Acupuncture Associates

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September 2010

In Tibetan Medicine, pulse diagnosis is an important examination

GRAPEFRUIT COMPOUND INHIBITS HEPATITIS C

Grapefruit’s bitter taste is caused by the presence of naringin, which is metabolized into naringenin. Researchers previously demonstrated in cell culture that naringenin can affect a cell membrane component known as lipoprotein mRNA so that less hepatitis c virus is released from the cells.

If the findings in these studies extend into the clinic, naringenin might be prescribed to help patients clear hepatitis C virus. (JAMA April 2, 2008 vol 299 no 13 o 1532).

LIGHT TOUCH CALMS NERVES

Recent research shows that C-tactile nerve fibers, which respond to light touch, project into the brain’s limbic system and are responsible for the feelings of calm and wellbeing elicited by gentle manual stimulation (such as stroking).

A review suggests that these findings are relevant to acupuncture. They may explain why even superficial acupuncture with brief needle insertion can have a clinical effect and why non-invasive sham acupuncture may not be a suitable control for clinical trials. (Role of C tactile fibers in touch and emotion - clinical and research relevance to acupuncture. Acupunct Med. 2006 Dec;24(4):169-71).

PROPOLIS HELPS CYCLISTS TAKE THE HEAT

Propolis may protect against heat stress in athletes, according to a Taiwanese study. The compound, made by honeybees from a mixture of resinous tree sap and wax, has a broad spectrum of biological activities including being anti-oxidant, anti-inflammatory and anti-viral, many of which are attributed to the active ingredient caffeic acid phenethyl ester (CAPE).

The investigators examined blood from 30 competitive cyclists who had participated in endurance training for two to four years prior to the study. To examine whether CAPE had a protective effect against hyperthermia stress in athletes, they isolated peripheral blood mononuclear cells (MNC) and assessed their response to hyperthermia with or without CAPE pretreatment.

Pretreatment was found to prevent or rescue MNC from hyperthermia-induced cell death, implying that CAPE might not only promote athletic performance but also prevent injury secondary to endurance-exercise-induced hyperthermia. (Caffeic acid phenethyl ester, an antioxidant from Propolis, protects peripheral blood mononuclear cells of competitive cyclists against hyperthermal stress. J Food Sci. 2009 Aug;74(6):H162-7).

URINE TRICLOSAN LEVELS INCREASE BY 40%

The Centers for Disease Control published data on the levels of 212 chemicals in 2400 volunteers in early August. Among other findings, the data indicates that over the past two years, levels of this antibacterial additive, which is commonly found in soaps, toothpaste, and other consumer items, have increased by 40%.

In animals, triclosan can interfere with thyroid function, but this has not been seen in people as of yet. In fact, Sarah Jannssen of the U.S. Natural Resources Defense Council states, “we do not have any human data for triclosan”. The U.S. Food and Drug Administration will complete a safety review of triclosan in 2011. (New Scientist, Aug 14, 2010 p 6).

THE COST OF THIRD PARTY BILLING

The American Medical Association reports in its 2010 study that twenty per cent of bills submitted to private insurance companies are processed or paid incorrectly, wasting 15.5 billion dollars annually.

Fourteen per cent of physician revenue is required to obtain payment from insurers. Rather than use an industry wide standard set of filing rules, each payer has a different and confusing set of rules, and there is no transparency or consistency in claim denials or errors.

The AMA estimates that for every 1 per cent improvement in insurer error rates, 777 million dollars would be saved. (American Medical News August 9, 2010 p 29). http://www.ama-assn.org/go/reportcard

Another study published by a research scientist at Massachusetts General Hospital suggests that standardizing claim forms and rules would save 7 billion dollars a year. It would also save 4 hours of professional time per physician and 5 hours of practice support time each week. For The Massachusetts General Hospital, the study suggests that in 2006, the cost of excessive administrative complexity was nearly $45 million, or nearly 12% of net patient revenue. This represents $50,250.00 per physician. (Health Affairs 2010 April 29 (http://www.medpagetoday.com/PracticeManagement/Reimbursement/19844).

