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Cardiovascular Disease (CVD) is the leading cause of death for both men and women in the US. One in four people are afflicted with some form of the disease, which amounts to roughly 61 million Americans. CVD is attributed to 42% of all deaths, taking almost 1 million lives each year.
Common, yet serious, conditions that fall under the CVD umbrella are: atherosclerosis, angina, high blood pressure, high cholesterol, heart attack, heart failure, stroke and arrhythmia. If cardiovascular conditions are detected early on, the odds of combating their effects and possibly reversing them altogether can be increased significantly.
Understanding Cardiovascular Disease
Cardiovascular Disease encompasses all diseases related to the cardiovascular system, including dysfunctional conditions of the heart, arteries and veins that supply oxygen to vital life-sustaining areas of the body such as the brain, the heart itself and other vital organs.
Atherosclerosis
Atherosclerosis is the most common of the cardiovascular conditions and lies at the root of most of the major diseases affiliated with the heart. Atherosclerosis is the hardening and narrowing of the arteries caused by the slow buildup of plaque on the inside walls of the arteries.
Coronary Artery Disease (CAD), occurs when atherosclerosis results in a partial or total blockage to the coronary arteries, which supply blood to the muscles of the heart. CAD is the most common underlying cause of heart attack.
Angina is the medical term used to describe chest pain or discomfort that occurs when the heart muscle does not get enough blood. Usually the pain starts in the chest behind the breastbone but may also occur in the arms, shoulders, neck, jaw, throat, stomach or back. Angina can be a sign of an impending heart attack.
Heart attacks occur when a clot in the coronary artery blocks the supply of blood and oxygen to an area of heart muscle. Often, the blockage leads to cardiac arrhythmia, an abnormally high or abnormally low heart rate that causes a severe decrease in the pumping function of the heart and may bring about sudden death.
A Stroke is caused by an inadequate oxygen flow to the brain. Strokes that don’t result in death can be mild, known as Transient Ischemic Attacks (TIA), or they can be severely damaging to the brain, causing paralysis and cognitive malfunction.
Heart Failure
Heart failure usually develops slowly, often over years. Some people may not become aware of their condition until symptoms appear years after their heart began its decline. Symptoms of heart failure include shortness of breath, difficulty breathing, fatigue, swelling of the ankles and feet, and weight gain due to water retention.
Cardiovascular Disease Risk Factors
With so many people affected by cardiovascular disease, it is important to be familiar with the associated risk factors.
High Cholesterol- Cholesterol is an important factor in brain function, and is the structural material from which the hormones progesterone, testosterone, estrogen, DHEA and cortisol are made.
Proper ranges of cholesterol are important to the prevention of cardiovascular disease. Total blood cholesterol above 200, LDL cholesterol above 130, HDL cholesterol below 35 and lipoprotein levels greater than 30 are all indicators of problematic cholesterol.
High Blood Pressure- High blood pressure, or Hypertension, often results from excess fat or plaque buildup because of the extra effort it takes to circulate the blood.
Blood pressure levels at or below 120/80 are considered to be within the normal range. 140/90 or higher is considered to be within the high range. Blood pressure levels ranging from between 120-139/80-89 fall within the range of pre-hypertension, which means that you are more likely to develop high blood pressure unless you take action immediately to prevent it.
Diet- A healthy diet is essential. You should eat five to seven fruits and vegetables a day, whole grains, a handful of nuts, and low-fat meats, chicken and fish cooked in olive oil or other excellent tasty oils. Avoid sugars and processed foods.
Diabetes- Persons with diabetes lack the necessary hormone, insulin, to break down digested sugars, or are resistant to its effects. As a result, a person with diabetes is at the same level of risk for having a heart attack as a person who has had a prior heart attack.
Stress- When the body is consistently under a lot of stress, it releases too much of the hormone cortisol. This puts an extra strain on the heart as the blood pressure rises and the body retains too many excess fluids.
Lack of Exercise- Fall in love with exercise! The heart is like all other muscles in the body. In order to stay in good shape and function properly, it needs to be exercised. Exercise will help control other risk factors such as obesity, high blood pressure, diabetes and stress management.
