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Hypertension (high blood pressure) affects about 50 million individuals in the United States. Of these, about 70% are aware of their diagnosis, but only about a half of those are receiving treatment and only 25% are under control using 140/90 as the cutoff guideline. A new category has been designated as “pre-hypertension” and that is when the blood pressure is 120-139 systolic over a diastolic of 80-89. Blood pressure readings vary greatly in individuals depending on the time of day, where the patient is at when they get it checked, how soon they have eaten, smoked, or even drank a cup of coffee. A diagnosis of hypertension should not be based on one reading unless that reading is extremely high and/or there is evidence of end organ damage such as renal (kidney) or heart involvement. The diagnosis of hypertension should be made only after two or more readings on two or more office visits. The frightening thing about hypertension is that it usually does not cause any symptoms. Unless you are getting your blood pressure regularly checked, you could be walking around for years with elevated blood pressure and not know it. That is why it is referred to as the silent killer. If you are being diagnosed with hypertension for the first time, there are certain tests that your doctor should order. Blood tests including a complete blood count, fasting lipids (cholesterol), fasting blood sugar, renal (kidney) functions, liver functions, and electrolytes (potassium, sodium levels), along with a urinalysis should be checked. You should also have a chest xray to check for enlargement of your heart which can occur over time with hypertension, and an electrocardiogram to check for any cardiac (heart) abnormalities. Treatment of hypertension is multi-faceted. Lifestyle modification should include smoking cessation, daily exercise implementation, dietary changes, alcohol moderation, and sodium restriction. One should consume a diet with plenty of vegetables, fruit, and low dietary fat. Exercise should consist of daily brisk exercise such as walking at least 30 minutes per day most days of the week. A 10% weight loss can make a significant difference in blood pressure readings. Alcohol consumption should be limited to no more than two drinks per day (24 oz. of beer, 10 ounces of wine, or 3 oz. of “hard” liquor such as gin, whiskey, or vodka). You should also reduce salt intake to no more than 2.4 grams of sodium per day. I tell my patients not to add any salt to any foods and restrict high sodium items. If your blood pressure is not extremely elevated, say in the 145/95 range, and you are determined to make substantial lifestyle changes, then perhaps you can bring your blood pressure down to normal range with these measures. I always give my patients in these situations the option to try lifestyle modifications first if they wish as long as their blood pressure is not seriously high. Most patients, however, end up having to take a medication for their hypertension. There are a wide variety of medications available that we can prescribe and the majority of patients require more than one type of medication to reach a desired blood pressure goal. Discuss with your physician the side effects of each and what would be the most suitable medication for you. Medications have come a long way for treating blood pressure in the past twenty years and the side effect profiles are much more favorable than they used to be overall. I have found that a good portion of my patients have an aversion to taking a pill everyday for the rest of their lives. But what I tell them is that they ought to look at it like a vitamin, or better yet, an insurance policy. If it prevents you from having a heart attack or stroke and from either premature death or perhaps becoming confined to a wheel chair and not being able to take care of yourself, then taking a daily pill or two should not even be an issue. Don’t be afraid to talk to your doctor about treatment and asking about the tests I have discussed. Most importantly, please get into your physician at least once a year to get your blood pressure taken, and more often if it has been on the high end of normal. Copyright 2006 Ted Crawford natural penis enargement exercise vimax penis enlargement video penis elargement pic before and after vimax penis enlargement before and after real penile enlargment penis enlargement excersizes penile enlargment information truth about penis enlarement pills
Death by spam is now possible with a new device by Microsoft. The device when implanted in the user’s skull allows downloading of email directly into the brain. Niles Bookbinder, 37, an assistant working for Jon Hanson, author of Good Debt, Bad Debt was accidentally spammed to death Tuesday morning using a beta version of a new email device called, “MS Mind.” A Microsoft spokesperson said, “We don’t have all of the bugs worked out yet, but this is the first death we know of.” Mr. Bookbinder had unwittingly “unchecked” the spam filter in the MS Mind control panel. Without the spam filter, apparently Niles unleashed the entire world of spam into his "medulla interface" and was literally spammed to death. It’s likely the last words Mr. Bookbinder heard were, “You’ve got mail!” Wireless Medulla Interface providers are popping up everywhere. Dr. Jack Kevorkian sees the new Wireless "G" Medulla cards as a real advance for him. With these systems, euthanasia supporters predict quick, painless death by simply bypassing the filters and