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Impotence falls into two broad categories, impotence caused by a physical condition and that caused by a psychological condition. Sometimes impotence due to a physical condition may be worsened by a psychological component. The treatment of impotence should always include treatment of the underlying cause as well. Impotence may be treated with counseling, drugs, surgery, mechanical aids, or some combination of these. Psychological impotence lends itself best to counseling, though anyone with impotence can benefit from counseling on coping mechanisms and available treatment options. As far as drugs go, some drugs may cause impotence and replacing or removing them from an individual’s treatment plan may take care of the problem. If testosterone deficiency is the cause, replacement therapy can be started. Some drugs such as Viagra and Cialis, can be taken by mouth and act by relaxing smooth muscle in blood vessels, allowing them to carry more blood to the penis. Other drugs that also relax smooth muscle in blood vessels can be injected into the side of the penis with a tiny needle, or inserted into the tip of the male urethra in pellet form using a special applicator. Surgical treatment options for impotence include different types of penile implants, surgery to slow down the flow of blood out of the penis, and surgery to improve the flow of blood into the penis. In some people, the use of a vacuum device or a penile splint may help the penis stay upright. There are several lifestyle changes that may both treat impotence and prevent it. These include quitting smoking, losing weight, being physically active, treating high blood pressure and high cholesterol, and reducing stress. Besides improving sex drive and the ability to enjoy sexual intercourse, such changes can also help improve other underlying medical conditions. cheap vigrx pills compare penis enargement pills penis enlarement drug best penile enlargment penis elargement without pills side effects magna rx penis enhancement male pnis enlargement

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Most of the questions asked to sexual health experts are about men's early ejaculations and women's orgasm troubles. When you read this you may say: It's normal, if man is coming off quickly, woman couldn't have an orgasm! But if you really think for a few seconds, surprisingly, you won't see any relation between these two events. Because, a man if he is not a boor, will prepare his woman to reach her orgasm before his ejaculation. The other highly popular question is about the penis size! After all that porn movies many people are really confused. How and where to find such a prominent organ? What is the normal size? How thick and long can be the biggest? How small is acceptable for lovemaking? Every man's genital is different as his finger print and the role of the penis size in a happy and successful sexual relationship is not such important. At least you don't have to be such stupid to pay sack full money to programs, drugs or advice for making it bigger! Even with a huge organ a man's chance is very limited to make her achieve an orgasm if he is not a good lover and doesn't know proper sex techniques, most probably he will cause pain instead of pleasure. Even a man who has a miniscule dick may be a perfect lover! The only way is to learn how to make better love, how to be a better partner, instead of being paranoiacly distressed. This is normal and this is your body, love it and try to use it more creatively and with more love. Kiss and caress every part of your partner's body for long time, arouse her enough, and go down and give her a nice oral love... until she reaches the climax. Believe me, every woman loves and prefers such a talented lover in the place of a big dick entering a few times into your vagina before spurting out and then sleeping in his side as nothing happened! Naturally! Having a small organ is not a guilt, a crime, if he knows his body and has developed many better solutions he is absolutely a CLEVER man and a perfect lover! In regard to early ejaculations... This, also, is not a crime and if the man has not an organic disorder, may be corrected with some effort. But many men, instead of paying attention to their situation, act like early coming off doesn't make any difference in their sex life! Which may be true! Actually you may consider the natural disharmony between two genders. Men, by their nature, want to thrust into a hole when aroused and squirt in, that's all! But woman needs a prior preparation, a foreplay of at least 10-15 minutes to be concentrated and ready for insertion. One woman likes this position, another may choose that position, many women request clitoris stimulation besides men's thrusting... Many fatiguing services asked from men! And furthermore, if a serious and passionate relationship doesn't exist between partners, men are really exhausted in the bed. Is a natural error, an innate lack of harmony exists between men and women? Let see some different type of early comers: Type A: The worst. He doesn't even know he is an early comer. When he likes, he takes the woman under him and ejaculates. He doesn't care anything else! For the woman's orgasm? What