Season's Greetings from The College Of Physicians of Philadelphia
--Forwarded message --
From: "George M. Wohlreich, MD" <gwohlreich@collphyphil.org>
To: fenny.braide@ifsinc.org> Fenny Braide, Ph.D.
Date: Tue, 22 Dec 2009 15:37:33 -0500 (EST)
Subject: Season's Greetings from The College Of Physicians of Philadelphia
Dear Fenny,
As we close out another year, the College gratefully reflects on the good will and generous support we have received from our Fellows and Friends.
The College has many exciting programs, and we continue to see a record number of visitors discovering the Mütter Museum and Historical Medical Library for the first time. Our Museum Education program provides thousands of students the opportunity to explore first-hand, the history and modern practice of medicine, utilizing artifacts which are rarely available to those outside the medical profession. Based on that success, this year we added the Karabots Junior Fellowship Program, which encourages and supports Philadelphia High School students to consider careers in the health and medical fields.
The College also remains a vital resource for neutral and authoritative health information through PhillyHealthInfo.org and our highly successful free Programs and Lecture series.
As the end of 2009 quickly approaches, please take a moment to support the College through a tax deductible donation to our Annual Fund. Your support of the College enables us to maintain our neutrality, while sharing more of our resources that inspire interest in the ideas, voices and application of medicine.
I wish you and your families a happy and safe holiday season, and a prosperous New Year.
In Good Health,
George M. Wohlreich, MD
Director and Chief Executive Officer
The Thomas W. Langfitt Chair
P.S. - We hope to see you soon at one of our programs, and at the Mütter Ball on March 12, 2010. Please help us continue to share our unique resources and make your contribution ONLINE today!
Forward email This email was sent to fenny.braide@ifsinc.org by
The College Of Physicians of Philadelphia 19 South Twenty-Second Street Philadelphia PA 19103
Tuesday, December 22, 2009
Monday, December 21, 2009
Hungover: is there a cure?
After Hour Hungover----Is there a cure?
It’s morning or you think it’s morning. You put a hand over your eyes to block the penetrating light force trying to laser through your window shade. You lift your head to check the time, but the pounding inside your skull makes movement impossible. Your thick, fuzzy tongue cries for water. But the churning in your stomach takes charge. Off you go to worship the porcelain bowl.
Sound familiar? You have a hangover!
A recent study suggests that around 23% of the population may be resistant to hangover. Obviously you are not one of them. The National Headache Foundation’s reports an overwhelming 92% of the population has experienced a hangover headache at some point in their lives. Misery loves company - don’t you?
Why do I feel so crappy?Beer, wine, and liquor are all made of ethanol which causes blood vessels to enlarge triggering headaches in some people. Alcoholic beverages also contain chemicals called congeners, which create the specific color and flavors of each drink. Congeners also trigger headaches and induce hangover symptoms. Suffer from migraines? A recent study found that people suffering with migraines are more susceptible to alcohol-induced headaches
Alcohol stimulates the body to produce more urine. Urinating a lot can lead to dehydration or chemical imbalances in the body, resulting in headaches, dry mouth and general lethargy.
Alcohol is also tough on the stomach, causing nausea and stomach cramps. The fatigue and shakiness you feel are due to decreased blood sugar levels and the fact that your body is working hard to rid itself of a toxic level of alcohol.
TREATMENT
How can I minimize my suffering?The best treatment for a hangover is sleep, which gives your body a chance to recover. Eating something, even if you don’t feel like it, will probably help. After you get something in your stomach, take ibuprofen or naproxen to treat your headache. Don’t skip the food or chances are the headache may improve but the stomach problems will worsen. Once the room stops spinning, get up and get moving to get your blood circulating. The endorphins fight the after-effects of all the alcohol.
The National Headache Foundation offers the following advice:
Drink tomato juice. It’s a good source of fructose and it helps the body process alcohol faster.
Liquids rich in minerals and salts such as bouillon offer relief from the dehydration caused by alcohol consumption.
Drink sports drinks to replenish your body’s fluids.
Drink coffee as soon as you wake up: Caffeine may provide some relief in alleviating the headache symptoms and decreasing the duration of pain. Caffeine eases the dilated blood vessels.
Take ibuprofen: it is gentler on the stomach than aspirin and provides pain relief.
Myths: Only TIME can sober you up - coffee, a cold shower and exercise will NOT speed up the process. Here are some other myths:
Caffeine will sober you up - False. It just makes you jittery.
False. Drinking more alcohol will just prolong your suffering.
Take Aspirin or Tylenol before bed to rid a hangover - This can do more harm than good since aspirin can irritate the stomach. Try vitamin B instead.
What Should I Do Next Time?
Don’t drink so much! Save money and sip slowly. Add a few ice cubes. Your body can only metabolize about one drink per hour. Don’t forget a 10 ounce beer, a 5 ounce glass of wine and a 1.5 ounce shot of 80 proof distilled spirits all contain the same amount of alcohol and are considered ONE DRINK.
DO NOT DRIVE! Pennsylvania has set .08% Blood Alcohol Content (BAC) as the legal limit for Driving Under the Influence (DUI) convictions.
Don’t drink on an empty stomach. Food helps slow the absorption of alcohol, especially fats and carbohydrates. Order a burger or cheese steak before heading to the bar or holiday party.
A tablespoon or two of honey provides fructose and contains vitamin B6 which can reduce hangover symptoms.
Order mixed drinks with fruit or vegetable juices which help replenish the sugars lost through over drinking. Eat pastries, cakes, or sugar based drinks before going to bed.
Drink clear alcohol or “top shelf” alcohol brands as they contain less congeners than dark or cheaper alcohols.
Drink plenty of water. Keep your body hydrated by alternating alcohol with water.
