• All neurological reactions in the human body are followed by a “rest period,” a period during which another neurological response is diminished or impossible. Such refractory periods range from milliseconds to minutes.

    When you enter someone’s home, you may notice a unique odor. After some time you do not detect it (at least in most homes) because of the olfactory refractory period. The principle is the same in sexual response.

    Sexually, refractory periods occur for both men and women. They are not the “beached whale” phenomenon of a man collapsing from sexual fatigue. They are periods of varying duration occurring in both genders during which time direct stimulation to a specific part or area of the body is ineffective, bothersome, or uncomfortable.

    Emotionally, there is also a refractory period. We cannot maintain any emotional state indefinitely. In fact, most emotions last only a few seconds. We must change gears or burn out. The same is true for sex. We need to pause, to rest, to take what I call a PON, or post-orgasmic nap; a POR, a post-orgasmic rest, or even a POS, post-orgasmic sleep.

    The husband said, “I used to think I had no control over it. I just knew that after I ejaculated, I would be immobilized. I learned that feelings changed in my penis after I ejaculated, but that the refractory thing is the same in my wife and not just in the genitals either. I used to think she could go on forever until she finally told me she felt like I did.”

    “Sure,” responded the wife. “I don’t know why men think women are some type of sex machine that once turned on becomes a perpetual-motion instrument that sort of putters out because the man goes to sleep. There are times when to touch my clitoris just hurts. It depends on when, how, and certainly by whom.”

    Talk this issue over with your spouse and you can validate it for your own relationship. Refraction is not just physical, not just male, and not always the same. The early perspectives on human sexuality viewed refraction as a response only in the male. It, as with all of the dimensions of sexual response that I have discussed, does not have to follow a predetermined order. Physical and/or emotional refraction can happen anytime in the sexual interaction, depending on emotional state and area of stimulation. If we are bound by the “cycle” concept, we begin to anticipate refraction as the inevitable aftermath of the goal of orgasm, similar to the exhaustion of the long-distance runner. We can touch, hold, talk, and hold, wait and resume sex later. Super sex depends on learning this concept. It will require considerable unlearning, but the rewards for this effort are new levels of intimacy and sexual fulfillment free from psychologically determined physiological limitations.

    *112\97\8*

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  • If you cut yourself with a sharp object, the wound heals itself in a few days. If the damage is not excessive, the repair job is so perfect, that in a few weeks you cannot even find the location of the cut.

    All you need to do is not disturb the healing process -protect the wound from getting dirty and keep the separated parts together.

    Now let us analyse in more detail, what exactly happens in such a healing process.

    When you cut yourself it hurts. The pain informs you, which part of your body requires your attention. When you attend the wound promptly by cleaning it with clean water or your own saliva and covering it perhaps, the pain is greatly reduced. If you do not clean the wound, it would be automatically cleaned by the blood flowing from it, and then the blood flow would be stopped.

    During the healing process, the pain is limited or eliminated, unless you try to use the damaged organ too soon -increasing pain informs you immediately that your organ is not yet ready.

    The body performs a repair job on itself. All cells which were separated by a cut are growing to join together again. There are many different types of cells and tissues being reconstructed so they can join together again. Without any mistakes, all blood vessels, muscles, nerves etc. are reconstructed and then connected. Even if some of the tissue is missing, the body replaces it. Sometimes a temporary scar tissue is used, which is later replaced by the optimal tissue selected by the body.

    Note, that all this microsurgery with perfectly adjusted anaesthetic happens automatically within your body. No one has any right to take any credit for such healing. You did the healing for yourself, with the perfect result.

    *11\96\8*

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  • He may be out of pocket and he may think the referral practice is ridiculous, but it is the law. No doctor, of course, should ever request such a thing from a colleague.

    Certain notifications are required by law to be made in relation to infectious disease and venereal disease. The doctor is bound to comply with these laws.

    There are laws relating to the issuing of death certificates. There are laws relating to the registration of doctors.

