Tuesday, November 20, 2012

Changes at Jing

I am excited to announce a shift in clinical focus beginning December 2012. I was recently named the Louisville Veterans Administration Medical Center’s first Doctor of Nursing Practice in the Mental Health and Behavioral Science Services, and will be helping our heroes throughout the VA Hospital.

What this means for Jing is restructuring into a more focused practice. We now specialize solely in mind-body issues that can be treated with acupuncture, oriental medicine, psychotherapy, herbs, nutrition, pharmaceuticals, and other integrative healing strategies. With an emphasis on pain management and emotional wellness, Jing will only accept new patients seeking treatment for mind-body conditions, and will continue to see established patients for any new or current health condition.

I am grateful to those of you who have entrusted me to facilitate health and healing over the years, and I remain committed to delivering premium integrative services through 2013 and beyond. Beginning December 3rd, 2012, I will be scaling back my clinical hours at Jing. Online appointment scheduling will continued to be offered through Genbook, and the tentative schedule through January 2013 will be Monday and Wednesday 5:30pm-8:30pm and Saturday 10am-4pm.

I look forward to working with all of you through the holiday season and into the new year.


Tuesday, November 13, 2012

Gua Sha vs. Graston

The Acupuncture profession absoloutly allowed Gua Sha to be repackaged and reallocated to PTs and DCs. After reviewing extensive research and practice updates at the Pacific Symposium this weekend with Dr. Arya Nielsen, PhD, I realize I have been under-utilizing this powerful modality. Get ready!

 Gua Sha vs. Graston: "Originality is nothing but judicious imitation . The most original writers and creators borrowed one from another." - Voltair...

Saturday, November 03, 2012

Acupressure for Cancer Treatment Support

While breast cancer awareness month may be over, the battle is not bound by dates on a calendar. Here is a small self-care primer I presented a few years ago on acupressure points to increase immunity and decrease side effects from treatment. Enjoy!


One DNP: My Mono-Credential Journey: APNA 26 Pre-Conference Presentation: Pushing the P...

One DNP: My Mono-Credential Journey: APNA 26 Pre-Conference Presentation: Pushing the P...: Pushing the Point: Integrating Acupressure and Oriental Medicine in Psychiatric Nursing Care.  

 Stay Tuned for the slide-share presentation.

Friday, September 21, 2012

Paleo, Primal, Caveman Nutrition Resources

Primal living is as old as dirt.  There has been plenty of buzz on this style of nutrition which promotes eating local, whole foods that can be killed with a spear or picked out of the ground. Some of the lifestyle catch-phrases include:

"Eat Dirt"

"Live Long, Drop Dead"

"Eat like a predator, not like prey."

"Let food be thy medicine and let medicine be thy food."

"Eat like a cow, look like a cow. Eat like a cougar, look like a cougar"

“Eat meat and vegetables, nuts and seeds, some fruit, little starch and no sugar.”

When someone asks us about optimal diet, particularly for allergies, autoimmune, and inflammatory pain disorders, this is our first go-to recommendation. As with any nutritional plan, it must be tailored to the individual based on age, gender, health status, and practicality. After reading dozens of books, websites, and research articles on the subject, here is a list of some of our favorite resources to get you started:

Paleo Magazine
Robb Wolf
NomNom Paleo

Friday, August 31, 2012

Tis the (Ah-Choo!) Season

Practicing in the Ohio Valley means seasonal allergies are less a matter of "which season?" and more a matter of "when is it the worst?" As the first tastes of fall are upon us, now is an excellent time to preempt the effects of molds and weeds and enjoy the beauty of season with all of your sense intact!

Friday, August 24, 2012

Kundalini All Around

Some call it "Kunda-looney" yoga and I will admit, it is a bit hippy-dippy woo-woo for those used to gym workouts or other styles of hatha or hot yoga. However if you want a practice that is fun, uplifting, and integrates breath-and-body work without throwing your leg behind your head or holding a stretch for 5 minutes, this is a great style to experiment with.