is that? He hasn't heard anything about woman's orgasm! Type B: He knows about woman's orgasm but act like he doesn't know. Same of the Type A, he pulls the woman under and he comes off, the only difference, if by mistake or pain, woman makes a weak sound like "ah" he will suppose she reached an orgasm but for his comfort, he will never ask her the truth! Type C: He knows his disorder, he is sad and wants to visit a doctor but he is shamed or can't find the time to go! As a foreplay he kiss and caress her a little but he can't wait and comes off. Sometimes he can't even find times to thrust his dick into her. He is sad but life goes on! Type D: He is aware of his early ejaculation disorder but he also knows his partner's orgasm right! So, he will kiss and caress her at great length, give her a great oral love and bring her to an orgasm. Then start to make love for himself and he comes off. Because his partner reached orgasm before his quick ejaculation there is no trouble. Partners are relaxed and happy! That means, if a man is understanding and clever the early ejaculation is not an important obstacle on the way of a happy sexual relationship. Man may visit a doctor and try to find the main reason behind this disorder and get a treatment which is totally normal, but meantime he is kind and not selfish, gives her ultimate pleasures to reach her orgasm. An absolutely good sex for a woman is a normal dick size, a foreplay at length, long kisses and caresses, staying inside her long enough with many thrusting, knowing her favorite positions and giving her the best pleasures... not insisting on what he wants, but understanding her and giving her what she needs to get her climax. Please remember that if she has reached to one orgasm in her entire life, she knows the best position for her, and an intelligent man never insists on a new position which may cause a lack of concentration, he will follow her orientations. Finally, what is the woman's responsibility in creating a harmonious sexual relationship? Women must talk and describe what they want clearly. Of course talking to the boors will not produce a positive result but intelligent men may understand your needs. Do not imitate orgasm or do not keep silent and sleep... talk to your lovers and kindly explain your desires, if not you will lose your sexual desires and even you won't be able to masturbate and get orgasm by yourself in the future! natural penis elargement technique truth about penis enlargment penis enargement system penis enlargment procedure vimax cheap penis enlargement penis enargement traction device penis enargement system free exercise tip for penis enargement penis enlargment pill pro solution

CHAPTER ONE: The Attack of the Little People: TORONTO THE GOOD: Toronto is one of the world’s most secure and wonderful cities and there are few social systems as good as we have in Canada. My name is Robert Bruce Baird and I live in Parkdale where my parents lived and where I spent the first two years of my life. Circumstances or co-incidences see me researching my books at the same library where my father read almost every book while his grandfather worked long and hard to create the union in an era when that was a meaningful contribution to society and the world. It is a new building and I am sure there are many more books. I can remember him saying he would get the librarian to bring in many books that he wanted in addition to the complete works of Shakespeare, Shaw and the Britannica. He imparted a true Joy of Learning in me that I have never lost. But I am fifty-five years old and I have given up on the materialistic society I once excelled at to the point that I was a self-made millionaire by the age of thirty. I am a proponent of a spiritual and ethical approach to matching assets and responsibilities to actualize plans such as full technology usage in the vein of Galbraith and Bucky Fuller or the Club of Rome. You might already have gathered that from the quotes I began this book with, if you know Bucky’s work. Toronto was one of the places Bucky spent a lot of time. Friday February, 23, 2006 seemed like many other days at the start. I had finished another book called Phoenician Makers of the Bible and Much More a couple of days before. I was continuing work on two other books but taking it easy as the Winter Olympics from Torino provided me with a lot of entertainment. I was thinking about when I should re-contact best-selling author Jim Marrs about his offer to do a forward for my book titled America’s Assassination and Aspirations. Jim wrote the book that the movie JFK is based on, in part. He is a long time correspondent of mine and we have both given each other some helpful research since I started writing and participating in the World Wide Web. He has said he will do this in the spring so I decided to wait until the end of March; but as you will shortly see I might be in jail at that time. After depositing my Canada Pension Plan and Ontario Disability Support Plan (ODSP) checks in the bank I went back to the Group Home I self-admitted myself to about seven years earlier. The ODSP check is for about $33. and I could live on my own and get more money from them. They pay my landlord about $500. a month in addition to my rent