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Signs and Symptoms of Arsenic Poisoning

October 4, 2016

Tags: water, herbs, movement, food, order, abdominal discomfort, abdominal pain, aches and pains, acrocyanosis, acute respiratory failure, acute tubular necrosis, adult respiratory distress syndrome, agitation, Aldrich-Mees's lines, alopecia, altered mental status, anemia, anemia – aplastic, anhidrosis, anorexia, anxiety, aplastic anemia, arrhythmia, arsenic, ascites, ataxia, atherosclerotic disease, autonomic neuropathy, basal cell carcinoma, basophilic stippling, birth defects, blackfoot disease – black, mummified dry gangrene, bladder cancer, blood in urine, bone marrow suppression, Bowen disease, brittle nails, bronchitis, bronchospasms (inhaled arsenic), burning in mouth/esophagus/stomach/bowel, cancer – lung/liver/kidney/bladder/skin/colon/larynx/lymphoid system, capillary dilation with fluid leakage and third spacing, cardiac arrhythmias, cardiac arrest, cardiomyopathy, carotid atherosclerosis, cerebral infarction, cerebrovascular disease, chills, cholangitis, cholecystitis, chronic lower respiratory diseases, cilantro, cirrhosis, clear skin lesions suddenly from such as acne, CNS depression, colitis, colon cancer, coma, concentration – poor, confabulation, confusion, congestive heart failure, conjunctivitis, convulsions, coordination difficulties, corneal necrosis, corneal ulcerations, cough with/without expectoration, cramps, cramping muscles, cyanosis of the fingers, death, dehydration, delirium, depression, dermatitis, dermatitis - allergic-type, dermatitis – exfoliative, desquamation of skin, diabetes, diarrhea - often severe and/or bloody, disordered thinking, disorientation, disseminated intravascular coagulation, drinking water, drowsiness, dyspnea (when inhaled), dysphagia, eczema, edema – non-pitting of hand and feet, EKG changes: ST changes/QT prolonged/torsades de pointes/T wave inversion, encephalopathy – acute, enzyme inhibition, esophagitis, eyes blood-shot, eyes burning, facial edema, fatigue, fatty liver, fever – low grade, fibrillation – ventricular, fingernail pigmentation, fingernails with white marks, fluid loss, flushing, folate, folic acid deficiency, gallbladder inflammation, gangrene of limbs, garlic, garlic-smelling breath or body fluids, gastritis, gastro-intestinal bleeding, generalized muscle aches and body pains, gingivitis, global trade, goiter, Guillain-Barré syndrome – resembling, hair loss, hallucinations, headaches, hearing loss, heart disease, heavy metals, hematuria, hemoglobinuria, hemolysis, hepatomegaly, herpes, hormone imbalance, hyperesthesia, hyperpigmentation of nails and skin, hyperpyrexia, hyperkeratosis - thickening of the skin of the palms and soles, hypersalivation, hypertension, hypertension-related cardiovascular disease, hypopigmentation – “raindrop” areas of lost skin color, hypotension, hypovolemia, imbalance, immune functioning impaired, immune suppression, impaired healing, inhibition of sulfhydryl enzymes – garlicky odor to breath/stool, insomnia, irritability, ischemic heart disease, jaundice, karyorrhexis, keratosis, kidney cancer, kidney damage, kidney failure, Korsakoff’s psychosis, lack of appetite, Landry-Guillain-Barré syndrome – resembling, larynx cancer, laryngitis, leg cramps, lens opacity, lethargy, leukemia???, leukocyturia, leukonychia striata, leukopenia, lightheadedness, listlessness, liver cancer, liver - central necrosis, liver congestion, liver dysfunction and elevated liver enzymes, liver - fatty degeneration, low grade fever, lung cancer, lung - chronic restrictive/obstructive disease, lungs - inflammation of respiratory mucosa, lung irritation, lymphoma???, major depression – mimicking, malabsorption, malaise, medicinal herbs, Mees's lines, melanosis of the eyelids/areolae of nipples/neck, memory loss, memory – poor, mental retardation, mental status altered, metallic taste in mouth, methionine, microcirculation abnormalities, mitochondrial dysfunction, movement disturbances, muscle aches, muscle fasciculations, muscle tenderness, muscle twitching, muscle wasting, muscle weakness, muttering, myocardial depression, myocarditis, nasal mucosa irritation (when inhaled), nasal septum perforation, nausea, neuralgia, neuritis, night blindness, nightmares, numbness, oliguria, oral burns (acute, when taken by mouth), pancreatitis, paralysis, paranoia, paresthesia – symmetrical, stocking-glove, pedal edema, pericarditis, peripheral neuritis, peripheral neuropathy, peripheral vascular insufficiency, personality change, pigmentation changes – hypo and hyper, pins and needles in hands and feet, pneumonia, bronchial pneumonia, polyneuritis, portal fibrosis, proteinuria, psychosis, pulmonary edema, pulmonary insufficiency (emphysematous lesions), pulse – irregular, QT prolonged, quadriplegia, Raynaud’s syndrome, renal cortical necrosis, respiratory failure – acute, respiratory muscle insufficiency, respiratory tract infection, rhabdomyolysis, rhino-pharyngo-laryngitis, rice, rouleaux formation of red blood cells, salivation excessive, sauna, seizures, selenium, sensorimotor peripheral axonal neuropathy, sensory changes, shock, Signs and Symptoms of Arsenic Poisoning, singing, skin bronzed, skin cancer, skin lesions and rashes including vesiculation, skin pallor, sleep, sore throat, spasms, splenomegaly, squamous cell carcinoma, ST changes, stomach pain, stomatitis, stroke, stupor, suicidal ideation, swallowing difficulty, sweating, sweating – excessive, sweet metallic taste, tachycardia, tea, throat constriction, thirst, thrombocytopenia, tingling, torsades de pointes, tracheobronchitis, tremor, tubular necrosis – acute, T wave inversion, unsteady gait, uremia, vasodilation, vasospasm, vegetables, vertigo, visual hallucinations, vitamin A deficiency, vitamin B12, vitamin C, vitiligo, vomiting, vomiting blood, weakness of distal muscles – hands and feet, weight loss, well, wobbliness, zinc

