Seasons Wellness Clinic

Get Your Body Back On Track With These 5 Points of Wellness

Dr. Nathan Goodyear, Overseeing Physician at Seasons Wellness Clinic

“What is Seasons? And what do you do?”

These are questions I am often asked. In short, Seasons breaks free from the disease model of medicine. Our focus is wellness by optimizing your health. What does this mean? Just because you are free of disease does not mean you have great health. A wellness model of medicine is the only way to prevent disease and promote healthy living.

At Seasons, we work to achieve health and wellness with balance using our 5 Points of Wellness: Nutrition, Exercise, Hormones, Inflammation, and Detoxification.

NUTRITION
Are nutrition and health related? Absolutely. We are what we eat. Hippocrates said it best, “Let food be your medicine and medicine be your food.” Your diet must be individualized to meet your metabolic needs, limit inflammatory responses, and meet your lifestyle demands.

We offer personalized nutritional counseling to develop a plan for disease management, disease prevention, and overall good health. At Seasons, your nutritional plan is individualized to meet your needs in a way that fits your lifestyle.

EXERCISE
Exercise is an important part of any weight-loss or weight-maintenance program. Maintaining healthy weight is an excellent benefit of exercise, but it does so much more for your body. Exercise builds muscle, relieves stress, and helps to detoxify, just to name a few. However, too much exercise can severely harm the body.

At Seasons, we work to maximize your calorie expenditure, while reducing the damage to your body from excessive exercise. We do this in a way to match your lifestyle and your physical abilities.

Valerie Costanza, RD will develop a nutritional plan that is created to meet your individual needs in a way that fits your lifestyle.

HORMONES
Regardless of your age, your body needs hormones to function. Hormones are a means of communication with your body. And balance of those hormones is the key. Sure, it would be great if men were just a Testosterone sponge; or women just an Estrogen factory. But, that is not the case and the key is to create a balance. When your hormones are balanced, so are you. When your hormones are not balanced, your body will let you know.

Your hormone balance is unique and will change based on factors such as weight loss, weight gain, stress, and even nutrition. The only way to determine your imbalance is to share any symptoms you may be having with your healthcare team at Seasons. This gives us information on where to look for hormone imbalance issues. Only then can we identify your particular imbalance and formulate a plan to balance your hormones. Balanced hormones = better health.

INFLAMMATION
Inflammation is the greatest obstacle to good health and is a part of the body’s immune system signaling department. Pain, redness, swelling, heat, and loss of function are common manifestations of inflammation. Inflammation is not new. The first four classical signs were described by Celsus (30 BC – 38 AD).

The source of inflammation is unique to each person. It may be due to deficiencies, such as vitamin D, poor dietary intake of antioxidants, such as resveratrol and curcumin, or even a deficiency of fish (low Omega-3 intake leads to inflammation). Your gut could also be the source of inflammation! Did you know that up to 75% of your immune system lines your gut? In many ways, your health starts with your gut.

The source of inflammation is as different as the individual. The only way to identify your unique source of inflammation is through symptom evaluation and state-of-the-art testing. At Seasons we can identify the causes of inflammation and implement specific therapy to eliminate inflammation, which can be as diverse as parasite treatment to dietary changes.

DETOXIFICATION
We live in a toxic world today. There is no way around that! According to a recent study, detectable levels of toxins were found in up to 99% of pregnant women even though many of these chemicals have been banned since the early 1970’s. This number will only rise with the approximately 1,800 new chemicals approved annually. This tidal wave of toxins are overwhelming our detoxifications systems proven by the exponential rise in rates of autism spectrum disorder and neurodegenerative diseases such as Alzheimer’s, Parkinson’s and Multiple Sclerosis.

The ability to detoxify is critical to health. Every cell must detoxify. At Seasons, we evaluate your individual ability to detoxify with state-of-the-art testing and treat those areas that are dysfunctional. We focus on your major detox organs — liver, skin, kidneys, lymphatics, and GI tract — through which every cell in the body must detoxify. We provide a detoxification plan to meet your specific toxic load and to support your identified needs.

