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Quantum

Issue Fifteen | Jan/Feb 2012 | 3.95 Issue Ten | March 2011 | 3.95

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A New Form of Water! Dr. Shui Yin Lo Discovers Double-Helix Water


Seeing into the Body The Promise of Thermal Imaging Human Flourishing Through Integral Medicine Bringing CAM to the Community
Energy and information for health and well-being

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Welcome to the January/February issue of

Quantum Health
magazine!
Double-Helix Water and other exciting breakthroughs in addressing illness and restoring health are only one way that healthcare is changing. Elliott Dacher, MD, and nutritional therapist Niki Gratrix, both of whom are also authors and educators, offer views of the new medicine that are based on the concept of Joan Parisi Wilcox integral health, which is an approach to Managing Editor well-being that goes beyond the body. Dr Dachers article focuses on human ourishing and research into holistic ways people can enhance their health and well-being. Niki Gratrix provides a more theoretical overview of the integral medicine philosophy that enlarges our scope of what holistic medicine means. Biomedical engineer Kimberly Schipke educates us about medical thermal imaging as a preventative screening method. However, thermal imaging is opening up an exciting new area of research for evidence-based CAM. You will easily see how this imaging technology can be used not only as a resource for alerting people to possible disease process early in their developmental stages, but also how it can be used to deliver visual evidence of benecial changes that occur after the use of energy medicine therapies. As such, it presents powerful new opportunities for CAM to provide the evidence for its efcacy that so many skeptics ask for. Finally, acupuncturist Jody James writes about bringing CAM to underserved patients, such as those without the nancial means to access CAM on their own. She offers insights into how you, too, can serve your community by making CAM available to those patients who most need it but who have the hardest time accessing it. As always, I welcome your feedback and input. You can write to me at joan@quantumhealthmagazine.com.

n this rst issue of 2012 our focus is on the changing face of healthcare. How is healthcare transforming itself? What is optimal health? How can we make CAM available to everyone? What are some of the new technologies that can further the cause of CAM research and therapy? In this issue, we examine a bit of where we are and where we might be headed at the frontiers of health and science. In addition to our regular features Science in the News and Book Reviews we also add a 2012 Conference Calendar where we will provide a sampling of important CAM-related conferences that might be of interest to you. We will update this list periodically as we learn of new conferences, so if you know of one that we have not mentioned, please write to me with the relevant details. We start off this issue with our cover interview with theoretical physicist Shui Lin Lo, PhD, who along with his colleague David Gann discovered a new phase of water. Thats righta new state of water! We are all familiar with ice, but Dr Lo claims he and Gann have discovered a solid state of water that occurs at room temperature, called stable water clusters. Also called Double-Helix Water, this new form of water appears to have a host of uses, one of which is helping the body repair itself. I met Dr. Lo at a recent bioenergetics conference, was taken with his talk and the double-helix products, and asked him for an interview. He immediately agreed, and in this issue I am delighted to provide Dr. Lo the opportunity to explain Double-Helix Water in easily understandable terms. Plus, he and his colleagues are running a host of outcome studies using Double-Helix Water and he invites readers who qualify to participate. All the details are in the interview.

Warm regards,
www.quantumhealthmagazine.com

Joan
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Issue 15 January/February 2012

This Months Contributors

Shui Yin Lo, PhD Theoretical Physicist

Elliott Dacher, MD Physician, Educator, Author

Niki Gratrix Nutritional Therapist, Author

Kimberley Schipke, MS Biomedical Engineer

Jody James, LAc, Dipl. OM Acupuncturist

Regular Contributors Sarah Turner Head of Research at NES Health Quantum Health Magazine Editor in Chief: Trina Hart TFT Dx

Disclaimer
All content in Quantum Health magazine is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. Quantum Health magazine, or any contributors to Quantum Health magazine, is not responsible or liable for any diagnosis made by a user based on the content of this magazine. Quantum Health magazine is not liable for the content of any external website listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites. The views expressed by authors of articles published in this magazine are solely those of the author and are not necessarily the views of or shared by the editor, publisher or directors, shareholders and employees of Quantum Health. Copyright. Quantum Health 2012 all rights reserved. No part of this magazine can be reproduced in whole or part without the written permission of the publishers. Unsolicited contributions must be accompanied by a stamped addressed envelope if they are to be returned. We cannot accept responsibility for unsolicited manuscripts or photographs or for material lost or damaged in the post. Letters submitted to Quantum Health magazine or to its editors are assumed to be intended for publication in whole or part.

Managing Editor: Joan Parisi Wilcox Science Editor: Production: Sarah Turner Trevor Hart

Cover photo of Dr. Shui Yin Lo by Penelope Torribio


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7-15 The Discovery of Double-Helix Water


Joan Parisi Wilcox interviews Dr. Shui Yin Lo

16-19 Integral Health and Human Flourishing


By Elliott S. Dacher, MD

20-23 2012 Conference Calendar 24-28 Medical Thermal Imaging


By Kimberly Schipke, MS

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Contents
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Contents
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30-31 Book Reviews 32-37 Integral Theory as the New Face of Healthcare
By Niki Gratrix

38-40 Science in the News 42-45 Bringing CAM to Community Medicine


By Jody James, Lac, Dipl. OM

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The Discovery of Double-Helix Water


An Interview with Dr. Shui Yin Lo
By Joan Parisi Wilcox
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Introduction

hui Yin Lo, PhD, received his physics degree from the University of Chicago. His primary area of research has been theoretical particle physics. He has published hundreds of academic papers, taught at major universities, and conducted research at, or been a visiting scholar at, major universities and laboratories worldwide, including the California Institute of Technology, Oxford University, the Institute of High Energy Physics (China), the Institute of Theoretical Physics (Germany), the Stanford Linear Accelerator Center, and the Neils Bohr Institute (Denmark). More than a decade ago he teamed up with research engineer David Gann to study claims of anomalous uses for water. Originally they were examining a claim by an inventor that he had found how to make water into a catalyst, one use of which was to remove carbon build-up from machinery, including the internal combustion engine, thereby keeping engines clean and improving fuel efciency. David Gann did the heavy lifting in terms of engineering research; Dr. Lo rolled up his sleeves to come up with a theoretical framework for this most astonishing hypothesis. The rest, as they say, is history. Their exploration led them far from their original inquiry, resulting today in what may be perceived in some circles to be an astonishing claim: they have discovered a new phase or form of waterstable water clusters. Some background is necessary before we get to the interview. Water has many formsvapor/gas, liquid, ice. There are actually many forms of ice beyond the kind we know from puddles in the winter, but most of these kinds of ice are formed only under high thermal pressures and at extremely low temperatures that can be achieved only in a lab. Gann and Dr. Lo have found stable water clusters at room temperature that form under electrical pressures. Strange indeed! Dr. Lo theorises that these room-temperature stable water clusters may have originated at the beginning of life and fueled the evolution of organic life. This form of water has a double-helix structure, which is why Ganns and Los therapeutic water is called Double-Helix Water.
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As research continued, Gann and Dr. Lo found that Double-Helix Water may have benecial healing affects, and health is one of their many areas of vigorous research today. They have created their Double-Helix Water drops and a cream infused with concentrated stable water clusters that are showing therapeutic benets in a range of health issues and conditions, from arthritis to autism. Dr. Lo urges readers who would like to participate in their outcome studies to log on to the websites mentioned in the interview. They are especially interested in amassing outcome data on autistic children.

In your book with David Gann, you discuss the discovery of a new phase of water, stable water clusters. Tell us about this.
SYL: Ordinarily, we only know one solid phase of water, which is frozen at zero-degrees centigrade. There are actually many kinds of iceseven and even ten different kindsbut they generally are formed only at low temperatures and under high pressure. The new form that we found occurs at room temperature and at normal pressures thats new. It becomes practical! When David came to me with an invention that was said to improve fuel efciency, it sometimes worked and sometimes didnt. It was said it was made of water! I put it in my car and it worked, so I was saying, How can this be possible? So, being a theoretical physicist, I wanted to come up with a theory so that I could actually calculate things. I looked up all the literature on waterit was an incredible amount of literature, both very high-brow professorial research and ordinary peoples research. Theres also all sorts of folklore about water. I said, Ive got to work this out! So I picked up the most serious literature. The most important thing for water is that it has a permanent dipole moment. And its not the magnetic dipole moment that we have in ions. An ordinary iron rod has no magnetic eld, but once you use a strong magnetic eld it polarises, it becomes a permanent magnetic eld. So, I focused on the possibility of charge, because its already there, the electric dipole. Dipole means that one side is negatively charged
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and one positively charged. Water is made up of one oxygen and two hydrogen atoms. Its a tetrahedron. The side with the two hydrogen atoms is slightly positive and the side with the oxygen atom is slightly negative. We can picture it simplistically as a rod with one side with a minus sign and the other with a plus. When you have an ion in waterwhich is at the atomic scalethen the electric eld is enormous. When you align all the water molecules, they become [what you can think of as] a big rodmagnetic but with a much, much stronger electric eld. This is what I proposed, and I actually calculated it according to Heisenbergs theory, a well-known model that is used to explain the phenomenon of magnetism. I did that, just changing the magnetic dipole of a magnet into the electric dipole of the water molecule. I had the whole theoretical process in my head, and I used the Debye-Huckel theory and other kinds of approaches and I was pretty happy with my model. It took me three or four months to work out. I talked to my group [professional colleagues] about it, and one of them copied my drawing of the likely shape of a stable water cluster that I had done on the blackboard into his notebook, so there is an independent record of my prediction. That shape was similar to what we did nd later.

was some dirt in the sample and next to it was a rodand I said thats it! After that, the rest was easy. You know what to look for. Over time we made the water cleaner and cleaner and the phenomenon became more dominant. We used that atomic force microscope to view it and we used all kinds of other instruments. We were near Cal-Tech and the University of Southern California, and we worked with people there. And nally we knew we got it right, at least to ourselves.

Qclusters? And can you tell us more


about them?

Did you coin the term stable water

SYL: Yes, Ordinary water has clusters, too, and in some books its called the ickering water clusters model. Ordinary water molecules are connected to one another in a network. But the thermal energy at room temperature breaks the network. It keeps breaking and reforming, so its not stable. Its like with ice, once you cool down the water molecules they stick together. In liquid water they dont, they ow all over the place. What we found were water clusters that were stable at room temperature.

How did you nd themthe stable water clusters?

Qshaped in a double helix?

