Category: Pharmacy

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Typhoid Fever – Caused By A Bacterial Infection

Typhoid Fever - Caused By A Bacterial Infection Town Pharmacy

Introduction
Typhoid fever is a bacterial infection caused by Salmonella enterica serotype Typhi (S. Typhi) bacteria. It is a significant global health concern, particularly in areas with poor sanitation and limited access to clean water. In this blog post, we will explore the causes, symptoms, diagnosis, treatment, medication, dosage, and prevention strategies for typhoid fever. By understanding this disease and its management, we can take necessary precautions and promote better public health practices.

Causes of Typhoid Fever
Typhoid fever is primarily caused by consuming food or water contaminated with the feces of an infected person. This can occur due to inadequate sanitation, improper food handling, or the use of contaminated water sources. The S. Typhi bacteria then enters the digestive system and spreads throughout the body, causing the characteristic symptoms of typhoid fever.

Symptoms of Typhoid Fever
The symptoms of typhoid fever usually develop within 1 to 3 weeks after exposure to the bacteria. Common symptoms include high fever, headache, abdominal pain, loss of appetite, and generalized weakness. Patients may also experience a rose-colored rash, constipation, or diarrhea. If left untreated, severe complications such as intestinal perforation or infection in other organs can occur.

Diagnosis of Typhoid Fever
Diagnosing typhoid fever involves various methods, including:

Blood Culture: This is the most reliable method for identifying the presence of S. Typhi bacteria. Blood samples are collected and cultured to isolate the bacteria for further analysis.
Stool Culture: In some cases, stool samples may be collected to detect the bacteria. However, this method is less sensitive than blood culture.
Serologic Tests: These tests detect antibodies produced by the body in response to the S. Typhi bacteria. They can be helpful in confirming a recent or past infection.

Treatment of Typhoid Fever
Prompt treatment is crucial to manage typhoid fever and prevent complications. The mainstay of treatment involves the use of antibiotics to eliminate the bacteria. Commonly prescribed antibiotics include fluoroquinolones (e.g., ciprofloxacin), cephalosporins (e.g., ceftriaxone), and azithromycin. The choice of antibiotic depends on factors such as the patient’s age, drug resistance patterns, and the severity of the infection.

It is important to complete the full course of antibiotics as prescribed by a healthcare professional to ensure eradication of the bacteria. In severe cases or when complications arise, hospitalization may be required for intravenous administration of antibiotics and supportive care.

Medication and Dosage
The dosage and duration of medication for typhoid fever depend on several factors, including the patient’s age, weight, and the severity of the infection. It is essential to follow the prescribed dosage and complete the entire course of antibiotics to ensure effective treatment.

Ciprofloxacin: The typical dosage for adults is 500 mg orally twice daily for 10-14 days. For children, the dosage is based on body weight and determined by the healthcare provider.
Ceftriaxone: The usual dosage for adults and children is 1-2 grams once daily intravenously or intramuscularly for 10-14 days.
Azithromycin: The recommended dosage for adults is 500 mg orally once daily for 7-10 days. Pediatric dosage is determined by the healthcare provider based on the child’s weight.
It is crucial to consult with a healthcare professional for accurate dosing instructions and any specific considerations.

Prevention of Typhoid Fever
Preventing typhoid fever involves implementing several key measures, including:

Vaccination: Vaccines such as the Vi capsular polysaccharide vaccine and the Ty21a live oral vaccine can provide protection against typhoid fever. Consult with a healthcare professional to determine the appropriate vaccination schedule and suitability for your specific circumstances.
Safe Food and Water Practices: It is crucial to consume safe and hygienically prepared food. Drink clean, treated water and avoid ice or beverages prepared with untreated water. Proper hand hygiene, including regular handwashing with soap and clean water, is essential.
Sanitation and Hygiene: Improve sanitation facilities and promote proper waste management to reduce the risk of contamination. Educate individuals and communities on the importance of personal hygiene practices.
Travel Precautions: When traveling to areas with a high risk of typhoid fever, take necessary precautions such as consuming only cooked foods, drinking bottled or boiled water, and avoiding street food or raw fruits and vegetables.
Health Education and Awareness: Promote awareness campaigns to educate communities about the causes, symptoms, and prevention of typhoid fever. Encourage early medical consultation for suspected cases.

