What is the Cost of No Health?
“Health is like money, we never have a true idea of its value until we lose it.” – Josh Billings
The rising cost of healthcare is a big topic today, and rightly so.
In 2009, the cost of healthcare was $2.5 trillion. That is 17% of the United States’ Gross Domestic Product (GDP). This is the highest annual jump as percentage of GDP in history.
And what about health insurance premiums? They are on the rise, too, due to the increase in mandates through the Patient Protection and Affordable Care Act, better known as ObamaCare.
Government healthcare mandates account for up to 50% of the costs of health insurance. According to the Congressional Budget Office, the new federal mandates in the Patient Protection and Affordable Care Act will cause a significant increase in individual health insurance premiums.
What are we getting for these rising costs? Are we healthier? Are we seeing less disease? Are we seeing less cancer? Are we seeing less depression and anxiety? Are we seeing fewer prescriptions? No. The exact opposite is true. Unfortunately, the poor health of Americans is on the rise. In fact, the US consistently ranks low in quality and efficiency of healthcare and ranks #1 for the highest percentage of obesity with 30.6% of all Americans considered obese.
When we talk about health, we are not talking about the cure of disease or about early detection. Instead, the conversation needs to begin with prevention. And prevention can only occur through healthy lifestyle choices.
A snapshot of poor health is to simply look at obesity. We are losing that battle. Obesity is the doorway to disease. According to the Center for Disease Control (CDC), 67% of Americans are overweight and over half of those are obese. In 2010, 38 states had obesity rates above 25%. Contrast that to 1991 when no state had an obesity rate that exceeded 20%.
What about the kids? Ten percent of kids 2-5 are obese, 20% of kids age 6-11 are obese, and 18% of adolescents are obese.
So, what is the cost of poor health? According to a study by the CDC and RTI, the direct and indirect healthcare costs are as high as $147 billion annually. Overweight individuals pay about 42% more in healthcare costs than comparable healthy individuals. This equates to an extra $1,429 out of your pocket annually. And that figure reflects 2009. This amount will only increase annually.
What about individual costs? Remember, obesity is the doorway to disease. So, let’s follow the path of disease development. According to a report released by the George Washington University School of Public Health, the direct individual costs of obesity are $4,879 for women and $2,646 for men annually.
Let’s add the cost of disease to the cost for obesity.
- Diabetes. The diagnosis of diabetes increases by 1 million annually. According to the American Diabetes Association, the annual, individual costs of diabetes is $11,744.
- Cardiovascular disease. For our discussion purposes, this will include high blood pressure, cardiac events, strokes, and associated treatments for an initial event. Kaiser Permanente did a 7-year study of the direct, annual costs of cardiovascular disease. In this study, they found that the direct, individual costs of an initial cardiovascular event was $18,953. A second event would increase the costs by 4.5 times.
- Cancer. According to the American Cancer Society (ACS), the direct total costs were $93.2 billion in 2009. For our discussion purposes, let’s use prostate cancer (the highest incidence in men) and breast cancer (the highest incidence in women).
For prostate cancer, the average costs were divided into 2 categories: watchful waiting and treatment. The costs were followed over 2 years for more than 9,000 men. The direct individual costs of watchful waiting was $24,809. Compare this to the 2-year individual costs of $59,286 for the treatment group.
For post-menopausal women, the annual direct costs of breast cancer was found to be $13,925. The costs of cancer are known to be a “U” curve. The highest costs concentrate in the initial phases and the last phases of disease treatment.
So, let’s add this all together assuming a 5-year window of treatment and assuming aggressive treatment, not watchful waiting.
Again, assuming a 5-year window of treatment, the total costs for men would be $314,930 and $247,505 for women.
Remember, these costs include direct costs only. They do not include indirect costs. Additionally, these numbers are all pre-2011 dollars and are only calculated over 5 years, so the costs are even higher today.
This disease/cost hypothesis assumes the coexistence of obesity, diabetes, cardiovascular disease, and cancer simultaneously. Though the coexistence of all 4 diseases simultaneously is not common, it is very common for obese individuals to have diabetes and cardiovascular disease simultaneously. Then, give time, the risk for the examples of prostate and breast cancer increase significantly. These costs may be spread out over a lifetime, but still would exist.
