Newsletter 11

JM Remedial Therapy &
Lymphoedema Clinic
5-7 Albany Forest Drive
Albany Creek Q. 4035
Ph: 07 3264 6698

Newsletter issue number 11

Points of interest

From the desk
What is in our massage
From our Naturopath Doreen
Mum's salad dressing
Lymphoedema and breast cancer
Compression comfort bras
Wrap or bandanging for lymphoedema
Why Lymphoedema Index before Breast Cancer surgery
Notes

 

From the desk

Hope you are all in good health and happy. Life has been a little hectic at the clinic with massaging and getting prepared to offer you our new services. Our Naturopath Doreen Wheeler is now successfully consulting every Tuesday from 9am until 1pm and Thursday 1pm until 9pm. The question most often asked is: What does a Naturopath do?

Well, a Naturopath will look for the origin(s) of the symptoms, i.e. Is your gut working well? Are you absorbing the nutrients from your food well? Is your body eliminating wastes as it should? Do you have allergies? Are you sleeping well? etc. It is important to assess and address the way your body functions to help build your health and this is what your Naturopath does: ensuring that you have the right building blocks for your body. It does not mean that all problems will be solved, it may mean also in some situation that your body needs assistance to function better. For example, during cancer treatment or any other treatment, and to ward against the side effects of  medication. Your naturopath can also assist you in your quest for weight loss, weight gain, dealing with lymphoedema, building your immune system etc

I believe that many of you already know Anita, our friendly and competent receptionist. Could you advise Anita if you wish to make an appointment with Doreen, Ralph or myself – for naturopathy or massage therapy or both please? This will assist Anita to efficiently deal with your request. Anita is taking some time off between the 11th August until 31st August to explore Alaska's wilderness. Should you have any query during that time, could you please leave your name and phone number on the answering machine for me to ring you back. At time, it may take me a few hours to return your call but I endeavor to return it asap and on the same day.

Looking forward to see you soon

Jeanine

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What is in our massage?

Our massage always involves relaxation to overcome tissue resistance and adhere to the principle of working from superficial to deep before carrying out specific remedial work on the area of complaint. To tell you which technique is more important than the other is quite difficult as their aim is specific – so they are incorporated in the massage as required. Our knowledge in body movement will give you independence while maintaining the results.

This is how we conduct our massage and our Mission Statement is to help to re-integrate a sense of wellbeing, and structural balance in your body.

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From our Naturopath Doreen

Thinking about health can be confusing because many health problems seem so complicated and at times appear to have no known cause. We don’t know whom to turn to. I would like to let you know that I can address many conditions such as infertility, obesity, cancer, heart disease, menopause, irritable bowel syndrome, thyroiditis to name a few.

Chronic illness such as lymphoedema is a complex inflammatory condition that must be treated wholistically, and we know that the Complex Lymphatic Therapy is the treatment of choice. What is often not discussed is that diet is an important factor towards the management of Lymphoedema. It is likely that many people with a compromised lymphatic system will also experience some degree of gut dysfunction.

To remove the inflammatory response and allow the digestive system to work effectively can sometimes be complex and involves several issues such as reducing the workload on the body, clearing the elimination channels and detoxify the body systems. Generally, it is best to decrease the intake of processsed foods and eat plenty of fresh fruit and vegetables with good quality protein meals. I can assist you  to address these issues and also detect potential allergens such as wheat and dairy. I can help you to positively affect the function of your lymphatic system, improve your sense of wellbeing and quality of life.

Where necessary, I use Iridology, as Iridology is a great tool for mapping your health history. The patterns, colors, and other characteristics of the iris can be examined to determine information about your body systems. It is said that the eyes are the "windows" into the body's state of health.

So please call me should you have any health concern, and I endeavor to do my best to find its source and assist you to implement the solution to restore health and vitality.

Yours sincerely,

Doreen Wheeler, BHsc ND – Nutritional & Herbal Medicine

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Mum's salad dresssing receipe

Essential Fatty Acids are particularly good for the body function. They are found in oils such as flaxseed oil, walnut oil, and avocado oil, which I use regularly in my salad dressing.

This salad dressing has been passed on by my mother and modified. Mum always served a salad following the main meal saying that it would help me digest my food. I did not like it then and she would sprinkle some sugar over it to decrease the tangy taste of the dressing. She was right and many benefits have been reported on the humble lettuce and the use of a dressing on the salad such as:

It increases the fiber intake
Has a positive effect on the liver and the digestive system
You feel fuller, eat less, lose weight
It increases the intake of good fat when accompanied with the right dressing

Ingredients

The ratio vinegar to oil is 1 serve of vinegar to 3 of oil. You can readjust this ratio to suit you: 

1/3 of a cup Balsamic Vinegar
Avocado oil
Flaxseed oil
Cold press olive oil optional
1 clove of garlic
1 shallot
1 teaspoon or 2 of mild mustard
1 teaspoons or 2 of mayonnaise
Salt and pepper

Pour the vinegar into a jar
Add a small pinch of salt and sprinkle with pepper
Crush and add the garlic
Chop the shallot thinly
Add the mustard and mayonnaise and emulsifie-  (mixing the vinegar with mustard and mayonnaise before adding the oil will prevent your salad dressing to separate).
Pour the oils slowly continuing the emulsification You can also increase the ingredients' proportion, as the dressing keeps for weeks in a good container so you do not have to prepare it daily.

