Denavir

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Med-Pen	- - -	- -	14-20 days/$10 7-14 days/$20		most countries
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CHRONIC CONFUSION: CORTICAL LEWY BODY DISEASE
It has been recognized for many years that people with Parkinson’s disease may go on to develop a chronic confusional state. There was much debate as to whether this was the same person also developing Alzheimer’s disease or a different condition. The breakthrough has come with better scientific techniques for looking at brain tissue under the microscope. The cause of Parkinson’s disease appears to be a fall in the amount of a chemical (dopamine) produced, needed to produce normal movement, and the appearance of tiny pieces of protein within the dying brain cell – the Lewy body. Lewy bodies have until recently only been found in the same area as the dopamine producing cells, the brain stem. They are thought to be made up of various pieces of the cells’ workings coming together as the cell dies.
New staining techniques have now shown these Lewy bodies to be present in the main part of the brain, the cortex (where our memory and thinking processes occur), in those patients with the confusion associated with Parkinson’s disease. Researchers in the held have called this form of chronic confusion Cortical Lewy Body disease. It appears that the disease can start as Parkinson’s disease and develop into the dementia or it may start as a chronic confusional state (dementia) with Parkinsonian features developing later.
It is definitely separate from Alzheimer’s disease but has some similar features. It is also thought to be very common and some researchers think it is the most common dementia after Alzheimer’s disease, accounting for about 15 per cent of total cases of dementia. The dementia affects memory, language, praxis (complicated actions), gnosis (recognition of what things are) just the same as in Alzheimer’s disease. There do appear to be some differences however. The cognitive impairment (all the brain functions such as memory) has a fluctuating course which does not happen in Alzheimer’s disease. There are some prominent features including a marked tendency to visual and auditory hallucinations, delusions (believing a particular false idea is correct) and some aggression and depression.
This new condition may have far reaching consequences for the diagnosis of chronic confusional states. Many people with a diagnosis of Alzheimer’s disease go on to develop features of Parkinson’s disease. These include stiffness and some tremor. This has been put down to Parkinsonism (features of Parkinson’s disease, but not all of them and hence not the true disease). It may well be that we will need to re-evaluate these people and consider the diagnosis of Cortical Lewy Body disease.
*25/128/5*

Condylox

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MedRx-One	- - -	- -	10 days/free		most countries
LeadMedic	- - -	- -	14-21days/$10 5-7 days/$25		every country
Medph	$143.00 - Condylox (gen. solution) 0.50% - 1 Tube	$487.50 - Condylox (solution) 0.50% - 3 Tubes	FedEx next day/$24		USA only
Med-Pen	- - -	- -	14-20 days/$10 7-14 days/$20		most countries
OurPharmacyRx	- - -	- -	14-21 days/$15 5-12 days/$30		most countries
RxPharms	- - -	- - -	14-24 days/free		worldwide
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HEALTHY EYES: SEEKING EYE CARE TREATMENT
The eye is affected by disease and general health of the rest of the body; hence the ophthalmologist diagnoses and treats eye problems as part of the total medical and health care. His treatment may consist of eyeglasses or contact lenses, when necessary, plus orthoptic training, medications, surgery, or any other required scientific therapy. Sometimes an ophthalmologist specializes in surgery to the exclusion of other forms of eye care.
There are about 12,500 practicing ophthalmologists in the United States. Many of them teach; 11 percent conduct research in addition to caring for patients. The ratio of eye physicians to the population is increasing steadily: In 1950 there were only 2.2 per 100,000 population; in 1960 there were 3; in 1970 there were 4; today there are 5 ophthalmologists per 100,000 population and these are predominantly in solo practice. Eye surgery is done by over 90 percent of them, and a major portion of the time ophthalmologists spend in caring for children is devoted to the treatment of crossed eyes.
Education of the ophthalmologist includes four years of college pre-medical training, four years or more of medical school, one year of general medical internship, and three or more years of medical training and experience in eye care hospitals and medical eye clinics (formerly called a medical residency). Ophthalmologists also take postdoctoral courses in the diagnosis and treatment of ocular diseases, application of physiological and optical principles to the prescription of lenses and the correction orations of ocular muscle functions, and in surgery of the eye and its related structures.
Ninety-five percent of practicing eye physicians in the U.S. are aided in their care of patients by other health professionals such as nurses, medical assistants, optical- fitters (including opticians), optical technicians, orthoptists and others. For example, the ophthalmic medical assistant also known as the ophthalmic technician or technologist, is an important “right hand” for the ophthalmologist. One to four years of academic and/or on-the-job training in an accredited program at a medical center or an ophthalmologist’s office is required. The technologist performs an increasing number of data collection tasks and other technical services required in daily ophthalmology medical practice. The certified ophthalmic medical assistant with evidence of approved continuing education may apply for certification at a higher level. He or she may assist the ophthalmologist in surgery, and in some instances may be a graduate professional nurse.
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