Reduce Pain and Save $$$ By Taking Care of Your Joints

Finding a solution to our “Health care Crisis” must be based on true prevention. I’m not talking about disease screening which Western Medicine and insurance companies call  “preventive care”. I’m talking about changing our habits and behaviors to promote wellness.

Lesley Alderman’s article in yesterday’s NY Times talks about our joints.  Dr. Patience White of the Arthritis Foundation is quoted as saying “Arthritis used to show up in people during their late 40′s and 50′s, now we’re seeing it earlier like in the 30′s and 40′s”  Our population is aging; more people are obese; more people are playing serious sports.  These all put more wear and tear on our joints.”

In addition to the pain of arthritis, the pain after joint replacement surgery, and the lost days of work, the related medical costs are significant.  The bill for a hip or knee replacement is roughly $30,000 to $40,000.    In 2007, our nation’s bill for hip replacements was $19 billion and for knee replacements was  $26 billion.

Think about this.  Would you spend your own money on a new knee or can you think of something you’d rather spend that money on?  The truth is, health care is paid for by our taxes or our insurance premiums, our money.

Check out the article  “Caring for Hips and Knees to Avoid Artificial Joints”.

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A Quick Haitian Health Update

My copy of the Haitian Health Foundation Newsletter arrived just the other day. (I made a donation and it was sent with the thank you note.) Reading it reminded me how much Americans take for granted. The front page talks about the HHF Ambulance and how many lives have been saved by its presence and personnel.  The ambulance is a four-wheel drive Toyota Land Cruiser which is completely amphibious and can cross streams to travel to remote mountain villages.  The ambulance’s focus is to evacuate pregnant women out of the rural villages – when they are having a troubled, life-threatening labor. Since 2006, it has transported 587 women and has an annual operating budget of $25,000. The article points out that “it is the only vehicle that is available to mountain villagers, some of whom are an 18 hour walk away.”

Imagine being in a troubled labor — or just sick — and having to walk for 18 hours to receive care. I am again reminded of how very very lucky we Americans are.  Newsletter

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5 Reasons to Call a Hypnotherapist

Before becoming a Hypnotherapist, I had no idea just how many aspects of our lives can be helped by this simple, evidence based process. When I began practicing, my clients truly had more belief in the system than I did. For example, an older man called saying “I need to see you. My dentures don’t fit.’ Hmmm. Are you sure you don’t want to see my husband, the dentist? “No, I need to see you.” It was true. The challenge was in his mind and easily corrected with just one session.

There are more many examples. A healthy, athletic man had broken his arm. At the end of nine months, it had not healed. He was facing surgery and the loss of his job.  He called asking for an appointment telling me “I am a hypochondriac. When this first happened, I heard of the possibility of non-union and I knew right then it would happen to me” I certainly had my doubts as I shared visions of healing.  He was right   He returned to his doctor after only two sessions and his arm was healed. He avoided both surgery and losing his job.

Why would you call me?

  1. You are not sleeping well
  2. You have irrational fears or phobias
  3. You feel “blocked” in some part of your life
  4. You have been diagnosed with a challenging disease
  5. You have a habit you would like to change

Call me or e-mail me. It’s likely that even lifelong challenges can be conquered with a handful of private sessions.

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In health care, there’s only one goal

Months ago, I gave up trying to keep track of all the provisions of the proposed health care plan. Let’s face it, the health care system many now embrace could bankrupt our nation and continues to have less than optimal outcomes.

Access to care and insurance coverage for everyone should take a back seat to keeping people healthy.

Have you noticed that Western Medicine tends to treat symptoms instead of the underlying cause?

I know a man who had a low testosterone level. His doctor ordered injections without asking “Why” (and the patient accepted this solution). Doing a little research on line reveals that low testosterone can be the result of a brain tumor or sleep apnea. In this instance, the man did have severe sleep apnea. The cascade of diseases associated with sleep apnea is long and expensive: diabetes, obesity, strokes, cardiovascular disease, A-fib, decreased cognitive learning ability, short term memory loss, high blood pressure, the list goes on and on. Just coincidentally, the risk of sudden death is increased by 30% in the presence of sleep apnea. This particular man had memory problems, multiple TIAS, one stroke, was overweight and had A-Fib — all by age 64. Are doctors screening for sleep apnea? Not usually. Is it common? Yes and it’s becoming more common in our overweight culture.

