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When I saw Dr Rand I used a walker to get around. I had pain in my lower back and down my left leg and had seen at least 15 different Doctors. None of them could help me and all they did was send me home with drugs like Morphine, Percocet and Vicodin. They never tried to fix the problem but when I got to Dr. Rand’s office he got me of the hard core drugs and had me up and around without the walker within a week. Know I can take walks, ride my bike and hang out with family and friends. I owe my healthy recovery to Dr. Rand.
This is the last day of the month and a close to Pain Awareness Month. Not a big small business event? You’d be surprised.
Fibromyalgia affects more than five million Americans and is one of the most common, chronic widespread pain conditions, yet it is often called an invisible illness. The disorder is one of the most common chronic widespread pain conditions in the United States.
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Unfortunately, what is little understood by the general public is that the only reason people die from the flu is that they have either an immune suppressing chronic illness, such as diabetes, direct immune dysfunction, dietary deficiencies of critical immune-supporting nutrients, chronic pulmonary disease, heart disease or cancer.
Children who get flu vaccine are more at risk for hospitalization than children who do not get the vaccine.” Reference: The American Thoracic Society’s 105th International Conference, May 15-20, 2009, San Diego.
An interesting note on childhood mortality and swine flu: CDC data indicate that Vitamin D deficient children at higher risk of death of swine flu. Additionally, almost two-thirds of the dead children had epilepsy, cerebral palsy, or other neurodevelopmental conditions like mental retardation. All of these neurological conditions are associated with childhood Vitamin D deficiency. Exacerbating the problem further, many of these kids take anticonvulsant drugs, which lower Vitamin D levels.
Estimates of vaccine production are now at 4.9 billion (that’s with a B!). Contrast the low infection, hospitalization, and death rates, with the immense amount of money to be made by a very small number of people: something smells fishy… or should I say eggy. Throw in the known and documented dangers of vaccination and it smells like something worse!
Sadly, I believe that most people are making uninformed decisions and that in the a lot of money is being made by a small number of people.
Btw, children who get flu vaccine are more at risk for hospitalization than children who do not get the vaccine.” Reference: The American Thoracic Society’s 105th International Conference, May 15-20, 2009, San Diego.
Remember, what we’re talking about is a global vaccination program here for every age group. Even the most current data indicates that for all age groups, the risk of being hospitalized is far less than 1% and well over 99% of people with flu will not need hospitalization. This explains why this infection is being downplayed by the virologists themselves, the ones who know most about the dangers of viruses.
Here’s why: since the CDC estimates that approximately one million have been infected (even though reported #’s are in the 45,000+ range due to poor reporting), we must recalculate death rates. Using this more accurate figure, the death rate is in truth closer to 0.03%, which means 99.97% will not die from this flu.
A number of equally qualified experts are calling for calm, based on a number of carefully conducted studies. To no one’s surprise, they too are being ignored by the media and government planners.
H1N1 can be forcibly inoculated into pigs, but it has been shown not to spread among the pig population. This means that the danger of a swine-based epidemic is small.
There are several strains of this flu virus however, including H1N1, H1N2, H3N1, H3N2 and H2N3. What the science has shown is that when the virus passes through the pig, it becomes less virulent—that is, it is less likely to cause serious disease in people. With each passage, it becomes even weaker.
Since this is not the answer that mainstream media wants, they next announced that it is “possible” that the pigs could be infected with both the bird flu (strain H5N1) and the swine flu (strain H1N1), resulting in a mutant, highly virulent strain that could lead to a pandemic.
Note this is pure speculation and that no scientist has ever performed this trick. It is purely hypothetical—like global warming. CDC virologists claim that in the past they performed a similar virological trick, but they never published their results and thus have kept the data away from public scrutiny.
*More than 40 million students carry school backpacks
*More than half of children in a study regularly carried more than the recommended 15% of their body weight in their school backpacks.
*58% of orthopedists polled in 1999 in Chicago and Wilmington, Delaware, reported treating children with back or shoulder pain attributable to carrying backpacks.
*The most common symptom reported from backpack use is “.” This condition results when pressure put on the nerve in the shoulder causes numbness in the hands, muscle wasting, and in extreme cases, nerve damage.
