Monday, October 26, 2009

Journey Forward

I’m waiting.  Waiting…. waiting.  We have prayed.  We have cried.  We have grieved.  August turned into September, turned into October, and here we are.  During these months, I’ve done much acupuncture, changed my diet completely, rested and relaxed, attended adoption seminars… Somewhere, in the midst of this, we felt this pull, this call, towards foster care.  So many children out there needing a safe place, a secure place, a place to be while their parents are learning how to be parents again and be reunified with their children.  This felt good, felt right.  We were the last couple to get into the foster care class.  We’ve been meeting once a week for 3 hours and it is intense.  We would open our home to younger children (infant to 5) because that is where all of my training and experience is…  We are willing to take a small sibling group so that brothers and sisters could stay together.  We have the room, we have the time, we have the love to give.  Sometimes, children in foster care do not get reunified with their birth parents and are then available for adoption.  As foster parents, we would be eligible to adopt these children.  We are so excited about this!

In our need to move forward towards fostering, we decided to move up my appointment with my RE.  We were anticipating bad news and wanted to get it over with… we were ready to move on.  We moved my appointment to October 7th.  I woke up that morning to the great surprise of having gotten my period.  The feelings of dread prevailed.  We met with Dr. P and recapped our journey so far.  We talked about egg donors and embryo adoption.  We talked and talked.  He wanted to do a quick ultrasound to check my ovaries, to see if there had been changes.  This would give an indication as to what exactly might be happening… and if any changes had occurred.  I told him that it might not be possible to do the ultrasound check because I had just gotten my period.  Dr. P said that was actually perfect.  Down the hall we went to an exam room and got ready for the ultrasound.

There, on the screen, was my uterus.  Healthy and lined well.  There were my ovaries… each with developing follicles.  Each, with developing follicles.  10 in all.  We counted them together with Dr. P.  We counted them three times.  A miracle?  My ovaries were working!  Dr. P instructed me to get dressed and meet him in his office.

Back in Dr. P’s office, he smiled and said that these changes were beyond great.  Way better then he could have anticipated.  He then told us that they were to begin IVF cycles that same day for two other women, and they had both came in this morning to find cysts on their baseline ultrasounds.  And now, here I was, on my day 1, perfect baseline, 10 follicles growing, ready to go.  He asked if we wanted to fill one of those slots…  We talked and debated the pros and cons briefly, before jumping in and saying we wanted to go for it.  A whirlwind of finding a nurse to do a calendar/medication class… paying our huge bill…. ordering meds…. and we got it all done.  The car I follow on the highway on the way home has this license plate: CGODDOIT.  See God do it.  I do see!

October 8th I began lupron shots, twice a day.  On October 10, I added the lupron along with follistim to menopur.  I then did these injections twice a day.  On October 14 I had an ultrasound that showed I had seven developing follicles.  More ultrasounds on the mornings of October 15th, 16th, 17th….  On the 17th I was cleared to administer HCG injections (2 shots of ovidrel) to myself that evening.  On the 18th I started a 5 day course of antibiotics (z-pack).  I pray and pray for a sign that we’re on the right path.  I find, on my closet floor, (the middle of my closet floor), my long missing necklace that I had lost hope of finding.  The pendant, ‘BELIEVE,’ is face up.

My egg retrieval was at 8:30 on the morning of October 19th.  My stomach was empty of food, but full of butterflies!   The anesthetist hooked me up to an IV while my husband went to do his collection.  I was taken to the retrieval room and the doctor asked if I felt sleepy, I said ‘no’… and then don’t remember anything else.   I woke up to murmurings of ‘five,’ ‘five eggs,’  ’there were five.’  All I knew was that that was very different from 7.  I was groggy and couldn’t find my words and started to cry.  Dr. P was found and explained that five was good, five was fine.  I slowly came out of my fog and we went home.  I spent the day in bed with percoset and anti-nausea medicine.

On October 20th, the embryologist called and said that using ICSI, 4 of the 5 eggs were able to be fertilized.  Because of the low number of fertilized eggs, the embryologist and Dr. P both recommended a day 3 transfer.  I started progesterone shots, one shot each evening administered into one of my hips by my husband.  Ouch.

On October 22nd, we arrived at the clinic for our transfer.  We learned that 2 of the 4 embryo’s had evolved into a textbook perfect 8 cells.  One of the other ones was a 4 cell and the fourth was a 6 cell.  The two 8-celled embryos were transfered.  No anesthesia this time — this one was easy.  Acupuncture before and after while listening to guided imagery.  We went home and I spent the rest of the day, and the next morning on the sofa. Progesterone shots continue every night until pregnancy is confirmed… or not.

And so, we wait.  Today, (October 25), the embryologist called and told us that our other 2 embryos did not make it to the blastocyst stage and were therefore, not frozen.  We had been really hoping and praying that these two would make it so that we could have one more chance if this one doesn’t work… or to be able to have additional biological children if this cycle did work.  That is not an option anymore.  It scares me.  If those two didn’t make it to day 5, who’s to say what is happening to the two that were placed back into my uterus.

