Its a progressive bonedisease that is characterised by a decrease in bone mass and density and that leads to an increased risk of fracture.   ^{In osteoporosis, the bone mineral density (BMD) is reduced, bone microarchitecture deteriorates, and the amount and variety of proteins in bone are altered.}

Osteoporosis causes bones to become weak and brittle —- so brittle that a fall or even mild stresses like bending over or coughing can cause a fracture.  Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.  Bone is living tissue, which is constantly being absorbed and replaced.  Osteoporosis occurs when the creation of new bone doesn’t keep up with the removal of old bone.  Osteoporosis affects men and women of all races; but white and Asian women–especially after menopause–are at highest risk.  Medications, healthy diet and weight bearing exercise can help prevent bone loss or strengthen already weak bones.

A weight bearing exercise is any exercise that has your legs and feet holding all of your weight. An example of this would be walking, yoga or even dancing.

When is the form of osteoporosis most common inwomen?

^{After MENOPAUSE is the form of osteoporosis most common in women after referred to as primary type 1 or postmenopausal osteoporosis. Primary type 2 osteoporosis or senile osteoporosis occurs after age 75 and is seen in both females and males at a ratio of 2:1. Secondary osteoporosis may arise at any age and affect men and women equally. This form results from chronic predisposing medical problems or disease, or prolonged use of medications such as glucocorticoids, when the disease is called steroid- or glucocorticoid-induced osteoporosis.}

The risk of osteoporosis fractures can be reduced with lifestyle changes and in those with previous osteoporosis related fractures medications. Lifestyle change includes diet, exercise, and ^{preventing falls.}

^{The utility of calcium and vitamin D is questionable in most. Bisphosphonates are useful in those with previous fractures from osteoporosis but are of minimal benefit in those who have osteoporosis but no previous fractures. Osteoporosis is a component of the frailty syndrome.}

Take the problem of Astronauts with osteoporosis:

Space travel has made it widely known that a stay outside the atmosphere – and thus outside the earth’s gravitational influence – disturbs the metabolism irreparably: the human body does not need any hard bones in zero-gravity, which leads to decalcification. A four year study of the ‘International Space Station’ showed that the bones of astronauts　did not regenerate after even one year past their return to earth.

Anti-gravitational  training is the key to osteoporosis if you can handle it (like jumping on a trampeline)  Actual studies show that physical anti-gravitational activity helps the effected patients to regain their mobility and lessen the risk of bone fractures .

Benefits of exercise

Women who have been physically active throughout their lives generally have stronger bones than do women who have led more sedentary lives. But it’s never too late to start exercising. For postmenopausal women, regular physical activity can:

Increase your muscle strength

Improve your balance

Make you better able to carry out daily tasks and activities

Maintain or improve your posture

Relieve or decrease pain

Improve your sense of well-being

Exercising if you have osteoporosis means finding the safest, most enjoyable activities for you given your overall health and amount of bone loss. There’s no one-size-fits-all prescription.

Before you start

Consult your doctor before starting any exercise program for osteoporosis. You may need some tests first, including:

Bone density measurement

Fitness assessment

In the meantime, think about what kind of activities you enjoy most. If you choose an exercise you enjoy, you’re more likely to stick with it over time.

” If the Cushing’s Syndrome is not curable, or if iatrogenic Cushing’s Syndrome     must remain, these individuals will have to cope with persistent fatigue,   muscle weakness, abdominal and facial weight gain, depression, mood swings,    and all the other signs and symptoms. Regular visits to a physician for examinations, blood tests, and treatments of infections and  complications will be necessary and are often viewed as a sever burden.”

National Adrenal Disease Foundation (nadf.us)

Symptoms of Cushings Syndrome

Symptom of cushings syndrome include fat deposits close to the face neck and trunk; weariness; muscular weakness; salt and water retention; acne; leisurely bruising; menstlruall irregularities; and signs (in women) of virilisation, such as increase of the voice, commute in body, shape, loss of scalp hair, and extend in facial and body hair.

Complications of cushings syndrome:

Complications of this syndrome include advanced blood pressure, The symptoms and signs of cushings syndrome induced by a chronic redundant of corticosteroid hormones in the blood. The redundant may be acquired by a tumour of the outer part (cortex) of the adrenal gland, or may be referable to over inspiration of the adrenal glands by a tumour the pituitary gland.

