Episode 2: Alternative Therapies in UC: An Expert Perspective

This transcript has been edited for clarity. For more episodes, download the Medscape app or subscribe to the podcast on Apple Podcasts, Spotify, or your preferred podcast provider.

Sunanda Kane, MD, MSPH: Hello. I’m Dr Sunanda Kane. Welcome to Medscape’s InDiscussion series on ulcerative colitis (UC). Today we’ll be discussing alternative therapies in UC with our guest, Dr David Hass. Dr Hass is the medical director for the PACT Gastroenterology Center and Director of Endoscopy at the Yale New Haven Hospital, Saint Raphael Campus. Welcome to InDiscussion. David, thanks for joining me this afternoon. My question is, first, how did you get interested in this topic in the first place?

David J. Hass, MD: Thanks so much for having me. It is always a privilege to see you. Thanks for inviting me. I would say my interest in this topic about 18 years ago, when I was at the University of Pennsylvania. When I was there, I saw many veterans in my clinic who used all kinds of supplements, and I could not in any way, shape, or form counsel them on the safety of those supplements. A gentleman who was there and is still there, James Lewis, who you might know, and I started working on a project. Through the institutional review board (IRB), we wrote to every supplement company that promoted digestive health and asked for literature supporting efficacy and supporting the data for the health claim that they made. We asked them to provide safety data and we asked them to provide us medication interaction data. We learned over the course of that year that there really isn’t a whole lot of data. That spawned my interest in supplement therapy and regulation. Fast-forward a few years later, I was now practicing in Connecticut and had a very, very interesting population of young college students and graduate students, many of whom had been treated for a variety of different conditions and had been to several gastroenterologists. These students had had every scope, scan, and medication trial and were coming to me for functional abdominal pain or something of that nature. I started looking into and reading to find out what was evidence-based from a complementary and alternative perspective so that I could be helpful. I was lucky enough to find someone locally who was a certified hypnotherapist. At that time, hypnotherapy wasn’t really so mainstream; we’re talking about maybe almost 15 years ago. I did the coursework, which was over 100 hours of coursework, to become a certified hypnotherapist so that I could implement that in my arsenal of treating functional bowel patients. From that, I was afforded wonderful opportunities to learn more and self-educate about a variety of different technologies and strategies for complementary and alternative medicine (CAM). The most important thing I learned through this journey was that it enabled me to form the best relationships with patients. Historically, we as physicians don’t know a lot about CAM, so we tend to dismiss it, which

Read More... Read More

Beloved dental expert amazed with $20K for 20 decades at operate

Texas dental assistant Sophia Teel is celebrating “20 yrs of fabulousness.”

A video of a Texas dental assistant obtaining $20,000 in funds from her employers to mark 20 many years on the position went viral as the supreme example of personnel appreciation.

Orthodontists Mike Nelson and Ron Risinger of Beaumont, Texas, astonished Sophia Teel with $1,000 for every single calendar year she’s worked at the exercise in recognition of her forthcoming 20-year anniversary with their business office. The movie of the surprise has been reposted throughout unique platforms, receiving hundreds of thousands of sights.

“This is the kinda staff appreciation we wanna see!! I really like it ???? Congrats to her ❤️?”, a person Twitter person wrote.

Teel informed “Very good Early morning The usa” that she was in “sheer shock.”

“I was pondering, ‘Good grief, I received a thirty day period remaining before 20 years. I know I am not having fired,'” she stated, explaining her hesitation as she entered the room in the movie.

Teel started at Risinger & Nelson Orthodontic Specialists as an intern in Might 2002. She was before long offered a posture that she stated she’s loved at any time considering the fact that.

“This is the excellent situation,” Teel mentioned. “Youngsters are acquiring braces on to enjoy their smile, to get far more self confidence. Normally at the finish, they are very satisfied. So this is a entertaining career.”

Dr. Nelson told “GMA” that Teel performs a big part in setting up that self esteem and building clientele comfortable when they arrive into the office.

“Sophie is a good illustration of someone who just brings pleasure and joy to the workplace just about every day,” he stated.

Dr. Risinger advised “GMA” that he and Nelson try to acknowledge employees’ important milestones in pleasurable means and wanted to do one thing distinctive for the practice’s first 20 12 months anniversary celebration, particularly following listening to that Teel is set to shut on her initial home soon.

“Sophie is not only an worker, but she’s a household pal and a quite important human being to have about you,” Risinger claimed.

