When Back Or Neck Surgery Doesn’t Work

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This article is courtesy of PRWeb, please share your comments below…..

didyouknow?Dr. Praveen Kadimcherla with Atlantic Spine Center explains ‘failed spine surgery syndrome’ and offers tips and hope to patients.

Most of the time spine surgery achieves its goal, with pain relief being among the top benefits for beleaguered back or neck pain sufferers. But occasionally, a patient’s pain and other symptoms return – a situation known as failed back surgery syndrome – which isn’t necessarily as doom-and-gloom as it sounds, according to Praveen Kadimcherla, MD, an orthopedic spine surgeon at Atlantic Spine Center.

The vast majority of the 600,000 spine surgeries that take place in the United States each year are highly successful, decompressing nerve roots that are pinched or stabilizing painful spinal joints that have led to chronic pain, numbness or loss of function. But when back or neck surgery goes wrong, it can be devastating to both patient and surgeon, even if it’s statistically impossible for all surgeries to be effective.

“The amount of trauma, scarring, and hardware such as bone grafts and screws that are used in spinal surgery all factor into the chances someone may develop this condition,” explains Dr. Kadimcherla, who is fellowship-trained in orthopedic and spine neurosurgery. “Joints at the surgical site can also become inflamed, and scar tissue might form where a section of bone has been removed from the spine. In short, there are many reasons back or neck surgery can go wrong, so failed spine surgery syndrome is very difficult to totally prevent.”

Why might spine surgeries fail?
As a rule, spine surgeries are performed as a last resort when neck or lower back pain cannot be relieved by more conservative measures, such as medications or physical therapy. But at least 5% are left with lingering pain after an operation, Dr. Kadimcherla says. Symptoms may include back, leg or arm pain that is dull and aching; sharp, stabbing pain; and tingling, numbness or muscle weakness.

But why might spine surgeries fail? Dr. Kadimcherla offers these possible reasons:

* Residual disc herniation

* Recovery has created undue stress on another weakened portion of the spine

* Improper fusion after spinal fusion

* Misaligned spine hardware

* Incomplete bone removal

* Infection in a disc space

* Nerve damage

* Improper diagnosis of original problem

humanbody“Undergoing back surgery is rarely a decision patients take lightly or rush into, so when pain persists afterward it can be very distressing,” he says. “Yet, there are many viable options for improvement in these patients going forward. All is not lost if their back or neck surgery has been deemed a failure.”

Tips and hope for failed spine surgery patients
The first step toward relieving back or neck pain after a failed surgery is making sure a patient has the correct diagnosis, Dr. Kadimcherla says. This is done by using imaging tests such as X-rays, MRI or CT scans, and certain diagnoses can be confirmed with the help of procedures such as nerve blocks or other injections.

Once the reason for ongoing pain has been established, a multi-pronged approach for pain relief usually works best, Dr. Kadimcherla explains. Treatments can include:

* Physical therapy or exercise

* Psychological counseling

* Medication

* Procedures such as epidural steroid injections or nerve blocks

* Spinal cord stimulation, a device emitting electrical pulses into the spinal region

Tellingly, however, one of the best options for treating failed back surgery is undergoing another surgery, but not an “open” procedure involving a long incision and recovery. Dr. Kadimcherla often recommends endoscopic spine surgery – a minimally invasive approach with boasting a rapid recovery – to those experiencing lingering problems after an initial procedure.

“Endoscopic spine surgery can represent a safer, less risky and less complicated solution,” he says. “I’ve treated many patients after spine surgery with residual symptoms with endoscopic nerve decompression, and I strongly feel a patient with failed back surgery syndrome can benefit from consulting with a doctor who’s an experienced endoscopic surgeon.”

“Obviously, someone who’s experienced failed spine surgery already has dealt with a less-than-optimal scenario,” Dr. Kadimcherla adds. “But with a correct diagnosis and proper treatment, pain can often be eliminated or very well managed. “When all else fails, make sure you don’t let a failed spine surgery have the last word.”

Atlantic Spine Center is a nationally recognized leader for endoscopic spine surgery with several locations in NJ and NYC. http://www.atlanticspinecenter.com, http://www.atlanticspinecenter.nyc

– Praveen Kadimcherla, MD, is a board-certified orthopedic spine surgeon at Atlantic Spine Center.

