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"If the relationship is progressing canadian pharmacy generic cialis in such a way that I feel comfortable enough … then I'll share." Every relationship goes through phases http://marjivy.com/zithromax-purchase/. Telling someone about your medical history shouldn't happen on the first or second date, Sullivan says. "When you're moving into the phase of making this a partnership or you're committed to each other, that's when that information needs to be shared." Begin the talk just as you would start a conversation about any other important topic. Explain that you have canadian pharmacy generic cialis MS, and what that means. Then ask your partner if they have any questions.

"Make sure you allow your partner time to process it and ask questions of you," Sulllivan suggests. If your partner turns away at the news, it probably wasn't meant to be canadian pharmacy generic cialis. One man that Johnson dated broke up with her a few weeks after she told him about her disease. "His rationale was, 'It's too much for me,'" she says. She didn't let the rejection canadian pharmacy generic cialis deter her.

"I dated some others. For many of them, MS wasn't even a factor." Once you start dating someone, continue to be open and honest with them. If you need help canadian pharmacy generic cialis talking to your partner, see a therapist. You can also enroll in the National MS Society's Relationship Matters program, which helps couples work on problem solving and communication. Dating With MS MS and the fatigue and pain it brings can make last-minute plans impossible.

You'll learn to schedule dates canadian pharmacy generic cialis around your symptoms. "I try to do more dates in the afternoon, especially in the getting-to-know-you stage," Johnson says. "I'm at my best in the afternoon." She doesn't do movie dates because they make her fall asleep, and she prefers lunches to dinners. She also avoids alcohol when out with a canadian pharmacy generic cialis date. "I love a good martini, but if I'm sipping too much, I make a lot of trips to the bathroom," she says.

Continued How to Handle Intimacy Sex is an important part of any relationship, and it's another aspect that MS can complicate. Between 40% and 90% of people with MS have problems like a lack of desire, vaginal dryness (in women), difficulty getting an erection (in men), and trouble canadian pharmacy generic cialis reaching orgasm. The disease itself, fatigue and pain from MS, side effects of medicines, and depression can all lower your desire and ability to have sex. Sexual issues can be tough to talk about. If your neurologist doesn't ask, canadian pharmacy generic cialis you'll need to bring up the topic.

Together, you and your doctor can find solutions, which may involve things like lubricants, medicine changes, or therapy. Remember that there are many ways to be intimate if sex isn't comfortable for you. "Touch, just holding each other -- there are lots of ways that a person can stay connected to canadian pharmacy generic cialis their partner," Sullivan says. The Journey to Love Finding the right mate when you have MS is a journey. It takes time and effort from both of you.

"Relationships grow stronger the more challenges that one endures," Sullivan says canadian pharmacy generic cialis. It took a few years, but Johnson did finally find someone. Now she's in an "amazing relationship." When they started dating 3 years ago, she wore stilettos. Today she wears canadian pharmacy generic cialis flats and walks with a cane. "He saw the transition, and most importantly, he stood by me through the transition," she says.

"When I'm walking, he's right by my side." She encourages everyone with MS to stay open to the possibility of love. "Understand that it may take some time, but that's the nature of dating canadian pharmacy generic cialis. Don't concentrate on your MS. You're more than your MS." WebMD Feature Sources SOURCES. Amy Sullivan, PsyD, canadian pharmacy generic cialis director, behavioral medicine and research, Cleveland Clinic Mellen Center for Multiple Sclerosis.

Ann Marie Johnson, patient. Cleveland Clinic. "Sexual Dysfunction canadian pharmacy generic cialis in Multiple Sclerosis." Rush University. "Early Signs of Multiple Sclerosis." © 2020 WebMD, LLC. All rights reserved.If you’re looking for a multiple sclerosis (MS) app, there are a lot of choices.

On Google play and iTunes, a search for “MS apps” could yield more than 1,000 results canadian pharmacy generic cialis. After you filter out all the ones that aren’t in English or aren’t designed just for MS, you’ll still have around 100 to sort through. How can you know which is best for you?. First, decide what info you canadian pharmacy generic cialis want most. MS diagnosis and treatment, MS tests, or MS self-management, perhaps?.

You practically can’t go wrong. Research shows mobile apps for MS can empower you, help you stick to your treatment plan, and sometimes canadian pharmacy generic cialis give your doctor insight that can improve your care. Before you click a download button, think about how you want to use the app. Casually or as a tool to guide treatment discussions?. If the latter is your goal, first find out if your doctor canadian pharmacy generic cialis has any suggestions.

Some could be more useful than others. Help Your Doctor Help You MS apps are usually developed with a lot of patient input, so the features should appeal to you. However, the information may not be that useful if you want to canadian pharmacy generic cialis share it with your doctor. €œWhat patients think is valuable to doctors is often different than what’s actually valuable to doctors,” says James Bowen, MD, medical director of the Multiple Sclerosis Center at Swedish Neuroscience Institute in Seattle. When an app asks patients every day, "How do you feel?.

€ that doesn’t give us actionable information, he says canadian pharmacy generic cialis. €œWhat doctors really need are outcomes that are validated for various symptoms, such as fatigue.” Bowen was central to the selection and validation of measurement scales, including a fatigue scale, for My MS Manager, an app created by the Multiple Sclerosis Association of America (MSAA). Some apps, including the one from MSAA, can generate reports on various metrics and send them to your doctor. This could be an easy way to share updates more often, but you’ll need to make sure your doctor’s office is both is able to -- and wants canadian pharmacy generic cialis to -- receive such reports. Continued An App for Everything MS apps can offer a wealth of information and helpful tools for disease management, but you might want an app focused on some other aspect of life with MS.

€œOur experience isn't that there is one app that works for all, but instead there are categories of needs that people with MS share,” says Deborah Backus, PhD, director of multiple sclerosis research at the Shepherd Center in Atlanta, one of the nation’s leading rehabilitation centers. €œPeople with MS have told us they [want] apps canadian pharmacy generic cialis to help them remember things. They use apps as memory aids.” You may want a symptom tracker, especially if you have cognitive issues that get in the way of remembering details or events your doctor should know. Or you may want an app that helps you remember appointments or when to take your medicine. Some apps can also connect canadian pharmacy generic cialis you with -- or even function as -- studies on multiple sclerosis.

The information you enter into your smartphone goes to researchers studying different aspects of the disease. A few MS apps have features that align with what your doctor wants you to track. €œOne app that our clinicians like is canadian pharmacy generic cialis the BEST Suite,” Backus says. It’s a suite of five apps with activities and education. An arm of the Shepherd Center funded part of its development.

€œSome features, like PaceMyDay, have been particularly useful for managing energy and fatigue.” MS Apps to Try Doctors don’t rely on MS apps, at least not yet, to capture and canadian pharmacy generic cialis understand your health information. So you shouldn’t be frustrated if your doctor doesn’t have an opinion them or doesn’t have any app suggestions. MS apps like these are mostly for your benefit, to give you a better picture of your health or help you live better with MS, by itself or with other conditions. MANAGE YOUR MS My MS Manager Free, available for Apple and Android canadian pharmacy generic cialis Features. Track symptoms, create reports for health care team, get medication reminders, read MS-related news, find your nearest emergency roomPros.

Manage multiple aspects of the disease, piloted in a clinical setting, HIPAA-compliantWhy you can trust it. Created by the Multiple Sclerosis Association of America (in partnership with @Point of Care) canadian pharmacy generic cialis. Scientifically validated metrics Continued PARTICIPATE IN MS RESEARCH Floodlight Open Free, available for Apple and Android Features. An MS study in app form with games, tasks (including hand function and mobility tasks), and tracking. Provides researchers canadian pharmacy generic cialis with insight on your ability to perform simple tasks.

Pros. An easy way to participate in an MS research study. Contribute to canadian pharmacy generic cialis global MS knowledge. Support the study’s ultimate goal to “develop and create practical tools to improve the lives of people with MS.”Why you can trust it. From health care giant F.

Hoffmann-LaRoche, developed with input from leading MS experts MANAGE canadian pharmacy generic cialis HEALTH AND LIFESTYLE WITH MS/NEUROMUSCULAR CONDITIONS BEST Suite $10, available for Apple Features. Includes the PaceMyDay app to plan your day and manage energy. ReachMyGoals to help you set, monitor, and accomplish goals. StrategizeMyLife to canadian pharmacy generic cialis document and track effective strategies. CompleteMyToDos to interactively create and tick off a to-do listPros.

Shares data across all apps in the suite. Stays up to date canadian pharmacy generic cialis with ongoing testing, development, and input from people living with cognitive challenges related to disease or injuryWhy you can trust it. Funded by a grant from the U.S. Department of Health and Human Service’s National Institute on Disability, Independent Living and Rehabilitation Research. Developed in part with Atlanta’s Shepherd Center STAY ON canadian pharmacy generic cialis TOP OF YOUR MEDS Medisafe Pill Reminder &.

Medication Tracker Free (premium version available with subscription), available for Apple and Android Features. Pill reminder/alarm, automatic time zone detection, drug interaction checker, refill reminders, 20+ trackable health measurements apply to multiple conditionsPros. Helps keep you on track with medication for multiple conditions, which in turn boosts your overall canadian pharmacy generic cialis health. Can reduce your risk of drug-to-drug interactionsWhy you can trust it. Follows strict privacy laws (HIPAA and GDPR compliant) MANAGE CARE PLANS FOR MULTIPLE CONDITIONS AND PEOPLE Care Clinic Free ($9.99/m or $59.99/yr for advanced features), available for Apple and Android Features.

Health tracker/reminder app includes symptom canadian pharmacy generic cialis tracker, medication tracker, caregiver reminders and alerts, food and drink database, store vaccination records. Works with Apple Health and Google FitPros. Manage chronic, acute, preventive medical care for all your health concerns. Up to six family members can canadian pharmacy generic cialis share app. One person can track care plan for familyWhy you can trust it.

Password protected app. Developed in canadian pharmacy generic cialis with medical advisors, supported by several medical groups WebMD Feature Sources SOURCES. Acta Informatica Medica. €œMobile Applications for Multiple Sclerosis. A Focus on Self-Management.” James Bowen, MD, medical director, Multiple Sclerosis canadian pharmacy generic cialis Center, Swedish Neuroscience Institute, Seattle.

Deborah Backus, PhD, director of multiple sclerosis research, Shepherd Center, Atlanta. Shepherd Center. €œAbout Shepherd canadian pharmacy generic cialis Center.” Google Play. €œMy MS Manager,” “Floodlight Open,” “Medisafe,” “Care Clinic.” Apple Store. €œBEST Suite.” © 2020 WebMD, LLC.

All rights reserved.There’s no special menu plan that will cure or even treat lung cancer canadian pharmacy generic cialis. But you can give yourself a leg up during treatment and beyond by picking smart eats that will support your body and help keep up your strength. Instead of thinking of food as a “cancer fighter,” it can be helpful -- and maybe less overwhelming -- to step back and think about getting good overall nutrition, says Alicia Romano, a registered dietitian at Tufts Medical Center and a spokesperson for the Academy of Nutrition &. Dietetics. €œEating a well-balanced diet has the potential to aid in treatment tolerance, maintain strength during treatment, and speed recovering,” she says.

A key point to remember, though, is that the “right” diet isn’t a one-size-fits-all prescription. The foods that work well for your type and stage of lung cancer may not work for everyone else with the disease. €œEvery lung cancer is different,” says Zhaoping Li, MD. She’s chief of the Division of Clinical Nutrition at the University of California, Los Angeles, and an investigator at the UCLA Jonsson Comprehensive Cancer Center. €œThe best diet for you depends on your personal goals.

If you’re about to have surgery for lung cancer, you have different nutritional needs than when you’re recovering from treatment.” Still, there are general guidelines you can follow as you make your diet choices. Foods to Choose As you plan meals and grocery shop, here are some nutrition tips to take with you. Get enough protein. Your body needs protein for cell and tissue repair. €œProtein is the building block of your immune system and essential for your organs to be in good shape,” Li says.

She recommends aiming for about 20 grams per meal. For lean meats such as chicken, fish, or turkey, this means a piece about the size of a deck of cards. Other sources of protein include. Eggs Low-fat dairy (milk, yogurt, cheese) Nuts and nut butters Beans Soy foods (miso, tofu, edamame) Put plants on your plate. Colorful fruits and vegetables add powerful antioxidants and phytonutrients to your diet, which can help ward off cell damage.

Whether your fruits and veggies are raw or cooked, the key is variety. Fill up on about five different servings a day. For most fruits and vegetables, a serving is about 1 cup. For leafy greens, it’s 3 cups. Continued Go with whole grains.

You need carbohydrates to help keep your energy up. Get your carbs from whole-grain sources instead of the refined kind. Good options include. Include healthy fats. All fats aren’t created equal.

Omega-3 fatty acids and other healthy fats help support your brain and nervous system and reduce inflammation in your body. These choices fit the bill. Keep it simple. You don’t need to overhaul your entire diet, Romano says. €œIf you’re feeling well -- no treatment side effects, no weight loss or poor appetite -- focus on adding quality nutrition foods to your diet.” She suggests easy changes like adding a piece of fruit as a snack, subbing half your grains for whole grains, or choosing fish as a protein option once a week instead of meat.

Eating Tips for Treatment Side Effects Some of the most common side effects of lung cancer treatments include nausea, lack of appetite, weight loss, dehydration, and fatigue. You can help manage these discomforts with your diet. For nausea. Eat frequent small meals. If strong smells and odors set off your nausea, choose bland and low-fat foods.

For lack of appetite. Eat snack-sized portions every few hours, about four to six times a day. Add calorie-dense foods to all your meals, such as peanut butter, olive oil, avocado, butter, or cheese. These will give you a lot of calories in a small volume. Ask your doctor or dietitian about adding liquid nutrition supplements to help add calories to your diet.

For weight/muscle loss. Getting enough calories is key. Small meals more often and calorie-dense foods help, as well as protein-rich foods such as eggs, poultry, fish, dairy, meats, peanut butter, and tofu. For fatigue. Prep freezer meals when you have energy, so you have ready-made dishes you can simply heat and eat.

Keep nutritious snacks on hand for when meals feel like too much. Stock up on granola bars, nuts, cottage or string cheese, peanut butter, yogurt, and fruit for east-to-grab healthy calories in a pinch. For dehydration. Aim for at least 64 ounces of decaffeinated fluids each day. If you can’t seem to stomach plain water, try sports drinks, juice, or milk.

