Wednesday, September 17, 2014

Lake Health Blogs

In May 2011, Lake Health/University Hospitals Seidman Cancer Center installed a Toshiba Large Bore Aquilion Computed Tomography (CT) Simulator. The CT Simulator is designed for treatment planning in the Radiation Oncology department specifically and, therefore, the CT scans are not interpreted by a Radiologist.

Radiation Treatments consist of high-energy x-rays which are delivered to a well-defined target volume. The goal is to confirm the target volume to plan the appropriate amount of radiation dose with minimal doses to surrounding healthy tissues. These images are transferred to the Dosimetrist who creates a treatment plan for approval of the Radiation Oncologist.

Once this process is completed and verified, the patient is ready to receive radiation treatments. At any time during the process of radiation planning & treatment, should a diagnostic CT scan be required, this will be scheduled in the appropriate diagnostic Radiology Department.

 
on Aug 02, 2012

By focusing on the music within us, we can learn to look past our limitations, cope with stress, and relieve our pain.

How can listening to music help my personal wellness?

As you think about how to use music for your personal wellness, ask yourself the following questions:

  • What music energizes you?
  • What music helps you to relax? 
  • What music takes your mind away from your troubles? 
  • What music soothes your spirit?

Which musical selections came to mind?  Create a list of your preferred musical selections and group your favorites under the following titles: 

  • Energizing Music
  • Relaxing Music
  • Distracting Music
  • Soothing Music

Tips: Some of your music may belong in more than one category.  If nothing special comes to mind, pay attention to how you feel when you listen to music on the radio, television, or in a public place.

Now it’s time to collect your favorite music.  This may require a trip to your local public library or you may find the musical selections in your personal music collection.  Using the technology that is available to you - tape or CD recording, or downloading to your personal computer, iPod or MP3 player - create a playlist of each category of your special music. 
Tip: You may want to ask for help from a friend or family member.

Listen to your energizing music when you want to perk yourself up.  When you feel the need to calm yourself down, take slow, deep breaths while you enjoy the relaxing music.  Allow distracting music to take you away from your troubles when you feel overwhelmed by pain or worry, or play your soothing music to ease the discomfort.  Whenever you choose, let your music resound!

Do you want to learn more about how music can improve your health?  Lake Health offers inpatient and outpatient music therapy with board-certified music therapists.  Contact the Wellness Institute at: 440-375-8153

 
Susan E. Mandel, PhD, MT-BC on Jun 21, 2012

Approximately, 10-15% of couples have difficulty conceiving at some point in their reproductive lives and seek out a fertility specialist for treatment (Lancet 2002).  A commonly used procedure is IVF or “in vitro fertilization.’  IVF involves retrieving a woman’s egg, fertilizing the egg in the laboratory, and then transferring the embryo back into the woman’s uterus through the cervix.  Typically a woman takes a series of drugs to stimulate egg production for retrieval.  In 2003, over 120,000 treatments were performed in clinics in the United States.  According to Sterility 2006, in 2000, about 200?000 babies worldwide were conceived through in vitro fertilization.

Each cycle of IVF is very expensive, lengthy and very stressful.  New drugs have been developed to also improve success rates, however, only a few adjunctive procedures have been shown to really improve the success rate of IVF.  There have been many research studies which have shown that acupuncture improves the success rate of IVF, even as much as 60%.

Acupuncture has been around for thousands of years and has been used to regulate the female reproductive system for centuries.  How does Acupuncture work on fertility?  There are a few mechanisms for its effects on fertility: 

  1. Acupuncture mediates release of hormones and neurotransmitters which may stimulate the secretion of GnRH, and thus influencing the menstrual cycle, ovulation and fertility
  2. Increase blood flow to the uterus by decreasing sympathetic nervous system activity and increasing the thickness of the uterine lining.
  3. Decrease fight or flight response, relaxing the patient and reducing stress
  4. Improve the function of the ovaries to produce better quality eggs
  5. Strengthen the immune system

The treatment is typically 30 minutes and virtually painless.  Most patient’s state that the acupuncture treatments are very relaxing.  Our latest success is twin girls due in March 2012 by IVF and Acupuncture.

Acupuncture is widely accepted in the United States as an adjunct therapy with IVF due to the many successful research studies which have been completed. 

If you are interested in trying Acupuncture with IVF, call the Wellness Institute at Lake Health, TriPoint Physicians Pavillion 440-375-8153.

There are numerous studies which have demonstrated the effectiveness of acupuncture and infertility.  I have included some of them for your reference.

