Monday, December 24, 2012

Everybody Poops - What Your Poop May Be Trying to Tell You

I have to admit up front, this is going to be the crappiest article I've ever written.

You see, as I was walking my dogs Marty and Rosie the other day, it occurred to me that poop plays a huge role in my life. I'm not afraid to admit it. I pick up after my dogs every day, I scoop my cat's litter box every day (OK, not EVERY day, but it certainly feels that way), and I talk with my clients about their bowel movements. In fact, while I was in India this past summer, poop was actually the number one topic of conversation between my colleagues and me, as we compared notes on who had diarrhea and who was still healthy. I even remained on "poop watch," for several weeks after my return to the States, making sure that everything was OK (and thankfully, it was!)

So, if you are a pet owner, parent, health care professional, or world traveler, you probably know what I mean!

Everybody Poops - What Your Poop May Be Trying to Tell You

But many people don't get to talk about poop as much as I do. I know this because when I ask people about their poop, I often get blank stares and uncomfortable looks. So, I let's talk about all of the questions that people want answered but are usually afraid to ask. After all, your poop is an important indicator of your overall health!

What is Poop?

Have you ever wondered what poop actually is? About 75% of your average poop is water, although this will vary depending on the person. Water is absorbed out of fecal material as it passes through the large intestine, so the longer you take to "go," the drier your poop will be.

The remaining 25% is comprised of dead bacteria that helped us digest our food, living bacteria, protein, undigested food residue (also known as fiber), waste material from food, cellular linings, fats, cholesterol, salts, protein, and substances released from the liver and the intestines (such as mucus).

What Makes a Healthy Poop?

Your feces are a clear indicator of the health of your gastrointestinal tract. Dr. Mehmet Oz says, "At the end of the day you can analyze your body really effectively by looking at what comes out of your body."

So what should you look for? A healthy poop will be:
Golden brown, which is due to pigments formed by the bacteria in the gut and bile from the liver. You want to make sure the color is normal because that tells you a lot about what's going on in your gastrointestinal tract (more on color below). Formed into one long shape. Dr. Michael Levitt, an Australian colorectal surgeon who has written a book called The Bowel Book, says that the healthy human stool resembles the shape and consistency (although not the same color) of an unripe banana. Dr. Oz says " You don't want [pieces]." Some experts disagree, saying they don't have to be well- formed. Patrick Donovan, N.D., a naturopath in Seattle, WA says "Stools don't have to be well- formed logs. They can disperse in the toilet water; they can break down." Nearly odorless. About 1 to 2 inches in diameter and 18 inches long.
What About Other Colors?

Sometimes we don't see that "golden guru," and are faced with something else instead. Here's some insight into what those other colors might mean.
Black: Feces can be black if dried blood is present in it from internal bleeding in the upper digestive tract. See a doctor if this is the case. Very Dark Brown: Drinking wine the night before may result in dark brown poop. This could also be the result of eating too much salt, or not enough vegetables. Yellow: One condition that can cause yellow poop is an infection known as giardia, a dangerous infection that can spread to others. Another cause of yellow poop may be a condition known as Gilbert's syndrome. See your doctor if you are consistently seeing yellow poop. Green: Babies often have green poop when they are given food for the first time. Children may have green or blue poop from certain illnesses or from ingesting food colorings. Adults may also have green poop if they eat large amounts of green, leafy vegetables or if they eat large amounts of foods with green food coloring. Light green poop may indicate excessive sugar in the diet. Green feces can also occur with diarrhea if bile salts pass through the intestine unchanged. Again, see a doctor if you are concerned! White/pale: Feces can appear white or pale after drinking barium sulfate, which is often given to patients getting an X-ray of the digestive tract. A white or pale stool may also be an indication of problems with the gallbladder or liver. Red: Bright red in the feces may be indicative of active bleeding, possibly the result of hemorrhoids. A magenta color may result form eating intense red food coloring, or red foods such as beets.
How Often Should I Poop?

Ah - the big question! Experts disagree on how often a person should poop. The National Institute for Diabetes, Kidney, and Digestive Diseases says three times a week is normal and healthy for some people. According to Ayurveda, an ancient Indian healing system, once a day is ideal. Other experts advocate once or twice a day, while still others say a person should have a bowel movement within two to three hours of a major meal- -or two to three times a day. So you can see that it really depends on who you talk to. My personal opinion is that you above all want to be regular in your pooping schedule, and that one poop a day is ideal.

When someone poops four times a day or more and the poop has a liquid consistency, this is referred to as diarrhea. When someone poops less than two or three days a week and the poop is hard, dry, and difficult to pass, this is known as constipation.

What's the Deal with Corn?

It's funny, so it's OK to laugh. But most people I know have experienced it and they ask why it is that when you eat corn, the next time you poop there it is again! There are a couple of reasons for this. One is that most of us do not thoroughly chew our food. Another interesting tidbit I've learned that there is an outer coating on corn that is made up of indigestible cellulose. This outer coating slips off the inner kernel and, since it's indigestible, passes through the gut intact. It then emerges looking like a whole kernel, even though it's just the outer skin. The inside of the kernel is starchy and digestible, and that is the part that we succeed in chewing and digesting.

Well, hopefully you know now a lot more about this important topic. And that's the scoop on poop!

Everybody Poops - What Your Poop May Be Trying to Tell You
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The information in this article is not intended to diagnose, treat, cure, or prevent any disease.

Julia Kalish, eRYT-500 is a Certified Nutritionist and Yoga Teacher in Herndon, VA. She is the owner of Double Dog Yoga in Herndon, which specializes in beginner-level vinyasa yoga instruction in both small groups and one-on-one. Double Dog also offers classes for the experienced yoga practitioner at their Herndon location. To contact Julia, email her at julia@doubledogyoga.com, or visit her website at [http://www.doubledogyoga.com] The content of this article may be used without special permission; provided it is used for nonprofit purposes and full attribution and contact information for Julia Kalish is given. For other purposes, contact Julia Kalish at julia@doubledogyoga.com

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Friday, December 21, 2012

Pancreatic Cancer - Living From Diagnosis to Death - The Diary of a Cancer Patient's Daughter

One of the hardest things to do in life is to live once you've been told you are going to die. It's as if life speeds up after you receive knowledge that your days are ticking away on a finite clock that you have no control over. One important thing that I learned while experiencing the devastating affects of Pancreatic Cancer with my mother as she fought this distressing disease is that it is crucial to focus on the time that you have rather than on the time you don't have. To me this article is a condensed version of the Diary of Cancer Patient's Daughter as I explain what living with Pancreatic Cancer is like from diagnosis to death as I framed the picture of my mother's experience in my mind.