*More than 3,300 children, aged 5-14 years, were treated in emergency rooms for injuries related to backpacks in 1998; these numbers do not include students who went to family physicians or doctors of chiropractic.
If we don’t help our children now, when they are 10 years old they will have the posture of a 80 year old. Read the
Now that we have the children wearing the backpack correctly. Here are six exercises to help correct they posture.
1. Static Back ~ 5 Minutes
* Lie on your back with your legs up over a block or chair
* Place your arms out to the sides at 45 degrees from your body with palms up
* Relax your upper back and notice if your low back flattens to the floor evenly from left to right
2. Static Back Reverse Presses ~ 3 Sets of 10
* Lie on your back with your legs up over a block or chair
* Relax your legs, back and stomach
* Place your arms in a bent position directly out from your shoulders
* Bend 90 degrees at the elbows, hands are in a fist pointed up toward the ceiling
* Now squeeze your shoulder blades down and together and then release
* Try to relax your stomach muscles and do NOT try just to push your elbows into the floor – focus on the squeezing and releasing of your shoulder blade muscles
3. Hooklying Gluteal Contractions ~ 3 Sets of 20
* Lie on your back with your knees bent and your feet flat on the floor pointed straight ahead
* Place your arms out to sides at a 45 degree angle with palms up
* Squeeze and release your buttocks muscles without contracting your abdominal muscles
4. Hooklying Knee Pillow Squeezes ~ 3 Sets of 20
* Lie on your back with your knees bent and your feet flat on the floor pointed straight ahead
* Place a towel under your lower back if instructed to do so on your menu
* Put a pillow between your knees
* Place arms out to sides at a 45 degree angle with palms up
* Squeeze your knees inward into the pillow then release
5. Airbench ~ 2 Minutes
* Stand with your back against a wall with feet and knees hip width apart and feet pointed straight
* Walk your feet away from the wall while sliding your body down at the same time
* You will be “seated” in an invisible chair, with your knees bent to 90 degrees
* Your hips are just slightly higher than your knees; your ankles are slightly ahead of your knees
* Your lower back should be completely flat against the wall
* Your arms can hang down to your sides, or rest your hands gently on your lap
* Hold
* Keep the weight in your heels, do not press forward on your toes
6. Supine Foot Circles and Point/Flex ~ 40 Reps Each Direction Each Foot
* Lie on your back with one leg extended and the other leg bent and pulled up toward your chest
* Clasp your hands behind the bent knee
* Keep the foot on the floor pointed straight up toward the ceiling and your thigh muscles tight
* Circle the lifted foot one way for the indicated number or repetitions, then reverse direction for the same number of reps
* Make sure the knee stays absolutely still with movement coming from the ankle and not the knee
* For the point/flexes, bring the toes back toward the shin to flex, then reverse the direction to point the foot forward for the indicated number of reps
* Switch legs and repeat
Let us know if you have any tips for parents to help with this backpack issue.
I am in horrific pain…and my mind isn’t feeling so well either. My husband asks me if I want to go to the hospital or stay here….I don”t know what to answer. I would probably get into less trouble at the hospital than I might (and have) at home, but you’ve heard of all the comforts of home? Well that has to be a factor. Pain is the only thing connecting me to my body and even that only floats around me like a fog; it doesn’t really ground me. I need to cut and am resisting. I’ve tried some other things with no real success. Voices are loud and obnoxious….I’ve played music full throttle for days trying to block them, but they still boom their way through. “I stand alone in the remains of a life I should not own. It takes all I have to believe in the mercy that covers me….Take my world apart, I’m broken, on my knees.” I am being sucked into a vortex: mercy swirling with foul sin, temptation playing with itself, God’s soft call like a breath of fresh air in a fetid room…I am pushed and pulled, stretched and compressed, torn and pummeled….prodded into sin that I don’t even want…shoved by wild fears into corners without light…God’s light streams above me just out of my reach. Organic darkness. I know it doesn’t change the facts…but it feels like it does. When you are being trammeled by a storm, a mental typhoon, it is easy to lose awareness of the rock on which you stand. It is only when the storm has passed, that you can say, “Thank You God, for that rock.”
