Views of the Vis
Supporting Your Quest for Optimal Health
April 2009
In This Issue
What is the Vis?
Looking Ahead
2nd Tuesdays
Movie Day
"Of the Month"
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?

bumblebee

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. 
* * * * * *
The 6th and last principle of naturopathic medicine is Docere -- Doctor as Teacher.  There are some that argue this is the most important principle - that leading our patients to an understanding of how their bodies work and how to live in harmony with nature to exact the highest level of health possible is our highest calling.  I'm not sure I can call on one as being the most important, but I do take Docere seriously and consider it a critical part of what I have to offer as a naturopathic doctor.
   This newsletter is one way I honor this principle.  The 2nd Tuesdays program is another.  They are attempts to share general information that you can either tuck away or start using immediately.  When I see people in my office, I can give more specific information to help them understand a diagnosis or a lifestyle change or a possible result from a particular treatment. 
   Docere is also a charge to me to continue my learning.  There is SO MUCH!!!  As I learn new things and gain clinical experience, I will continue to share with you - even when it means changing my mind about something I shared before.  We will learn and grow together!
   The 2nd Tuesdays program is going to take a break over the summer, but I'm already working on program ideas for the fall.  If you have suggestions for program topics, please feel free to pass them along. 
Quick Links...

WellSpring Naturopathic

Super Size Me Trailer
Looking Ahead

May's 2nd Tuesday Program
Good Night,
Sleep Tight!

May 12, 2009

Greetings!

I can hardly believe that April marks the one year anniversary of WellSpring's service to the Midland area!  I am grateful to the old friends and family who have supported me in this endeavor.  I am grateful for the new friends who have come my way because of this endeavor.  I am grateful for our combined energy and efforts to make our lives and the lives of our families, our community and our world healthier, happier and more peaceful. And I am honored to be a part of so many marvelous healing journeys.
2nd Tuesdays - April 14

Let the Sun Shine In!!!
 
SunThe sun is, of course, the wonderful star that allows our Planet Earth to exist as we know it.  It is the original source of all our energy, transformed first by plants and then transferred to animals and humankind.  We evolved with the sun and it is our original source of Vitamin D - a very necessary piece of our physiology! 

In recent years we have become more and more fearful of the sun.  Unfortunately, we avoid it at our peril, especially clear as we learn more and more about Vitamin D.  Just in time for our summer season, we'll talk about Vitamin D, the pros and cons of sunshine, skin cancer, sunscreens and the like.

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. 

1st Anniversary Movie Day

To celebrate our first year of being, WellSpring is hosting another Movie Day.  The feature film will be Super Size Me.  Originally released in 2004 (and someone told me it never played in Midland), this is a funny and scary look at our eating habits in the U.S. and our high-speed race toward liberty and obesity for all.  Morgan Spurlock directs and is the featured document-ee as he eats only McDonald's for 30 days.  Definitely thought-provoking and maybe even habit-changing, who knows!  View Trailer

Big Mac

Join us on Saturday, April 25 from 1:00-4:00 p.m. for this special event.  We'll start with some healthy -but yummy- snacks (so we can feel smug while we're watching!), watch the movie and hopefully have time for discussion afterward. 
Seating is limited - PLEASE RSVP!
Email or call 989-633-0025
"Of the Month"

For April we'll talk about a System of the Month - the Lymphatic System.  This is no April Fool's system, although it might not get the recognition and serious consideration it deserves for its contributions to maintaining our health.  There are few "lymphatology" specialists or special "lymphatology" rotations in medical school.  In my physiology book, the lymphatic system is described in just four pages, whereas most our other systems have complete and even multiple chapters dedicated to them.  But, well-known or not, the lymphatic system plays a vital role in our overall health. 
The Lymphatic System essentially, provides a way for fluid and particulate matter to move from interstitial spaces (AKA tissue space - this is the space outside of and between our cells) into the blood.  Return of fluid and matter, particularly larger proteins, from the tissue space to the blood is an essential function. 
Lymphatic System Components include lymph capillaries, lymph vessels, lymph ducts, and lymph itself which is a fluid.  Some include lymph nodes as part of the lymphatic system, while others consider nodes to be more a part of the immune system. 
    