I hope and pray that you receive something out of these words birthed out of pain that will bring you peace and help you or your loved one with a Cancer diagnosis live a little longer and happier in spite of the sad reality you are facing. There are 7 D's in this Cancer Diary that can help you manage the physical and mental aspects of this awful disease. Remember that what you don't do in the Cancer Crisis is just as important as what you do.

Entry # 1: The Diagnosis:

Pancreatic Cancer - Living From Diagnosis to Death - The Diary of a Cancer Patient's Daughter

My mother Joyce was 66 years old when she was diagnosed with Pancreatic Cancer during the summer of 2008. Though all Cancer is bad, Pancreatic Cancer is considered one of the worst because it is the most difficult to diagnose. The reason is that the symptoms mirror digestive problems as the disease hides in the depths of the digestive system. My mother had chronic pain in her stomach and though she went to the emergency room several times receiving numerous tests and ultra sounds the doctors kept telling her nothing was wrong with her and sent her home every time. Initially they thought it was a problem with her gal bladder which is a common misdiagnoses in the case of Pancreatic Cancer.

Her Father Boyce whom she was named after died of Pancreatic Cancer 20 years earlier, but the chance that she could have that very same thing never occurred to her or anyone else in our family. If Cancer runs in your family, especially Pancreatic Cancer, I would advise you to have regular screenings for this disease as early diagnosis is a key to survival. One of the most deadly things about Pancreatic Cancer is that because it is so hard to diagnose most patients don't receive their diagnosis until they are already in Stage 4 of the Cancer when there is practically no hope.

The symptoms of Pancreatic Cancer include: abdominal pain and pressure, jaundice, nausea, loss of appetite, depression, weight loss and weakness. My mother had all symptoms except for jaundice. Just because a person is missing a common symptom doesn't mean they don't have Pancreatic Cancer. The most common procedures used to diagnosis this brutal disease are: Ultrasonography, CT Scanning, Endoscopic Retrograde Cholangiopancretography, Endoscopic Ultrasound, MRI, and Cholangiogram Percutaneous Transhepatic. I'm pretty sure my mother had all of these tests done and it can be very draining to endure such experiences, however it is vital in obtaining a diagnosis. The results of her diagnosis showed that there was a tumor on her pancreas blocking the flow of bile from her liver, as well as, the flow of enzymes from her pancreas. In her case the tumor was wrapped around a blood vessel and surgery to remove the tumor was not really an option. Very few surgeons in the country would have been able to successfully perform the surgery and her chances of survival would have been slim to none. Even if she had of had the surgery her quality of life following it was questionable. This surgery is commonly known as the Whipple Operation and removes a large part of the pancreas, the duodenum and a portion of the bile duct

What do you do in this situation? You make the choice to live the best life in the time that you have which is undetermined and different for everyone. Suck every drop of joy out of life you can as quickly as possible. If we could turn back the clock and do it all over again the one thing we would do differently is have annual screenings for the disease conducted because had we done that my mother might still be alive today. What you do in time can determine the time you have on this earth.

Many people allow the hands of time to cover their eyes to what they don't want to see. Open your eyes today and if you have not been diagnosed with this disease begin to use preventative measures such as a healthy diet, exercise, and regular checkups with your doctor.

Entry # 2: Denial:

We were in such disbelief after receiving the diagnosis we failed to take immediate action locked in the paralysis of our new found reality. One thing Cancer does not give you is time. That big devil called denial must be dealt with. I can still hear my mother saying, "I can't have this...not me!" You must come to grips with what you have in order to get a grip on the situation. Sometimes I think of Cancer being more of an accident of health rather than a mistake of nature. All you can do with a mistake is wish that it never happened but accidents can be prevented. Maybe this is a little optimistic since Cancer tends to creep in like an unexpected thief to steal your most prized possessions. Even so, optimism is always stronger than pessimism and it merely means that our powerful spirits encased in a fragile frame of flesh chooses to live.

Even people with diseases such as drug addiction and alcoholism must come out of denial before they recover. I know Cancer survivors and they are the same people that came out of denial and dealt with the disease. You will never take action in regards to something you don't believe.

Entry # 3: Drugs:

We live in a pill popping nation where there is a drug for every situation. One of the main problems with drugs is that they mask symptoms but fail to provide a cure. Drugs do their best to cover up the Cancer until the victim is covered with earth in a coffin. I keep hearing rumors that there is a cure for Cancer but the medical and funeral industries are making too much money off of the disease to release the cure. I don't know if that is true but it sure makes sense.

Though drugs were diagnosed to help my mother one of the first things we did which is extremely important for Pancreatic Cancer patients was to have a stint put in. Stints were inserted into the tubes leading from her liver and pancreas to help them function and this helped her to live a better life. In some cases, depending on the size of the tumor, it is very difficult to insert stints but there are several alternative methods and procedures to accomplish the same effect. If you have a good doctor he will inform you of all options. If you have a doctor that doesn't tell you all the options; get another doctor.

My experience with a mother with Pancreatic Cancer perfected a hatred in me for Morphine which is the pain medication my mother was put on. Since the pain caused by the Cancer is so intense our options were limited and we wanted my mother to be able to live out her days as pain free as possible as I think anyone would. The Morphine altered her mind, changed her personality, and caused aggression and paranoia. The effects of the Morphine put the family in pain while relieving my mother's pain.

At times it was as if she was out of her mind and it nearly drove us out of ours. She no longer trusted the people that loved her and many times would forget what she was saying in the middle of a sentence. The family told her many things over and over again and she wouldn't do them and always forgot what we told her. To me Morphine kills a person before they die. It kills their ability to convey the essence of who they truly are. There are alternatives for pain relief drugs but I don't know how much better they are since we only dealt with Morphine.

It amazes me how Patrick Swayze filmed a television series with Pancreatic Cancer refusing to take pain medications so he could concentrate on and accomplish his work. I remember hearing him speak about preparing hours in advance of his shoots to be mentally and physically prepared to accomplish every task in pain. I think drugs such as Morphine make a person die faster because it arrests their mind. In the movie the Matrix if you've ever seen it, Neo is doing the jump program with Morpheus and falls. When he comes out of it he is bleeding and makes a statement to the fact that he thought it wasn't real and Morpheus tells him that the mind makes it real and that the body cannot live without the mind. If you are mentally incapacitated, how can you make a conscious decision to fight for your life?

A glimmer of hope came to us while dealing with the madness of the Morphine which is an alternative pain treatment that Cancer patients can receive that deals with injecting alcohol around certain nerves to block the feelings of pain. My mother had this procedure done but said that it didn't work. To this day I don't know if the treatment really didn't work or if by the time she had it she was

already addicted to the Morphine and the pain she felt were the pangs of withdraw.