  1. Influence of Acupuncture on the pregnancy rate in patients who undergo assisted reproduction therapy: Paulus, et.al. Fertility and Sterility Vol: 77, No. 4, APRIL 2002
    This landmark study published in one of the most prestigious medical journals in reproductive medicine demonstrated that women undergoing acupuncture treatments had an increase in ongoing pregnancy rates of over 60%, compared to control subjects that did not receive acupuncture.
  2. Changes in serum cortisol and prolactin associated with acupuncture during controlled ovarian hyperstimulation in women undergoing in vitro fertilization–embryo transfer treatment. Magarelli, et al. Fertility and Sterility, 2009
    This Study examined the question of whether acupuncture improves pregnancy rates through stress reduction. The answer was that acupuncture significantly improves pregnancy rates, but not by reducing stress levels (as measured by cortisol and prolactin). Of particular interest in this study, however, was the fact that this particular acupuncture protocol doubled a woman's chances of maintaining her pregnancy. 
  3. Effects of acupuncture on rates of pregnancy and live birth among women undergoing in vitro fertilization: systematic review and meta-analysis: Manheimer E, et.al. British Medical Journal, 2008 Feb
    This was a meta-analysis looking at all the available, quality acupuncture research. When taking all factors into account the investigators found that "acupuncture increased the odds of clinical pregnancy by 65% compared with the control groups."
  4. Does Acupuncture Enhance a Woman's Chance for Pregnancy and a Live Birth? Athol Kent. Rev Obstet Gynecol. 2008 Spring; 1(2): 89.
    This is a review of the use of acupuncture for IVF. The author discusses a summary of the evidence and concludes that "the order of magnitude of improved outcomes [with acupuncture] is higher than more conventional adjunct maneuvers".
  5. ACUPUNCTURE PERFORMED BEFORE AND AFTER EMBRYO TRANSFER IMPROVES PREGNANCY RATES. D. B. Youran. Fertility and Sterility. September 2008 (Vol. 90, Pages S240-S241) This study used a different acupuncture protocol timed immediately before and immediately after the embryo transfers. They found a statistically significant increase in pregnancies. (55% clinical pregnancies in the acupuncture group versus 34% in the control group). There were also significantly less pregnancy losses (only 4% in the acupuncture group versus 23% loss in the control group).
  6. Clinical observation on acupuncture for treatment of infertility of ovulatory disturbance. Song et al. Zhongguo Zhen Jiu. 2008 Jan;28(1):21-3.
    This study compared acupuncture to Clomid and found that both induced the same effects on ovulation, however, in the acupuncture group, the pregnancy rate was higher and the miscarriage rate was lower.
  7. Impact of Acupuncture Before and After Embryo Transfer on the Outcome of In-Vitro Fertilization Cycles: A Prospective Single-Blind Randomized Study. M. R. Benson, et al. Fertility and Sterility. September 2006 (Vol. 86, Issue 3, Page S135)
    In this study they had a 10% increase in Clinical pregnancies in the acupuncture group. Not statistically significant but a trend toward increase in pregnancies.
  8. Acupuncture on the day of embryo transfer significantly improves the reproductive outcome in infertile women: a prospective, randomized trial: Westergaard LG, et.al. Fertility and Sterility 2006 Apr 4 This study once again demonstrates that properly applied acupuncture results in IVF ongoing pregnancy increases of over 60%.
  9. Influence of acupuncture stimulation on pregnancy rates for women undergoing embryo transfer.: Smith C, et.al. Fertility and Sterility 2006 Apr 4
    This study examined 228 IVF patients. The group that received true acupuncture showed improvements in ongoing pregnancies of over 50% compared to subjects that received a sham acupuncture treatment. This is very clinically significant, though it did not rise to the level of statistical significance.
  10. Influence of Acupuncture on the pregnancy rate in patients who undergo assisted reproduction therapy: Paulus, et.al. Fertility and Sterility Vol: 77, No. 4, APRIL 2002
    This landmark study demonstrated that women undergoing acupuncture treatments had an increase in ongoing pregnancy rates of over 60%, compared to control subjects that did not receive acupuncture.
 
Susan M. Kim DC, CCN, CSCS on Feb 28, 2012

National Breast Cancer Awareness Month is an opportunity to promote screening and early detection of breast cancer.

Roughly 1 in 8 women in the United States will get breast cancer. Next to skin cancer, breast cancer is the most common kind of cancer in women.

Symptoms of breast cancer may include:

  • A lump in the breast
  • A change in size, shape, or feel of the breast
  • Fluid (called “discharge”) from a nipple

You have a better chance of surviving breast cancer if it’s found early. Talk to a doctor about your risk for breast cancer, especially if breast or ovarian cancer runs in your family. Your doctor can help you decide when and how often to get a mammogram.

