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Incredible Medicine: Dr Weston’s Casebook is a watchable series about cutting-edge medical science: review – Telegraph.co.uk

Television regularly invites us to admire the achievements of humanitys more talented and courageous members. Quite a few of these featured in Incredible Medicine: Dr Westons Casebook (BBC Two), a very watchable series about cutting-edge medical science.

Presented by surgeon and author Gabriel Weston, it was unusual in putting the focus primarily on the individuals whose unique physiologies and conditions have led to far-reaching medical breakthroughs.

Weston, previously seen on Trust Me, Im a Doctor, was a congenial host, at her best putting across complex medical issues in easily decipherable terms. Why, for example, might isolating the one-in-six-billion genetic mutations responsible for an American womans ultra-rare connective tissue disorder provide a cure for more common conditions like osteoporosis?

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Incredible Medicine: Dr Weston’s Casebook is a watchable series about cutting-edge medical science: review – Telegraph.co.uk

The Brilliant Drone That’ll Deliver MedicineThen Rot Away | WIRED – WIRED

Slide: 1 / of 1. Caption: Otherlab

When most people hear the word drone they either think of uncrewed military aircraft or those multi-rotor mini-copters that could one daydeliver packages to your doorstep. But what if the package is the plane? Thats the idea behind the Aerial Platform Supporting Autonomous Resupply Actions drone, a cardboard glider that carries about two pounds of cargo.

It looks like a pizza box thats been shaped into a wing, says Star Simpson, an engineer at San Francisco robotics company Otherlab. Herteam designed and built Apsara with funding from Darpa, which challenged them to developa single-use delivery vehiclefor emergency scenarios. But, Darpa being Darpa, there was a twist: The drones had to not only carry a small payload and land where you told them toonce they were on the ground, they had to disappear.

Cardboard was an obvious choice. Its cheap, lightweight, and can decompose in a matter of months. Plus, the material has a proven track record among drone hobbyists. The Apsara advances cardboard-drone design with something Simpson calls origami thinking; her teams three-foot-wide drone is made of scored and laser-cut cardboard sheets that take about an hour to fold and tape together. Simpson calls it the worlds most functional paper airplane.

Thats important. The Apsara is designed to be deployed by the hundreds or thousands, to deliver supplies during a humanitarian crisis, or in a battles aftermath. For security and ecological reasons alike, the last thing anyone wants is a landscape covered in drone bits.

Now an Otherlab spin-off company called Everfly is hoping to refine the prototype for use by humanitarian groups like the Red Cross or MSF.Simpson thinks Everfly can scale the design tocarry a 22-pound payload (thats about 120 Clif bars). While it may not be as sexy as a whirring drone carrying your UPS package, we bet anyone in dire straits would be more than happy to see a mushroom wing full of energy bars gently floating in for a landing.

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The Brilliant Drone That’ll Deliver MedicineThen Rot Away | WIRED – WIRED

The Future of Medicine is Artificial Intelligences And a Virtual World – Futurism

In BriefThe future of surgery offers an amazing cooperation betweenhumans and technology, which could elevate the level of precisionand efficiency of surgeries higher than we have ever seen before.

Will we have Matrix-like small surgical robots? Will they pull in and out organs from patients bodies?

The scene is not impossible. It looks like we have come a long way from ancient Egypt, where doctors performed invasive surgeries as far back as 3,500 years ago. Only two years ago, NASA teamed up with American medical company Virtual Incision to develop a robot that can be placed inside a patients body and then controlled remotely by a surgeon.

Thats the reason why I strongly believe surgeons have to reconsider their stance towards technology and the future of their profession.

Surgeons are at the top of the medical food chain. At least thats the impression the general audience gets from popular medical drama series and their own experiences. No surprise there. Surgeons bear huge responsibilities: they might cause irreparable damages and medical miracles with one incision on the patients body. No wonder that with the rise of digital technologies, the Operating Rooms and surgeons are inundated with new devices aiming at making the least cuts possible.

We need to deal with these new surgical technologies in order to make everyone understood that they extend the capabilities of surgeons instead of replacing them.

Surgeons also tend to alienate themselves from patients. The human touch is not necessarily the quintessence of their work. However, as technological solutions find their way into their practice taking over part of their repetitive tasks, I would advise them to rethink their stance. Treating patients with empathy before and after surgery would ensure their services are irreplaceable also in the age of robotics and artificial intelligence.

As a first step, though, the society of surgeons has to familiarize with the current state of technology affecting the OR and their job. I talked about these future technologies with Dr. Rafael Grossmann, a Venezuelan surgeon who was part of the team performing the first live operation using medical VRand he was alsothe first doctor ever to use Google Glass live in surgery.

So, I collected the technologies that will have a huge impact on the future of surgery.

For the first time in the history of medicine, in April 2016 Shafi Ahmed cancer surgeon performed an operation using a virtual reality camera at the Royal London hospital. It is a mind-blowingly huge step for surgery. Everyone could participate in the operation in real time through the Medical Realities website and the VR in OR app. No matter whether a promising medical student from Cape Town, an interested journalist from Seattle or a worried relative, everyone could follow through two 360 degree cameras how the surgeon removed a cancerous tissue from the bowel of the patient.

This opens new horizons for medical education as well as for the training of surgeons. VR could elevate the teaching and learning experience in medicine to a whole new level. Today, only a few students can peek over the shoulder of the surgeon during an operation. This way, it is challenging to learn the tricks of the trade. By using VR, surgeons can stream operations globally and allow medical students to actually be there in the OR using their VR goggles. The team of The Body VR is creating educational VR content as well as simulations aiding the process of traditional medical education for radiologists, surgeons, and physicians. I believe there will be more initiatives like that very soon!

As there is a lot of confusion around VR and AR, let me make it clear: AR differs in two very important features from VR. The users of AR do not lose touch with reality, while AR puts information into eyesight as fast as possible. With these distinctive features, it has a huge potential in helping surgeons become more efficient at surgeries. Whether they are conducting a minimally invasive procedure or locating a tumor in liver, AR healthcare apps can help save lives and treat patients seamlessly.

As it could be expected, the AR market is buzzing. More and more players emerge in the field. Promising start-up,Atheer develops the Android-compatible wearable and complementary AiR cloud-based application to boost productivity, collaboration, and output. TheMedsights Techcompany developed a software to test the feasibility of using augmented reality to create accurate 3-dimensional reconstructions of tumors. The complex image reconstructing technology basically empowers surgeons with X-ray views without any radiation exposure, in real time. TheTrue 3D medical visualization system of EchoPixelallows doctors to interact with patient-specific organs and tissue in an open 3D space. It enables doctors to immediately identify, evaluate, and dissect clinically significant structures.