Unfortunately Morphine was only one wave in the ocean of drugs we had to deal with. There were digestive enzymes that had to be taken prior to eating, beta blockers, heart medication, anxiety medication, insulin for the diabetes caused by the shut down of the pancreas, medication for indigestion, vitamins, blood thinners for blood clots and so many medications we had to make an Excel spreadsheet just to keep track of them.

One of the effects of the disease that had to be dealt with was extreme swelling of the abdomen and feet to the point where diuretics were prescribed, fluid draw procedures had to be performed by using a needle to draw the fluid from the abdomen and as for the feet; only house shoes could be worn. I found out that the swelling was caused by the Cancer mainly due to the body's reaction to the tumor and to the lack of protein in the blood disabling the bloods ability to hold fluid.

The things that a person goes through with Cancer are almost endless. Every part of the body is affected; especially the mind, the will, and the emotions. Based upon the experience I encountered with my mother a couple of other crises we had to press through was the C Diph infection causing chronic diarrhea causing contact isolation that is almost like quarantine to be implemented. My mother could barely eat and we had to put on hospital gowns and gloves to be in the room with her or even come in contact with her.

An episode we faced with internal bleeding caused by the rupturing of blood vessels was very traumatic and hospitalized my mother after she passed out from weakness with her eyes rolling back in her head due to the extreme blood loss. Blood was in her bowels and blood transfusions had to be issued in order to get her blood count back up to normal which is usually 14 and hers was almost half that. Had we not sought medical attention for her at that time she could have died. So that you can recognize this, the symptoms are usually extreme weakness and black loose bowels. I experienced the same thing when I was four years old and diagnosed with acute hemorrhagic pancreatitis.

We tried chemotherapy which is extremely hard on the body, killing the good cells along with the bad. Chemotherapy is like infusing your body with a poison in order to get rid of another poison. For some people it works but sadly to say in the cases of Pancreatic Cancer it is rarely effective. I am not a doctor and therefore give no medical recommendations as to how to treat Cancer of the Pancreas but in my own personal opinion and experience through observation I would say if possible, find a better way.

There are alternative treatments, natural remedies, and experimental treatments. A Cancer patient can seek studies that are being conducted for the type of Cancer they have and in many cases when they become a part of the study they can receive free or very low cost experimental treatments. One day one of these experimental treatments might be the answer. My mother used an experimental chemotherapy that was available but it was too hard on her heart. One of her smaller tumors did disappear but that wasn't enough to save her.

Chemotherapy can carry such side effects as nausea, vomiting, and decreased white blood cell counts. Historically, Chemotherapy has not been effective in the treatment of Pancreatic Cancer, but there are more up to date treatments that use an FDA approved agent called gemcitabine which has helped to shrink some tumors for Carcinoma of the pancreas.

At one point we went to see a naturalpathic doctor specializing in alternative Cancer treatments that knew of a treatment that had proved to be effective for Pancreatic Cancer. The name of the treatment is Intravenous - Lipoic Acid/Low-Dose Naltrexone Protocol. There are various articles and information on this treatment for you to research and intelligently consider.

Our problem with the treatment was that one of the drugs prescribed for it that could only be filled at a compound pharmacy blocks the affects of opiates and since my mother was on Morphine for pain a known opiate she plunged into a chronic pain episode that caused her to lose coherency from the pain and go to the emergency room where the only thing they could do to relieve her pain was to give her a drug strong enough to sedate her and completely knock her out. It was a tremendous setback in her treatment. The opiate blocking drug was supposed to be a very low dosage that should not have negatively affected her so if this particular treatment is chosen I would do extensive research and make ample preparations before trying it.

When you are personally dealing with Cancer or know someone close to you that is, you will find out quickly that everyone has a product to sell you that they claim has cured someone from Cancer. Maybe they have and maybe they haven't. Again, I remember watching an interview with Barbara Walters and Patrick Swayze when he said something to the effect of, "If you had a miracle cure for Cancer you would be rich and everyone would know you so just shut up." We tried several products and ordered everything we thought could make a difference or be a cure. I'm going to share with you two things that you can buy on your own that we didn't get a chance to try because we found out about them too late. I don't know it they work, but its worth a try as anything is when you or someone you love is dying.

You can search YouTube and find videos on the banking soda Cancer treatment and you can search the Internet to find articles that specifically discuss the use of asparagus to treat Cancer. There is so much more I could say about different treatments and drugs but instead of going on and on about this subject I will instead give you a few helpful hints.

Helpful Hint #1: If you are strong enough to do it, aerobic exercise helps Chemotherapy patients by ridding the toxins in their system from Chemotherapy through sweat. I read an article once about a lady with Cancer that felt too sick to do aerobics when her coworkers kept inviting her to class because they didn't know she had Cancer. She started the classes eventually and felt sick at first and then started feeling better. She sweated the toxins out and one year later was teaching the class Cancer Free.

Helpful Hint #2: When a Cancer patient's veins are to the point where it is extremely difficult to draw blood or administer IV medication a Central Line which is a port for IV and medication inserted into the jugular vein by ultrasound can be good. I witnessed the pain of my mother as she was poked multiple times with attempts to draw blood and insert IV's. Save yourself this pain with a Central Line.

Helpful Hint #3: Keep a positive attitude and laugh as often as possible. The Bible says that laughter doeth the heart good like a medicine. Sometimes simple laughter will do more for a Cancer patient than any drug. Laughter heals and it makes a person's time on this earth more enjoyable. Talk about funny memories from the past with family and friends and laugh, laugh, laugh! You deserve it! Mental support is important. Encourage, speak positive things, and most of all be there for the person that you know that has Cancer. Cancer and all the things a person goes through with it are scary. I coached my mom and encouraged her and told her she could make it when she didn't think she could. Encouragement in love can add time to a Cancer patient's life. Ask lots of questions and gain as much knowledge as possible. If a drug or treatment you or a Cancer patient you know is on doesn't seem right; talk to the doctor about it because there is always an alternative.

Entry # 4: Disappointment:

Normally in life there are disappointments. When you already have a disappointing disease, disappointment can be magnified. What do you do when the Chemo doesn't work? How do you react when the miracle cure you found out about doesn't cure? How do you deal with setbacks that surface along the way? What you do is keep going, keep trying, and don't give up. It is important to express disappointment and acknowledge it as long as it doesn't take you captive. Just having the disease is disappointing, not to mention all of the obstacles encountered while dealing with the disease. Disappointment is not only experienced by the Cancer victim but by the family and friends that love that person so much.

