Seasons Wellness Clinic

The Top 5 Answers to the Question “What Do You Do at Seasons?”

Seasons Top 5 Answers


Seasons. You might have heard the name.

And we’ve heard the question many times. But answering the question “What is it that you do at Seasons?” in one sentence is nearly impossible. So we’ll give you the top five answers instead.


Seasons Ruston Map

Answer #1: Seasons offers wellness from head-to-toe.

It all began with the idea that wellness is all-inclusive. Upon moving to the area and opening his clinic in 2006, Dr. Nathan Goodyear, Seasons’ founding physician, desired to offer his patients more than just a visit to the doctor and a prescription. Instead, real solutions to the nagging health problems that seemed unsolvable was his goal. That six-year journey resulted in a center for wellness from head-to-toe.

Comprised of both Seasons Wellness Clinic and Seasons – The Spa, Seasons offers a range of services that promote healthy living based on 5 Points of Wellness: nutrition, hormone balance, detoxification, inflammation reduction, and exercise. Seasons is conveniently located off Farmerville Highway at 1809 Northpointe Lane in Suites 103 and 202, in the 2-story building behind Portico Bar & Grill.


Dr. Jackie White

Answer #2: Seasons provides leading-edge medical care based on the latest in science combined with the most natural approach possible.

Healthcare professionals, Dr. Nathan Goodyear, Dr. Jackie White, and Anna Stephens, WHNP, seek to provide the highest level of care for every client. Rather than a disease-focused approach, the healthcare team at Seasons strives to uncover the root cause of symptoms and conditions such as: abdominal fat, diabetes, difficulty losing weight, fatigue, headaches, high blood pressure, insulin resistance, joint pain, trouble sleeping, hot flashes, and many more.

The healthcare team begins with identifying your symptoms and, utilizing the most advanced diagnostic testing available, developing a wellness plan that will rid your body of toxins, recharge your energy, and reinvigorate your immune system. The result is elimination of the root cause of the myriad of symptoms and a return to a state of wellness. And when your body is functioning optimally, prevention and reversal of disease states is a by-product of that state of wellness.


The lobby of Seasons Wellness Clinic

Answer #3: Seasons offers specific health programs such as the Wellness Weight Loss Program and Athlete Wellness Program.

Each of these programs use advanced metabolic testing and a natural approach for optimal results in two specific client groups: those who want to lose weight and those who wish to increase their athletic performance in a healthy and natural way. Each program features an individualized approach and includes testing and treatment to achieve goals set at the beginning of the program.


Answer #4: Seasons serves as a beacon for healthy living in a state that ranks #2 in Unhealthiest States in America.

With a commitment to educate all of Louisiana about health and wellness, Seasons provides and shares the best, most scientifically accurate information available on a daily basis. Seasons has pioneered website and social media usage in the medical community. By developing a blog-based website before blogging was a household word, Seasons began building and gaining traction in the online world, and utilizes social media to share information that is dependable and has depth.

Join the online conversation about health and wellness. Read our blog, subscribe to our RSS feed, follow us on  FacebookTwitterYouTubePinterest, and catch the latest Wellness Lifestyle Report or Nibble On This recipe in your inbox. You can sign up for the e-newsletter and link to all Seasons’ social sites on our homepage.


The lounge at Seasons - The Spa

Answer #5: Seasons – The Spa offers renewal and rejuvenation without the traffic of the big city.

Do you ever just want to “get away” without going far away? Maybe you need a pick-me-up, a lift-me-up, or a fix-me-up. Seasons – The Spa provides a big-city spa experience in rural and scenic north central Louisiana with a highly-skilled and highly-trained staff.

  • Bethany Cox, LMT, provides services including massage therapy, reflexology, and Smooth Shapes, a cellulite reduction treatment.
  • Skin care experts Lisa Best and Joy Smith offer services ranging from European facials to microdermabrasions to hair reduction and removal to hydradermie lift, a non-surgical face-lift.
  • Anna Stephens, WHNP, specializes in skin rejuvenation services such as Botox, Artefill, and Juvederm. Anna’s great disposition makes clients feel at ease, insuring a comfortable skin rejuvenation experience. Seasons also offers back-door service for those who want a more private consultation. Please call the Spa to arrange back-door service at 318-255-1155.