Obviously, America is not getting healthier and the costs of healthcare continues to increase due to the prevalence of disease. The disease-focused model of healthcare is not working to improve the health of Americans.
We need a disease model to treat disease when it exists. However, the disease model is not effective in producing GOOD health and PREVENTING disease. We need a new health and wellness model. This can only be accomplished through an individual, metabolic analysis and treatment plan. This is the type of treatment we offer at Seasons Wellness Clinic in Ruston, Louisiana and Seasons of Farragut in Tennessee.
“The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet and in the cause and prevention of disease.” – Thomas Edison
According to Wikipedia, the definition of health is this: the level of functional and (or) metabolic efficiency of a living being. Health implies being free from illness, injury or pain.
The cost of healthcare is directly proportional to the lack of health of our citizens. It is by practicing true preventive medicine, increasing the metabolic efficiency of the body, that we will actually reduce the cost of healthcare and provide good health for our nation.
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.
“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:
- 10 Natural Ways to Cure Your Bedtime Blues
- Top 10 Pregnancy Tips
- The Proof Is In The Practice – A Journey to Reflexology
- Treat The Inner and Outer You with Facial Reflexology
To schedule your Facial Reflexology session or a consultation with our Facial Reflexologist, call Seasons – The Spa at 318.255.1155.
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.
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.
Top 10 Natural Ways To Cure Your Bedtime Blues
La belle au bois dormant. In French, this means the beauty asleep in the woods. I would love to feel like that. Wouldn’t you? I have vivid childhood memories of Sleeping Beauty in a peaceful sleep on a beautifully adorned bed awaiting a kiss from the daring and young Prince Philip. Could this really be a curse? Hardly.
60 million Americans suffer from sleep-related disorders each year and would love a night of rest! 18 million prescriptions are written each year for sleeping medications. By taking sleeping pills for your sleep disorder you can experience drug dependence, drug tolerance, drowsiness throughout the day, or you may be masking the underlying problem keeping you from sleep. Seasons has compiled a list of the top 10 natural ways to cure your bedtime blues.
1.Valerian. The use of Valerian dates back to second century A.D.! Scientists believe Valerian increases the amount of GABA in the brain. GABA regulates nerve cells and has a calming effect on anxiety. Although it may take a few weeks for it to be effective, Valerian can reduce the time it takes to fall asleep and improve the quality of sleep itself. Valerian can be bought in capsule form at drugstores or online.
2.Lavender Oil and Body Lotion. Research shows that simply inhaling the soothing scent creates calming and sedative effects. I would suggest putting lavender body lotion all over your body before bedtime or rubbing one to two drops of Lavender in essential oil form over your pillow. Young Living’s Lavender Essential Oil is available at Seasons.
3.SleepEase. SleepEase by Sprayology contains herbs such as Valerian and Chamomile for a restful nights sleep. It treats symptoms of wakefulness, restlessness, emotional stress, anxiety, and caffeine sensitivity. SleepEase does not leave you with the groggy feeling of prescription sleep aids. To use: Spray 2 times under the tongue before bedtime and if sleep is interrupted. At a lower dosage, SleepEase is great for children!
4.SnoreSoother. At one time or another we have all fallen prey to an infamous snorer. Whether it be your husband, wife, child, or perhaps your own noisy habit keeping you from sleep, snoring can ruin a perfectly good nights rest. SnoreSoother by Sprayology consists of ingredients that reach the root of the problem. It has lung extract for bronchial congestion and the promotion of healthy lung tissue, as well as, white aspidosperma bark which eases difficult breathing and asthma symptoms. For best results spray twice under the tongue 3 times per day and if sleep is interrupted.
5.Facial Reflexology. If sleep is a problem for you, it is most likely caused by something else. Using special techniques, reflexology works on the root of your problem by finding the biggest deposit under your skin. After a series of treatments clients begin to notice a difference. As your body begins to heal in the area of the deposit you will find that sleeping becomes easier as well. You can schedule a Facial Reflexology appointment at Seasons. We recommend a series of 8 – 10 for best results.
6.Massage Therapy. This is a relaxing option to improve your sleep patterns. Massages decrease stress hormones, relieve chronic pain and balance your nervous system allowing you to sleep better, especially if your insomnia is stress induced. Seasons offers several massages. We recommend a Hot Stone or Swedish Relaxation massage for consistent sleep habits.
