According to a report from Market Research, healthcare IoT market’s total worth will reach a whopping $117 billion by the end of 2020. This shows the climacteric important of Internet of Things in the healthcare industry. In this article we will talk about the most important healthcare sectors which will be transformed by Internet of things.
Remote Monitoring and Tracking
Internet of Things will completely change the way doctors and health experts track their patients’ health and routines. IoT brings disruptive tracking technologies, remote monitoring tools and devices that help in tracking patients. For example, famous UK health company Stanley Healthcare Solutions uses state of the art IoT technology to track patients and related assets. Its RTLS (Real-time Location Services) business makes special badges that could be attached to patients, wheelchairs and different things. These badges relay location information and help doctors to quickly respond to crucial situations.
Cardiac Health and IoT
Heart problems are some of the most common causes of deaths around the world. IoT will affect cardiac health tracking by providing an easy way using which patients could track their heart beats. There are several heart rate monitors and chest straps in the market which show the complete heart beat patterns of the day. You can imagine a system which will trigger an alert to the doctor whenever a patient’s heartbeat shows abnormal signs. This way, heart attacks will be easy to avoid, as they would be detected before they escalate. MyZone M3 and Polar are two examples of HRM and chest straps.
Ingestible Sensors and Smart Pills
Imagine this: a diabetic feels faint and goes for a nap. He wakes up to a team of medics taking care of him, as they tell him that they saved him from going into a “diabetic coma”, which could often lead to death. How were the medics able to detect that there was something wrong with the person? Ingestible sensors is the answer. IoT and advanced medicine technology will soon make it possible for patients to take ingestible sensors. These sensors will keep track of blood sugar levels, and other metrics, and trigger alerts to connected systems. California-based company Proteus Digital Health is already working on ingestible sensors and has raised over $50 million in funding from investors.
Health and Fitness Trackers
Health and fitness trackers have made is easy for everyone to track basic health metrics like calorie consumption, heat rates, number of steps taken daily etc. There are several fitness trackers in the market using which you can enjoy and experience the real power of Internet of Things. The effects of this IoT tech is increased awareness among users and a significant drop in health issues among the users of IoT-based fitness and health trackers.
Blood Testing and Diagnostics
IoT is going to revolutionize the entire dynamics of blood testing. In fact, a famous device made by Dr. Eugene Chan and his colleagues at the DNA Medical Institute (DMI) can detect diseases and health issues based on a single drop of blood. The device is rHealth. A patient just has to put one drop of blood on this device’s small receptacle. The blood then goes to micro-mixer of the device. Data variations in light intensity and scattering is used by rHealth to detect health problems. IoT will make blood testing and disease diagnostics much more advanced that the current levels.
Effect of IoT on Eye Health
Eye health is one of the most important realms of healthcare. Smart lens based on IoT is the next big thing in the modern healthcare. Google came up with its idea of smart contact lenses in 2014 using which patients could track their blood glucose levels. These lenses kill the hassle of testing sugar daily with painful devices, as eye tear drops can tell the blood glucose levels as precisely as a blood drop can. Google’s parent company Alphabet is also working on a contact lens that will fix the vision and retina sharpness using special fluids and electronics. This project of Alphabet is done by Verily Sciences. Similarly, Israel-based company Deep Optics is working on a smart lens which fixes the focus on the lens using electric circuits and light sensors.


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Coping with ringing in the ears can be challenging. Having to deal with misunderstandings and misconceptions about the condition can make it even harder.
But misinformation doesn’t need to get in the way of you getting the help and support you need.
Next time you’re confronted with one of these tinnitus myths, you can be ready to help others understand facts over fiction.
1. Myth: Tinnitus is rare
Nope. Tinnitus (which is the medical term for the perception or sensation of sound “in the ears” when no actual external noise is present) affects more people than the populations of California and Oregon combined (at least 45 million Americans). This makes ringing in the ears one of the most common health conditions in the United States.
2. Myth: Tinnitus is all in your mind
Actually, tinnitus is due to something going on in your ears, which then your brain must adapt to. In fact, some experts believe that tinnitus symptoms may be your brain’s way of trying to make up for missing sound frequencies it is no longer receiving from the auditory system. So, what happened to get this ball rolling? According to the Mayo Clinic, tinnitus is most commonly related to hearing loss, ear injury (damage and loss of the tiny sensory hair cells in the cochlea of the inner ear), or a circulatory system disorder.
3. Myth: Tinnitus isn’t a big deal
Sure, for some people, tinnitus can be just mildly annoying. For others, tinnitus can turn out to be temporary. But for many, ringing in the ears is a serious, chronic problem. Two million Americans say that their tinnitus symptoms are so severe that they are unable to function in their daily lives. The American Tinnitus Association indicates that among people reporting tinnitus:
- 20% report the condition is disabling or nearly disabling
- 25% describe tinnitus as “loud”
- 30% say that their tinnitus is either a “moderate” or “very big” problem in their lives
- 36% have near-constant symptoms
- 48-60% report depression
4. Myth: Only older people get tinnitus
While you are more at risk for tinnitus if you are older, a male, in the military, or a smoker, the condition also strikes many women, young people, and non-smokers. One study found that over half the teenagers participating had experienced tinnitus in the previous year. A major cause of ringing in the ears among younger people is exposure to loud noise. People who work in factories, armed services, construction, or the music industry are at particular risk. Crowded places, concerts, sporting events, recreational shooting, and listening to loud music with earbuds can also put ears in danger. The good news is that there are many ways people of all ages can protect their ears to help prevent tinnitus and to help current tinnitus from getting worse. Learn how here.
5. Myth: The only cause of tinnitus is loud noises
Yes, certainly, exposure to loud noises can lead to tinnitus. But there are other things that cause tinnitus, too. The Cleveland Clinic reports that lesser known potential causes of tinnitus include:
- Ear wax build-up.
- Medications including aspirin (at high doses), certain antibiotics, antidepressants, or chemotherapy drugs. (Of course, even if you are experiencing tinnitus, never change your medication regimen or stop taking any of your medications without talking to your doctor first).
- Dental conditions such as TMJ that affect your jaw or teeth.
- Head injuries resulting in biomechanical problems of the head, neck or jaw. (Bad head bonk? Please see a doctor!)
- Other medical conditions such as Meniere’s disease, hypertension, or diabetes. If your ear ringing is new or has changed significantly, it’s recommended you see a physician for check-up and to rule out these or other conditions.
6. Myth: There’s no treatment for tinnitus
There is not yet a cure for tinnitus but there are treatments that can help to make your symptoms more manageable and can also help you to better cope ear ringing. Some hearing aids have a built-in sound generator which produces white or pink noise, or ocean wave sounds. These can help to “mask” tinnitus in the ears and can help you to get habituated to ear ringing so that it no longer bothers you as much. Similarly, Lipo-Flavonoid offers the Sonorest Sleep Tones machine to create a tranquil, soothing environment through sound that can help with relaxation and sleep for individuals suffering from ringing in the ears. Sound therapy is recommended by experts at the Hearing Health Foundation and in the Tinnitus Journal.
And don’t forget, Lipo-Flavonoid is a nutritional supplement that can support ear health. With consistent use as directed, the nutrients in Lipo-Flavonoid have been shown to improve the symptoms of tinnitus in some people.
Lemon bioflavonoids, like those in Lipo-Flavonoid, are thought to help relieve tinnitus symptoms by:
- Improving microcirculation in the inner ear
- Preventing abnormal accumulation of fatty deposits, and
- Blocking histamine production in the inner ear (a likely cause of inner ear disturbances.)
Want even more tinnitus management tips and other useful information for living with tinnitus? We’re happy to help!