Work That Chair: 6 Household Items For Awesome Abs

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This article is courtesy of PRWeb, please share your comments below…..Even though this article is from February for heart health month, it has some valuable tips to apply all year round.

seniorexerciseIf you are feeling that your clothes are a tad snug, the love handles are too much to handle, you are not alone. According to the Center for Disease Control and Prevention (CDC), 34.9% of U.S. adult women are overweight. Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, some of the leading causes of preventable death. February is heart health month and Agnes Davis, a woman over 50, knows first hand that weight not only impacts the exterior, but also the interior and she wants to change that.

Six years ago, Agnes C. Davis was wrongfully terminated from her job at a top New York City hospital and had to reinvent her professional and personal life. She was broken, broke depressed and overweight. Davis fought hard to get her job back and fought harder to maintain her sanity and get the weight off. Working out at home was her medicine of choice.

“We all have things in our homes we can utilize to get that body ready for spring/summer. Okay, maybe, you won’t be wearing a bikini just yet, but you can start to drop pounds, lean out, change eating habits and with consistency a new body will emerge. After I was wrongfully terminated from my job, I started to eat and gained weight on my slender physique. Everything was just harder to do and coupled with depression the weight kept on coming. I decided to make a change and looked around in my house to see what I could use for a good workout. Keep in mind that I am a swimmer, so my body was always lean but packing on 5-7 extra pounds can be heavy for anyone’s joints and heart, including mine,” expresses Davis.

These days, Davis, is healthy, fit, fabulous and the CEO of swim swim swim I SAY (http://www.swimswimswimisay.com), and a full-time cardiovascular perfusionist at a top New York City hospital. Davis is a passionate warrior for living life, having fun and making a difference. “I don’t go to the gym, all the equipment to save your life and heart is in your house. Stick to a plan/vision, commitment, exercise and repetition,” says Agnes.

Agnes C. Davis’ Tips for Awesome Abs and Arms in 25 Minutes:

healthyheart1) Mind matters. The first essential piece of equipment to a healthy body is a healthy mindset. Use your mind for motivation.

2) Work that chair. Find a durable and stable chair in your home to start your balancing routine. Once you can balance on the chair, start doing bent leg raises with knee above your hips. Graduate to using chair for squats. Hold the abdominal muscle in each time. This exercise will start to shape your abs, hips, butt and legs. When you get stronger, get rid of the chair.

3) Water is magical. Use (2) bottles of 5-liter as your dumbbells to work those arms. Start with dumbbell curls, overhead presses, kickbacks, etc. Increase the water bottle weight, as it gets easier. *Tip: Drink the bottles of water as you move onto bigger bottles.

4) Kick the garbage out. Tall garbage cans are great for squats. Hold the can; bend down with wide legs turned out and a straight back. Keep your abdominal strong and watch a perfect form emerge. No weight needed, your natural body will help you tone over time.

5) Take this Sheet and bicep curl it. Take an old bed sheet, twirl the sheet, put one hand on each end then step on the sheet with both feet in the middle. Now bend the knees slightly holding the sheet with both elbows at a slight right angle into your side. Slide your right foot on the sheet, knees still bent to meet your left foot. Right arm will pull up on sheet to create a bicep curl while keeping the sheet nice and tight. Repeat (10x) on each side.

6) Lift that body, now give me 10. The best way to tone is to use your (own) body, your dead weight so to speak. Start with doing modified push-ups using your body weight to go up and down. As it becomes easier, your challenge is to do a full body push up, with no weight to build stamina and tone the body.

“By following these tips, you’ll decrease stress, increase heart health, and promote self confidence while getting your body back into shape,” Agnes Davis says.

About Agnes C. Davis:

Agnes C. Davis is the CEO, swim swim swim I SAY (sssIS) the only female minority-owned and operated swimming company in New York City. Davis’ work has been featured in such national platforms as Associated Press, USA Today, ABC News, Yahoo, Washington Post, as well as Black Enterprise and Sirius XM. For more information on Agnes, visit her website at: http://www.swimswimswimisay.com/

In An Emergency At Work, Would You Know What To Do?

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workdeskBeing healthy does not make you impervious to serious accidents and injuries. In dangerous environments, caution and good judgement will get you a lot further than exercise and a healthy diet. In a typical office space, people are more concerned about health than safety, assuming there are no major safety issues in a cube farm. They couldn’t be more wrong.

