A Fragile Lifeline: Lessons I Learned Answering The Aids Hotline

Dial 1-800/AIDSNYC

Every Monday and Wednesday morning, promptly at 10 a.m., I leave behind

my daily life and turn to volunteering as an AIDS Hotline counselor at New York

City’s GMHC [Gay Men’s Health Crisis], the nation’s largest social service

agency for AIDS.

For the next four hours, my co-volunteers and I sit in front of a bank of

constantly-ringing telephones, talking to men, women, and teens who call in

from across the nation with urgent questions about AIDS, the ravaging disease

that has left 13.9 million people dead worldwide.

After almost 20 years, a whole generation, families are still facing the

heartache of tending the sick, while scientists continue to be confounded by

this stubborn, ravaging virus.

Although the federal government currently spends$4 billion per year on

AIDS research, and $15 billion worldwide, there is no cure in sight for the viral

infection and no vaccine available. Small wonder that the GMHC AIDS Hotline,

the nation’s first, is flooded with more than 40,000 calls each year.

Listening to callers 8 hours each week, I often think the Hotline is actually a

direct link to the soul of callers–an anonymous forum that allows each to

reveal secrets and fears that they might otherwise never discuss with anyone.

A Morning in May

This is the way it began: “Good morning, GMHC AIDS Hotline, can I help

you?”

“Yes…I have a question…[hesitantly] My son…he’s 21…and he just found

out…he’s HIV-positive [voice breaking] I’m…..alone, divorced. And I need some

help…someone to talk to…”

“Of course….happy to talk to you…it sounds like this has been devastating

for you….”

“It’s terrible. He told me two nights ago….he’s…he’s so young….I don’t

want him to die. He’s my only child….why did this have to happen?” [crying]

Her son, she explains, had sometimes neglected using condoms, convinced

he wouldn’t contract HIV infection from his female partners.

“How could he be so stupid?” she now asks angrily. “Why didn’t he know

how to protect himself? I don’t understand. What am I going to do?”

We talk for 35 minutes, and by the end of the conversation, I notice I’m

barely breathing. The distraught woman’s anguish is palpable. Her situation is

every mother’s worst nightmare.The life of her child is in jeopardy and she

feels helpless and afraid. I can’t imagine anything worse.

During the call, I do my best to employ the GMHC Hotline protocol of “active

listening,” which involves using silence, empathy and gentle probing with

open-ended questions. I’m also having my own emotional reaction to the panic

in her voice, and I’m worried about whether I’m doing enough.

Toward the end of the clal, when she exclaims: “I don’t want my baby to

die,” my heart plummets: “I know….I understand that, but there is hope,” I tell

her. I find myself on the verge of tears.

The Bad News

This mother’s story is too common. According to the Centers for Disease

Control in Atlanta, Ga., 40,000 Americans (half of them under 25) are newly

infected with the AIDS virus each year. Unprotected sex and intravenous drug

use remain the principal modes of   transmission .

“Teenagers,” notes AIDS activist Elizabeth Taylor, “are being very hard hit.”

She refers to the three million adolescents who contract a sexually-transmitted

disease annually.

“Heterosexual teenage football players who are healthy and drink milk can

get it too!” says the 71-year-old actress, who has singlehandedly raised $150

million for AIDS research. “But teens are very ignorant and feel invincible. They

believe there’s an invisible shield protecting them from the virus, when it’s

actually aimed right at them.”

Taylor believes in addressing the problem head-on: “Tell your teenage son:

‘Maybe a condom doesn’t feel as good, but if it saves your life, it’s better than

being six feet under.’ Intelligence must replace random sex.”

Although a new generation of AIDS-fighting medications is prolonging the

lives of thousands, nearly half of the 900,000 people infected with HIV in the

U.S. cannot afford these drugs. Since the virus was discovered in l981, 410,800

Americans have died from AIDS-related complications, and the disease has left

13.9 million dead worldwide.

Who Calls a Hotline?

Not long ago I took a call from a 15-year-old boy living in a small town who

said he feels guilty about his sexual attraction to other boys and is scared to

discuss this with his parents. I ask him if there’s a school counselor or relative

he might talk to, but he says he’s too afraid to confide in anyone.

Being a teenager is hard enough, I thought, without the pressure of

keeping this kind of secret. I felt angry and saddened that this child can’t

comfortably discuss his feelings with his own parents.

I encourage him to call the Gay Community Center Youth Program in a

nearby city. In the meantime, I assured him that he could call our Hotline

anytime, that we’d be there for him.

This call was typical of the many we get from teenagers,whispering from

their parents’ homes, confiding their blossoming sexual feelings and concerns.

Our Hotline also receives calls from married men who phone from their offices,

worried about extramarital sexual encounters; gay men suffering side effects

from medications; mothers caring for a sick child or grieving for one lost to

AIDS; even health care professionals themselves confused and requiring

burnout support.

One particular morning, I’m struck by the number of single women who

turn to our hotline for help. At 10:15 a.m. a distraught young woman calls,

explaining that she had been dating someone “very charismatic,” after a two-

year period of sexual abstinence.

“At first we used condoms and I was taking the pill to avoid pregnancy,” she

says. But after her partner assured her he was HIV-negative, the couple began

having unprotected sex. A few months into the relationship, she recounts, his

behavior became “unpredictable,” until he finally admitted he was sleeping with

other women and was addicted to heroin. Now she has to withstand the

“terror” of waiting 3 months before getting an HIV antibody test. To help her

cope, I give her the names of three terapists in her area. The call lasts 43

minutes.

At 11:15 a.m. I take a call from a woman who is breathing heavily.

She says that four months earlier she’d had a brief affair with a limousine

driver, “not out of passion, but because I felt lonely. This was so totally unlike

me,” she continues. “I come from a traditional Orthodox Jewish family…”

Although they used condoms, and she has since tested negative for HIV, she

feels deeply ashamed, and has stopped seeing him. And because she has both

a persistent vaginal yeast infection and a rash on her neck, she’s convinced she

must be infected by HIV.

Although rashes, high fever, swollen lymph glands, heavy night sweats, sore

throat, or other flu-like symptoms may indicate HIV, they can just as easily

accompany the common cold or flu, or other type of infection. I encourage her

to seek medical help and counseling, but the calls ends on a down note. “I

must have it [AIDS],” she moans. I’m exasperated because it doesn’t sound

that way to me, yet I can’t get through to her. The call lasts 22 minutes.

It’s 11.38 a.m. when a well-spoken woman, who says she’s an attorney,

calls from her office, asking for the names of anonymous testing sites. At first

very businesslike, she calmly takes down all the information. I ask her why

she’s considering a test. Total silence. Then she begins to cry: “I….I can’t

talk….I’m sorry…you see, I have swollen lymph glands….[crying]….And my

doctor wants to rule out HIV…I feel overwhelmed…” Then, abruptly: “Where

can I send a donation?” She thanks me and hurries off the phone after just 3

minutes.

