Los defensores del combate al VIH/SIDA han estado presionando al Congreso, pidiendo que el fondo de emergencia de $126 millones sea empleado para hacerle frente a la crisis del ADAP, la cual a partir del 1ero de junio incluye 12 estados con listas de espera, al igual que medidas de contención de costos como formularios limitados y el cambiar los requerimientos de elegibilidad limitando el número de personas que califican financieramente para el ADAP, dejándolos sin acceso a medicamentos.

El Congreso está renuente a gastar $126 millones adicionales durante esta crisis económica, ya que los políticos de ambas corrientes no quieren ser acusados de incrementar el déficit. El proyecto S.3401 por los Senadores Coburn y Burr es una rápida y juiciosa manera de lidiar con la crisis de financiamiento y eliminar las listas de espera, pero necesita de la participación de ambos lados.

AIDS Healthcare Foundation (AHF por sus siglas en inglés) ha instado específicamente a los demócratas, a dejar de lado las políticas partidistas y apoyar el proyecto de ley de Coburn-Burr. El apoyo para el proyecto también proviene de la Asociación de Defensores del ADAP (aaa+, por sus siglas en inglés) al igual que del Acceso Comunitario Red Nacional (CANN, por sus siglas en inglés).

El Senador Richard Burr, miembro del Comité de Salud, Educación, Trabajo y Pensiones declaró al momento de la introducción del proyecto de ley, ¨Más de 600 Norte Carolinianos viviendo con VIH/SIDA han estado esperando tener acceso a sus tan necesitados medicamentos controlados a través del ADAP. Pacientes esperando ser inscritos en el ADAP de Carolina del Norte y en toda nuestra nación están en necesidad de nuestro liderazgo aquí en Washington¨. Esto viene de un Senador Republicano de un estado conservador.

Durante todo ese tiempo, la Demócrata más poderosa en la Cámara ha permanecido callada mientras que los Programas de Asistencia para Medicamentos contra el SIDA (ADAP) alrededor de la nación permanecen en crisis. La Presidenta de la Cámara, Nancy Pelosi, tiene el poder para aliviar la crisis del ADAP al mostrar apoyo por el S.3401 Ley de ACCESO. Muchas vidas dependen de ello.

Es tiempo de que la Sra. Pelosi y otros Demócratas tomen la iniciativa y hagan lo correcto. Espero que todos los lectores de Adelante presionen a su representante para apoyar este proyecto de ley. La urgencia de la situación lo requiere. El tiempo de actuar es ahora. Llame a la oficina de Nancy Pelosi hoy.

ACCESS ADAP Act

Senators Tom Coburn (OK) and Richard Burr (NC), both Republicans, introduced a bill in Congress, last May, known as the “Addressing Cost Containment Measures to Ensure the Sustainability and Success of the ADAP Act” or ACCESS ADAP. This bill, known by its Senate number S.3401, would direct that $126 million in unspent discretionary stimulus funds be used by the Secretary of Health and Human Services for fiscal year 2010 to reduce or eliminate ADAP wait lists.

HIV/AIDS advocates have been lobbying Congress, asking for $126 million in emergency funding to address the ADAP crisis, which as of June 1st includes 12 states with wait lists, as well as cost containment measures like limited formularies and changing eligibility requirements reducing the number of people who qualify for ADAP financially, leaving them without access to medications.

Congress is reluctant to spend an additional $126 million during this economic downturn as politicians on both sides of the aisle don’t want to be accused of increasing the deficit. S.3401 by Coburn and Burr is a quick and judicious way to deal with the funding crisis and eliminate wait lists, but it needs bi-partisan support.

AIDS Healthcare Foundation (AHF) has urged Democrats specifically, to put aside partisan politics and to support the Coburn-Burr bill. Support for the measure has also come from the ADAP Advocacy Associciation (aaa+) as well as the Community Access National Network (CANN).

Senator Richard Burr, a member of the Health, Education, Labor and Pensions Committee stated at the time of the bill’s introduction, “More than 600 North Carolinians living with HIV/AIDS have been waiting to access their needed prescription drugs through ADAP. Patients waiting to enroll in ADAP in North Carolina and around our nation are in need of our leadership here in Washington”. This comes from a Republican Senator from a conservative state.

Meanwhile, the most powerful Democrat in the House has been silent while the AIDS Drug Assistance Programs (ADAPs) across the nation remain in crisis. House Speaker, Nancy Pelosi has the power to relieve the ADAP crisis by showing support for the S.3401 ACCESS bill. Lives depend on it.

It’s time for Pelosi and other Democrats to step up and do the right thing. I hope all Adelante readers will urge their representatives to back this bill. The urgency of the situation demands it. The time to act is now. Call Nancy Pelosi’s office today.

Syphilis is caused by a treponeme, a corkscrew shaped bacteria that swims in a corkscrew motion. It can be passed between mucus membranes (the red or pink linings of the holes of your body, not the dry skin). Sometimes it is passed from mucus membranes to skin. (Mucus is produced by these membranes so they don’t dry out. Skin has dead skin cells on top that are already dry, keeping the underlying tissues moist.)

Back to syphilis: it travels to the lymph nodes and into the blood. Your body produces antibodies to flag the bacterium to be destroyed by the white cells but this strategy is usually ineffective. Like in fighting HIV, antibodies are totally ineffective.

The entry wound on the lips, inside the mouth, labia, inside the vagina, around or inside the anus, and on the scrotum is painless so people don’t look for it but it may be noticed by another person or a medical provider (who are usually a person also) looking at the outside area. This is primary syphilis.

With a painless, unknown sore, the bacteria are transmitted easily to the next person during contact. This sore and maybe some swollen lymph nodes near the area are evident 2-6 weeks after contact.

