Obesity – Public Health Enemy #1

Today many American adults, teens and children are facing the alarming fact that they are either overweight or obese. Metabolic obesity, as it is know understood, is a factor of neuropsychological stress, hormonal imbalances and dietary lifestyle. The following statistics are staggering:

  • The U.S. Bureau of the Census estimates that approximately 58 million American adults (26 million men and 32 million women) are obese.
  • According to the National Institutes of Health, 55% or 97 million adults in the U.S. are overweight or obese, with at least 33% (58 million) of adults considered overweight and 22% (39 million) considered obese.
  • The prevalence of obesity increased from 12.0% in 1991 to 17.9% in 1998. A steady increase was observed in all states; in both sexes; across age groups, races and educational levels; and occurred regardless of smoking status.

More than a problem of appearance, obesity can also be a life threatening condition. As the number of pounds increases, the risk for gallstones, high blood pressure, heart and kidney diseases, stroke, colon and breast cancer escalates. Other medical problems associated with obesity, include adult onset diabetes, hormonal imbalances, osteoarthritis, fatigue and sleep apnea – abnormally long pauses in breathing during sleep.

Genes, Hormones and Sensible Metabolic Planning
Medical research indicates there may be a genetic basis for 40-60% of persons at risk for developing obesity. However, the more common causes may actually reside within the complex interaction of these genes that code for an individual’s metabolism and the additional effects of such hormones as; estrogen, insulin, triiodothyronine (T3-a thyroid hormone), cortisol, as well as, lifestyle and dietary choices.

Chemicals called leptins act as the ‘middlemen’ messengers between the brain and one’s fat cells effecting hunger and the feeling of satiety. Stress, high carbohydrate meals, lack of exercise, and in some women added estrogen from the use of birth control pills – even Premarin™ – will often contribute to a marked increase in body fat. Note here that estrogen promotes an increase in the size and number of fat cells.

Stress releases cortisol from the adrenal gland. This hormone single-handedly impacts on your thyroid, estrogen and carbohydrate metabolism. High cortisol levels will make more estrogen and decrease triiodothyronine the powerhouse thyroid hormone that drives cell metabolism. High carbohydrate diets release insulin. In some patients it might not be immediate, but eventually, there may be a tendency over time that the bodies’ cells become insensitive or even unreactive to the insulin it produces. Even though this effect may be transient, such higher than normal insulin levels stimulate the production of fat stores in your body.

Furthermore, fat (adipose tissue) is a major source of estrogen metabolism in postmenopausal women through an enzymatic conversion of testosterone into estrogen. This is usually seen in men as gynecomastia and symptoms of hyperestrogenism in women as I discussed in a previous article in April 2002 issue of Conscious Choice.

Obesity is defined as being 20% over the ideal or desirable weight, and severe obesity as being 40% above desirable weight. For instance, if your normal/desirable weight is 135 pounds and you current weight is 161 pounds you are already considered obese. If you normal/ideal weight is 135 pounds and your current weight is 192, you are considered severely obese. Anything above 40% is considered morbidly obese.

Dieting gimmicks, such as grapefruit binging, metabolite enhancers, fat and sugar blockers or pasta banning have been proven ineffective for long term weight loss success, often accompanied by unwanted side effects for the consumer. It’s not about fad plans or “take it off quick” schemes. It’s about learning to maintain healthful, enjoyable eating choices along with a realistic exercise routine. The key is balance.

Slimming down does not have to involve a whole life overhaul. Small, effective changes can go a long way in helping you reach a healthy goal weight.