Yoga Instructor, Ashley Moody

Seasons also boasts the only infrared sauna in the area and offers individual sessions as well as packages for clients desiring the proven health benefits of infrared sauna. Fitness classes include Yoga, featuring certified Yoga instructor Ashley Moody, and Fit4Baby, with local fitness specialist Maryanne Smith. Classes are available in packages at convenient times for any schedule. Sauna and fitness classes are free for Spa Members. For more information about Spa Membership, visit the Spa Membership page on our website or give us a call at 318-255-1155. Keep up with the latest Spa specials by signing up for our e-mail list on our home page. Quarterly Beauty Bonuses come to your inbox and feature discounts and special offers on services and packages.

So did that answer the big question about what is Seasons?

Seasons is health, wellness, relaxation, rejuvenation, education and a whole lot more. For more information or to schedule an appointment, give us a call at 318-255-3223 and speak with a customer relations specialist.

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Sharon Jackson Says: “The Key to Weight Loss Success is Mindset!”

Sharon Jackson

 

I have been in the fitness business for 12 years. And the more I work with women, the more I find that a woman’s opinion of herself is the most common reason some succeed in their goals and others don’t.

Losing weight, eating healthy and exercising consistently are not  always easy. My experience has been that the women who have decided in their minds to lose weight are the most successful.

Your mind and spirit must be in agreement. This means the internal power that is inside drives you to do and be more than you thought possible! You must continually see yourself exactly how you want to feel and look.

Image created by Kirstin Pals

Remember you determine your success! Don’t be distracted by the obstacles that will definitely come your way. Obstacles are a part of life! Instead, keep your mind flowing with positive thoughts, and you can’t lose! Teach yourself to think like a champion!

About Sharon Jackson, PTS

Sharon Jackson is a Certified Medical Exercise Specialist & Certified Personal Trainer. In June 2008, Sharon Jackson founded Sharon’s Slammin’ Bootcamp. Her credentials include:

•  Bachelor of Science in Fitness and Wellness

•  Master of Science in Exercise Science Exercise

•  Exercise Physiologist in Physical Therapy for 15 years

•  Certified Personal Trainer by ‘National Strength and Conditioning Association’ for 10 years

•  Group Exercise Instructor

•  Certified Medical Exercise Specialist

•  Post Rehab Conditioning Specialist (American Academy of Health, Fitness and Rehab Professionals)

•  Pilates Mat Certification

 

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Prenatal Fitness: Truths, Myths & My Experience…So Far!

Maryanne Smith

I received my pre and post-natal fitness training after the birth of my first child. So for this pregnancy, I am excited to put into practice what I’ve learned about prenatal fitness.

As a fitness professional and mother-to-be, I’ve seen many raised eyebrows and confused looks as I’ve maintained my workouts and teaching schedule. After speaking to several expectant moms and visiting a few pregnancy websites, I’ve been surprised by the lack of information regarding prenatal exercise. There seems to be many conflicting recommendations that I would like to clear up for you.

You shouldn’t workout during pregnancy if you were not previously engaged in an exercise program prior to becoming pregnant. MYTH.

  • ACSM (American College of Sports Medicine) states a healthy woman may continue with her regular exercise regimen or begin a new program during pregnancy.
  • If you have not exercised prior to becoming pregnant, start slow and build up gradually.
  • Consistency is most important.

Exercise may prevent gestational diabetes. TRUE.

  • Exercise has an insulin like effect on the muscles causing blood sugar levels to drop.
  • 3-5% of pregnant women will get Gestational Diabetes.
  • REGULAR exercise is one of the most important factors in prevention!
  • Small meals, including protein, reduce sugars.

You should cut back exercise in the last trimester. MYTH.

  • You might cut down the intensity, but you should remain consistent.
  • It’s important to continue at a similar RPE (rate of perceived exertion…see below) throughout the pregnancy.

Pregnant women should not exercise more than three times per week. MYTH.

You must keep your heart rate under 140 bpm. MYTH.

  • This is not a recommendation in the current ACOG guidelines.
  • This was an old recommendation and was removed as a guideline in 1994.
  • Use RPE / Modified Borg Scale.  If you are exercising on a scale of 0-10 with 0 being that you are asleep and 10 being that you are going into cardiac arrest, you should try not to go above a 7 while pregnant.  As in postnatal exercise, each mother’s individual 7 effort will look unique.  It depends on a myriad of factors including the stage of your pregnancy and your level of fitness pre-pregnancy.
  • ACOG recommends mild to moderate workout.

You can participate in any sports while pregnant that you participated in before pregnancy. TRUE with a few exceptions.

  • You can continue to participate in past sports if you listen to your body.
  • Avoid contact sports.
  • Avoid exercises with risk of falling.

