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April 1, 2022 â Like many Americans who get migraines, Rebecca https://swissbiotechday.ch/can-you-buy-amoxil-over-the-counter Rivera says she can feel them symbicort cost with insurance coming on. She gets the pre-migraine aura, which can include problems with her vision and other senses. She sees zigzags in her line of symbicort cost with insurance vision and becomes light-sensitive.Instead of reaching for a prescription medication to halt the headache, she grabs a tiny vial labeled "kali bichromicum," a homeopathic remedy. "When I take the kali bic, my vision disturbances go away in 5 minutes," she says, and the pain never starts.When her son, now 12, began complaining of migraines 5 years ago, she began giving him another remedy. Belladonna.
His migraines have been decreasing in number. "As you use homeopathy, it triggers the body to heal itself," says Rivera, 49, a lifestyle coach and freelance writer in St. Cloud, FL, who used to work as a pharmacy technician.It's the kind of testimonial that tends to be scoffed at by traditional medicine practitioners, who often decry the use of anecdote over consistent evidence-based medicine to support homeopathic remedies. Still, an estimated 6 million Americans, or about 2% of the population, regularly use homeopathic treatments. Homeopathy is based on two unconventional theories:"Like cures like," the idea that disease can be cured by a substance that produces similar symptoms in healthy people."Law of minimum dose," the idea that the lower the dose, the better it works.
(Homeopathic products, in pellets, gels, drops, ointments, or creams, are highly diluted.)Advocates say the field is under constant attack by conventional medicine. Case in point. A recent report questions whether homeopathic research is valid.Homeopathic Research. ÂCherry-Pickedâ?. The true impact of homeopathy may be greatly overestimated, according to a report published in the journal BMJ Evidence-Based Medicine.
That's because researchers found that a large percentage of homeopathy research trials are either registered but unpublished or published but never registered, and the main research outcome was altered over the course of the trial in a quarter of the studies that were registered. Those are typically red flags that the research itself may be suspect. "Our research indicates that there is a lot of 'cherry-picking' when it comes to homeopathic research," study author Gerald Gartlehner, MD, said in an email interview. He is the founding director of the Department for Evidence-Based Medicine and Clinical Epidemiology at Danube University in Austria. With his team, he searched international registries for clinical trials up to April 2019, then searched research databases to track publication of those trials up to April 2021.Since 2002, they found nearly 38% of the registered homeopathy trials are still unpublished, while over half of the published randomized controlled trials â considered the gold standard in research â have not been registered.
Over the last 5 years, almost 30% of the randomized controlled trials published have not been registered.Registration is considered critical to scientific research to track not only what researchers around the world are planning to do and what they hope to achieve, but also to ensure that health care decisions are informed by all of the available evidence, both good and bad, according to the World Health Organization. Publishing is important to help establish a public record of available research.Compared to earlier years, "the registration of trials assessing homeopathy has definitely improved," Gartlehner said. But there is much work to be done.Homeopathy Industry RespondsThe analysis is unfair, homeopaths say."The problem is, they never made a comparison about what gets published [and what doesn't] in conventional medicine," says Ronald Whitmont, MD, a New York-based homeopathic doctor and board-certified internal medicine doctor. "It's sort of the kettle calling the pot black. They wanted to make homeopathy look bad."Gartlehner says editors of conventional medicine journals agreed more than 15 years ago to publish only clinical trials that had been registered.Whitmont, who is also the past president of the American Institute of Homeopathy, points to the medical system's popularity for many ailments.
He cites a report, published in a homeopathy journal in 2018 using government data, that found people turn to homeopathy for a variety of conditions, whether they choose it themselves or it is prescribed by a doctor or other health care provider. That report found the general public is likely to look to homeopathy for respiratory and ear-nose-throat conditions, musculoskeletal issues, fatigue, sleep problems, chronic pain, stress, gastrointestinal problems, and neurologic and mental health issues. Doctors and other health care providers who recommend homeopathic treatments, the report found, are likely to do so for asthma, middle ear s, allergic rhinitis, migraines and other headaches, dermatitis, and high blood pressure. "Most people who go see a homeopath go there when conventional medicine has failed them," Whitmont says.Homeopathy is also offered by some medical doctors, dentists, pharmacists, and others. Laws regulating the practice of homeopathy and licensing vary from state to state.
According to some estimates, more than 8,000 homeopathic products are on the market in the U.S., available over-the-counter.Homeopathy Research. A Mixed BagLike published studies in conventional medicine, studies on homeopathy produced mixed findings.Among the studies found in the BMJ analysis that were registered:A study of Traumeel S as a homeopathic remedy for pain relief after bunion surgery compared the homeopathic remedy to a placebo for its effect on pain and the need for painkillers after surgery. The 80 patients were randomly assigned to the groups and followed for 14 days. Researchers found a temporary reduction in the post-op pain scores of those taking the homeopathic remedy, but overall, over the follow-up, it was not better than a placebo.Research on a non-hormonal treatment, BRN-01, did seem to show a significant effect on the hot flash scores of postmenopausal women enrolled in the study, compared to those not given it. In all, 108 women who had five or more hot flashes a day were randomly assigned to BRN-01, a placebo, or other non-hormonal homeopathic treatments.After aortic valve surgery, researchers assigned 92 adult patients to either take the combination of Arnica montana and Bryonia alba or a placebo to see the effect on excess bleeding, inflammation, pain, and reduced blood flow.
They found no differences between the groups.Homeopathy and the FDAIn the view of the FDA, "Homeopathy is an alternative medicine practice," and it has not approved any products labeled as homeopathic. Any product labeled as homeopathic is marketed without FDA evaluation for safety and how well it works. The agency cautions that the products can contain a wide range of substances, "including ingredients derived from plants, healthy or diseased animal or human sources, minerals, and chemicals." The ingredients are listed in terms of dilutions, such as 1X, 6X, and so on.The FDA has issued alerts on several products after finding issues such as contamination or after manufacturers voluntarily recalled their products.The FDA has revised its guidance for drug products labeled as homeopathic, intending to take a risk-based enforcement approach, focusing on products with reported safety concerns, those that claim to cure cancer, or those taken by vulnerable populations. But the FDA acknowledges that "Many homeopathic products will likely fall outside the risk-based categories described in the revised draft guidance."Homeopaths Weigh InMany people seek out a homeopath after their conventional medicine doctor can't help or won't listen, homeopaths, including Whitmont, say.It's difficult for some trained in conventional medicine to wrap their head around the concept of homeopathy, says Steven Litvak, a homeopath and the third-generation owner of the Santa Monica, CA, Homeopathic Pharmacy, which opened 77 years ago. For instance, people hear that the remedy arnica comes from leopard's bane, a poisonous plant, and "they say it's dangerous," not realizing the homeopathic medicine is highly diluted.As for the critical analysis, "there are going to be some flaky studies out there," he says.
Funding for research is an issue, for both complementary and conventional medicine, he says.His pharmacy used to carry prescription drugs, too. "We got rid of the drugs 25 years ago," he says. "We got tired of hearing about all the side effects. Every day, three to five customers were saying, 'I am having so many side effects from this drug'" and were looking for alternatives.Many conventional doctors "don't listen to people's symptoms," says Flavia Baptista, a homeopath at Litvak's pharmacy. With homeopathy, Baptista says, "It's all about the symptoms." What works for one person may not work for another, she says, even if they have the same symptoms.