Secondary syphilis occurs when the sore heals and the treponeme multiplies many times in other tissues. The cardinal sign of palm and sole rashes along with the rash on other parts of the skin cause the medical provider to think of syphilis. It can affect the mouth, eye, and cause general weakness and fevers. You can lose patches of hair in the scalp too.

After the rash, tertiary syphilis becomes known, sometimes years later, by invasion of the brain or the large arteries. Brain syphilis can cause people to behave differently and not be themselves. This stage can last for many years!

Diagnosis: We have discovered unsuspected syphilis upon routine blood testing or when a patient desires a check up for sexually transmitted diseases. We discover it more by testing those who follow the prevention strategy below.

A spinal tap or X-rays may be needed to find the infection inside your body.

Prevention: You will notice that I put prevention before treatment since prevention is much better than having syphilis. If a person is not in a monogamous relationship or wonders if their partner is stepping outside that relationship, then a yearly blood test is a good idea and then treatment if found to be positive. This strategy will prevent the second and third stages. If a person had contact with a new partner, then a blood test a few weeks later is a good idea. For those continually having different partners a blood test every 4-6 months is probably a good idea. Remember that syphilis, warts, and herpes are not just in the urethra (the tube in the penis) so a condom isn’t that effective in preventing these three sexually transmitted diseases like Chlamydia and gonorrhea.

The public health department wants to know the sexual contacts of those who have syphilis since it infects about 30-50% of those contacts (this is very high meaning it is very contagious). They call and say you have had contact with someone who has syphilis, but don’t reveal the name of the other person. You should get tested since this initially painless disease is so easy to pass on to you and from you to others.

If you have had syphilis before, then you will probably always have a positive antibody test in your blood, but the titer or how strong the antibody response tells your medical provider if you have improved, not improved, or gotten a new infection. We usually see the antibody level, or titer, go down over 6-12 months; so you don’t even know if you are better for quite a long time.

Treatment: Syphilis is not resistant to penicillin in high doses, so far. For primary syphilis it takes 1 large injection of long acting penicillin in one buttock or half of it in each buttock since it is painful but not intolerable. For secondary, the same treatment, but given three times, delivered once a week.

For tertiary syphilis, a different form of penicillin injection is given each day for 2 weeks plus some pills to take just before and after to boost the tissue levels of the penicillin; intravenous treatment gets better results but must be done in a hospital usually unless your insurance pays for a home nurse to put in a long IV line and has a computer assisted IV pump.

HIV patients have it a little worse. Their immune system is impaired and it is harder to cure syphilis so we treat them more aggressively and we check their blood test regularly too.

Once again, abstinence or mutual monogamy is the best prevention.

Most of us are criticized as children and so we grow up to criticize everyone and everything in our life. We are especially critical of ourselves. This is the training we learned as children, and we continue it into adulthood, complaining of our jobs, our mates, our lives.

The good news, however, the bright side of this negative life’s blueprint is that this constant critique of our lives is only a habit, and we have the power to unlearn this negative behavior pattern. When you want to stop smoking or eating fatty foods, you begin by replacing the negatives with positives. You substitute carrots or lollipops for cigarettes and you choose broccoli over bacon.

Eventually, making positive, life affirming choices becomes the new habit and you begin seeing the world and your life in a completely different light.

Stopping a negative, critical thought mid-sentence is a great way to start replacing darkness with light. Take the next step and replace the critical words with positive words, even when you do not completely believe what you are saying.

Words have power and when you make a critical statement, you draw that exact criticism to you. Instead, see the bright side of a situation and ignore the darkness. You will then draw the light of the situation to you. Every single situation, event and person has an innate light and when you focus on the light, the dark becomes unimportant and loses all value.

Health, happiness and life-affirming behaviors are all interrelated. They are connected and when you find the joy and the happiness, you find the health, the prosperity and love that are like-energies.

Joy and love are the highest energies in the universe. Shame is one of the lowest. When we criticize or gossip about another person or our jobs, our lives, we are attempting to shame and degrade the person, job or life of which we are critical.

We are creating life-depleting, low energy. When we create shame, we create a life filled with darkness and life-depleting energy. Joy, prosperity, love and happiness do not dwell in the low, critical energies, so we eliminate the environment in which the “good stuff” inhabits.

Choosing to find the bright side, the silver lining or the good in a situation or person, creates the exact environment in which exists all the things we truly want in our lives.

No one wants to have a bad life or to be in a bad relationship or job, yet, by constantly criticizing our lives, our jobs, our mates, we create precisely what we are trying to avoid.

We actually invite the negatives into our lives by being negative. Choosing a dark perspective or being critical is like an engraved invitation, inviting more darkness and things/situations/people to criticize.

Choosing to see your life, your job, your mate, your body, whatever it is with which you feel unhappy, in a positive light will not only make you happier, but improve the object of your unhappiness.

If you dislike your body and feel it is fat, you are constantly focused on the fatness, the ugliness of your body. You may stop dressing and grooming well. You may buy ugly fat-people clothes, and find yourself growing into them.

Instead, if you focus on the beauty of your body, you may find you are buying better fitting clothes. You may find yourself exercising. You may find that broccoli is far better than bacon. You may even lose weight.

Whether you lose weight or not, you will feel, connected to and pleased with your body by focusing on its beauty and svelteness. You will be happy with your body and that is the whole point in the first place.

You may even find that being a size or two larger than Ricky Martin works for you. You may not only accept your body, but yourself. In accepting self, we begin the process of choosing joy over criticism.

The next time you find yourself uttering a negative whether about yourself or someone else, stop! Instead find a positive. Replace the words and eventually you will replace the perspective. Replace the perspective and you will find yourself replacing the feelings. Replace the feelings of darkness with light and you will find yourself living a life filled with joy.