WHAT NEXT?
At Seasons, we offer individualized therapy to aggressively eliminate the obstacles to good health and maximize your body’s performance. We are not your disease doctor, we are your partners in health. We work to restore your health and then maintain that good health.

As Aristotle said, “The whole is more than the sum of its parts.” And at Seasons, our holistic approach encompasses all the body’s functions creating one plan giving you the tools you need to pursue wellness.

Questions? Spend some time on our website getting to know us and what we do. Then call 318.255.3223 and speak with one of our Patient Relations Specialists. Remember, good health is a choice. And at Seasons, we offer you that opportunity. Don’t miss your opportunity to choose a health and wellness lifestyle.

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Patti Wall: A Story of Weight Loss, Rejuvenation, and Life Change

Dr. Nathan Goodyear To Speak at Health & Wellness Conference

Dr. Nathan Goodyear

Dr. Nathan Goodyear of Seasons Wellness Clinic will be speaking at the ZRT Laboratory Conference for The Balance For Health & Wellness on November 4-5, 2011 at the World Market Center in Orlando, Florida.

“Featured at the conference are world-class experts presenting evidence-based science focused on prevention, diagnosis and management within a broad range of health and wellness topics inside hormone replacement therapy, anti-aging and functional medicine” [zrtlab.com]. It is an extraordinary honor to be asked to speak at The Balance For Health & Wellness Conference and Dr. Goodyear is looking forward to the event.

“My hope is to continue to lead metabolic medicine to the forefront, to bring new physicians into the metabolic medicine field and to help lead the health and wellness revolution,” said Dr. Goodyear. “This gets to the heart of the reason why I went into medicine – to reach true healing and obtain real prevention, not just early detection, and to look to God’s creation to discover true wellness through health restoration.”

Dr. Goodyear will be speaking on the following topics: male Metabolic Syndrome, Polycystic Ovary Syndrome (PCOS), PMS, infertility, and fatigue. He will provide insight on various health imbalances, symptoms and disease states. He will also discuss case studies demonstrating evaluation, treatment options, and follow-up for different imbalance states. In addition to Dr. Nathan Goodyear, the two day conference features three other expert speakers: Alicia Stanton, M.D., David Zava, Ph.D., Jim Paoletti, R.Ph.

ZRT is a diagnostic laboratory dedicated to supporting consumers and healthcare professionals in health management through accurate, convenient and innovative lab testing. Established in 1998, ZRT Laboratory is a CLIA certified saliva hormone testing facility serving the global community utilizing the most advanced technologies to help providers and patients detect hormonal imbalances, and Cardio Metabolic risk, while also providing testing for Vitamin D and Iodine deficiencies. “The mission of the The Balance For Health & Wellness Conference is to provide continuing education which will improve, promote and enhance clinicians’ competence and performance as well as patient outcomes” [zrtlab.com].

Alicia Stanton, M.D.

Alicia Stanton, M.D. is one of the world’s leading specialists in hormone therapy. Dr. Alicia Stanton focuses her practice and research on preventative medicine, anti-aging and maintaining health through fitness, nutrition, and bio-identical hormone therapy. By using hormone treatment and other alternatives to prescription medicine, Dr. Stanton has been able to help men and women make a lifestyle change through a holistic approach that leads to a healthier, happier life. Dr. Alicia Stanton is co-author of the book Hormone Harmony: How to Balance Insulin, Cortisol, Thyroid, Estrogen, Progesterone and Testosterone To Live Your Best Life. Hormone Harmony addresses millions of women who are struggling with hormone imbalance. Follow Dr. Stanton on Twitter @AliciaStantonMD for tips on nutrition and how to lead a healthy and happy life.

 

 

 

David Zava, Ph.D.

