Showing posts with label Part. Show all posts
Showing posts with label Part. Show all posts

Thursday, March 9, 2017

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Friday, January 20, 2017

Intrusive Thoughts and the Search for the Answer Part 2


I Figured You Out

As I said in Part I, the intrusive thoughts that seemingly took me over as a girl, became a fact of my history that I spent a lot of time trying to figure out. It was a reference point, a mystery, and an indictment in my mind. How could I say I was a feminist? How could I say I cared about women? How could I be a good person? Surely these thoughts and images of violence invalidated anything I might believe about the value of women. In my 30's I started seeing a therapist for depression and anxiety, and worked up the courage to tell her about the thoughts. She did something that many therapists do: she gave her interpretation. Interpretations can yield useful insight if they're not about obsessive thoughts. She said that it sounded like I was angry at my mother.

Although it was reassuring that she didn't think I was a bad person for having the thoughts, the idea that such violence in my mind's imagery was somehow symbolizing anger at my mother scared me. What kind of daughter was I? How could I ever survive such awful anger? Interpretations add fuel to the OCD fire. Each new interpretation brings its own set of things to figure out.

It is the painful irony of OCD that intrusive thoughts often strike at the very things that are most precious to us. A truly pious person has blasphemous thoughts, a gentle soul has violent thoughts, a feminist has thoughts of violent pornography. The other brutal irony of OCD is that even when books or websites that clearly describe the experience of intrusive thoughts, and the fact that they say nothing about you as a person, the OCD latches onto this and sets off a cascade of figuring out: "Do I really enjoy these thoughts? Do I really have OCD? How can I know if the thoughts are actually intrusive?" Or if you see a therapist, you can fall into the "What if I'm not truly expressing my thoughts clearly, so the therapist can't see how truly bad and twisted I am? What if I am deluding them?"

It helped immensely when I found an exposure therapist, and he knew that this cascade would appear--he would say, "I bet you are trying to figure out if your thoughts are an exception to the rule, and the OCD is getting louder and louder as we sit here--am I right?" Making the pattern explicit helped me to know it's sneaky insidious ways, and the insatiable desire to prove once for all that I am ok, not bad, not unredeemable.

Sunday, January 1, 2017

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Monday, November 28, 2016

ENTERING THE PATENT ZONE PART 2 SAMPLING OF THE MEDICAL LASER PATENTS ISSUED IN 1993 1994


This column was originally published in the July 1994 issue of Medical Laser Report.

ENTERING THE PATENT ZONE, PART 2

SAMPLING OF THE MEDICAL LASER PATENTS ISSUED IN 1993/1994

Industry Update

Irving J. Arons
Managing Director
Spectrum Consulting

An interesting potpourri of patents were issued to companies and individuals involved in the medical laser industry over the past 18 months. As the industry becomes more application oriented, more patents seem to be aimed at meeting the needs of the identified niches. In a rough count of the 50 plus patents reviewed, 4 were involved with delivery catheters for angioplasty; 13 were directed at dental applications, including the use of dual wavelengths to treat both hard and soft tissue and special handpieces for hard to reach areas of the teeth; about a dozen were aimed at corneal sculpting -- or the alleviation of some of its problems; more than a dozen concerned catheters for delivering laser energy within the body -- either directly at a tissue or at some divergent angle; several patents dealt with multiple wavelength outputs, control of laser pulses or dosimetry; and another half a dozen or so involved better control of the lasing process itself.

Here then is a sampling of some of the more interesting medical laser patents issued last year and for the first several months of 1994.

Advanced Interventional Systems

● US 5,188,632 (2/23/93) -- A waveguide for ablating lesions in blood vessels, incorporating an expanding lens at the distal end of the laser fiber to provide a larger ablation area -- one of a series of ablation catheter tips assigned to AIS.

American Dental Technologies (7 patents issued during the period)

● US 5,275,564 (1/4/94) -- A pulsed holmium dental laser for welding of enamel and hydroxyapatite.

● US 5,257,935 (11/2/93) -- A laser for removing dental enamel, dentin, and soft tissue using a wavelength between 1.5 and 3.5 microns.

● US 5,232,367 (8/3/93) -- A method for sterilizing or reducing bacteria in accessory canals or closing same with a pulsed laser output of between 0.1 mj and 5 joules per pulse.