Many children and teenagers with Cushing’s syndrome will exhibit various of the following:

-growth retardation

-missed periods in teenage girls

-excess hair growth

-acne

-reddish-blue streaks on the skin

-high blood pressure

-tiredness and weakness

-either very early or late puberty

Adults with the disease may also have symptoms of intense weight gain, redundant hair growth, high blood pressure, and skin difficulties. In addition, they may show:

-muscle and bone weakness

-moodiness, irritability, or depression

-sleep disturbances

-high blood sugar

-menstrual disorders in women and diminished fertility in men

Complications include:

Diabetes (High or Low blood glucose levels)

Enlargement of pituitary tumor and other complications from the tumor growth

Fractures due to osteoporosis which are common in older people

High blood pressure which could be life threatening

Kidney stones from the increase in cortisol and other chemicals filtered through the kidneys

Serious infections which could lead to further secondary infections

Treatment of Cushings Syndrome

Treatment of cushings syndrome is by castigation of the under lying cause. Treatments for Cushing’s syndrome are contrived to pass your body’s cortisol production to normal. By indurate, or even distinctly lowering cortisol levels, you’ll feel evident improvements in your signs and symptoms.  Left untreated, however, Cushings syndrome can finally induce to DEATH.  The treatment of choic depends on the cause. 

How is Cushing’s syndrome diagnosed?

Diagnosis is established on a survey of the patient’s medical history, somatic examination and Lab tests.

Xrays are beneficial of the adrenal and pituitary glands in finding tumors.

.

“Factors that increase your risk of Cushing’s syndrome include:

• Chronic use of corticosteroid medicines
• Age: 20-50 years
• Sex: female (much more common in women)”

LIFESCRIPT Healthy Living for Women.com

Cushing’s syndrome describes the signs and symptoms associated with prolonged exposure to inappropriately high levels of the hormone cortisol. This can be caused by taking glucocorticoid drugs, or diseases that result in excess cortisol, adrenocortico-tropic hormone (ACTH), or CRH levels.

^{Cushing’s syndrome appears when the body’s tissues are display to immoderate levels of cortisol for long periods of time.} 

There are two types of the disease and they are known as exogenous and endogenous.  Exogenous Cushing syndrome is caused by something outside of the body, like when hormones are given to a patient during a RX for another condition.  Endogenous is caused by natural causing problems within the body.  Endogenous is likely to be hereditary and not caused by an outside force like a steroid complex.

 Causes of Cushing Syndrome

The most common cause of Cushing’s syndrome is

^{exogenous administration of glucocorticoids prescribed by a health care practitioner to treat other diseases (called iatrogenic Cushing’s syndrome). This can be an effect of corticosteroid treatment of a variety of disorders such as asthma and rheumatoid arthritis, or in immunosuppression after an organ transplant.}

Administration of synthetic ACTH(adrenocorticotropichormone) is also possible, but ACTH is less often prescribed due to cost and lesser utility. Although rare, Cushing’s syndrome can also be due to the use of medroxyprogesterone

In this form of Cushing’s, the adrenal glands atrophy due to lack of stimulation by ACTH, since glucocorticoids downregulate production of ACTH. Cushing syndrome in childhood usually results from use of glucocorticoid medication.

^{Endogenous Cushing’s syndrome results from some derangement of the body’s own system of secreting cortisol. Normally, ACTH is released from the pituitary gland when necessary to stimulate the release of cortisol from the adrenal glands.}

In pituitary Cushing’s, a benign pituitary adenoma secretes ACTH. This is also known as Cushing’s disease and is responsible for 70% of endogenous Cushing’s syndrome.

In adrenal Cushing’s, excess cortisol is produced by adrenal gland tumors, hyperplastic adrenal glands, or adrenal glands with nodular adrenal hyperplasia.

Tumors outside the normal pituitary-adrenal system can produce ACTH (occasionally with CRH) that affects the adrenal glands. This etiology is called ectopic or

^{paraneoplastic Cushing’s disease and is seen in diseases like small celllung cancer.}

Finally, rare cases of CRH-secreting tumors (without ACTH secretion) have been reported, which stimulates pituitary ACTH production.