We continue on with our foster care classes.  We are getting our two extra rooms ready for children.  We pray.  Tonight, I was baptized at our church.  We’re not sure what we’re doing… but it all feels right.  Somewhere in this, God has a plan, and while we don’t understand it, we know that it’s there.  We wait to see it unfold.  I wait.

Friday, October 23, 2009

Wednesday/thursday

Hej kära bloggläsare!

If your name is Marika or Marita, then today is your day!

Weather turned rainy on wednesday. Today is foggy and misty. And cold!! It is 39F now. And with the strong winds it feels much much colder. The sky looked like snow. Western Kansas had 3-4 inches of snow. Eastern Colorado had 8-12 inches of snow.

Had lunch with a friend at Applbee’s on wednesday. Good eats – good conversation.

I ventured into Vita Villa and stocked up on all the suggestions of what to take to help prevent H1N1. Most likely I will not be able to get a shot against it.

In the rain I drove through a park and took some cool photos. The photo at the top looks like the goose had water spraying out his ears!

Today I had breakfast with a friend in Assaria at a great place. It is located in an old school house. It is full of old photos, travel posters, and antiques. Great place.

I went to my acupuncturist for her patient open house. Got a free treatment. She has a new med that is to help with weight loss and energy. Took one when I got home. Later I felt really strange. Thought it was my blood sugar but it was fine. Got ok later. I had bought now vitamin water and drank some with supper. Felt strange again. Maybe the water?? Water in trash. Will try pill on sunday. Too busy to experiment until then.

Violence is never the answer.

Go Seattle SoundersFC!!


Create your own visitor map!

Julie-Ann den 22/10/09                      Hemlängtan för Sverige!

Wednesday, October 21, 2009

Acupuncture For Blepharospasm Case Report from a Online Article

Medical Acupuncture

A Journal For Physicians By Physicians

Volume 14 / Number 1

“Aurum Nostrum Non Est Aurum Vulgi”

 

Table of Contents On-line Journal Index

Acupuncture For Blepharospasm

Mahesh R. Dave,MD

OBJECTIVE

To describe the use of needle acupuncture and microcurrent therapy for treatment of blepharospasm.

KEY WORDS

Blepharospasm, Microcurrent Therapy, Acupuncture

INTRODUCTION

Blepharospasm is an ocular condition in which involuntary spasms or closure of the orbicularis occulimuscles may cause frequent eye blinking or even the inability to open the eye. Various treatments have been recommended, including botulinum toxin injections,1-4 myectomy,1 and drug therapy.1 Each therapy has its own success and limitations. For example, serious cases of necrotizing fasciitis5 and ptosis have been reported with botulinum toxin injections.

Blepharospasm, hemifacial spasm, Parkinson’s disease,6 and other dyskinesic-dystonic movement disorders may share pathways through basal ganglia structures. Acupuncture may offer an important avenue to approach blepharospasm7 and other movement disorders.8 A case of essential blepharospasm that did not respond to conventional ophthalmologic treatments is presented herein.

History

The patient was a 51-year-old woman who developed facial and eye twitches which gradually increased over 1 year. Gabapentin, propranolol, and cyclobenzaprine were ineffective; spasms worsened. An ophthalmologist injected botulinum toxin 4 times. Her symptoms improved mildly, but then the twitches became more significant. Her eye blinks and facial twitches worsened, and she lost peripheral vision.

Clinical Information

Findings of the physical examination were within normal limits. Results of laboratory testing were in the normal range, including com-

plete blood cell count, urinalysis, thyroid profile, and muscle enzymes. Tourette’s disorder was ruled out. The patient was not taking any preparations such as methylphenidate, amphetamines, antipsychotics, or illicit drugs (which can cause tics). The neurologic examination revealed ocular and some facial twitches. The patient’s cranial nerves were intact and Bell’s palsy was ruled out.

TREATMENT

Treatment included needle acupuncture of ST 2, 3; SI 18; TE 22; LI 3; GB 34; and Extra Meridian points (Yin-Tang, GV 20 + shishenkong). Microcurrent therapy was administered on the right side of her face at 5 and 80 Hz, working with certain groups of facial muscles. Kidney channel tonification also was performed.9,10

Outcome

Patient consent was obtained and the patient tolerated all procedures well. There were no adverse effects. Total time span of treatment was slightly less than 2 months. The patient showed >95% improvement, sustained after 3 months of no further treatments.

CONCLUSION

Acupuncture can be an effective treatment in difficult cases of blepharospasm, particularly when partial paralysis of ocular muscles due to botulinum toxins is responsible for continuation of blepharospasm. Acupuncture may offer an important avenue for the treatment of certain movement disorders. Further research is necessary and desirable into the effectiveness of acupuncture for this condition.

