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For several times i have caught my mum’s at home staring at the mirror looking at her own face. Well at first I didn’t pay any attention at all. I just thought that she just found something interesting in her face. But from time to time i keep seeing her in front of mirror, as if something really interest her. Or maybe disturbed her? Can’t stand of this, i went to ask my mum what happened. What is she watching so intensively. And she said her face looks old already. Well it’s no wonder, she’s 58 now, and normally at her age that does happens. The face skin and neck tends to loosen with age. I can see that too on hers.

That’s why she stated that she wants to have a facial surgery, especially on chin and neck area. Because she thinks that’s the worst area, she’s got pouches and jowls along her jaw lines and the front part of her neck, forming a double chin. This area is particularly she wants to fix up. So i soon tell her the trusted resources to do a facial surgery. This surgery would be done by Dr. Phillip Miller the best specialist in New York neck lifts and face lift. Dr. Phillip Miller himself has been awarded as one of the best doctors in America 2007-2008. So i have no doubt about his ability on surgeon tables. And surely he can help to make my mum looks younger than her age.

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Post herpetic Ophthalmic Neuralgia occurring as a sequela to Herpes Zoster Ophthalmicus is not rare and is characterised by severe burning and lancinating pain often associated with allodynia. There is no effective treatment for intractable post herpetic neuralgia. Here we report such a case where regional nerve blocks helped in the management of severe acute pain and prevention of chronic neuralgia.

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It is difficult to imagine a time when humans weren’t preoccupied with the mysteries of fever and its treatment. Efforts to probe the pathophysiology of the febrile response are evident as early as 2,500 years ago, when the Sumerians used a pictogram of a aming brazier to symbolize fever. This earliest known effort to conceptualize mechanisms responsible for fever evolved slowly through the humoral theory of the Hippocratic era, the demonic-possession explana­tion of the Middle Ages, the friction and fermen­tation theories of Renaissance iatrophysicists and iatrochemists, to the pyrogen-mediated schema we now accept as valid today.

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What is fever ? Fever is a sign of illness/inflammation. Uncomplicated fever is relatively harmless,

and is fact an important immunologic defence mechanism.  The cause of the fever should be the focus of treatment.

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Did you know more than 20.5 million Americans suffer from cataracts. And, the number is expected to balloon to 30.1 million by 2020. Today, those who suffer from cataracts, the leading cause of low vision in Americans, and the inevitable symptoms of presbyopia, have new products available to them. Cataracts are a clouding of the eye’s lens which blocks light needed for sight. New options for intraocular lenses include Crystalens by Eyeonics Inc., ReSTOR from Alcon, and ReZoom from Advanced Medical Optics, and have all been approved by the FDA. The devices work in the same way as the original lens and help to restore the ability of cataract patients to see both near and far.

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On the previous post, I already write about gastroesophageal reflux disease. Complaints referable to the upper gastrointestinal tract are a common presentation to the primary care physician. We are fortunate to have a wide variety of drugs available to manage these conditions including antacids, H2-blockers, sucralfate, misoprostol, and omeprazole. In this post I will focus on the most widely prescribed drugs, the H2-blockers.

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Ever feel unilateral headache, or may be spread to other side, and being so pain if you walking or ding some physical activity. Maybe you have migraine headaches. So, what is migraine and how to treated it. I wil give you some info about migraine in this post.

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In this article, I want to give some info about common medications for anxiety disorders. But, befor that, I try to classified anxiety disorders as panic attacks, Obsessions and Worries, General Anxiety, Simple Phobias, Social Anxieties and Phobias; Anxiety or Panic with Depression

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It is essential that we prescribe non-steroidal antiinflammatory drugs (NSAIDs) with knowledge and care; because if we give inappropriate prescribing puts our patients unnecessarily at risk of morbidity and mortality. There are many different NSAIDs available for prescription in British Columbia. The large number of drugs and formulations makes it difficult for the primary care physician to choose the best drug for his/her patient.

The choice can be markedly simplified by a review of the published evidence on effectiveness and safety

and by taking into consideration the cost of the drug. Using these principles most patients can probably be treated with the use of four drugs.

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Sometimes I difficult to distinguish between dyspepsia symptoms or gastroesophageal reflux disease of my patients. The syptoms similar, I think. But, in this article I just want to talk about the gastroesophageal reflux disease first, and we will discuss about dyspepsia on the next post. Symptoms due to esophageal reflux are common;intermittent mild symptoms of heartburn occur in more than one third of healthy individuals at least once a month. The spectrum of disease associated with reflux spans from mild symptoms, not requiring treatment to severe erosive reflux esophagitis requiring intensive aggressive investigation and treatment.

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