These were one-time callers, but, as in any epidemic, an element of panic

prevails, and our hotline also attracts an army of “chronic” or repeat callers

who are intensely fearful no matter how benign their risk, many revealing

continued misconceptions and paranoia about a disease that can be effectively

prevented. We do our best to help them, but often they’re impervious to

counseling.

Most poignant are calls we get from AIDS patients, phoning from their

hospital beds, attempting to navigate the exhausting labyrinth of insurance

and health care matters. One man, in hospice care, said he craved

companionship and missed the “good old days” when he was handsome and

healthy.

That call was a tough one for me as just the day before a close friend of

mine, Joe, who had battled HIV for 16 years, had finally succumbed. Although

at the end Joe was a mere skeleton, he was nonetheless at peace. “I’ve done

what I wanted to,” he told me on our last visit. An avid gardener, he insisted

on a final trip to his country house to see his garden one last time. For a

moment the caller’s reality and the memory of my deceased friend blurred in

my mind and I was overcome. Time for a break.

Face to Face

One of the most and unique services GMHC offers is called “A-Team

Counseling,” a one-time, in-person session that’s free and anonymous.

Recently, I was on an A-Team counselling a 26-year-old HIV-infected

mother from the Midwest. She had traveled to Manhattan by bus to find her

estranged boyfriend, who, she recounted tearfully, had kidnapped her 7-year-

old son. Disheveled, painfully thin, the woman was a disturbing sight. She’s

learned that the two had already returned home where the boyfriend was, and

the child put in his grandmother’s custory. custody of his grandmother.

Meanwhile she’d run out of money for the return trip, been refused a loan by

her family, lost her ID, gone hungry and spent two nights on the street.

Fortunately, this woman was registered at a local AIDS organization in her

town. I telephoned her caseworker and persuaded him to buy her a one-way

Greyhound bus ticket for $115.00. I also gave her subway tokens, a basket of

food, juice and coffee. Smiling shyly, she thanked me for caring.

Shaking hands good-bye with this woman was a bittersweet farewell. What

will happen to her? I wondered will her health deteriorate or improve? Will she

gain control of her life and be able to provide for her son? I’ll never know. One

thing I do know: She’d appeared with the sorrow of a difficult life in her eyes,

but when she left, she was elated at the thought of being reunited with her

child. It seems that with faith and a helping hand, almost anything is possible.

* * * * *

10 BIGGEST MISCONCEPTIONS ABOUT AIDS AND HIV

(This list would probably be most effective when presented in a vertical chart,

the misconception on the left, the correct answer on the right.)

1)The AIDS virus can be transmitted through saliva, sweat, tears, urine or feces;

also through deep kissing.

1) HIV can ONLY be transmitted through four bodily fluids: blood, semen,

vaginal secretions and breast milk–and can also be transmitted from a mother

to her child before birth, during birth, or while breast feeding. The exchange

of saliva through kissing is no-risk, unless the saliva has blood in it and both

you and your partner are bleeding in the mouth simultaneously.

2) HIV may also be transmitted through casual contact with an infected person.

2) You can’t get infected from toilet seats, phones or water fountains. The virus

can’t be transmitted in the air through sneezing or coughing. You can’t get

HIV from sharing utensils or food or from touching, or hugging. HIV dies after

being exposed to the air. Therefore, touching dried blood on a shaving blade, a

toothbrush or a bathroom counter top is no risk. In any case, unbroken skin is

impermeable, like a rubber raincoat, and cannot absorb the virus whether it’s

alive or dead.

Blood transfusions and medical procedures in the U.S. are safe. Giving blood is

completely risk-free. The chance of getting HIV from dentists or other health

care providers is too low even to measure.You can’t get it from mosquitoes or

other insect or animal bites.

3) Oral sex is just as risky as vaginal or anal intercourse.

3) Although not 100% risk-free, oral sex is considered a low-risk

activity,except if: you have bleeding gums, recent dental work, open sores such

as a herpes lesion, any cut, blister, or burn in the mouth, or if you’ve just

brushed or flossed your teeth. Also, oral sex with an infected woman is riskier

if she is having her period, since menstrual blood can contain HIV. Overall,

latex barriers, (such as condoms or dental dams) used during oral sex reduce

the  transmission  of not just HIV, but other sexual transmitted diseases.

4) Animal skin, latex and polyurethane condoms are all equally effective in

preventing HIV infection and you can use ANY lubrication on the condom

desired.

4)Only latex or polyurethane condoms may be used, as HIV can pass through

an animal skin condom. With latex condoms, only water-based lubricants–like

K-Y jelly or H-R jelly–may be used. No lubricants with oil, alcohol, or grease

are safe.Petroleum jelly,Vaseline, Crisco, mineral oil, baby oil, massage oil,

butter and most hand creams can weaken the condom and cause it to split.

However, with polyurethane condoms, petroleum-based lubricants can be

used.

5) Women have to rely on men using condoms during intercourse to protect

themselves against HIV.

5) Women may employ the “female condom,” a plastic sheath that can be

inserted in their vaginas and used for protection against HIV. It can be inserted

up to 8 hours before sex, has rings at both ends to hold it in place and can be

lubricated with oil-based lubricants that stay wet longer. In addition, women

can carry conventional condoms for their male partners’ use.

6) If a woman is HIV-positive, her offspring will automatically be born infected

with HIV.

6) With no medical treatment taken, about 25% of HIV-positive women will

give birth to infants who are also infected. However, the use of anti-HIV

medications has resulted in a significant decrease of mother-to-child

 transmission  of HIV in utero and during delivery to less than 5%. (NYT 10/19/

99].

7) AIDS is fundamentally a gay disease contracted by white males.

7) Recent data compiled by the Centers for Disease Control and Prevention

indicate that young gay Hispanic and African-American men and heterosexual

women are the fastest growing segment of the population being infected with

HIV. Women now account for 43% of all HIV infected people over age 15. [NYT

11/24/98] African-American and Hispanic women account for more than 76%

of AIDS cases among women in the U.S.

8) Heterosexual men are not really at risk for contracting HIV, even if they

don’t use condoms.

8) The inside opening of the penis is composed of highly-absorbent, sponge-

like mucous membrane tissues, which can provide a route for HIV-infected

vaginal secretions or blood to enter the bloodstream. Proper condom use

protects men from infection.

9) The AIDS epidemic is largely over because new AIDS medications like

protease inhibitors and others have turned AIDS into a chronic, not a terminal

disease.

9) In the U.S., AIDS is the fifth leading cause of death for people 25-44 years

old. Roughly half of all those infected with HIV in the U.S. are not receiving any

medications or medical care. AIDS now kills more people worldwide than any

other infection, including malaria and tuberculosis.[NYT 11/24/98] In 1998

alone, 2.5 million people died of AIDS worldwide. 13.9 million people have

died since the virus was discovered in 1981.