Maria Etta Anabell is an Energy Therapist who specializes in helping people create their message to the Universe. You can reach her at: elloboproduction@sbcglobal.net.

By Maria Etta Anabell

Nosotros los hombres tenemos nuestras características masculinas, libido y fuerza gracias a la producción de testosterona la cual se efectúa en nuestros órganos sexuales. Dependiendo de tu edad esta producción varía. La gente joven goza de niveles altos y a medida que somos mayores va disminuyendo, lo cual significa que si te importa mantener tu apetito sexual fresco o quieres verte “mamado” tienes que hacer ejercio todo el tiempo, ya que es una manera de estimular nuestra producción de testosterona. “LO SIENTO POR LOS QUE CREEN QUE IR AL GYM UNA VEZ” es suficente para tener un cuerpazo, NUNCA VA A PASAR.

Cuando hacemos ejercico correctamente trabajamos nuestros músculos para fatigarlos hasta el agotamiento rompiendo fibras musculares, las cuales con la comida y suplementación adecuada se repondrán, crecerán y prodrá tener cada vez más la fuerza y energía de entrenar un poco más duro cada día. Los músculos están hechos de proteinas (animal o vegetal). Tu cuerpo requerirá buenas cantidades de proteina si haces ejercico con pesas todo el tiempo.
Gracias a los suplementos hoy en día podemos encontrar la mejor y más pura proteina en polvos para el facilitamiento de nuestras vidas, ya que no podemos sentarnos a comer una pechuga de pollo o carne asada sin grasa y verduras todos los días.

Gracias a “POWER ZONE” www.capitoldrugs.com te muestro primero 3 de los 6 productos con el mejor precio y calidad para tomar en consideración cuando compres tus suplementos (menciona que eres lector de Adelante y tendrás un descuento especial).

PROTEIN HIGH QUALITY MYOFUSION
Para tomarla despues de tu workout. Con las habilidades de absorción inmediata en tu músculo y eliminación de grasa por su combinación única de whey protein (alta en aminoácidos) sin darte gas o molestar a tu estómago, con una fibra especial y sun flower oil para ayudar a bajar tu panza, y un complejo lípido único que detiene la grasa, no dejándola regresar a tu estómago. MSRP = $56.99, P. ZONE PRECIO DE DESCUENTO $21.50

C2- STRENGTH
Para tomarla antes de tu workout, contiene creatina pura, ayudándote a aumentar tu fuerza, masa muscular, y con la habiladad de no retener agua ayudándote a que se te marque tu abdomen como lavadero. MRSP = $29.99, P. ZONE PRECIO DE DESCUENTO $16.99

NOVEDEX XT
Para tomar antes de tu workout.Estimulador de testosterona con la singularidad de no producir estrogeno y ademas de ayudarte a incrementar masa muscular y aumento de peso despues de 7 dias. MRSP $56.99, P.ZONE DESCUENTO $34.95

Ten en consideración que los suplementos para que te sirvan deben ser utilizados por un tiempo para que tu cuerpo los asimile y veas resulatdos, no es cosa de milagros sino constancia y cuidado de tomarlos a las horas adecuadas. Siéntate a revisar tu programa de entrenamiento para saber si estás haciendo el esfuerzo adecuado y toma mucha agua.

Por favor ten cuidado si estás tomando medicinas para el HIV o si estás tomando medicamentos para control de la presió y menciónale a tu doctor lo que compras.

Cualquier pregunta dirígete a: octavio@octaviosfitness.com

En la segunda parte seguiremos hablando de como mejorar tu apariencia y “las pildoritas mágicas” para sentirte como un “porn star”.

Bendiciones.
Octavio.

The Best Supplements to Look Athletic on the Beach and Feel Like a Bull in the Intimacy, Part 1

Sometimes we wonder why we do not look all the same to those who exercise? cut,with big muscles or simply athletic. People who exercise need an extra supplementation along with good healthy eating intake and a smart workout to have that six pack abs and shaped muscles.

We “guys” have our male features such as libido and strength thanks to our testosterone production witch happens in our sexual organs. According at your age this production varies, young people having a high number and more mature having less unfortunately and reason why if you want to keep your sexual appetite going and look “BUFF” you must exercise to keep your testosterone stimulate in your body. I’m sorry for those who believe THAT GOING ONCE TO THE GYM will be enough to have that West Hollywood body….NOT!!

When we workout correctly we fatigue to failure our muscles, breaking muscle fibers
who will be repair with good food and adequate supplementation, the muscles will growth in size and strength increasing your energy to workout harder and harder with time and patience.

Muscles are made of protein or amino acids (animal or from plants sources). Your body will require a good amount of good protein if you work out all the time. Thanks to the new supplementation we can find the best and isolated protein in powder or pills to make easier our life, “we” do not have the chance to eat a grilled piece of meat or chicken and vegetables every day.

Thanks to “POWER ZONE” www.capitoldrugs.com here are 3 of the 6 suggestions with the best prices and quality for your consideration (a special discount if you mentioned you are an “Adelante” reader).

PROTEIN HIGH QUALITY MYOFUSION
To take it right after your workout.With the ability of immediate absorption to your muscle and elimination of fat due to his unique blend of whey protein(high in amino acids)with out hurting your stomach or gas problems, with a sun flower fiber to help you loose your “belly” and a lipid complex that helps stop the fat getting back in your system.
MSRP = $56.99, P. ZONE DISCOUNT PRICE $21.50

C2- STRENGTH
Take it before your workout, containing pure creatine to help you increase your strength, muscle mass and no water retention to helping you in six pack department.
MRSP = $29.99, P. ZONE DISCOUNT $ 16.99.

NOVEDEX XT
Take it right after your workout. Helps you bust your testosterone levels without estrogen production in your system. Great to increase muscle mass and weight gain after a week. MRSP $56.99, P. ZONE DISCOUNT $34.95.