Grossmann also told me that HoloAnatomy, which is using HoloLens to display real data-anatomical models, is a wonderful and rather intuitive use of AR having obvious advantages over traditional methods.

Surgical robots are the prodigies of surgery. According to market analysis, the industry is about to boom. By 2020,surgical robotics sales are expected to almost double to $6.4 billion.

The most commonly known surgical robot is the da Vinci Surgical System;and believe it or not, it was introduced already 15 years ago! It features a magnified 3D high-definition vision system and tiny wristed instruments that bend and rotate far greater than the human hand. With the da Vinci Surgical System, surgeons operate through just a few small incisions. The surgeon is 100% in control of the robotic system at all times; and he or she is able to carry out more precise operations than previously thought possible.

Recently, Google has announced that it started working with the pharma giant Johnson&Johnson in creating a new surgical robot system. Im excited to see the outcome of the cooperation soon. They are not the only competitors, though. With their AXSIS robot, Cambridge Consultants aim to overcome the limitations of the da Vinci, such as its large size and inability to work with highly detailed and fragile tissues. Their robot rather relies on flexible components and tiny, worm-like arms. The developers believe it can be used later in ophthalmology, e.g. in cataract surgery.

Throughout the history of surgery, the ultimate goal of medical professionals was to peak into the workings of the human body and to improve it with as small incisions and excisions as possible. By the end of the 18th century,after Edison produced his lightbulb, a Glasgow physician built a tiny bulb into a tube to be able to look around inside the body.

But it wasnt until the second half of the 20th century when fiber-optic threads brought brighter light into the caverns of the body. And later, tiny computer chip cameras started sending images back out. At last, doctors could not only clearly see inside a persons body without making a long incision but could use tiny tools to perform surgery inside. One of the techniques revolutionizing surgery was the introduction of laparoscopes.

The medical device start-up,Levita aims to refine such procedures with its Magnetic Surgical System. It is an innovative technological platform utilizingmagnetic retraction designed to grasp and retract the gallbladder during a laparoscopic surgery.

TheFlexDexcompany introduced a new control mechanism for minimally invasive tools. It transmits movement from the wrist of the surgeon to the joint of the instrument entirely mechanically, and it costs significantly less than surgical robots.

Complicated and risky surgeries lasting hours need a lot of careful planning. Existing technologies such as 3D printing or various simulation techniques help a lot in reforming medical practice and learning methods as well as modeling and planning successfully complex surgical procedures.

In March 2016 in China, a team of experienced doctors decided to build a full-sized model of the heart of a small baby born with a heart defect. Their aim was to pre-plan an extremely complicated surgery on the tiny heart. This was the first time someone used this method in China. The team ofmedical professionals successfully completed the surgery.The little boy survived with little to no lasting ill-effects.

InDecember 2016, in the United Arab Emirates doctors have used 3D printing technology for the first time to help safely remove a cancerous tumor from a 42-year-old womans kidney. With the help of the personalized, 3D printed aid the team was able to carefully plan the operation as well as to reduce the procedure by an entire hour!

The technology started to get a foothold also in medical education. To provide surgeons and students with an alternative to a living human being to work on, a pair of physicians at the University of Rochester Medical Center (URMC) have developed a way to use 3D printing to create artificial organs. They look, feel, and even bleed like the real thing. Truly amazing!

To widen the platform of available methods for effectively learning the tricks of the trade, Touch Surgerydeveloped a simulation system. It is basically an app for practicing procedures ranging from heart surgery to carpal tunnel operations.

The intelligent surgical knife (iKnife) was developed by Zoltan Takats of Imperial College London. It works by using an old technology where an electrical current heats tissue to make incisions with minimal blood loss. With the iKnife, a mass spectrometer analyzes the vaporized smoke todetect the chemicals in the biological sample. This means it can identify whether the tissue is malignant real-time.

The technology is especially useful in detecting cancer in its early stages and thus shifting cancer treatment towards prevention.

Catherine Mohr, vice president of strategy at Intuitive Surgical and expert in the field of surgical robotics believes surgery will take to the next level with the combination of surgical robotics and artificial intelligence. She is thrilledto see IBM Watson, Google Deepminds Alpha Go or machine learning algorithms to have a role in surgical procedures. She envisioned a tight partnership between humans and machines, with one making up for the weaknesses of the other.

In my view,AI such as the deep learning system, Enlitic, will soon be able to diagnose diseases and abnormalities. It will also give surgeons guidance over their sometimes extremely difficult surgical decisions.

I agree with Dr. Mohr in as much as I truly believe the future of surgery, just as the future of medicine means a close cooperation between humans and medical technology. I also cannot stress enough times that robots and other products of the rapid technological development will not replace humans. The two will complement each others work in such a successful way that we had never seen nor dreamed about before. But only if we learn how.

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The Future of Medicine is Artificial Intelligences And a Virtual World – Futurism

Medicine Hat mumps outbreak prompts alert as virus hits hockey team – CBC.ca

An outbreak of the mumps in the Medicine Hat area has benched several Western Hockey Leagueplayers, and Alberta Health Services says it’s likely just the beginning.

According to AHS, there are nine lab-confirmed cases of mumps the south zone. Seven of those cases are players and coaches with thelocal WHL team, the Tigers. Theother two have had direct contact with the team.

VivienSuttorp,lead medical officer of health for southern Alberta, steps have been taken to contain the spread, which could be province-wide.

“Atthis point, a lot of that strategy is there’s targeted messaging to, for example, hockey teams that might have been exposed,” said Suttorp.

Alberta Health Services has also notified schools and post-secondary institutions across the province and alerted physicians and public health nurses to be on the lookout for symptoms.

Hockey teams have been told to ensure locker rooms and equipment is cleaned and to avoid sharing saliva through things like water bottles and towels.

Those showing symptoms which include low-level fever, headache and swollen facial glands should be isolated for five days.

The first player to be diagnosed with the mumps plays for the Brandon Wheat Kings. His case was confirmed on Feb. 7, 2017. The Tigers’ John Dahlstrmwas diagnosed just last Tuesday.

Dahlstrm’s roommate at his billet family’s home had to move out as Dahlstrom was quarantined with the illness. He returned to the ice last night, and even scored a goal.

Tigers’ player John Dahlstrom says he was very sick for two days with a fever and swollen and sore throat. (Sarah Lawrynuik/CBC)

“From what I heard from the other guys it’s been a little bit worse for them than me, so I was a little bit lucky there,” he said.