He estimates that he and Teel have spent close to 40,000 hrs together above the past two a long time.

“She saw this small little procedure mature to the size it is now and she’s just one of the good reasons we are profitable,” he said.

Nelson and Risinger reported it’s important to them that their employees know they’re appreciated.

“The things that we are equipped to do for our spouse and children and our workforce here, truly it really is about possessing entertaining and to us it is a modest reflection of the greatness that they give again to us and the people in this article in the workplace,” Nelson claimed.

Risinger, whose son and foreseeable future daughter-in-legislation are also studying to be orthodontists, hopes

Read More... Read More

Editorial: Expand Medicaid dental expert services

Mahalo for supporting Honolulu Star-Advertiser. Delight in this totally free tale!

Read More... Read More

MMC Welcomes Health care Gurus from U.S. Office of Well being and Human Expert services

Call: Caroline Cornish
207-662-5146 / [email protected]

The staff of 15 from the federal government’s National Catastrophe Professional medical Program will offer brief-expression assistance for MMC through the latest surge.

PORTLAND, Maine – Maine Health-related Center (MMC) welcomed 15 clinical professionals from the U.S. Section of Overall health and Human Providers (HHS) Saturday to assist deal with the unprecedented surge in affected person quantity that MMC is experiencing because of to COVID-19. The staff, from the HHS Countrywide Disaster Healthcare Procedure (NDMS), was despatched to MMC at the request of the point out of Maine, and in collaboration with FEMA.

The federal NDMS staff involves medical professionals, highly developed health care practitioners, nurses, paramedics, and basic safety, logistics and administrative help professionals. For the future two weeks, they will present direct affected person care in a new non-COVID, acute treatment unit, making it possible for MMC to give 11 further beds for adult patients.

“This workforce enables MMC to admit additional people from our crowded Emergency Department,” explained Joel Botler, MD, MMC’s Chief Professional medical Officer. “While there is no solitary resolution that will alleviate our recent capacity problem, this team will make a important big difference to our crew and our patients.

NDMS, which is a portion of HHS’ Place of work of the Assistant Secretary for Preparedness and Reaction (ASPR), helps communities react to and get well from public well being emergencies and disasters. Since January 2020, NDMS has performed 740 missions in 40 states and U.S. territories, deploying additional than 6,600 health care, logistical and command and handle staff to enable states, territories and jurisdictions react to the COVID-19 pandemic.

“We are amazingly grateful to the federal authorities and this team of devoted health care pros for this support and to Governor Mills for requesting it,” reported MMC President Jeff Sanders. “Having further inpatient capacity at this time to relieve the tension in our ED is very valuable.”

The NDMS staff is envisioned to keep at MMC for 14 days, soon after which the condition of Maine might submit a request for extra assistance, if wanted.

“This pandemic is not more than,” stated Tim Tackett, NDMS group commander. “The health care companies at MMC are performing about the clock to care for the persons of this group. They are exhausted nevertheless go on to drive themselves to preserve lives. Nowadays, they are not by yourself in this struggle any more. My group is honored to be here to provide this hospital the finest support probable.

At situations this week MMC has had no critical treatment beds offered thanks to the COVID-19 surge in Maine. Its Emergency Division has been crowded with patients and has been on regular “diversion,” this means only the most crucial scenarios are recognized. MMC made the selection this 7 days to near six extra functioning rooms – in addition to six that experienced already been closed – to no cost up care team associates to care for sufferers with COVID-19 and other

Read More... Read More

North Charleston dental clinic seeks to increase totally free expert services with larger facility | News

NORTH CHARLESTON — A no cost dental clinic seeks to superior serve people in will need with a new, greater facility.

Dozens of metropolis officials, religion leaders, health and fitness treatment pupils and professional medical gurus joined North Charleston Dental Outreach to split ground Dec. 6 on a new heart in the southern element of the town, hoping to proceed supplying cost-free wellbeing care to the most vulnerable.

“Charleston is fortunate to have tons of dentists,” stated Dr. Monthly bill Sasser, dental director at the nonprofit. “But several (services) are out of access for a quantity of persons.”

North Charleston dental clinic provides free services on city's south end

The outreach was started in 1998 by the Charleston Baptist Association to offer cost-free crisis dental care to very low-earnings citizens. Dental Outreach presently operates from a little room around Reynolds Avenue in the city’s Chicora-Cherokee community. The neighborhood, after a lively neighborhood that bustled with firms, is now superior-poverty.