7.Yoga. Yoga gives your body and mind time to meditate. In addition, deep breathing and stretching are important aspects of yoga. Studies show that daily yoga for eight weeks improves total sleep time and the time it takes to fall asleep. Seasons offers yoga classes to those of all levels of experience.
8.Avoid Sweets and Caffeine. Your diet is an important part of your sleep regimen. Sugar could be one of the culprits keeping you from sleep, causing you to wake up during the night as your blood sugar levels fall. Cutting or significantly decreasing your sugar intake is important if you have trouble sleeping. If you frequently drink caffeine in the late afternoon or in the evening you may want to try eliminating caffeine from your diet as well. Not only does caffeine increase difficulty in falling asleep, it also reduces the amount of deep sleep you get.
9.Magnesium and Calcium. These sleep aids are most effective when taken together. A Magnesium deficiency can make you feel nervous and keep you from sleeping while a Calcium deficiency causes you to feel restless. You should take 500 mg of Calcium and 250 mg of Magnesium 45 minutes prior to bedtime. Be sure to choose a pharmaceutical grade supplement for best results.
10.Bed-time Routine. Remember when you were young and 7:30 bedtime was strictly enforced even if it was still light outside? Maybe it’s time to get back into that routine. No, you don’t have to go to sleep at 7:30. But it is important to get a full eight hours of sleep every night. A routine works best when fighting insomnia. Make sure that you are going to bed and waking up at the same time every day.
These natural remedies will have you snoozing in no time. Having trouble finding a product? Call Seasons at (318)255-1155. Don’t miss out on another night of beauty sleep!
The Sauna Reinvented
The creation of the Infrared sauna has completely transformed the meaning of the word “sauna.” An Infrared sauna offers 7 times the effectiveness of a traditional sauna because of its ability to penetrate human tissue.
An Infrared Sauna is different from a normal sauna in several ways. It uses large panels to create the most even, effective, and comfortable distribution of heat yet. The panels emit vital infrared rays at a low, constant temperature.
It also warms your body in the same manner as the sun. Sunlight heats whatever is in it’s path through infrared rays. For example, if you were to lay out in the sun for a long time, you may desire some shade. It’s still the same temperature outside but it feels cooler under the shade because you’re blocked from the sun’s infrared rays.
The sun gives beneficial energy but it can also be very harmful. Infrared heat provides all the good benefits from the sun without the negative effects of solar radiation. It heats the body rather than just warming the air and creates a detoxifying sweat to rid your body of toxins at the cellular level. In a regular sauna you can expect your sweat to contain 3% toxins versus an infrared sauna which produces a sweat of 20% toxins.
Several companies compete for the most detoxifying sauna but one brand consistently proves itself. Sunlighten has created several models of the infrared sauna that have made them leaders in the sauna industry. One of the secrets to their success is Solocarbon infrared heating technology. This technology is the only heater of its kind that is capable of raising the body’s core temperature nearly 3 degrees. This gives a sauna the ability to lower systolic and diastolic blood pressure. It also encourages weight loss through a reduction in your waistline.
Weight loss isn’t the only advantage of a sauna. The perks are numerous! A sauna helps rejuvenate and heal the body as you simply relax. A sauna may benefit you in any of these ways:
- Detoxification
- Pain Relief
- Improved Circulation
- Lower Blood Pressure
- Wound Healing
- Skin Purification
- Immunity
- Cell Health
- Muscle Recovery
- Weight Loss
You can enjoy time in our infrared sauna at Seasons – The Spa. For an appointment, call our spa concierge at 318.255.1155. For more information on how a sauna may help you in these areas visit the Sunlighten website.
Related articles
- Infrared Saunas vs. Regular Saunas (fitsugar.com)
The Truth About Low T: Men, Middle-Age and More
I admit it. Those low T commercials are great marketing. The middle-aged man dancing with his testosterone shadow, all his strength, energy and vigor restored. His simple solution? Testosterone supplementation. It paints an oversimplified picture of men, as if we are nothing but testosterone sponges. When we get low, we just stop off at the local testosterone dispenser and we are good to go. However, the truth is not that simple about low T.
Low testosterone is a very common problem in men today. But it is much more complex than just adding testosterone to solve the problem. Men are complex. (And you thought only women were complex!) Looking at the specific causes of low T in an individual is a critical part of creating a plan to solve the low T problem.
