Lung Cancer: After Surgery, Chemo and Radiation, the cancer spread to his healthy lung

CK is a 62-year-old male from Kuala Lumpur. He and his wife came to see us with copies of his medical reports neatly filed in a folder. This is a very pleasant couple who is now helpless and directionless. This is what happened.
1)  20 December 2015: Had food poisoning after taking expired red wine. 
2)  21 December 2015: Consulted a GP who discovered “cracking sound” in his left lung.
3) 22 December 2015: CT scan of chest showed a 3.2 x 5 cm mass in the left lung.
4)  2 January 2016: A CT-guided biopsy confirmed a bronchoalveolar adenocarcinoma.
CK was referred to a cardio-thoracic surgeon in a “heart hospital.”
5)  14 January 2016: PET scan confirmed carcinoma of the left lung with no associated locoregional or distant metastasis.
6)  23 January 2016: Admitted to the “heart hospital” for lower lobe lobectomy, i.e. surgery to remove a quarter of the lung.
The surgery was a “success” and histopathology report showed:

1. a) Aortic wall adventitia was infiltrated by tumour.
2. b) One pulmonary lymph node showed tumour metastasis.
3. c) lower lobe of left lung — invasive adenocarcinoma with predominant bronchoalveolar and papillary pattern.

7)  February to June 2016: Underwent 4 cycles of chemotherapy and 20 sessions of radiotherapy.
Things seemed to be okay after all these treatments but CK had chest pains, coughs and fever. He was prescribed “strong” antibiotics.
8) 30 March 2017 — after slightly more than a year.
Follow up CT scan showed multiple nodules and patchy opacities in the upper and lower lobes of right lung.
Radiologist suggested: Differential diagnosis: lung metastases and pneumonia. Suggest close follow up CT lung after a course of antibiotics.
CK went back to his surgeon about this new development. The surgeon was pretty sure that the spots were not cancer related.
9)  1 June 2016:  CT scan of chest. The radiologists wrote the following:
CT on 23 March and 30 March 2017 were reviewed. The current CT is about 2-3 months after  the previous CTs. The current CT showed the following:

1. a) The ground glass opacities in the right upper and lower lobes of the lung appears more dense and larger.
2. b) Newer small nodular lesions are seen in the right upper and lower lobes.

Based on the above observations, the radiologist was of the opinion that this new development was a metastasis or recurrence. However, ground glass opacities may  be due to drug induced lung changes and infection.
The changes in the left upper lobe (note: left lower lobe was removed) are suggestive of non-neoplastic process and fibrosis. If DXT (radiotherapy) was given, these could be due to that treatment.
10) 18 September 2017: Went back to the same GP again (as in 2). “Cracking sound” at the lower part of my good lung.
Cancer marker in December 2016 was 16. In July 2017,it was 173.
CK and his wife decided not to go back to his doctors again. Because it will just be repeating the same procedures all over again — another biopsy and more chemo.
Total cost of treatment = RM130,000 of personal savings.




Comments 
I had my first lesson about lung cancer some 22 years ago. The second patient of CA Care is VJ. He had lung cancer and had one side of his lung removed and underwent treatments at the “cancer hospital.” I was at the hospital and saw him suffer and eventually died.. Surgery did not cure lung cancer. Treatments received in the cancer hospital also did not cure lung cancer.
My second lesson about lung cancer came a few years later when the mother of my student underwent radiotherapy for her lung cancer. Yes, I encouraged her to go for the treatment. After completion of her treatment she died. Lesson number two, radiation does not cure lung cancer. To understand why, just go to the market and buy a piece of lung. Bring home and place the lung over fire and see what happen! The lung hardened — and is this not why the patient cannot breath?
Over the years, I have seen this story being repeated over and over again. In the case of CK, it is another one of those cases I have come across over the years.
Can herbs cure CK’s cancer? No. Can we help him? May be. CK’s problem recurred less than 2 years after treatment. After spending RM 130,000 he got nothing out of it.
Perhaps some people would want  to tell you that if you don’t go for treatment, you would die sooner. Nope — I don’t believe so. Over the years, I have patients who led a much better life if they do nothing.
Perhaps you may want to read some of the articles I have written earlier:

1. He Died Of Lung Cancer — Treated by the Best Oncologist in One of the Best Hospitals in the World

2. Medically Given Up Lung Cancer: She died after 5 years on CA Care Therapy

3. Lung Cancer: Six to 12 Months to Live. Must do chemo, that’s the only way. With herbs still alive after 2 years!

4. Lung Cancer: Given Honest Answers Patient May Run Away from Chemotherapy

5. Two Billion Rupiah, Chemo And Surgery Failed. Oncologist said, “More chemo, you just have to trust me!”

6. Lung Cancer: Chemo Experiments That Failed and Failed

 

 

7. Lung Cancer Success Stories

My advice to CK.
Don’t give up hope yet. We shall do our best. If you can sleep, can eat, can move around and have you no pain, don’t ask for more. To that CK and his wife totally agreed. In fact that was what they hope for when they came to seek our help … “to have quality life.”



May God bless you.

 

The Power of the Word

A person knowing the power of the word, becomes very careful of his conversation. He has only to watch the reaction of his words to know that they do "not return void." Through his spoken word, man is continually making laws for himself. I knew a man who said, "I always miss a car. It invariably pulls out just as I arrive."

His daughter said: "I always catch a car. It's sure to come just as I get there." This occurred for years. Each had made a separate law for himself, one of failure, one of success. This is the psychology of superstitions.

The horse-shoe or rabbit's foot contains no power, but man's spoken word and belief that it will bring good luck creates expectancy in the subconscious mind, and attracts a "lucky situation." I find however, this will not "work" when man has advanced spiritually and knows a higher law. One cannot turn back, and must put away "graven images."

For example: Two men in my class had had great success in business for several months, when suddenly everything "went to smash." We tried to analyze the situation, and I found, instead of making their affirmations and looking to God for success and prosperity, they had each bought a "lucky monkey." I said: "Oh I see, you have been trusting in the lucky monkeys instead of God." "Put away the lucky monkeys and call on the law of forgiveness," for man has power to forgive or neutralize his mistakes.

They decided to throw the lucky monkeys down a coalhole, and all went well again. This does not mean, however, that one should throw away every "lucky" ornament or horse-shoe about the house, but he must recognize that the power back of it is the one and only power, God, and that the object simply gives him a feeling of expectancy.

I was with a friend, one day, who was in deep despair. In crossing the street, she picked up a horse-shoe. Immediately, she was filled with joy and hope. She said God had sent her the horsehoe in order to keep up her courage.

It was indeed, at that moment, about the only thing that could have registered in her consciousness. Her hope became faith, and she ultimately made a wonderful demonstration. I wish to make the point clear that the men previously mentioned were depending on the monkeys, alone, while this woman recognized the power back of the horseshoe.