David Zava, Ph.D., is the President and Director of ZRT Laboratory in Portland, OR. He is a Ph.D. graduate in Biochemistry from the University of Tennessee with extensive experience in breast cancer research. He  is an internationally known speaker and leading expert in the field of hormone health. Over the past 25 years, he has published extensively on basic and clinical research relating to the effects of estrogens and progesterone on breast cancer. Dr. Zava is co-author with Dr. John Lee of the breakthrough book on preventing breast cancer: What Your Doctor May Not Tell You About Breast Cancer: How Hormone Balance May Save Your Life.

 

 

 

Jim Paoletti, R.Ph.

Jim Paoletti, Pharmacist, is the Director of Provider Education at ZRT Laboratory. Jim has over 25 years experience in bioidentical hormone therapies both in clinical practice in retail pharmacy, as a pharmacy consultant, educator, and educational program developer. Jim was instrumental in developing a compounding laboratory at the Medicine Shoppe, Beavercreek, Ohio. As the Vice President/Director of Continuing Education for Professional Compounding Centers of America, Inc. (PCCA), Jim developed and implemented Continuing Education programs for doctors, nurses, and pharmacists. He also consulted with compounding pharmacists located throughout the United States, in Canada, Australia, and New Zealand, helping them to solve patients’ unique medication problems. Follow Jim on Twitter @JimPaoletti for updates on his speaking events and news on bioidentical hormone therapies.

 


Dr. Nathan Goodyear

Dr. Nathan Goodyear is the founder and lead physician at Seasons Wellness Clinic and is dedicated to offering the latest advancements in traditional medicine with the most holistic approach to treatment possible. Dr. Goodyear received his Bachelor of Arts from Louisiana Tech University and Doctor of Medicine from LSU Health Sciences Center. He is Board Certified in Gynecology and a Fellowship Trained Metabolic Specialist (Anti-Aging/Regenerative Medicine). He recently completed his Master of Science studies in Anti-Aging and Regenerative Medicine.  Follow Dr. Goodyear on Twitter @drgoodyear and Seasons @SeasonsWC for the latest news on health and wellness.

Managing Stress With Facial Reflexology

One word can sum up the root of most illnesses in America today. And the word is…stress!

Stress can cause a variety of problems from wrinkles, to ulcers, to more severe illnesses such as cancer. At Seasons, we offer services to help manage stress including Facial Reflexology. Not only is Facial Reflexology relaxing, but it is a natural way to improve the body’s function and appearance from the inside out. A soothing Facial Reflexology treatment is performed by the practitioner applying pressure on different points of the face and scalp, as well as massaging specific areas searching for deposits or “knots” under the skin. These deposits will reveal problematic areas that can act as the base of future treatments. Symptoms can be treated over time through working with these deposit areas. Each client is unique and some treatments are recommended through a series of 4 or more treatments.

Bethany Cox, LMT & Certified Facial Reflexologist

 

“Following a Facial Reflexology session, most clients feel deeply relaxed with a healthier complexion. Individuals should get plenty of rest and consume plenty of water to support the body in its transition.”  – Bethany Cox, LMT & LFR

 

What is Facial Reflexology?

Facial Reflexology combines the modern science of neurology with ancient therapies of Traditional Chinese Medicine, South American Zone Therapy, Vietnamese face maps, and Acupuncture points. This technique of Facial Reflexology was developed by Lone Sorenson. Sorenson’s technique is based around the idea that by using finger tip pressure, you can stimulate a release of endorphins and serotonin, leaving the face feeling relaxed and rejuvenated. This stimulation sends impulses through the central nervous system and the meridians to the physical body and the major organs. Sorenson’s technique of Facial Reflexology stimulates blood circulation and lymphatic drainage in addition to balancing hormones and leveling emotions. The technique calms the body and allows it to heal naturally.

Want more information about the benefits of Facial Reflexology? Check out our other blog posts:

To schedule your Facial Reflexology session or a consultation with our Facial Reflexologist, call Seasons – The Spa at 318.255.1155.

