Each month this column will talk about the philosophy of naturopathic medicine in some way. The definition of The Vis will always stay up front for the benefit of our new readers. New information will be added below so don't miss out!
What is The Vis?
a) Latin word for power b) A foundation of naturopathic medicine c) Word rhyming with bees d) All of the above
The correct answer is d!
"The Vis" is, in naturopathic medical circles, short for the Latin, "Vis Medicatrix Naturae," which translates to the Healing Power of Nature. It is at the very core of naturopathic medicine and what sets it apart. The Vis is our body's own innate intelligence that strives every minute of every day to keep the body in a perfect balance of health and function.
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The Vis Medicatrix Naturae is one of six basic principles of naturopathic medicine. These are the guiding lights for our practice. We have talked about the Vis the last couple months, but what are the other five principles? (And what IS it that makes people need to say them in Latin??) Primum Non Nocere - First Do No Harm Tolle Causum - Identify & Treat the Cause Tolle Totum - Treat the Whole Person Docere - Doctor as Teacher Praevenire - Prevention is the Best Cure
This month we'll look at the one that might seem most obvious -- Primum Non Nocere - First Do No Harm. Hmmm.. now doesn't that seem obvious? Why would we even need to put that out there? Is this not a goal that all medical practioners have had forever? In the classic version of the Hippocratic Oath, there is reference to keeping patients from harm and injustice. So yes, doing no harm has a long history in medical thought. But here we need to establish some definitions. What exactly is "harm" and who decides & who is responsible? Sometimes it is necessary to cause "harm" in the short-term to have a long-term beneficial effect. We cause harm to the body with every surgery that cuts open our flesh creating a new wound. Yet not many would disallow a skin graft - harming the thigh to cover a burn wound elsewhere, or even the extreme amputation of a gangrenous limb to save a life. The growing awareness & use of advance directives allows us some control over our own definitions of harm & responsibility. In our current medical model, however, there are many more gray areas. What about drugs given to eliminate one symptom that end up causing three more? (Especially if those three are worse than the original one!) What about errors of omission - does it cause harm to not be informed of alternatives that might be effective in the treatment of any particular ailment? And what about when we knowingly do things ourselves that are not beneficial to our health? While these are, in some ways, gray areas, in others they are simply factual examples of harm. JAMA - The Journal of the American Medical Association - considered to be one of the top, peer-reviewed medical journals - actually published an article in 2000 claiming there were 225,000 iatrogenic deaths in a previous year. Iatrogenic means an adverse effect or complication caused by or resulting from medical treatment or advice. That makes death by medical treatment and/or advice the 3rd leading cause of death in the U.S! (Journal American Medical Association July 26, 2000;284(4):483-5). A 1998 paper in JAMA reported 2.2 million in-hospital adverse drug reactions. (JAMA. 1998;279:1200-1205). Several papers are published each year in medical journals documenting adverse reactions & death rates attributed to medical care, including ones that assert that these deaths are actually greatly underreported & are, in truth, much higher. Doing a little research into this area is more than a little scary! So what does this have to do with naturopathic medicine? I believe it has everything to do with it! Naturopathic medicine is a complete shift in care & outlook. Doing no harm from a naturopathic perspective begins with people taking responsibility for their own health - not giving it away to any medical expert. It means exploring options. Beginning with sensible lifestyle choices does no harm & many chronic diseases would never develop, many would never get worse & many would even disappear. When interventions are needed, using largely non-toxic remedies that assist the body's own healing ability rather than suppress it, is the next step. And then know that our medical training includes the standard disease model & pharmacology, allowing us to recognize pathologies that are beyond natural interventions & need other kinds of help. In my ideal medical world, we would all start out with naturopathic principles, education & care. We would take responsibility for our own health, working with nature first & seeking radical interventions only in emergencies & after exhausting all other possibilities. I believe this would not only be doing the least harm to us individually, but also to our seriously overburdened health care system. (Of course, there would be some harm to some pocketbooks when over 12,000 unnecessary surgeries are avoided & hundreds of thousands of drug prescriptions are not filled!) But I don't think that's the harm to which Hippocrates was referring! I encourage each of you to step up to the challenge of Primum Non Nocere for yourselves. A great New Year's Resolution! Let me know how I can help!
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Greetings!
