Transcript Acupuncture, Intention and Emotional Release Techniques

Academic Journey
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University of Pittsburgh Medical School, Class of 1981
University of Pittsburgh Radiology Residency
Pittsburgh NMR Institute MRI Staff Instructor
University of Pennsylvania Musculoskeletal Fellowship
Thomas Jefferson University Assistant Professor
Duke University Associate Professor, 1993 - 2004
Musculoskeletal Radiology Section Head
Co-Founder Duke Center for Integrative Medicine
Director of Integrative Medicine Education
President, Healing Imager, Inc., 2004 - present
Burk DL Jr, et al. MR Imaging of Shoulder
Injuries in Professional Baseball Players
JMRI 1991;1:385-389.
SMRI Safety Committee
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Society for Magnetic Resonance Imaging
Committee member from 1985 - 1994
Manny Kanal, MD, Frank Shellock, PhD
Claustrophobic patients
Electromagnetic fields and radiofrequencies
Attraction of ferromagnetic objects
Wrench Trick - Pittsburgh NMR Institute - 1985
Duke University Medical Center
• Series of three Anodyne Imagery trainings in 1995 and
1996 for hospital staff.
• Trained 50 staff members, including physicians, nurses and
technologists from a variety of departments.
• Trainings positively affected more than 1000 patient
interactions per week.
• A senior urologist was asked how valuable the training was
compared to a new surgical technique that he had learned
at an expensive CME conference. He responded that he
used that technique just once a month, and he used
Anodyne Imagery on every patient every day.
Cost Analysis of Adjunct Hypnosis with Sedation during
Outpatient Interventional Radiologic Procedures
• Elvira V. Lang, MD, Max P. Rosen, MD, MPH
• Radiology 2002; 222:375–382, Harvard University
• Patients undergoing vascular and renal interventional
procedures underwent either standard sedation (n 79) or
sedation with adjunct hypnosis (n 82).
• The cost associated with standard sedation during a
procedure was $638, compared with $300 for sedation
with adjunct hypnosis, which resulted in a savings of $338
per case with hypnosis.
• Hypnosis reduced room time (61 vs 78 minutes).
62 year old wallpaper hanger
with rotator cuff tear
Shoulder pain and difficulty sleeping
for past 6 months. Wants to return to
work without surgery. Carries 60#
buckets and does overhead work.
Unwrapping sterile needle bubble pack
Acupuncture needle insertion in Liver 3
NIH Consensus Conference. Acupuncture.
JAMA 1998 Nov 4;280(17):1518-1524
• Proven efficacy: adult postoperative and
chemotherapy nausea and vomiting and in
postoperative dental pain.
• Promising, but further research needed:
addiction, stroke rehabilitation, headache,
menstrual cramps, tennis elbow, fibromyalgia,
myofascial pain, osteoarthritis, low back pain,
carpal tunnel syndrome, and asthma.
Duke: T J Gan, MD
• A Randomized Controlled Comparison of ElectroAcupoint Stimulation or Ondansetron Versus
Placebo for the Prevention of Postoperative
Nausea and Vomiting
• Anesth Analg 2004;99:1070-1075
• 75 patients undergoing major breast surgery under
general anesthesia.
• Electro-acupoint stimulation seems to be more
effective in controlling nausea, compared with
ondansetron. Stimulation at P6 also has analgesic
effects.
Acupuncture for Chronic Pain
Individual Patient Data Meta-analysis
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Arch Intern Med. 2012; online Sept 2012.
Andrew J. Vickers et al.
29 RCTs, with a total of 17,922 patients.
Back/neck pain, osteoarthritis & headache
Acupuncture is effective for the treatment of
chronic pain and is therefore a reasonable referral
option. Significant differences between true and
sham acupuncture indicate that acupuncture is
more than a placebo.
Is Acupuncture Safe? A Systematic Review of Case Reports.
Lao L, et al. Altern Ther Health Med 2003;9(1):72-83
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35 years, 1965-1999, 98 papers, 22 countries
202 serious adverse events, 7 deaths
94 cases of hepatitis prior to 1988, none since
Improvement due to clean needle procedure
Pneumothorax, 2nd most common complication
Spinal cord injury rare from okibari technique
Cardiac tamponade rare, but cause of 2 deaths
Incidence of Adverse Drug Reactions in Hospitalized
Patients: A Meta-analysis of Prospective Studies.