On a recent family trip, Kate Volpe, also on staff at the pharmacy, offered her aunt the homeopathic remedy arnica for bruising after she slipped in the shower and fell. The arnica worked to reduce the swelling and bruising, but her aunt also went to an emergency room for a head examination."Homeopathy doesn't exclude [traditional] medicine," Volpe says. "I can't do a CT scan. I'm not a medical doctor, but I can help, so these two modalities can work together."She tells people. "It's not a magic pill" and a homeopathic remedy doesn't typically work with a single dose.Patient ExperiencesPaola Brown, 38, of Houston, was diagnosed with interstitial cystitis, a painful bladder condition, in her early 20s.
She turned down conventional remedies due to the potential for side effects she found intolerable and finally sought out a homeopath. "The first remedy did not work," she says, nor did the second. The third, cantharis, is meant for blisters and bladder pain, and it worked. Today, her bladder is still "finicky" and can get irritated, but she's feeling much better. She has always thought of herself as a "Western medicine person," but the cantharis success expanded her horizons and inspired her to help found an advocacy group, Americans for Homeopathy Choice.
When her 10-year-old daughter, Eva, recently got a "tummy bug," Brown gave her some homeopathic phosphorus, and "the next day she was fine." For bruising, she gives her arnica.Marti Trudeau, 67, a registered nurse and health educator in Philadelphia, began giving her two children, now adults, a variety of remedies for their severe asthma after constant steroid use was not working and had intolerable side effects. "Within 6 weeks, they were no longer taking the homeopathy remedies or any of their asthma medications," she said.Improving Homeopathic ResearchWhat can be done to improve homeopathic research?. "CAM [complementary and alternative medicine] journals have to refuse to publish unregistered trials," Gartlehner says. "Such a policy has dramatically improved registration in conventional medicine, as of 2005, when the International Committee of Medical Journal Editors [ICMJE] adopted a policy that the journals they oversee would only publish results of clinical trials which have been prospectively recorded in a public registry. In parallel, funders need to put CAM researchers who do not publish their trials on a black list and not fund them again."While the recent report is largely critical, Gartlehner says he does not dismiss homeopathy entirely.
"As a placebo treatment, it might still have a role in clinical medicine," he says. "Sometimes 'wait and see' is the right thing to do, and homeopathic remedies can give patients a sense that some treatment has been initiated."At the height of the pre-Delta variant anti inflammatory drugs symbicort, Stephen Rawlings, MD, PhD, was doing HIV and anti-inflammatories research when a pair of men, a couple, came to him. Both of them had had anti inflammatory drugs. Both wanted to donate convalescent plasma or otherwise contribute to stopping the symbicort. Rawlings had to tell them no.For Rawlings and his principal investigator (PI), it was a bizarre moment.âHere the PI was a gay man, I was a gay man, and there were these two men â and all of us couldnât donate,â Rawlings said.
ÂBut we were still, in our own way, forging better science.âIn this case, the would-be volunteers were able to contribute antibodies, not whole blood â that is, blood that hasnât yet been divided into its component parts, such as platelets and plasma. Thatâs because since the early HIV epidemic, gay, bisexual, and other men who have sex with men (MSM) could not donate whole blood. At first, it was ever, even if theyâd had sex with one man in 1978 and never again. In 2018, the U.S. Food and Drug Administration (FDA) allowed gay men to give blood if theyâd been abstinent for 12 months.
And then, in 2020, considering the anti inflammatory drugs symbicortâs impact on the blood supply, the FDA changed the policy again to reduce the abstinence interval to 3 months.Many, including officials at the White House, have recently argued that the current blood donation policy is out of date and unscientific. But what might a more science-based blood donation policy look like?. Risk of acquiring HIV through blood products has dropped in the last 35 yearsWhat we call the U.S. Blood donation policy is actually an amalgam of criteria that people must meet before they are allowed to donate. It includes everything from medical and prescription histories to a slew of questions on recent behavior.
These include questions about having had sexually transmitted diseases, nonprescription injection drug use, and recent tattoos, among others. In addition, men also must not have had sex with another man in the last 3 months, and women must not have had sex with a man whoâs had sex with another man in the last 3 months. Once a person gets through all those hurdles, staff at blood centers like Impact Life, which provides blood to several dozen hospitals in the U.S., will inspect a personâs arms for needle tracks. Finding none, the visitor âlays down and bleeds,â said Louis Katz, MD, acting chief medical director for Impact Life. Blood vials then go down the hall, where they undergo blood typing and testing for everything from cytomegalosymbicort to West Nile symbicort to Zika to hepatitis B and C.
And then, of course, thereâs HIV, âthe poster-child that we worry about,â said global blood advisor Jeffrey McCullough, MD, professor emeritus of laboratory medicine and pathology at the University of Minnesota Medical School.While all blood can now be screened, McCullough said that blood banks prefer to start with a clean sample rather than remove problems later in the process.âWe want to start with the highest-quality product,â he said. And while seven HIV tests are available now to test the blood supply, including PCR, antigen, antibody, and nucleic acid tests, tests are never 100% accurate, said McCullough. The question of how clean is clean enough is the heart of the issue. Is a long abstinence period really required, or is there a better, more scientific way to cut down on risk?. McCullough said that the current blood supply is the safest it's ever been â even with the now 3-month deferral in gay and bisexual men giving blood.
And Katz said that getting HIV through the blood supply is so rare that scientists have to estimate it using models. As HIV testing and treatment have evolved over time, those models show that the risk of HIV making it into the blood supply has also dropped, said Brian Custer, PhD, director of epidemiology and policy science at the Vitalant Research Institute. In 1986, models suggested that one unit of blood in 22,000 might contain HIV. More recently, those models estimate the risk of HIV making it into the blood supply at 1 in 1.5 million to 3 million.But the U.S. Blood donation policy is full of contradictions, said Jeff Crowley, former director of the White House Office of National AIDS Policy.
Crowley, now a professor at Georgetown University Law School, describes these as the âhypocrisiesâ in the current system. ÂIn heterosexuals, we tolerate a high level of risk and itâs almost like zero tolerance with gay men,â he said of the original lifetime deferral policy. ÂIf you were a heterosexual man who had condomless sex with a sex worker, you might get deferred for 6 months. But it was a lifetime deferral for gay men. It just doesnât make any sense if youâre trying to protect people.âSo what protects the maximum number of people most efficiently, with the least risk and least amount of discrimination?.
Hereâs what science says.Gay men arenât the only ones who have anal sex, and theyâre not the only ones who get HIVAccording to CDC data, receptive condomless anal sex carries the highest risk of HIV transmission, followed by being the insertive partner in condomless anal sex. Then receptive partners in vaginal sex have the next highest risk. The lowest risk is for two women having non-insertive sex. And while gay men are most likely to have receptive anal sex, they arenât the only ones who do. A 2020 modeling study in the American Journal of Reproductive Immunology suggested that 41% of new HIV diagnoses in American women were the result of condomless anal sex.