Although not his intention, Dickens might have been describing December when he wrote, "It was the best of times, it was the worst of times..." Many of us feel the friction of being pulled between two very extreme versions of the holiday season that occupy much of our efforts and attention this month. The natural world uses winter as a time of slowing, of quiet hibernation, of rest after the busy harvest season. Our major religious holidays speak of peace, wonder, joy, goodwill, community. And yet December is, for many of us, packed full with lists of to-do, to-buy, to-attend, to-remember, to-decorate, to-cook, to-make-more-perfect-than-last-year.... It strikes me as odd that the same magazine with an article on de-stressing your holiday is also packed with articles on preparing the perfect holiday buffet for 20, crafting your own wrapping paper and centerpieces, and ads for every new gadget under the sun for everyone on your gift list - plus people you didn't know were supposed to even be on your gift list! Part of my holiday gift to you is canceling this month's 2nd Tuesdays program. One less thing to feel like you must, or would like to, squeeze in. Another part is encouragement to say STOP! Try letting go of one of those "shoulds" that you really don't enjoy! Make a little time each day for quiet reflection and finding joy to feed your soul. |
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2nd Tuesday Programs Looking ahead to 2009
 2nd Tuesday programs are an opportunity to get a different perspective on a variety of health and wellness related topics. We had a lot of fun with them this fall and I think everyone learned something new each time. I'm excited about the line-up for 2009. Watch for more details in upcoming newsletters and I look forward to seeing you there! January 13 - The Dreaded "E" Word. The Exhilarating, Energizing, Enthusiastic Enjoyment of Exercise
February 10 - Fats - The Good, The Bad & The Ugly - Part One March 10 - Fats - The Good, The Bad & The Ugly - Part Two
Making sense of and sorting out HDL, LDL, VLDL, Poly/Mono/Unsaturated, Transfat, Omega 3-6-9 Fatty Acids & More
April 14 - Let the Sun Shine In.
Vitamin D - And Yes, That Big Yellow Thing IS Good for You!
All classes are at the WellSpring office from 7-9 p.m. They are free, but seating is limited, so please call to reserve your spot -- 989-633-0025.
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Year-End Miscellany
Day at the Movies. There are a few movies out there about diet and health that really are must-sees for everyone. WellSpring intends to host occasional movie days for these films that didn't exactly make the big screen here in Midland. We just purchased one of them and are doing a Sneak Preview of it on Friday, December 12 at 1:00 p.m. Simply Raw: Reversing Diabetes in 30 Days is an inspiring story of 6 people with diabetes and other health problems. I know, I'm adding something to your December calendar! Rest easy! If you can't make it then, I'll be showing it again next year. But RSVP if you are able to come and take a peek here - Simply Raw TrailerWellness Workbook Class. I mentioned last month the opportunity to share in this journey toward wellness. I would like to begin this 12 week session in January, but need more people to have it run. If you are interested, please email or call me to talk about it! PBS Series. The American Association of Naturopathic Physicians has partnered with American Health Journal in making a television series about naturopathic medicine to be aired on PBS. This is very exciting for all of us as it gives us the chance to spread the word about this medicine. I will keep you posted when I hear about potential air dates. The AANP is still accepting donations toward the project. If you are so inclined, you may follow this link. AANP and PBS |
"Of the Month"
 In this month of hectic paces, I'm going to share a "Breath of the Month." But first we need to talk about the breath in general. Breathing is something that we tend to not think about. It happens without our having to think about it. But consider that we can live weeks without food, days without water...how long can we live without air? And how much more do we think about food and water than breathing? Perhaps our priorities should be reconsidered! Talk to anyone who has had an asthma attack, anaphylaxis or suffers from emphysema and they will have a different appreciation for the importance of breathing. The beauty of breath begins in our autonomic nervous system. This is the part of the nervous system that functions without our conscious attention. Thanks to the regulatory function of the respiratory center in the brain's medulla oblongata, we do not have to "remember" to breathe. Whether we're sleeping, jogging, engrossed in a thrilling project or a daydream, our respiratory center keeps the breath going. Incidentally, respiratory arrest, possibly resulting in death, may be caused by alcohol, morphine, narcotics and other drugs that depress this same respiratory center. Our diaphragm is designed to be our primary muscle of breathing. The diaphragm is a thin, dome shaped muscle that runs horizontally, separating the chest cavity from the abdominal cavity. Hang with me through this science class reminder -- when we inhale, the diaphragm lowers, increasing the volume/size of the chest cavity which decreases the pressure in the lungs, which causes the air in our surroundings to rush into