I was working on my MBA when my mother was diagnosed with Cancer. Since she was already in Stage 4 of Cancer when she was diagnosed we found out shortly after the diagnosis that the Cancer had spread to her lungs and other areas of her body. I can remember the day I found out about that. I started crying at work and couldn't stop and had to leave the office. I know what it feels like to try and hold tears in and there is nothing you can do to keep them held in your eyes. I know what it is to cry until your stomach jerks in and out and snot comes out of your nose and you feel like throwing up. My mother was my best friend and because of that I am well acquainted with disappointment.

I always wondered how the people with these miracle stories that publish these books about overcoming Cancer did it. Their methods worked for them with no doubt but my mother was in such a bad state she couldn't even do most of the things these books said to do and that was so disappointing. I wished I could speak with these people personally just to ask them...HOW? How did you do it?

One of the greatest challenges faced was that my mother was a Minister and Pastor and she had a lot of people praying for her as she even believed for her own healing. Father Yah (God) is a healer but He doesn't always heal and there is always a question of why for those that are not healed. Dottie Olsteen the wife of the late Pastor John Olsteen of Lakewood Church in Houston, Texas now pastured by Joel Olsteen at one time had terminal Liver Cancer. Dottie gathered together the healing scriptures from the Bible and began to speak them over herself three times a day like a medicine prescription and was totally and completely healed.

Why her and not my mother? I don't know. Maybe Yah (the name for almighty God the Creator in Hebrew) was ready for my mom to come home with Him. All I can tell you is that disappoint can and will come in many forms. The best cure for disappointment is to overcome with an attitude of thankfulness, accepting that you don't know the reason for all things but you do know that there is a reason and a purpose for all things. Stay positive while keeping your mind and spirit open to whatever might happen. Disappointment comes when something other than what you expect or anticipate happens. With Cancer you have to be prepared for the success or failure of anything and everything. Be encouraged; you are stronger than disappointment. Don't let it catch you off guard but be prepared for it. Know that for every disappointment there is a triumph on the other side.

Entry # 5: Diet:

Anyone with Cancer should reconstruct their diet to contain the foods that fight against and can even cure Cancer. Eat and drink substances that are non-acidic, alkaline, and highly concentrated with antioxidants. Research to find Cancer healing foods.

One of the most important things to do is to drink a lot of water. Water is the source of life and the human body is mostly composed of water. There is an author that wrote a book called, "You Aren't Sick You're Just Thirsty" talking about the importance of water and its affects on the body.

Diet is a rough subject with Pancreatic Cancer because you can know all the right things to eat and not be able to consume them. The affects of the disease on the digestive system makes it very hard to eat and drink. The patient may lose their appetite and even if they do have an appetite, once they eat it can make them feel sick. Pancreatic Cancer sabotages the digestive system.

One thing that helped us was some information we found on dill pickles that assists in the digestion of food. In many instances when someone with Pancreatic Cancer or other digestive problems eats a dill pickle with each meal it helps to counteract the digestive problems so they can eat in comfort and keep the food down for nutrition to the body.

There are also drugs available to enhance the appetite, but if dill pickles can also be eaten with every meal that should help greatly as well. Since Pancreatic Cancer patients have difficulties in eating and tend to lose a lot of weight, dietary supplements such as protein shakes are suggested which are ingested easier with the use of a straw. Peanut butter can be added to the shakes to increase the calorie content and nutritional value of the shake. Another suggestion is to eat very small meals all throughout the day. The Cancer patient may not feel like eating but in order to live they must FORCE themselves to eat. Lack of food and liquid can kill quicker.

Vitamin D fights Cancer and freshly juiced vegetable juices containing the juice from green leafy vegetables can be extremely helpful especially when drank right after juicing when vitamin content and living substance is at a high level. The external diet is also important which consists of Epson salt baths that help to heal and release toxins from the body.

We all know the saying, "You are what you eat." Eat what is alive and it will help you stay alive. The first 3 letters of the word diet is the word die. Don't let what you are eating kill you. Since Cancer patients many times have to give up foods they love in order to live, it is great if the family can conform to their diet in support of their dietary efforts. Some foods make Cancer grow like simple sugars. Cut the sugar out of your diet and use a natural alternative like Stevia to sweeten foods. Stevia is a naturally sweet leaf that is available in powder and liquid form to sweeten foods and use in recipes. I am a big Bible reader so I love that Stevia is a leaf because the Bible says that the leaves shall be used for the healing of the nations. Other well-known artificial sweeteners can actually be poisonous to the body so be careful with them and avoid them if possible.

Entry #6: Death:

Even when you know someone is going to die, nothing really prepares you for the affects, effects, and real life reactions to that death. Everyone's experience is different, and I will share my personal experience with you hoping it will help you in some way. I can remember my mom looking at me one night and saying to me, "I'm dying!" I didn't know what to say back because even though I knew she had Cancer and death seemed inevitable, I refused to accept the fact the she was actually going to die.

We took her to the hospital on a Thursday and the very next day they wanted to send her to hospice. Hospice is a great and awful place all at the same time. Great due to the care and support and painless exit for the patient from this world they provide. Awful because you know that it is the last place you will be with the one you love. Hospice facilities are very comfortable and they give you a chance to say goodbye even if you don't want to. No one does. Please know that you aren't the only one going through this; neither are you the only one that has ever gone through this.

Counselors are provided, as well as, chaplains for spiritual support and prayer. You will receive a booklet explaining the death process which helps you know when death is near. During this process, give the Cancer patient a lot of love, comfort and support, and make sure you yourself get ample food and rest. Speak to your loved one while they are responsive and even after they are in a drug induced comma because they can still hear you. Be sure not to be selfish and release them to pass on so they won't linger on in suffering. That is all I will say about the hospice experience as you will learn more as you are actually in it. This is the time to meet with the funeral home and make preparations for the funeral and burial. You won't want to do this, but it is necessary and will help smooth out the process. Overall, hospice is a place to say your final goodbyes.

Entry # 7: Debt:

My dad only had enough life insurance to cover my mom's funeral, and this is not recommended. The moment a Cancer diagnosis is in place get as much checkup free insurance as you can get. For some reason the bill collectors don't understand the word death, and you can be stuck with bills that increase your sorrow after your loved one is gone. You will need a living will for your patient to be able to make medical decisions for them and you also need a power of attorney to deal with their accounts way before a death experience is upon you. You may have to handle business matters that they can't deal with while they are still alive and after they have passed on.Also make sure a will is in place so you don't have to deal with probate. Some accounts are easily closed after death simply by submitting a copy of the death certificate to the creditor and it is important to see if insurance is in place to pay off accounts upon death such as mortgages.