Kegels are not necessary if you are going to have a Cesarean. MYTH.

  • Most pelvic floor damage is caused during pregnancy.
  • Cesarean patients still complain of urinary incontinence.

Absolute Contradictions to Exercise During Pregnancy

  • Significant heart disease
  • Restrictive lung disease
  • Incompetent cervix
  • Multiple gestation at risk of premature labor
  • Persistent second or third trimester bleeding
  • Placenta previa after 28 weeks of gestation
  • Premature labor during current pregnancy
  • Ruptured membranes
  • Preeclampsia/pregnancy induced hypertension

Warning Signs to Stop Exercise During Pregnancy

  • Bleeding
  • Dyspnea (labored respiration) prior to exertion
  • Premature labor
  • Dizziness
  • Severe abdominal pain
  • Feeling unusually tired
  • Headache
  • Chest pain
  • Muscle weakness
  • Calf pain or swelling
  • Decreased fetal movement
  • Amniotic fluid leakage

My personal experience with exercise during this pregnancy has been very positive. I included the “….so far” caveat in the blog title because I am only about half-way through my pregnancy. I can honestly say that even during the depths of my morning sickness misery, a workout has ALWAYS  made me feel better. Seriously! Even if I felt like death and was having trouble keeping down water, I felt less nausea and lethargy during my day if I would get a workout in. There are many days when I definitely feel like I don’t have the energy to work out, but once I get started I have never regretted it. I have definitely gained weight at a slower rate than my first pregnancy and I haven’t had many of the aches and pains that I remember from before.

What I have learned from my previous pregnancy is that staying in shape and healthy nutrition is VITAL to a complication-free delivery and easy recovery (neither of which I was blessed with the first go ’round).  Three years ago when I was pregnant I definitely was “eating for two.” While I was very active before becoming pregnant, exhaustion, a busy teaching schedule, and stress led me to over-eating and inactivity while pregnant. I gained DOUBLE the recommended 25-30lbs of prenatal weight gain. I had a BIG baby. I experienced a grueling 30+ hour labor that eventually ended in a C-section. I had a difficult recovery and experienced mild postpartum depression, trouble with breast-feeding, and difficulty getting the pregnancy weight off. It’s amazing that I ever decided to get pregnant again!

Now I am armed with the knowledge that exercise and good nutrition are the keys to a healthy pregnancy and easier delivery. Childbirth is HARD, physical work! The early weeks with a new baby are no piece of cake either with sleep deprivation, lugging around a heavy infant carrier, feeding sessions, and delivery recovery. These experiences can be compared to running a marathon. Would you ever set off to run a marathon after laying on the couch eating girl scout cookies for nine months? No! You would train for it to set yourself up for success. That is my strategy for this pregnancy, setting myself up for success by keeping my body and mind in good condition for the big race that is to come in July 2012: welcoming baby #2 into our family!

More about Maryanne Smith

Maryanne Smith is a certified personal trainer who is also  nationally certified in pre and post-natal fitness. She is the franchise owner and instructor of Ruston Stroller Strides and Fit4Baby. She also teaches 5K training classes through Ruston Parks and Recreation, indoor cycling at Louisiana Tech’s Lambright Intramural Sports Complex, and Body Back which is an eight-week nutrition and fitness program for women.  Check out her blog at www.fitmomsruston.blogspot.com for more information.

Say Goodbye to Acne with the Acne 12-Week Intensive from Seasons

Seasons Acne ProgramWant clear skin without harmful medication?

At Seasons, it is our goal to help you look and feel your best – as naturally as possible! The latest in our lineup of services, the Acne 12-Week Intensive, is a highly-specific treatment based on the type of lesions and the severity of the acne.

The Acne 12-Week Intensive includes includes:

  • A consultation with our Seasons Skin Care Specialist
  • An individualized acne treatment plan Complexion Analysis using VISIA
  • A series of 12 LED Light Treatments and/or Skin Rejuvenation Treatments using IPL
  • Deep-pore cleansing and exfoliating treatments
  • 30 days of skin care products specially formulated for acne-prone skin
  • The Acne 12-Week Intensive take-home packet including a specialized morning and evening regimen
  • Complimentary maintenance and extractions as needed during treatment
  • A 10% discount on acne skin care products during treatment

The Acne 12-Week Intensive Package, an $850 value, is offered at just $650. There’s no better way to stop acne dead in its tracks! Beautiful skin CAN be yours.

