Newsletter #92 - April 2009
In this newsletter
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From her extensive teaching experience senior trainer Maureen Miller reveals how the internal power of tai chi manifests itself in so many different ways.
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Caroline refers to spiritual as the inner essence, and spiritual practice as an activity allowing us to focus inwardly. Tai chi is a form of spiritual practice directing the life energy from within to outward movements.
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Betty Scanlon shares her tai chi learning in this poem, a skill for both teacher and student.
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Excerpts of useful information from “Your Health” Edition 50, Autumn 2009. A quarterly online newsletter on health issues in Australia exclusively for the health profession.
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Overcoming Arthritis - Book
This book contains comprehensive information on arthritis, featuring Dr. Lam's complete Tai Chi for Arthritis program with photographs of all movements. 144 pages & 165 colour photos.
Buy this book and receive 2 FREE Wall Charts, TCA and Warm up/Cool down, valued at USD $13.00 or AUD $17.90
Tai Chi for Arthritis Instructor Training
May 30 – May 31, 2009. Hartford, CT, United States
Tai Chi for Osteoporosis and Fall Prevention Instructor Training
June 6 – June 7, 2009. St Paul, MN, United States
Tai Chi for Back Pain Instructor Training
Exploring the Depth of Tai Chi for Arthritis
August 1 - August 2, 2009. Sydney, NSW, Australia
Tai Chi for Diabetes Instructor Training
August 1 - August 2, 2009. Sydney, NSW, Australia
Tai Chi for Osteoporosis and Fall Prevention Instructor Training
August 22 - August 23, 2009. Sydney, Australia
Exploring the Depth of Tai Chi for Arthritis
September 3 - September 4, 2009. Sydney, NSW, Australia
Therapeutic Tai Chi Instructor Training
September 19 - September 20, 2009. Brisbane, QLD, Australia
Tai Chi for Diabetes Instructor Training
Paul Lam, M.D.
Maureen Miller, Senior Trainer, St Mary, GA, USA
Teaching an on-going Tai Chi for Health class at a recreation centre in southeast Georgia presents unique challenges. Not in terms of the facility. The Rec Centre is well located; just next door to the county’s only high school, this year’s regional football champions. One couldn’t ask for a better location or a better space—padded floor, full stereo sound system, mirrors on two ends and large windows with a delightful view of Georgia pines stretching to the sky. The real challenge here is convincing cliental to join a class.
“It’s too slow.”
“It’s too pretty.”
“I’m too uncoordinated.”
“I get a better workout in the weight room.”
These were just a few of the comments I hear when suggesting they try tai chi. Thinking such responses related to their idea of real exercise—the rough, tumble, knock-em-down American style football—I tried enticing folks with stories like Ralph Dehner’s BUBA definition of “secret Chinese fighting techniques” or Kenneth Cohen’s old Master farting in the park. But one day I realized that people were only seeing the external aspects of Tai Chi, and I needed to revise my approach.
Over the years of teaching Tai Chi for Arthritis, Back Pain and Kidz, I’ve found that the internal power of tai chi manifests itself in so many ways: from the multiple health benefits of abdominal breathing, both in massaging the internal organs and working the deep stabilizing muscles; to the power and stability attained by moving in a relaxed manner; to the softening of facial muscles, releasing of outside pressures, and obtaining greater awareness when opening the joints and allowing chi to flow.
What I needed to do was to demonstrate this internal power in two or three sentences, and spark curiosity before eyes glazed over and folks walked away. Remembering that actions speak louder than words, I began to ask inquisitive folks to sit down a minute and take a deep breath.
“What happens?” I ask.
Most tell me that they had to sit up straighter to take that deep breath. Then I guide them through just relaxing and trying the Open and Close movement. After a few minutes I ask, “How does that feel?” Next I suggest they think of a bit of pressure on the backs of their hands as they Open and between their hands as they Close. Again I ask, “How does that feel?” In no time they’re hooked, looking to me to give them another movement and then telling me how they feel.
Yes, there is a lot of internal power in tai chi—and it is best understood through careful examination of what is happening within ourselves as we practice.