Conclusion
Typhoid fever remains a significant public health concern, particularly in areas with poor sanitation and limited access to clean water. By understanding the causes, symptoms, diagnosis, treatment, medication, dosage, and prevention strategies for typhoid fever, we can take proactive steps to protect ourselves and others from this bacterial infection. Vaccination, safe food and water practices, improved sanitation, and health education are vital components of comprehensive prevention efforts. Remember to consult with healthcare professionals for accurate diagnosis, appropriate treatment, and specific guidance on medications and dosages. With increased awareness and collective action, we can work towards reducing the burden of typhoid fever and improving global health outcomes.

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Malaria – A Life-threatening Disease

Malaria - A Life-threatening Disease, Mosquito bites

Introduction
Malaria, a life-threatening disease transmitted through mosquito bites, has plagued various regions of the world for centuries. While significant progress has been made in combating this deadly illness, it continues to pose a threat to many tropical countries, including the Maldives. This article delves into the reality of malaria in the Maldives, a nation renowned for its breathtaking beauty and pristine beaches. Known colloquially as “Malayria,” this unique blend of the words “Maldives” and “malaria” signifies the persistent fight against the disease within the archipelago. By exploring the history, impact, prevention, and ongoing efforts to eliminate malaria in the Maldives, we shed light on this important public health issue.

Causes of Malaria
Malaria is caused by infection with Plasmodium parasites. There are five species that primarily infect humans: Plasmodium falciparum, Plasmodium vivax, Plasmodium malariae, Plasmodium ovale, and Plasmodium knowlesi. These parasites are transmitted through the bites of infected mosquitoes. When an infected mosquito bites a person, it injects the parasites into their bloodstream, which then travel to the liver and infect red blood cells.

Symptoms of Malaria
The symptoms of malaria typically manifest 7 to 30 days after infection, although in some cases, symptoms may take longer to appear. Common symptoms include fever, chills, headache, muscle aches, fatigue, nausea, and vomiting. Malaria caused by Plasmodium falciparum can lead to severe complications, such as organ failure, cerebral malaria, and even death.

Diagnosis of Malaria
Accurate diagnosis is essential for effective malaria management. Diagnostic methods include:

Blood Tests: Microscopic examination of blood samples to detect the presence of Plasmodium parasites.
Rapid Diagnostic Tests (RDTs): These provide quick results by detecting specific malaria antigens in a blood sample.
Molecular Tests: Polymerase Chain Reaction (PCR) tests can identify and differentiate between different species of Plasmodium, aiding in appropriate treatment decisions.

Treatment of Malaria
Timely and appropriate treatment is vital in managing malaria and preventing severe complications. Treatment options depend on the species of Plasmodium, the severity of the infection, and the individual’s age and health condition. Common antimalarial medications include chloroquine, artemisinin-based combination therapies (ACTs), and other drugs such as mefloquine and atovaquone-proguanil.

Historical Background
The Maldives, an Indian Ocean paradise comprising more than a thousand islands, has long struggled with malaria. The disease’s presence in the country can be traced back to ancient times when it was likely introduced through trade routes. The geographical characteristics of the Maldives, including its warm climate, plentiful water sources, and lush vegetation, provide an ideal breeding ground for malaria-carrying mosquitoes.

Impact on Public Health
Malaria poses a significant health burden on the Maldivian population. The disease is caused by the Plasmodium parasite, which is transmitted through the bites of infected female Anopheles mosquitoes. Symptoms of malaria include fever, chills, body aches, and fatigue. If left untreated, it can lead to severe complications, organ failure, and even death.

The impact of malaria extends beyond individual health. The disease places a strain on healthcare resources, with increased demand for diagnostics, treatment, and prevention measures. Moreover, malaria affects productivity and hinders economic development, as individuals affected by the disease are unable to work or fulfill their responsibilities.