I know, in my own case, it took a long while to get out of a belief that a certain thing brought disappointment. If the thing happened, disappointment invariably followed. I found the only way I could make a change in the subconscious, was by asserting, "There are not two powers, there is only one power, God, therefore, there are not disappointments, and this thing means a happy surprise." I noticed a change at once, and happy surprises commenced coming my way.

I have a friend who said nothing could induce her to walk under a ladder. I said, "If you are afraid, you are giving in to a belief in two powers, Good and Evil, instead of one. As God is absolute, there can be no opposing power, unless man makes the false of evil for himself. To show you believe in only One Power, God, and that there is no power or reality in evil, walk under the next ladder you see."

Soon after, she went to her bank. She wished to open her box in the safe-deposit vault, and there stood a ladder on her pathway. It was impossible to reach the box without passing under the ladder. She quailed with fear and turned back. She could not face the lion on her pathway. However, when she reached the street, my words rang in her ears and she decided to return and walk under it. It was a big moment in her life, for ladders had held her in bondage for years. She retraced her steps to the vault, and the ladder was no longer there! This so often happens! If one is willing to do a thing he is afraid to do, he does not have to.

It is the law of nonresistance, which is so little understood.

Someone has said that courage contains genius and magic. Face a situation fearlessly, and there is no situation to face; it falls away of its own weight.

The explanation is, that fear attracted the ladder on the woman's pathway, and fearlessness removed it.

Thus the invisible forces are ever working for man who is always "pulling the strings" himself, though he does not know it. Owing to the vibratory power of words, whatever man voices, he begins to attract. People who continually speak of disease, invariably attract it.

After man knows the truth, he cannot be too careful of his words. For example: I have a friend who often says on the 'phone, "Do come to see me and have an old-fashioned chat." This "old-fashioned chat" means an hour of about five hundred to a thousand destructive words, the principal topics being loss, lack, failure and sickness.

I reply: "No, I thank you. I've had enough old-fashioned chats in my life, they are too expensive, but I will be glad to have a new-fashioned chat, and talk about what we want, not what we don't want." There is an old saying that man only dares use his words for three purposes, to "heal, bless or prosper." What man says of others will be said of him, and what he wishes for another, he is wishing for himself.

"Curses, like chickens, come home to roost."

If a man wishes someone "bad luck," he is sure to attract bad luck himself. If he wishes to aid someone to success, he is wishing and aiding himself to success.

The body may be renewed and transformed through the spoken word and clear vision, and disease be completely wiped out of the consciousness. The metaphysician knows that all disease has a mental correspondence, and in order to heal the body one must first "heal the soul."

The soul is the subconscious mind, and it must be "saved" from wrong thinking.

In the twenty-third psalm, we read: "He restoreth my soul." This means that the subconscious mind or soul, must be restored with the right ideas, and the "mystical marriage" is the marriage of the soul and the spirit, or the subconscious and superconscious mind. They must be one. When the subconscious is flooded with the perfect ideas of the superconscious, God and man are one, "I and the Father are one." That is, he is one with the realm of perfect ideas; he is the man made in God's likeness and image (imagination) and is given power and dominion over all created things, his mind, body and affairs.

It is safe to say that all sickness and unhappiness come from the violation of the law of love. A new commandment I give unto you, "Love one another," and in the Game of Life, love or good-will takes every trick.

For example: A woman I know, had, for years an appearance of a terrible skin disease. The doctors told her it was incurable, and she was in despair. she was on the stage, and she feared she would soon have to give up her profession, and she had no other means of support. She, however, procured a good engagement, and on the opening night, made a great "hit." She received flattering notices from the critics, and was joyful and elated. The next day she received a notice of dismissal. A man in the cast had been jealous of her success and had caused her to be sent away. She felt hatred and resentment taking complete possession of her, and she cried out, "Oh God don't let me hate that man." That night she worked for hours "in the silence."

She said, "I soon came into a very deep silence. I seemed to be at peace with myself, with the man, and with the whole world. I continued this for two following nights, and on the third day I found I was healed completely of the skin disease!" In asking for love, or good will, she had fulfilled the law, ("for love is the fulfilling of the law") and the disease (which came from subsconscious resentment) was wiped out.

Continual criticism produces rheumatism, as critical, inharmonious thoughts cause unnatural deposits in the blood, which settle in the joints.

False growths are caused by jealousy, hatred unforgiveness, fear, etc. Every disease is caused by a mind not at ease. I said once, in my class, "There is no use asking anyone 'What's the matter with you?' we might just as well say, 'Who's the matter with you?' "Unforgiveness is the most prolific cause of disease. It will harden arteries or liver, and affect the eye-sight. In its train are endless ills.

I called on a woman, one day, who said she was ill from having eaten a poisoned oyster. I replied, "Oh, no, the oyster was harmless, you poisoned the oyster. What's the matter with you?" She answered, "Oh about nineteen people." She had quarrelled with nineteen people and had become so inharmonious that she attracted the wrong oyster.

Any inharmony on the external, indicates there is mental inharmony. "As the within, so the without."

Man's only enemies are within himself. "And a man's foes shall be they of his own household." Personality is one of the last enemies to be overcome, as this planet is taking its initiation in love. It was Christ's message - "Peace on Earth, good will towards man." The enlightened man, therefore, endeavors to perfect himself upon his neighbor. His work is with himself, to send out goodwill and blessings to every man, and the marvelous thing is, that if one blesses a man he has no power to harm him.

For example: A man came to me asking to "treat" for success in business. He was selling machinery, and rival appeared on the scene with what he proclaimed, was a better machine, and my friend feared defeat. I said, "First of all, we must wipe out all fear, and know that God protects your interest, and that the divine idea must come out of the situation. That is, the right machine will be sold, by the right man, to the right man." And I added, "Don't hold one critical thought towards that man. Bless him all day, and be willing not to sell your machine, if it isn't the divine idea." So he went to the meeting, fearless and nonresistant, and blessing the other man. He said the outcome was very remarkable. the other man's machine refused to work, and he sold his without the slightest difficulty. "But I say unto you, love your enemies, bless them that curse you, do good to them that hate you, and pray for them which spitefully use you and persecute you."

"Good-will produces a great aura of protection about the one who sends it, and "No weapon that is formed against him shall prosper." In other words, love and good-will destroy the enemies with one's self, therefore, one has no enemies on the external!

"There is peace on earth for him who sends good-will to man!" 

YOUR BIG OPPORTUNITY

You have only one judge—your word. Jesus Christ said; "I say unto you that every idle word that men shall speak, they shall give account thereof in the day of judgment, for by thy word thou shalt be justified, and by thy word thou shalt be condemned."