Caroline Demoise, Master Trainer, Chapel Hill, NC, USA
Betty Scanlon, paediatric nurse practitioner and occasional tai chi instructor, Fort Myer, FL, USA
What is this thing?
This thing they call Qi
And what could it possibly
Matter to me?
Qi is the life force
That’s what they say
And building it up
Comes from this play
It all starts in stillness
This play called Tai Chi
And over a time
It’s grown deep in me
The mind seeks peace
As the body does health
Being one with the universe
Gives the spirit wealth
The movements were awkward
At times rather queer
After I’d learned them
I asked, “Where to from here?”
The internal is next
My teachers have said
The next part to learn
Is all in your head
Practice and practice
Will help you improve
Practice these principles
To get in the groove
Posture and weight shift
The movements are smooth
Sinking your breath
To be in the groove
Deliver the force
Know when to yield
Practice these rules
And your health will be sealed
Practice and practice
Be patient and persevere
You’ll be pleased how far
You’ll come in a year
If you wander from the path
You will come to realize
That without Tai Chi
Your goals don’t materialize
It helps to have a teacher
And classes can motivate
Or play alone
A great way to meditate
The benefits the same
In groups or alone
The point is to play
In class, a park, or at home
Perfection not necessary
Though perfectionists may try
All that is asked
Is you give it a try
The styles are many
Chen, Yang, Sun and Wu
Soon you'll find one
That resonates in you.
A quarterly online newsletter on health issues in Australia
Diabetes? The hype on hypos
Your health online
‘No added fat’ beef & mushroom stir fry
HEARTBURN. THE GOOD NEWS.
Potent treatment for heartburn is now available over-the-counter (OTC). This is good news for many sufferers who are getting inadequate relief from their current OTC medication.
Heartburn occurs when acid from the stomach escapes into the oesophagus (reflux). This causes a burning feeling rising from the stomach or lower chest towards the neck. Regurgitation of acid into the mouth can cause a sour or bitter taste.
Lifestyle changes such as avoidance of trigger foods (e.g. fatty or acidic foods), weight loss, reducing alcohol intake, quitting smoking and avoiding lying down for 2-3 hours after eating, may help to prevent episodes.
Some people may also need long term daily medication for complete control of symptoms. For others, it may be sufficient just to treat flare-ups as they occur.
How to treat flare-ups
OTC medications can give quick relief for mild or occasional symptoms. Antacids neutralise the acid in the stomach and medications such as ranitidine and cimetidine reduce acid production.
PPIs (proton pump inhibitors) lower acid production more effectively. They give the greatest symptom relief but take longer to work than antacids. They are available on script for more severe cases.
Pantoprazole is the first PPI to be available in a lower dose without a prescription. It is suitable for people who have troublesome episodes of heartburn 2 or more days per week. Pantoprazole is taken once daily for 7-14 days. Sideeffects are uncommon and can include diarrhoea, headache and nausea.
When to see your GP
· If your symptoms do not respond within 14 days of treatment.
· If you have repeated or severe episodes, difficult or painful swallowing, vomiting or choking attacks at night.
· If symptoms are not typical, especially if you are over 55 years. Angina (heart pain), stomach ulcer and (rarely) stomach cancer can cause similar symptoms to reflux.
· If you have unexplained weight loss, vomit blood or pass black bowel motions you need prompt investigation.
Diabetes causes a raised level of glucose (sugar) in the bloodstream. However when there is an imbalance between diabetes medication, food eaten and physical activity, some people with diabetes experience hypoglycaemia (a ‘hypo’) or low blood glucose (<4mmol/L).
Hypoglycaemia symptoms can range from mild to very serious and can include:
· Dizziness, lack of concentration, change in behaviour or mood, headache, hunger
· Sweating
· Weakness or shaking
· If untreated, confusion, drowsiness, unconsciousness and seizures can follow.
When on certain diabetes medications hypoglycaemia may be triggered by:
· A delayed or missed meal or snack
· Insufficient carbohydrate eaten
· Physical activity which is unplanned or more vigorous than usual
· Drinking alcohol without carbohydrate
· An excessive dose of diabetes medication
Sometimes hypos are not recognised, especially if symptoms are mild or occur during sleep. Some people with long-standing diabetes have no early warning symptoms when their glucose level drops.
