tag:blogger.com,1999:blog-67559841937671111962024-02-06T22:16:25.036-06:00creating optimal health through integrationKelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.comBlogger25125tag:blogger.com,1999:blog-6755984193767111196.post-16688192613876684962012-09-26T14:54:00.001-05:002012-09-26T14:54:19.495-05:00Potent Berries for Eye Health<br />
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<span style="font-family: Georgia, 'Times New Roman', serif; line-height: 115%;">Bilberry, known as
Vaccinium myrtillus, is a shrubby perennial plant one to two feet in height and
can be found in the mountains and forests of Europe and the northern United
States. </span><span style="font-family: Georgia, 'Times New Roman', serif; line-height: 115%;">The
berries and leaves are used medicinally, but the berries have been found to be
most beneficial for eye health. Historical uses include military soldiers in
the field that ate the jam of the berries to help with night vision. The sweet
and tart tasting berries of the plant are commonly used in supplements and
tinctures. The berries contain vitamin C and anthyocyanins, giving them potent
anti-oxidant and anti-inflammatory benefits.</span></div>
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<span style="font-family: Georgia, 'Times New Roman', serif; line-height: 115%;"><br /></span></div>
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<span style="line-height: 115%;"><span style="font-family: Georgia, Times New Roman, serif;">Common eye concerns
include glaucoma and cataracts. Glaucoma is a condition that damages the optic
nerve that sends signals from the eye to the brain. It is the second leading
cause of blindness in the United States. The condition is a result of increased
intraocular pressure (IOP) in the eye. Depending on the reason for the increased
IOP, the condition can be asymptomatic or can cause symptoms such as pain in
the eye, cloudy vision, nausea or vomiting, halos around light, or a swollen
feeling. Visual deficits are usually in the peripheral fields. The best way to
diagnose glaucoma is with an eye exam and a series of testing to check not only
for eye pressure changes, but for other signs of damage. <o:p></o:p></span></span></div>
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<span style="line-height: 115%;"><span style="font-family: Georgia, Times New Roman, serif;"><br /></span></span></div>
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<span style="line-height: 115%;"><span style="font-family: Georgia, Times New Roman, serif;">Cataracts are common in
the aging population. The lens of the eye becomes clouded, causing blurry
vision, colors that appear faded, glaring, impaired night vision, and double
vision. Compared to glaucoma, the blurring usually occurs in the central line
of sight. Changes take place slowly over time. People with metabolic disorders
and unstable blood sugar, such as diabetes, are especially at risk for
developing cataracts. <o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="line-height: 115%;"><span style="font-family: Georgia, Times New Roman, serif;"><br /></span></span></div>
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<span style="line-height: 115%;"><span style="font-family: Georgia, Times New Roman, serif;">Bilberry helps the eye
by strengthening collagen cross linking and increasing the integrity of the
vascular system. It is also anti-oxidant
leading to decreased damage to the vascular system generated by free radicals.
One recent study published by researchers in Japan, found that anthocyanin-rich
<span class="highlight">bilberry</span> extract has a protective effect on visual
function during retinal inflammation. They also found that <span class="highlight">bilberry</span> extract prevented the impairment of ocular
photoreceptor cell function. <o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="line-height: 115%;"><span style="font-family: Georgia, Times New Roman, serif;"><br /></span></span></div>
<div class="MsoNormal">
<span style="line-height: 115%;"><span style="font-family: Georgia, Times New Roman, serif;">The berries reduce
damage to the vascular supply to the eyes and are utilized to treat cataracts. Significant
improvements have been seen with both diabetic retinopathy, damage to the
retina as a result of diabetes, and hypertensive retinopathy, damage to the
retina as a result of high blood pressure, in patients supplemented with
Vaccinium extracts. One specific study examined
patients taking 115 mg anthocyanins per day for one month and found beneficial
improvements in eye health. <o:p></o:p></span></span></div>
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<span style="line-height: 115%;"><span style="font-family: Georgia, Times New Roman, serif;"><br /></span></span></div>
<div class="MsoNormal">
<span style="line-height: 115%;"><span style="font-family: Georgia, Times New Roman, serif;">Bilberry is generally
safe, but should be discussed with a healthcare professional. Bilberry is in
the same family as other commonly consumed berries such as blueberries and
cranberries. Stock up on berries this fall and eat your way to better eye
health! </span></span><span style="font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></div>
Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-68218755534671543872012-08-15T20:25:00.000-05:002012-08-15T20:25:11.800-05:00Outsmart Your Genetics
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<span style="font-size: small;">Our
brains are wired to perform very important tasks, some that we control
consciously and some unconsciously. When it comes to brain health,
addictions can be a difficult problem to correct. The American Society of
Addiction Medicine issued a policy statement that defines
addiction as "a primary, chronic disease of brain reward, motivation,
memory and related circuitry." This is not a novel statement based on decades
of research that have been spent studying addiction. The new definition does,
however, bring to light the fact that addiction may not be a matter of simple
self- control. The statement defines addiction as a disease, just as any other
brain, heart, musculoskeletal or other organ functional problem may be defined.
If addiction were simply a matter of will power, there may be more success
stories of smoking cessation, ending bad eating habits or giving up alcohol
addictions. Not many people want or choose to be controlled by these
substances, but somehow they are. The statement also defines characteristics of
addiction that may include inability to consistently abstain, impairment in
behavioral control, a craving for drugs or other substances, diminished
recognition of significant problems with behaviors or relationships and a
dysfunctional emotional response. </span></div>
<div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif; line-height: normal; margin-bottom: 0.0001pt;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-size: small;"><span>What substances or behaviors can be
addicting? Drugs (illegal or prescription), alcohol, gambling, shopping and
food are considered common addictives. Perhaps the increasing epidemic of
obesity may be somewhat related to a food addiction. Food is often used as a
motivator or source pleasure as opposed to being considered a fuel for the
body. According to Dr. Mark Hyman, a leading expert on functional medicine,
industrially processed, sugar-, fat- and salt-laden food, food that is made in
a plant rather than grown on a plant is biologically addictive. Not many folks
would eat a 2 pound bag of broccoli or a 5 pound bag of apples. But imagine a
bag or potato chips, a plate of cookies, or an extra large pizza? The latter is
easy to see vanishing unconsciously. Broccoli is not addictive, but chemically
processed and refined foods will train our brain to unconsciously crave and
consume them to excess. </span></span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif; margin: 0in 0in 0.0001pt;">
<span style="font-size: small;"><span>The research also points to genetic factors as a reason for addiction. The
likelihood that an individual will become addicted can be accounted for by
genetics in approximately fifty percent of cases. This implies that if a person
has a known family history of addictive behavior, they can be aware of their
resulting risk and work to modify their genetic tendency by changing things
like environmental influences and life experiences. Changing environmental
influence may mean relocating to an area without emotional triggers, avoiding
specific activities that cause addictive behaviors and focusing on creating
positive life experiences that are free of potential habit forming substances. A
comparison can be drawn between family history of cardiovascular disease and
family history of alcoholism. A person may decide to modify diet and lifestyle,
go for regular cholesterol checks and take medicines or supplements to lower
cardiovascular risk. We wouldn’t want this person eating fast food every day,
living a sedentary lifestyle, and avoiding regular doctor visits. The same goes
for a family history of alcoholism. A person may focus on a diet and lifestyle
that avoids activities and situations where drinking alcohol is a form of
entertainment, motivation and reward. They may instead choose to focus on other
activities of motivation and reward such as creative projects, recreation, or
other activities that can be enjoyed socially, without potential addiction
concerns. </span></span></div>
<div style="font-family: Georgia,"Times New Roman",serif; margin: 0in 0in 0.0001pt;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif; margin: 0in 0in 0.0001pt;">
<span style="font-size: small;"><span>Unfortunately,
re-wiring the brain and changing genetic tendencies can be a process. Recognizing
genetics and current habits is a way to start considering the risk for
addiction. For those struggling with addiction, having the support of friends,
family and loved ones can be a critical element of recovery. There are also
many support groups available for individuals and friends and family members of
those struggling with addiction. </span></span></div>
Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-77770894553411192342012-07-05T16:14:00.000-05:002012-07-05T16:14:13.871-05:00Potato Chip Study<!--[if gte mso 9]><xml>
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<![endif]--><span style="color: #4c4c4c; font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">A pdf of the study is posted at </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><a href="http://www.foodpolitics.com/wp-content/uploads/NEJMoa1014296.pdf" target="_blank"><span style="color: #16579d; font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">www.foodpolitics.com/wp-content/uploads/NEJMoa1014296.pdf</span></a></span><span style="color: #4c4c4c; font-family: "Arial","sans-serif"; font-size: 9pt;"> </span></div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-89520996512068592312012-03-12T17:04:00.000-05:002012-03-12T17:04:45.217-05:00Spring Forward to Seasonal Allergies<div class="MsoNormal"><span style="font-family: Georgia, 'Times New Roman', serif;">Allergies can be year round or seasonal. In the <st1:place w:st="on">Midwest</st1:place>, the first major allergy reaction season begins when trees begin to release pollen. Trees with little or no visible flower actually release the highest amount of pollen because they rely on wind rather than insects for pollination. Another source of potential allergens is in the form of fungal spores. Spores are high all times of the year when there is no snow cover. Other allergens include grasses or crops in more rural areas. </span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Georgia, 'Times New Roman', serif;">Why do some people react to common allergens and others don’t? It has to do with genetics and immune system tolerance. Having certain types of immune cells in the body can help shift the response. The body’s immune system can be supported in a variety of ways! The gastrointestinal tract makes up a whopping 60-80% of the mechanisms responsible for immune response and therefore supporting gut function is of particular importance when combating allergies. </span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Georgia, 'Times New Roman', serif;">Easy steps to take to reduce exposure include using a dehumidifier to reduce humidity and reduce indoor allergens such as dust mites or mold spores. Also reducing the number of dust collecting items in the home like carpets, curtains, cloth furniture can be beneficial. Removing shoes in the home is another way to keep outdoor allergens away. </span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-family: Georgia, 'Times New Roman', serif;">There are many natural alternatives to the common over the counter meds that most folks turn to for relief. Options can include dietary modification, supplementation, plant medicines or even homeopathy. One particular supplement that I have used with success is Quercetin. Dosing depends on the person but it generally well tolerated. Combine this nutritional supplement with dietary change and gut support and most of my allergic patients can finally get relief for the spring and fall. With naturopathic medicine, there is no “one size fits all” approach for allergies! So put a little more spring in your step this allergy season and find a natural alternative and lasting solution to allergies. </span></div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-5848435810707874562012-01-11T15:09:00.001-06:002012-01-12T11:33:31.849-06:00Hormone Balancing Act<span style="font-family: Georgia,'Times New Roman',serif;">One of the most frequent concerns I've seen in my office within the past few weeks is that of weight gain. The new year has (once again) prompted people to seek help with one of the most common New Years resolutions-- lose weight! </span><br />