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Seasons Welcomes New Family Member: Ryder Brooks Walpole

Ryder Brooks Walpole, courtesy of Amy Hough Photography

Blair Walpole, Marketing Coordinator

Seasons Marketing Coordinator, Blair Walpole and husband, J., welcomed healthy baby boy Ryder Brooks Walpole on Friday, August 19th, 2011 at 6:29 p.m. Ryder was 20 inches long and weighed 8 lbs. and 10 ounces.

“Ryder is our little miracle,” says Walpole. “Our lives have been turned upside-down; he has stolen our hearts.” Since his long-awaited arrival, he has attended all 3 Louisiana Tech home football games. He is certainly following his parents footsteps as one of the youngest Louisiana Tech fans! “We look forward to every stage of his life; he surprises us everyday with something new! Being a parent is one of the greatest gifts.”

Ryder Brooks Walpole, courtesy of Amy Hough Photography

Ryder Brooks Walpole, courtesy of Amy Hough Photography

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Smartphones, Seasons, and Special Offers!

Everywhere you look, smartphones have become more than just a communication device.

They are an accessory we can’t live without. At Seasons, utilizing the latest technology is a commitment, both for your health and wellness as well as your convenience.

One fun way we’re utilizing technology for your convenience is with the use of QR Codes. Notice below a barcode arranged in a square pattern. Each QR code is embedded with data that will take your smartphone on a journey! A QR code might contain a coupon. It could contain information about products. Or it might even link to a website. QR codes are a quick and easy source of information for consumers.

So how do you read a QR code? Depending on the type of smartphone you have, you’ll need to download a free app called a code reader. We’ve tried RedLaser and QRReader, but there are many that work well. Once you’ve downloaded a code reading app, just scan the QR code using your camera and watch the magic happen! Who knew technology could be so much fun?

 

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Handle with Care: 7 Steps to Cure Medical Debt

pay your bills

Image by sarawestermark via Flickr

Medical Bills. A horrible enemy that attacks the family budget. They just don’t stop coming. One surgery, one accident, one runny nose; the bills just keep flooding in the mailbox. You’re not prepared, and bills have got to be paid. What is your defense mechanism?

Rather than letting the bills pile up, there is a temporary solution to consolidate all of your medical bills with no interest financing. “CareCredit is a personal line of credit for healthcare treatments and procedures for your entire family, including your pets. Simply pay your minimum monthly payment and pay off the entire balance by the end of your promotional period* and you pay No Interest.”

So, how do you get started? Here’s 7 steps to help cure your medical debt with CareCredit:

1. Find a provider that accepts CareCredit. CareCredit is accepted by over 140,000 providers nationwide for services including Cosmetic Services and Procedures, Surgery, LASIK, Dentistry, Hearing Care, Veterinary Care, and more! Visit www.carecredit.com to find a provider near you!

2. Pick a Payment Plan. Not all practices offer every payment plan. Contact your healthcare provider to find out which plans are offered. Be sure to speak with the office manager or billing advisor.

3. Estimate Monthly Payments. The CareCredit website offers a Monthly Payment Calculator. This convenient service offers clients the ability to see what the projected payments will be based on the payment plan you decide on.

4. Apply for your Card. The application process is simple. It can be done through the providers office by filling out an application, online, or by simply by calling 1-800-677-0718. Upon applying, you will instantly learn if you are approved.

5. Visit your Healthcare Provider. Once you receive your CareCredit card, you will be able to use it at your chosen healthcare provider and other providers that accept CareCredit. This process works with ease, just as if you were to use a credit or debit card, no questions asked!

6. Anticipate Interest-Free Payments. Your interest-free payments will appear on a billing statement within 30 days of your charge being processed. For your convenience, payments can be made online simply by accessing your online CareCredit account.

7. Use it again and again. Once you have a CareCredit card, you will be able to use it again for additional medical expenses that come up for your family, including your pets. Like any other credit card, as long as you are in good standing and you have available credit, you can use CareCredit anywhere the card is accepted.

So, there you have it! Forget other credit card companies that want to scalp you with outrageous interest fees. Do yourself a favor and take a ‘careful’ approach to your family medical expenses. For questions about how to apply at Seasons, please contact our Clinical Manager at 255-3223 or our Spa Coordinator at 255-1155.

*No interest promotional periods must be paid in full within 6, 12, 18 or 24 months on purchases with your CareCredit card. Minimum monthly payments are required.

www.carecredit.com

 

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Best of the Best

It’s that time of year again. Northeast Louisiana will cast its vote for Best of the Best.