I have shared my heart, soul, and intimate personal experience with you in this article to the best of my ability. It should not take a crisis such as Cancer for us to become mortgage and debt free but if something such as Cancer arises I know that being mortgage and debt free can be one less worry. Work to reduce or delete your debts as much as possible. My dad would have more freedom and options today had his house been paid off when my mother passed. In addition to medical bills there were some prescriptions that cost 0 for a 10-day supply after our prescription benefits ran out. Death and sickness know nothing of the extra financial burdens that can increase and extend sorrow.

You will feel the pain of your loss for awhile and it will be absolutely unbelievable for a very long time, but you will get through it. Remember the good times, look at pictures of life, and hear the voice of your loved one live on in your mind and spirit forever. I wish you abundant peace. If you would like to find out how to get a copy of the book I've written in hopes of helping people deal with the loss of a loved one, please call or email me.

Pancreatic Cancer - Living From Diagnosis to Death - The Diary of a Cancer Patient's Daughter
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I have shared my heart, soul and intimate personal experience with you in this article and I want to share something else that can benefit you greatly which is a way to pay off your mortgage in one third to one half the time allowing you to own your home outright and become debt free.

It should not take a crisis such as Cancer for us to become mortgage and debt free but if something such as Cancer arises I know that being mortgage and debt free can be one less worry. My dad would have more freedom and options today had his house been paid off when my mother passed. There are still medical bills to deal with and even some prescriptions that cost 0 for a 10 days supply after our prescription benefits ran out.

Please fell free to contact me anytime for any information or support I can offer you in what you are going through. I wish you all the best and I encourage you to be stronger than you've ever been. You will feel the pain of your loss for awhile and it will be absolutely unbelievable for a very long time but you will get through it. Remember the good times, look at pictures of life and hear the voice of your loved one live on in your mind and spirit forever. Peace.

Deneene A. Collins, (832) 630-9806 - Personal Cell

Deneene is an aspiring author of many inspirational books designed to help people overcome and succeed in life.

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Tuesday, December 18, 2012

What Are the Going Housesitting Rates?

So, you've decided to make some changes in your life and you are interested in finding out about housesitting rates. While this may not sound too life provoking to some folks, it can be. The reason you may be interested in learning about this is your desire to re-locate, now that's life changing, huh?

Well, one of the first things you may want to do is find a great house sitting service that can give you an idea of the rates. They can give you lots of information and in the process you may just land a great job. They have access to people throughout the world that may be looking to hire someone just like you to look after their house on a regular basis.

How awesome would it be to land a house sitters job at some gorgeous, remote island? This would most likely be quite an expensive place that may even be worth millions of dollars. How incredible would that be, the opportunity to stay at a place such as that without worry of a mortgage payment or rent every month and get paid the going house sitting rate? In a word, awesome!

What Are the Going Housesitting Rates?

When you think about it, perhaps the best way to do this is to check around for vacation rentals in resort areas and then apply for the house sitting job. You may be surprised how many people may be looking for some people who have property in gorgeous locations looking for someone to keep an eye on for a while.

When you go into a house sitters service, it'd be a great idea to ask them about an owner of a vacation rental or may be looking for someone such as yourself and what are the going housesitting rates? You may even get paid a small amount as well for taking care of the place

Once you embark upon you house sitting or vacation rental journey, it may be one of the best things you've ever done for yourself. By moving to a new location, you can easily leave much of the undesirable past behind and start anew. This is a great, affordable way to you to do that.

Now, don't' think that this job is going to be all ice cream and cake, although it sure sounds fairly probable. You may run into some hitches, but most likely not many. Probably one of the most difficult things for most can be mowing the law if that's part of your contract. Have you ever heard the old saying, "Everything's negotiable?" Well, I'm no expert but I do imagine clipping the lawn may be as well.

The benefits of house sitting for the owner of a vacation rental carries many advantages that you may want to consider if you're looking to get away and you may even qualify for minimum housesitting rates in the process.

What Are the Going Housesitting Rates?
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There are many advantages to house sitting, although the housesitting rates can be low, the incentives can be great. For more information click here. http://www.102tips.info/house-sitting.html

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Friday, December 14, 2012

The Green Living Lifestyle - Every Little Helps

When it comes to green living, many people may think that to live a green lifestyle you have to change everything all at once. This is not the case. You can gradually ease yourself into the green living lifestyle one thing at a time. After all, even the smallest bit of effort can go towards helping the environment. You can start off in small ways, by recycling paper, metal, plastics, glass and so on.

This is the most common idea of the way into greener living, and is a very valuable element in the journey we are taking to a better environment for all to enjoy. Once you've become acquainted with the idea of recycling various materials, you can move onto various other ways of incorporating green living into your own lifestyle.

In the home, you can make sure appliances are turned off at the wall and not just left on standby. You can recycle food waste and use it as compost to help your garden. You can insulate the home so that you don't lose heat, thus helping you to save money on bills as well as the environment.

The Green Living Lifestyle - Every Little Helps

You could look in local listings for any green organisations close to your home. These people will be full of advice to help you incorporate the green living lifestyle into your days, and may well be able to offer advice on issues that you had not even thought of.

Reduce your carbon footprint by driving less and walking more. This has been a major issue in the news in recent times, and is a very large part of the current green living movement. Gradually, you'll discover the green lifestyle will become second nature to you and that you will look back on the way you used to live your life and realise just how negative an effect that seemingly innocent activities can have on the environment around us. Green living advice isn't about telling you what to do -- it's about helping you understand what you individually can do to help the world around you.

The Green Living Lifestyle - Every Little Helps
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Edgar is a long-term devotee of the green lifestyle, and is eager to help you learn how you can help out! Starting to live a little greener is easy with some basic green living advice which can help you on your way to a safe and positive future. You can find out more on becoming more environmentally friendly by visiting http://gogreenenergyforhome.com

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Thursday, December 6, 2012

Flea Bites On People - What Do Flea Bites Look Like And How To Treat Flea Bites

Beside infesting and sucking off blood from your pets, flea bites on people too. Among all insects' bites, flea bites on people are one of the most commonly seen.

Human can be bitten by a variety of fleas namely the dog flea, cat flea or the human flea. Fleas use their jaws to cut through the skin and then excrete their saliva containing enzymes and anticoagulant. The anticoagulant will prevents blood from clotting and enable the fleas to suck on the blood. The enzymes excreted cause all the allergic reactions seen on people.

What do flea bites look like?

Flea Bites On People - What Do Flea Bites Look Like And How To Treat Flea Bites

Human flea bites generally occur along the ankles and lower portions of the legs. A flea bite can usually be described as a red spot accompanied by a halo of redness that can last for several hours depending on one's reaction to it. It may causes a slight irritation or itch in some people while others with extreme allergies will sometimes break out into hives and have excessive swelling. Children tend to have more sensitive skin and as such, flea bites seen in children are usually more severe than in adults.

