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Lance Armstrong loses all 7 Tour de France titles, hit with lifetime ban from cycling over doping

EPA fileLance Armstrong, pictured in 2005 shortly before winning his seventh Tour de France title. Armstrong now will be stripped of all his Tour titles and banned from the sport after choosing not to fight doping allegations.

The U.S. Anti-Doping Agency erased 14 years of Lance Armstrong’s career today — including his record seven Tour de France titles — and banned him for life from the sport that made him a hero to millions of cancer survivors after concluding he used banned substances.

USADA said it expected cycling’s governing body to take similar action, but the International Cycling Union was measured in its response, saying it first wanted a full explanation on why Armstrong should relinquish Tour titles he won from 1999 through 2005.

The Amaury Sport Organization that runs the world’s most prestigious cycling race said it would not comment until hearing from the UCI and USADA, which contends the cycling body is bound by the World Anti-Doping Code to strip Armstrong of one of the most incredible achievements in sports.

Armstrong, who retired a year ago, said Thursday that he would no longer challenge USADA and declined to exercise his last option by entering arbitration. he denied again that he ever took banned substances in his career, calling USADA’s investigation a “witch hunt” without a shred of physical evidence.

He is now officially a drug cheat in the eyes of his nation’s doping agency.

“Nobody wins when an athlete decides to cheat with dangerous performance-enhancing drugs, but clean athletes at every level expect those of us here on their behalf, to pursue the truth to ensure the win-at-all-cost culture does not permanently overtake fair, honest competition” said USADA chief executive Travis Tygart. “Any time we have overwhelming proof of doping, our mandate is to initiate the case through the process and see it to conclusion as was done in this case.”

Tygart said the UCI was “bound to recognize our decision and impose it.”

“They have no choice but to strip the titles under the code,” he said.

The UCI and USADA have engaged in a turf war over who should prosecute allegations against Armstrong. the UCI even backed Armstrong’s failed legal challenge to USADA’s authority, and it cited the same World Anti-Doping Code in saying that it wanted to hear more from the American agency.

“As USADA has claimed jurisdiction in the case the UCI expects that it will issue a reasoned decision” explaining the action taken, the Switzerland-based organization said in a statement. it said legal procedures obliged USADA to fulfill this demand in cases “where no hearing occurs.”

The International Olympic Committee said today it will await decisions by USADA and UCI before taking any steps against Armstrong, who won a bronze medal at the 2000 Sydney Games. besides the disqualifications, Armstrong will forfeit any medals, winnings, points and prizes, USADA said, but it is the lost titles that will be part of his legacy.

Every one of Armstrong’s competitive races from Aug. 1, 1998, have been vacated by USADA, recognized by Congress as the official anti-doping agency for Olympic sports in the United States. Its staff joined a federal criminal investigation of Armstrong that ended earlier this year with no charges being filed.

USADA, which announced its investigation in June, said its evidence came from more than a dozen witnesses “who agreed to testify and provide evidence about their first-hand experience and/or knowledge of the doping activity of those involved in the USPS conspiracy,” a reference to Armstrong’s former U.S. Postal Service cycling team.

The unidentified witnesses said they knew or had been told by Armstrong himself that he had “used EPO, blood transfusions, testosterone and cortisone” from before 1998 through 2005, and that he had previously used EPO, testosterone and Human Growth Hormone through 1996, USADA said. Armstrong also allegedly handed out doping products and encouraged banned methods — and even used “blood manipulation including EPO or blood transfusions” during his 2009 comeback race on the Tour.

In all, USADA said up to 10 former Armstrong teammates were set to testify against him. Included in the case were e-mails sent by Floyd Landis, who was stripped of the 2006 Tour de France title for doping, describing an elaborate doping program on Armstrong’s Postal Service teams, and Tyler Hamilton’s interview with “60 Minutes” claiming he had personal knowledge of Armstrong doping.

Had Armstrong chosen to pursue arbitration, USADA said, all the evidence would have been available for him to challenge.

“He chose not to do this knowing these sanctions would immediately be put into place,” the statement said.

Armstrong’s longtime coach, Johan Bruyneel, came to his defense and said he was the victim of an “unjust” legal case.

“I’m disappointed for Lance and for cycling in general that things have reached a stage where Lance feels that he has had enough and is no longer willing to participate in USADA’s campaign against him,” Bruyneel wrote on his personal website. “Lance has never withdrawn from a fair fight in his life so his decision today underlines what an unjust process this has been.”

The Belgian, who manages the Radioshack Nissan-Trek team, has his own legal battle with USADA. he has opted for arbitration to fight charges that he led doping programs for Armstrong’s teams.

Armstrong clearly knew his legacy would be blemished by his decision. But he said he has grown tired of defending himself in a seemingly never-ending fight against charges that he doped while piling up more Tour victories than anyone ever. he has consistently pointed to the hundreds of drug tests that he passed as proof of his innocence during his extraordinary run of Tour titles.

“There comes a point in every man’s life when he has to say, ‘Enough is enough.’ For me, that time is now,” Armstrong said Thursday night, hours before the deadline to enter arbitration.

“Today I turn the page. I will no longer address this issue, regardless of the circumstances,” he said. “I will commit myself to the work I began before ever winning a single Tour de France title: serving people and families affected by cancer, especially those in underserved communities.”

