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
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