While attending a class in chiropractic college, a number of years ago, the professor/doctor at the front of the classroom challenged the class by making the statement:
The real question you have to ask yourself as a professional is, ‘Have I been practicing for 25 (or whatever number of) years or has it been the same one year practiced over and over 25 times?
The development of Symphonic Energetics has followed an evolutionary path being nurtured by over seventy-five years of chiropractic experience between the two of us. While one of us was pursuing the mental/emotional and stress/attitude path in postgraduate development, the other strongly focused on the advanced chiropractic technique models with the additional focus on rehabilitation, fitness, and nutrition.
So, when we came together in 2006, there was much to offer and much to learn – both of us knowing that the amalgamation of these two practice styles was about to spawn something new and unique.
A Unique Question is Asked
About six months to a year prior to our coming together, another colleague and I (Dr. Eidt) had spent a few hours discussing an observation we both had made regarding neuro-thermal scan results of the spine on a number of practice members.
These scans were a customary component of our initial and ongoing assessment of neuro-spinal stress. The observation was that in some cases the stress pattern on the scan result kept repeating at a particular spinal level or, rather, appeared to be “stuck” as compared to other levels, where elimination or at least a shift was evident in the stress pattern. It had been our clinical experience that most of these stress patterns would improve with the type of care we were providing.
But for those particular cases where the part of the scan pattern wasn’t changing over a reasonably expected period of time and care, we would ask ourselves “What was causing these stress patterns to stay ‘stuck’ and therefore an impediment to the overall health and wellness of our practice members?” We ultimately hypothesized that these areas could be due to unresolved Neuro-Emotional Complexes (NEC’s) at the spinal level. An NEC is an emotional block to normal physiology or function.
As we began to “Muscle Test” these specific areas for the NEC we found that 75-80% of these areas tested positive i.e. there was a related emotionally based block present. (A positive Muscle Test means an originally strong muscle when applying resistance, usually in the arm, goes weak with the same resistance when contact is made to the area being tested.)
An Answer is Supplied
This very act of Muscle Testing was at the same time a way to alert the practice member’s brain subconsciously to the very fact that these NEC’s indeed were present.
Upon having employed our specific chiropractic methods immediately after having alerted the brain, 100% of the NEC’s had cleared.
This result of the NEC being subsequently cleared was based on a Muscle Test immediately following the chiropractic application and further confirmed on the practice member’s next neuro-thermal scan.
The scan result showed the former stress pattern had changed, diminished or disappeared – all of which meant the “stuck” pattern was no longer “stuck”.
Primary Findings Expanded
Our assessment was later expanded to include testing of NEC’s in other symptomatic areas of the body with the same excellent results. I.e. determine the presence of an NEC -which simultaneously alerts the practice member’s subconscious mind, and then apply chiropractic care, resulting in the removal of the NEC. And usually, reduction or elimination of symptoms in that area of the body occurs – sometimes immediately.
This became part of our clinical approach when
1) either a neuro-spinal stress pattern as shown on the neuro-thermal scan report was not clearing or not changing the following care, or
2) the practice member’s presenting complaint sounded something like this: “I don’t know what happened but this shoulder pain (or whatever complaint) just ‘FLARED UP’ in the past few days”.
We have found that practice members, using language like ‘flared up’, without any attributive cause, almost certainly connotes an NEC… And then we’re off looking for where and how to get it resolved as quickly as possible.
Up Close and Personal
This, indeed, provided an expanded approach to our clinical practice but it wasn’t until it became ‘up-close and personal’ that this started to make a real impact:
I (Dr. Eidt) had been bothered on a number of occasions with bouts of claustrophobia e.g. on aircraft with tight seating arrangements or in other “perceived” enclosed areas. Over time I found the neuro-emotional methodology by itself had helped considerably. But that was like a “monkey on my back” compared to the “gorilla” that was developing at another level:
I began to experience, exaggerated claustrophobic symptoms like anxiety or panic attacks and these were triggered whenever I couldn’t remember a name, a place, or a particular word that I wanted to use… I know, “Relax and in a few moments or minutes it will come to you”. Believe me, I tried that. But remember this was an “emotional gorilla” that had to be “fed now” – had to “know now”, or the anxiety would just increase.
In the midst of this, I knew I was okay – that this was some kind of emotional aberration – and I just had to be patient between attacks and eventually an answer would come. Then over the period of a few days or weeks, I started to contemplate the words “my birth” – it just kept coming back to me.
And so, on a given day, I found myself experiencing another attack over not remembering a practice member’s last name. After going to our office administrative files and discreetly getting the name of the practice member, the attack started to settle down. I approached my colleague and had him test me. I tested positive for an NEC on “my birth”.
You see it finally dawned on me that my mother had relayed to me on many occasions about the difficult time she had given birth to me – AHA! – I then realized that probably, I just may have had as difficult an “emotional” time myself in this same process of being born.
Chiropractic care was given – subsequent muscle test was negative. I felt better somehow, but the best was yet to come… A day or two later I became aware that I had experienced – and this is the only way I could describe it- the removal of a large boulder of black coal from within my body, my being, and it was replaced by a glowing ball of light. Sounds wild!
However, over the past many years since, we have witnessed many practice members experience this very similar transformation in their own very unique way. This was a major step in the evolutionary development of Symphonic Energetics and left us with the following question:
How many people suffer from anxiety and are medicated for it while a key component could be an NEC relating to birth stress or trauma, or for that matter, any trauma, physical or emotional?
Some time passed and we continued to assist practice members in clearing NEC’s mostly at the spinal level or a specific body region, but now, our experience was showing that the brain had the capacity to…
clear multiple NEC’s (spinal or spinal/body combined) in one visit with one application of care. We were excited and now open to other possibilities…
The Endocrine System Joins the Party
And so it seemed in the cycle that on a day not too much later, we had a discussion about symptoms that Dr. Neumann was having. Our attention turned to a possible thyroid involvement.
The thyroid gland is part of the very powerful endocrine (hormonal) system of the body. We muscle tested for an NEC with the thyroid gland, got a positive test for NEC, applied care and voila! Not only did the thyroid subsequently test negative, but in the same instant, we became aware that we now could influence the clearing of NEC’s in both the nerve system and endocrine system of the body – the two most powerful and dynamic areas of human physiology. And, of course, we have continued to be amazed at the multiple clearings of NEC’s (spinal or endocrine separately, or both together). But more importantly, we were amazed at the overall impact on our practice members’ well-being – in some cases instantaneously.
As though this wasn’t beyond our wildest dreams, new approaches are presenting themselves within the dynamics that active practice allows for on a regular basis. Spawned by the experience of working in this field as well as a high degree of intuition, …
we are now in the process of drawing the connection between emotional states – recent or in the more distant past – and not only conditions and incidents that exhibit NEC’s, but the component of how the practice members “feel about” those conditions and incidents.


On May 31, 2012, the Michigan Supreme Court handed down a decision in People v. Kolanek that will provide some much-needed guidance to lower courts, prosecutors, and defense attorneys dealing with the Michigan Medical Marihuana Act (MMMA), MCL 333.26421 et seq. The decision contained several rulings on the interpretation of the MMMA. This post will examine these holdings and how they will likely affect future MMMA criminal litigation.
1. Section 4 grants broad immunity to registered patients.
The Court reaffirmed the language of the MMMA, that those patients who take the time to register with the state as medical marijuana users and to comply with the restrictions as to amount of marijuana, numbers of plants, and an enclosed locked facility for storage, are granted extensive protection against “arrest, prosecution, or penalty in any manner” and may not be denied “any right or privilege, including but not limited to civil penalty or disciplinary action by a business or occupational professional licensing board or bureau, for the medical use of marihuana…” MCL 333.26424. The Court also reiterated protection against denials of custody or parenting time as a result of being a registered user.
While the Court emphasized the broad nature of the extra protections available to registered patients under Section 4, it is unclear how, procedurally, this will aid the many card-carrying patients who have their grow operations “inspected” and are charged and prosecuted even though they are following the restrictions in Section 4, or those who are experiencing collateral deprivation of rights and privilege such as employment or child custody. It should be noted, however, that neither of the two cases considered in this consolidated opinion asserted a defense under Section 4; both defendants relied on the Section 8 affirmative defense. It is possible that another subsequent ruling will be needed to ensure uniform enforcement of Section 4.
2. Registered patients (and any unregistered persons) who do not qualify for Section 4 immunity may assert the Section 8 affirmative defense.
The Court held that technical violations of the restrictions outlined in Section 4 did not completely eliminate registered patients’ protection under the statute. Instead it simply put the registered patients on the same page as everyone else. Any patient or person who uses marijuana for medical purposes (on a doctor’s recommendation), has the right to assert the affirmative defense under Section 8. This includes registered patients that for whatever reason fail to comply with the technicalities of Section 4. For example, Defendant King (in the consolidated matter People v. King) kept half of his medical marijuana in a padlocked, 6 foot tall dog kennel with no top enclosure, and the other half in an unlocked closet. The Court’s decision says even though King, a registered patient, hadn’t complied with the Section 4 restrictions in order to be granted broad immunity, he could still raise the Section 8 affirmative defense.
This ruling by the Court should provide a degree of consistency in the enforcement of the MMMA. It will prevent the illogical occurrence where a person who went through all the steps to become a registered patient with the state is deprived protections granted to anyone using marijuana for medical purposes (on a doctor’s recommendation), simply because of a technical error or misinterpretation.
3. Section 8 grants a more limited protection for the use of medical marijuana in criminal prosecutions (and forfeitures and professional licensing boards) to unregistered users.
Here the Court clearly indicated that a person does not have to be a registered patient to take advantage of the protections of Section 8. At the same time, it recognized that those protections are significantly more limited. In order for the trial court to dismiss a case based on a Section 8 affirmative defense, the unregistered user has to prove:
(1) A physician has stated that, in the physician’s professional opinion, after having completed a full assessment of the patient’s medical history and current medical condition made in the course of a bona fide physician-patient relationship, the patient is likely to receive therapeutic or palliative benefit from the medical use of marihuana to treat or alleviate the patient’s serious or debilitating medical condition or symptoms of the patient’s serious or debilitating medical condition;
(2) The patient and the patient’s primary caregiver, if any, were collectively in possession of a quantity of marihuana that was not more than was reasonably necessary to ensure the uninterrupted availability of marihuana for the purpose of treating or alleviating the patient’s serious or debilitating medical condition or symptoms of the patient’s serious or debilitating medical condition; and
(3) The patient and the patient’s primary caregiver, if any, were engaged in the acquisition, possession, cultivation, manufacture, use, delivery, transfer, or transportation of marihuana or paraphernalia relating to the use of marihuana to treat or alleviate the patient’s serious or debilitating medical condition or symptoms of the patient’s serious or debilitating medical condition. MCL 333.26428.
Again, this will provide for more uniformity in the courts. Previously, some courts were requiring even registered patients to prove the Section 8 defense elements (in addition to the Section 4 compliance). Others may not have allowed non-registered patients to assert the Section 8 defense. This ruling clearly outlines who the MMMA protects and when.
5. A defendant need not establish that he or she qualifies for Section 4 in order to obtain protection under Section 8.
The details of this ruling has already been explained above, but the importance of the ruling cannot be overstated. Courts all over the state had been requiring defendants to prove that they qualified under Section 4 in order to assert the Section 8 affirmative defense. The Court very clearly held that these are 2 separate levels of protection with 2 separate lists of required elements. The defendant need not prove one to assert the other. Section 4 is not a gateway. It is instead the highest level of protection available to a medical marijuana patient.
6. A Section 8 affirmative defense must be asserted in a pre-trial motion to dismiss.
Procedurally this is very important to medical marijuana defense attorneys. A Section 8 affirmative defense can’t be raised at trial for the first time. In fact, the trial court is required to hold an evidentiary hearing prior to trial to determine whether the matter should be dismissed under Section 8. At that hearing, the Court outlined 3 possible outcomes:
- That all the elements of the Section 8 affirmative defense are proven and no question of fact exists for a jury to deliberate on. In this instance the case is dismissed prior to trial.
- That some evidence on each of the elements of the Section 8 affirmative defense is provided, but that a factual question exists for the jury to decide (such as whether a bona fide physician-patient relationship existed at the time of certification, or whether the defendant had more marijuana than was reasonably necessary to treat his or her condition). If this occurs, then the defense is presented to the jury to decide the factual questions
- That one or more elements of the Section 8 affirmative defense are not proven and no reasonable jury could determine otherwise given the facts presented in the evidentiary hearing. In this case the defendant may not present the defense to the jury at the time of trial.
This ruling is pivotal. Many judges have been erring on both sides of this matter. Some have not been holding evidentiary hearings or have been allowing the defendant to double-dip and present the defense to the jury even after determining there was not evidence to dismiss in the pre-trial motion. Others have been making rulings on fact questions, such as whether a bona fide physician-patient relationship existed in cases where reasonable jurors could have gone either way. Defense attorneys, likewise, have been failing to assert the Section 8 affirmative defense prior to trial and have therefore not allowed the trial courts to make the necessary determinations as to the legal validity of the defense. This ruling represents a major shift in how Section 8 affirmative defenses are handled and balances the defendant’s right to assert a legal defense against the court resources in holding expensive jury trials.
7. A qualifying physician’s statement must have been made after the MMMA came into law but before the charged offense occurred.
The Court clarified that the MMMA grants protection to individuals that physicians recommend take marijuana for medical purposes. This presupposes that the physician has made this recommendation before the person used the otherwise illegal drug. Similarly, the MMMA does not apply retroactively to recommendations made by physicians before the law went into effect.
This time restriction puts an end to medical marijuana defense attorneys seeking out physicians to approve their patients’ prior use of marijuana. If a patient has a legitimate medical need, he or she must get a recommendation from his or her physician and then undertake the use of marijuana pursuant to that recommendation. A later recommendation will protect the patient from future charges, but cannot be applied to defend against the previous charge. This was a matter of some controversy among defense attorneys, which this case has hopefully put to rest.
People v. Kolanek should prove to be a defining case in the area of medical marijuana law. Hopefully, it will result in more uniform enforcement and defense of these matters. While additional case law is certainly needed to clarify the Section 4 immunity and other elements of the Michigan Medical Marihuana Act, this case should provide some much needed guidance to trial courts, prosecutors, and defense attorneys alike.