Stop drinking before you think you should. A study in the Journal of Studies on Alcohol indicated that students significantly overestimate the number of drinks it takes to result in “morning regret” including throwing up, unwanted sex, hangovers and black outs.
Room still spinning?
Turn off the phone
Put a wastebasket or bucket near the bed
Pull the shades and turn off the phone
Resolve to drink less next time----Peace.
Dr. Fenibo Braide
Psychotherapist
Ref: The College of Physicians of Philadelphia Health Info----12/21/09
It’s morning or you think it’s morning. You put a hand over your eyes to block the penetrating light force trying to laser through your window shade. You lift your head to check the time, but the pounding inside your skull makes movement impossible. Your thick, fuzzy tongue cries for water. But the churning in your stomach takes charge. Off you go to worship the porcelain bowl.
Sound familiar? You have a hangover!
A recent study suggests that around 23% of the population may be resistant to hangover. Obviously you are not one of them. The National Headache Foundation’s reports an overwhelming 92% of the population has experienced a hangover headache at some point in their lives. Misery loves company - don’t you?
Why do I feel so crappy?Beer, wine, and liquor are all made of ethanol which causes blood vessels to enlarge triggering headaches in some people. Alcoholic beverages also contain chemicals called congeners, which create the specific color and flavors of each drink. Congeners also trigger headaches and induce hangover symptoms. Suffer from migraines? A recent study found that people suffering with migraines are more susceptible to alcohol-induced headaches
Alcohol stimulates the body to produce more urine. Urinating a lot can lead to dehydration or chemical imbalances in the body, resulting in headaches, dry mouth and general lethargy.
Alcohol is also tough on the stomach, causing nausea and stomach cramps. The fatigue and shakiness you feel are due to decreased blood sugar levels and the fact that your body is working hard to rid itself of a toxic level of alcohol.
TREATMENT
How can I minimize my suffering?The best treatment for a hangover is sleep, which gives your body a chance to recover. Eating something, even if you don’t feel like it, will probably help. After you get something in your stomach, take ibuprofen or naproxen to treat your headache. Don’t skip the food or chances are the headache may improve but the stomach problems will worsen. Once the room stops spinning, get up and get moving to get your blood circulating. The endorphins fight the after-effects of all the alcohol.
The National Headache Foundation offers the following advice:
Drink tomato juice. It’s a good source of fructose and it helps the body process alcohol faster.
Liquids rich in minerals and salts such as bouillon offer relief from the dehydration caused by alcohol consumption.
Drink sports drinks to replenish your body’s fluids.
Drink coffee as soon as you wake up: Caffeine may provide some relief in alleviating the headache symptoms and decreasing the duration of pain. Caffeine eases the dilated blood vessels.
Take ibuprofen: it is gentler on the stomach than aspirin and provides pain relief.
Myths: Only TIME can sober you up - coffee, a cold shower and exercise will NOT speed up the process. Here are some other myths:
Caffeine will sober you up - False. It just makes you jittery.
False. Drinking more alcohol will just prolong your suffering.
Take Aspirin or Tylenol before bed to rid a hangover - This can do more harm than good since aspirin can irritate the stomach. Try vitamin B instead.
What Should I Do Next Time?
Don’t drink so much! Save money and sip slowly. Add a few ice cubes. Your body can only metabolize about one drink per hour. Don’t forget a 10 ounce beer, a 5 ounce glass of wine and a 1.5 ounce shot of 80 proof distilled spirits all contain the same amount of alcohol and are considered ONE DRINK.
DO NOT DRIVE! Pennsylvania has set .08% Blood Alcohol Content (BAC) as the legal limit for Driving Under the Influence (DUI) convictions.
Don’t drink on an empty stomach. Food helps slow the absorption of alcohol, especially fats and carbohydrates. Order a burger or cheese steak before heading to the bar or holiday party.
A tablespoon or two of honey provides fructose and contains vitamin B6 which can reduce hangover symptoms.
Order mixed drinks with fruit or vegetable juices which help replenish the sugars lost through over drinking. Eat pastries, cakes, or sugar based drinks before going to bed.
Drink clear alcohol or “top shelf” alcohol brands as they contain less congeners than dark or cheaper alcohols.
Drink plenty of water. Keep your body hydrated by alternating alcohol with water.
Stop drinking before you think you should. A study in the Journal of Studies on Alcohol indicated that students significantly overestimate the number of drinks it takes to result in “morning regret” including throwing up, unwanted sex, hangovers and black outs.
Room still spinning?
Turn off the phone
Put a wastebasket or bucket near the bed
Pull the shades and turn off the phone
Resolve to drink less next time----Peace.
Dr. Fenibo Braide
Psychotherapist
Ref: The College of Physicians of Philadelphia Health Info----12/21/09
Friday, December 18, 2009
Revised Quantitative Studies about HIV / AIDS to KADIFO
From: Dr. Fenny Braide
fnn2@aol.com
To: KADIFO
REVISED QUANTITATIVE STUDIES ABOUT HIV / AIDS AND SEXUALLY TRANSMITTED DISEASES
The concept of this need assessment is to create awareness, explore and make recommendations about the alarming increase of HIV/AIDS and sexually transmitted diseases in our community.
THE GOAL IS TO DECREASE THE NUMBER OF HIV/AIDS AND STD INFECTION IN OUR COMMUNITY AND TO INSTILL SELF-RESPECT AND CONFIDENCE IN PARTICIPATING POPULATION.
KADIFO:
We are inquiring about sexually transmitted diseases in our community. We believe abstinence, protective sex, and self respect are the key values to avoid HIV/AIDS and sexually transmitted diseases. Just because you don't notice any changes in your body does not mean that HIV / AIDS is not damaging your immune system. Overtime, if left untreated, HIV can damage your immune system so much that your body become unable to defend against other diseases or infection leading to AIDS and premature death. This is ONE of the reasons why early testing and preventive treatments are so important.