Have in consideration that supplements effectiveness can be and obtained after a long period of intake so your body can assimilate and see results, these are not a miracle spell only consistency and adequate times to take them. Take a moment to review your exercise program to make sure you are doing the enough exercises and drinks a lot of water.

If you are taking HIV or blood pressure medicines, please always make sure you ask your doctor what is best to take. Any questions go to octavio@octaviosfitness.com

In Part 2 we will continue talking about more ways to improve your physique and ‘the amazing pills to make you feel like a “porn star”.

Blessings,
Octavio

Los Programas de Asistencia de Medicamentos contra el SIDA (ADAP) mantenidos por los estados con una cantidad igual de fondos federales, proveen medicamentos vitales a americanos con bajo ingreso. Es un programa empleado como último recurso para los que no tengan seguro médico, con seguro médico pero baja cobertura o los que por alguna otra razón no puedan costearse estos medicamentos tan caros.

El mes pasado, la Alianza Nacional de Directores Estatales y Territoriales del SIDA (NASTAD, por sus siglas en inglés), lanzó el Reporte de Monitoreo del Programa de Asistencia de Medicamentos contra el SIDA (ADAP) el cual validó las inquietudes planteadas por los defensores durante años. Uno de los hallazgos principales: “Los gastos en medicamentos por los ADAP se han incrementado más de siete veces (617%) desde 1996, más del doble de la cantidad en crecimiento de clientes sobre el mismo periodo” La mayoría de los que trabajamos en el área del SIDA consideramos la noticia de que el gasto para medicamentos del VIH ha incrementado al doble de la cantidad de los nuevos usuarios, inaceptable, pero no sorprendente.

Este reporte llegó poco después de un anuncio de las concesiones en precios de Merck & Co., productor de Isentress, el antirretroviral más caro en el formulario del ADAP. Merck ha sido por mucho tiempo el blanco de los defensores del precio en medicamentos quienes han pedido a los inversionistas profesionales de fondos de retiro estatales que se le cuestione el precio de Isentress, se lleven a cabo campañas mediáticas y demostraciones públicas retando a la compañía a bajar los precios.

AIDS Healthcare Foundation, la organización más apasionada en su campaña contra los precios elevados, en uno de sus editoriales felicitó a Merck por su decisión de congelar el precio de Isentress y duplicar los descuentos otorgados a los estados para mitigar los gastos del ADAP. Al bajar significativamente los costos y así una vez más convertir en opción razonable el financiamiento de los ADAP para las legislaturas con problemas de liquidez, esa compañía pudiera terminar con las listas de espera.

Cuando las compañías farmacéuticas se esfuerzan para hacer más por bajar sus precios, los estados pueden financiar los ADAP y cubrir más personas que necesitan estos medicamentos para seguir con vida. Como se maneja una cantidad fija de dinero, el programa garantiza que la mayor porción de gastos se siga aplicando a las ganancias de la industria farmacéutica pero con acceso a medicamentos para más personas. Merck ha podido con el reto, ¿quién seguirá en sus pasos?

Merck Did It

Some HIV advocates, for years, have called upon the drug companies to end price gouging and lower the costs of anti-retrovirals as they are placed on state ADAP formularies. The continued escalation of drug pricing has made ADAPs unsustainable. In the current economic climate, we have over 1,000 people on wait lists as cuts to ADAP funding and other cost containment measures have taken their toll across a dozen states.

AIDS Drug Assistance Programs (ADAP) run by states with matching federal funds provide life saving medications to low-income Americans in need. It is a program used as a last resort for those uninsured, underinsured or otherwise unable to afford coverage of these very expensive medications.

Last month, the National Alliance of State and Territorial AIDS Directors (NASTAD), released the AIDS Drug Assistance Program (ADAP) Monitoring Report which validated the concerns raised by advocates for years. One major finding: “Drug spending by ADAPs has increased more than seven fold (617%) since 1996, more than twice the rate of client growth over this same period”.

Most of us working in the AIDS arena find the news that the spending for HIV drugs increased at twice the rate of new client enrollees, unacceptable, but not surprising.

The report came shortly after an announcement of pricing concessions by Merck & Co., maker of Isentress, the most expensive anti-retroviral on the ADAP formulary. Merck has long been a target of drug pricing advocates who asked state pension funds investors to question them on their pricing of Isentress, to carrying out media campaigns and public demonstrations challenging the company to lower costs.

In a turn around for AIDS Healthcare Foundation, the organization most vocal in it’s campaign to end price gouging, AHF editorially applauded Merck for their move to freeze the price of Isentress and double the rebates given to states to mitigate ADAP expense. By lowering the cost significantly enough to once again make funding ADAPs a reasonable option for cash-strapped legislatures, they could end the wait lists. When drug companies do more to lower their pricing, states can fund ADAPs and cover more people who need these drugs to stay alive. As a fixed pot of money the program guarantees that the lion’s share of its expense will go to the pharmaceutical industry’s profit margin but with more drug access, for more people. Merck has stepped up, who will be next?

Ahora les daré un poquito de informació de los gyms que personalmente conozco y pertenezco a varios de ellos, para que ustedes se den una idea de a cual quieren hacerse miembros de acuerdo a su presupuesto y belleza de instalaciones.

Mi personal punto de vista de lo que un gym debe poseer para ganar más clientes y mantenerlos es un trabajo de equipo desde la Gerencia hasta el personal de limpieza. Una gerencia pobre y sin supervisión dará al gym una mala imagen.

Cada gym debe poseer los mejores entrenadores personales, no los más bonitos necesariamente, pero sí los má calificados. Aquí yo he visto muchos entrenadores desde medio gorditos hasta otros que se pasan más viendo al espejo o contestando su teléfono que cuidando la segurida y forma de el cliente, y lo peor enseñando un ejercico con mala técnica y seguridad. Que espanto!!!!!