downloading thousands of spam emails quickly. Kevorkian said, “I have been looking forward to killing patients by email.” Kevorkian expects his prices to be competitive with AOL. While it is not a victimless crime, it would be a crime without a knowable perpetrator. You would have no way of knowing whether your "loved one” was finished off by the breast enlargement, Viagra softabs starting at $2.99, or $ave $$$ now refinance emails. A PETA spokesperson, Ima Chihuahua, said she found the idea disturbing because it could lead to so-called Spam Collars that would be used to kill pets as they aged, or "convenience" killings, such as when a young couple could not find a kennel on their way to Vegas or they simply change their minds about having a pet. PETA may be right. It has long been rumored that KFC has been testing the effectiveness of spamming chickens to death versus simply whacking off their heads. In earlier tests, chickens were forced to watch Gili and Ishtar until they simply cut off their own heads, but this experiment was discontinued because of the cruelty to experimenters. Spamicide, accidental or not, will undoubtedly set off a bitter debate in America as Anti-Spammers and Right-to-Spam groups rally to raise money and jockey for political clout. George W. Bush seemed bewildered at this morning’s briefing. He looked to his press secretary and said, "Are we Right-to-Spam or Anti-Spammers?" Elsewhere, Jesse Jackson, finding it difficult to be Right-to-Spam said, "It should be the choice of the spammee. Spamicide should be legal, available, and rare." NEXT WEEK: Partial Spam Deletion. Should this barbaric practice be outlawed? Are thousands of viable spams being killed in spam filters, just before being downloaded? The debate continues... Jon Hanson www.gooddebt.com jon[at]gooddebt.com free penile enlargement pills penis enhancement tip penis enlargment supplement penis enhancement procedure does vig rx really work medical penile enlargement enlargment erection penis pill vimax pro solution pill review best penis enlargement pill
Penis enlargement pumps have been used over the past couple of decades as a way to increase penis size. The fact is that lately the pump has been losing its ground to the newer methods of natural penis enlargement. This is due to the problems with the pump that are more widely becoming known. A penis enlargement pump is a hollow plastic tube that fits over the penis in an airtight seal at the base. A small hand pump is attached and when used, blood is pulled from the body to force blood into the penis. This process is what gives it the larger appearance. To keep the bigger erection, a tight ring needs to be put around the base of the penis to hold the blood in. Some men who have trouble keeping erections use this method and can have intercourse for around 30 minutes. So how does the stretcher device compare to the pump. One of the main problems of the pump is the results you get. As mentioned above, pumps provide a temporary solution while stretchers offer permanent gains. A stretcher will lengthen and strengthen the penis over time, allowing more blood to flow in, which results in harder erections. No need for a cock ring either. The size gains are permanent and noticeable when the penis is erect or flaccid (limp). Another problem with pumps is the negative effects of long term use. A man can become dependent on the pump in order to get any erection at all. The pump can also make the penis swollen, smaller, and use of it can even become painful enough to leave scars. This is no way to treat man's lovemaking tool. Stretchers, on the other hand, naturally stretch the penis over time, allowing it to heal while you aren’t using it. Typically worn for 4-6 hours per day, testing of 6 months use has led quite a few men to gain over a full inch. The extender will trigger new penile tissue growth as the body adapts to the traction force from the stretching. Devices are not painful and were initially used in penis surgery and other plastic surgery practices to heal scars, burns, and re-grow tissue. Extenders are now available as a safe at-home method of natural penis enlargement, and have also been proven effective in straightening penis curves, or even adding a curve, if you like. It may be time for a change. Penis stretchers started in europe and are now available in the US. Many men have put away their painful pumps in exchange for the results the stretcher is providing. They could be right as not only does the stretcher permanently enlarge the penis, it has also proven to be a valuable solution to impotence, and penile curvature. It has also become a complete proven alternative to all forms of penis enlargement surgery. penis enlagement pic natural pnis enlargement exercise pro solution wealth pnis enlargement before and after enlagement erection penis pill vimax penis enlargement excersizes compare penis enargement pills top pnis enlargement pills best penis enlargement pill