Think of the impact of the chronic stress in our culture. It impacts our immune system, shapes our bad habits (overeating, drinking, smoking), accidents, hurts relationships — and that doesn’t even include how stress can exacerbate illnesses such as asthma, diabetes and IBS. Many scientists feel that stress even allows the proliferation of cancer. It is thought that we often times have cancerous cells in our bodies which a healthy immune system keeps in check. If we tax our immune system with stress, it can no longer keep us healthy. If you want more details, keep reading below to see  “The High Price of Stress.”

Now is the time to take control of your health in four ways.

1. Do your homework. Research online. Ask lots of questions of your health care providers and use your common sense.

2. Take care of your mental and emotional health

3. Stay physically active

4. Check out complementary healing modalities which may be far less expensive, have fewer side effects, and excellent outcomes. Examples, hypnotherapy, guided imagery, chiropractic, acupuncture and for exercise Hanna Somatics and the Feldencrais method.

Together, we can do it!!

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The High Price of Stress

How to Lower Health Care’s Bottom Line

Companies today carefully calculate their bottom line, and the current cost of health care is of global concern. Yet, how often is one important ingredient—STRESS—factored in?
The Gallup Organization Well Being Index, the country’s largest poll of health and well-being, polls at least 1,000 adults daily. Here are some of their recent findings:
—Almost 40% of those polled said they were significantly stressed the day before.
—Two- thirds reported at least one chronic health problem, including hypertension and high   cholesterol.
—28% claimed they were not well rested.
—Two-thirds of working adults are overweight or obese.
Based on responders’ answers, the impact of negative work environment alone results in 12.3 million sick days a month nationwide amounting to about $14 billion a year in wages.

In addition to these statistics, The American Psychological Association published an online study reflecting the responses of 1,848 adults.  Their findings include the following:
—77% experienced physical symptoms during the last month as a result of stress
—73% experienced psychological stress during the last month
—74% find work a significant source of stress
—48% of adults lay awake at night because of stress
—43% overeat or eat unhealthy foods because of stress
—55% reported varying degrees of lost productivity while at work during the past month
—7% have sought professional support during the past year

To help us evaluate the financial impact of these findings, let’s consider one chronic illness, diabetes.
The prevalence of diabetes is increasing, partly as a result of obesity. According to the American Diabetes Association, the total annual economic impact of diabetes in 2007 was estimated to be
$174 billion.  This figure includes medical costs, indirect costs related to increased absenteeism, reduced productivity, disease related unemployment disability, and loss of productive capacity due to early mortality.  According to the ADA, 20% of health care dollars is spent caring for someone with diabetes.
The impact of stress on diabetics is well documented.  Not only does stress directly impact blood sugar control, but, when stressed, people use unhealthy coping mechanisms such as overeating, smoking and drinking alcohol.   Stress   also directly impacts the immune system which inhibits healing.
Wounds heal much more quickly in the absence of stress as shown by Janice Kiecolt-Glaser , Ohio State University School of Medicine, who observed that a pencil eraser size wound took 9 days longer to heal in a group of care givers who were under stress.
If we were to integrate stress management techniques and lifestyle changes into the care of diabetics, the savings could be astronomical.
Let’s consider more facts from “Stress in America”.   People are losing sleep as a result of stress.  People overeat and experience cravings when they have too little sleep. Sleepiness can lead to disruption of family life, an elevated rate of auto accidents (as much as 7 fold increase) occupational accidents, impaired immune function and increased cardiovascular events.
Forty-three percent of those surveyed reported overeating in response to stress.  We see the cycle continuing ad infinitum: people experience stress, overeat in response, become obese, are at greater risk for type 2 diabetes, cardiovascular issues and orthopedic issues.

