your mouth open, touching your partner’s genitals with your hands or even massaging each other without your clothes on none of which will result in pregnancy. ‘Heavy petting.’ It sounds so serious! When you think of ‘heavy’ you think of cumbersome, unwieldy, bulky, awkward, clumsy. Now while this may be a very accurate description of the early grope sessions of adolescence, it does nothing to help young people work out safe and unsafe activities, or to improve the attractiveness of non-intercourse options. It is more useful to talk about ‘outercourse’, referring to a number of ways of satisfying your physical needs, even to the point of orgasm, without the disadvantages of intercourse.
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Helen is sixty-four. ‘After Bob and I got married we moved a fair distance away. It was virtually a weekend trip to visit his parents. At first his mother would make up the single bed for me and Bob would have to sleep on the lounge. After a while we just said we would sleep together in the single bed or we wouldn’t come and stay anymore, so she gave in and made up the double bed for us. Every couple of hours during the night she would come into the room and “tuck us in”. We laugh about it now, but it was a real pain in the neck at the time.’

Richard says he was the one who was embarrassed about his girlfriend staying overnight. ‘One night after a party my girlfriend and I just fell asleep talking and didn’t wake up till morning. I heard my mother coming down the stairs. I quickly covered Rachel with an eiderdown and tried to act nonchalant. Mum asked me if I’d like a cup of coffee and I said yes, thinking she hadn’t noticed anything. Then she asked if Rachel would like one too.’

A lot of the reaction depends on the general level of communication in a family. Parents who have bad memories of their own early sexual experiences may be reminded of those bad experiences and react to that as well. Some parents and children are very open and comfortable talking with each other about sexuality, while others are decidedly uncomfortable. Some schools have excellent relationship and sex education programs in place with specially qualified teachers but it is certainly not universal.

Jenni remembers the sex education classes they had at her girls’ school. ‘Sex education was all about periods and not getting pregnant. They showed us a pathetic film called The Yellow Dress that was so full of euphemisms that we couldn’t make head or tail of any of it. When we were about thirteen we had a doctor come to the school in our Science lesson and the main point she wanted to make was that you could get pregnant from heavy petting. One of the girls put up her hand to ask what heavy petting was and the teacher told her not to be insolent. None of us had a clue what it was.’
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Cause

The poliomyelitis virus is spread via coughing or sneezing, or by handling infected stools.

Clinical features

The incubation period for polio can be from 3 days to 3 weeks. Initially the child may have symptoms similar to those of a heavy cold or flu, with fever, headache and generalised aches and pains. In severe cases this progresses and the nerves are affected, causing paralysis of certain muscles, which is usually permanent. Muscles commonly affected are those of the limbs, or those used for breathing.

When to see your doctor

See your doctor if your child has any of the symptoms described above.

Treatment

Any child suspected of having polio should be seen by a doctor and admitted to hospital if there are any signs of paralysis. If your child has not been immunised against polio for any reason, make sure you let your doctor know.

Prevention

All children should be immunised against polio. Because the condition is now so rare (due to successful immunisation program), many parents have become complacent about immunisation. Make sure that your child is fully immunised.

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The early perspectives of sex research mistook physiology for psychology. Masters and Johnson write, “The subjective experience of orgasm in men starts quite consistently with the sensation of deep warmth or pressure that corresponds to ejaculatory inevitability.” In women, Masters and Johnson report the subjective aspects of “orgasm” as a “pleasurable feeling that usually begins in the clitoris and rapidly spreads throughout the pelvis.” The women in the thousand marriages reported such sensations as “an altered state of consciousness,” “being free from everything,” “sort of merging, actually being my husband,” and being “lost, tripped out, gone but more here than ever.”

Contractions in the pelvic area accompany orgasm in both genders. Both male and female experience the anal sphincter contractions. There is a physiological phase of being “on the brink,” of being about to experience pelvic contractions. Masters and Johnson saw women as not experiencing a sexual “brink.” They write, “Women do not have a consistendy identifiable point of orgasmic inevitability.” The women in my couples group did in fact report the sensation of a “brink,” and inevitability of physical orgasm. Four hundred twenty-two of them reported this phenomenon “always,” and a total of 644 wives reported this brink sometimes.