Each year, Delta Style Magazine asks local readers to to cast their votes for “Best of the Delta,” culminating in a list of the Top 3 in each category available. In 2010, Seasons – The Spa was honored to be named “Best of the Delta” in the category of Medi-Spa by the readers of Delta Style Magazine. And now we turn our attention to 2011.

This year, Seasons  is nominated in three categories including Best Medi-Spa, Best Day Spa, and Best Massage Therapist – Bethany Cox. We are so very grateful to our clients and friends for the nomination in each of those categories. That means you’ve already voted us in the Top 3 in each of those categories.

To cast your vote for Best of the Delta finalists, click here and we’ll link you to the final ballot.

 

Thanks for the nominations!

We think you are the “Best of the Delta” as well!

Click here to vote for Seasons ~ Best of the Delta 2011

Why Doesn’t My Endocrinologist Know All Of This?

The following guest post is provided to you by The National Academy of Hypothyroidism, which is a non-profit, multidisciplinary medical society dedicated to the dissemination of new information on the diagnosis and treatment of hypothyroidism. The National Academy of Hypothyroidism is a group of thyroidologists, headed by Kent Holtorf, M.D., who are dedicated to the promotion of scientifically sound and medically validated concepts and information pertaining to the diagnosis and treatment of hypothyroidism. For more information, visit their website: nahypothyroidism.org.

A question often raised by patients is: “Why doesn’t my physician know about the inaccuracies and limitations of standard thyroid tests?” The reason is that the overwhelming majority of physicians (endocrinologists, internists, family practitioners, rheumatologists, etc.) do not read medical journals. When asked, most doctors will claim that they routinely read medical journals, but this has been shown not to be the case. Many reasons exist, but it comes down to the fact that doctors do not have the time — they are too busy running their practices. The overwhelming majority of physicians rely on what they have learned in medical school and on consensus statements by medical societies, such as the Endocrine Society, the American Association of Clinical Endocrinologists or the American Thyroid Association, to direct treatment decisions.

Conversation between doctor and patient/consumer.

Historically, relying on a consensus statement to treat or not to treat a particular patient has been shown to result in poor care and, as such, society consensus statements and practice guidelines are considered to be worst level of evidence in support of a particular therapy or treatment. A number of organizations, including the World Health Organization and others, have ranked the strength and accuracy of various types of evidence used in the medical decision process. In all scoring systems, the highest strength of evidence is randomized control trials and meta-analyses, with lower scores for other types of evidence. All grading systems place consensus statements and expert opinion by respected authorities (societies) as the poorest level of evidence, because historically they have failed to adopt new concepts and treatments based on new knowledge or new-found understanding demonstrated in the medical literature (1-6).

For instance, a recent study published in the 2009 Journal of the American Medical Association studied the evidence supporting the practice guidelines and consensus statements published by the American College of Cardiology and the American Heart Association. It was found that only 11% of the recommendations, practice guidelines and consensus statements were based on quality evidence and over half were based on poor quality evidence that was little more than the panel’s opinion. The review also found that even the strongest (Class 1) recommendations, which are considered medical dogma, cited as a legal standards and often go unquestioned as medical fact, were only supported by high quality evidence 19% of the time and not revised based on new evidence (6).

Similarly, the Endocrine Society, the American Association of Clinical Endocrinologists and the American Thyroid Association also have a long history of guidelines and recommendations that are not supported by the medical literature and fail to adjust or abandon recommendations when new understanding and knowledge contradicts their recommendations. A case in point is the recommendation by these societies that a normal TSH adequately rules out thyroid dysfunction, despite massive amounts of literature that demonstrate this not to be the case (see Diagnosis of Hypothyroidism) or that T4 only replacement is adequate for most patients. A doctor who simply follows outdated society treatment guidelines that relies on a simple laboratory test and ignores the clinical aspects of a patient is not practicing evidence-based medicine. (1-7). Such doctors may be adequate as lab technicians, but as doctors and clinicians they fall short (1-7). This method of practice is consistently rebuked as improper and poor medicine, but has become the standard used by a large percentage of endocrinologists and physicians who feel medicine can be related to simply reading “normal” or “abnormal” in a laboratory column.

Discussing the lack of scientific basis of most medical society’s consensus statements and treatment guidelines in Internal Medicine News, Dr. Diana Petritti states, “Expert opinion and consensus statements can be quite misleading when used as the basis for a practice. Expert opinions imply that there is something that the experts know that clinician doesn’t know. I don’t think it’s always appreciated that it’s only opinion. There is a tendency to make guidelines and recommendations seem authoritative. I believe that physicians think that there is a great deal more behind authoritative recommendations than there might be when you lift the lid of the box and see what’s underneath(8).”

