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You may discover that you use a few worry words that we haven’t listed generic 120 mg cardizem with amex, and some words could fit into more than one category cheap cardizem 120 mg line. Underline them and then put them into these general categories: ✓ Extremist: Words that exaggerate or make something seem catastrophic ✓ All-or-none: Polar opposites with nothing in between ✓ Judging discount 180mg cardizem otc, commanding, and labeling: Stern evaluations and name-calling ✓ Victim: Words that underestimate your ability to cope In the following example, Frank discovers how prevalent his use of worry words really is: Chapter 6: Watching Out for Worry Words 95 Frank, a talented mechanic, is promoted to shop supervisor. Frank’s punctuality, attention to detail, and perfectionism reflect his stellar work ethic. In order to feel like he’s doing his job properly, he starts working 60 hours or more each week. His blood pressure starts to rise, and his doctor tells him that he needs to reduce his stress and anxiety. So Frank picks up a copy of Overcoming Anxiety For Dummies and decides to try tracking and trapping his worry words. This is what he writes; then he underlines each worry word he detects: The workload is dreadful. Frank categorizes the worry words he discovers as follows: ✓ Extremist words: dreadful, calamity, can’t stand ✓ All-or-none words: totally, absolute ✓ Judging, commanding, and labeling words: loser, jerk, should, must, failure ✓ Victim words: overwhelmed, impossible Frank is surprised to see how many worry words pepper his mind. So perhaps you agree that you prefer to feel calm and serene rather than wound up. That’s because you still may think that these words accu- rately describe you and/or your world. Many people go through life without questioning their self-talk, simply assuming words equate with reality. In order to refute the accuracy of your internal chatter, consider a small change in philosophy. This shift in philosophy entails questioning the idea that thoughts, language, and words automatically capture truth. Then substi- tute that idea with a new one: using logic and evidence-gathering to structure your reality (Chapter 5 has more on this). In the following sections, we look at each category of worry words and show you how to replace them with words that more accurately represent the situation. Exorcising your extremist words The vast majority of the time when people use extremist words, such as intolerable, agonizing, horrible, awful, hopeless, and ghastly, they use them to describe everyday events. After all, you’ve managed to get through every single difficult time in your life up to now or you wouldn’t be alive and reading this book. When you think in extreme terms, such as unbearable, intolerable, can’t stand it, awful, and disastrous, you lose hope. Consider whether your unpleasant experiences are actually described more accurately in a different way: ✓ Difficult but not unbearable ✓ Uncomfortable but not intolerable ✓ Disagreeable but not devastating ✓ Distressing but not agonizing Remember your goal of feeling calmer. Chapter 6: Watching Out for Worry Words 97 Disputing all-or-none People use all-or-none words, such as never, always, absolute, forever, unceas- ing, and constant, because they’re quick and easy and they add emotional punch. But these terms have insidious downsides: They push your thinking to extremes, and your emotions join the ride. Table 6-1 illustrates the switch between all-or-none words and calm, evidence-gathering words that keep you in the present without distortion. Table 6-1 Switching to the Present All or None In the Present without Distortion I’ll never get promoted. Judging the judge Words that judge, command, or label, such as should, must, failure, fool, unde- serving, and freak, inflict unnecessary pain and shame on their recipients. Labels and judgments describe a person as a whole, but people usually use them to describe a specific action. For example, if you make a mistake, you may say to yourself, “I can’t believe that I could be such an idiot! Clearly, it’s not accurate, and most importantly, the judgment doesn’t lead you to feel calm or serene. They think that saying “I must or should” will help them, but these words are more likely to make them feel guilty or anxious. Self-scolding merely increases guilt and anxiety, and guilt and anxiety inevitably decrease both motivation and performance. Try replacing your judging, commanding, and labeling words with more reasonable, accurate, and supportable alternatives. Reasonable alternative: It wasn’t the score that I wanted, but I can study more and retake it. Reasonable alternative: Much as I’d like to have a happy marriage, I was okay before I met my wife, and I can learn to be okay again if I have to. Being happily married is just my strong preference, and I don’t have complete control over the outcome — it does take two, after all.