TARGET POPULATION SURVEY
PLEASE CIRCLE THE ANSWER THAT BEST APPLIES TO YOU
1. Gender----------------------Male / Female
2. Marital Status:---------------- Married / Single
3. what age group are you----------(15-20) (20-30) (30-40) (40-50) (50-60+)
4. Are you employed-----------------Yes / No
5. Are you a student-------------------Yes / No
6. Are you sexually active------------Yes / No
7. Do you use condom?---------------------------Yes / No
8. How often do you use condom--------Seldom / Never / All the time
9. Have you ever been tested for HIV / AIDS or STD--------Yes / No
10. If yes, are you currently on medication therapy-----Yes / No / NA
11. If no, would you like to be tested------------------Yes / No
12. Will you like to educate others about dangers of HIV/AIDS and STD---Yes / No / maybe
13. Sexual orientation----(a) heterosexual (b) homosexual (c) bisexual
14. What is your opinion about this project--Poor /Fair / Good / Excellent / Not necessary
KEY INFORMANT QUESTIONNAIRE
This section is targeted towards private and public sector
1. Name------------------------Mr / Ms / Mrs / Dr. / Chief / Hon / other
2. What is your educational background--Elem /College / University / Work experience / None
2. Profession, position or title--- Clerk/ Administrator / Commissioner / Lawmaker / Counselor / Other
3. How long have you been on this job --------(0-5) (5-10) (10-20+)
4. How committed is your local / federal government to educate the general public about HIV / AIDS--Committed / Not committed / Not sure
5. If committed, would you support the idea that government supply free condoms to schools, clinics and hospitals---S-agree / Agree / Disagree / S-disagree / Not sure
6. As a public servant do you listen to the health problems and concerns of your community---All the time / Some times / Not at all / NA.
7. Do you anticipate decrease in number of HIV / AIDS / STD infection in the next 5 years-- Strongly agree / Agree / Disagree / S-disagree / Not sure.
8. What is your opinion about this project----Poor / Fair / Good / Excellent / Not necessary
POST TEST
PLEASE CIRCLE THE APPROPRIATE RESPONSE TO EACH QUESTION
1. Do you gain any knowledge about the dangers of HIV / AIDS and STD--Agree / Strongly agree/ Disagree / S-disagree / NA
2. Do you think this project is helpful to the community---Strongly agree / Agree / Disagree / S-disagree / NA
3. Do you think you have regained your self-worth and confidence after knowing your HIV status--- Strongly-A / Agree / Disagree / S-disagree / NA
4. What change would you like to see in future projects like this----Bla bla--blaa---------------------------
5. COMMENTS IF ANY...
Revised copy submitted to KADIFO on 9/5/07
Dr. Fenibo Braide is a Psychotherapist and mental health consultant
Philadelphia, Pennsylvania
fnn2@aol.com
To: KADIFO
REVISED QUANTITATIVE STUDIES ABOUT HIV / AIDS AND SEXUALLY TRANSMITTED DISEASES
The concept of this need assessment is to create awareness, explore and make recommendations about the alarming increase of HIV/AIDS and sexually transmitted diseases in our community.
THE GOAL IS TO DECREASE THE NUMBER OF HIV/AIDS AND STD INFECTION IN OUR COMMUNITY AND TO INSTILL SELF-RESPECT AND CONFIDENCE IN PARTICIPATING POPULATION.
KADIFO:
We are inquiring about sexually transmitted diseases in our community. We believe abstinence, protective sex, and self respect are the key values to avoid HIV/AIDS and sexually transmitted diseases. Just because you don't notice any changes in your body does not mean that HIV / AIDS is not damaging your immune system. Overtime, if left untreated, HIV can damage your immune system so much that your body become unable to defend against other diseases or infection leading to AIDS and premature death. This is ONE of the reasons why early testing and preventive treatments are so important.
TARGET POPULATION SURVEY
PLEASE CIRCLE THE ANSWER THAT BEST APPLIES TO YOU
1. Gender----------------------Male / Female
2. Marital Status:---------------- Married / Single
3. what age group are you----------(15-20) (20-30) (30-40) (40-50) (50-60+)
4. Are you employed-----------------Yes / No
5. Are you a student-------------------Yes / No
6. Are you sexually active------------Yes / No
7. Do you use condom?---------------------------Yes / No
8. How often do you use condom--------Seldom / Never / All the time
9. Have you ever been tested for HIV / AIDS or STD--------Yes / No
10. If yes, are you currently on medication therapy-----Yes / No / NA
11. If no, would you like to be tested------------------Yes / No
12. Will you like to educate others about dangers of HIV/AIDS and STD---Yes / No / maybe
13. Sexual orientation----(a) heterosexual (b) homosexual (c) bisexual
14. What is your opinion about this project--Poor /Fair / Good / Excellent / Not necessary
KEY INFORMANT QUESTIONNAIRE
This section is targeted towards private and public sector
1. Name------------------------Mr / Ms / Mrs / Dr. / Chief / Hon / other
2. What is your educational background--Elem /College / University / Work experience / None
2. Profession, position or title--- Clerk/ Administrator / Commissioner / Lawmaker / Counselor / Other
3. How long have you been on this job --------(0-5) (5-10) (10-20+)
4. How committed is your local / federal government to educate the general public about HIV / AIDS--Committed / Not committed / Not sure
5. If committed, would you support the idea that government supply free condoms to schools, clinics and hospitals---S-agree / Agree / Disagree / S-disagree / Not sure
6. As a public servant do you listen to the health problems and concerns of your community---All the time / Some times / Not at all / NA.