Prevention and Control Measures
Recognizing the grave threat posed by malaria, the Maldivian government, in collaboration with international organizations, has implemented various prevention and control measures. These efforts include:

a. Vector Control: One of the primary strategies in combating malaria is controlling the mosquito population. The Maldivian authorities have focused on reducing mosquito breeding sites, employing larvicides, and distributing insecticide-treated bed nets to vulnerable communities.

b. Case Management: Prompt and accurate diagnosis followed by effective treatment is crucial in combating malaria. The Maldivian health system has strengthened its diagnostic capabilities, ensuring access to quality diagnostic tools and medications for timely treatment.

c. Surveillance and Response: Enhanced surveillance systems allow for early detection and response to malaria cases. This includes monitoring mosquito populations, tracking cases, and deploying rapid response teams to affected areas for further investigation and containment.

d. Public Awareness and Education: Community engagement and public awareness campaigns play a vital role in preventing malaria. Educational programs inform individuals about the disease’s transmission, symptoms, prevention methods, and the importance of seeking early treatment.

Ongoing Efforts and Achievements
The battle against Malayria continues to yield positive results, thanks to concerted efforts from multiple stakeholders. Key achievements include:

a. Significant Reduction in Cases: The Maldives has witnessed a substantial decline in malaria cases over the years. Through consistent implementation of prevention and control measures, the country has successfully reduced the incidence of the disease.

b. International Partnerships: The Maldivian government has collaborated with international organizations, such as the World Health Organization (WHO) and the Global Fund, to strengthen its malaria control programs. These partnerships have provided technical expertise, funding, and support to combat the disease effectively.

c. Malaria-Free Islands: Several islands in the Maldives have achieved malaria-free status. This milestone reflects the successful elimination of the disease on these islands through comprehensive interventions.

d. Research and Innovation: Ongoing research efforts aim to explore new strategies, such as the use of innovative mosquito control methods and the development of new antimalarial drugs. These advancements hold promise for further progress in malaria elimination.

Challenges and Future Outlook
Despite the progress made in combating Malayria, several challenges persist in the fight against malaria in the Maldives.

a. Climate Change and Mosquito Adaptation: Climate change poses a significant threat as it affects mosquito breeding patterns and expands their geographical range. Rising temperatures and changing rainfall patterns can create favorable conditions for mosquito proliferation, potentially leading to a resurgence of malaria. The Maldivian authorities need to remain vigilant and adapt their strategies to counter these environmental changes.

b. Socioeconomic Factors: Socioeconomic factors play a crucial role in the transmission and control of malaria. Poverty, inadequate housing, and limited access to healthcare services can hinder prevention and treatment efforts. Addressing these underlying social determinants of health is essential to sustain progress in malaria elimination.

c. Migrant Workers and Travel-Related Cases: The Maldives is a popular tourist destination and relies heavily on migrant workers. Malaria cases can be introduced into the country through infected individuals traveling from endemic regions. Vigilant surveillance and screening at entry points, coupled with appropriate case management, are vital in preventing the reintroduction of the disease.

d. Antimalarial Drug Resistance: The emergence of drug-resistant strains of malaria parasites poses a significant challenge to malaria control efforts worldwide. The Maldives must closely monitor the efficacy of antimalarial medications and ensure access to effective treatment regimens to prevent the spread of drug resistance.

Looking ahead, the Maldives is determined to maintain its progress and work towards malaria elimination. The country’s National Malaria Elimination Strategy outlines a comprehensive roadmap for achieving this goal. The strategy focuses on strengthening surveillance systems, ensuring access to quality healthcare services, and intensifying vector control measures.

Furthermore, regional collaboration among neighboring countries and international partnerships will continue to play a crucial role in the fight against malaria. Sharing experiences, best practices, and resources can accelerate progress and contribute to a malaria-free region.

Conclusion
While Malayria remains a challenge, the Maldives’ commitment to eradicating malaria is evident. Through comprehensive prevention, control measures, and strong partnerships, the country has made significant strides in reducing the burden of the disease. Achieving malaria-free status across all islands in the Maldives is an ambitious but attainable goal.