The fans were shocked, silenced by the sudden end of so much promise, followed by that horrible feeling of what might have been.
Am I describing the play that took out Cleveland quarterback, Brian Hoyer, and all the hope he represented for long suffering Browns fans? Oh, my goodness, no! This was far worse than that. The player injured didn’t even play football. She played “ballie”, and although she had the same injury as Brian Hoyer, a torn ACL, she wasn’t a human. She was a dog. And not just any dog. The player hurt was our beloved Welsh Corgi, Betsy Louise. Moreover, in that instant her parents went from being veterinarians to owners of a broken pet, with all the concern and anxiety their clients might experience when faced with a similar situation.
What should we do? Surgery or medical management? We don’t do knee surgery in our practice, but we have treated several dogs, big and little, successfully with anti-inflammatory drugs, glucosamine-chondroitin sulfate medications, exercise restriction, and time. Betsy, however, was a special case. She was only two years old, and without question, the most athletic dog we’ve ever had.
Although our two Border Collies literally run circles around her when it comes to herding sheep and ducks, and Betsy does try, fetching the Kong ball is her specialty, and obsession. With her short legs and lightning reflexes, she makes the Border Collies look like the team that always plays, and loses to, the Harlem Globetrotters.
The knee or stifle joint, which connects the long femur bone to the shorter tibia and fibula bones of the lower leg, is one of the most complex joints in the body, subject to stress with each step taken; the stress exacerbated when running, jumping, and twisting is thrown into the mix. This is probably what got Betsy into trouble.
The joint is held together by two pairs of ligaments, which are fibrous bands of tissue, that link bone to bone. The medial and lateral collateral ligaments are located on the inside and outside surface of the joint. The anterior or cranial cruciate ligament and the posterior or caudal cruciate ligament hold the joint together from within.
If the anterior cruciate ligament is torn, as in Betsy’s case, the tibia is allowed to move forward unconstrained, which destabilizes the joint and can lead to further damage to the other ligaments as well as arthritis.
Betsy’s mother, Bonnie, consulted with two surgeons. One preferred a procedure known as Tibial Plateau Leveling Osteotomy [TPLO]. In this surgery part of the tibia is cut and rotated. It is more invasive, more complicated and thus more expensive. For larger dogs, though, it may be necessary. The other surgeon routinely performs the Lateral Imbrication technique, which involves tightening the lateral joint tissues with sutures. For smaller dogs like Betsy, this usually works fine, and is the route we decided to take.
As surgery day drew near, however, we were filled with additional nervous-owner questions. Were we doing the right thing? Would the operation be a success? And, of course, the whole idea of putting Betsy’s life in someone else’s hands, even when we knew he was perfectly capable, was another small mountain to climb.
The patient was to be dropped off at the animal hospital around noon. Bonnie made a list of Betsy’s likes and dislikes. Included was that Betsy liked to have someone’s fingers placed inside her ears, I guess for an internal massage. She also liked to have her chest rubbed, but not her belly. I did not know that. And please, if they could trim her nails real short while she was sleeping, as Betsy has never been keen about nail-trims. I knew Betsy liked to play by her own rules, but I didn’t realize there was an actual list. I appreciated the doctor and his technicians for the kindness and patience shown to me, the list, and Princess Betsy Louise.
Her surgery and recovery went well, and although she was pretty gimpy for the first few days, the sparkle soon returned to her eyes. With each passing day she becomes more like the Betsy Louise of old. Hopefully, in about three months, if her rehabilitation continues to go well, she can begin to think about getting back in the game.
Author: Dr. John Jones


Adele Roberts is an award-winning British broadcaster and DJ.
A proud member of the LGBTQ+ community, Adele & her partner Kate are huge advocates for representation and equality.
Diagnosed with stage two bowel cancer in October 2021, Adele is passionate about raising ostomy visibility and bowel cancer awareness.
Adele’s fight with bowel cancer hasn’t managed to slow her down either. The course of treatment involved a low anterior resection and ileostomy surgery in October 2021 which, fortunately, successfully removed cancer around her colon. By January 2022, Adele had embarked on running 5K every day for one year, donating £5 to a different cancer charity with every run. Impressively, Adele was running whilst fulfilling a six-month course of oral chemotherapy and with a stoma – who she affectionately refers to as Audrey.
In 2017 and 2018, she ran the London Marathon fundraising for the mental health charity, Heads Together where her efforts were formally recognised by Prince William and Kate Middleton. She will be running the 2023 London Marathon less than a year after finishing chemotherapy and is hoping to set a Guinness World Record for the fastest female with an ileostomy.


The Dance Extension is proud to partner with Nationwide Children’s Hospital Sports Medicine. Through this partnership, Nationwide Children’s Sports Medicine provides many services to our dancers including:
- Injury checks with a certified Athletic Trainer
- Injury Prevention programs
- Priority scheduling for injured dancers
- Strength and conditioning resources
For any Dance Extension dancer who may have an injury, please speak to a teacher about seeing our athletic trainer, Eric Leighton, who visits the Dublin studio Thursday evenings. Over the past several years, Eric has been instrumental in keeping our dancers healthy. He is a vital resource in guiding injured dancers to a course of treatment, including when necessary, arranging for next day appointments with a sports medicine or orthopedic physician. Eric has personally treated several of our dancers in Functional Rehabilitation sessions and is able to tailor treatment to the unique needs of the young dancer. Our partnership with Nationwide Children’s Sports Medicine continues to be a wonderful benefit to The Dance Extension Project.


The Nursing program prepares the graduate to function as a Registered Nurse in providing care to clients with complex health care needs. Upon successful completion of this program, students are eligible to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN) in any state. This program may require travel to surrounding communities. It is recommended that students contact the college regarding the program requirements. Students must complete all program requirements, including approved prerequisites with a grade of "C" or better and meet the minimum cumulative GPA of 2.5. Admission into the Day Cohort at the Douglas Campus occurs every two years on the EVEN years. (Admission: Fall 2020, 2022, 2024) Admission into the Night Cohort at the Douglas and Torrington campuses occurs every two years on the ODD years (Admission: Fall 2019, 2021, 2023).
Please note that this program has strict admittance requirements. Please visit https://ewc.wy.edu/learning-and-outreach/nursing/. For more information contact the EWC Director of Nursing at 307.624.7000.
Program Note: Those considering a career in the Nursing field should be aware of strict admission criteria by state standards and clinical agencies. Factors that may disqualify candidates for employment in the profession include conviction of a crime, history of drug abuse, psychological problems, and various physical conditions. Certain classes in the Eastern Wyoming College Nursing Program may also be restricted to individuals for the same reasons. Please consult with the Nursing Director if you have any concerns in this area.
This program is intended to articulate with the BSN program at the University of Wyoming. Please work closely with an advisor if you intend to pursue a bachelor's degree at the University of Wyoming.