10) If you think you’ve been exposed to HIV through unprotected sex, you can

take an HIV antibody test 2 weeks later and get an accurate result.

10) The standard “window” or waiting period remains a full 3 months. However,

because the widely-used HIV antibody tests (The ELISA and Western Blot) have

become so sensitive, about 95% of people will procure an accurate result 4-6

weeks after a possible exposure to the virus.

* * * *

[Note:The information stated above was reviewed for medical accuracy by Dr.

Todd J. Yancey, an infectious disease specialist practicing in New York City and

affiliated with New York Presbyterian Hospital, NY, Cornell Campus.]

THE CHILD LIFE PROGRAM

“Mommy takes a lot of medicine and Mommy’s really tired sometimes and she

can’t take you to the park as much as she used to. It’s not that I don’t love

you…and that I don’t want to…but Uncle Jack’s going to take you to the park

today.” –A mother living with AIDS, a client at GMHC, talking to her 6-year-

old son.

In New York City alone, 28,000 children have been orphaned by AIDS since the

epidemic began [NYT 12/13/98]

GMHC’s unique Child Life Program serves HIV-infected parents and their

children–who may, or may not, be infected with the virus. “We help families

strengthen their ability to cope, relieve the pressure of parenting with support

services, and teach parents how to talk to their kids,” says Child Life Program

Coordinator Alison Ferst. “Unfortunately, should a parent or child be sick

enough to be facing death, we also help them walk through it with grace and

dignity—as opposed to feeling alone, isolated and frightened.

“We also encourage sick parents to make stable legal plans for their

children who may be left behind,” adds Ferst, “and to have disclosure

conversations with the children in advance, so you don’t have a child standing

at her mother’s funeral, not sure where she’s going next.”

When an HIV-infected Mom arrives at GMHC to have lunch, attend a support

group, consult with a lawyer, or access the acupuncture clinic, she can leave

her children in a spacious playroom, decorated with fanciful murals and a giant

tree hand-painted by the famed children’s story writer and illustrator, Maurice

Sendak, who donated his art. [see photos] The program provides: child-

sitting, nutrition services, a food pantry, art and magic classes, and

recreational trips–church picnics, seasonal apple-pumpkin picking,

amusement parks, zoos, museums, beaches. Also: homework help sessions,

holiday parties, hospital visits, summer sports and weekly support groups for

HIV- positive parents and their HIV-negative children.

This unique program also features: Cooking classes for kids who sometimes

prepare meals for sick parents; Pediatric Buddies, GMHC adult volunteers who

play with sick children and also assist with family chores; Fun With Feelings

Support Group, Friday Evening Family Time, Birthday parties, and a Holiday Gift

Drive.

“Children infected or affected by AIDS,” concludes Ferst, “want to be like

other kids: They want to play with their friends, want to know that someone

will always take care of them, want to know they’re not alone, and often

wonder if it’s their fault when Mom or Dad gets sick.” These children need a

helping hand and any of us can provide one.

5 Daily Habits That May Shorten Your Life Span

The human body is considered as the greatest wonder. You are the person who is responsible for habits that may shorten your life span. No one else is to blame. The body of the humans is believed to be built for living more than a century, but the present situation shows that only the half of that can be taken as an average life span. The life span is shortened mainly due to the habits developed by the humans. Those habits can harm the whole system adversely. Any habit will take a fixed period of time to turn into a regular pattern. Avoiding the habits which are harmful is not such a Herculean task. So it is high time you reclaim the control of your life and live. There are mainly five habits that shorten your life span and that should be avoided.

Unbalanced Diet

You take in food to provide your body with the necessary nutrients which are inevitable for the proper working of the various systems of the human body. But think once more, do your diet has all the essential nutrients? If your body is not getting the vital nutrients it will not function properly. This is sure to shorten your life span considerably.

Drugs

Taking in drugs and toxic substances is another grave problem. Alcohol and such other intoxicating substances are silent killers of your body organs. Alcohol can cause damage to you heart, liver and such other vital organs. The effect of cardiac and liver problems is well known to every one. Thus the intake of intoxicating substances can shorten your life span dramatically. Not just that, these substances can make the living period itself as painful as hell.

Tobacco

Tobacco also comes under the category of toxic substances. It can destroy the cells in the lungs. Smoking is a major cause of cancer around the world. Chewing of tobacco and other like substances can cause mouth cancer. Once you are affected by these diseases, it will be a great distress not only for you but for the people closer to you also. Smoking is a huge factor that shortens your life span.

Stress

The busy life has a very bad level of stress. Stress has a lot to do with the health of a person. The life of a person can be worth living only if his mind and body work in perfect harmony. The mental breakdown is one of the main reasons which leads people to the habits of alcohol consumption, drugs and smoking. Avoiding stress can work wonders in one’s life. Stress is the sure by-product of this ultra modern era, but there are ways to avoid it. It should be avoided. Otherwise you will be the hunt of many diseases and your life span will also be affected.

Lack of Exercise

With the development of technology the human body is having very less workout. The adverse effects of having less or even zero exercise is very disturbing. If your body is not getting enough exercise, the calories taken in will get deposited in different parts of your body. These unwanted fat deposits will eventually cause health problems

The Basic Principles of Preventing Infection

Basic Infection Control refers to measures designed to prevent the spread of infections or potentially infectious microorganisms to health personnel, clients and visitor. Various infection control measures are used to decrease the risk of transmission of microorganisms in hospitals.

Principles of Basic Infection Control

1. Microorganism move through space on air currents. Avoid shaking or tossing linens as these motions create currents on which these microorganisms can be transported. All isolation room doors should be closed to stop air currents.

2. Microorganisms are transferred from one surface to another whenever objects touch. When a clean item touches a less clean item, it becomes “dirty” because microorganisms are transferred to it. Keep your hands away from your hair and face. Keep linens away from your uniform. Always keep clean items separated from dirty ones, any object dropped to the floor is considered dirty.

3. Microorganisms are released into the air on droplet nuclei, whenever a person breathes or speaks. Coughing and sneezing dramatically increases the number of microorganisms released from the mouth and nose. Cover mouth when coughing and sneezing. Wash hands thoroughly.

4. Microorganisms are transferred by gravity when one item is held above another. Avoid passing dirty items over clean items or areas because it is possible for the microorganisms to drop off into a clean item or area. When storing items in a bedside stand, place a clean items on upper shelves and potentially dirty items such as bedpans on lower shelves.

5. Microorganisms move slowly on dry surfaces but very quickly through moisture. Use dry paper towel when you turn off faucets. Dry both basin before placing on bed side for storage.

6. Proper hand washing removes many of the microorganisms that would be transferred by the hands from one item to another.