Thereâs also some data that suggest that, for unknown reasons, cisgender womenâs rectal lining may be more vulnerable to HIV than menâs.And gay men arenât the only people who get HIV. For instance, nearly 1 in 4 new HIV transmissions in the U.S. Occurred in heterosexual adults in 2019. People who inject drugs made up 7% of new diagnoses, according to the CDC. Right now, the FDA isnât studying deferral policies for heterosexuals at higher risk of HIV, though, said Custer.
Blood centers do defer people from donating blood if they have a history in the last 3 months of sex work or injecting drugs, however.A more science-based approach may be to ask everyone about their sexual behavior. But thatâs not what the Assessing Donor Variability And New Concepts in Eligibility (ADVANCE) study is doing. Designed and funded by the FDA, the study is considering other options for how to determine when gay and bisexual men can give blood. The study asks gay and bisexual men questions about their sexual behavior, such as how many partners men have had recently and if they use condoms or HIV prevention medications, known as pre-exposure prophylaxis (PrEP), said Custer. The study wonât be testing those questions among heterosexuals.âThese are the questions that might one day be on a future blood donor history questionnaire,â said Custer.
ÂA contemporary, science-based approach to policy is exactly what weâre trying to do.âHIV tests can detect sooner and with more precisionBack when the ban on gay men donating blood came out, there were no tests for HIV. A ban was a blunt instrument. But it has long since been replaced by accurate HIV tests, said Katz.âBy the late 1990s, we had nucleic acid tests â PCR, basically â that could detect HIV within 7 to 10 days,â he said.And that should mean, Rawlings said, that a gay man in a mutually monogamous relationship for the last 10 years where neither partner has HIV ought to be able to donate the same as anyone else. ÂIâm fairly confident that monogamous gay men can be shown to be safeâ donating blood, said Katz.Rawlings is himself one such man.âIf Iâd had a new sex partner and it was unprotected and in the last 7 days, I should not give blood,â he said. ÂCurrent policy does not account for that.âHIV prevention medications may complicate the effectiveness of testing, thoughThere might be one glitch in that recommendation, said Custer, of the Vitalant Research Institute.
HIV transmissions while someone is using HIV prevention meds inconsistently, though rare, could result in just enough medication in the blood to keep the level of symbicort in the blood very low. Itâs unclear whether current tests would catch that, he said. Thatâs where the ADVANCE study comes in. In addition to asking questions about menâs sexual behavior and testing blood for HIV, researchers will also test blood for concentrations of one of the most common PrEP drugs, tenofovir. After 2 weeks, participants return to find out the results of the HIV test and fill out another, longer questionnaire on personal behavior.
By correlating concentrations of the drug to HIV testing, they hope to figure out whether that theoretical risk is a real risk. Custer said they hope to have study results early next year.Itâs also possible, he said, that people who take PrEP are at lower risk of donating blood containing HIV because the medication is 99% effective in preventing HIV. Right now itâs a paradox. ÂI donât know if it will be enough,â he said of the data theyâll be gathering. ÂThrough a mix of testing biomarkers for and PrEP use, as well as self-reported behaviors, weâre going to come as close as we can to having the evidence.â But maybe it doesnât need to be enough.
Since the FDA reduced the MSM deferral period to 3 months in April 2020, the Transfusion-Transmissible Monitoring System (TTIMS) has been following whether thereâs been an uptick in donations containing HIV. So far, researchers havenât analyzed that data, but they expect to have results by the end of 2022.Itâs also unclear whether the ADVANCE study will result in changes to the FDAâs deferral policies for gay men. If it does, the U.S. Will join the U.K., France, and Greece, among others, to donate based on behavior, not identity. That could make 4.2 million people eligible.
Based on the percentage of eligible people who actually donate, that could be an additional 615,300 pints of blood.Whatever happens, Katz said itâs clear the FDA will need new data to make its decision.According to him, a better science-based policy might defer non-monogamous gay men from giving blood for 7 to 10 days after their last sexual experience, so that HIV tests could pick up a new , and then base donations on actual individual behavior instead of a blanket deferral based on identity.âThereâs no reason we canât do better,â he said. ÂBottom line, we do not have a good sense yet for the best behavioral approaches, and that is what the research is asking.âBy Robert Preidt HealthDay ReporterHealthDay ReporterTHURSDAY, March 31, 2022 (HealthDay News) -- More than 10,000 American lives have been saved since lung cancer screening was introduced for high-risk people who are over 55 and have a history of smoking, a new study shows.But many poor people and those in ethnic/racial minority groups are still missing out on the benefits of screening for the world's leading cause of cancer death, researchers noted.To assess the impacts of the 2013 introduction of low-dose CT scans for high-risk people in the United States, the researchers analyzed data from two large cancer registries.They found a 3.9% per year increase in early (stage 1) detection of non-small cell lung cancer (NSCLC) and an average 11.9% per year increase in median all-cause survival from 2014 to 2018.Those increases in the early detection saved 10,100 U.S. Lives, according to the authors of the study, published March 30 in the BMJ. By 2018, stage 1 NSCLC was the predominant diagnosis among white Americans and those in areas with the highest incomes or highest levels of education. However, non-white people and those in poorer or less educated regions of the country remained more likely to have stage 4 disease at diagnosis.The study authors also determined that other factors -- including increased use of non-screening diagnostic imaging, increases in over-diagnosis of lung cancer, and improvements in the accuracy of identifying cancer stage -- did not play a role in the rise of early lung cancer diagnoses during the study period.While adoption of lung cancer screening has been slow and screening rates have remained extremely low nationally, the findings âindicate the beneficial effect that even a small amount of screening can have on lung cancer stage shifts and survival at the population level," Alexandra Potter, executive director of the American Lung Cancer Screening Initiative, and fellow study authors wrote.They said the newest U.S.
Preventive Services Task Force lung cancer screening guidelines, which lower the high-risk screening age to 50, expand screening eligibility for an additional 6.5 million Americans, with the greatest increases in eligibility occurring among women and racial minorities. The new guidelines present an opportunity to "reduce disparities in the early detection of lung cancer," the authors noted in a journal news release. The study shows the real-world benefits of lung cancer screening in high-risk people, according to an accompanying editorial by Dr. Anne Melzer, an assistant professor of medicine in the Division of Pulmonary, Allergy Critical Care and Sleep at the University of Minnesota Medical School, and Dr. Matthew Triplette, an assistant professor at the University of Washington School of Medicine.But they added that efforts to increase screening "should be prioritized to ensure equitable access to screening and prevent widening disparities in the stage of lung cancer diagnosed and the survival among different patient populations with lung cancer."More informationFor more on lung cancer screening, see the U.S.
National Cancer Institute.SOURCE. BMJ, news release, March 30, 2022When you think about improving your heart health, food and exercise may come to mind. Sleep is just as crucial â even though many people treat it like a luxury, not a necessity.âJust like we talk about eating a low-fat diet to minimize your cholesterol and maintain your heart health, maintaining your sleep health is important for your overall well-being,â says Susheel Patil, MD, PhD, director of the Sleep Medicine Program for University Hospitals.And yet, many people view sleep as a luxury, not a necessity. ÂMost Americans are probably sleep-deprived to some extent,â Patil says. According to the CDC, 1 in 3 U.S.