 While there are a number of DVDs on the market, I find Ana Brett the most approachable and dynamic. Though most of the practice requires keeping your eyes closed, her attire is minimal, allowing you to see exactly how the body should look. The poses are not acts of contortion, but the difficulty lies in having the breath coordinate as you move in and out of the postures. There are a fair amount of "oh-no" posts on the web about the so-called dangers of Kundalini Yoga, most of which are bunk. As with any physical program, get cleared before getting started.

The DVDs have matrix and mix options, so if you only have 10 minutes, you can get the most out of it. Each session starts with an opening chant that you can bypass if it is not your thing (give it a try!) and ends with a few minutes of relaxation followed by different meditation practices. Some of the most frequently recommended are Quick Fixes and House Call to address specific "brain and pain" conditions, and Fat Free which is a low-impact, yoga-inspired cardio workout that focuses on lymphatic and hormone regulation. There are over 20 to choose from, but these are our personal favorites:


Monday, July 30, 2012

Three Free Therapies of Traditional Chinese Medicine

Nutrition, movement, and rest.  Boy, the foundation of good health sure is esoteric!  These three "free" therapies are the preventative, proactive health areas most controlled and maintained by the individual. But what are the best foods, exercises, and sleeping hours?  This depends on the constitution of the individual and their current needs.  While we generally thrive on routine, seasonal adaptations are often required for optimal health. Click on the titles for some of our favorite suggestions from the treatment room!

You should feel nourished. The "perfect" diet is one that derives all of the necessary nutrients from food, results in satiety after a meal, and fuels your activity throughout the day. Enjoying a seasonal variety of foods, consistent meal times in-sync with physical hunger, and mindful eating are hallmarks of a healthy relationship with food.  Ideally, supplements should be unnecessary and used only in times where extra nutrients are required or missing due to lack of availability. Folate before, during, and after pregnancy and Vitamin D during the winter are common examples.  Bloating, nausea, cramping, acid, irregular elimination patterns, and fatigue after eating are signs that your body is not processing what you are eating. This can be due to allergy, intolerance, spoiled food, overeating, or a weakness in one of your digestive organs.

You should move freely.  As we are no longer spending hours a day capturing and cultivating our food, building, maintaining, and defending our dwelling, or otherwise engaging in physical labor for survival, movement can be hard to come by outside of dedicated exercise time. Exercise should feel invigorating, release mood-regulating endorphins, and provide appropriate challenges to build and maintain endurance. As with food, a routine of exercise with a variety of pushing, pulling, and stretching movements provide a healthy balance. Dreading exercise, requiring large amounts of pre-and-post-workout supplements, feeling fatigued, depressed, angry after a session, or frequent injury are signs it is time to look for a different plan.

You should feel refreshed. Rest includes the physical rest of sleep and mental rest of pleasure.  Characteristics of optimal sleep include consistent bed and wakening times, easily falling asleep, staying asleep though the night or easily falling back to sleep if awakened, and feeling rested within a short time of rising.  Many factors contribute to an individual's sleep requirement, however eight hours is the average most people need to rejuvenate.  Mental rest includes hobbies that provide joy and presence. One person's afternoon curled up with a familiar book is another person's weekend-warrior challenge. While routine rest is essential, it is equally important to prevent stagnation by periodically trying a new form of mental rest.

Monday, July 09, 2012

JingHealth on Pinterest

As a provider, we often find ourselves accumulating a growing list of recommendations and referrals that we like to share with our patients. As someone who will does not always retain everything my own providers tell me, I thought it would be useful for Jing to start a list of frequently recommended self-care products, books and articles, and fellow providers.   We now have a dedicated Pinterest Page with boards dedicated to the three free therapies, treatment room music and meditations, and favorite providers! We will update and add as applicable and invite suggestions and feedback. Anyone can browse, even if you are not a member. Take a moment and click below to check it out!

Follow Me on Pinterest

Wednesday, June 13, 2012

The Magnesium Connection

At Jing, we believe supplementation should be just that - a supplement to a healthy diet, not a replacement for poor nutritional planning.  We typically recommend targeted products for specific physical, mental, or lifestyle conditions. Magnesium has long been one of our favorite mineral supplements for inflammatory conditions including pain disorders and cardiovascular conditions, certain sleep and gastrointestinal disorders, and mental health imbalances such as anxiety.