The Correct Weight Loss Plan for the Right Reasons
When evaluating your weight loss program consider the following:

  • Under the supervision of a Licensed Health Care Professional who has the experience and knowledge on the subject.
  • Metabolically tailored and personalized to meet your specific needs.
  • Implementing a safe and effective rate of loss. Rapid weight loss can decrease muscle mass, and lead to thyroid and menstrual irregularities.
  • Offering a “Non-Dieting, Non-Hunger” approach, with One-On-One, Private Nutrition Counseling Sessions.
  • Incorporating all the five food groups; Protein, Carbohydrate, Vegetables, Fruits and Healthy Fats into the daily diet.
  • Teaching portion size control at home and while dining out.
  • Offering strategic planning for holidays and special occasions.
  • Offering solutions for unwanted cravings.
  • Implementing “Menu & Meal Planning” sessions.
  • Including continuing education on Foods for Health Maintenance & Disease Prevention.
  • Giving you the option to choose Home, Restaurant or Healthier Fast Food Choices.
  • Setting Realistic Goals that fit into your personal & professional lifestyle.
  • Teaching you not only how to lose the weight, but how to keep it off.
  • Address the possible issue of Adrenal, Thyroid or Hormonal Imbalances.

Unfortunately, just checking for obesity genes won’t help much. However, evaluating an individual’s metabolic makeup can be very useful. Checking for glucose-insulin resistance, a specialized blood test called a 2-hour glucose tolerance test (2-hour GTT) begins the process. Measuring salivary hormones levels of estrogen, cortisol and T3 provides clues to the individual’s hormones regulating fat metabolism. In addition we utilize, state of the art computer bioelectrical impedance analysis (BIA). BIA is just like getting an ECG (electrocardiogram). It is much less expensive as well as taking all of 3 minutes. BIA provides an efficient, reliable and reproducible method of measuring and monitoring an individual’s body composition of percent fat to lean muscle, intracellular to extracellular hydration status and overall cell vitality. Combining all this with a thorough physical exam and nutritional/ dietary/lifestyle history gives Judy Manisco and myself the information to work with you in obtaining your unique health goals.

To life and good health,
David Zeiger, D.O.

by David Zeiger, D.O. and Judy Manisco, L.D., C.N.

Why Aren’t You Using a Naturopath For Treating Attention Deficit Disorder Naturally?

There is another way of treating attention deficit disorder naturally. Alternative medicines were used a few decades ago even by traditional doctors. Today more and more doctors in conventional medicine are beginning to recommend and use natural and homeopathic medicines resulting in more options for patients. They are realizing that both can contribute to the health of a patient.

Many other countries use naturopathy for treating attention deficit disorder naturally which is a philosophy that the body can heal itself. When treated by naturopaths the following might be used:

–therapeutic massage

Naturopathic physicians (N.D.s) are the highest trained practitioners in the broadest scope of naturopathic philosophy. In addition to the basic medical sciences and conventional diagnostics, naturopathic education includes:

–therapeutic nutrition
–botanical medicine
–natural childbirth
–Chinese medicine
–naturopathic manipulative therapy
–minor surgery

Naturopaths believe in sustaining health to prevent disease using all the factors for health which are emotional, mental, physical and social. Traditional medicine has a large role and its involvement has been immense but more doctors and patients are now realizing that holistic medicine can achieve a larger scope in the amount of healing and it does not have the side effects of prescription medicines.

The common judgment is that natural medicines and adhd natural cures do not work as quickly and as safely as pharmaceuticals. If the natural medicinal medicines are manufactured accurately they are very effective, safe and have long history of usefulness. But, they must be manufactured according to strict standards to make certain they have the correct effectiveness and that they are safe. Because more and more people are using natural remedies, more companies are flooding the market, but some of the products are not manufactured using strict standards, sometimes to the point of being unsafe. The result of inferior manufacturing is a product that is mediocre

Naturopaths usually recommend buying remedies that use the Full Spectrum Method. This extraction method retains the benefits of all the active ingredients of the herb as opposed to isolating only one which will provide a more complete treatment as well as protection against side effects.

Whatever you decide, do your research, and if have a chronic or life threatening condition don’t make changes without first discussing them with your doctor.

Chiropractic Postcards for Building a Chiropractic Practice

Since chiropractic postcards are so small, so inexpensive and so easy to use, many chiropractors overlook this simple and significant way of building their chiropractic practice. Here are some simple suggestions that you can implement to put this powerful marketing tool to work in your practice.