of $543.30. My spendable income is less than $200. a month with a tax rebate amounting to about $550. a year which I use to get my books in the market or to do research on artifacts sent to me by fellow researchers. I went to the smoking lounge to watch the Olympic coverage and to see how many medals Canada was adding to their already historic medal count. Minh the Mighty: There is a long history of activism in regards to my involvement in the Group Home or Hospital and Prison Without Walls that I live in. When I came here in January 1999 the home was owned by Mrs. Carmen Carter whose husband had died a short time earlier. He was a Seventh Day Adventist minister and leader and she is from a wealthy Jamaican family. She had been a psychiatric nurse and was on Mayoral Committees and they had donated the land that Branson Hospital is located on and the city was asking for more of the land to expand that hospital upon as I remember. Mrs. Carter said I was sent by God and other such things. At first I tired to help the mentally challenged and victimized people of the larger community. I established Bridge Clubs and Euchre Tournaments with the help of a COTA (Community Occupational Therapy Associates) worker named Catriona. I organized a newsletter and paid for the printing myself. Catriona said that her bosses liked it and they would distribute it. Habitat Services checked it out in advance and also indicated they would distribute it but the self-help and groups I was promoting created a problem for one of their Directors who had pursued his adopted son into the ‘consumer survivor’ community and these homes for over sixteen years. His son was cross-dressing and was diagnosed as having Multiple Personality Disorder. In one four or five hour session with me he opened up more than he had ever done with all his social workers, psychologists and psychiatrists during that sixteen years. I discovered someone in his family had taken lit cigarettes to his penis and other such travesties of morality. His step-father was the Director of Habitat that we were dealing with and though I never met him in person he began slandering me. The newsletter was never delivered and we stopped making it after three months. This young man had a sister adopted by the same family. This family is very wealthy and I can only imagine that they would not want this can of worms opened up given the fact that the young girl had run away and she had been involved in the sex trade. These are common symptoms of the Cycle of Violence and incest and the system does not wish to address those problems directly because parents are often the victimizer and they are the voters as well as the fact that it would be hard to help all those who have been abused. C. Everett Koop as Surgeon-General of the United States said it was an epidemic. I was involved in a personal mission to help these people in the US for at least nine years including a year when I lived with a noted Doctor of Psychology who was my ‘twin’ (born the same day as me). I eventually stopped actively reaching out to help people when various other acts of psychiatrists and hospitals made it clear I was black-flagged and they would not support my efforts. I continued to help as I could in my own home. Mrs. Carter had developed Alzheimer’s or something like that and she had sold the home to Peter and Kelly about a year and a half before the confrontation that is the cause of this effort or explanation. In the week leading-up to Minh attacking me one of the people I had helped had moved out of the house. His name is Peter Lye and he would have been able to provide me with a good witness to what happened and the police constable would have been more hesitant to do what he did if Peter had been there. I am pretty sure Minh knew this and began to try to get me at this juncture partially because Peter was no longer there. Peter had held the door open over a year earlier when I threw Minh out the door from some distance. Minh is anorexic and less than half my weight. He and his crack-smoking lover who had been squatting in his room for most of that month had forced us to take action and involve the police on more than one occasion. At that juncture Philip (his lover) had bumped me with his chest and I was about to throw him out when Minh came to his lover’s defence. So when I returned from doing my banking and started to watch the Olympics Minh came into the smoking lounge and turned the station on the TV. Minh does not smoke cigarettes and I do not know if he personally does the cocaine and crack that was often done by his male lovers in his room. A year earlier had seen the end of him going into the street and bringing as many as six lovers a day into his room as well as other thieves, prostitutes and low-lifes. At this juncture I had seen the medal update and there was nothing I really needed to watch; and even though others might have liked to continue watching and Minh had not asked for a vote – I went upstairs to work on my books and web communities. Later in the day I returned to watch the hockey game between Finland and Russia. Minh came in and turned the station and was still moving it despite my asking him not to. I got up from the couch and went to the TV. I grabbed his hand and because