the lungs to fill up the newly created space and balance the air pressures. Exhalation occurs in reverse when the diaphragm relaxes back up into the chest cavity, decreasing its volume/size, increasing its pressure and forcing air out of the nose and/or mouth. Somewhere in the neighborhood of 22,000 times a day this wonderful interaction takes place. There are also secondary muscles of respiration and a number of chemical factors that participate in the overall process of breathing. And keep in mind that the primary goals of breathing are to provide oxygen to our tissues and to remove carbon dioxide - which are complicated reactions all on their own. These are all well understood parts of respiration. Less well understood are some of the other interactions between the respiratory and the nervous systems. While systems of yoga have claimed awareness of this for centuries, modern science has only recently begun to study the effects of "nostril dominance." It has been well established that our right and left brains have different strengths and functions. It appears that we also have an alternating pattern of breathing through the right and left nostrils which then has an impact on the brain's right and left hemisphere functions and our nervous system. So what does this all have to do with the hectic month of December? Well, although breathing is automatic, there are a number of things we do in our daily life that constrict our breathing and make it much less efficient. Things like chronic stress and worry that keep us on alert, tightening and overuse of the secondary muscles of respiration (in the neck and upper chest), poor posture, certain fashion choices and racing around with our to-do lists without time to relax all contribute to this inefficiency. Unfortunately, it can be a vicious cycle with stress and poor breath feeding on each other. Thankfully, breathing is one of our usually automatic bodily functions that we can also voluntarily control. So when we see how our breath can influence our body, we can start to use it in ways that promote our health. I would bet we all have experience in using the breath to impact the nervous system. Who has not told a child - or been told - to take a deep breath when crying so uncontrollably that we cannot speak or catch our breath. Or when we are angry to the point of explosion. Even if we didn't understand the physiology of the command, we knew it would help calm us down. Yet we need not wait to be at such a crisis point to use the breath to promote health and relaxation. It is within our grasp every moment of every day - it only requires our attention. December's Breath of the Month is called Alternate Nostril Breathing. Known in yoga circles as Nadhi Sodhana, it is a simple technique that is extremely calming and balancing. It integrates both sides of the brain and promotes relaxation. A study published just this year showed Alternate Nostril Breathing to increase parasympathetic (the relaxation side of the nervous system) activity as evidenced by a decrease in pulse rate, respiration rate, and diastolic blood pressure. These results were measured after a daily, 15-minute practice for four weeks. Imagine that you could get to Christmas Day with a more relaxed body and mind and maybe lower blood pressure too! Sit comfortably (or stand! - I used to use this in my theater days to calm my butterflies backstage before an entrance) and close your eyes. Place your right thumb so it is at your right nostril and your right ring finger resting near your left nostril. Your 2nd and 3rd fingers can rest lightly on your forehead, or curl under - whatever is most comfortable for you. They are not doing anything active during this exercise. Begin by closing the left nostril with your ring finger and exhale completely through the right nostril. Then inhale through the right nostril. Close the right nostril with your thumb, release your ring finger and exhale through the left nostril. Inhale through the left nostril. Close the left nostril, then release your thumb and exhale through the right nostril. You are back to the beginning - this is one cycle. Continue the pattern -- Inhale right, close right, exhale left. Inhale left, close left, exhale right. It will become more automatic as you practice - I promise! A couple tips -- 1. This cannot be done with a plugged up nose! Do not force the breath. If blowing your nose doesn't open up a nostril, you might try a neti pot. Otherwise, wait until later to do this exercise. 2. Be gentle in this breathing. Try to notice that your exhale is at least as long as your inhale, and longer is fine. 3. You don't have to do this for 15 minutes to get a benefit. If you only have time for 5 minutes - that's great. Start using your breath to promote your health! You'll have more energy, yet be more relaxed, your digestion will improve, your skin will be rosier, your mind will be more focused.... No special equipment to buy, in fact, it's FREE!!! No better bargain this time of year!
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When you're looking at the inevitable "to-do" list this month, add a "to-be" item. BE present with yourself, with your families, your friends, with the harried clerks and the bell-ringers. BE peaceful, BE joyful, BE restful,
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Breathe and, BE Well,
Kim Palka, ND
WellSpring Naturopathic
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