Although he had already been crowned a world champion and won individual stages at the Tour de France, Armstrong was still relatively unknown in the U.S. until he won the epic race for the first time in 1999. it was the ultimate comeback tale: when diagnosed with cancer, doctors had given him less than a 50 percent chance of survival before surgery and brutal cycles of chemotherapy saved his life.

Armstrong’s riveting victories, his work for cancer awareness and his gossip-page romances with rocker Sheryl Crow, fashion designer Tory Burch and actress Kate Hudson made him a figure who transcended sports.

His dominance of the Tour de France elevated the sport’s popularity in the U.S. to unprecedented levels. His story and success helped sell millions of the “Livestrong” plastic yellow wrist bracelets, and enabled him to enlist lawmakers and global policymakers to promote cancer awareness and research. His Lance Armstrong Foundation has raised nearly $500 million since its founding in 1997.

Jeffery Gervey, chairman of the foundation, issued a statement of support.

“Faced with a biased process whose outcome seems predetermined, Lance chose to put his family and his foundation first,” Gervey said. “The leadership of the Lance Armstrong Foundation remain incredibly proud of our founder’s achievements, both on and off the bike.”

Questions surfaced even as Armstrong was on his way to his first Tour victory. he was leading the 1999 race when a trace amount of a banned anti-inflammatory corticosteroid was found in his urine; cycling officials said he was authorized to use a small amount of a cream to treat saddle sores.

After Armstrong’s second victory in 2000, French judicial officials investigated his Postal Service team for drug use. that investigation ended with no charges, but the allegations kept coming.

Others close to Armstrong were caught up in the investigations, too: Bruyneel, the coach of Armstrong’s teams, and three members of the medical staff and a consultant were also charged. Bruyneel is taking his case to arbitration, while two medical team staffers and consulting doctor Michele Ferrari didn’t formally contest the charges and were issued lifetime bans by USADA. Ferrari later said he was innocent.

Armstrong was criticized for his relationship with Ferrari, who was banned by Italian authorities over doping charges in 2002. Former personal and team assistants accused Armstrong of having steroids in an apartment in Spain and disposing of syringes that were used for injections.

In 2004, a Dallas-based promotions company initially refused to pay him a $5 million bonus for winning his sixth Tour de France because it wanted to investigate allegations raised by media in Europe. Testimony in that case included former teammate Frankie Andreu and his wife, Betsy, saying Armstrong told doctors during his 1996 cancer treatments that he had taken a cornucopia of steroids and performance-enhancing drugs.

Armstrong retired in 2005 and almost immediately considered a comeback before deciding to stay on the sidelines — in part because he didn’t want to keep answering doping questions. Three years later, Armstrong was 36 and itching to ride again. he came back to finish third in the 2009 Tour de France.

Armstrong raced again in 2010 under the cloud of the federal investigation. Early last year, he quit for good, making a brief return as a triathlete until the USADA investigation shut him down.

“He had a right to contest the charges,” WADA President John Fahey said. “He chose not to. the simple fact is that his refusal to examine the evidence means the charges had substance in them.”

Lance Armstrong loses all 7 Tour de France titles, hit with lifetime ban from cycling over doping

KFVS12 News & Weather Cape Girardeau, Carbondale, Poplar BluffAppalachian Trail still evolving after 75 years

By VICKI SMITHAssociated Press

HARPERS FERRY, W.Va. (AP) – like the people who hike it, the Appalachian Trail is always moving.

Technically, Tuesday marks the 75th anniversary of its completion. but the 2,180-mile path stretching across 14 states from Springer Mountain, Ga., to Katahdin, Maine, is never really finished.

It took 15 years for hundreds of volunteers, state and federal partners, trail maintenance clubs and young workers with the New Deal-era Civilian Conservation Corps to build the original path. in the decades since, nearly 99 percent has been relocated or rebuilt, and transferred from private to public ownership.

That means the trail and some 250,000 contiguous acres are better-protected than ever from development and suburban sprawl.

It will always be in the same general area, said Mark Wenger, executive director of the Appalachian Trail Conservancy in Harpers Ferry. but as access to waterways or scenic landscapes along the trail becomes available for purchase, it will continue to shift.

“Will it move a little to the left, a little to the right?” he said. “Yes, depending on the physical attributes of the area.

“One of the tenets of the trail is to provide that personal experience of sort of being one with nature. You can't necessarily do that if you're walking along a major highway,” Wenger said. “So it's been relocated to give it some degree of privacy and that sense of the wonder of nature.”

The relocations and reconstruction also make the path itself more sustainable. it was originally routed straight up and down many mountains, exacerbating erosion and making for a difficult hike.

Today's trail features more scenic vistas than the original route, too, including Roan Mountain, Tenn.; the Mount Rogers High Country and Grayson Highlands in Virginia; the Pochuck Creek swamp in New Jersey and Thundering Falls in Vermont.

The idea for the trail was born in a 1921 article in the Journal of the American Institute of Architects. Benton MacKaye proposed an idea that still resonates today – a path that would let people escape the demands and drudgery of daily life.

As many as 3 million people a year now visit some part of the trail to reconnect with nature and slow down.