Sources SOURCES. Zhaoping Li, MD, professor of medicine and chief, Division of Clinical Nutrition, University of California, Los Angeles. Investigator, UCLA Jonsson Comprehensive Cancer Center. Alicia A. Romano, registered dietitian, Tufts Medical Center.

Spokesperson, Academy of Nutrition &. Dietetics. American Lung Association. €œNutrition and Lung Cancer Treatment.” Leukemia and Lymphoma Society Pearlpoint Nutrition Services. €œLung Cancer.” Mayo Clinic.

€œ1-2-3 approach to eating fruits and vegetables.” Academy of Nutrition and Dietetics. €œChoose Healthy Fats.” Johns Hopkins Medicine. €œNutrition During Lung Cancer Treatment.” © 2020 WebMD, LLC. All rights reserved.Florida real estate agent Sondra Burwick learned in 1996 that she had ductal carcinoma in situ (DCIS) in her right breast. DCIS, also called stage 0 cancer, starts and usually stays in the milk ducts.

These days, doctors call it pre-cancer and don’t always treat it. But Burwick’s surgeon said she needed a double mastectomy. Surgery to remove both breasts, including the healthy one. Burwick knew there had to be more options. She talked to other doctors.

She read everything she could about breast cancer. In the end, she settled on lumpectomy and radiation, still common treatments for DCIS. Burwick’s advice?. Don’t be afraid to get a second opinion, even if your doctor doesn’t mention or recommend it. €œBreast cancer isn’t a medical emergency,” she says.

€œYou have time to breathe, think, and talk to other people before you decide what to do.” Here are some other key facts about breast cancer your doctor might not tell you about. Lymphedema This is painful swelling that can happen after surgery or radiation to your lymph nodes. Because lymph fluid doesn’t drain as well as it should, it builds up in your hand, arm, or chest. There’s no cure, but if you start treatment right away, symptoms are much easier to manage. Deanna Attai, MD, a breast cancer surgeon and assistant professor at the University of California, Los Angeles, says it pays to be proactive.

If your doctor doesn’t suggest it, ask to see a lymphedema therapist before surgery. Neutropenia This happens when you have very low levels of neutrophils, a type of white blood cell. Neutropenia makes it harder for your body to fight s and is one of the most serious side effects of chemo. Jeffrey Crawford, MD, a medical oncologist and professor at Duke Cancer Institute, says that during the erectile dysfunction cialis, it’s even more important to talk with your doctor about low white cell counts and the best way to prevent s. Fertility Fertility isn’t discussed often enough with any kind of cancer care, not just breast cancer, Attai says.

Doctors shouldn’t assume that a woman who’s in her 40s or who doesn’t have a partner, for example, isn’t interested in having children. They should talk with you about the effects of breast cancer treatments like chemotherapy and hormone therapy. €œAfter 5 years of endocrine [hormone] therapy, it may be harder to get pregnant,” Attai points out. Discuss your options for having children after treatment, including freezing eggs or embryos. Continued Hormone Side Effects People often worry about chemo side effects, but hormone therapy (also called endocrine therapy) can be just as severe.

And patients don’t hear enough about that, Attai says. €œIt can be a really rough 5 years. Some women are miserable and don’t feel they have adequate information and support from their doctors.” She stresses that while lots of women have few problems, others “really struggle.” One often-ignored symptom of drugs like tamoxifen is brain fog. €œIt’s expected with chemotherapy but not with endocrine treatment,” Attai says. If your doctor doesn’t pay attention to your problems with side effects, think about seeing someone else.

€œIf your survivorship concerns aren’t being addressed, then it’s time to get a second opinion,” she says. Recurrent Cancer Even with the best treatment, breast cancer can come back (or recur). It may be in the same place or in other parts of your body. Attai says doctors don’t talk about this nearly enough, either. €œWomen are told they’ll be cancer-free if they take tamoxifen for 5 years.

But we know there’s a risk of it coming back or metastasizing elsewhere 15 or 20 years later. Even if you had a low-grade, slow-growing tumor, that doesn’t mean cancer cells aren’t drifting around. This should be talked about at every visit.” Prevention Attai also says some doctors don’t want to talk about cancer prevention because it can cause a lot of guilt. €œWomen wonder, ‘Was it that one glass of wine?. Was it that piece of cake on my birthday?.

€™ But in any one person, we may never know. Women are great with guilt and beating themselves up. The last thing they need is to feel they caused it.” Instead, she tells patients, “You get a total pass for right now, but these are things we’ll work on in the survivorship phase. [Healthy lifestyle choices] can reduce your risk of heart disease, which kills more women than breast cancer. We want to be more proactive to reduce your risk of recurrence and make sure you have a healthy life.” Continued Finances Breast cancer treatment can be toxic.

Paying for it can be difficult, too. And a lot of insurance issues are in your court. Many people don’t want to ask for help, Attai says. Doctors should talk about financial health and not assume that everyone has the resources to pay for treatment. €œWe need to do a better job of letting them know about resources and empowering them to speak up.” If you can, ask a friend or family member to be your point person for insurance and financial issues.

If that’s not possible, most hospitals have social workers and financial counselors to offer assistance. Sources SOURCES. Sondra Burwick, real estate agent, Fort Myers, FL. MDAnderson.org. €œIs surgery the right decision for women with DCIS?.

€ Deanna Attai, MD, breast cancer surgeon and assistant clinical professor of surgery, University of California, Los Angeles. Memorial Sloan Kettering Cancer Center. €œLymphedema Treatment after Breast Cancer.” Jeffrey Crawford, MD, medical oncologist and professor of immunology, Duke Cancer Institute. BMJ Open. €œThe COMET (Comparison of Operative versus Monitoring and Endocrine Therapy) trial.

A phase III randomised controlled clinical trial for low-risk ductal carcinoma in situ (DCIS).” © 2020 WebMD, LLC. All rights reserved.By Cara MurezHealthDay Reporter FRIDAY, Dec. 11, 2020 (HealthDay News) -- A self-collected saliva sample is as good at detecting erectile dysfunction treatment as a nasal swab administered by a health care worker -- without exposing medical staff to the cialis while collecting the sample. "The current cialis has placed a significant strain on the supply chain, from swabs to the personal protective equipment [PPE] health care workers need to safely collect samples," explained lead investigator Esther Babady, director of the Clinical Microbiology Service at Memorial Sloan Kettering Cancer Center in New York City. "The use of self-collected saliva has the potential to minimize health care worker exposure and decrease the need for specialized collection devices, such as swabs and viral transport media." The saliva tests detected the cialis' genetic material in saliva samples at similar rates as swabs that collected material through the mouth or nose.

They were also stable for up to 24 hours when stored with ice packs or at room temperature. Researchers from Memorial Sloan Kettering collected samples from 285 employees between April 4 and May 11, at the peak of the New York City outbreak. The participants had symptoms of the cialis or had been exposed to it. Each of the participants provided a pair of samples. Some were asked to do a nasopharyngeal swab collected through the nose and a saliva sample.

Some provided an oropharyngeal swab collected through the mouth and saliva. Others provided the nasopharyngeal swab and a sample from an oral rinse, another collection method that was being tested. Researchers found that the agreement between the saliva and swab administered through the mouth was 93%, and that sensitivity was 96.7%. The swab administered through the nose and saliva had a result agreement of 97.7%, with sensitivity of 94.1%. The oral rinse was only 63% effective at detecting the cialis.

The agreement between the nasal swab and the oral rinse was 85.7%. Nasal swabs and saliva with a range of viral loads were stored both at room temperature and in a cooler. Researchers detected no difference in concentration at the time of collection, eight hours later or 24 hours later. Continued The study was published online recently in The Journal of Molecular Diagnostics. The findings hold great promise for broad testing strategies that would mitigate risk of for health care workers while preserving PPE, Babady said.

"The current 'test, track and trace' public health approach to surveillance relies heavily on testing for both diagnosis and surveillance," she said in a journal news release. "The use of self-collected saliva provides a cheaper and less-invasive option for viable sample collection. It's certainly easier to spit in a cup twice a week than undergoing frequent nasopharyngeal swabs," Babady said. "This can improve patient compliance and satisfaction particularly for surveillance testing, which requires frequent sample collection. Since we also showed that the cialis was stable at room temperature for at least 24 hours, saliva collection has potential for use at home."More information The U.S.

That's especially cialis usa buy true http://marjivy.com/zithromax-purchase/ when you have MS. You want to be with someone who will love you and stick with you, no matter what your disease might bring. "First and foremost, is this relationship going to be sustainable with a chronic disease?.

That requires having the ability to have a trusting partner," says cialis usa buy Amy Sullivan, PsyD, director of behavioral medicine and research at the Cleveland Clinic Mellen Center for Multiple Sclerosis. One of the qualities to look for is someone who will understand your limits and be willing to move forward in the relationship with you. If they aren't willing to accept you as you are, you may need to move on.

When -- and How -- to Make the Reveal Once you've met someone you like, you have cialis usa buy to decide when to tell them about your MS. That shouldn't happen right away. Continued "I look at my diagnosis in the same way I do my credit report.

Do you cialis usa buy share your credit report with everybody?. " Johnson asks. "If the relationship is progressing in such a way that I feel comfortable enough … then I'll share." Every relationship goes through phases.

Telling someone about your medical history shouldn't cialis usa buy happen on the first or second date, Sullivan says. "When you're moving into the phase of making this a partnership or you're committed to each other, that's when that information needs to be shared." Begin the talk just as you would start a conversation about any other important topic. Explain that you have MS, and what that means.

Then ask your partner if cialis usa buy they have any questions. "Make sure you allow your partner time to process it and ask questions of you," Sulllivan suggests. If your partner turns away at the news, it probably wasn't meant to be.

One man that Johnson dated broke up with her cialis usa buy a few weeks after she told him about her disease. "His rationale was, 'It's too much for me,'" she says. She didn't let the rejection deter her.

"I dated cialis usa buy some others. For many of them, MS wasn't even a factor." Once you start dating someone, continue to be open and honest with them. If you need help talking to your partner, see a therapist.

You can also enroll in the National MS Society's Relationship Matters cialis usa buy program, which helps couples work on problem solving and communication. Dating With MS MS and the fatigue and pain it brings can make last-minute plans impossible. You'll learn to schedule dates around your symptoms.

"I try to do more dates in the afternoon, especially cialis usa buy in the getting-to-know-you stage," Johnson says. "I'm at my best in the afternoon." She doesn't do movie dates because they make her fall asleep, and she prefers lunches to dinners. She also avoids alcohol when out with a date.

"I love a good martini, but if I'm sipping too much, I make a lot of trips to the bathroom," she says cialis usa buy. Continued How to Handle Intimacy Sex is an important part of any relationship, and it's another aspect that MS can complicate. Between 40% and 90% of people with MS have problems like a lack of desire, vaginal dryness (in women), difficulty getting an erection (in men), and trouble reaching orgasm.

The disease itself, fatigue and pain from MS, side effects of medicines, and depression can all lower your cialis usa buy desire and ability to have sex. Sexual issues can be tough to talk about. If your neurologist doesn't ask, you'll need to bring up the topic.

Together, you and cialis usa buy your doctor can find solutions, which may involve things like lubricants, medicine changes, or therapy. Remember that there are many ways to be intimate if sex isn't comfortable for you. "Touch, just holding each other -- there are lots of ways that a person can stay connected to their partner," Sullivan says.

The Journey cialis usa buy to Love Finding the right mate when you have MS is a journey. It takes time and effort from both of you. "Relationships grow stronger the more challenges that one endures," Sullivan says.

It took a few years, but Johnson did finally cialis usa buy find someone. Now she's in an "amazing relationship." When they started dating 3 years ago, she wore stilettos. Today she wears flats and walks with a cane.

"He saw the transition, and most cialis usa buy importantly, he stood by me through the transition," she says. "When I'm walking, he's right by my side." She encourages everyone with MS to stay open to the possibility of love. "Understand that it may take some time, but that's the nature of dating.

Don't concentrate on your MS cialis usa buy. You're more than your MS." WebMD Feature Sources SOURCES. Amy Sullivan, PsyD, director, behavioral medicine and research, Cleveland Clinic Mellen Center for Multiple Sclerosis.

Ann Marie Johnson, cialis usa buy patient. Cleveland Clinic. "Sexual Dysfunction in Multiple Sclerosis." Rush University.

"Early Signs of Multiple cialis usa buy Sclerosis." © 2020 WebMD, LLC. All rights reserved.If you’re looking for a multiple sclerosis (MS) app, there are a lot of choices. On Google play and iTunes, a search for “MS apps” could yield more than 1,000 results.

After you filter out all the ones that aren’t in English or cialis usa buy aren’t designed just for MS, you’ll still have around 100 to sort through. How can you know which is best for you?. First, decide what info you want most.

MS diagnosis and treatment, MS tests, cialis usa buy or MS self-management, perhaps?. You practically can’t go wrong. Research shows mobile apps for MS can empower you, help you stick to your treatment plan, and sometimes give your doctor insight that can improve your care.

Before you click a download button, think about how cialis usa buy you want to use the app. Casually or as a tool to guide treatment discussions?. If the latter is your goal, first find out if your doctor has any suggestions.

Some could be cialis usa buy more useful than others. Help Your Doctor Help You MS apps are usually developed with a lot of patient input, so the features should appeal to you. However, the information may not be that useful if you want to share it with your doctor.

€œWhat patients think is valuable to doctors is often different than what’s actually valuable to doctors,” says James Bowen, MD, medical director of the Multiple Sclerosis Center at Swedish cialis usa buy Neuroscience Institute in Seattle. When an app asks patients every day, "How do you feel?. € that doesn’t give us actionable information, he says.

€œWhat doctors really need are outcomes that are validated for various symptoms, such as fatigue.” Bowen was central to the selection and validation of measurement scales, including a fatigue scale, for My MS Manager, cialis usa buy an app created by the Multiple Sclerosis Association of America (MSAA). Some apps, including the one from MSAA, can generate reports on various metrics and send them to your doctor. This could be an easy way to share updates more often, but you’ll need to make sure your doctor’s office is both is able to -- and wants to -- receive such reports.