7. Do you anticipate decrease in number of HIV / AIDS / STD infection in the next 5 years-- Strongly agree / Agree / Disagree / S-disagree / Not sure.
8. What is your opinion about this project----Poor / Fair / Good / Excellent / Not necessary
POST TEST
PLEASE CIRCLE THE APPROPRIATE RESPONSE TO EACH QUESTION
1. Do you gain any knowledge about the dangers of HIV / AIDS and STD--Agree / Strongly agree/ Disagree / S-disagree / NA
2. Do you think this project is helpful to the community---Strongly agree / Agree / Disagree / S-disagree / NA
3. Do you think you have regained your self-worth and confidence after knowing your HIV status--- Strongly-A / Agree / Disagree / S-disagree / NA
4. What change would you like to see in future projects like this----Bla bla--blaa---------------------------
5. COMMENTS IF ANY...
Revised copy submitted to KADIFO on 9/5/07
Dr. Fenibo Braide is a Psychotherapist and mental health consultant
Philadelphia, Pennsylvania
Tuesday, December 8, 2009
Myths and Facts about Children who have Experienced Trauma
MYTHS AND FACTS ABOUT CHILDREN WHO HAVE EXPERIENCED TRAUMA
Myth: Children are resilient and will "bounce back" after traumatic event.
Fact: Children have no "special ability" to heal after trauma.
Myth: Over time, children will simply forget about what happened.
Fact: Even the very young children remember and are affected by traumatic events.
Myths: We should not talk to children about the trauma because children will talk about it on their own if they want to.
Fact: Children take their cues from those around them. Most children will not talk about the trauma if no one else does.
Myth: Talking to children about the trauma will make them remember it more.
Fact: Talking about trauma helps children with healing.
Dr. Fenibo Braide, Psychotherapist
December, 2009
Myth: Children are resilient and will "bounce back" after traumatic event.
Fact: Children have no "special ability" to heal after trauma.
Myth: Over time, children will simply forget about what happened.
Fact: Even the very young children remember and are affected by traumatic events.
Myths: We should not talk to children about the trauma because children will talk about it on their own if they want to.
Fact: Children take their cues from those around them. Most children will not talk about the trauma if no one else does.
Myth: Talking to children about the trauma will make them remember it more.
Fact: Talking about trauma helps children with healing.
Dr. Fenibo Braide, Psychotherapist
December, 2009
Sunday, December 6, 2009
Understanding Psychological Trauma
What is Psychological Trauma
Psychological trauma is not an event itself; it is a response to a stressful experience in which a person's ability to cope is dramatically undermined. Traumatic events often overwhelm the ordinary human adaptations to life. The situation also confront human beings with the extremities of hopelessness and terror.
The Impact of Trauma - Children
Childhood abuse can result in adult experience of shame flashbacks, nightmares, severe anxiety, depression, alcohol and drug use, feelings of humiliation / unworthiness and profound terror. According to scientific studies, more than 40 percent of children exposed to severe trauma will develop some form of chronic neuropsychiatric problem like PTSD or other Anxiety disorders that will negatively impact their emotional, academic and social functioning.
Adults Abused as Children
Adults abused during childhood are more than twice likely to have at least one or more lifetime psychiatric diagnosis, almost 3 times as likely to have anxiety disorder, two or more times likely to experience phobias, over ten times likely to have panic disorder, almost 4 times or more to have antisocial personality disorder, as well as, four to twelve fold increased risk of alcoholism / drug abuse.
Treatment
Universal precautions: create trust and safe environment. Consider talking in an even, calm manner with genuine affect even when the person is not doing the right thing. Respect the need for all people, no matter their age to have autonomy and process information willingly. Consider describing behaviors and natural consequences, rather than labeling or interpreting behaviors when discussing possible needs of children with their parents, and finally consider consulting with a psychiatrist for medication as needed.
Ref. Private practice
Dr. Fenibo Braide, Psychotherapist
December, 2009
Psychological trauma is not an event itself; it is a response to a stressful experience in which a person's ability to cope is dramatically undermined. Traumatic events often overwhelm the ordinary human adaptations to life. The situation also confront human beings with the extremities of hopelessness and terror.
The Impact of Trauma - Children
Childhood abuse can result in adult experience of shame flashbacks, nightmares, severe anxiety, depression, alcohol and drug use, feelings of humiliation / unworthiness and profound terror. According to scientific studies, more than 40 percent of children exposed to severe trauma will develop some form of chronic neuropsychiatric problem like PTSD or other Anxiety disorders that will negatively impact their emotional, academic and social functioning.
Adults Abused as Children
Adults abused during childhood are more than twice likely to have at least one or more lifetime psychiatric diagnosis, almost 3 times as likely to have anxiety disorder, two or more times likely to experience phobias, over ten times likely to have panic disorder, almost 4 times or more to have antisocial personality disorder, as well as, four to twelve fold increased risk of alcoholism / drug abuse.
Treatment
Universal precautions: create trust and safe environment. Consider talking in an even, calm manner with genuine affect even when the person is not doing the right thing. Respect the need for all people, no matter their age to have autonomy and process information willingly. Consider describing behaviors and natural consequences, rather than labeling or interpreting behaviors when discussing possible needs of children with their parents, and finally consider consulting with a psychiatrist for medication as needed.
Ref. Private practice
Dr. Fenibo Braide, Psychotherapist
December, 2009
Friday, November 20, 2009
Coping with Anxiety and Phobias
Coping with Anxiety and Phobias
We live in anxious times. Around the clock, we hear news of war, murder, natural disasters, and ominous threats such as terrorism, swine flu and bird flu. If you are lucky enough not to be directly affected by major catastrophes, more personal issues can still provoke anxiety, such as physical health, work related problems, financial security, or your relationships with family and friends. Sometimes even relatively small-scale things such as getting stuck in traffic, car problem, computer problem, or even preparing for work presentation can all be significant source of stress.