There has been significant concern by health care organizations and medical experts that physicians are placing too much reliance on consensus statements and failing to learn of new information presented in medical journals. Thus, they lack the ability to translate this new information into treatments for their patients. The concern is that doctors fail to practice evidence-based medicine, erroneously relying on what they have previously been taught and on “expert” societies instead of changing treatment philosophies based on new information as it becomes available. This is especially true for endocrinological conditions, where physicians are very resistant to changing old concepts of diagnosis and treatment — despite overwhelming evidence to the contrary — because it is not what they were taught in medical school and endocrinology residency.

This concern is particularly clear in an article published in the New England Journal of Medicine entitled “Clinical Research to Clinical Practice: Lost in Translation” (9). The article was written by Claude Lenfant, M.D., Director of National Heart, Lung and Blood Institute, and it is well supported. He states that there is great concern that doctors continue to rely on what they learned 20 years before and are uninformed about scientific findings. According to Dr. Lenfant, medical researchers, along with public officials and political leaders, are increasingly concerned about physicians’ inability to translate research findings in their medical practice to benefit their patients. He says that very few physicians learn about new discoveries from reading medical journals or by attending scientific conferences; thus, they lack the ability to translate new knowledge in the field into enhanced treatments for their patients. He states that a review of past medical discoveries reveals how excruciatingly slow the medical establishment is to adopt novel concepts, noting that even simple methods to improve medical quality are often met with fierce resistance. “Given the ever-growing sophistication of our scientific knowledge and the additional new discoveries that are likely in the future, many of us harbor an uneasy, but quite realistic suspicion that this gap between what we know about disease and what we do to prevent and treat them will become even wider. And it is not just recent research results that are not finding their way into clinical practice; there is plenty of evidence that ‘old’ research outcome have been lost in translation as well (1).”

Dr. Lenfant discusses the fact that the proper practice of medicine involves the combination of medical knowledge, intuition and judgment and that physicians’ knowledge is lacking because they don’t keep up with the medical literature. He states that there is often a difference of opinion among physicians and reviewing entities, but that judgment and knowledge of the research pertaining to the patient’s condition is central to the responsible practice of medicine. “Enormous amounts of new knowledge are barreling down the information highway, but they are not arriving at the doorsteps of our patients. (9).”

These thoughts are echoed by physicians who have researched this issue as well, such as William Shankle, M.D., Professor, University of California, Irvine. He states, “Most doctors are practicing 10 to 20 years behind the available medical literature and continue to practice what they learned in medical school….There is a breakdown in the transfer of information from the research to the overwhelming majority of practicing physicians. Doctors do not seek to implement new treatments that are supported in the literature or change treatments that are not (10).”

This view is echoed by the Dean of Stanford University School of Medicine who states that in the absence of translational medicine the delivery of medical care would remain stagnant and uninformed by the tremendous progress taking place in science and medicine (11).

This concern has also received significant publicity in the mainstream media. An example is an article by Sidney Smith, M.D., former president of the American Heart Association, published in 2003 in the Wall Street Journal entitled “Too Many Patients Never Reap the Benefits of Great Research.” Dr. Smith is very critical of physicians for not seeking out available information and applying that information to their patients, arguing that doctors feel the best medicine is what they’ve been doing and thinking for years. They discount new research, Dr. Smith says, because it is not what they have been taught or practiced, and they refuse to admit that what they have been doing or thinking for many years is not the best medicine. He states, “A large part of the problem is the real resistance of physicians…; many of these independent-minded souls don’t like being told that science knows best, and the way they’ve always done things is second-rate (12).” The National Center for Policy Analysis also expresses concern for the lack of ability of physicians to translate medical therapies into practice (13).

A review published in The Annals of Internal Medicine found that there is clearly a problem of physicians not seeking to advance their knowledge by reviewing the current literature, believing proper care is what they learned in medical school or residency and not basing their treatments on the most current research. The review found that the longer a physician is in practice, the more inappropriate and substandard the care (14). Thus, it is not a surprise that the scientific evidence as expressed in the literature is often opposite to what is continually repeated as dogma by most physicians and those considered to be “experts.”