Continued An App for Everything MS apps can offer a wealth of information and helpful tools for disease management, but you might want an cialis usa buy app focused on some other aspect of life with MS. €œOur experience isn't that there is one app that works for all, but instead there are categories of needs that people with MS share,” says Deborah Backus, PhD, director of multiple sclerosis research at the Shepherd Center in Atlanta, one of the nation’s leading rehabilitation centers. €œPeople with MS have told us they [want] apps to help them remember things.

They use apps as memory aids.” You may want a symptom tracker, especially if you have cognitive issues that get in cialis usa buy the way of remembering details or events your doctor should know. Or you may want an app that helps you remember appointments or when to take your medicine. Some apps can also connect you with -- or even function as -- studies on multiple sclerosis.

The information you enter into your smartphone goes cialis usa buy to researchers studying different aspects of the disease. A few MS apps have features that align with what your doctor wants you to track. €œOne app that our clinicians like is the BEST Suite,” Backus says.

It’s a suite of five apps with cialis usa buy activities and education. An arm of the Shepherd Center funded part of its development. €œSome features, like PaceMyDay, have been particularly useful for managing energy and fatigue.” MS Apps to Try Doctors don’t rely on MS apps, at least not yet, to capture and understand your health information.

So you shouldn’t be frustrated if your doctor doesn’t have an opinion them or doesn’t have any cialis usa buy app suggestions. MS apps like these are mostly for your benefit, to give you a better picture of your health or help you live better with MS, by itself or with other conditions. MANAGE YOUR MS My MS Manager Free, available for Apple and Android Features.

Track symptoms, create reports for health care team, get medication reminders, read MS-related news, cialis usa buy find your nearest emergency roomPros. Manage multiple aspects of the disease, piloted in a clinical setting, HIPAA-compliantWhy you can trust it. Created by the Multiple Sclerosis Association of America (in partnership with @Point of Care).

Scientifically validated metrics Continued PARTICIPATE IN MS RESEARCH Floodlight Open Free, available for Apple and Android cialis usa buy Features. An MS study in app form with games, tasks (including hand function and mobility tasks), and tracking. Provides researchers with insight on your ability to perform simple tasks.

Pros. An easy way to participate in an MS research study. Contribute to global MS knowledge.

Support the study’s ultimate goal to “develop and create practical tools to improve the lives of people with MS.”Why you can trust it. From health care giant F. Hoffmann-LaRoche, developed with input from leading MS experts MANAGE HEALTH AND LIFESTYLE WITH MS/NEUROMUSCULAR CONDITIONS BEST Suite $10, available for Apple Features.

Includes the PaceMyDay app to plan your day and manage energy. ReachMyGoals to help you set, monitor, and accomplish goals. StrategizeMyLife to document and track effective strategies.

CompleteMyToDos to interactively create and tick off a to-do listPros. Shares data across all apps in the suite. Stays up to date with ongoing testing, development, and input from people living with cognitive challenges related to disease or injuryWhy you can trust it.

Funded by a grant from the U.S. Department of Health and Human Service’s National Institute on Disability, Independent Living and Rehabilitation Research. Developed in part with Atlanta’s Shepherd Center STAY ON TOP OF YOUR MEDS Medisafe Pill Reminder &.

Medication Tracker Free (premium version available with subscription), available for Apple and Android Features. Pill reminder/alarm, automatic time zone detection, drug interaction checker, refill reminders, 20+ trackable health measurements apply to multiple conditionsPros. Helps keep you on track with medication for multiple conditions, which in turn boosts your overall health.

Can reduce your risk of drug-to-drug interactionsWhy you can trust it. Follows strict privacy laws (HIPAA and GDPR compliant) MANAGE CARE PLANS FOR MULTIPLE CONDITIONS AND PEOPLE Care Clinic Free ($9.99/m or $59.99/yr for advanced features), available for Apple and Android Features. Health tracker/reminder app includes symptom tracker, medication tracker, caregiver reminders and alerts, food and drink database, store vaccination records.

Works with Apple Health and Google FitPros. Manage chronic, acute, preventive medical care for all your health concerns. Up to six family members can share app.

One person can track care plan for familyWhy you can trust it. Password protected app. Developed in with medical advisors, supported by several medical groups WebMD Feature Sources SOURCES.

Acta Informatica Medica. €œMobile Applications for Multiple Sclerosis. A Focus on Self-Management.” James Bowen, MD, medical director, Multiple Sclerosis Center, Swedish Neuroscience Institute, Seattle.

Deborah Backus, PhD, director of multiple sclerosis research, Shepherd Center, Atlanta. Shepherd Center. €œAbout Shepherd Center.” Google Play.

€œMy MS Manager,” “Floodlight Open,” “Medisafe,” “Care Clinic.” Apple Store. €œBEST Suite.” © 2020 WebMD, LLC. All rights reserved.There’s no special menu plan that will cure or even treat lung cancer.

But you can give yourself a leg up during treatment and beyond by picking smart eats that will support your body and help keep up your strength. Instead of thinking of food as a “cancer fighter,” it can be helpful -- and maybe less overwhelming -- to step back and think about getting good overall nutrition, says Alicia Romano, a registered dietitian at Tufts Medical Center and a spokesperson for the Academy of Nutrition &. Dietetics.

€œEating a well-balanced diet has the potential to aid in treatment tolerance, maintain strength during treatment, and speed recovering,” she says. A key point to remember, though, is that the “right” diet isn’t a one-size-fits-all prescription. The foods that work well for your type and stage of lung cancer may not work for everyone else with the disease.

€œEvery lung cancer is different,” says Zhaoping Li, MD. She’s chief of the Division of Clinical Nutrition at the University of California, Los Angeles, and an investigator at the UCLA Jonsson Comprehensive Cancer Center. €œThe best diet for you depends on your personal goals.

If you’re about to have surgery for lung cancer, you have different nutritional needs than when you’re recovering from treatment.” Still, there are general guidelines you can follow as you make your diet choices. Foods to Choose As you plan meals and grocery shop, here are some nutrition tips to take with you. Get enough protein.

Your body needs protein for cell and tissue repair. €œProtein is the building block of your immune system and essential for your organs to be in good shape,” Li says. She recommends aiming for about 20 grams per meal.

For lean meats such as chicken, fish, or turkey, this means a piece about the size of a deck of cards. Other sources of protein include. Eggs Low-fat dairy (milk, yogurt, cheese) Nuts and nut butters Beans Soy foods (miso, tofu, edamame) Put plants on your plate.

Colorful fruits and vegetables add powerful antioxidants and phytonutrients to your diet, which can help ward off cell damage. Whether your fruits and veggies are raw or cooked, the key is variety. Fill up on about five different servings a day.

For most fruits and vegetables, a serving is about 1 cup. For leafy greens, it’s 3 cups. Continued Go with whole grains.

You need carbohydrates to help keep your energy up. Get your carbs from whole-grain sources instead of the refined kind. Good options include.

Include healthy fats. All fats aren’t created equal. Omega-3 fatty acids and other healthy fats help support your brain and nervous system and reduce inflammation in your body.

These choices fit the bill. Keep it simple. You don’t need to overhaul your entire diet, Romano says.

€œIf you’re feeling well -- no treatment side effects, no weight loss or poor appetite -- focus on adding quality nutrition foods to your diet.” She suggests easy changes like adding a piece of fruit as a snack, subbing half your grains for whole grains, or choosing fish as a protein option once a week instead of meat. Eating Tips for Treatment Side Effects Some of the most common side effects of lung cancer treatments include nausea, lack of appetite, weight loss, dehydration, and fatigue. You can help manage these discomforts with your diet.

For nausea. Eat frequent small meals. If strong smells and odors set off your nausea, choose bland and low-fat foods.

For lack of appetite. Eat snack-sized portions every few hours, about four to six times a day. Add calorie-dense foods to all your meals, such as peanut butter, olive oil, avocado, butter, or cheese.

These will give you a lot of calories in a small volume. Ask your doctor or dietitian about adding liquid nutrition supplements to help add calories to your diet. For weight/muscle loss.

Getting enough calories is key. Small meals more often and calorie-dense foods help, as well as protein-rich foods such as eggs, poultry, fish, dairy, meats, peanut butter, and tofu. For fatigue.

Prep freezer meals when you have energy, so you have ready-made dishes you can simply heat and eat. Keep nutritious snacks on hand for when meals feel like too much. Stock up on granola bars, nuts, cottage or string cheese, peanut butter, yogurt, and fruit for east-to-grab healthy calories in a pinch.

For dehydration. Aim for at least 64 ounces of decaffeinated fluids each day. If you can’t seem to stomach plain water, try sports drinks, juice, or milk.

Sources SOURCES. Zhaoping Li, MD, professor of medicine and chief, Division of Clinical Nutrition, University of California, Los Angeles. Investigator, UCLA Jonsson Comprehensive Cancer Center.

Alicia A. Romano, registered dietitian, Tufts Medical Center. Spokesperson, Academy of Nutrition &.

Dietetics. American Lung Association. €œNutrition and Lung Cancer Treatment.” Leukemia and Lymphoma Society Pearlpoint Nutrition Services.

€œLung Cancer.” Mayo Clinic. €œ1-2-3 approach to eating fruits and vegetables.” Academy of Nutrition and Dietetics. €œChoose Healthy Fats.” Johns Hopkins Medicine.

€œNutrition During Lung Cancer Treatment.” © 2020 WebMD, LLC. All rights reserved.Florida real estate agent Sondra Burwick learned in 1996 that she had ductal carcinoma in situ (DCIS) in her right breast. DCIS, also called stage 0 cancer, starts and usually stays in the milk ducts.

These days, doctors call it pre-cancer and don’t always treat it. But Burwick’s surgeon said she needed a double mastectomy. Surgery to remove both breasts, including the healthy one.

Burwick knew there had to be more options. She talked to other doctors. She read everything she could about breast cancer.

In the end, she settled on lumpectomy and radiation, still common treatments for DCIS. Burwick’s advice?. Don’t be afraid to get a second opinion, even if your doctor doesn’t mention or recommend it.

€œBreast cancer isn’t a medical emergency,” she says. €œYou have time to breathe, think, and talk to other people before you decide what to do.” Here are some other key facts about breast cancer your doctor might not tell you about. Lymphedema This is painful swelling that can happen after surgery or radiation to your lymph nodes.

Because lymph fluid doesn’t drain as well as it should, it builds up in your hand, arm, or chest. There’s no cure, but if you start treatment right away, symptoms are much easier to manage. Deanna Attai, MD, a breast cancer surgeon and assistant professor at the University of California, Los Angeles, says it pays to be proactive.

If your doctor doesn’t suggest it, ask to see a lymphedema therapist before surgery. Neutropenia This happens when you have very low levels of neutrophils, a type of white blood cell. Neutropenia makes it harder for your body to fight s and is one of the most serious side effects of chemo.

Jeffrey Crawford, MD, a medical oncologist and professor at Duke Cancer Institute, says that during the erectile dysfunction cialis, it’s even more important to talk with your doctor about low white cell counts and the best way to prevent s. Fertility Fertility isn’t discussed often enough with any kind of cancer care, not just breast cancer, Attai says. Doctors shouldn’t assume that a woman who’s in her 40s or who doesn’t have a partner, for example, isn’t interested in having children.

They should talk with you about the effects of breast cancer treatments like chemotherapy and hormone therapy. €œAfter 5 years of endocrine [hormone] therapy, it may be harder to get pregnant,” Attai points out. Discuss your options for having children after treatment, including freezing eggs or embryos.

Continued Hormone Side Effects People often worry about chemo side effects, but hormone therapy (also called endocrine therapy) can be just as severe. And patients don’t hear enough about that, Attai says. €œIt can be a really rough 5 years.

Some women are miserable and don’t feel they have adequate information and support from their doctors.” She stresses that while lots of women have few problems, others “really struggle.” One often-ignored symptom of drugs like tamoxifen is brain fog. €œIt’s expected with chemotherapy but not with endocrine treatment,” Attai says. If your doctor doesn’t pay attention to your problems with side effects, think about seeing someone else.

€œIf your survivorship concerns aren’t being addressed, then it’s time to get a second opinion,” she says. Recurrent Cancer Even with the best treatment, breast cancer can come back (or recur). It may be in the same place or in other parts of your body.

Attai says doctors don’t talk about this nearly enough, either. €œWomen are told they’ll be cancer-free if they take tamoxifen for 5 years. But we know there’s a risk of it coming back or metastasizing elsewhere 15 or 20 years later.

Even if you had a low-grade, slow-growing tumor, that doesn’t mean cancer cells aren’t drifting around. This should be talked about at every visit.” Prevention Attai also says some doctors don’t want to talk about cancer prevention because it can cause a lot of guilt. €œWomen wonder, ‘Was it that one glass of wine?.

Was it that piece of cake on my birthday?. €™ But in any one person, we may never know. Women are great with guilt and beating themselves up.

The last thing they need is to feel they caused it.” Instead, she tells patients, “You get a total pass for right now, but these are things we’ll work on in the survivorship phase. [Healthy lifestyle choices] can reduce your risk of heart disease, which kills more women than breast cancer. We want to be more proactive to reduce your risk of recurrence and make sure you have a healthy life.” Continued Finances Breast cancer treatment can be toxic.

Paying for it can be difficult, too. And a lot of insurance issues are in your court. Many people don’t want to ask for help, Attai says.

Doctors should talk about financial health and not assume that everyone has the resources to pay for treatment. €œWe need to do a better job of letting them know about resources and empowering them to speak up.” If you can, ask a friend or family member to be your point person for insurance and financial issues. If that’s not possible, most hospitals have social workers and financial counselors to offer assistance.

Sources SOURCES. Sondra Burwick, real estate agent, Fort Myers, FL. MDAnderson.org.

€œIs surgery the right decision for women with DCIS?. € Deanna Attai, MD, breast cancer surgeon and assistant clinical professor of surgery, University of California, Los Angeles. Memorial Sloan Kettering Cancer Center.

€œLymphedema Treatment after Breast Cancer.” Jeffrey Crawford, MD, medical oncologist and professor of immunology, Duke Cancer Institute. BMJ Open. €œThe COMET (Comparison of Operative versus Monitoring and Endocrine Therapy) trial.