Continued investment in surveillance, research, and public awareness is crucial to sustain the progress achieved thus far. Moreover, the Maldives can serve as an inspiration to other malaria-endemic regions, showcasing the importance of strong leadership, international collaboration, and community engagement in combatting this global health issue.

As the Maldives continues its fight against Malayria, the nation’s remarkable natural beauty stands as a testament to its resilience and determination. By eliminating malaria, the Maldives not only secures the health and well-being of its citizens but also ensures a brighter future for generations to come.

In conclusion, the battle against Malayria in the Maldives represents an ongoing effort to eliminate malaria and protect public health. The country’s commitment, supported by comprehensive prevention and control measures, international partnerships, and research advancements, has yielded significant results. However, challenges such as climate change, socioeconomic factors, and drug resistance must be addressed to sustain progress and ultimately achieve malaria elimination. With continued dedication and collaboration, the Maldives can pave the way for a future free from the burden of malaria, ensuring the health and well-being of its people and preserving the pristine beauty of its islands.

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Telmisartan Tablet | An Angiotensin Receptor Blocker

telmisartan, town pharmacy, angiotensin II receptor

Introduction
Telmisartan available under the brand names of Telsarta, Misar, Talam etc. is a prescription drug used to treat high blood pressure (hypertension). It is an angiotensin receptor blocker (ARB) that works by blocking the action of a hormone called angiotensin II, which constricts blood vessels and raises blood pressure. Telmisartan is available in tablet form and is commonly marketed under the brand name Micardis.

In this article, we will discuss the uses, machanism of action, dosage, side effects, precautions, and interactions of Telmisartan tablets.

Mechanism of action
Telmisartan binds reversibly and selectively to the receptors in vascular smooth muscle and the adrenal gland, interfering with the binding of angiotensin II to the angiotensin II AT1-receptor. Blocking the effects of angiotensin II lowers systemic vascular resistance because it is a vasoconstrictor that also increases aldosterone synthesis and release. The angiotensin converting enzyme, other hormone receptors, or ion channels are not inhibited by telmisartan.5 Additionally, studies indicate that telmisartan is a partial agonist of PPAR, a known target for anti-diabetic medications. This shows that telmisartan can reduce insulin resistance and enhance carbohydrate and lipid metabolism without having the negative effects of complete PPAR activators.

Uses
Telmisartan is primarily used to treat hypertension. It can be used alone or in combination with other drugs, such as diuretics, to lower blood pressure. Lowering blood pressure can help reduce the risk of strokes, heart attacks, and kidney problems.

In addition to treating hypertension, Telmisartan may also be used to treat other conditions, such as heart failure and diabetic kidney disease. It may also help reduce the risk of cardiovascular events in patients with a high risk of developing them.

Dosage
Telmisartan tablets come in various strengths, including 20mg, 40mg, and 80mg. The recommended dosage of Telmisartan varies depending on the patient’s age, medical history, and the severity of their condition.

For adults with hypertension, the usual starting dose is 40mg once daily. The dosage may be increased to 80mg once daily, depending on the patient’s response to the drug. If the patient’s blood pressure is not adequately controlled with Telmisartan alone, a diuretic may be added to the treatment.

For patients with heart failure, the recommended starting dose is usually 40mg once daily. The dose may be increased to 80mg once daily, depending on the patient’s response to the drug.

For patients with diabetic kidney disease, the recommended starting dose is usually 80mg once daily.

It is important to follow your doctor’s instructions regarding the dosage and administration of Telmisartan tablets. Do not increase or decrease your dosage without consulting your doctor.

Side Effects
Like all medications, Telmisartan may cause side effects in some patients. Common side effects of Telmisartan include:

  • Dizziness
  • Headache
  • Fatigue
  • Diarrhea
  • Nausea
  • Upper respiratory tract infections

These side effects are usually mild and go away on their own after a few days or weeks. However, if these side effects persist or worsen, contact your doctor.