Most arsenic poisoning is chronic: Through global trade, we are ingesting more and more arsenic-contaminated products – mainly rice, tea, medicinal herbs. Acute arsenic poisoning usually is accidental or occupational (mainly workers in pest control, electronics manufacturing industry and pressure-treated carpentry). Few are homi- or suicidal. Earlier this year I have been diagnosed with arsenic-induced ataxia. Ataxia means imbalance, wobbliness.

For me, I am glad that I have “just” ataxia, and not more. The list below contains Latin as well a common names to make it easier to find things.

Here is the short of what I have been doing to reduce my arsenic levels:
1. Stop using tainted products; look for safer sources.
2. Sauna as often as possible to sweat out heavy metals. Sweating through exercise and summer heat also helps.
3. Eating fresh garlic and cilantro bind and expel heavy metals
4. Vitamin C, selenium, vitamin B12, zinc, folate and methionine add to the elimination of arsenic.
5. And, of course, all the other lifestyle goodies: A healthy diet heavy on vegetables. Movement. Enough sleep. Plenty of water (some areas of the US have arsenic-contaminated drinking water from wells – careful!).


Signs and Symptoms

The myriad manifestations of arsenic intoxication do a roller coaster through all medical specialties, it seems. Since there are so many overlapping features with many diseases, it will take an open mind and special alertness to make a diagnosis. Just to show the enormous scope of signs and symptoms, I have thrown together acute and chronic arsenic intoxication. The list is not thought for diagnosing yourself - consult your physician. Here is the list:

Abdominal discomfort
Abdominal pain
aches and pains
Acrocyanosis
Acute respiratory failure
Acute tubular necrosis
Adult respiratory distress syndrome
Agitation
Alopecia
Altered mental status
Anemia
Anemia, aplastic
Anhidrosis
Anorexia
Anxiety
Aplastic anemia
Arrhythmias
Ascites
Ataxia
Atherosclerotic disease
Autonomic neuropathy: unstable blood pressure, anhidrosis, sweating, flushing
Basal cell carcinomas
Basophilic stippling
Birth defects,
Blackfoot disease – black, mummified dry gangrene
Bladder cancer
Blood in the urine
Bone marrow suppression
Bowen disease
Brittle Nails
Bronchitis
Bronchospams (inhaled arsenic)
Burning in mouth/esophagus/stomach/bowel
Cancer – lung, liver, kidney, bladder, skin, colon, larynx, lymphoid system
Capillary dilation with fluid leakage and third spacing
Cardiac arrhythmias
Cardiac arrest
Cardiomyopathy
Carotid atherosclerosis
Cerebral infarction
Cerebrovascular diseases
Chills
Cholangitis
Cholecystitis
Chronic lower respiratory diseases
Cirrhosis
Clear skin lesions such as acne
CNS depression
Colitis
Colon cancer
Coma
Concentration - poor
Confabulation
Confusion
Congestive heart failure
Conjunctivitis
Convulsions
Coordination difficulties
Corneal necrosis
Corneal ulcerations
Cough with/without expectoration
Cramps, cramping muscles
Cyanosis of the fingers
Death
Dehydration
Delirium
Depression
Dermatitis
Dermatitis allergic-type
Dermatitis, exfoliative
Desquamation of skin
Diabetes
Diarrhea, often severe and/or bloody
Disordered thinking
Disorientation
Disseminated intravascular coagulation
Drowsiness
Dyspnea (when inhaled)
Dysphagia
Eczema
Edema – non-pitting of hand and feet
EKG changes: ST changes, QT prolonged, Torsades de pointes, T wave inversion
Encephalopathy, acute
Enzyme inhibition
Esophagitis
Eyes blood-shot
Eyes burning
Facial edema
Fatigue
Fatty liver
Fever - lowgrade
Fibrillation, ventricular
Fingernail pigmentation
Fingernails with white marks
Fluid loss
Flushing
Folic acid deficiency
Gallbladder inflammation
Gangrene of limbs
Garlic-smelling breath or body fluids
Gastritis
Gastro-intestinal bleeding
Generalized muscle aches and body pains
Gingivitis
Goiter
Guillain-Barre syndrome - resembling
Hair loss
Hallucinations
Headaches
Hearing loss
Heart disease
Hematuria
Hemoglobinuria
Hemolysis
Hepatomegaly
Herpes
Hormone imbalance
Hyperesthesia
Hyperpigmentation of the nails and skin
Hyperpyrexia
Hyperkeratosis thickening of the skin of the palms and soles
Hypersalivation
Hypertension
Hypertension-related cardiovascular disease
Hypopigmentation – “raindrop” areas of lost skin color
Hypotension
Hypovolemia
Immune functioning impaired
Immune suppression
Impaired healing
Inhibition of sulfhydryl enzymes – garlicky odor to breath/stool
Insomnia
Irritability
Ischemic heart disease
Jaundice
Karyorrhexis
Keratosis
Kidney cancer
Kidney damage
Kidney failure
Korsakoff’s psychosis
Lack of appetite
Landry-Guillain-Barré syndrome - resembling
Larynx cancer
Laryngitis
Leg cramps
Lens opacity
Lethargy
Leukemia???
Leukocyturia
Leukonychia striata
Leukopenia
Lightheadedness
Listlessness
Liver cancer
Liver: central necrosis
Liver congestion
Liver dysfunction and elevated liver enzymes
Liver: fatty degeneration
Low grade fever
Lung cancer
Lung: Chronic restrictive/obstructive diseases
Lungs: Inflammation of respiratory mucosa
Lung irritation
Lymphoma???
Major depression – mimicking
Malabsorption
Malaise
Mees's lines, or Aldrich-Mees's
Melanosis of the eyelids, areolae of nipples, and neck
Memory loss
Memory – poor
Mental retardation
Mental status altered
Metallic taste in mouth
Microcirculation abnormalities
Mitochondrial dysfunction
Movement disturbances
Muscle aches, spasms, weakness
Muscle fasciculations
Muscle tenderness
Muscle twitching
Muscle wasting
Muttering
Myocardial depression
Myocarditis
Nasal mucosa irritation (when inhaled)
Nasal septum perforation
Nausea
Neuralgia
Neuritis
Night blindness
Nightmares
Numbness
Oliguria
Oral burns (acute, when taken by mouth)
Pancreatitis
Paralysis
Paranoia
Paresthesia – symmetrical, stocking-glove
Pedal edema
Pericarditis
Peripheral neuritis
Peripheral neuropathy
Peripheral vascular insufficiency
Personality change
Pigmentation changes – hypo and hyper
Pins and needles in hands and feet
Pneumonia, bronchial
Polyneuritis
Portal fibrosis
Proteinuria
Psychosis
Pulmonary edema
Pulmonary insufficiency (emphysematous lesions)
Pulse – irregular
Quadriplegia
Raynaud’s Syndrome
Renal cortical necrosis
Respiratory failure, acute
Respiratory muscle insufficiency
Respiratory tract infection
Rhabdomyolysis
Rhino-pharyngo-laryngitis
Rouleaux formation of red blood cells
Salivation excessive
Seizures
Sensorimotor peripheral axonal neuropathy
Sensory changes
Shock
Singing
Skin bronzed
Skin cancer
Skin lesions and rashes, including vesiculation
Skin pallor
Sore throat
Splenomegaly
Squamous cell carcinoma
Stomach pain
Stomatitis
Stroke
Stupor
Suicidal
Swallowing difficulty
Sweating, excessive
Sweet metallic taste
Tachycardia
Throat constriction
Thirst
Thrombocytopenia
Tingling
Tracheobronchitis
Tremor
Tubular necrosis, acute
Unsteady gait
Uremia
Vasodilation
Vasospasm
Vertigo
Visual hallucinations
Vitamin A deficiency
Vitiligo
Vomiting
Vomiting blood
Weakness of distal muscles – hands and feet
Weight loss

