December 2017

December 2017

December 2017

    The Office: NNT Values for Cardiovascular Therapies

    Notes:

  • Cardiovascular events
    • Antihypertensives (5 years)
      • 3 classes of antihypertensive medications: beta-blocker (metoprolol), ACE-inhibitor (lisinopril) or a calcium-channel blocker, diuretic (hydrochlorothiazide)
      • 1 in 125 were prevented from death; less than 1%
      • 1 in 67 were prevented from having a stroke; less than 2%
      • 1 in 100 were prevented from a heart attack;1%
      • 10% of people had harmful side-effects
    • Betablockers alone
      • 0% were prevented from a heart attack
      • 1% were harmed by cariogenic shock
    • Coronary stenting
      • 0% people were prevented from a heart attack/ dying/ symptom reduction
      • 2% were harmed by complications (bleeding, stroke, kidney damage)
    • Aspirin to prevent future heart attack/stroke
      • 1 in 1667 were prevented from a heart attack
      • 1 in 2000 were prevented from a non-fatal heart attack
      • 1 in 3000 wereprevented from a non-fatal stroke
    • Statins (5 years)
      • 0 were prevented from death
      • 1 in 100 were prevented from a heart attack
      • 1 in 154 were prevented from a stroke
      • 1 in 50 developed diabetes (2%)
      • 1 in 10 developed muscle-damage (10%)
  • In summary, WM therapies appear to be ineffective to prevent cardiovascular events.

 
 
 

    The Office: MPD – Correct Cun Finger Positioning

    Notes

  • Put your index finger between the radial styloid process and the scaphoid bone with your thumb on SJ 4 when palpating the Cun position.
  • Now take your thumb off of SJ4 and rotate your thumb towards SJ3. This will make your index finger rotate distally so the finger pad points towards LU9 (turning the key principle), which is “Bob’s Cun position”.
  • Do not use “Jimmy’s Cun position”, because that will give you information of the Distal Styloid pulse of the MPD system.
  • Bob’s Cun position will give you all kinds of information about the heart and cardiac problems.
    • Blood flow in the atria vs the ventricles
    • Coronary artery blockage of the medial vs the lateral side of the heart
    • Valve problems
    • mall coronary artery blockages vs large coronary artery blockages
  • Do not keep your thumb on SJ4 when you do that, it will screw up your reading!

 
 
 

    The Office: DNA Live Case-Study: Lower Back Pain

    Notes

  • Px presents with right sided lower back pain at the height of roughly L5-S1.
  • Started needling on the contralateral HT vessel to treat the KD (treats the deeper mucles in the lower back eg erector spinae muscles,quadratus lumborum muscles).
  • Px shows no improvement.
  • Switch to more superficial muscles: needling the contralateral LU to treat the UB (lattisimus dorsi muscles).
  • Px shows no improvement.
  • Switch to ipsilateral LU to treat the UB (lattisimus dorsi muscles).
  • Px shows significant improvement!
  • Note: Always think your steps through. Use your distal needling to test your diagnosis and adjust accordingly. Remember, some people respond better ipsilaterally.

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