Las clases de aerobics, flexibilidad o pilates, etc. (clases que inspiren con instructores que parezcan instructores). Pocos son las clases que yo he visto buenas y que el maestro realmente parezca maestro y motive a un grupo. Pocos somos los buenos maestros de aerobics que aun damos clases debido a que nos pagan mucho menos que una hora de entrenamiento personal.

Máquinas y equipo de pesas efectivas y modernas que funcionen y SUPER LIMPIEZA de los espejos, baños, saunas y vapores, especialmente en las horas pico de el día.
Albercas, canchas de basquet ball y salones de spinning siempre supervisados y limpios de sudor o cabellos.

Baños, aqui que Dios nos ayude!!! No hay nada más desagradable que entrar a un baño sucio o sin papel. Sabemos que hasta en los mejores y más limpios gyms siempre hay un desconsiderado y cochino dejando su botella de plástico o su papel sucio tirado en el baño, o peor aun el que se razura y deja su porquería en el lavavo. Desgraciadamente no podemos educar modales a gente de este tipo, lo cual solo un buen equipo de limpieza y manager de el gym puede supervisar a toda hora para que una mala imagen no quede en la mente de el miembro cuando decide renovar su membresía o cancelarla.

He aquí los gyms de Hollywood que tú puedes escoger y que por una razón u otra a mi me llamaron la atención.

Ballys Hollywood
El úico de los 3 que tiene una pista para correr, y un muy buen equipo de entrenadores personales y de pilates con salones privados para nuestros clientes. Las clases: martes y jueves 7-8am una de las mejores “clases de estiramiento” y una de “Cardio Pop dance” viernes 8:30am. Una clase conmigo es gratis, llama para apartar tu espacio. (323)461-0227

LA Fitness Hollywoood
Una belleza de instalaciones, ya que es uno de los más nuevos Gyms. Bellísimos el área de lockers, cardio, sauna, jacuzzi, alberca, basquet ball y salón de pesas muy completo. (323)462-5199

24hr Fitness Hollywood Sport
Increible la cantidad de equipo cardiovascular, con televisiones, alberca, cancha de basquet ball, y UN SUPER SALÓN DE AEROBICS CON LUCES Y DISCO BALL.
Y una área ejecutiva especial si deseas más privacidad. (323)461-2024

Gold’s Gym Hollywood
Uno de mis preferidos. Bellos salones de aerobics, pilates y spinning. Impecables baños en dos niveles y limpieza en espejos y máquinas espectaculares. Aquí es una inspiración los cuerpos que ves haciendo ejercico, yo me siento flaquito, flaquito pero sin embargo te da la energía para llegar a la perfección. El único que no tienes que pagar estacionamiento de los 4 que mencioné. (323)462-7012

Blessings , Octavio

www.octaviosfitness.com

Who is who and what the gyms offer me in the Hollywood area?

Hello. This month I want to give you some information about the major gyms in the Hollywood area to help you decide which one might be right for you. Here are some important considerations.

In order to attract clients and keep them, a gym needs to have good team work from the management through the cleaning staff. Poor management or a lack of quality supervision of a gym will lead to a bad experience for members.

Each gym has to have a staff of excellent personal trainers, not just attractive and muscular, but highly qualified. I have seen a lot of trainers, some a little chubby, or some very pretty but who spend more time looking at themselves in the mirrors and answering their iPhones than taking care of the safety or performance in an exercise with a client. The worst have clients exercise without demonstrating proper technique. Scary!!! Make sure your trainer has had a lot of training and is good at explaining and demonstrating a correct technique in exercises. While you are working with that trainer, you should have his or her total attention.

The skill level of instructors is very important in movement classes (aerobic, stretch, Pilates. etc). I have seen so many instructors who are not in shape and who do not inspire confidence. Good instructors motivate and inspire their clients to train harder. Truthfully, there are very few master teachers. Because the pay is so low, many have moved to personal training.

A good gym has excellent weight training machines that are continuously maintained and updated. THE CONSTANT CLEANING of the facility, mirrors, bathrooms, saunas, and steam rooms is important, especially during the busy times. Swimming pools, basketball courts, and spinning class areas need constant maintenance, too.

BATHROOMS (GOD HELP US HERE!): there is nothing more disgusting than a dirty bathroom toilet with no paper. WE ALL KNOW that even in the best gyms there are some inconsiderate and nasty people who leave garbage around, leave the toilet a mess, or shave and don’t clean the sink afterward.

Unfortunately it’s hard to teach manners to this kind of people and only good management and a good cleaning staff can keep on top of this problem. When these kinds of problems aren’t taken care of, a club can get a bad reputation.

Here are the four major gyms in the Hollywood area to consider:

Ballys Hollywood
Well-maintained equipment, a swimming pool, and the only gym with a running track. It has a great staff of personal trainers and Pilates instructors who have private workout rooms for better one-on-one service. It offers a great stretching class Tuesday-Thursdays at 7-8am and a “Pop dance class” every Friday at 8:30am. (323)461-0227. Ask for Grace.

LA Fitness Hollywood
The facility is new and beautiful. Great locker rooms, cardio, sauna,
jacuzzi, basketball and racket ball courts, an awesome weight room area, and a big aerobics classroom. (323)462-5199. Ask for Gabriel.

24 Hours Fitness at Arclight Hollywood
Lots of great cardio equipment, a swimming pool, sauna, steam, basketball court, an AMAZING aerobics room with lights and disco ball. Also a private executive locker room area. Nice and clean. (323)461-2024. Ask for Henry.