A phase III randomised controlled clinical trial for low-risk ductal carcinoma in situ (DCIS).” © 2020 WebMD, LLC. All rights reserved.By Cara MurezHealthDay Reporter FRIDAY, Dec. 11, 2020 (HealthDay News) -- A self-collected saliva sample is as good at detecting erectile dysfunction treatment as a nasal swab administered by a health care worker -- without exposing medical staff to the cialis while collecting the sample.

"The current cialis has placed a significant strain on the supply chain, from swabs to the personal protective equipment [PPE] health care workers need to safely collect samples," explained lead investigator Esther Babady, director of the Clinical Microbiology Service at Memorial Sloan Kettering Cancer Center in New York City. "The use of self-collected saliva has the potential to minimize health care worker exposure and decrease the need for specialized collection devices, such as swabs and viral transport media." The saliva tests detected the cialis' genetic material in saliva samples at similar rates as swabs that collected material through the mouth or nose. They were also stable for up to 24 hours when stored with ice packs or at room temperature.

Researchers from Memorial Sloan Kettering collected samples from 285 employees between April 4 and May 11, at the peak of the New York City outbreak. The participants had symptoms of the cialis or had been exposed to it. Each of the participants provided a pair of samples.

Some were asked to do a nasopharyngeal swab collected through the nose and a saliva sample. Some provided an oropharyngeal swab collected through the mouth and saliva. Others provided the nasopharyngeal swab and a sample from an oral rinse, another collection method that was being tested.

Researchers found that the agreement between the saliva and swab administered through the mouth was 93%, and that sensitivity was 96.7%. The swab administered through the nose and saliva had a result agreement of 97.7%, with sensitivity of 94.1%.

What may interact with Cialis?

Do not take Cialis with any of the following medications:

  • nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin

Cialis may also interact with the following medications:

  • certain drugs for high blood pressure
  • certain drugs for the treatment of HIV or AIDS
  • certain drugs used for fungal or yeast s, like fluconazole, itraconazole, ketoconazole, and voriconazole
  • certain drugs used for seizures like carbamazepine, phenytoin, and phenobarbital
  • grapefruit juice
  • macrolide antibiotics like clarithromycin, erythromycin, troleandomycin
  • medicines for prostate problems
  • rifabutin, rifampin or rifapentine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Cialis 5

Date published cialis 5. September 29, cialis 5 2021On this page Current coverageOrganizations and the provinces/territories continue to make progress in the marketing and reimbursement of edaravone (brand name Radicava). Currently, all provinces with the exception of Prince Edward Island (PEI) have updated their drug formularies to include edaravone for public reimbursement. The territories are still in the process of establishing full coverage.Decisions about coverage in these 2 jurisdictions cialis 5 are not expected to be completed by October 1, 2021.Health Canada wants to ensure the continued supply of edaravone in Canada. We are extending the personal importation (by mail/courier or individuals) of this needed medication from October 1, 2021, until April 1, 2022.Health Canada authorizationPatients with amyotrophic lateral sclerosis (ALS), their families and health care providers want continued access to the latest treatment options available to them.Health Canada authorized edaravone for the treatment of ALS on October 4, 2018, following a thorough scientific review.

As there were limited treatment options available for patients living with ALS, we granted a priority review cialis 5 to Mitsubishi Tanabe Pharma Canada Inc. (MTPC Inc.) on its request. Following this review, we issued a notice of compliance so it cialis 5 could be sold legally in Canada.Prescription statusMTPC Inc. Began marketing edaravone in Canada in November 2019. Since the safe use of this drug requires the cialis 5 supervision of a health care practitioner, it was added to the prescription drug list (PDL).

This helps ensure that the health and safety of patients in Canada is protected.The intent of the PDL is to inform health care providers and the public on when a substance requires a prescription to be sold in Canada.Listing a drug on the PDL may also generate discussions on health care coverage by publicly and privately funded insurance programs. Health Canada and the Canada Border Services Agency also use the PDL to verify a product’s classification and take the applicable regulatory action at the border.Once edaravone was added to the PDL and came onto the Canadian market, health care providers were able to begin prescribing it as of November cialis 5 5, 2019.Transition to the Special Access ProgramIn the past, a limited number of patients accessed this drug through a program administered by the manufacturer and authorized by Health Canada’s Special Access Program (SAP). MTPC Inc. Informed health care providers of its intent to transition cialis 5 the distribution of edaravone from SAP to its own patient support program as of November 5, 2019, with no interruption in supply.Personal importationHealth Canada wants to ensure the continued supply of this needed medication during the transition of edaravone to the Canadian market. Thus, we are allowing individuals to continue to import edaravone until April 1, 2022.

Individuals may import the drug personally or have it sent to cialis 5 them by mail or courier.To be imported personally, the drug must be shipped/carried in appropriate packaging (hospital or pharmacy-dispensed packaging, retail packaging or with the original label). Supporting documentation provided by the patient’s doctor must accompany the package. It must also indicate that the drug is for the individual's own use or for someone whom they are responsible for and travelling cialis 5 with. The quantity for import must not exceed a 90-day supply or a single course of treatment based on the directions for use, whichever is less.Patients and their families who have been importing edaravone for their own use should speak with their health care provider about continued access.Health Canada will continue to monitor the situation up to April 1, 2022, to determine whether access via personal importation discretion is still required. We are committed to working with the company, patients and health care providers to help patients access the cialis 5 medications they need.Contact usFor more information on the personal importation policy, please contact hpbcp-pcpsf@hc-sc.gc.ca.Date published.

September 1st, 2021The Regulations Amending Certain Regulations Concerning Drugs and Medical Devices (Shortages) were made on August 11th, 2021. They amend the Food and Drug Regulations and Medical Devices Regulations and were published in Canada Gazette, Part II on September 1st, 2021.These cialis 5 new regulations extend and modify certain measures already in place through 2 interim orders (IOs). They have been made to help track, prevent and mitigate shortages of key health products in Canada, including drugs and medical devices.In particular, the regulations. Allow the Minister to require certain regulated parties to provide information needed to assess or respond to a drug or medical device shortage keep the existing framework for the exceptional importation of drugs and medical devices, but with small modifications to clarify how much product can be imported and how long it can cialis 5 be sold keep the mandatory shortage reporting framework for specified medical devices prohibit the distribution of certain drugs intended for the Canadian market for consumption outside Canada if it could cause or worsen a shortage end the exceptional importation of biocides and foods for a special dietary purpose and introduce temporary flexibilities to allow the sale of products that were already imported into Canada continue temporary flexibilities related to drug establishment licensing for activities related to drug-based hand sanitizersThe regulations also make an amendment to the Certificate of Supplementary Protection Regulations. The definition of “authorization for sale” is being amended to also exclude exceptional importation for a drug under C.10.008(1).

This change is consistent with other cialis 5 exclusions of limited purpose authorizations in these regulations.On this page Why we introduced the amendmentsDrug and medical device shortages are a growing global problem, especially for small markets like Canada.Health care providers need to access drugs and medical devices to provide proper and timely treatment.Drug and medical device shortages can contribute to a number of negative outcomes, like. Adverse patient outcomes, including delayed or cancelled surgeries disruptions in care because of the need to use other treatments or devices discontinued treatment or use of a therapeutic product where there is no alternative drug or device rationing or hoardingIn 2020 and 2021, the Minister of Health made IOs giving Health Canada new powers to respond to shortages caused or worsened by the erectile dysfunction treatment cialis. These include cialis 5. Interim Orders (IO) expire 1 year after they are made by the Minister.These new regulations were introduced to preserve powers from IOs that are still needed to address future shortages.The regulations will come into force in a manner that prevents these powers from lapsing when the IOs expire.Coming into force on November 27, 2021, are provisions that. Prohibit the distribution of drugs intended for the Canadian market outside of Canada that could cause or worsen a shortage allow the Minister to compel information in respect of drug shortagesComing into cialis 5 force on March 1, 2022, are provisions concerning the.

Exceptional importation and sale of drugs, medical devices continued sale of exceptionally imported foods for a special dietary purpose as well as biocides for a set period amendment to the Certificate of Supplementary Protection Regulations mandatory reporting of shortages of specified medical devices and the power to compel information on medical device shortages extension of licensing flexibilities for some drug-based hand sanitizersHow the amendments will address therapeutic product shortages in CanadaThese regulations prohibit the distribution of certain drugs intended for the Canadian market outside of Canada if that sale could cause or worsen a drug shortage. The prohibition applies to drug establishment licence (DEL) holders (for example, cialis 5 fabricators, wholesalers and distributors). A sale is only permitted if the DEL holder has reasonable grounds to believe that it will not cause or worsen a drug shortage.The DEL holder is required to determine whether the sale could cause or worsen a shortage before distributing the drug for use outside Canada. The DEL holder must then make a record showing cialis 5 how this was determined.The regulations do not apply to. The sale of drugs for consumption outside of Canada if it will not cause or worsen a drug shortage drugs manufactured for export (not labelled for the Canadian market)Under these regulations, the Minister may require that certain regulated parties provide specific information needed to assess or respond to a drug or medical device shortage.

The Minister uses this information to assess the level of risk for the drug or cialis 5 device that may be experiencing a shortage and then make a decision on measures that may prevent or alleviate the shortage.These regulations also keep the existing framework for the exceptional importation of drugs and medical devices that. May not fully meet Canadian regulatory requirements but are manufactured according to comparable standardsHealth Canada will continue to keep and update lists of drugs and medical devices that may be temporarily imported and sold on an exceptional basis. This will help prevent and alleviate shortages while maintaining Canada’s high quality standards for therapeutic products.The new regulations also end the exceptional importation of biocides and foods cialis 5 for a special dietary purpose. Temporary flexibilities have been introduced to allow the sale of products that were already imported into Canada through the IOs. The changes will give retail sellers the opportunity to sell the existing stock of imported cialis 5 products.Under the new regulations, manufacturers and importers of specified medical devices are still required to report shortages of their devices.

Health Canada will be able to continue to track shortages of medical devices and inform Canadians when there is a shortage or risk of shortage. These amendments also extend temporary flexibilities allowing some people to conduct activities related to drug-based hand sanitizers (for example, cialis 5 manufacturing, labelling, distributing or importing them) without an establishment licence. This will allow the continued sale of drug-based hand sanitizers while industry comes into compliance with existing requirements for establishment licensing.How the amendments are different from previous interim ordersThe regulations are similar to provisions contained in the IOs. Because these IOs have been in place for some time, Health Canada and stakeholders have been able to use the provisions, consult on amendments cialis 5 and identify improvements. Based on this, we made some minor changes to make them clearer and easier to implement.

For example, cialis 5 the regulations clarify how long DEL holders need to keep records or when manufacturers or importers need to submit medical device shortage reports. The amendments do not allow for the exceptional importation of biocides and foods for a special dietary purpose, which was permitted by Interim Order No. 2 Respecting cialis 5 Drugs, Medical Devices, and Foods for a Special Dietary Purpose. Exceptional importation of biocides and foods for a special dietary purpose will end when that IO expires on March 1, 2022. We have introduced temporary flexibilities so cialis 5 that products that were already imported into Canada may continue to be sold.

Biocides that were already imported under the IO can continue to be sold to retail stores until December 31, 2022. These biocides can be sold at retail level until they expire or until the stock cialis 5 is exhausted Foods for a Special Dietary Purpose that were already imported under the IO can continue to be sold until they expireWe will send out additional notices before the regulations come into force on November 27, 2021, and March 1, 2022. These notices will refer to revised guidance for industry.Contact usIf you have any questions, please contact us by email at hc.prsd-questionsdspr.sc@canada.ca.Related links.

Date published cialis usa buy. September 29, 2021On this page Current cialis usa buy coverageOrganizations and the provinces/territories continue to make progress in the marketing and reimbursement of edaravone (brand name Radicava). Currently, all provinces with the exception of Prince Edward Island (PEI) have updated their drug formularies to include edaravone for public reimbursement.

The territories are still in the process of establishing full coverage.Decisions about coverage in these 2 jurisdictions are cialis usa buy not expected to be completed by October 1, 2021.Health Canada wants to ensure the continued supply of edaravone in Canada. We are extending the personal importation (by mail/courier or individuals) of this needed medication from October 1, 2021, until April 1, 2022.Health Canada authorizationPatients with amyotrophic lateral sclerosis (ALS), their families and health care providers want continued access to the latest treatment options available to them.Health Canada authorized edaravone for the treatment of ALS on October 4, 2018, following a thorough scientific review. As there were limited treatment options available for patients living with ALS, we granted a priority review to Mitsubishi Tanabe Pharma Canada cialis usa buy Inc.

(MTPC Inc.) on its request. Following this review, we issued a notice of compliance so it could cialis usa buy be sold legally in Canada.Prescription statusMTPC Inc. Began marketing edaravone in Canada in November 2019.

Since the safe use of this cialis usa buy drug requires the supervision of a health care practitioner, it was added to the prescription drug list (PDL). This helps ensure that the health and safety of patients in Canada is protected.The intent of the PDL is to inform health care providers and the public on when a substance requires a prescription to be sold in Canada.Listing a drug on the PDL may also generate discussions on health care coverage by publicly and privately funded insurance programs. Health Canada and the Canada Border Services Agency also use the PDL to verify a product’s classification and take the applicable cialis usa buy regulatory action at the border.Once edaravone was added to the PDL and came onto the Canadian market, health care providers were able to begin prescribing it as of November 5, 2019.Transition to the Special Access ProgramIn the past, a limited number of patients accessed this drug through a program administered by the manufacturer and authorized by Health Canada’s Special Access Program (SAP).

MTPC Inc. Informed health care providers of its intent to transition the distribution of edaravone from SAP to its own patient support program as of November 5, 2019, with no interruption in supply.Personal importationHealth Canada wants to ensure the continued supply of this needed medication during the transition of edaravone to cialis usa buy the Canadian market. Thus, we are allowing individuals to continue to import edaravone until April 1, 2022.

Individuals may import the drug personally or have it sent to them by mail or courier.To be imported personally, the drug must be shipped/carried cialis usa buy in appropriate packaging (hospital or pharmacy-dispensed packaging, retail packaging or with the original label). Supporting documentation provided by the patient’s doctor must accompany the package. It must also indicate that the drug is for the individual's own use or for someone whom they cialis usa buy are responsible for and travelling with.

