame the child into not wetting the bed at night.
Most children grow out of this habit quickly but if it continues there may be an underlying physical disease causing the problem. Urinary tract infections, diabetes, abnormality of the urinary tract or a nervous condition may be the cause of children’s bedwetting.
To treat the condition first try rewarding your child for good behaviour and never become annoyed or angry as this will only cause problems with the relationship between you and your child. Have a talk to your practitioner about persistent bedwetting. Your child can be examined to determine if the bedwetting is caused by illness. If no illness is detected, and the problem continues, then without making a fuss encourage your child not to drink large amounts of fluid between dinner and going to bed.
The diet should include fresh fruits and vegetables which will help maintain a healthy urinary tract and prevent the urine from becoming acid. Encourage your child to drink water upon arising and throughout the day, only restricting water intake after dinner at night. With a well-balanced diet supplementation with a children’s multi vitamin may also be of benefit
Sodium phosphate, a natural cell salt, is known as the fluid mineral. In conjunction with potassium chloride it helps maintain the acid/alkaline factor in the blood. Also sodium sulphate helps regulate kidney function and these two celloid minerals can help prevent bedwetting.
Professor Rudolf Weiss, a German medical doctor and herbalist, found that St John’s wort is useful in the treatment of bedwetting and night terrors in children. Cora silk also helps control bedwetting. It may be labeled on the health food store shelf under the botanical name Zea mays.
Supplements
Sodium phosphate 4 to 8 years 1 crushed tablet containing 200mg of sodium phosphate at night
Childcare chewable multi-vitamin 4 to 10 years 1 tablet daily with morning meal
St John’s wort add 1 teaspoon to 1 cup of water, boil briefly
4 to 6 years of age, drink 1/4 of a cup morning and night
6 to 10 years of age, drink 1/2 of a cup morning and night
Corn silk complex 4 to 8 years 1 tablet containing 800mg of Zea mays twice daily
*4/199/5*

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CUTS AND ABRASIONS
Everyone collects a variety of cuts and abrasions which need immediate care to avoid infection and scarring. Light cuts can be treated with a wash in an antiseptic solution and clean or sterile non-stick dressing. If a deep cut occurs, control the bleeding by applying pressure to the wound. If bleeding is under control, clean the wound as well as possible. If you have a sterile dressing, apply it to the wound and seek your practitioner’s help. Wash your hands, do not cough or sneeze on the wound and avoid handling it except with clean or sterile dressings. Only remove foreign objects if they have not penetrated the tissue and can be brushed or washed off. Whether or not you attend a doctor, remember that a person with a penetrating cut may need a tetanus injection.
If a penetrating object such as a large nail or fish hook is embedded in the flesh, pad around it and then bandage the padding into place, rest the limb and quickly seek medical aid. Do not attempt to remove it yourself, do not apply any pressure to the object and do not try to shorten it unless its size is unmanageable.
Abrasions go hand in hand with skateboarding and riding a bicycle. Dirt may become embedded in the wound and cause infection. Clean the wound with a sterile dressing soaked in cool boiled water and use an antiseptic to help prevent infection. Dress the abrasion with a non-stick bandage.
Topical treatment
Tea tree oil, golden seal, echinacea and calendula in ointment form can all prevent infection Vitamin E healing cream will help prevent scarring
Keep the wound clean and dressed until healed to prevent infection.
*21/199/5*

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Other names: Furadantin, Macrodantin

RULES ABOUT FAMILY LIFE: AS CHILDREN GROW UP THEY NEED LESS PARENTAL ATTENTION AND CARE
Sociologists Joseph Kuypers and Vern Bengston offer a deeper analysis of why adult child/aging parent relationships can be so troublesome. There are unspoken rules about family life that parents and children tend to violate periodically as they live together for decades as adults.
New parents are happy to be on call twenty-four hours a day to an infant or a toddler, in part because they know the overwhelming demands will gradually lessen. Children grow up. The amount that must be given wanes over the years. When children become adults, they leave and parents can remake their own lives.
But though the normal order is toward less and less involvement, adult children sometimes want parents to give more in times of need. Side by side with the expectation that parental giving will wane is the idea that parents should always put their children first. So, children often feel hurt when they ask for help and sense that their parents are unwilling. The older generation feels different: “I no longer have to drop everything at my child’s whim. The time is over when his needs always take precedence.”
I wanted to spend my Easter vacation in Florida with Mom and Dad. When I called to make arrangements, my mother said an old friend was visiting that week. We don’t get to see one another that often. It would be hard to come at another time, and shouldn’t a son always come first over a friend? I’m not being childish or demanding as she seems to feel. Parents should always put their children first.
Arguments about priorities are most likely to flare up over nonessential requests: “Will you baby-sit on Friday?” “Can I use your pool next week?” In a crisis, when a child genuinely must have help, the issue is clearer. Most parents want to step in and give everything. The problem is when to step out. How long should parents give “excessively”?
For instance, suppose your son leaves for college, graduates, and then moves back in temporarily until he can find a job. The temporary arrangement becomes permanent. The weeks slide into months. You feel put upon but guilty. True, he is making some money now, but not really enough to live well. Yes, I want to be alone with my husband, but I would feel terrible kicking my own child out. Then imagine the guilt if your child is also in real emotional pain -for instance, after a divorce.
Colleen Johnson of the University of California interviewed middle-class San Francisco area women whose children had recently been divorced. She found that the demands on these women were heavy but that they rose to the occasion, serving as baby-sitters to the grandchildren, welcoming a suddenly single son back home. Still, many were resentful at being saddled with unexpected parental obligations at this time of life.
After my daughter was divorced she moved in with the children, who are now eight and five. My husband has a heart condition. The children get on his nerves. We are upset at having a family to care for in our old age. Joanne feels different. She says it’s my job to take her in for as long as it takes her to get on her feet. I don’t know how to reconcile the conflict; either I suffer under a burden that has no end, or I feel terrible for not reaching out to a child in need.
What are some answers to this dilemma? Let’s hold off on solutions until after describing the next two family rules. They also involve negotiating how responsible parents and children should be for one another as adults.
*67/159/5*