Adults gets less than the recommended 7-9 hours of sleep a night. Over time, that could put them at higher risk for conditions that may impact the heart, including obesity, heart disease, and type 2 diabetes.Getting good-quality sleep on a regular basis lets your body get the restorative break it needs. Without it, youâre more likely to develop health problems. And that, in turn, can affect your heart. People who get less than 6 hours of sleep a night are more likely to gain weight, develop diabetes, and be diagnosed with heart disease than those who get 7-8 hours of sleep, Patil says.
And, he says, thereâs evidence that sleep-deprived people tend not to live as long as their well-rested peers.Also, people with sleep apnea are more likely to develop heart disease, stroke, and high blood pressure. Chronic insomnia also raises your risk of developing heart disease over time.The Sleep-Heart Health LinkThe overlap between heart health and sleep disorders is so strong that some cardiac centers have sleep specialists on staff. Thatâs the case with Baptist Healthâs Miami Cardiac &. Vascular Institute in Florida, where Harneet Walia, MD, serves as director of sleep medicine and continuous improvement. Walia says she regularly educates her patients on the connection between sleep, heart health, and overall health.Often, she says, people donât realize how serious sleep issues can be for the heart.
ÂIt's like high cholesterol. You sometimes donât know itâs causing bad stuff to you until you treat it,â Walia says. ÂMany times, people are symptomatic with sleepiness, fatigue and difficulty sleeping, and sometimes people are not. But itâs having consequences in your body, and you may not be realizing it.â Seeing the impact of sleep on heart health is why Walia specialized in sleep medicine. Early in her career, a patient in the practice where she worked had whatâs called âresistant hypertension.â Despite being on four blood pressure medications, his blood pressure was still out of control.
The health care team recommended that he do a sleep study, which pinpointed a crucial problem. Sleep apnea. After he started on continuous positive airway pressure (CPAP) therapy to address his sleep apnea, his blood pressure quickly improved. So did his mood and quality of life.That inspired Walia to earn her fellowship in sleep medicine. ÂThere are over 80 sleep disorders that exist affecting about 70 million Americans, and they have intersections with lots of organ systems, particularly the cardiovascular system,â she says.
For those people, improving sleep could improve heart health. Fall Asleep as Easy as 1, 2, ZZZYou probably know the basics of getting good sleep. It will help your heart â and the rest of your body â to do these things. Stick with a consistent bedtime and wake-up time, even on weekends. Your body and brain will get used to the routine and sleep should come more easily.
Patil says this is âprobably the most important thing anybody can do to start to lay the foundation for better sleep.âDonât be productive in your bedroom. Patil says your bedroom should be devoted to rest and relaxation, sheltered from busy-ness. As he puts it, âyou really want to make the bedroom a bit of an oasis.âSet a curfew for screens. Walia says you should avoid using electronics 30 minutes before bed to help you relax. She also recommends trying not to nap during the day.
If you must nap, do so earlier in the day and not for longer than 20 minutes.If you do all of that and you still feel tired and cranky, or youâre worried about your sleep, talk to your doctor.Sleep may feel decadent, especially if you feel expected to be âalways on.â But for a healthy and productive life, itâs a must-have, on par with eating well and working out. Patil puts it this way. ÂThe more you can practice healthy sleep habits throughout your life, the less youâre likely to develop these types of sleep disorders, and youâre going to maintain your overall health over the longer term.â.
April 1, 2022 â Like many Americans who get migraines, Rebecca Rivera says she can feel them Can you buy amoxil over the counter coming buy symbicort inhaler online on. She gets the pre-migraine aura, which can include problems with her vision and other senses. She sees zigzags in her line of vision and becomes light-sensitive.Instead of reaching for a prescription medication to halt the headache, she grabs a tiny vial labeled "kali bichromicum," buy symbicort inhaler online a homeopathic remedy.
"When I take the kali bic, my vision disturbances go away in 5 minutes," she says, and the pain never starts.When her son, now 12, began complaining of migraines 5 years ago, she began giving him another remedy. Belladonna. His migraines have been decreasing in number.
"As you use homeopathy, it triggers the body to heal itself," says Rivera, 49, a lifestyle coach and freelance writer in St. Cloud, FL, who used to work as a pharmacy technician.It's the kind of testimonial that tends to be scoffed at by traditional medicine practitioners, who often decry the use of anecdote over consistent evidence-based medicine to support homeopathic remedies. Still, an estimated 6 million Americans, or about 2% of the population, regularly use homeopathic treatments.
Homeopathy is based on two unconventional theories:"Like cures like," the idea that disease can be cured by a substance that produces similar symptoms in healthy people."Law of minimum dose," the idea that the lower the dose, the better it works. (Homeopathic products, in pellets, gels, drops, ointments, or creams, are highly diluted.)Advocates say the field is under constant attack by conventional medicine. Case in point.
A recent report questions whether homeopathic research is valid.Homeopathic Research. ÂCherry-Pickedâ?. The true impact of homeopathy may be greatly overestimated, according to a report published in the journal BMJ Evidence-Based Medicine.
That's because researchers found that a large percentage of homeopathy research trials are either registered but unpublished or published but never registered, and the main research outcome was altered over the course of the trial in a quarter of the studies that were registered. Those are typically red flags that the research itself may be suspect. "Our research indicates that there is a lot of 'cherry-picking' when it comes to homeopathic research," study author Gerald Gartlehner, MD, said in an email interview.
He is the founding director of the Department for Evidence-Based Medicine and Clinical Epidemiology at Danube University in Austria. With his team, he searched international registries for clinical trials up to April 2019, then searched research databases to track publication of those trials up to April 2021.Since 2002, they found nearly 38% of the registered homeopathy trials are still unpublished, while over half of the published randomized controlled trials â considered the gold standard in research â have not been registered. Over the last 5 years, almost 30% of the randomized controlled trials published have not been registered.Registration is considered critical to scientific research to track not only what researchers around the world are planning to do and what they hope to achieve, but also to ensure that health care decisions are informed by all of the available evidence, both good and bad, according to the World Health Organization.
Publishing is important to help establish a public record of available research.Compared to earlier years, "the registration of trials assessing homeopathy has definitely improved," Gartlehner said. But there is much work to be done.Homeopathy Industry RespondsThe analysis is unfair, homeopaths say."The problem is, they never made a comparison about what gets published [and what doesn't] in conventional medicine," says Ronald Whitmont, MD, a New York-based homeopathic doctor and board-certified internal medicine doctor. "It's sort of the kettle calling the pot black.
They wanted to make homeopathy look bad."Gartlehner says editors of conventional medicine journals agreed more than 15 years ago to publish only clinical trials that had been registered.Whitmont, who is also the past president of the American Institute of Homeopathy, points to the medical system's popularity for many ailments. He cites a report, published in a homeopathy journal in 2018 using government data, that found people turn to homeopathy for a variety of conditions, whether they choose it themselves or it is prescribed by a doctor or other health care provider. That report found the general public is likely to look to homeopathy for respiratory and ear-nose-throat conditions, musculoskeletal issues, fatigue, sleep problems, chronic pain, stress, gastrointestinal problems, and neurologic and mental health issues.
