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Relief is right here in "SJ[POB Dr. Kukurin was named a Top Chiropractor by the Consumers Research Council of America. He is listed in Who’s Who in Medicine and Healthcare. With over 20 years of experience using acupuncture, chiropractic and science based nutritional therapies, the results produced by our methods have been featured on local TV newscasts, published in scientific journals, indexed in the National Library of Medicine and have been presented Knee Pain at medical conferences at Johns Hopkins and the Peripheral Nerve Society.
Diabetic Neuropathy, Peripheral Neuropathy Tarsal Tunnel Syndrome, Plantar Fasciitis If you are suffering from lower back, buttocks and or leg pain or your feet or legs are cramping, numb or burning especially at night, you almost certainly have a condition which involves the nerves of the legs. The largest nerve in the body, the sciatic nerve (pictured in red to the right), starts in the lower back, runs through the muscles of the buttocks and down to the tip of the toes. If this nerve gets irritated, you can experience really terrible pain anywhere along the course of the nerve. You may also experience burning, numbness and odd sensations in your muscles. Irritation of this nerve may produce severe cramping or crawling sensations in your muscles. Of course, your back and leg pain can be caused by a pinched nerve in your lower back. This can be from a vertebra that is out of place, it can be caused by a slipped disc or it can be caused by spinal stenosis or any combination of these problems. Each of these conditions, bad discs, spinal stenosis or displaced vertebrae have very different treatments. Knowing exactly why you have your back and leg troubles is absolutely essential for effective care.
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LACK OF EYE CONTACT IS A SIGN OF AUTISM. Learn the others at autismspeaks.org/signs
Steps to help prevent the spread of COVID-19 if you are sick FOLLOW THE STEPS BELOW: If you are sick with COVID-19 or think you might have COVID-19, follow the steps below to help protect other people in your home and community.
Stay home except to get medical care • Stay home: Most people with COVID-19 have mild illness and are able to recover at home without medical care. Do not leave your home, except to get medical care. Do not visit public areas. • Stay in touch with your doctor. Call before you get medical care. Be sure to get care if you have trouble breathing, or have any other emergency warning signs, or if you think it is an emergency. • Avoid public transportation: Avoid using public transportation, ride-sharing, or taxis.
Separate yourself from other people in your home, this is known as home isolation • Stay away from others: As much as possible, stay away from others. You should stay in a specific “sick room” if possible, and away from other people in your home. Use a separate bathroom, if available. See COVID-19 and Animals iG you have questions about pets. https://www.cdc.gov/coronavirus/2019-ncov/faq. html#COVID19animals
Call ahead before visiting your doctor • Call ahead: Many medical visits for routine care are being postponed or done by phone or telemedicine. • If you have a medical appointment that cannot be postponed, call your doctor’s office, and tell them you have or may have COVID-19. This will help the office protect themselves and other patients.
If you are sick wear a facemask in the following situations, if available. • If you are sick: You should wear a facemask, if available, when you are around other people (including before you enter a healthcare provider’s office). • If you are caring for others: If the person who is sick is not able to wear a facemask (for example, because it causes trouble breathing), then as their caregiver, you should wear a facemask when in the same room with them. Visitors, other than caregivers, are not recommended. Note: During a public health emergency, facemasks may be reserved for healthcare workers. You may need to improvise a facemask using a scarf or bandana.
Cover your coughs and sneezes • Cover: Cover your mouth and nose with a tissue when you cough or sneeze. • Dispose: Throw used tissues in a lined trash can. • Wash hands: Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.
Clean your hands often • Wash hands: Wash your hands often with soap and water for at least 20 seconds. This is especially important after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. • Hand sanitizer: If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. • Soap and water: Soap and water are the best option, especially if hands are visibly dirty. • Avoid touching: Avoid touching your eyes, nose, and mouth with unwashed hands.