In rare cases, Telmisartan may cause more serious side effects, such as:

  • Allergic reactions, such as rash, itching, or swelling of the face, lips, tongue, or throat
  • Severe dizziness or fainting
  • Jaundice (yellowing of the skin or eyes)
  • Kidney problems, such as decreased urine output or swelling of the feet or ankles
  • Liver problems, such as abdominal pain, nausea, or jaundice
  • Vision problems, such as blurred vision or loss of vision in one or both eyes

If you experience any of these side effects, seek medical attention immediately.

Precautions
Before taking Telmisartan tablets, inform your doctor if you have any of the following conditions:

  • Kidney disease
  • Liver disease
  • Heart disease
  • High levels of potassium in your blood
  • Dehydration or low blood volume
  • Pregnancy or breastfeeding

Telmisartan may not be suitable for some patients with these conditions, or the dosage may need to be adjusted.

Telmisartan may also interact with other medications, including:

  • Other blood pressure medications
  • Potassium supplements or salt substitutes containing potassium
  • Nonsteroidal anti-inflammatory drugs (NSA
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Lithium
  • Diuretics
  • Antidiabetic medications

It is important to inform your doctor of all medications you are taking, including prescription drugs, over-the-counter medications, and herbal supplements.

Telmisartan may also cause dizziness, especially when standing up quickly from a sitting or lying position. To avoid falls or injuries, get up slowly and steady yourself before standing.

Alcohol may also worsen the side effects of Telmisartan, such as dizziness or lightheadedness. It is recommended to limit alcohol consumption while taking this medication.

Pregnant women should avoid taking Telmisartan as it may harm the developing fetus. It is important to inform your doctor if you become pregnant while taking Telmisartan. It is also not recommended to breastfeed while taking Telmisartan, as it may pass into breast milk and harm the nursing infant.

Interactions

Telmisartan may interact with other medications, including prescription drugs, over-the-counter medications, and herbal supplements. It is important to inform your doctor of all medications you are taking, including:

  • Other blood pressure medications, such as ACE inhibitors or beta-blockers
  • Potassium supplements or salt substitutes containing potassium
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Lithium
  • Diuretics
  • Antidiabetic medications

These medications may interact with Telmisartan, increasing the risk of side effects or reducing the effectiveness of the medication. Your doctor may need to adjust your dosage or recommend an alternative medication.

Conclusion

Telmisartan is a prescription medication used to treat hypertension, heart failure, and diabetic kidney disease. It is an angiotensin receptor blocker that works by blocking the action of a hormone called angiotensin II, which constricts blood vessels and raises blood pressure.

Telmisartan tablets come in various strengths, and the dosage depends on the patient’s age, medical history, and the severity of their condition. It is important to follow your doctor’s instructions regarding the dosage and administration of Telmisartan tablets.

Like all medications, Telmisartan may cause side effects in some patients. Common side effects include dizziness, headache, fatigue, diarrhea, nausea, and upper respiratory tract infections. In rare cases, Telmisartan may cause more serious side effects, such as allergic reactions, severe dizziness or fainting, liver or kidney problems, and vision problems.

Before taking Telmisartan, inform your doctor if you have any medical conditions or are taking any medications. Telmisartan may interact with other medications, increasing the risk of side effects or reducing the effectiveness of the medication.

Overall, Telmisartan is an effective medication for treating hypertension and related conditions. However, it is important to follow your doctor’s instructions and report any side effects or concerns.

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Nebivolol | A Novel Beta Blocker

Town Pharmacy, nebivolol a novel beta blocker

Introduction
Nebivolol a novel beta blocker, available under the brand names of Nebil, Nebix and Byvas etc.  is more selective for beta1-adrenergic receptors than other drugs in this class and has a unique, not found in other beta-blockers now available to doctors, nitric oxide (NO)-potentiating, vasodilatory effect.

Nebivolol is a medication primarily used to treat hypertension (high blood pressure) and certain heart conditions. As a beta-blocker, it works by blocking the effects of adrenaline on the heart and blood vessels, resulting in decreased heart rate and relaxed blood vessels. In this blog post, we will delve into the details of nebivolol, exploring its uses, benefits, and potential side effects.