There is a lot the goes into maintaining a safe workplace. However, nothing you do can eliminate all workplace risks. Sometimes bad things are going to happen. To keep things going from bad to worse, you need to know what to do in a tense situation. Here are a few tips to get you started:

Assess and Treat

Most workplace accidents are minor. But minor issues can become big issues in a hurry if left untreated. Cuts, burns, and sprains are quite common. Less common but more serious is choking. All of these things can be treated by just about anyone. What is required are basic observational skills and the application of first aid.

It is a good idea for all employees and contractors to go through first aid training. Once trained, everyone needs to know where to find first aid supplies. It is imperative that companies keep those supplies well stocked and the employees well informed.

While it is important to put burn cream on a burn, stop the bleeding, and wrap a sprain as quickly as possible, it is even more important to apply CPR in a timely manner. There may not be time to call the one person in the office who knows how to do it. Everyone needs to be empowered to assess and treat the little things so they don’t turn into big ones.

Assess and Report

Are you starting to notice a pattern? The first thing to be done in every emergency is to assess. You should never go leaping into action like Supergirl before you even know what the situation calls for. When someone is on the floor crying out in pain, you don’t know if the situation is serious or not.

Even if you are not versed in emergency protocol, there is still something useful you can do. You can ask the person about the problem. If they have a recurring condition, they will tell you what you need to know. If you can’t get useful information from the person in pain, you need to alert a supervisor about the matter.

Calling 911 should not be the first thing you do if the situation doesn’t require it. Don’t just go running and screaming and adding panic to the situation. Get useful information about the problem, then report it.

Assess and Prevent

A hazard for one person is a hazard for all. There is no reason to allow a spill to claim two victims instead of one. Part of your assessment is to see that the floor is wet. While you are on the way to the person on the floor, you should grab the safety sign and set it up so that no one else slips.

Prevention is everyone’s job. If you see a stack of cups and plates precariously balanced, you don’t stack yours on top like a game of kitchen Jenga. You make smaller stacks. Perhaps you could even start the dishwasher. If you see a spill, don’t leave it for the next person. Clean it up. If someone left a sharp knife out, put it away.

By assessing the emergency at hand, you are in a good position to prevent the next one. In an emergency, the second thing you do always depends on the first thing. And the first thing you should do is make a level-headed assessment of the situation to see if treatment or reporting is required.

Emergencies happen fast, and so do mistakes. Slow it down, figure it out. Then do the right thing.

– Submitted by Katherine Smith

How Long Does Teeth Whitening Take To Work?

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By Jesse Hughes

malesmileTeeth whitening is an excellent way of getting the pristine white smile you want. It’s a completely safe practice that will not damage your teeth or your gums. In most cases teeth whitening produces impressive results although this cannot be guaranteed. If you have decided that you went to try whitening your teeth you are probably going to want to know how long it takes before you start to see results.

There are different ways of using teeth whiteners. You can undergo teeth whitening in office or you can choose to use bleach trays at home. The best results can often be obtained from using a combination of the processes. You can start by choosing an in-office teeth whitening session which produces the quickest results. You can then keep your teeth white by using bleach trays at home as a follow-up.

What happens after an in-office treatment?

In office teeth whitening is often referred to as power bleaching and the results are noticeable more quickly than if you use trays. You will normally be able to see a significant difference immediately after the procedure is completed. Over the following twenty-four hours the results gets more noticeable as gel used to bleach the teeth seeps through the enamel. During this twenty-four hour period you should avoid any food or drink that contains coloring’s as these can have an adverse effect on the way the bleach performs. If you are wondering why you only need to do this for twenty-four hours, it’s because the bleach makes your teeth more porous for this length of time. The color of your teeth eventually settles to a subtle white color.

It’s worth noting that the bleach only works on your natural teeth; any veneers and crowns you have will remain the same color. You may find that these need updating in order to look natural against the new white coloring of your natural teeth.

How white will your teeth be?

It’s worth remembering that all teeth vary slightly in structure so there is no guarantee as to how effective the whitening will be. However, in the majority of cases you should see a significant and even whitening of your teeth. Teeth whitening is most effective on temporary staining such as that caused by food dyes, caffeine and tobacco. The effects of teeth whitening last for different lengths of time for different people. If you smoke, or drink red wine, tea or coffee then the shade of your teeth is likely to darken more quickly.

Does just using bleach trays work?

If you opt to just use bleach trays, instead of having any in-office whitening completed, you should eventually achieve the same result but it does take longer. Most people start to see a change after using the trays once or twice although a really good result usually takes at least 3-4 treatments. It’s also worth noting that results are not guaranteed as some teeth are simply resistant to whitening.