And these stable water clusters are

SYL: We used many instruments to do that. It happened that Santa Barbara [where we were] is very close to Los Angeles, which was the location of the headquarters, at that time, of the largest and most famous atomic force microscope manufacturer, Digital Instruments. We went there and they were going to give us time on the microscope, provided we were going to buy the machine. I said, We will buy the microscope provided you show us it can do the job! So we got time on it. We spent two and half hours in the morning, when they scanned it [the water sample] rst and they didnt nd anything. Its very difcult and expensive. We went all the way to four oclock in the afternoon and still didnt nd anything. So nally, they asked, Do you actually know what it should look like? And I told him, and then bang! We found it! There
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SYL: Yes. We found that out through the atomic force microscope.

Atomic Force Microscopy Images: Left: Stable Water Clusters, Right: Double-Helix Water Structure

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Qhad just never been seen before? Or did Qdid you get when you announced
So are these clusters natural, and they you actually have to manipulate the water to make them form?
SYL: We make them form. We speculate that they are also found in nature, at the beginning of life. Or in very pure water, like at the top of the Himalayas or somewhere, where there is no dust and stuff. They form only in a very pure environment, pure water, pure air. So we use extremely clean water.

What kind of reception from scientists

published papersthat you had found this new phase of water?


SYL: There is some history here. Some very famous, very well-respected scientists who worked on water and made claims about water, about polywater and things like that, got people excited even though their claims were very controversial. But then they were found to be wrong. So, people, when we announced it, were a bit sceptical, and said maybe its the same thing. Although the difference is that we actually know the mechanism and have a model for it. The previous claims did not, and it was very hard to reproduce their work. So thats why people are a bit reserved when listening to us. For those who are more open-minded, they are interested that maybe there is a genuine new form of water.

Is there some connection to homeopathy, in terms of succussion or shaking the sample?


SYL: Well, thats a myth. Originally, we did that, but it turned out that it is not so necessary. In our book, Double-Helix Water, we distinguish ourselves from homeopathy in that sense. We dont qualify from the FDA approval to be homeopathic, and we found we dont need to succuss it. You know, there are lots of myths surrounding homeopathic [processes] and it turns out that [the need for succussion] may or may not be true. Over the last fteen years we did many things! And clean water is only one condition [to make stable water clusters]. All the conditions are listed in one of the papers in the book if people want to read itthey can look up the paper that was published in Physics Letters A. I mean, you cannot do it in your kitchen! We have to manufacture it. Naturallyat least in terms of cities and their waterwe just dont have clean enough water anymore. We dont know everything yet! For instance, carbon has many kinds of solid forms. The most expensive is diamonds. At the other end is ordinary charcoal or coal, and so forth. So, diamonds were already discovered in nature and they are very hard to nd. We speculate that the double-helix form of water, these stable water clusters, were already there in nature, when life started. But now we have to make it in the lab, just like some people make manmade diamonds.

In your book you talk about the many uses for stable water clusters, increasing energy efciency, decoking industrial smokestacks, and so on. Would you talk about that? Is industry interested in this discovery?
SYL: David actually originally got a water sample from some inventor who claimed it would increase fuel efciency in internal combustion engines. It sometimes worked and sometimes didnt. So once we made our kind of water, we didnt use that sample anymore. Ours is more reproducible and effective. We worked with Professor Selan Senkan at UCLA, who at that time was the chairman of the department of chemical engineering. So we worked with him, and the rst thing he did was to use our catalyst and he found that it helped combustion of methane by four percent. So industry is interested. By the way, this water is different from that used in health. Its like the difference between a diamond and coal. They are still carbon, but in different forms. So its like that. One form of stable-water-cluster water can be used as a catalyst. We have mass produced it and it is starting to be used for commercial things. A mining company is starting to use it in large quantities. We hope it will spread!
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Qfor example, would be banging on your


I would think industry, auto makers door!
SYL: Auto manufacturers are not banging on our doors yet. . . . Look at what the benet is though. The consumer s love it, they can improve fuel efciency in their cars. The environmentalists love it, because it reduces pollution signicantly, 80% to 90%. The government, I understand, is putting out 100 billion dollars just to lower the carbon footprint. So, the end results of what people want to achieve are well known. But many people claim to have things that can do thislower pollution, et cetera. These claims, most of them have never been conrmed, either in university research labs or in practice. And thats why its a bit slowbecause we have to convince people its real and not like the other claims. We actually met a man from an oil renery and he said that every day he has people knocking on his door to sell products that reduce pollution, doing the same thing that we claim to do. So, thats the difculty of spreading the word and getting this out there so people know about it.

Drug Administration]. So, we tell people to try it out and tell us what it does for them. Now, I am a theoretical physicist. I always propose a theory for how something works long before. I always calculate and predict! In particle physics especially, we do expensive experiments, and so we tell people what they will nd [before they do the experiments]: you are going to nd the Higgs boson! Otherwise, no one is going to do billion-dollar experiments. Health is complicated. I thought vitamin C was known to be so healthy, but now I read that it may not be. How are we going to go through this jungle and sort it out? So, I look for theory. This is my hypothesis: On the one hand we have this quantum theory, which is remarkable, and that I used to predict and then nd the stable water clusters. On the other hand, we have Chinese meridian theory. Chinese medicine has been used for thousands of years and by at least a billion people, and the majority claim it is useful. That is empirical. You go to any acupuncturist and they have charts where the meridians are. These things are not recognised in orthodox medical schools. Meridians cant be seen. Now, I have a solution for thata very nave and simple solution. When you cut [into the body] you see the blood, you see the nervesbut you dont see [the meridian] tubes or channels. Its like underground water, not visible on the surface. So I wrote a book explaining about acupuncture in health, and the rst chapter, the rst section, it says the meridians are a network of stable water clusters. So that is my hypothesis. That makes it very easy to explain how water can have healing effects, because the stable water clusters repair the meridians and cause the energy to ow better and coordinate all the functions of the body. Just like acupuncture needles. The stable water clusters act like the needles in acupuncture. In acupuncture you can use one needle to treat all kinds of problems. Stable water clusters can help hundreds of kinds of diseases. This wont put acupuncturists out of business! It will help them. They will see more patients, monitor patients who are getting needled and drinking the water or using the cream. Needling
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Qenvironmentally conscious consumer


So this is not something that an can buy and use in their car right now?
SYL: No, but we think that it is down the road. You have to go to all the pumping stations and so on. It takes a lot of effort. So we are going right now only to large companies, where they use a eet of trucks with diesel engines. So we dont have to hire a lot of sales people and advertise and all that. Its business! We are a small company. We are focusing on diesel trucks right now, because everyone complains that these diesel trucks cough up the greatest amount of black smoke on the highways.

Lets shift to stable water clusters in biology and human health.

SYL: Well, as you know, human health is very complex! Right now we say that this is only bottled water and we dont make any health claims. We always make a disclaimer that we do not have the approval of the FDA [US Food and
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is still more effective than these. But the cream and water are a lot cheaper. And you can use them yourself, and use them often throughout the day. They can work together. But it is always good to get assurance from a human being, so you can get good assurance and advice from a good acupuncturist or Chinese doctor.

QBioenergetic Conference in North


I have seen that, at the 2011

You have used thermography to image the body before and after someone takes Double-Helix Water. It shows a marked change, where the heat in a part of the body dissipates, indicating greater health or reduced inammation or pain. You have also imaged the meridians after using Double-Helix Water, right?
SYL: I use thermography because I want to know! I am a physicist and I want data to conrm things. Just like you go to the lab and put the electrode in a water sample and one side goes to hydrogen and the other to oxygen. You dont need to believe that is so only because someone one hundred years ago said that water is made up of hydrogen and oxygen. You do the experiment and nd it! Thats the incredible power of the scientic approach. So, its the same thing. Despite all the meridian charts and books, I want to do the experiment. I located a thermographor infrared imaging systemand it has that ability. You take a set of pictures, generally the head, and then ask them to drink the Double-Helix Water, and fteen minutes later you image their head again and you can see the difference. I have taken so many of them now that I can be condent that in 99% of cases something is going to change that is beyond ordinary statistical uctuations. So, the healing effect is really like the needle in the acupuncturists hand. When you are sick, of course, you can get better, but even if you are healthy, you can get healthier. Originally, the healing effect was only a theoretical conjecture. Now, I go to so many conferences, and people try the water and the cream, and they report changes. And they are MDs and professionals. They know it when they see it! We bring a booth with us to take thermographic images, and we can see the changes.
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Carolina, where we met. However, there were a few cases where the thermograph showed a worsening of the heat in the image. Is that an anomaly? Or is that what happens in what we call a healing crisis, when something gets worse before it gets better? How do you explain those cases?
SYL: Yes, something like that. Actually a small number of people, after using the cream or taking the water, actually heat up instead of cool down. When you cool down, we think you are getting to a healthier state. When you heat up, it means that when the energy ows again, its like the body saying I actually need more blood to heal this. So, I generally tell people that this is a slow process. Its not a magic bullet. It enhances your own natural healing ability.

Tell me about the cream. Thats used both alone and with the Double-Helix Water drops?
SYL: Yes. The stable water clusters are diluted in the water. In the cream they are concentrated. They are stronger and used for more localised things. When you drink the water, it goes to every part of your body. It helps parts of your body where you dont even know you have problems. The cream is used on particular areas. Let me explain both of these products. The Double-Helix Water contains stable water clusters. We package it in a small bottle, 15 millilitres, half an ounce, which lasts you about a month. You put 50 drops in one gallon of distilled water and shake it well. We say to use it in distilled water because we want the cleanest water available. So you should avoid any water that has ions, which will reduce the way it works. I theorise that the stable water clusters multiply in the water. You drink a glass of it, six ounces or so, twice a day. The cream has more concentrated stable water clusters. You can rub it on a spot where you need it, say for pain, and you also put it on six spots that are connected to the meridians. You rub it in on those spots to enhance your thinking and so on. There is one spot over each eye, and they
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Chart of the six meridian points on which to apply the double-helix cream.

are connected to where the gallbladder meridian turns around, about GB 14. Near the front center of the ears is near San Jiao 21, associated with the Triple Heater meridian. The points you rub the cream on at the base of the neck associated with the stomach meridian 12, which is related to the functioning of the thyroid and metabolism. I generally advise rubbing the cream into these areas three times a day. But you do whatever you like! I do it myself three times a day.

see it in the newspaper every day, people talking about DNA. It will be the same for stable water clusters. Wherever you talk about water, stable water clusters would have some effect.