Definition and mechanism of action
Although the precise method by which beta-blockers lower blood pressure is not fully understood, possible processes include a heart-rate-related effect, suppression of the sympathetic nervous system, and inhibition of the renin-angiotensin system. A brand-new, highly selective beta-blocker with nonadrenergic vasodilating qualities is nebivolol. In Europe, it has been licenced for the treatment of congestive heart failure and essential hypertension, while the US is now reviewing it for the management of hypertension.

How it differs from other beta-blockers
According to clinical studies, nebivolol is ten times more effective than atenolol when compared on a weight-for-weight basis. In one study, using a double-blind, crossover design and a parallel, placebo group (n=7), the effects of doses of nebivolol (2.5 mg/day, 5.0 mg/day, and 10.0 mg/day) on exercise-induced increases in heart rate and blood pressure in 25 male hypertensive volunteers were compared with those of atenolol (50 mg/day and 100 mg/day) and of placebo. Nebivolol and atenolol both reduced heart rates (at rest and during submaximal activity) and sitting and standing diastolic and systolic blood pressures to the same extent at 24 hours following dose.

Approved medical conditions for nebivolol usage

Managing Hypertension with Nebivolol
Nebivolol as a first-line treatment for hypertension
Dosage and administration guidelines
Efficacy of nebivolol compared to other antihypertensive drugs
Nebivolol’s role in reducing cardiovascular events and mortality

Nebivolol for Heart Failure
Nebivolol’s unique properties for heart failure management
How nebivolol improves symptoms and quality of life in heart failure patients
Considerations and precautions when using nebivolol in heart failure patients

Potential Benefits Beyond Hypertension and Heart Failure
Exploring nebivolol’s role in endothelial dysfunction and vascular health
Nebivolol’s impact on nitric oxide production and vasodilation
Research on nebivolol’s potential for treating erectile dysfunction

Safety Profile and Side Effects
Common side effects of nebivolol and how to manage them
Rare but serious side effects and their associated risks
Precautions for specific patient populations (e.g., elderly, pregnant women, those with liver or kidney disease)

Drug Interactions and Contraindications
Medications that may interact with nebivolol
Contraindications and precautions for concurrent use of nebivolol with other drugs
Importance of consulting a healthcare professional before starting nebivolol

Patient Guidelines and Considerations
Recommendations for patients taking nebivolol
Importance of regular monitoring and follow-up appointments
Lifestyle modifications to complement nebivolol therapy (e.g., diet, exercise, stress management)

Recent studies on nebivolol’s effects on arterial stiffness and endothelial function
Potential role of nebivolol in reducing inflammation and oxidative stress
Emerging research on nebivolol’s impact on neuroprotection and cognitive function
Investigating the use of nebivolol in combination with other drugs for enhanced therapeutic outcomes

Comparing Nebivolol to Other Beta-Blockers
Differentiating nebivolol from other commonly used beta-blockers
Comparative efficacy, safety, and side effect profiles
Factors to consider when choosing between nebivolol and other beta-blockers for specific patient populations

Nebivolol in Special Populations
Nebivolol usage in the elderly population: benefits and considerations
Nebivolol safety and effectiveness in pregnant and breastfeeding women
Adjusting nebivolol dosage in patients with impaired liver or kidney function
Nebivolol use in pediatric patients: current evidence and potential applications

Personal Experiences and Testimonials
Real-life stories and experiences from patients using nebivolol
Insights into the impact of nebivolol on their daily lives and overall well-being
Patient perspectives on managing side effects and adhering to nebivolol therapy

Can nebivolol be used for anxiety or migraines?
What should I do if I miss a dose of nebivolol?
Can nebivolol cause weight gain?
Is nebivolol safe for long-term use?