As you can see, for most people, the best results for teeth whitening are achieved by having in-office teeth whitening completed followed by using trays to top up. Results normally start to be visible immediately, although you should always remember that there is no guarantee as to how much and how quickly your teeth will whiten.

Does Acupuncture Really Work Or Is It Just A Placebo?

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By Jesse Hughes

stressBeing in pain is never a pleasant experience, and trying to find a way to get rid of the pain is generally a priority. Many people see acupuncture as a viable option; but is it really effective in relieving pain or does it just have a placebo effect? The fact is that several physiotherapists recognize the value of acupuncture, and receive training in it so they can offer it as a treatment to their patients.

Physiotherapists are not the only professionals who can provide acupuncture services; there are many acupuncture specialists in existence, such as Alban Acupuncture. These specialists are extremely popular with many people who are suffering from problems such as lower back pain and muscular aches and pains. It would seem that acupuncture treatments do offer them relief from their discomfort.

What is involved in acupuncture?

If you have never undergone acupuncture treatment before then you may be wondering what it actually is. The origins of acupuncture lie in ancient Chinese medicine. It is based on the theory that an energy force runs through each person’s body; this force is often referred to as Qi. The channels that carry the Qi through the body are known as meridians. It is believed that pain presents itself where blockages occur, and the Qi cannot run freely. The aim of acupuncture is to remove the blockages so that the Qi can again run as it should.

Traditional beliefs overlap with modern day beliefs as today’s experts have found that there is evidence to support the fact that manipulation of the body’s tissue can help to relieve pain; this happens during acupuncture.

How acupuncture works

If you undergo acupuncture treatment you will have fine sterile needles inserted into your skin at various points which follow the paths of the channels or meridians in your body. The needles will then be manipulated by the acupuncturist. You may experience a dull ache during treatment. The manipulation of the needles is aimed at releasing the blockages which are preventing the effective flow of the Qi.

Is acupuncture as effective as physiotherapy?

It certainly seems that there is far more to acupuncture than just a placebo effect

The reason why we asked our question at the outset of this article is that some people do see acupuncture as more of a placebo, and treatments such as physiotherapy as more genuinely effective. The truth is that acupuncture is now considered as more of a mainstream treatment, with genuine benefits. It can often be used in conjunction with physiotherapy in order to provide the best possible treatment to a patient. Many patients have experienced good results from acupuncture sessions when other types of physiotherapy have been less than successful.

It certainly seems that there is far more to acupuncture than just a placebo effect; both the ancient Chinese and today’s experts agree that it has been shown to be beneficial in relieving chronic pain in many patients. There may be some difference in opinion about how this actually happens, but the results are clearly there to be seen.

Ensuring Work Health And Safety In The Office

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By Sarah Smith

workdeskWhen overseeing a business, it is unfortunately very common for employees to get injured. Whether that is a repetitive strain or a posture problem, there are steps that can be taken to avoid these kinds of situations altogether. With the proper healthy alternatives to the norm in place, the workplace can battle these kinds of issues.

The best way to avoid incorrect posture from occurring is by understanding how to achieve neutral posture in the office as this will ultimately prevent injuries from occurring. Neutral posture is when an individual sits in a comfortable way so that their joints are aligned natural. This will help lower the chances of the employee developing some sort of musculoskeletal disorder. Besides this, the employee should change their posture often. It does not matter how good the individual’s posture may be, sitting in any position for too long of a time is unhealthy. Ideally, the employee should switch up their posture roughly every 15 minutes. This can be done by simply changing the height of the chair being used or moving back a little bit more into the chair. Of course, getting up and moving around for a minute or two every hour will make a big difference too.

One item in particular that business owners should invest in is adjustable task chairs. These items are ideal for employees who do not get much movement throughout the day at work. Adjustable task chairs work by providing direct support to the workers, even throwing in the option of changing up their posture during their work shift. Additionally, adjustable task chairs are great for people who are working with an injury. That is because a lot of times injured employees may have difficulty fitting into a standard chair. These types of chairs, though, won’t have that kind of issue.

Similar to this, the way an office is designed can play a huge part in ensuring work health and safety. In fact, the equipment and furniture that makes up the office itself should be fully analyzed to figure out whether or not it creates risk factors. For instance, when arranging the shelves, the items that are constantly being used should be as close to the work area. This will prevent the likelihood of overhead reaching to occur. Then, if there are any office tasks that are repetitive like stamping dates onto envelopes or folding letters, invest in automated equipment. While some business owners may look at these types of machinery as another expense, it is definitely worth it to avoid the costs of workplace injuries.