The quantity for import must not exceed a 90-day supply or a single course of treatment based on the directions for use, whichever is less.Patients and their families who have been importing edaravone for their own use should speak with their health care provider about continued access.Health Canada will continue to monitor the situation up to April 1, 2022, to determine whether access via personal importation discretion is still required. We are committed to working with the company, patients and health care providers to help patients access the medications they need.Contact usFor more information on the personal importation policy, please contact cialis usa buy hpbcp-pcpsf@hc-sc.gc.ca.Date published. September 1st, 2021The Regulations Amending Certain Regulations Concerning Drugs and Medical Devices (Shortages) were made on August 11th, 2021.

They amend the Food and Drug Regulations and Medical Devices Regulations and were published in Canada Gazette, cialis usa buy Part II on September 1st, 2021.These new regulations extend and modify certain measures already in place through 2 interim orders (IOs). They have been made to help track, prevent and mitigate shortages of key health products in Canada, including drugs and medical devices.In particular, the regulations. Allow the Minister to require certain regulated parties to provide information needed to assess or respond to a drug or medical device shortage keep the existing framework for the exceptional importation of drugs and medical devices, but with small modifications to clarify how much product can be imported and cialis usa buy how long it can be sold keep the mandatory shortage reporting framework for specified medical devices prohibit the distribution of certain drugs intended for the Canadian market for consumption outside Canada if it could cause or worsen a shortage end the exceptional importation of biocides and foods for a special dietary purpose and introduce temporary flexibilities to allow the sale of products that were already imported into Canada continue temporary flexibilities related to drug establishment licensing for activities related to drug-based hand sanitizersThe regulations also make an amendment to the Certificate of Supplementary Protection Regulations.

The definition of “authorization for sale” is being amended to also exclude exceptional importation for a drug under C.10.008(1). This change is consistent with other exclusions of limited purpose authorizations in these regulations.On this page Why we introduced the amendmentsDrug and medical device shortages are a growing global problem, especially for small markets like Canada.Health care providers need to access drugs and medical devices to provide proper cialis usa buy and timely treatment.Drug and medical device shortages can contribute to a number of negative outcomes, like. Adverse patient outcomes, including delayed or cancelled surgeries disruptions in care because of the need to use other treatments or devices discontinued treatment or use of a therapeutic product where there is no alternative drug or device rationing or hoardingIn 2020 and 2021, the Minister of Health made IOs giving Health Canada new powers to respond to shortages caused or worsened by the erectile dysfunction treatment cialis.

These include cialis usa buy. Interim Orders (IO) expire 1 year after they are made by the Minister.These new regulations were introduced to preserve powers from IOs that are still needed to address future shortages.The regulations will come into force in a manner that prevents these powers from lapsing when the IOs expire.Coming into force on November 27, 2021, are provisions that. Prohibit the distribution of drugs intended for the Canadian market outside of Canada that could cause or worsen a shortage allow the Minister cialis usa buy to compel information in respect of drug shortagesComing into force on March 1, 2022, are provisions concerning the.

Exceptional importation and sale of drugs, medical devices continued sale of exceptionally imported foods for a special dietary purpose as well as biocides for a set period amendment to the Certificate of Supplementary Protection Regulations mandatory reporting of shortages of specified medical devices and the power to compel information on medical device shortages extension of licensing flexibilities for some drug-based hand sanitizersHow the amendments will address therapeutic product shortages in CanadaThese regulations prohibit the distribution of certain drugs intended for the Canadian market outside of Canada if that sale could cause or worsen a drug shortage. The prohibition cialis usa buy applies to drug establishment licence (DEL) holders (for example, fabricators, wholesalers and distributors). A sale is only permitted if the DEL holder has reasonable grounds to believe that it will not cause or worsen a drug shortage.The DEL holder is required to determine whether the sale could cause or worsen a shortage before distributing the drug for use outside Canada.

The DEL holder must then make a record showing cialis usa buy how this was determined.The regulations do not apply to. The sale of drugs for consumption outside of Canada if it will not cause or worsen a drug shortage drugs manufactured for export (not labelled for the Canadian market)Under these regulations, the Minister may require that certain regulated parties provide specific information needed to assess or respond to a drug or medical device shortage. The Minister uses this information to assess the level of risk for the drug or device that may be experiencing a shortage and then make a decision on measures that may prevent or alleviate the shortage.These regulations also keep the existing framework for the exceptional importation of drugs and cialis usa buy medical devices that.

May not fully meet Canadian regulatory requirements but are manufactured according to comparable standardsHealth Canada will continue to keep and update lists of drugs and medical devices that may be temporarily imported and sold on an exceptional basis. This will help prevent and alleviate shortages while maintaining Canada’s high quality cialis usa buy standards for therapeutic products.The new regulations also end the exceptional importation of biocides and foods for a special dietary purpose. Temporary flexibilities have been introduced to allow the sale of products that were already imported into Canada through the IOs.

The changes will cialis usa buy give retail sellers the opportunity to sell the existing stock of imported products.Under the new regulations, manufacturers and importers of specified medical devices are still required to report shortages of their devices. Health Canada will be able to continue to track shortages of medical devices and inform Canadians when there is a shortage or risk of shortage. These amendments also extend temporary flexibilities allowing some people to conduct activities related to drug-based hand sanitizers (for cialis usa buy example, manufacturing, labelling, distributing or importing them) without an establishment licence.

This will allow the continued sale of drug-based hand sanitizers while industry comes into compliance with existing requirements for establishment licensing.How the amendments are different from previous interim ordersThe regulations are similar to provisions contained in the IOs. Because these IOs have been in place for some time, Health Canada and stakeholders have cialis usa buy been able to use the provisions, consult on amendments and identify improvements. Based on this, we made some minor changes to make them clearer and easier to implement.

For example, the regulations clarify how cialis usa buy long DEL holders need to keep records or when manufacturers or importers need to submit medical device shortage reports. The amendments do not allow for the exceptional importation of biocides and foods for a special dietary purpose, which was permitted by Interim Order No. 2 Respecting Drugs, Medical Devices, and Foods for a Special Dietary cialis usa buy Purpose.

Exceptional importation of biocides and foods for a special dietary purpose will end when that IO expires on March 1, 2022. We have cialis usa buy introduced temporary flexibilities so that products that were already imported into Canada may continue to be sold. Biocides that were already imported under the IO can continue to be sold to retail stores until December 31, 2022.

These biocides can be sold at retail level until they expire or until the stock is exhausted Foods for a Special Dietary Purpose that were already imported cialis usa buy under the IO can continue to be sold until they expireWe will send out additional notices before the regulations come into force on November 27, 2021, and March 1, 2022. These notices will refer to revised guidance for industry.Contact usIf you have any questions, please contact us by email at hc.prsd-questionsdspr.sc@canada.ca.Related links.

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How to how to get cialis online cite http://becomingtheiceman.com/faq this article:Singh OP. The National Commission for Allied and Healthcare Professions Act, 2020 and its implication for mental health. Indian J Psychiatry 2021;63:119-20The National Commission for Allied and how to get cialis online Healthcare Professions Act, 2020 has been notified on March 28, 2021, by the Gazette of India published by the Ministry of Law and Justice.

This bill aims to “provide for regulation and maintenance of standards of education and services by allied and healthcare professionals, assessment of institutions, maintenance of a Central Register and State Register and creation of a system to improve access, research and development and adoption of latest scientific advancement and for matters connected therewith or incidental thereto.”[1]This act has created a category of Health Care Professionals which is defined as. €œhealthcare professional” includes a scientist, therapist, or other professional who studies, advises, researches, supervises or provides preventive, curative, rehabilitative, therapeutic or promotional health services and who has obtained any qualification of degree under this Act, the duration of which shall not be <3600 h spread over a period of 3 years to 6 years divided into specific semesters.[1]According to the act, “Allied health professional” includes an associate, technician, or technologist who is trained to perform any technical and practical task to support diagnosis and treatment of illness, disease, injury or impairment, and to support implementation of any healthcare treatment and referral plan recommended by a medical, nursing, or any other healthcare professional, and who has obtained any qualification of diploma or degree under this Act, the duration of which shall not be less than 2000 h spread over a period of 2 years to 4 years divided into specific semesters.”[1]It is noticeable that while the term “Health Care Professionals” does not include doctors who are registered under National Medical Council, Mental Health Care Act (MHCA), 2017 includes psychiatrists under the ambit of Mental Health Care Professionals.[2] This discrepancy needs to be corrected - psychiasts, being another group of medical specialists, should be kept out of the broad umbrella of “Mental Healthcare Professionals.”The category of Behavioural Health Sciences Professional has been included and defined as “a person who undertakes scientific study of the emotions, behaviours and biology relating to a person's mental well-being, their ability to function in everyday life and their concept of self. €œBehavioural health” is the preferred term to “mental health” and includes professionals such as counselors, analysts, psychologists, educators and support workers, who provide counseling, therapy, and mediation services to individuals, families, groups, and communities in response to social and personal difficulties.”[1]This is a welcome step to the extent that it creates a diverse category of how to get cialis online trained workforce in the field of Mental Health (Behavioural Health Science Professionals) and tries to regulate their training although it mainly aims to promote mental wellbeing.

However there is a huge lacuna in the term of “Mental Illness” as defined by MHCA, 2017. Only severe disorders are included as per definition and there is no clarity regarding inclusion of other psychiatric disorders, namely “common mental disorders” such as anxiety and depression. This leaves a strong possibility of concept of “psychiatric illnesses” how to get cialis online being limited to only “severe psychiatric disorders” (major psychoses) thus perpetuating the stigma and alienation associated with psychiatric patients for centuries.

Psychiatrists being restricted to treating severe mental disorders as per MHCA, 2017, there is a strong possibility that the care of common mental disorders may gradually pass on under the care of “behavioural health professionals” as per the new act!. There is need to look into this how to get cialis online aspect by the leadership in psychiatry, both organizational and academic psychiatry, and reduce the contradictions between the MHCA, 2017 and this nascent act. All disorders classified in ICD 10 and DSM 5 should be classified as “Psychiatric Disorders” or “Mental Illness.” This will not only help in fighting the stigma associated with psychiatric illnesses but also promote the integration of psychiatry with other specialties.

References 1.The National Commission for Allied and Healthcare Professions Act, 2021. The Gazette of how to get cialis online India. Published by Ministry of Law and Justice.

28 March, how to get cialis online 2021. 2.The Mental Healthcare Act, 2017. The Gazette of India.

Published by Ministry of Law how to get cialis online and Justice. April 7, 2017. Correspondence Address:Om Prakash SinghAA 304, Ashabari Apartments, O/31, Baishnabghata, Patuli Township, Kolkata - 700 094, West Bengal IndiaSource of Support.

None, Conflict how to get cialis online of Interest. NoneDOI. 10.4103/indianjpsychiatry.indianjpsychiatry_268_21.

How to cite cialis usa buy this you can find out more article:Singh OP. The National Commission for Allied and Healthcare Professions Act, 2020 and its implication for mental health. Indian J Psychiatry 2021;63:119-20The National Commission for Allied and Healthcare Professions Act, 2020 has been cialis usa buy notified on March 28, 2021, by the Gazette of India published by the Ministry of Law and Justice. This bill aims to “provide for regulation and maintenance of standards of education and services by allied and healthcare professionals, assessment of institutions, maintenance of a Central Register and State Register and creation of a system to improve access, research and development and adoption of latest scientific advancement and for matters connected therewith or incidental thereto.”[1]This act has created a category of Health Care Professionals which is defined as.

€œhealthcare professional” includes a scientist, therapist, or other professional who studies, advises, researches, supervises or provides preventive, curative, rehabilitative, therapeutic or promotional health services and who has obtained any qualification of degree under this Act, the duration of which shall not be <3600 h spread over a period of 3 years to 6 years divided into specific semesters.[1]According to the act, “Allied health professional” includes an associate, technician, or technologist who is trained to perform any technical and practical task to support diagnosis and treatment of illness, disease, injury or impairment, and to support implementation of any healthcare treatment and referral plan recommended by a medical, nursing, or any other healthcare professional, and who has obtained any qualification of diploma or degree under this Act, the duration of which shall not be less than 2000 h spread over a period of 2 years to 4 years divided into specific semesters.”[1]It is noticeable that while the term “Health Care Professionals” does not include doctors who are registered under National Medical Council, Mental Health Care Act (MHCA), 2017 includes psychiatrists under the ambit of Mental Health Care Professionals.[2] This discrepancy needs to be corrected - psychiasts, being another group of medical specialists, should be kept out of the broad umbrella of “Mental Healthcare Professionals.”The category of Behavioural Health Sciences Professional has been included and defined as “a person who undertakes scientific study of the emotions, behaviours and biology relating to a person's mental well-being, their ability to function in everyday life and their concept of self. €œBehavioural health” is the preferred term to “mental health” and includes professionals such as counselors, analysts, psychologists, educators and support workers, who provide counseling, therapy, and mediation services to individuals, families, groups, and communities in response to social and personal difficulties.”[1]This is a welcome step to the extent that it creates a diverse category of trained workforce in the field of Mental Health (Behavioural Health Science Professionals) and tries to regulate their training although it mainly aims to promote mental cialis usa buy wellbeing. However there is a huge lacuna in the term of “Mental Illness” as defined by MHCA, 2017. Only severe disorders are included as per definition and there is no clarity regarding inclusion of other psychiatric disorders, namely “common mental disorders” such as anxiety and depression.

This leaves a strong possibility of concept of “psychiatric cialis usa buy illnesses” being limited to only “severe psychiatric disorders” (major psychoses) thus perpetuating the stigma and alienation associated with psychiatric patients for centuries. Psychiatrists being restricted to treating severe mental disorders as per MHCA, 2017, there is a strong possibility that the care of common mental disorders may gradually pass on under the care of “behavioural health professionals” as per the new act!. There is need to look into this aspect by the cialis usa buy leadership in psychiatry, both organizational and academic psychiatry, and reduce the contradictions between the MHCA, 2017 and this nascent act. All disorders classified in ICD 10 and DSM 5 should be classified as “Psychiatric Disorders” or “Mental Illness.” This will not only help in fighting the stigma associated with psychiatric illnesses but also promote the integration of psychiatry with other specialties.

References 1.The National Commission for Allied and Healthcare Professions see here Act, 2021. The Gazette of cialis usa buy India. Published by Ministry of Law and Justice. 28 March, cialis usa buy 2021.

