resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
June, 2004, Vol. 04, Issue 06
Cholesterol: Friend of Foe?
By John Upledger, DO, OMM
As a physician who is passionate about all aspects of the human body, I frequently get questions about situations outside of the realm of CranioSacral Therapy. One such topic that has come up a lot over the last few years is that of cholesterol.With all the talk about the evils of cholesterol, you might think it is a dangerous substance that should be avoided at all costs. But is it really as terrible as it seems? Let's take a look.
Cholesterol is what is called a sterol molecule, which is any of a group of solid, mostly unsaturated polycyclic alcohol molecules. There is one hydroxyl (OH) group on carbon 3 that makes cholesterol an alcohol. If you aren't savvy in chemistry, don't worry; I'll make it as simple as I can.
Cholesterol is abundant in a wide variety of animal tissues, including human tissue. It is especially abundant in brain, spinal cord and peripheral nervous tissues. It is a generous constituent of the myelin sheathes that serve as insulation for all of the white nervous tissues. Without adequate cholesterol, the myelin disintegrates and the conduction of impulses in all nerve tissues, including the brain, is impaired. So when cholesterol is not present in adequate amounts, brain function is proportionately compromised.
In addition to cholesterol's contribution to myelin, it has more recently been discovered that cholesterol molecules are essential for nerve cells to communicate with each other. It seems that for a message to be successfully sent from a presynaptic neuronal axon to the receiving neuron, on the postsynaptic side of the gap between the two neurons (the gap is the synapse), there must be an abundance of cholesterol molecules on the presynaptic side of the gap (synapse). We don't yet know precisely how this works, but we do know that cholesterol is necessary for the nerve impulse to be transmitted from one neuron to the next.
We also know that cholesterol is the primary molecule from which all of the corticosteroid hormones of the adrenal glands are derived. Without these adrenal corticosteroid hormones, we would live in pain. These hormones are secreted by the adrenal glands. They mitigate the inflammatory responses that are induced and continually produced under any circumstances that stimulate an inflammatory response by the immune system. Without the proper level of corticosteroid hormone being produced by the cortices of the adrenal glands, we probably wouldn't survive attacks of various bacteria, viruses, fungi, molds, allergies, and more. We would simply inflame our lives away.
Another arena in which we would get a tremendous amount of pain is in the area of muscle, tendons, ligaments, fascia, bone wear and tear, etc. The corticosteroids reduce the inflammatory responses in those tissues and bones tremendously. I could go on and on with what inherently produced corticosteroids do for our creature comforts. Yet another arena that requires cholesterol as a primary substance is that of the sex hormones. Cholesterol is the essential basic substance from which our bodies manufacture both male and female sex hormones, i.e., testosterone and the various estrogen- and progesterone-related hormones. Where would we be without cholesterol? We would be asexual and childless. The aforementioned are only some of the things that we know require cholesterol.
Here's one other thing we know for sure about cholesterol: In our skin, in the presence of sunshine, cholesterol is converted to vitamin D, which is necessary for health. Lack of vitamin D in children results in rickets, in which the bones are very soft and easily become misshapen.
In the category of cholesterol functions, there is an argument that I believe began in the 1950s. From 1960 through 1963, I was attending osteopathic medical school and concurrently participating in a biochemistry teaching and research fellowship. I was selected as the award recipient by the biochemistry department chairman, Dr. Stacy F. Howell, who had great experience in the field of biochemistry, and was due to retire at the same time I graduated. Dr. Howell's PhD was from Cornell University where he helped establish proof that enzymes were proteins. His mentor, Dr. J. Sumner, received a Nobel Prize for establishing that same proof.
Dr. Howell and I spent many hours together, and he mentored me several nights. I recall that his friend, Ancel Keyes, PhD, from the University of Minnesota, discovered that there was abundant cholesterol in the plaques that form in arteries. These plaques serve to partially and sometimes completely obstruct the flow of blood through the involved arteries. The medical community immediately took this information from Ancel Keyes and decided that cholesterol was the demon that caused the plaques because when they formed in the arteries to the heart (coronary arteries), a "heart attack" (myocardial infarction) was the result. So it was simple: Cholesterol in the blood was the cause of ischemic (not enough blood) heart disease.
Within a year following his discovery, Ancel Keyes tried to reason with the "powers that be" that simply because cholesterol was present in the plaques did not mean it was the cause of the plaques. It struck Dr. Howell that the medical community was eager to find a cause for ischemic heart disease, a.k.a. coronary artery disease, and it could be treated by lowering blood cholesterol. The simplicity of the concept overcame scientific scrutiny. I listened to Dr. Howell and respected his wisdom; I also felt that Dr. Keyes should be listened to very seriously.
A few years later, a heart surgeon from Texas named Michael DeBakey hypothesized that the artery became infected by a bacteria, virus, etc., first, and that part of the body's defense might be to isolate the infected and inflamed area in the artery so that it would not spread throughout the arterial system and become lethal. Dr. DeBakey suggested that the cholesterol deposits might be part of the body's attempt to isolate the inflamed/infected part of the artery before it spread. Shortly after hearing Dr. DeBakey's ideas, I went to Mexico City to study with Dr. Demetrio Sodi-Pallares, a well-known cardiologist. Dr. Sodi agreed with Dr. DeBakey. I performed several autopsies with Dr. Sodi while I was there, and he showed me some instances in which plaque was not present, and the inflammatory response to a spreading infection in the coronary arteries was the cause of death.
With this information, I offer the idea that cholesterol is not the demon that it is touted to be. First, I believe that Mother Nature would not have the liver manufacturing cholesterol in response to physiological need if the cholesterol molecule were indeed such a menace to our well-being, and it would not have the intestines absorbing cholesterol from our food intake. If cholesterol were that bad for us, it would mean that Mother Nature wants us dead, and I just cannot accept that idea.
When I was in general practice from 1964 through 1975, a normal blood cholesterol level was 250 to 300 mg% (mg% being the number of milligrams of cholesterol per 100 milliliters or cubic centimeters of blood). Now doctors want it to be at 125mg% or less. I believe that cholesterol is an effective part of the immune system's armament against disease invasions. When we starve our bodies for cholesterol, we get sick and taken over by depressive moods more often. Frankly, I believe that the statin medications that are used to lower cholesterol production by the liver are far more toxic than blood cholesterol of 300mg%. As far as "good" and "bad" cholesterols are concerned, I believe that Mother Nature can deal with that better than medicine can.
Editor's note: This article has been written for informational purposes only and is not a substitute for personal medical advice. Please consult your physician with any questions or concerns you may have about your health.
Click here for previous articles by John Upledger, DO, OMM.
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