Obviously injuries in the workplace is a serious matter that happens way too often. Thankfully, though, there are preventive measures that business owners can take to avoid posture problems and repetitive strain injuries from developing. Employees, and the workplace alike, do not have to be left feeling and looking vulnerable. Instead, be ready to expect the unexpected. There are plenty of ways to ensure both work health and safety in the office. One really good way to learn more about Workplace health and Safety is by taking a course through a provider like Rose Training. You can check out their website to learn more about the courses on offer.

How To Make Frustration Work For You

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By Loretta G Breuning

stressedwomanOur frustrations are often blamed on modern society, but monkeys had the same frustrations 50 million years ago. They chased rewards and failed to get them. They scanned for threats and got hurt anyway. They were let down by their fellow monkey. But frustration helped them thrive, and it can help you too.

Frustration comes with intelligence. Lizards don’t get frustrated because they don’t have enough neurons to ponder a Plan B when their Plan A falls short. Primates have a big stock of extra neurons so we can generate alternatives instead of just repeating hard-wired behaviors. But untried alternatives are risky, so we stick to Plan A until we have a sign that it’s not worth our effort. Frustration is that sign. Frustration is a tool for primates to stimulate more happy chemicals. Here are some examples.

Dopamine
Monkeys love to eat nuts, but cracking them open is frustrating. A monkey will bang away at a nut for a long time because the good feeling of dopamine flows when a reward is anticipated. Persistence often works, but if you’ve picked up a bad nut or your technique is flawed, persistence gets you nowhere. Knowing when to stop and try something different is the way to succeed. Frustration helps a monkey know when to stop. It’s a bad strategy to give in to frustration quickly is a bad strategy, but it’s also bad to ignore frustration forever. The primate brain decides when to honor frustration and shift its focus. That opens a monkey to new information so it finds a better nut or a better technique. Our brains don’t shift easily because old dopamine pathways have value and new paths are risky. It takes a big investment of energy, and frustration motivates that investment.

Serotonin
When a monkey reaches a juicy mango in a tree top, a bigger stronger monkey may snatch it from him. This is frustrating, but he may not resist because it hurts to get bitten more than it hurts to lose a snack. He will look for a new piece of fruit instead. He doesn’t want a distant fruit because isolation brings predators. He scans for a fruit that’s near the troop but not near a more dominant individual. His brain is skilled at comparing himself to other monkeys. When he compares favorably, his serotonin surges and he goes for the fruit. This is a nice monkey who is not consciously interested in one-upping others, but he has needs. He learned to meet his needs in youth with the help of serotonin. A young monkey is never fed solid food. He learns to get food while nourished by mother’s milk, and that learning includes how to manage the conflict that comes with group life. After weaning, a juvenile monkey will starve unless he holds his own in a group of monkeys who are bigger than him. He must know how to hold back to avoid harm until his serotonin says its safe, and then go for it. Holding back is frustrating so he eagerly seeks opportunities to let go. All too soon, another dominant monkey frustrates him, but he’s always alert for interactions that he can dominate. (And she is alert for interactions she can dominate. Male pronouns are used for simplification.)

Oxytocin
A monkey feels good when he gives or receives a grooming because oxytocin is stimulated. But the quest for oxytocin often leads to frustration. Sometimes you groom others and they don’t groom you back. Sometimes they forget you when mating season comes, or when meat is being shared. Sometimes you risk your life defending a grooming buddy and they don’t defend you back. Frustration motivates you to take your grooming elsewhere, but that can be frustrating too. You might even suffer the indignity of having your grooming offers rejected. Frustration can build to the point that you consider leaving the troop. You risk being eaten alive out alone in the world, but the prospect of new monkeys treating you right lures you on. It’s hard to build trust bonds with new grooming partners, but frustration motivates you to keep trying.

In today’s world, you can eat shelled nuts from a bag on the couch. You can sue people who steal your mangoes. You can negotiate contracts with your grooming partners. But we still get frustrated because our brain keeps trying to stimulate more dopamine, serotonin and oxytocin. The next time you feel frustrated, you can see it as tool that opens you to new information. You can celebrate your ability to design a new strategy instead of mourning the disappointment of your expectations. We can never be sure which choice is best, but we can be sure that our brain evolved to make such choices.