If you do a great job helping patients, as most chiropractors do, a trusted marketing adage comes into play here: the patients most likely to come to your practice are the ones who have already been to your practice. A postcard reminder is the perfect way to tap into this rule of thumb.

Since many chiropractic patients discontinue their care as soon as they feel better, they subject themselves to a likely relapse. And most patients would rather return to familiar surroundings and procedures than begin care again elsewhere. Thus, what most chiropractic patients need is a low confrontational nudge; a suggestion or reminder to return for a chiropractic checkup.

Naturally, the first thing you’ll need in your patient reactivation strategy are some chiropractic postcards! There are many suppliers from which to choose.

Choosing Your Chiropractic Postcards

Chiropractic postcards come in two main flavors: playful and serious.

You can recognize the playful chiropractic postcards because they typically feature cartoon characters licensed by the various syndicates or other, more lighthearted images. This approach is often believed to make the reactivation overture seem less confrontational and friendlier. And it may. However, it may do so at the risk of minimizing the image of the chiropractor and reducing the importance of their health.

The other approach is to use photographs and images that can serve to educate and enlighten patients about attending to their spinal health. Symbols and metaphors are used to advance chiropractic principles and explain the value of regular chiropractic checkups.

Choose the style that best represents the “tone” of your practice and the image you wish to project among your inactive patients.

What to Write on Chiropractic Postcards

Many chiropractic postcards aren’t sent simply because the chiropractor or the front desk staff who are usually tasked with this responsibility, are unsure of what to write! Let’s put an end to this constraint right now!

Rule Number One. Do not mention their admitting complaint or reason for originally consulting your practice. This is a needless infraction of HIPAA guidelines and is inappropriate for a postcard. Plus, inactive patients don’t need to be reminded of a previous episode.

Rule Number Two. Make your message short and breezy. Perhaps something like, “Remember to drink lots of water as it heats up this summer!” Or “Time for a stress-relieving chiropractic adjustment? Give us a call.” Or “Hope your adjustments are still holding. If not, give us a call.” And “We hope all is well. If not, give us a call.”

The mission is to present you and your practice as a memory jogger, trusting that if patients sense the need for a visit or two, they’ll give you a call.

The Metaphysics of Chiropractic Postcards

The chiropractic postcards you send to inactive patients represent a form of energy. Besides being authentically interested in the patient’s health, the postcards you send are a tangible representation of your motives, intentions and the way you think of patients. To some, these suggestions may seem subtle and worth ignoring. But do so at your own peril.

Chiropractor vs. chiropractic assistant. Since the chiropractor/patient relationship is between the chiropractor and the patient, it’s optimal that the chiropractor handwrites the personal message. If that’s simply out of the question, having a staff member write the message is better than no postcard at all.

Hand addressing vs. printed labels. If the chiropractor is writing the short, personal message, it’s probably best to apply a crisply printed address label. Most practice management software will allow a list export or have label printing capabilities built in to them.

Postage stamp vs. postage meter. While a postage meter (if you have one) is more convenient, individually applied postage stamps are perceived as more personal and the preferred choice. This shouldn’t be burdensome if you’re simply dropping 5-6 chiropractic postcards in the mail each day.

Say a prayer. Imbue each postcard with a blessing directed to the receiver. Ideally, have the postcard written, stamped or addressed by someone who can visualize the patient and extend a wish for health and well-being to each recipient. Ignore this nuance and your postcard overture is mechanical and self-serving.

Chiropractic postcards are the ideal way to grow a chiropractic practice. They are used by the busiest chiropractors, and those who want to be.

Masters in Nursing for Nurse Educators

The vast majority of Masters in Nursing programs focus on preparing nurses to teach other nurses the skills and knowledge required for a career in nursing.

Masters in Nursing for Nurse Educators – Overview


The programs that are intended to teach nurses the skills and knowledge needed for the profession tend to competency-based. The programs prepare students to teach in a range of environments, including: schools, community agencies, hospitals and businesses. While the majority of educators teach nurses, many others teach community groups, school children, patients and workers.