Coach Shawn Clouston said he hopes the worst is over, but as mumps has a 25-day incubation period, they will have to wait and see.

“I think the challenging part is that it does have that long incubation period.I’ve done so much reading in the past week to try to understand what is going on we’re hopeful that we’re at the end of it.”

In a statement, the WHL said they have been working closely with medical staff and health authorities to minimize the spread of the virus.

“With the assistance of the health authorities, WHL Clubs’ experienced medical and training staff are continuing to ensure sanitization, early detection and quarantine protocols are being followed diligently,” the statement read.

Suttorp said the Medicine Hat area has high vaccination rates,but the rates vary in southern Alberta. CBC News recently reported on vast differences between the communities of Pincher Creek and Fort Macleod.

Rates for the mumps, measles and rubella vaccine in Medicine Hat is 89.4 per cent.

“Of course, there’s always worry with mumps, when we see further spread, that it ends up in some of our lower immunized communities and lower immunized schools,” she said.

Those who contract mumps can experience complications including meningitis, inflammation of the testicles and pancreatitis.

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Medicine Hat mumps outbreak prompts alert as virus hits hockey team – CBC.ca

New facility brings together fitness, wellness and medicine – Orlando Sentinel

Winter Park is getting an 80,000-square-foot facility thats more than just a fitness center, officials announced on Wednesday.

The Center for Health & Wellbeing, expected to open late next year, will provide wellness, fitness and medical services. Its the result of a partnership between Florida Hospital and Winter Park Health Foundation. The fitness center is operated by Central Florida YMCA.

Every part of the facility, from top to bottom, is designed to help people become and stay healthy, said Patty Maddox, president and CEO of the Winter Park Health Foundation, in a news release.

Maddox said that with more than 30,000 seniors living within five miles of the new center, the facility will give them a one-stop shop.

The new building replaces the 27-year-old Crosby YMCA on Mizell Avenue near Winter Park Memorial Hospital, which was torn down in late 2015.

Back then, officials estimated that the project would be finished by end of 2017, but the openingdate is pushed back a year. The previously-estimated cost of the project was$35 million to $40 million, paid for mostly by the foundation.

The Center for Health & Wellbeing will feature educational classes, an indoor farmers market and programs like cooking demonstrations; two pools, one of which is designed for warm-water therapy and aquatic exercises; and a 15,000-square-foot clinical space, staffed by Florida Hospital specialists and programs like Florida Hospital Sports Medicine and Rehabilitation.

The City of Winter Park has dedicated a new road the Crosby Way whichleads into the facility.

For more information, visit wphf.org/chwb.

nmiller@orlandosentinel.com, 407-420-5158,@naseemmiller

Winter Park YMCA center to be razed, replaced

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New facility brings together fitness, wellness and medicine – Orlando Sentinel

Red Deer man arrested in Medicine Hat drug bust – rdnewsnow.com

MEDICINE HAT The Alberta Law Enforcement Response Team (ALERT) have arrested three people after a pair of investigations resulted in a shotgun and more than $30,000 worth of drugs and proceeds of crime being seized.

ALERTs organized crime team in Medicine Hat, along with members of the Medicine Hat Police Service and RCMP, found $17,600 in drugs and cash in a search of a hotel room in the citys northwest on Feb. 17.

Police seized 86 fentanyl pills, 29 Oxycodone pills, 2.5 litres of GHB, 16 grams of cocaine, 1.5 grams of methamphetamine, one gram of heroin and $5,120 cash proceeds of crime during the search.

Aaron Bodnaruk, a 31-year-old man from Red Deer, is charged with drug trafficking, five counts of possession for the purpose of trafficking, two counts of possession of a controlled substance, possession of proceeds of crime, and five counts of breach of recognizance.

Bodnaruks breach charges stem from a previous Medicine Hat Police investigation that occurred in December 2016, and drug charges from Blackfalds RCMP in January 2017.

On Feb. 18, police arrested two people in an apartment building in the citys northeast, seizing $15,000 worth of drugs and cash, alongside a shotgun with 30 rounds of ammunition.

Police also seized 61 grams of methamphetamine, 68 grams of cocaine, 13 grams of cannabis resin and $1,600 cash proceeds of crime.

Staff Sergeant Cory Both said these seizures are more significant than other busts based on the variety and amounts that were found.

“We generally don’t see one dealer being so diverse in the drugs they sell,” he said. “Usually it’s one particular one or a couple different things, but in this particular case there was quite a number of different controlled substances.”

Taylor Weiss-Linder, 20, is charged with three counts of trafficking, two counts of possession for the purpose of trafficking, possession of a controlled substance, possession of proceeds of crime, possession of a loaded restricted weapon, unauthorized possession of a firearm, careless storage of a firearm, possession of a weapon dangerous to the public, and nine counts of breach of recognizance.

Mackenzie Osgood, 19, is charged with drug trafficking. Both Osgood and Weiss-Linder are from Medicine Hat.

In a news release, ALERT stated its investigation was aimed at disrupting street-level dealers operating in the region.

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Red Deer man arrested in Medicine Hat drug bust – rdnewsnow.com

Stanford Medicine magazine looks at what arts, humanities bring to … – Stanford Medical Center Report

Imagine your doctor told you at the end of an exam, Im going to prescribe you an artistic experience. Would you be thinking, Time to get a new doctor?

Well, you might want to stick with the one you have. Taking part in art probably wont cure you, but, depending on your particular illness, it really could help. People with Parkinsons disease, for instance, benefit physically and psychologically from taking dance classes.

The winter issue of Stanford Medicine, produced in collaboration with Stanfords Medicine and the Muse program, features articles on the role of the arts and humanities in medicine, among them an article on Dance for PD, a program that offers dance classes to people with Parkinsons disease.

The worlds of dance and medicine have been far apart for a long time. That is why this is so exciting, professor of neurology Helen Bronte-Stewart, MD, said in the article.

As physicians, we stress the importance of physical activity, social interaction and mental stimulation to our patients with Parkinsons disease, Bronte-Stewart said. Dance for PD gives them all three. But it is much more than a possible therapy or treatment; the PD dancers have told us this type of dance restores their self-image and brings them joy.