Wenger calls it “a very complex trail” with a wide variety of terrain. Travelers can make their way through the dense forests and remote mountains in the South, to long, rocky ridges in the Mid-Atlantic, to rugged and rocky hiking with the possibility of wintry weather in New England. although some sections meet the accessibility standards of the Americans with Disabilities Act, there are also rugged sections that require skill and experience to navigate.

About 2,000-3,000 people each summer attempt a “thru-hike,” or journey along the entire length. Only one in four will succeed. For them, Harpers Ferry is the psychological halfway point, even though the actual location is nearby in southern Pennsylvania.

Outside ATC headquarters in Harpers Ferry, Mississippi native Crystal Stroud, 26, opened boxes of supplies shipped by friends and family – nail clippers and dog food for her trail buddy, a 3-year-old Dachshund named Polly, and wipes, trail mix and a loaf of homemade lemon poppy seed bread for herself. Many rural post offices dot the landscape along the trail, so hikers often ship things to those post offices to pick up as they progress on their journeys.

Stroud is hiking north after graduating from Mississippi State University and is craving adventure.

“I did not want to get chained down to a job,” she said. “I feel like a bird out of a cage out here. I hike as far as I want to hike. I stop when I want to stop. I get to sleep in if I want to.”

Stroud didn't realize what she was getting into. She thought she'd camp and hike for a few weeks. At best, she figured, she'd be ready to quit after she saw Tennessee's Smoky Mountains.

But she kept walking.

“I can't explain it,” she said. “Life on the trail is amazing. I feel like a kid again, and I don't ever want to leave.”

The trail is part of the National Park System, managed by the trail conservancy, National Park Service, U.S. Forest Service, 31 local clubs and various state agencies. The Maine Appalachian Trail Club in Carrabassett Valley is planning an anniversary celebration Saturday, while the Mount Rogers Appalachian Trail Club in Damascus, Va., will sponsor a day hike.

“We need to take stock of what the people before us have done,” Wenger said. “If you think about it, building a national trail is in the same caliber as Yosemite and Yellowstone, the early national parks. It's something other countries didn't do.”

It's also important to think about where the trail is headed, he said, and to ensure it remains available to future generations.

“It is not going to be done in my lifetime,” Wenger said, “and we'd like to think secretly it will never be done. but it will always be our challenge to finish it.”

ATC: www.appalachiantrail.org

Copyright 2012 The associated Press. All rights reserved. this material may not be published, broadcast, rewritten or redistributed.

KFVS12 News & Weather Cape Girardeau, Carbondale, Poplar BluffAppalachian Trail still evolving after 75 years

KFVS12 News & Weather Cape Girardeau, Carbondale, Poplar BluffDallas approves aerial spraying to fight West Nile

By By SARAH KUTA

DALLAS (AP) – Dallas Mayor Mike Rawlings on Wednesday declared the city's recent West Nile virus outbreak to be a state of emergency and authorized the first aerial spraying of insecticide in the city in more than 45 years.

Dallas and other North Texas cities have agreed to the rare use of aerial spraying from planes to combat the nation's worst outbreak of West Nile virus so far this year. Dallas last had aerial spraying in 1966, when more than a dozen deaths were blamed on encephalitis.

More than 200 cases of West Nile and 10 deaths linked to the virus have been reported across Dallas County, where officials authorized aerial spraying last week. State health department statistics show 381 cases and 16 deaths related to West Nile statewide.

“The number of cases, the number of deaths are remarkable, and we need to sit up and take notice,” Rawlings said during a city council briefing. “We do have a serious problem right now.”

Aerial spraying for mosquitoes could begin Thursday evening, depending on weather conditions. The state health department, which will pay for the $500,000 aerial spraying with emergency funds, has a contract with national spraying company Clarke. Clarke officials have said two to five planes will be used in Dallas County.

Dallas City Council members voiced concerns about aerial spraying's health effects on humans and animals. Rawlings said the aerial dosage will be much lower than the dosage used so far during ground spraying. He also said aerial spraying recently has been safely used in California, Massachusetts and New York.

The city charter allows Rawlings to declare a state of emergency and request aerial spraying, but the City Council would have to approve additional action beyond seven days.

State health commissioner Dr. David Lakey, who participated in the briefing via telephone, reiterated the seriousness of the situation in Dallas, saying half of all West Nile cases in the United States so far this year are in Texas.

“There is a public health emergency related to West Nile right now,” Lakey said. “The risk of air-based spraying is minimal versus the ongoing spread of West Nile.”

Copyright 2012 The Associated Press. All rights reserved. this material may not be published, broadcast, rewritten or redistributed.

KFVS12 News & Weather Cape Girardeau, Carbondale, Poplar BluffDallas approves aerial spraying to fight West Nile

Bumbo baby seats recalled over safety danger

SAN FRANCISCO (KGO) — Four million baby seats are under recall after a number of serious injuries to children. 7 on Your Side’s Michael Finney first uncovered the issued with the Bumbo seat and has been investigating for years. the dangers he pointed out five years ago are still dangers today. after the recall, Bumbo put bigger warnings on the little plastic chair but babies continued flipping out. 21 suffered serious skull fractures. now, the company agrees it needs to make the seat safer.