Walking Pneumonia

September 2, 2011

Tags: order, herbs, acne, Alzheimer's, antibiotics, blindness, blister, bronchitis, cancer, cold herbs, diagnosis, GAIA herbs, GSE - Grapefruit Seed Extract, head cold, inflammation, lung, oregano, pneumonia - walking, rheumatoid arthritis, rinsing nose with saltwater, Walking Pneumonia

You are familiar with the term of "walking pneumonia", I guess. "Walking pneumonia" is unknown to other medical cultures. I always stumble over the expression. After all these years in this country, it still has the capitalistic notion to it: "Sick - but not too sick to work."

A friend adamantly denies "walking pneumonia" has to do with mean bosses who force their employees to work, whatever deplorable state they might be in. She maintains the term has been around forever, and simply discerns between one who is sick and still can walk, and one who is sick and can't get out of bed.

I can follow my friend there. BUT: Any pneumonia has inflammation in the lung tissues, and warrants treatment with antibiotics. And: We don't do this with other diseases - combining a diagnosis like "pneumonia" with a description of the state of the patient like "walking".

We make no difference between "walking cancer" and "non-walking cancer", or "walking rheumatoid arthritis" or "non-walking rheumatoid arthritis".

For me, "walking pneumonia" sounds decidedly odd. Thinking about it - and playing with it as the doctor-writer I am - also decidedly funny. Begging your pardon for poking fun of serious conditions, but they popped up:

"Limping foot blisters"
"Still mumbling Alzheimer's"
"Groping legal blindness"
"Absolutely, totally mortified acne".

If you ask me, pneumonia is pneumonia. Walking or not.

Oh, and by the way: If you have a bad head cold or a bad bronchitis, make sure they don't develop into pneumonia. Rinsing your nose with saltwater, taking extra deep breaths, quitting smoking, taking GSE (Grapefruit Seed Extract) 16 drops three times a day with lots of water, or Oregano capsules (GAIA has a reliable formula) or some herbs against colds might prevent ... pneumonia.

Herb Of The Year 2011: Horseradish

May 7, 2011

Tags: herbs, food, antibacterial, apples, Armoracia rusticana, asparagus - white, Belgian endive, boiled beef, bones - strong, breakfast, bronchitis, calcium, Chinese rice soup, chives, comfort, condiment, congee, dandelion, death, decoration, diarrhea, digestive, dinner, disorientation, enzyme, fever, frosts, garden, garden pest, gastro-intestinal irritation, Germany, ginger, grape leaves, green tea, harvest, healing purposes, Herb Day, herbal tea, Herb Of The Year 2011 - Horseradish, herbs - cleansing spring, hors d’oeuvres, horseradish, horseradish root, horseradish as poison, horseradish peroxidase, hot bath, International Herb Association, International Herb Day 2011, invigorating, Japanese tea - ground, lunch, macha, magnesium, mint, Natural Medicine, nausea, neighborhood, neurobiology, olives - chopped, olive paste, overdosing on fresh horseradish, phosphorus, potassium, potatoes - mashed, potluck party, pungent, resveratrol, rice crackers, rice vinegar, robustness, sauerkraut, sesame - black, sinusitis, spring, stinging nettle, sweating, taste, taste buds, toxic compounds, urinary tract infection, volatile oils, vomiting, weakness, weed, wild garlic

This should be the International Herb Day 2011 – but it seems several organizations compete with their dates.