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Stanford Medicine magazine looks at what arts, humanities bring to … – Stanford Medical Center Report

Anti-epilepsy medicine taken by pregnant women does not harm the … – Science Daily


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Anti-epilepsy medicine taken by pregnant women does not harm the …
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Previous studies have shown that anti-epilepsy medicine may lead to congenital malformations in the fetus and that the use of anti-epilepsy medicine during …
Mother's anti-epilepsy medicine may not be harmful to fetus: Study …UPI.com

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Anti-epilepsy medicine taken by pregnant women does not harm the … – Science Daily

Lisa K. Nolan named dean of UGA College of Veterinary Medicine – Online Athens

Dr. Lisa K. Nolan, a veteran educator, administrator and scholar of diseases that affect animal and human health, has been named dean of the University of Georgia College of Veterinary Medicine.

Nolan is professor and Dr. Stephen G. Juelsgaard Dean of the Iowa State University College of Veterinary Medicine, and her appointment at UGA is effective July 1.

Dr. Nolan is one of the nations most respected veterinary educators and administrators, and Im delighted that she has joined the University of Georgias leadership team, said Senior Vice President for Academic Affairs and Provost Pamela Whitten. She comes to our College of Veterinary Medicine at a time of growth in the scope and impact of its instruction, research and service, and I am confident that the best is yet to come under her leadership.

Nolan has led the College of Veterinary Medicine at Iowa State University since 2011. She co-chaired a campus-wide One Health-One Medicine initiative that brought faculty members from across campus together to foster new collaborations that span animal, human and ecosystem health. The initiative has resulted in several faculty hires across campus and a significant enhancement of Iowa States research capacity.

To improve student learning outcomes, she oversaw a comprehensive curricular review, enhanced the assessment of teaching, and upgraded teaching labs and study spaces. The college met or exceeded all of its fundraising goals under her leadership, and it is now in the public phase of an ambitious campaign to increase scholarship support, enhance facilities and create additional endowed faculty chairs.

Dr. Nolan has built an extraordinary career as a researcher, professor and administrator, said President Jere W. Morehead. We are fortunate to have such an outstanding alumna of the University of Georgia return to campus to lead the College of Veterinary Medicine to new heights of excellence.

Prior to becoming dean of the Iowa State University College of Veterinary Medicine, Nolan was founding director of the Great Plains Institute of Food Safety at North Dakota State University and chair of the department of veterinary microbiology and preventive medicine at Iowa State. Her additional administrative experience includes service as associate dean of academic and student affairs, and associate dean of research and graduate studies.

Her research focuses on bacterial diseases that impact animal health, human health and food safety. She is the author or co-author of nearly 130 peer-reviewed publications and book chapters, and her research has been funded by the U.S. Department of Agriculture, National Institutes of Health and National Science Foundation, as well as private foundations. Her patents include a vaccine and a biomarker to assess avian E. coli virulence.

Nolan has received several honors over the course of her career, including being named a Fellow of the American Academy of Microbiology and an honorary diplomat of the American Veterinary Epidemiology Society. She has received the Distinguished Educator Award from the Blue Key National Honor Society, the Philbro Animal Health Excellence in Poultry Research Award and the Academic Alumnus of the Year Award from the UGA College of Veterinary Medicine, among other honors.

Nolan earned her doctor of veterinary medicine degree from UGA and also earned her masters degree and Ph.D. in medical microbiology from UGA. She earned her bachelors degree in biology from Valdosta State College, now Valdosta State University.

As a proud alumna, it has been thrilling to follow the College of Veterinary Medicines impressive growth and continuing excellence, Nolan said. I am honored to be able to partner with the colleges faculty, staff, students and alumni to further enhance the colleges impact on animal and human health.

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Lisa K. Nolan named dean of UGA College of Veterinary Medicine – Online Athens

Old Crow Medicine Show Ready Bob Dylan Tribute Album – Rolling … – RollingStone.com

In May 2016, Old Crow Medicine Show paid tribute to Bob Dylan’s 1966 masterpiece Blonde on Blonde with a live re-creation of the album at the Country Music Hall of Fame and Museum in Nashville. The Grammy-winning roots-music group, known for transforming a Dylan song sketch into the ubiquitous hit “Wagon Wheel,” recorded the performance and will release 50 Years of Blonde on Blonde on April 28th.

The project doubles as Old Crow Medicine Show’s first release for Columbia Nashville. After a career as a primarily independent act, the group is now signed to Sony Music Nashville and announced their addition to the major label’s roster with an impromptu performance of Blonde on Blonde’s “Rainy Day Women #12 & 35.” (Watch the video above.) Blonde on Blonde was itself released on Columbia.

“Fifty years is a long time for a place like Nashville, Tennessee. Time rolls on slowly around here like flotsam and jetsam in the muddy Cumberland River,” wrote Old Crow’s singer and fiddle player Ketch Secor in an essay on their upcoming Dylan tribute. “But certain things have accelerated the pace of our city. And certain people have sent the hands of the clock spinning. Bob Dylan is the greatest of these time-bending, paradigm-shifting Nashville cats.”

Old Crow Medicine Show were inducted into the Grand Ole Opry in 2013 and remain staples of the country-music institution, performing regularly. They’ll launch a tour in support of 50 Year of Blonde on Blonde on May 4th in Santa Barbara, California.

Here are Old Crow Medicine Show’s upcoming tour dates: May 4 – Santa Barbara, CA @ The Granada Theatre May 5 – Los Angeles, CA @ The Wiltern May 6 – Oakland, CA @ Fox Theater May 8 – Portland, OR @ Revolution Hall May 10 – Seattle, WA @ The Moore Theatre May 12 – Salt Lake City, UT @ Delta Hall at Eccles Theater May 13 – Aspen, CO @ Belly Up Aspen May 14 – Denver, CO @ Paramount Theatre May 20 – Knoxville, TN @ Tennessee Theatre May 22 -Washington, DC @ Lincoln Theatre May 24 – New York, NY @ The Town Hall May 25 – Boston, MA @ Orpheum Theatre May 28 – Cooperstown, NY @ Brewery Ommegang May 30 – Pittsburgh, PA @ Stage AE May 31 – Columbus, OH @ EXPRESS LIVE! June 1 – Cincinnati, OH @ Taft Theatre June 2 – Louisville, KY @ Iroquois Amphitheater June 8 – Chicago, IL @ The Vic Theatre June 9 – Milwaukee, WI @ Pabst Theater June 10 – St. Paul, MN @ The Palace Theatre June 11 – Kansas City, MO @ Uptown Theater June 12 – St. Louis, MO @ The Pageant June 24 – Manchester, UK @ O2 Ritz June 25 – Glasgow, UK @ O2ABC June 28 – London, UK @ Shepherds Bush Empire June 30 – Amsterdam, NL @ Paradiso

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Benefits to having a family physician, promoting family medicine week – UpperMichigansSource.com

LANSING, Mich. (WLUC) – During Family Medicine Week in Michigan, all residents are encouraged to have a relationship with a family physician or build one to maintain the health and wellness of themselves and their families.