Talamo Family Practice Group
555 Second Avenue, Suite D201
Collegeville, PA 19426
Thank you for selecting our practice for your health care needs. This guide has been put together to provide you with some basic information about our practice. Please feel free to ask questions of any staff member. We are all here to help you.
The mission of the Talamo Family Practice Group is to provide comprehensive, accessible health care to individuals and families. We believe that each doctor/patient relationship is unique. We are committed to high professional standards in providing personalized care and promoting healthy lifestyles.
Our Office Hours Are:
Monday 8:00 AM - 5:00 PM
Tuesday - Thursday 8:00 AM - 8:00 PM
Friday 8:00 AM - 12:00 Noon
Saturday Emergencies Only
When you call, be prepared to describe your needs so the staff can direct your call most efficiently. Different needs are handled differently by our staff. Your call will most likely (but not necessarily) fall into one of the following categories:
- True emergency (chest pains, severe injury, etc.)
- Same-day illness (sore throat, flu, etc.)
- Routine recheck (blood pressure, post-surgery, etc.)
- Routine physical exam
- Medication refills
- Test results
- Nurse and/or physician advice
- Billing questions
By categorizing your needs, you will help the staff route your call quickly and appropriately. When you call for an appointment, our scheduling staff will ask you some questions in an attempt to determine the best appointment for you. Your appointment represents time that is set aside for you. If you must cancel or reschedule your appointment or you will be late, please notify us as far in advance as possible. We prefer 24 hours notice.
- Pediatric Care
- Adult Medicine
- Minor Office Surgery
- Preventitive Health Care
- Allergy Injections
- Adolescent Medicine
- ... and others
- Plan and telephone well in advance for your appointments
- We require 48 hours notice before issuing referrals
- Our policy is for payment in full at the time of visit
- Call for all prescriptions during normal business hours
Patients are seen by appointment only, Monday through Friday.
We are available to you after hours by telephone for urgent emergencies. You may reach us through our answering service at our usual telephone number or by dialing 610.792.2890 after hours. In a true emergency, it is best to call an ambulance (911) or go directly to the ER department of the nearest hospital.
Please call the office if you have any questions regarding your condition, medication, or treatment. No prescriptions will be refilled unless your examination is current. Refills will be handled only during office hours when your chart is available for review.
Your Providers at a Glance
Robert J. Talamo, M.D.
Dr. Talamo completed his undergraduate studies at Notre Dame and then attended Jefferson Medical College. After graduation, he completed his residency at Bryn Mawr Hospital. He has been in private practice in the Collegeville area since 1988. He is Board Certified by the American Board of Family Practice and at the present time is on the medical staff at Phoenixville Hospital and Montgomery Hospital. He has three children, and in his spare time enjoys skiing and tennis.
Amy E. Baker, PA-C, MS
Amy graduated from the Philadelphia University with a Master's Degree in Physician Assistant studies and is nationally certified. She has worked in family practice since 2004. She lives in Philadelphia with her husband and her son. She also teaches future Physician Assistants at Philadelphia University. Her favorite activities include traveling and photography, as well as spending time with family and friends.
Christopher C. Dogonniuck, PA-C
Christopher graduated from the University of Pennsylvania before serving seven years as a U.S. Marine Corps Officer. He graduated from Long Island University Physician Assistant Program in 1996 and retains national certification. Before joining the practice, he worked in Neurosurgery, Geriatrics, and Emergency Medicine. He lives in Skippack with his wife and four children. His time away from work is spent happily with his family, working around the house, and reading.


Qigong or Chi Kung is a millenary body-energy work linked to traditional Chinese medicine. It is based on aligning and integrating physical movements with the breath and the conscious mind. This practice brings us many health benefits, including: mind-body balance, relaxation, strengthening vital energy (chi) and improving the immune system. In these workshops we will do gentle exercises suitable for everyone. A session lasts between 45-60 minutes approx.
PRICE: 5€ for clients and 10€ for non hosted customers.


Health care providers participating in both eRx and EHR incentive programs can now breathe easy. Under a new rule, the Centers for Medicare and Medicaid Services (CMS) has proposed modification of its electronic prescription (eRx) incentive program thereby better aligning it with its EHR incentive plan.
Providers participating in the EHR incentive program had been concerned about being penalized for missing e-prescribing system deadlines under the eRx incentive program which was launched earlier. As the EHR program also requires providers to adopt an e-prescribing system and fulfill related functions, there was an overlap between the two programs, which has been straightened out by the new rule.
Such providers will now have more time to report their e-prescribing quality measures under the modified eRx incentive program. Also, a certified EHR technology will be accepted as a qualified e-prescribing system thereby exempting such providers from penalties under the new rule.
The proposed rule, however, states that Medicare eligible professionals (EP) and group practices cannot earn an incentive under both the eRx and the EHR incentive programs for the same year. Also, EPs will be subject to an e-prescribing payment adjustment if they do not meet the requirements under the eRx program, regardless of whether they participate in and earn an incentive under the EHR program.
Under the eRx incentive program, physicians who use a qualified e-prescribing system are eligible for an additional 1% in Medicare Part B payments in 2011 and 2012, and a 0.5% increase in 2013. But providers who fail to complete at least 10 paperless electronic prescriptions using such a system between January 1 and June 30, 2011 will receive a 1% cut in Medicare reimbursements in 2012, a 1.5% cut in 2013, and a 2% cut in 2014.
The American Medical Association welcomed the flexibility of the proposed rule and the elimination of unreasonable penalties. “Physicians who are working to adopt e-prescribing and other health IT should not be unfairly penalized for practice patterns that do not fit neatly within the current, limited exemption process,” said Dr. Cecil Wilson, AMA president, in a statement.
Among the requirements, e-prescribing systems must be able to generate and transmit prescriptions and active medication list; check for drug-drug interactions; and check whether drugs are in a health plan’s formulary or preferred drug list.
The EHR program also requires the EHR technology to be tested and certified by a certification body authorized by the National Coordinator for Health Information Technology, and even the eRx system to be certified by bodies like Surescripts. Surescripts has the nation’s largest e-prescription network. The eRx incentive program, however, does not require adoption of a certified e-prescription system.
(Source: CMS & Government Health IT)
Tags: Certified Prescription, E-Prescribing, E-Prescription, Electronic Prescribing, Electronic Prescription, electronic prescriptions, eRx, SureScripts
Posted June 6, 2011 by admin under E-Prescription, Electronic Prescription, Medicare Incentive


Orthodontics is the specialty of Dental Medicine responsible for the study, diagnosis, prevention and treatment of dentofacial alterations, which can have several origins.
It can usually be associated with misaligned or spacing teeth, protracted or retracted teeth. These situations can cause problems at the level of the gums, increased susceptibility to dental caries due to difficulty in hygiene, problems of the temporomandibular joint, difficulty chewing or even speech, in addition to problems of self-esteem since it can compromise the aesthetics of the smile and face.
Orthodontic treatment can solve these situations, returning a functional harmony and a beautiful and confident smile.
The Invisalign® system consists of an effective, virtually invisible and removable aligner system that allows for greater comfort and better hygiene. The use of this type of treatment allows a smaller number of visits to the dentist during treatment, and fewer urgent situations associated with conventional orthodontic treatments.