Treatment of hypos
If you suspect a hypo, test your blood glucose level if you can. Then take some quick-acting carbohydrate, such as ½ can of soft drink (not ‘diet’) or 6-7 jellybeans. Follow this with some long-acting carbohydrate such as a sandwich or a piece of fruit.
A hormone called glucagon can be given by injection by another person if you are unconscious or unable to treat yourself.
Always tell your GP if you think you may have experienced a hypo, even a mild case. You may need a review of your diabetes management, which could include a search for the reasons for the hypos, a change in the dose of your diabetes medication or a change of medication to one less likely to cause hypos.
Speak to your GP for more information or visit www.diabetesaustralia.com.au.
The internet can be a valuable source of health information that can help you understand your illness and treatment. However, there are many pitfalls in health cyberspace!
A lot of health information online is inaccurate, biased or out-of-date. Anyone can write a website and promote dubious information or questionable products. It can be very hard to tell if a site can be trusted.
One study found that less than 10% of health sites gave advice that was completely in line with established medical guidelines.
Online self-diagnosis is dangerous. It is easy to misinterpret complex medical information and reach the wrong diagnosis. It can also lead to health anxiety (‘cyberchondria’) and over-diagnosis of serious disease.
Discuss any online health information with your GP who can help you process the information and assess its relevance for you.
However, there is rarely time in a consultation to wade through reams of information! Summarise your findings and write a short list of questions before you visit your GP.
New resources on our website
Our practice website now includes a comprehensive range of health resources. It is a good place to start when looking for reliable online information.
All the medical content is written by a GP and is reviewed by 3 other independent GPs and (in most cases) a medical specialist, so you know it can be trusted. It includes:
· Past articles from Your Health newsletter
· Reliable health website links
· A guide to medicines and side-effects
· A medical dictionary
· Health tools and calculators
· Links to healthy recipes
· Lists of patient support groups
Our website is accredited by the international Health on the Net Foundation (HONcode) which assesses health websites for quality and trustworthiness. Visit www.hon.ch for more information.
Suitable for people with diabetes
Nutritional analysis per serve: Total fat 8g, saturated fat 3g, carbohydrate 16g, 1240kj.
Low GI.
Preparation: 20 minutes + 20 mins to marinade. Cooking: 5–7 mins.
Ingredients
600g lean steak
1 tbspn minced red chilli
1 tbspn minced garlic
¼ cup salt-reduced soy sauce
1 cup low-salt, no-fat beef stock
1 medium onion cut in thin wedges
1 red capsicum, cut into strips
100g sliced medium mushrooms
20g grated green ginger
2 cups sliced Chinese cabbage
200g cooked rice vermicelli noodles
1 cup coriander leaves only
Preparation
1. Trim all fat off the beef and cut into fine strips. Put in bowl with chilli, garlic and soy sauce. Turn well and leave to marinade for 20 minutes.
2. Pour half the beef stock into a wok and bring to boil over high heat. Add onion and capsicum and stir fry for 2 minutes. Drain the beef and add.
3. When the beef is lightly browned and is combined with the onion and capsicum, add the rest of the stock, mushrooms and ginger. Stir fry for two minutes and then add the cabbage and cook to combine.
4. Serve in bowl with the stir fry spooned over the rice noodles and topped with ripped coriander leaves.
Source: Delicious Living cookbook by Peter Howard. RRP $19.95.
Endorsed by and available through Diabetes Australia. T: 1300 136 588.
by Dr. Bob McBrien
An elderly man in Queensland owned a large property for over thirty
years. He had a two acre pool in one of the lower paddocks where he had planted mango and avocado trees. The pool was fixed up for swimming and he also had a picnic table in the shade of the fruit trees.
The old man answered, “I didn't come down here to watch you ladies swim naked, and I won’t make you get out of my pool.”
Warning: Dr. Lam does not necessarily endorse the opinion of other authors. Before practicing any program featured in this newsletter, please check with your physician or therapist. The authors and anyone involved in the production of this newsletter will not be held responsible in any way whatsoever for any injury which may arise as a result of following the instructions given in this newsletter.