Bon appetit!
Jeanine

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Lymphoedema and Breast Cancer

Breast Cancer patients are not always well informed as to the reason(s) why more or less lymph nodes have been removed during surgery, and it is particularly hard for someone with lymphoedema to accept that more lymph nodes have been removed when not enough information has been provided.

According to the Medifocus Guidebook on Lymphoedema, one of the most common procedures for evaluating nearby lymph nodes for signs of metastatic spread of cancer cells has been axillary lymph node dissection (ALND), in which a pad of fat that sits along the bundle of blood vessels and nerves that pass through the armpit is removed and the lymph nodes are removed from it to be examined. The number of nodes removed increases the risk for developing lymphoedema.

A newer technique for mapping the involvement of lymph nodes in breast cancer is called sentinel lymph node (SLN) biopsy. The sentinel lymph node is the lymph node closest to the breast tumor that would filter out the cancer cells. Any spread of cancer cells beyond the tumor is most likely to pass through this lymph node. If cancer cells are detected, the surgeon may recommend the removal of additional lymph nodes and perhaps ALND. When fewer lymph nodes are removed, the risk of lymphoedema is greatly reduced (up to 70%, according to some estimates).

So please, ask your doctor about the procedure that you are about to undergo, as there is most likely a good explanation as to the reason why your surgeon has removed more lymph nodes from you than your friend has from her surgeon and choose your surgeon carefully.

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Compression comfort bras

For patients suffering from breast swelling, swelling in the mid-line of the body, below the (armpit) or below the chest, you can now order your high quality compression bra, which, applies a continuous gentle compression and support to the chest and breast area while worn comfortably and unobtrusively under clothing. This bra is also designed for those recovering from breast cancer surgery. The price is quite affordable and the bras are available in sizes 32-48 and cup sizes A/B, C/D and DDE. Of course, the custom-made are more expensive.


  

 

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Wrap or Bandaging?

Everyone who had an intensive treatment with bandaging will know the inconvenience of it. It is time consuming, uncomfortable at best and expensive. The good news is that the bandaging can now be switched to a wrap which can be applied to obtain a reduction in swelling. The management of Lymphoedema requires a good working between the patient and the practioner. The wrap is applied and the progress are monitored during the intensive phase of the treatment. The following phase of the treatment consists in organising a compression garment to maintain the reduction in swelling, and developing self-care strategies such as self-massage, wearing the garment, exercise and skin care.

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Lymphoedema Index before surgery

It is possible to index the amount of fluid in the arm tissue prior to breast cancer surgery. It is a very simple test where electrodes are applied on the arms and legs. An electrical signal travels through the fluid surrounding the cells which make up the muscle and tissue and establishes what is your normal range.

Normal range is between                    ______-10______0.0______+10

Case 1

Before surgery
Your normal range may be 5.2, i.e.          ______-10________0.0__5.2___10

After surgery 
Your reading may be  +13.2 , i.e.                      ____0.0______+10__13.2 or  > 

Your reading is outside the normal range  (-10 to +10) with an increase of 8 units from the previous reading

Case 2
Before surgery
Your normal range may be          -10___-5.2______0.0_________+10

After surgery 
Your reading may be +8.2, i.e.      -10____________0.0_____8.2__+10

We can notice an increase in fluid from the Base Line in Case 2. A total increase of 13.4 units accompanied with symptoms such as heaviness, aching, discomfort in the limb, changes in the skin texture are strong indicators of Lymphoedema. This is regardless to the fact that the 8.2+ is still within the normal range.  

An early detection of Lymphoedema can reduce the cost of its treatment and its impact on someone's life. The test only takes 10 minutes to perform and can be performed during your massage or lymphatic consultation with the additinal $10 for the cost of the electrodes.

PS: we also take into consideration that swelling may also be the side effect of the ongoing treatment

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Notes

Should you wish to receive more information, have a question, or have suggestions regarding topics for our future issues of the newsletter, please click here to contact us.

Hope you have enjoyed reading this newsletter.

JM Remedial Therapy &
Lymphoedema Clinic
5-7 Albany Forest Drive
Albany Creek Q. 4035
Ph: 07 3264 6698

©Newsletter issue number 11

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