Lazarou J, et al. JAMA 1998;279:1200-1205.
• 30 years, 1966-1996, 39 prospective studies
• Excluded errors in drug administration,
noncompliance, overdose, drug abuse, therapeutic
failures, possible adverse drug reactions (ADRs).
• Serious ADRs, 6.7% incidence, 1994 estimate of
2,216,000 ADRs/year
• Fatal ADRs, 0.32% incidence, 1994 estimate of
106,000 deaths, 4th to 6th leading cause of death
CDC – ACE Study
• Survey 17,000 Kaiser Permanente patients
• Abuse, Neglect and Household Dysfunction
• Number of Adverse Childhood Experiences
(ACE Score)
• 0 = 36%, 1 = 26%, 2 = 16%, 3 = 10%
• > 4 = 12 %
• the risk for the following health problems
increases in a strong and graded fashion:
High ACE score at risk for:
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Alcoholism and alcohol abuse
Chronic obstructive pulmonary disease
Depression
Fetal death
Health-related quality of life
Illicit drug use
Ischemic heart disease
Liver disease
High ACE score at risk for:
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Intimate partner violence
Multiple sexual partners
Sexually transmitted diseases
Smoking
Suicide attempts
Unintended pregnancies
Early initiation of smoking
Early initiation of sexual activity
Adolescent pregnancy
Energy Therapies like
Emotional Freedom Techniques
(EFT)
are often called
acupressure for emotions.
The end points of Meridians are
used to help balance the body’s
energy system.
EDANVIR Tapping (EFT)
EFT Discovery Statement
• The cause of all negative emotions is a
disruption in the body’s energy system.
• EFT works through tapping on the meridians
and deleting the body memory of a trauma and
the charge that goes with it.
• The cognitive memory in the brain will remain
although it may fade in intensity.
EFT Case Report: Hives
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College student with hives after MVA
Resolved on meds, but too drowsy to study
Hives came back immediately off meds
EFT: “Even though I had a scary, thought-Iwas-going-to-die car accident, I deeply and
completely accept myself.”
• Hives gone, never to return, able to study
The Body Keeps Score: Memory and the Evolving
Psychobiology of Posttraumatic Stress
• Bessel A. van der Kolk, MD
• Massachusetts General Hospital, Trauma Clinic,
Harvard Medical School
• Harvard Review of Psychiatry
• 1994, Vol. 1, No. 5, Pages 253-265
• Ever since people's responses to overwhelming
experiences have been systematically explored,
researchers have noted that a trauma is stored in
somatic memory and expressed as changes in the
biological stress response.
Energy Psychology Mechanism
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Acupoint stimulation during episodes of hyperarousal can
send deactivation signals to brain structures that regulate
affect.
When a memory or thought that triggers limbic
hyperarousal is evoked, and acupoints that decrease
activation signals in the amygdala and related brain areas
are simultaneously stimulated, hyperarousal is reduced.
When the memory or thought is then reconsolidated, the
strength of its ability to trigger hyperarousal remains
diminished, leading (after a number of exposures to the
procedure) to the extinction of the elevated limbic
response.
The Treatment of Combat Trauma in
Veterans using EFT
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Traumatology, March 2009, Volume 15, number 1
Dawson Church, PhD
9 veterans and 2 family members
5 days with 2 to 3 hours of treatment per day
6 psychotherapists or life coaches
SA-45 (Symptom Assessment 45)
PCL-M (Posttraumatic Stress Disorder Checklist –
Military)
PCL-M > 50 = PTSD
• 9 of the 11 participants scored higher than
50 prior to treatment.
• The average score was 62.
• After treatment, the average score was 23.
• After 30 days, the average score was 32.
• After 90 days, the average score was 33.
• www.operation-emotionalfreedom.com
www.letmagichappen.com
• Let Magic Happen: Adventures in
Healing with a Holistic Radiologist
• Amazon.com paperback & ebook
• EFT newsletters & video blogs
• Chapters 7, 11 & 14
• 300 links for chapter references