Universal Precaution

1. Wear clean examination gloves for listed body fluids: Blood, semen, vaginal secretions, CSF, synovial fluid, pleural fluid, pericardial fluid, amniotic fluid, etc.

2. Wash hands:

  • a. Immediately after contact with body substances containing blood
  • b. Between patient care
  • c. Immediately after gloves are removed.

3. Wear masks and protective eyewear when appropriate.

4. Wear moisture-proof apron when appropriate.

5. Wear utility (household rubber) gloves appropriately

6. Dispose of equipment and secretions properly

7. Wear sterile gloves appropriately

8. Handle specimens of blood and listed body fluids appropriately

9. Handle soiled linens correctly:

a. Hold linen away from uniform

b. Do not shake or toss linen

c. Transport linen contaminated with blood or bloody fluids in leakage resistant proof bags.

How to Conduct a Viral Marketing Campaign?

Have you ever heard the saying, ‘the news spread like fire?’ Well, you must have, since this is a very common phrase in English language, and one often uses it to describe the very nature of man that inherently makes him a very capable messenger.

What is meant by this theory is that man, no matter how primitive or civilized, will always stick to his basic games in this world. He would always keep not ‘an’ but both eyes out to see what others are doing. Every man has a nose, which is too long so that he knows not what to do with it, and eventually he sticks it into other people’s business. And under this very nose is his mouth. And thus he can babble and spread around what he learns.

But if you had always cursed people like your next-door-neighbors who made it a habitual routine to crane up their neck and babble all over about your life, it is time to change your approach a little bit. People like your neighbors are actually the ones who can help you to make your business grow!

How, you ask? Well, viral marketing strategy is the answer. This way, you can post all your content in the sites and provide you link in there as well so that the online visitors can follow you to the table conference table where you can cement your deals. But for that, you have to make sure that the customers make a bee for your amber-thick, caramelized and lip smacking opportunities. For this, you will need to use the most effective strategies. Here are some that you can use:

o The first hit mantra would be ‘free’. Relax, we are not talking about a massive drawback in bank balance. You do not have to sell off everything you own to give away stuff for free. After all, we have not opened up a charity here, have we? Just let some software, games, ebooks, email account services or screen savers be available for free. This will hardly affect you, and the return will be high. People love to get things for free. When they see that you are offering them things at no cost, they will rely on you. And this will establish a connection between you and your customers which will eventually pay off to your advantage.

o The second mantra is to be creative. No, you do not have to be a Pulitzer Prize winner to pull this one off. You just have to keep everything simple. Provide all the information, keep your article compact and short so that it is easy to remember. The transmission should not be corrupted. Make the message as comprehensive and attractive as you can. For example: “Check out our new free ebooks. Turn the pages…and pay nothing…all at name of yoursite (dot)com.

o No matter whatever your web posts are, be it mail, blogs or articles, make sure that the transmission is very easy and uncomplicated. Use all the technical support that you can to make sure that your logistics can survive. You must make all the effort to convey the image and purpose of your website properly and satisfactorily.

o Another way to get famous is by getting famous. In order to assure that people read your web content, you have to write and post your work anywhere and where ever in the net world. If you write articles for other sites or publications, make sure that you slip in the name of your site there as well.

This way, yow will be able to advertise for your site and this will enhance your exposure. The key mantra to success in business enterprise is a grand exposure. You have to expose yourself to your customers, and offer them the information that they would need to rely on you. This way, you will be able to build a deeper bond with them, and this will create a positive buzz about your work. And soon more deals will zoom into your workplace!

Finding Gas Scooter Parts

From time to time pretty much any vehicle will break down or have mechanical issues and need to be fixed – that’s a given. This is true of electric or gas scooters and motor bikes. This can get expensive, especially if you have to pay for both the parts and the labor. If you are mechanically inclined, you might be able to fix a lot of problems on your own, as long as you know what is wrong with your scooter and what parts are needed to fix it.

There are many ways to get gas scooter parts. You can always go the easy route and take the bike to a mechanic, who will be able to both get the necessary parts and fix the bike. This is probably the most expensive way to go however. You can also go to a parts store and see if they have whatever you need. They may or may not have it, but most times they will be willing to order it for you.

The easiest thing to do might just be to go on the internet and order the part from the comfort of your own home. There are a number of websites that sell scooter parts, and most make it easy for you to locate just the right part. They allow you to search by the part or by the make and model of your bike so that you can make sure you choose the right thing. You might have to pay a shipping charge, but if you find the parts on sale somewhere you could end up saving money even with the shipping.

Whether you need a starter or a part for your   transmission , you can find what you are looking for on the internet. Even if you don’t have one of the new models of gas scooters or electric bikes, you are likely to be able to find what you need with a little bit of searching. Searching the internet is much easier than going to a lot of different parts places looking for what you need, so this is probably the best way to go if you want to purchase the parts to do a repair on your own.

5 Simple Steps to Having a Healthy Pregnancy

If you’ve decided to have a baby, the most important thing is that you care a lot, so that both you and the baby are healthy in the future. Girls who receive proper care and take the right decisions are highly likely to have healthy babies.

Prenatal Care

If you discover you are pregnant, see a doctor as soon as possible to begin receiving prenatal care (care during pregnancy). The sooner you begin receiving medical care, the better the chances that both you and your baby are healthy in the future.

If you can not afford to visit a doctor or pay for the consultation in a clinic for prenatal care, social service organizations exist that can help. Ask your parents, school counselor or another trusted adult to help you find resources in your community.

During the first consultation, the doctor will make a lot of questions, such as date of your last period. In this way, you can calculate how long have you been pregnant and what date you expect your baby.

Doctors estimate the duration of pregnancy in weeks. The due date is estimated, but the majority of babies born between 38 and 42 weeks after the first day of last menstrual period of women, or between 36 and 38 weeks after conception (when the sperm fertilizes the egg). Only a small percentage of women giving birth at the estimated delivery date.

The pregnancy is divided into three phases, or quarters. The first quarter runs from conception to end of week 13. The second is from week 14 to 26. The third, from week 27 until the end of pregnancy.

The doctor will examine you and perform a pelvic exam. The doctor will also order blood tests, urine tests and tests to check for sexually transmitted diseases (STD by its acronym in English), including an HIV test, an increasingly common condition in adolescents. (Because some STDs can cause serious health problems in newborns, it is important to get appropriate treatment to protect the baby.)

The doctor will explain what are the physical and emotional changes that are likely to experience during pregnancy. We also learn to recognize the symptoms of possible problems (complications) during pregnancy. This is essential, because teenagers are at greater risk of crossing certain complications such as anemia or hypertension, and give birth before the expected date (premature labor).

Your doctor will want to start taking prenatal vitamins containing folic acid, calcium and iron away. Your doctor may prescribe vitamins or can recommend a brand you can buy without a prescription. These minerals and vitamins help to ensure the good health of baby and mother, and avoid certain birth defects.