Anxiety disorders are the most common mental health disorders among older adults. Approximately eleven percent of people ages 55 and over suffer from anxiety disorder, while less than four percent experience major depression. Anxiety in older adults has received relatively little scientific attention. Most of what is known comes from studies of young and middle-aged adults, but the findings on anxiety medications don't all hold true for older people.
Type and Symptoms
Panic Attack: Sudden wave of in tensed apprehension, fearfulness, or terror with physical symptoms such as shortness of breath, palpitations, sweating, and chest pain - occurs for no apparent reason.
Panic Disorder: Recurrent attacks that occur without warning
Phobia: Substantial anxiety caused by exposure to a particular feared object or situation.
Social Phobia: Substantial anxiety caused by certain social situations or exposure to performing in front of a group (or Recurrent distressing thoughts)
Acute stress disorder: Anxiety symptoms that last for up to a month following a traumatic experience.
PTSD: Distressing thoughts, anger and other anxiety symptoms that occur for more than a month following a life-threatening or severe traumatic experience.
OCD: Also known as obsessive compulsive disorder, is a recurrent distressing thoughts (obsessions) with uncontrollable repetitive behaviors which interfere with normal functioning.
The good news is Anxiety disorders is treatable with therapeutic techniques and medication administration.
Dr. Fenibo Braide, is a psychotherapist and mental health consultant.
Email: drfenibob@gmail.com
We live in anxious times. Around the clock, we hear news of war, murder, natural disasters, and ominous threats such as terrorism, swine flu and bird flu. If you are lucky enough not to be directly affected by major catastrophes, more personal issues can still provoke anxiety, such as physical health, work related problems, financial security, or your relationships with family and friends. Sometimes even relatively small-scale things such as getting stuck in traffic, car problem, computer problem, or even preparing for work presentation can all be significant source of stress.
Anxiety disorders are the most common mental health disorders among older adults. Approximately eleven percent of people ages 55 and over suffer from anxiety disorder, while less than four percent experience major depression. Anxiety in older adults has received relatively little scientific attention. Most of what is known comes from studies of young and middle-aged adults, but the findings on anxiety medications don't all hold true for older people.
Type and Symptoms
Panic Attack: Sudden wave of in tensed apprehension, fearfulness, or terror with physical symptoms such as shortness of breath, palpitations, sweating, and chest pain - occurs for no apparent reason.
Panic Disorder: Recurrent attacks that occur without warning
Phobia: Substantial anxiety caused by exposure to a particular feared object or situation.
Social Phobia: Substantial anxiety caused by certain social situations or exposure to performing in front of a group (or Recurrent distressing thoughts)
Acute stress disorder: Anxiety symptoms that last for up to a month following a traumatic experience.
PTSD: Distressing thoughts, anger and other anxiety symptoms that occur for more than a month following a life-threatening or severe traumatic experience.
OCD: Also known as obsessive compulsive disorder, is a recurrent distressing thoughts (obsessions) with uncontrollable repetitive behaviors which interfere with normal functioning.
The good news is Anxiety disorders is treatable with therapeutic techniques and medication administration.
Dr. Fenibo Braide, is a psychotherapist and mental health consultant.
Email: drfenibob@gmail.com
Wednesday, October 21, 2009
Health Alert October 2009
PhillyHealthInfo.org. Health AlertOctober 13, 2009
Winter's on its Way
Can you feel the chill in the air? Use our Weather Safety page to get help paying your heating bills and find home weatherization tips.
Breast Cancer Month
Looking for screenings, lectures, talks, and fund raisers? PhillyHealthInfo.org is your Breast Health events headquarters.
Oral Fixation: Think there's no connection between oral health and sexual health? Think again. Want more answers? Check out this Q&A with Dr. Vivian Wasmuht-Perroud.
Regional Flu Updates
Looking for flu clinics in your county? Want the latest news on outbreaks? PhillyHealthInfo.org is your source for flu updates in Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.
The Future of Healthcare?
Register Now!Interested in the future of health clinics at pharmacies and retail locations? At this seminar, industry leaders, clinic operators, and non-profit hospitals and health systems will discuss the evolution of the retail-based convenient care model.
Health Tips from Dr. Brian McDonough.
Refer a Friend don't let someone you love miss out on another important health alert! Tell them to visit PhillyHealthInfo.org
Forward email: This email was sent to fenny.braide@ifsinc.org by jgoff@collphyphil.org. From
The College Of Physicians of Philadelphia 19 South 22nd Street Philadelphia PA 19103
Reply Forward
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Let people know what you're up to, or share links to photos, videos, and web pages.
Winter's on its Way
Can you feel the chill in the air? Use our Weather Safety page to get help paying your heating bills and find home weatherization tips.
Breast Cancer Month
Looking for screenings, lectures, talks, and fund raisers? PhillyHealthInfo.org is your Breast Health events headquarters.
Oral Fixation: Think there's no connection between oral health and sexual health? Think again. Want more answers? Check out this Q&A with Dr. Vivian Wasmuht-Perroud.
Regional Flu Updates
Looking for flu clinics in your county? Want the latest news on outbreaks? PhillyHealthInfo.org is your source for flu updates in Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.
The Future of Healthcare?
Register Now!Interested in the future of health clinics at pharmacies and retail locations? At this seminar, industry leaders, clinic operators, and non-profit hospitals and health systems will discuss the evolution of the retail-based convenient care model.
Health Tips from Dr. Brian McDonough.
Refer a Friend don't let someone you love miss out on another important health alert! Tell them to visit PhillyHealthInfo.org
Forward email: This email was sent to fenny.braide@ifsinc.org by jgoff@collphyphil.org. From
The College Of Physicians of Philadelphia 19 South 22nd Street Philadelphia PA 19103
Reply Forward
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Let people know what you're up to, or share links to photos, videos, and web pages.