ELECTRO-ACUPUNCTURE CURES HORSES’ BACK PAIN

A study of electro-acupuncture for chronic low back pain in horses has found that it can successfully alleviate thoracolumbar pain and that the analgesic effect persists for up to two weeks after the treatment. (Evaluation of electroacupuncture treatment of horses with signs of chronic thoracolumbar pain. J Am Vet Med Assoc. 2005 Jul 15;227(2):281-6).

HEALTH CARE “REFORM” = PAYMENT REDUCTIONS

Medicare trustees have stated that projected reductions in the cost of Medicare are a result of the health system reform bill. These projections assume that physician payments will be decreased 23% on Dec. 1, an additional 6.5% in January 2011 and 2.9% in 2012.

Economic reality dictates that when you pay for less of something, you will get less of it, so during the increased demand for medical expertise that an aging population and expanded government mandates will create, fewer physicians will be providing less treatment. (AMA).

CHOLESTEROL LEVELS CYCLE IN WOMEN

Cholesterol levels vary by as much as 20 per cent during the menstrual cycle according to a study of 259 women by the National Institute of Health. Researchers say these fluctuation should be taken into account when using these levels clinically. (Journal of Clin. Endocrin & Meta doi:10.1210/jc.2010-0109).

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AGGRESSIVE BLOOD PRESSURE LOWERING MAY BE HAZARDOUS IN DIABETICS

A study of 22,576 diabetics with hypertension and coronary artery disease indicates that decreasing systolic blood pressure to less than 130 mm Hg does not reduce illness and actually raises all cause death rates, compared with accepting control at 140 mm or less. (JAMA 2010;304:61-7).

COCOA BOOSTS BRAINPOWER

A study has employed functional magnetic resonance imaging (fMRI) to explore the effect of flavanols from cocoa on the human brain.

Sixteen healthy young women were given flavanol-rich cocoa to drink for five days and then asked to do a complex task while their brains were monitored using fMRI. There was a significant increase in blood oxygenation-level dependent (BOLD) signal in the brains of subjects who drank the cocoa, compared with subjects who did not. This may be due to either increased neuronal activity, or increased cerebral blood flow or both.

The authors suggest that cocoa flavanols have potential in the treatment of vascular impairment in the brain, including conditions such as dementia and stroke. (The effect of flavanol-rich cocoa on the fMRI response to a cognitive task in healthy young people. J Cardiovasc Pharmacol. 2006;47 Suppl 2:S215-20).

COCOA LOWERS BLOOD PRESSURE

A new meta-analysis suggests that blood pressure (BP) responds favorably to cocoa, but not tea. For their study, the authors conducted a literature search for randomized parallel group or crossover studies evaluating the effects of cocoa products or black or green tea.

They identified 10 studies that met their inclusion criteria. In the cocoa studies, cocoa consumption was typically via flavanol-rich chocolate in the range of 100g per day, while in the tea studies, consumption was in the range of four to six cups daily.

In the cocoa studies, systolic BP and diastolic BP dropped in the active group (by an average of 4.7 mm Hg and 2.8 mm Hg) respectively), as compared with controls, however, in the tea studies, no differences were seen between the two groups. (Effect of cocoa and tea intake on blood pressure: a meta-analysis. Arch Intern Med. 2007 Apr 9;167(7):626-34).

COCOA REDUCES MORTALITY FROM COMMON DISEASES

An observational study of the Kuna Indian tribe living on isolated islands off the coast of Panama suggests that a high intake of cocoa flavonoids can prevent death from a range of causes including heart disease, stroke, cancer and diabetes. Cause-specific death rates for 2000 to 2004 were compared between inhabitants of the mainland and the San Blas islands, where only Kuna live.

The results showed that on mainland Panama, cardiovascular disease was, as expected, the leading cause of death (83.4 age adjusted deaths/100,000) with cancer second (68.4). In contrast, the rate of CVD and cancer among island-dwelling Kuna was much lower (9.2) and (4.4) respectively. Similarly deaths due to diabetes mellitus were much more common on the mainland (24.1) than on the islands (6.6).

The Kuna drink a flavanol-rich cocoa as their main beverage, contributing more than 900 mg/day and thus probably have the most flavonoid-rich diet of any population.