Americans as a whole are deficient in this essential nutrient, largely from decreased amounts in soil content and dietary preference for sweet and starchy foods rather than green leafy vegetables and nuts.  Those of us who are lucky enough to live in "hard water" towns as a result of limestone rock will also receive magnesium from tap water. The NIH provides an excellent reference for ways to get magnesium into your diet: Dietary Supplement Fact Sheet 

Magnesium can be delivered orally, transdermally, and though epson salt soaks. The body will excrete excess, but it is important not to take it at the same time as bisphosphonate (osteoporosis) medications or potassium-sparing diuretics (such as spironolactone or triamterene), and to consult with your primary care provider if you have renal (kidney) impairment.

Here are a few of the Magnesium products we like:

Magnesium Citrate This formulation is naturally derived from limestone and produced by fermentation. This should not be confused with the over-the-counter liquid laxative used before certain surgical or diagnostic procedures!

Cal/Mag with CoFactors This powder is mixed with water and tastes like flat lemon soda. It contains the correct calcium, magnesium, and D ratio to promote correct absorption. We cannot stress enough that the best forms of magnesium and calcium are through diet, and, much as many dermatologists will chastise me for saying this, the best source for the potent anti-oxident Vitamin D is moderate, daily sun exposure.

Magnesium Glycinate this formulation is better for folks who have a tendency to GI upset or loose stools.

To read more about the benefits of magnesium and find more evidenced-based literature, take a look at this article from Acupuncture Today: Achieving Optimal Health Through Transdermal Magnesium Therapy

Friday, May 11, 2012

21 Suggestions for Success

This primer by NYTimes best-selling author H. Jackson Brown Jr. has made the internet and social media rounds, but as we fast approach the half-way mark of 2012, it deserves a little refresh!

1. Marry the right person. This one decision will determine 90% of your happiness or misery.
2. Work at something you enjoy and that's worth your time and talent.
3. Give people more than they expect and do it cheerfully.
4. Become the most positive and enthusiastic person you know.
5. Be forgiving of yourself and others.
6. Be generous.
7. Have a grateful heart.
8. Persistence, persistence, persistence.
9. Discipline yourself to save money on even the most modest salary.
10. Treat everyone you meet like you want to be treated.
11. Commit yourself to constant improvement.
12. Commit yourself to quality.
13. Understand that happiness is not based on possessions, power or prestige, but on relationships with people you love and respect.
14. Be loyal.
15. Be honest.
16. Be a self-starter.
17. Be decisive even if it means you'll sometimes be wrong.
18. Stop blaming others. Take responsibility for every area of your life.
19. Be bold and courageous. When you look back on your life, you'll regret the things you didn't do more than the ones you did.
20. Take good care of those you love.
21. Don't do anything that wouldn't make your Mom proud.

 . . . and for my two-cents:
22. Laugh wild

Sunday, April 22, 2012

Pushing the Point: Integrating Acupressure and Chinese Medicine in Psychiatric Nursing Practice

Integrative therapies are all the rage, particularly in psychiatric and mental health settings. It is an honor to be accepted for a pre-conference session at the American Psychiatric Nurses Association's 26th annual conference in Pittsburgh this November. Check out the abstract! 

ABSTRACT: With the rising costs of care, decreased reimbursement for services, and shortage of mental health clinicians, patients and providers are increasingly researching and incorporating integrative therapies as part of a holistic care plan. A review of the literature revealed a growing evidence base for the integration of Traditional Chinese Medicine (TCM) therapies with allopathic medicine. This has prompted nursing schools across the country to include education on TCM in their curriculums, encouraged hospitals and clinics to add TCM therapies to their list of psychiatric services, and resulted in development of new protocols for addiction, PTSD, and pain management. Acupressure, a component TCM, is a noninvasive, integrative modality that can help alleviate common symptoms such as stress, anxiety, depression, mental fatigue, and insomnia, while reducing barriers of cost, time, and deleterious medication side effects frequently found in PMH treatment. The session will review basic TCM theory and evidence base, describe the function and energetics of acupoints useful in a variety of Psychiatric/Mental Health settings, and provide a live demonstration of common techniques.