Nurses enrolled in MSN degree programs are taught through supervised clinical experiences and classroom instruction. The coursework is focused on the evaluation, measurement and assessment process, and the various styles of learning.

Nowadays, many institutions allow students to take a few of their classes online, although, as mentioned, the majority of the time will be spent in a classroom or clinic. While the length of programs tends to vary, the vast majority of Masters in Nursing programs take eight academic semesters to complete.


To be considered for admission into a MSN program, students must hold a (BSN degree) and a valid RN license.


While coursework depends on the institution enrolled in and the type of program, a few of the most common classes are as follows:

- Curriculum and program planning and organization
– Designing a student learning environment
– Evaluation and assessment in nursing education
– Leadership in nursing education
– Theories and methods of teaching with technologies

Employment Outlook & Salary

The average salary for nursing educators stands at $60,000, according to the Bureau of Labor Statistics. The Bureau also states that between now and 2018, employment opportunities for educators are expected to increase by 15% – a faster growth rate than the majority of professions.

Continuing Education Information

The opportunities for continuing education for graduates of MSN Educator Programs consist of doctorate programs in education administration or other higher learning teaching opportunities. Graduates are also able to obtain further certification through the ANCC and the NLN.

Working Conditions

As mentioned, nurse educators can work in schools, community agencies, hospitals and businesses. They can work in line with the typical nine-month academic calendar or for 12 months a year, depending on the facility worked in. However, educators are not required to work overnight hours or 12-hour shifts as many clinical nurses must often do.

The majority of an educator’s day is spent in a classroom or office, where time is spent preparing classes, advising students, giving lectures, handling administrative work and attending faculty meetings. However, educators who work in clinical settings may be required to spend an equal amount of time in a campus and nearby health care facility.

The Paramedic to RN Program For Paramedics

In the latter part of the 1960’s, a new class of practitioners of medicine arose. Paramedics offered a level of care to the injured that was previously unheard of during the period before arrival at the emergency room. Over the years, these Paramedics have steadily increased in knowledge and their skill level has risen dramatically. This is due to their hard work and dedication as they have striven to improve their skill level and education.

Practically unrivaled are the skills that a working paramedic puts into practice. When under intense pressure, these professionals show that they have what it takes by working with the utmost precision possible as they save lives on a moment by moment basis. But even though they are this effective, we question if that will be sufficient for a group of professionals that have seen continuous improvement over the course of their careers.

The Paramedic to RN Program Brings Welcome New Challenges

Even though paramedics have demonstrated their ability to positively impact pre-hospital patients, many are looking to take it to the next level by acquiring more skills and knowledge to what they already have. Now many paramedics are exiting the ambulance and entering into long term health care as they embrace the nursing field. The way they can do this is through a special program called the Paramedic to RN program.

Nurses are in high demand in America, but there is currently a shortage. What better time for paramedics to enlarge upon their education for career advancement? As a direct result, patients are seeing the benefits on a large scale. The advantage that paramedics have is in their new training which consists of long term care, and their past training, consisting of the ability to act at a moment’s notice and to do things quickly. Program graduates are finding that there are careers for them inside of emergency rooms and even inside of doctor’s offices.

The new age of education and the demand for more long term health care providers is allowing Paramedics to continue their evolution in medicine. The Paramedic to RN program is creating a new breed of health care professional that has the experience and proficiency of working with patients from the time they first became sick or injured, and continuing that quality care throughout the long term care of the patient.

It is clear to see what the advantages would be to both the paramedic industry and their patients. There is a double benefit situation here. Paramedics now are leaving a line of work that had little room for advancement and entering a field that needs to fill positions. These new professionals entering into this new system benefits everyone involved in the process.

The Paramedic to RN program seems to be the next logical step in the evolution of the Paramedic. Entering into the program now will make a huge impact upon the health care of the nation and the extension of an already proven group of health care professionals. This program and other options like the Paramedic to RN Bridge are available for those in EMS.