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</span><br />
<span style="font-family: Georgia,'Times New Roman',serif;">I have successfully helped many folks lose weight over the years. There are some key factors that I have found that need to be modified before weight loss can be successful and maintained for the long term. </span><br />
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<span style="font-family: Georgia,'Times New Roman',serif;"><b>Stress reduction!</b> Stress does not just come from work, your boss or driving in traffic. Inflammation in the body, chronic disease, excessive worry or emotional problems, or environmental toxins are all perceived by the body as stress. Some develop coping mechanisms to stress and some become chronically maladapted to stress leading to imbalances in cortisol. Stress reduction techniques such as yoga, tai chi, breathing or meditation, and massage can all be useful strategies. It is important, however, to measure the amount of cortisol that the body is making in order to support underlying imbalances. </span><br />
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<span style="font-family: Georgia,'Times New Roman',serif;"><b>Sex Hormones! </b>The hormones estrogen, progesterone and testosterone play an important role in both males and females. In both men and women, estrogen excess is often to blame for inability to lose weight. Estrogen excess can come from many sources in our environment. Certain foods can mimic estrogen (soy), pesticides used on non- organic foods can disrupt sex hormones, and plastics (BPA specifically) can also have estrogen like effects.Many women have a history of or are currently taking birth control pills-- which puts excess estrogen into the body on a daily basis! </span><br />
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<span style="font-family: Georgia,'Times New Roman',serif;"><b>Thyroid!</b> The thyroid is often blamed for weight problems, although treating the thyroid alone often does not lead to weight loss. Thyroid health can be supported by a variety of methods and in combination with sex hormone and adrenal hormone support can optimize weight loss results. </span><br />
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<span style="font-family: Georgia,'Times New Roman',serif;">As you can see, weight loss can be more than just diet and exercise. A comprehensive hormonal evaluation can uncover underlying causes of weight can and be the first step on the road to weight loss. </span><br />
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<span style="font-family: Georgia,'Times New Roman',serif;">Happy New Year!</span><br />
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</span>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-80189117160848134862011-12-12T16:35:00.000-06:002011-12-12T16:35:17.674-06:007 Foods to NEVER Eat<div style="font-family: Georgia,"Times New Roman",serif;">I saw this article shared on many of my friends Facebook profiles and hope that you too had a chance to read the post which was actually published in Prevention Magazine. It was such a good foundation to "food rules" as I call them, that I thought it would be worth sharing. In my mind, food rules are things that you just agree with yourself to not do. One of my main food rules is: no high fructose corn syrup. If I read a label and its in there, I wont buy or eat it. For me its a simple way to be able to make good choices. I am now considering adding some of these to my "food rules" category: </div><div style="font-family: Georgia,"Times New Roman",serif;"></div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
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</style> <![endif]--> </div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><a href="http://www.foxnews.com/health/2011/12/01/7-foods-should-never-eat/" target="_blank">7 Foods You Should Never Eat</a></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">1. The Endocrinologist Won't Eat: Canned Tomatoes</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Fredrick Vom Saal, is an endocrinologist at the University of Missouri who studies bisphenol-A.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The problem: The resin linings of tin cans contain bisphenol-A, a synthetic estrogen that has been linked to ailments ranging from reproductive problems to heart disease, diabetes, and obesity. Unfortunately, acidity (a prominent characteristic of tomatoes) causes BPA to leach into your food. Studies show that the BPA in most people's body exceeds the amount that suppresses sperm production or causes chromosomal damage to the eggs of animals. "You can get 50 mcg of BPA per liter out of a tomato can, and that's a level that is going to impact people, particularly the young," says vom Saal. "I won't go near canned tomatoes."</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The solution: Choose tomatoes in glass bottles (which do not need resin linings), such as the brands Bionaturae and Coluccio. You can also get several types in Tetra Pak boxes, like Trader Joe's and Pomi.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Budget tip: If your recipe allows, substitute bottled pasta sauce for canned tomatoes. Look for pasta sauces with low sodium and few added ingredients, or you may have to adjust the recipe.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">2. The Farmer Won't Eat: Corn-Fed Beef</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Joel Salatin is co-owner of Polyface Farms and author of half a dozen books on sustainable farming.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The problem: Cattle evolved to eat grass, not grains. But farmers today feed their animals corn and soybeans, which fatten up the animals faster for slaughter. But more money for cattle farmers (and lower prices at the grocery store) means a lot less nutrition for us. A recent comprehensive study conducted by the USDA and researchers from Clemson University found that compared with corn-fed beef, grass-fed beef is higher in beta-carotene, vitamin E, omega-3s, conjugated linoleic acid (CLA), calcium, magnesium, and potassium; lower in inflammatory omega-6s; and lower in saturated fats that have been linked to heart disease. "We need to respect the fact that cows are herbivores, and that does not mean feeding them corn and chicken manure," says Salatin.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The solution: Buy grass-fed beef, which can be found at specialty grocers, farmers' markets, and nationally at Whole Foods. It's usually labeled because it demands a premium, but if you don't see it, ask your butcher.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Budget tip: Cuts on the bone are cheaper because processors charge extra for deboning. You can also buy direct from a local farmer, which can be as cheap as $5 per pound. To find a farmer near you, search eatwild.com.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">3. The Toxicologist Won't Eat: Microwave Popcorn</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Olga Naidenko, is a senior scientist for the Environmental Working Group.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The problem: Chemicals, including perfluorooctanoic acid (PFOA), in the lining of the bag, are part of a class of compounds that may be linked to infertility in humans, according to a recent study from UCLA. In animal testing, the chemicals cause liver, testicular, and pancreatic cancer. Studies show that microwaving causes the chemicals to vaporize--and migrate into your popcorn. "They stay in your body for years and accumulate there," says Naidenko, which is why researchers worry that levels in humans could approach the amounts causing cancers in laboratory animals. DuPont and other manufacturers have promised to phase out PFOA by 2015 under a voluntary EPA plan, but millions of bags of popcorn will be sold between now and then.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The solution: Pop natural kernels the old-fashioned way: in a skillet. For flavorings, you can add real butter or dried seasonings, such as dillweed, vegetable flakes, or soup mix.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Budget tip: Popping your own popcorn is dirt cheap. </div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">4. The Farm Director Won't Eat: Nonorganic Potatoes</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Jeffrey Moyer is the chair of the National Organic Standards Board.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The problem: Root vegetables absorb herbicides, pesticides, and fungicides that wind up in soil. In the case of potatoes--the nation's most popular vegetable--they're treated with fungicides during the growing season, then sprayed with herbicides to kill off the fibrous vines before harvesting. After they're dug up, the potatoes are treated yet again to prevent them from sprouting. "Try this experiment: Buy a conventional potato in a store, and try to get it to sprout. It won't," says Moyer, who is also farm director of the Rodale Institute (also owned by Rodale Inc., the publisher of Prevention). "I've talked with potato growers who say point-blank they would never eat the potatoes they sell. They have separate plots where they grow potatoes for themselves without all the chemicals."</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The solution: Buy organic potatoes. Washing isn't good enough if you're trying to remove chemicals that have been absorbed into the flesh.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Budget tip: Organic potatoes are only $1 to $2 a pound, slightly more expensive than conventional spuds.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">5. The Fisheries Expert Won't Eat: Farmed Salmon</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Dr. David Carpenter, director of the Institute for Health and the Environment at the University at Albany, published a major study in the journal Science on contamination in fish.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The problem: Nature didn't intend for salmon to be crammed into pens and fed soy, poultry litter, and hydrolyzed chicken feathers. As a result, farmed salmon is lower in vitamin D and higher in contaminants, including carcinogens, PCBs, brominated flame retardants, and pesticides such as dioxin and DDT. According to Carpenter, the most contaminated fish come from Northern Europe, which can be found on American menus. "You could eat one of these salmon dinners every 5 months without increasing your risk of cancer," says Carpenter, whose 2004 fish contamination study got broad media attention. "It's that bad." Preliminary science has also linked DDT to diabetes and obesity, but some nutritionists believe the benefits of omega-3s outweigh the risks. There is also concern about the high level of antibiotics and pesticides used to treat these fish. When you eat farmed salmon, you get dosed with the same drugs and chemicals.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The solution: Switch to wild-caught Alaska salmon. If the package says fresh Atlantic, it's farmed. There are no commercial fisheries left for wild Atlantic salmon.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Budget tip: Canned salmon, almost exclusively from wild catch, can be found for as little as $3 a can.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">6. The Cancer Researcher Won't Drink: Milk Produced With Artificial Hormones</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Rick North is project director of the Campaign for Safe Food at the Oregon Physicians for Social Responsibility and former CEO of the Oregon division of the American Cancer Society.