Helping you to stay in the game… TBI Health
Our friends down at TBI Health will be providing training tips in the lead up to Round the Bays. We will update this page each time TBI Health provides a new tip or you can get them instantly on their Facebook page.
Training Tip #1
The 10% Rule and Injury Prevention:
The majority of injuries that runners experience are due to training errors. One of the most common training errors is to increase your running distance too quickly. This is where the 10% Rule can come in useful.
The 10% Rule: Never increase your total weekly running distance (kilometres) by more than 10% over the previous week.
For example, your training week may look something like this:
If you add the total distance of these 3 runs you get 10 km’s for that week. Therefore, applying the 10% rule:
10% of 10km = 1km
For your next week of training you should try not to run more than 11km in total (10 km + 1 km).
This rule is particularly important if you are new to walking and running because of the impact these activities have on your body. Research has shown that when walking the force through your body can be up to 3 times your body weight and when running the impact forces can increase to up to 8 times greater than your body weight.
This can take quite a toll on your body’s structures (your muscles, tendons, bones, joints, and ligaments). Following the 10% rule allows these structures to adapt to the new activity and therefore decrease your risk of injury.
Training Tip #2
Here at TBI Health we regularly treat walkers and runners that experience lower limb pain. The majority of these runners are lacking strong hip stabilisers (particularly the gluteus minimus and medius muscles) and strong buttock (gluteal) muscles.
When you are running the forces that go through your lower limb are increased. Your hip stabilisers and gluteal muscles play a role in sharing these forces with other muscles further down your legs. Therefore, if your hip stabilisers and gluteal muscle groups are weak then more forces will be transferred to the joints and muscles further down your leg.
During the next 4 weeks the TBI Health team will be providing you with some great exercise ideas on how you can incorporate hip and gluteal strengthening into your weekly training regime and thus assist in injury prevention. See video below for the first 2.
To begin with you may try performing these exercises 2-3 times per week. Begin with 2 sets of 10 and build up to 3 sets of 15 gradually.
Please note: If you already experience lower limb pain with running then it is recommended that you get this pain thoroughly assessed by one of the TBI Health Physiotherapy team prior to commencing any of these exercises.
Training Tip #3
Excessive anterior pelvic tilt and running injuries:
– Including top 3 tests and top 3 exercises for assessing and correcting an anterior pelvic tilt
When referring to the tilt of your pelvis we are talking about the angle your pelvis sits in relation to you spine when looking at you side on (see picture right).
If your pelvis is tilted too far forward (anterior pelvic tilt or anterior rotation) then it can change the distribution of load that goes through your muscles and joints when you run. It can occur on both sides of your body or on one side only.
Increased anterior pelvic tilt can lead to the following:
- Back pain. The increased arch in your lower back leads to increased stress on your lower back (facet) joints
- Knee pain. The increased knee bend that occurs when you heel strike leads to increased pressure on your patella (knee) tendon
- Knee pain. Increased compression of the knee cap that occurs with excessive knee bend at heel strike leads to increased pressure on your knee joints
- Weak and inefficient buttock muscles
- Lengthened hamstring and abdominal muscles
- Tight side hip muscles. A lack of buttock muscle action means the side hips muscles have to work extra hard which forces them to become tight
Top 3 tests for excessive anterior pelvic tilt:
1. Mirror Observation Test
- With your top off stand side on to a mirror
- Is your lower back excessively curved?
- Optimal: There should be a slight curve in your lower back (see picture above)
2. Wall posture test:
- Stand facing backwards to the wall
- Place your head, back, bottom, and heels against the wall
- Place your forearm behind your back and place it in the small/gap of your lower back
- Is the gap larger than the circumference of your forearm?
- Optimal: There should be no extra space between your forearm and your lower back
3. Thomas Test: This test can assess for tight hip flexor muscles. Tight hip flexors can pull your spine into more of an anterior pelvic tilt.
- Sit on the edge of a bench or table
- Pull one knee towards your chest and hug it
- Lie back with your lower back flat on the bench or table
- Relax the other leg and let it hang off the edge of the table
- Does your hanging knee sit higher than the edge of the table?
- Optimal: Your hanging knee should sit horizontal or in line with the table (see right leg in picture to the right)
If you perform the 3 tests above and you are not gaining optimal values then it’s likely you will have an excessive anterior pelvic tilt.
Top 3 exercises for improving an excessive anterior pelvic tilt:
1. Stretch your hip flexor muscles
2. Strengthen your abdominal muscles
3. Strengthen your buttock muscles – See TBI Health Tip 2 for some great beginner buttock strengthening exercises!
Training Tip #4
How To Breathe Whilst Running
- Improve your race time!
- Decrease your injury risk!
The majority of people that enter my treatment rooms have never thought about how their breathing can affect their running performance or injury risk. However, research now suggests that your pattern of breathing can affect both.
4 drills to improve your breathing whilst running and walking:
- Lie on your back with your knees bent
- Place one hand on your stomach and one hand on your chest
- Watch your hands move as you breathe in and out. Ideally the hand that is on your stomach should rise and fall more than the hand on your chest
- If this is not the case then focus on breathing from lower down (diaphragmatic breathing) and making the hand on your stomach rise and fall smoothly
- Practice this prior to step 2
- Lie on your back with your knees bent
- Repeat the steps in step 1 and add the following:
- When you breathe in lift one foot off the ground and then put it down. Alternating feet, repeat 3 times then begin to breathe out
- When you breathe out continue to alternate your feet at the same pace as above however only perform one foot lift and lower on each leg
- Then repeat this cycle 5 times and have a rest
- If you are performing this correctly you should begin your first breathe out on a different foot each cycle
- Visualize yourself running and maintaining this breathing and foot strike pattern throughout a run
- The breathing pattern is a 3:2 ratio of 3 foot strikes per breath in to 2 foot strikes per breathe out
- Now you need to practice the above sequence in walking
- Repeat exactly the same breathing pattern and foot strike ratio in walking as you did in step 2 when you were lying
- Remember to continue to breathe from lower down in your stomach, keep your breathing smooth, and maintain the 3:2 ratio
- On the breath out of each breathing cycle a different foot should strike the ground
- The final step is trying this whilst running
- Repeat exactly the same breathing pattern and foot strike ratio in running as you did in step 3 when you were walking
- Note: Naturally your breathing speed (time it take to breathe in and out) will increase slightly when you run
- If you are competing in the 6.5 km or 10 km race and you are an experienced, fast runner then the 3:2 ratio may become a 2:1 ratio of breathes in and out
Why breathe from your stomach/diaphragm?
Your diaphragm is your major breathing muscle in your body. When you breathe in your diaphragm contracts and expands downward toward your feet, your ribs expand outward (with some help from other muscles around your chest) and your lungs begin to fill with air. The more air you can get into your lungs the more air available to feed the working muscles in your body whilst running.
If you are someone who only breaths from your chest and you don’t use your diaphragm for breathing then your upper chest, neck and rib muscles will work too hard. These muscles are not only less efficient than your diaphragm leading to less air going into the lungs, but overusing them can also add to extra tension in the chest, neck and shoulders, which most of you don’t need, especially if you have a desk job during the day!
Your diaphragm also plays a key role in core stability. If your diaphragm is not assisting in the maintenance of a strong core throughout your run then it can lead to extra stress on other muscles, especially your back and pelvic region. This can lead to injury and pain in these and other areas in your lower limb.
The importance of timing your breathing pattern with your foot strike:
The timing of your breathing cycle in relation to the timing of your foot strike is important. Research suggests that if you always breathe out when you heel strike (component of your running stride after your foot swings through and when it hits/strikes the ground) on the same side of your body then this can increase your risk of injury on this side of the body.
As stated above, your diaphragm has a stability function in your body’s core. It is most efficient when you are breathing in and least efficient when breathing out. Therefore, if you are always breathing out on the heel strike of the same side of the body then your heel strike will be occurring when you have less core support from your diaphragm. This can then lead to more pressure being placed on other structures on this side of the body. As running is such a repetitive action then over time this can lead to pain and injury.
Therefore, in the drills suggest above, you are encouraged to share the load or alternate your breathe out between the 2 sides of your body.
Information provided by:[pewell text=”Peter Halstead (Physiotherapist) M.Phty, PGDipSportMed, BSpEx, MPNZ – If you have any questions about the content of this article then please email firstname.lastname@example.org. ” size=”normal”]


Prompt workplace injury reporting can help save on the costs associated with workers' compensation injuries.
We offer our workers' compensation policyholders an innovative managed care program that provides quality medical care and attention to injured workers. We designed our program to help employers contain the costs of workers' compensation claims. Our goal is to streamline the process of reporting injuries.
Prompt reporting of all injuries involving outside medical treatment is critical to the claims management process. Any delay in reporting the claim directly affects the adjuster’s ability to properly investigate the loss and make the proper decision regarding the payment of statutory wage or medical benefits. Studies have found that claims reported two weeks after the injury cost 18 percent more than those reported earlier. Four weeks later and the costs almost double.
You can report a workplace injury by calling 800-374-4990 or reporting online.
What you need to do if an employee is injured
- Determine if medical assistance is needed. For serious injuries, call 911.
- Report the injury immediately by calling 800-374-4990. Please call us even if you do not have all of the claim information.
- Review the information in the workers' compensation packet that explains your options for referrals to doctors and medical facilities. Review your state requirements regarding employer involvement in medical care and required documentation. You should have selected your medical providers when you received your packet. If not, you will be provided with provider information at the time you report the injury.
- The supervisor should accompany the injured employee to the doctor or medical facility and then accompany the employee back to work or home.
- Stay in contact with your employee. If the employee is unable to work, you should call them frequently to ask how they feel and when they will see the doctor again. Remind them that many people care about their progress and want to see them recover and return to their job as soon as possible.
- Offer light-duty tasks to help the employee return to work sooner. If the doctor releases your employee with restrictions, find light (modified or transitional) duty tasks for an early return to work.
What we do when an injury is reported
- We complete the first report of injury and file the required forms with the state.
- We fax a copy of the first report of injury to you and your agent.
- If a claim involves lost work time, the claims adjuster will interview you, the doctor assigned to the case and the injured worker.
- When the injury is severe, we have a registered nurse talk with you and your injured worker on the day the injury is reported to us. The registered nurse will assess the medical situation and work with the treating medical provider on a treatment plan.


Citrix - Premium Flower
Citrix - AAA - Sativa Dominant
Citrix is a Sativa dominant hybrid. With strong scents of skunk, citrus and pungent fruit.
Citrix is known to induce uplifting cerebral euphoria as well as helps improve concentration, boosts creativity and energy. While it may prompt giggles and chattiness it is regularly followed by moderate body relaxation. Citrix is also known to help control pain, help with nausea aswell as relieves stress and depression.
This strain is best suited for experienced users, due to the strong 18-23% THC levels. Citrix is a good choice for morning and day time use.