Governor Rick Snyder has declared this week, February 19-25, 2017, as Family Medicine Week in Michigan in partnership with the Michigan Department of Health and Human Services, Michigan Academy of Family Physicians, and Michigan Association of Osteopathic Family Physicians. The week-long observance highlights family physicians dedication to providing high quality, patient-centered primary care to residents across the state. Research shows that adults and children with a family physician as their regular source of care have lower annual costs of care, visit the doctor less, are prescribed fewer medications and report less difficulty accessing care.

A healthcare system based on a foundation of primary care holds the answers to many of the health and wellness challenges that we currently face, said Dr. Eden Wells, chief medical executive with the MDHHS. Having a family doctor is good for the health of individuals, families and communities which is why were encouraging all residents to establish and maintain a relationship with a family physician.

Tuesday, February 21, the Michigan Academy of Family Physicians and Michigan Association of Osteopathic Family Physicians are hosting Michigan Family Medicine Advocacy Day in Lansing to provide an opportunity for family medicine advocates from across the state to discuss policy issues impacting the delivery of and access to healthcare for Michiganders. Together, the Michigan Academy of Family Physicians and Michigan Association of Osteopathic Family Physicians collectively represent more than 5,000 family physicians, family medicine residents and medical students statewide.

Visiting a family physician for regular check-ups can help families stay healthy and prevent illness, said Debra N. McGuire, MBA, IOM, CAE, chief executive officer with the Michigan Academy of Family Physicians. If you do get sick, your family doctor can help you get healthy or provide the best referrals when another specialists care is needed, and they can also be your partner in managing a chronic, long-term illness, such as diabetes, heart disease, or asthma. Plus, family physicians are integrated into their communities, making them a valuable conduit for connecting individuals with local health and social services.

To learn more about the Michigan Academy of Family Physicians, visit http://www.mafp.com. To learn more about the Michigan Association of Osteopathic Family Physicians, visit http://www.maofp.org.

You can view Governor Snyders Family Medicine Week proclamation by clicking here.

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Benefits to having a family physician, promoting family medicine week – UpperMichigansSource.com

Jeffrey V. Ravetch receives 2017 Ross Prize in Molecular Medicine – The Rockefeller University Newswire

Jeffrey V. Ravetch, Theresa and Eugene M. Lang Professor and head of the Leonard Wagner Laboratory of Molecular Genetics and Immunology, has won the 2017 Ross Prize in Molecular Medicine. The award, given by The Feinstein Institute for Medical Research and its journal Molecular Medicine, honors scientists who have made a significant impact on the understanding of human disease pathogenesis and the development of innovative treatments. Ravetch will receive a $50,000 honorarium and present a lecture at The New York Academy of Sciences on June 5.

Jeffrey V. Ravetch

Ravetch studies how a functioning immune system protects against invaders, and how a dysfunctional immune system attacks the bodys own tissues in autoimmune disease. He is widely known for his work on Fc receptors, proteins on the surface of immune cells that interact with antibodies. By binding to Fc receptors, antibodies are able to change immune cells protective activity. This interaction is critical to the immune systems ability to defend against toxins, bacteria, and viruses. Ravetchs work on the Fc receptor pathwayan essential part of the immune responsehas led to new approaches to treating autoimmune disease as well as cancer and infectious disease.

Recent work in the Ravetch lab has shed light on why some people are more vulnerable than others to developing life-threatening secondary infections from the dengue virus.

Ravetch received his Ph.D. in 1978 from Rockefeller and his M.D. from Cornell University Medical College in 1979. In 1982, he joined the faculty of Memorial Sloan Kettering Cancer Center and in 1984 also became a guest investigator in Rockefellers Laboratory of Cellular Physiology and Immunology. He was appointed professor at Rockefeller in 1996. Among his many honors are the 2007 Coley Award from the Cancer Research Institute; the Canada Gairdner International Award and the SanofiInstitut Pasteur Award, both in 2012; and the 2015 Wolf Prize in Medicine. Ravetch is a fellow of the American Academy of Arts and Sciences and the American Association for the Advancement of Science, and a member of the National Academy of Sciences and the National Academy of Medicine.

The Feinstein Institute was established in 1995 as the research arm of Northwell Health, the largest healthcare provider in New York. Now in its fifth year, the Ross Prize is awarded through the institutes journal Molecular Medicine, which addresses disease pathogenesis at the cellular and molecular levels. The Ross Prize aims to cultivate promising careers in the fields of science and research.

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Jeffrey V. Ravetch receives 2017 Ross Prize in Molecular Medicine – The Rockefeller University Newswire

CU collaboration produces health ‘game-changer’ – CU Anschutz Today (press release)

The patient breathes harder as his workout intensifies. His metabolic fingerprint heart rate, oxygen level and other data streams onto a tablet in the form of a colorized digital bar that shows exactly what his muscles are doing and the fuels hes burning.

In the purple zone hes stressing his anaerobic system, and in the red hes going to burn muscle mass if he stays up there too long, says Nicholas Edwards, MS, director of Exercise-Medicine Integration in the Department of Family Medicine, CU School of Medicine. The blue here represents his prime zone, where he performs best during exercise and creates the most energy, so hes safely burning the most pound for pound right at this second.

Edwards is also co-founder and chief scientific officer of METHOD, a CU spinoff company, that is proving to be a health game-changer by connecting exercise to medicine. The system gives thousands of athletes and patients access to individualized, real-time metabolic information that, when combined with a prescribed fitness regimen, builds strength and stamina, reduces injury, sheds weight and improves their response to treatment.

These metabolic data points help tailor regimens to a specific physiology whether the person be a pro athlete, weekend warrior or couch potato to provide healthy outcomes across the continuum of care. Its literally like a medically based fitness plan, says Edwards, who three years ago launched METHOD with an eye toward college and pro athletes. Among the first users were elite athletes who were patients in the Ascent Program at the Center for Dependency, Addiction, and Rehabilitation (CeDAR). The METHOD system has expanded to thousands of patients and athletes, including the NHLs Colorado Avalanche, NFL teams as well as fitness facilities and centers for orthopedics and physical therapy from coast to coast.

