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This is a big issue so let’s look at it more closely. A huge problem people who are overly stressed have is the ability to say “No”. Maybe your mother wants you to take Grandma to the store, but you’re in the middle of a big work project. Perhaps your best friend asks if you wouldn’t mind babysitting her kids when you’ve already made plans with yourself to get a haircut.

There’s no reason why you have to say “Yes” to everyone. In fact, there are often many times when you should turn them down. If you find yourself agreeing to do things when you really don’t want to, you’re a people pleaser. Sounds like a nice trait to have, but it is a huge stressor.

People pleasers think of other people’s needs before their own. They worry about what other people want, think, or need, and spend a lot of time doing things for others. They rarely do things for themselves, and feel guilty when they do. It’s hard work being a people pleaser.

People pleasers hold back from saying what they really think. They don’t ask for the things they would like if they think someone will be upset with them for it. Yet they often spend time with people who don’t consider their needs at all. In fact, people pleasers often feel driven to make insensitive or unhappy people feel better - even at the detriment to themselves.

Constantly trying to please other people is draining and many people pleasers feel anxious, worried, unhappy, and tired a lot of the time. They may not understand why no one does anything for them, when they do so much for others and yet they don’t ask for what they need.

A people pleaser may believe that if they ask someone for help and that person agrees, that person would be giving out of obligation, not because they really wanted to. The thinking goes - if they really wanted to help, they would have offered without my asking.

This line of thinking happens because people pleasers themselves feel obliged to help and do not always do things because they want to. Sadly, people pleasers have been taught that their worth depends on doing things for others.

When they do take a moment for themselves, they feel selfish, indulgent, and guilty which is why they are often on the go, rushing to get things done. Since people pleasers accomplish so much and are easy to get along with, they are often the first to be asked to do things - they are vulnerable to be being taken advantage of.

People pleasers were most likely raised in homes where their needs and feelings were not valued, respected, or considered important. They were often expected as children to respond to or to take care of other people’s needs. Or they may have been silenced, neglected, or otherwise abused, thus learning that their feelings and needs were not important.

In many cultures, girls are raised to be people pleasers - to think of others’ needs first, and to neglect their own. Most women have at least some degree of people pleasing in them. Men who identified with their mothers often do as well.

People pleasers’ focus is mostly on others and away from themselves. They often feel empty, or don’t know how they feel, what they think, or what they want for themselves. It’s possible to change this pattern, starting now.

First, practice saying NO. This is a very important word! Say it as often as you can, just to hear the word come out of your mouth. Say it out loud when you are alone. Practice phrases with NO in them, such as, "No, I can’t do that" or "No, I don’t want to go there". Try it for simple things first, and then build your way up to harder situations.

Stop saying YES all the time. Try to pause or take a breath before responding to someone’s request. You may want to answer requests with "I need to think about it first, I’ll get back to you" or "Let me check my schedule and call you back". Use any phrase that you feel comfortable with that gives you time before you automatically respond with YES.

You will feel guilty when you start this but it won’t always be so. Remember that your mental health is well worth the aggravation you may have to take from others. What’s important is you.

Figure out what gives you pleasure. For example, you may like reading magazines, watching videos, going to a park, or listening to music. Give yourself permission to do those things and then enjoy them.

Ask someone to help you with something. I know this is a hard one but you can do it! After all, everyone else is asking YOU for favors. Be tolerant if they turn you down. Just because you have always told them “Yes” doesn’t mean they always have to tell you “Yes”.

Many people pleasers believe that nobody will like them if they stop doing things for other people. If this happens than you were being used and it’s better that they aren’t in your life anyway. People enjoy your company for who you are and not for what you do. You deserve to take time to yourself, to say NO, and to take care of yourself without feeling guilty. It’s within your reach to change - one small step at a time!

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Prescriptions

Generally, mild and moderate forms of acne can be treated with over-the-counter medications, but with severe cases you may need to seek treatment from a dermatologist. In many cases, the doctor will recommend an oral or topical prescription medicine to deal with the condition.

Antibiotics

Commonly used to fight acne, antibiotics can be taken orally or as a lotion. Topical prescription medications may include ingredients such as zinc or retinoids. The most common antibiotic used for treating acne is tetracycline. It is used to kill the bacteria responsible for acne and also reduces inflammation. Treatment may take several weeks or even months to be effective and it's important to continue using antibiotics even after the acne has cleared up.