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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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Wellness Open House

Dr. Nathan Goodyear

The staff at Seasons would like to invite the public to wine and dine with them at their Wellness Open House from 5-8 p.m. Oct. 21. Guests can take a tour of Seasons’ new location at beautiful Northpointe Office Park in Ruston, learn about the many new services they now offer, and help raise money for Susan G. Komen for the Cure.

On hand will be Seasons’ friendly and highly-trained aestheticians Lisa Best and Joy Smith, massage therapists Bethany Cox and Aaron Jennings, RNs Susan McWhorter, Jennifer Johnson, and Amanda Williams, registered dietitian Valerie Costanza, nurse practitioner Anna Stephens, as well as board-certified and fellowship trained Metabolic Specialist Dr. Nathan Goodyear. In addition to the entire Seasons staff, representatives from respected companies such as Guinot, Xymogen, Allergan, Sprayology, and more will attend.

Lobby of Seasons Wellness Clinic in Ruston, La.

Guests can freely make their way through Seasons Wellness Center and Seasons — The Spa by following the event maps available at the door. They’ll find stations set up throughout the facility where they can test Seasons’ products and services, ask questions and learn more about what Seasons has to offer.
With the purchase of a gift card during the event and during the entire month of October, the business will donate 10 percent of the total to Susan G. Komen for the Cure in support of Breast Cancer Awareness Month. Gift wrapping is complimentary.

Relaxing Hot Stone Massage by Bethany Cox, LMT of Seasons - The Spa

Purchasing a gift card or just simply making a donation to Susan G. Komen for the Cure at this event enters guests into a drawing to win a Seasons Spa Package featuring Smooth Shapes. The lucky winner will say good-bye to cellulite with this pain-free treatment that uses dynamic laser and light energy to tighten and smooth skin. The Smooth Shapes treatment also regenerates collagen, improves circulation, and restores metabolic processes. The package includes a series of eight treatments and is valued at $2,000. Additional door prizes will also be awarded.

So, save the date, get a babysitter, and come join us for a fun event for a good cause.

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Hormones And Their Effects On The Body

Dr. Nathan Goodyear

People ask me all the time for more information about hormones and why we need them. Hormones are the communication tools of the body. They deliver messages. So here is a list of a few hormones and what they contribute to your body.

Estrogen

  • Protects against osteoporosis, heart disease, memory loss, colon cancer, incontinence and tooth loss
  • Enhances sleep, emotional well-being, mental acuity and focus, memory, attention span, communication ability, vision, hearing, taste, touch, smell, digestion, libido and skin tone.
  • Relieves menopausal symptoms and depression
  • Increases tolerance to pain

Progesterone

  • Has a calming effect and enhances mood
  • Regulates fluid balance
  • Increases blood sugar, thyroid function and mineral balance
  • Relieves menopausal symptoms
  • Decreases risk of endometrial cancer and may help protect against breast cancer and fibrocystic breast disease
  • Protects against osteoporosis and heart disease

Testosterone

  • Builds muscles and promotes muscle tone
  • Increases energy and libido
  • Enhances sense of well-being
  • Helps strengthen bone

DHEA

  • Helps protect against heart disease, osteoporosis, diabetes, cancer, memory loss, lupus, and rheumatoid arthritis
  • Can increase and enhance energy levels, libido, memory and immunity
  • Protects against the effects of stress
  • Aids weight loss and healing of burns
  • Helps to prevent wrinkles and dry eyes

Cortisol

  • Helps in responding and coping with stress, trauma, and infection
  • Increases energy and metabolism
  • Helps regulate blood pressure
  • Enhances the integrity of blood vessels
  • Reduces allergic and inflammatory response

Balance of each of these hormones is a key element of optimal health and absence of disease. Proper testing, a customized treatment plan for out-of-balance hormone levels, and follow-up testing are all important for achieving healthy hormone levels in your body. For more information about metabolic testing at Seasons, contact our office at 318-255-3223 (Ruston) or 318-387-2828 (Monroe).