What is testosterone? Testosterone is the predominate hormone in men. From the moment of conception, it is the key to male development. It is what makes a man a man. It is what gave us Tim “the tool man” Taylor.
What is low T? Quite simply, it is low testosterone. Symptoms include fatigue, reduced libido, estrogen dominance, weight gain, and loss of confidence and motivation. Low T is, in many ways, the middle-aged man suffering the dreaded “mid-life crisis.” Think about it. At the same time that women experience menopause, men are experiencing their own life change. Men are just as hormonal as women; however, the symptoms of change are different.
Low testosterone is a lot more common than you think. Approximately 40 million US men suffer from low testosterone. Only a fraction of these men are symptomatic, which means most men with low T don’t even know it.
Not only is low T a silent problem, it is a growing problem. Men are discovering low T at younger ages, too. I’ve seen men as young as their mid-20’s with low testosterone. Typically, however, most men living with low T are in their 40’s and beyond.
What is the cause of low T? It would be convenient if the answer was simply low testosterone production. But look at our bodies. We are complex creations. In most cases, low T results from a combination of issues.
Cause #1: Excess weight. Today, we eat so many items that suppress the body’s natural testosterone production. Just look at the American diet. Americans eat up to 200 pounds of refined sugar, 90 pounds of fats, 63 dozen donuts, 60 pounds of cakes and cookies, 23 gallons of ice cream, 22 pounds of candy, and 15 pounds of chips, popcorn, and pretzels annually. Obviously, this leads to excess weight.
Excess weight, especially around the mid-section, becomes a major estrogen-producing factory. Not only does the associated weight gain help produce more estrogen, but the enzyme that converts testosterone to estrogen increases as we age as well. We become estrogen dominant. Increased weight = increased estrogen and decreased testosterone.
Cause #2: The environment. The environment is full of hormone-like chemicals. Xenoestrogens are environmental estrogens. They range from pesticides and insecticides to plastics to hormone-laden meat and dairy products. Although not native to the body, the body views them as estrogens nonetheless. Xenoestrogens = increased estrogen and decreased testosterone.
Cause #3: Hormones. That’s right. Even giving testosterone to some men can be a problem. A 27-year male patient came to me after he was given testosterone for a suspected low T problem by another physician. The testosterone replacement made him feel worse. Why? He was already estrogen dominant, and the additional testosterone was like throwing gasoline on the fire. His proposed cure, testosterone supplementation, turned out to be the source of his problem: excess estrogen. Too much testosterone = increased estrogen.
What is the answer to low testosterone? There is no single answer. Answers are found through customized testing which determines exact hormone levels. From these results, we can create an individualized therapy plan. Because we are all created uniquely, causes can vary. Likewise, your therapy plan should be unique. Your symptoms are clues to the underlying problem. By uncovering the problem’s root cause, an effective treatment plan can be developed which will solve those health issues and eliminate your symptoms.
The truth about low T? Only a few men really need testosterone. The majority of men need weight loss, reduction of estrogen, and the elimination of environmental xenoestrogens. It is easier to simply supplement testosterone. But that will NOT treat the problem at the source and achieve true healing.
Now that you know the truth about low T, what will you do about it? If you have symptoms and need answers or more information, call our office at 318-255-3223.
Q&A with Massage Therapist Bethany Cox, LMT, CFR
Where did you receive your massage therapy training?
I received my massage therapy training at Natural Health Institute at the downtown Nashville location. It was such a rewarding experience, and my instructors were so supportive and encouraging. We were taught massage as more of an art than simply a technique.
What are the benefits of massage/bodywork? And how often should I get a massage?
Health benefits range from helping lower blood pressure and easing muscle tension to simply relaxing the mind and body. Muscle manipulation within a massage loosens sore, over-worked and tight muscles that can cause nerve impingements. It also helps move toxins such as cellular debris out of the muscle as well as moving important nutrients into the muscles and throughout the body. Sometimes the best medicine is a nice, relaxing Swedish Massage to unwind from a busy day!
What should I expect from my first massage visit? And do I have to be completely undressed during the massage?
Upon arriving at Seasons, you will be welcomed by our spa concierge and invited to lounge in our wonderful waiting area. I bring clients back to the massage area where I explain a little about the massage. I always want my clients to feel safe, relaxed and comfortable during their session and encourage my clients to disrobe to their comfort.