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UNDERSTANDING THE IMMUNE SYSTEM AND INFLAMMATION
What is the immune system?
The immune system is the component of the body-including blood cells, organs such as the spleen, and glands-that is designed to protect the body from harmful influences that are present within and outside of it. The immune system is extremely sophisticated; we are only now beginning to fully understand the various aspects of immune function and to realize that the more we uncover concerning function, the more complex the system is.
What are the components of the immune system?
The immune system is made up primarily of three categories of cells- the ’ lymphocytes (commonly called the ’ cells), the T lymphocytes (commonly called the T cells), and the phagocytes. These three groups of cells are the soldiers of the immune system, designed to protect the body from foreign invaders, commonly called antigens.

What is an antigen?
An antigen is any substance, including germs, bacteria, viruses, and fungi, that the immune system recognizes as foreign. In other words, an antigen is any substance that can trigger an immune response-an effort made by the immune system to rid the body of unwanted foreign invaders. An antigen can even be something that is part of the body that the immune system fails to recognize as self. In rheumatoid arthritis, the immune system does just that: It produces antibodies to cells or tissues that make up your body. It can make antibody to just about anything-even other antibodies. When the immune system makes antibodies against its own body, it is called an autoimmune response. In the case of rheumatoid arthritis, the antigen is another antibody. The resulting antigen-antibody combination is commonly called a rheumatoid factor. It remains unclear why these self proteins are seen as antigens in those suffering from rheumatoid arthritis.
*1/141/5*

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GETTING FIT: RIGHT AMOUNT OF EXERCISES
One way to help choose the right amount of exercise is to take your pulse at intervals. The heart rate increases during exercise. At rest it beats 50 to 100 times a minute (70 to 80 in most adults). Any exercise increases the rate, and really violent exercise can produce rates as high as 200 beats per minute or more in young people, less with advancing age. With increasing fitness, your resting heart rate will become slower (athletes often have very slow rates). More important, the rate will increase less, for a particular exercise level, as you become fit.
A reasonable aim is to exercise at about two thirds of maximum capacity. It follows that a young adult’s heart rate will be about 130 per minute during and just after exercise.
When you exercise keep your pulse below these limits (beats per min.)
The rates shown are quite modest, and as fitness develops you will need to exercise longer or harder to reach these figures. After you have been exercising three to five times weekly for two to three weeks, and provided that you do not become more than slightly breathless, you can choose a new set of target heart rates, as shown in the second column of the table.
The pulse rate is a useful guide if you have been without exercise and want to get fit. If you have been physically active throughout your life, there is little point in checking your pulse during exercise.
Counting the pulse. Counting the pulse is quite easy. Have a watch with a clear second hand on the back of your left wrist. Turn your right hand so that your palm is uppermost. With the middle three fingers of your left hand, feel for the pulse on your right wrist. You will feel its beat in the hollow of the wrist, below the ball of thumb muscles. Press just firmly enough to feel the beat easily. Now count the number of beats in 15 seconds, and calculate your rate by multiplying by 4; if you prefer, count for 6 seconds and add a naught to your count. For example 25 beats in 15 seconds, or 10 beats in 6 seconds, both mean a heart rate of 100 beats per minute.
Try to exercise not less than three to four times a week for twenty minutes each time (initially ten minutes if you are over fifty years). And try to become more vigorous in your everyday activities too. Do whatever activity you find most congenial. Aim at pleasant tiredness; never seek to become more than slightly breathless. As you come to find each activity easy, increase it by a small amount.
*7/202/5*