Every day is a day of Judgment. We used to be taught that it would be at the end of the world. Look back in your life and see how you have attracted either happiness or disaster through your words. The subconscious has no sense of humor. People joke destructively about themselves and the subconscious takes it seriously. It is because the mental picture you make while speaking impresses the subconscious and works out on the external. A person who knows the power of the word becomes very careful of his conversation. He has only to watch the reaction of his words to know they do not return void. People make their worst mistakes by speaking while they are angry or resentful, because there is so much ill-feeling back of their words. Owing to the vibratory power of words, what you voice, you begin to attract. People who continually speak of disease, invariably attract disease.

Invisible forces are ever working for man, who is always pulling the strings himself, though he does not know it. We read in the Bible "life and death are in the power of the tongue." Yet most people are speaking destructively from morning until night. It is because they have formed a habit of criticism, condemnation and complaint and are eager to tell you of their misfortunes and how mean all their relatives are. They wear their friends out and people avoid them. They are talking themselves into a flock of troubles. Now that we know the power of the word why not take advantage of it? We take advantage of the radio, the telephone and aeroplanes but live with the Mound-builders in conversation.

Science and religion are now coming together. Science is discovering the power within the atom; metaphysics teaches the power within thoughts and words. We are dealing with dynamite when we deal with words. Think of the power of the word in healing! A word is spoken and a chemical change takes place in the body.


One of my friends was seriously ill. The doctor said she had chronic bronchitis and was on the verge of pneumonia. Her daughters and the doctor rushed her to bed and she had a nurse, but weeks passed and there was no improvement. She was a Truth student but for over a year had attended no meetings nor had she kept up her reading. One morning she telephoned me and said, "Please speak the word and get me out of this! I can't stand it any more; I'm not sick, I'm just disgusted. So much negative talk and thought have almost floored me." Through the spoken word and her affirmation of Truth immediately there was a change for the better. She had a strong hunch to go out and was told it would be dangerous, but by this time she was following Divine Guidance. She went out and called on me and said she was going to attend a luncheon the next day. What had happened? The words of Truth were making a change in her mind and a chemical change was taking place in her body. We are told that if we believe, never doubting, we can say to that mountain, "Be thou removed," and it would disappear into the sea.

The inexhaustible energy in man is released by good-will. A man free from fear, undisturbed by appearances, sending good-will to men and nations, could say to these mountains of hate and war; "Be thou removed" and they would return to their native nothingness.

Resentment and intolerance rob man of his power. We should have signs in the subways and shops "Watch your thoughts!" "Watch your words!"

Let us now be careful in directing this dynamic force within us. Let us direct it to heal, bless and prosper and direct it in waves of good to the whole world. It goes out a mighty force, but noiseless! Thought, the strongest power in the Universe is without sound. Your good-will sweeps all obstacles from your pathway and your heart's desire is released for you.

What is really yours? The answer is: "All that the kingdom affords is yours." Every righteous desire of the heart is promised you. There are three thousand promises in the Bible, but these gifts can come to us only if we can believe them possible, for everything comes through you—not to you. All life is vibration. Feel rich, and you attract riches. Feel successful and you become successful.

I knew of a small boy who was born in a little country town with no advantages, but he always felt successful; he had the conviction that when he grew up he would be a big artist. No one could discourage him because he was success; he had only success thoughts; he radiated success. At an early age he left the small town and went to a big city and to support himself he got a position as a newspaper artist on a daily paper, all this without previous preparation. It never occurred to him that it could not be done. He went to an art school and immediately became a shining light. He never studied in an academic way. Whatever he once saw he remembered. In a few years he went to a still larger city and became a well-known artist. This success came to him because he was always seeing success. "I will give to you the land that thou seeth."

The children of Israel were told that they could have all the land that they could see. The Bible is a metaphysical book and it is speaking to the individual. This minute, it says to each one of us, "I will give to you the land that thou seeth." So, what are you seeing with your inner eye? What pictures are you inviting into your life? The imaging faculty has been called the scissors of the mind. If you have failure thoughts, reverse the thought with a success thought. This sounds easy enough to do, but when a failure thought has become a habit, it takes eternal vigilance to dislodge it. That is when a powerful affirmation is needed. You cannot always control your thought but you can control your word, and eventually the word impresses the subconscious and wins out.

If you are in a negative state of mind just take the statement: "I look with wonder at that which is before me!" It creates an expectancy of something wonderful and something wonderful will come to you. Cultivate the feeling that miracles and wonders are coming to pass. Cultivate a success expectancy.

Very few people bring into life what is rightfully theirs. They live on the outskirts of their heart's desire. It always seems too good to be true. To the person spiritually awake nothing is too good to be true.

If you want to hear people talking who are still asleep in the Adamic dream, go to a hairdresser's establishment. The Adamic dream is the illusion of opposites. Adam fell into a deep sleep having eaten of the tree of illusion. Of course, Adam stands for generic man— the race-man. The race- man vainly imagined loss, lack, failure, sin, sickness and death. The awakened man knows only one power, God, and one condition, good. But now we will return to the beauty parlor. The following is an exact quotation and a good example of what one hears: A woman sat down near me and said in a loud voice, "This place is too warm! Turn something on or open something." The attendant said to her, "How are you feeling today, Mrs. S?" She replied with a heavy sigh, "Oh, I'm pretty well, but I have a hard time keeping well." To the manicurist she said, "Why don't you wear glasses?" The girl replied, "I don't need glasses, why should I wear them?" The woman replied, "Because everybody wears them. You'll find there is something wrong with your eyes if you have them examined." When she finally leaves they all feel limp and wonder if they are really well or only seem to be well. She leaves a trail of apprehension and gloom. This is a sample of what one hears from nearly every booth; the way most people talk. It is appalling when one knows the power of the word and what they are attracting, for they are nearly all describing illnesses or operations.

You combine with what you notice so do not describe anything destructive for you begin to combine with it. What is really yours? The blessings you bring to yourself, through your spoken or silent word; the things you see with your inner eye. Only your doubts, fears and resentments keep your good from you. If you hate or resent a situation, you have fastened it to you, for you attract what you fear or dislike. For example: someone has been unjust to you and you are filled with wrath and resentment. You cannot forgive that person. Time rolls on and another person does the same thing. It is because you have a picture of injustice engraved in your subconscious. History will repeat itself until you think you are cursed with misfortune and injustice. There is only one way to neutralize it. Be absolutely undisturbed by injustice and send good-will to all concerned. "My good-will is a strong tower round about me. I now transmute all enemies into friends, all inharmony into harmony, all injustice into justice." You will be amazed at the working of the law. One student brought harmony out of chaos in her business affairs by that statement.

Do not look back and hash over hard times, or you will be drawn back into these conditions. Give thanks for the dawn of a new day. You must be immune to all discouragement and adverse appearances.