Lake Health Urges Women to Schedule Their Yearly Mammogram

Quick Guide to Healthy Living

Personal Health Tools

More Information (Health A-Z)

Resources

Source:  Healthfinder.gov

The Lake Health Resource Center hours vary Monday-Friday between TriPoint Medical Center and West Medical Center. Voicemail and e-mail are available 24 hours a day, 7 days a week. Please call before visiting to ensure staff availability.

E-mail: library@lakehealth.org
Telephone with voicemail: 440-639-4387
FAX: 440-354-1916 or 440-953-6297

If your request is urgent, call the Lake Health Resource Center to ensure staff availability!

TriPoint Medical Center - Physician Pavilion
7590 Auburn Rd.
Concord Twp, Ohio 44077

West Medical Center
36000 Euclid Avenue
Willoughby, Ohio 44094

 
Library on Oct 12, 2011

The Lake Health Resource Center/Library is proud to announce the start of the Laptop Lending program!  The pilot project began at West Medical Center on Monday, September 12, 2011.  Lake Health patients, families and visitors (18 years or older) may borrow a laptop for up to 4 hours while at West Medical Center from the Resource Center. 

Patients and family members call the Resource Center at ext.33123 to request a laptop.  If Resource Center Staff is unavailable, patients are directed to ask their nurse to contact a Nursing Supervisor to obtain a laptop.  Four laptops are available for the pilot project. If the pilot project is successful, additional laptops will be purchased and the program will be implemented at TriPoint Medical Center.

The purpose of the program is to help our patients stay in touch with family and friends by email, Facebook, Skype, etc., keep up with work or school, watch DVDs or listen to CDs or play games, or search the Internet for good health information. 

The Lake Health Resource Center hours vary Monday-Friday between TriPoint Medical Center and West Medical Center. Voicemail and e-mail are available 24 hours a day, 7 days a week. Please call before visiting to ensure staff availability.

E-mail: library@lakehealth.org

Telephone with voicemail: 440-639-4387

FAX: 440-354-1916 or 440-953-6297

If your request is urgent, call the Lake Health Resource Center to ensure staff availability!

TriPoint Medical Center - Physician Pavilion
7590 Auburn Rd.
Concord Twp, Ohio 44077

West Medical Center
36000 Euclid Avenue
Willoughby, Ohio 44094

 
Library on Sep 28, 2011

Every September, Fruit and Veggies – More Matters Month promotes the health benefits of eating fruit and vegetables.

Fruit and vegetables are an important part of a healthy diet that can help protect you from:

  • Heart disease
  • Bone loss
  • Type 2 diabetes
  • High blood pressure
  • Some cancers, such as colorectal cancer

Quick Guide to Healthy Living

Personal Health Tools

More Information (Health A-Z)

Resources

The Lake Health Resource Center hours vary Monday-Friday between TriPoint Medical Center and West Medical Center. Voicemail and e-mail are available 24 hours a day, 7 days a week. Please call before visiting to ensure staff availability.

E-mail: library@lakehealth.org

Telephone with voicemail: 440-639-4387

FAX: 440-354-1916 or 440-953-6297

If your request is urgent, call the Lake Health Resource Center to ensure staff availability!

TriPoint Medical Center - Physician Pavilion
7590 Auburn Rd.
Concord Twp, Ohio 44077

West Medical Center
36000Euclid Avenue
Willoughby, Ohio 44094

Source:  Healthfinder.gov

 

 
Library on Sep 14, 2011

You may have read the headlines awhile back in your local newspaper.  Obesity is contagious.

Based on data emerging from several large scale clinical studies, researchers announced that those of us who socialize with, or live with those who are obese have the tendency to "catch" it, making obesity into a sort of fatty measles.

This news made all the major papers and media outlets and of course led to the obvious and unfortunate conclusion that obese people were to be avoided just as we might give those with strep throat a wide berth.  As with many pieces of research that are trumpeted with great fanfare, this one is now being called into question.  Unfortunately, the media spotlight rarely catches up with the reviews and criticisms that occur after an announcement is made.

A  recent article in the New York Times  pointed out the shortcomings of this research.  Basically, it's extremely difficult to separate contagion from other phenomena.  Perhaps overweight people tend to cluster together because they choose friends who have similar lifestyles or because watching the behaviors of close friends and family tends to normalize those behaviors in their minds, making them more acceptable. 

The jury is out. 

However, I think that this controversy gives me the perfect opening to discuss one of my favorite related phenomena:  the fact that those who develop new, healthy, lifestyles seem to have a strong influence on those around them.  In fact, a large percentage of my successful patients report that someone in their life,  a spouse, friend, or child, will have lost significant weight and changed behaviors as a result of watching their progress.