    A doctor is expected to carry out his practice using due care and skill. If he does so and his patient fails to get better or has a reaction to the treatment employed, then the doctor is protected by the law.

    Should a mishap occur and the doctor not use due care and skill, then the patient is protected by the law, and may bring a case for damages against the doctor.

    Fortunately in this country, the whole legal system, the judges, the juries and the solicitors and barristers offering advice, appear to use good sense and reason.

    *479/71/1*

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  • A small nerve is taken, usually from the foot, and joined from an intact branch of the facial nerve on the other side to the paralysed nerve on the affected side. If it works, the intact nerve supplies motor power to the muscles of both sides.

    A further refinement is to graft small muscles from the foot on to the paralysed muscles as well as a cross-facial nerve graft.

    These intricate procedures have developed with micro-surgery. It may take nine months to assess if these complicated procedures are going to be successful.

    Another approach is to do the simpler static sling as well as the complicated procedure. In this way the appearance is improved immediately and, should the complicated graft not take, a reasonable result is achieved.

    Those who develop Bell’s palsy can take heart from statistics. Almost nine out of 10 will get completely better. Those unfortunate enough to have persistent paralysis can call on the skill of the plastic surgeon to improve their appearance and, perhaps, restore function to the facial muscles.

    *223/71/1*

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  • Doctors prefer to do endoscopies in a hospital with patients put under local anesthesia. Before the culdoscope can be inserted properly, the woman is positioned on the table in a kneeling position, leaning forward with her bottom higher than her chest and her head resting on her arm. Before the procedure, the vagina is washed to the point of sterilization. This is the first possible snag of culdoscopy. Since complete vaginal sterilization is impossible, there is an inherent risk of infection and doctors must proceed cautiously. After she is coveted with a sterile drape, the doctor administers a spinal or epidural anesthetic, or the woman can be given a painkiller like Demerol as well A specialized speculum is then inserted into the vagina to permit a better view of the cervix. About now, a local anesthetic is injected into the vagina and a small probe inserted blindly through the vaginal wall. When the probe is in place, a larger probe containing the culdoscope is inserted. Looking through the culdoscope, the doctor can inspect the area just behind the uterus, the ovaries, and the tubes. Since the intestines tend to fall forward while in this kneeling position, the doctor has a less obstructed view to check for any abnormality in the area.

    As with laparoscopy, there is a range of therapeutic procedures, though more limited, that may be performed while the culdoscope is in place, fine operating instruments may be inserted through it for use in minor operations, the most common of which are tubal sterilization and the removal of small adhesions.

    Aftereffects of culdoscopy are usually not troublesome. If you are scheduled for one, expect minimal pelvic pain for a day or two after surgery. Doctors will advise abstinence from intercourse for three or four weeks or until complete healing has occurred. Unlike laparoscopy, which is not as debilitating, culdoscopy will require rest at home for a week or two and avoidance of stress-filled work schedules.

    *48\43\4*

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  • Syphilis is capable of producing the most varied of all skin changes. It may also mimic a wide variety of internal diseases. Consequently it is essential to bear in mind the possibility of any unusual rash being due to syphilis.

    Syphilis is a chronic infectious disease caused by the bacillus Treponema pallidum, which is acquired by intimate contact with an infected person or as a congenital infection in infancy. In the western world it is most easily transmitted, under moist conditions, by genital or oral contact. It may also be transmitted by an infected mother from the fifth month of pregnancy onwards. In underdeveloped countries a form of syphilis occurs which is spread by intimate contact rather than by sexual intercourse; it is usually associated with bad living conditions and poor hygiene.

    In Europe, from 30000 to 40000 cases of contagious syphilis are registered every year, the greatest incidence being amongst homosexual men. As with all venereal diseases, it is more common during times of unstable social conditions and war. After World War II cases rapidly declined. However the past 20 years has seen a marked resurgence. The reasons for this are speculative but may include the following: increased travel, both tourist and migratory; altered moral standards; a more liberal attitude to homosexuality; the effect of oral and intrauterine contraceptives on human sexual behaviour; the diminished use of condoms, and the widespread use of drugs.

