It’s noticed that emotion and belief systems play a part, possibly a big part, in health and illness. Each energy field constantly interacts with the fields or other living beings and with stimuli in the environment. Everything that affects our bodies must first pass through this field. Some of this information is controlled in the field enters our awareness, senses, thoughts, or intuition. A lot of the other information remains hidden, which affects the choices we make and our physiology.

In a study of the human energy field, blood pressure changes heartbeat, galvanic skin responses, and muscle contractions, it’s said that changes occurred in the field before any of the other systems changes. At the middles of all matter is energy, and makes the human body no different. The energy body is a model for the physical body. Emotional energy echo’s with life experiences, personal and professional relationships, and belief systems and these become determined in our cell tissue.

Chronic fatigue is described as the extended lack of physical, intellectual, and emotional energy. Chronic fatigue is not cured through a simple rest or sleep it’s said that a complete change in habit is required to get back on track. The signs of chronic exhaustion are sore throat, pain or weakness in joints and muscles, headaches, restless sleep, problems with concentration and short term memory. The mind can be either a big source of energy or a major waste of it. In order to release the natural energy that is inherent in all of our bodies, you would have to be more familiar to the cycles of nature.

Hormones take part in a serious role in the development and expression of large range of behaviors. There is one part of the influence of hormones on behavior is their potential contribution to the pathophysiology of functional changes in the body which occur in response to injury of psychiatric disorders which describes a broad range of mental and emotional conditions.

The most evaluated endocrine axes, is the hypothalamic-pituitary-adrenal axis. This axis plays a primary role in the response to external and internal stimuli including psychological stressors. Abnormalities in the function of the HPA axis have been described in people experiencing anxiety disorder’s, dissocialize disorders drug use and dependence, mood disorders, eating disorders, personality disorders, sexuality and sexual disorders. These abnormalities are related to changes in the ability of circulating glucocorticoids. It’s been said that there seem to be no cells that lack glucocorticoid receptors and as a consequence, these steroid hormones have a huge part of effects on physiologic systems.

To boost your energy to promote the cellular production of energy, while supporting the normal function of the hypothalamic-pituitary-adrenal axis, is trying EnergyMax. It also plays an immuno-modulating role, thereby boosting energy to combat fatigue and stress, and enhancing intellectual and physical performance. It builds muscular density and increases muscular strength, minimizes sore muscles after physical exertion, and preserves muscle fibers. It also improves concentration and mental alertness.

Have you noticed how many prime time medical shows are doing episodes on next of kin notification issues? Just in the last two months there have been two - “Grey’s Anatomy” on ABC and the new TNT series “HawthoRNe”. Not that they meant to do episodes specifically about that, and as far as one of the series goes, that central theme was completely glossed over, even though a next of kin issue was pivotal to a central character’s survival.

Now I love “Grey’s Anatomy” - always have. And as a television writer myself, (who also happens to run a non profit organization that deals with family safety and patient notification issues), I’m always interested to see how those important themes play out in the drama of an episode. As most fans of the series know, the last two episodes of the season revolved around Izzy fighting for her life following cancer surgery and George O’Malley who, during the first half of the episode, decides to go off and join the Army to treat injured soldiers in Iraq. He then disappeared, as we later found, to say goodbye to his family before heading off to serve his country. In case you’re one of the ten or twenty people in America who didn’t see the episode, I’ll insert a spoiler alert. So if you haven’t seen the episode yet but plan to, skip down a few paragraphs.

A few scenes later an unidentified man is rushed into the emergency department. Hailed a hero, the man was hit by a bus after pushing a woman out of its path. The patient was a mess. He had a massive head injury, was covered in blood, his arm was nearly torn off and before he knew it, had the best residents of Seattle Grace looking down at him with pity. They doubted he would last the night, but they did what they always do and gave it their best. IVs were started, surgery was scheduled and they did a pretty decent job of caring for him.

Except for one thing.

No one, and I mean no one, not even Lexi the patient-loving intern, visibly searched for his ID. Granted the man was run over and dragged by a bus, so finding his ID might have been a challenge, but he was still clearly wearing clothes. The writers could have easily put in a throwaway line to show them doing the right thing, like “I found a driver’s license, but it’s completely saturated with blood” or “this looks like an ID badge, but it’s crushed and completely unreadable. At least they would have not only given a nod to proper trauma procedure, but to the fact that the patient lying close to death was a human being. What if they were about to give him a drug he was deathly allergic to, or that was about to interact with something else he was already taking? What about the fact that this patient had people he loved and who loved him, who needed to know that he might not live through the night?

By the end of the episode, they were doing everything they could to save this patient. He was stable but still very critical. For the second or third time the man tried to talk, to no avail. Meredith leaned in, and the patient grabbed her hand. He started drawing on it with one of his only good fingers. Zero, zero and a seven. 007. George. He instantly went from being a John Doe to a much-loved friend. In that moment, Meredith’s eyes and scream told the whole story. It was the difference between taking care of someone you know, with his or her needs in mind - even if the only way you “know” them is by reading their medical history and talking with their family - and someone who is just another person or worse just another patient. They took incredibly good care of George even when they didn’t know who he was, but from our own experiences with my grandma’s hospitalization, when the hospital didn’t bother to call us for several days to tell us that she’d been admitted and was becoming more critical by the minute, the step of looking for identification and trying to locate a patient’s identity and next of kin, is just too vital to be glossed over like this. “Grey’s Anatomy” had the perfect opportunity to show how it should be done, and missed it. They usually do a terrific job, but this one decision was disappointing.