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From the Doctor’s Desk: Salivary Hormone Testing Backed by Science

Dr. Nathan Goodyear

Testing hormones through saliva is backed by science. But don’t take my word for it. In fact, it is well supported in the medical literature and is the right thing to do.  Below are links to several abstracts regarding salivary hormone testing. Read them for yourself and learn about the science behind this form of hormone testing.

These articles are published in well-respected journals; and if you notice, they are not recent.  Salivary testing of hormones has been well published in the medical literature for some time now.

Here are a few quotes from these studies:

  • “…salivary cortisol may be used as an alternative parameter in dynamic endocrine tests.”
  • “…assessment of ovarian function…can be performed precisely with the saliva estradiol assay.”
  • “…saliva collection has provided the medical and research community with an excellent medium for the monitoring of plasma steroid levels.”

Nowhere else in medicine do we blindly treat people without assessing a baseline and post treatment level(s). Balance is the key; not one individual hormone. Unfortunately, the medical field is very slow to learn and change.

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Confession #8: Hair Today. Gone Tomorrow.

I love a good birthday card. Maxine cards are my favorites — you know, the little old lady with the purple hair. I even have some Maxine slippers with purple hair that my sister-in-law gave me when I turned 40. My kids think they are hilarious. img_1425

Well, I found another hilarious birthday card at the Beehive the other day. I just have to share it with you. It’s not a Maxine card, but it shares the same sarcastic view of life-as-an-aging-woman. “These aren’t chin hairs…they’re stray eyebrows!” is the comment on the front of the card. Those words are decoratively written on a sign held by an obviously-more-mature-but-trying-to-look-younger lady wearing a sash that says “Miss Optimistic.” Inside the card are the words “Happy Birthday to an ageless beauty.”

What is ageless beauty? And how about those stray eyebrows? I’ll save the ageless beauty column for a rainy day, but sister, we are going to talk about those stray eyebrows.

One of the most difficult parts of growing older is hair. And hair is one of those outside garnishments which envelopes the self-esteem of every self-respecting, card-carrying Southern woman! You know, we already have the challenges of heat and humidity around here. But there are also internal challenges that wreak havoc on our pursuit of a “good hair day”.

Did you know that hormones, the body’s communication system, can greatly affect your hair? Two years ago, I was suffering from a great amount of hair loss due to an undiscovered thyroid issue. Handfuls of hair, I’m telling you! Clean out my hairbrush every day kind of hair loss. And to make matters worse, I was growing hair in places I didn’t want it — my ears, my face, my chin, etc.! That was due to an elevated testosterone level. After having my hormones tested and discovering how out-of-whack my hormone levels were, I tried bioidentical hormones, achieved a better hormone balance and the hair started staying on my head instead of jumping off my head and into my hairbrush! Plus, the random hair growth in unwanted places decreased dramatically!

So why am I bringing up a subject we’d rather not talk about? Especially in the holiday/New Year issue of The Minute Magazine? Well, here’s my answer. ‘Tis the season! We’ve got to look good for our holiday parties. And then there’s that whole issue of “New Year/New You” for 2010. With holidays and New Year resolutions approaching, there’s no time like the present to talk about hair!

Hair Tip #1: Hormone Balance

It doesn’t matter what you do, if you don’t solve your body’s mysteries, you will just have to continually deal with this problem. So let’s start with hormone testing. If your doctor doesn’t test hormones, then find one who does. And make sure that you are retested on a periodic basis. Hormones can become unbalanced again due to stress or other events in your body. So this is a constant monitoring process. You and your doctor should have an ongoing dialogue about your hormone levels. And moms, this can affect your teenagers, too. As their hormones fluctuate, hair growth can result. Hormone testing can  be beneficial for teenagers, too.

Hair Tip #2: Waxing

Waxing is a method of semi-permanent hair removal which removes the hair from the root cause. Almost any area of the body can be waxed, including eyebrows, face, bikini area, legs, arms, back, abdomen and feet. New hairs will not grow back in the waxed area for two to eight weeks. I’ve used this method of hair removal since I was a teenager for my brows and lip. It works well, is relatively inexpensive, and available at most salons.