Wednesday, September 23, 2009
The College Of Physicians of Philadelphia
---------- Forwarded message ----------
From: The College of Physicians of Philadelphia
<edarley@collphyphil.org>Date: Mon, Sep 14, 2009 at 5:14 PM
Subject: Thank you for joining our mailing list To: fenny.braide@ifsinc.org
The College Of Physicians of Philadelphia
Welcome!
Dear Fenny Braide,
Welcome to The College Of Physicians of Philadelphia. We are happy to have you as a member of our community. Your email address and interest preferences have been recorded in our database. In the future, you will receive periodic emails specific to your interests.
Our General News email list will include updates about programs, lectures and events at the College of Physicians, including the Mütter Museum, our Historical Library, PhillyHealthInfo.org and our Sections (Medicine & the Arts, Medical History, Public Health, and Medicine, Ethics & the Law). Don't forget to sign-up for your weekly health tips from PhillyHealthInfo.org by clicking the PhillyHealthInfo.org interest list.
Privacy is important to us; therefore, we will not sell, rent, or give your name or address to anyone. At any point, you can select the link at the bottom of every email to unsubscribe, or to receive less or more information.
Thanks again for registering. If you have any questions or comments, feel free to contact us.
Sincerely, George M. Wohlreich, MDDirector and Chief Executive OfficerThe Thomas W. Langfitt Chair
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<edarley@collphyphil.org>Date: Mon, Sep 14, 2009 at 5:14 PM
Subject: Thank you for joining our mailing list To: fenny.braide@ifsinc.org
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Wednesday, September 16, 2009
Aging with Alzheimer's and mental illness
This was a Tutorial training presented by Dr. Fenibo Braide, about Alzheimer's and mental health in Aging population at Greater Metropolitan Institute, Baltimore, MD (September, 2009)
THE CARE GIVER
Caring for a person with Alzheimer’s disease is a difficult task and can become overwhelming at times. Each day brings new challenges as the caregiver copes with changing levels of ability and new patterns of behavior. Example: dealing with the dx, communication, bathing, dressing, eating, sleep pattern, driving, visiting a doctor, and wandering.
You probably never thought this would happen to you. But now that your loved one has been diagnosed with mild to moderate Alzheimer’s disease (or you are now providing care to someone with Alzheimer’s disease) you want to do everything you can to help that patient.
DEFINITION
DEMENTIA: is a word used to describe the progressive loss of cognitive function. It is a disorder of the brain that affects the arrears that allows one to think, speak, remember, and function.
Alzheimer’s disease: is progressive degenerative disorder that attacks the brain’s nerve cells or neurons causing loss of memory, thinking, language skills, and behavioral changes. It is progressive and degenerative which means that the illness gets worse over time.
Alzheimer’s patient commonly experience behavioral problems including aggression, refusal to take medication, hostility, nighttime wandering and sometimes exhibits sexually inappropriate behavior. Diagnosis: Prosopanosis /Alzheimer’s
PART-I Early Stage: Independent (mild memory loss, confusion, forgetful, frustration)
PART-II Middle Stage: Independent/dependent (Poor Judgment, increased memory loss, AV hallucinations, delusion, speech problem)
PART-III Late Stage: Fully dependent, loss of control, flat affect--no facial response, wandering and elopement, cannot recognize, may put everything in mouth or touch every thing around them.
COMMUNICATION
Communicating with a person with dementing illness, such as Alzheimer’s disease can be a terrible difficult task.
YOU SET THE TONE. Be pleasant, begin your conversations with orienting information, repeat what you said, demonstrate visually if necessary, don’t argue, and listen to the patient.
EXPECTATION---The Caregiver
1. Set standards of excellence by providing optimal care in your facility.
2. Be professional in your services including confidentiality.
3. Support other professionals as they support those in need.
4. Caregivers are highly recommended to be physically, mentally and emotionally stable while caring for the Alzheimer’s patient.
5. Adhere to cultural sensitivity.
RESPONSIBILITY-----The Caregiver
1. Documentation (maintain daily assessment each shift).
2. Observe and report changes in mood or behavior, example: rapid mood swings from being calm to tearful or anger for no reason.
3. Ensure safety and pleasant environment (avoid noisy environment) remove medication and hazardous materials out of reach.
4. Collaborate with family and doctors for continuing treatment
5. Utilize care giver resource network as needed.
MODALITY / APPLICATION
Always apply Validation “communication” therapy
Simplify your language
Maintain eye contact
Repeat your statement more than once if necessary
Demonstrate your action if necessary
Communication: Words 7%, Voice 38%, Body language 55% (93% is conveyed NON VERBAL)
Medication
INDIVIDUALIZED CARE PLAN---continues
OTHER RELATED DISEASES
HUNTINGTON’S DISEASE
Is a devastating degenerative brain disorder that slowly diminishes an individual’s ability to walk, think, talk, or reason.
LEWY BODY DEMENTIA (Progressive brain disease)
It is the second leading cause of degenerative dementia in the elderly = symptoms vary but hallucinations and fluctuating cognitive impairment is usually present.
PARKINSON’S DISEASE
Is a progressive disorder of the central nervous system that affects more than 1.5 million people in the United States = symptoms: motor (movement), tremor, gait difficulty
Non motor: diminished sense of smell.
DELIRIUM
Is defined as temporary confusion caused by underlying medical problems—Example Drug and Alcohol abuse.