Treating Flea Bites

Before you run to your family doctor to seek medical treatment, here are some home treatments for flea bites that you may try especially if it's just a mild case of allergy.

1. Wash affected area with a mild antiseptic soap or detergent

2. Put an ice pack over the affect area. This will help in reducing swelling and inflammation

3. Apply some calamine lotion to relieve the itch

4. A mild steroid cream like hydrocortisone which are easily available from a local pharmacy will be useful in relieving the swellings and itch more rapidly.

As always, prevention is better than cure. Fleas breed at a rapid rate and getting rid of fleas can be an uphill task. Flea control requires an integrated plan, which involves treating your pets, entire house, backyards and gardens. All these require both great efforts and persistence but will be all worthwhile when you get to finally declare your home flea free and bites free!

Flea Bites On People - What Do Flea Bites Look Like And How To Treat Flea Bites
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To see pictures of flea bites on human and pets check out this section on Flea Bite Pictures. Also learn more tips on how to kill fleas in your house and flea control for pets

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Sunday, December 2, 2012

What Do Bed Bug Bites Look Like And How To Properly Treat A Bed Bug Bite

Have you woke up and noticed a small bite and wondered where it came from? Maybe you have a bed bug bite or several. How would you know. Let's look at what do bed bugs look like and how to treat a bed bug bite.

A bed bug bite look like a small welt and it can itch or even burn a little. Because they usually happen after dark you usually are asleep. You can not feel a bed bug bite. If you wake up with a red bump that itches or even burns a little you probably got bit by a bed bug.

It can be common to get a bed bug bite while traveling when you are staying in a motel. Bed bug bites can be irritating, but are hardly cause for concern when compared to a mosquito, which can carry Malaria or West Nile disease. You can treat a bed bug bite by washing it with soap and water, apply some ice and use an antihistamine cream or no-itch cream.

What Do Bed Bug Bites Look Like And How To Properly Treat A Bed Bug Bite

If your bite gets tender and starts oozing yellow, white or greenish goo it is probably infected. You should see a doctor and have him treat it for you.

Many people think bed bugs live in areas where it is not clean, but that is not probably the case. Bed bugs are like any animal and like to eat, but it is your blood they want and hotels are convenient because of the number of beds and proximity of drapes to them.

Bed bugs are said to smell like sweet, rotten raspberries, and it's also said that an infested room smells like almonds, but you would need a huge amount of them to even smell them at all. A female bed bug is normally the biter and she can lay up to 500 eggs in her life.

Because they are such good travelers you can take them around the world in a suit case or sleeping bag, which show the importance of even cleaning your luggage after a trip and washing sleeping bags. Hot water is the best way to kill bed bugs.

Bed bugs can live up to one year without eating so it is important to always clean after a trip. In your home if you suspect you have bed bugs you will need to vacuum and wash anything and everything in hot water. Even after that you may want to hire an exterminator to do an even better job.

What Do Bed Bug Bites Look Like And How To Properly Treat A Bed Bug Bite
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Need help detecting and getting rid of bed bugs? Try visiting http://www.howtopreventbedbugs.com , a popular website that provides tips, advice, articles on bed bugs and resources on how to properly kill bed bugs quickly and easily so you can reclaim your bed and get a good night's sleep.

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Friday, November 30, 2012

Summer House Living Room Design

After a long winter, it's incredibly nice to be able to go to your summer house and "open" it for the season. One of the first considerations you may have is how your summer house living room should be designed. You're not looking for the same type of coziness that you have at home. You want something that's still conducive to family, but will encourage warm breezes and long walks on the beach, not long stays indoors.

Whether you will visit this home on weekends throughout the warm season, or if it will become a semi-permanent home, the living room is a space that's important to family and also important for entertaining. The living room is probably the second most used rooms of the house, the first being the kitchen, of course. This room will be where guests will be entertained and families will come together when they're not out playing on the beach.

A wonderfully freeing addition to a summer living room is the use of bead board on the walls. This adds to the cottage type atmosphere that you're looking to create. The walls should either be painted a stark white that would contrast nicely with the wood grains of the trim around the doorways and along the floors, or they should be painted a light color such as field green or sky blue. A summer house living room should give the feel of being outdoors even when stuck in the house on a rainy day. These colors will help create that look and feel within your living room.

Summer House Living Room Design

Another nice touch to this style living room is small knickknacks that have to do with the outdoors and beaches. Seashells are a wonderful choice of décor when creating the illusion of bringing the beach and ocean into your very own living room. Shells can be used to surround the bottom of candles on a glass tray. They can be bagged and displayed through their mesh bags on a shelf next to a framed picture of you and your family on the beach or outdoors together.

Sparse collections of greenery either real or fake will enhance the "outside on the beach" feel of this living room. If you take a few plants that may vary in size and place them in a few strategic places, they will do a great job of adding a little green to your summer living room. If you're thumb is no more green than your is your forefinger, then choose plants that require little care or choose fake plants. Like their real counterparts, fake trees and plants are available just about everywhere. Be on the lookout and grab one or two that will truly enhance your living room.

Living rooms can be wonderful locations within the home and summer home. When everyone is at home over the summer, bonding can truly take home in a room that was well thought about and decided upon. Create your very own living space in the summer room style because you never know when you could be getting a new room to decorate.

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Lee Dobbins writes for 100 Home Decorating Styles where you can learn about more great decorating styles and find out more about summer home and beach style decorating.

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Thursday, November 22, 2012

Treating Anxiety With Natural Herbs and Over the Counter Supplements

This article will discuss the symptoms associated with anxiety and some of the best all-natural remedies with anti-anxiety properties.

Every living person feels anxiety at one time or another. We all know what it's like to feel worry, nervousness, fear and that heart-pounding feeling in your gut like something awful might happen. Maybe you get caught in a little white lie, or a big project you were working on gets delayed and you know it is your fault. Or maybe you're walking down the street and an unleashed pit bull starts eyeing you. Anxiety in these situations is common and quickly fades when the problem is solved.

But for nearly 40 million Americans, anxiety is an everyday reality. People who suffer from regular anxiety and/or panic attacks experience symptoms so often that it interferes with their ability to enjoy everyday life. People in this situation have anxiety "triggered" by what, for many people, would seem minor stressors, or normal life occurrences. These could be things as simple as starting a conversation or thinking about the future.

Treating Anxiety With Natural Herbs and Over the Counter Supplements

While a person often realizes the excessive worry or fear is not completely rational, there is little he or she can do to relax. Symptoms often include:

Racing or pounding heart Trembling Sweaty palms Feelings of terror Chest pains or heaviness in the chest Dizziness and light-headedness Fear of dying Fear of going crazy Fear of losing control Feeling unable to catch one's breath Tingling in the hands, feet, legs, or arms

There are a number of treatment options for anxiety that include therapy, prescription drugs, exercise therapy and dietary supplements. With anxiety, treatment options are not a one-size-fits-all consideration.