Hair Tip #3: Waxing with Epilar Treatment

This treatment begins with waxing, followed by application of an inhibitor gel and an activator gel. This treatment works on all skin and hair types and can be used on all body parts. The procedure targets hair follicles left empty after waxing, specifically hairs that are active and in the growth phase. Epilar application will also increase the intervals for depilation and leave skin smooth and soft between treatments. I haven’t personally tried this, but I know it is very effective for women who might have a lot of hair on their cheeks and would just prefer to have smoother skin.

Hair Tip #4: Intense Pulsed Light (IPL)

FDA approved for permanent hair reduction, intense pulsed light is fast and very effective in eliminating large areas of unwanted hair. Light is absorbed by the pigment in the hair and converted to heat in the follicle. The heat damages the follicle and disables it from growing new hair. IPL is excellent for areas such as the lip, under arms, or even the bikini area. This treatment lasts only 10 to 15 minutes, works best on darker hair, and is usually recommended in a series of four to six treatments. I have had IPL treatments under my arms. And yes, I rarely have to shave there anymore. This is truly one of my small joys in life! No more itchy, scratchy, five-o’clock shadow in my pits!

Hair Tip #5: Electrolysis

FDA approved for permanent hair removal, electrolysis is a procedure in which individual follicles are destroyed with chemical or heat energy. The hair is then removed with tweezers. Once the follicle is destroyed, it can never reproduce hair. Electrolysis can only be performed by a Licensed Electrologist. Electrolysis works on all hair and skin colors and is great for small areas that can’t be treated with IPL like ears, eyebrows, and for white-blonde, red or gray hair. Many factors influence hair growth, so the number of sessions needed to remove hair permanently from an area will vary. Treatments typically occur once a week and last 15 minutes to one hour. Electrolysis is on my list of things to do. I’d like to never again see a hair on my big toe again! Can anyone relate to that? This is also great for those “stray eyebrow hairs” that show up on your chin!

Images of Christmastime

Images of Christmastime

Whew! That’s it. Five tips for hair! And none of them involved cutting, highlighting, styling, weaving, extensions, horse shampoo, or other strange products. While this conversation has been geared towards my lady friends, it applies to our men as well. The ear hair that you would like to see disappear from your honey’s ears (this will help him actually hear the honey-do list you so lovingly give him) can be permanently gone, not to mention the nose hair. I do recommend that you LOVINGLY and DELICATELY talk to your honey about getting his coiffure in order PRIOR to the company’s Christmas party! After all, guys are as sensitive about their hair as we girls are. They just use fewer products — hair gels, straighteners, hairspray, to name a few. This is the moment when you can educate your man about hair removal. And after you make your own appointment, make him an appointment, too!

Elizabeth Haynes Drewett

Elizabeth Haynes Drewett

So if you, like me, would like to reduce or eliminate the hair issues in your life, then join me on the appointment calendar at my favorite two places for hair reduction and removal: Seasons – The Spa and Seasons Medical Aesthetics in association with It’s Permanent. You can find Seasons – The Spa at 1809 Northpointe Lane, Suite 202 in Ruston, LA. You can find Seasons Medical Aesthetics in association with It’s Permanent in Monroe at 1033 N. 6th Street. And to make an appointment or get more information about any of these procedures, contact our Ruston office at 318-255-1155 or in Monroe at 318-340-1778. In the meantime, girls, let’s put our best hair (and hair removed) forward!

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From The Doctor’s Desk: The Moral of the Story? Hormone Balance Key To Reducing Breast Cancer Potential.

Dr. Nathan Goodyear

Dr. Nathan Goodyear

I have four kids that range in age from four to eleven. One of my favorite things to do is read them a great story. So today, let’s talk about some very important stories and the moral each one presents.

The story about breast cancer potential has more characters than just estrogen and progesterone as we discussed in my last post. There are other hormones that are integral characters in that story also. As you will learn in this post, the moral to the breast cancer story is balance — balance between all the hormones in your body.