Conclusion
Nebivolol is a valuable medication used in the management of hypertension, heart failure, and potentially other conditions. Its unique mechanism of action and favorable safety profile make it a popular choice among healthcare professionals. However, like any medication, nebivolol has potential side effects and interactions that should be considered. It is important for patients to work closely with their healthcare providers to determine the appropriate dosage, monitor for adverse effects, and optimize its benefits. By understanding nebivolol’s uses, benefits, and precautions, patients can make informed decisions and enhance their overall cardiovascular health.
Recap of key points discussed throughout the blog post
Encouragement for readers to consult healthcare professionals for personalized advice
Acknowledgment of nebivolol’s significant contribution to the field of cardiovascular medicine
Hope for continued research and advancements in the understanding of nebivolol’s benefits and potential applications
By expanding on these additional sections, the blog post will provide a more comprehensive overview of nebivolol, covering its latest research, comparisons with other beta-blockers, considerations for special populations, and real-life experiences from patients. This well-rounded perspective will equip readers with a deeper understanding of nebivolol’s uses, benefits, and potential implications for their cardiovascular health.

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Choose headache medicine

Life looks pretty different since the COVID-19 pandemic has emerged. With daily routines at a standstill due to social distancing and a constant stream of worrisome news, it’s easy to feel anxious, uncertain and alone. And if you’re living with chronic illness, or caring for somebody who has one, those familiar feelings are likely at an all-time high right now.

Keeping one’s self going is a difficult thing to do. There are a million distractions that occur every day and that can mean that we do not stay on track with what we should be doing.

Have you ever heard the expression, “Do not count your chickens before they hatch?” Maybe an older, wiser individual would tell you this to keep you from getting ahead of yourself. Like buying a new car before you actually got that new job. Well, when setting and obtaining your goals, you need to “Count your chicken before they hatch” in your mind. What I mean by this is you have to start seeing yourself completing or obtaining your goal. What you profess, you possess!

The first thing you need to do is sit down and set your goals. Diana Scharf Hunt said “Goals are dreams with deadlines.” A lot of times, people are thrown off by the idea of taking the time to set their goals
Dreams Aren’t Enough

As important as dreams are, they arent enough. Why? Dreams don’t take you where you want to go. A dream needs wings — to become a tangible vision — a passion that will take you where you REALLY want to be.

Posted on by — 3 Comments

Choose headache medicine

Life looks pretty different since the COVID-19 pandemic has emerged. With daily routines at a standstill due to social distancing and a constant stream of worrisome news, it’s easy to feel anxious, uncertain and alone. And if you’re living with chronic illness, or caring for somebody who has one, those familiar feelings are likely at an all-time high right now.

Keeping one’s self going is a difficult thing to do. There are a million distractions that occur every day and that can mean that we do not stay on track with what we should be doing.

Have you ever heard the expression, “Do not count your chickens before they hatch?” Maybe an older, wiser individual would tell you this to keep you from getting ahead of yourself. Like buying a new car before you actually got that new job. Well, when setting and obtaining your goals, you need to “Count your chicken before they hatch” in your mind. What I mean by this is you have to start seeing yourself completing or obtaining your goal. What you profess, you possess!

The first thing you need to do is sit down and set your goals. Diana Scharf Hunt said “Goals are dreams with deadlines.” A lot of times, people are thrown off by the idea of taking the time to set their goals
Dreams Aren’t Enough

As important as dreams are, they arent enough. Why? Dreams don’t take you where you want to go. A dream needs wings — to become a tangible vision — a passion that will take you where you REALLY want to be.

Posted on by — 3 Comments

Nutrients needed for bones and joints

Life looks pretty different since the COVID-19 pandemic has emerged. With daily routines at a standstill due to social distancing and a constant stream of worrisome news, it’s easy to feel anxious, uncertain and alone. And if you’re living with chronic illness, or caring for somebody who has one, those familiar feelings are likely at an all-time high right now.

Keeping one’s self going is a difficult thing to do. There are a million distractions that occur every day and that can mean that we do not stay on track with what we should be doing.

Have you ever heard the expression, “Do not count your chickens before they hatch?” Maybe an older, wiser individual would tell you this to keep you from getting ahead of yourself. Like buying a new car before you actually got that new job. Well, when setting and obtaining your goals, you need to “Count your chicken before they hatch” in your mind. What I mean by this is you have to start seeing yourself completing or obtaining your goal. What you profess, you possess!