Gold’s Gym Hollywood
Beautiful aerobics, Pilates and spinning rooms. Super clean locker and bathrooms areas on two levels, great cardio equipment and tanning salon, personal training and stretching area, and great weight and machine equipment. Here the bodies of the guys are stunning and gives you the motivation to workout at your best! The only gym where parking is free. (323)462-7012. Ask for Karen.

Next issue we’ll talk about vitamins and supplements.

Blessings , Octavio

www.octaviosfitness.com

To avoid getting it in your lungs, it is best to use the smallest amount possible and don’t use it unless you are not going to lay down for 2 hours, and don’t sniff it up your nose. We had a patient last year with lipoid pneumonia and she is very ill and may not live long. Nose bleeds can come out the front or back of the nose. If it persists for >20 minutes then you may need to go to the emergency room. Most people will stop bleeding and clot in under 10 minutes. If it is from the front, then gently squeeze the soft part of your nose and lean forward for at least 10 minutes.

Excessive bleeding can happen if there are problems with the three parts of coagulation: the tissue, the clotting factor function, and the platelets.

Tissue: You will notice that older people seem to bruise easily and have thin skin. “Paper thin,” is used to describe the skin of some very old people. Their blood vessels are weaker, especially on the sun-exposed areas. They lack some of the collagen and elastin that was damaged by the sun and they decrease with age.

Clotting factors: These are made by the liver and are dissolved; when they are activated by an injury, they form fibrous strings holding a clot full of platelets and red cells together and actually can contract to tighten the clot to close the hole or tear.

Platelets: These are tiny fragments of large cells that rush to sites of injury and try to physically plug up the holes. They release chemicals that help the clotting process.

There can be abnormalities in each of these three components. I have explained the tissue abnormalities of aging. There are also rare genetic problems that weaken the tissue.

Clotting factor problems can be from medications. When it is from genetic defects, it is called hemophilia.

Low Platelets can be from medications too. But it is more common in those with cirrhosis from chronic alcohol use or untreated chronic hepatitis, usually B or C. The blood cannot flow well through the scarred liver (on the left) so the pressure backs up and enlarges the spleen (on the right). The spleen keeps a reserve of platelets for emergencies, but now has much more room for them so the amount in the blood is much lower.

Sometimes the platelets don’t work well. We say they are less sticky. Aspirin is given to make platelets this way so that we can prevent strokes and heart attacks, especially those at high risk for these or those who have had one or more of them before. So before a procedure with sharp instruments, the medical provider will have you stop your anti-platelet drug several days early.

Cirrhosis from alcohol or hepatitis is a triple threat. The platelets are hung up in the spleen, the fibrotic liver doesn’t make the clotting factors well, and the pressure in the veins in the abdomen, from the liver being fibrotic and not letting the blood flow through it easily, causes varices or varicosities. These are swollen veins which can bleed; hemorrhoids below, and esophageal varices above. People tend to call 911 when they bleed from below. When they bleed from above, it may be hours before they notice, especially when they are asleep. They may vomit up huge amounts of blood. A good number of cirrhotics die a bloody death—messy but not painful.

Cirrhosis sneaks up on people. There may not be any symptoms or warning till it is far advanced so gay men should be checked routinely for hepatitis B and C as well as HIV and sexually transmitted infections.

The first sign of cancer can be bleeding. Cancers of the white cells or the lymph system may produce so many cancerous cells in the bone marrow that the platelet forming cells are crowded out.

If you have clotting or platelet problems, then avoiding sharp objects and trauma is a great idea. I have seen some major bleeding or bruises from car crashes in these patients. You should probably give up skydiving or watching sharks from a shark cage.

Abnormal bleeding can be hidden. If it comes from your rectum, mouth, nose, lungs, in your head, or in the urine, it gives a warning. If you bleed into your abdominal cavity (outside the intestine), or deep in your thigh, what is causing the pain or swelling may not be so obvious.

We check a CAT scan of the head if we want to make sure that there is no bleed in there. The blood may compress the brain against the bones of the cranium, killing large areas of the brain. Obviously this is an emergency and we arrange for a neurosurgeon to evaluate the patient.

So, my friends, take good care of yourselves, be safe, get checked periodically.

When we are about to be evicted, when the doctor tells us we have a disease, when what we consider to be a tragedy befalls us, we have to remember that these things came about as a result of choices we have made.

The ultimate power here is that we can make different choices and change our circumstances. Choice is our strongest tool. Choice allows us to have truly great lives. We can choose to have anything we want in our lives whether that is perfect health, great finances or the love of our life.

Understanding our power to choose allows us to make choices that bring about the results that we actually desire and gives us opportunities we may have never imagined. We are the ones who create our lives. Our attitudes put us in a position to learn from the things we wished we would not have brought into our lives. Learning how to think and therefore feel differently is the essential ingredient for a healthy, happy life.

When we feel negative or are filled with fear, we create negative energy, chemicals, etc. in our body and pollute it so that poor health is a result. We do the same when we feel as if we are unlovable. Feel unlovable and you will bring people into your life that treat you badly. Feel like a failure and you will create a life of disappointments and loss.

The power of feeling positive, of feeling like you can do or have anything brings about results beyond your wildest imagination. When you believe that your feelings are something you cannot control, you become a victim of your circumstances and justified in feeling bad. We become victims of our emotions and create lives in which we are always a victim.

People who succeed do not necessarily always have perfect lives, however the ones that get beyond their less than satisfactory circumstances do it by learning two things: How they got into the situation and what it is they need to learn to evolve so that they do not repeat the undesired effect. They do not spend hours, days, weeks, months, years feeling sorry for themselves. They do not feel like victims. They do not beat themselves up and repeat the undesired emotions and effects. They learn and move on. They evolve.

Evolution is our ultimate purpose on this planet. It is the ultimate purpose of every living thing on the planet. Sustaining life, creating life evolving circumstances and recognizing these circumstances, events and results is the power of choice. It is the one mandatory element of successful people.