The dental center’s latest a few-area setting up has constrained place and previous gear. The COVID-19 pandemic highlighted the require for a greater place where by the middle could provide additional products and services.

The outreach center’s new household is an existing setting up on Azalea Generate, also owned by the Baptist group. That setting up will be expanded to involve six whole cure rooms. The project is envisioned to be accomplished in May well.

The middle will also present patients with preventative expert services, these types of as cleanings and fillings.

The outreach heart also needs to continue on its dental software that targets Hispanic young children who lack wellbeing coverage. That initiative is becoming done in collaboration with the Charleston County Faculty District, Sasser explained.

“All that we have accomplished up to this individual place is deal with men and women with toothaches,” Sasser mentioned. “Which is kind of the conclude of the line as far as dentistry is worried. What we want to do is commence at the other close of the line.” 

Element of the dental center’s new dwelling is getting made use of by Destiny Worship Center, a increasing congregation started in 2017.

Future will continue being on web page, serving to to expand the dental program’s achieve into the community. The church by now has a couple community-targeted ministries, getting served food stuff to 30,000 households considering the fact that April 2020, stated Senior Pastor Larry Goss. 

Goss stated the church appears forward to increasing its scope of ministries by partnering with the dental clinic. Destiny will offer prayers and other types of assistance to clients, the pastor reported.

Charleston Jewish Family Services provides food, health care for seniors

“We’ll be a useful resource to them,” Goss reported.

The outreach middle is equipped to afford to pay for the $500,000 venture partially because of to generous donations from the local community.

At the Dec. 6 groundbreaking, the Clinical College of South Carolina’s American Pupil Dental Affiliation offered the heart with a $25,000 verify. 

“You guys have no notion how a lot this suggests to me,” Sasser claimed.

North Charleston Dental Outreach has

Read More... Read More

Dental expert says NHS advice to scrub for two minutes at a time may not be enough

Have we all been brushing our teeth wrong? Dental expert says NHS advice to scrub for two minutes at a time may not be enough

  • Brits should bump up brushing to 4 min twice a day to get rid of the most plaque
  • However, those who brush more than twice a day could do more harm than good 
  • 25% of Brits fail to brush twice a day and almost 1 in 3 suffer from tooth decay

The staple advice of brushing your teeth for two minutes twice a day may be wrong, a dental expert has said. 

Instead, brushing your teeth for four minutes at a time is better because it removes more plaque. 

That is according to Dr Josefine Hirschfeld, a lecturer in restorative dentistry at the University of Birmingham. 

She also claimed brushing more than twice a day could actually do more harm than good. 

It brings a brighter smile and banishes bad breath but is two minutes of brushing twice a day enough? A dental expert says people should instead consider brushing for up to four minutes twice a day to get rid of the most of the teeth and gum harming plaque

It brings a brighter smile and banishes bad breath but is two minutes of brushing twice a day enough? A dental expert says people should instead consider brushing for up to four minutes twice a day to get rid of the most of the teeth and gum harming plaque


  • Place toothpaste on the brush head 
  • Hold the brush at a 45° angle
  • Turn on the electric brush and move it from tooth-to-tooth
  • Guide the brush along the front, back and chewing surfaces of each tooth
  • Hold the brush over each surface of every tooth for several seconds 
  • Do not apply too much pressure or scrub. Just guide the brush over each tooth 
  • Continue for around two minutes to ensure each tooth is clean 
  • When finished, rinse the brush head with water and allow it to dry

Source: Oral-B 

This is because excessive brushing, particularly with toothbrushes with hard bristles and using abrasive toothpastes can wear away at the protective enamel of the teeth and damaging the gums. 

Since the 1970s Britons have been told to brush for around two minutes and this is the guidance for that the NHS promotes for healthy teeth and gums. 

But more recent studies have suggested this may not be enough to give you good dental hygiene.  

Dr Hirschfeld said while studies show two minutes of brushing leads to good plaque reduction, brushing for longer was shown to remove more.

Plaque is the sticky, colourless or pale yellow film that forms on teeth and is made of bacteria that live in your mouth. If not dealt with, a plaque build-up can lead to tooth decay or gum disease. 

‘Current evidence suggests that spending more time brushing – each time you brush – leads to cleaner teeth,’ she wrote in The Conversation

‘This longer brushing time means we can more effectively clean our teeth and get those hard-to-reach places.’

However, Dr Hirschfeld warned those who brush three or

Read More... Read More