LIVING WITH EPILEPSY: WHAT TO DO DURING A SEIZURE

What should a bystander do during a grand mal attack? The onset is often so sudden that it is difficult to do much at all in the early stage, though it may be possible to break the person’s fall. Parents or other relatives may recognize the warning signs that may occur if the generalized seizure follows a focal discharge, and so may have time to help the person to a chair or to a bed before the grand mal begins.

Don’t try to open the person’s clenched mouth. The tongue, if bitten, is bitten at the onset of the attack, so there is no point in trying to save it. If the bystander uses his own fingers to try to force the mouth open, they may well be bitten in the clonic phase. If he tries to force a spoon or pencil between the teeth, the person’s teeth may be damaged. These manoeuvres are still sometimes attempted by tradition, and sometimes, presumably, because it is assumed that the person’s blue colour and arrest of breathing are due to obstruction to the passage of air into the lungs. Attempts to ‘loosen the collar’ presumably result from the same thoughts. However, all of us have enough gaps between our teeth to allow passage of air around them as readers can readily show for themselves by clenching their teeth, pinching the nose, and breathing in. Obstruction to the airway may occur during a seizure, if the person is lying on his back. The tongue may then fall backwards into the pharynx, and, for this reason, it is worth turning someone suffering a grand mal seizure into a position halfway between lying on his or her side and face, and thumping the back so that the tongue and any dentures fall forwards. This position also has the advantage that if the person vomits, as occasionally happens, the contents of the stomach pass easily out of the mouth, and there is no danger of vomit entering the trachea and lungs.

If a grand mal seizure occurs in a public place, it usually happens that someone calls an ambulance—very often to the annoyance of the person with epilepsy, who is well on the way to recovery by the time the ambulance driver delivers him to the local hospital. There is no need to call an ambulance unless it is clear that repeated seizures are occurring.

There is usually little to be done during a partial seizure, except to stand by in a reassuring manner until seizure activity ceases. Occasionally gentle restraint may be necessary in the case of complex automatic behaviour.

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OSTEOARTHRITIS

Now when it comes to osteoarthritis we’re talking about events or circumstances that shock, damage, or exert excessive pressure and wear on the joints. Even normal but vigorous sports activities, not just injuries, can trigger the arthritic process. So can an automobile accident or a fall. So can working a jackhammer or regularly operating a keyboard. The former can seriously damage your joints and the latter can result in carpal tunnel syndrome.

Things like that are not hard to identify. And what would happen if someone were to take CMO shortly after such events?

Remember, we already know the arthritic process can start when macrophages encounter damaged or unhealthy cartilage and start their cleanup job, and then report their activities back to the Memory T-cells that program autoimmune processes. Well, there it is, the beginning of the autoimmune process that can result in arthritis sometime sooner or later.

Please note that we say can, not will, because it may be that every such event does not trigger the autoimmune arthritic process. But we well know that the great majority of athletes, jackhammer operators, and joint trauma victims do eventually develop arthritis in the affected joints. We see or hear from them every day.

But could CMO have nipped it in the bud? The answer is, as before, probably. There’s very likely a matter of timing involved. If a course of CMO capsules were taken only once before the whole macrophage cleanup action was completed, then the ongoing cleanup process would continue to affect the Memory T-cells and the autoimmune arthritic process would probably still be triggered.

But if the course of CMO capsules were taken after the whole macrophage cleanup process was completed, then it would probably correct the existing Memory T-cell programming and halt the arthritic process before it ever reached a stage where any symptoms would ever become evident. That would be true, of course, only if their were no additional traumas or damage to the areas.

On the other hand, for those who suffer repeated joint trauma, it is likely that taking CMO a couple times a year could well prevent arthritis from ever occurring. Or it could be taken after the events are no longer likely to occur – like retiring from football or changing jobs.

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CHILDREN’S HEALTH: RASH

Symptom

Red patches, blisters, or spots on the skin

Home care

If die rash causes itching, have the child take warm baths, or apply a soothing lotion such as calamine.

Precautions

-    Do not be concerned about a rash that disappears within a few days and does not recur.

-    Certain distinctive rashes are symptoms of specific diseases. A rash that j is a symptom of a disease will disappear when the disease is identified and treated.

A rash is a skin eruption which appears as red patches, blisters, or spots. It is often accompanied by itching. A rash can affect a limited area or be widespread over extensive areas of the body.

A rash can be caused by exposure to the sun, heat, cold, chemicals in household products, or fabrics such as wool. Certain foods – strawberries, for example – also produce rashes in people who are sensitive (allergic) to that particular food. These rashes are often known as allergic rashes; the rash is a symptom of the allergy.

A rash can also appear as a symptom of a disease, in which case the rash is usually characteristic of the disease producing it. Distinctive rashes appear as symptoms of (among other diseases) measles, rubella (German measles), chicken pox, and shingles, all of which are infectious diseases. Certain sexually transmitted diseases such as herpes and syphilis also display distinctive rashes.

A rash often disappears when its underlying cause disappears or is successfully treated.

Signs and symptoms

The rash itself is obvious, but the cause may not be so easily identified. A rash caused by a disease will be accompanied by other symptoms.

Home care

You need not be too concerned about a rash that appears and then disappears within a couple of days and does not recur. If the rash causes itching you can apply a soothing lotion like calamine. Another suggestion is to have the child take a warm bath. A rash that recurs may indicate an allergy. If you cannot immediately identify the allergy-causing substance (a certain food, for instance), have the child checked out by a doctor. You can only avoid the allergy-causing substance in the future if you know what it is. If the child has a rash accompanied by other symptoms, consult the doctor.

Precautions

• A rash that lasts for a few days and has no identifiable cause should be seen by a doctor.

• Certain types of rashes are warning signs of specific infectious or sexually transmitted diseases.

Medical treatment

The doctor may prescribe a soothing lotion for minor itching caused by a rash. In allergy-caused rashes the doctor will try to identify the allergy-causing substance. If the rash is caused by a disease, the doctor will diagnose and treat the disease.

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