All that you desire or require is already on your pathway, but you must be wide awake to your good to bring it into manifestation. After making statements of Truth you suddenly have a flash of realization. You suddenly feel yourself in a new environment. You feel old negative conditions falling away. I once said to a woman "The walls of lack and delay now crumble away, and you enter your promised land, under grace." She said she had a sudden flash of a wall crumbling away and that she stepped over it. Soon after that, the change came, and she really did enter her Promised Land of Plenty.

I knew a woman whose daughter's desire was a home and husband. In her early youth she had had a broken engagement. Whenever a possible marriage appeared on the horizon, she became frantic with fear and apprehension, picturing vividly another disappointment, and she had several. Her mother came to me to speak the word for her right marriage, Divinely designed, which could not be interfered with. During the interview the mother said continually: "Poor Nellie! Poor Nellie!" I said: "Do not call your daughter 'poor Nellie' again. You are helping her to be demagnetized. Call her 'Lucky Nellie,' `Fortunate Nellie, for you must have faith that God now gives to her the desires of her heart." The mother and daughter persisted in making their affirmations. She has now fulfilled her destiny for she is Mrs. Nellie, the demon of fear dissolved forever.

There are wonderful statements in the Bible referring to the breaking down of negative thought forms. "The power of the Spirit is mighty even unto the pulling down of strongholds." The human mind is helpless to cope with these negative thoughts. The victory is won by the God within, the superconscious mind.

"Brethren, whatsoever things are true, whatsoever things are honest, whatsoever things are just, whatsoever things are pure, whatsoever things are lovely, whatsoever things are of good report, if there be any virtue, and there be any praise, think on these things." Phil. 4 : 8.

If people obeyed this, general conversation would come to a standstill for a while, until people learned to talk about constructive things.

"I GIVE UNTO YOU POWER"

"I GIVE UNTO YOU POWER"

God's gift to man is power; power and dominion over all created things; his mind, his body, and affairs. All unhappiness comes from lack of power. Man imagines himself weak and the victim of circumstances, claiming that "Conditions over which he had no control" caused his defeat. Man by himself, is indeed, a victim of circumstances; but linked with God-power all things are possible.

Through a knowledge of metaphysics we are discovering how this can be done. By your word you contact this power. Then, miraculously, every burden is lifted and every battle is won. Life and death are in the power of the tongue. Watch your words with all diligence. You are continually reaping the fruits of your words. And he that overcometh and keepeth my works to the end, to him will I give power and dominion over the nations." Overcoming means to conquer all doubts, fears and negative vibrations. One man with vibrations. They would melt away like snow under the sun. Jesus Christ said: "All power is given unto me to bring heaven upon earth." Let us give thanks that this is now coming to pass— for evil is unreal and leaves no stain. This God- power is within you, your superconscious mind. It is the realm of inspiration, revelation and illumination. It is the realm of miracles and wonders. Quick and seemingly impossible changes take place for your good. A door opens where there were no doors. Supply appears from hidden and unexpected channels, for "God has weapons ye know not of."

To work with God-power you must give it right of way and still the reasoning mind. The instant you ask, Infinite Intelligence knows the way of fulfillment. Man's part is to rejoice and give thanks, and act his Faith. A very well known woman in England told of this experience: She was asking, with great feeling, for a realization of God. These words came to her "Act as though I were, and I am." It is exactly what I say, over and over again—only active Faith impresses the subconscious, and unless you impress the subconscious, there are no results.

I will now give you an example to show you just how the law works. A woman came to me whose heart's desire was her right marriage and happy home. She was very fond of a certain man, but he was a most difficult person. After having shown her every attention and devotion, he suddenly changed, and dropped out of her life. She was unhappy, resentful and discouraged. I said,perfect peace and perfect poise, filled with love and good-will, could dissolve all negative "Now this is the time to prepare for your happy home! Buy little things for it as if you hadn't a minute to spare." She became quite interested in shopping for her happy home, when all appearances were against it. "Now," I said, "you'll have to perfect yourself on the situation and become immune to all resentment and unhappiness." I gave her the statement: "I am now immune to all hurt and resentment: my poise is built upon a rock, the Christ within." I said, "When you are immune to all hurt and resentment, this man will be given you or his equivalent." It took many months, when one evening she came to see me and said, "I have only the kindest and most friendly feelings for this man. If he isn't the Divine selection I would be happy without him."

Not long after, she happened to meet the man. He was so sorry for the way he had acted. He begged her to forgive him. Not long after, they were married and a happy home came into manifestation. It had built itself around her active Faith.

Your only enemies are within yourself. The woman's enemies were "hurt" and "resentment." They are indeed "serpents and scorpions." Many lives have been wrecked by these two enemies. Linked with God-power, all opposition vanished from this woman's life. Nothing could by any means hurt her.

Think what that means, to have a life free from all unhappy experiences. It is done through making a conscious contact with God-power every instant.

Many times in the Bible, the word "power" is mentioned. "Thou shalt remember the Lord thy God, for it is He that giveth thee power to get wealth."

A person with a rich consciousness attracts riches. A person with a poor consciousness attracts poverty. I have seen people in this Truth, rise out of lack and limitation by linking with the God-power within, not depending on the external, trusting in God gives you irresistible power, for this Supreme Intelligence only, knows the Way of fulfillment. "Trust in Me and I will bring it to pass."

All our knowledge of Truth can bring us is to know that God is the only Power. One Power, one Presence, one Plan. When you have the fixed idea that there is only one Power in the universe, God-power, all appearance of evil will disappear from your world. In getting a demonstration we must acknowledge only one Power. Evil comes from man's own "vain imaginings." Withdraw all power from evil and it is powerless to hurt.

I will give you an example which shows the working of the law. I was in a restaurant with a friend who spilled something on her dress. She was sure it would leave a stain. I said, "We'll give it a treatment." I made the statement, "Evil is unreal and leaves no stain." I said, "Now, don't look, leave it to Infinite Intelligence." In about an hour we took a look and there was not the slightest stain.


What is true of a little thing is true of a big thing. You can use this statement for past misfortunes or mistakes, and somehow or other, under Grace, the effects will disappear, they will leave no stain.

Many people are using personal-power instead of God-power, which always brings unhappy reaction. Personal-power means forcing personal will. I will give the example of a woman I knew a long time ago. She married a man who worked on a newspaper drawing a comic strip. His drawings demanded a knowledge of slang, which he used on every occasion. She decided he should cultivate his mind and read the classics. They moved to a college town so that he could go to college. She insisted upon his going to college. He resisted a little at first then he grew to like it! Soon he was steeped in the classics. He wouldn't talk anything but Plato and Aristotle. He wanted the food cooked the way they cooked, and eat the simple food they ate. Her life had become a nightmare. After that, she never tried to change people. The only person to change, is yourself. As you change, all the conditions around you will change! People will change!