How early should I arrive for my massage therapy session?
I prefer for my clients to arrive between 10 and 15 minutes early for their session. Our lobby is very soothing and tranquil, which creates a wonderful pre-massage experience. It helps calm the spirit and any anxiety about a massage session.
What type of massage oils do you use and do they have any therapeutic benefits?
I use Young Living essential oils and lotions. These essential oils are 100% pure and have many therapeutic benefits. The essential oils help calm and soothe muscle tension with blends of peppermint, coconut oil, lemongrass, oregano and sweet almond oil. I have had advanced training in Young Living essential oils and techniques using the oils and would be happy to answer any questions you may have at your appointment.
Massage has to hurt to do any good, right?
Even a deep tissue massage should never be uncomfortable to the point of pain. There is a difference between “productive pain” and “ouch” pain. At the start of a deep tissue massage, lighter pressure is applied in order to warm-up the muscles. When those muscles are warm, they are easier to manipulate, and therefore, do not hurt when deeper pressure is applied.
How much does a session of massage therapy usually cost?
Our massage sessions range from 30 minutes to 90 minutes and the cost starts at $35. For a full list of massages and prices, please visit our Spa Menu page.
Can I talk during a massage? Is it appropriate to ask my therapist not to talk?
Conversation is common during a massage session, but that is not everyone’s preference. This is a time for relaxation and I respect the client’s time for a peaceful session. Clients are especially encouraged to verbalize if the pressure is uncomfortable.
There are so many types of massage, how will I choose the massage that is right for me?
Specific massage modality is decided by the client. If you have specific muscle pain, a nerve impingement, or are simply achy, then deep tissue would be a great massage! Remember, pressure should never be more than you can handle. Hot Stone massage is also beneficial for achy muscles. Instead of penetrating the muscle through pressure, heat from the stones penetrate in a more relaxing session. Swedish massage is a wonderful massage for relaxing and lowering blood pressure and high stress levels. The newest massage on our spa menu is the Raindrop massage. The Raindrop technique is wonderful for detoxing the body as well as easing back pain and specific tension around the spinal area. No matter what massage you choose, remember to drink plenty of water afterwards to rehydrate the body and flush out toxins from the muscles!
To experience any of our relaxing and therapeutic massages, please contact the Spa Concierge at Seasons – The Spa. 318.255.1155.
The Proof Is In The Practice – A Journey To Facial Reflexology
by Bethany Cox
In January 2011, I had the amazing experience of being trained in Facial Reflexology by Lone Sorensen. Being educated in the beautiful city of Denver was great in itself, but to learn under the woman who originated the practice was truly an honor.Lone Sorensen is a Denmark native, and one of the hardest-working women I have ever known. During our training she would begin the day’s lessons with a bit of her personal background, her life journey and client testimonials. I couldn’t help but be inspired by her passion and dedication to her work!
Lone Sorensen: Her education and her journey.
Lone began her professional journey at 18 as one of Denmark’s first foot Reflexologists. At that time, there were only a handful of Reflexologists in Denmark. Today, there are over 12,000.
Anatomy classes were later required for Reflexologists, so she decided to also study acupuncture; a three-year-long education. During this time she had Reflexology clients as well. And this was the beginning of her first official Reflexology practice.
Her passion for children drove her to study cranial therapy in Germany, but this was not producing the results for which she hoped. She was invited to Argentina by a Chinese doctor to study acupuncture points on the face which help with children’s concentration, memory and behavioral problems. At this time, Lone realized she had found the right combination of therapies to affect change for her clients. These facial points she found more effective because the acupressure pulses applied were closer to the brain stem.
During one particular class, Lone spoke of moving herself and her two children to Argentina. It was there, through the hardships of being located outside of the main city as well as not knowing the Spanish language, that she began her foot Reflexology practice. Around Argentina, word-of-mouth proved to be the best form of advertisement for her, and within a few months, she had clients from early morning to late at night!
As the months passed, she found herself struggling with allergies. During her search for curing these allergies, she came across a village of aboriginal South American Indians practicing some kind of facial work. Lone was allowed permission by these Indian women to watch and learn their practice. Through these observations Lone began to develop what she now calls Facial Reflexology.
The proof was in the practice.