The first thing you need to do is sit down and set your goals. Diana Scharf Hunt said “Goals are dreams with deadlines.” A lot of times, people are thrown off by the idea of taking the time to set their goals
Dreams Aren’t Enough

As important as dreams are, they arent enough. Why? Dreams don’t take you where you want to go. A dream needs wings — to become a tangible vision — a passion that will take you where you REALLY want to be.

Posted on by — 3 Comments

Nutrients needed for bones and joints

Life looks pretty different since the COVID-19 pandemic has emerged. With daily routines at a standstill due to social distancing and a constant stream of worrisome news, it’s easy to feel anxious, uncertain and alone. And if you’re living with chronic illness, or caring for somebody who has one, those familiar feelings are likely at an all-time high right now.

Keeping one’s self going is a difficult thing to do. There are a million distractions that occur every day and that can mean that we do not stay on track with what we should be doing.

Have you ever heard the expression, “Do not count your chickens before they hatch?” Maybe an older, wiser individual would tell you this to keep you from getting ahead of yourself. Like buying a new car before you actually got that new job. Well, when setting and obtaining your goals, you need to “Count your chicken before they hatch” in your mind. What I mean by this is you have to start seeing yourself completing or obtaining your goal. What you profess, you possess!

The first thing you need to do is sit down and set your goals. Diana Scharf Hunt said “Goals are dreams with deadlines.” A lot of times, people are thrown off by the idea of taking the time to set their goals
Dreams Aren’t Enough

As important as dreams are, they arent enough. Why? Dreams don’t take you where you want to go. A dream needs wings — to become a tangible vision — a passion that will take you where you REALLY want to be.

Posted on by — 3 Comments

Wound Care Glossary of Terms

Life looks pretty different since the COVID-19 pandemic has emerged. With daily routines at a standstill due to social distancing and a constant stream of worrisome news, it’s easy to feel anxious, uncertain and alone. And if you’re living with chronic illness, or caring for somebody who has one, those familiar feelings are likely at an all-time high right now.

Keeping one’s self going is a difficult thing to do. There are a million distractions that occur every day and that can mean that we do not stay on track with what we should be doing.

Have you ever heard the expression, “Do not count your chickens before they hatch?” Maybe an older, wiser individual would tell you this to keep you from getting ahead of yourself. Like buying a new car before you actually got that new job. Well, when setting and obtaining your goals, you need to “Count your chicken before they hatch” in your mind. What I mean by this is you have to start seeing yourself completing or obtaining your goal. What you profess, you possess!

The first thing you need to do is sit down and set your goals. Diana Scharf Hunt said “Goals are dreams with deadlines.” A lot of times, people are thrown off by the idea of taking the time to set their goals
Dreams Aren’t Enough

As important as dreams are, they arent enough. Why? Dreams don’t take you where you want to go. A dream needs wings — to become a tangible vision — a passion that will take you where you REALLY want to be.

Posted on by — 3 Comments

Wound Care Glossary of Terms

Life looks pretty different since the COVID-19 pandemic has emerged. With daily routines at a standstill due to social distancing and a constant stream of worrisome news, it’s easy to feel anxious, uncertain and alone. And if you’re living with chronic illness, or caring for somebody who has one, those familiar feelings are likely at an all-time high right now.

Keeping one’s self going is a difficult thing to do. There are a million distractions that occur every day and that can mean that we do not stay on track with what we should be doing.

Have you ever heard the expression, “Do not count your chickens before they hatch?” Maybe an older, wiser individual would tell you this to keep you from getting ahead of yourself. Like buying a new car before you actually got that new job. Well, when setting and obtaining your goals, you need to “Count your chicken before they hatch” in your mind. What I mean by this is you have to start seeing yourself completing or obtaining your goal. What you profess, you possess!

The first thing you need to do is sit down and set your goals. Diana Scharf Hunt said “Goals are dreams with deadlines.” A lot of times, people are thrown off by the idea of taking the time to set their goals
Dreams Aren’t Enough

As important as dreams are, they arent enough. Why? Dreams don’t take you where you want to go. A dream needs wings — to become a tangible vision — a passion that will take you where you REALLY want to be.