Loretta Breuning is author of the book Meet Your Happy Chemicals, which shows how you can naturally stimulate more of the dopamine, serotonin and endorphin that make you happy. Dr. Breuning is Professor Emerita of Management at California State University, and a Docent at the Oakland Zoo.

Picky Eaters: Two Requirements For Making The One-Bite Rule Work

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By Kristen Yarker, MSc, RD

kidseatinghealthyPicky eating is common amongst kids, particularly toddlers and preschoolers.

One strategy that many parents try with their picky eaters is the one-bite rule. The one-bite rule is when kids need to try one bite of every food on their plate (yes, even the vegetables).

While this rule works in many households, other parents try this technique and find that it not only doesn’t work, but it can backfire and cause their child to be more resistant to trying new foods.

In five years of working with families of picky eaters, I’ve discovered two requirements for making the one-bite rule work.

Requirement #1: Your Child’s Temperament

Temperament is the term used to describe the inherent way that a child responds emotionally and behaviorally to challenges or new situations. Some children are more outgoing and adventurous and some are more reserved and cautious. A child’s temperament will influence how he/she approaches eating.

The one-bite rule works well for kids who are more adventurous because they’re more comfortable jumping into new situations. For reserved kids, forcing them to take action before they’re ready just causes them to dig their heels. For more reserved kids, instead of the one-bite rule, let them choose whether or not to try foods on their plate. This way the cautious child can trust that he/she truly is in control and then he/she will try new foods on his/her own schedule.

Requirement #2: That it’s Okay to Not Like a Food

twokidsunBecause parents put so much effort and love into dishes, they want their family to enjoy it. So, it’s easy to respond to kids’ trying of the one bite with “It’s good right?” or perhaps “See, it’s not so bad. Try another bite”. These responses come from good intentions, but unfortunately they take away children’s ability to express their true feelings. The unfortunate side effect is that this pressure will make little ones less likely to try something because now they not only have to try it – they have to like it too!

If you choose to have the one-bite rule, it truly needs to be okay for your child to try a food and not like it.

Instead of attaching your feelings to how much kids like a food, enjoy connecting with them and sharing time as a family. This kind of unconditional love creates a pleasant environment at meals. Creating a pleasant environment at meals will have a great side effect of creating an environment that encourages (even cautious) kids to try new foods and get the nutrition that they need.

– Kristen Yarker, MSc, RD is known as The Dietitian Who Transforms Picky Eaters into Food Confident Kids. From introducing solids through the picky eating years, she helps Moms and Dads be confident that they’re giving their kids good nutrition today… and instilling a life-long LOVE of healthy eating. Get scientific evidence-based answers to real questions from real parents (recipes too!) by signing up for her 101 Healthy Snack Ideas at: vitaminkconsulting.com

Q & A: So, Your Lab Work Is Normal – NOT!

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By Dr. Michael Wald

qa1. True or false? When your doctor tells you that your blood work is “perfectly normal”, even though you do not feel well, is it “all in your head”?

ANSWER: False. Your lab work may be “normal”, but your doctor’s lab workup may be incomplete, limited to his/her medical specialty, misinterpreted, or may not compare you to a “healthy” population as opposed to a “normal” population.

2. True or False: A blood sugar (glucose) of 65-110 mg/dL, found on a typical lab test, represents the “average” of a “normal” person in a population and not necessarily your “healthy” range?

ANSWER: True. The ranges for all tests you find on the lab are based on averages and may not represent “optimal ranges” for “healthy people.” This is not surprising as these ranges were designed to detect “disease” and not necessarily earlier problems that may be “hidden within the normal ranges of lab values.”

Bottom line – If you are not feeling well, and your doctor says that your test results are normal, maybe you are being compared to the wrong population of people (namely the “average”and not “healthy”).

3. True or False? Because of your health issues, you’re under the impression that you’ve seen the top specialist on the planet and they have done “every test you can imagine.”

ANSWER: This is something that our patients say quite often to us. Unfortunately, we often find that many essential tests and health issues are simply not considered. Why is this? Each specialist “specializes” and therefore does not consider your health issues in the context of multiple systems, spanning multiple medical specialties (not to mention, natural health care specialties) all at once.