Qare doing, or any other healing studies


Tell us about the outcome studies you you are doing.
SYL: I think the most respectable study was by Dr. Benjamin Bonavida at UCLA. He is in the immunology department. He showed that Double-Helix Water enhanced the immunology of red blood cells enormously. There is a long paper of this in the book. You have to put the cells in water in a petri dish to keep them alive. He put some samples in normal water, as a control, and others in the Double-Helix Waterwe gave him several different kinds of Double-Helix Water, each with slightly different properties. He found the samples in our water increased their cytokines, Interluekin 6, Interluekin 12, greatly. He is still working with us in different aspects of research. Dr. Norman Shealy, who is one of the founders of holistic medicine, he tried our water on ten healthy peoplefor 45 days each person drank four glasses of DoubleHelix Waterand he found their interferon gamma was greatly enhanced. So thats two orthodox studies. I use thermogprahic images
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Qstable water clusters or the

What other kinds of uses do you see for

Double-Helix Water and cream?


SYL: I would really like to see the origin of life related to double-helix water. As a scientist, that is my number-one concern. I would love to see that life evolved from stable water clusters. I speculate that double-helix water evolved with amino acids to become DNA. And that is where modern life might start.

What else can you tell us about stable water clusters and its applications?

SYL: I think that wherever you nd water, you will nd some application. Every aspect of biology is affected by water, by water clusters. It has enormous implications for research. As you know, after DNA was discovered, it was everywhere. You
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to see changes. I may be the only one, but it is convenient and quick. I did that with autistic children, a three-month study, and eight of the eleven children showed improvement according to both the thermographic images and the parents assessments. For parents its pretty clear if there is an improvement. But we give them a questionnaire of ten questions to use as an assessment. If people, your readers, want to join in our autism studies, we welcome them. They can go to our website www.joinautismstudy.net. Yesterday, a woman called who got hold of our work and she said that she saw improvements in her child in only three weeks after using the water and cream. Her 14-year-old boy improved. She was so excited, and she wanted to join our studies. In another case, a two-year-old boy with autism improved in only one month! He wouldnt look at people, even his grandmother. After one

month, he was looking at her. He even looked at me and spoke to me! He hadnt before. The change is large. Its not a small percentage. Placebo is usually 20% or so. We see more than half improve, 60% or 70%. If that many autistic children are improving, its very difcult to negate it. Of course, improvements seem to go faster the younger the child is. We see improvement with many things, most things. Arthritis. Pain. You dont need anybody to tell you anything if you feel better, from arthritis or pain! Now, however, I am pushing for studying autism because that is where we can make a breakthrough that everyone will listen to. I want Chinese medicine to be a respectable thing! This theoretically is working through the meridians, which I see as channels of stable water clusters. There is no other explanation! Also autism is a big problem. Its like AIDS twenty years ago.

Thermographic images of child with Autistic Spectrum Disorder before and after using the Double-Helix Water and cream. Cooling of the hot red areas correlates to meridian energy ow improvement. 14 Quantum Health
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Qusing the water or cream?

Are there any contraindications for

Qabout your work?

Anything else you would like to tell us

SYL: So far we have not heard of any problems. The only thing is that it can cause you to detox, especially if you have mercury or heavy metals in your system. You can feel itchy. Then you reduce the dosage. Then slowly increase as you clean out the toxins from your body.

SYL: Well, we also have another website, www.health-join-study.net. If you have any kind of problem, arthritis and so on, you can join our studies, using our products. We get data, and we hope that after a year we will have a numerical answer for youhow many people get better from arthritis, from this or that. We also welcome investment for these studies, if anyone would like to support our work.

Video Talks on Double-Helix Water


To watch the full video of Dr. Los main presentation on stable water clusters given at the 2011 Bioenergetic Conference, which was offered by Joyce Cary and Integrative Life Solutions, go to www.youtube.com/watch?v=UpvGrTgtmRs. For the two videos of his shorter talk on stable water clusters and acupuncture meridians, go to www.youtube.com/watch?v=ugZzIwG6MQ0 and www.youtube.com/watch?v=zBcqkdRyMMU. DVDs of all the talks at this three-day conference are available from Integrative Life Solutions (North Carolina, USA, 336-778-1950; www.integrativelifesolutions.com).

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I
Integral Health and Human Flourishing
By Elliott S. Dacher, MD
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n the fourth century BC, Aristotle gave a series of lectures in Athens that became known as the Nicomachean Ethics in which he introduced the word Eudaimonia, which is now translated to mean human ourishingthe innate potential of each individual to live a life of enduring happiness, penetrating wisdom, optimal well-being, authentic love and compassion, and boundless freedom. Of course Aristotle was not alone in this view of the potential heights of the human condition. Wise women and men through time and across diverse cultures have spoken of this very same pinnacle of human existence. For example, in the last century, the Indian sage Aurobindo wrote and spoke about the perfectability of the human condition. He specically referred to what he called the perfection of health. He was, of course, not referring to health as we dene it in modern times, the absence of the signs and symptoms of physical disease. He was referring to health as a state of being rather than as a state of our biology. He did not measure well-being by the ckle materiality of our body, but rather by the character of our human experience. The perfection of health, he wrote, is something that each individual can aspire to and realise through personal effort and can maintain over an entire lifetime.
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In modern times the term integral health, an ancient term that was modernised by Aurobindo and more recently developed and popularised by integral philosopher Ken Wilber, refers to this grand vision of the human possibility. The integral approach considers the four central aspects of the human experiencepsychospiritual, biological, interpersonal and social. Each of these aspects of life contributes to health, and each can as well contribute to the development of disease. According to integral theory, a progressive enhancement of health leading to human ourishing is achieved by developing each of these areas of lifeexpanding consciousness, caring for biological needs, shifting from a focus on self to a focus on others, and bringing meaning and service to our social activities. The end result is not merely reducing the risk of chronic disease or prolonging life, but rather is the progressive attainment of optimal well-being.

That was the central observation of Aurobindo: consciousness, achieved through a careful and precise process of inner development, is the root of integral health and human ourishing. This viewpoint does not imply disregarding other aspects of the human experience, but rather it is a shift in emphasis and focus that is compelled by recognition of the pivotal role in modern times of an awakened consciousness, which allows access to the expanded capacities required for optimal health and well-being. Inner development can be divided into two main areas: mind training and the development of a far-reaching wisdom. Mind training focuses on ridding the mind of its afictive and negative emotions and replacing them with healthy mental attitudes. This includes taming the overactive mind, developing mindfulness, promoting the attitude of loving-kindness and attaining basic insights regarding the workings of the mind. Wisdom teachings focus on replacing false beliefs, which underlie afictive emotions, with correct understandings. The latter is the basis for a precise and accurate knowledge of reality that decisively and permanently liberates human life from the scourge of all types of stress, distress and suffering. Although these two aspects of inner development may appear separate, in actuality they mutually support each other and evolve together.

Inner Development
In modern times the driving force underlying the expansive vision of integral health and healing is psychospiritual or inner developmentthe awakening and development of consciousness. There are two reasons for this. First, in modern times we have denied and devalued inner development. As a result, for most individuals, mind and spirit remain relatively undeveloped, as compared to traditions and cultures that have emphasised inner development. Second, the three other aspects of the integral process interpersonal, biological and socialdevelop in tandem with the growth of consciousness. By necessity, they move together. Consider the following premises. Healthy relationships and a seless concern for others require a growth in consciousness. Further and more subtle advances in our capacity for self-regulation also rely upon a developed consciousness. And nally, a shift from experiencing the world as serving our needs to viewing ourselves as being in service to the world cannot be accomplished without attention to inner development. Without focusing on the growth of consciousness, the other aspects of our lives cannot fully develop. It is simply not possible.
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An Experiment in Inner Development


For the past three years, I have been presenting a ten-week program at a local hospital that focuses on integral health. We have completed fourteen sessions with 300 participants. This effort was initiated with the belief that integral healththe alleviation of distress and suffering and the attainment of the qualities of human ourishingcan be best achieved through inner development. To this end, the program emphasised three componentsstudy, reection and practice. The ten weeks are divided into ten areas of study. These include calming the mind, identifying the root causes of distress and suffering, addressing the nature and resolution of afictive emotions, cultivating loving-kindness, experiencing work
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as a source of service, perceiving adversity as opportunity, knowing what to cultivate and what to abandon in the quest for optimal wellbeing, and related topics. Participants study these topics through prepared readings and class handouts. In addition, two kinds of practice are incorporated into the program: a formal daily meditation practice as well as a variety of specic practices to be used in daily life. The latter include mindfulness, meditative listening, correct understanding of afictive emotions, loving-kindness practices and so on. The point is to create an integral and integrated tapestry of consciousness-based study and practice that utilises all experience as an opportunity to grow and expand consciousness. At the current time, we are continuing this core program and have instituted a second-level course for those who have developed a stable meditation practice. Although most of the participants in this course have had no previous meditation experience, they have exhibited a remarkable enthusiasm and persistence in their efforts. As a result, benecial changes are seen within weeks, and they are fairly consistent among participants. They include a greater presence to momentary experience, diminished reactivity, improved relationships, an increasing sense of well-being, greater understanding and compassion for others, and, most importantly, a strong commitment to continue the study and practices of inner development. We can only assume that these changes will lead to a corresponding set of changes in the physical, relational and social dimensions as well. What we have learned from this informal experiment is that it is denitely possible to drive the entire integral process through consciousnessbased studies. A fully integrated program aimed at inner development can establish the foundation for a progressive reduction in distress and suffering and a simultaneous enhancement of the quality of life. Over time these changes become irreversible, like a fruit that ripens and can no longer return to its unripened state.