Ever heard of arousal step-down techniques? How about the PC muscle and Kegels? If you're like most guys, you probably haven't. And as such, most men - unaware of the numerous ways they can boost their sexual skill and 'lasting' power - regularly produce mediocre performances in bed, leaving themselves disappointed and the women they're with disillusioned and usually orgasmless. It's a real shame. In a poll, 93% of men asked, said they'd like to last longer in bed before ejaculating - but 100% of those men were unaware of how they could achieve such a seemingly impossible feat. The truth is, it's not impossible (or even difficult) to maximise your sexual performance and attain complete control over how long you boogie for and generally get on down with the ladies. So, let's take a look at one sexual method that'll allow you massive control over your arousal levels and always give you the choice of when to cum or when to continue. During sex, most men begin to lose control of themselves (in terms of ejaculation!) at around the 2 or 3 minute mark - which is usually midway through the first sexual position. And what a letdown ejaculating at this point would be! So, that's usually the first point at which you'll use this technique. It involves two steps. The first takes place in your mind - which is the root of many a male's sexual performance troubles. 1. When you first feel those telltale sensations in your penis (the heightened sensitivity and energy that let you know that if you carry on doing what you're doing you'll soon explode) don't panic! Too many men are pushed over the edge, right to ejaculation, because they mentally begin to panic when they feel they're close to orgasm. Panic phrases rush through their heads, like: "Uh oh, I'm gonna blow!" and "Not again, this is going to be embarrassing." Instead of letting these counter-productive thoughts fill your mind and quicken the onset of orgasm, instead calmly say in your head: "Okay, I'm close to ejaculating. Time to use an arousal step-down technique." Then move onto step number two. 2. The most sensitive part of your penis is the top of the shaft and especially the head. To decrease its stimulation (without stopping the 'action') slowly and deeply thrust into your partner, as far as you can go and she can pleasurably take. Then, gently grind your hips, wiggling your pubic bone (the hard area above your penis, about 8 inches down from your belly button) on her vagina. To her, this seems and feels like a wonderful stroke variation, which gives her external clitoral stimulation (the number one way to make any woman orgasm). However, behind the scenes, it's momentarily decreasing your stimulation, enabling you to last longer. This happens because when you plunge deep into her, your penis enters a wider area of her vagina, which lessens its contact and stimulation. Then, to cap it off, you grind and wiggle, instead of thrusting in and out, which further decreases the intense sensations of sex. After 30 seconds or so, your arousal levels will have dropped enough for you to restart your thrusting. By using this technique, you're able to control your urge to pop without stopping sex and while giving your partner extra sexual stimulation. Now how much better a technique is that for tackling premature ejaculation when compared to what most people consider to be effective techniques? Things like: "Count backward from 100" and "Think of dead puppies!" Sex, as you well know, is all about fun. Using the 2-step technique above, you can fully enjoy the experience - without the worry of it all being over too soon! penile enlargement operation natural pnis enlargement exercise cheapest penis enlargement pill permanent penile enlargment penis enlagement pump penis enlarement picture penis enlargment technique penis elargement system best penis enlargement pill
This latex female condom is been specialy designed to prevent the rapes. It is invented by a South African woman Sonnette Ehlers, in Cape-Town. Incidentilly, South Africa is the most effected from HIV, ratio is one in nine, that means 45 million people are suffering from these diseases. Known also as Vaginal Bear Trap, this device was launched in August 31, 2005, and is expected to come in the market this year. It is used in the vagina like a tampoon. It is made of microscopic invisible barbs outwardly, which attacks the rapist, and clutches his penis. It gives terrible pain and disables the attacker. This gives victim the chance of escaping from the site and saving herself from the attack. It is impossible for the attacker to get it out without the medical surgery, and this way the police and authorities are alterted, and he is been caught. This anti-rape condom, is aimed to prevent the rapes and at the same time, it punishes and terorrise the attackers. It also saves women from getting pregnant and sexually transmitted by STDs and HIVs, by the attacker. It works like a female condom. It is truly a miracle device for the women, who are working and prone to these attacks due to the nature of their life-style. It can be simply fitted in the vagina, and she can go around with her daily routine. This device has not been tested yet on a male, but the plastic body of a male and it worked fine. Still in the stage of criticism, this female condom is facing some doubts. People say that it can multiple the risk for women. This device can further irritate the attacker and in fury and frustration, he can kill the women. Anti-rape activist say that it is barbaric and medieval. ‘It is horrible and disgusting’. They say that it can be used for the purpose of revange and to simply hurt someone who is not an attacker. According to these activists, this device is not effective in gang rapes, as it will only harm one attacker at a time. It may be an issue of a debate for the groups, but it is certainaly a boon for the women who are living under the threat of sexual attacks all the time because of their nature of job. If some device is providing her the piece of mind and body. Why would she be hessitant to use that? It is indeed a welcome device for them.