the TV knobs are missing and we have to stick our fingers into the holes where the knobs used to be I had to move his hand backwards rather than merely slap it away. I did not look to see what happened when I threw his hand backwards as I started to return the TV station to the game we were watching. Minh punched me in the eye from behind. I continued to get the TV onto the right station as well as continuing to smoke a cigarette in my other hand. He may have hit me more than once but am not sure when each aspect of my wounds and chucks of hair lying on the floor occurred. I do remember getting on top of him while still smoking my cigarette and him yanking a huge lock of hair from my head. I do not have a lot of hair up top but I am trying to be humorous in mentioning that. It was at this time that he stuck his fingers into my eye socket and I became concerned. I stood up and got hold of his head. I pushed his head down towards his knees and gradually got him to where I could sit on a chair even though he continued to punch at my lower extremities. I had my left hand under his chin and my right hand on the back of his head at the base of the skull or the top of his neck. He continued punching me even though he must have known I could have broken his neck easily at this juncture. There have been other incidents where I did not call the police when Minh hit me and I think he knows that I am a person who will not hurt other people unless I have to. In this instance I called for the staff person who we call Cliff to phone the police because I thought this would rise to the level of being worthy of an assault charge what with seeing my hair on the floor and knowing I was bleeding near my eye. There are legal uncertainties about what is allowable for tenants, owners and other rights including whether or not the law for hotels or motels, or apartments apply. This uncertainty had existed even when the house got good police service while Mrs. Carter paid the Benevolent Association and up to $500 a month to various police causes; while avoiding payment of duty on her American-registered Mercedes Benz with Texas plates that had been given to her when her son died around the same time her husband had passed on. Peter and Kelly refused to pay the Benevolent Association when asked to do so but there is no proof which clearly establishes the nature of the ‘protection racket’ they run. The art of SPIN and deception is not limited to journalism or politics. A TOUGH HOMBRE: When the police arrived my friend Mel was at the door holding it open for them. Melvin is a black man who served two tours in Vietnam including a black ops base in Laos or Cambodia as an aircraft technician. He became a drug addict in Vietnam but he has beaten the habit in the last four years with the help of Peter and myself as well as others. I asked the policeman if I could leave Minh in his care so I could rest after a long period of adrenaline rush and energy spent restraining his. I sat down in my usual place on the corner of the couch with the table between me and the lady cop I later learned is named Caroline. She took information including my ID from my shaking hands while I explained to the constable what had occurred. Incredibly the policeman said he would not be pressing any charges as he felt it was just a fight despite the evidence to the contrary. I explained my role in the house even though I was pretty sure he had been there before at a time when things were especially rough and a parolee who was threatening everyone had defecated on the floor in front of the kitchen door to get back at the staff. I explained that I had done everything according to what many cops and the owner thought was the proper way to handle such a confrontation but that we still needed further clarity from the courts as to the legal position we were in vis a vis the different labels that might be legally interpreted as applicable to the situation. He said I was no lawyer and that he was no “Average Joe” and preened his ego along with using words of a purple nature. I responded with the same words and told him I wanted a judge to decide and that I did not need his opinion or that of any other cop due to the established uncertainty. I also said that if there were no charges laid against Minh that would necessitate people using force to protect themselves. He said I was “Threatening”. There is a legal charge that could go along with that. He asked Cliff (Who I think had just came by and quickly left. His son had been killed in the previous two years while acting as security for a downtown bar.) for his opinion and Cliff muttered something about having nothing to say. I pointed out that the owners were not paying the ‘protection’ and that his threats of sending me to jail did not bother me. I like Jail or I could certainly say I have learned a lot in jail as you can see from my appendix number one. I probably told him about that article titled The Man Who Loved Jail which has been on the web for some time. The situation continued with us repeating our positions until he asked me to go outside. I got up and was near the door when he first laid hands on me. I told him there was no need to get physical. He continued and I braced myself on the door jambs with my legs