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The problem: Milk producers treat their dairy cattle with recombinant bovine growth hormone (rBGH or rBST, as it is also known) to boost milk production. But rBGH also increases udder infections and even pus in the milk. It also leads to higher levels of a hormone called insulin-like growth factor in milk. In people, high levels of IGF-1 may contribute to breast, prostate, and colon cancers. "When the government approved rBGH, it was thought that IGF-1 from milk would be broken down in the human digestive tract," says North. As it turns out, the casein in milk protects most of it, according to several independent studies. "There's not 100 percent proof that this is increasing cancer in humans," admits North. "However, it's banned in most industrialized countries."</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The solution: Check labels for rBGH-free, rBST-free, produced without artificial hormones, or organic milk. These phrases indicate rBGH-free products.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Budget tip: Try Wal-Mart's Great Value label, which does not use rBGH.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">7. The Organic-Foods Expert Won't Eat: Conventional Apples</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Mark Kastel, a former executive for agribusiness, is codirector of the Cornucopia Institute, a farm-policy research group that supports organic foods.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The problem: If fall fruits held a "most doused in pesticides contest," apples would win. Why? They are individually grafted (descended from a single tree) so that each variety maintains its distinctive flavor. As such, apples don't develop resistance to pests and are sprayed frequently. The industry maintains that these residues are not harmful. But Kastel counters that it's just common sense to minimize exposure by avoiding the most doused produce, like apples. "Farm workers have higher rates of many cancers," he says. And increasing numbers of studies are starting to link a higher body burden of pesticides (from all sources) with Parkinson's disease.</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">The solution: Buy organic apples.</div><div class="MsoNormal"><span style="font-family: Georgia,"Times New Roman",serif;">Budget tip: If you can't afford organic, be sure to wash and peel them. But Kastel personally refuses to compromise. "I would rather see the trade-off being that I don't buy that expensive electronic gadget," he says. "Just a few of these decisions will accommodate an organic diet for a family.</span>"</div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-82625576921837031562011-11-21T15:36:00.000-06:002011-11-21T15:36:30.855-06:00Eat your Essentials!<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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<div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: 9pt;">Omega three oils are very important to our health. They are called “essential fatty acids” because our body cannot manufacture them itself and they must come from the diet. <span style="mso-spacerun: yes;"> </span>The name omega three refers to the length and molecular bonging structure of the fatty acid molecule. The two most important omega three fats are EPA and DHA. </span></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: 9pt;">Plant sources of omega three’s include flax, soy, walnut, hemp, and dark green vegetables. Plant forms of omega three may be thought of as the building blocks for EPA and DHA because there are many enzymatic steps that must occur in order for the oil to be changed into the EPA or DHA <span style="mso-spacerun: yes;"> </span>form. The best sources of EPA and DHA are oily fish, game meats, grass fed meats, omega three eggs and fish oil supplements. Oily fish high in EPA and DHA include salmon, herring and sardines. They are also a great source of protein and calcium. Beef that is grass fed and grass finished has omega three fats and a substance known as conjugated linoleic acid which has an effect on satiety. </span></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjW9XFQN_fxOBW1khAVGJ9MnrAyRI-E10GyqSe_CxEwFqvVeqUPWY9HLoC07xAvlG5XeLRmyeMVajyFCvYQZ454Zim4FJnHL29sWMkokVwETidEQDWKuSxtQpmqst3VoINDwzWZ2DJ4p8re/s1600/herring.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjW9XFQN_fxOBW1khAVGJ9MnrAyRI-E10GyqSe_CxEwFqvVeqUPWY9HLoC07xAvlG5XeLRmyeMVajyFCvYQZ454Zim4FJnHL29sWMkokVwETidEQDWKuSxtQpmqst3VoINDwzWZ2DJ4p8re/s320/herring.jpg" width="320" /></a></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: 9pt;">Fish oils have very beneficial effects on the heart and overall cardiovascular system. They are responsible for cell membrane fluidity, moderating the inflammation response, and help to maintain blood vessel integrity. They are also very helpful in high doses for lowering lipid levels. HDL levels can also be raised with high doses of EPA and DHA. EPA and DHA are also helpful for pain, those with insulin sensitivity, help with allergic response, and are beneficial for neural and cognitive development in infants. </span></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: 9pt;">There is no known recommended dose for EPA and DHA. Eating oily fish 2-3 times a week and/or taking a supplement with at least two grams of EPA/DHA daily may fulfill the body’s basic need. Dosing strategies for EPA and DHA change depending on the therapeutic result that is desired. Also, be sure to tell your doctor about your fish oil intake, as they have known blood thinning properties. </span></div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-36980002056918743732011-11-01T10:29:00.000-05:002011-11-01T10:29:28.931-05:00Sleepy after Turkey Day? Don’t blame the turkey!<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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<div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">Tryptophan is known as an amino acid. Amino acids are found in protein containing foods (meat, nuts, beans) and help to make many signaling molecules in the body, repair muscle and structural tissue, and build RNA and DNA. Tryptophan falls into the category of essential amino acid, meaning that it is one that must be consumed in the diet. Tryptophan is found in turkey, but also in pork, eggs, peanuts, fish and cheese—just to name a few. So how does tryptophan make us sleepy and why is it blamed for post Thanksgiving sleepiness?</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><span style="font-family: Georgia,"Times New Roman",serif;"> </span><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">In the body tryptophan is turned into serotonin, a neurotransmitter involved in mood. Serotonin turns into melatonin, which is a hormone. Melatonin is made in the highest quantity at night to calm and relax the body. As a result of this conversion pathway, tryptophan can be used therapeutically for conditions such as depression, anxiety, insomnia, eating disorders, pain and gastrointestinal problems. So you can see that if you consumed large amounts of tryptophan, the resulting serotonin and melatonin would calm and relax the body for rest. </div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><span style="font-family: Georgia,"Times New Roman",serif;"> </span><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">As far as the post Thanksgiving sleepiness that some experience, tryptophan may not be to blame since there are plenty of other foods with as much, if not more, tryptophan that we consume on a regular basis. The real reason for the post meal coma may really be the act of overindulgence. When we consume food, our body focuses its energy on digesting the meal. Signaling molecules tell the stomach and intestines to secrete many hormones and begin working to process and break down the food. One of these signaling hormones is insulin which is triggered by carbohydrate consumption. The large insulin release that is caused by carbohydrates and results indirectly in melatonin release, could be the real reason for post meal drowsiness. When a very large meal is consumed, more of the body’s energy is spent on the digestive process and less can be expended elsewhere—like the energy needed to stay awake and alert. </div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><span style="font-family: Georgia,"Times New Roman",serif;"> </span><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;">If you are interested in avoiding the most meal snooze, perhaps eating slightly less or eating less of the carbohydrate containing dishes may actually be your best bet. If you do choose to indulge (just this once), be sure to prepare your seat on the couch so your body can go to work! </div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-68429015292235205702011-06-26T14:42:00.000-05:002011-06-26T14:42:08.624-05:00Screening Our Sunscreens for Potential Endocrine Disruptors<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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<div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span>Recent research about sunscreens had questioned their safety. The FDA is in charge of regulating products</span><span> and claims that sunscreen manufacturers make and the last time they were reviewed claims and efficacy was in the 1970’s. Labeling is expected to change for next summer. So what are the current problems associated with some sunscreens and what do consumers do for now until greater regulation and review takes place?</span></span></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span>Let’s take a look at one potential problem and that is the chemicals in sunscreen. Oxybenzone is commonly used in sunscreens and may actually be very problematic. In addition to being known to produce free radicals (also known as pro-oxidants), recent research done on fish actually found that oxybenzone can have endocrine disrupting estrogenic effects as well. In this study, the researchers took two different groups of fish. When exposed to high levels of oxybenzone, the fish’s blood levels of estrogen was 75 times greater than those fish not exposed to oxybenzone. Researchers also evaluated the reproductive success of the fish. The ability of females to produce viable eggs was significantly lower after just 7 days of exposure and the number of fertilized eggs that ended up hatching was also significantly lower. This research suggests that there may be an estrogen like activity of the chemical oxybenzone and may alter normal hormonal function. </span></span></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span>Knowing this information, what are safe ingredients in sunscreens? Look for sunscreens that are mineral based and contain either zinc oxide or titanium dioxide as the main sun protective ingredients. According to the environmental working group, </span><span lang="EN">Mexoryl SX is another good option, but it’s sold in very few formulations. Tinosorb S and M could be great solutions but are not yet available in the U.S. Sunscreens with avobenzone are also okay. </span><span></span></span></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span>Label reading can also be a hurdle when selecting a sunscreen. SPF measures a sunscreen's ability to prevent sunburn, which is caused by ultraviolet B (UVB) light. </span><span lang="EN">If your skin would normally burn after 10 minutes in the sun, for example, wearing an SPF 15 sunscreen would theoretically allow you to stay in the sun for 150 minutes (10 x 15) without burning. This means that the person should re-apply after 2.5 hours in the sun. </span><span>Scientists now also know that ultraviolet A (UVA) is a major cause of aging and also contributes to skin cancer. SPF can be misleading because products with less than SPF 15 might not protect against the UVA effects, but may prevent sunburn. There is little data if products greater than SPF 50 provide any additional benefit. A tan offers the equivalent protection to a sunscreen with SPF 3 or 4. A white long sleeve tee is SPF 7 and dark, heavy denim has an SPF of 1,700. </span></span></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span>To learn more about chemical components of sunscreen, take a look at <a href="http://breakingnews.ewg.org/2011sunscreen/">environmental working group’s 2011 sunscreen report</a>. This group reports on the health effects of chemicals in our environment. Their online resource allows you to see how your current sunscreen (makeup, moisturizer or lip balm) ranks and gives their recommendation for the safest products to use. It actually breaks down all the ingredients in a product so you can see how each may be influencing your health. </span></span></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span>It’s difficult to talk about the sun without talking about vitamin D. You need at least 20 minutes of full body sun exposure between the hours of 10 am until 2 pm <span> </span>to make your daily allowance of vitamin D. Darker skinned individuals may need up to one hour. Anything over SPF 8 blocks the body’s ability to make vitamin D. So you can see the problem here-- many people burn with just 10 minutes in the sun and we want to protect our skin from damaging rays. This is where the importance of taking supplemental vitamin D comes in to play. Vitamin D deficiency is very common in Wisconsin and individual need is widely variable. I have seen similar body and age matched patients need anywhere from 2000 units a day to 10,000 units a day to get to an optimal blood vitamin D levels. Vitamin D is an easy blood test that your doctor can to o that you can ensure that you are getting the correct supplemental amount of D. </span></span></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span>Here are the key take home points: </span></span></div><ol start="1" style="font-family: Georgia,"Times New Roman",serif; margin-top: 0in;" type="1"><li class="MsoNormal"><span style="font-size: small;"><span>Avoid oxybenzone. Look for mineral lotion sunscreen with zinc oxide or titanium dioxide.</span></span></li>
