Tuesday, September 30, 2008
FYI for your Benefit
I bought the Barnes and Nobles discount card...Anyone that knows my phone number...feel free to use it to get the discount... it's 40% off Best Seller Hardcovers, 10% off Music CD's and Childrens Books
Monday, September 29, 2008
This is what boys do when they get bored
And just when you think one couldnt be anymore creative....
...there he goes and redeems himself. (enhance the picture)
This is Aldo, post-op day 5....with his Swollen belly....
New day by NEMO.....
The art I picked out a couple weeks back....kinda makes me have a brighter outlook on things.Sunday, September 28, 2008
Learnin and swingin
...here i am after taking ACLS today...very happy because i got recertified for CPR last night and as a result... really had a good day in ACLS class today.
Finally something familiar...Cardiac Nursing
I am finding my place in nursing...and on Aldos hammock...
Tuesday, September 16, 2008
A girlfriend of mine came to my moms for a visit....
The moon was out...
and we saw dolphins....
Heres Lindsey
Monday, September 15, 2008
"Medical Mystery: Disembarkment Syndrome" or mal de debarquement syndrome
Just when I think I got a handle on it...it comes back to bite me.....This is information in found online at www.vestibular.org/vestibular-disorders/specific-disorders/mal-de-debarquement.php
Mal de Debarquement
Mal de debarquement literally means "sickness of disembarkment." This term originally referred to the illusion of movement felt as an aftereffect of travel by ship or boat. Some experts now include other types of travel (such as by train and airplane) and situations with new and different movement patterns (such as reclining on a waterbed).
For a handful of people, this illusion of movement seems to last for long periods of time: weeks to months, even years after a voyage. Some physicians refer to it as mal de debarquement syndrome, reflecting that it is a collection of symptoms rather than a specific disease. There is no universal agreement among physicians about what mal de debarquement is or how to diagnose it. Not all doctors even agree that persistent mal de debarquement exists.
Leading explanations for the syndrome conclude that the problem is not in the inner ear and most likely occurs someplace in the balance areas of the brain. The brain adapts to the motion of the ship or other vehicle; but once the movement stops, the brain is unable to readapt once again. Why this ability to adapt would suddenly stop is not understood. One theory is that mal de debarquement is a migraine variant; long-lasting mal de debarquement is experienced by middle-aged woman more than by other groups, and more women than men experience migraines.
Symptoms of mal de debarquement include the sensation of bobbing, rocking, swaying, swinging, floating and/or tumbling. These may be accompanied by unsteadiness, disequilibrium, anxiety, difficulty concentrating, and a loss of self-confidence. The symptoms usually increase in enclosed spaces and when trying to be motionless such as when attempting to fall asleep in bed or when stopped at a traffic light. The symptoms improve during constant, steady movement such as experienced while in a moving car. Mal de debarquement does not include spinning vertigo, vomiting, cold sweat, ear pressure, ear pain, sound sensitivity, tinnitus, hearing loss or distortion, double vision, or bouncing vision.
Persistent mal de debarquement usually begins within hours of stopping the novel movement and resolves within about six to twelve months. There are also reports of it not resolving for years.
A physician diagnoses mal de debarquement by collecting a thorough history, conducting a physical examination, and doing tests to rule out other causes for the symptoms. For a diagnosis of mal de debarquement to be made, there must be a history of a ship voyage or other new movement, the return to a normal environment, and then the start of the symptoms. Symptoms start immediately, not weeks or months later.
At this time there appears to be no single highly successful treatment approach to mal de debarquement. Standard drugs given for motion sickness (including meclizine, diphenhydrinate, and scopolamine patches) seem to be ineffective. Some treatments suggested by physicians include walking while watching the horizon, vestibular rehabilitation therapy, diuretics, anti-seizure drugs, antidepressants of the tricyclic family, and benzodiazepines.
From VEDA publication F-29, Mal de Debarquement, available in VEDA's online store.
Mal de Debarquement
Mal de debarquement literally means "sickness of disembarkment." This term originally referred to the illusion of movement felt as an aftereffect of travel by ship or boat. Some experts now include other types of travel (such as by train and airplane) and situations with new and different movement patterns (such as reclining on a waterbed).