What do we do with this information?
Employers are paying a large portion of these costs in the form of absenteeism, presenteeism (employees who come to work ill, share that illness with others, and are less productive), health insurance premiums and Worker’s Compensation premiums.  They are also in a position to reduce the stress reported by 74% of the APA survey who say that work is a significant source of stress in their lives.
If you are an employer, please consider becoming pro-active in implementing changes.
Consider the following interventions personally and for your company’s wellness program:
1.     Schedule time to meditate daily.
The Wall Street Journal, November  5,  2004,  Scan of Monks’ Brains show Meditation Alters Structure and Function,  talks about Neuroplasticity “ the brain’s recently discovered ability to change its structure by expanding or strengthening circuits that are used and by shrinking or weakening those that are rarely used.  Just as aerobics sculpts the muscles, mental training sculpts gray matter in ways scientists are only beginning to fathom.”
For those who find it difficult to meditate, consider starting with “Peace of Mind”, a relaxation CD for anxiety.  It is simple, easy to use and cost effective.  It’s available at www.atlanticcomplementary.com.
2.    Develop a culture of empowerment and responsibility.
3.    Provide encouragement and opportunities for employees to adopt healthy habits.
4.    Mediate differences of opinion.
5.    Ask employees for input and hear their response.
6.    Create a comfortable and peaceful work environment.

Incorporating these simple and cost effective actions can and will have a huge impact on personal lives, productivity and ultimately costs associated with health care.

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The Great Prostate Mistake NY Times

In this huge drama about health care costs, emotions have led us away from two facts: We in the USA have the most expensive health care system and  the worst outcomes of any non third world country.  Remember that.

We, the end user, have the power to take control but we too often make our decisions based on fear.

Richard J.  Ablin’s article in the New York Times today points out yet another instance of using our health care dollars unwisely, much like  the  overuse of mammograms.  “The Great Prostate Mistake“.  It’s long been known that prostate cancer is often very slow growing.  Many men will die with prostate cancer, not of it.

Let me quote Richard. “I never dreamed that my discovery four decades ago would lead to such a profit driven public health disaster. The medical community must confront reality and stop the inappropriate use of P. S. A. screening. Doing so would save billions of dollars and rescue millions of men from unnecessary, debilitating treatments”

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Expanded Text Nocebo Vs. Placebo

I still remember an article I read many years ago that said many studies showed that the success of a prescribed drug was impacted by the words the doctor spoke when prescribing it. If a patient was told “This is a miracle drug. It will make you well” it was very likely to work wonders. If, on the other hand, the patient was told “Let’s try this out. If you have……… this will help. Otherwise, we’ll try something else” the treatment was likely to fail. I now know that the placebo effect is well documented and shown to have direct and measurable physiological effects.

I’ve learned about the “Nocebo Effect”. In Latin this means “I will harm”. This term refers to the adverse effects of expectations about disease, treatments, and pharmaceuticals. A commonly quoted story is one about a man back in the 1970’s who first won a bout with cancer. He was later told his cancer had returned and he had only a short time to live. He did pass away at the prescribed time. An autopsy showed that he did have a minute tumor on his liver that did not kill him. He died with cancer rather than from cancer.

In June of this year, a very vibrant, determined young women, Jessica, was diagnosed with rectal cancer that had already spread to her lungs and liver. Early on, Jessica made the decision that in spite of her doctor’s dire predictions, she would survive and live a long and healthy life. The blog her mother created reflects her expectations http://jessicasvictory.blogspot.com/ She agreed to have chemotherapy and chose not to learn about possible adverse reactions. (This information was shared with her mother who could monitor Jessica’s well being). She researched and used acupuncture, proper nutrition, guided imagery, and participated in a Tong Ren group led by a healer and acupuncturist for people who were given no hope by their doctors. She was also given my Guided Imagery CD “Cancer Be Gone” by her oncology nurse at Portsmouth Regional Hospital. 6 months have now passed and Jessica’s primary tumor is completely gone! She remains beautiful, full of life, and her cancer markers are very low. Many would call her a miracle.

A California man was given two of my guided imagery CD’s (“Cancer Be Gone” and “Peace of Mind”) when he was diagnosed with terminal esophageal cancer. He also chose to have chemotherapy. His course was very difficult but he has been declared cancer free.