<li class="MsoNormal"><span style="font-size: small;"><span>Look for full spectrum: UVA (A for Aging) and UVB (B for Burn) with at least SPF 15.</span></span></li>
<li class="MsoNormal"><span style="font-size: small;"><span>Consider that most sunscreens are water resistant at best, waterproof claims are not well substantiated, and therefore you need to re-apply every few hours. Clothing and shade are likely the best bets for complete protection from the sun. </span></span></li>
<li class="MsoNormal"><span style="font-size: small;"><span>Wait about 20 min after going outside before applying sunscreen or take supplemental vitamin D and have your levels checked. </span></span></li>
</ol>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-18086787308077450682011-04-19T08:44:00.000-05:002011-04-19T08:44:27.944-05:00One Minute Course in Mindfulness of Thought<div style="font-family: Georgia,"Times New Roman",serif; text-align: center;"><i>"With perception, there is deception."</i></div><div style="font-family: Georgia,"Times New Roman",serif;">One of my favorite quotes from the eleven week class I recently completed titled, "Mindfulness in Everyday Life." To me this quote is helpful in understanding how our own preconceived notions, experiences and ideas can change the way we see the world. By recognizing our judgments and associations we might begin to see things differently or at least begin to be more conscious that are minds are deceiving us. Things are never as they seem to be.</div><div style="font-family: Georgia,"Times New Roman",serif;"> </div><div style="font-family: Georgia,"Times New Roman",serif;">Becoming conscious of our minds deceptive and distracting nature is one way to help reduce stress in everyday life. If instead of worrying about a particular topic, we simply recognize the worry and the feeling and body sensations that go along with it, we can actually reduce the worry. Here is an example: Say you have a fear of dogs. Whenever there is a dog in your presence, you get tense and your blood pressure rises (body sensations) and remember the dog that bit you as a child (association). Your mind tells you the situation is dangerous (judgment) and you feel fear (label). If you take the body sensation, association, judgment and labels and begin to think of them as visitors and as merely thoughts separate from your self, the worry can be lessened. Using the same example: a dog is in my presence and I can feel my body tense and blood pressure rise. The memory that I have as a child, is simply that, a memory. I realize that I am judging this situation based on my past experience and I feel a sensation, a visiting sensation that is not really a part of me, but a visitor. </div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><span style="font-family: Georgia,"Times New Roman",serif;">This model can be applied to all sorts of worry-- paying the bills, getting to work on time, meeting with a supervisor, etc. and over time will help with overall stress reduction. Stress reduction can prevent many disease states and is a crucial component of wellness. </span>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-8880444471636770632011-02-15T11:03:00.000-06:002011-02-15T11:03:17.317-06:00Letter to the Editor-- Printed!Last month, Milwaukee Magazine featured a column titled “Best Holistic Healers” and had a section listing naturopathic practitioners. The column listed the professional association for naturopathic doctors as the American Naturopathic Medical Association. This organization represents folks that have trained at institutions that offer online, correspondence or otherwise abbreviated coursework in naturopathic medicine. In Wisconsin, where there is not yet a licensing law to regulate who can call themselves a naturopathic doctor, the consumer is left to decide what type of practitioner they prefer. In states with licensing laws, only those that have completed four year doctoral programs in naturopathic medicine may call themselves naturopathic doctors or naturopathic physicians. I decided to clarify this information by writing a letter to the editor of Milwaukee Magazine: <br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyFvF2KMAoLiWOyJJ7vXW5g3g25guFsgshFT-DJQmfxoLshIgHu97Pdq5NMZ6n1oB6OVsb77OBBaNlhqA_sLePf3TSg7xGaV26GhHhqmnpxauT3YwzmcMzoz2s1XkIk46Y1uFAhkZeaYbP/s1600/MKE++Letter+to+Editor+Crop.jpg" imageanchor="1" style="margin-left:1em; margin-right:1em"><img border="0" height="320" width="189" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyFvF2KMAoLiWOyJJ7vXW5g3g25guFsgshFT-DJQmfxoLshIgHu97Pdq5NMZ6n1oB6OVsb77OBBaNlhqA_sLePf3TSg7xGaV26GhHhqmnpxauT3YwzmcMzoz2s1XkIk46Y1uFAhkZeaYbP/s320/MKE++Letter+to+Editor+Crop.jpg" /></a></div><br />
<br />
<br />
This was printed on page 10 of March's issue of Milwaukee Magazine! I am thrilled that my letter was considered important. Even more, I hope that subscribers of the magazine will read this letter and learn about the distinction that so badly needs to be made in Wisconsin. For me this is an example of how necessary education is to advancing the practice of naturopathic medicine and how important it is to speak up for what you know and believe in.Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-67037462435813310462011-01-31T21:34:00.001-06:002011-01-31T21:43:22.561-06:00Best Holistic Healers in MilwaukeeThis months issue of Milwaukee Magazine features a list of "Best Holistic Healers" in the Milwaukee area. It features two of the fantastic doctors I am working with, Dr. Michele Nickels and Dr. Bozena Simon. You can read an excerpt from the article <a href="http://www.milwaukeemagazine.com/currentIssue/full_feature_story.asp?NewMessageID=26053">here</a>.<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixkA1DTB9lS5lEroLLvojU75H8oUUE0w_5BYzUH30bEsxmXuuKu6M2Y07Nb9B2qmuR4nkyMxynGUbC7Rw99rz0tUHgWiBojX6N0689nviHrCwybKpP4POOh500_OVZgp1GfKcu1h0gMjCu/s1600/MMFeb.png" imageanchor="1" style="margin-left:1em; margin-right:1em"><img border="0" height="265" width="201" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixkA1DTB9lS5lEroLLvojU75H8oUUE0w_5BYzUH30bEsxmXuuKu6M2Y07Nb9B2qmuR4nkyMxynGUbC7Rw99rz0tUHgWiBojX6N0689nviHrCwybKpP4POOh500_OVZgp1GfKcu1h0gMjCu/s320/MMFeb.png" /></a></div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-24565953790849767182010-11-11T12:49:00.000-06:002010-11-11T12:49:55.855-06:00Getting to the REAL cause...<div style="font-family: Georgia,"Times New Roman",serif;">11-11—a triggering of remembrance, a time to look around you and see what is really happening, and time to reflect. Time for me to start writing again!</div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="font-family: Georgia,"Times New Roman",serif;">Recently I have been thinking a lot about a common concern in our office—heartburn. Heartburn is a problem for so many Americans. The cause of the problem is a matter of opinion. Conventional medicine says that there is too much acid and the elimination of acid will help the burning sensation and other symptoms of indigestion such as bloating and flatulence. Often acid suppression is not an effective way to eliminate the problems and symptoms increase and often worsen. Medications like histamine blockers and proton pump inhibitors are very good at doing their job and eliminating acid in the stomach. But what is the result of this suppression? Why would we make this nasty acid stuff if it’s just going to cause our stomach to hurt?</div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="font-family: Georgia,"Times New Roman",serif;">Taking a look at my anatomy and physiology book from my first year of medical school, I learned that the lower esophageal sphincter (where the esophagus and stomach connect) NEEDS acid to close completely. Without sufficient acid, there is transient relaxation of the sphincter, allowing stomach contents to backwash into the esophagus. Using this line of reasoning, it seems that the problem to treat in cases of heartburn may actually be too LITTLE acid, rather than too much.</div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="font-family: Georgia,"Times New Roman",serif;">Acid is necessary for digestion! Without it, there is no breakdown and absorption of nutrients. It is often seen clinically that women with osteoporosis or osteopenia have a long history of using acid reducing medications. Calcium in food or supplements requires stomach acid to be absorbed as well as vitamin D. Taking Tums as a calcium source seems kind of pointless then—acid suppression and calcium all in one dose. Vitamin B12 specifically requires stomach acid to be absorbed as well. Malnutrition can result after long term use of acid reducing medications.</div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="font-family: Georgia,"Times New Roman",serif;">I saw a patient this week wanting to get off of her Nexium. This is not an easy thing to do. She called several times during the week in agony after slowly weaning the drug. We replaced her drug with a digestive enzyme, probiotics and amino acids and herbs to help heal the lining of her intestinal tract. After a week of pain, she finally felt better. Her sinus congestion, post nasal drip, headaches and constant cough went away, which are also symptoms associated with too little stomach acid.</div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="font-family: Georgia,"Times New Roman",serif;">As Thanksgiving nears and today we celebrate the hard work of our veterans, I think about the things that I am thankful for in my life. I am thankful to be continuing my education as a resident and to live in beautiful Wisconsin. I am blessed to have wonderful family and friends. I am thankful to live in America and for the men and women who serve our country. Most of all, I am thankful for my stomach that faithfully produces acid to keep me healthy and happy! </div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-10500289649419870192010-06-08T23:46:00.002-05:002010-06-09T00:12:51.223-05:00Study Break<div style="font-family: Georgia,"Times New Roman",serif;">I am about one month away from graduation and excited to know where I will be heading next! I was selected to be a resident at the <a href="http://www.ifwcenter.com/">Integrative Family Wellness Center</a> in Brookfield, Wisconsin. I am beyond excited to have the opportunity to continue my learning process as a resident for one year. And who knows-- it may turn into something more! </div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="font-family: Georgia,"Times New Roman",serif;">For now until August 4th I will be recalling all of the useful clinical skills I have learned and getting ready for my board exams. SO, if you have any study tips-- send them my way! Here's how I am keeping energized and healthy for boards:<br />
<ul><li>Eating small, frequent, high protein meals. High protein sustains the feeling of satiety longer and the amino acids will be used to build brain neurotransmitters. </li>
<li>Taking a multi, fish oil, b-complex, vitamin D, and adrenal support. The adrenals help with the response to stress and heavily utilize the B vitamins as well as Vitamin C. </li>
<li>Exercising daily-- Jillian Michaels is kicking my butt right now. </li>