Pseudo-Cushing’s syndrome

Elevated levels of total cortisol can also be due to estrogen found in oral contraceptive pills that contain a mixture of estrogen and progesterone, leading to

^{Pseudo-Cushing’s syndrome. Estrogen can cause an increase of cortisol-binding globulin and thereby cause the total cortisol level to be elevated. However, the total free cortisol, which is the active hormone in the body, as measured by a 24 hour urine collection for urinary free cortisol, is normal.}

Epidemiology

^{Iatrogenic Cushing’s syndrome (caused by treatment with corticosteroids) is the most common form of Cushing’s syndrome.}

With the absence of a flu vaccination last year, I did not take a flu shot; but there is still some immunity that carries over from year to year; but about every 30 years, there is a major change in the genetics of the flu virus.“

Michael Burgess(born 31 March 1946, is the Coroner of the Queen’s Household).    

FLU FACTS:

-Both colds and flu usually last the same seven to 10 days, but flu can go three to four weeks; the flu virus may not still be there, but you have symptoms long after it has left. Allergy can last weeks or months.

-The winter flu epidemic will be coming around us again and in a given locality it reaches its peak in 2 to 3 weeks and lasts 5 to 6 weeks.  Then is disappears as quickly as it arrived.  The reason for this is not completely clear.  The usual pattern is for a rise in the incidence of flu in children, which precedes an increase in the adult population.

-The flu virus can lead to serious complications, including bronchitis, viral or bacterial pneumonia and even death in elderly and chronically ill patients.  Twenty thousand or more people die of the flu in the America each year.  Know this that the frequency of human contact across the world and the highly infectious nature of the virus make this explanation difficult to accept.  Moreover there is no evidence of persistent or latent infection with influenza viruses.  In any case, this idea is not really very difficult from the notion that the virus circulates at a low level throughout the year and seizes its opportunity to cause an outbreak when conditions allow.

-Even harder to explain is why the flu disappears from a community when there are still a large number of people susceptible to infection. Than even harder than that is why flu is a winter disease, which is not fully understood or known.  However, flu is spread largely by droplet (aerosol) infection from individuals with high viral level in their nasal and throat secretions, sneezing, and coughing on anyone close at hand.  The aerosol droplets of the right size (thought to be about 1.5 micrometers in diameter) remain airborne and are breathed into the nose or lungs of the next victim.

-Situations in which people are crowded together are more commonly in cold or wet weather and so perhaps this contributes to spreading the flu at these times.  It is interesting that in equatorial countries, flu occurs throughout the year, but is highest in the monsoon or rainy season.  Enough about facts but onto logical thinking for when we or someone we know has it and what questions we might be asking ourselves.

LOGICAL QUESTIONS YOU MAY ASK YOURSELF:

Are the treatments for these illnesses the cold or the flu different?

For any of these things, if it affects the nose or sinus, just rinsing with saline that gets the mucus and virus out is a first-line defense. It’s not the most pleasant thing to do, but it works very well. There are classes of medicines that can help the flu — Tamiflu and Relenza — antivirals that block viruses’ ability to reproduce and shorten the length and severity of the illness. But they have to be taken within 48 hours or the cat is proverbially out of the bag [because by then] the virus has done the most of its reproduction. For a cold or flu, rest and use decongestants and antihistamines, ibuprofen, acetaminophen, chicken soup and fluids.

Zinc supposedly helps the body’s natural defenses work to their natural capacity and decrease the severity and length of a cold. Cells need zinc as a catalyst in their protective processes, so if you supply them with zinc, it helps them work more efficiently. You should also withhold iron supplements. Viruses use iron as part of their reproductive cycle, so depriving them of it blocks their dissemination.

The majority of these infections are not bacterial and do not require [nor will they respond to] antibiotics. My rule of thumb is that a viral infection should go away in seven to 10 days. If symptoms persist after that, you’d consider if it’s bacteria like Strep or HaemophilusHYPERLINK “http://www.sciam.com/article.cfm?id=how-much-aids-vaccine-do” HYPERLINK “http://www.sciam.com/article.cfm?id=how-much-aids-vaccine-do”influenzae. Those bacteria cause illnesses that are longer lasting and need antibiotics for ranging 3 to 14 days, depending on the med used.

Is that treatment approachthe same for kids versus adults?

In general, the same rules apply: Most children will have six to eight colds a year in their first three years of life, and most are viral.  Adults have 3 or more a year. It’s very easy to test for strep and for that you should have a [positive] culture [before treating with antibiotics].  The principle behind that is knowing the organism the doctor will know what antibiotic to use to fight off the bacterial infection and you won’t build up antibodies from the antibiotic that you didn’t need in the first place if you are given the wrong antibiotic in the beginning.