What we feel, we create. Period. Write these words in big letters and attach it to your mirrors, on the ceiling above your bed, on your nightstand, next to your coffee pot.

Feeling bad is a habit. Look at your life and ask yourself what do I do as a habit? Do you always have to have a cup of coffee in the morning? Do you have to exercise after work? Do you feel like you might die if you miss an episode of “Desperate Housewives?” These are habits.

Now look at your emotions. Does your heart sink when your mother calls? Do you feel joy when your mate comes home from work? Does the site of your dog licking his bum make you laugh? You are triggered to feel the things you feel because you have literally trained yourself to feel the way you feel when these circumstances are created.

Choose to feel good instead of annoyed when that dreaded co-worker comes into your office and the co-worker will annoy less and less. Choose to feel joy when you get that eviction notice and talk to your landlord about your situation and you may find that your landlord is willing to work with you. Choose to feel happy when your car does not start and perhaps your mechanic will give you a big discount.

Your perspective is what matters most in changing the habit of feeling bad. Identifying a situation as bad creates bad results. Maybe your car not working causes you to hitch a ride with that annoying co-worker. Maybe you will find that she is not so much annoying as depressed because she feels unloved. Maybe feeling gratitude towards her for giving you a ride will result in a friendship you would never have encountered if your car did not break down. This is a win/win situation for both of you.

Remember you get to choose how you feel. You choose by creating a perspective. Choosing to feel good because you have to ride the bus instead of feeling bad because your car is in need of repair is a choice. In choosing to feel good you will bring about good results. Suddenly, taking the bus is not so bad.

Aunque es verdad que algunos de esos medicamentos que ayudan a los pacientes a gozar de una vida más longeva son la clase de medicamentos conocidos como antirretrovirales de VIH, no es menos cierto que su industria continúa elevando los costos de estos medicamentos a costa de los presupuestos estatales y de la vida de las personas.

Los ADAP (por sus siglas en inglés – Programas de Asistencia Medicinal en SIDA) reciben financiamiento del programa Ryan White proveyendo así a los estados una cantidad igual de fondos de la federación para mantener el suministro de medicamentos contra el VIH a personas calificadas.

Estos precios oscilantes en los medicamentos asociados con el mantenimiento de estos programas amenazan su propia existencia. Esta continua alza en los precios llega justo en el momento en que muchas legislaturas estatales enfrentan severos déficits presupuestales obligándolas a tomar decisiones que debilitan la base para proveer cuidados y tratamientos contra el VIH. Existen ya “listas de espera” en once estados, las cuales provocan que alrededor de 700 personas no cuenten con acceso a estos medicamentos. Los presupuestos estatales pierden. Los pacientes pierden. Los proveedores de servicios médicos contra el VIH pierden. La única parte que gana en esto es la industria farmacéutica.

AIDS Healthcare Foundation, durante estos años, ha tenido éxito dirigiendo una campaña retando a las compañías de medicamentos por alzas de precios en los medicamentos contra el VIH en América Latina, Asia y África, así como en nuestro país vecino, México. La industria farmacéutica puede y debería hacer más en este país.

Cuando el presidente Bush firmó la Ley de Modernización del Medicare del 2003, creando así el subsidio a los medicamentos recetados para adultos mayores, fue debido a 3,000 cabilderos contratados por la industria farmacéutica. Estos grupos de presión incitaban a los legisladores día y noche para que votaran por sus intereses y beneficios. Esto también llegó hasta la Cámara de Diputados y la de Senadores, y hasta la FDA (Administración de Alimentos y Medicamentos) y el Departamento de Salud y Servicios Humanos. Más de un tercio de esos cabilderos eran ex funcionarios federales. La industria pugnó y consiguió que en la ley se agregara una disposición para que programas del gobierno como el Medicare (y el nuevo subsidio a los medicamentos recetados) no pudiesen negociar para obtener precios más bajos con las compañías. El costo estimado del cabildeo federal ese año: $116 millones de dólares. El siguiente año, en el 2004, la cantidad fue de $123 millones de dólares y más de la mitad de los cabilderos de la industria eran ex funcionarios públicos.

¡Oye, Pharma! Deja la codicia a un lado, salva vidas y permite que los ADAPS se mantengan.

How do you spell greed? Ph-R-M-A

Pharmaceutical Research and Manufacturers of America, or PhRMA, according to their website “Represents the country’s leading pharmaceutical research and biotechnology companies, all devoted to inventing medicines that allow patients to live longer…”

While true, in as much as some of those medicines that allow patients to live longer are a class of drugs known as HIV anti-retrovirals, it is just as true that the industry continues to raise the cost of these drugs at the expense of state budgets and peoples lives.
AIDS Drug Assistance Programs known as ADAPs are funded through Ryan White dollars providing states with a federal match allowing maintenance of supply of HIV drugs for qualified individuals.

The spiraling drug costs associated with maintaining these programs is threatening their very existence. This continuing rise in pricing comes at the same time that many States legislators are facing severe budget deficits leaving them to make some hard choices that weaken the foundation for providing HIV care and treatment. Already there are eleven states with “wait lists” preventing over 700 people from access to these drugs. State budgets lose. Patients lose. HIV care providers lose. The only player that wins in this game is the pharmaceutical industry.

AIDS Healthcare Foundation, has over the years, successfully lead an advocacy campaign challenging the drug companies on their HIV drug price-gouging in Latin America, Asia, and Africa as well as our North American neighbor Mexico. The pharmaceutical industry can and should do more in this country.