A common side effect associated with tetracycline is increased sensitivity to sun light, resulting in bad sunburns if you stay in the sun too long. Further side effects may include dizziness, hives, and upset stomach.

Women who are taking tetracycline may be susceptible to an increase in incidences of vaginal yeast infection.

Ointments and topical solutions

Antibiotic ointments actually have fewer complications than oral antibiotics. If you use these ointments with other topical treatments like benzoyl peroxide, the bacteria may not develop resistance to the antibiotics. This increases the level of prevention.

Retinoids

Retinoids are a form of acne medication that are derived from vitamin A and can be applied directly to the skin. Topical retinoid medications are useful for treating blackheads and whiteheads by helping to open clogged pores.

Oral retinoids are used to treat the more severe forms of acne, because they have a better chance of stopping breakouts and lesions which don't respond to other treatments. Oral retinoids cause the upper layer of the skin to peel which opens the pores. They also cause the body to produce less sebum, the substance which causes oily skin.

As with many other types of prescription strength medication, a number of serious side effects are associated with oral retinoids. They can cause liver damage and depression, so regular medical attention is needed to make sure the patient is not being adversely affected by retinoid treatment. This medication can also cause birth defects if mothers are taking it when they're pregnant.

Other medications

Birth control pills are sometimes effective in treating acne in women. They change hormone levels in the body and can reduce the acne causing effects of testosterone.

Surgical Options

If you are considering the possibility of treating acne with laser therapy or surgery, fully evaluate each of the processes, including the number of required treatments, the costs, and the potential side effects of the treatment. It's also important that you select a process that is designed to deal with reducing the presence of acne without scarring.

Acne Surgery

Acne surgery involves making an incision into the affected area and draining the clogged matter. The process for blackheads and whiteheads doesn't actually involve surgery, but is often performed by a nurse, esthetician or dermatologist. A small, pointed blade is used to first open the comedone and then gently work the material out using a comedone extractor.

Severe cysts can be drained and removed by excisional surgery. The procedure extracts the cysts in a sterile environment so additional bacteria does not enter the wound and develop serious infection or create scarring.

Forms of Physical Treatment

Exfoliation

This treatment involves removing the top layer of skin chemically or with an abrasive. Chemical peels are usually done with salicylic acid or glycolic acid. These work by destroying a microscopic layer of skin cells to unclog pores and remove the build-up of dead skin cells. The same effect can be achieved by using an abrasive cloth or liquid scrub.

Comedo Extraction

In this procedure, an anesthetic cream is applied to the affected area. The comedones (blackheads and white heads) are extracted using a pen-like instrument which opens the top to allow the removal of dead skin cells and sebum from the follicle. The procedure is usually followed by an application of antibiotic cream.

Drainage

With many forms of severe acne, cysts can form under the skin and become very painful, even disfiguring. Often, the smaller cysts can be treated with cortisone injections which will flatten the lesion in a few days. But for larger cysts the only alternative is to have them drained and then surgically removed. Drainage can help relieve the pain associated with cysts and also reduce the chance of scarring. It is important not to try to drain cysts yourself, because you risk infection, which could lead to permanent scarring.

Laser Treatment

Laser treatments involve the use of varying wavelengths that are aimed directly at the affected area of the skin. These wavelengths pulsate against the skin and destroy overly-large sebaceous glands and acne lesions. Laser treatments remove the damaged outer layers of skin so that new cell growth can be initiated. The laser technician varies the intensity of the laser as necessary to effectively treat the area.

Despite all of the benefits, there is still considerable debate surrounding the effectiveness of laser therapy. It has been shown to be effective in improving the skin's appearance, but as with most of the other available acne treatments, there are some side effects.

For example, patients can experience red, burned skin after treatment that can last for weeks. Individuals with dark-colored skin can end up with skin discoloration after laser treatments. Finally, the skin’s appearance can be uneven if the laser is applied inconsistently.

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Expensive Coins

The 1804 Silver Dollar, is the King of Coins. Only 15 exist and they're in very good condition.

The 1907 ultra-high relief $20 gold piece is considered by many to be the most beautiful coin ever made. It was designed by sculptor Augustus St. Gaudens, and they're extremely scarce.