I call this the Tag-a-Long Phenomenon and I believe it demonstrates the same principles documented by the researchers on obesity contagion:  but in reverse. 

A friend of mine developed an autoimmune disease and was overweight.  As a result of knowing and observing me, she adopted a grain-free diet and became a 90% Primarian.  She lost all of her excess weight and had a marked decrease in the symptoms of her disorder (which had reached the point where she was about to begin steroid treatment).  About a year later, her overweight son adopted the same diet and normalized his weight.  Sometime after that, her husband, who had been highly skeptical of dietary change, began to eat the same way.

Our practice treated a man who had been told he needed gastric bypass to control a new case of diabetes.  After losing all of his weight and becoming a Primarian eater, his wife came to us for similar treatment.  We then treated their children.  Friends who knew the family turned out to have been influenced by their results.  Some came to us and some adopted similar eating principles on their own.  This single man's food conversion has now effected upwards of a dozen people.

We work with the president of a major company.  After losing significantly and becoming a runner and primarily Primarian eater,  our patient noticed that members of his management team began to show similar inclinations.  One became a marathoner and others lost and maintained weight.  The change in their lives has led to an interest in new programs and healthy initiatives throughout the company.

What is contagion?  In my view, its definition is clinically unimportant when it comes to behaviors.  Whether we call it contagion, influence, or modeling, it is obvious is that human beings closely observe one another and learn from what they see.  If eating too much is the norm in your circle, it will be harder to avoid it.  However, if you make the effort to be someone who changes and has a true shift in belief and behavior, there will be many people around you who will watch and perhaps mimic your efforts.

Because behaviors get into the cultural atmosphere and have the ability to spread "virally",  it is important to create an environment that values health more and relies on medicines less.  We all have a bit of the lemming in us.  But given the chance, it's as easy to follow the one who's ascending to the mountaintop as it is to pursue the one who's headed off the cliff.

 
on Aug 22, 2011

Transformative Principle #4: Release the Death Grip, Restore the Humor

These Transformative Principles are part of a series on achieving permanent health change that began on March 21.  The "principles" are not meant to be gospel.  They are simply thoughts of mine that are based on observation of successful maintainers, personal experience and--to some degree-- my own conjecture.  I hope they provide some food for thought as you continue your own quest for health transformation.

It seems to me that many people who are trying to transform have the feeling that they are holding on for dear life.  It's not uncommon for maintainers to write about their "white-knuckled grip" on new behaviors.  Constant vigilance, which is necessary

What strange beings we are.  Here we are trying to accomplish something that must rank up there with one of the most difficult challenges in the world, yet we don't want to give ourselves any credit for the attempt.  Only success will do.  We find ourselves clawing at perfection and hating ourselves for failure. 

Transformation is a process of shaping; of getting closer with each new try.   I once had a friend whose child was having many difficulties.  She told me that a psychologist had described her child's trajectory by comparing it to the course of an airplane.  A plane doesn't actually fly in a straight line, the therapist had said. At any given moment, it veers off course a bit with the prevailing winds.  It goes slightly too high, slightly too low, this way and that, and then corrects.  The point is that it eventually gets to its intended landing spot. 

Health transformation won't work if you allow each deviation to provide a reason to quit.  If you give up because you get blown off the path, the journey stops there.  But since deviations in the trajectory are normal to development, it does us no particular good to grip the process with clenched hands.  Relax.
Remember to laugh. 

In my book, I write about intensity.  I talk about being a "warrior" and being "tough, not moderate" in your approach to transformation.  I still believe in those principles and I will write about them later in this series.  But let me add another analogy, this one from the tennis world.  (I really like analogies!)

My tennis coach was recently teaching me how to hit a volley.  The volley is a shot that's hit directly at you when you are standing up at the net.  Because you are so far forward in the court, that shot comes at you fast.  You must block the ball with your racquet quickly to avoid getting hit right in the nose.  It's scary standing up there with someone on the other side gunning for you.  As a beginner, your tendency is to hold onto the racquet for dear life.  Your hands are clenched so tightly that they can hardly move.  Your eyes look like saucers.  Your jaw is tight.  All the muscles in your body are tensed with anticipation.  There's only one problem.  As soon as you tighten up, you can't react to the ball.  So my teacher taught me a technique.  Keep everything loose and relaxed.  Force yourself.  As the ball approaches, THAT is the time to squeeze the racquet using a firm grip.  Relax.  React.  Firm Up.