Another example is a study published in the Journal of the American Medical Informatics Association (15). In reviewing the study, the National Institute of Medicine reports that there is an unacceptable lag between the discovery of new treatment modalities and their acceptance into routine care: “The lag between the discovery of more effective forms of treatment and their incorporation into routine patient care averages 17 years.” (16) In response to this unacceptable lag, the Business and Professions Code passed an amendment relating to the healing arts. This amendment — CA Assembly Bill 592; An Act to Amend Section 2234.1 of the Business and Professions Code — states: Since the National Institute of Medicine has reported that it can take up to 17 years for a new best practice to reach the average physician and surgeon, it is prudent to give attention to new developments not only in general medical care but in the actual treatment of specific diseases, particularly those that are not yet broadly recognized [such as the concept of tissue hypothyroidism, chronic fatigue syndrome and fibromyalgia] (17).

The Principals of Medical Ethics adopted by the American Medical Association in 1980 states that a physician shall continue to study, apply, and advance scientific knowledge, make relevant information available to patients, colleagues, and the public (18). This has, unfortunately, been replaced with a goal of providing merely “adequate” care. The current insurance reimbursement system in the United States fosters this thinking, as the worst physicians are financially rewarded by insurance companies. While it is true that the best physicians are continually fighting to provide cutting edge treatments and superior care that the insurance companies deem not medically necessary, even these physicians eventually get worn down and are forced to capitulate to the current system that promotes substandard care.

This was clearly demonstrated in a study published in the March 2006 edition of The New England Journal of Medicine entitled “Who is at Greater Risk for Receiving Poor-Quality Health Care.” The study found that the majority of individuals received substandard, poor-quality care, and that there was no significant difference among different income levels or whether or not the individual was covered by insurance. It used to be the case that only those in low socioeconomic classes without insurance received poor-quality care. But insurance company restrictions on treatments and diagnostic procedures have made the same poor care afforded to those of low socioeconomic status the new standard-of-care for society at large (19). An example of this is a physician’s failing to spend the time to adequately assess a potential hypothyroid patient and instead simply does a TSH test.

Most physicians will satisfy their required amount of continuing medical education (CME) by going to a conference a year, usually at a highly desirable location that has skiing, golf, boating, etc. Physicians are rarely monitored as to whether or not they actually showed up for the lectures or went skiing instead. One must also understand that the majority of conferences organized by medical societies are in fact sponsored by pharmaceutical companies. These payments by pharmaceutical companies are called unrestricted grants, so that the society has free reign to do what they want with the money and thus can claim there is no influence of lecture content by the companies. The problem, however, is that if the society wants to continue getting these “unrestricted” grants, they must think twice about providing content that the sponsoring pharmaceutical company might disapprove of. Consequently, ground breaking research that goes against the status quo and does not support the drug industry receives little attention.

Evidence-based medicine involves the synthesis of all available data when comparing therapeutic options for patients. Evidence-based medicine does not mean that data should be ignored until a randomized control trial of a particular size and duration is completed. A physician who tries to avoid the need of being a physician and is fine with just being a technician or health care provider will adamantly defend the “one-size fits all” method of diagnosis and treatment. But the best doctors who truly practice evidence-based medicine and not merely the perception of such will not rely on consensus statements to best provide their patients. Instead of relying on old dogma, the best physicians will seek out and translate both basic science results and clinical outcomes to decide on the safest, most efficacious treatment for their patients. Further, the best physicians will continually assess the current available data to decide which therapies are likely to carry the greatest benefits for patients and involve the lowest risks.

References

1. Amerling R, Winchester JF, Ronco C, “Guidelines have done more harm than good,”Blood Purification 2008;26;73-76.

2. Guirguis-Blake J, Calonge N, Miller T, Siu A, Teutsch S, Whitlock E., “Current processes of the U.S. Preventive Services Task Force: refining evidence-based recommendation development”. Ann. Intern. Med 2007; 147(2):117–22.

3. Barton MB, Miller T, Wolff T, et al. “How to read the new recommendation statement: methods update from the U.S. Preventive Services Task Force,” Ann. Intern. Med 2007;147(2):123–7.

4. CEBM > EBM Tools > Finding the Evidence > Levels of Evidence http://www.cebm.net/levels_of_evidence.asp#levels.

5. Atkins D, Best D, Briss PA, et al. (2004). “Grading quality of evidence and strength of recommendations,” BMJ 2004;328 (7454):1490.

6. Tricoci P, Allen JM, Kramer KM, et al. Scientific evidnce underlying the ACC/AHA clincal practice guidelines. JAMA 2009;301(8):831-841.

7. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS (January 1996). “Evidence based medicine: what it is and what it isn’t”. BMJ 312 (7023): 71–2.