The 1913 Liberty Nickel is one of the most famous coins in the world. Thanks to its extreme rarity and a publicity campaign by one of the industry's great marketers, B. Max Mehl. It's believed the five coins were produced illegally but the government has made no attempt to confiscate them, which also adds mystery to story.

By contrast, the 1933 $20 gold piece, which currently holds the record for highest price paid at auction, is a coin that has been vigilantly hunted down and confiscated by the FBI. The lone piece that tops this chart is the sole example allowed to exist by the government, as the rest were ordered to be melted down by FDR in 1933. According to government records, none survived, and since this is the official position, the Treasury enforces it.

The sole example was given as a gift to King Farouk of Egypt, who was an avid collector. Since its return to the world, in the wake of Farouk's death, the US government has maintained the position that it is legitimate, as it was a possession of foreign royalty as a gift from the US. The spectacular sum commanded by this coin is due in part to its mysterious and intriguing history and the likelihood that it will remain unique.

The 1917 Type One Standing Liberty Quarter is one of the truly beautiful U.S. coins. It was made for only two years, because the exposed breast of Ms. Liberty caused such uproar that they changed the design halfway through 1917. Since the 1916 is a five-figure rarity, this coin is effectively a one-year-only type coin. It makes the rare coin price list thanks to its collective beauty, popularity, importance and rare top condition.

From 1795 to 1834, the U.S. minted $2.50, $5, and $10 gold coins. In 1834, the gold content of our coins was lowered slightly and most pre-1835 gold coins hit the melting pot. Today, these early treasures of American financial history are rare in all grades and super rare in Gem condition.

Today the Mint strikes millions of proof coins a year and sells them to collectors all over the world. In the 19th Century, the Mint struck a few thousand proof coins each year and only a handful of proof gold coins. Proof gold coins are the caviar of the numismatic marketplace. They are expensive, but they are super rare and demand is always sky high in both good and bad markets.

Barber Half Dollars were minted between 1892 and 1915. They are one of the coin market’s most important issues. They are collected both by date and by “type” collectors and are the rarest of the 20th Century sliver type issues.

Twenty-Cent Pieces were odd coins made for just four years from 1875 to 1878. The coin looked too much like a quarter to catch on with the public and there really wasn’t a commercial need for the denomination. Today, twenty-cent pieces are highly prized collector’s items.

Kids And Coin Collecting

Many kids start by picking up a coin they have never seen before and continue collecting. Because coin collecting requires very few supplies, it makes a great hobby for a child to start and carry with them throughout their life. Children of any age can gain knowledge from these little pieces of metal.

They can improve their reading ability.

Most general references on coins are written in fairly simple English, so children can easily understand the information. Most children improve their reading ability when reading becomes personally important to them.

It will improve their comprehension.

Coin collecting has a specialized vocabulary. Even at the entry level, the collector wants to remember many specialized terms. The moment a child realizes information is important, they will find a way to remember it.

They can hone their organizational skills.

Coin collectors are always checking references, price lists and information provided on the Internet. The collector must be organized, as information must be readily available and kept up to date.

They develop an interest in history and culture.

You can't collect coins without learning about the people who produced them. Even if a child doesn’t continue with the hobby, they will be exposed to many other interesting subjects and develop an appreciation for their importance.

The ability to set and reach goals.

Coin collectors are always making short and long term plans. Few collectors are content to have a casual assortment of coins. There is a good reason why every coin is added to the collection. Coin collectors want to build sets and acquire certain important coins. Completing a set of coins, even a small one, is seen as an important accomplishment. The collector gains a lot of satisfaction from attaining goals.

It builds self-esteem.

Perhaps the greatest benefit that coin collecting offers young people is the opportunity to legitimately participate in the adult world. There are no age restrictions and there are a number of teenagers who quickly became knowledgeable numismatists. Knowing about coins is knowledge that is appreciated by adults and the child can find themselves in a position to teach and inform adults about the hobby. Often a little success can grow into lots of ambition.

They will have to establish priorities.

Determining priorities is often difficult for children. There is so much going on and often their time and activities are planned for them. When it is their turn to decide what to do with their time, they often become bored.

Coin collecting can be a very exciting hobby. A child will want to spend time reading, learning and looking at the coins in their growing collection.

Value.

A common complaint among adults is that kids don’t understand the value of money. The moment they have money, they spend it. A young coin collector must learn to save for that special coin. They may be prompted to think of ways to earn extra money by getting better grades in school, working around the house, babysitting, or mowing the neighbor’s yard.