Health-related Research
For more than a century, we have known about the powerful relationship of body, mind and spirit. Psychosomatic medicine, biofeedback, psychoneuroimmunlogy and more recently neuroscience have extended our understanding of the mind-body interface and demonstrated increasingly intricate subtleties of self-regulation. However, because our understanding of the mind and consciousness is still quite limited, we have been unable to fully use this knowledge to promote optimal well-being and greater health. In the past decade, Dr. Richard Davidson has extended our understanding of the subtle mindbody interface in his research facility at the University of Wisconsin. For many years, Davidson, studying electrical brain activity and variations in brain blood ow and metabolic activity, mapped out areas of the brain that were activated by negative and positive emotions. He accomplished this in two ways. First, he looked at the brain function of individuals who related feelings of well-being as compared with those who were disturbed by negative emotions. In effect, he was comparing those who saw the glass as half full with those who saw the glass as half empty. Then he studied the brain function of individuals, who were shown a series of images ranging from happy to very disturbing. With this work, he was able to identify the areas of the brain that became activated by positive and negative mental states. Davidsons research demonstrated that a certain area of the right side of the brain, specically the right prefrontal cortex, is activated by negative emotions, and a corresponding area of the left part of the brain, the left prefrontal cortex, is activated by positive emotions. At rst glance, it appears that we have different brain centres for positive and negative emotions. In fact, Davidsons research suggests that each of us is born with a certain temperament and disposition, a certain baseline ratio of left-to-right prefrontal cortex activity. Some of us are born with more of a disposition to see the glass as half full and others to see it as half empty; some of us have relatively more left-sided activation and some more right-sided activation. And at any one moment, depending on our inner experience, our brain can
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shift from one to the other. When we are happy or content, our left side will take predominance over our right side, and when we are experiencing negative emotions, our right prefrontal cortex will predominate. Davidson called this shift a state change as compared to a more permanent trait. In other words, such a shift is usually the temporary result of a particular experience. So although individuals will light up the healthy and happy left prefrontal cortex as a result of a pleasurable outer experience, they will in time return to their baseline disposition. In July 2003, Davidson reported in Psychosomatic Medicine the results of a study done on two groups of employees at a biotechnology rm who were offered an eight-week course in stress reduction and relaxation techniques. One group took the course rst, with the other group waiting their turn. The rst group was evaluated before the course, immediately after the course, and then four months following its completion through written assessments of their emotions and anxiety levels, brain activity and their immune response to a u vaccine that was given at the start of the program. This group was then compared with the group that was similarly vaccinated for the u but still waiting for their course to begin. Following the course and for another four months, the participants in the rst group showed a reduction in anxiety and negative emotions and a corresponding enhancement of well-being when compared with the group who had not yet taken the course. This shift in mental state was correlated with activation of the left prefrontal cortex, which, as pointed out previously, is associated with positive emotions. When compared to the untrained group, the immune systems of participants who had taken the course showed a signicantly more robust response to the u vaccination. The study mentioned above shows that a training program focused on inner development for beginners can immediately and for months afterward enhance their emotional and physical well-being. We are discovering that our mental and physical life are not predetermined and xed, and our capacity for health is exible, dynamic
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and expansive. Therefore, we now know that the mind is trainable and that robust health can result from the systematic training of our mental capacities through planned, systematic inner development. Davidson is currently conducting experiments with highly trained and skilled contemplative scholars who have made inner development their lifes work in solitary retreats and monastic settings. At the time of this writing, we have preliminary indications of the directions of this research, and these indications are revolutionary in their potential signicance. Davidson asked these highly skilled contemplatives to exchange their cave for the Western laboratory. Once hooked up to sophisticated technology, they were asked to enter into what for them were well-developed mental states such as boundless compassion or pure awareness. The level of activation of both their left and right prefrontal cortex was carefully measured with electrical measurements and functional MRIs and then compared. What Davidson is discovering is that these Olympians of mental tness have stable levels of activation of the left prefrontal cortex, the site that correlates with positive emotions, which are way beyond those of ordinary individuals. We are discovering that the mind, like the body, is quite plastic, and it can undergo permanent change when properly trained. Results are seen in both the short and long term. What can no longer be denied is that our capacity for optimal well-being is dynamic and that it unfolds simultaneously as we develop the capacities of our minds. The study of the mind, its capacities, and the methods and approaches of inner development are time-tested and available as complements to our existing efforts at improving life and health.
Dr Elliott S. Dacher received his medical degree from the State University of New YorkBuffalo and completed postgraduate training at the Michael Reese Hospital in Chicago. He is board certied in internal medicine. In 1996 he left his medical practice to focus on research into and the study of consciousness and health, with a particular focus today in the practices of integral medicine, human ourishing and optimal well-being. He teaches and lectures around the world. His newest book is Aware, Awake, Alive (Paragon House, 2011). You can learn more at his website, www.elliottdacher.org.
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Conferences of Note 2012

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The Conference Calendar is a sampling of the notable conferences taking place across the globe. It is not an exhaustive listing. If you have a conference you would like others to know about, please email us the relevant information and we will evaluate it for inclusion in the calendar.

APRIL 2012 9-14

Tucson, Arizona

Towards a Science of Consciousness


www.consciousness.arizona.edu

14-15

Tempe, Arizona

Southwest Conference on Botanical Medicine


www.botanicalmedicine.org/conferences/

5 - 18

Boston, Massachusetts

9th Annual Nutrition and Health Conference


JANUARY 2012 19-22
www.NHConference.org San Diego, California

9th Annual Natural Supplements Conference


www.scripps.org/events/natural-supplements-anevidence-based-update

19-22

Bellevue, Washington

National Ayurvedic Medical Association Conference


http://ayurvedanama.org

28-30

Mumbai, India

26th International Dreams and Imagination: Conference for Integrative Healing Pathways Health and Integrative Conference Medicine www.asdreams.org/subidxconfuture.htm
www.integrativehealthconference.com

19-22

Sydney, Australia

20-22

Reston, Virginia

FEBRUARY 2012 9-11

7th Annual Joint American Homeopathic Conference


New York, NY www.nationalcenterforhomeopathy.com

Integrative Healthcare Symposium


www.ihsymposium.com/11/public/enter.aspx

27-29

Atlanta, Georgia

16-20

Vancouver, Canada

9th Annual Health and Nutrition Conference


AAAS (American Association for the Advancement of Science) www.aaas.org/meetings

24th Annual Symposium American Academy of Medical Acupuncture


www.medicalacupuncture.org

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MAY 2012 13-15

August 2012
Jerusalem, Israel

2nd Annual International 55th Annual Convention Conference on Integrative of the Parapsychological Medicine Association
www.mediconvention.com www.parapsych.org Portland, Oregon

9-12

Durham, North Carolina

15-18

Integrative Medicine and Health International Research Conference


http://imconsortium-congress2012.org

September 2012
14-17
Naran, Japan

International Homeopathic Medical Society Conference


www.lmhi.net

June 2012
13-16
Snow Bird, Utah

American Holistic Nurses Association


32nd Annual Conference www.ahna.org/Conference.aspx

21-22

Firenze, Italy

Fifth European Congress for Integrative Medicine


www.ecim-congress.org

22-26

Berkeley, California

International Association for the Study of Dreams Annual Conference


www.asdreams.org/subidxconfuture.htm

October 2012
28-November 1
San Diego, California

JULY 2012 2-6 University of Sussex, Brighton, England

13th Annual Science and Clinical Application of Integrative Holistic Medicine


Jointly sponsored with the American Board of Integrative Holistic Medicine (Event info not yet available)

16th Annual Meeting Association for the Study of Consciousness


http://theassc.org

November 2012
2-4
Toronto, Canada

22-27

Cape town, South Africa

30th International Congress of Psychology


www.icp2012.com

7th IN-CAM Research Symposium


www.incamresearch.ca

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Medical Thermal Imaging


By Kimberly Schipke, MS
Medical thermal imaging is not newbut its potential positive impact on medicine, both conventional and complementary, is huge. Infrared cameras are used to detect changes in temperature. It is extensively used by the military for night vision as well as tracking troops on the ground. Its use in medicine began shortly after the technology was declassied in the 1960s, and research has continued to increase our knowledge of how it can be used to monitor changes in the physiology of the body. Thermography reveals the heating and cooling of tissue, blood vessels and other aspects of the body, alerting healthcare practitioners to inammation, nerve damage, areas of pain and possible disease. The benets of thermography are many: disease processes can be imaged non-invasively, quickly and painlessly; multiple images can be taken at various angles without fear of excessive radiation; pregnant women and children can be screened; changes in the body and potential health problems can be detected early, often long before any conventional medical test could detect them or before symptoms arise; and ultimately, the effectiveness of treatment can be monitored over time. With a database of over 8000 journals published worldwide, medical thermal imaging has plenty of research to support its use for non-invasive and preventative screening, and research continues to reveal additional uses for the system in the medical eld. It is recognised as a Class I imaging device by the Food and Drug Administration in the United States, and interest is continuing to grow in countries around the world by medical
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Figure 1: Vascular activity related to a tumour can be monitored to validate the efcacy of cancer therapies.

professionals who are investigating radiation-free screening. There are many uses for thermography in the medical eld, and I will cover some of the core applications in this article.

Breast Cancer Screening


Most recently, thermography has been promoted for use in the early detection of breast cancer.* For example, the neovascularization of breast cancer can be seen in the earliest stages when the tumour outgrows the host blood supply without subjecting the patient to any pain or exposure to ionizing radiation (see Figure 1). Clinical thermographers can also monitor areas under the arms, which mammograms are unable to image, thereby increasing the potential for early detection of cancer. In addition, cancer treatments can be monitored for new blood vessel formation and recession, and the physiology of the tumour can be used to help examine growth.

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Figure 2: Reduction in heat and inammation after continued use of progesterone cream.

Cardiovascular Disease Screening


Medical thermal imaging is a great screening tool for cardiovascular disease, the leading cause of death. According to the U.S. National Heart, Lung, and Blood Institute, almost half of the people who die of heart attacks have what is considered a normal cholesterol level. They also found, upon autopsy, that the majority died from small cholesterol plaques. Currently in conventional imaging there is no easy way to detect these small plaques. Echocardiograms only detect abnormalities if there is a change in blood vessel thickness caused by stenosis, which occurs later in stages of heart disease. In contrast, thermal imaging can see the shadow of the inammation in the carotid artery from this plaque buildup without any invasive procedures. The infrared images in Figure 3, of a patient with normal blood cholesterol levels, clearly reveals inammation within the carotid artery, which can be an early indicator of inamed cholesterol deposits or high blood pressure. Its easy to see how thermography can be used as an early indicator that a change in diet or medical treatments may be necessary. It can also show other cardiovascular-related problems early in their development (see Figure 4), when they are more easily treated or may be prevented.

Thermography requires no painful compression of the breasts, so women with breast implants especially should consider using this method to monitor for infections due to implant leakage. The fatigue rate of the implant encasing material (approximately ten years) and the length of time the implants have been within the body affect their resistance to impact. The annual exposure to the high compressive force of the mammogram could cause cracks, which lead to a further degradation. Estrogen dominance can cause an increase in brocystic changes in the breast. Progesterone has been shown to help reduce the effects of such a hormonal imbalance. The images in Figure 2 show a womans breasts before and after using a topical progesterone cream, revealing the reduction of heat and inammation in her breasts after two months of using the cream.

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Figure 3: Excess heat or inammation in the carotid arteries can be an early indicator of heart disease.