apart. I remember his first punch to my kidney did not hurt and I remember him saying to his partner “Take him down”. I let them wail on me for a minute or more and kept saying I was not resisting arrest but rather I was insisting on it. I do not recall him asking me to go to the floor in the small room but I could see that might end the charade so I went onto the floor on my hands and knees. He pounced upon me on the left side of my body and the lady cop went to my fight and grabbed my hand which was under the table. His weight on my shoulders and neck did make it hard to breathe when I was face down on the floor and I told them I was not resisting but I would have to move so I could breath. They could not prevent me from doing any movement I wished to do. I would imagine I weigh as much as the two of them do together. I was on my back with my hands out front to the side so she could put the cuffs on and he was on top of me screaming obscenities and asking me if I could breathe better as he had both hands on my neck. I think he was trying to choke me but he was unable to do it. vimax cheap penis enlargement vig rx scam penis enlagement device penis elargement information male penile enlargement pnis enlargement herb permanent penis enlargment penis elargement system penis enlargment pill pro solution

THE RESPIRATORY SYSTEM Intake of oxygen and removal of carbon dioxide are the primary functions of the respiratory system. The respiratory system carries out these life-sustaining acts in close coordination with the circulatory system. Most of the time, we remain blissfully unaware of these automatic functions. The respiratory organs deliver oxygen to the circulatory system. The circulatory system transports the oxygen to all body cells. Oxygen is used by cells to liberate the energy needed for cellular activities. The respiratory system also removes carbon dioxide. Thus, the circulatory system prevents the buildup of this lethal waste byproduct in the body tissues. Irreversible damage to tissues can occur if the respiratory system is halted even for a few minutes. This can cause failure of all the other body systems. The consequence is death! NOSE COMMENCES THE RESPIRATORY PROCESS The respiratory system begins from the nose. It ends in the lungs. The respiratory system is broadly divided into two parts, viz., the upper and the lower respiratory tracts. The upper respirator tract is made up of the nose and the throat (pharynx). The lower respiratory tract includes five organs. They are the voice box (larynx), and the windpipe (trachea), bronchi, bronchioles and the lungs. The trachea splits into the two branches called bronchi. The bronchi further gets divided into further smaller branches called bronchioles. The lungs are a pair of spongy saclike organs. The bronchioles, bronchi, trachea, larynx, pharynx and the nose transport air to and from the lungs. It is the lungs that interact with the circulatory system for delivering oxygen and removing carbon dioxide from the lungs. THE RESPIRATION PROCESS Respiration is a two-pronged process. It involves the respiratory and the circulatory systems. Respiration connotes the coordinated functioning whereby the cells are delivered oxygen and the lethal carbon dioxide is removed. The first phase: The nose begins the first phase of respiration. This is done with inhaling or inhalation (breathing in). The process brings in air along with oxygen from outside the body into the lungs. From the lungs, oxygen goes via the blood vessels to the heart. The heart pumps the oxygen-rich blood to all parts of the body. The first phase of respiration ends with the oxygen moving into the cells from the bloodstream. The second phase: The second phase commences after the oxygen gets into the cells. The cells use the oxygen to produce energy. This independent process is called cellular respiration. It produces the byproduct -- carbon dioxide. The accumulated carbon dioxide now moves from the cells to the bloodstream. Next, the bloodstream transports the carbon dioxide to the heart. Then, the carbon dioxide-laden blood is pumped back to the lungs. The third phase: Again the nose comes into picture during this stage. The lungs push the byproduct to the nose from where it is exhaled or breathed out. This is the final or the third stage when the body gets rid of the carbon dioxide. At the end of the third stage or the entire respiratory cycle another one starts automatically. OTHER FUNCTIONS OF THE RESPIRATORY SYSTEM The respiratory system further regulates the balance of acid and base in tissues. This balancing act is crucial for the normal functioning of cells. It protects the body against disease-causing organisms and toxic substances inhaled with air. The respiratory system also houses the cells that detect smell. Moreover, the respiratory system assists in the production of sounds for speech. THE OLFACTORY NERVE The brownish olfactory nerve is also called olfactory receptors. The olfactory nerve inside the nose is the main nerve of smell. The olfactory region is made up of thick nasal soft mucous membrane. Its brownish color is because of a pigment. The olfactory nerve ends in minute varicose fibers (several small branches). These fibers ultimately conclude in the epithelial