And when the ball hits you in the nose, shake your head and laugh at your imperfect game.  Once, just a few years ago, you couldn't even contact the ball with your racquet.
You can be tough, determined, in fact a better warrior if you learn to relax.  You're on a journey.  It's strange, funny, human, and beautiful. Enjoy the ride.

 
Dr. Barbara Berkeley on Apr 15, 2011

These Transformative Principles are part of a series on achieving permanent health change that began on March 21.  The "principles" are not meant to be gospel.  They are simply thoughts of mine that are based on observation of successful maintainers, personal experience and--to some degree-- my own conjecture.  I hope they provide some food for thought as you continue your own quest for health transformation.

Transformative Principle #3:  Find Others Who Have Transformed

Many of my maintenance patients seem to relate to the following analogy: 

Everyone you know is having a great time swimming in the ocean.  The only problem is that the ocean is terribly polluted.  Large blobs of chocalatey brown oil are bobbing all over the surface. People are swimming in it, swallowing it and inhaling the fumes, yet they claim they are enjoying themselves. You see this going on and become increasingly concerned about the danger.  Suddenly, you see a beautiful island.  Exhausted from the drag of the oily sea, you pull yourself up onto the shore.  Like a pelican in the gulf, you are coated in oil.  You set the work on the laborious task of cleaning it all off.  Finally, spent but relieved, you turn to look at the beautiful place where you've found rescue.  There's only one problem: you are all alone on the island. 

Almost everyone who tries to accomplish transformation feels like the odd-man out.  Eating mindlessly while complaining about health and weight is a cultural norm.  We are social beings and living life in another permutation ostracizes us to some degree.  It becomes increasingly difficult to avoid the pressure to return to the fold.

Successful transformation is infinitely easier if your island is populated.  Thanks to the internet, this is a lot easier to do now.  After losing over 100 pounds, Lynn began a chat room relationship with a group of women who call themselves "The Maintaining Divas".  Years into the process, they remain close and even travel to reunions so they can talk face to face.

One of the best pillars for transformation is having another like-minded person in your household.  Generally, this is a spouse or significant other.

 
Dr. Barbara Berkeley on Apr 14, 2011

These Transformative Principles are part of a series on achieving permanent health change that began on March 21.  The "principles" are not meant to be gospel.  They are simply thoughts of mine that are based on observation of successful maintainers, personal experience and--to some degree-- my own conjecture.  I hope they provide some food for thought as you continue your own quest for health transformation. 

Transformative Principle #2: Transformation requires re-engaging with your body.

As people gain weight, they often create a separation between themselves and their bodies. The mirror may become their enemy.  Clothes that define their shape may be passed over in favor of garments that conceal. They may not want to exercise because they are afraid of how they may look.

It's surprisingly easy to live entirely in your head, blocking out not only visuals but the messages that your body is sending.  Modern medicine is a terrific thing, but sometimes we cede control to doctors as a way of further distancing ourselves from our own physical aspect.  It's easier to have a cortisone injection in your knee than to heal that knee yourself.  It's scientific and unemotional to swallow cholesterol medicine.  It's messy to look at the way you've been eating and try to turn it off.

Those who have undergone transformation still see their flaws.  They may not like them  (see Lynn's piece on The Green House), but they are looking and they are connected.

Transformation is about wanting to take care of yourself in a deep and permanent way.  It's impossible to care for something that remains shrouded from view.  So start looking.

I don't believe in platitudes like "You need to learn to love yourself" or "You just need to do more for YOU".  Wanting to transform is not a switch you can flip from off to on.   Working on inhabiting the part of you that lies below your collar bones is part of the long and scary process of changing.

This is where physical activity can be very helpful.  Movement, exercise, things that force the body into action put you into direct communion with your muscles, bones and organs.  This part of the transformation prescription need not be strenuous.  It might be Tai Chi, walking in the park, or slow stretchy yoga. It might be quiet meditation with deep, complete breathing.  It might be private time with a "Sweatin' to the Oldies" DVD.  Or it might simply be more time looking at yourself and passing over your faults in favor of reminding yourself of your body's amazing potential for rebuilding and recovery. 

E.M. Forster begins his celebrated novel Howard's End with a single phrase…."Only connect….."  The meaning of these words has been debated ever since the book's publication.  Some think it refers to the inability of certain characters to relate to other people.  Whatever it's intended meaning, it remains an emblem of Forster.  These two words shimmer because we all understand that we are nothing without connection: whether it is with our friends, our children, our spouses, or our world.  And that connection begins with an appreciation for our very selves and for the bodies  that have been gifted to us.  Connect with that body and it can begin to heal.

 
Dr. Barbara Berkeley on Apr 13, 2011