<li>Frequenting coffee shops-- I don't know if I consider this a "healthy" study habit, but it keeps the scenery interesting. </li>
<li>Listening to theta brainwave music. Theta brainwaves are known to help memory, learning and mental clarity. </li>
<li>Making time to relax and read something mindless. </li>
<li>Studying with friends. Helps my motivation and I always seem to learn something from them. </li>
</ul></div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="font-family: Georgia,"Times New Roman",serif;">Here is a <a href="http://www.integrativeinc.com/about-ITI/STAIR-Program-2010.aspx">link</a> to learn more about my program. </div><span style="font-family: Georgia,"Times New Roman",serif;"><br />
</span>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-13455194876446723932010-04-11T15:39:00.000-05:002010-04-11T15:39:04.794-05:00Herbal Energy<div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">Spring has become my favorite season here in the desert. In lieu of my routine P90X DVD’s, I ventured out of my living room to get some fresh air. I took a hike up Piestewa Peak in Phoenix and noticed another one of my desert favorites, the Ocotillo, in bloom. Aside from its fun shape and beautiful flowers when blooming, it has some interesting medicinal properties. </span></div><div align="center" class="MsoNormal" style="text-align: center;"></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAcG13Xvsd2_TG-gbAPih5hV63rkuS0My3WorpOFD2bjy1q3NyCkO_JTMM14lEZwVN-jHz2wwPZVUqAANl3Ams-VBFTMXNLQ6Py_qaMFyZgdFsgAS3pc0hJn4PaZGSej_XgS13zjKXPiMF/s1600/ocotillo2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAcG13Xvsd2_TG-gbAPih5hV63rkuS0My3WorpOFD2bjy1q3NyCkO_JTMM14lEZwVN-jHz2wwPZVUqAANl3Ams-VBFTMXNLQ6Py_qaMFyZgdFsgAS3pc0hJn4PaZGSej_XgS13zjKXPiMF/s320/ocotillo2.jpg" width="241" /></a></div></div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"> The long branches of this plant have sharp spines camouflaged by small green leaves. Historic Indian uses include placing the flowers and roots of ocotillo over wounds to stop bleeding. (Convenient that my steep hike was lined with this lovely plant!) In botanical formulations in the clinic, the fresh bark tincture is used mainly as a lymphagogue. Lymphagogue botanicals promote the movement of the lymphatic fluid that helps with immune function and waste elimination. This class of botanicals can be further categorized by area of the body that it is known to have greatest effects. Ocotillo has an affinity for the pelvis and is therefore useful in conditions of stagnation such as constipation, hemorrhoids, fibroids or endometriosis. For example, I chose to include this botanical as a part of a formulation for a patient who had varicosities in her legs.</span><br />
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</div><div class="MsoNormal" style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">It is amazing to me that medicine is really all around us. I can imagine that I passed many plants on my hike that day that can be used medicinally. Often botanicals can have stereotypical uses like, “St. Johns Wort for depression,” but in reality the energetic and practical application of the plant is what gives it its unique characteristics and not always completely understood effects. Plant medicines are unique in that they often work slowly and gently to heal chronic conditions, but can be used in high does for short periods of time for acute conditions. Energetics are not easily explained properties of plant medicines, but rather to be experienced. I am excited to have another botanical medicine rotation coming up on my next (AND FINAL!!!) quarter of school where I will be able to learn and experience the energy of herbs! </span></div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-48786428155689506202010-03-16T23:52:00.000-05:002010-03-16T23:52:09.894-05:00Lost My Mojo...<div class="MsoNormal" style="color: black; font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">Another food favorite bit the dust this week. I decided to look into the ingredients in Mojo Frozen Yogurt. I made frequent trips there last summer and planned to return shortly as I endearingly referred the impending summer in Arizona as “Mojo Season.” Looks like I won’t be going after all. All flavors of their yogurt have high fructose corn syrup (HFCS). I wonder why I didn’t bother to look into this sooner; maybe I didn’t want to know. I don’t have many strict food rules for myself, but this is one of them—no HFCS.</span></div><div class="MsoNormal" style="color: black; font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">Here is some information about a few better alternative sweeteners:</span></div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="color: black; font-family: Georgia,"Times New Roman",serif;"></div><div style="color: black; font-family: Georgia,"Times New Roman",serif;"></div><div style="color: black; font-family: Georgia,"Times New Roman",serif;"></div><ul style="color: black; font-family: Georgia,"Times New Roman",serif;"><li><span style="font-size: small;"></span><span style="font-size: small;">Agave Nectar: boiled from the sap of the blue agave plant. Intensely sweet, low glycemic index (15) but is 90% fructose and 8% glucose. One chef doesn’t think this makes it much different than HFCS: <a href="http://www.thehealthycookingcoach.com/2010/01/another-look-at-agave-nectar.html">http://www.thehealthycookingcoach.com/2010/01/another-look-at-agave-nectar.html</a>. Can be used for a wide range of recipes including drinks, bread, and cookies.</span></li>
<li><span style="font-size: small;">Brown Rice Syrup: dense liquid made by brown rice fermentation. Thick and creamy with mild sweetness. Low GI (25) and half as sweet as sugar. Best in soft textured dishes, like pies or sauces, and crunchy baked goods like biscotti. </span></li>
<li><span style="font-size: small;">Date Sugar: dehydrated, ground dates. Grainy, earthy and minimally refined and processed. Best in recipes with a dense texture and dark color like nut bread.</span></li>
</ul><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div class="MsoNormal" style="color: black; font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">What about no calorie sweeteners? The problem with them is that they actually trick the body into thinking it is consuming calories. The body tastes sweet and prepares for a supply of sugar to enter the blood. When this sugar never shows up, insulin rises and which can actually lead to more cravings and increased calorie consumption. There have also been some adverse effects in studies relating to artificial sugars including cancers and neurotoxicity. Additionally, most studies regarding its safety were short and some incomplete. Aspartame accounts for 75% of adverse reactions to a food additive reported to the FDA.</span></div><div class="MsoNormal" style="color: black; font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">Stevia is now a mainstream zero-calorie sweetener. Just a few years ago it was regulated by the FDA as a food supplement and only available in the supplement department of the grocery store. I guess someone caught on to this gold mine! Stevia is derived from the stevia plant sound in South America and Asia, where is has been used as a sweetener for centuries. It has no effect on insulin and one study suggests that it may actually help control insulin levels. It is also 150-300 times sweeter than sugar.</span></div><div class="MsoNormal" style="color: black; font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">Xylitol is another zero calorie sweetener that has no effect on insulin levels. It is usually derived from corn, berries and plums and is EXTREMELY toxic to dogs. It is found in many chewing gums because it helps prevent tooth decay as well. It can cause bloating or laxative effects in high quantities so may not be the best substitute for a batch of cookies.</span><span style="color: black; font-size: small;"> </span><br />
</div><div class="MsoNormal"><span style="color: black; font-family: Georgia,"Times New Roman",serif; font-size: small;">I will now be on the hunt for a HFCS- free yogurt joint to frequent this summer! </span><span style="font-family: Wingdings;"></span> </div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com1tag:blogger.com,1999:blog-6755984193767111196.post-44941120517886492692010-02-22T15:38:00.000-06:002010-02-22T15:38:15.767-06:00Metabolic Health<div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">This quarter I have the pleasure of working with Dr. Cristina Romero-Bosch. Her practice is focused on “metabolic health.” What does that mean exactly? The word metabolism usually makes you think of people with self-proclaimed “slow” or “fast” metabolisms, referencing the manner in which they burn their food, or calories. The lucky “fast” metabolism people seem to eat whatever they want and remain at a healthy weight. But what if metabolism wasn’t just the luck of the draw and the real players in the metabolic game were actual measurable and could be manipulated? That is in fact the case and I am beginning to see many examples of this.</span></div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">To begin with, there are core factors that are the foundation for health. Things like diet, lifestyle and mental/emotional health that most definitely influence the way we feel. Maintaining balance in these areas is difficult considering our modern American lives and relies on our personal willpower to make the “right” choices, exercise, make time to relax, etc. When willpower goes by the wayside, this can create fatigue on the signaling pathways responsible for maintaining our basal metabolic rate. From there, a downward spiral can occur. We feel more lethargic, get less sleep, eat more poorly, etc. By measuring the function of the adrenal glands, thyroid gland and levels of sex hormones it <b>IS</b> possible to see biochemical reasons behind feelings of fatigue, weight gain, insomnia, depression, and low libido. How many Americans have these types of concerns? (!!)After any disturbances in these signaling pathways are corrected, it might be possible to truly rebuild the foundation of health—where the “will” is no longer about power, but natural ability and desire.</span></div><div style="font-family: Georgia,"Times New Roman",serif;"><br />
</div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;">I subscribe to Natural Solutions magazine, which recently featured and article titled, “<a href="http://www.naturalsolutionsmag.com/articles-display/15564/keyword/thyroid/The-Hidden-Epidemic-Is-Your-Thyroid-Making-You-Fat">The Hidden Epidemic: Is Your Thyroid Making You Fat</a>?” I excitedly thumbed to this headline article when the magazine appeared in my mailbox-- having seen this work in action with Dr. Bosch. This is a good summary of one aspect of the multi-factorial approach to metabolic health. It brings to light the fact that there are considerations outside of basic labs, like symptoms, and additional lab tests that are not always standard, that can be taken into consideration when addressing thyroid health specifically. This is a must read! Take charge of your metabolic health! :) </span></div>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-28992755814606706802010-01-26T11:19:00.003-06:002010-01-26T11:19:30.624-06:00My Final, Final<meta content="text/html; charset=utf-8" http-equiv="Content-Type"></meta><meta content="Word.Document" name="ProgId"></meta><meta content="Microsoft Word 12" name="Generator"></meta><meta content="Microsoft Word 12" name="Originator"></meta><link href="file:///C:%5CUsers%5CKELLYS%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml" rel="File-List"></link><link href="file:///C:%5CUsers%5CKELLYS%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_themedata.thmx" rel="themeData"></link><link href="file:///C:%5CUsers%5CKELLYS%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_colorschememapping.xml" rel="colorSchemeMapping"></link><style>
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<div class="MsoNormal">This past term I only had one course and it was a psychology class, which I did enjoy. I especially enjoyed finals week, where I only had one final and it was my last final—EVER! From here on out, I will only be doing rotations at the clinic and at elective sites. I still do have looming board exams ahead, but I have until August to study. <br />