cells. Mentionably, the epithelial cells project into the nasal free surface. The olfactory nerve is the first to know of any chemicals that may enter the nasal passages. The receptors immediately trigger off a signal to the brain. This creates the smell perception. THE ESOPHAGUS Esophagus is a muscular tube. The esophagus carries food from the throat to the stomach. The esophagus and the pharynx situated behind the mouth swallow the food and move it to the stomach. The stomach temporarily stores the food, mixes it with digestive juices, and carries out some digestion. The esophagus also holds the stomach contents in place. Actually, this function is carried out by the lower esophageal sphincter. This sphincter is a muscle. It is located at the lower end of the esophagus. THE PHARYNX The pharynx is a passageway for both air and food. The pharynx connects the nose and mouth with the windpipe (trachea) and the food pipe (esophagus). The pharynx is a muscular tube. The pharynx is located within the neck. The pharynx is lined with a mucous membrane. The pharynx is approximately five inches (13 cm) in length. The pharynx lies in the front of the spinal column. The upper portion of the pharynx is known as nasopharynx. The name arises as it begins in the back of the nasal cavity.. The lower part is oropharynx. It points to that area in the back of the mouth. The pharynx ends at the epiglottis. Epiglottis is a flap of cartilage. Epiglottis prevents food from entering the trachea. However, the epiglottis allows the food to enter the esophagus. Two eustachian tubes connect the pharynx to the middle ear. These eustachian equalizes the eardrums air pressure. The pharynx can be infected via the mouth as well as the nose. Sore throat involves pharynx infection (pharyngitis) or throat inflammation. Pharyngitis can be due to infectious mononucleosis, herpes, and viral infections. The viral infections are German measles (rubella), influenza, and common cold. It can also be caused by bacteria like staphylococcal, streptococcal, chlamydial, and diphtherial. These bacteria multiply cause sore throat by multiplying rapidly within the pharynx. Tonsils and Adenoids Among the adults the pharynx contains the tonsils, while among the children the pharynx contains the adenoids. Tonsils: Tonsils are lymphoid tissues at the back of the throat. Tonsils form a tissue ring around the pharynx or the throat. Tonsils are cells. Tonsils are similar to the bloodstream lymphocytes. Tonsils are embedded in fibrous connective tissues. Tonsils are covered by a single epithelium layer. The lymphoid cells are phagocytic. The cells protect the pharynx from bacteria that can cause diseases. Tonsils may become inflamed and chronically or acutely infected. This condition is called tonsillitis. It is generally caused by streptococcus infection. During tonsillitis and streptococcal, the tissues surrounding the tonsils form pus. Then a whitish coat forms over the tonsils which can appear as white specks. This state is called quinsy. When the pharyngeal tonsils become inflamed they become abnormally large. They are called adenoids. Acute cases of tonsillitis are often treated by antibiotics like penicillin. Chronic recurrent tonsillitis may be treated by tonsillectomy (surgical removal of the tonsils). Adenoids: Adenoids are lymphoid tissue at the back of the throat. Adenoids usually shrink and disappear by adolescence. Enlargement of this tissue is common among children. Such a state can interfere with breathing. Symptoms of enlarged adenoids include restless sleep, snoring, breathing via mouth, and a nasal voice. Earlier, these tissues were removed in children. It was thought that inflamed adenoids led to recurrent colds and infections. Nowadays, this condition is recognized as benign. As a result, there are lesser adenoidectomies. THE LARYNX From the pharynx, the inhaled air moves to the larynx. The larynx is about five inches (13 cm) in length. The larynx is located in the central part of the neck. The larynx is made up of several layers of flexible but tough cartilage, a tissue. Mentionably, during puberty the males experience a protrusion of the cartilage. This enlarged prominent extension at the neck is called the Adam’s apple. FUNCTIONS OF THE LARYNX The larynx primarily transports air to the wind pipe (trachea). Besides, the larynx also helps in producing the sounds. The epiglottis -- a leaflike thin tissue portion of the larynx -- further prevents the food from entering the trachea (thus obviating the possibility of choking). Moreover, the cilia cells as well as the mucous membrane of the larynx also filter air. The cilia cells take the airborne substances towards the pharynx where they are swallowed. The epiglottis: The epiglottis stem is attached to the top and the front portions of the larynx. When the epiglottis remains in a vertical position, it acts like a trap door. This happens during the breathing process. But as a person starts swallowing, a reflexive action forces the epiglottis and the larynx to move near each other toward each other. This coming closer of the epiglottis and the larynx forms a protective seal. As a result, the fluids and food are specifically sent towards the food pipe (esophagus). When the reflexive action doesn’t