    Syphilis may be thought of as occurring in four stages. Primary infection occurs 10-30 days after contact, and takes the form of a persistent chancre or sore. Associated with this there are enlarged tender lymph glands. The chancre usually appears on the genitals, in the anal area, or in or around the mouth. It may take 3-8 weeks to heal, leaving a small scar. At this stage, it is best diagnosed by a direct bacterial examination of the sore.

    Secondary syphilis will usually occur 1-2 months after the primary stage. This stage may manifest a wide variety of different rashes, and is best diagnosed by appropriate blood tests. At this time the person is highly contagious, and bacteria may be found on most parts of the body. This stage may persist for up to two years. The rashes may resemble measles, chicken pox, hives, drug allergies, tinea, eczema, warts, and psoriasis, to name but a few conditions. However invariably there are other associated symptoms, such as a fever, tiredness, patchy hair loss, joint pains and headaches, particularly at night. This stage is also accompanied by enlarged, but not tender, lymph glands.

    Latent syphilis, which is the stage without symptoms, may last from 2-20 years. It is only diagnosed from an adequate history and positive blood tests.

    The final stage, tertiary syphilis, may affect all organs of the body; more commonly, though, it affects the heart, brain, and liver. In the skin it appears either as odd patterns of grouped nodules or large, painless ulcers. This stage is not infectious.

    The treatment for syphilis is penicillin. For primary and secondary stages, this is either given on ten consecutive days or in one very large single dose. These people require follow-up treatment, including blood tests for two years. Contact tracing of people who are likely to have become infected is an essential part of the proper management of this contagious and important disease. Cases of syphilis which are of longer than 12 months duration require more intensive therapy over a longer period.

    *76\44\4*

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  • Most of the fad diets incorporate a strategy that has some potential merit in fat loss, or perpetuate a belief that has existed for many years. These diets pick and select amongst the techniques and package them as the new wonder diet. Almost all fad diets require strict adherence to a plan, which means that people are not learning how to cope with their own environment. Very few use the main principle espoused in this book which is that for a fat loss plan to be successful, it has to be something that can be done comfortably for life.

    Some of the characteristic strategies employed by fad diets, which may be useful in a more ‘balanced’ food intake program, but which are ineffective when used alone are:

    Monotony: (e.g. Meal replacements, single food groups/items, fasting (with or without juice), ‘macrobiotic’ diets. These limit the selection of foods in an effort to reduce temptation and often use foods that people believe are ‘healthy5 or to have special properties that bum fat. Examples are the ‘grapefruit diet and high-protein diets.

    Aversive conditioning: (e.g. Water-drinking diets, grapefruit diets, fibre supplements, meal replacements). These work through two general methods: (a) by either linking an unpleasant task such as being sick prior to eating (particularly if about to ‘binge’), or (b) by eating a least-liked/filling food first. Examples are ‘bran diets’ and the ‘water diet’.

    Ritual: (e.g. Single food items, fibre supplements, soup diets, meal replacements, fasting). Rituals may take many forms and have a basis in behavioural therapy. Eating may be delayed by completing a set ritual such as setting the table or by preparing an appetiser of raw vegetables. Food may only be consumed in one place with no other distractions (including conversation!) And food records must be updated prior to eating. Enjoyment does not figure greatly here. Examples are the ‘egg diet’ and the ‘macrobiotic diet’.

    *128\186\4*

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  • The uterus is situated deep within the pelvis. It makes its presence felt during the reproductive years, when its inner lining bleeds intermittently and its lower portion, the cervix, produces mucus secretions. During a woman’s fertile years the uterus is the most prominent of the female reproductive organs, drawing attention with activities like menstruation and pregnancy. In contrast, before a girl reaches puberty and after a woman has her menopause, it moves through phases of change slowly and unobtrusively.