“By the time we finally got there, he had no pulse. They said three minutes more and he would be dead,” Kevin Lamm recalled. the story of his son, little Dylan Lamm, launched 7 on Your Side’s investigation into the Bumbo baby chair. Dylan nearly died when he was sitting in a Bumbo baby seat. “He had arched his back and Bumbo tilted the Bumbo until it was in this position. the back folded and he toppled over backwards,” Kevin said.

Dylan was minutes from death. Emergency surgery saved his life. However, his wasn’t the only catastrophe. “She had one leg come out and she completely tumbled onto the floor below. I watched the whole thing and gasped,” recalled Amber Black of Discovery Bay.

Related Content after 7 on Your Side’s reports, dozens more parents came forward to say their children also fell from the chair. Following 7 on Your Side’s investigation in 2007, the company voluntarily recalled the chairs and added prominent warnings: Don’t use up high and don’t use unattended. According to the Consumer Product Safety Commission, there have been 130 incidents including 35 skull fractures.

the federal government issued a new warning. still, Bumbo continued to say the chair was safe. “The Bumbo is definitely a safe seat. we believe it’s safe and it is to be used on the floor, never on elevated surfaces,” Rene Tolmay with Bumbo International said. However, now the company is once again voluntarily recalling the chairs so it can add a seat harness which it says will now make the chairs safe. “Bumbo is confident that this is a safe product when it’s used properly on the floor, never on raised surfaces, with adult supervision, and with a belt,” said Tarush Anand with Bumbo International.

the Consumer Product Safety Commission says the belt isn’t foolproof but will make the chair safer, but there aren’t any guarantees. one consumer advocate says he wished it was off store shelves entirely. “We didn’t get that, but what we see now is significant fixes put into place and hopefully that will solve the problem,” said Jon Fox California Public Interest Research Group.

(Copyright ©2012 KGO-TV/DT. all Rights Reserved.)

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Bumbo baby seats recalled over safety danger

What are Ankle Foot Orthosis (AFOs)?

Often called an AFO, the term Ankle Foot Orthosis refers to a brace worn on the leg over the calf and foot. the brace supports the foot and ankle, holding the correct position and preventing foot drop. This type of brace is also sometimes called a foot drop brace. Ankle foot Orthoses are most commonly provided by prescription, which are filled by certified orthotists. according to Whiteside and his colleagues (2007), of the various types of orthoses provided by orthotists, AFOs are the most common in the U.S. and make up about one-fourth of their time Medical insurance may help cover the cost of AFOs.according to the Manufacturing Guidelines for AFOs provided by the International Committee of the Red Cross (2007), AFOs can be classified into four major types. Flexible AFOs, Anti-Talus AFOs, Rigid AFOs, and Tamarack Flexure Joint AFOs. each of these types provides varying levels of stability and constraint of movement of the ankle joint. in general, more rigid types of AFOs (such as plastic molded) provide greater stability of the ankle joint but accomplish this by eliminating movement at the joint. some types of AFOs are pre-made or prefabricated and then size-matched to the individual, such as the lightweight carbon fiber type. This type may be used with a custom-made orthotic (shoe insert). other types of AFOs are custom made to fit the person using the user: in order to make this type of AFO, the orthotist will generally take a cast or mold of the foot.in individuals with neuromuscular disease, such as Duchenne muscular dystrophy, spinal muscular atrophy, Charcot Marie Tooth (CMT), and myotonic muscular dystrophy, foot deformities often occur due to the uneven pulling of the muscles in the feet. Foot drop may occur due to weakening muscles. AFOs are often prescribed to help limit the development of contractures, enable the foot to fit into a shoe, prevent foot drop, and improve the ability to walk. Resources:Albrecht, A., (2005). Putting your best Foot forward. Quest, 12:5. http://quest.mda.org/article/putting-your-best-foot-forward . Retrieved 7/20/12.IRSC, (2007). Manufacturing Guidelines: Ankle-Foot Orthosis. This document can be downloaded from the International Committee of the Red Cross Website at http://www.icrc.org/eng/resources/documents/publication/p0868.htm . Retrieved 7/20/12.MedicineNet.com, (2012). Definition of Ankle-foot orthosis. http://www.medterms.com/script/main/art.asp?articlekey=2262 . Retrieved 7/20/12.Wahl, (2000). Physical Therapy: Flexibility, Fitness and Fun. Quest. http://quest.mda.org/article/physical-therapy-flexibility-fitness-and-fun . Retrieved 7/20/12.Wahl, M., (2006). Surgery Sometimes, Bracing Often, caution Always. Quest, 13:5. http://quest.mda.org/article/surgery-sometimes-bracing-often-caution-always . Retrieved 7/20/12.Whiteside, S., et al., (2007). Practice analysis of certified practitioners in the disciplines of orthotics and prosthetics. American Board for Certification in Orthotics and Prosthetics, inc., Alexandria, VA.

What are Ankle Foot Orthosis (AFOs)?

3 Day Facelift

Want to avoid the high cost of a face lift? Looking for home remedies for face wrinkles? Consider simple facial exercises. they are a great alternative to a face lift and you wont look artificial like a plastic surgery face lift.