Besides being a breakthrough approach making exercise a prescribed medicine the METHOD app is a testament to the collaborative innovations regularly occurring on the CU Anschutz Medical Campus. Family Medicine owns a stake in the enterprise, which was assisted in its launch by CU Innovations. We collaboratively worked on a system that covers the spectrum orthopedics through physical therapy to human performance, says Edwards, who has two business partners.

Previously, there was nothing that quantified what a person in the gym, the rehab center or the weight room is doing metabolically in real-time, he says. Anaerobic exercise was a guess. Through METHOD, weve been able to identify somebodys unique metabolic fingerprint to know whats going on physiologically as they exercise.

Dan, a patient at UCHealth, went through the three stages of the METHOD system evaluation, prescription for exercise, and monitoring under Edwards supervision. Dan is a high-level crossfit competitor and works as a paramedic, so he understands the value of physiological data such as heart rate and energy thresholds. Using the METHOD data, Nick built a training program specific to my capabilities that matched my heart rate and everything, Dan says. Its been amazing. Ive gotten stronger, faster and more physically fit in the last month and a half than Ive done on my own, just kind of blind training, over the last year.

This system really dials everything in. METHOD patient

Meanwhile, people on the other end of the spectrum, the sedentary and obese, often tell Edwards they dont know how to workout, feel pain when exercising or are simply intimidated. The great thing about this system is were able to give them specific parameters to know exactly where they should exercise, the exact kind of exercise, and when to start and stop, so they change their body in a healthy and safe way, he says. This system really dials everything in.

Because the app loads onto smartphones and synchs with heart rate monitors, its able to monitor whether a user is staying in a metabolic zone too long. The phone will literally buzz and tell them to speed up or slow down their workout, Edwards says. The app has built-in coaching mechanisms across the board.

And the app acts as massive data repository that allows clinicians to view real-time data from users around the country. I can monitor somebody on an exercise prescription in Maine or in Southern California and compare their outcomes to somebody here in Colorado, says Edwards, who played college football at North Dakota State and is a former mixed martial professional. Our goal is to solidify best practices over time.

Improved outcomes mean athletes get back on the ice or field faster, while patients, either those recovering from surgery or just going through physical therapy, return to their normal lives sooner, Edwards says. The big payoff is that by optimizing patient outcomes were lowering the cost of care, because youre eliminating guesswork and duplication of services.

For example, METHOD renders obsolete the timeworn 220-minus-your-age formula for determining a persons maximum heart rate. Edwards gives the example of a 55-year-old couch potato and a former pro hockey player of the same age. If you do that old formula, they should exercise the exact same way, which is ludicrous, he says. We need to find something different thats happening with that individual every single day, and thats what we do with METHOD.

When not directly coaching athletes and patients through exercise regimens, Edwards speaks about the benefits of METHOD and proper training across the U.S. at the NFL Combine, behavioral health and strength and conditioning conferences and other events. He notes that the system is really starting to catch fire as more people turn to individualized exercise regimens.

Edwards says METHOD will further elevate CU SOMs stature as a global leader in innovation, wellness and health care outcomes. Were developing a lasting change to make medicine and exercise collaborate long term.

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CU collaboration produces health ‘game-changer’ – CU Anschutz Today (press release)

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Cincy students get a glimpse into medicine – Cincinnati.com

Princeton High School juniors Viktorija Bostogaite and Christina Garvis model their new lab coats during their TAP MD program event Monday at UC Medical Center.(Photo: The Enquirer/Anne Saker)Buy Photo

CORRYVILLE – Deep in the sprawling University of Cincinnati Medical Center lies a windowless room that contains half a century of history the surgical amphitheater, wherethe past and present of medicine connect with the future.

So as Greater Cincinnati endured Monday mornings pea-soup fog, about 50 area high schools students, some with giddy parents, walked with reverence into the amphitheater, gazing at the high ceiling and the oil portraits that capture the stern faces of noted Cincinnati surgeons.

The big moment to come: an operation to remove a kidney from a living donor.

She was excited, but I could barely sleep last night, said Erika Gallagher of Sharonville, who took a day off from work to bring her daughter, Princeton High School junior Viktorija Bostogaite.

This month, 47 students from around the region came together for the yearlong TapMD program, run by the nonprofit the Health Collaborative with the hope of”tapping” or enticing at least half of each class to follow the path into the healing sciences. Mondays visit to the surgical amphitheater was the first big field trip for the TapMD class, and not only were there bagels and juice, but each student received a white coat with the first name embroidered over the left pocket.

I have been thinking about medicine, and when I heard about this program and how it can expose you to a medical education, it sounded awesome, said Princeton junior Christina Garvis.

Im exploring right now, so Im glad to have this chance, said Preetham Kastury, a junior at Mason High School.

Arepresentative from Ethicon, the Blue Ash-based Johnson & Johnson division that manufactures surgical equipment, displayed on a table some of the tools that would be used in Mondays procedure.

A brass drain fitting on the tiled floor served as a reminder that 50 years ago, when UC Heaths kidney transplant program began, many surgeries of all kinds took place in the surgical amphitheater, where students and doctors took the steeply raked seats to watch and learn.

Mondays procedure actually took place in an operating room several floors away, with the surgeon at the table using a camera to assist the effort.

In the amphitheater, viewers watched a screen as the surgeon at the table threaded a camera into the patients body. For long stretches, the hissing of a fan was only sound in the amphitheater. The magnification enhanced the doctors every snip fat and tissue with a heated knife. In two hours, the kidney was free, and on its way to its recipient.

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Cincy students get a glimpse into medicine – Cincinnati.com

Virginia Board of Medicine adopts regulations to address opioid epidemic – WRIC

RICHMOND, Va. (WRIC) The Virginia Board of Medicine voted to adopt new regulations in response to Virginias opioid epidemic.

These regulations address the safe prescribing of opioids and buprenorphine by health care practitioners in the Commonwealth. The regulations also give prescribers a descriptive template for effective prescribing habits to ultimately produce best patient outcomes.

The opioid prescribing regulations address three common types of pain: Acute pain (often from injury or minor illness), pain resulting from surgery and chronic pain. The regulations prescribe limitations on the number of days opioids should be prescribedwhile maintaining a physicians discretion to exceed in cases where medically necessary. The BOM also addressed the prescribing of buprenorphine, used to treat opioid addiction, to ensure Virginians struggling with anopioid use disorder have every opportunity to successfully manage their disease.