REFERENCES

Anderson RL, Patel BC, Holds JB, Jordan DR. Blepharospasm: past, present, and future. Ophthal Plast Reconstr Surg. 1998;14:305-317.

Carruthers A. Update on botulinum toxin. Skin Therapy Lett. 1999;4:1-2.

. Boghen DR, Lesser RL. Blepharospasm and hemifacial spasm. Curr Treat Options Neurol. 2000;2:393-400.

Mezaki T, Kaji R, Brin MF, et al. Combined use of type A and F botulinum toxins for blepharospasm: a double-blind controlled trial. Mov Disord. 1999;14:1017-1020.

Latimer PR, Hodgkins PR, Vakalis AN, Butler RE, Evans AR, Zaki GA. Necrotising fasciitis as a complication of botulinum toxin injection. Eye. 1998;

12(pt 1):51-53.

Young R. Update on Parkinson’s disease. Am Fam Physician. 1999;59:2155-2167, 2169-2170.

. Nepp J, Wenzel T, Kuchar A, Steinkogler FJ. Blepharospasm and acupuncture: initial results of a treatment trial [in German]. Wien Med Wochenschr. 1998;148:457-458.

Jayasuriya A. Clinical Acupuncture. 7th ed. New Delhi, India: B. Jain Publishers Ltd; 1998:458, 477.

Helms JM. Acupuncture Energetics: A Clinical Approach for Physicians. Berkeley, Calif: Medical Acupuncture Publishers; 1995.

Helms JM. Acupuncture for Physicians Course and Handbook. Bethesda, Md; January 1999.

AUTHOR INFORMATION

Dr Mahesh Dave specializes in Adult and Child Psychiatry, Addiction Medicine, and Forensic Psychiatry in Bryan, Texas.

Mahesh R. Dave, MD*

1201D Briarcrest Dr

Bryan, TX 77802

Phone: 979-776-5600 • Fax: 979-776-6280 • E-mail: mana@tca.net

*Address all correspondence and reprint requests regarding this article to Mahesh Dave, MD, at the address above.

You're never too old for a change of career

At LCTA, there is no age limit on studying as one third year acupuncture student who is 74 years old will testify:

I worked in a variety of jobs when I was younger.  I’ve always tried to keep busy and when we retired my husband and I decided to move to Mallorca.  We bought a ruin and restored it over the next few years and because my brain constantly needs to be working, I learnt Spanish at the same time.

I decided to begin studying again because I thought I would become brain-dead if I didn’t do something.  The last bit of serious studying I had done was in 1994 when I did a counselling and psychotherapy course.  The course was a great way to train my listening skills and I really enjoyed it, but ten years later I needed a new challenge.  

I was trying to work out what I wanted to do and looked at a variety of options.  I had always been interested in healing and having grown up in the West Indies I was used to the concept of having someone at home who was involved in healing in some way. Where I grew up, you never just went to the doctor.  My grandmother and my father were both healers and part of a strong tradition of people looking after each other.  So I decided to look into how I could develop my own skills in healing and became really interested in Traditional Chinese Medicine.

As well as being accessible, LCTA was the friendliest of all the colleges I looked at and I liked the sound of the course. Everyone was charming at the Presentation Day and they really put me at ease during my interview.   Although I hadn’t done any serious studying for a while, when I began the course, it wasn’t too much of a shock to the system, but the essays and exams are hard.   Everyone else is in the same boat though, so we help each other through it. 

I’d like to practise in Mallorca and I have to look into all the legalities of setting up over there and make sure that I have the correct qualifications.  I will only practise part time but definitely plan to practise over there.  You are never too old to study or change career.  Lots of people think it’s daunting to do something like this at my age – they think it’s quite amazing.  But it’s not such a bad idea and it’s certainly not particularly unusual.

I’m thoroughly enjoying the course, it’s really interesting. The whole concept of TCM fascinates me – it hasn’t lost any of its appeal over the millennia. The course has pulled my brain together again – it definitely sharpens you up. You constantly have to meet deadlines and those grey cells that have been mouldering away in the corner have to pick themselves back up again and get back to serious work. 

When I chose to study acupuncture, I didn’t take the easy option.  It’s proven to be a real challenge, a lot of hard work and a truly enlightening experience.  Being a bit older doesn’t make any difference. It’s a fantastic experience; anyone who is interested in TCM should go for it – no matter what their age!

Friday, October 16, 2009

Breast Feeding Decreases Illness Risk

Babies who are exclusively breast-fed for at least the first 15 weeks of life have less respiratory illness during childhood. Those children tended to have lower blood pressure and were leaner than those who were started on solid food before four months of age.

The findings add to previous evidence of a link between adult disease and nutritional factors in the womb and during infancy.

As to weight, children who had been given solids before 15weeks were significantly heavier by age 7 than those given solids at 15 weeks or later, the researcher states. They also note that the percentage of body fat was greater among children who were started on solids earlier.
British Medical Journal (1998;316:21-25)