Are the strategies for avoiding cold and flu different?

Avoidance is very similar: Strict hand washing, not sharing drinking cups or utensils, and avoiding direct contact with people who are sneezing.  Their transmission is similar.  As long as someone has a fever, they have the possibility to transmit infection. After they’ve had no fever for 24 hours, they’re not infectious anymore.

The U.S. Centers for Disease Control and Prevention (CDC) now recommends that just about everyone get the flu shot: kids 6 months to 19 years of age, pregnant women, people 50 and up, and people of any age with compromised immune systems. Is the shot beneficial to anyone who gets it?

Unless you have a contraindication, there’s no reason not to get it=PREVENTION. Contraindications include egg allergy (because the vaccine is grown from egg products), any vaccines within a last week or two, and active illness at the time of your vaccine.

The best to do is PREVENTION so you can avoid the cold or flu in its active phase or post phase, so doing the following will help prevent it:

Live a healthy lifestyle overall=Good dieting, living good healthy habits and maintaining exercise with rest daily or 2 to 3 times a week including get a vaccine yearly for the flu with maintaining good clean anti-infection habits like as simply as washing the hands as directed above.

If you need help in being given the knowledge in how routinely lose weight if not maintain your good weight, knowing what foods are lean to leaner to leanest out of the 4 food groups, understanding why portions of meals including exercise balanced with rest is so important, how all 4 interact with each other impacting your metabolism rate, and keeping a healthier body with a higher chance of increasing your immunity with fighting off simple colds to possibly the flu when near someone contaminated with the virus and making this a regular part not just a few months to a year but for life then you came to the right blog.  This is provided through Dr. Anderson and myself as your health coach if you need one in where we help you get started on this goal in your life.  You can order Dr. Anderson’s book “Dr. A’s healthy habits” that provides the information on foods to help you lose the excess of weight with so much more in learning about the body to diseases in prevention and Rx.  Most important, you make all the choices.   I needed to lose weight and lost 22 lbs. and hope to continue to lose another 20 lbs or so.  So if you want to prevent getting the cold to the flu with so many other diseases and illnesses go to healthyusa.tsfl.com and join me. Take a peek for no charge, no obligation and no hacking. I hope you have learned something new from my blog.

****Recommended is to check with your MD on any changes with diet or exercise especially if diagnosed already with disease or illness for your safety.****

References for Part 1,2, and 3 on the two bugs The FLU and The COLD:

1-Wikipedia “the free encyclopedia” 2013 website under the topic Influenza.

2-Kimberly Clark Professional website under the influenza.

3-Web MD under “COLD, FLU, COUGH CENTER” “Flu or cold symptoms?” Reviewed by Laura J. Martin MD November 01, 2011

4-2013 Novartis Consumer Health Inc. Triaminic “Fend off the Flu”

5-Scientific American “Why do we get the flu most often in the winter? Are viruses virulent in cold weather? December 15, 1997

People infected with an influenza or cold virus become contagious 24 hours after the virus enters the body (often before symptoms appear). Adults remain infectious (can spread the virus to others) for about 6 days, and children remain infectious for up to 10 days.  Factors that may increase the risk of catching a cold are fatigue, emotional stress, smoking, mid-phase of the menstrual cycle, and nasal allergies.  Factors that do not increase the risk of catching a cold include cold body temperature (Example being out in the cold or enlarged tonsils).  General health status and eating habits do in that they have impact on your immunity and “fight or flight” in  fighting off infection as opposed to getting sick due to a healthy body overall.

Watch for flu symptoms and in comparison here with the cold symptoms when trying to decipher what you have before going to the doctor:

FLU  S/S                                                                                                                COLD S/S

-High fever lasting 3 to 4 days                                          -Fever rarely                                                                       -Prominent headache (H/A)                                             -H/A- rarely                                                              -General Aches and pains=often & severe                     -Slight in a cold                                                  -Fatigue and weakness lasts up to 2-3 wks.                  -Mild, if +                                                                           -Extreme Exhaustion-Early and Prominent                  -Never occurs                                                         -Chest Discomfort,Cough=common,severe                  -Mild-moderate&hacking cough                          -Sore throat is sometimes                                                 -Common  *

-Stuffy nose is present sometimes                                    -Common symptom                                          -Diarrhea and vomiting(more common for children)

*Note weakness and tiredness can last up to a few weeks with the Flu.