When you are undisturbed by a situation it falls away of its own weight. Your life is outpictured by the sum-total of your subconscious beliefs. Wherever you go, you take these conditions with you.

"I am strong in the Lord and the Power of His might."

"I am backed by unnumbered hosts of power." Power means dominion and dominion means control. Man controls conditions by a knowledge of Spiritual law. Suppose your problem is lack or limitation. Your urgent need is supply. Link with this God-power within, and give thanks for your immediate supply. If you are too close to the situation, if you are filled with doubts and fears, go to a Practitioner for help, someone to see clearly for you.

A man told me while at a Truth Centre at Pittsburgh he heard people talking about me and he said, "Who in heck is Florence Scovel Shinn?" Someone replied, "Oh, she wrote The Game of Life, if you write to her she'll get you a miracle." He said he promptly wrote to me and got a demonstration. Jesus Christ said, "When two of you agree, it shall be done." Do not hesitate to ask for help if you cannot see clearly your good. Jesus Christ saw clearly for the people he healed. He did not tell them to heal themselves. Of course, you can reach the state where you do not need any help, when you have the fixed idea that God's Power is the only Power and that God's Plan is the only Plan.

We cannot take blessings from Infinite Intelligence, they must be given us. Man's part is to be a grateful receiver. "Behold I give unto you power to tread on serpents and scorpions and over all the power of the enemy, and nothing shall by any means hurt you." "Thou madest him to have dominion over the works of thy hands and hath put all things under his feet. All sheep and oxen, yea and the beasts of the fields." This is God's idea of man, but man's idea of himself is one of limitation and failure. It is only in a big moment, that man seems to rise to his power and dominion.

It isn't until we face a situation of lack, that we suddenly express the power which has already been given us. I have known people who are usually nervous and anxious to become poised and powerful when confronted by a big situation.

"Hear, Oh! Israel! Ye have no need to fight, stand ye still and see the salvation of the Lord." People often ask, "What does it mean to stand still, to do nothing at all?" "Standing still" means to keep your poise. I said to a man who was tense and anxious, "Take it easy and see the salvation of the Lord." He replied, "My; that has helped me a lot." Most people are trying too hard. They carry their burdens and fight their battles and are, therefore, always in a turmoil and never get, what we call, a demonstration. Stand aside, and see the salvation of the Lord. We might paraphrase the Scriptures and say, "Hear! 0! Israel, you will never win this battle by fighting—leave it entirely to Me, and it will be given you."

Following the magic path of intuition you escape all complications and friction, and make a beeline to your demonstration. Remember we are told not to despise the day of small things. It is a great mistake to think that anything is unimportant. I was going to a shop to buy two articles. In my vicinity are two shops, an expensive one and one where all the things are a little cheaper, but the articles are exactly the same. The reasoning mind said, "Go to the cheaper place" but intuition said, "Go to the expensive place." Of course, I followed that magic path. I told the clerk what I wanted. He said: "The two articles are today sold for the price of one, because they are advertising one of the products." So intuition led me to the right place and price. The difference in price was only about fifty cents but intuition always looks after our interests. If I had been trying to get something cheap, I would have gone to the other shop and paid twice as much. Learn from the little things, and you will be ready to handle the big things.

Studying closely the Scriptures, we find, God's gift to man is power. The things and conditions automatically follow. God gives man power to get well. He gives man power over the elements. He gives man power to heal sickness, and to cast out devils.

"They that wait upon the Lord shall renew their strength. They shall mount up with wings and eagles, they shall run and not be weary, and shall walk and not faint."

Let us realize that this invincible power is within reach of all. "Whosoever calleth on the name of the Lord, shall be delivered!" So we find the Word links man with omnipotence. This Supreme Intelligence is more than equal to lifting every burden and fighting every battle.

All power is given unto me to bring my heaven upon my earth.

Do Not 'Kid' Your Kidneys

Kidney Function Blood Test

Routine kidney function is one of the most commonly performed blood tests.

The kidneys

The kidneys regulate the amount of water and salts that we have in our bodies. They do this by filtering the blood through millions of structures called nephrons. The kidneys also pass out certain waste products from the body. Urine is made up of the excess water, salts and waste products passed out by the kidneys down to the bladder.



Routine blood test of kidney function.
The usual blood test which checks that the kidneys are working properly measures the level of urea, creatinine and certain dissolved salts.

Urea is a waste product formed from the breakdown of proteins. Urea is usually passed out in the urine. A high blood level of urea ('uraemia') indicates that the kidneys may not be working properly, or that you have a low body water content (are dehydrated).

Creatinine is a waste product made by the muscles. Creatinine passes into the bloodstream, and is usually passed out in urine. A high blood level of creatinine indicates that the kidneys may not be working properly. Creatinine is usually a more accurate marker of kidney function than urea. The effect of muscle mass needs to be taken into account. A person with a lot of muscle and little fat on their body is likely to have a higher creatinine than a person who has a lot of fat and little muscle.

Estimated glomerular filtration rate (eGFR) provides a guide to kidney function. Although the level of creatinine in the blood is a useful guide to kidney function, the eGFR is a more accurate measure. Blood creatinine can be used to estimate the eGFR using age, sex and race. This is often calculated by computer and reported with the creatinine blood test. The normal value for eGFR is 90-120 ml/min. An eGFR below 60 ml/min suggests that some kidney damage has occurred. The value becomes lower with increasing severity of kidney damage.

Dissolved salts that are routinely measured are sodium, potassium, chloride and bicarbonate. They are sometimes referred to as 'electrolytes'. Abnormal blood levels of any of these may be due to a kidney problem. (Some other conditions may also alter the salt balance in the blood.)

[[Estimated Glomerular Filtration Rate
Various different diseases, conditions and medicines can affect the function of the kidneys. The estimated glomerular filtration rate (eGFR) does not diagnose any kidney disease but is a test to
assess how well your kidneys are working. A reading of greater than 90 ml/min/1.73m2 is normal.

What is the estimated glomerular filtration rate (eGFR)?

The eGFR is a test that is used to assess how well your kidneys are working. The test estimates the volume of
blood that is filtered by your kidneys over a given period of time. The test is called the estimated glomerular
filtration rate because the glomeruli are the tiny filters in the kidneys. If these filters do not do their job properly
then the kidney is said to have reduced or impaired kidney function.

The eGFR test involves a blood test which measures a chemical called creatinine. Creatinine is a breakdown
product of muscle. Creatinine is normally cleared from the blood by the kidneys. If your kidneys are not working
properly, the level of creatinine in the blood goes up.

The eGFR is then calculated from your age, sex and blood creatinine level. An adjustment to the calculation is
needed for people with African-Caribbean origin.