The epidemic of opioid abuse and overdose has devastated thousands of Virginia families, said Virginia Secretary of Health and Human Resources Dr. Bill Hazel. Setting limits and guidelines for proper prescribing, as these regulations do, will help curtail the flow of pills into our communities and significantly reduce the chances of people becoming addicted to prescribed medications. The new regulations also help ensure when people are prescribed the addiction treatment medication buprenorphine, they get the addiction counseling that is critical to their recovery.

These regulations will now be available for review under the Administrative Process Act and are then expected to be signed by the Governor. To see the full regulations, click here.

This is a developing story. Stay with 8News online and on air for the latest updates.

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Clemson researchers work toward brighter future in medicine, security – Greenville News

Jan. 27, 2017 – Luiz Jacobsohn, in his lab in Olin Hall, recently won an NSF CAREER award.(Photo: Patrick D. Wright)

A research project underway at Clemson University could mean a future with safer medical imaging, tighter national security and even more efficient lighting.

The project involves defects known as electronic traps that are found in materials used for the detection and measurement of ionizing radiation, said Luiz Jacobsohn, the assistant professor inClemsons Department of Material Science and Engineering who is leading the work.

The materials are dosimeters, which measure the amount of accumulated ionizing radiation absorbed, and scintillators, which display luminescence, or light, when exposed to ionizing radiation, he said.

The traps are found in both, but play different roles in each as they capture electrons, he said, and the more radiation received, the more electrons that are captured. And the traps occur without control.

There has not been a systematic investigation of these defects in materials in general, he said.

Sounds like esoteric scientific jargon to the layperson.

But in a nutshell, Jacobsohn is looking to map this process and engineer these traps in the hopes of enhancing the performance of the dosimeters and scintillators.

And better scintillators could mean less radiation in CT scans, he said.

Jan. 27, 2017 – Luiz Jacobsohn, in his lab in Olin Hall, recently won an NSF CAREER award.(Photo: Patrick D. Wright)

CT scans offer detailed images of the inside of the body, allowing doctors to pinpoint the precise location of a tumor in the brain, a blood clot in the lungs or a malfunction in a beating heart.

But they deliver much more radiation than X-rays potentially damaging DNA, leading to fears that they may cause cancer later in life, particularly in children, who are more vulnerable to the effects of radiation.

Research has shown that children and young adults who have multiple CTs have a small increased risk of leukemia and brain tumors one case of leukemia and one brain tumor in the decade following the firsts CT for every 10,000 head CT scans performed on children 10 years of age or younger than would have been expected without any scans, according to the National Cancer Institute.

So something that could reduce the amount of radiation in the scans has the potential to prevent illness and save lives.

By increasing the quality of the detector through a better scintillator, you can decrease the amount of radiation a patient has to go through in CT scans, he said. You can improve accuracy of radiotherapy as well because you know precisely how much radiation is needed.

And these materialsare used for other applications, too.

Because scintillators act like sensors to detect the presence of radioactive materials, they are used to protect the country from the smuggling of nuclear materials across our borders, he said. So a better scintillator couldimprove national security, he said.

Jan. 27, 2017 – Luiz Jacobsohn, in his lab in Olin Hall, recently won an NSF CAREER award.(Photo: Patrick D. Wright)

And understanding the role of the traps, which are detrimental to luminescence, could lead to more efficient lighting and lower energy bills, he said.

In his laboratory, which is equipped with high-temperature, atmospherically controlled furnaces and optical spectrometers, Jacobsohn synthesizes materials, modifies them through thermal processing, measures and analyzes their characteristics, and evaluates their luminescent properties.

Its a great opportunity for students to be exposed to science and to learn, he said, and in this way, prepare themselves for their professional lives.

Jacobsohn’s work is supported by a $546,243 grant from the National Science Foundations Faculty Early Career Development Program. He also has plans to develop tools and strategies aimed at introducing materials science and engineering concepts to students atD.W. Daniel High School and McCormick High School.

The NSF CAREER award affirms Dr. Jacobsohns accomplishments as a teacher and a scholar, said Anand Gramopadhye, dean of the College of Engineering, Computing and Applied Sciences. It also underscores Clemsons growing strength as a research university, creating jobs and finding solutions to some of the worlds toughest challenges.

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What it’s like in preventive medicine: Shadowing Dr. Blumenthal – American Medical Association (blog)

As a medical student, do you ever wonder what its like to specialize in preventive medicine? Meet Daniel Blumenthal, MD, a preventive medicine and public health specialist and a featured physician in the AMA Wire Shadow Me Specialty Series, which offers advice directly from physicians about life in their specialties. Check out his insights to help determine whether a career in preventive medicine and public health might be a good fit for you.

Shadowing Dr. Blumenthal

Specialty: Public health and general preventive medicine

Practice setting: Academic

Employment type: Medical school

Years in practice: 42 (retired)

A typical day and week in my practice: I was a medical school department chair. Every day was different. Some days, I taught students. Other days, I worked on research projects or manuscripts or saw patients in a neighborhood health center. I had a meeting or two on most days. A typical week was split between teaching, 10 percent; clinical patient care, 10 percent; research, 30 percent; and administration, 50 percent.

The most challenging and rewarding aspects of caring for preventive medicine patients: Most of the time, students and physicians think about patients as individuals who present themselves one at a time to a doctor in an office or a hospital. But in public health, the community is our patient, and we can go about diagnosing and treating the community using much the same thought processes as we do in treating individuals.

I teach students to think about subjective datathe kind you can collect from a survey or a focus group or a key informant interviewand objective data, such as morbidity and mortality statistics. Frequently, the objective data will lead you down a different path from what the subjective data would. Its important to consider all of that and develop an assessment, a problem list, which may be very longmuch longer than it would be for most individual patientsand then a plan for addressing those problems.

Very often, that plan will be something that involves a policy change or a piece of legislation, which might be a law requiring motorcycle riders to wear helmets or a law requiring children to be completely immunized on school entry. Those are the sorts of things that may be very difficult to convince our elected officials are important, and that may be the most difficult part of treating the community as a patient. But there are other difficult parts as well, such as convincing people to eat more vegetables, which would be undertaken on a community-wide basis.

The most rewarding aspects are seeing students graduate with a real understanding of health equity, as well as seeing improvements in health status indices and reductions in disparities.

Three adjectives to describe the typical preventive medicine specialist: Socially conscious. Oriented to the big picture. Curious.

How my lifestyle matches or differs from what I had envisioned in medical school: As a general pediatrician, the rewards had less to do with treating the self-limited diseases and more to do with watching kids grow up. But that had its limits, and I think treating sore throats and stomach aches would have bored me eventually.