So, I am making it my own Herb Day. I started the day with an herbal tea from stinging nettle, dandelions, ginger, chives, mints, and a dash of green ground Japanese tea called macha - to open my eyes.

My breakfast consisted of – you know my routine by now - congee (Chinese rice soup from brown rice) with sauerkraut and pickled grape leaves. They are my own harvest from last year, just cooked in rice vinegar and frozen, high in resveratrol, and a real pest in the garden! What is more delightful to find a way to turn an annoying weed into a delicious food!

For lunch I had olive paste on black sesame rice crackers.

For dinner I am invited to a neighborhood potluck party, and I will bring hors d’oeuvres: Olive paste (can be substituted with chopped olives, on Belgian endive and/or apples slices, topped with leftover pieces of white asparagus and chives from the garden.

The uses for herbs are unlimited: as condiment, as decoration, for healing purposes, for taste in food and comfort in a hot bath. This year, the International Herb Association made horseradish the herb of 2011 – don’t try it in your bath, though!

Horseradish root, grated has the familiar pungent taste which goes well with bland fish or bland meats – in Germany we use it with boiled beef, which is a boring a dish as one can imagine. With horseradish, it suddenly is exciting for the taste buds. Serve it fresh mashed potatoes, made from scratch.

What makes Armoracia rusticana, as it is known in Latin, so pungent are its volatile oils. They also give it its healing properties: antibacterial, digestive. It certainly gives your sinuses a good blow-out. It is also used in urinary tract infections and bronchitis, and promotes sweating in a fever, which can be beneficial. And in Natural Medicine we view it – together with stinging nettle, dandelion, chives, wild garlic, and others – as one of the essential cleansing spring herbs.

Horseradish also contains potassium, and an interesting enzyme – horseradish peroxidase, now used widely in neurobiology. Magnesium, calcium, phosphorus are building strong bones. That does not mean you should gorge on it – a little goes a long way; too much would be a poison. Overdosing on fresh horseradish (cooking destroys the toxic compounds) shows in gastro-intestinal irritation, nausea, vomiting, diarrhea, weakness, sweating, and disorientation, and possible death.

Before I knew that it would become famous this year, namely in the winter, I planted a horseradish root in a pot. For months, it did nothing, as eagerly as I observed the phallic thing for signs of life. Then, after I had put it outside when there were still frosts expected, I noticed it had developed side-shoots. And as soon as the rain stops today I will plant it in a bigger container. It would be unwise to plant it in the garden as it is a tough customer and prone to spreading robustly. – Perhaps that was one of the reasons our forefathers recognized it as one of those invigorating plants with which we might fight dwindling health.

What’s the Difference Between a Cold and the Flu?

February 11, 2011

Tags: order, breathing – difficulties, bronchitis, chest pain, chills, cold, cold medicine - over-the-counter, cold shower, death of flu, diseased people, earaches, elderly, exercise during the flu, fever, ear aches, flu, flu headache, limbs – sore, meninges, meningitis - minor, muscle ache, nasal mucosa, nose – stuffed, photophobia, pneumonia, queasiness, rest, running nose, scalp – sore, sinusitis, skin – sore, sore throat, sudden onset, sweats, viral disease, virus, weakness, What’s the Difference Between a Cold and the Flu?, delirium

This is the question I am asked most often around this time of a year. How can one discern between the one and the other. Not that the treatment is very different – they are both viral and respond to similar measures. Only the flu lasts longer, and can lead to more complications. Sometimes, it it hard to tell which is which - but here are some guidelines.

A cold and the flu - both make you feel lousy. The flu makes you feel even lousier, but that is hard to figure out when you are in bed with something, your nose is stuffed, you can’t breathe right, your head hurts, and you are miserable.

Whereas a cold often starts slowly, with a little scratching in the throat over several days or bouts of sneezing, a flu often starts with a bang: One moment you feel fine – and an hour later you realize you are coming down with something really bad. Sometimes it even starts with queasiness in your belly, and you wonder what you are hatching. But very soon, all your limbs hurt, your muscles hurt, your skin hurts, your scalp hurts, your head hurts, and you develop a fever (most of the time): That’s the flu.