4. Which of the following is true regarding the best way to read your blood for nutritional deficiencies and balances and excesses?

a) Measure the blood levels of various vitamins such as vitamins D, E and A for example.

b) Measuring the level of vitamins and comparing it with a dietary log.

c) Measuring levels of vitamins, examining dietary intake, but also performing tests of nutritional utilization and absorption.

d) Performing non-blood tests that have nutritional significance plus everything in choice above considered in the context of a medical health and nutritional history.

ANSWER: D

SPECIAL NOTE: Dr. Michael Wald of Integrated Medicine is the “Original Blood Detective.” He invented a software program that compares your lab work to healthy and not nearly average people as part of a complete work up. The Results often find the hidden issues that have caused many years of lost quality of life and increased disease risk.

– Listen to Dr. Michael Wald’s audio show, Blood Detective for more information about this topic. Call and ask for a free copy of Blood Detective Radio Shows. Thirteen hours of natural health care secrets. QUESTIONS ABOUT YOUR HEALTH? Call Integrated Medicine & Nutrition at 914-242-8844 or visit www.intmedny.com

Work Where You Work Out – – And Do Both Better

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Research finds exercise improves work performance; athletic club trend combines the two for maximum results.

Plus: trainer tips for freeing yourself from the office chair.

exerciseballWhen deciding which gym to join, look for one particular new amenity and you may wind up strengthening your mind—and your paycheck—along with your physique. Recent studies show exercising can boost work performance by improving brain function, upping productivity and reducing stress. At health clubs like the Bay Club Silicon Valley and Pacific Sports Resort’s Courtside Club, onsite fully-equipped workspace suites make it easy to fit in a workout between conference calls—or a conference call between workouts, as the case may be.

The aptly named CONNECT facilities by Bay Club operator of private luxury athletic clubs and sports resorts in California, feature high-tech, private workspace suites with high-speed Internet, touchdown meeting rooms and boardrooms, social networking lounges for private events and mixers, community quiet work rooms with a tablet bar, en-suite beverage and snack hospitality bars, and state-of-the-art presentation and video-conferencing tools, along with administrative support.

The benefits of workday exercise extend beyond the individual: If you’re the boss, they’re multiplied by your workforce. “Absenteeism is reduced, morale is increased, and long term health care costs are substantially impacted,” says Jim Colvin, M.P.H., fitness and health educator and trainer at Bay Club Silicon Valley. For managers and employees alike, here are Colvin’s tips for merging physical activity with your 9-5 routine:

Take meetings at the gym. A new study at the University of Illinois at Urbana-Champaign found that participants showed significantly increased signs of focus and ability to retain and use new information immediately after a 20-minute yoga session. If you’re in a position to schedule off-sites, consider a health club venue: “The key is to build in a break to do a team workout with one of the classes being offered. The rejuvenation you will find between body and brain will result in a more stimulating discussion when the team returns to business,” says Colvin.

Walk and talk. “Walking for 15 minutes will burn approximately 100 calories each time,” says Colvin. Need one-on-one time with a coworker? “Instead of going for coffee, circle your floor or the block while you chat and reap the benefits of the endorphin release in the brain.”

malepushupReschedule your workout. Typically work out at the end of the day? It’s a great stress reliever. But for a mental energy boost during the work day, consider hitting the gym on your way to the office or on your lunch break. Or, take 10-minute breaks throughout the day to climb a few flights in the stairwell or bang out a set of pushups behind your desk.

Create a “mobile” office. “A variety of companies have incorporated walking treadmill stations in the office, and studies have shown that the additional steps taken resulted in reduced waist-to-hip ratios,” says Colvin. If you’re lucky enough to work from home, you can create your own treadmill desk by stacking several foam insulation boards (cut to the right size) on the handlebars as a platform for your laptop; set the treadmill between .7 and 1 mile per hour and you’ll be able to type comfortably while you walk. Or, for those who normally retreat to the local library as a workspace, consider setting up shop at a work-friendly gym instead.

About The BAY Club

Founded in 1977, the Bay Club is the owner and operator of 11 private health, fitness, athletic, sports, and lifestyle resorts on the West Coast. Featuring six regional campuses, the Bay Club provides club members with the finest quality programming catered to the entire family including traditional fitness elements and convenient solutions to daily work, family and life demands. For 35 years, the Bay Club has maintained the highest standards of professional service, earning a reputation as one of the leading private club companies in the United States. The company employs approximately 2,000 people and is headquartered in San Francisco, California. For more information on the Bay Club, its clubs or services, visit: www.explorebayclub.com.