“I set my course to run right into danger, sought the company of fools instead of friends. I know I’ve been unfaithful…. Hangin’ ropes will never keep you…and your love of a jealous kind, …tryin to jump away from the rot that keeps on spreading, for solace in the sinking sands, rather feel the pain all too familiar than a Love that I don’t understand.”
NB: this post is opinionated. It represents my own opinions and not those of my employer, my colleagues, my family or my dog. It’s mine all mine.
If there is something that gets me really riled up, it’s bullying. Maybe I had too much bullying when I was a kid, maybe I just believe in justice, but for whatever reason I get very grumpy when I see bullying. Unfortunately this time, I think I’m being bullied – and not by a small-time bully either.
This is a very large organisation that refuses to pay an invoice for services provided because of a paragraph I wrote in the final report. The paragraph is factual and directly related to the issues the patient raised during the pain management programme. It just doesn’t suit some members of the organisation that have received it.
I’ll name no names, and I’m being deliberately coy about details, but I’m not a happy woman.
What did I say that was so dreadful?
I said that functional capacity evaluations can’t be used to predict daily function.
A couple of weeks ago saying that the cumulative evidence over years has not changed: functional capacity evaluations, no matter how well they are carried out, do not have good predictive validity. I’m not going to say it again, once is enough! In fact, a document that a colleague and I produced for a very large health purchaser in 1999 came to the same conclusion, and produced a set of guidelines for case managers to use when considering a referral for FCE.
Could it be that this report was written for the same corporation that wants me to withdraw my comment? My lips are sealed!
I wrote about this for just recently. The fact is, we don’t have any magic way to find out whether someone can or can’t return to a job except through doing it.
I understand that it’s incredibly difficult to determine whether someone deserves a benefit on the basis of whether they are incapacitated. One author calls doctors who decide this The main reason health providers find it so difficult is that the decision is not a medical one. It’s a socio-political one. It’s based on a ‘contract’ between members of a community. It’s fraught with issues of honesty, intent, morality – and yes, in the case of ‘invisible illnesses’, it has the potential to be abused.
But is that something I need to think about when I write a report about things relevant to a client’s pain management programme? It seems that I do, when the organisation paying for this report uses FCE as part of its process to decide whether someone has ‘capacity for work’.
Let’s put that aside for a moment and consider some of the ethical issues that I think are being challenged if I do what this organisation wants.
Not accurately recording the issues relevant to the client’s programme
Not disclosing the limitations of an assessment process
Denying the client social justice by not providing him with information relevant to the assessment he has completed (I have to ask what the provider of the FCE was thinking about in terms of ethics: isn’t there a responsibility to advise people about the limitations of any assessment?)
Asking me to collude with providing an inaccurate representation of the client’s concerns and content of the programme
There could be more..but that’s enough, don’t you think?
I guess the most worrying aspects of this whole affair are these:
this organisation isn’t saying I’m inaccurate in what I say about FCE – they just don’t like it, and think I shouldn’t say it.
they are using (and abusing) their position of power to coerce me into doing something that I think is unethical.
at the same time they’re trying very hard to deny a client the information he should have access to in order to defend against the opinion of the FCE provider.
AND the organisation is prepared to require this client attend another unnecessary programme just so they can get a report that suits their purpose.
What am I going to do?
If I was expressing an opinion, I might change or temper what I said.
If the client hadn’t raised this as a specific concern during the programme (and hadn’t identified ‘establishing functional abilities for work’ as a goal from the Plan of Action), I might have reconsidered a little.
But by not paying for the whole programme and report, and by suggesting the client might be required to go through another programme (unnecessarily) with another provider just to get a report this organisation likes, I’m Not Happy Indeed.
If I worked as a private practitioner in a solo practice, how would I respond to this kind of – well, let’s be honest, bullying? Who would support me against a large organisation with a lot of purchasing power? And who’s looking after the interests of the client?
At this stage the client doesn’t even know about the furore (and is probably wondering why the report hasn’t reached him yet – we’re not allowed to give him a copy of the report directly).
What do you think about it? I’m keen to know your thoughts.