Unfortunately for chocolate lovers, most naturally occurring flavanols are removed during the processing of cocoa beans. (Does flavanol intake influence mortality from nitric oxide-dependent processes? Ischemic heart disease, stroke, diabetes mellitus, and cancer in Panama. Int J Med Sci. 2007 Jan 27;4(1):53-8).

LIVER YANG RISING? ANGER CAUSES BLOOD TO RUSH TO THE HEAD

The traditional Chinese medical premise that anger provokes a rush of blood to the head has been proved by new research. Experiments in an American lab showed that blood flow to the brain increased significantly in people experiencing mental stress.

Fifty-eight volunteers, half healthy and half suffering from high blood pressure were put through a series of tasks designed to cause mental strain, including recalling moments where they felt anger, reading and arithmetic tests. Ultrasound imaging showed that arteries in the brain dilated when volunteers became stressed, causing a rush of blood to the head.

The researchers found that while mental stress caused carotid artery dilation and increased brain blood flow in all the healthy volunteers regardless of age, it produced no significant effect on those with high blood pressure. This lack of the necessary increase in brain blood flow during complicated mental tasks could affect a person's ability to think clearly. It is already known that inappropriate vasoconstriction, or lack of this dilatory reflex in response to mental stress, contributes to the development of myocardial ischemia in coronary heart disease.

This new study raises concerns that failure of the arteries in the brain to dilate during periods of mental stress could increase the risk of having a stroke. (Cerebrovascular mental stress reactivity is impaired in hypertension. Cardiovasc Ultrasound. 2009 Jul 3;7:32).

VETS’ ASSOCIATION RECOGNIZES ACUPUNCTURE’S EFFECTIVENESS

Acupuncture has been recognized as a valid method of treating animals by the American Veterinary Medical Association (AMVA). The AVMA's 2009 conference included lectures on the history and applications of acupuncture, as well as demonstrations of the technique on animals.

The conference heard that the earliest record of acupuncture’s veterinary use dates back to an Indian treatise on elephant acupuncture in 3000 BC. However, the first American textbook on veterinary acupuncture wasn't published until 1994. Papers on chiropractic treatment for animals were also presented at the conference. (American Veterinary Medical Association. http://www.avma.org/press/releases/090711_complementary_med.asp).

WHEN YOU EAT AS IMPORTANT AS WHAT YOU EAT

The Chinese belief that meal timing is important to health is being backed up by Western science. Animal experiments have revealed that the daily expression patterns of thousands of metabolic genes in the liver are more dependent on the timing of food intake than on the body's circadian clock, as previously thought.

The results of the US study suggest that the times at which eating and fasting occur each day have a huge impact on metabolism and may explain why shift workers are more prone to metabolic syndrome, diabetes, high cholesterol levels and obesity. (Time of feeding and the intrinsic circadian clock drive rhythms in hepatic gene expression. Proc Natl Acad Sci U S A. 2009 Nov 25. [doi: 10.1073/pnas.0909591106]).

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"Is Anyone Thinking?" Department

DO WE NEED MORE OVEREDUCATED, OVERPAID “MANAGERS”?

Parental responsibility is the cure for childhood obesity
Lose the weight, and these real diseases decrease

There are some situations where medical treatment can really make a difference, and the outcomes justify the extra expense of involving the most educated and trained professionals in our society.

In addition to the expense, it must also be pointed out that there is an “opportunity cost” whenever a physician is working. Simply put, using a doctor’s attention and effort in one area means that she will not be able to treat someone else, take care of herself, teach, or supervise other practitioners.

Physician time is a scarce resource, so it is important not to waste it with trivial matters, such as the thousands of man-hours wasted in playing the coding computer game that is presently required for doctors to be paid for their work.

One of the promises generated by the “evidence-based” trend in medical practice is that when a treatment is not effective, doctors should not be wasting their time promoting or offering it.

“Obesity”, in the minds of social engineers, is a condition that has somehow become a “disease”. Constant media prattle about the obesity “epidemic” has reinforced this mythology in the minds of both the public and the professional sector.

As a result, there is the development of thought that physicians should become trained as "obesity managers".

Unfortunately, the science is pretty clear. All of the extra weight that Americans have put on can be explained by increased consumption. Appetite, not hunger, is the mechanism.

