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Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
July, 2004, Vol. 04, Issue 07
Hepatitis C: The Silent Epidemic
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
The votes are in, and we have a clear winner: Hepatitis C is the disease under discussion this month. I got several letters asking for an article on this topic, but this one really caught my eye:
I am so grateful to Kimberly and her willingness to ask questions like this. I called infection control at my local hospital and was referred to the Centers for Disease Control and Prevention. They publish a guidebook (167 long pages) on occupational exposures to hepatitis B, C and HIV (www.cdc.gov/mmwr/PDF/RR/RR5011.pdf), but the long and short of it is this: HIV and hepatitis C are most efficiently communicated through blood or sexual fluids. They do not occur in large enough amounts of saliva, sweat, urine, or other accessible fluids to be considered communicable in this form.
As long as Kimberly avoids open lesions (on herself and her client) and washes her surfaces (table, linens, bottles, hands, clothing) carefully, there is zero risk of contracting or transmitting either HIV or hepatitis C to her clients or family. Here's the lowdown on this mysterious infection:
History and Demographics: Way back in the late 70s, we had hepatitis A, hepatitis B, and a third little-understood pathogen called "hepatitis non-A, non-B." The virus wasn't named officially until 1989. (Now we have identified hepatitis types D, E, F, and G.) This virus, which is unrelated to any other hepatitis virus, causes long-term infections with a high risk for chronic liver disease.
Only 5 percent to 25 percent of infected people recover spontaneously; the rest are considered to have chronic hepatitis C infections. About 15 percent of that group develops cirrhosis within 10 to 20 years, and the risk of liver cancer is much higher than that of the general population. The presence of other illnesses, specifically HIV, hepatitis B, or alcoholism, raises the risk of complications from long-term hepatitis C infections.
Hepatitis C is the most common bloodborne infection in the U.S. It is carried by close to four million Americans, and almost three million people have the disease as a chronic infection. Hepatitis C is estimated to cause about eight to 10 thousand deaths per year.
Communicability: Blood-to-blood contact is the most reliable way to transmit hepatitis C, though in about 10 percent of all cases, the mode of transmission is unclear. Blood-to-blood contact can come about in the form of shared drug needles; accidental needle sticks in medical settings; or contaminated medical, tattoo, or body-piercing instruments. Hepatitis C is also considered a sexually transmitted disease, although this appears to be a relatively inefficient method to spread the disease, unless the uninfected partner is already health-compromised.
Signs and Symptoms: Symptoms of hepatitis C are weakness, fever, nausea, and possible jaundice. They often do not appear until many years after infection, when the liver can no longer compensate for the damage that has accumulated; however, an infected person can spread the infection to others well before symptoms appear. Because of the delay between exposure and the development of symptoms, the majority of people diagnosed in the 1990s were probably infected in the 60s and 70s when the long-term risks of unprotected sex or intravenous drug use were not fully understood.
Treatment: No vaccine or gammaglobulin shots protect against hepatitis C. Treatment starts with good sense (rest, fluids and good nutrition) and close monitoring to watch for signs of complications. Interferon and ribavirin may be prescribed separately or together to try to control the severity of the viral attack. Ultimately, a hepatitis C patient may have to consider an organ transplant. Almost one-half of all the liver transplants conducted in the U.S. every year are to correct the damage brought on by hepatitis C infections.
Massage for hepatitis C?
Many people with hepatitis C have no discernible symptoms, because their livers can keep up with the damage caused by the virus. These people are also good candidates for circulatory - or other types - of massage. Later in the disease process, judgments must be made based on the overall health and circulatory resiliency of the client. It is important to remember that the liver is a keystone for fluid management in the abdomen. Because it processes blood from both the hepatic artery and the portal vein, if the liver is overtaxed, the result may be distant edema or ascites (the accumulation of excessive peritoneal fluid). Any client who is positive for hepatitis C and who shows any signs of liver dysfunction (jaundice, malaise, edema) should consult his or her primary health care provider to determine if the circulatory impact of massage might overcome the liver's ability to adapt.
Next time: What would you like to see: West Nile Virus? Warts? Herpes? If I don't get a consensus from you, I will explore a fairly newly recognized phenomenon: metabolic syndrome. This is a group of signs and symptoms that set the stage for type 2 diabetes and heart disease -- the leading U.S. killers.
Drop me a line and let me know... what's on your table?
Many thanks and many blessings,
Ruth Werner, LMP, NCTMB
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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