Ideally, you should visit your doctor once a month during the first 28 weeks of pregnancy. Then you should visit every 2 weeks until week 36 and weekly thereafter until delivery. If you have a disease like diabetes, which requires careful monitoring during pregnancy, it is likely that your doctor wants to see you more often.

During consultations, your doctor will monitor your weight, blood pressure and urine, in addition to measuring your belly to go record the baby’s growth. When the baby’s heartbeat can be heard with a special device, the doctor will listen to every time you visit. It is likely that your doctor will also indicate other tests during pregnancy, such as an ultrasound to make sure the baby is in perfect condition.

Also part of prenatal care to attend classes where women who are expecting a baby learning how to have a healthy pregnancy and delivery, as well as what are the basic care for the newborn. It is likely that these classes are conducted in hospitals, medical centers, schools and universities in your area.

If adults can be difficult to talk to your doctor about your own body, this is even more difficult for adolescents. The role of your doctor is to help you enjoy a healthy pregnancy and have a healthy baby… and it is likely that there is nothing that a pregnant woman has not told. So do not be afraid to ask about everything you need to know.

Always be honest when your doctor will ask questions, even if they are embarrassing. Many of the issues that your doctor wants you to cover could affect the health of your baby. Think of your doctor as someone who is not only a resource but also a friend you can trust to talk about what is happening to you.

What changes can you expect in your body

Pregnancy creates many physical changes. Here are some of the most common:

Growth of breasts

The increase in breast size is one of the first signs of pregnancy and the breasts may continue to grow throughout pregnancy. It is possible to increase several sizes of support during the course of pregnancy.

Skin changes

Do not be surprised if people’s comments that your skin looks “glowing” when you’re pregnant: pregnancy produces an increased blood volume, which can make your cheeks are a little more pink than usual. In addition, hormonal changes increase the secretion of the sebaceous glands, so that your skin may look brighter. For the same reason, acne is also common during pregnancy.

Among other changes that pregnancy hormones generated in the skin are yellowish or brownish spots that appear on the face, which are called melasma, and a dark stripe running from the navel to the pubis, which known as linea nigra.

Also, moles or freckles that you had before pregnancy may increase in size or become darker. Even the areola, the area around the nipple becomes darker. Stretch marks may also occur (thin lines of pink or purple) in the abdomen, breasts or thighs.

Except for the darkening of the areola, which is usually permanent, these skin changes will disappear after delivery.

Mood swings

It is very common to experience mood swings during pregnancy. Some girls may suffer from depression during pregnancy or after childbirth. If you have symptoms of depression such as sadness, changes in sleep patterns, desires to hurt yourself or negative feelings about yourself or your life, ask your doctor for advice about starting your treatment.

Pregnancy Discomforts

Pregnancy can cause some unpleasant side effects. Among such disorders, include the following:

  • nausea and vomiting, especially during the first months of pregnancy;
  • leg swelling;
  • varicose veins in the legs and the area around the vaginal opening;
  • hemorrhoids;
  • heartburn and constipation;
  • back pain;
  • fatigue and
  • sleeping problems.

If you suffer from one or more of these side effects, remember that you are not alone. Ask your doctor for advice on how to handle these common problems.

If you are pregnant and have bleeding or pain, contact your doctor right away, even if you decided to terminate your pregnancy.

What you should avoid

If you smoke, drink alcohol or use drugs during pregnancy, both you and your baby are at risk for serious problems.

Alcohol

At present, doctors believe it is not advisable to drink a drop of alcohol during pregnancy. If you drink alcoholic beverages can damage the developing fetus and the baby is at risk for birth defects and mental problems.

Smoke

Smoking during pregnancy carries some of the following risks: the birth of a dead fetus (when a baby dies inside the womb), low birth weight (which increases the possibility that the baby has health problems), infants infants (babies born before 37 weeks) syndrome and sudden infant death (SIDS for its acronym in English). SIDS is the sudden death for no apparent reason, a baby under one year.

Drugs

Illegal drugs such as cocaine or marijuana during pregnancy may cause abortions, premature births and other health problems. In addition, babies can be born with an addiction to certain drugs.

If you have trouble quitting smoking, drinking alcohol or using drugs, ask your doctor to help you. Consult your doctor before taking any medication during pregnancy. This includes medicines sold over the counter, prepared herbal supplements and vitamins.

Unsafe Sex

Talk to your doctor about sex during pregnancy. If your doctor allows you to have sex during pregnancy, you should use a condom to avoid contracting a sexually transmitted disease (STD in English). Because some STDs can cause blindness, pneumonia or meningitis in the newborn, it is important for you to protect yourself and protect the baby.

How to take care during pregnancy

Feeding

Many young people are concerned by the appearance of your body and fear of weight gain during pregnancy. But this is not the time to cut calories or go on a diet because you are feeding two people. Both you and your baby need certain nutrients for the baby to grow properly. If you eat a variety of healthy foods, drink enough water and you reduce the junk food, high fat, help to both you and the baby are healthy and growing.

Doctors generally recommend adding about 300 calories a day to the diet, so as to provide the baby with adequate nutrition growth. According to the weight you had before becoming pregnant, you should gain between 11 and 15 kilos (25 to 35 pounds) during pregnancy, mostly during the last 6 months. Your doctor will advise you about this depending on your particular situation.

Eat more fiber from -25 to 30 grams daily, and drinking enough water can help prevent common problems such as constipation. Fruits and vegetables and whole grain breads, cereals or whole wheat muffins are good sources of fiber.

It is necessary that you avoid some foods and beverages during pregnancy, such as:

  • some types of fish such as swordfish, canned tuna and other fish that may have a high content of mercury (your doctor can help you decide which fish to eat);
  • foods containing raw eggs, such as mousse or salad type “Caesar”;
  • raw meat, fish or just cooked;
  • processed meats such as sausages or cold cuts;
  • Unpasteurized soft cheeses such as feta, brie, blue or goat, and
  • milk, unpasteurized juice or cider.

It is also desirable to limit the consumption of artificial sweeteners and caffeine and artificial sweeteners.

Exercise

Exercising during pregnancy is good for your health when you have no complications with the pregnancy and choose appropriate activities. Doctors generally recommend low-impact activities such as walking, swimming and yoga. In general, you should avoid contact sports and high impact aerobic activities that pose a higher risk of injury. It is also not recommended to do a job that involves heavy lifting for women during pregnancy. Talk to your doctor if you have questions about what kind of exercises are safe for you and your baby.

Sleep

It is important to get plenty of rest during pregnancy. During the first months of pregnancy, trying to acquire the habit of sleeping on your side. As pregnancy progresses, lying on your side, knees bent, will be the most comfortable position. It will facilitate the functioning of the heart, since the baby’s weight will not exert any pressure on the vein that carries blood from the feet and legs back to the heart.