We value our patients' experience at Ollis Chiropractic. If you are currently a chiropractic patient, please feel free to complete the following Client Experience Questionnaire. The Questionnaire is in Adobe Acrobat format, and requires the free Acrobat Reader to view.
Dr. Phil Ollis
Your Clarksville Chiropractor
"Years of pain finally began to go away after I began seeing Dr. Ollis. I had been to many other practitioners and none were helping a recurring pain and discomfort I had. I had become very discouraged, not only because I could not discover what was wrong, but also because my pain was impeding my ability to work productively, do well in my courses at university, and enjoy my days and people in my life. I had never been to a chiropractor before seeing Dr. Ollis, and I was nervous about it. But, I had exhausted all other options, so I gave it a try. Two days after my first appointment, I was able to drive to work without pain, something that hadn't happened in years. The improvements continued as we targeted what parts of my body needed help getting back in sync. The pain continued to lessen, and my life continued getting better in all aspects. Dr. Ollis answers all of my questions very articulately and thoroughly; he always obliges my curiosity when I want to understand more about what's going on with my body. He knows what he's doing and is very passionate about delivering high-quality care. His Office Manager Jaclyn is always very professional, cordial, and welcoming. It's a wonderful practice all around that I would recommend to anyone. Dr. Ollis' treatments led to a dramatic shift-for-the-better in my life, for sure! "
~ Nicholas M.


Tobacco Control Works
The New York State Tobacco Control Program has been proven effective in preventing kids from smoking and encouraging adults to quit. In fact, the rates of adult and teen smoking in New York have fallen at a faster rate than the United States as a whole.
But there is still much to be done...
- 25,500 New York smokers die annually.
- Smoking is the most common cause of lung cancer, which is the number one cancer killer of both men and women in New York State.
- Annual health care costs in NYS caused by smoking exceed $8 billion including $5.4 billion in Medicaid costs.
We must fund New York's Tobacco Control Program!
New Yorkers: Budget is on the chopping block
Governor Cuomo's new budget proposal cuts funding across the board and will have dozens of public health programs vying for the same reduced level of funding. This will result in a cut of at least 10% to the tobacco prevention program and it's effective ad campaigns, quitlines and community-based cessation services.
Urge your legislators to protect the health of kids and protect funding for the tobacco control program. With more than $2 billion of revenue that New York receives from cigarette taxes (and less than 2% of it going to programs to keep kids from smoking and help smokers quit), New York should be doing more, not less!


My first miscarriage happened in January. I began to fear it just a day after learning I was pregnant. I went to the doctor and at six weeks, they saw a gestational sac on the ultrasound with nothing inside it. (There should have been an embryo there.) The next week, when they checked again, the sac had shrunk. I was diagnosed with a “missed miscarriage.” The remnants of fetus-that-never-was eventually left my womb on Chinese New Year.
My next miscarriage happened in late June, while I was on stage, speaking to a few hundred young people gathered for a Millennial convention in Chicago. (No, really, it is called Millennial Convention). I knew it was going to happen. Two weeks earlier, a scan showed a heart that beat too slow for a six week-old fetus. The clinical name for that is a “threatened abortion.” I read every study on heart rates at 90 bpm for tiny embryos, and science indicated that that pregnancy would be lost, too.
Clinically, they don’t diagnose you with recurrent pregnancy loss until you’ve suffered three consecutive miscarriages. That’s because the changes of miscarriage are so big (anywhere between 20 to 30 percent) that it’s entirely likely you lose two just due to random chance. As any betting person knows, it IS possible to roll two sevens in a row, even though it’s unlikely.
But I look for answers for a living. So I went and got tested — blood and hormone tests, chromosome tests, thyroid tests, and even a dye injected in my uterus to see whether my system had structural deficiencies. They all turned up exactly what my doctor suspected — nothing. System was sound, all my hormone levels in perfect ranges. My uterus is “beautiful,” the doc said. (Weirdest compliment, I know.)
I write about this because it’s part of my nature to share, but also because I don’t want anyone else who goes through pregnancy loss to feel ashamed about it. So many women suffer this sorrow silently, and don’t have to. The programmer Marco Arment reminded me powerfully in November, in writing about his wife’s 21-week pregnancy loss, that giving a voice to layered and varied and painful experiences frees us all.
I’m around if you, God forbid, go through something like this and want to talk. As Emily Bazelon wrote after miscarrying twins in 2003, “Shouldn’t we be talking openly about this much more often, so that we’re better prepared for the grief when it hits us?” I took some advice I read in that discussion: I came to think about my unborn babies as benevolent beings out there somewhere, tied to Matty and me, if only in memory.


Chiropractic Care at The Vine: Providing Functional Wellness and Nutritional Care
The Vine’s chiropractic care is renowned for its holistic approach to health and well-being, addressing not only musculoskeletal issues but also promoting functional wellness and nutritional care. Through a combination of chiropractic techniques, functional assessments, and nutritional guidance, Dr. Parrish plays a vital role in helping individuals achieve optimal health and vitality.
Functional wellness within chiropractic care focuses on enhancing the body’s overall function and performance. Dr. Parrish recognizes that proper movement, biomechanics, and neurological function are essential for optimal health. By assessing and addressing imbalances, restrictions, and dysfunctions, he aims to optimize the body’s ability to move, function, and perform daily activities. Dr. Parrish utilizes a range of techniques to promote functional wellness, such as spinal adjustments, mobilizations, soft tissue therapies, and rehabilitative exercises. These interventions are designed to restore proper joint alignment, enhance nervous system communication, and improve overall musculoskeletal health. By reducing restrictions and optimizing movement patterns, chiropractic care supports individuals in achieving greater mobility, improved posture, and enhanced physical performance.
Dr. Parrish also recognizes the critical role that nutrition plays in overall health and well-being. Nutritional care within chiropractic focuses on understanding the impact of diet and lifestyle choices on an individual’s health. At The Vine Chiropractic, we utilize nutritional assessments, dietary evaluations, and lifestyle discussions to identify areas of concern and develop personalized nutritional plans. Some assessments our team at The Vine can use are:
|Basic Food Sensitivity Test
|Comprehensive Food Sensitivity Test
|Comprehensive Heavy Metals Test
|Comprehensive Stool Test
|Heart Health Test
|Inflammation and Vitamin D Blood Test
|Men’s Health Test
|Omega 3 Test
|Organic Acids Test
|Sleep/Stress and Adrenal Test
|Vitamin D Test
|Weight Loss Test
|Women’s Health Test
A better approach to nutrition could improve your life today
Our team at The Vine provides nutritional guidance and education to help individuals make informed choices about their diet. They emphasize the importance of a balanced diet, rich in whole foods, essential nutrients, and hydration. By addressing nutritional deficiencies, supporting optimal digestion, and promoting a well-rounded diet, we help individuals optimize their nutritional status and enhance their overall well-being.
Functional wellness and nutritional care often go hand in hand within chiropractic practice. At The Vine, we recognize that optimal nutrition is vital in supporting the body’s healing processes and optimizing functional wellness. Nutritional deficiencies or imbalances can contribute to musculoskeletal issues, chronic inflammation, compromised immune function, and other health problems. By integrating nutritional care into their practice, chiropractors provide a comprehensive approach that supports overall health and well-being.
Dr. Parrish offers functional assessments that help identify areas of concern and guide the development of personalized treatment plans. These assessments may include postural analysis, movement assessments, flexibility testing, and neurological evaluations. Through these evaluations, chiropractors gain insights into an individual’s functional limitations, movement patterns, and areas that require attention. Based on the functional assessment findings, Dr. Parrish develops tailored treatment plans that may include specific chiropractic adjustments, therapeutic exercises, stretches, and lifestyle modifications. These interventions aim to correct imbalances, restore proper alignment, and improve overall functional wellness. We also provide guidance on proper body mechanics, ergonomics, and exercises that support functional movement patterns in daily activities.
At The Vine Chiropractic, we integrate nutritional care into our practice to enhance functional wellness. We assess an individual’s dietary habits, nutritional status, and lifestyle factors that may impact their well-being. By providing guidance on proper nutrition, supplementation, and lifestyle modifications, we can help individuals optimize their overall health and support the body’s natural healing processes.
Collaboration with other healthcare professionals is an essential aspect of chiropractic care in providing functional wellness and nutritional care. Our team at The Vine may work in partnership with registered dietitians, nutritionists, and other healthcare providers to ensure a comprehensive and integrated approach to an individual’s health. This collaborative effort allows for a multidisciplinary assessment of an individual’s nutritional needs, and functional limitations, and the development of a coordinated treatment plan.
Chiropractic care at The Vine offers functional wellness and nutritional care to support individuals in achieving optimal health and vitality. By focusing on enhancing overall function, mobility, and performance, chiropractors support individuals in improving their quality of life and achieving their health goals. Through a combination of chiropractic techniques, functional assessments, and personalized nutritional care, Dr. Parrish and the team can address musculoskeletal imbalances, optimize movement patterns, and promote overall well-being.
At The Vine, chiropractic care also emphasizes patient education and empowerment. Dr. Parrish seeks to educate individuals about the importance of functional wellness and proper nutrition in achieving optimal health. He provides guidance on lifestyle factors, such as exercise, stress management, and sleep, that contribute to overall well-being. By empowering individuals with knowledge and promoting active participation in their health, chiropractic care at The Vine supports long-term success in achieving and maintaining functional wellness.
Chiropractic care from The Vine provides functional wellness and nutritional care to support individuals in achieving optimal health and well-being. By addressing musculoskeletal imbalances, optimizing movement patterns, and providing personalized nutritional guidance, Dr. Parrish plays a vital role in enhancing overall function, reducing pain, and supporting the body’s natural healing processes. Through collaboration with other healthcare providers and patient education, chiropractic care at The Vine offers a comprehensive and holistic approach to functional wellness and nutritional care. By promoting optimal function and overall well-being, our team helps individuals lead healthier, more vibrant lives.


