Saturday, April 6, 2013

Acupuncture: How a Patient is Diagnosed

From the book:

Traditional Acupuncture
The Law of the Five Elements
by Dianne M. Connelly





p.4


”A full examination is done using the diagnostic tools of Chinese medicine to assess the condition of the Ch’i Energy and to find the cause of illness.  These tools take into consideration everything about a person: for example, the sound of the voice, the hues coming from the face, the predominant emotion, the temperature and texture of the skin, the gait and posture, the childhood history, the favorite tastes, the best and worst times of day, the dreams, the appetite and diet, the ability to sleep, the workings of the bowel and bladder, the sexual energy, the stresses within the family and at work, the acuity of the senses and a person’s habits and hobbies.  This is not an exhaustive list, but it does give an idea of the range of information that is important in Traditional Acupuncture in order to make an accurate diagnosis of a person’s illness. “

Monday, April 16, 2012

Kitchen Safety

Kitchen Safety

Turn pot and pan handles away from other burners and the edge of the stove.

Avoid wearing loose garments when cooking.

Keep pot holders (mitt style) nearby, but away from burners.

Keep drawers and cabinet doors closed.

Use a reacher for light over-head reaching; don't use a reacher for any item that you wouldn't mind falling on your head.

Avoid having to climb and reach for items on shelves. Place heavy, frequently used items on low shelves and light, infrequently used items up higher.

If you must climb to reach an item, use a step ladder or sturdy chair.

Don't place your hand on the stove, even if the burner is off.

Wipe up spills at once.

Keep one hand on a stable surface when reaching or transporting items in the kitchen.

Source: American Red Cross
Resurrection Medical Center Library
Rush-Presbyterian Safety Outline
AARP - The Do-Able Renewable Home
Gerodesign, Geriatrics vol 49, no 11, Nov. 1994
North Shore University HealthSystem
Rehab Services
Department of Occupational Therapy

Saturday, April 14, 2012

Your Home - Keep Yourself Safe

Staying Safe At Home
The goal is to prevent falls by eliminating hazards at home
General Information:
Ensure even lighting throughout your home - especially in hallways. Visual changes associated with normal aging result in an increased need for brighter lighting. Use 60-100 watt bulbs or the highest wattage allowed for your fixture.

Turn on a lamp when you get out of bed in the middle of the night; a night-light may not be enough.

Install light switches at born ends of hallways and stairs.

Appliances, lamps, and cords should be in good condition - no frayed wires.

Tuck cords behind furniture - never drape the floor.

Do not overload outlets; use circuit protectors.

The thermostat of your water heater should be set at 110 degrees F or lower to prevent accidental scalding. Most water heaters are set at 140-160 degrees Farenheit. It takes only three seconds of contact with this temperature of water to sustain a third degree burn.

Keep hallways, stairs, and areas of ambulation free of clutter.

Tack down carpet and stair treads.

Install handrails on both sides of stairs.

Emergency phone numbers need to be posted by your phone and on the refrigerator. Have medications listed near your phone list, in case you are unable to speak to the paramedics.

Install smoke detectors in stairwells and living room.

Have a cordless telephone or other emergency access device near you at all times.







Source NorthShore University HealthSystem
Rehab Services Department of Occupational Therapy

Sources
American Red Cross
Resurrection Medical Center Library
Rush-Presbyterian Safety Outline
AARP The DoAble Renewable Home
Gerodesign Geriatrics vol 49, no 11, Nov. 1994

Saturday, November 6, 2010

Jill Clayburgh and Movie Therapy

died yesterday of Leukemia. She was so young!

I remember Jill Clayburgh most from the movie, “An Unmarried Woman”, 1978. This was a very progressive movie in its day. Jill Clayburgh played Erica, the wife of stockbroker, Martin. She did not realize that something was very wrong. Martin abruptly announced that he was leaving her. She was shocked and went through a wide variety of emotions. Her close friends and daughter helped her through the experience until she, finally, came out on the other side and realizes that she wanted to make her life better.

I rented “An Unmarried Woman” from Netflix about a year after I fell. I was in a great deal of physical pain which led to considerable emotional pain. I, too, felt as if my life had unraveled suddenly (for different reasons). My counselor spoke about the value of watching movies as an escape. I also watched movies as a safe way to look at my life by watching others’ lives. It did not matter to me that they were fictional characters.