Some doctors specifically recommend that pregnant girls should sleep on his left side. Because some of the major blood vessels are in the right side of the abdomen, lying on the left side helps keep the uterus puts pressure on them. Ask your doctor what your recommendation. In most cases, the trick is to lie on either side, to reduce pressure on the back.

Throughout the pregnancy, but particularly in the later stages, it is likely that you wake up frequently at night to go to the bathroom. While it is important to drink plenty of water during pregnancy, try to drink more during the day instead of night. Go to the bathroom before bed. As the pregnancy progresses, you might be hard to find a comfortable position in bed. You can try placing pillows around and under the stomach, back or legs to feel more comfortable.

Stress can also affect sleep. Perhaps you’re concerned about the health of the baby, birth, or how it will play this new role of mother. All these feelings are normal, but can produce insomnia. Talk to your doctor if you have trouble sleeping during pregnancy.

Emotional Health

It is common for pregnant adolescents experience a variety of emotions such as fear, anger, guilt, confusion and sadness. Maybe you take some time to adjust to the fact that you are having a baby. It means a huge change and it is natural for pregnant teens wonder if they are ready for the responsibilities involved in becoming mothers.

The feelings of a young often depend on how much support received by the baby’s father, his family (and family of the baby’s father) and his friends. The situation of each youth is different. Depending on your situation, you may need to seek more support for people who are not part of your family. It is important to talk with people who can support you, guide you and help you share and sort out your feelings. Your school counselor or nurse can guide you to find the resources offered to help your community.

In some cases, teenage pregnancies and spontaneous abortions have lost the baby. This can be very sad and difficult to overcome for some, but to others it causes a feeling of relief. It is important to talk about these feelings and receive support from friends and family, if this is not possible, go to counselors or teachers.

The school and the future

Some girls plan to raise her baby by themselves. Sometimes grandparents or other family members help them. Some young people choose to deliver her baby for adoption. These difficult decisions involve a great deal of courage and concern for the baby.

Young women who have completed high school will have greater chances of getting a good job and enjoy a more successful life. As far as possible, you should finish high school now instead of trying to go back to school later. Ask your school counselor or a trusted adult that you provide information about what programs and classes offered in the community for pregnant teens.

Some communities have support groups especially devoted to teen parents. In some schools, no childcare. Perhaps a member of your family or a friend can take the baby while you’re at school.

You can learn more about what happens when you mother if you read books, attend classes or consultations reliable websites on parenting. Your pediatrician, your parents, your family members and other adults can guide you when you’re pregnant and when you become a mother.

Sex Education: Its Importance and Need in the Society

Sex Education, as the term clearly indicates, refers to education which is based on human sexual behavior. Parents, schools or caretakers offer it in some parts of the world to educate the children, who are stepping into their adolescence. If formally received, sex education is either taught as a full course at high school or junior high school level or in biology, health, home economics classes. Teaching sex education is rather a controversial issue; debates have been going on for several decades discussing if it should be taught formally in schools or not. Sex education in schools should exist without any doubts and apprehensions as it offers many benefits.

Adolescence is called the “age of storm and stress”. The young teenagers, during this phase of life are under deep psychological pressure. Mainly, this psychological pressure is the result of one’s growing sexual needs and the biological changes and hormonal effects on the individuals. During this time, most of the children are observed to become easily irritable. They find it difficult in most situations to deal with the family members. They might not want to talk to them about the natural changes taking place in their body and mind. In such circumstances, one highly suitable option is that of the teachers who are able to teach them to control their urges until a proper age. In schools, trained teachers would help the students to know how to deal with their sexual impulses. This role can not be replaced by parents or other entities. A classroom discussion and lesson would make them feel it is natural, and they would also feel that they are being understood by someone. However, taking them individually to psychologists or other trained educators would not help. In such a situation they might consider themselves to be different and misunderstood by family and people around them. Therefore, it becomes crystal clear that the best way to offer sex education is always in school.

It is a psychological phenomenon that children at young age are under an immense peer pressure. Something that they learn in the class with their peer group is what makes a better impression on their minds than otherwise. They are more focused in the lessons that teachers offer and are more eager asking question to clear their ambiguities. They might feel embarrassed and uneasy questioning their parents about it, but it always differs in case of the teacher in the class. This is because everyone in the class is going through the same stage. A class discussion becomes healthy source of learning as it helps in enhancing the knowledge on the subject.

Many people advocate that sex education should only be restricted to families, that is, that parents should personally educate their children. This view is totally illogical and holds complications and questions. The first point is that not all the parents would be willing to do it or would be able to do it. Secondly, this education needs a proper channel through which it should reach its required learners. There could be many possible problems in the families so they might not be able to take the role of a teacher in educating their children regarding sex. The demand of annulment of sex education from the schools is highly conservative.

Most importantly, there are many single parents, how would they take up this challenge of educating their children on their own? Parents can not properly educate their children about sex also because they lack details that qualified sex educators convey in schools. Thus, the stance of abolishing sex education in school is not a favorable thought. In many observed cases where parents or children are embarrassed about talking over sexual matters with each other, it is most likely to be uneasy situation at both the ends. This keeps the children from learning the answers to the questions they might have in their minds. This can be a great flaw of shifting the duty of sexual education from teachers to the parents. It will leave the children only half or less educated about the issue and as they say “Little knowledge is a dangerous thing”, this might end up in grave situations.

According to research, most of the parents also feel uneasy because they know that they are not equipped to provide the apt sexual information to their children. They also fail to comprehend what details and information should be concealed and what should be revealed, keeping in mind their children’s age. On the other hand, there might also be parents who would feel comfortable talking to their children about sexual matters, but only when the children bring the matter up.

Most parents, around the world, may also lack role models to look up to as they would not have talked over sexual issues with their own parents in their adolescent. This makes them inefficient to trigger their roles of educating their children in an effective way as the assigned teachers are able to do in schools.

Sex education is not limited to only a single branch of knowledge. This education focuses on a number of significant sexual matters that are offered with especially designed courses and programs. Sex education covers the education of relationships, sexual abstinence at a certain level and teaching to practice safe sex to the level of children who are thought to be sexually active. Therefore, its claim for being appropriate and guiding holds strong base.

At a certain age of adolescence, growing children have problems facing relationships and controlling their personal emotions. Conflicts related to such matters persuade many youngsters to commit suicides or take part in other immoral activities. Proper sex education in schools also concentrates in making the youngsters emotionally stronger and in educating ways to cope with relationship problems. This argument strongly shows the immense benefit of sex education in schools.

Sex education is an important health strategy and this cannot be denied. AIDS and other sexually transmitted diseases can only be controlled if people are aware of precautions and have a vast knowledge in this case. This knowledge is conveyed through sex education, and if sex education is banned in schools and if parents have to educate their children, then it would not be as beneficial to the individuals and the society on the whole as teaching in school could be.