MENTAL AND BEHAVIORAL HEALTH IN LATE LIFE
SCHIZOPHRENIA
Schizophrenia is a mental disorder known as split personality; characterized by a social behavior – introversion and lost of touch in one’s environment. Example, false thoughts or misleading state of irrational behavior
ANXIETY
A signal of inner tension evoked by internal or external threat;
Example of internal threat: fantasies, impulses’
Example of external threat: other people or demand of life.
POST TRAUMATIC STRESS DISORDER (PTSD)
Anyone who has gone through a life threatening event can develop PTSD. ------PTSD is an anxiety that can occur after you have been through a traumatic event. A traumatic event is something horrible and scary that you see or happens to you. Over time you may feel afraid of feel that you have no control over what is happening.
DEPRESSION
Everyone feels sad or less interested in activities occasionally. But if you feel sad or empty most of the day or have loss of interest or energy for your favorite hobbies, or if those hobbies don’t give you the satisfaction they used to nearly every day for 2 weeks or more. It could be depression (consider the stage one Alzheimer’s patient).
For Information about Alzheimer’s contact:
Alzheimer’s Foundation of America Alzheimer’s Association
Phone: 1866 AFA (232) 8484 or 1800.272.3900
Dr Fenibo Fenny Braide
Psychotherapist / Lead Clinician @ The Behavioral health center, Philadelphia, PA
drfenibob@gmail.com
www.alzfdn.org
THE CARE GIVER
Caring for a person with Alzheimer’s disease is a difficult task and can become overwhelming at times. Each day brings new challenges as the caregiver copes with changing levels of ability and new patterns of behavior. Example: dealing with the dx, communication, bathing, dressing, eating, sleep pattern, driving, visiting a doctor, and wandering.
You probably never thought this would happen to you. But now that your loved one has been diagnosed with mild to moderate Alzheimer’s disease (or you are now providing care to someone with Alzheimer’s disease) you want to do everything you can to help that patient.
DEFINITION
DEMENTIA: is a word used to describe the progressive loss of cognitive function. It is a disorder of the brain that affects the arrears that allows one to think, speak, remember, and function.
Alzheimer’s disease: is progressive degenerative disorder that attacks the brain’s nerve cells or neurons causing loss of memory, thinking, language skills, and behavioral changes. It is progressive and degenerative which means that the illness gets worse over time.
Alzheimer’s patient commonly experience behavioral problems including aggression, refusal to take medication, hostility, nighttime wandering and sometimes exhibits sexually inappropriate behavior. Diagnosis: Prosopanosis /Alzheimer’s
PART-I Early Stage: Independent (mild memory loss, confusion, forgetful, frustration)
PART-II Middle Stage: Independent/dependent (Poor Judgment, increased memory loss, AV hallucinations, delusion, speech problem)
PART-III Late Stage: Fully dependent, loss of control, flat affect--no facial response, wandering and elopement, cannot recognize, may put everything in mouth or touch every thing around them.
COMMUNICATION
Communicating with a person with dementing illness, such as Alzheimer’s disease can be a terrible difficult task.
YOU SET THE TONE. Be pleasant, begin your conversations with orienting information, repeat what you said, demonstrate visually if necessary, don’t argue, and listen to the patient.
EXPECTATION---The Caregiver
1. Set standards of excellence by providing optimal care in your facility.
2. Be professional in your services including confidentiality.
3. Support other professionals as they support those in need.
4. Caregivers are highly recommended to be physically, mentally and emotionally stable while caring for the Alzheimer’s patient.
5. Adhere to cultural sensitivity.
RESPONSIBILITY-----The Caregiver
1. Documentation (maintain daily assessment each shift).
2. Observe and report changes in mood or behavior, example: rapid mood swings from being calm to tearful or anger for no reason.
3. Ensure safety and pleasant environment (avoid noisy environment) remove medication and hazardous materials out of reach.
4. Collaborate with family and doctors for continuing treatment
5. Utilize care giver resource network as needed.
MODALITY / APPLICATION
Always apply Validation “communication” therapy
Simplify your language
Maintain eye contact
Repeat your statement more than once if necessary
Demonstrate your action if necessary
Communication: Words 7%, Voice 38%, Body language 55% (93% is conveyed NON VERBAL)
Medication
INDIVIDUALIZED CARE PLAN---continues
OTHER RELATED DISEASES
HUNTINGTON’S DISEASE
Is a devastating degenerative brain disorder that slowly diminishes an individual’s ability to walk, think, talk, or reason.
LEWY BODY DEMENTIA (Progressive brain disease)
It is the second leading cause of degenerative dementia in the elderly = symptoms vary but hallucinations and fluctuating cognitive impairment is usually present.
PARKINSON’S DISEASE
Is a progressive disorder of the central nervous system that affects more than 1.5 million people in the United States = symptoms: motor (movement), tremor, gait difficulty
Non motor: diminished sense of smell.
DELIRIUM
Is defined as temporary confusion caused by underlying medical problems—Example Drug and Alcohol abuse.
MENTAL AND BEHAVIORAL HEALTH IN LATE LIFE
SCHIZOPHRENIA
Schizophrenia is a mental disorder known as split personality; characterized by a social behavior – introversion and lost of touch in one’s environment. Example, false thoughts or misleading state of irrational behavior
ANXIETY
A signal of inner tension evoked by internal or external threat;
Example of internal threat: fantasies, impulses’
Example of external threat: other people or demand of life.
POST TRAUMATIC STRESS DISORDER (PTSD)
Anyone who has gone through a life threatening event can develop PTSD. ------PTSD is an anxiety that can occur after you have been through a traumatic event. A traumatic event is something horrible and scary that you see or happens to you. Over time you may feel afraid of feel that you have no control over what is happening.
DEPRESSION
Everyone feels sad or less interested in activities occasionally. But if you feel sad or empty most of the day or have loss of interest or energy for your favorite hobbies, or if those hobbies don’t give you the satisfaction they used to nearly every day for 2 weeks or more. It could be depression (consider the stage one Alzheimer’s patient).