Figure 5: The red glove of poor circulation shows before any actual symptoms of diabetes.

Figure 4: Cooler asymmetry over the heart.

A stressed heart requires more blood profusion, which may be redirected from the cutaneous area surrounding the heart creating a cooler asymmetry in the thermal image, as seen in Figure 4. If the problem becomes chronic, the skin may become slightly thickened over the heart, a condition that is often reported in cardiovascular patients. Another use of medical thermal imaging is in the early detection of diabetes. For example, Figure 5 shows the red glove that is an early indication of diabetes due to poor circulation in the extremities, which is usually caused by nerve inammation. In later stages, the nerve damage shows as a black glove.

examined for locations of inammation within both joints and muscles. Nerve damage can also be seen, showing up as cold spots over vertebrae and along affected muscle tissue. Whereas the anatomy of the body can be monitored by X-ray, CT scan and MRI, the physiology of an injury can be monitored by medical thermal imaging. Both methods are necessary to gain an in-depth understanding of the body. However, repeated use of X-ray can be harmful, which is why medical infrared imaging is a useful option for routine orthopedic clinical examinations. Figure 6 (see next page) shows an example of an image made by TotalVision infrared software, which allows doctors to overlay the skeletal, lymphatic, circulatory and/or digestive systems to identify areas of hyperthermal or hypothermal activity. In a recent study involving over 100 subjects, researchers found that every joint with clinical evidence of arthritis had an abnormal thermal pattern. See Figure 7.**

Orthopedic Screening
Thermography is also an excellent tool for orthopedic doctors who believe in utilizing noninvasive screening tools for disease prevention and treatment monitoring. The body can be
Figure 7: Early stages of arthritis in the hand. 26 Quantum Health
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Figure 6: Skeletal overlay of the lower back which gives doctors an idea of which vertebrae is affected.

Pain is often evaluated subjectively on a scale of one to ten, and its precise location is often hard to pinpoint; however, with medical infrared imaging, temperature differentials can easily be measured and the areas of concern can be identied. Using a radiometric infrared camera, the absolute skin surface temperature is measured, so once a therapy is tried and the area re-imaged, any reduction in temperature indicates that the therapy has been benecial: a onedegree reduction in heat in an area is considered a signicant and therapeutic change.

insight into the dynamics of energy ow during treatment. In Figure 8, inammation is present in the persons knee, as indicated by the colour red. Acupuncture needles were inserted and images were taken every ve minutes. Note the reduction in inammation over time, which not only conrms to the practitioner that the treatment was successful, but also visually shows the patient the benet of using acupuncture.

Acupuncture Imaging
Acupuncture is a form of traditional Chinese medicine that introduces thin needles into the body to inuence energetic channels known as meridians. Thermography allows acupuncturists both to pinpoint areas of focus and also to gain
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Figure 8: Images taken every ve minutes after acupuncture needling show the reduction of heat associated with inammation, evidence for both practitioner and patient of the efcacy of the acupuncture treatment.

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Thermography has even proven useful as a research tool, and in this respect it is showing great promise by providing evidence for CAM claims and the efcacy, or not, of CAM therapies. Figure 9 shows a thermal image of an acupuncture meridian. Klaus-Peter Schlebusch and his colleagues were researching the location of meridians and tried combining moxibustion and thermal imaging as a method of actually visually revealing these channels. They were successful: the thermal image clearly reveals the bladder meridian, which was the area to which moxibustion was applied. (See the Journal of Alternative and Complementary Medicine, Feb 2005, for the full story.)

Conclusion
Although thermography has proven itself as a powerful research and screening tool, it cannot be used diagnostically without specic training. Just as X-rays and other kinds of medical images require a doctors interpretation to make a diagnosis, thermal images must be read by a fully trained medical professional. Professional interpretation services are available by licensed, insured clinical thermographers, who write detailed reports for the doctors/practitioners and their clients. Even with this caveat, however, it is clear that medical thermal imaging can play a key role in mapping temperature patterns in the body to help reveal disease or the potential development of a disease. The benets are substantial: not only is thermography non-invasive and relatively quick, but in its preventative capacity it can help cut healthcare costs by alerting people to problems before expensive surgeries are needed or a lifelong dependency on pharmaceuticals results because a health issue has become chronic.
*Thermography is not a standalone device/treatment and does not replace mammography or any other diagnostic device or examination and is recommended as an adjunct to mammography. **Salisbury, R.S.; Parr, G.; De Silva, M.; Hazelman, B.L.; PageThomas, D.P. Heat distribution over normal and abnormal joints thermal patterns and quantication. Ann Rheu Dis. (October 1983): 42(5): 393-399. Kimberly Schipke, MS, is a biomedical engineer with more than six years of experience in tissue engineering and biomechanics. She has worked for an Independent Review Board and helped oversee major pharmaceutical trials. She currently develops protocols for integrative therapies to high ethical standards and consults with research laboratories on standard operating procedures. She is a specialist in medical thermal imaging, certied by the Institute for the Advancement of Medical Thermography, and gives lectures and trainings at conferences around the world. If you are interested in learning more about thermography and the types of systems available, please contact her at: kimberly.schipke@gmail.com. For research articles and other resources about medical thermal imaging visit the website for the Institute for the Advancement of Medical Thermography at www.iamtonline.org.

Figure 9: Moxibustion combined with infrared imaging reveals part of the bladder meridian.

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FIGHTING CANCER WITH VITAMINS AND ANTIOXIDANTS


By Kedar N. Prasad, PhD, and K. Che Prasad, MS, MD
Reviewed by Joan Parisi Wilcox In this revised and expanded edition of Fighting Cancer with Vitamins and Antioxidants, the Prasads provide us with an enormously valuable resource. Using the latest research, they cover just about every aspect of how vitamins and antioxidants impact health and well-being. This is not only a book about a natural approach to preventing and treating cancer, but is an extraordinary resource about every aspect of using supplements to enhance health and treat diseases of all kinds. The authors are extremely thorough, covering topics such as misconceptions about cancer, scientic controversies about the use and effectiveness of vitamins and antioxidants, recommendations about how to best use micronutrients to boost health and well-being, and how micronutrients might counteract damage caused by less-than-healthy lifestyle choices. If you are looking for easy answers, however, you might be disappointed. While the authors write with clarity, they are not looking to present a quick x program. They are quite careful to present a balanced view on what science knows and doesnt know about the effects of micronutrients on the body and health. There are a lot of unknowns and controversies. But that is what I nd most useful about this book. After reading it, I felt incredibly educated and, thus, able to make wiser choices about how supplementation might work for me. Of course, lifestyle plays a signicant role in health, and the authors cover this aspect of using micronutrients as well. They do make substantive recommendations, although you will have to read carefully to know how to apply them, as there are a lot of variables dependent on individual considerations. While some readers who want easy and fast answers may nd this aspect of the book less than satisfying, others, like me, will respect the authors ability to lead us through myriad choices so that we know the pros and cons and can make intelligent health decisions.

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If you are dealing with cancer, this book provides valuable information about how best to use micronutrients in conjunction with many different kinds of conventional and alternative treatments, and also provides contraindications for the use of supplementation. As the cover of the book says, this is a program for maximizing the benets of supplementation and minimizing the side effects from chemotherapy and radiation. It also discusses how supplementation may be able to help us all counteract the effects of X-rays, radiation and electrosmog from cells phones, frequent air travel and other aspects of modern technology and lifestyles. I highly recommend this book if you want to get up to speed on the science of micronutrient supplementation without reading an academic tome. The authors provide reliable and current science with clarity and in easily digestible chunks. The layout in sections and subsections makes it easy to read, and the graphs and charts provide summaries that will help you make personal decisions about how supplementation can enhance your wellness program.
Healing Arts Press, paperback Revised and Expanded 4th edition ISBN 978-1-59477-423-2 $16.95, 14.99 Also available as an e-book

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to demonstrate the various ways that emotions and egoself-identifycan display outwardly and impact on us and our world. The Twin Towers, obviously, also metaphorically encode the twoness of our brains/psychology: the body and mind, the subconscious and conscious minds, and the functions of the left and right sides of our brains. Our psychological evolution, the authors argue, is bottom up, not top down. That is, emotions come from the body, not the brain. This discussion is fascinating in and of itself, although it serves only as their starting point, showing us the many ways we act from a subconscious survival mode (which worked for early humans) and how vestiges of this mode of being linger today, affecting us in ways we might not be aware of. They move up the psychological ladder of evolution to the development of the ego and the personal notion of self, which brought with it a conceptual revolution based on beliefs (judgments, suppositions, biases, defensive reactions, and the like). While fear served us and our survival at the pre-conceptual stage of our evolution, it limits us today, for many of our fears have nothing to do with physical survivalthey work to preserve our self-constructed, ego-based sense of personal identity, often to the detriment of others well-being and to that of the community at large. That said, the conceptual revolution also made it possible for benecial advancements, such as through explosions in knowledge, science and technology that have allowed most of us to enjoy a state of health, prosperity, safety and peace of mind that was unthinkable to humans only a few hundred years ago. Our evolution continues, moving us from a narrow sense of self-identity to a more expansive sense of social identity. As we change, so do our cultural and technological environments and like a snake swallowing its tail, the social and technological environments then change us. The rise of our connectedness is not only psychological but technical, as the World Wide Web, cell phones, social media and the like break us out of our self-imposed imprisonment and unite us in ways that further our evolutionary journey toward a sense of oneness. Cultures around the world, the authors posit, are in the early stages of such a revolution, which by its very nature is dynamic, proceeding in ts and starts, experiencing leaps forward and steps backward. They explain that Just as the power of the conceptual evolution lay in its ability to orient us away from the body and toward a conceptual mind, the enlightenment revolution may usher in an era of reintegration of body and mind. They continue, As a species, we will be increasingly aware of what is conducive for humans to ourish; we will be willing to take the steps to make it happen for all human beings. This is when the enlightenment revolution will become fully apparent.
NE Press, hardback - ISBN978-1-60407-573-1 $24.95, 21.99