Facial exercises are the best way to get a face lift without surgery. these types of exercises can help tighten and tone the underlying muscles which lift the skin and reduce and fills out wrinkles. it can also help lift droopy cheeks and jowls. Why take a chance on bad face lifts when you can do simple facial exercises and get a face lift without surgery, risks, or the high cost.

The concept of facial exercises is not new, but many people are nervous to massage or rub the skin on their face for fear of creating more wrinkles. however, its the lack of massaging (stimulating the skin) and weak or poor muscle tone that causes our skin to age.

As skin ages, it becomes less resilient and loses vitality causing it to become thin and wrinkled. in addition, muscles start sag, cheeks deflate and jowls droop, giving our face a long tired look. one plastic surgeon compared an aging face to melting wax..slowly drooping downward with age.

There have been several studies published on the benefits of face exercises. Results from the Eureka Physical Therapy Center found that in short eight weeks, there was a 250% increase in muscle strength and a 35% increase in skin elasticity. Other studies show that face exercises produce firmer skin with more elasticity and an increase in collagen production.

How do these exercises work? Exercising the face is similar to exercising the body or weight training. by applying contraction or resistance, combined with a light massage, to the muscles of the face and neck, you increase muscle size which gives the face a nice full, lifted look…like a mini face lift. in addition, all that massaging stimulates blood flow bringing oxygen to the skin.

Here is a simple exercise for alleviating eye wrinkles:

1. Place you thumb from each hand at the outer corner of each eye. Thumbs should be facing downward toward your cheeks. the rest of your fingers can rest on the side of your head.

2. Shut your eyes and squeeze them tightly. then slide your thumbs over tightly contracted muscles.moving from the corners of the eyes out towards your temples. the sliding/gliding motion over a contracted muscle is what makes this exercise so effective and doesn’t not stretch out or damage the skin.

3. Repeat 10 times and do it at least 5 days a week.

People have reported great results including better skin tone and reduced eye puffiness in just a few days. Which is why some call it the 3 day face lift or an alternative to a face lift.

3 Day Facelift

Ten Horrified Women Sue St. Louis-Area Plastic Surgeon After She Put Pictures of Their Breasts Online

For some of these women, who were 21 to 58 years old at the time of the surgeries, the searches popped up when they searched for their own names. For other women, the discovery came to their attention when friends searched for their names.

The suits are all pending in federal courts.

Dr. Koo’s site is managed by Long Island, NY-based MedNet Technologies, Inc. They also manage 2,500 other medical health care providers. MedNet says that Dr. Koo is responsible, as they are not culpable for what third-party providers post onto their site.

Dr. Koo says that the blame lies with MedNet.

Indeed, Neil Bruntrager, the lawyer for eight of the ten clients, says that he has been contacted by lawyers from four other states who were troubled about the practices of some of MedNet’s competitors. He says that this is a much larger problem.

According to the St. Louis Post-Dispatch, a simple internet search for various doctors’ websites pulled up pictures and names of clients who’d had nose jobs, liposuctions, face lifts, and breast augmentations and reductions. This search only took place earlier this month.

Einstein Medical, a MedNet competitor, said that, in 16 or 17 years, only one instance like Dr. Koo’s has emerged. They deleted the photo immediately, before even informing the physician involved. but they also said that medical clients were warned against using names, and was shocked that problems like these even occur. in an age with strengthened algorithms for search engines, where almost anything is searchable, they said that removing the names would be common sense.

For most, if not all, patients whose pictures were searchable with their names, they had all signed agreements stating that physicians could use their pictures for their websites. (Some could not remember, or denied signing such a waiver) but all the people that the St. Louis Post-Dispatch contacted said that it was not okay that searching for their names could turn up those images.

Medical professionals’ websites that are found to violate confidentiality agreements are supposed to contact the patients involved within 60 days. however, in none of the cases that the Post-Dispatch contacted, did that seem to be the case.

Dr. Koo’s website has since removed the photos in question.

Published by Medicaldaily.com

Ten Horrified Women Sue St. Louis-Area Plastic Surgeon After She Put Pictures of Their Breasts Online

Breast Lift – Post-Pregnancy Plastic Surgery For the Breasts

Babies. they are a miracle of nature. The female body grows and nurtures them inside and outside the womb. But, for all the wonder and joy of bringing another being into the world, it really does a number on the body.

You know what that’s about- your feet have gotten bigger, your abdominals are not bouncing back and your breasts have lost their perkiness. yes, the most visible aspect of your femininity looks like deflated balloons.

It is common for mom’s to pursue plastic surgery once they are finished having children and a breast lift is one of the main procedures. So, if you are feeling droopy, this may just be the answer for you.

A breast lift can do wonders for a mother’s self-esteem. you are so busy raising the kids, keeping the house and maybe even bringing home half the household income that you rarely take time for yourself.

You know what its like- once you become a mother, your life is no longer your own. after what pregnancy has done to your body, sexy isn’t how you’d describe yourself at all. But, who said moms can’t be sexy?

Pregnancy does number on the body- you gain weight, lose weight and nurture the baby with your body. Your breasts, along with everything else, get bigger too. Once you start to lose the weight, your stretched out bosoms start to sag. Breast-feeding doesn’t help with restoring perkiness either.