Diagnosing Cardiovascular Disease
Until recently, the ability to detect heart related conditions was limited and the ability to detect early onset was virtually impossible without the use of expensive and potentially dangerous procedures. Due to the advancement of technology and decades of valuable research, a new diagnostic machine, the CardioSpec, has recently been made available to physicians to detect cardiovascular disease with greater accuracy and specificity in less than 2 minutes and without the need for invasive procedures.
The CardioSpec is highly effective in diagnosing seven types of cardiovascular disease - coronary artery disease, heart attack, left ventricular dysfunction, left ventricular enlargement, conduction abnormalities, arrhythmia, and pulmonary heart disease - with more than a 90% accuracy rate. The diagnostic system works by evaluating the function of the heart directly, detecting subtle changes in the hearts function or injuries caused by obstruction of small coronary arteries, which cannot be detected by catheterization or angiography.
Early detection of cardiovascular disease could mean the difference between life and death. If you have any of the risk factors associated with CVD, see your physician as soon as possible. After a thorough evaluation, your physician can determine if you have CVD and begin to develop a treatment plan that works for you. CVD does not have to be a life sentence and with some significant lifestyle changes, you can be on the road to recovery. But the first step is ACTION. Call your doctor today.
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Increased sexual pleasure has been a goal common to both men and women throughout history. However, achieving such a goal is not always as easy as one would like to think. While we commonly see depictions of intensely sensual sexual activities, hear about climatic orgasmic experiences, and can read about extremely long love-making sessions; bringing this flavor of enjoyment into our actual lives is not always easy as these media outlets make it seem. Some men might have problems achieving a hard erection and women often find they have a decreased sexual appetite. What them, can be done to achieve the type of sexual experiences that we currently only fantasize about?
After intense research into this dilemma, it has been discovered that the intake of a high level of amino acids is of great assistance to redeveloping sexual desire and performance. For men, amino acids work to escalate the amount of ejaculation fluid which results not only in increased sperm count, but also greatly amplifies the sexual experience through prolonged orgasms. Not only is the penis able to increase in size and hardness, but stamina and desire is magnified.
For women, amino acids allow a larger amount of blood to flow into their clitoris and vaginal tissues. This results in heightened sensitivity, which encourages sexual desire and activity. In addition, when a woman is taking amino acid supplements, her orgasms are extremely enhanced, leading to a drastic increase in sexual pleasure.
One of the most popular amino acids on the market is L-Arginine, a semi-essential amino acid. It has been proven to create increased blood flow to the sexual organs of both men and women. L-Arginine is described as a free-form amino acid, one that is crystalline. Not only has L-Arginine been shown to improve sexual quality and performance, it is also known to work in relocating nitrogen throughout the body. It is also highly important to the body’s metabolism and is known to be beneficial to the activity of the blood vessels surrounding the heart.
L-Arginine can be found in numerous sexual enhancement products. When looking for an L-Arginine supplement, try to find one that uses natural herbs in addition to high levels of amino acids. The combination results in increased stimulus for women, and penis enlargement and increased fluid ejaculation for men. In addition, L-Arginine has been proven to aid the body in many other ways, such as lowering blood pressure levels and is an overall healthy supplement to one’s health regime.
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Although erectile dysfunction is hardly the most pleasant experience for a man, it is better to admit having it in order to identify the causes and start treatment.
Erectile dysfunction can be caused by many things – from excessive smoking and drinking to a serious medical condition. Erection starts with arousal, then the nervous system responds and sends more blood to the penis in order to get an erection. If somewhere in this chain there is an interruption, then erectile dysfunction occurs.
The cause is often psychological. Stress, fatigue, depression, negative feelings between the partners, and fear of sexual failure are common reasons for temporary or longer erectile dysfunction.
But the most frequent cause of erectile dysfunction is physical. Furthermore, it might be one of the first signs of a serious disease.
The list of diseases that affect erections is long, and some of the medical conditions include damage to nerves, arteries and the cardio-vascular system in general, diabetes, kidney disease, alcoholism, sclerosis, neurological diseases, etc. Surgery (especially prostate and bladder surgery for cancer) can damage the nerves and arteries in the penile area. Injuries to other organs (back, prostate, bladder, etc.) can also have an effect. As a whole, it is estimated that in about 70 percent of the erectile dysfunction cases, the cause is a disease of some sort.
Lifestyle (smoking, drinking, excessive weight, lack of physical activity) and side effects of drugs for other diseases also contribute to the causes of erectile dysfunction. Hormonal disorders (lack of testosterone) are another reason for erectile dysfunction.