Getting A Child Started

Coin collecting isn’t for everyone. It takes patience, time, and an interest before the seed can be planted. However, showing your own love for the hobby is the first step toward getting young people involved.

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Complications of diverticular disease

Without the correct treatment, serious cases of diverticular disease can lead to:

Infection: Infection occurs when bodily fluids or faeces become trapped in the diverticula and begin to stagnate. This provides an optimal environment for the growth of bacteria and consequently, the development of infection.

Rectal Bleeding: Bleeding from the rectum can occur if diverticula present in the colon begin to bleed due to the bursting of a blood vessel.

Rectal bleeding will present itself in one of two ways:

Small amounts of blood will be present in the stool over a few days. This generally rectifies itself.

A large amount of blood is produced over a small amount of time, due to the bursting of a blood vessel. The onset of this type of bleeding is generally painless, immediate and accompanied by the urge to defecate. This symptom is usually only present in those with extreme cases of diverticulitis and requires hospitalisation and possible surgery. Alternatively, the implementation of a device up through the rectum to cauterise the bleeding wound shut. In some cases, the bleeding may stop spontaneously without the requirement of medical intervention.

Haemorrhage: The presence of rectal bleeding or bloody stools is generally indicative of internal bleeding or haemorrhage. Internal haemorrhaging will present itself as red or burgundy coloured stools.

Fistulas: A fistula is an abnormal tunnel or connection between two organs that develops as a result of infection. In the case of diverticulitis this infection is present with the inflamed diverticula.

There are many areas where fistulas can occur. The main areas affected by diverticular disease are the areas surrounding the bowel the genitals and the anus.

Fistulas may link the surrounding organs or cavities with the bowel. The most common occurrences in individuals with a gastrointestinal are as follows:

Enterocutaneous: Pathway leading form the gut, to the area of infection and finally to the skin.

Enteroenteric: Any fistula involving the intestines.

Enterovaginal: A fistula creating a pathway to the vagina. Symptoms of this fistula include vaginal discharge containing faecal matter. Feculent vaginal discharge can also be a result of a fistula developing between the sight of infection and the uterus.

Enterovesicular: A fistula creating a pathway form the site of infection to the bladder. Symptoms of the development of this type of fistula include frequent urinary tract infections, pneumaturia and the passing of gas from the urethra during urination.

In diverticular disease, the resultant fistulas are generally faecal or anal fistulas, meaning the fistula may cause faeces to pass through openings other than the anus. Fistulas are formed from abscesses which do not have a chance of healing due to being constantly filled with bodily fluids or stools. If these abscesses remain untreated they will consequently break through to the skin or another organ, creating a tunnel or connection between the two structures.

The types of fistulas that may develop include:

Blind fistulas- only one end of the fistula has an opening

Complete fistula- Both ends of the fistula are open

Horseshoe fistula- the anus is connected to the surface of the skin via a tunnel around the rectum.

Incomplete fistula- is only attached to one organ, generally the skin.

Symptoms of a fistula include pain, feeling ill, fever, tenderness or itching and severity will range depending on the location of the fistula itself.

Large Bowel Obstruction: This complication only occurs in a small number of individuals suffering from diverticulitis. As a result of the swelling due to inflammation scar tissue develops. Blockage due to inflammation will settle as the inflammation is treated, however blocking due to scar tissue remains. These blockages can occur as partial or total blockages. Partial blockages are not urgent, and therefore corrective surgery can be planned. Total blockages are urgent and must be addressed via surgery immediately.

Development of an Abscess: These are pus filled areas of infection and may form if initial infection remains untreated. Due to the destruction of tissue by an abscess, small holes known as perforations allow the leakage of pus out of the colon into the abdominal area. Perforations may cause the individual to develop pain in the back or lower extremities.

While small abscesses may rectify themselves without antibiotics, large abscesses may have to be drained. Abscesses are drained by inserting a catheter. If drainage is not successful, surgery may be required to clean the abscess.

If excessive amounts of infection leak out of the contaminated area into the abdominal cavity, peritonitis may occur. In this case, the individual will begin experiencing severe, generalised abdominal pain. Peritonitis refers to the infection of the walls of the abdomen and requires immediate surgery to clean the abdomen. Peritonitis can be fatal without treatment. Treatment involves an operation to clean the abdomen and infected parts of the colon are removed.