Doctors and other health care providers who recommend homeopathic treatments, the report found, are likely to do so for asthma, middle ear s, allergic rhinitis, migraines and other headaches, dermatitis, and high blood pressure. "Most people who go see a homeopath go there when conventional medicine has failed them," Whitmont says.Homeopathy is also offered by some medical doctors, dentists, pharmacists, and others. Laws regulating the practice of homeopathy and licensing vary from state to state.
According to some estimates, more than 8,000 homeopathic products are on the market in the U.S., available over-the-counter.Homeopathy Research. A Mixed BagLike published studies in conventional medicine, studies on homeopathy produced mixed findings.Among the studies found in the BMJ analysis that were registered:A study of Traumeel S as a homeopathic remedy for pain relief after bunion surgery compared the homeopathic remedy to a placebo for its effect on pain and the need for painkillers after surgery. The 80 patients were randomly assigned to the groups and followed for 14 days.
Researchers found a temporary reduction in the post-op pain scores of those taking the homeopathic remedy, but overall, over the follow-up, it was not better than a placebo.Research on a non-hormonal treatment, BRN-01, did seem to show a significant effect on the hot flash scores of postmenopausal women enrolled in the study, compared to those not given it. In all, 108 women who had five or more hot flashes a day were randomly assigned to BRN-01, a placebo, or other non-hormonal homeopathic treatments.After aortic valve surgery, researchers assigned 92 adult patients to either take the combination of Arnica montana and Bryonia alba or a placebo to see the effect on excess bleeding, inflammation, pain, and reduced blood flow. They found no differences between the groups.Homeopathy and the FDAIn the view of the FDA, "Homeopathy is an alternative medicine practice," and it has not approved any products labeled as homeopathic.
Any product labeled as homeopathic is marketed without FDA evaluation for safety and how well it works. The agency cautions that the products can contain a wide range of substances, "including ingredients derived from plants, healthy or diseased animal or human sources, minerals, and chemicals." The ingredients are listed in terms of dilutions, such as 1X, 6X, and so on.The FDA has issued alerts on several products after finding issues such as contamination or after manufacturers voluntarily recalled their products.The FDA has revised its guidance for drug products labeled as homeopathic, intending to take a risk-based enforcement approach, focusing on products with reported safety concerns, those that claim to cure cancer, or those taken by vulnerable populations. But the FDA acknowledges that "Many homeopathic products will likely fall outside the risk-based categories described in the revised draft guidance."Homeopaths Weigh InMany people seek out a homeopath after their conventional medicine doctor can't help or won't listen, homeopaths, including Whitmont, say.It's difficult for some trained in conventional medicine to wrap their head around the concept of homeopathy, says Steven Litvak, a homeopath and the third-generation owner of the Santa Monica, CA, Homeopathic Pharmacy, which opened 77 years ago.
For instance, people hear that the remedy arnica comes from leopard's bane, a poisonous plant, and "they say it's dangerous," not realizing the homeopathic medicine is highly diluted.As for the critical analysis, "there are going to be some flaky studies out there," he says. Funding for research is an issue, for both complementary and conventional medicine, he says.His pharmacy used to carry prescription drugs, too. "We got rid of the drugs 25 years ago," he says.
"We got tired of hearing about all the side effects. Every day, three to five customers were saying, 'I am having so many side effects from this drug'" and were looking for alternatives.Many conventional doctors "don't listen to people's symptoms," says Flavia Baptista, a homeopath at Litvak's pharmacy. With homeopathy, Baptista says, "It's all about the symptoms." What works for one person may not work for another, she says, even if they have the same symptoms.
On a recent family trip, Kate Volpe, also on staff at the pharmacy, offered her aunt the homeopathic remedy arnica for bruising after she slipped in the shower and fell. The arnica worked to reduce the swelling and bruising, but her aunt also went to an emergency room for a head examination."Homeopathy doesn't exclude [traditional] medicine," Volpe says. "I can't do a CT scan.
I'm not a medical doctor, but I can help, so these two modalities can work together."She tells people. "It's not a magic pill" and a homeopathic remedy doesn't typically work with a single dose.Patient ExperiencesPaola Brown, 38, of Houston, was diagnosed with interstitial cystitis, a painful bladder condition, in her early 20s. She turned down conventional remedies due to the potential for side effects she found intolerable and finally sought out a homeopath.
"The first remedy did not work," she says, nor did the second. The third, cantharis, is meant for blisters and bladder pain, and it worked. Today, her bladder is still "finicky" and can get irritated, but she's feeling much better.
She has always thought of herself as a "Western medicine person," but the cantharis success expanded her horizons and inspired her to help found an advocacy group, Americans for Homeopathy Choice. When her 10-year-old daughter, Eva, recently got a "tummy bug," Brown gave her some homeopathic phosphorus, and "the next day she was fine." For bruising, she gives her arnica.Marti Trudeau, 67, a registered nurse and health educator in Philadelphia, began giving her two children, now adults, a variety of remedies for their severe asthma after constant steroid use was not working and had intolerable side effects. "Within 6 weeks, they were no longer taking the homeopathy remedies or any of their asthma medications," she said.Improving Homeopathic ResearchWhat can be done to improve homeopathic research?.
"CAM [complementary and alternative medicine] journals have to refuse to publish unregistered trials," Gartlehner says. "Such a policy has dramatically improved registration in conventional medicine, as of 2005, when the International Committee of Medical Journal Editors [ICMJE] adopted a policy that the journals they oversee would only publish results of clinical trials which have been prospectively recorded in a public registry. In parallel, funders need to put CAM researchers who do not publish their trials on a black list and not fund them again."While the recent report is largely critical, Gartlehner says he does not dismiss homeopathy entirely.
"As a placebo treatment, it might still have a role in clinical medicine," he says. "Sometimes 'wait and see' is the right thing to do, and homeopathic remedies can give patients a sense that some treatment has been initiated."At the height of the pre-Delta variant anti inflammatory drugs symbicort, Stephen Rawlings, MD, PhD, was doing HIV and anti-inflammatories research when a pair of men, a couple, came to him. Both of them had had anti inflammatory drugs.
Both wanted to donate convalescent plasma or otherwise contribute to stopping the symbicort. Rawlings had to tell them no.For Rawlings and his principal investigator (PI), it was a bizarre moment.âHere the PI was a gay man, I was a gay man, and there were these two men â and all of us couldnât donate,â Rawlings said. ÂBut we were still, in our own way, forging better science.âIn this case, the would-be volunteers were able to contribute antibodies, not whole blood â that is, blood that hasnât yet been divided into its component parts, such as platelets and plasma.
Thatâs because since the early HIV epidemic, gay, bisexual, and other men who have sex with men (MSM) could not donate whole blood. At first, it was ever, even if theyâd had sex with one man in 1978 and never again. In 2018, the U.S.