In our blood circulatory system, way at the end of the line in the tiniest capillaries, fluid filters out of the capillaries and into tissue spaces where it can reach individual cells in need of nourishment and waste removal.  Most of that fluid is reabsorbed into the venous side of those tiniest capillaries and continues on in the blood circulatory system.  But a small percentage of the fluid enters the lymphatic system instead.  This fluid is known as Lymph.  In normal conditions, 2-3 liters of this (usually) clear, colorless fluid enters the system each day.  Almost all tissues in the body have lymph channels that drain excess fluid directly from these interstitial spaces.
     Lymph capillaries are the first, smallest vessels to receive lymph.  These capillaries are microscopic, anchored to surrounding connective tissue and uniquely arranged to have minute valves that allow lymph to push into the capillary, but do not allow backflow.  As capillaries merge into bigger lymph vessels, valves continue to control the movement of lymph continually in one direction -- from superficial to deep and ultimately toward the heart.  Most of the body's lymph is headed for the thoracic duct.  This duct gathers lymph from all of the lower body and abdomen, the left side of the head, the left arm and parts of the chest.  In an adult it is 15-18 inches long, running from the lower spine alongside the aorta up to the cervical spine and emptying into the bloodstream at the juncture of the left subclavian and internal jugular vein.  The lymph from the right side of the head and neck, right arm and parts of the right side of the chest empty into the venous blood via the right lymph duct at the juncture of the right subclavian vein and internal jugular vein.  This duct is a much shorter trunk - only about one-half inch.
     One component that is missing from the lymphatic circulatory system is a pump - it does not have a "heart" to move the lymph through.  The vessels themselves do a small amount of contraction to move lymph. but external forces are a bigger factor in lymph movement.  The 2 most important external forces are nearby muscle contraction and body movement in general.  
Lymph System Functions.  When things are working well, lymphatic circulation is a carefully balanced flow, keeping the rate of return of fluid and proteins to the blood even with their leakage from the blood capillaries.  This balance is influenced by capillary pressure and permeability and the osmotic pressures of both plasma and interstitial fluid.  If any of these factors fall out of balance, or if there is a blockage in a lymph vessel at any point there will be a build up of fluid which is known as lymphedema.  This can be just a temporary nuisance, but chronic lymphedema can result in more serious medical problems. 
     A specialized lymphatic vessel known as a lacteal is critical to the absorption of fat from our diets.  Lymph fluid in the lacteals is known as chyle and looks milky due to the absorbed fat particles.
     Finally, lymph flows through lymph nodes on its way back to the bloodstream.  Lymph nodes are the filtration part of our immune system.  They keep particulate matter found in the lymph fluid out of the bloodstream.  Lymph nodes are full of specialized cells that destroy bacteria and other foreign materials.  When you have an infection and notice that you have swollen nodes, often in your neck, this is because the nodes are doing their job - working extra hard to eliminate the infection that has passed into them.  This is also what makes lymph nodes important in matters of cancer.  Cancer cells may be cleared from the surrounding tissue spaces and end up captured in lymph nodes.  If nodes are overwhelmed with any particular kind of foreign cells - whether it be cancer or an infectious bacteria - their ability to contain them may be compromised and a more serious infection or metastatis may be the result. 
Keeping the Lymphatic System Happy!  Moving lymph is happy lymph.  Perhaps you have had the experience of being on your feet in a relatively stationary position for the larger part of a day and finding your feet and ankles swollen by the end of the day.  Your lymphatics have been struggling against gravity all day with little assistance from muscular activity to move it up toward the heart.  So the vessels are full, but fluid continues to gather in the tissue space.  When it cannot get into the lymph capillaries, it has nowhere else to go, so just pools there in the tissue spaces of the feet and ankles.  If you go home and put your feet up, gravity is no longer working against the lymph.  If you go for a walk, the muscle activity will propel the lymph along.  In both cases, the edema will resolve.  But the walking will resolve it more quickly.  Lymph movement at rest is fairly slow.  Movement of the body and contraction of muscles around the lymph vessels increase the flow of lymph 10-30 times!  Another form of movement particularly good for lymph flow is rebounding - bouncing on a mini-trampoline.  5-10 minutes a day will help keep lymph moving.
    Massage helps move lymph.  For those with a chronic and/or severe edema problem, or post-surgical patients, a specific type of lymphatic drainage massage might be best.  For those in generally good health, all massage helps with this.  Self-massage works too!  If you find a swollen lymph node, work around it, not directly on it.
   Dry brushing is another wonderful habit for lymphatic and skin health.  Using a dry, natural-bristle brush, begin at the soles of your feet and brush either in long strokes or circles, moving up the legs and torso toward the heart.  With arms raised, brush them down toward the heart.  Do this before your shower to invigorate your skin, slough dead skin cells and, of course, move lymph!
   And always be sure you are drinking enough good, clean water!  Lymphedema is not caused by drinking too much water!  Your body needs plenty of water to keep everything moving, lubricated, and working at its peak. 
     Get medical attention for any chronic, unresolving edema, sudden onset edema or edema with red streaks.  Edema caused by obstructions or complications involving infection require other interventions. 
**Love Your Lymph**   
Thank you for your part in WellSpring's first year.  I look forward to continuing the journey!
Be Well,
 
Kim Palka, ND
WellSpring Naturopathic