Thanks from the Kidney Function Centre
The Kidney Function Centre at St Paul's Hospital would like to express our gratitude to the communities of Edgemont and Caulfield Village and to Windsor Meats for your extremely generous donation! These kinds of donations help to improve the lives of those living with Chronic Kidney Disease by providing much needed supports such as: patient comfort items and education tools; assistance with research and program improvement initiatives as well as staff education. We are very lucky to have your support!
Thank you sincerely,Michele Trask
Operations leader, Kidney Function Centre St Paul's Hospital


D’Agostino went to his physician and was diagnosed with a torn rotator cuff. Don, one of an estimated 13 million people in the United States who seek medical care for shoulder problems each year, tried physical therapy, anti-inflammatory drugs, and over-the-counter and prescription painkillers. Offering little relief, D’Agostino eventually turned to the shoulder experts with Washington University Orthopedics.
“Shoulder injuries are fairly common. The shoulder is characterized by a fine balance between mobility and stability that is maintained by a series of muscles, ligaments and tendons which allow for a wide range of movement,” says Leesa Galatz, MD, shoulder surgeon with Washington University Orthopedics and D’Agostino’s shoulder specialist. “The rotator cuff is composed of four muscles that surround the shoulder joint. They can be torn either through repetitive use over time or because of a traumatic injury. The incidence of these types of tears increases with age and can be present in both shoulders even though a patient feels pain only in one joint.”


Hair loss is a common concern for individuals who have undergone weight loss surgery. The significant changes that occur in the body after surgery can trigger temporary hair loss, which can be distressing. In this comprehensive guide, we will explore the connection between weight loss surgery and hair loss, and provide practical tips and strategies to regrow your hair and regain its health.
I. Understanding the Connection between Weight Loss Surgery and Hair Loss: A. The science behind hair loss after weight loss surgery:
- Weight loss surgery, such as gastric bypass or gastric sleeve procedures, can lead to rapid weight loss and significant changes in hormone levels.
- These physiological changes can disrupt the hair growth cycle, resulting in a condition called telogen effluvium, where hair follicles prematurely enter the resting phase and shed more than usual.
B. Types of weight loss surgeries and their impact on hair loss:
- Different weight loss procedures have varying degrees of impact on hair loss.
- Gastric bypass surgery is often associated with more significant hair loss compared to gastric sleeve or lap band surgery.
II. Nourishing Your Body for Healthy Hair Growth: A. Adopting a nutrient-rich diet:
- Consuming a balanced diet rich in essential nutrients is crucial for supporting healthy hair growth.
- Nutrients like vitamins (particularly A, C, D, E), minerals (such as zinc, iron, and selenium), and proteins play a vital role in hair health.
B. Foods to incorporate into your diet:
- Include a variety of foods that provide the necessary nutrients for hair growth, such as leafy greens, fruits, lean meats, fish, nuts, and seeds.
- Offer meal ideas and recipes that incorporate these hair-friendly foods.
III. Supplementation for Hair Regrowth: A. Essential vitamins and minerals for hair health:
- Discuss the specific role of biotin, zinc, iron, and other nutrients in promoting hair growth.
- Provide information on recommended dosages and potential dietary sources for these nutrients.
B. Hair growth supplements:
- Explore popular hair growth supplements like biotin, collagen, and multivitamins formulated for hair health.
- Discuss their effectiveness, potential side effects, and the importance of consulting a healthcare professional before starting any supplements.
IV. Adopting Healthy Haircare Practices: A. Gentle hair care routines:
- Explain the significance of treating hair with care, especially during the regrowth phase.
- Provide tips for washing, drying, and styling hair to minimize damage, such as using mild shampoos, avoiding heat styling tools, and using wide-toothed combs.
B. Avoiding hair styling practices that contribute to hair loss:
- Identify harmful hair styling practices post-surgery, including tight hairstyles, excessive heat styling, and chemical treatments.
- Suggest alternatives like loose hairstyles, air drying, and opting for natural hair care products.
V. Seeking Professional Help: A. Consultation with a healthcare provider:
- Encourage individuals to discuss their concerns with a healthcare professional, such as a primary care physician or bariatric specialist.
- Explain how medical evaluations can help identify underlying issues and guide appropriate treatment options.
B. Visiting a trichologist or dermatologist:
- Highlight the role of trichologists and dermatologists in diagnosing and treating hair loss conditions.
- Discuss available treatment options, such as topical solutions, laser therapy, or hair transplantation, and their effectiveness.
VI. Patience and Emotional Well-being:
A. Understanding the hair growth cycle:
- Explain the different phases of the hair growth cycle, including the anagen (growth), catagen (transition), and telogen (resting and shedding) phases.
- Emphasize that regrowing hair takes time and that it is normal to experience fluctuations in hair growth during the recovery period.
B. Coping with emotional challenges:
- Acknowledge the emotional impact of hair loss and the impact it can have on self-esteem and confidence.
- Offer strategies for maintaining a positive mindset, such as practicing self-care, seeking support from loved ones, and exploring professional counseling if needed.
In conclusion, regrowing hair after weight loss surgery is a journey that requires patience, nourishment, and adopting healthy hair care practices. By understanding the connection between weight loss surgery and hair loss, nourishing your body with a nutrient-rich diet, considering supplementation, adopting gentle hair care routines, seeking professional help when needed, and maintaining emotional well-being, you can support the regrowth of healthy and vibrant hair. Remember, it takes time, but with dedication and perseverance, you can regain confidence in your hair’s appearance and enjoy the positive transformations on your weight loss journey. Stay hopeful and be kind to yourself throughout the process.
FAQ (Frequently Asked Questions):
- Is hair loss after weight loss surgery permanent? Hair loss after weight loss surgery is often temporary and can be resolved with time and proper care. As the body adjusts to the changes post-surgery, hair growth typically resumes within a few months.
- Can I prevent hair loss after weight loss surgery? While it may not be possible to completely prevent hair loss after weight loss surgery, there are steps you can take to minimize its severity. These include maintaining a nutrient-rich diet, incorporating hair-healthy foods, and adopting gentle hair care practices.
- Should I take hair growth supplements? Hair growth supplements can be beneficial in supporting hair regrowth, but it’s important to consult with a healthcare professional before starting any supplements. They can guide you on the appropriate dosage and ensure they won’t interfere with any medications or pre-existing conditions.
- When should I seek professional help for my hair loss? If you’re experiencing severe or prolonged hair loss that causes significant distress, it’s advisable to consult a healthcare professional. They can evaluate your condition, rule out any underlying causes, and recommend appropriate treatments or referrals to specialists such as trichologists or dermatologists.
- How long does it take for hair to regrow after weight loss surgery? Hair regrowth timelines can vary from person to person. Generally, it takes several months for hair to start regrowing after weight loss surgery. However, it may take up to a year or more for the hair to fully recover its pre-surgery thickness and appearance.
- Can I use hair styling products and heat styling tools during the regrowth phase? It’s best to avoid excessive use of hair styling products and heat styling tools during the regrowth phase, as they can potentially damage fragile hair strands. If you need to style your hair, opt for gentle methods like air drying, low-heat settings, and using protective hair products.
Remember, if you have any concerns about your hair loss or regrowth journey after weight loss surgery, it’s always best to consult with a healthcare professional who can provide personalized advice based on your specific situation.