For people with clinical disorders experiencing extremely severe symptoms that make everyday life a challenge, prescription medication coupled with therapy may be the best option. But most people who suffer from anxiety are not in that boat.

For most who suffer from anxiety, a combination of regular exercise and the right natural supplements can be effective enough to overcome most anxiety symptoms. Most commonly people feel anxiety when there is one or a few chemical imbalances in their body that lead them to have a strong stress response to normal, everyday occurrences. This imbalances can often be corrected with supplementation.

Two of the most important brain chemicals in preventing anxiety are Serotonin and GABA (gamma-aminobutyric acid). Together, these neurotransmitters, or "chemical messengers" work to regulate mood, sleep cycle, muscle tension, concentration and relaxation. These are also two of the most commonly imbalanced brain chemicals that can lead to anxiety.

When these are out of balance, the body's ability to confidently handle life's stressors is greatly reduced. Luckily you can support these crucial brain chemicals with natural, over-the-counter supplements. No doctor's appointment necessary.

So then, what types natural anti-anxiety herbal extracts, vitamins, amino acids and nutrients can you buy over the counter? The following list contains some of the strongest and safest. Several of these also support Serotonin and GABA production.

L-Theanine
L-theanine, an amino acid found in green tea, produces a pronounced feeling of tranquility in as little as fifteen (15) minutes. L-theanine increases the activity of GABA, a neurotransmitter (i.e. natural messenger in the brain) that promotes relaxation and reduces anxiety. L-theanine also stimulates the release of dopamine, a neurotransmitter responsible for confidence and a sense of well-being.

GABA
Gama Aminobutyric-acid (GABA) is an amino acid and the main inhibitory (calming) neurotransmitter in the brain. GABA is a natural calming agent that prevents excessive muscle tension and helps our bodies make endorphins, chemicals that make us feel happy. Deficiencies of GABA in the brain have been linked to insomnia, and feeling anxious, stressed, tense and depressed.

Ashwaghanda Root
Ashwagandha has been used in the Indian tradition of Ayurveda in health tonics and calming serums. Recent studies demonstrate that Ashwagandha is an antioxidant that can treat anxiety, depression, panic attacks and phobia.

Brahmi (Bacopa Monnieri)
Often used by Ayurvedic healers to accompany Ashwagandha, Brahmi (a.k.a. Bacopa Monnieri) is a mild sedative which supports the body during periods of emotional stress. Traditionally, Brahmi is prescribed to promote healthy cognitive functions, including focus, concentration, mental endurance and memory. Modern studies have found that Brahmi's anti-anxiety properties were as potent as those of Lorazepam, with none of the side effects.

Tryptophan
Tryptophan is the number 1 supplement purchased to fight stress and anxiety. It is an essential amino acid that the body converts into 5-HTP (5-hydroxy-tryptophan), and then to serotonin. Serotonin is involved in mood, appetite, sleep and impulse control. Once the serotonin neurotransmitter is made, the brain is able to convert it at night into melatonin, the sleep-inducing hormone.

Passion Flower
For centuries, herbal medicine practitioners have used Passion Flower as a natural remedy for anxiety, stress and insomnia. Modern clinical studies shows that Passion Flower extract significantly lowers anxiety levels and promotes a more tranquil frame of mind. Studies also indicate that Passion Flower can reduce anxiety-related discomfort caused by withdrawal from opiates and other drugs.

Magnesium
Magnesium deficiency is one of the leading causes of anxiety and insomnia and the western diet tends to be lacking in this critical element. Research now shows that as magnesium levels drop, symptoms of anxiety and depression can increase.

Niacin
Niacin works with the body to convert Tryptophan into 5-HTP, which can then be converted into Serotonin. Without Niacin, Tryptophan-5HTP conversion cannot take place. Common symptoms of niacin deficiency include irritability, poor concentration, anxiety, fatigue, restlessness, apathy, and depression.

Vitamin B Complex
Getting enough of the many forms of Vitamin B is essential to maintaining proper brain function. Vitamin B is involved in the metabolism, as well as the production of Serotonin. Low levels of vitamin B have been linked to, anxiety, restlessness, fatigue, irritability, and emotional instability.

Al of these can be purchased at your average health food store. Currently there is only one supplement that contains all of these ingredients: Tranquilene. You can learn more about Tranquilene here: http://www.tranquilene.com/index2.php

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Monday, November 19, 2012

Log Home Living - Problems and Benefits

Today you'll find that log homes are just as huge and beautiful as some of the traditional houses that are out there today. Many people desirea a secluded custom home of their dreams. However, many people are really not aware of all that comes with a homes made from logs. Although there are undoubtedly a variety of great benefits to log home living, you'll find that there are some problems that log home owners often encounter along the way as well. Whether you go with a large log home or a smaller log cabin, you'll find that there are both pros and cons.

Problems with Log Home living
While you probably just think about all the beauty and all the great benefits, before you decide that log home living is for you, it's important that you realize that there are some problems as well. Here are just a few of the problems that can occur when you are purchasing or building your own custom home from logs.

- Building is Dangerous - First of all, you'll find that actually building a log home is quite dangerous. Logs are extremely heavy and an accident with a log can take a limb or a life. So, this is a dangerous type of home construction and you need to realize this before you decide to build.

Log Home Living - Problems and Benefits

- Require Non-Cosmetic Upkeep - You'll also find that most of these properties require quite a bit of non-cosmetic upkeep that most other homes do not. While you may hear a lot about these homes being low maintenance, this is not always the case. Wood preservation solutions must be applied to the logs in many cases, which can take time and money.

- It Can Be Difficult to Get a Home mortgage Loan - It's quite a bit more difficult to get a home mortgage loan on a log home as well, which is something that you probably haven't thought about. These are not traditional homes and finding the right home loan can be a real pain. So, before you decide that this is the right choice for you, make sure you understand that this difficulty is a reality when it comes to financing.

- Possible Bug Problems - Because the entire home is made of wood, there is the possibility of bug problems in the future. A log home would be a termite delight if you don't keep up on your wood preservation and bug treatment.

Benefits of Log style Homes
Of course while there are quite a few problems that can come along with log home living, you'll also find that there are many great benefits to owning a log home as well. Here are just a few of the great benefits that you can enjoy.

- Great Look - First and foremost is their great look and curb appeal. Many people actually choose log style homes solely for the beautiful look that they have. There is something rustic yet stately about these large log homes and many people love the way they look. However, looks is not the only great benefit.

