Mark Corson

By L. Umbrak. University of Pittsburgh at Johnstown.

The thymus is an immunity-giving gland 100mg lasix amex heart attack 80 blockage, so anything in the thymus is a very serious matter generic lasix 100 mg online blood pressure chart stage 2. Three weeks later the benzene was gone generic 100mg lasix visa hypertension nclex questions, his side was very much better and he could begin a kidney cleanse for his low back pain. His improvement was probably due to improving his immunity which then controlled the bacteria. Midabdomen Pain, Stomach Pain The colon crosses over from your right side to the left side at the midabdomen. The valve at the top where the stomach joins the esophagus is a favorite location for bacteria. But if the bile is full of live parasite stages and bacteria they may try to colo- nize the stomach, too. If there is insufficient stomach acid to kill them or if there is an accumulation of toxin in the stomach, they will get a foothold. The solution for both stomach pain and stomach ulcers is to kill parasites and bacteria, followed by dental and liver clean ups. You inhale it right along with the flies and roaches you may be trying to kill with arsenic-laced pesticides. Your nose and mouth mucous traps a lot of these whereupon you swallow them and they glide into the stomach. Your dentalware may be cleaned up in a few dental visits but the liver cleanses must go on for a year or two before it is reasonably clean. You may get pain relief in a few weeks but this should not derail your intention to revitalize yourself completely with a cleaned liver and stomach. Hiatal Hernia When bacteria have spread to the diaphragm and weak- ened it, along with the upper- stomach valve, food is al- lowed to get pushed up right through the diaphragm. The mother had platinum and tellurium in her milk (Salmonella can be transmitted in milk but this was not checked). It is quite possible the baby had these also, giving him a nasty tummy ache in addition to the gas pains. She was also chronically fatigued and had consumed enough antibiotic “to fill a room. We found Fasciolopsis, the intestinal fluke, in her stomach wall as well as in her intestine. She started the parasite program and in three weeks her appetite was back, in- somnia was gone, fatigue was better and a significant improvement was evident. Respiratory Illness Asthma is a very old disease described in the ancient literature. The only progress we have made to date with this disease is to give drugs to soothe the symptoms. One tries to cough them up, of course, but in our misguided effort to be polite we teach children to swallow anything they cough up! Some swallowing is inevitable and the young worms are back in the stomach, this time to set up their housekeeping in the intestine. Some never leave the stomach, causing children stomach aches and, of course, a large entourage of bacteria which, in turn, have their viruses. Most cases of Ascaris infestation also show Bacteroides fragilis bacteria which, in turn, carry the Coxsackie viruses (brain viruses). Whether or not these bacteria or viruses will thrive in you depends on whether you make a good home for them, namely have low immunity in some organ. The preferred organs for Bacteroides are liver and brain (brain tumors always show Bacteroides). The preferred organs for Coxsackie viruses appear to be tooth abscesses and brain. Not everybody with Ascaris develops asthma, even though they always go through a lung stage. That innocent cough of early childhood should not be ne- glected, as simply “croup. Kill their Ascaris with a zapper and keep it up daily or put parasite killing herbs in their food. Asthma sufferers become allergic to many air pollutants such as pollen, animal dander, smoke. The production of histamine in the lungs and the vast interconnectedness of histamine to allergies has been well studied scientifically. Then wash your hands and fingernails with grain alcohol, and let no more filth past your lips. For children wash hands before eating anything, even between meals; keep fingernails short. This could lead to massive infection, the kind that could result not only in asthma but seizures. Use cardboard, newspaper or anything that you can afford to throw away with the mess. If there is an asthmatic in your family, the whole family should be treated for Ascaris with a zapper or with the herbal parasiticides. Even after everybody including the pets have been treated, pets should not be allowed in the bedroom of the asth- matic person. It is also an al- lergic reaction, to the pet and to other inhaled bits of matter. Smoke of any kind, fragrance and chemicals of any kind, all household cleaners, polishes, and so forth should be removed. Install central air conditioning if possible, with maxi- mum filtering (but never with chemicals added to the filter and never with a fiberglass filter) at the furnace.