Aside from the rare situations that a medical condition causes weight gain, or the slightly more common situation where a drug treatment increases appetite or disturbs metabolism, physicians are no more effective in reducing obesity than anyone else.

Almost all childhood obesity is simply the result of bad parenting. The fat parents of today are the indulged children of yesterday, and the cycle has now reached three generations. There will be no end in sight as long as our culture turns a blind eye to the fact that only parents are responsible for all of their children’s eating habits, as well as their own.

Doctors make expensive nannies and scolds, but if that is what America wants, the medical establishment seems happy to make as much money as government programs, do-gooder social progressives, and easily duped patients can pay out.

Nonetheless, there is no evidence that doctors obtain any better outcomes than weight loss centers, reduced calorie diets, personal trainers, or online psychics.

People who have lost weight the old fashioned way might be offended to be told they have a “disease”, or are part of an epidemic when these labels are fabricated for the purpose of scaring up taxpayer dollars for fat cat researchers. Even “celebrities” have found that only hard effort is required to reverse the blimp like proportions afflicting even these pampered upper class icons.

It is long past time for physicians to become honest and get out of the “obesity management” business. We have much too much important work to do where our expertise does make a difference to continue to waste our time, money and education on a fabricated “disease”.

TRUST THE EXPERTS (reposted from September, 2009; the advice remains valid for 2010)

Viruses don't care which entrance they use

Help is at hand for the embattled at the front lines of medical practice. A front page article from the September 14th, 2009 American Medical News reveals how mainstream practitioners should prepare for the coming flu season. "Those who don't prepare will quickly be overwhelmed", said John Fontanesi, Ph.D. and professor of medicine at the University of California, San Diego.

Scary stuff.

One of the cutting edge recommendations is to have nurses determine by phone if someone could "possibly have the virus" and then tell the patients to enter "by the back door".

The picture above was published with this article so that physicians could have an image of what this advanced strategy would look like.

Other useful advice is to keep patients at least 3 feet away from each other, and to post signs educating patients about respiratory hygiene and cough etiquette.

Unless you have a separate waiting room with laminar flow decontamination features, and a restroom with the same, I don't quite understand how coming in through a different door is going to make things safer. On keeping people 3 feet apart, I have no clue. But, expert advice is expert advice.

I'm not an expert, but I have treated a lot of people with viral syndromes over 29 years. As a result, here's my suggestion.

If you have a viral illness, don't go to the mainstream doctor's office at all. This doctor cannot treat the viral syndrome, and you are exposing yourself to other hazards in the waiting room with a lot of sick people. You may also be endangering those of them who are not infected, with your presence.

You are better off at home, even if all you have are folk remedies, than driving around while ill.

Now is the time to establish a relationship with a physician or practitioner who has the skills to guide you to the professional use of traditional medicines to treat viral syndromes.

These can be started and maintained at home, which avoids a trip to this doctor's waiting room as well. Sometimes acupuncture or moxibustion can be helpful.

The source of the medicines can be Chinese, Ayurvedic, Unani, West African, or chosen from many others, but your doctor should explain how and when to use the each formula or treatment before you become ill.

Ask if they have any suggestions on preventative actions you can take, and whether vaccination is appropriate.

They should also discuss with you the reasons you might have to be seen or hospitalized, and what symptoms should prompt a call to the office.

Preparation is key. Have a supply of the formulas or drugs at hand before a regional epidemic develops. Seasonal influenza can emerge very suddenly with severe symptoms and can last for several weeks when untreated.

It may also be wise to prepare for at least two weeks of medical, household supplies and water as it may be difficult to shop if you are ill. If many people are affected, some businesses, including groceries and gas stations may close. Hospitals and doctor's offices will also be affected if a pandemic develops.

The solution to increasing levels of infectious diseases is not to use a different door. It is to promote the medical relationships that create more effective strategies for treatment. Patients can be educated in skills that will enhance their likelihood of staying out of the doctor's office, as well as establishing better health.

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Press Releases

Culture of Fear Series

Talk To Strangers! Doctor Challenges Common Myth

Talk To Strangers! Teach Children Confidence, Not Fear

Doctors Study Magic to Transform Fear into Confidence

Magic for Medical Professionals Press Releases

Wizards Teach Medicine to Doctors

Doctor Challenges Medical Profession to Study Magic

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