- Excellent for the Environment - You'll also find that log homes are great for the environment and if you are worried about conservation, this is definitely a great way to go. Trees are a renewable resource and this is what is used to build your log home. So, it's a great choice for those who want to make sure that they protect the environment.

- Sturdy and Durable - Log style home living also provides you with a cool home that is sturdy and durable as well. You'll have a property that is very sturdy that will hold up, even in bad weather. Also, you can be sure that these properties are going to last for a long time as well, which is another great benefit.

- Warm and Cozy - If you're longing for a home that is going to be warm and cozy, then log home living may be for you. Because the log homes are built so tightly, they are very energy efficient and they'll keep you warm all winter long and cool during the summers as well. You'll also save on the heating and cooling bills.

- High Building Standards are Used - The building standards that are used for log cabins are very high today. This means you get a quality home and it also means that you have great value in your home as well. Usually log homes appraise out much higher than traditional homes that are about the same exact size. So, you'll end up with more equity in your home and if you have to sell, you'll be able to make a nice profit too.

Log Home Living - Problems and Benefits
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To learn more about a mortgage broker for log home mortgages and log home loans visit http://www.loghomefinance.com. John Mazzara is involved with financial services in the Twin Cities, MN. Officing out of Edina, Minnesota-John is centrally located within the 7 county MN metropolitan area. John owns three separate businesses-a licensed real estate broker associate selling Minnesota real estate since 1986-affiliated with RE/MAX Associates Plus http://www.MinneapolisStPaulHomes.com, an independent CFP-certified financial planner since 1989 with an independent Minnesota financial planning firm-Financial Planning Associates and the owner of a Minnesota mortgage broker firm-Venture Development Inc-specializing ins residential, commercial and investment mortgages If you are looking for someone to help you in the areas of real estate sales/purchase, mortgages, or and/or financial planning and insurance you should call John for a free 1 hour consultation to see if he can meet your needs. 952-929-2577. RE/MAX Associates Plus and Venture Development are located at 7300 France Ave S, Suite 410, Edina, MN 55435

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Thursday, November 15, 2012

US Citizenship Options For Elderly Applicants - Medical & Exam Waivers

I frequently receive calls from the adult children of US permanent residents (i.e. green card holders) who want to know how their parent can become a US citizen if the parent cannot study for the English history test and / or does not speak English very well. I have created an article for you on the two most common scenarios that I answer weekly in my US Immigration Law Office of Lena Korial-Yonan, P.A.:

1. My mom is eligible for US citizenship because she has had the green card for 5 years, and she does not have extensive travel or any criminal issues. The problem is that she does not speak or read English and cannot study for the history test. Any solution?

USCIS has specific rules that relate to an applicant's age and how long they have had the green card that can exempt them from having to take the US English History test and also exempt them from passing the interview portion of the N-400 as well as the reading and writing exam. Please see the next question for more details on this.

US Citizenship Options For Elderly Applicants - Medical & Exam Waivers

However, here the applicant has had the green card for only 5 years and so the only solution is to see whether the applicant is eligible for a medical disability waiver. A medical disability waiver is completed by a US licensed general medical doctor, licensed clinical psychologist or other specific doctor on USCIS form N-648, Medical Certification for Disability Exemptions. The form must be completed a specific way and with specific wording / answers before USCIS will approve the medical waiver. The doctor, in order to complete the medical disability form, must give your parent, the N-400 applicant, a test to determine whether he or she can learn or remember basic things. This test can include having to recite basic information just explained to your parent and may also include basic exams having your parent place a circle object with circle object, etc.

Applicants with dementia or Alzheimer's, for example, are eligible to file form N-648, Medical Disability Waiver, which states that because of their mental limits, they cannot study for the US history test. A major limitation for eligibility under form N-648 is that the resulting mental disability cannot be a result of drug use.

Our immigration law office has successfully completed medical waivers prepared by licensed doctors of applicant's own choosing for the mental conditions of dementia, Alzheimer's and schizophrenia. Please note that these cases are being mentioned are examples and in no way guarantee that your case will have similar results for both the mental conditions listed and for the USCIS district that you will file citizenship with. Please contact an experienced immigration lawyer of your choosing for a detailed analysis of your own specific case.

Although our immigration law office does not have any doctor(s) that we recommend for completion of Form N-648, we will let you know if a particular type of doctor can complete the form on your behalf. We also review the Form N-648 for completeness, as USCIS is strict in the language that they require from the licensed medical doctor in order for the US citizenship applicant to be approved. If the Form N-648 is approved by the US Immigration Officer, then the US citizenship applicant does not have to take any test in order to have their form N-400 approved and be sworn-in.

Also, at least in the USCIS district office located in Jacksonville Fl, we usually file a copy of the Form N-648 with the N-400 application, and we bring the original N-648 with us to the N-400 interview. You may of course provide the original N-648 in your initial filing if you wish. Just be sure to keep a copy of the form N-648, as it is not uncommon for USCIS to require a few changes to the form N-648 before your case can be approved.

2. My mom is 65 years old and she has resided in the US as a green card holder for over 20 years. Does she still have to take the English test, etc.?

No, your mom has to take a modified version of the civics test in her language of choice. She does not have to take the reading or writing test. The N-400 interview, which includes reviewing the details of the N-400 and asking whether your mom has ever been arrested, files US taxes, etc. is completed with the help of the translator that your mom brings with her to the N-400 interview. She must bring her own translator with her to the N-400 interview so that the translator can translate the civics questions in your mom's best native language.

The age qualifications that exempt applicants from the English, reading and writing tests are as follows:

· 65 years and has resided in US as a green card holder for 20 years or more.
· 55 years old and has resided in the US as a green card holder for 15 years or more.
· 50 years old and has resided in the US as a green card holder for 20 years or more.

Again, Applicants that meet one of the above categories must only take the civics test in their language of choice.

I hope that the above provides some answers to the questions asked of me weekly in my immigration law office of Lena Korial-Yonan, PA. by the adult children of elderly parents who have had the green card for 5 years and now want to become US citizens.

US Citizenship Options For Elderly Applicants - Medical & Exam Waivers
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Contact an experienced immigration lawyer and attorney at law in Jacksonville, Florida by visiting http://www.needimmigrationhelp.com If you need an US citizenship Immigration Attorney, go to http://www.needimmigrationhelp.com/services.htm for listing of services including US citizenship and naturalization, marriage green card, work green card, fiancé or fiancée visa, work visas, or other immigration law services. Visit our website or call 1-904-448-6646 for more information. This information is owned by Lena Korial-Yonan, PA Attorney at Law and no part of this article can be copied without her express permission.

Lena Korial-Yonan, Esq.

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