work: What happens when the reflexive action doesn’t function is that the food can enter the larynx. This happens when one eats the meal fats or when one laughs while swallowing. The result is that there will be a recurrent cough impelled choking effect. At times this apparently simple choking effect can even be life-threatening. The cough is the body’s reflexive action to clear the larynx of the impediment. Whenever such choking takes place, someone must thump the back portion between the shoulder blades several times. This will help the person to get over the choking effect. The Heimlich maneuver: The Heimlich maneuver clears the windpipe of obstructions like food or fluid. The first-aid providing person applies thrusts in quick and in upward motion at the patient’s abdomen. The objective is to expel the object stuck at the trachea (windpipe). Standing behind the victim, the person keeps both his arms across the patient’s waist. Then, he places the fist of one hand below the rib cage and a bit above the navel. All the while, he keeps the thumb against the patient’s body. He uses the other hand for holding the fist and for applying pressure. Next, he puts quick pressure on the abdomen. The pressure is put in an inward and an upward motion. This fast recurrent action forces the lung air to get rid of the substance blocking the windpipe. However, in cases where the patient cannot stand still, is overweight, faints following the choking effect, the Heimlich maneuver is done in a different manner. The patient is made to lie face down. The first-aid provider carries on the process with the heel of a hand. Important: Nonetheless, it is important that the person does not put undue pressure on the rib cage. This is especially true when the patient is a child or an elderly person. Too much pressure can break ribs. Pertaining to pregnant woman or overweight people, the first-aid provider must place his hands only on the lower half of the breastbone (sternum) while carrying out the maneuver. In acute choking, tracheotomy (a surgical procedure) is undertaken to carry out bypass of the larynx. This operation brings in air to the trachea. TRACHEA, BRONCHI, AND BRONCHIOLES The trachea is another tube measuring approximately six inches (15 cm). The trachea is located below the larynx. From the larynx the air passes on to the trachea. About 20 sturdy C-shaped cartilage rings constitute the trachea. These rings help to keep the trachea open. In the process, air gets transported unhindered. While the unfastened cartilage is located at the trachea’s back portion, their ends are linked to each other by muscle tissues. Bronchi & bronchioles: The trachea base is situated at the portion where the neck meets the body trunk. At this juncture, the trachea splits into the right and the left bronchi. These bronchi transport air to the right and left lungs respectively. Inside the lungs, these bronchi again break up into smaller tubes -- the bronchioles. In fact, the respiratory system’s cleansing process is carried out by those bronchioles that are situated at the initial part, bronchi, and the trachea. These organs carry out the cleansing process via the mucous membrane linings as well as the ciliated cells. These cilia and the lining push the mucus upward towards the pharynx. Alveoli & capillaries: Alveoli are minute sacs inside the lungs. Most of the alveoli are lung tissues. Alveoli are formed by the bronchioles as they divide several times. The alveoli along with the bronchioles resemble a tree. The alveoli are only 0.02 inches (0.5 mm) in diameter. There are about 150 million alveoli in each lung. The alveoli carry out a dual function. While providing oxygen to the circulatory system, they also remove carbon dioxide from the lungs. The thin elastic alveoli walls expand when air moves into them. The walls collapse to exhale the air. The alveoli remain in clusters like the grapes. Each cluster is surrounded by capillaries. The capillaries are thin-walled and form a dense net of tiny hairs. The alveoli wall air is generally located 0.2 microns away from the blood carried by the capillary. Mentionably, the alveoli have more oxygen concentration then the capillaries. So, oxygen disseminates to capillaries from alveoli. Through the capillaries, oxygen goes to the larger vessels. These vessels then transport the oxygenated blood to the heart. Next, the heart pumps the cleaned blood to the other parts of the body. Macrophages: Among the alveoli are interspersed many macrophages. The macrophages are blood cells. These large white cells act as the last sentinels of the respiratory system among the alveoli. The macrophages segregate the foreign elements which may have passed through the earlier filtration process. This last line of defense ensures that the alveoli are not infected. Carbon dioxide disposal: The cells from across the body dump Carbon dioxide as a waste product. It is dumped in the bloodstream. The blood carries Carbon dioxide into the heart. From the heart, the Carbon dioxide moves to the alveolar capillaries. Notably, the capillaries have more concentration of carbon dioxide than the alveoli. So, carbon dioxide gets diffused into the alveoli from the capillaries. 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