Stages of kidney function

The level of kidney function is divided into five stages:
Stage of Chronic Kidney Disease (eGFR;ml/min/1.73m)

Stage 1: the eGFR shows normal kidney function but you are already known to have some kidney damage or disease. For example, you may have some protein or blood in your urine, an abnormality of your kidney, kidney inflammation, etc.
(90 or more)

Stage 2: mildly reduced kidney function AND you are already known to have some kidney damage or disease. People with an eGFR of 60-89 without any known kidney damage or disease are not considered to have chronic kidney disease (CKD).(60 to 89)

Stage 3: moderately reduced kidney function. (With or without a known kidney disease. For example, an elderly person with ageing kidneys may have reduced kidney function without a specific known kidney disease.) (45 to 59)-(3A); (30 to 44)-(3B)

Stage 4: severely reduced kidney function. (With or without known kidney disease.)  (15 to 29)

Stage 5: very severely reduced kidney function. This is sometimes called end-stage kidney failure or established renal failure.
(Less than 15)

Note: it is not possible to assess the estimated glomerular filtration rate (eGFR) accurately in people with abnormal amounts of muscle and in people who have conditions that can affect the level of creatinine. This includes:

>People with muscle wasting conditions.

>People who have had an amputation of an arm or leg.

>Malnourished people.

>Pregnancy.

>People with acute kidney failure.

>People with a lot of fluid retention (edema).

>Children.]]

Who has a blood test of kidney function?

 Routine kidney function is one of the most commonly performed blood tests. It may be done:

>As part of a general health assessment.

>If you have suspected low body water content (dehydration), when the urea level increases.

>If you have suspected kidney failure.(Read below, Acute Kidney Injury)  The higher the blood levels of urea and creatinine, the less well the kidneys are working. The level of creatinine is usually used as a marker as to the severity of kidney failure. Creatinine in itself is not harmful but a high level indicates that the kidneys are not working properly. So, many other waste products will not be cleared out of the bloodstream. You normally need treatment with dialysis if the level of creatinine goes higher than a certain value.


>Before and after starting treatment with certain medicines. Some medicines occasionally cause kidney damage as a side-effect. Therefore, kidney function is often checked before and after starting treatment with certain medicines.

Other tests of kidney function


The routine kidney blood test is a general marker of kidney function. If the blood test is abnormal it cannot say what is causing the kidney problem. Therefore, if you have an abnormal result you may need further tests to find the cause of a kidney problem. For example: urine tests, other blood tests, scans, X-rays, kidney biopsy, etc.

Acute Kidney Injury

Acute kidney injury is a condition where your kidneys suddenly stop working properly. Usually this happens when you are unwell from another illness. If you have acute kidney injury you are often already ill in hospital. If not, you will usually be sent to hospital to be looked after. The earlier acute kidney injury is picked up, and the more carefully you are monitored, the better the chance of your kidneys recovering.

Acute kidney injury used to be called acute renal failure.


Understanding kidneys: where they are and what they do

The two kidneys lie to the sides of the upper part of the tummy (abdomen), behind the intestines, and either side of the spine. Each kidney is about the size of a large orange but bean-shaped.



A large artery - the renal artery - takes blood to each kidney. The artery divides into many tiny blood vessels (capillaries) throughout the kidney. In the outer part of the kidneys tiny blood vessels cluster together to form structures called glomeruli.

Each glomerulus is like a filter. The structure of the glomerulus allows waste products and some water and salt to pass from the blood into a tiny channel called a tubule. The liquid that remains at the end of each tubule is called urine. The urine then passes down a tube called a ureter which goes from each kidney to the bladder. Urine is stored in the bladder until it is passed out when we go to the toilet.

The main functions of the kidneys are to:

>Filter out waste products from the bloodstream, to be passed out in the urine.

>Help control blood pressure - partly by the amount of water passed out of the body as urine and partly by making hormones which are involved in blood pressure control.

>Make a hormone called erythropoietin, which stimulates the bone marrow to make red blood cells. This is needed to prevent anaemia.

>Control the amount of fluid in the body.

>Help keep various salts and chemicals in the blood at the right level.

What is acute kidney injury (AKI)?

If you have AKI your kidneys suddenly stop working as well as they should. This means the fluid, salts and chemicals in your body can rise or fall to abnormal levels and make you very ill. If there is too much acid, or there are too many salts, in your body your other organs can be affected. For example, your heart, lungs, brain, muscles, eyes, etc, can stop working properly. If the kidneys aren't getting rid of enough fluid, your body can become overloaded with it. This can cause swelling in your legs, or make it difficult to breathe.

It is different from chronic kidney disease (CKD) which is a much more gradual process which can happen over many years.

How common is acute kidney injury (AKI)?

In people who are unwell in hospital, AKI is common. Nearly as many as 1 in 5 people in hospital develop AKI. It is even more common in patients who are extremely unwell in intensive care units.

Who develops acute kidney injury (AKI)?

AKI is more common over the age of 65. People who have another serious illness and are in hospital are more likely to develop it. It may happen to people who are having operations, especially if they are older. It may happen to some people who are having a special X-ray with a dye (contrast) which contains iodine.

Some things make you more likely to develop AKI in these situations - for example:

>Being older.

>Having another illness like diabetes, heart failure or liver disease.

>Being dependent on a carer for fluids.

>Having a bad infection (for example, from a urinary infection, chest infection or skin infection).

>Some medicines - for example:
   -Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, diclofenac or naproxen.
    -Some blood pressure pills that work on the kidney.
    -Some antibiotics called aminoglycosides (such as gentamicin).
    -'Water tablets' (diuretics).

>Lacking in fluid in the body (being dehydrated).

>Another problem with your kidneys, such as CKD.

>Having had AKI before.

Children can develop AKI too. This is more likely if they have:

>Severe diarrhoea.

>A cancer of the blood cells.

>To rely on a parent or carer for fluids (more likely to become dehydrated).

>Low blood pressure.

>Another kidney illness such as nephritis.


>A severe infection.

What causes acute kidney injury (AKI)?


There are many things that can cause the kidneys to stop working properly. Sometimes it happens due to more than one cause.

Causes include:

>Severe infections.

>Blockage in the urinary system.

>Lack of fluid in the body (dehydration).

>Heavy bleeding (haemorrhage).

>Low blood pressure.

>Some medicines (see previous section for medicines that can harm the kidneys).

>Kidney diseases.


>The dye (contrast) that is used for some kinds of scans and X-rays.

What are the symptoms of acute kidney injury (AKI)?

There may be no specific symptoms of AKI. Often you already have symptoms of the illness that has caused AKI.

Symptoms that may happen include:

>Passing less urine than usual.

>Feeling sick or being sick (vomiting).

>Poor appetite.

>Breathlessness.