Avoid sharing personal household items • Do not share: Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people in your home. • Wash thoroughly after use: After using these items, wash them thoroughly with soap and water or put in the dishwasher.
cdc.gov/coronavirus CS 316120-A 04/02/2020
Clean all “high-touch” surfaces everyday Clean high-touch surfaces in your isolation area (“sick room” and bathroom) every day; let a caregiver clean and disinfect high-touch surfaces in other areas of the home.
• Clean and disinfect: Routinely clean high-touch surfaces in your “sick room” and bathroom. Let someone else clean and disinfect surfaces in common areas, but not your bedroom and bathroom. If a caregiver or other person needs to clean and disinfect a sick person’s bedroom or bathroom, they should do so on an as-needed basis. The caregiver/other person should wear a mask and wait as long as possible after the sick person has used the bathroom. • High-touch surfaces include phones, remote controls, counters, tabletops, doorknobs, bathroom fixtures, toilets, keyboards, tablets, and bedside tables. • Clean and disinfect areas that may have blood, stool, or body fluids on them. • Household cleaners and disinfectants: Clean the area or item with soap and water or another detergent if it is dirty. Then, use a household disinfectant. Be sure to follow the instructions on the label to ensure safe and effective use of the product. Many products recommend keeping the surface wet for several minutes to ensure germs are killed. Many also recommend precautions such as wearing gloves and making sure you have good ventilation during use of the product. Most EPA-registered household disinfectants should be effective. A full list of disinfectants can be found hereexternal icon.
Monitor your symptoms • Common symptoms of COVID-19 include fever and cough. Trouble breathing is a more serious symptom that means you should get medical attention. • If you are having trouble breathing, seek medical attention, but call first. Call your doctor or emergency room before going in and tell them your symptoms. They will tell you what to do. • Wear a facemask: If available, put on a facemask before you enter the building. If you can’t put on a facemask, cover your coughs and sneezes. Try to stay at least 6 feet away from other people. This will help protect the people in the office or waiting room. • Follow care instructions from your healthcare provider and local health department: Your local health authorities will give instructions on checking your symptoms and reporting information.
If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:
• Trouble breathing • Persistent pain or pressure in the chest • New confusion or inability to arouse • Bluish lips or face *This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.
Call 911 if you have a medical emergency: If you have a medical emergency and need to call 911, notify the operator that you have or think you might have, COVID-19. If possible, put on a facemask before medical help arrives.
How to discontinue home isolation • People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions: If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened: You have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers) AND other symptoms have improved (for example, when your cough or shortness of breath have improved) AND at least 7 days have passed since your symptoms first appeared If you will be tested to determine if you are still contagious, you can leave home after these three things have happened: You no longer have a fever (without the use medicine that reduces fevers) AND other symptoms have improved (for example, when your cough or shortness of breath have improved) AND you received two negative tests in a row, 24 hours apart. Your doctor will follow CDC guidelines. In all cases, follow the guidance of your healthcare provider and local health department. The decision to stop home isolation should be made in consultation with your healthcare provider and state and local health departments. Local decisions depend on local circumstances. More information is available https://www.cdc.gov/ coronavirus/2019-ncov/hcp/disposition-in-home-patients.html. Additional information for healthcare providers: Interim Healthcare Infection Prevention and Control Recommendations for Persons Under Investigation for 2019 Novel Coronavirus.
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All Hannah’s parents should worry about is Hannah When Hannah’s bloodwork revealed cancer, her family was devastated. But because of our donors, her mom and dad can focus on being parents while she looks forward to her visits with the music therapist at St. Jude Children’s Research Hospital.® Families like Hannah’s will never receive a bill from St. Jude for treatment, travel, housing or food—because we believe all they should worry about is helping their child live.
Experience Hannah’s story at stjude.org/hannah
“We’re blessed to be here because St. Jude makes it so we really can just focus on her.”
©2017 ALSAC/St. Jude Children’s Research Hospital (28459)
–Chandra, Hannah’s mom
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