Now over on TNT’s new series “HawthoRNe”, they did a different twist on a next of kin issue. Nurse Hawthorne’s patient is alone and his wife isn’t yet on scene. He has a brain injury that will require surgery and is altered - meaning that he doesn’t really know what’s going on around him. While Hawthorne is treating him, he mistakes her for his wife and confesses that he has been having an affair. The man’s injuries intensify - he’ll need surgery - but of course he has a DNR. Hawthorne wants to make sure that her patient has the opportunity to see his wife before surgery to provide closure to both of them in case he doesn’t make it. The man codes. Now with a DNR, she’s supposed to stand aside, respect his decision and not resuscitate him. But his wife is going to be there any moment. Hawthorne is thinking about this patient as a human being and realizes how important closure could be to both her patient and his wife. The doctors standing around her keep telling her that he’s too far gone and just to let nature take its course. But she risks her career and her reputation, by grabbing the paddles herself and shocking him back to life, much to the chagrin of the doctors. The patient is able to talk to his wife and he survives his surgery. Why? Because a nurse treated a patient who on paper wasn’t mentally competent and who had chosen not to be resuscitated, as a human being who had a history, people who loved him and in this case, extenuating circumstances that could alter the rest of his wife’s life. A difficult issue was raised and handled in a way that was respectful to the patient, his family and the medical profession.

The one thing that the producers of medical shows need to realize is that a lot of health care professionals out there are watching. Not that anyone takes their cue on how to provide patient care from a television series. But it wouldn’t hurt to get the basics right like showing the search for an unidentified patient’s ID. Not only would we as viewers feel like everything that could be done for the patient, had been done, but it would serve as a reminder to all those health care professionals out there, of how important it is to quickly identify a patient to be able to treat him with his specific needs in mind, and not just as a body.

And who knows? That two second scene of Meredith or Lexi searching for an ID that’s completely torn apart and unreadable, would have intensified the drama even more, because they’d have us all asking “who is this person and how in the world are they ever going to discover his identity?”

Thanks producers for all the excellent work you do on incredibly difficult subjects week after week. All we ask is that you look after the basics too

Sedation is often required for a number of procedures to reduce patient anxiety, improve cooperation and ensure immobilization when necessary. Sedative drugs can be given orally, rectally, sublingually, as an inhalation or an aerosol, or by or subcutaneous injection. However, intravenous administration provides the most reliable sedation. In routine practice, intravenous drugs are given in small bolus doses and titrated to effect.

Opioids are commonly used in conjunction with sedative drugs to provide anesthesia. Previous studies have shown that opioids reduce the clinical requirements of sedatives needed to provide adequate anesthesia.

These are commonly administered to patients with advanced cancer. However, it is often assumed that the use of these drugs inevitably results in shortening of life. Ethically, this outcome is excused by reference to the doctrine of double effect.

Many neurophysiologists severely restrict the use of opioids and sedative drugs during deep brain stimulation procedures due to the concern for depression of cellular firing frequencies used to map the brain for placement of the stimulator leads. Often spinal opioids were used to achieve prolonged pain relief in patients with chronic back pain, without altering cellular firing critical for brain mapping

When used properly, narcotics and sedative drugs sedate and relieve pain, but should not lead to a respiratory compromise. As a result, circumstances should be under control when competent staff is present.

It is widely accepted that the antihistamines have found their greatest therapeutic potential in the treatment and management of various allergic disorders, including seasonal and perennial rhinitis, urticaria and dermatologic conditions. However, the most problematic aspect of their use is sedation, which can severely compromise the safe performance of cognitive and psychomotor tasks of everyday living. The associated increase in accident risk is important when deciding which antihistamine should be prescribed to ambulant patients with allergies and dermatologic disorders.

It has also been demonstrated that ketamine possesses analgesic properties in a subanesthcloses. Sma-dose ketamine in combination with sedative drugs has been used for sedation and analgesia with less toxicity than either drug alone. Small-dose ketamine in combination with sedative drugs has increasingly been used for and analgesia in local anesthesia.

Delirium occurs in 35% to 80% of critically ill hospitalized patients. Little is known however, of delirium prevention and treatment in the critical care setting. Trials emphasizing early mobilization suggest that this no pharmacologic approach is associated with improved outcome as well as “delirium days”. Reduction of opiate analgesics and sedatives may improve subsyndromal delirium rates. All critical care caregivers should rigorously screen for alcohol abuse, apply alcohol withdrawal scales in alcoholic patients,

Studies of the effect of sedatives on normal and leukemic bone marrow cells, in vitro, and in the case of phenobarbital, on subjects suffering from overdose, showed that chlorpromazine, phenobarbital, and benzopiperidine decreased bone marrow proliferation only at toxic doses whereas propranolol and fluanisone were effective at nontoxic doses.

In the course of the study of the effects of some sedative oriental medicines on neurotransmission and antioxidative, it was noted that the extract of Euphoria longan, Zizyphus jujuba, Thuja orientalis, Polygala tenuifolia, Acorus gramineus, Cyperus rotundus, Poria cocos, Uncaria rhynchophylla, and Albizzia julibrissin, have been used as sedative drugs in Korean folk medicine.

Sedative drugs are one option when autistic or mentally disabled childre behavioural disorders

that place them or other people in physical danger.Among the classic neuroleptics, haloperidol

is the drug with the best-documented efficacy and safety.

Recent studies on the abuse in older people highlight the use of epidemiol, screening techniques, brief intervention, and treatment issues show that this is common in older people, and frequently goes undiagnosed. Although alcohol abuse is most common, abuse of narcotic and sedative drugs also occurs. Older adults are particularly susceptible to adverse medical outcomes from substance abuse, and recent studies show that brief interventions by primary care providers can have a major impact on the health and well being of this category of personnel.