2.The Mental Healthcare Act, 2017. The Gazette of India. Published by cialis usa buy Ministry of Law and Justice. April 7, 2017.

Correspondence Address:Om Prakash SinghAA 304, Ashabari Apartments, O/31, Baishnabghata, Patuli Township, Kolkata - 700 094, West Bengal IndiaSource of Support. None, Conflict of cialis usa buy Interest. NoneDOI. 10.4103/indianjpsychiatry.indianjpsychiatry_268_21.

Does cialis make you hornier

Regular use of an antibacterial mouthwash does not prevent oropharyngeal gonococcal The double-blind Oral Mouthwash use to Eradicate GonorrhoeA (OMEGA) trial randomised men who have sex with Aciphex 20mg cost men to rinse and gargle at least once daily for 60 s with either an does cialis make you hornier antibacterial mouthwash (Listerine. N=219) or a does cialis make you hornier mouth lubricant as control (Biotène. N=227) for a total of 12 weeks.1 2 Oropharyngeal swabs were collected 6-weekly and saliva 3-weekly.

The number of incident cases of oropharyngeal gonorrhoea was 15 (7%) in the Listerine group and 10 (4%) in does cialis make you hornier the Biotène group. At week 12, the adjusted risk difference in the cumulative incidence of oropharyngeal gonorrhoea between the two groups was 3.1% (95% does cialis make you hornier CI −1.4 to 7.7). While the large CI indicates the need for further data, these initial findings do not support a protective effect of Listerine against oropharyngeal gonorrhoea.Transient impact of erectile dysfunction treatment on HIV care in four African countriesInvestigators analysed data from the African Cohort Study, which prospectively collects information from 12 clinics across 5 HIV care programmes in Tanzania, Uganda, Kenya and Nigeria.3 Parameters including HIV clinic visit adherence, virological suppression and food security were compared between the periods January 2019–March 2020 (precialis phase) and May 2020–February 2021 (cialis phase).

After adjusting for age, sex and HIV care programme, both attendance of scheduled clinic visits and food security were significantly reduced does cialis make you hornier in the early cialis phase, but not after 7 September 2020. There were no detrimental does cialis make you hornier effects on treatment adherence and virological suppression rates. The findings provide reassurance, although they are not fully representative of the general HIV population across Africa.

There remains a does cialis make you hornier need to investigate the impact of the erectile dysfunction treatment cialis on HIV care globally.Expedited partner therapy does not improve eradication of Chlamydia trachomatis before deliveryExpedited partner therapy (EPT) enables providers to prescribe treatment for partners of patients diagnosed with an STI, without the partner having to establish direct care.4 This cohort study evaluated a prenatal EPT programme in Dallas, Texas, a high Chlamydia trachomatis (CT) prevalence area. Investigators evaluated the effect of EPT on rates of CT before delivery compared with the traditional partner referral, testing and treatment approach used the does cialis make you hornier year before. The rate of was 15% (61 of 419) with EPT vs 13% (60 of 471) with the standard approach (OR 0.86.

95% CI 0.58 to 1.26) does cialis make you hornier. EPT on its own is unlikely to be enough to successfully eradicate CT before delivery.Homelessness and housing instability increase the risk of HIV and hepatitis C cialis among people who inject drugsPeople who inject drugs (PWID) are at increased risk of HIV and hepatitis C cialis (HCV) and have high levels of homelessness and unstable housing.5 This systematic review and meta-analysis included studies published between 2017 and 2020 that estimated HIV or HCV incidence, does cialis make you hornier or both, among community-recruited PWID. In the pooled estimates, recent homelessness or unstable housing (current or within 1 year) increased the risk of acquiring HIV and HCV compared with stable housing, with an adjusted relative risk of 1.39 (95% CI 1.06 to 1.84.

P=0.019) for HIV and 1.64 (95% CI 1.43 does cialis make you hornier to 1.89. P<0.0001) for does cialis make you hornier HCV. Risk reduction for PWID must include interventions to support housing stability.Unrecognised oral and anal shedding of Treponema pallidum in MSM with early syphilisMouth, anus, urethra and semen samples were systematically collected in 200 men who have sex with men (MSM) (31% living with HIV) to investigate Treponema pallidum shedding from asymptomatic sites relative to lesion sites.6 Across all stages of early syphilis, comprising primary, secondary and early latent, 91%, 74% and 8%, respectively, had T.

Pallidum at any site, and 20%, 26% and 0% had detection at two or more does cialis make you hornier sites, with the highest detection in the mouth (24%) and anus (23%). Oral and does cialis make you hornier anal shedding of T. Pallidum was most frequent during secondary syphilis and often occurred in the absence of overt syphilis lesions, independently of HIV status.

Studies are needed to demonstrate does cialis make you hornier bacteria viability from asymptomatic shedding sites and whether its detection might improve syphilis control.Published in Sexually Transmitted s - The Editor’s Choice. The combination of dolutegravir/rilpivirine used in HIV and neuropsychiatric does cialis make you hornier adverse effectsPooling data from 20 randomised trials with a minimum duration of 48 weeks, this meta-analysis investigated the risk of neurotoxicity (defined as the occurrence of depression, anxiety, insomnia, dizziness or suicidal behaviour) in adults treated with rilpivirine, dolutegravir or the combination dolutegravir/rilpivirine versus comparator regimens.7 Twelve trials were in treatment-naive and eight in treatment-experienced participants, totalling 10 998 individuals. Depression was the most common neuropsychiatric event, whereas suicidal behaviour was the least common.

The relative does cialis make you hornier risk (RR) of depression was not different with dolutegravir or rilpivirine versus comparator. In contrast, dolutegravir/rilpivirine showed a synergistic effect on depression, does cialis make you hornier with an RR of 2.82 (95% CI 1.12 to 7.10. P=0.03), although no study directly compared dolutegravir/rilpivirine with efavirenz.

While further studies are needed, the occurrence of depression should be monitored during dolutegravir/rilpivirine therapy.IntroductionIt has long been understood that increased exposure to a specialty is associated with increased likelihood of applying to that specialty training programme.1 Medical students often have few timetabled sexual health and HIV clinics in their undergraduate training and have been found to lack accurate factual knowledge.2 In England, 2020, genitourinary medicine (GUM) saw only 0.58 applicants per training position, the lowest of all 43 ST3-level programmes listed by Health Education does cialis make you hornier England and one of only four with a competition ratio <1.0.3 Many oversubscribed specialties such as psychiatry and obstetrics and gynaecology have dedicated associations for medical students and/or pre-specialty trainees interested in these fields.The Student and Trainee Association for Sexual Health and HIV (STASHH) was founded in spring 2021 by Dr Hannah Church, Eleanor Cochrane and Dr Eleanor Crook with support from the BASHH. Its overarching aim is to ….

Regular use of cialis usa buy an antibacterial mouthwash does not prevent oropharyngeal gonococcal The double-blind Oral Mouthwash use to Eradicate https://gb.toto.com/aciphex-20mg-cost/ GonorrhoeA (OMEGA) trial randomised men who have sex with men to rinse and gargle at least once daily for 60 s with either an antibacterial mouthwash (Listerine. N=219) or a mouth lubricant as control (Biotène cialis usa buy. N=227) for a total of 12 weeks.1 2 Oropharyngeal swabs were collected 6-weekly and saliva 3-weekly.

The number of incident cases of oropharyngeal gonorrhoea was 15 (7%) in the Listerine group and 10 (4%) in the Biotène group cialis usa buy. At week 12, the adjusted risk difference in the cumulative incidence of oropharyngeal gonorrhoea between the two groups was 3.1% (95% CI −1.4 cialis usa buy to 7.7). While the large CI indicates the need for further data, these initial findings do not support a protective effect of Listerine against oropharyngeal gonorrhoea.Transient impact of erectile dysfunction treatment on HIV care in four African countriesInvestigators analysed data from the African Cohort Study, which prospectively collects information from 12 clinics across 5 HIV care programmes in Tanzania, Uganda, Kenya and Nigeria.3 Parameters including HIV clinic visit adherence, virological suppression and food security were compared between the periods January 2019–March 2020 (precialis phase) and May 2020–February 2021 (cialis phase).

After adjusting cialis usa buy for age, sex and HIV care programme, both attendance of scheduled clinic visits and food security were significantly reduced in the early cialis phase, but not after 7 September 2020. There were no detrimental effects on treatment adherence cialis usa buy and virological suppression rates. The findings provide reassurance, although they are not fully representative of the general HIV population across Africa.

There remains a need to investigate the impact of the erectile dysfunction treatment cialis on HIV care globally.Expedited partner therapy does not improve eradication of Chlamydia trachomatis before deliveryExpedited partner therapy (EPT) enables providers to prescribe treatment for partners of patients diagnosed with an STI, without the partner having to establish direct care.4 This cohort study evaluated a prenatal EPT programme in Dallas, Texas, a cialis usa buy high Chlamydia trachomatis (CT) prevalence area. Investigators evaluated the effect of EPT on rates of CT before delivery compared with the traditional partner referral, testing and treatment cialis usa buy approach used the year before. The rate of was 15% (61 of 419) with EPT vs 13% (60 of 471) with the standard approach (OR 0.86.

95% CI 0.58 cialis usa buy to 1.26). EPT on its own is unlikely to be enough to successfully eradicate CT before delivery.Homelessness and housing instability increase cialis usa buy the risk of HIV and hepatitis C cialis among people who inject drugsPeople who inject drugs (PWID) are at increased risk of HIV and hepatitis C cialis (HCV) and have high levels of homelessness and unstable housing.5 This systematic review and meta-analysis included studies published between 2017 and 2020 that estimated HIV or HCV incidence, or both, among community-recruited PWID. In the pooled estimates, recent homelessness or unstable housing (current or within 1 year) increased the risk of acquiring HIV and HCV compared with stable housing, with an adjusted relative risk of 1.39 (95% CI 1.06 to 1.84.

P=0.019) for cialis usa buy HIV and 1.64 (95% CI 1.43 to 1.89. P<0.0001) for cialis usa buy HCV. Risk reduction for PWID must include interventions to support housing stability.Unrecognised oral and anal shedding of Treponema pallidum in MSM with early syphilisMouth, anus, urethra and semen samples were systematically collected in 200 men who have sex with men (MSM) (31% living with HIV) to investigate Treponema pallidum shedding from asymptomatic sites relative to lesion sites.6 Across all stages of early syphilis, comprising primary, secondary and early latent, 91%, 74% and 8%, respectively, had T.

Pallidum at any site, and 20%, 26% and 0% had detection cialis usa buy at two or more sites, with the highest detection in the mouth (24%) and anus (23%). Oral and cialis usa buy anal shedding of T. Pallidum was most frequent during secondary syphilis and often occurred in the absence of overt syphilis lesions, independently of HIV status.

Studies are needed to demonstrate bacteria viability from asymptomatic shedding sites and whether its detection cialis usa buy might improve syphilis control.Published in Sexually Transmitted s - The Editor’s Choice. The combination of dolutegravir/rilpivirine used in HIV and neuropsychiatric adverse effectsPooling data from 20 randomised trials with a minimum duration of 48 weeks, this meta-analysis investigated the risk of neurotoxicity (defined as the occurrence of depression, anxiety, insomnia, dizziness or suicidal behaviour) in adults treated with rilpivirine, dolutegravir or the combination dolutegravir/rilpivirine versus cialis usa buy comparator regimens.7 Twelve trials were in treatment-naive and eight in treatment-experienced participants, totalling 10 998 individuals. Depression was the most common neuropsychiatric event, whereas suicidal behaviour was the least common.

The relative risk (RR) of depression was not different with dolutegravir or cialis usa buy rilpivirine versus comparator. In contrast, dolutegravir/rilpivirine showed a synergistic effect cialis usa buy on depression, with an RR of 2.82 (95% CI 1.12 to 7.10. P=0.03), although no study directly compared dolutegravir/rilpivirine with efavirenz.

While further studies are needed, the occurrence of depression should be monitored during dolutegravir/rilpivirine therapy.IntroductionIt has long been understood that increased exposure to a specialty is associated with increased likelihood cialis usa buy of applying to that specialty training programme.1 Medical students often have few timetabled sexual health and HIV clinics in their undergraduate training and have been found to lack accurate factual knowledge.2 In England, 2020, genitourinary medicine (GUM) saw only 0.58 applicants per training position, the lowest of all 43 ST3-level programmes listed by Health Education England and one of only four with a competition ratio <1.0.3 Many oversubscribed specialties such as psychiatry and obstetrics and gynaecology have dedicated associations for medical students and/or pre-specialty trainees interested in these fields.The Student and Trainee Association for Sexual Health and HIV (STASHH) was founded in spring 2021 by Dr Hannah Church, Eleanor Cochrane and Dr Eleanor Crook with support from the BASHH. Its overarching aim is to ….

!]


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Apr 292013
 

From Reveal: A Sacred Manual for Getting Spiritually Naked, by Meggan Watterson:

“The world of magic and of love that I secretly believed in was all around me, a part of me and a part of what it is to be human. As terrifying as it was to believe … I knew the time had come to surrender to the truth that I have the power to conjure what my soul longs for most.”

I really liked this book — a lot.

As a woman, I always enjoy learning about and applying ideas related to the Divine Feminine. It’s a rich and fascinating area.

I had the impression that’s what this book was about. As I eagerly cracked it open, I saw that it was.

And it’s also so much more.

Lift the veil that shrouds your strangeness. Dare to see how powerful you are.

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As a master theologian and scholar of the Divine Feminine, Meggan is able to share way more about this rich subject than I could possibly get into right here. I very much enjoyed the breadth of information she shared about all the various “incarnations” of the Divine Feminine.

I found it very interesting, and although she made her points about it, she did it in such a way that it often left me wanting even more.

Fortunately she cites various books and provides lots of references that we can follow up on for further reading.

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What I didn’t expect is that Meggan’s journey would be so expertly interwoven into that information. Not only the stories of her pilgrimages (which were really interesting) but also her own inner journeys as she discovered the Divinity within herself.

I really loved this aspect of the book and was able to identify. It’s really fun to be able to connect my experiences with the symbology and actuality of what the famous icons of the Divine Feminine represent.

It keeps the reading interesting and even though you’re learning a lot about the Divine Feminine as it’s existed throughout the ages, you’re always relating it to now and what it means to you in your life.