So if you or your partner frequently experiences erectile dysfunction, and this does not change when psychological causes are removed, it is time to see a doctor who could more precisely identify the causes and prescribe treatment.
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Chapter Seven
Lilli Ann [Work and Play and Colleen]
Many things were starting to happen after the tournament was over. It seemed my life had stopped for a moment in time. I had been working five to six days a week, mostly five. Met a guy, my age called Dan, at the karate studio one evening, he was just watching, and we got talking, and I helped him get a job at Lilli Ann. He was assigned to Mr. Green and would eventually be reassigned down stairs in the packing department. I was assigned in another department, which was one floor lower than his. He started falling in love with a Spanish gal, and wanted me to help him out by asking her why she was so down right rude to him. And so I did, it must have worked because they started dating, thereafter.
Well Dan’s brother came into town, he was eighteen-years old, and again Dan and I were both twenty-one. The landlord would not allow two people in their apartment so I talked to my landlady and they ended up renting out the big room. I liked them both, but Dan was a little more level headed. His brother smoked pot night and day, Dan occasionally.
About this time my mother said she was coming down to visit me after Christmas, which was not too far off. And so many things were happening. And as the weeks passed by I would often go downtown San Francisco after work and go to the double feature movies, they were older ones but very cheep, .75 cents during the day, before 6:00 PM, and afterwards walk around. I can remember a few times walking down a side street by a little café and Hell’s Angels were hanging out there. One time one of the Hell’s Angels, gave me a strange look but paid me little heed, and went back playing some kind of game. I had to walk around all the motorcycles for they hand them parked in the street, on the sidewalk, and every which way… and them seeing me trying to dodge the bikes to get around them, probably gave them a little groan, one that might have meant, ‘…don’t tip them over sunny.’ And I didn’t bump any.
At work a few of the Spanish gals up in Mr. Green’s area were eyeballing me up, but I found out they were married and so I paid little attention to them afterwards. And a few Japanese girls, older women talked to me often, but I never got to dating any of them. Then one evening, after work, Colleen with her sparkling white Catholic seen me waiting for a ride by a street car stand, and asked where I was going, I said down by mission street, and offered to give me a ride. She was around thirty-three years old, whit a healthy looking body, and was hunting I presume—that is, looking for something.
Colleen
As she drove down Mission Street, she knew exactly where Lilli Ann was, I guess many people did, it was very famous for women’s exclusive clothing, they had dresses in Harpers Bazaar, some famous magazine, and advertised in London, Paris, New York, and here in San Francisco. I closed the window a bit in the car, the air was cool this morning, I told her, but I shouldn’t complain, it was nothing like Minnesota; for weather in December at 57 degrees is like heaven sent; I had heard them say on the radio, that it was going to get to 66 degrees before the end of the day. Not bad, in Minnesota we’d have about forty inches of snow by now, and most likely it would be about three to five below zero. January was the coldest month, in Minnesota usually, reaching many times ten degrees below zero or lower, and February had all the snow it seemed, sometimes twenty inches in one month; sometimes sixteen inches in one day. Some years we had ninety inches of snow.
I was inclined to ask her for a date, even though she looked much older than I, but she said first, as I opened the door to get out,
“Do you drink wine?”
“Occasionally,” I said, for I used to drink some back home, but it was that cheep Ripple crap or Thunderbird, rotten gut stuff. But I didn’t want to tell her that.
“The dry wine is even better than the sweet if you have the right bottle, and it’s aged some…” she added as I stood up next to the car, “I’ll pick you up after work, say 4:30 PM, does that sound good?” What could I say, the Cadillac girl was leading, and I had nothing better to do. I hadn’t gone to karate practice going on three weeks now. I think Yamaguchi was a little disappointed in me, surely not his black belt bunch though.
“Ok,” I said as I started to turn around and walk inside of the three story building. Things were always happening so fast these days I hardly ever questioned anything. Dan had me meet a friend a week ago, some guy who was selling dope, pot or whatever, we talked and he offered me a job at twice the amount I was making, but I turned him down, I didn’t want to be his or any bodies body guard, end up dead with some heroin stuck in my ass, or down my throat. This was safer, work here at $.1.75 per hour, and just enjoy life; live longer.