Complications of a cold include sinusitis (especially if you reach for over-the-counter cold medicine that tends to dry out the nasal mucosa and clog the system, instead of letting the phlegm flow out), and earaches.

A flu does often not present as an enormously running nose; a flu might have some stuffiness that doesn’t go away. Fever is rare in a cold, and prominent in the flu: When the fever mounts, you feel chills and want to be covered with a dozen duvets; when the fever falls, you are soaked in sweat and have to change pajamas and sheets.

A flu differs in that you are usually much more incapacitated. Sinus headaches in a cold can be bad, but flu headache feel like a minor meningitis – and it is just that: the virus is affecting your meninges (the outer lining of your brain): It hurts to move your eyes, it hurts to move your head, and light that shines into your eyes bothers you (photophobia). And a flu leaves you weak and seemingly unable to recover. A flu may make it impossible to get out of bed for a week or two, sometimes even three – you feel like you will never recover.

In a flu, all your strength seems to be sapped out of you, and you feel unable to do exercise. While you are still bedridden, it is not a good idea to push through because this is the time your heart can be affected too – and you need rest, not tough determination to get it over with. And let me say this out loud: This is not a time for cold showers or other heroic measures. Just lie back in your cushions and rest. A cold never leads to this kind of utter exhaustion.

I say rest because you might not be able to sleep – that has to do with the irritation of meninges, too. On the other hand, some people do nothing but sleep. Both is fine, and part of the picture.

What is not part of the picture: If you get delirious, if you get bronchitis and/or pneumonia, if your fever lasts longer than three, four days, maximally a week - then it is time to consult a physician. Because nearly nobody dies of a cold, but many people – especially the elderly and diseased – die of flu and its consequences every year.

The most common cause for cough is phlegm that comes down from the sinus and tickles your throat. The best way to deal with it is to rinse your nose with saltwater (which I have described somewhere here – look it up in the index). The cough of bronchitis comes from deep within the lungs, sounds like trumpeting, and your chest might hurt severely – that is a sign you should see your doctor.

Fresh Air

October 6, 2010

Tags: air, allergies, asthma, bronchitis, building materials, cleaners - household, condensation, detergent, flooding, Fresh Air, glues, humidifier, infections - increased susceptibility to, insulation, laundry softeners, lung afflictions, mold, paints, philodendron, plastics, pollution – indoor, pothos - golden, respiratory diseases, sinusitis, spider plant, wood preservers

If you live in a house that is perfect in terms of insulation and energy efficiency, you are likely living in a house with stale air – or worse: poisoned air.

The old drafty windows allowed air to go in and out freely. Retrofitted with air-tight windows and doors, you keep in the used-up air. People are often not aware that indoor pollution is much worse than outdoor pollution.

Indoor pollution comes from building materials (wood preservers, paints, plastics, glues, etc.) and household cleaners (detergent, laundry softeners) and molds.

The two most important – and easiest – steps are:
• Sleeping with window open so that you don’t re-breathe stale, polluted air all night through.
• Opening your windows at least twice a day for ten minutes each time. Opening the windows wide but only for a short time, is using less energy than keeping a window slanted all the time.

Respiratory diseases – asthma, bronchitis, sinusitis, allergies, increased susceptibility for infections, and so on – are furthered by bad air.

If you have mold at your place, the root cause needs to be addressed: moist walls, flooded basements, condensation issues in poorly ventilated spaces. You better ask a specialist. This can come very expensive. But your health doesn’t come cheap either. And once somebody is sensitive to molds, life can get extremely complicated.

The opposite – too dry air – is also inflicting lung ailments. You can put out open dishes with water or hang up moist towels. Both are better than humidifiers that in many instances get grown over with molds and bacteria, adding to the problem instead of solving it.

Green plants help improve indoor air by humidifying and removing pollutants. Philodendron, spider plant and golden pothos are most effective at the task, and they also happen to be unfussy in their needs.

Aromatherapy can improve air quality. Incense actually is detrimental to your health (as nice as it is for your soul), but essential oils, especially eucalyptus, strengthen respiratory passages.

This all will help you indoor air – provided there’s no smoker in the house.
Aspen eyes, by Peggy Peters

Iguazu Falls, by Xin Liu

Alexa Fleckenstein M.D. 2012, by Lolita Parker jr.

Tags - see also the non-captalized entries below!