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And yet, Meggan takes it even another step farther.

The book is laid out in a way that we are peeled like an onion. Or rather, that “the veils” are lifted in succession. The subtitle is, after all: A Sacred Manual for Getting Spiritually Naked.

And it really is about embracing and honoring ourselves as women, and as spirit. As the Divine, and the Feminine.

The true human can remember the Divine within and use that consciousness to help create reality through the infinite grace and power of the “I Am.”

The 7 veils she helps remove are related to:

  • Our stories
  • Our bodies
  • Our soul-voice
  • Our worth
  • Our inner mystic
  • Our soul-work
  • Our spiritual community

In several of these chapters, I found myself highlighting almost everything!

I especially liked the soul-voice and soul-work chapters. They are both so rich in ideas and inspiration that we can apply meaningfully in these areas of our lives.

Meggan is masterful at making a genuine connection with your heart, so you really “get”, at a deep level, what she’s saying. She also includes beautiful transcendent poetry which, like her words, can reach out from the page and touch you.

We all have encounters with the sacred. We just have to cultivate the eye that can perceive them. We have to see what’s already here, interwoven with what we claim is human and mundane. We have to take inventory of the magic that conspires to love us in and through our ordinary lives.

So really, what you’ve got here, is:

  • This wonderfully rich source of interesting and relevant information
  • Meggan’s fascinating stories that go along with it and illuminate the principles
  • Compelling examples and ideas you can actually use to more fully enjoy your own spiritual journey and take it as deep as you dare.

It’s time to stop investing in the limits we’ve identified with and start believing in the impossible, the ineffable, that lives in and through us all the time. It’s time to come out of the spiritual closet. We need to let our own mystery breathe. It’s time to unlock the chains we have placed on the most magical aspect of our being and let our inner mystic go for a walk around the neighborhood in broad daylight.

This book, like the author, is a true celebration of the feminine … Divine or otherwise.

I highly recommend it.

(All quotes from  Reveal: A Sacred Manual for Getting Spiritually Naked, by Meggan Watterson.)

Disclaimer: I received this book for free from Hay House Publishing for review purposes, yet you can rest assured that this review reflects my honest evaluation.

Have you read this book? I’d love for you to leave a comment and let us know how it was for you! Or do you have any questions about it? Ask away!

Patti

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Apr 052013
 

Frozen Shoulder - Healed!Welcome to the 2nd article in my new series about the Open State.

(Click here for the first article which introduces the series and covers why the heck you should even care about the Open State.)

★   ★   ★

I want to start with something kind of fun and amazing!

I’m going to show with an example why you want to care about this.

It involves a complete healing of my frozen shoulder.

I’m also including the audio from a private session I did on myself.

So you’ll not only see the usefulness of the Open State, but also open your mind to what’s possible, a super-helpful frame of mind to be in to really make use of the Open State.

If you haven’t been reading along up until now, you might enjoy perusing my last set of articles about the value and importance of an open mind.

It really is a prerequisite for making use of the Open State — at least when it comes to facilitating magic and miracles! (And who wouldn’t want to do that?)

If you can’t believe in *magical* possibilities, you’re not as likely to manifest them.
Open to the Possibilities and Emerge!

Can you let go of what you think you know and open your mind wide to all the possibilities?
Let Magic Be Your New Normal

This is about the dance between and open mind and the Open State, and how they both enhance each other.
Dance Your Way to an Expanded Reality

And here are some of my favorite books that can help immensely.
10 Books to Blow Your Mind Wide Open

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Actually … no.

Note I don’t say that “I” healed my shoulder. I simply accessed “The Field” (by entering the Open State) and let it do the rest.

Here’s the background.

Awhile back, I’d developed what’s known as a “frozen shoulder”, although I didn’t think about it that way. (Richard Bartlett says when we hook into a diagnosis, it’s like a curse. Think about it. You sort of set it in stone as your reality.)

I could barely lift it to be parallel to the ground, and for awhile, not even that. This was as good as it got, even after numerous intensive treatments by professionals. They had essentially given up on any significant improvement without expensive, ongoing physical therapy or surgery.

So that sets the stage, in a nutshell.

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Since I’ve already written about my healing process as it occurred, I’m listing the articles that contain the details.

Together these articles reveal the key to how it finally healed 100% using the Open State. (Search each one for “shoulder” to see what was going on at the time.)

They also have useful information and exercises you can apply right now.

This first might be outside your comfort zone about what our bodies even are, but it’s one of my very favorite posts. Even I still refer to it from time to time. 😉 Open your mind to the idea that our bodies may not be a “solid” thing. It has lots of great quotes by Deepak Chopra.
Your Magical Mind, Magical Body

Here’s a holistic view of what was going on with my shoulder. I took advantage of some amazing signs, synchronicities, and even a channeled message. They all played a part in some powerful guidance that helped get me on a healing track.
Does Your Guidance Have to Scream to Get Your Attention?

In this post I only mention it along with other things I’ve used Emergence for. I’m including it because you can see where the Open State fits into the entire Emergence process which is nicely summarized. (Pay attention to the section ”The Field” which is where I talk about “the state” which is what I now call the Open State. Toward the end is a link to a popular post that guides you into the Open State.
Activate Magic and Miracles With Me!

Here’s one where I use the “Magic Mirror” tool (suggested by my channeling guide) with much success — in fact my shoulder completed its healing as a result of this work, I’m sure of it. This post also tells exactly how you can do this too.
Heal Your Paired Body Part :: The Magic Mirror Tool

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And now … I’m sharing an audio with you of one of my private sessions with myself so you can get a feel for what transpires.

It was one of just a few sessions with my shoulder.

At that point, I could only lift my left arm about 45-90 degrees (so at best just parallel to the floor).

I was guided to stand in front of the mirror and do a session on “that person in the mirror” (oui, c’est moi!) as if for someone else.

You’ll hear me mention a two-point which is a Matrix Energetics technique.

I also have what I call “healing burps”. These started when I learned to channel and are indications that things are being processed and are shifting/healing.

Also, at one point (maybe two) you’ll hear me get suddenly emotional. That’s not uncommon and again, just shows that things are moving.

Patti does an Emergence session on her shoulder (Audio – 16 min.)
Listen below, or click here if you’re reading this in email.

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In the audio, I refer to two books. Just FYI,

• When I talk about giving to the universe vs. taking — and using the mirror as part of an exercise for that — I’m referring to something I learned from The Presence Process by Michael Brown. It’s an excellent book that walks you through a powerful process.

• And then, I mention a book that my eyes fall upon during the session. It’s Byron Katie’s A Thousand Names for Joy, and one of my all-time favorites.

So … I hope the combination of reviewing the story of my healed – yes, healed! – shoulder along with listening to the session itself has opened your eyes to:

1. What’s possible, and

2. How the Open State (which is the foundation for Holographic Emergence™) is super useful!

Until next time … Namasté,

Patti

Any questions? Comments? Were all those posts a bit too much for you? Let me know! And if you liked this post, your sharing it on Twitter or Facebook is much appreciated! (Buttons below.)


Want a perfect summary of what Emergence is all aboutplus a session I did just for subscribers? You’ll receive the Emergence Primer + Tune-Up Session as a thank-you gift (it’s an instant download) when you subscribe to my free newsletter.


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Feb 242013
 

In Western society, the rational mind rules.

We’re encouraged to develop and honor it above all else, even to the exclusion of all else.

It’s too bad.

Being purely rational — even predominantly rational — limits us more than we know.

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In my last post, I talked about the importance of having an open mind. And what I mean by this is not just being open to new, rational ideas.

It’s about opening your whole self, your larger “mind”, to the idea that you may not know it all; you may never know it all!

And it’s helpful to open to the possibility that there is more than we can ever know or understand.

What happens then is you allow some other parts of you to operate along with (or sometimes instead of) your rational mind.

It’s a more holistic, aware, intuitive, and in short, expanded way of being. (And so fun!)

This is an especially important foundation to build on if you want to be able to take advantage of the Open State that is critical to Emergence, allowing the magic that is you to unfold into your life.

As I’ve said before, if you believe there’s no such thing as magic, you’re not as likely to experience it.

Entering the Open State is easiest if you can expand your mind, or let go of your thoughts altogether (especially your thoughts of disbelief).

But in the meantime, you don’t have to be perfect.

Just make a start.

Open the door just a little.

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The Open State and an open mind work together (or play together).

It’s like a dance, where each interacts with and enlivens the other.

Expanding and strengthening each is an iterative process.

I know this to be true as I am doing the dance, and have been for a long time!

If you’re willing to do this, you’ll find that rather than build new beliefs, your mind will be fluid and open to whatever shows up in the moment.

Your perceptions will be spontaneous and dynamic. (Much more about what this means and how you can do it too in the upcoming Open State series.)

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During our last Activation, we did a quick and easy process together.

Afterward, I got a question that made the idea of this dance quite apparent.

It was about the questioner’s thoughts, and her beliefs — that rational mind, again! — and how they help or hurt the process.

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I wanted to share the question and answer with you.

After the call, a few more ideas came to me and I’ve added those also. (So those of you on the call and with the recording have not heard all of this yet.)

(For some context it might help you to first listen to the Opening + Emergence audio found in my post Open to the Possibilities and Emerge!)

Beliefs Question and Answers (Audio – 10 min.)
Listen below, or right-click here to download.

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Enjoy!

Note: In my answer, I recommend a book called The Field by Lynne McTaggart. It’s a great way to help open your mind, and is a fun read, besides. You can always find it and other books I recommend in my store.

I’ll be recommending more books that are specifically on this topic shortly.

In the meantime, if you want to know more about Emergence, sign up for my newsletter. As a free gift you’ll get the Emergence Primer plus a Tune-Up Session audio that you can use over and over.

Or check out the posts listed in my side-bar for an ordered introduction to this new and exciting way of being and manifesting.

Thanks for reading!

Until next time,

Patti

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Feb 162013
 

Magic is the New NormalWOW, I sure enjoyed our recent January Activation!

It went well, and it was enlightening for me to interact with those of you who participated (thank you)!

I got a great question during the Q & A that made something I’d been considering even more apparent.

It’s the importance of developing an open mind.

It’s the very first step, even before learning about the Open State and how to be in it.

We need to get out of our own way so that we can take advantage of what the Open State offers.

(If you were on the call, you heard me announce a February blog series about the Open State, but this made me realize I first want/need to write awhile about an open mind. So here we go!)

Can you let go of what you think you know and open your mind wide to all the possibilities?

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I’ve been developing my magical thinking all my life, really. I didn’t think about it that way at the time, but that’s what I was doing. It’s perfectly natural to me.

It’s so natural, that I’m coming to the conclusion that magic is the new normal: Many of my friends live that way, as do many of you.

If the idea of an open mind sounds or feels foreign to you, know that you can develop one deliberately.

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And it’s not so much about learning something new. It’s more about UN-learning what you think you know.

UN-learning all your limiting beliefs.

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And it’s not about believing in magic and miracles.

It’s not about believing in anything!

It’s about letting go of beliefs and being willing to open to the possibilities!

Then you’ll be not only more able, but also more motivated to embrace the Open State which is an expanded way of perceiving and experiencing (and the state from which you can easily facilitate magic and miracles).

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In many ways, an open mind is the primary foundation of Emergence. But to be more accurate, it’s more of a non-foundation, since unlike most foundations, it’s an undefined element.

Rather than being “solid”, it’s malleable and always changeable.

That’s the beauty, the magic, and the fun of it.

In the world where magic is the new normal, you get to make it up as you go. (Stick with me and you’ll “get” what this means. ;-))

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So a truly open mind allows for a new mindset where your perspective remains fluid.

It enables you to open to the possibilities:

• Of the process

No rules!

• Of the results

No limits!

• Of reality

It may not be what you think it is — in fact, it’s probably not!

Your open mind will be much more open to possibilities than is the (old ;-)) norm.

So, are you open to becoming more open?

If so, keep an eye on this space.

In upcoming posts I’ll be presenting some new models to play with that will help you open your mind even more than it already is.

And if you want to know more about Emergence, sign up for my newsletter and as a free gift you’ll get the Emergence Primer plus a Tune-Up Session audio you can use over and over.

Thanks for reading! Until next time,

Patti

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Feb 082013
 

Hello, magical creatures!

Here’s a short, easy-to-listen-to audio that sets the stage for several of my upcoming articles.

It’s an excerpt from our most recent live Activation (a group Holographic Emergence™ session).

In essence, it’s about opening to the possibilities of your reality:

If you can’t believe in *magical* possibilities, you’re not as likely to see or manifest them

• A brief, in-a-nutshell explanation of what I call “Emergence” and why

Listening will give you a better idea of what this blog is about, too.

Opening + Emergence (Audio – 10 min.)
Listen below, or right-click here to download.

Audio clip: Adobe Flash Player (version 9 or above) is required to play this audio clip. Download the latest version here. You also need to have JavaScript enabled in your browser.

I hope you enjoyed that! (Let me know!)

And if you want a bit more on Emergence, sign up for my newsletter and as a free gift you’ll get the Emergence Primer plus a Tune-Up Session audio you can use over and over.

Thanks for reading! Until next time,

Patti

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Nov 022012
 

Life as a Doorway to the Field“Death is not the opposite of life. Life has no opposite. The opposite of death is birth. Life is eternal.”

~ Eckhart Tolle, Stillness Speaks

I LOVE this quote. It’s crossed my mind often since first reading it.

And it’s come to mind most recently after losing our sweet lab, Ollie, especially because I had a lot of synchronicities that made me aware — at a deep level — of the same thing.

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It started just a few days after his death.

I was in the back yard and as I looked up I saw 2 mourning doves walking around the bush from his grave. Now, I never see mourning doves back there, even rarely see them at all around here. And that they should come right from his grave while I was there … Well, let’s just say I noticed.

Shortly after that, I was walking over to visit his grave and out hopped a bunny from behind it. It came right over to me, within about 3′, and stopped right at the grave. Again, I took notice.

Even funnier, the next morning I got up and there was the bunny lying in the backyard, all stretched out, right where Ollie used to lay all stretched out!

This was odd enough but this happened several days in a row.

This was getting a little strange, even for me!

Over the next week or two, the quote just kept coming back to mind.

And it seemed that everywhere I went, there was Life.