PRESENTATION SUMMARY: Part of the greater system of Traditional Chinese Medicine, acupressure is an effective yet underutilized modality for relieving common psycho-emotional symptoms. In both the inpatient and outpatient setting, TCM principles can be adopted to help alleviate stress, anxiety, depression, mental fatigue, and insomnia. This session introduces basic evidenced-based acupressure theory and techniques through discussion and live demonstration.

OBJECTIVE 1: Describe the theory and benefits of using Traditional Oriental Medicine techniques in the psychiatric and mental health setting

OBJECTIVE 2: Identify the functions of ten commonly used acupoints that can be integrated into treatment plans of patients with psychiatric and mental health disorders

OBJECTIVE 3: Discuss methods for integrating TCM modalities with conventional PMH nursing practice.

Friday, March 23, 2012

Spring Allergy Help

Spring winds are slowly clearing winter away, and with them can come an onslaught of ear, nose, and throat woes. In order to enjoy the beautiful blooming of the season without burying your head in a tissue, take a look at this self-care sheet for strategies to prevent and treat seasonal allergies.

Saturday, February 25, 2012

Product Highlight: Omni-Gym

Anti-gravity and aerial exercise have been making waves for the past few years, though many gyms are hesitant to offer the trend. These suspension systems provide no-impact, body weight resistance training to promote flexibility strength and balance. They can help decompress the spine using a variety on inversion techniques appropriate for those with everything from bulging discs to fibromyaligia without the ankle strain many of the standard tables provide. Plus you can at least momentarily pretend you are in your own Cirque du Soleil show!

Not all systems are created equal and not everyone has the ability to install the apparatus safely in their ceiling or doorway. I recently came across the Omni-Gym offered by Yoga Swing and am impressed with the variety it offers at a price less than many home gyms. We plan to provide a personal review in the near future, but in the meantime, take a look for yourself. They are offering discounts through March on the total system if you are waiting to wait a few weeks for delivery.

The most versatile suspension fitness trainer you'll ever own!

From the creators of the original YogaSwing, Omni-Gym™ brings you the best health and fitness suspension swing technology out there.

The Omni-Gym will take your fitness and flexibility routine to a whole new level: As you are suspended in space, your workouts are entirely body-weight oriented and therefore highly effective. You will find yourself stretching and strengthening muscles you didn't even know you had! Used by athletes, gymnasts, martial artists, dancers, yogis and fitness buffs worldwide, the Omni-Gym is truly one of those versatile workout tools that can be adapted to whatever kind of workout or stretching session your body (or profession) most requires.

Not only is the Omni-Gym an incredibly effective suspension fitness, martial arts and sports trainer, but just like its predecessors it is an amazing anti-gravity yoga/stretching and aerial dance tool. And don't forget it does wonders for back and neck care.

Oh, and did we mention that it is easily portable, quick set-up, multifunctional and FUN? what more could you ask more!

Check out www.OMNI-GYM.com to learn more

Join the Movement!

Sunday, February 12, 2012

Recent Favorites in Self-Care

We are six weeks into the new year and the enthusiasm for goals or resolutions may be waning or have been abandoned. Since health and wellness are almost always on everyone's let for improvement,  wanted to share some of my favorite tools and products I have been recommending and personally using for health promotion and disease prevention.

You Are Your Own Gym by Mark Lauren
Long, steady state cardiovascular exercise may have it's place when training for races, but in the real world, functional training that encourages strengthening of the muscles you use most for activities of daly living should be the focus of any exercise plan. This book has over 100 body-weight exercises, some of which incorporate common household items, with 10 different methods of combining them for an optimal 20 minute fitness routine 4 times per week.