    Position in the pelvis. Some women can accurately locate the position of their uterus because of the contractions they feel during orgasm or menstruation. These uterine contractions can be like pleasant ripples and are an enjoyable part of sex for some, while other women find them painful. For women who don’t experience these clues, it can be helpful to picture where the uterus sits inside the abdomen: the vagina is below, the bladder in front, the loops of the bowel above, and the rectum behind.

    Strong support tissues called ligaments hold the uterus in place in the pelvis. If these ligaments are not able to provide the necessary support and the uterus becomes displaced (this is one type of prolapse), this can create pain or changed function in the four surrounding organs. For example, pain during sex may result from the uterus pressing on and even into the vagina, while pressure on the bladder from the uterus can lead to urinary incontinence.

    *1\198\4*

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  • The first hurdle is to understand your own sleeping problem. Insomnia is very common and about 20 per cent of healthy normal adults suffer from insomnia at some time during their lives.

    What is insomnia? Insomnia is the distress and the anxiety of not being able to fall asleep when you want to. Insomnia does not equate with not sleeping. Some people who suffer from insomnia can stay up all night playing card games or enjoying themselves at wild parties without any distress at all. People complain of insomnia only when they stay in bed and cannot sleep. They develop a phobia of sleeping in bed. They may be able to sleep happily in the park or on the sofa in front of the television. They may try to exhaust themselves by reading in bed until their eyes are so heavy and red that they can hardly stay open. They are fearful of their inability to sleep whilst in bed. They feel distress when they lose control of their innate mechanism to sleep.

    Sleep is something we have no control over. We cannot close our eyes and give the magic word sleep, as sleep may not follow. In studies of how people fall asleep, it is observed that we are not folly awake one second and asleep the next. We all go through a very brief hypnotic state, which is called the Transitional Hypnotic State or THS. Although we have no control over sleep itself, we can be taught to go into THS. Once you can go into THS, which is the precursor of sleep, you will have indirect control on sleep itself and consequently substantial control over falling asleep.

    THS is the transit stage between the awake mode and the sleeping mode.

    People who suffer from insomnia appear to have a block between the awake mode and the THS mode. THS is the switch, and with practice you can have full control of the switch and switch off every night.

    *1\174\4*

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  • The therapies above, although part of ‘alternative medicine’, are nevertheless so well-established that they are often seen as an adjunct to conventional treatment rather than an alternative to it. There are, however, also several other therapies which while less generally accepted have helped at least some people suffering from chronic conditions, although there is very little or no creditable scientific evidence available either to prove their effectiveness or exactly how they work. Here are brief details of some of these methods – do, however, please remember that the mention of a therapy here is not meant to be interpreted as an endorsement of it.

    AROMATHERAPY

    This form of treatment is based on the use of essential oils – these derived from wild or cultivated plants, herbs, fruits, and tress – to restore the body’s natural functions and rhythms. The essences are prepared in many different ways: as compresses, bath additives, inhalants, and massaging lubricants.

    Aromatherapists say they can help people with back problems in two main ways: either by using the essences to treat the problem directly by using them in massage sessions, or to control and reduce tension, anxiety and stress.

    As with herbalism, a word of caution is in order: some of the aromatic oils are in fact poisonous in other than the very smallest quantities, and it is therefore absolutely essential that this therapy be administered by a qualified practitioner.

    AUTOGENIC TRAINING AND THERAPY

    This consists of a series of exercises aimed at generating a state of both mental and physical relaxation. It also includes some aspects of self-hypnosis in which the subjects use their own mind power to send themselves positive, healing messages about their condition. It is a ‘mind-over-matter’ approach that straddles that ill-defined border between hypnosis and meditation, both of which are altered mind states.

    Many people with chronic pain and/or back problems have said that autogenic training had helped, both in dealing with immediate symptoms as well as reducing the stress that often had contributed to bringing these about. For more information contact your doctor or local health centre.

    *64\124\2*

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