Once you are finished having children and done breast-feeding, a breast lift can perk everything right up. Your cosmetic surgeon makes an incision under the breast and around the nipple. he removes the excess skin and pulls the breasts back to a normal placement. he also repositions the nipple so that the look is natural and symmetrical.

Sometimes, along with the sag, women lose a lot of tissue and fat as well. it is not uncommon to be smaller than you were before you got pregnant. if this is the case, your surgeon can also put in implants along with the lift to give you volume as well as perkiness. Once again, you can wear low cut tops and show off your curves.

If you are considering having this procedure, make sure you choose the right surgeon to do the job. ask other moms, you might be surprised how many have had it done. ask them for recommendations. when you’ve narrowed down your candidates, make sure they are all board certified in plastic surgery and expertise in breast surgery is a plus.

This is not a decision to be made lightly and you shouldn’t let price dictate who you choose. A botched procedure means that you will have to find another surgeon and go through it all over again. Plus, the scarring will be more visible just because there will be more incisions.

You can interview different surgeons to see who makes you feel the most comfortable during the consultation. just remember, it’s OK for moms to have perky bosoms and cleavage. Don’t be afraid to unleash the sexy mama inside

Breast Lift – Post-Pregnancy Plastic Surgery For the Breasts

Medicinal Leeches: Nature’s Finest Surgical Tool From the Swamps

Leeches have found a niche in extreme alternative beauty therapy.

Although long dismissed as quackery, the medicinal leech has recently made a modern medical comeback and is now being used by doctors to treat everything from reattaching severed fingers and salvaging necrotic tissue to treating potentially fatal circulation disorders.

Picture a four-inch-long carnivorous, hermaphroditic, segmented worm with a sucker on each end and five pairs of eyes. Now picture the bloodsucking parasite starting to burrow into your skin.

While simply imagining the work of Hirudo medicinalis, more affectionately known as the leech, tunneling into your body is enough to make anyone squirm, the alternative of losing a finger or a limb is far less pleasant. “there aren’t many options,” said Ronald M. Friedman, M.D, a plastic surgeon in private practice in Plano, Texas. “for someone whose finger has just been reattached, the choice is brutally simple: ‘we can cut your finger off again or use a leech.’”

According to Naomi Rogers, a History of Medicine professor at Yale University, medicinal leeches have been a physician favorite even before the time of Hippocrates. Thirty-five hundred years ago, the bloodsuckers were used as a cure-all by the Egyptians to treat everything from headaches to yellow fever to hemorrhoids. Writer Mitchell Leslie in an American Chemical Society publication said, “a leech enthusiast might treat tonsillitis, for example, by securing a leech with thread, lowering it into the patient’s throat, and allowing it to feed on the swollen glands.”

When Hippocrates introduced the idea of the four humors – blood, phlegm, black bile, and yellow bile, many thought that the imbalance of the four humors were the cause of all disease, and thus most treatments consisted of draining blood, the dominant humor, to restore balance to the body. Leech therapy became the standard for medical treatment. in fact, the modern word “leech” is derived from the Latin word for “physician.” this practice of bloodletting was later introduced to Rome and remained especially popular throughout the Middle Ages.

With the advent of antibiotics in the 20th century, however, the practice of leech therapy gradually lost favor. Although long dismissed as quackery, the persistent bloodsuckers have recently made a modern medical comeback and are now being used by doctors to treat everything from reattaching severed fingers and salvaging necrotic tissue to treating potentially fatal circulation disorders.

The use of medical leeching in modern microvascular surgery and tissue transfer began when two Slovenian surgeons used the parasites to assist with circulation after a tissue-flap transplantation. then, in 1985, Harvard physician Joseph Upton used medicinal leeches to successfully reattach the ear of a five-year-old boy. Since then, leeches have been widely used to reduce venous congestion in fingers, toes, ears, and scalp reattachments, as well as to salvage vascularly compromised flaps, or muscle, skin, and fat tissue surgically removed from one part of body to another, and replants, limbs or other body parts reattached after traumatic amputation. without leeching, blood clots often kill the repaired or transplanted tissue.

Often during reattachment surgery, it is relatively simple to reconnect the larger arterial blood vessels but almost impossible to reconnect the thinner, more delicate venous vessels. this leads to pooling of blood and swelling, which may cut off the flow of fresh arterial blood to the reconnected limb completely. “If we can’t get the vein to remain open after surgery,” said Louis P. Bucky, M.D., a plastic and reconstructive surgeon at the University of Pennsylvania in Philadelphia, “then the patient will run into trouble.” Medicinal leeching drains the local blood and decompresses the pressure within the reattached limb, ensuring blood flow to the reattached tissue until the venous blood vessels can reconnect and survive.

When the leech is brought into contact with a patient, it attaches itself with its suckers, injects a natural anesthetic, and the three jaws of its head sucker slice into the patient’s skin with a sawing motion. the leech’s natural anticoagulant, hirudin, inhibits platelet aggregation and keeps blood flowing, which results in a marked relief of venous congestion. the secretions of one leech can prevent up to half a cup of blood from coagulating for up to 48 hours following detachment. “The idea behind the leeches is to cause blood to ooze so that the body’s own blood supply will eventually take over and the limb can go on and survive,” says Rod J. Rohrich, M.D., president of the American Society of Plastic Surgeons and chairman of the Department of Plastic Surgery at the University of Texas Southwestern Medical Center.