</div><div class="MsoNormal">In my psychology class we touched on all of the various psychological conditions and became acquainted with the DSM-IV. This class was a great compliment to the patients I was seeing on Dr. Raymers rotation, which had an emphasis on psychology. One of the most interesting patients I saw was a woman who has dysthymia. She was currently taking a prescription medication to enhance her mood, but she wanted to wean down off the drug. We helped her do just that and integrated naturopathic supportive therapies into her care. One therapy was asked her to try was hydrotherapy. We are taught constitutional hydrotherapy in our clinic. The theory behind this type of hydrotherapy treatments is that they normalize the blood and lymph by promoting circulation through the tissues. Aiding the flow of blood and lymph can help move toxins and waste through the body’s organs of elimination (skin, liver, kidneys, lung, and colon) more quickly to improve health. Hydrotherapy was one of the main treatment methods in the 1920’s and 1930’s and continues to be useful today as in my patients case. Constitutional hydrotherapy can also be useful in digestive problems like Crohn’s, respiratory conditions like chronic asthma, and immune deficiency problems—just to name a few indications. One modern day indication of these treatments is that it forces people to slow down and take time to relax. Rest and relaxation are a vital component to healing and often a luxury in our busy lives! <br />
</div><br />
Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com1tag:blogger.com,1999:blog-6755984193767111196.post-91558105960301448012009-11-12T12:53:00.000-06:002009-11-12T21:01:56.234-06:00Empire State of Mind…for a Week<span style="font-family: Georgia,"Times New Roman",serif;">Over my break, which was the week of October 26-30th, I traveled to New York. I had the opportunity to reconnect with long time friends, listen to some great music, and learn about naturopathic medical practice. </span><br />
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<span style="font-family: Georgia,"Times New Roman",serif;">I was able to shadow Dr. Donielle Wilson in Manhattan and Stamford, Connecticut. I saw a variety of patients with concerns ranging from infertility to halitosis, but saw a common theme in all of their treatments: nutrition. </span><br />
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<span style="font-family: Georgia,"Times New Roman",serif;">I am not sure if and how doctors can emphasize the importance of nutrition enough. Sometimes I feel wrapped up in planning what I am going to “give to” or “do for” a patient and overlook the simple idea that re-establishing the basis for health starts with a properly nourished body. Nutrition counseling and analysis should be a top priority in a treatment plan.</span><br />
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<span style="font-family: Georgia,"Times New Roman",serif;">One way to go about ensuring proper nutrition is to perform a food allergy test. This was one test I saw utilized with almost all patients I saw during my New York visit. This is different from testing that looks for hypersensitivity allergic reactions (like a peanut allergy that causes breathing problems, for example). Food allergy tests look for delayed sensitivity reactions. By taking a blood sample, the blood is analyzed for immune reaction to a variety of foods and a list of reactive and non reactive foods is generated. Another way to determine possible allergens is to do an elimination diet. This involves eliminating the most common sources of allergy, like wheat (and other gluten containing grains), dairy, eggs, soy, and citrus. Then after eliminating these foods, they are reintroduced one by one. Symptoms can be evaluated as possibly related to potential foods as they are introduced in an otherwise allergy free diet. On the other hand, a food allergy test will show exactly what foods are reactive and there will be no guessing as to which foods may or many not be causing problems. </span><br />
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<span style="font-family: Georgia,"Times New Roman",serif;">Some common symptoms of food allergy or intolerance might have an obvious association, like irritable bowel for instance. Other symptoms might range from headaches, to weight gain, to fatigue. By determining if food is the underlying cause of troubling conditions such as these, the offender can easily be removed from the diet and the body can begin to heal. </span><br />
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<span style="font-family: Georgia,"Times New Roman",serif;">All this talk about nutrition and health makes me think of the age old adage—you are what you eat. And your body will tell you if it likes what you eat in subtle or obvious ways.</span>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-87156334165329100022009-10-14T23:49:00.000-05:002009-10-15T00:02:13.672-05:00A (Homebirth) Baby Story<span style="font-family: Georgia, "Times New Roman", serif;">After I took obstetrics class the second quarter of my third year, I was eligible to sign up for a birth rotation. I put my name in the hat and got a call in May that I was assigned to a 26 year old pediatric nurse expecting her first child. Her due date was October 7th which seemed to be forever in the future. Leading up to her labor, I would attend all of her appointments at the naturopathic obstetrician’s office and be ready to drop my life when the time came to help deliver the baby. That time came at 3:30 in the morning on Friday October 9th. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">24 hours after the initial call, still no baby and little progression. We took mom to OB triage at the local hospital thinking an augmentation with Pitocin would be best to help make progress. The ER doc believed that she was simply having a prolonged latent phase of labor and thought that starting Pitocin would actually be more like an induction rather than augmentation. They decided to give an injection of morphine to ease her pain and send her home to hopefully get some rest. Saturday morning her contractions became more intense and lasted longer. This meant that she was actually in active labor. By the time we arrived at her home, she was 7 cm dilated. After that, the labor was textbook. Around three o’clock, she was exhausted and stated that “she couldn’t do it any longer.” Those words usually mean it’s time to push. We had her sit on the birth stool which helps open the pelvis and puts the mother in an ideal vertical position to deliver. She pushed for a total of 11 minutes and a beautiful baby girl (Surprise! Nobody knew the sex!) was brought into the world. Immediately we put the baby into mom’s arms, she let out a healthy cry and the room full of family and friends burst into tears as well. 44 hours of total labor time had culminated in the gift of life. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">I learned from this experience that freedom of choice and safety are top priorities when deciding where to deliver a baby. According to a 2000 Cochrane Library study, “There is no strong evidence to favor either home or hospital birth for selected, low risk pregnant women. In countries and areas where it is possible to establish a home birth backed up by modern hospital system, all low risk pregnant women should be offered the possibility of considering a planned home birth and should be informed about the quality of the available evidence to guide their choice.” Mom was able to lay, walk, eat, and sleep in her home. She was comfortable and had the freedom to labor however she felt. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">The lithotomy position has been shown to be an ineffective position to labor and push, actually works against gravity and can lead to complications like episiotomy and perceived dystocia. My <u>Family Practice Obstetrics</u> text states that, “Four of seven randomized controlled trials and several case study series have shown shorter labor duration and greater uterine contraction intensity in vertical positions.” Horizontal supine positions are really most convenient for doctors and procedures and do not provide much benefit to the mother. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">After the birth, mom was immediately able to hold the baby; an important event that often is interrupted by hospital procedures. She also declined erythromycin eye ointment, a legal requirement in most hospitals, because she did not have gonorrhea or chlamydia, the reason ointment is applied in the first place. Recently there has been a shortage of erythromycin ophthalmic. The CDC’s website provides a substantial list of alternative ointments and culminates the discussion by adding, “STD guidelines outline recommended prophylactic treatment for infants whose mothers have gonococcal infection and for management of infants born to mothers who have untreated chlamydia. Empiric treatment is recommended for infants exposed to gonorrhea, while monitoring for development of symptoms prior to initiating treatment is recommended for infants exposed to chlamydia. <em>Screening mothers will allow providers to identify infants with known exposure</em>.” In essence, if you don’t have gonorrhea or chlamydia, it may be an unnecessary procedure. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">Baby received oral vitamin K drops, Apgar scores of 9 and 10, and was surrounded by the love of her mother, father, family and friends. The baby must have felt incredible energy and love when she entered the world. This was a safe decision because the mother was a low risk patient, had proper prenatal care, and had an uncomplicated pregnancy. I believe that birth does not have to be an overly medical event. In this case, we were lucky to have a hospital nearby to take over for a perceived complication and valuable second opinion. I would urge any expecting mothers to consider birth at home, in a birthing center, or by a midwife as a top choice depending on risk factors. My experience exemplified an ideal birthing situation and even more fun story to tell.</span><br />
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<object height="344" width="425"><param name="movie" value="http://www.youtube.com/v/WXPh44YEfXg&color1=0xb1b1b1&color2=0xcfcfcf&hl=en&feature=player_embedded&fs=1"></param><param name="allowFullScreen" value="true"></param><param name="allowScriptAccess" value="always"></param><embed src="http://www.youtube.com/v/WXPh44YEfXg&color1=0xb1b1b1&color2=0xcfcfcf&hl=en&feature=player_embedded&fs=1" type="application/x-shockwave-flash" allowfullscreen="true" allowScriptAccess="always" width="425" height="344"></embed></object>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com1tag:blogger.com,1999:blog-6755984193767111196.post-52690343415910966252009-10-01T23:26:00.000-05:002009-10-01T23:33:09.422-05:00When I Grow Up...<blockquote><span style="font-family: Georgia, "Times New Roman", serif;"></span><br />
<blockquote><div><blockquote><blockquote><blockquote>“Something mystical happens when we stop forcing our way through life and surrender to each moment.”<br />