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Statistics indicate that infection associated with sexual activity has some Uterine Fibroids relationship to the incidence of cervical cancer order cardizem 60 mg amex. First About 30% to 40% of all women develop benign coitus at a young age cheap 120mg cardizem amex, large number of sex partners generic cardizem 60 mg online, tumors called f ibroids (also called leiomyomas or, infection with certain sexually transmitted viruses, more commonly, myomas). These benign tumors and frequent intercourse with men whose previous develop slowly between ages 25 and 40 and com- partners had cervical cancer are all associated with monly enlarge in response to fluctuating endocrine increased risk of developing cervical cancer. Although some indi- The Pap test, a cytological examination, can viduals are asymptomatic with these types of detect cervical cancer before the disease becomes tumors, when present they include menorrhagia, clinically evident. In routinely calls for colposcopy, which can detect addition, such tumors commonly cause metrorrha- the presence and extent of preclinical lesions gia and even sterility. Treatment of uterine fibroid tumors depends on Treatment of cervical cancer consists of surgery, their size and location. For example, para I and primipara refer to a woman who has given birth for the f irst time. Pathology 367 Diagnostic, Symptomatic, and Related Terms—cont’d Term Definition Villi invading Amnion Chorion tubule wall Fetus A. Ovary Uterus Intraligamentous Interstitial Isthmic Ampullar Lumen of fallopian tube Infundibular Fimbrial Ovarian Abdominal Intramural Cervical B. X-ray pelvimetry may be performed late in the pregnancy or during labor if more precise measurements are needed. The size of the pelvic outlet determines whether or not the baby is delivered vaginally or by cesarean section. Diagnostic and Therapeutic Procedures This section introduces procedures used to diagnose and treat female reproductive disorders. Descriptions are provided as well as pronunciations and word analyses for selected terms. The procedure also enables transfusion of platelets or blood to the fetus and instillation of drugs for treating the fetus. It may also be used to evaluate cells from any organ, such as the pleura and peritoneum, to detect changes that indicate malignancy. The sutures are removed prior to delivery Cerclage is sometimes referred to as a “purse-string” procedure. The process destroys these infected areas and, in the healing process, normal cells are replenished. Cervical dilator Pathology 373 Diagnostic and Therapeutic Procedures—cont’d Procedure Description C. Entire breast and underarm lymph nodes removed, chest muscles left intact Figure 12-12. The abdominal tissue (flap) is shaped into a natural-looking breast and sutured into place (See Figure 12–4. These include oral contraceptives, ing the use of hormone replacement in menopause implants, morning-after pills (abortifacients), and because of an apparent increased risk of some spermicides. Cenestin, Premarin Long-term use of estrogen has been linked with an increased risk of thrombophlebitis and breast and endometrial cancer. They are used within the female vagi- Semicid, Koromex, Ortho-Gynol na for contraception. Abbreviations This section introduces female reproductive-related abbreviations and their meanings. Complete each activity and review your answers to evaluate your understanding of the chapter. Learning Activity 12-1 Identifying Female Reproductive Structures (Lateral View) Label the following illustration using the terms listed below. Bartholin gland labia majora uterus clitoris labia minora vagina fallopian tube ovary Sacrum Peritoneal cavity Urinary bladder Rectum Pubis Urethra Cervix Anus Perineum Check your answers by referring to Figure 12–1 on page 350. Bartholin glands fertilization of ovum ovarian ligament body of the uterus fimbriae ovary cervix fundus of uterus uterus corpus luteum graafian follicles vagina fallopian tube mature follicle Myometrium Endometrium Sperm Vein Artery Rugae Check your answers by referring to Figure 12–2 on page 352. Enhance your study and reinforcement of word elements with the power of DavisPlus. We recommend you complete the flash-card activity before completing Activity 12–3 below. Learning Activities 383 Learning Activity 12-3 Building Medical Words Use gynec/o (woman, female) to build words that mean: 1. Correct Answers 4 % Score Learning Activities 385 Learning Activity 12-4 Matching Pathological, Diagnostic, Symptomatic, and Related Terms Match the following terms with the definitions in the numbered list. Complete the ter- minology and analysis sections for each activity to help you recognize and understand terms related to the female reproductive system. Use a medical dictionary such as Taber’s Cyclopedic Medical Dictionary, the appendices of this book, or other resources to define each term. Then review the pronunciations for each term and practice by reading the medical record aloud. O: Patient has what looks like herpes lesions and ulcers all over vulva and introitus area.

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