Here are the thoughts I dictated into a voice recorder when I watched


This was another scene from “An Unmarried Woman”. This was the scene with Erica’s psychologist and I can really relate.

It's just this experience of life crashing down, and every day is frightening. Every day I don't know what's going to happen. Having to face each day is an enormous challenge. Now I have some people in my life, who are helping me explore it. The exceptionally astute friend I have in Wisconsin that I talk to once or twice a month and volunteers from Faith in Action who drive me to doctors’ appointments and help slice vegetables and prepare food.

I feel that there are people out there who can be a witness to my life just as Erica found people to do so. And so this is a very powerful “An Umarried Woman” scene, I find, and a very comforting scene. The psychologist comes across as a very comforting person, very authentic, and compassionate.

Sunday, October 17, 2010

Migraine Meditation Technique

I have a migraine and I brought the tape recorder with me to bed. Someone transcribed the voice file and posted it to this blog. This is a meditation technique I first learned from Insight Meditation, http://www.dharma.org/
and, then, over the years, I've gotten more experienced at it. I did not have migraines when I first learned about this. I had back and neck pain, which I still have.
The idea is that rather than focus on how angry I am, rather than staying embroiled in the migraine, this technique helps me detach a bit. It's more of an observation; I'm observing myself calmly without judgment, and I'm very focused on the physical right now and not the emotional - although that may come up, and I'll observe it then. But I'm more focused on the physical.

So what does that mean? First of all, I'm lying in bed comfortably. I've got several towels over my head so I can block out the light. Now, you may wonder, why I don't close the shades, which would be better... I wouldn't need so many towels over my head. However, I'm in a building where management will still not heat the building, and, so, I need the heat to come in from the sun. But those of you that can close the shades, should. Make sure that the phone is unplugged so that there's no phone ringing and no sudden noises. (I know someone whose husband goes into the closet.) A few times when I was staying in a guesthouse away from home, and I had a migraine, I could not stand the sounds from outside, I lay down on the bathroom floor, and it was much quieter. You decide.

I notice what is the strongest sensation. Right now, it's on the right side of my head, on the temple. One of the most important questions to ask is: Do I feel a pressure from the outside coming in or from the inside going out? This is one of the questions the neurological doctors will ask. I often have to pause before being able to answer this question. For me, right now, it's from outside coming in on the right-hand side, and it also itches. After I scratch it, I get the eyes covered again.

Now it just so happens that I have Ulnar Neuropathy in both elbows, so I when I lie down I put a towel under the nerve (under the elbow) so that it's softer under the elbow that's on the bed. The other elbow is on my hip. Now there's a pushing sensation into the back. It feels like I've been walking around for days with a backpack full of rocks. Now it's on the left side on the lower back. But the strongest sensation is still on the right side of the head just over the eye.
There are other very useful questions you can ask yourself, such as: is it a sharp pain? Is it dull? Is it throbbing? If there is an intense throbbing, be sure to breathe deeply, in and out, as you do this exercise. I read an interesting theory that migraines result from people not getting enough oxygen to the head. So be very sure that you're breathing deeply.

I feel like I'm in the early 1900's when women were in corsets, where they had string in the back to tie it so tight that they could barely breathe. It feels like I've got something like that on my body because when I try to breathe deeply it feels like my back is stopped by something. There's also some sensation on my left temple in that same area near the left eye. My right hip also feels constrained.

Someone just honked a car horn somewhere. With all the windows closed, it would be nice to get some fresh air, but it would be too much noise from outside. It's truly amazing over the last few years I've been using this technique, I almost always fall asleep even though that's not really my intention. My intention is just to find a compassionate way to get through this.

There are some pins and needles over the bridge of my nose, just briefly, and then it goes away. There are some sharp pains also at the right temple area.

I had a cynical thought as if someone were saying to me, “Why don't you get a lobotomy?” The mind goes all over the place when you have a migraine. It's harder to concentrate on simple things like getting the date right. My mind becomes more sluggish. I may need to pause and regain my thought just because these physical sensations are very, very distracting.

I had physical therapy this morning, but I was not able to count - usually we count how many times I'm doing the leg lift with ankle weights or different exercises - but I just could not keep count today.