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EGO: THE FALL OF THE TWIN TOWERS AND THE RISE OF AN ENLIGHTENED HUMANITY
By Peter Baumann and Michael W. Taft
Reviewed by Joan Parisi Wilcox Metaphysics tells us that what we see in ourselves is what we see in the world. Psychology seconds that view. In Ego, Baumann and Taft tell us why this is true. Theirs is a detailed, engaging discussion of the stages of personal development, of which this review can only hope to provide a glimpse. The authors examine how we come to form a sense of selfa self-identityfrom an evolutionary standpoint, leading us through three phases of conceptual development: the pre-conceptual (the pre-personal, where survival needs trump and we operate mostly from the subconscious), the conceptual (where we develop a sense of personal self controlled by the ego and can plan, decide, act with conscious awareness) and the post-conceptual (moving beyond the limitations of the ego and boundaries of all kinds to a post-personal awareness). These stages are reected not only in ourselves, but in nations and cultures as well, which is why to transform our world we have to rst transform ourselves. The authors believe we are in the midst of a shift from a predominately conceptual sense of self and worldview (which limits and separates us) to a post-conceptual one, an evolution that is moving us toward a more enlightened way of being. They use the September 11, 2001 terrorist attacks and the collapse of the World Trade Center towers (the Twin Towers) as illustrative of the phases of ego development
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Integral Theory as the New Face of Healthcare


By Niki Gratrix

s most of us know, orthodox medicine is challenged when it comes to treating chronic, complex illness, the types that take up by far the most time and money in orthodox medicine. However, in orthodox medicine not only is the mind-body connection still mostly ignored, but treatments often address symptoms rather than causes. Moreover, emphasis is placed on germ theory and genetic determinism, and the physical body is mechanistically reduced to individual organs and systems, spawning specialists who can easily lose the big picture of the body and often forget there is a living, breathing person who is suffering. While there is a move toward integrative medicine, it is slow in coming and is still mostly embraced by those who already are proponents or practitioners of complementary and alternative medicine (CAM), or what is often called holistic medicine. However, the CAM world has its own type of bias, including reductionism, where CAM therapists can become xated on their own modality and see everything through that particular lens of treatment. CAM practitioners also often work in isolation, which makes it hard to birth a truly integrative medicine. I once heard the director of the Institute for Functional Medicine (IFM) in the US say that trying to get CAM practitioners together was like trying to herd cats.
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Integrative physician and author Dr. Dietrich Klinghardt summed up the issues for the CAM world globally in this excerpt of a Clinical Rounds interview conducted in 2006. (Full interview is available at www.klinghardtacademy.com). As a bit of background rst, Dr. Klinghardt is considered a genius by many of his peers and as the practitioners practitioner in general by those who know his work. He was the recipient of the Physician of the Year Award in 2007 from the Global Foundation of Integrative Medicine. He trained as a medical doctor and psychologist in the rigorous tradition of German medical schools and completed PhD work exploring how the autonomic nervous system is involved in immune system disorders. Although he is a proponent of CAM, as a life-long sufferer of Lymes disease he also embraced the ndings of biochemistry. In the interview excerpt below, Dr. Klinghardt speaks about the perceived schism between the orthodox biochemical model and the more physics-based holistic model, suggesting that working together is the best solution. DK: America is the land of biochemistry . . . and Germany and Russia are the countries of physics, then theres the Eastern countries of religion . . . when we bring all the different [countries] together, thats when you can really talk about holistic medicine. What rubs me the wrong way is people calling their medicine integrative medicineall they are doing is biochemistry that is not integrative medicine for me. . . .
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There are people like Jeffrey Bland [founder of the IFM], so we have a lot of geniuses out there in biochemistry, but they are also realising its a part of the truth, its not the whole truth. [Most physicians think research in quantum physics has] never come up with a single practical solution. And underneath that is a eld of very very solid people that have developed solutions that really work. Im saying they are here. We work with psychology, micro-currents, lasers and infrared devices very very effectively . . . and then we need the biochemistry. We need everything we know in biochemistry to support that, but biochemistry on its own has not been enough. People should know how to run a good biochemically based detox programme but when it stops working and nothing comes out people are falsely assuming they are done, and what it means is that the biochemistry has exhausted its capabilities and its time to shift to energy medicine or a psychologically based approach just for a little bit, and then you return to your biochemistry and it will work again. Interviewer: But in order for [biochemically focused practitioners] to really accept some of these techniques they have to open their mind a little away from that reductionist biochemical paradigm? DK: . . .Americans in general are overeducated in biochemistry and undereducated in physics. When Im in Germany I say the opposite! Listen you guys are overeducated in physics and youre undereducated in biochemistryyou should learn something from the Americans! You might agree with Dr. Klinghardt, as I do, that a synthesis in approach is what is called for in the new healthcare. We all would be well-served by a truly holistic integral model of medicineone that not only brings CAM therapists together, but also can provide a framework to support and recognise the very best of both orthodox and CAM medicine. I believe that we already have this modelcalled the Integral Theory approachand its been
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developed over a lifetime of work by American philosopher Ken Wilber. In addition to Wilbers nearly two dozen books, many about Integral Theory, there is a peer-reviewed academic journal dedicated to its ongoing development and application in the world of medicine, business, the environment, politics, economics, religion, psychology, psychiatry, education and more. I dont believe in constantly reinventing the wheel; rather I think we should stand on the shoulders of the greats such as Dr. Klinghardt and Ken Wilber, and develop their work as new insights and scientic research clarify and expand our overall understanding. So I am delighted to introduce Integral Theory, as it applies to healthcare and medicine, with readers of Quantum Health.

The Integral Theory Approach


Integral Theory is a theory of everything in the universe, so in effect it can be used to understand everything that could possibly be impacting us as humans, including our health. The place Wilber starts is with the ancient model known as the Great Chain of Being. People have heard the phrase body, mind, spirit but may not know where it originated. Its part of what is termed perennial wisdom, a stream of philosophical thought that has persisted for centuries, recurring independent of epoch or culture and thus pointing towards a universal truth. The bodymind-spirit view is based on the traditional Great Chain of Being philosophy, which encompasses up to ve levels of being: matter, body, mind, soul and spirit. In this article I will use, with permission, Dr. Klinghardts illustrations of this ancient hierarchical model as applied to the ve levels of healing are shown in Figure 1. In the ancient model it is assumed that matter is at the base of everything and that consciousness rises out of matter towards the higher levels as part of the ongoing evolution of life. In the diagram, level 1 (Physical Body) would represent organisms with very little consciousness, such as one-celled creatures. We then proceed up each level to higher-order mammals as evolution becomes more complex. The reptilian brain and
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Level 5 Causal

Level 4 Intuitive Body

1: Dening Internals and Externals


The rst adjustment Wilber made was to point out that this evolutionary journey that seems to move from external matter to internal subjective consciousness is not quite accurate. Wilber proposed that matter is not at the base of everything, although it is external to everything. Each level of evolution, he said, can be experienced internally (through consciousness) and externally through its objective empirical observation. For example, the material Physical Body can be experienced by humans internally through our ve senses (sight, touch, taste, hearing, smell) and it can be externally studied through biochemistry and structural mechanics. The next level, the Emotional Body, can be experienced internally through our emotions and externally through conventional physics and other sciences (e.g., as the body electric). At Level 3, humans internally experience the Mental Body through thoughts and attitudes, and this aspect of being can be studied externally through the biophoton eld and quantum physics. At higher levels, humans can experience internal expanded states of consciousness that may one day be measured using instruments that can detect energy that is outside of the electromagnetic spectrum. So Wilber, in effect, splits the pyramid in half down the middle, making a left side for internal subjective experience and a right side for its external objective correlations. (As he continued to develop his model, adding in the factors of individual experience and group experience, he ended up with a square, what he calls the Four Quadrant model, as shown in Figure 2. (The bottom quadrants are discussed in Step 2 later in this article.) In terms of medicine, aspects from the top right and top left quadrants can be affecting a patients health and so require the appropriate tools for healing in relation to that quadrant. When we approach our patients, we would ideally want to consider the tools of internal consciousness and awareness (i.e., psychology) from the top left quadrant or tools related to the external correlation (such as laser therapy, microwww.quantumhealthmagazine.com

Level 3 Mental Body

Level 2 Emotional Body

Level 1 Physical Body


L5 L4 L3 L2 L1

Figure 1: Diagram of the Great Chain of Being as used by Dr. Deitrich Klingardt in his 5 Levels of Healing Model*

basic emotions emerge at Level 2 (Emotional Body), then humans with the ability to think at Level 3 (Mental Body), and continuing to even higher levels where there is an increase in consciousness such that humans become aware of themselves as spiritual beings having a physical experience and so on. In this way, the model encapsulates the movement from the objective external world to the increasingly subjective nonmaterial world of consciousness. This Great Chain of Being could be called a holarchy because each senior level goes beyond its junior level and envelopes or nests the lower levels. In this way each level is both a whole onto itself and also is part of a greater wholethink atoms, cells, molecules, systems, organs, for example. As we humans evolved, we kept our physical bodies, which allowed our emotional bodies to develop, and progressed to developing mental and intuitive capacities and so on. There are three important adjustments to the steps or levels of this model that Ken Wilber made to bring it up to date with modern science and medicine, and post-modern philosophy.
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Internal Subjective Individual Level 7 Level 6 Level 5 Level 4 Level 3 Supermental Overmental Higher mind: Intuition, dreams, Mind: Thoughts, beliefs, attitudes Emotional: Sexual, feelings, resentment, anger, love, grief, fear Vitality, energy Physical Body: ve sensessight, touch, hearing, taste, smell

External Objective Individual Level 7 Level 6 Level 5 Level 4 Level 3 Non-dual Causal Body Higher Mind (psychic eld) Mental Body (psychic eld) Astral: Prana, meridiens, nadis, chi, chakras, aura, reptilian brain stem, quantum physics, biophoton eld Etheric: Nervous system, body electric, biophoton eld Gross Physical Body: Biochemistry and structural mechanics, atoms, molecules, cells, tissues, organs, systems, organisms

Level 2 Level 1

Level 2 Level 1

Internal Intersubjective Group Cultural Relationship between patient and physician Support and understanding from friends, family Cultural understanding and beliefs around the illness, prejudices Cultural beliefs around treatment modalities

External Interobjective Group Social Financial support from the NHS Financial support through insurance companies Environmental toxinpesticides, chemicals Electrosmog, geopathic stress Sunlight Access to information about health, such as the Internet Group emotional and mental elds

Figure 2: Ken Wilbers four-quadrant model of Integral Theory as applied to medicine

nutrient therapies, diet, and drug therapy). Each type of therapy is an important partial truth, but not necessarily the whole truth.