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HUSBAND

Super Marital Sex Rule: Super marital sex depends on sexualizing the entire marriage, not separating sex into a category of obligatory marital duty, afterthought, or a different “part” of the marriage. The “super” in super marital sex refers to “whole,” to making intimacy a way of living and being together, not something you do sometimes. There are more spouses having affairs within their marriage than outside of them, separating marital sex from marital love, resulting in a form of “extramarital” sex rather than an “intra-marital intimacy.”

Extramarital sex has traditionally been viewed as adultery, marriage partners having sex with a person other than their spouse. It has received good press and is statistically quite popular. More than 70 percent of husbands and 40 percent of women report sex outside their marriage. In my sample of 1,000, the number was 76 percent of the men and 47 percent of the women. Extramarital sex is variously described as forbidden, sinful, destructive, .dishonest, and dangerous by some persons and by others as constructive, evolu-tionarily natural, energizing, fun, and somehow, if done “right,” preventive of divorce and marital problems by providing “outside” stimulation.

In the thousand couples, the 760 men and 470 women who reported sex outside of their marriage were always in a marital relationship in which at least one of the partners was less than satisfied with the intimacy of the marriage. There was no evidence in my sample, and there is no evidence in anyone else’s data, that extramarital sex enhances marital sex. My work with couples indicates that at the very least, extramarital sex is distracting from the effort and time necessary to develop and enjoy super marital sex.

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Being overweight is unhealthy at any age. Obesity can lead to an early death. Coronary artery disease, high blood pressure, diabetes, gallstones and osteoarthritis are all associated with being overweight. How does one go about losing weight? What I said at the beginning is true. Eat and drink less.

Crash diets are of little use. Many people do lose weight at the start, but within weeks or months are right back where they started.

A good reducing diet should contain around 3200 kj to 5000 kj a day. The diet should be balanced and have an adequate intake of vitamins and the essential food factors. It should be low in carbohydrate, high in bulk and moderate in fat and protein.

Carbohydrate is easily converted to fat in the body. Fat on the other hand, while it is high in kilojoules, is more slowly absorbed and cleared from the blood. It is therefore more satisfying than carbohydrate and you may not feel hungry for hours after a high fat meal. Protein is difficult for the body to convert to fat and burns up energy in doing so.

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Impairment of blood supply is known as ischaemia. The ischaemic lower limb may develop coldness, numbness or pins and needles. Intermittent claudication is the major sign.

When the affected leg is raised, it becomes paler as the blood drains out of it, yet, when hung down, it flushes with blood, looks red and may feel temporarily hot.

If the circulation to the skin is affected, it is more serious and may show itself with ulcers on the feet and legs or with rest pain that typically, comes on in bed when the legs are warm. It is a severe, burning type and may be relieved by hanging the foot down out of the side of the bed.

Total blockage of the blood supply to the leg or a portion of it may result in gangrene where there is death of tissue.

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Home care:

Keep the baby as dry as possible. Change nappies often.

Avoid airtight outer covering over nappies.

Try changing the products used to launder nappies.

For simple nappy rash, apply petroleum jelly; zinc oxide; vitamin A & D ointment; or an ointment combining zinc oxide, cod liver oil, petrolatum, and lanolin.

For ammonia rash, avoid airtight outer covering over the nappies. Wash the nappy area frequently with clear water.

For allergic rashes, stop giving the child any new foods, beverages, or medicines started in the past month.

For rash from infections, wash the area with soap and water. Apply antibiotic ointment often.

Precautions

-    If the rash is spreading or severe, see your doctor.

-    If the rash worsens after two days of home treatment, see your doctor.

-    If the child has a fever, irritability, loss of appetite, or any other signs of illness, see your doctor.

-    Do not use more than one type of ointment at the same time (unless both were prescribed by your doctor).

Nappy rashes are irritations of the skin in the nappy area. Almost all babies get nappy rash of one form or another. Nappy rashes may be caused by moisture, urine, or irritating chemicals in the nappies.

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