There is nothing wrong with reminding myself to breathe deeply because it is easier to forget. The weather changed quite a bit. We had six consecutive days of 70 degrees, and then we had rain early this morning, with lightning and thunder. Many of us with migraines discuss having difficulty when the weather changes. I don't just mean the changes of the seasons, but from one day to the next.
I went to a number of Meditation retreats at Insight Meditation Society located outside of Worcester, Massachusetts. Just Google "Insight Meditation" and you'll see that there are Insight Meditation centers in Denver, Boston, New York, D.C., Redwood City and other locations. If you do not see a location near you contact http://www.dharma.org/.

There are many forms of meditation. I'll talk more about this in upcoming posts. This exercise helped me so much!

Saturday, September 18, 2010

We Did Not Seek Nor Did We Provoke (West Wing)

One of the many inspiring West Wing moments takes place in Season 4 Epsode 1 (Part II) in which the President makes a speech just a few hours after there was a bombing in an American university sports facility.

“We did not seek nor did we provoke an assault on our freedoms and our way of life. We did not expect nor did we invite a confrontation with evil.” So much of this speech can be inspirational to those of us with chronic musculoskeletal and/or neurological conditions.

We often wonder “How did this happen to me?” “I was not looking for this way of life”. “I never thought something like this would happen to me!” “ I just did my work every day which involved 7 or 8 hours per day of heavy computer use. Is that why I am in so much trouble now?”

President Bartlett goes on to say “Every time we think we have measured our capacity to meet a challenge, we look up and we’re reminded that that capacity may very well be limitless”. This fortitude rings so true for us. We have been tested. We have had to find a way to get through the day despite indescribable pain. For so many of us, the days have turned into months and the months quickly become years. This situation does require that we find that part of ourselves that provides strength we never even dreamed of.


The West Wing Season 4 DVD

Tuesday, September 14, 2010

You Have Something to Offer - Arabic

بالنسبة لنا ، نحن الذين سوء و / أو في الألم ونحن نرى في كثير من الأحيان غير مجدية. ونحن نرى العالم طنين على طول ، ونسمع عن العديد من النجاحات للآخرين ، واتساءل مع اليأس ، "كيف يمكنني انجاز أي شيء في الحياة عندما يأخذ كل ما أمكنه من قوة عندي من خلال الحصول على يوم واحد؟"أصبح وعندما سقط قبل 5 سنوات في نهاية هذا الاسبوع ، ومؤلمة مؤلمة لفعل أي شيء مع أي من ذراعي. تناول الطعام ، وفتح باب الثلاجة ، لتشريح كوسة ، تمزيق ورقة من ورق التواليت كان كل من المخططات مؤلمة. أنا كان باركت أن وجدت في الايمان في العمل. وكان هذا التنظيم الذي دفعني المتطوعين من وإلى المواعيد الطبية. جاء شخص واحد مرة واحدة في الاسبوع لمساعدة شريحة الخضار وإعداد الهمبرغر.بدأت اتساءل كم عدد الناس في العالم يعيشون مثل هذا؟ كيف يمكننا العثور على واحد آخر؟ وسوف يشع
لقد تحدثت كثيرا مع مستشار ، جين. وقالت إنها لا تريد أن تسمع عن الألم. وشجعت جين لي إلى التركيز على الأشياء التي جعلتني أشعر مفيدة. لقد بدأت تتحدث إلى جهاز تسجيل عن حياتي السابقة في الحادث الذي سافرت في جميع أنحاء العالم (انظر). وجين الإكثار من الحديث عن العثور على عمل المتطوعين. وشجعت طبيبي مني أن أفعل شيئا جعلني أشعر على نحو أفضل. في السنة 3 تعلمت التعليم المالي لبضع ساعات (انظر).في نهاية هذا الاسبوع يمثل بداية السنة 6 من هذه الحياة الجديدة. أشعر أفضل قليلا ، ولقد طالب جامعي مساعدتي بضع ساعات في الأسبوع. أنا تملي بلوق مداخل والمساعد الخاص بي transcribes لهم. يمكن أن قرأت بضع دقائق في اليوم.لأي من القراء الذين يرغبون في تقديم شيء للعالم وإنني أوصي بشدة قراءة القواعد الجديدة للالتسويق والعلاقات العامة من قبل ديفيد سكوت Meerman (2010). قراءة هذا الكتاب يجعلني أشعر بالأمل بأنني سوف تعلم كيفية استخدام الانترنت للوصول إلى الآخرين ، والرضا عن نفسي.تم اسم المستشار الذي تغير.أي وقت مضى مفيدة مرة أخرى؟ كيف يمكنني الحد من ألمي على الأقل قليلا؟