It was funny, when I stopped to talk to a young man, my age who wanted a quarter, and back in those far off days, they were all over San Francisco, --at any rate, I told him to go get a job, and he asked how much I made in a week, I said $70-dollars, and he laughed, saying: “I make more than that in a day, $75.” Oh well, I guess I still have values. I just couldn’t sit down on the street corner and beg; it wasn’t even a thought. Or should I say, it never occurred to me.
٭
The day went fast, Dan was flirting with his new Spanish girlfriend, who worked in the office at Lilli Ann; I think she was happy I set them up, but I was a little jealous now, I guess I would have like to date her, but I was always drinking, going to movies, and before karate, running around town. No real time I suppose. I think she was wondering why I didn’t smile as much as I did before when I met her halfway going up and down the stairs a few times a day. But I tried. My mother wrote and said he’d be in town now in January. Not too far off.
It was 4:35 PM, I just slammed the heavy door behind me to Lilli Ann, and there on the street was that white Catholic, and Dan was not too far behind me, he’s seeing me go to the car, I told myself, not looking in back of me, I’ll hear about it tomorrow.
“See yaw later Chick,” Dan said, I think it was to get Colleen’s attention; I turned around and smiled a bit and shook my head.
“I did show up, didn’t I, I bet you thought I wouldn’t?” Said Colleen.
“Not sure what I thought,” I admitted, and I seem to put on a dumb look.
“I always like wine in the fall, --woops, soon to be winter in a week or two.”
“Always --” I said-, opening up her car door, and getting in.
“Always my new friend, now let’s go to the Bay and look at the Golden Gate.” I nodded my head yes, for I even liked walking along the bank and dock area, by the railroad tracks also.
As we got to a certain spot, evening was starting to set in, the once white clouds were turning light-gray, and I opened up the window a little. I loved to grab the moment, absorb what was happening. San Francisco was so very much different than my conservative St. Paul, and it seemed like I was starting to own it a little. There in front of me was the beautiful Golden Gate Bridge, I would never forget it. I had walked across it, seen it a dozen times, and I just never got tired of it; but one thing, I only walked across it once, it is far…longer than one imagines. It was a settling evening. The cars with their horns, the people at work, I was starting to calm down. The night was creeping in. On one hand I was hoping it would never end, and on the other hand, it was a fast pace city for me, it could slow down a bit.
“Are you thirsty Chick,” said Colleen.
“Oh yes, very much…” I took the bottle from her and drank right out of the top. She pulled out two glasses, then hesitated, and put them back in her back seat saying, “We really don’t need them I see.” I guess I might have seemed a little uncouth, but it was me.
For awhile we talked about the earth quake everyone was talking about; how the evangelist’s were saying San Francisco was going to be sunk to the bottom of the ocean. Many people were taking long vacations to get out of town. It was supposed to be on a certain week end coming up (or within the month of January). They talked about it at the bar, at Lilli Ann, every where.
She smile, said,
“Of course,” as she took a drink. I think she was thinking about her youth; --for whom at twenty-one runs around looking for a glass when you got a bottle. We sat just drinking, and looking at the Bay and the bridge, silent for awhile, some people don’t like too long of a period of silence, but it can be golden, --she lit a cigarette, and so did I, and we took turns drinking. She told a few dirty jokes, and I pretended to think they were funny, and when she laughed I laughed, not because they were funny, but because she was.
She commented, “You’ll have to let me know when they have the fabric sales down at Lilli Ann, I want to buy as much as I can.” I didn’t quite understand what she was talking about then, but I did find out later on that they had sales about every four months, and employees could buy fabrics not usable. I would however purchase some for her, during our short time romance.
“Let’s go eat,” she commented.
“Where…” I said.
“I’ll pick up something at a store or restaurant.”
“That’s perfect,” I replied, as I put the cork back into the bottle, there was not much left to the wine.
Colleen stopped in front of a fancy restaurant, --went inside and ordered some burgers made up for us.
“Dolores Street right,” she asked, and I gave her the address, “They’ll taste better relaxing at your apartment.” She said. I explained she was welcome but I only had a small room, and my friend, whom was Dan, she remembered the person who had said, “By Chick”, lived in the other room next to me, --I explained we shared bathrooms.
“So she rents out rooms,” she commented.
“Yaw, why, you need one?”