Step 2: Towards the Four-Quadrant Model


The second step in Wilbers reformulation was to identify which types of subtle energies are associated with each level of consciousness or body. It is this aspect of sorting out the levels that has led to the most confusion in popular literature. In a brilliant interview in issue 12 of Quantum Health, Marco Bischof, a leading scholar in the eld of energy medicine, discusses
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an exception he takes to Lynn McTaggarts bestselling book The Field, saying the problem with the book is that she doesnt discriminate between the different levels that she describes. For her its just one big eld, and scientically that is not a good concept. Because the different types of elds that she is writing about are at very, very different levels ontologically. . . .There are a hierarchy of levels in the human organism, starting with the material levels of the particles and solid body, and then there are electromagnetic elds such as biophotons . . . and then there are nonelectromagnetic elds. . . .

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Wilber points out in his model that the highest spiritual body (or God) cannot be equated with the quantum vacuum, as McTaggart and others suggest, because as soon as something we consider to be innite is dened, it becomes dualistic, that is, we can only understand it because of its opposite. In other words, Spirit cannot be dened by quantum physics or anything else because it is beyond science and even beyond the mind, words and explanations. Thus, Wilber posits that the quantum vacuum is prana, and so he categorises it as part of the astral level (top right quadrant of Figure 2). Wilber explains: The vacuum potential, then, is part of the relative, nite, manifest realm. For just that reason, it can be studied by science. It is a reality that, in at least some ways, is apart from other realities; it has qualities; it has quantities; it has dimensions. None of those statements can be predicated of [Spirit], in any way other than poetic metaphors. However, precisely because the etheric, astral, and psychic elds are indeed part of the manifest realm, they are the proper object of the study of science. No contradiction is involved in saying that the quantum vacuum is the protrusion into the gross realm of its immediate senior, implicate order: namely, prana.**

Applying Integral Theory to Medicine


Apart from taking into account environmental toxins and the doctor-patient relationship, many clinicians often ignore the wider social and cultural contexts of illness, often because they are outside their arena of control. But it is important to understand these factors. Here is how the quadrants become particularly useful. If, for example, a patient comes to you with depression, you could treat him/her a number of ways. You could use psychology (upper left quadrant) or try to address the state of brain neurotransmitters (upper right quadrant). But there are other considerations. What if the patient is depressed because she feels oppressed living in a culture that actively suppresses women (lower left quadrant)? Or what if she lives in chronic stress due to poverty (lower right quadrant)? By considering each of the four quadrants (aspects of being and experience), you can achieve a more integral view of what may be happening with this patient. Wilbers Integral theory is based on the understanding that everything affects everything in what he terms the Kosmos, that any event or occurrence will be a whole in itself and also part of some greater whole at a higher level, and that it will have four aspects to itsome aspects of each of the four quadrants. Therefore, to understand anything fully we need what Wilber calls an All Quadrant All Level approach, which he shortens to the acronym AQAL. (It is far beyond the scope of this article to articulate the full philosophical background to the Integral Theory, but for those readers who are interested I recommend reading as a start point Wilbers introduction to his overall theory in A Brief History of Everything.) In its relevance to medicine, and to CAM in particular, integral means leaving nothing out. As stated, the idea behind Integral Theory as it applies to medicine is that we take an All Quadrant All Level approach to health, which allows practitioners to be aware of all possible factors that could be implicated in a patients health problem. Thus, a more integral approach will be a more successful one. As mentioned, the
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Step 3: Social and Cultural Context of Wilbers Model


The nal step Wilber made to expand upon the Great Chain of Being model was to add the two bottom quadrants, which reveal the group or plural view, rather than the individual experience or perception. These two lower quadrants, particularly the lower left one, are informed by the philosophies of academic post-modernism, cultural contextualism and the sociology of knowledge. The lower right quadrant is informed more by systems theory, which reveals the interconnectedness of nature and takes a larger ecological view. If you partition the quadrants of the square into a left side and right side, then you can easily see that the top left quadrant is the I quadrant, the bottom left the we quadrant, and the two right-hand quadrants (top and bottom) are the its quadrants.
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terms holistic or integrative are often vague and their meanings and practical applications can vary dramatically from practitioner to practitioner. If there is any blindness to working with the four-quadrant integral approach it is that practitioners can become overly focused on one quadrant, for example the top right quadrant. This is called quadrant absolutism. It can be tricky. For instance, even if you take a systems approach to the human bodyno longer viewing the body as mechanistic and segmented into individual organs and systemsbut you still approach health only or mostly from the external objective approach of biochemistry and Newtonian physics, ignoring the internal subjective state of the patient and the social and cultural contexts, then you will still not have moved out of the top right quadrant! In addition, if you focus mostly on the two right hand quadrants, which include the wider environmental context (e.g., recommending detoxication from environmental and chemical pollutants) you may think you are working in a holistic way. However, Wilbers model suggests you are still suffering from a form of subtle reductionism, ignoring the internal aspects of the patient as well as the cultural group internal environment. When it comes to health, practitioners can also overly focus on psychology in the top left quadrant, thinking this is all that is needed, downplaying the role and importance of genes, environmental toxins, biochemistry, diet and so on. Still other practitioners tend to disregard anything non-CAM-related, such as drugs and surgery; however, the integral model suggests that we use the best of orthodox medicine where appropriate. However, as Dr. Klinghardt points out, there also can be level absolutism in terms of over-reliance only on biochemistry, where quantum physics and subtle energies are ignored. This can also occur in the top left quadrant, in which psychological approaches fall, so that the only focus is on, perhaps, mental aspects (e.g., using only neurolinguistic programming) and not considering other modalities, such as those that focus on emotional trauma release.
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The Integral Theory approach does not mean that practitioners need to become experts in many elds. It suggests, instead, that they become an integrally informed practitioner, meaning that they develop an appreciation for all factors that may be affecting a patients health, which may involve referring patients to others with the relevant knowledge. It means they maintain a larger view, knowing how they t into the wider picture so they can discover the strengths and limitations of their own modality. The Integral Theory approach to health ultimately means that practitioners must change rst before they can change the lives of their patients. As such, it is the awareness of the practitioner that counts. In the face of exciting developments in quantum physics and subtle energy medicine, it has never been more important that CAM practitioners cultivate internal states of compassion and awareness as part of their ongoing professional development. This is a key to CAM practitioners avoiding the shortcomings of orthodox medicine with its over-dependence on professional objectivity and tendency toward emotional sterility. Wilbers Integral Theory can help all of us become more well-rounded CAM practitioners so that we can in turn more effectively guide our patients in their own self-healing.
*Fundamental Teachings of Deitrich Klinghardt DVD training course on the 5 Levels of Healing is available from www.Klinghardtacademy.com. **See excerpt G from the as-yet-unpublished Volume 2 of the Kosmos Trilogy at http://wilber.shambhala.com. Niki Gratrix is the UKs leading nutrition therapist treating CFS/ME and related illnesses. She is also a leading mindbody writer and spiritual teacher. She speaks internationally on mind-body approaches to chronic complex illness and in 2005 she co-founded the Optimum Health Clinic based on Ken Wilbers Integral Approach to healthcare which won an industry award for Outstanding Practice in 2009. Niki now runs her own thriving practice for CFS/ME patients (www.NikiGratrixEnergy.com), runs courses for practitioners in mind-body approaches to complex illness (www. expertpractitioner.com), and teaches about Co-Creation with the Higher Self (www.NikiGratrix.com).

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Snippets from New Scientist

Science in the News

New Scientist, a British weekly science magazine for the general public, is chock full of interesting articles each week. The November 5-11, 2011 (volume212/no 2837) issue had these particularly interesting health news items: Aspirin Against CancerAspirin, especially low-dose aspirin, has been touted as a preventative measure against heart disease, stroke and other health problems. Now it is being looked at closely as a cancer ghter. Lisa Geddes article Cancer no match for humble aspirin details the latest research on chemoprevention, or the use of common drugs to reduce cancer risks. She cites a study from The Lancet that showed that aspirin dramatically reduces the risk of developing colorectal cancer in people with a family history of the disease. Other researchers have found that a daily dose of 75 mg of aspirin for more than ve years reduced the risk of dying from all cancers by 34 percent. The researchers decided the benets of taking aspirin as a cancer prevention strategy made so much sense that they adopted it themselves. One of them, Peter Rothwell, of the University of Oxford, said that up until now, the main reason to take aspirin was to prevent vascular events. I think it will become clear that cancer prevention is the main benet of aspirin in healthy middle-aged people. Some medical professionals, however, caution that there can be risks to some individuals taking daily aspirin, even in low doses, so individuals should consult with their primary healthcare professional before adopting this strategy. Transplant Cancer WarningA study originally published in the Journal of the American Medical Association (vol. 306, page 1891) revealed a disturbing rise in cancer rates among those people who have had organ transplants. While the transplant may have saved the recipients life, it also doubled that persons risk of developing cancer. The study took place in the United States between 1987 and 2008, looking at the cancer rate for 175,000 organ transplant patients. Their rate of cancer was twice that of the general population.

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Novel Treatment for AlzheimersBelle Dum reports that, as odd as it may sound, green tea and red light might be the perfect combination to treat Alzheimers. Together they are able to reduce, and even destroy, the beta-amyloid brain plaques that are correlated to this disease. Green tea contains epigallocatechin gallate (EGCG), a compound that has been found to inhibit betaamyloid. However, when the cells bathed in EGCG were exposed for one minute to pulses of red light at the wavelength of 670 nanometres, the amount of beta-amyloid in cells was dramatically reduced, by up to 60 percent. (Even using the red light alone reduced cell levels of beta-amyloid by 20 percent.) The red light stimulates mitochondria in a way that initiates a process that increases the permeability of the cell membrane barrier, allowing drugs and other compounds, such as the EGCG, easier entrance into the cell. Andrei Sommer, of the University of Ulm, Germany, carried out the initial research, which is creating excitement on many fronts, as using red light may help to more easily transport all kinds of other drugs and therapeutic substances into cells.

In terms of treating Alzheimers, however, this research has prompted Mario Trelles, medical director of the Vilafortuny Medical Intitute, in Cambrils, Spain, to say, The techniques described could help to regulate and even stop the appearance of this disease.

Delivering Compassionate Health Care


When Salmaan Sana was a medical student, he realized he was burning out because of the type of education he was receiving, which was dispassionate and urged students to learn to emotionally detach from patients so they could provide objective care. But Salmaan thought that approach was the opposite of what made a good doctor. Knowing he wanted more contact with patients and a more empathic relationship with them, he became active in student and other organizations to change medical education and the healthcare eld in general. Today, he is part of Compassion for Care, an organization dedicated to changing the face of medicine by making compassion the number-one priority for all health practitioners. You can read the Compassion for Care charter and get involved by going to www.compassionforcare.com. You can watch Salmaans TEDxMaastrick talk online at http://www.youtube.com/watch?v=UxaTYxQds4&feature=player_embedded#at=178.