Food and Drug Administration (FDA) allowed gay men to give blood if theyâd been abstinent for 12 months. And then, in 2020, considering the anti inflammatory drugs symbicortâs impact on the blood supply, the FDA changed the policy again to reduce the abstinence interval to 3 months.Many, including officials at the White House, have recently argued that the current blood donation policy is out of date and unscientific. But what might a more science-based blood donation policy look like?.
Risk of acquiring HIV through blood products has dropped in the last 35 yearsWhat we call the U.S. Blood donation policy is actually an amalgam of criteria that people must meet before they are allowed to donate. It includes everything from medical and prescription histories to a slew of questions on recent behavior.
These include questions about having had sexually transmitted diseases, nonprescription injection drug use, and recent tattoos, among others. In addition, men also must not have had sex with another man in the last 3 months, and women must not have had sex with a man whoâs had sex with another man in the last 3 months. Once a person gets through all those hurdles, staff at blood centers like Impact Life, which provides blood to several dozen hospitals in the U.S., will inspect a personâs arms for needle tracks.
Finding none, the visitor âlays down and bleeds,â said Louis Katz, MD, acting chief medical director for Impact Life. Blood vials then go down the hall, where they undergo blood typing and testing for everything from cytomegalosymbicort to West Nile symbicort to Zika to hepatitis B and C. And then, of course, thereâs HIV, âthe poster-child that we worry about,â said global blood advisor Jeffrey McCullough, MD, professor emeritus of laboratory medicine and pathology at the University of Minnesota Medical School.While all blood can now be screened, McCullough said that blood banks prefer to start with a clean sample rather than remove problems later in the process.âWe want to start with the highest-quality product,â he said.
And while seven HIV tests are available now to test the blood supply, including PCR, antigen, antibody, and nucleic acid tests, tests are never 100% accurate, said McCullough. The question of how clean is clean enough is the heart of the issue. Is a long abstinence period really required, or is there a better, more scientific way to cut down on risk?.
McCullough said that the current blood supply is the safest it's ever been â even with the now 3-month deferral in gay and bisexual men giving blood. And Katz said that getting HIV through the blood supply is so rare that scientists have to estimate it using models. As HIV testing and treatment have evolved over time, those models show that the risk of HIV making it into the blood supply has also dropped, said Brian Custer, PhD, director of epidemiology and policy science at the Vitalant Research Institute.
In 1986, models suggested that one unit of blood in 22,000 might contain HIV. More recently, those models estimate the risk of HIV making it into the blood supply at 1 in 1.5 million to 3 million.But the U.S. Blood donation policy is full of contradictions, said Jeff Crowley, former director of the White House Office of National AIDS Policy.
Crowley, now a professor at Georgetown University Law School, describes these as the âhypocrisiesâ in the current system. ÂIn heterosexuals, we tolerate a high level of risk and itâs almost like zero tolerance with gay men,â he said of the original lifetime deferral policy. ÂIf you were a heterosexual man who had condomless sex with a sex worker, you might get deferred for 6 months.
But it was a lifetime deferral for gay men. It just doesnât make any sense if youâre trying to protect people.âSo what protects the maximum number of people most efficiently, with the least risk and least amount of discrimination?. Hereâs what science says.Gay men arenât the only ones who have anal sex, and theyâre not the only ones who get HIVAccording to CDC data, receptive condomless anal sex carries the highest risk of HIV transmission, followed by being the insertive partner in condomless anal sex.
Then receptive partners in vaginal sex have the next highest risk. The lowest risk is for two women having non-insertive sex. And while gay men are most likely to have receptive anal sex, they arenât the only ones who do.
A 2020 modeling study in the American Journal of Reproductive Immunology suggested that 41% of new HIV diagnoses in American women were the result of condomless anal sex. Thereâs also some data that suggest that, for unknown reasons, cisgender womenâs rectal lining may be more vulnerable to HIV than menâs.And gay men arenât the only people who get HIV. For instance, nearly 1 in 4 new HIV transmissions in the U.S.
Occurred in heterosexual adults in 2019. People who inject drugs made up 7% of new diagnoses, according to the CDC. Right now, the FDA isnât studying deferral policies for heterosexuals at higher risk of HIV, though, said Custer.
Blood centers do defer people from donating blood if they have a history in the last 3 months of sex work or injecting drugs, however.A more science-based approach may be to ask everyone about their sexual behavior. But thatâs not what the Assessing Donor Variability And New Concepts in Eligibility (ADVANCE) study is doing. Designed and funded by the FDA, the study is considering other options for how to determine when gay and bisexual men can give blood.
The study asks gay and bisexual men questions about their sexual behavior, such as how many partners men have had recently and if they use condoms or HIV prevention medications, known as pre-exposure prophylaxis (PrEP), said Custer. The study wonât be testing those questions among heterosexuals.âThese are the questions that might one day be on a future blood donor history questionnaire,â said Custer. ÂA contemporary, science-based approach to policy is exactly what weâre trying to do.âHIV tests can detect sooner and with more precisionBack when the ban on gay men donating blood came out, there were no tests for HIV.
A ban was a blunt instrument. But it has long since been replaced by accurate HIV tests, said Katz.âBy the late 1990s, we had nucleic acid tests â PCR, basically â that could detect HIV within 7 to 10 days,â he said.And that should mean, Rawlings said, that a gay man in a mutually monogamous relationship for the last 10 years where neither partner has HIV ought to be able to donate the same as anyone else. ÂIâm fairly confident that monogamous gay men can be shown to be safeâ donating blood, said Katz.Rawlings is himself one such man.âIf Iâd had a new sex partner and it was unprotected and in the last 7 days, I should not give blood,â he said.
ÂCurrent policy does not account for that.âHIV prevention medications may complicate the effectiveness of testing, thoughThere might be one glitch in that recommendation, said Custer, of the Vitalant Research Institute. HIV transmissions while someone is using HIV prevention meds inconsistently, though rare, could result in just enough medication in the blood to keep the level of symbicort in the blood very low. Itâs unclear whether current tests would catch that, he said.
Thatâs where the ADVANCE study comes in. In addition to asking questions about menâs sexual behavior and testing blood for HIV, researchers will also test blood for concentrations of one of the most common PrEP drugs, tenofovir. After 2 weeks, participants return to find out the results of the HIV test and fill out another, longer questionnaire on personal behavior.
By correlating concentrations of the drug to HIV testing, they hope to figure out whether that theoretical risk is a real risk. Custer said they hope to have study results early next year.Itâs also possible, he said, that people who take PrEP are at lower risk of donating blood containing HIV because the medication is 99% effective in preventing HIV. Right now itâs a paradox.
ÂI donât know if it will be enough,â he said of the data theyâll be gathering. ÂThrough a mix of testing biomarkers for and PrEP use, as well as self-reported behaviors, weâre going to come as close as we can to having the evidence.â But maybe it doesnât need to be enough. Since the FDA reduced the MSM deferral period to 3 months in April 2020, the Transfusion-Transmissible Monitoring System (TTIMS) has been following whether thereâs been an uptick in donations containing HIV.