The medicinal leech is also used to ensure venous return when small veins cannot accommodate the arterial blood after digit replantations and transfer flaps. “It’s a time-honored method that works extremely well in the right patients, the right clinical situation, the right application. It’s a living drug therapy,” said L. Scott Levin, M.D., professor and chief of plastic surgery at Duke University Medical Center.

Of course, despite their splendor, leeches are far from a surgeon’s first choice. “We don’t want to use them unless we have to,” said Friedman. “It’s a salvage situation.” however, when small veins do not connect and anticoagulants do nothing to help, the centuries old bloodsucker may be a patient’s only option. a 1996 Meta-Analysis published by the National Review of Medicine reported that medicinal leeches saved 70-80% of grafted tissue that would otherwise have died. “Nothing is as effective as a leech,” according to Donald Mackay, M.D., a Pennsylvania State University College of Medicine professor who has been prescribing leeches since 1988.

On June 28, 2004, the Food and Drug Administration (FDA) cleared the commercial marketing of leeches for medicinal purposes and determined that leeches meet the definition of a medical device. Prior to the FDA’s approval, a 1976 law allowed companies growing medicinal leeches before that year to continue doing so but required newcomers to gain FDA approval. in the agency’s review of medicinal leeches, safety was their primary concern. “You won’t find the type of leeches approved for medical use in a lake, river, or swamp,” said Rudy Rosenburg, owner and vice president of Leeches USA ltd., one of the world’s largest distributors of medicinal leeches today. “the leeches are raised under optimal conditions in controlled basins and laboratories, and patients are perfectly protected from infection. no cases of leech-borne infection have ever been reported.”

In fact, it seems that the hype of leeches has even caught onto Hollywood as a form of extremely alternative beauty therapy, valuable for detoxification and rejuvenation of the body. Actress Demi Moore, while in New York to promote her film Flawless a few years ago, told US talk show host David Letterman that she is always “looking for the cutting edge of things that optimize [her] health,” and that as part of her body cleansing treatment she went to the leech doctor to “detoxify [her] blood”. Moore, satisfied by the process, said that she intends to go for more sessions in the future. “You first feel worse, then you feel better,” said Moore, “but I’m going back – I only got four leeches and I feel a bit cheated.”

While the effectiveness of leech therapy as a form of beauty treatment is still debatable, the leech’s position as surgeon’s helper seems secure. “Leeches are preadapted to human physiology,” said Roy Sawyer, owner of Biopharm, the world’s largest modern leech farm that supplies tens of thousands of medicinal leeches to hospitals worldwide each year. “the secretions from leech saliva cross the entire spectrum of physiology. Blood clotting, digestion, connective tissue, disease, pain, inhibition of enzymes, anti-inflammation – you name it, the leech has it.”

Medicinal Leeches: Nature’s Finest Surgical Tool From the Swamps

Nutritional Complications of Bariatric Surgery

I have been planning to do a supplements section in this blog. in fact, I want to do several blogposts on the topic of supplements, but the fact is, most  of these ‘supplement description and recommendation’ sections in books and blogs are rather boring unless they are placed in a context.

General laundry-listing can be interesting but it is no fun to read.  One of the main purposes of writing this blog, that I have always had, is to, along with being informative, create something that fun (and hopefully beautiful) to read. So, rather than talk about supplements I thought I would discuss nutritional complications after bariatric surgery. By doing this, I hope I will be able to inform you about  about some important vitamins and minerals that you may (and also, more importantly may not) want to take.

Now, first a little background about bariatric surgery.

I am no fan of bariatric surgery.  in fact, I am a pretty staunch critic of bariatric surgery, in light of what I have learned about  all of those toxic things like sugar, flour, and and processed food of your diet, which I think are the major sources of obesity in the modern world.

I personally see no reason to perform gastric bypass surgery for people who have not been, as of yet, been giving the proper tools and a fair chance to succeed with diet.  Most people are willing and sometimes desperate to lose weight.  Surgery has be the last resort, at best.

In fact, I think bariatric surgery should not be utilized at all. in my opinion, it just doesn’t make sense. if you eat healthy you should be healthy, and likewise, you can be both fat and healthy.  It’s not always the case, but it certainly does happen. Cutting and rearranging organs is not a cure for a bad diet.

In any case, there are two general types of bariatric surgeries: restrictive procedures and restrictive with malabsorption procedures.  Restrictive procedures referred to surgeries that make the stomach smaller specifically.  This category includes gastroplasty or stomach stapling.  Restrictive procedures with malabsorption refer to things that actually bypass parts of the intestine.  the most common of these procedures is called Roux-en-Y gastric bypass, it looks like this.

For me, I cannot see how on earth it is good over the long-term to disrupt the normal physiology of a patient who could otherwise lose a ton of weight and improve their health with the proper diet information and coaching.  of course, I do not perform these procedures, but one thing I have known as a plastic surgeon is that when patients come for post bariatric body contouring, these are very hard cases to do. Specifically because it has been my observation  that the skin tissue and adipose tissue just does not seem like a normal person’s tissue.  It  appears very frail and weak and hard to deal with (what is called attentuated in medical terms).  It does not have that stability and resilience that the normal healthy tissue typically does, like healthy skin or fat issue on a lean person, it is tight, but of course these are just observations, and this has not been studied scientifically in detail, though.