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Science in the News

BPA Plastics and Behavioral Problems


Nancy Walsh, staff writer at Medpage Today (www.medpagetoday.com) reports that foetal exposure to BPA (bisphenol A), a compound commonly used in the production of plastic itemsfrom the thermal paper on which credit cards and cash register receipts are printed to water bottles to food storage containers and packaging to medical equipmenthas been correlated to behaviour problems in children as young as age 3, especially in girls. Joe Braun PhD, and his colleagues at the Harvard School of Public Health report in the journal Pediatrics that for every tenfold increase in an expectant mothers urinary level of BPA, there was an associated increase in correlated behaviour problems in children. The researchers are unable to explain why girls seem to be much more adversely affected by this gestational exposure than boys, although they cautioned that their ndings are preliminary because their sample size was small (244 children). Since almost all of us are exposed to BPA, however, this study lends credence to other studies that suggest BPA is harmful to healthfor all of us and not just for fetuses. Recommendations for reducing exposure to BPA include avoiding canned and packaged foods, receipts, and polycarbonate bottles with the recycling symbol 7.
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Click here to nd out more or to register: www.ibih.com

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Bringing CAM to Community Medicine


By Jody James, LAc, Dipl. OM (NCCAOM)

A
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cross-section of our community sits around me in our small acupuncture and massage clinic. In the rst recliner is an underemployed estate agent, age 61, with chronic arthritis pain of the hands. Next to her is a 35-year-old day labourer from Guatemala who was referred by his physician for an acute shoulder problem that has not responded to medication. Adjacent to him sits a teacher who has not been able to work since the onset of her bromyalgia ten years ago. Across from her is a 50-year-old with early stage diabetic foot neuropathy. Last is a college student with debilitating migraines that interfere with her social and academic life.

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These people share two common threads: the desire to regain their health and limited funds with which to do so. They are the beneciaries of low-cost medical alliances formed by one of West Sonoma County, Californias non-prot healthcare agencies and a diverse set of complementary medical professionals and externs from local schools who show up on a regular basis to provide affordable traditional and alternative health services to our neighbours. Looking at Sonoma Countys tourist brochures, which highlight the areas acres of wineries, posh estates and beautiful countryside and coastline, one might not guess the magnitude of the need for affordable health services. Yet, as in many communities across the nation, the economic downturn and high cost of living have left a trail of distress among our friends, neighbours and families. For those living on welfare or xed incomes, healthcare choices are few. The bright side of the challenge is the commitment of local organisations and those with means to support and empower community members who nd themselves in a state of lack. Not handout or band-aid solutions, our next-generation medical options encourage patients to take charge of their health by becoming educated, attending support groups, making more appropriate lifestyle choices and, most importantly, partnering with providers of multiple medical disciplines, Western and non-traditional, whom they feel t their values and needs. An effective way to encourage patient self-care is to offer choices.

Im constantly amazed at the degree of gratitude these patients express. Caring and gentleness are a valued part of their massage experience. Some of my clients say having this appointment to look forward to keeps them from feeling despondent and alone in their struggle. Being out of pain for even a day or days gives them renewed hope. I look forward to the deepening trust we develop over a four- to six-week period, knowing theyve perhaps experienced a single important step toward getting back on their game. Cairyl Gardner, Certied Massage Therapist

How We Make It Work


What does this healthcare option mean to someone living on $1,000 per month? With two-thirds of our patient base living at or below poverty level, how do these folk access services not covered by MediCal, Medicare or subsidy programs? These questions were solved in part three months ago when our community-style acupuncture and massage clinic teamed up with the Forestvilles community medical clinic, one of six satellite clinics operated by a local non-prot. Our clinics operate independently but work together to provide care for patients. One afternoon a week, I and other practitioners from my clinic see a group of very low-paying patients referred by the non-prot clinic. These patients pay only $5 to $15 for acupuncture or massage treatments, and we practitioners provide these services at this low cost in exchange for using the non-prot clinics conference rooms for our usual community clientele, who pay $20 to $60 sliding scale per visit. In four hours, we can see about twenty patients; I treat four acupuncture patients in an hour. I am a California-licensed and nationally certied practitioner; my massage therapists are a certied massage therapist and upon occasion a supervised massage school extern.

As a rst time patient of acupuncture, this was an amazing experience that provided results I hoped for. C.M.

Go gure! I got to spend more than seven minutes discussing my health concerns. Thats one of the things I like most about your acupuncture clinic, feeling cared for and listened to. I like knowing help will be there next week and the next, even if it does involve being poked. M.M.

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Community-style acupuncture works well in the community-based medical clinic. Instead of individual appointments, patients are treated in a group setting. This not only lowers the cost of treatment but offers the possibility of side-byside treatments for family or friends and creates a group healing energy. Patients remain clothed and are seated in lounge chairs with pillows and blankets optional. Acupuncture is performed using arm, hand, leg, foot, ear and head points. Treatments are generally painless and very relaxing and last about one hour. Condentiality is respected by conducting interviews in another room and by speaking in low voices with music or a sound machine nearby. I provide herbal medicine and nutritional support as well. Other scope of practice modalities, such as moxibustion, cupping, electroacupuncture and other therapies are available outside of this setting as they are neither practical nor affordable within it. In its nearly 40 years as a licensed medical practice in California, acupuncture has grown in its popularity as an effective, user-friendly form of healthcare. Its appearance nationwide in settings beyond private practice, such as drug rehabilitation programs, university medical centres, cancer centers, major hospitals and military clinics, denotes its changing role in American healthcare. According to a National Institutes of Health report on complementary and alternative medicine, in 1997 in the United States acupuncturists were seen at a rate of 27.2 visits per 1,000 adults. In 2007, that number had tripled to 79.2 visits per 1,000 adults (17.6 million visits). As more and more doctors come to trust the symbiotic relationship between non-traditional care and Western medicine, patients become comfortable with requesting referrals. In some cases, referrals are made to us out of sheer exhaustion of all Western options. In other cases, we become involved early in the treatment process as the patient has voiced his or her preference to avoid surgery or pharmaceuticals. In tandem with, or subsequent to, treatment at our clinic, patients are encouraged to consult the expertise of other CAM programs associated
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with the non-prot clinic: osteopathy, Western herbology, homeopathy, nutrition, drug recovery, smoking cessation programs, strategies for diabetes, yoga, meditation or exercise classes. I advise patients to nd the tools that work for them and to make small changes that they can stick with.

The Challenges of Community Care


The rewards of providing help to underserved populationspatients gratitude, seeing them improve when they were without hope of ever feeling better, hearing that they were able to titrate down their prescriptionsare rewards gained by personal sacrice. If a practitioner is not prepared for the emotional and ego-based challenges of this work, he or she may become disappointed or discouraged. Although our goal has been a sustainable paradigm, more change is needed in the system to make it so. Here are some of the realities, challenges and surprises that I have come to terms with since taking on this role in community-based healthcare. It is likely that if you adopt this model you may face similar issues:

That $5 payment for treatment is spent before


the patient ever comes into the clinic just by my making one or more calls to schedule that patient. Originally the referring non-prot said they would schedule these appointments for me, but their administration declined, referencing legalities.

More referrals are made at the $5 level than


the $15 level by 10:1, whereas I was expecting 50/50. These fees are set by the referring nonprot and are based upon the US government poverty indexes and patient income levels they use for their mental health services fees. A more sustainable minimum fee would be $10, given this proportion versus the cost of doing business (discussed below).

Our very experienced massage therapist, who


normally gets $50+ per hour, believes in this work enough to accept $20 per hour for the two-plus hours she sees the low-paying group.
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No overhead reimbursement comes to our clinic from low-paying massage patients.

This patient demographic has tripled the


number of no-shows, reasons ranging from no transportation to having no money, to just plain forgetting. I had assumed that being offered nearly free services would ensure a patient would show up. That has turned out to be a false assumption. Now we double-book at least one hour per afternoon.

with those doctors who might not yet understand the power and benet of our work. We must continue to lobby for professional parity in the healthcare reform before us. We must further our community leadership skills, as I have recently done by training as a CERT (Community Emergency Response Team) member. This is another place where my rst aid, resuscitation and acupuncture trauma relief training may be employed. I highly recommend giving the program a look if it is offered near you. My motivation for continuing to offer this low-cost treatment to underserved patients is to feel part of a much larger grassroots movement. One that strengthens the web that binds us, that envisions a medical home based in the community from which residents can build healthier lifestyles, resources and connections. This is a connection grounded in compassion, accessibility and exibility, respecting our journeys and values, even if they pass over Big Pharma or the medical status quo. If I consider this my sevaservice work to my communitythen I neednt commit much energy to the how and how much; I just show up. I am fortunate that my private practice continues to grow and support the cycle of giving back. Isnt that how community works best?
Jody James has practiced acupuncture and traditional Chinese medicine in Sonoma County, California, since 2007, subsequent to a Master of Science degree from the Acupuncture and Integrative Medicine College, Berkeley, California. For more information, visit her website at www.asyrahsgarden.com or email her at gratonia@hotmail.com.

We have to move a lot of furniture to make


the space usable, set up our zero-gravity chairs, massage tables and equipment which are mostly stored on site, then put it all back again. This requires 30 minutes extra at each end of clinic time and makes anything less than a four-hour clinic day impractical. A volunteer helps at one end of the process, and acts as front desk receptionist during clinic hours; I couldnt do it without her.

A physician practicing acupuncture got that


staff position I applied for before our current clinic arrangement was made. Because my services as a licensed acupuncturist were not billable under Medicare or other US governmentmanaged health programs that support the non-prot, they hired billable doctors to perform the same services during their clinic hours as we provide outside their clinic hours. They also refer patients to the acupuncturist practicing next door. This is why they rejected an exclusivity clause in my contract negotiations. Their view was that with a patient base of thousands per month, they can refer to quite a few CAM practitioners and thereby reduce patients waiting list time. The costs of doing business in this cooperative way are the same as in my private practice, minus rent. Expenses include malpractice and business liability insurance, phone, supplies, and subcontractor, administrative and marketing expenses. Even with this liaison to the non-prot clinic, our clinic still must be a presence in the community and so we must work our public relations magic to stay strong. We must nurture communication
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Resources
To learn more about how you can further the cause of community-based CAM and give back to your community, visit these websites. These are only three of many resources available online.
www.communityacupuncturenetwork.org www.wchealth.org www.citizencorps.gov/cert
Quantum Health 45

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