Personal Training With Jackie: 30 Day Fast Start
This DVD offers two 20-minute workouts, one upper and one lower body, where you combine two exercises in sets of increasing reps. Short, powerful, effective with minimal equipment needs.  It is a great addition to her XTreme Timesaver DVDs and book This is Why You're Fat.

Pure Lean Protocol Weight Management
All the supplements you need in one box without a lot of unnecessary additives. This set includes choice of pure or blended whey protein powder in chocolate or vanilla, pure lean fiber, and a daily pure pack containing a multivitamin, Omega-3,  magnesium, alpha lipolic acid, and taurine. For about $2/day, it is a great way to establish a baseline of nutrition. These are hypoallergenic and made in the USA.

Fertility Friend
My favorite app, website, and community support system for women to understand and track their menstrual cycles. There are tutorials on how to chart, factors that impact cycle regularity, and expected signs and symptoms. The majority of the site is free, and they offer a VIP subscription for a few extra bells and whistles that you may or may not be interested in.

emWave Biofeedback
This is an amazing daily tool to help train you to bring the mind and body into cohearence.  It is best used in conjunction with a health professional to learn the basics, track your progress, and troubleshoot issues.  For those with stress, anxiety, panic, or emotional lability, you can learn to control your reactions by staying calm and present in the moment. It may be part of a self-improvement plan or used in conjunction with other therapies to manage mood and anxiety disorders.

Thursday, January 12, 2012

Acupuncture for Improving Health and Well-Being

Jing was recently featured on our local news, WDRB 41 Louisville. We were able to demonstrate acupuncture as well as non-needle modalities such as cupping, moxibustion, Tui-Na, and magnet therapy. Somehow the crew managed to make 4:30am fun! Check out the series of videos here: Acupuncture for improving health and well-being - WDRB 41 Louisville - News, Weather, Sports Community
Keith Kaiser having fun with an auricular  acupuncture model
Acupuncture shoulder points

Sunday, January 08, 2012

Stress: One Point Can Make The Difference

There are hundreds of acupuncture points throughout the body, but there are some that elicit a particularly powerful therapeutic response.   The following studies explain the method of actions of two different points and examines the beneficial effects that using just one point can have on chronic stress.

Stomach 36
In this study from Georgetown University, researchers administered electroacupuncture to acupuncture point St36 to the treatment group, sham acupuncture to another group, and no acupuncture to the control group prior to and following a stressor.  They exposed  all of the groups to fourteen days in a cold environment in order to induce a physiologic stress response. The sympathetic peptide, neuropeptide Y (NPY), elevated levels of which are found in those suffering from PTSD or other chronic stress conditions, and is hypothesized to contribute to the physiological stress response. No difference in NPY levels was found in the sham and control groups. The treatment group saw immediate and sustained suppression of NPY indicating that acupuncture to St36 may be an effective treatment and prevention of chronic stress.

Acupuncture at ST36 prevents chronic stress-induced increases in neuropeptide Y in rat. Eshkevari L, Egan R, Phillips D, Tilan J, Carney E, Azzam N, Amri H, Mulroney S. Experimental Biology and Medicine. In press. (2011).

Pericardium 6
Building on previous studies that demonstrated the effectiveness of P6 to decrease stress-induced anxiety,  researchers in Korea investigated the effect of this acupuncture point on memory by measuring acetylcholinesterase (AchE) activity in the hippocampus.   Individuals with chronic, mild stress exhibit low levels of AchE and that can result in memory impairment. Those in the treatment group received three minutes of stimulation on P6 resulting in an increase in AchE reactivity that was not produced in those receiving stimulation at acupuncture point San Jiao 5.  Researchers concluded P6  is an effective point for restoring the CMS-related biochemical and behavioral impairments, such as learning and memory.

The effects of acupuncture (PC6) on chronic mild stress-induced memory loss. Hyunyoung Kima, Hyun-Jung Parkb, Hyun Soo Shimd, Seung-Moo Hanc, Dae-Hyun Hahmd, Hyejung Leed, Insop Shimd. Neuroscience Letters. Volume 488, Issue 3, 25 1-2011, p 225-228.