One of her first clients was a local woman who suffered with spasticity, the result of a car crash three years earlier. Lone treated her client with neurological pressure points, Foot Reflexology and cranial lines and points for brain damage. After a year of facial reflexology therapy, this woman was 97% cured!
Lone studied more in Cuba to learn and eventually develop Temprana therapy courses for parents with disabled children. This therapy consists of 80% facial and 20% foot Reflexology. It is an intense course, but wonderful for parents with children who require special attention for conditions ranging from Down’s Syndrome to Spina Bifida to paralysis. (For more information about Lone’s treatments and testimonials visit her website)
In 2001, Lone Sorensen and her three children moved to Barcelona where she has her own Institute of Reflexology. Today she travels the world teaching her students about this phenomenal practice. The world of medicine and wellness is expanding more towards homeopathic and natural remedies.
Facial Reflexology, in my experience and through my knowledge from this course, is a wonderful compliment to modern medicine.
What is Functional Medicine?
The following guest post was written by Dr. Ron Grisanti, a board certified chiropractic orthopedist with a master’s degree in nutritional science from the University of Bridgeport. You can read more of Dr. Grisanti’s posts at www.FunctionalMedicineUniversity.com and www.Clinical-Rounds.com.
It’s a science-based, natural way to become healthy again
Functional Medicine is patient-centered medical healing at its best. Instead of looking at and treating health problems as isolated diseases, it treats individuals who may have bodily symptoms, imbalances and dysfunctions.
As the following graphic of an iceberg shows, a named disease such as diabetes, cancer, or fibromyalgia might be visible above the surface, but according to Functional Medicine, the cause lies in the altered physiology below the surface. Almost always, the cause of the disease and its symptoms is an underlying dysfunction and/or an imbalance of bodily systems.

If health care treats just the tip of the iceberg, it rarely leads to long-term relief and vibrancy. Identifying and treating the underlying root cause or causes, as Functional Medicine does, has a much better chance to successfully resolve a patient’s health challenge.
Using scientific principles, advanced diagnostic testing and treatments other than drugs or surgery, Functional Medicine restores balance in the body’s primary physiological processes. The goal: the patient’s lifelong optimal health.
How Functional Medicine Heals a Key Health Care Gap
Today’s health care system is in trouble because it applies a medical management model that works well for acute health problems to chronic health problems, where it is much less successful.
If you have a heart attack, accident, or sudden lung infection such as pneumonia, you certainly want a quick-thinking doctor to use all the quick-acting resources of modern medicine, such as life-saving technology, surgery and antibiotics. We are all grateful about such interventions.
However, jumping in with drugs, surgery and other acute care treatments too often does not succeed in helping those with chronic, debilitating ailments, such as diabetes, heart disease or arthritis. Another approach is needed.
The Two-Pronged Healing Approach of Functional Medicine
To battle chronic health conditions, Functional Medicine uses two scientifically grounded principles:
- Add what’s lacking in the body to nudge its physiology back to a state of optimal functioning.
- Remove anything that impedes the body from moving toward this optimal state of physiology.
Plainly put, your body naturally wants to be healthy. But things needed by the body to function at its best might be missing, or something might be standing in the way of its best functioning. Functional Medicine first identifies the factors responsible for the malfunctioning. Then it deals with those factors in a way appropriate to the patient’s particular situation.
Very often Functional Medicine practitioners use advanced laboratory testing to identify the root cause or causes of the patient’s health problem. Old-fashioned medical diagnosis helps too, in the form of listening carefully to the patient’s history of symptoms and asking questions about his or her activities and lifestyle.
For treatment, Functional Medicine practitioners use a combination of natural agents (supplements, herbs, nutraceuticals and homeopathics), nutritional and lifestyle changes, spiritual/emotional counseling, and pharmaceuticals, if necessary to prod a patient’s physiology back to an optimal state. In addition, educating the patient about their condition empowers them to take charge of their own health, ultimately leading to greater success in treatment.
Treating Symptoms Versus Treating the Person
In the dominant health care model today, medication is used to get rid of people’s symptoms. If the patient stops taking the medication, symptoms generally return.
Functional Medicine approaches health problems differently. Instead of masking the problem, it aims at restoring the body’s natural functioning. Although Functional Medicine practitioners may prescribe pharmaceuticals, they are used to gently nudge the patient’s physiology in a positive direction so the patient will no longer need them.