When President Bush signed the Medicare Modernization Act of 2003 creating the taxpayer–funded prescription drug benefit for seniors it was under the influence 3,000 lobbyists hired by the pharmaceutical industry. These lobbyists harangued legislators day and night to vote for their interests and profits. This was done at the House and Senate levels as well as the FDA and Dept. of Health and Human Services. More than a third of these lobbyists were former federal officials. The industry lobbied for and won a provision in the law preventing government programs like Medicare (and the new prescription drug benefit) from negotiating with companies for lower prices. The estimated cost for federal lobbying that year: $116 million. The next year in 2004, the amount was $123 million and more than half of the industry lobbyists were former government officials.

Hey, Pharma! Cut the greed, save lives and keep ADAPS sustainable.

Primero me tengo que ver bien, ya que somos exhibicionistas y nos encanta despertar el interés de cualquier chico guapo en el gym, Segundo necesito saber que estaré cómodo haciendo mis ejercicios con ropa que sea elástica, ligera y limpia, tener la ropa interior adecuada para no enseñar las pelotas y miembro a todo el mundo. Tercero no hay nada mejor que llevar los tenis adecuados con soporte en el arco de el pie para correr o tener un mejor balance en mis ejercicios con pesas. Si tus tenis parecen chanclas y no tienen arco te van a lastimar a la larga. Cuarto lleva siempre tu toalla, no una muestra del tamaño de una toalla femenina, una suficientemente grande y un cambio más de camiseta por si eres de los que sudan como locos.

Es muy desagradable y una falta de respeto si sudas y dejas un charco de agua en tu caminadora o aparato y no tienes la educación de limpiar tu cochinero. Una de las infecciones que más se ha proliferado en los gyms es “STAPH INFECTION” la cual es transmitida por el sudor basicamente y la cual te lleva desde lesiones en la piel hasta lesiones en organos internos de el cuerpo o espina dorsal y puede llevarte a la muerte. Si quieres espantarte un poquito dirigite a www.medicinenet.com buscando “staph infection” para ver si te da las razones para forzar al cochino que no limpia su máquina a que lo haga, Dios me libre de sentarme en el sauna con mis nalgas a raiz y enfermarme de esto u otra cosa.

He aquí la ropa que te sugiero y la que uso. La puedes encontrar en “‘LASC” Sporting Club en West Hollywood, sexy, divertida y cómoda. http://www.shoplasc.com

1. – Tu ropa interior:
Trusa 2(x)ist. Te amolda tus gluteos perfecto y te da en el frente muy buen tamaño en el paquete.
Suspensorio Baskit. Este suspensorio es mi favorito!! Te levanta tu paquete y te hace ver tu trasero bellísimo.
Thong “J M”. Perfecto para cuando hacer pierna o yoga, ya que no tines que estar jalando el calzón a cada rato.
2. – Shorts y tank top “LASC” Perfectos para correr y hacer ejercicios de pierna, no utilises colores blancos ya que siempre se ven descoloridos o amarillentos o sucios
3. – Pants y tank top “LASC” estos pants son de un material que respira, se seca y se te ven muy bien puestos, especialmente en las pompas.
4. – En tenis “Nike Shock” tienen el mejor soporte que yo he encontardo por años, son cómodos, de mucho estilo y durables.

En mi próximo número ”Los mejores suplementos para subir de músculo, verte cortado y tener buen desempeño en las actividades sexuales.”

Blessings
Octavio.
www.octaviosfitness.com

The Most Confortable and Sexy Apparel to Wear at the Gym

Hello dear readers, here is one of the most common dilemmas for us “gay guys” when we have to decide what to wear to workout. This is what I think about this issue.

First we have to look good because we are very exhibitionists y we love to awake the interest of any cute guy at the gym. Second I need to know that I will be comfortable doing my exercises with fabrics that can stretch, be light and clean, having the adequate underwear so we are not showing our package and balls hanging out to be watched by other people. Third it is very important to wear the best tennis shoes with support in the arch of the feet when running and to have a better stand and balance in your exercises, if your tennis have no support and look like flip flops this will hurt you in the long run. Fourth always bring a towel not the size of a feminine one, has to be big enough to clean your sweat and finally bring and extra t-shirt to change in case you sweat like crazy.

It is very disgusting and lack of respect if you sweat and leave an ocean of sweat in your treadmill or machine and you don’t have the education to clean up your mess. One of the most proliferate infections that had taken over at the gyms is the “STAPH INFECTION” which is transmitted in the sweat going from a skin leisure, to intern organs and dorsal spine leading you to death. If you want to get scare a little go to www.medicinenet.com searching “staph infection” to give you the reason to ask the pig which didn’t clean his sweat and demand him to clean it. God forbid me and don’t let me put my naked ass in the sauna with no towel and get infected from staph or any other infection. Here are the clothes I suggest you and I actually wear them myself.

You can find them at “LASC” Sporting Club in West Hollywood, you will find very fun, sexy and comfortable apparel http://www.shoplasc.com

1. – Your underwear:
Brief 2(X)ist. This one will shape up your butt amazingly and will stand your front package enough to make you feel proud.
Jock strap BASKIT. This is one of my favorites! great fit in the front and it lifts your gluts strikingly beautiful making your ass look yummy.
Thong ”JM”, perfect when you are doing legs or yoga. It is very uncomfortable when you have to keep pulling all the time your regular underwear from your crack.
2. – Shorts and tank top ”LASC” Perfect for running or doing legs workout. Do not use white fabrics because they look kind of yellowish and dirty basically.
3. – Pants and tank top “LASC” These pants are made from a special breathing material that dry out and shapes your ass spectacular.
4. – Tennis ‘‘Nike Shock” has the best support of tons of other tennis I had tried for your feet. They are comfortable, durable and lots of style.

In my next issue: “The best supplements to get muscle, get you ripped and the one to enhance your sexual performance.”

Blessings
Octavio.
www.octaviosfitness.com