Sex education does not exist in all parts of the world. Asians are commonly regarded conservative when compared to westerners. It is not a part of their course in schools; this does not in any way mean that their teenage pregnancy rate is any lower if they are not exposed to sexual matters openly. In fact, this is one way how peers can mislead most of the youngsters and persuade them to bask in young age sexual relationships without any attempts for safety. This has resulted in serious problems such as the spread of fatal diseases like AIDS and has also increased rate of illegitimate births.

Researches have shown that the cause for ramification of STDs (sexually transmitted diseases) in the eras of 80s and 90s in the US and the UK is the lack of knowledge and information provided about sex in schools or home. Home and family has never and will never play an integral part in conveying sex education to teenagers, therefore to rely on the option of home, is to deceive your own self from the expected exigency in the future.

Some conservative groups assert that to discuss sexual issues openly is to devalue religion. No religion in the world abstain its followers from spreading the information that is so essential for human lives. Sexual behavior is natural and takes place through biological changes and this cannot be questioned as this is a part of human life. Thus people who take refuge under the religious shelter, to make their arguments strong, are misinterpreting religious ideas and laws.

Modern time is the time of internet and powerful media. Teenagers are exposed to Hollywood, TV and internet. These sources offer demonstration of sex which is highly thoughtless and casual; in this situation it is almost illogical to leave the teenagers on their sexual choices. They are young and fully excited; therefore they can not make a favorable choice. Sex education in school offers the information and knowledge they need to understand to know the responsibility that is accompanied by sexual relationships. The teacher in school helps the students to know the difference between a thoughtless and thoughtful sex. Having an urge for sex is not a problem; it is a natural process showing that the young people are developing to become adults; however the problem is having unsafe sex and hurting people through sexual choices.

People who claim that sex education in schools have more cons than pros, often come up with the statements suggesting that sex education in classroom should be avoided because the most effective tool for offering sex education, according to them is TV, films, magazines and media. Such people fail to understand that trained sex educators under especially designed programs teach sex education to children in schools. They are thus able to handle children’s problems and clear their ambiguities in the best possible way, whereas magazines, films, TV and other channels and mediums of providing sex education are be reliable. They are most of the times urging the young people by encouraging their sexual promiscuity rather than effectively teaching and educating them. This wrong approach damages the society and the individuals in disguise of ameliorating them.

People contradicting the notion insist that sex education always makes the learners have sex and experience it personally, once they learn about it in school. The reality is that sexual urge for any human being is a natural occurrence. When children reach to a certain age, whether they find people to educated them about sex or not, they do have natural instincts about it, and therefore if provided a chance they would surely want to satisfy their urge. This natural reaction can not in any way be related to the outcome of sex education in schools. In fact, the best time for letting sex education play its role is when the sexual urge increases and the teenagers want to find a source for its satisfaction. It offers individuals with the required knowledge so that they are careful. It is only then that they understand the consequences of sex leading to child birth as well as sexually transmitted diseases. Thus sex education is basically a warning and a caution for such children who are stepping into the phase of life where they would need to know all this.

Some people who go against the topic also argue that even though sex education exists, it has still not decreased the rate of teenage pregnancies. I would rather not go deep in to the moral issue of the topic, but it is important here to discuss and point out the shortcomings of our society. Social values that insist that being single, pregnant and teenagers is fine, is what has to be changed. Through educating the children and making them aware that it is just not ‘cool’ to be pregnant when single or teenager, and just because ‘others are also doing it’ does not in any way justify their actions, this change can be achieved. There are many sexual education programs that teach the learners about the grave consequences that can result in having early sex. This type of sex education in schools is helpful and makes the learners responsible and mature enough to understand the difference between morality and immorality.

People, who are against the notion, repeatedly state the question that why sex education is given so much importance when there are also many other issues connected with juvenile delinquencies such as drugs, drinking and aggressive bullying. No doubt, there are also many other issues to consider important enough to be taught in school for awareness but psychological researches show that behind most of the juvenile behavioral problems, one main reason is always the active sexual urge which drives the young people to indulge themselves in harmful activities like drug abuse and alcoholism. It is also commonly observed that young teenagers who indulge into such activities are unaware of proper sex education. Once they are given a true picture of sex and its consequences their mental status relaxes and they are easily able to cope with other social taboos.

Parents, who believe that sex education pollutes the minds of their children, have in large number taken their children out of schools promoting sex education. In this process of instilling in their minds their religious and family values, they forget that the media, their children are largely exposed to can also lead them astray. Sex education in schools does not in any way offers them an invitation to have open sex by making them aware of the risks; it just educates them about the matter in the best way.

Apart from educating the students about safe sex, sex education in schools is also helpful as it helps students to learn proper terminology for reproductive system, STDs and birth contraceptives rather than the street lingo that is commonly used by laymen. Sex education classes are gender based and that is why the young learners are not embarrassed and are only taught what is related to their gender. Early inclusion of classes also helps the teenagers to either become abstinent for some time or to become responsible if they are already active. Therefore, many sexual problems that occur in adulthood can be controlled if effective and apt sex education is given at the right time.

A proper sex education which is holistic, nonjudgmental and comprehensive never misleads or misguides the teenagers. Such a curriculum should be imposed in all schools around the nation; it is an answer to many social problems and conflicts. Would any parent leave their kindergarten kids to walk alone on the streets without letting them know how to walk safely? No parent would actually do that, in the same way, letting your teenager children socialize with their peers and fellows without any proper sexual education is nothing contrary to the analogy mentioned above. It is hazardous and risky for their lives. Thus, proper sex education in schools should be encouraged so that they learn all the significant facts through trained teachers, who help and supports them in these matters of highly crucial value. Sex education should be taken as a positive aspect which promises healthier and better life for the youngsters. It therefore should be taken as a subject taught in schools to enhance knowledge on the subject matter; something merely as human anatomy or biology class. Sex education should be given in all schools to educate the children for their betterment, avoiding it will only result in emotional, social and health problems.

Online Parenting Classes – Is it Merely a Convenience?

The internet has changed the living habits of everyone who uses it. Since virtually, every piece of information that anyone can require is freely available on the internet, people have gotten addicted to it. Most of the parents are so caught up in their busy lives that when their children start to misbehave, they feel helpless and seek help in resolving their problems. Well, now there are online parenting classes available and a number of parents are using these classes to help them in handling their children better. The internet now also supports multimedia streaming, and psychiatrists now run online parenting classes videos on their websites.

In case you do not want to consult a child psychiatrist or join group therapy classes, or just feel shy of discussing the problems that you are having with your child, you can easily find such types of classes on the World Wide Web. On some of the sites, there is an introductory video that plays, and if you feel that the councilor can help you in solving your problems, you can sign up.

