Tag Archives: treatments

Massage Therapy Supports your Immune System

Regular therapeutic massage sessions offer significant benefits beyond the instant relaxation we enjoy. People who experience high levels of stress are likely to get sick more than others. Mix stress with lack of sleep and poor diet, and our body’s ability to naturally defend itself against bacteria and infection is seriously reduced.

Stress management is a key factor for anyone striving to reach a balanced lifestyle. Massage therapy has been proven to be one of the most effective ways for achieving stress relief. Research studies show massage therapy in fact boosts the body’s immune system, which can become compromised from prolonged periods of stress.

Jitka Frajbisova, LMT




Post-Treatment Tips for Acupuncture and Other Treatments

The other day, a friend of mine told me about a recent visit to an acupuncturist.  He felt that the experience was completely life changing: the excruciating back pain he had been experiencing, somehow vanished for a full three days.  He became a true believer and was in the midst of seriously considering making an investment in regular treatments every week to effectively ‘heal and treat’ his back (acupuncture usually isn’t a one time treatment…it can often take several treatments to really make a permanent or long-term difference).

When I asked him what the treatment was like, he described the experience: the look and dimensions of the needles, the inability to itch or move, the sensations from the treatment, etc.  He also conveyed the acupuncturist’s ‘post-op’ dos and don’ts, which surprisingly included no sex.  More specifically, no sex for 3 days.  Ouch.  This was painful in a new and disturbing way.  Was ‘no sex’ for three days every week really worth treating his back pain?  Hmm, he wasn’t so sure, and neither was his girlfriend.

Whether or not you buy into the idea of strictly refraining from sex for three whole days after acupuncture, there are some guidelines worth following after alternative medicine (and Spa) treatments, be it acupuncture, or something more conventional, such as massage.:

  1. Rehydrate: During spa treatments, you often lose some water, release toxins and drain lymph nodes.  In order to ‘flush’ away those toxins and replace lost water, drink a lot of fluids, namely H2O, for 24 hours post-treatment.
  2. Avoid Rigorous Activity: After a spa treatment, you are oven very relaxed.  In order to adjust out of your deep relaxation and to avoid tensing up, stay relaxed and avoid overly strenuous, rigorous or exciting activities (this may be where the ‘no-sex’ rule fits in).  That said, you probably can partake after 12 – 24 hours.
  3. Avoid Alcohol: As mentioned above, many treatments will release toxins into your system and cause you to lose some water.  Avoid drinking alcohol for 24 hours to avoid further dehydration and intensified toxicity in your system.
  4. Eat Lightly: Eat a light meal or snack after your treatment to replenish.  That said, avoid eating too much, as it may cause you to feel nauseous or sick.
  5. Resist the Shower: Although it might sound a little unhygienic, showering or washing your face immediately after a treatment isn’t recommended.  In the case of acupuncture, waiting to shower 24 hours will help eliminate possible infection (remember, you just had needles stuck into your skin).  If you had any other treatments that used essential oils, creams and/or botanicals, this will allow your skin to benefit and soak up the minerals and anti-oxidants longer.

No matter what, it is best to check with your therapist to know what is the best post treatment protocol for your specific treatment.

Have you ever heard of any other wacky ‘dos or don’ts’ for after your favorite spa treatment?

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Octuplets: An Infertility Doctor’s perspective on the impact for Fertility Patients.

One must consider the media frenzy that surrounded the Octuplet case as the previous day, there was tragedy at Kaiser Permanente, the medical system that provided the care for the Octuplets. A working family was fired under circumstances that led to a murder/suicide of this entire family with kids in Los Angeles. There was some significant negative media coverage regarding Kaiser Permanente. The following day, the Octuplets were born which most likely prompted Kaiser’s Public Relation’s Department to blitz the media with the successful birth and great care of these Octuplets, effectively drowning out the murder/suicide. We currently do not know who the RE for this case was, but the subsequent media coverage of Ms. Suleman has raised several issues.

We now know that Ms. Suleman underwent IVF not only for this pregnancy, but also for her previous ones. We also know that she is not currently in a relationship per her history. We thus don’t know if she even has any fertility issues or trouble conceiving since per what I understand, she used a directed sperm donor. These cases are usually solved with IUIs, but she had IVF and there’s speculation that her tubes are non-functioning. One must then realize that this would give Ms. Suleman the best prognosis for conceiving with treatments which should prompt a conservative approach, following guidelines from our governing body ASRM.

Ms. Suleman claims that for each IVF attempt, she had about 6 embryos transferred, which may represent a deviation of the standard of care whether this occurred in the first attempt or last. This case is currently being evaluated by the California Medical Board. Please note that nothing Illegal was done here.

It is not unsual for REs to transfer 6 or even more embryos to a select group of patients, in particular those who are older, have diminished ovarian reserve, and/or have multiple IVF failures. These patients MUST also be willing to have selective reduction performed in the event of the low likelihood of high-order multiples. Each case warrants its own evaluation and we hope that REs will continue to have the freedom to make this decision with their patients for their best interest. Regulating the quantity of embryos transferred would decrease the amount of high-order multiple births, but would also cheat many patients of the opportunity of being parents until a better proven technology is developed.

It is unfortunate that in some cases and not this one in particular, REs can be motivated to transfer more embryos than normal to state that they have “the highest pregnancy rates in town”, using this as a tool to recruit patients. Epidemiological studies have been performed to prove/disprove this theory and we hope that these are a minority of REs and that if anything, this case makes REs think twice about being aggressive with embryo transfers when not indicated to “make themselves look good”.

Ms. Suleman has made it clear that she basically demanded that all embryos be transferred into her stating she clearly understood the risks involved. This places the RE in a very difficult situation since we operate under the notion of Patient Autonomy; a patient gets to decide her course of treatment when fully understanding the risks and benefits. Paternalistic medicine is not usually practiced in the USA unless the patient is unable to make a decision.

Thus in Ms. Suleman’s case, psychological along with home & social evaluation by professionals needed to be considered prior to performing such an aggressive transfer. This type of evaluation is not routinely done, but Ms. Suleman’s case is also far from routine. The RE would have then had more of a case to not respect the patient’s autonomy and be conservative with the transfer of embryos. But what if the patient was “Angelina Jolie” who may pass these tests? Should the RE then respect the patient’s wishes knowing that the likelihood of octuplets is extremely low? And if then, should the RE be liable for any risks/damages the babies and pregnancy may have after this type of evaluation respecting the patient’s decision? These are questions that our field is currently trying to tackle and we can only hope that only good arises from this case.

This is solely my opinion regarding the Octuplets in California

For more information click here to learn more about Infertility and Infertility Doctors
or here, to learn more about Dr. Quintero a Fertility Doctor in Los Angeles
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