The Story On Dehydroepiandrosterone (DHEA) — Say That One Three Times Fast!

DHEA, a testosterone precursor, is a hormone produced by the adrenal glands and plays a part in breast protection. DHEA plays an important role in supporting the immune system. DHEA stimulates the production of good T-helper lymphocytes-1 and their associated good cytokines: interferon, Interleukin-2 and Tumor Necrosis Factor-beta. This is in contrast to the bad T-helper lymphocytes-2 and their bad cytokines. DHEA levels typically decline as we age. The decrease in DHEA levels are inversely correlated with increasing age-related disease. The strength of this correlation is yet to be determined, but the decline in immune system due to low DHEA is clear. So where does that leave DHEA? Individuals with low DHEA levels have more disease, and in this case, more breast cancer. The moral of this story? Low DHEA = a compromised immune system = breast cancer vulnerability.

Awake Is the New Sleep album coverThe Story On Melatonin — The Sandman Hormone.

Melatonin is the hormone that regulates your sleep cycle. It is produced from the pineal gland in the brain. Low melatonin levels have been linked to breast cancer through the additional benefits of melatonin. Melatonin boosts the immune system, decreases estrogen and progesterone production, and acts as an anti-oxidant. Bench studies (non-human studies) have shown significant increase risks of breast cancer with low melatonin levels. Can you guess what happens as we age? Yes, you guessed it. Our melatonin levels fall. Ever talk to a post-menopausal woman? Most women of that age have sleep-related complaints. The moral of this story? Low melatonin = a compromised immune system = breast cancer vulnerability.

The Story on Thyroid — The Energy Hormone.

How about the thyroid hormone?  The breast cancer link reaches to all hormones and everything seems to involve the thyroid these days! T4 (or better known as synthroid, levoxy, levothryoixine) is one of the most prescribed medicines today. But T4 is a very weak thyroid hormone. In fact, the body is looking for T3, a result of T4 to T3 conversion. The problem is that many individuals don’t convert T4 to T3 well. (Very often I see patients who have been on synthroid for years without symptomatic improvement even though their “levels” are said to be “good”.  I digress. That’s a subject for another post. Let’s get back to the breast cancer link.) Low T4 and T3 levels result in low sex hormone binding globulin levels (SHBG). SHBG is how some hormones are transported. When SHBG levels drop, the free availability of the hormone it transports goes up. In this case, the levels of free estradiol go up. Remember the negative breast implications of estrogen dominance from last weeks post (link)? The moral of this story? Low thyroid = low SHBG = high estradiol = estrogen dominance = breast cancer vulnerability.

The Story On Insulin — The Sugar Storer

Finally, Insulin. Insulin’s primary role is in the storage of glucose. However, due to the large percentage of simple or refined sugars in our diet, insulin resistance has become a major epidemic, and, yes, insulin resistance increases the risk of breast cancer. How, you ask? High simple sugars leads to insulin resistance and PCOS (Polycystic Ovarian Syndrome). As a result, estrogen dominance and excess testosterone are produced which leads to weight gain. Remember that fat cells produce even more estrogen and estrogen stimulates breast cell growth (link). Young women will start their cycles at an earlier age and thus will increase their lifetime exposure to estrogen without appropriate progesterone balance. And to make matters worse, traditional therapy with birth control pills for these young women increases the breast cancer risk even further. The moral of this story? Insulin resistance = estrogen dominance = breast cancer vulnerability.

Change The Ending Of The Story.

Just because any of these hormone deficiencies might produce in you symptoms which you recognize in this post doesn’t mean that you are going to have breast cancer. However, the sooner you seek hormone balance, the quicker you are going to lower your breast cancer vulnerability/potential. As you can see, the hormonal symphony is what is important. Balance! When your hormones are balanced, the result is a symphony, and in turn, your body is in tune and makes beautiful music. But when your hormones are not balanced, then…well, you know the ending of that story. pink ribbon

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