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<span style="font-family: Georgia, "Times New Roman", serif;">I had a great conversation with an old friend tonight. She just headed back to school for the first time in years, works a full time job, and still ponders the age old question, “<strong>What do I want to be when I grow up</strong>?” I often consult Google with difficult questions such as these, so I searched, "what do I want to be when I grow up?" and got 54.6 MILLION results, which included one inspiring <a href="http://www.youtube.com/watch?v=TcEZrEPDV9k">song</a>. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">Our conversation reminded me of an interesting, and somewhat uncomfortable, experience with a patient this week. His chief concern was hypertenstion, hyperlipidemia and weight gain. I was observing the interaction between him and the supervising physician as she explained what he needed to do in order to make the necessary lifestyle and nutritional changes to successfully address the problem. His resistance and anger was evident throughout the visit (especially when he yelled at the doctor!) and no matter how the treatment plan was described-- the message just was not getting through. We later learned that his father was dying of cancer, work is slow and he is not making much money, and he hates his job. He stated that he didn’t know how he got to this place; it was not what he planned for and now felt trapped by his life. As a listener, it was easy to see a change he could make to start with-- he needed a new job or to change his job somehow so that it was enjoyable for him. He clearly didn’t know what he wanted to be when he grew up, or somehow his current situation wasn’t fitting his vision for life. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">This man could not see the dots. He just saw himself frustrated and alone with his problems. People, places, circumstances, and things are put into our lives often for unknown reasons until we can look back and see the dots connecting. At some point, the dots line up and we realize we have what we wanted. Did it take growing up? Did it take trying on different hats to find out what to "be"? Showing up and being present for life? In the case of my frustrated patient, his limiting thoughts and anger made it hard for him to be present to deal with this difficult time and constructively make change. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">This experience exemplified my belief that the doctor must always meet the patient where they are. For this man, no amount of diet and exercise counseling was going to make a difference at this visit and frankly, it wasn't important. What he needed was to vent his frustration. He needed to shed a tear, get angry, argue and resist any suggestions we offered. He needed to be in a place where he would be listened to, not judged, and be given empathy. When I grow up and am officially a doctor, I will remember that a listening ear is often the best and only therapy a patient needs; because to truly be heard is something that is often complicated and difficult to find.</span>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-19103244820579071162009-09-27T16:31:00.000-05:002009-09-27T16:31:51.544-05:00Candy...Corn?<span style="font-family: Georgia, "Times New Roman", serif;">FINALLY it’s starting to cool off in Arizona. The rest of the states have been experiencing Fall weather for at least a month or so by now, but I only realized it was Fall the other day when I walked into a grocery store and saw Halloween candy lining the shelves. It’s candy corn season!<br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLSEKg9nYQ0LiTa3y1J2wPfr9J_XYQdNL1b1zmzZWn7XysvVIetl1Zla0xKBHpov41Cl0XLkvXohPF_Wioqqi5O42nFL-nfRHTLwGCbRZOEw4WkTar_1QncfaNW8HtEoiymVa5YT4LoBVn/s1600-h/brachs-candy-corn-web_small1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Georgia, "Times New Roman", serif;"><img border="0" iq="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLSEKg9nYQ0LiTa3y1J2wPfr9J_XYQdNL1b1zmzZWn7XysvVIetl1Zla0xKBHpov41Cl0XLkvXohPF_Wioqqi5O42nFL-nfRHTLwGCbRZOEw4WkTar_1QncfaNW8HtEoiymVa5YT4LoBVn/s320/brachs-candy-corn-web_small1.jpg" /></span></a><br />
</div><span style="font-family: Georgia, "Times New Roman", serif;">We seem to have a candy for every holiday and season in America. Candy corn frequently comes in the form of “Reindeer Corn” at Christmas time along with candy canes, “Cupid Corn” for Valentines Day accompanied by heart shaped chocolates and “Bunny Corn” for Easter paired with the Cadbury Egg. The regular orange, white and yellow candy corn variety is usually available year round in the candy aisle, but the Halloween season accounts for 75% of the annual candy corn production. I was curious what is contained in these morsels that bear no actual resemblance to corn, so I wrote down the information from a bag of Brach’s Candy Corn: </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">In 20 pieces of Brach’s Candy Corn you will consume 150 calories, 0 fat, 75 mg of sodium, 38g of carbohydrates (33g of which are from sugar). The ingredients (in Brach’s variety) include: sugar, corn syrup, confectioners glaze, salt, honey, dextrose, artificial flavor, gelatin, titanium dioxide, color, yellow 6, yellow 5, red 3, blue 1, sesame oil. I did some research on some of the more questionable ingredients and this is what I came up with: </span><br />
<ul><li><span style="font-family: Georgia, "Times New Roman", serif;"><strong>Corn syrup</strong>: corn syrup is made by breaking corn starch with hydrochloric acid and heating it to produce a thick, viscous syrup. It is cheaper than sugar and is about ¾ as sweet as cane sugar. To create high fructose corn syrup (HFCS) the corn syrup is converted using enzymes that turn the dextrose molecules into fructose molecules. The result is a syrup that is much sweeter than sugar, inexpensive to produce and actually harder for our bodies to digest. HFCS is another blog post in itself…</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><strong>Confectioners glaze:</strong> a food grade shellac that extends a products self life and appearance. It can also be used as a coating for pills to make them more difficult to digest as in “time release” capsule. </span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><strong>Dextrose:</strong> Another name for glucose produced from corn starch. </span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><strong>Artificial Flavor:</strong> The secret ingredient in candy corn—it must be what makes it so addicting. According to the FDA’s code of federal regulations, a artificial flavor is: </span></li>
</ul><blockquote><span style="font-family: Georgia, "Times New Roman", serif;">“any substance, the function of which is to impart flavor, which is <u>not</u> derived from a spice, fruit or fruit juice, vegetable or vegetable juice, edible yeast, herb, bark, bud, root, leaf or similar plant material, meat, fish, poultry, eggs, dairy products, or fermentation products thereof.”</span><br />
</blockquote><span style="font-family: Georgia, "Times New Roman", serif;"> So, it’s a chemically manufactured combination of substances that impart a flavor. </span><br />
<ul><li><span style="font-family: Georgia, "Times New Roman", serif;"><strong>Gelatin:</strong> collagen extracted from the skin, intestines, and bones of animals such as pigs and cattle (watch out Vegetarians, Vegans and those that follow Kosher tradition). It can also be made from fish sources and is found in other foods like Jello, gummy candies, and yogurt. </span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><strong>Titanium dioxide:</strong> Hey, that’s in my sunscreen! Why am I eating it too? It’s what makes the nice tip of the candy corn so white and is apparently able to be consumed. </span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><strong>Color:</strong> Some substance other than the explicit colorings yellow 6, yellow 5, red 3, blue 1 that adds color to the corn. There is a complicated set of Federal Regulations about what constitutes an artificial color, and if you are really bored, you can read about it </span><a href="http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=11b5d550d6d247770f82e235c8fb50af&rgn=div5&view=text&node=21:1.0.1.1.24&idno=21"><span style="font-family: Georgia, "Times New Roman", serif;">here</span></a><span style="font-family: Georgia, "Times New Roman", serif;">. </span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><strong>Yellow 6, Yellow 5, Red 3, Blue 1:</strong> These food colorings are FDA regulated color additives used in foods, drugs and cosmetics. Most have complicated chemical names and descriptions. Here is the </span><a href="http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=74&showFR=1"><span style="font-family: Georgia, "Times New Roman", serif;">FDA’s description</span></a><span style="font-family: Georgia, "Times New Roman", serif;"> of food additives. In all of the colorings, there is a specified allowable level of lead, arsenic and mercury as outlined in the above referenced document. </span></li>
</ul><span style="font-family: Georgia, "Times New Roman", serif;">By learning more about this candy, I was able to realize that the candy corn tradition at Halloween is one that I can live without. We are often challenged to make food decisions especially at holiday times regarding items that aren’t necessarily in line with our daily food behaviors. By taking an extra minute to read a label, maybe even do some research, we are able to empower ourselves to make informed decisions about what we allow into our bodies. Food choices are critical in creating optimal health and while there must be a balance in life, careful consideration and education can often make the alternative less appealing.</span>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com1tag:blogger.com,1999:blog-6755984193767111196.post-48284122729256284842009-09-17T01:40:00.000-05:002009-09-17T01:44:19.942-05:00Sun vs. Skin<span style="font-family: Georgia, "Times New Roman", serif;">I have found myself in a conundrum this term at school—I love the sun, but I love my skin too and want to continue to love it when I am 60. I am completing a rotation with a dermatologist, which has been one of the highlights of my clinical education thus far and has made me realize that I need to pay more attention to sun protection. I listen to her tell all of her patients about sunscreen and recommend that they slather it on daily, whether its sunny, rainy, cloudy, if they plan to be outside, if they plan to be indoors, if they ride in a car, etc. The dermatological experts have strong evidence to make these recommendations given the incidence of skin cancers and the known preventative benefit that sunscreen provides. My question is though, how will anyone following this recommendation ever get enough vitamin D? </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">Why the sun isn’t enough (and for skin’s sake—shouldn’t be): </span><br />
<ul><li><span style="font-family: Georgia, "Times New Roman", serif;">Sunscreen over SPF 8 will block the sun’s ability to make vitamin D</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">Caucasians need approximately 20 minutes per day between 10 and 2pm of direct sunlight, most of skin uncovered, to make their daily dose of vitamin D</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">African-Americans, or other dark skinned individuals, need approximately 1 hour to make their daily dose</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">The ability to make vitamin D depends at latitude and time of year. In areas north of 35-37 degrees latitude, little to no vitamin D is made November to February. </span></li>
</ul><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigZWwpMytOtzugcf9Ttg4QL7yzwklCLUycq62EGoqeDmVCecmANE6GY2Cz9DokJDeMCg6dE1YRlbUIgGrkL-YY7U8XUClKEYSRA7cQAQnVPcnpZ3KybWQjS1pYQOomHCzWetnFrdytXyad/s1600-h/latitude-vitaminD.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" mq="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigZWwpMytOtzugcf9Ttg4QL7yzwklCLUycq62EGoqeDmVCecmANE6GY2Cz9DokJDeMCg6dE1YRlbUIgGrkL-YY7U8XUClKEYSRA7cQAQnVPcnpZ3KybWQjS1pYQOomHCzWetnFrdytXyad/s320/latitude-vitaminD.jpg" /></a></div><br />
<span style="font-family: Georgia, "Times New Roman", serif;">So between the sunscreen, lack of time outside during daylight hours and varying geographical chance of exposure, its no surprise so many people are vitamin D deficient. I was reviewing lab results today for an African American female, living in Arizona, and her vitamin D level (measured as 25-OH D3) was 7 ng/ml—the normal value is between 20-100 ng/mL! Low vitamin D has been associated with conditions ranging from musculoskeletal pain, metabolic syndrome, cardiovascular disease, depression, and immune dysfunction-- just to name a few. According to many, optimal levels for disease prevention should be between 40-60 ng/mL. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">The recommended supplemental dose of vitamin D varies by healthcare practitioner and depends on the individual. The recommended adequate intake, according to the Institute of Medicine is 200 IU’s per day, which really is only adequate in that it prevents rickets. According to the American Academy of Dermatology’s position statement on Vitamin D, <em>“Adults who regularly and properly practice photoprotection may also be at risk for vitamin D insufficiency, and may be considered for a daily total dose of 1000 IU vitamin D.”</em></span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">Diet is the only other source of vitamin D and is found in a limited number of foods. Many people rely on their milk intake as an adequate dose, but unless you find yourself drinking approximately 10 eight ounce glasses of milk fortified with vitamin D per day, you might not be getting a therapeutic dose through diet alone. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">Diet, supplementation and sun are the only options in this game. With the potential harm that the sun can cause and the dietary challenge of obtaining therapeutic doses, it seems like an easy solution to the battle is to have blood levels checked and simply take some vitamin D. Here are some additional resources about vitamin D:</span> <br />
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<a href="https://www.health.harvard.edu/newsweek/time-for-more-vitamin-d.htm"><span style="font-family: Georgia, "Times New Roman", serif;">Harvard Article on the Need for More D</span></a><br />