Online classes can be watched at your convenience, which is why they are gaining popularity. You are no longer bound to drive on a fixed day for a parenting class meeting. The other great advantage of online parenting classes is that all the leading councilors have their websites; therefore, you get to pick the councilor that you think is the most suitable one for you. This being able to pick a councilor of your choice is a very big convenience. The other advantage is that of privacy.

You can watch a counseling video at your convenience and you can also send emails to the councilor and get private help on any particular problem that you might be facing.

Most people who have opted for online classes have found them to be quite helpful and have helped in developing a better parent/child relationship. It is not only the convenience that has made online parenting classes popular; they are proving to be extremely beneficial even otherwise.

Most parents face problems with children and at times do not know how to handle a particular situation. They also fear that if they handle a situation incorrectly, it might adversely affect the child. Many parents turn for help to other parents in solving parent/child problems.

Some people have access to the internet but not to a parent councilor; in such cases, online parenting classes are a big help and convenience. The very fact that you can pick and choose a councilor makes the online parenting classes worthwhile and a great help for the parents in dilemma.

The online councilors reply promptly to emails; therefore, you do not have to wait very long to get sound and helpful advice from them. Another big advantage of online parenting classes is that you can set your own pace. So, you are not a member of a group who has to follow or adhere to a specific schedule. These are some of the reasons why online parenting classes have become so popular.

Easy Songs To Play On Guitar With 4 Simple Open Chords

Learning Chords

For most beginners at guitar playing, the first goal is to learn some easy songs to play on the guitar. And one of the main challenges here is learning all the guitar chords needed in order to be able to play those songs.

And that’s not always an easy thing to accomplish. Many songs uses chords that seem to have been invented for no other reason than to make it impossible to play. No wonder you give up on those songs. They have to wait until you get better at guitar playing.

G-Em-C-D

The Chord progression G-Em-C-D is a common (big understatement!) sequence all over the world, in all sorts of music styles. You can of course transpose to other chords, like C-Am-F-G or D-Bm-G-A and so on. Another way to “transpose” a song that not fits your voice is to use a capo at any fret you like.

I have compiled a little list of songs that I found that uses these chords. Many of them uses the progression all the way through the entire song, others are played with variations. And a few of them uses other chords as well.

The List

So here it is, my small gift to those of you who can’t find easy songs to play on guitar.

Here are the chords again, with two additional variations.

(C-Am-F-G), (G-Em-C-D), (D-Bm-G-A)

Stand by Me – Ben E. King

Heart and Soul – Hoagy Carmichael

The Thin Ice – Pink Floyd

Earth Angel – The Penguins (in family guy, back to the future etc.)

Donna – Ritchie Valens

Duke of Earl – Gene Chandler

Every Breath You Take – The Police

The Living Daylights – a-Ha

Last Kiss

Those Magic Changes and Beauty School Dropout – from Grease

Leader of the Pack

You Send Me

Blue Moon – Chris Isaak

Breaking Up Is Hard To Do – The Carpenters

Bubble Goose – Wyclef Jean

Teenager in Love – Dion & The Belmonts(?)

Fly On The Wings Of Love – The Olsen Brothers

Bus Station – Tom Russell

Heart Of Gold – Neil young

Stand By Me – Ben E King

Beautiful Girls – Sean Kingston

I’ve just seen a face – The Beatles

Last Kiss – Pearl Jam

Bleeding Love – Leona Lewis (I think?)

Single Ladies – Beyonce

Baby – Justin Bieber

Mary’s Song- Taylor Swift

Jump then Fall- Taylor Swift

Wrapped in your Arms- Fireflight

This magic moment

Up on the roof- The Drifters

Wonderful world – Herman Hermits

Lovers moon – Glenn Frye – My new favorite.

She will be loved – Maroon 5

His Latest Flame – Elvis.

I Only Want To Be With You – Dusty Springfield.

End Of The Line – Traveling Wilburys.

Puff The Magic Dragon – Peter, Paul and Mary

Kumbayah

Where Have All The Flowers Gone? – Pete Seeger

Look at the first song in this list. In all its simplicity “Stand By Me” is a fantastic song, and it has travelled with me through all these years. And it’s a very easy song to play on guitar.

If you like that song I’ll show you a very special version of it, at my website.

Mononucleosis Explained

Mononucleosis is a viral illness that is common among young adults but can affect people of almost any age. Severe sore throat, swollen lymph nodes, fever and extreme fatigue are the recognizable hallmarks of this condition. Why the disease is more common in teens remains unclear. It may have something to do with the lifestyle, poor diet, not enough rest and stress, all of which lowers the resistance of the immune system. The underlying culprit is the Epstein-Barr virus (EBV). This virus, a member of the herpes virus family, is so common that 95% of all adults test positive for exposure to it. The EBV has been implicated as playing a role in some uncommon malignancies later in life or another condition chronic fatigue syndrome. However, keep in mind that the virus is very common. Even though exposed some time in their life by adulthood, most people do not manifest any clinical symptoms of mononucleosis. Viral transmission occurs through intimate contact with saliva or blood of the infected person. Hence, the antiquated name of the “kissing disease”. The virus is not airborne. The risk to others in the family or friends is very low unless there is intimate contact.

Severe sore throat, extreme fatigue, swollen glands and lymph nodes characterize the typical symptoms. The inflammatory process usually affects the liver and spleen resulting in some enlargement. In a small number of severe cases, abdominal pain or difficulty swallowing may be an issue. Twenty percent of people with mono develop a fine red rash resembling measles. Some medications in particular amoxicillin based antibiotics can also trigger the rash. The incubation period from time of exposure to onset ranges from 14 to 45 days. The average illness lasts 4 weeks. The first two weeks are most difficult because of the intensity of the symptoms including a severe sore throat that makes it awkward to maintain an adequate diet. The fatigue makes people want to sleep a lot. People usually miss two weeks of school or work during this time. The second two weeks are usually quite a bit better but energy levels are still waning. Getting up in the morning feeling good and somewhat energetic, but running out of gas after a few hours is characteristic. Some modification of activities with a limited schedule during the second two weeks is to be expected. A specific blood test can confirm the diagnosis in the doctor’s office. An exam to rule out other similar conditions is prudent.

Since it is a viral illness it will run its own course, there is no specific treatment. The majority of cases improve with rest and a balanced diet. In the rare severe case, other medications such as a steroid or an anti-viral drug may be used. There are a few instances when a second bacterial infection such as strep throat may occur at the same time. Appropriate tests can easily determine whether an antibiotic is necessary to treat a secondary infection. Symptomatic treatment is helpful just like treating the flu. Ibuprofen or acetaminophen for fever or muscle aches, plenty of clear liquids and trying to maintain a healthy balanced diet are nonetheless important. Avoiding alcohol for six weeks is suggested while the liver inflammation subsides spontaneously. The biggest frustration for people is simply the lack of energy and fatigue. It can usually take 4 to 6 weeks or more before normal stamina returns.