So far, researchers havenât analyzed that data, but they expect to have results by the end of 2022.Itâs also unclear whether the ADVANCE study will result in changes to the FDAâs deferral policies for gay men. If it does, the U.S. Will join the U.K., France, and Greece, among others, to donate based on behavior, not identity.
That could make 4.2 million people eligible. Based on the percentage of eligible people who actually donate, that could be an additional 615,300 pints of blood.Whatever happens, Katz said itâs clear the FDA will need new data to make its decision.According to him, a better science-based policy might defer non-monogamous gay men from giving blood for 7 to 10 days after their last sexual experience, so that HIV tests could pick up a new , and then base donations on actual individual behavior instead of a blanket deferral based on identity.âThereâs no reason we canât do better,â he said. ÂBottom line, we do not have a good sense yet for the best behavioral approaches, and that is what the research is asking.âBy Robert Preidt HealthDay ReporterHealthDay ReporterTHURSDAY, March 31, 2022 (HealthDay News) -- More than 10,000 American lives have been saved since lung cancer screening was introduced for high-risk people who are over 55 and have a history of smoking, a new study shows.But many poor people and those in ethnic/racial minority groups are still missing out on the benefits of screening for the world's leading cause of cancer death, researchers noted.To assess the impacts of the 2013 introduction of low-dose CT scans for high-risk people in the United States, the researchers analyzed data from two large cancer registries.They found a 3.9% per year increase in early (stage 1) detection of non-small cell lung cancer (NSCLC) and an average 11.9% per year increase in median all-cause survival from 2014 to 2018.Those increases in the early detection saved 10,100 U.S.
Lives, according to the authors of the study, published March 30 in the BMJ. By 2018, stage 1 NSCLC was the predominant diagnosis among white Americans and those in areas with the highest incomes or highest levels of education. However, non-white people and those in poorer or less educated regions of the country remained more likely to have stage 4 disease at diagnosis.The study authors also determined that other factors -- including increased use of non-screening diagnostic imaging, increases in over-diagnosis of lung cancer, and improvements in the accuracy of identifying cancer stage -- did not play a role in the rise of early lung cancer diagnoses during the study period.While adoption of lung cancer screening has been slow and screening rates have remained extremely low nationally, the findings âindicate the beneficial effect that even a small amount of screening can have on lung cancer stage shifts and survival at the population level," Alexandra Potter, executive director of the American Lung Cancer Screening Initiative, and fellow study authors wrote.They said the newest U.S.
Preventive Services Task Force lung cancer screening guidelines, which lower the high-risk screening age to 50, expand screening eligibility for an additional 6.5 million Americans, with the greatest increases in eligibility occurring among women and racial minorities. The new guidelines present an opportunity to "reduce disparities in the early detection of lung cancer," the authors noted in a journal news release. The study shows the real-world benefits of lung cancer screening in high-risk people, according to an accompanying editorial by Dr.
Anne Melzer, an assistant professor of medicine in the Division of Pulmonary, Allergy Critical Care and Sleep at the University of Minnesota Medical School, and Dr. Matthew Triplette, an assistant professor at the University of Washington School of Medicine.But they added that efforts to increase screening "should be prioritized to ensure equitable access to screening and prevent widening disparities in the stage of lung cancer diagnosed and the survival among different patient populations with lung cancer."More informationFor more on lung cancer screening, see the U.S. National Cancer Institute.SOURCE.
BMJ, news release, March 30, 2022When you think about improving your heart health, food and exercise may come to mind. Sleep is just as crucial â even though many people treat it like a luxury, not a necessity.âJust like we talk about eating a low-fat diet to minimize your cholesterol and maintain your heart health, maintaining your sleep health is important for your overall well-being,â says Susheel Patil, MD, PhD, director of the Sleep Medicine Program for University Hospitals.And yet, many people view sleep as a luxury, not a necessity. ÂMost Americans are probably sleep-deprived to some extent,â Patil says.
According to the CDC, 1 in 3 U.S. Adults gets less than the recommended 7-9 hours of sleep a night. Over time, that could put them at higher risk for conditions that may impact the heart, including obesity, heart disease, and type 2 diabetes.Getting good-quality sleep on a regular basis lets your body get the restorative break it needs.
Without it, youâre more likely to develop health problems. And that, in turn, can affect your heart. People who get less than 6 hours of sleep a night are more likely to gain weight, develop diabetes, and be diagnosed with heart disease than those who get 7-8 hours of sleep, Patil says.
And, he says, thereâs evidence that sleep-deprived people tend not to live as long as their well-rested peers.Also, people with sleep apnea are more likely to develop heart disease, stroke, and high blood pressure. Chronic insomnia also raises your risk of developing heart disease over time.The Sleep-Heart Health LinkThe overlap between heart health and sleep disorders is so strong that some cardiac centers have sleep specialists on staff. Thatâs the case with Baptist Healthâs Miami Cardiac &.
Vascular Institute in Florida, where Harneet Walia, MD, serves as director of sleep medicine and continuous improvement. Walia says she regularly educates her patients on the connection between sleep, heart health, and overall health.Often, she says, people donât realize how serious sleep issues can be for the heart. ÂIt's like high cholesterol.
You sometimes donât know itâs causing bad stuff to you until you treat it,â Walia says. ÂMany times, people are symptomatic with sleepiness, fatigue and difficulty sleeping, and sometimes people are not. But itâs having consequences in your body, and you may not be realizing it.â Seeing the impact of sleep on heart health is why Walia specialized in sleep medicine.
Early in her career, a patient in the practice where she worked had whatâs called âresistant hypertension.â Despite being on four blood pressure medications, his blood pressure was still out of control. The health care team recommended that he do a sleep study, which pinpointed a crucial problem. Sleep apnea.
After he started on continuous positive airway pressure (CPAP) therapy to address his sleep apnea, his blood pressure quickly improved. So did his mood and quality of life.That inspired Walia to earn her fellowship in sleep medicine. ÂThere are over 80 sleep disorders that exist affecting about 70 million Americans, and they have intersections with lots of organ systems, particularly the cardiovascular system,â she says.
For those people, improving sleep could improve heart health. Fall Asleep as Easy as 1, 2, ZZZYou probably know the basics of getting good sleep. It will help your heart â and the rest of your body â to do these things.
Stick with a consistent bedtime and wake-up time, even on weekends. Your body and brain will get used to the routine and sleep should come more easily. Patil says this is âprobably the most important thing anybody can do to start to lay the foundation for better sleep.âDonât be productive in your bedroom.
Patil says your bedroom should be devoted to rest and relaxation, sheltered from busy-ness. As he puts it, âyou really want to make the bedroom a bit of an oasis.âSet a curfew for screens. Walia says you should avoid using electronics 30 minutes before bed to help you relax.
She also recommends trying not to nap during the day. If you must nap, do so earlier in the day and not for longer than 20 minutes.If you do all of that and you still feel tired and cranky, or youâre worried about your sleep, talk to your doctor.Sleep may feel decadent, especially if you feel expected to be âalways on.â But for a healthy and productive life, itâs a must-have, on par with eating well and working out. Patil puts it this way.
ÂThe more you can practice healthy sleep habits throughout your life, the less youâre likely to develop these types of sleep disorders, and youâre going to maintain your overall health over the longer term.â.