For a handful of people, this illusion of movement seems to last for long periods of time: weeks to months, even years after a voyage. Some physicians refer to it as mal de debarquement syndrome, reflecting that it is a collection of symptoms rather than a specific disease. There is no universal agreement among physicians about what mal de debarquement is or how to diagnose it. Not all doctors even agree that persistent mal de debarquement exists.
Leading explanations for the syndrome conclude that the problem is not in the inner ear and most likely occurs someplace in the balance areas of the brain. The brain adapts to the motion of the ship or other vehicle; but once the movement stops, the brain is unable to readapt once again. Why this ability to adapt would suddenly stop is not understood. One theory is that mal de debarquement is a migraine variant; long-lasting mal de debarquement is experienced by middle-aged woman more than by other groups, and more women than men experience migraines.
Symptoms of mal de debarquement include the sensation of bobbing, rocking, swaying, swinging, floating and/or tumbling. These may be accompanied by unsteadiness, disequilibrium, anxiety, difficulty concentrating, and a loss of self-confidence. The symptoms usually increase in enclosed spaces and when trying to be motionless such as when attempting to fall asleep in bed or when stopped at a traffic light. The symptoms improve during constant, steady movement such as experienced while in a moving car. Mal de debarquement does not include spinning vertigo, vomiting, cold sweat, ear pressure, ear pain, sound sensitivity, tinnitus, hearing loss or distortion, double vision, or bouncing vision.
Persistent mal de debarquement usually begins within hours of stopping the novel movement and resolves within about six to twelve months. There are also reports of it not resolving for years.
A physician diagnoses mal de debarquement by collecting a thorough history, conducting a physical examination, and doing tests to rule out other causes for the symptoms. For a diagnosis of mal de debarquement to be made, there must be a history of a ship voyage or other new movement, the return to a normal environment, and then the start of the symptoms. Symptoms start immediately, not weeks or months later.
At this time there appears to be no single highly successful treatment approach to mal de debarquement. Standard drugs given for motion sickness (including meclizine, diphenhydrinate, and scopolamine patches) seem to be ineffective. Some treatments suggested by physicians include walking while watching the horizon, vestibular rehabilitation therapy, diuretics, anti-seizure drugs, antidepressants of the tricyclic family, and benzodiazepines.
From VEDA publication F-29, Mal de Debarquement, available in VEDA's online store.
Conversation with Ron
This was a good laugh.....for all that know my brother Ron...you all know that he is hard to contact via phone....and he rand cynthia rarely call back.....since cynthia and him are busy all the time... getting ahold of them is like waiting to talk to a victoria secret customer sales representative to discuss your a credit card bill....and being transfered to china to another automated service....So, today.....when I called Ron and he actually answered....this is what I hear "hey ray, I'm gonna call you back in FIVE minutes....Do you think you can actually pick up your phone this time....Im like...LOL....Ron is saying this to me! funny, Ron...really funny...lol ;)
Wednesday, September 10, 2008
Quote of the Month
“The longer I live, the more I realize the impact of attitude on life. Attitude, to me, is more important than facts. It is more important than the past, the education, the money, than circumstances, than failure, than successes, than what other people think or say or do. It is more important than appearance, giftedness or skill. It will make or break a company... a church... a home. The remarkable thing is we have a choice everyday regarding the attitude we will embrace for that day. We cannot change our past... we cannot change the fact that people will act in a certain way. We cannot change the inevitable. The only thing we can do is play on the one string we have, and that is our attitude. I am convinced that life is 10% what happens to me and 90% of how I react to it. And so it is with you... we are in charge of our Attitudes.” (Charles Swindoll)
Friday, September 5, 2008
Tropical Storm Hanna
Went out today and saw what waves are supposed to look like. Here are some pictures. I would have never believed it had I not seen it with my own eyes...
Thursday, September 4, 2008
Hurricane Season
F.Y.I.
Okay, so we survived Hurricane Fay
That was a rough couple days!
Now Hannah is about pass
and surfers are gonna have a blast......
Next one up is "IKE"...and it looks like it will make many floridians
take a hike...
cited :http://www.nhc.noaa.gov/
Pics of the Nephews, I miss them
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