How is this possible? Looking at these situations from a practical standpoint, 1. guided imagery allows people to sleep at night. This alone is  important. It allows our body to be refreshed and the immune system to be stronger. 2. Guided Imagery reduces stress. The negative impact of stress on the body’s ability to heal is very well documented in studies done by Dr. Janet Kiecolt Glaser and many others. 3. The messages and suggestions in guided imagery are encouraging and create feelings of optimism. In this particular situation, cancer is compared to weeds in a beautiful garden that are easily managed by removal (surgery) or chemicals (chemotherapy) that target only the unhealthy cells.

Let’s look at these simple changes in light of our understanding of the mind’s functions and power.

Have you ever heard it said that we use only 10% of our mind? This is only partly true. We have control of only the 5 or 10% of our mind that is our conscious mind. The other 90 to 95% is on autopilot using our beliefs and expectations to call the shots. The process of guided imagery or hypnotherapy makes changes at the level of the subconscious mind. Limiting beliefs can be reframed.

Let me share a quote from Bruce Lipton, PhD and Steve Bhaerman’s new book “Spontaneous Evolution”:

“Cells, tissues and organs do not question information sent by the nervous system. Rather they respond with equal fervor to accurate life affirming perceptions and to self-destructive misperceptions. Consequently, the nature of our perceptions greatly influences the fate of our lives.”

The takeaway for me is twofold. First, those who practice guided imagery and hypnotherapy need to keep up the good work. Second, huge positive strides could be made in the health care system many now embrace if health care providers used to our advantage the power of the placebo effect by choosing words that truly encourage health and wellness.

Let me ask you this question. In your life, do you choose PLACEBO or NOCEBO?

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Resisting Exercise?

Have you made regular exercise a priority?  Yes, we are all busy,  have responsibilities, etc.   Always squeezed for time.  What if our life time were to be cut short because of cancer or heart disease?  We’re talking years of lost time.

Jane Brody’s column today quotes  evidence based research reinforcing what we have already read about the dramatic impact regular exercise has on our physical health and cognitive abilities.

Check it out:  Even More Reasons to Get a Move On

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Our Basic Human Pleasures

Nicholas Kristof hit the nail on the head yet again with his Op-Ed Column in the Times today.

Nicholas is talking about happiness and compares the lives of a financially successful white, male commodities trader living in Florida and an older black grandmother living in Boston with some health issues and also a devoted husband and grandchildren. In this case, the grandmother has a very busy social life, in active in the lives of her grandchildren, is respected by others and  has a “happy” life.

Nick quotes Brian Mullaney who says “The most selfish thing you can do is help other people.   Hmmm.  Maybe there really is more to life than our possessions and social status.

Take a minute to read Nickolas’ column Our Basic Human Pleasures: food, Sex and Giving.

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Gifts from Aviation to Western Medicine

My son is a pilot, now a captain for American Eagle with 25 years of flying experience.  Years ago, both he and his wife, who was at the time a flight attendant, taught their co-workers a required course called “Crew Resource Management”. It’s my understanding that a number of plane crashes were found to be the result of ineffective communication between the captain and co-captain.  Think of the fear and frustration you would feel as a co-captain if you knew smething was very wrong; the plane was going down and the captain wouldn’t listen.

The second piece of the puzzle is something we all know.  The flight crew has a checklist that is completed before each flight.  How simple and effective.

We are well aware that hospital oversights take a huge toll on patients and are very expensive.  The problem is seldom lack of knowledge.  It’s just that people are human.

The New York Times reviewed a book by Atul Gawande “The Checklist Manifesto How To Get things Right”.  Many hospitals worldwide are providing checklists of essential interventions for various procedures. Most hospitals support the  nurses in completing the lists and intervening if a step is missed. The results are remarkable.

“The study began in 2008…….. Without adding a single piece of equipment or spending an extra dollar, all 8 hospitals saw the rate of major postsurgical complications drop by 36% in the six months after the checklist was introduced. deaths fell by 47%,”

Check our the article “A Hospital How-To Guide That Mother Would Love” along with the work of Dr. Peter Pronovost of Johns Hopkins.

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