>Swelling in the legs or other parts of the body.

How is acute kidney injury (AKI) diagnosed?

Your doctor would test for AKI with urine tests and blood tests. Your urine will be measured to see how much you are passing. In most people with AKI, this is less than normal. It will also be tested with a 'dipstick' to check for protein, blood cells and sugar, amongst other things. This will help work out the cause. You will have a blood test for a substance called creatinine. This is an indicator for how well the kidneys are working. Higher levels mean that the kidneys aren't getting rid of waste products as effectively as they should.

You may need an ultrasound scan to look for blockages in the urinary system. Ultrasound scans use sound waves to create a picture of the kidneys and urinary system.

You may also need other tests to try to find the cause for AKI. These might include other blood tests, scans or X-rays.

How is acute kidney injury (AKI) treated?

There isn't a specific medicine to treat AKI. The treatment will depend on the cause of AKI and the severity of the AKI.

The treatment is to carefully look after all the things the kidneys usually do. You will normally be in hospital and have blood and urine tests regularly. You may need extra or special fluid through a drip. You may be on a restricted diet to help get the balance of proteins and salts right. Any medicines which might be harming your kidneys would be stopped. The cause of the problem would be treated if this is possible. (For example, you might need antibiotics for an infection or surgery for any blockage if these were the cause.)

Your doctor will keep a close eye on the balance of minerals and salts in your body. You will have regular tests for potassium, sodium, calcium, sugar (glucose), phosphate and creatinine. You may need treatment with medicines or through a drip if the levels are not right.

Sometimes you need to have dialysis if medicines and fluids aren't working and you are becoming more ill. Dialysis is a procedure where your blood is passed through a machine to remove the waste products (as your kidneys would do if they were working). There are different ways this is done. How often it is done and how long each session lasts will depend on the way it is done. You would be referred to a kidney specialist or an intensive care specialist for this. In most people this can be stopped once the kidneys are working properly again.


These decisions would be made after discussion with you and explaining the options to you (and/or your relatives or carers where appropriate).

What is the outlook (prognosis)?

The outlook varies hugely. It depends on how bad kidney function becomes, who is looking after you, the cause of the problem and how ill you were to begin with.

The National Institute for Health and Care Excellence (NICE) has produced guidelines to try to cut the numbers of people who develop acute kidney injury (AKI) and who die because of it. The outlook is better if it is picked up earlier.

Many people who recover from AKI have normal kidney function afterwards. However, some go on to develop chronic kidney disease (CKD). Some need to keep having dialysis. If you have had AKI once, you are more likely to have it again in the future.

How can acute kidney injury (AKI) be prevented?

Prevention is certainly better than cure for AKI. Patients in hospital should be tested for AKI regularly. This is done by frequent blood tests and measuring how much urine they produce (and weight for children). People having scans or X-rays with a dye (contrast) should be checked to see how likely they are to develop AKI. If they are at risk, and if the test is really necessary, the chances of AKI are lower if these patients have a drip with extra fluid first. They should be regularly checked after the test.


Medicines which cause kidney damage should be avoided where it is possible. If they can't be avoided, the lowest possible dose should be used and tests done regularly to keep a check on how the kidneys are coping.

Dehydration Causes, Symptoms and Tips to Stay Hydrated

Our Body of Water
The majority of the body is made up of water with up to 75% of the
body's weight due to H2O. Most of the water is found within the
cells of the body (intracellular space). The rest is found in the
extracellular space, which consists of the blood vessels
(intravascular space) and the spaces between cells (interstitial
space).

What is Dehydration?
Dehydration occurs when the amount of water leaving the body is
greater than the amount being taken in. The body is very dynamic
and always changing. This is especially true with water levels in
the body. We lose water routinely when we: 
>breathe and humidified air leaves the body; 
>sweat to cool the body; and
>urinate or have a bowel movement to rid the body of waste
products.

In a normal day, a person has to drink a significant amount of
water to replace this routine loss.

Causes of Dehydration: Diarrhea.
Diarrhea is the most common reason a person loses excess
water. Diarrhea consists of unusually frequent or unusually liquid
bowel movements and excessive watery evacuations of fecal material. Persistent diarrhea is both uncomfortable and dangerous, as a significant amount of water can be lost with each
bowel movement. Worldwide, more than four million children die
each year because of dehydration from diarrhea.



Causes of Dehydration: Vomiting
Vomiting is the act of forcible emptying of the stomach, in which
the stomach has to overcome the pressures that are normally in
place to keep food and secretions within the stomach. The
stomach almost turns itself inside out - forcing itself into the
lower portion of the esophagus (the tube that connects the mouth
to the stomach) during a vomiting episode. Constant vomiting can
be a serious cause of fluid loss and it is difficult for a person to
replace water if they are unable to tolerate liquids.



Causes of Dehydration: Sweat
The body can lose significant amounts of water when it tries to
cool itself by sweating. Whether the body is hot because of the
environment (for example, working in a warm environment),
intense exercising in a hot environment, or because a fever is
present due to an infection; the body uses a significant amount of
water in the form of sweat to cool itself. Depending upon weather
conditions, a brisk walk will generate up to 16 ounces of sweat
(one pound of water).



Causes of Dehydration: Diabetes
In people with diabetes, elevated blood sugar levels cause sugar
to spill into the urine, and water then follows, which can cause
significant dehydration. For this reason, frequent urination and
excessive thirst are among the symptoms of diabetes.



Causes of Dehydration: Burns
The skin has an important role to play in the fluid and temperature
regulation of the body. If enough skin area is injured, the ability to maintain that control can be lost. Burn victims become
dehydrated because water seeps into the damaged skin. Other
inflammatory diseases of the skin are also associated with fluid
loss.



Causes of Dehydration: Inability to Drink Fluids
The inability to drink adequately is another potential cause of
dehydration. Whether it is the lack of availability of water or the
lack of strength to drink adequate amounts, this, coupled with
routine or excessive amounts of water loss can compound the
degree of dehydration.



What Are the Signs and Symptoms of Dehydration?

The body's initial responses to dehydration are thirst to increase
water intake along with decreased urine output to try to conserve
water. The urine will become concentrated and more yellow in
color. As the level of water loss increases, more symptoms can
become apparent, such as increased thirst, dry mouth, cessation
of tear production by the eyes, cessation of sweating , muscle
cramps, nausea and vomiting, heart palpitations, and
lightheadedness (especially when standing). With severe
dehydration, confusion and weakness will occur as the brain and
other body organs receive less blood. Finally, coma and organ
failure will occur if the dehydration remains untreated.