Regarding cold symptoms also be aware for these specifics, which include:

-With the symptoms above you can also have the nose that teems with watery nasal secretions for the first few days later these become thicker and darker.  Dark mucus is natural and does not mean you have developed a bacterial infection, such as a sinus infection.

**Know several hundred different viruses may cause your cold symptoms. A virus cannot be treated with an antibiotic since they only are treatment for bacterial infections.*

Let’s prepare ourselves in knowing factors for prevention of  these 2 BUGS THE COLD and THE FLU (particularly) with knowing what to do when you or someone in the home has it.

Now let’s review what we know which is the common cold and the types of flu (Types A,B, and C) are with knowing their symptoms (the cold versus the flu) and The Flu statistics of how many are affected yearly with what complications can arise, based on Part 1 of yesterday’s article on the cold and flu lets now start in letting us be aware of factors in prevention of a cold vs. flu.

The biggest factor in prevention of the COMMON COLD or THE FLU and a great healthy habit and that would be washing your hands with soap and water often, especially:

Before, during, and after preparing food

Before eating

After using the bathroom

After handling animals or animal waste

When their hands are dirty

When someone in your home is sick                                                                                                                     FOR AVOIDANCE IN GETTING THE FLU OBTAIN YOUR VACCINE YEARLY!

What to do when you have the cold or, worse, the flu:

Keep your face off-limits.

The flu virus enters through the eyes, nose, and mouth, so those with the flu or a simple cold should never touch their faces unless they’ve just washed their hands.

Keep your distance.

Stay clear of people who are sick-or feel sick.

Avoid sharing food, drinks, and utensils.

Do not share drinking glasses-and to break off portions of food and to pour off beverages before consuming them.

Since the age of 6 months, Olivia’s bedtime routine has been the same – play time, bath, pajamas, bottle, story, then bed.

Make sure you or your sick child who is sick gets enough sleep.       Too little sleep can cause the feeling of run-down and lower the immunity. Yet a National Sleep Foundation poll found that most children need 1 to 3 more hours of sleep than they’re getting every night usually. How much should they be getting? Experts recommend 11 to 13 hours a night for preschoolers and kindergartners and 10 to 11 hours for school-aged children.  Adults 8 hours of sleep a day if not more when sick with a cold or the flu. How to make sure this can be accomplished: Establish an earlier-bedtime routine, this just takes disciplining by the parent or yourself if an adult.

Let your kids, including adults stay home when they’re sick.

They’ll feel better sooner and won’t pass their illness on to their classmates or for an adult passing it on to colleagues at work especially the first few days when contagious so don’t go into work those few days.

Keep tissues handy.

The flu spreads when infected people cough or sneeze. So adults use them and encourage your kids to cough and sneeze into a tissue or their upper arm if tissues aren’t available. (Coughing into a bare hand can also spread germs if kids touch something before they can wash.)

Use those wipes!

Flu germs can live for several hours on surfaces such as countertops and doorknobs. Wipe down contaminated objects with soap and water.

Ask your doctor about antiviral medications.

Although not approved for use in children under 1, these drugs can be used in older children & adults to prevent influenza or even can treat the flu in the first 2 days of onset.

Live a healthy lifestyle.

MOST IMPORTANT!!!  A healthy lifestyle may help prevent them from getting sick in the first place.

****Recommended is to check with your MD on any changes with diet or exercise especially if diagnosed already with disease or illness for your safety.****

REFERENCES FOR PART 1,2, AND 3 ON THE COLD AND THE FLU ARE:

1-Wikipedia “the free encyclopedia” 2013 website under the topic Influenza.

2-Kimberly Clark Professional website under the influenza.

3-Web MD under “COLD, FLU, COUGH CENTER” “Flu or cold symptoms?” Reviewed by Laura J. Martin MD November 01, 2011

4-2013 Novartis Consumer Health Inc. Triaminic “Fend off the Flu”

5-Scientific American “Why do we get the flu most often in the winter? Are viruses virulent in cold weather? December 15, 1997

“Civilization, the orderly world in which we live, is frail. We are skating on thin ice. There is a fear of a collective disaster. Terrorism, genocide, flu, tsunamis”.

Zygmunt Bauman(87 y/o and born 19 November 1925) is a Polishsociologist. Since 1971, he has resided in England after being driven out of Poland by an anti-semiticHYPERLINK “http://en.wikipedia.org/wiki/1968_Polish_political_crisis” campaign.