There were lizards, snakes, birds (ravens, baby flycatchers that hatched and flew the coop, and another mourning dove that flew right in front of me), a big moth that sat right on the post near me on the front porch while I worked, and of course, bunnies galore — to name a few.

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All of this made me sooo aware that Life goes on.

And I don’t mean “life goes on” like your life situation has to continue.

I mean Life just goes on! There is no end to it.

And I did revel in the fact that Ollie was still around. I felt him, not only as his presence, but as Life itself!

I recently did a book review of Dying To Be Me by Anita Moorjani about her near-death experience (NDE). But did you know I had my own NDE? I did … Not as involved as Anita’s, but enough for me to get a taste of what happens when we die. And I can tell you, Life goes on! It’s amazing.

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So you may wonder what this has to do with Emergence.

Well, experiencing the Life that you are — even your life force (which is a little bit of an abstraction of it but still a good stepping stone) — is a doorway to the state of consciousness you enter when you “do” Emergence.

It’s your conscious connection to a powerful field of magic and miracles.

In some ways, the state is impossible to speak of, but there are a lot of pointers that can help lead you to it.

This is one of them. (Note: For some instruction on experiencing your life force and using it to strengthen your immune system or even heal, see remedy #16 in Kiss Your Cold Goodbye Fast With These 20 Natural and Vibrational Remedies.)

And once you’re adept at entering the state … at being … and being life consciously, with awareness — the rest is a piece of cake. 😉

The truth is: you don’t have a life, you are life, the One Life, the one consciousness that pervades the entire universe and takes temporary form to experience itself as a stone or a blade of grass, as an animal, a person, a star or a galaxy.

Can you sense deep within that you already know that? Can you sense that you already are That?

~ Eckhart Tolle, Stillness Speaks

Thanks for reading, and here’s to you — as Life emerging!

Patti

 

 

As usual, I’d love to hear what you have to share about this topic, or any questions you might have. Just use the comment box! Thank you!


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Then sign up for my newsletter to qualify and be notified of our next free group Emergence session (aka “Activation”).

Of course, you can always get your own private Emergence session too. ;-) For more information, see my Holographic Emergence Sessions™ page.

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Apr 042012
 

Don’t you love a bargain?

I do too.

And I love activations, magical thinking, books, and all types of meditation.

They all have the potential to open you to new worlds, just like cracking the egg does for a little hatch-ling.

And oooo, combinations of all of the above are worth getting excited about!

Here are some valuable bargains that have come to my attention lately that I want to share with you.

(And they’re almost upon us so read this now!)

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If you didn’t see my tweets or Facebook postings and haven’t already registered, hop on over to Jo Dunning’s site and sign up for her “Activations of Awakening”.

It’s imminent! Tonight (Weds. ) at 6p PDT.

You write down your intentions for the session ahead of time, and then show up.

It’s different than what I did in my recent Spring Activation, and you can read all about Jo’s on her site.

I did it in Jan. ’11 and it was powerful! I swear, all kinds of things related to my intentions were suddenly on the move. So much so that it was a bit overwhelming for awhile.

Oh, and did I say it’s FREE? Yes!

And speaking of free, check out her brand new Wish Project while you’re there.

Thank you, Jo! 🙂

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I live in the high desert and over the years here have deeply connected with the ravens and all that Raven implies. S/he is magical, a messenger, and helps bring the subconscious into the light of awareness.

I recently had a friend pass away who was known far and wide as Raven. A gifted poet and otherwise remarkable man who was loved by many. So sad for us left behind without his bright light.

And then what flies into my life unexpectedly but a book about Raven. It’s beautifully written by my sweet and wise friend Christopher Foster of The Happy Seeker. I’m enjoying it little morsel by little morsel and can say that the love with which it obviously was written is almost palpable.

In Christopher’s words:

I’ve written four or five books over the years but am most proud of an animal fable entitled The Raven Who Spoke with God.

It’s a story about integrity and the unconquerable spirit in us all, and I mailed out the first copies on the morning of 9/11. The book was translated into 11 foreign-language editions but then it reached the end of its natural life, or so I thought.

Recently, however, my book has been published in Kindle format.

Oh, and did I say it’s FREE too?

Well, that is if you jump on it this Easter weekend, from this Friday thru Sunday, you can download a free Kindle edition. (And if you don’t have a Kindle it’s a snap to install the free software from Amazon so you can read Kindle books on your PC or Mac.)

You can get it here. And please help spread the word!

And of course it will still be available after this weekend, and well worth the little bit Christopher is asking for it.

Thank you, Christopher! 🙂

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And finally, someone I know is getting close to releasing an awesome meditation product.

[Update: This meditation product has launched! You can find out more about it here.]

It’s aimed at the busy individual (know anyone like that?) who wants to reawaken to their natural inner balance, their calm connection to spirit, and their body’s natural state of health. It helps awaken intuitive guidance, dreams and aspirations, and it enhances productivity and success.

I was lucky to be one of the reviewers and my gosh! I can’t say enough good things about it.

I was hugely impressed.

It consists of:

  • 1 instruction manual (how to use the system)
  • 3 beautiful (and beautifully written) books
  • 1 workbook, and
  • 20 guided meditations

I’m not normally much of a guided meditation gal, but I have to say, I absolutely loved them! Every day I looked so forward to my guided meditation time.

It seemed to me that it’s almost like 3 offerings in one, although tightly integrated so each supports the others.

It’s like a class on silent meditation, another on using guided meditations, and yet another with step-by-step instruction/exercises for creating your own guided meditations to visualize what it is you want to create in your life.

ON top of that, there are four bonuses included … and they’re BIG bonuses!

And then I found out the asking price. What?! I thought I must have read it wrong.

Surely the price was supposed to have a zero behind it or maybe in the middle.

But no.

Talk about value. It’s worth it for the versatile set of guided meditations alone.

I’m delighted to have an interview with the creator about it that I’ll post here for you once the product’s available.

[Update: It’s available! You can find the interview here.]

You’ll hear all about the (amazing!) bonuses and you’ll get a link to a special free download so you can try out a part of the system.

Note that the system is not available quite yet! But in the interview post I’ll include all the details about how to get your hot little hands on it once it’s available. (And just so you know, if I’m smart I’ll be an affiliate by then, because it’s a truly remarkable system and I highly recommend it.)

Thank you, Mystery Person! 🙂

That’s it for now. Signing off. Happy Easter, and namasté.

If you take advantage of any of these bargains, please let us know what you thought of them in the comments!

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Mar 212012
 

This Friday I’m holding my first group Holographic Emergence Session, in the form of a Spring Activation teleconference.

And boy, do I keep wanting to control it!

I’m so trained. We all are. Trained to take charge, “make” it happen, be responsible. I want so badly for it to be beneficial for all the attendees that I keep feeling like I have to force it somehow. No unknowns. Not even “happy accidents”. I notice myself starting to worry that I need to be better prepared. That it ought to be structured.

But this new (cutting edge, truly) way of operating challenges all those old habits.

And it can be downright unnerving.

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The power of consciousness technology (such as Matrix Energetics, on which my Holographic Emergence sessions are based) is that you don’t need to “do” anything.

In fact, doing can be counterproductive.

In order to achieve success, first give up the idea that you are “the Doer.” Instead of constantly doing from the mere human or conscious level, become the “Open Door.”

– Dr. Richard Bartlett (founder of Matrix Energetics), The Physics of Miracles

Rather than “do” something, the main (and maybe only) skill involved is being able to access the state in which “it is done”. And even in this paradoxical statement, the word “done” is more an adjective than a verb.

The other main skill for some of us (as already mentioned) is to let go of being a control freak! Aach! Pant pant pant.

So how do I manage to step into this new way of operating? Or rather, NOT operating? This state of being, and allowing?

♦ I can only remind myself that a lot of people for whom I’ve done individual Holographic Emergence Sessions where I’ve let go of control have noticed positive results.

♦ I also remind myself that when this idea came to me just a few weeks ago, it already had a life of its own.

I was compelled and propelled to just do it.

It was kind of odd, actually.

It was as though I knew the doubts existed but I wasn’t able or inclined to even look at them. I often think it’s smart to examine doubts to see if they’re valid, but almost always I decide that they are — and then they are crippling.

And so, this time, I simply allowed myself to be moved.

Can it be that there is something, some force, some something (I know not what) that actually knows better than me?

Well, let’s hope so.

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So, I’m letting this be a lesson to me to live as that door instead of just be that door when I do Holographic Emergence Sessions (or LOL when I absolutely have to let go and surrender because I have no other choice).

That means I won’t just be the door during the Activation session, but am also being a door that opens for this and possibly future Activation sessions to enter my life as they will.

The trust required to be an open door also opens you to receive inner guidance easily. I’m noticing that certain inspirations are appearing to me about the sessions. Things that may or may not be a part of it. That’s all fine and is a part of the process. It’s “showing up” on its own — through the open door.

I’m choosing it this time. To not do. To trust.

Because I’ve learned that that’s how magic happens.

Want to join us for the Spring Activation? There’s still time! You can find the registration link here. (And it’s free!)

And a big thanks to those of you who’ve already registered. We’ve already got a group of wonderful people; I’m so excited!

How about you? How do you know if it’s time to DO or time to be a DOOR … or don’t you? Have you seen the door lead to magical results? Would love to hear your thoughts.

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Aug 252011
 

Don’t you just love it when a chronic physical issue just goes away?

Me too.

So today I want to share a little *magic* with you that can increase the chances of that happening in your life. Auto-magically.

I hurt my shoulder a few months ago. My chiropractor says it’s my rotator cuff, and that I need to baby it so it can heal. So I’ve been doing that … But I don’t see much improvement. If anything, I keep re-injuring it.

The other day, I decided it’s time I work a little magic with it. That can mean a lot of things to me (as you may know), but in this case I mean that I’m going to practice some Holographic Emergence with it. (And I just finished an astonishing session. Very fun.)

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I have every confidence doing this will make a big difference.

Years back I developed bothersome TMJ (Temporomandibular Joint disorder; quite the mouthful). It was painful and had become chronic. After I’d had it for years it was recommended to me that I have surgery. Yikes. No way. I decided to get to work.

I used a combination of Matrix Energetics and Reiki on myself. Amazingly, I didn’t even have to do too many sessions (I did regular Reiki for awhile, maybe about 10 treatments, and about 3 or 4 Matrix sessions, all over about a 4 month period) before I simply forgot about it and later realized that the TMJ was gone. Completely gone! This was a few years ago and it’s never returned.

And so, it’s foolish of me not to do a similar thing with my shoulder.

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But here’s the cool thing. The morning I decided to do this–and to perhaps blog about the process–I was walking Ollie (our sweet old lab) and decided to listen to some Deepak Chopra on my MP3 player.

OMG! Talk about synchronicity! Everything he said was such an affirmation of what I’ve experienced ever since beginning my practice of Matrix Energetics. And to me it said “Do it!” It also said to share it.

It’s one thing to be familiar with the ideas, but when you live them, that’s when the real magic happens.

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So, without further ado, I want to share some of Deepak’s statements with you. They’re from his 5 CD audio set “Magical Mind, Magical Body“, and I’m only 1/2 hr. into it but I can already recommend it. (And I love that he sounds so excited as he talks about these things. It makes for an involved listening experience.)

• Health is not just the absence of a disease, it’s a joyfulness that should be inside us all the time. It’s a state of positive well-being, which is not only physical but emotional and ultimately even psychological and spiritual.

[Note: You can use that simple idea with great effect. Every time you feel frumpy, repeat the idea to yourself that you are well and express well-being and you’ll feel an instant shift.]

The body is not a frozen sculpture, it’s a river of energy and information. … You can not step into the same flesh and bones twice.

• You replace 98% of all the items of your body in less than one year.

• There is a deeper reality to the body and that deeper reality is what we want to see because from that deeper reality comes both the mind and the body. Both come from that deeper level of existence.

• A physicist would say: “Our atoms are particles that are moving at lightening speeds around huge empty spaces, they emerge from something which is just a field of pure potentiality, just a field of pure energy, and from that field these particles emerge. They’re fluctuations of energy and information. They emerge from a void. They rebound, collide, and then disintegrate into the void.”

• We have a thinking body. And you can’t imprison the mind in the brain. That’s an old notion, that the mind is confined to the brain. The mind is in every cell of our body.

You can’t even confine the mind to your physical body because it extends beyond your physical body into the whole universe. We are part of a thinking conscious universe that is basically a non-local field of information. We can call the universe a non-local field of information and energy with which this local expression (which we call the physical body) is exchanging energy and information.

• It’s estimated that the average person thinks about 60,000 thoughts a day … and 95% of the thoughts you have today are the ones that you had yesterday. So you keep creating the same patterns that give rise to the same physical expression of the body. If you go to a deeper level, witness the whole process, become conscious of it, then you’d realize that in fact there are choices here.

What we do is we take that chaos of energy soup, we ingest it through our 5 senses, and then we convert that into a physical reality in our own awareness, in our own consciousness. And we do it unconsciously most of the time that results in certain interpretations that are part of a cultural indoctrination.

There’s one part of you that doesn’t change. If you find that part of you that doesn’t change then you’ll be able to cause transformations in that part of you that does change.

[Note: Deepak uses the word “you” but then goes on to complicate it. You can discover that part of you that doesn’t change easily and simply. Just visit  John Sherman’s website and take advantage of what he so generously offers.]

• Now if I said the mind is omniscient it would sound sort of mystical. That it knows everything, it’s omnipotent, it’s omnipresent, it would sound almost like I’m talking in mystical terms. But in fact, in scientific terms, that’s an accurate statement.

Now once we recognize that — even to have the insight — is to begin to cause transformations in your body. A person’s body is nothing but an expression of all the ideas they have about it.

• If there’s a fluctuation that changes at deeper levels of energy and information then it causes, spontaneously without having to do anything, you don’t have to brainwash yourself about this. You just have to have the insight. And the insight itself causes the changes.

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So, these are some of the ideas I use — that have become a part of me — as I work with my shoulder. Or more accurately, this pattern of light and information that I perceive as a shoulder. 😉

Like Deepak says, recognizing this reality helps create a transformation all by itself. It’s what gives us a lot more power than we think we have otherwise.

And therein lies your magic.

So this is the world I get to play in every day.

Want to join me? Or have you already?

(Need some extra magic in your life? Consider booking a Holographic Emergence session.)

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