For Information about Alzheimer’s contact:
Alzheimer’s Foundation of America Alzheimer’s Association
Phone: 1866 AFA (232) 8484 or 1800.272.3900
Dr Fenibo Fenny Braide
Psychotherapist / Lead Clinician @ The Behavioral health center, Philadelphia, PA
drfenibob@gmail.com
www.alzfdn.org
Alzheimer's at 40
Man Suffers From Alzheimer's at 40
POSTED July 7 2009 Mark Priddy was just 36 years old when doctors diagnosed him with early-onset Alzheimer's four years ago.
The devastating disease is extremely rare in someone his age, and his wife, Dione, told London's Daily Mail she wishes doctors had found the cause of his bizarre behavior earlier because she would have been "kinder and more patient."
"Early-onset Alzheimer's is so rare that I can understand why Mark's symptoms went undiagnosed," said Dione, 40. "But if we'd known earlier, we'd all have been saved so much anguish."
The couple, who married in 1997 and live in Britain, have two daughters, ages 11 and 12. Mark's strange behavior started as early as 2002, when he started to panic when his wife left the house, and become forgetful.
His condition worsened, and the once successful real estate agent started to forget business meetings and have terrible mood swings. He was quickly hired and fired from seven different jobs, the Mail reported.
A doctor diagnosed him with depression, but anti-depressants didn't help.
Finally, in 2005, doctors said the problem was Alzheimer's. Two and a half years ago, when he started to take out his frustration with violence, Dione had her husband admitted to a nursing home, where he has lived ever since.
Posted on the web by:
Dr Fenibo Braide
Psychotherapist
POSTED July 7 2009 Mark Priddy was just 36 years old when doctors diagnosed him with early-onset Alzheimer's four years ago.
The devastating disease is extremely rare in someone his age, and his wife, Dione, told London's Daily Mail she wishes doctors had found the cause of his bizarre behavior earlier because she would have been "kinder and more patient."
"Early-onset Alzheimer's is so rare that I can understand why Mark's symptoms went undiagnosed," said Dione, 40. "But if we'd known earlier, we'd all have been saved so much anguish."
The couple, who married in 1997 and live in Britain, have two daughters, ages 11 and 12. Mark's strange behavior started as early as 2002, when he started to panic when his wife left the house, and become forgetful.
His condition worsened, and the once successful real estate agent started to forget business meetings and have terrible mood swings. He was quickly hired and fired from seven different jobs, the Mail reported.
A doctor diagnosed him with depression, but anti-depressants didn't help.
Finally, in 2005, doctors said the problem was Alzheimer's. Two and a half years ago, when he started to take out his frustration with violence, Dione had her husband admitted to a nursing home, where he has lived ever since.
Posted on the web by:
Dr Fenibo Braide
Psychotherapist
Monday, September 14, 2009
Quantitative studies of HIV / AIDS
From: fnn2@aol.comTo KADIFO: THIS IS A QUANTITATIVE STUDIES ABOUT HIV / AIDS AND SEXUALLY TRANSMITTED DISEASES IN KALABARI COMMUNITIES
The concept of this need assessment is to create awareness, explore and make recommendations about the alarming increase of HIV/AIDS and sexually transmitted diseases in Kalabari community.
THE GOAL IS TO DECREASE THE NUMBER OF HIV/AIDS AND STD INFECTION IN KALABARI COMMUNITY AND TO INSTILL SELF CONFIDENCE AND RESPECT IN THE PARTICIPATING POPULATION.
People of Kalabari: We are enquiring about sexual transmitted diseases in our community. We believe abstinence, protective sex, and self respect are the key to avoid HIV/AIDS and sexualy transmitted diseases. Just because you don't notice any changes in your body does not mean that HIV / AIDS is not damaging your immune system. Overtime, if left untreated, HIV can damage your immune system so much that your body is unable to defend against other diseases or infection leading to AIDS and premature death. This is ONE of the reasons why early testing and preventive treatments are so important.
TARGET POPULATION SURVEY PLEASE CIRCLE THE ANSWER THAT BEST APPLIES TO YOU:
TO BE CONTINUED...This is a continuation of Third Revised draft copy respectively submitted to Dr. Tonye V. Erekosima (Moderator KADIFO) by:
Dr. Fenibo Braide 9/5/07
The concept of this need assessment is to create awareness, explore and make recommendations about the alarming increase of HIV/AIDS and sexually transmitted diseases in Kalabari community.
THE GOAL IS TO DECREASE THE NUMBER OF HIV/AIDS AND STD INFECTION IN KALABARI COMMUNITY AND TO INSTILL SELF CONFIDENCE AND RESPECT IN THE PARTICIPATING POPULATION.
People of Kalabari: We are enquiring about sexual transmitted diseases in our community. We believe abstinence, protective sex, and self respect are the key to avoid HIV/AIDS and sexualy transmitted diseases. Just because you don't notice any changes in your body does not mean that HIV / AIDS is not damaging your immune system. Overtime, if left untreated, HIV can damage your immune system so much that your body is unable to defend against other diseases or infection leading to AIDS and premature death. This is ONE of the reasons why early testing and preventive treatments are so important.
TARGET POPULATION SURVEY PLEASE CIRCLE THE ANSWER THAT BEST APPLIES TO YOU:
TO BE CONTINUED...This is a continuation of Third Revised draft copy respectively submitted to Dr. Tonye V. Erekosima (Moderator KADIFO) by:
Dr. Fenibo Braide 9/5/07
Friday, September 11, 2009
Find a Psychotherapist
To find a mental health consultant in your area is easy, simply blog on or contact Dr Fenibo Braide at drfenibo@gmail.com
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