How is Dehydration Diagnosed?
Dehydration is often a clinical diagnosis. Aside from diagnosing
the reason for dehydration, the health care professional's
examination of the patient will assess the level of dehydration.
Initial evaluations may include:
Mental status tests to evaluate whether the patient is awake,
alert, and oriented.
Vital sign assessments may include postural readings
(blood pressure and pulse rate are taken lying down and
standing). With dehydration, the pulse rate may increase and
the blood pressure may drop because the intravascular
space is depleted of water.
Temperature may be measured to assess fever.
Skin will be checked to see if sweat is present and to assess
the degree of elasticity. As dehydration progresses, the skin
loses its water content and becomes less elastic.
Infant evaluation: infants may have additional evaluations
performed, including checking for a soft spot on the skull
(sunken fontanelle), assessing the suck mechanism, muscle,tone, or loss of sweat in the armpits and groin.

Pediatric patients are often weighed during routine visits, thus a body weight measurement may be helpful in assessing how much water has been lost with the acute illness.
In some cases, blood tests to measure potential electrolyte abnormalities and urinalysis may be ordered to determine the level of dehydration in the patient.



How is Dehydration Treated?

Fluid replacement is the treatment for dehydration. This may be
attempted by replacing fluid by mouth, but if this fails, intravenous
fluid (IV) may be required. Should oral rehydration be attempted,
frequent small amounts of clear fluids should be used. 

Clear fluids include:

>water,
>clear broths,
>popsicles,
>Jell-O, and
>other replacement fluids that may contain electrolytes.

Can Dehydration Be Treated at Home?
Dehydration occurs over time. If it can be recognized in its earliest
stages, and if its cause can be addressed, then home treatment may be adequate. Steps a person can take at home to prevent
severe dehydration include:

>People with vomiting and diarrhea can try to alter their diet
and use water-cure-protocol formula to control symptoms to minimize water loss.

>Acetaminophen or ibuprofen may be used to control fever.
Ibuprofen may irritate the stomach and cause nausea and
vomiting, so it should be used with caution in individuals
who already have these symptoms.

>Fluid replacements may be attempted by replacing fluid by mouth with frequent small amounts of clear fluids.

 If the individual becomes confused or lethargic; if there is
persistent, uncontrolled fever, vomiting, or diarrhea; or if there are
any other specific concerns, then medical care should be accessed. EMS or 911 should be activated for any person with altered mental status.



What Are the Complications of Dehydration?

Complications of dehydration may occur because of the
dehydration, and/or because of the underlying disease or situation
that causes the fluid loss. Complications that may occur include:
>kidney failure,

>coma,

>shock,

>heat-related illnesses (heat exhaustion or heat stroke), and

>electrolyte abnormalities.



Dehydration Prevention Tip #1

Plan ahead and take extra water to all outdoor events where
increased sweating, activity, and heat stress will increase fluid
loss. Encourage athletes and people who work outside to replace
fluids at a rate that equals the loss.



Dehydration Prevention Tip #2

Check weather forecasts for high heat index days. When
temperatures are high, avoid exercise, outdoor exposure, and plan
events that must occur outside during times of the day when
temperatures are lower.



Dehydration Prevention Tip #3

The young and elderly are most at risk of dehydration. Ensure that
older people, infants, and children have adequate drinking water or
fluids available and assist them as necessary. Encourage
individuals who are incapacitated or impaired to drink plenty of
water and assure they are provided with adequate fluids.
During heat waves, attempts should be made to check on the elderly in their homes. During the Chicago heat wave of 1995, more than 600 people died in their homes from heat exposure.



Dehydration Prevention Tip #4

Avoid alcohol consumption, especially when it is very hot, because
alcohol increases water loss and impairs your ability to recognize
early signs associated with dehydration. 



Dehydration Prevention Tip #5

Wear light-colored and loose-fitting clothing if you must be
outdoors when it is hot outside. Drink plenty of water and carry a
personal fan or mister to cool yourself.



Dehydration Prevention Tip #6

Break up your exposure to hot temperatures. Find air-conditioned
or shady areas and allow yourself to cool between exposures.
Taking someone into a cooled area for even a couple of hours
each day will help prevent the cumulative effects of high heat
exposure.



Dehydration Prevention Tip #7

Know the signs and symptoms of heat cramps, heat rash, heat
exhaustion, and heat stroke. Preventing dehydration is one step to
avoid these conditions.



Dehydration At A Glance

>The body needs water to function.

>Dehydration occurs when water intake is less than water loss.

>Symptoms range from mild to life-threatening.

>Prevention is the important first step in treating dehydration.

>The young and the elderly are especially susceptible to
dehydration.

How is dehydration diagnosed?

Dehydration is often a clinical diagnosis. Aside from diagnosing the reason for dehydration, the health care professional's examination of the patient will assess the level of dehydration. Initial evaluations may include:

Mental status tests to evaluate whether the patient is awake, alert, and oriented. Infants and children may appear listless and have whiny cries and decreased muscle tone.


Vital signs may include postural readings (blood pressure and pulse rate are taken lying down and standing). With dehydration, the pulse rate may increase and the blood pressure may drop because the blood is depleted of fluid. People taking beta blocker medications for high blood pressure, heart disease, or other indications, occasionally lose the ability to increase their heart rate as a compensation mechanism since these medications block the adrenaline receptors in the body.

Temperature may be measured to assess fever. While it is common to measure temperature in the ear (tympanic) or by mouth (orally), a rectal thermometer may be used to assess core body temperature if the patient appears warm, but no fever is noted tympanically or orally.

Skin may be checked to see if sweat is present and to assess the degree of elasticity (turgor). As dehydration progresses, the skin loses its water content and becomes less elastic. The amount of sweat is often felt in the armpit or groin, two areas that tend to have moisture normally.

The mouth can become dry and the health care professional may look at or feel the tongue to see how wet it is.

Infants may have additional evaluations performed, including checking for a soft spot on the skull (sunken fontanelle), and assessing the suck mechanism, loss of sweat in the armpits and groin, and muscle tone. All are signs of potential significant dehydration.

Pediatric patients are often weighed during routine child visits, thus a body weight measurement may be helpful in assessing how much water has been lost with the acute illness. This is very rough estimate because all scales are not the same, and for infants and children, it is important to know what clothing they were wearing when the original weight was taken.

Laboratory testing

The purpose of blood tests is to assess potential electrolyte abnormalities (including sodium, potassium, chloride, and carbon dioxide levels) associated with the dehydration. Other tests may or may not be ordered depending upon the underlying cause of dehydration, the severity of illness, and the health care professional's assessment of their needs and resources available.

Other blood tests may be helpful in determining the level of dehydration. Hemoglobin and red blood cell counts may be elevated because the blood is more concentrated with water loss from the intravascular space.

Kidney function tests including BUN and creatinine may be elevated, and this is one way of measuring the severity of dehydration.

Urinalysis may be ordered to determine urine concentration; the more concentrated the urine, the more dehydrated the patient.