8. Zoler ML. Half of cardiac guidelines are not evidence based: Expert opinion under scrutiny,” Internal Medicine News 2009;42(7):1,8.

9. Lenfant C, New England Journal of Medicine, “Clinical Research to Clinical Practice: Lost in Translation” 2003;349:868-874.

10. William Shankle, M.D., Key Note Presentation. International Conference on the Integrative Medical approach to the Prevention of Alzheimer’s Disease. Oct 11, 2003.

11. Phillip Pizzo , M.D., Stanford Medical Magazine. Stanford University Scholl of Medicine.

12. Begley S., “Too Many Patients Never Reap the Benefits of Great Research” Wall Street Journal, September 26, 2003.

13. “Science Know Best,” Daily Policy Digest. National Center for Policy Analysis, Sept 26, 2003.

14. Niteesh. C et al., “Systematic Review: The relationship between Clinical experience and quality of health care,” Annals of Internal Medicine.

15. Balas, E.A. 2001,” Information Systems Can Prevent Errors and Improve Quality,” Journal of the American Medical Informatics Association 8 (4):398-9.

16. National Institute of Medicine Report, 2003b

17. BILL NUMBER: AB 592 AMENDED BILL TEXT; AMENDED IN ASSEMBLY APRIL 4, 2005, INTRODUCED BY Assembly Member Yee FEBRUARY 17, 2005 . An act to amend Section 2234.1 of the Business and Professions Code, relating to healing arts.

18. The Principals of Medical Ethics adopted by the American Medical Association in 1980.

19. Asch SM et al., “Who is at Greater Risk for Receiving Poor-Quality Health Care,” New England Journal of Medicine 2006; 354:1147-1155.

 

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Peaches: A Sweet Approach to Weightloss

Valerie Costanza, RD

At Seasons Wellness Clinic, we know wellness is not about taking a prescription medication to control a symptom. True wellness is the result of balancing five key points: nutrition, exercise, hormone balance, inflammation reduction and detoxification. The Wellness Weight Loss program, offered at Seasons Wellness Clinic, addresses each of the five points of wellness to help you achieve not only weight loss goals, but more importantly your health and wellness goals.

As a dietitian, it is very rare that I see a client that does not have a symptom of some sort. For example, most people tell me they have heartburn, gas, bloating, high blood pressure, high cholesterol, headaches, fatigue, insomnia or sinus pain. Any symptom that you are experiencing is a sign your body is telling you that something is not right. Our bodies are very efficient at telling us we need to address a problem. Wellness Weight Loss will address each of your symptoms by correcting the cause not just covering it up with a medication.

Whole body transformation starts with a willingness to change. From my point of view, nutrition is the best place to start (being a dietitian, I may be a little partial!). One of the best things for your health is to eat local foods. Living in the south, we are blessed with the ability to grow beautiful and nutritious peaches. Not only are peaches great for reviving your skin, but they have benefits that include aiding weight loss, preventing heart disease and high blood pressure and they contain an abundance of antioxidants. This month, take advantage of the local harvest and enjoy a fresh peach or two!

 

Blueberry Peach Crisp

This quick and easy dessert takes only a few minutes to put together. It’s a delicious way to enjoy nutrient-rich blueberries. For a twist on the recipe, top with a little vanilla yogurt. This dessert recipe is good enough for company and easy enough to prepare regularly for your family.

Prep and Cook Time: 10 minutes, cooking time: 45 minutes

 

 

 

 

 

 

 

Ingredients:
10 oz fresh or frozen blueberries
1 lb of fresh or frozen peach slices
¼ cup apple juice
Topping
½ cup almonds
½ cup rolled oats
1 cup pitted dates
2 TBS apple juice
½ tsp cinnamon

Directions:

  1. Preheat over to 350F (175C). Place blueberries in the bottom of a square 8-inch baking pan. If you are using frozen, make sure they are completely thawed and drained of excess water. Place peach slices on top of blueberries. If they are frozen make sure they are also thawed and drained of excess water. Drizzle ¼ cup apple juice over fruit.
  2. Remove pits from dates and place in the bowl of a food processor along with oats, almonds and cinnamon. After running the food processor for a minute and the dates have blended with oats and almonds, add apple juice, and mix well.
  3. Place mixture evenly over peaches and blueberries, and bake uncovered for about 45 minutes. Serve warm or cool.
Serves 4

The recipe above is courtesy of whfoods.com. For more information about the Wellness Weight Loss program and additional services offered at Seasons Wellness Clinic, visit seasonswc.com or call 318-255-3223.

 

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