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<a href="http://lpi.oregonstate.edu/infocenter/vitamins/vitaminD/index.html#lpi_recommend"><span style="font-family: Georgia, "Times New Roman", serif;">D Research and Common Conditions Associated with Insufficiency</span></a><br />
<a href="http://www.aad.org/Forms/Policies/Uploads/PS/AAD_PS_Vitamin_D.pdf"><span style="font-family: Georgia, "Times New Roman", serif;">American Academy of Dermatology Position Statement on Vitamin D</span></a>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-56709638993900624522009-09-12T14:48:00.000-05:002009-09-12T14:50:12.139-05:00Remembering 9-11<span style="font-family: Georgia, "Times New Roman", serif;">I will never forget where I was eight years ago on 09-11-01. I was a sophomore in college at North Carolina State University in Raleigh, NC. I was up early enjoying my Tuesday weight training class at the gym. I left the gym and went on with my morning. I was sitting in calculus when a friend leaned over and asked if I had heard about what happened in New York at the Twin Towers. Since iPhones or Blackberry’s weren’t yet around and I still took notes on paper, I made a mad dash home after class ended to watch the story on TV and read about it on my desktop computer. I called my family to make sure we didn’t know anyone in NY and to tell them I loved them. A sense of devastation and worry came over me; I was in disbelief and didn’t know what was going to happen next.</span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">Luckily for me, I did not experience any direct psychological trauma as a result of 9/11. Since the event, however, there has been much discussion in the healthcare community about the resulting depression, panic, substance abuse, anxiety, and posttraumatic stress that has affected those directly involved in the rescue efforts, family and friends of those that lost their lives, and those that witnessed or lived in the area of the attack. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">Mental health screening tools are a valuable part of an initial assessment in the primary care setting. A study to assess generalized anxiety disorder (GAD) in those affected by 9/11 (1) included the following mental health screening tools (with links to the forms I could find!): </span><br />
<ul><li><span style="font-family: Georgia, "Times New Roman", serif;">Life Events Checklist (LEC): screening for various types of common traumatic events</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><a href="http://www.pdhealth.mil/guidelines/downloads/appendix2.pdf">Patient Health Questionnaire</a> (PHQ): depression, panic disorder, substance use disorders, and GAD</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><a href="http://www.depression-primarycare.org/clinicians/toolkits/materials/forms/phq9/">Patient Health Questionaire-9</a> (PHQ-9): screening tool for depression</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><a href="http://ctc.georgetown.edu/pdf/ptsdchecklistPCL_C.doc">PTSD Checklist-Civilian Version</a> (PCL-C): Screening for PTSD Symptoms</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;">Short Form Health Survey (SF-12): perceived physical and mental disability</span></li>
<li><span style="font-family: Georgia, "Times New Roman", serif;"><a href="http://health.utah.gov/prescription/pdf/guidelines/SheehanDisabilityScale.pdf">Sheehan Disability Scale</a> (SDS): screening for impairment in work, social life, and family life/home responsibilities</span></li>
</ul><span style="font-family: Georgia, "Times New Roman", serif;">As naturopathic doctors address the “whole person” and treat the “root cause” of disease, mental emotional health is an important consideration. Whether it is something we will treat or will refer for treatment by psychiatrists, psychologists, or counselors, it should not be forgotten in an initial assessment. I have had experience using the PHQ-9 on a rotation for a patient who presented for nutrition advice and weight loss. It was a valuable exercise for me as the student doctor and for the patient to see the progress that took place over the course of two months. The patient went from being in the category of “moderately severe” depression at her initial intake to “minimal symptoms.” Although her mental health was not a chief concern of hers nor did we spend much additional time discussing it, we were able to address the mental emotional aspect of her condition in our treatment using the scale as a screening and reference tool. This information about her mental state inevitably resulted in a more favorable treatment outcome. </span><br />
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<span style="font-family: Georgia, "Times New Roman", serif;">I am thankful for those persons who helped save lives on 9/11, the military personnel who continue to fight to end terrorism, and those who witnessed the attacks or were otherwise involved and are alive to share their story. For those that are no longer with us, I know that your legacy will live on in the hearts of family and friends as they share your story with the world. </span><br />
<br />
<span style="font-family: Georgia, "Times New Roman", serif;">Reference: </span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">1: Ghafoori B, Neria Y, Gameroff MJ, Olfson M, Lantigua R, Shea S, Weissman MM. Screening for generalized anxiety disorder symptoms in the wake of terrorist attacks: a study in primary care. Journal of Trauma Stress. 2009 Jun; 22(3):218-26.</span>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0tag:blogger.com,1999:blog-6755984193767111196.post-15632377620530239632009-09-09T11:28:00.000-05:002009-09-09T12:29:32.534-05:00WANTED: True Health and Healing<p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="font-family:georgia;">When I am asked what I do, I often have to ask myself, how much time do I have? I will reply, “<i style="mso-bidi-font-style: normal">I am a naturopathic medical student</i>,” most people look a little confused or thoughtful and then ask some more questions. I too was one of these perplexed and intrigued people when stumbled across a naturopathic doctor in my hometown on my quest to find my calling in life. I had planned throughout college to go to medical school, but naturopathic medicine really caught my eye. I wondered if it could be true-- a healing profession based on treating the whole person? Finding the underlying cause of disease? Focusing on nutrition, mental health and physical health all in one place? I knew that combination of theory all bundled up into the term “doctor” would be the recipe for my success in life. </span></p><p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p><span style="font-family:georgia;"></span></o:p></p><p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="font-family:georgia;">Defining naturopathic medicine quickly and easily is somewhat difficult. As students, we are often given the task to create a quick introduction speech or tagline to sum up our profession. Mine frequently goes something like this, “<i style="mso-bidi-font-style: normal">naturopathic medicine is a form of medical practice that integrates conventional and alternative medical therapies to provide patients with the best care possible.</i>” If there is more time to talk, I might go on to say, “<i style="mso-bidi-font-style: normal">we are trained to diagnose like any other doctor, but we utilize things like nutrition, supplementation, homeopathy, botanical medicines, acupuncture and physical medicine instead of drugs or surgery to promote the body’s own healing ability.</i>” Those brief explanations ring true to me, but ask anyone else in the profession and you will likely get a different answer. </span></p><p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="font-family:georgia;">Here are a few highlights of naturopathic medicine that I would like to elaborate on: <span style="mso-spacerun: yes"></span></span></p><ol style="MARGIN-TOP: 0in" type="1"><li style="MARGIN: 0in 0in 0pt; mso-list: l0 level1 lfo1; tab-stops: list .5in" class="MsoNormal"><span style="font-family:georgia;"><b style="mso-bidi-font-weight: normal">We are experts in alternative medical therapies.</b> We study an array of methods used to treat both acute and chronic disease conditions. Our therapies can be and are often used in combination with pharmaceutical drugs, surgeries, or other procedures. Utilizing alternative medicines when going to a surgery, for example, may help speed recovery time and minimize adverse effects. With more and more consumers looking for different answers to their healthcare and more healthcare practitioners working in an “integrative” setting, <span style="mso-spacerun: yes"></span>I believe alternative medicine is becoming more and more mainstream. </span></li><li style="MARGIN: 0in 0in 0pt; mso-list: l0 level1 lfo1; tab-stops: list .5in" class="MsoNormal"><span style="font-family:georgia;"><b style="mso-bidi-font-weight: normal">We take time to get a thorough medical history.</b> Most initial visits to a naturopathic doctor are in the range of one hour in length. This time allowance provides an opportunity to get to see a more complete picture of a problem. Doctor and patient can have a deeper conversation about all issues that may be contributing to a health problem. The intake is patient focused, not problem focused. The doctor has the time to educate the patient about how they can play an active role in their healthcare. </span></li><li style="MARGIN: 0in 0in 0pt; mso-list: l0 level1 lfo1; tab-stops: list .5in" class="MsoNormal"><span style="font-family:georgia;"><b style="mso-bidi-font-weight: normal">We treat the whole person.</b> For example, a patient who has a chief concern of eczema. I won’t elaborate on a medical history, but just ask the end question:<span style="mso-spacerun: yes"> </span>do I simply treat the eczema that presents on her skin and send her away? In most cases, not necessarily and not directly. We consider all of the factors that might have caused it. Depending on the patient history, nutrition, environmental factors, and mental/emotional factors may all have a role in the treatment plan. The patient might leave the visit with a supplement of <span style="mso-spacerun: yes"></span>immune boosting vitamin D, a plan to address the toxins that she encounters in her home, a schedule for weekly acupuncture treatments and a homeopathic remedy to help her cope with the loss of her father that happened to occur the same time as her most recent eczema breakout. Before the next follow up visit, labs like food allergy or stool parasitology may be ordered in addition to standard screening blood work like CBC/CMP, thyroid, and lipids. The treatment plan is designed to treat underlying factors and not just what is on the surface. </span></li></ol><p style="MARGIN: 0in 0in 0pt 0.25in" class="MsoNormal"><o:p><span style="font-family:georgia;"></span></o:p></p><p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="font-family:georgia;">I have recently been assigned an excellent book to read for class. It is titled, “Integrative Rheumatology—Concepts, Perspectives, Algorithms and Protocols” by Dr. Alex Vasquez. I especially enjoyed chapter two of this book because it goes into great detail about how to re-establish our basis for health, as the chapter title is appropriately named. One quote sums up the theory of naturopathic medicine beautifully, “<i style="mso-bidi-font-style: normal">Health will occur when the conditions for health exist. Disease is the product of conditions which allow for it</i>.” (Dr. Jared Zeff) <span style="mso-spacerun: yes"></span>Too often we allow ourselves to be trapped by disease. By removing obstacles that allow the body to be diseased, true health can be <i style="mso-bidi-font-style: normal">found</i>.<span style="mso-spacerun: yes"> </span></span></p><p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="mso-spacerun: yes"><span style="font-family:georgia;"></span></span></p><p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="font-family:georgia;">Here is a link to a great article about how a naturopathic physician can play a role in the care of diabetes: </span><a href="http://www.diabeteshealth.com/read/2009/07/24/6286/naturopathic-physicians-up-and-coming-partners-in-diabetes-care/"><span style="font-family:georgia;">http://www.diabeteshealth.com/read/2009/07/24/6286/naturopathic-physicians-up-and-coming-partners-in-diabetes-care/</span></a></p><p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><a href="http://www.diabeteshealth.com/read/2009/07/24/6286/naturopathic-physicians-up-and-coming-partners-in-diabetes-care/"><span style="font-family:georgia;"></span></a></p>Kelly Simms N.D.http://www.blogger.com/profile/06895510145563391697noreply@blogger.com0