As the auricle is well formed by the third month of foetal life lasix 100mg visa heart attack marlie grace, a microtia indicates arrest of develop- ment of the branchial system earlier in embryonic life with the possibility of absent tympanic membrane and ossicles purchase 40 mg lasix with visa heart attack 101. Development of the Inner Ear At about the third week of intrauterine life a plate-like thickening of the ectoderm called Fig order lasix 40 mg on-line ulterior motive meaning. By the The mesenchyme surrounding the otocyst fourth week of embryonic life, the mouth of begins to condense at the sixth week and the pit gets narrowed and fused to form the becomes the precartilage at the seventh week otocyst that differentiates as follows (Fig. At four and a half weeks the oval-shaped precartilage surrounding the otic labyrinth otocyst elongates and divides into two changes to an outer zone of true cartilage to portions—endolymphatic duct and sac form the otic capsule. By the seventh week arch-like out- The perilymphatic space has three pro- pouchings of the utricle form the semi- longations into surrounding osseous otic circular canals. In the otic capsule, the cartilage attains maxi- Evagination of the saccule forms the mum growth and maturity before ossification cochlea, which elongates and begins to coil by begins. A constriction between the formed from the cartilage is never removed utricle and saccule occurs and forms the and is replaced by periosteal haversian system utricular and saccular ducts, which join to form as occurs in all other bones of the body, but 6 Textbook of Ear, Nose and Throat Diseases remains as primitive, relatively avascular and organs have not yet budded out in the poor in its osteogenic response. By the twenty-third before the cochlea and is less prone to week, the ossification is complete. The labyrinth is fully formed by the fourth Points of Clinical Importance month of intrauterine life and maximum 1. The labyrinth is the first special organ anomalies of the labyrinth occur during the which gets differentiated when the other first trimester of pregnancy. Middle ear: The middle ear cavity with the eustachian tube, and the mastoid This consists of auricular cartilage covered by cellular system is termed as the middle skin. Inner ear: It comprises the cochlea, auditory meatus, except between the root of vestibule, and semicircular canals. The cartilaginous meatus is directed inwards, upwards, and backwards while the bony meatus is directed inwards, downwards and forwards producing an “S” shaped curvature of the canal. The skin of the cartilaginous meatus has hair follicles, and sebaceous and ceruminous glands. The dehiscences in the cartilage of the anterior wall of the external auditory canal (fissures of Santorini) are important as infection Fig. This cartilage-free gap is called incisura The bony meatus is formed by the tym- terminalis and is utilised in making an end- panic and squamous portions of the temporal aural incision for mastoid surgery (Fig. Prominent bony spines may appear in the canal at the squamotympanic and Blood Supply tympanomastoid sutures. The skin of the bony The anterior surface of the pinna is supplied meatus is thin, firmly adherent to the perio- by the branches of the superficial temporal steum contains no hair follicles or glands and artery while its posterior surface is supplied shows epithelial migratory activity. The by the posterior auricular artery, a branch of anterior half of the canal is supplied by the the external carotid. Sensory supply to part of the The upper two-thirds of the anterior surface concha is by the facial nerve through the of the pinna is supplied by the auriculo- nervus intermedius, thus providing the temporal nerve (branch of the mandibular anatomical basis for herpetic eruption in this division of the V nerve) and the lower one- part of the concha in the Ramsay Hunt third by the greater auricular nerve(C2-C3). The posterior portion of the canal the posterior surface of the pinna, the lower wall may also receive supply from the facial two-thirds is supplied by greater auricular nerve (nerve of Wrisberg or nervus intermedius). Tympanic Membrane 2 This is a greyish-white membrane, set External Auditory Canal obliquely in the canal and separates the exter- This tortuous canal is 24 mm in length from nal ear from the middle ear. From the of the handle ends is the point of maximum ends of this notch the anterior and posterior concavity and is called umbo. In the upper part malleolar folds extend down and attach to the of the membrane the short process of malleus lateral process of the malleus. The anterior and posterior malleolar The nerve supply of the membrane is folds run anteriorly and posteriorly from the derived internally from the tympanic plexus short process of the malleus. The cone of light (see page 13) and externally by the auriculo- extends anteroinferiorly from the umbo (Fig. The pars flaccida has only an outer epithelial antrum, the mastoid antrum and the air cells of the mastoid (Fig. The major portion of the Eustachian Tube tympanic membrane is formed by the pars tensa. Pars tensa is thickened at the periphery This connects the middle ear cavity with the to form the fibrocartilaginous annulus, which nasopharynx. Its upper- Medial Wall third towards the middle ear is bony while The medial wall of the middle ear is marked the rest of the tube is a fibrocartilaginous by a rounded bulge produced by the basal turn passage. Processus which is on the lateral wall of the naso- cochleariformis is a projection anteriorly and pharynx, just behind the posterior end of the denotes the start of the horizontal portion of inferior turbinate normally remains closed. The oval window lies above The tensor palati muscle helps in opening the and behind the promontory and is closed by tubal end on swallowing and yawning. The round window eustachian tube is short, straight and wide in lies below and behind the promontory, faces children and is thought to predispose to posteriorly and is closed by the secondary middle ear infection. In about 10% Middle Ear Cavity individuals the canal may be dehiscent thus The middle ear cavity lies between the tym- exposing the nerve to injury or infection. The panic membrane laterally and the medial wall horizontal semicircular canal projects into the of the middle ear formed by the promontory, medial wall of the tympanic cavity, above the which separates it from the inner ear. The uppermost groove above the ponticulus is the oval window region, the lowermost groove below the subiculum is the round window region, and the middle one between the two ridges is the tympanic recess. The chordal ridge is a ridge of bone which runs laterally from the pyramidal process to the chorda tympani aperture. This recess may recess (suprapyramidal recess) lie deep to the serve as a route to the middle ear for anterior posterior tympanic sulcus and immediately cholesteatoma. The the posterior tympanotomy procedure and the sinus tympani starts above at the oval window surgically created limits of the recess are niche, occupies a groove deep to the descend- (1) the facial nerve medially (2) the chorda ing portion of the facial nerve and to the 12 Textbook of Ear, Nose and Throat Diseases pyramid and passes behind the round portion of the facial nerve passes deep to the window niche to the hypotympanum. Lateral to the pyramid is area is commonly infiltrated with cholestea- the opening for the chorda tympani.