In any case, I wanted specifically to talk about the vitamin and mineral deficiencies.

IRON DEFICIENCIES:

The first one I wanted to talk about is iron deficiency which is the most common deficiency in bariatric surgery patients, specifically in patients who have underwent a Roux-en-Y gastric bypass or a restricted procedure with malabsorption.  the incidence is as high as 50% Iron is important for the function of red blood cells, as it is what carries the oxygen in out blood to ur tissues, and as a result, chronic iron deficiency can cause chronic anemia.

Iron is present in foods in a form that is know as the ferric form and in order to be absorbed, it needs to be reduced to the ferrous state and this occurs in the stomach and it is facilitated by hydrochloric acid, which isn’t there if you have bypassed most of the stomach.

Likewise, many patients who undergo gastric bypass procedures or a similar malabsorptive procedure take post surgical histamine 2 blockers such as Pepcid or Prevacid, which prevent the stomach from making acid, and that too, can causes iron deficiency.

Foods that are typically rich in iron are animal products which, unfortunately, are very hard and difficult to digest after a Roux-en-Y gastric bypass.  People typically tend to subsist on a lot of liquid foods, which are obviously not meat milkshakes.

In the gastric bypass patients, it is noted that supplementation with a multivitamin alone is generally not enough.  You actually have supplement with actual ferrous sulphate 300 mg three times a day. This is what is generally recommended.  sometimes patients will require IV iron supplementation.

VITAMIN B12:

Vitamin B12 is a very important vitamin that is involved in blood cell health, DNA health, and immune system health.  once again, it relies on hydrochloric acid as well as pepsin (a stomach enzyme) to be absorbed.  As a result, 26 to 70% gastric bypass patients are noted to be deficient in vitamin B12, often this has to be supplement with intramuscular injections or nasal spray.

FOLIC ACID:

Many people have heard about folic acid because it is important in pregnancy, and pregnant women supplement with this vitamin in order to prevent spinal cord defects.  Folic acid deficiency is another nutritional complication of gastric bypass procedures specifically with malabsorption procedures such as Roux-en-Y gastric bypass and occurs in as many as 35% of patients.  Folate, unlike the other vitamins I have mentioned, is actually absorbed primarilyin the upper one-third of the small intestine.  what is interesting to note is that vitamin B12 is important in folic acid absorption because B12 is actually the co-enzyme in converting folate into an absorbable form.  So vitamin B12 deficiency and folic acid deficiency tend to go together.  if you lack folate, people develop complications such as megaloblastic anemia, thrombocytopenia, leukopenia, and glossitis.

FAT SOLUBLE VITAMINS:

Fat soluble vitamin deficiencies are actually quite rare in gastric bypass patients because vitamin D for instance is absorbed preferentially in the jejunum and ileum which are not bypassed. That being said, there have been reports of osteomalacia and bone problems after Roux-en-Y gastric bypass.  People generally have to supplement with vitamin D, and likewise, they also have to supplement with calcium.

Vitamin a is also deficient in many bariatric surgery patients.  the best source of vitamin a is high quality animal protein such as meats, eggs, and leafy green vegetables as well as colored vegetables such as carrots, which every one knows.  These are hard to digest after Roux-en-Y gastric bypass.  So, it needs to be supplemented, which is not as good as taking it as part of a whole food.

THIAMINE DEFICIENCY:

Thiamine deficiency, thiamine is also known as vitamin B1 and it is absorbed in the proximal small bowel.  Thiamine deficiency is associated with something called Wernicke-Korsakoff syndrome, which is a very interesting neurological condition which my wife knows a lot about with her being a neurologist.  It is actually seen in alcoholics quite frequently and it consists of memory loss and confabulation.  As I have said, it occurs mostly in alcoholics, but it has been seen also in gastric bypass patients.  It also needs to be corrected with an IV injection/infusion, much like B12.

CONCLUSION:

These are the major nutritional complications after gastric bypass surgery.  Personally, it seems to me like a Faustian bargain to undergo gastric bypass surgery.  It is a forced malabsorption and weight loss through starvation.

As many of you know, I am very much a fan of a whole foods low sugar, low flour, no processed food dietary approach to weight loss,and I think it works in the majority of cases.

As a result I have been developing with my friend Geoff Pinkus I have been working on developing a man’s diet which is based a great deal on a paleolithic template/principles and tries to incorporate the average guy who is trying to lose weight. a guy who has a family and wants to be healthy and enjoys grand kids and see his kids graduate from college and not to have heart attacks or stents and be on blood thinners and diabetic medications for the rest of his life.

I do not think gastric bypass is the solution to get to those goals.

If you would like to share your thoughts and comments, please do not hesitate to comment on the blog section.  I would love to hear from you and I would love to learn from you if you have things to contribute.

If you would like to know more about the Man Diet Vitamin Pack 1.0 that I have developed, please feel free to contact me about it, and I can send you the information!

Remember to listen to Dr. O & the Pinker every Sunday from 7-9pm CST on am 560 WIND or catch us on the web at www.thepinker.com

Nutritional Complications of Bariatric Surgery