Once again, our resident Health and Safety expert, Mike Kelly, has put out a very useful article. This one is about learning how to protect youself from coronavirus infection: keep your hands and fingers away from possibly infected surfaces.
Mike writes a regular blog on matters concerning Health and Safety and you can find it at safetymoose.com
Most of you reading this article are seriously concerned about contracting the deadly Coronavirus (COVID-19). You need to know how to protect yourself from it.
Many of you are scared. I know that my wife is taking her temperature 3 times a day and is convinced she is sick. She’s not. She’s just bought into the hype.
This article won’t bore you with all the statistics on why you have a reasonably low chance of contracting COVID-19 coronavirus.
Instead, I will give you some new habits to form to protect yourself while out in public or at work.
Be sure to check the World Health Organisation Website daily for expert advice and to avoid all the silly myths floating around on Facebook etc.
I spent some time in offshore environments as an HSE Advisor. At times, we had over 600 people on close-quarter accommodation barges for long periods of time.
Outbreaks of the common cold were (ahem) common. Believe me, we learned from those outbreaks how to protect ourselves and stay healthy in a crowded environment.
They are only effective to protect others from your illnesses like the COVID-19 Coronavirus.
Furthermore, in this heat, you will be tempted to rub your face more with the mask on, and opening up the possibility that the virus from your hands can get into your body.
The mouth, nose and eyes are common “routes of entry” for diseases and viruses.
Furthermore, surgical masks cannot filter out small virus particles so they will simple go straight through. This is straight from the WHO.
Furthermore, these surgical masks are in short supply and are needed by health workers.
Focus more on hand cleanliness. If you don’t believe me, then read what the Centers for Disease Control (CDC) have to say about this.
If you are flying or on a long bus trip, wear one just in case, but take note of the tips below and AVOID using fingers to scratch itches.
Only use it when there are no bathrooms with soap and water. Overuse of alcohol-based hand sanitizer can lead to skin irritation, eye irritation and other health issues. It will also damage your liver over time.
Because younger kids are more susceptible to adverse effects of these alcohol-based products, they can get very ill. This is because there is not as much glycogen in their liver and the use of hand sanitizers can actually poison them.
However, if you must use it, use non-alcohol based hand sanitizers and use them sparingly. Soap and water is the best solution.
When handling cash, be sure to clean your hands afterwards. Immediately. Handling money is next to impossible in normal life but remember that many many people have likely touched it before you.
After handling cash, be certain to wipe your hands again with sanitizer gel.
Get into the habit of using another object like car keys to press the buttons. The COVID-19 and other Coronaviruses can transfer easily to your fingers from public lift buttons.
Think of all the hundreds or perhaps thousands of people that have poked that button today. Its a source of infection that buildings cannot easily keep clean. Remember this!
Use it when opening doors or use your shoulder to pry them open. Avoid touching public door handles, straps and railings with your hands.
If you must do (i.e. on the Skytrain), then use the hand sanitizer immediately after departing the station.
Follow Tip 7 as well. The same advice is valid when using public taxis to avoid becoming infected with a COVID-19 coronavirus infected taxi driver.
They are at a higher risk than most of contracting the virus. Also, the surfaces in the taxis may also be contaminated.
Protect youself by cleaning your hands again after departing a taxi. Its also recommended to wear your N-95 mask while in the taxi.
When you have an itch on your face, get into the habit of using the back of your hand or your shoulder to rub it. Not the fingers. Or, use your sleeve.
Avoid touching mouth, nose and eyes. Yes, the virus can enter your body through the eyes which is one of the reasons that a surgical mask is ineffective. Someone can still cough some virus filled yucky sneeze droplets into your eyes.
It’s a hard habit to break but for now, get into the habit. Perhaps use a polite Wai instead? An elbow touch? Fist bump? A Japanese bow?
This virus is massively newsworthy at the moment and the press is salivating from all the attention they are getting. If you want to know more about the virus, then read the CDC and WHO notices. Fake news is big business these days. Protect from the coronavirus by following some simple rules and keeping your hands clean and away from your face.
Stress is a killer. Therefore, much like my wife, you may convince yourself that you are sick when you aren’t. If you do show symptoms of a cold, put a mask on, disinfect your hands and visit the nearest hospital for an immediate checkup. The chances are that you just have the common cold.
Human coronaviruses have been found to persist on inanimate surfaces — including metal, glass or plastic surfaces. Typically they have been known to live on these surfaces for as long as nine days if that surface had not been disinfected. This is according to research published earlier this month in The Journal of Hospital Infection.


RN Home Care Supervisor – Springpoint at Home
***LeadingAge NJ & DE is posting this on behalf of Springpoint at Home***
Springpoint at Home is seeking an RN Home Care Supervisor to join our team. This position will report to the Stonebridge at Montgomery office located in Skillman, NJ, serving clients in the Mercer-Middlesex area and in Springpoint buildings. Directly supervises and provides orientation for CHHA staff, maintaining all education and required compliance for infection control. Complete full intake assessments and required follow up visits and documentation for electronic medical records. Customer service, care calls and visits as needed to assure the highest quality care.
The ideal candidate has experience in home care, has supervision experience and is eager to add to our culture of compassion and exceptional care. Education/Experience: License and current registration to practice as a Registered Nurse in the State of New Jersey. Bachelors in Nursing or health related field preferred and two (2) years satisfactory experience as a Community Health Nurse/RN in a Certified Home Health Agency OR an RN with three (3) years combined community health nursing and progressive professional responsibilities in community health nursing.
Competitive salary and benefits available.
If interested in applying, reach out to Linda Duddy at firstname.lastname@example.org


A physician can recommend cannabis for medical purposes to a patient provided:
- The physician is the patient’s attending physician. Attending physician being that defined in California Health and Safety Code section 7(a).
- Possess a license to practice medicine or osteopathy in California issued by the Medical Board of California or the Osteopathic Medical Board of California. This license must be in good standing.
- Take responsibility for an aspect of the medical care, treatment, diagnosis, counseling, or referral of the applicant (patient).
- Perform a medical examination of the applicant (patient).
- As a result of the medical examination, document in the patient’s medical record that the patient has a serious medical condition and that the medical use of cannabis is appropriate.
- Have the patient sign an authorized medical release of information. The county program cannot process the patient’s application without the appropriate authorization for release of medical information.
- Provide to the patient copies of the medical records stating that he or she has been diagnosed with a serious medical condition and that the medical use of cannabis is appropriate.
If your physician is working with a dispensary, he/she could be operating illegally
In almost all cases it is against the law for a physician, who recommends cannabis for medical purposes, to be compensated by, work with, or have an agreement with any person or entity dispensing cannabis for medical purposes. As per California’s Business & Professions (B&P) Code section 2525, it is unlawful for a physician to have financial interest in the facility.
“Financial Interest” includes, but is not limited to, any type of ownership interest, debt, load, lease, compensation, renumeration, discount, rebate, refund, dividend, distribution, subsidy, or other form of direct or indirect payment, whether in money or otherwise (full definition in B&P Code section 650.01). See the full law governing medical cannabis recommendations in the California Business and Professions Code below.
Guidelines for Doctors
Medical Board of California an agency in the California Department of Consumer Affairs, issued guidelines for physicians to avoid disciplinary action related to the recommendation of cannabis to their patients for medical purposes. Five (5) main components of the guidelines are:
- Close attention to medical documentation and patient’s medical history
- An established physician-patient relationship
- Adequate medical evaluation
- Informed consent
- A treatment plan and ongoing monitoring
See the complete Guidelines published April 2018 HERE
California Law: Medical Cannabis Recommendations
Under the Compassionate Use Act of 1996 “notwithstanding any other provision of law, no physician in this state shall be punished, or denied any right or privilege, for having recommended marijuana to a patient for medical purposes” (California Health and Safety Code Section 11362.5(c)).
The following are laws, last amended by California Senate Bill 798 in 2017, found in Chapter 5 of Division 2 in the California Business and Professions Code:
ARTICLE 25. Recommending Medical Cannabis
(a) It is unlawful for a physician and surgeon who recommends cannabis to a patient for a medical purpose to accept, solicit, or offer any form of remuneration from or to a facility issued a state license pursuant to Chapter 3.5 (commencing with Section 19300) of Division 8, if the physician and surgeon or his or her immediate family have a financial interest in that facility.
(b) For the purposes of this section, “financial interest” shall have the same meaning as in Section 650.01.
(c) A violation of this section shall be a misdemeanor punishable by up to one year in county jail and a fine of up to five thousand dollars ($5,000) or by civil penalties of up to five thousand dollars ($5,000) and shall constitute unprofessional conduct.
The Medical Board of California shall consult with the California Marijuana Research Program, known as the Center for Medicinal Cannabis Research, authorized pursuant to Section 11362.9 of the Health and Safety Code, on developing and adopting medical guidelines for the appropriate administration and use of medical cannabis.
An individual who possesses a license in good standing to practice medicine or osteopathy issued by the Medical Board of California, the California Board of Podiatric Medicine, or the Osteopathic Medical Board of California shall not recommend medical cannabis to a patient, unless that person is the patient’s attending physician, as defined by subdivision (a) of Section 11362.7 of the Health and Safety Code.
Recommending medical cannabis to a patient for a medical purpose without an appropriate prior examination and a medical indication constitutes unprofessional conduct.
It is unprofessional conduct for any attending physician recommending medical cannabis to be employed by, or enter into any other agreement with, any person or entity dispensing medical cannabis.
(a) A person shall not distribute any form of advertising for physician recommendations for medical cannabis in California unless the advertisement bears the following notice to consumers:
NOTICE TO CONSUMERS: The Compassionate Use Act of 1996 ensures that seriously ill Californians have the right to obtain and use cannabis for medical purposes where medical use is deemed appropriate and has been recommended by a physician who has determined that the person’s health would benefit from the use of medical cannabis. Recommendations must come from an attending physician as defined in Section 11362.7 of the Health and Safety Code. Cannabis is a Schedule I drug according to the federal Controlled Substances Act. Activity related to cannabis use is subject to federal prosecution, regardless of the protections provided by state law.
(b) Advertising for attending physician recommendations for medical cannabis shall meet all of the requirements in Section 651. Price advertising shall not be fraudulent, deceitful, or misleading, including statements or advertisements of bait, discounts, premiums, gifts, or statements of a similar nature.


Posted on The Australian, 11 March 2020
An Australian medical technology company is hoping to forge the pathway to a fast-tracked coronavirus diagnosis by reducing the diagnostic time to three hours.
4DX is seeking to partner with an Australian hospital to conduct clinical trials of its lung imaging analysis software at an Australian hospital. There’s international interest brewing, with Duke University in the US and a Chinese university already wanting to use the technology.
The company’s chief executive and founder, Andreas Fouras, is an Australian aeronautical engineer whose research into wind flow across plane wings expanded into lung health analysis technology.
“It makes for a test that is really fast and completely reliable because there is no opportunity for human error to be included in how our tests are run,” Professor Fouras said. “The way that the virus impacts your lungs is it creates these regions that become inflamed and have reduced airflow and that’s the way in which the virus makes you sick. We’ve been able to prove that we are a very early detector of any disease in the lung.”
Pathology labs in Australia are currently screening for coronavirus using nasal and throat swabs that take 24-48 hours to be read by a specialist.
4DX says its technology has a three-hour turnaround from testing to diagnosis. Doctors would send a lung X-ray to the company which they would run through algorithm to reveal any signs of lung damage or reduced airflow.