Being in public health and preventive medicine has given me the opportunity to do so many different things, including teaching, research and local public health as a county health officer; national public health at the Centers for Disease Control and Prevention (CDC); international public health with the World Health Organization; and program development as a medical school department chair. That variety of experiences has kept medicine exciting for me. Also, in public health, you can save more lives than you can ever save as a clinician. You just dont know whose lives they are.

Skills every physician in training should have for preventive medicine but wont be tested for on the board exam: Epidemiology, health education and promotion, and policy development. For academicians, specifically: teaching and research skills.

One question every physician in training should ask themselves before pursuing this specialty: Will I be satisfied taking care of one disease or a small group of related diseases for my whole career, or would I prefer to do a variety of things that affect both individuals and populations?

Books every medical student in preventive medicine should be reading:

Maxcy-Rosenau-Last Public Health and Preventive Medicine, edited by Robert Wallacea general reference text; the equivalent of Nelson Textbook of Pediatrics or Goldman-Cecil Medicine

Annals of Epidemiology, by Berton Rouech, or any other book by Rouech

House on Fire: The Fight to Eradicate Smallpox, by William H. Foege, MD, MPH

The online resource students interested in my specialty should follow: The CDC website.

One quick insight I’d give students who are considering preventive medicine: Do an elective at the CDC, a health department or similar. You might get to do some hands-on epidemiology, gather data on a food-borne illness or other outbreak, or even get involved in taking measures to control an epidemic, such as the Zika virus.

If I had a mantra or song to describe my life in this specialty, it would be: Public health is one manifestation of social justice, so Id pick Blowin in the Wind.

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What it’s like in preventive medicine: Shadowing Dr. Blumenthal – American Medical Association (blog)

Holistic medicine, what you need to know – Arizona Sonoro News

Eduardo Estrada and Manny pose for a picture while hiking. (Photo courtesy by: Eduardo Estrada)

October 2016. Eduardo Eddie Estrada gently sips a beer and while closing his eyes. He takes a French fry and looks at his hand as he begins to remember.

Its September 2012. Estrada returns to the United States after a serving his country as a Hospital Man Third Class in Afghanistan. This is where it all began; the nightmares, the stress, the anger.

It started gradually, said Estrada, When I got out of the military, I thought I was fine and didnt have any transition problems but I came from a place that was very strict and everyone respected you.

Estrada deals with a mental illness, as do other 57 million Americans, a disease that affects the individual and the people surrounding them. Most patients are prescribed medications, but new strategies like yoga, meditation, dance and art classes can hold less toxic effects on the body.

But what happens when Americans decide to use holistic methods to cope with their disease?

What Happens in the Brain?

When the brain, the soft-tissue organ whose main functions include nervous and intellectual activity, is damaged in certain regions or has some type of chemical imbalance, it creates a problem for the individual. These problems range from minimal complications to severe complications.

There are different levels of severity for mental disorders, said Dr. Kaitlyn Zavaleta, an adjunct professor at the University of Arizona.

Mental problems arise, not only when the brain is damaged, but when the mind is damaged as well. This, at times, is the result from a traumatic event.

Each mental illness affects the brain differently, said Zavaleta. For example with depression, there are different patterns activated in the brain causing it to be different for every person.

Holistic treatments, however, are not always sponsored by government funds, not covered by insurance companies or the community are not well informed about them even though they are of great value.

Holistic researcher

Holistic treatments involved taking care of the mind, body and soul while looking at all the aspects to help the well being not just from the medical standpoint, said Renee Gregg, Doctor and Assistant Professor, Doctor of Nursing Practice, and Certified Family Nurse Practitioner.

Gregg believes holistic treatments are of great value to society, especially patients suffering from mental health problems.

Everyone thinks they need medication to fix and treat whatever is wrong with them, Gregg said. Its a newer concept for all of us to think that medicine could not be the only concept and it will take time for us to adapt.

Eduardo Estrada posing with his dog Manny. (Photo by: Mar Ruiz/ Arizona Sonora News Service)

Gregg explained that sometimes when a patient has high blood pressure, it could be caused be stress or not having a good diet. There are multiple techniques that help patients like yoga, but patients have to learn how to handle their lifestyles and structures, she said.

We see many promising results and the nurse practitioners are saying theyre finding much more comfort in speaking and a much higher response of patients when they talk to them than they were before, Gregg said.

According to Gregg, the first thing that practitioners look at is prevention and then once the patient passes prevention, they look at yoga, meditation or other holistic treatments that could be used to improve the quality of life and the quality of overall care.

The Natural Medicine Journal says that the annual expenses for alternative car is around $34 billion, most of it coming from the patients own money. The first visit to a Naturopathic doctor could range from $150-$300.

As far as insurance companies, they are not covering the full coverage,said Gregg. They are covering some wellness programs but as far as yoga classes and meditation and massages they are generally not being covered.

Medical providers are being cautioned and limited in opiate medication that patients can get.

We are seeing more insurance coverage of therapies for depression that go along more of the holistic methods, even if its therapy music or a therapy dance, especially in teens and kids, Gregg said.

Insurance companys perspective

Therapy itself may be covered by the insurance companies as long as the patient has a referral from their medical provider. When a patient has a referral, the case manager can work with the insurance company to get the alternative treatment covered.

Judith Revell, Public Executive for the Citizens Commission on Human Rights International, a nonprofit mental health watchdog, says their company suggests, but never advises, that patients see a doctor before even trying to suggest other alternative treatments. Revell says that their company knows its important to know first what medical problem or mental problem someone has before giving them a treatment .

Mannys therapy vest worn only during his working time. (Photo by: Mar Ruiz/ Arizona Sonora News Service)

Because some psychiatrist are funded by the pharmaceutical industry, we are here to help them in anything they need so they can get the best treatment, Revell said.

Life

As he took a sip from his beer, Estrada said he never used medication to help him with his problem.not even once because he thought it didnt work.

I chose this route with my dog because I did not want to do medication because most of my friends who did medications were having problems with their sleep, anger, depression and had all the side effects, Estrada said.

Before deciding to actually go to therapy and getting a service dog, Estrada considered himself healthy despite his problems. His problem began gradually once he was back from Afghanistan.

Ive always thought I was a very strong man and some of the stuff I got to see over there were really strong but I thought I was good for it.

The nightmares, the endless fights with his wife, the sense of being lonely.everything went away once he rescued and trained his dog.

I thought I was rescuing him but he was helping me out all the time.

Mar Ruiz is a reporter for Arizona Sonora News, a service from the School of Journalism with the University of Arizona. Contact her at marery@email.arizona.edu.

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