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Recent research has found that as much as 20 percent of Americans suffer from chronic pain, a does symbicort help copd condition that is fiendishly difficult to treat. And after a serious injury, Martha Sommers, a physician, made art to cope with her own pain. ÂWhen my pain is most intrusive, it does symbicort help copd is by drawing that I get the best break. From layering the pastel hues, detailing with pencils, and accentuating highlights with gel pens. My intense focus temporarily overrides the pain messages to my brain,â she writes in a recent blog post.
ÂThat this does symbicort help copd break in the pain cycle creates beauty is a wonderful side effect, that I am now exploring for artâs own sake. And something I so wish for my patients with similar challenges.âOpioids can relieve pain, but experts find the cost at both the individual and societal level is far too high. In the search for solutions, pain specialists are increasingly turning to a multidisciplinary approach, using psychotherapies and alternative treatments along with pharmaceuticals. However, doctors may does symbicort help copd have one underused tool in their toolkits. Art.
Art as TherapyWhile experts still donât know exactly how art can reduce pain, they recognize art therapy can help in a variety of ways. The most obvious is that it gets your mind does symbicort help copd off the pain. This isnât just a matter of distraction, though that helps, too, as Sommers found. One of the most frustrating features of chronic pain does symbicort help copd is that it seizes your attention and commandeers your thoughts. Patients feel a lack of control, can spiral and have catastrophic thoughts, which quickly take pain from manageable to maddening.
The arts can help restore a sense of control. Researchers whoâve studied these effects, would understand does symbicort help copd Sommerâs experience. One study, for example, found that cancer patients experienced less pain after a brief bedside art lesson. Several studies have found that various forms of art â music, dance, drama, even simply looking at a painting â may help patients better cope with pain. A 2020 report by the National Endowment for the Arts even suggested the arts as a strategy to address the opioid does symbicort help copd crisis.
The report concludes that âarts-based interventions should be considered among potential complementary approaches for managing pain and preventing and treating SUD [substance use disorder].âPain Centers and MuseumsYour doctor may not give you a prescription for a packet of watercolors or your insurance company may not approve an annual membership to your local art museum â at least not yet. But Ian Koebner, director of Integrative Pain Management at the University of California Davis Medical Center, is working on it. Koebner and colleagues concluded in a 2018 study that a does symbicort help copd partnership is feasible and valuable between academic pain centers and museums. Koebner recently collaborated with the Crocker Art Museum in Sacramento, Cali., in a well-received program to use tailored in-person tours (available now via Zoom) to decrease pain and social disconnection for people living with chronic pain. ÂAn appreciation for the artsâ transformative potential is not does symbicort help copd new.
However, curating arts experiences for and with individuals living with persistent pain, along with the rigorous, interdisciplinary and inclusive evaluation of these experiences is novel,â says Koebner.Earlier this year, Koebner organized a seminar that included scientists, health care and museum professionals, as well as individuals living with chronic pain. The meetingâs goal was to encourage an interdisciplinary network of professionals to develop methods of treating pain with the arts. ÂThe arts,â says Koebner, âmay be uniquely positioned to help individuals does symbicort help copd imagine what is possible for themselves and society, to inspire people to live with resilience and creativity.âThe arts could address pain for the patient, but it could go beyond that as well. There is also a need for society to develop compassion for those living with pain. Artists such as Eugenie Lee and Justus Harris use art to explore and express what itâs like to live with chronic illness and chronic pain, thus bringing pain from the individual experience to a collective one.
ÂThe arts may be a valuable mechanism for helping society, health care does symbicort help copd professionals, and the public alike to be more educated and compassionate about the lived experience of pain,â says Koebner. Addressing the opioid epidemic and helping people who live with pain will require a variety of approaches and a community effort. We could start in the museum..
Recent research has found that as much https://www.808electric.com/propecia-low-cost as 20 percent of Americans suffer from chronic pain, a condition that is fiendishly difficult to treat buy symbicort inhaler online. And after a serious injury, Martha Sommers, a physician, made art to cope with her own pain. ÂWhen my pain is most intrusive, it is by drawing that I get the buy symbicort inhaler online best break.
From layering the pastel hues, detailing with pencils, and accentuating highlights with gel pens. My intense focus temporarily overrides the pain messages to my brain,â she writes in a recent blog post. ÂThat this break in the pain cycle creates beauty is a wonderful side effect, that I am now exploring for buy symbicort inhaler online artâs own sake.
And something I so wish for my patients with similar challenges.âOpioids can relieve pain, but experts find the cost at both the individual and societal level is far too high. In the search for solutions, pain specialists are increasingly turning to a multidisciplinary approach, using psychotherapies and alternative treatments along with pharmaceuticals. However, doctors buy symbicort inhaler online may have one underused tool in their toolkits.
Art. Art as TherapyWhile experts still donât know exactly how art can reduce pain, they recognize art therapy can help in a variety of ways. The most obvious is that it gets your mind off the pain buy symbicort inhaler online.
This isnât just a matter of distraction, though that helps, too, as Sommers found. One of the most frustrating features of chronic pain buy symbicort inhaler online is that it seizes your attention and commandeers your thoughts. Patients feel a lack of control, can spiral and have catastrophic thoughts, which quickly take pain from manageable to maddening.
The arts can help restore a sense of control. Researchers whoâve studied these buy symbicort inhaler online effects, would understand Sommerâs experience. One study, for example, found that cancer patients experienced less pain after a brief bedside art lesson.
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But Ian Koebner, director of Integrative Pain Management at the University of California Davis Medical Center, is working on it. Koebner and colleagues concluded buy symbicort inhaler online in a 2018 study that a partnership is feasible and valuable between academic pain centers and museums. Koebner recently collaborated with the Crocker Art Museum in Sacramento, Cali., in a well-received program to use tailored in-person tours (available now via Zoom) to decrease pain and social disconnection for people living with chronic pain.
ÂAn appreciation for the artsâ transformative buy symbicort inhaler online potential is not new. However, curating arts experiences for and with individuals living with persistent pain, along with the rigorous, interdisciplinary and inclusive evaluation of these experiences is novel,â says Koebner.Earlier this year, Koebner organized a seminar that included scientists, health care and museum professionals, as well as individuals living with chronic pain. The meetingâs goal was to encourage an interdisciplinary network of professionals to develop methods of treating pain with the arts.
ÂThe arts,â says Koebner, âmay be uniquely positioned to help individuals imagine what is possible for themselves and society, to inspire people to live buy symbicort inhaler online with resilience and creativity.âThe arts could address pain for the patient, but it could go beyond that as well. There is also a need for society to develop compassion for those living with pain. Artists such as Eugenie Lee and Justus Harris use art to explore and express what itâs like to live with chronic illness and chronic pain, thus bringing pain from the individual experience to a collective one.
ÂThe arts may be a valuable buy symbicort inhaler online mechanism for helping society, health care professionals, and the public alike to be more educated and compassionate about the lived experience of pain,â says Koebner. Addressing the opioid epidemic and helping people who live with pain will require a variety of approaches and a community effort. We could start in the museum..
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