For example, conventional doctors would normally prescribe pharmaceuticals like Prilosec, Prevacid or Aciphex to treat acid reflux or heartburn. When the patient stops taking such drugs, the heartburn symptoms come back. In contrast, a Functional Medicine practitioner might find that a patient’s acid reflux is caused by Helicobacter pylori bacteria. Eradicating the Helicobacter pylori might very well lead to the end of heartburn symptoms, permanently.
It’s also important to note that in Functional Medicine, treatment for similar symptoms might vary tremendously for different patients, according to their medical history and results of laboratory tests. Factors that can come into play in producing the same symptoms include toxic chemicals, pathogenic bacteria, parasites, chronic viral pathogens, emotional poisons like anger, greed or envy, and structural factors such as tumors or cysts.
The Roots of Functional Medicine

Sir William Osler, Functional Medicine Pionee
You may be surprised to learn that Functional Medicine isn’t new. It actually represents a return to the roots of modern scientific medicine, captured in this statement by Sir William Osler, one of the first professors at Johns Hopkins University School of Medicine and later its Physician-in-Chief: “The good physician treats the disease; the great physician treats the patient who has the disease.”
Another important saying by Osler is “If you listen carefully to the patient, they will tell you the diagnosis.” This encapsulates the importance placed in Functional Medicine on taking a thorough history from the patient.
Your Experience of Functional Medicine
We have titled this web site, “Your Medical Detective,” because patients often feel their Functional Medicine practitioner is leaving no stone unturned in their relentless research to pinpoint the causes of a particular patient’s symptoms.
When you consult a Functional Medicine practitioner, the first step is always your history. Practitioners are trained on how to unravel and make sense of a complicated story. Often clues in the story lead to the identification of key imbalances.
The next set of clues comes from a comprehensive physical examination, which includes many nearly forgotten examination procedures used by famous diagnosticians (both living and long gone), such as chapman reflex points, ankle brachial reflex and nail inspection.
The final set of clues comes from advanced laboratory testing. Innovative, cutting-edge lab tests help the practitioner look deeply into a patient’s physiology to identify how it has been compromised and how physiological balance can be restored.
After diagnosis and treatment, a Functional Medicine patient can expect his or her symptoms to diminish in severity, with a renewed sense of well-being and significant increase in health and vitality.
While there is no substitute for face-to-face treatment from a trained Functional Medicine practitioner, this site educates you on the Functional Medicine perspective and on the kinds of clues and treatments that may be key to restoring you to optimal health.
Treat the Inner and Outer You with Facial Reflexology
- by Bethany Cox, LMT & Certified Facial Reflexologist.
Medicine, cosmetics and massage: three ever-changing aspects of wellness are finally wrapped into one treatment method – Facial Reflexology.
The term “reflexology” refers to a process of stimulating reflexes in specific parts of the body by manipulating points on the hands, feet, and face, for the purpose of creating and maintaining homeostasis, or balance, within the body. Facial Reflexology, as the term states, is a homeopathic face treatment for this very purpose. It stems from ancient oriental and Indian techniques coupled with modern neuro-anatomy to create a relaxing and productive compliment to modern medicine.
Whether you’re suffering from a chronic disease or crow’s feet, Facial Reflexology is a wonderful, relaxing face and scalp treatment that can not only polish the outside appearance, but also treat the root cause of your current health issues. The cure is found in the balance of the body’s energy flow. When your body is in homeostasis, you look and feel your best. Facial Reflexology is the calm, comfortable step to a better, brighter and more beautiful you!
I was recently given the opportunity to travel to Denver for an eight day course of four intense Facial Reflexology modules taught by Lone Sorensen, the originator of these specific treatments. During that week we were taught not only the 7-step treatment plan, but also about the physiology and anatomical make-up of the human body. It was an amazing experience to learn from someone who is so dedicated and passionate about her work and how she pours her heart and soul into helping improve the quality of life for her clients all over the world. Her enthusiasm was contagious!
At Seasons – The Spa, we are excited to add Facial Reflexology to our wonderful menu of services. If you are interested in finding out more about Facial Reflexology or would like to schedule an appointment with one of our certified facial reflexologists, please call us at 318.255.1155. Facial Reflexology is available Monday – Friday in our Ruston location.




