“Not quite yet, but could be soon, or in a month or so,” she ended her replied with.
As she stopped in front of the mansion I lived in, my hunger had changed from food to lust, or so it seemed, the burgers did not seem at all appealing; none the less, we went directly to my room.
As we entered the room she looked about, “Quite cute, and yes, you were not kidding, it is small, but cozy, enough for a single man. I had a little dresser by the side of the bed where I kept an ashtray, and a light, along with a little radio. A closet in along side of the bed, a little to the right of the doorway you might say, a window behind me overlooking my bed, and the door to the bathroom on the right also, of the bed; --if I was laying on my back I’d be looking at the doorway in front of me
She put the burgers on the small table, took a last drink of the wine, gave it to me, there was one swallow left, I drank it, as she undressed, then she jumped under the covers. She had big breasts and a semi tight body for her age. She was not thin, nor fat, quite healthy looking. I got a hard-on immediately, and like a dog in heat, we pulled our lust together and she grabbed my item and directed it to her warmth.
We made love for about 45-minutes, and I fell to my side a bit, rested, and pulled her over to me again, and stuck my penis back into her private area. She was very warm inside, and my body shook as I climaxed.
“We should get some sleep Chick,” she said with a chuckle. It seemed she found what she wanted, but I felt a little out classed for some reason. She had a degree I had found out while sitting by the Bay over looking the Golden Gate and she worked as a legal assistant. I couldn’t sleep, so I looked at some of the roof tops of the houses out my window; San Francisco was very complicated for me, all its old and new mixed into a whole, and Colleen laying next to me. But I told myself to go to sleep, tomorrow was another day. As I rolled my body back under the covers, I could not hear anymore car horns, the radio was quiet, Dan and his brother must have fallen asleep, and his girlfriend gone home. The wind was making a bit of noise on the window sill, but that was tranquilizing, if anything.
Chapter Eight
The Christmas Party
Well, Dan was dating the Spanish lady, and Colleen was coming over picking me up on regular bases now. She even got to know the Colonel a little, and Dan and his brother Jack. I think she was eyeing up the little bedroom by Dan’s big room. In-between our dating that is.
During this period in San Francisco I was working, and I wasn’t seeing Goesi much, going to the movies as I usually did, and we had a Christmas party coming up in a few days. Mom had written and I expected her to be flying into San Francisco, in two weeks. From here she’d stay a week then fly down to see my brother in Montclair, Southern California.
The weather got a little colder also, but why argue it was still in the 50’s during the day, and low 40’s at night. Some rain but not much. I now was running the dogs for the Colonel; I had a hell of a time taking the “Beast,” out. I called him that because he was up to my waste when on all fours, and had teeth almost like a saber tiger; he looked more like a wolf than a dog. He ran like a horse, and I had a choke chain on him; --thank god I could run with him, I think he liked that. And people jumped every which way when they seen us coming: --and a few times he got away from me whereas the panicked started all around me, people jumping far away from the on coming beast, I didn’t blame them.
The Confrontation
I knew when I left San Francisco, I’d miss the dogs. Matter-of-fact, one night a neighbor came over and was hollering at the Colonel, and threatened her about the dogs, I was in the hallway upstairs listening, had a few beers in me, I came down slowly, and she told the guy to go because I was the one running the dogs, which the guy noticed, and that with my karate, and temper it might not work out too good if he sticks around;” adding, she said,
“I think he heard you hollering at me.”
“So what, let him come…” and then out of the blue I was five feet from him on the outside stairway, he was two steps down, and the Colonel was against the beam of the door way.
“You better take care of them dogs and shut them up before…”
“Before I kick you ass, that that…” I leaped toward the man with my hands in the air as to block the man if he thrust the knife at me, and landed on the second to last step, about two feet in front of him, and in a circular motion, threw several blocks to off set his focus, he jumped back, pulled out a two inch knife, he was terrified.
“You better not come closer,” he said. I started laughing.
“And you mister, better shut your mouth, go home and never, I mean never come around here again, and if I find out you’ve cause any trouble for my landlady, I’ll find you and stick that knife up your ass…….get out of her NOW!!” He moved as fast as he could. Yes, I had my wild moments, as most people have.
Said the Colonel, “I hope he doesn’t cause trouble for me, but I sure liked the way you handled him,” and she had a smile half a mile wide.
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