● US 5,207,576 (5/4/93) -- A dual wavelength dental laser with one laser having a pulsed output between 0.2 to 2.0 microns, and the second pulsed laser having an output between 2.0 and 5.0 microns.

Candela Laser

● US 5,287,380 (2/15/94) -- A method of generating long pulses (greater than 500 ms) from a flashlamp-excited laser, using a ramp pulse having an amplitude increasing with time.

Intelligent Surgical Laser (2 patents issued in the period)

● US 5,246,435 (9/21/93) -- A method of using an ophthalmic laser to remove cataractous tissue from within the capsule.

Laser Medical Technology (6 patents issued during the period)

● US 5,292,253 (3/8/94) -- A method of repairing an opening in a bone or tooth by applying a laser beam to weld a calcium containing protein gel to the bone or tooth tissue without harming the bone or tooth tissue.

● US 5,290,274 (3/1/94) -- An apparatus comprising two laser sources operating at different wavelengths and power levels, capable of cutting a given organic tissue, simultaneously applying the two laser wavelengths to a single body region and directing a cooling fluid at the tissue while applying the radiation.

● US 5232,366 (8/3/93) -- A tunable laser capable of producing at least 2 wavelengths for use in the mouth for cutting physiological tissue, used in conjunction with a cooling fluid.

Laserscope (10 patents issued during the period)

● US 5,281,214 (1/25/94) -- A disposable surgical probe that can deliver laser energy either forward or deflected. When a curved optical fiber is retained within a sheath, the laser energy is directed forward; when the fiber is pushed out of the sheath, the fiber curves, deflecting the energy.

● US 5,257,991 (11/2/93) -- A side firing laser fiber having a beveled end contained within a cylindrical probe, having a cutout in the side of the probe.

● US 5,249,192 (9/28/93) -- A multiple frequency medical laser having outputs at 1.06, 1.44, and .532 microns.

● US 5,242,434 (9/7/93) -- An apparatus consisting of an elongated tube for inserting and guiding a laser beam for performing a discectomy of the herniated nucleus of a herniated disc.

● US 5,201,729 (4/13/93) -- Performing percutaneous discectomy with a 1.44 micron YAG laser.

● US 5,178,617 (1/12/93) -- A scanner system for distributing laser energy in a treatment pattern using a bundle of optical fibers, with a scanner configuration at the fiber input, and a treatment configuration at the output end.

Massachusetts Institute of Technology

● US 5,290,275 (3/1/94) -- Use of a transparent protective shield at the distal end of a multifiber catheter for mechanically displacing intravascular blood and protecting the fibers from the fluid. The shield also protects the patient in the event of fiber failure.

Premier Laser (4 patents issued during period)

● US 5,267,856 (12/7/93) -- A method of ablating a selected area of a material with a laser by adding a laser energy absorbable liquid to the area that enters the material via surface pores or is chemically bonded to the material. Application of the liquid is done either directly prior to or during each laser pulse, until desired amount of tissue/material is removed.

Summit Technology (4 patents issued during period)

● US 5,230,334 (7/27/93) -- The use of ultrasound for controlled localized hyperthermia, useful for inducing controlled collagen shrinkage in corneal tissue.

● US 5,214,071 (5/25/93) -- The use of topically applied aliphatic alcohols to reduce discomfort and inflammation, and to promote corneal wound healing and epithelial regrowth over a reprofiled corneal surface.

Sunrise Technology

● US 5,304,169 (4/19/94) -- A method for shrinkage of collagen by application of laser energy, wherein the threshold shrinkage temperature is substantially reduced by application of a reagent, such as lysozyme, to the tissue prior to heating. This allows the use of substantially lower energy levels.

Trimedyne (5 patents issued during period)

● US 5,242,438 (9/7/93) -- The means for deflecting laser energy circumferentially by reflecting the laser energy off of a cone placed in the path of the beam transmitted out of a fiber, within a catheter.

● US 5,242,437 (9/7/93) -- A medical device to apply heat to a site within a patient's body by using both irradiation and conduction to locally treat a tissue such as the endometrium. At the operative end of the device, some of the laser energy is absorbed, delivering heat omnidirectionally, while another portion is transmitted through an aperture for localized and intense heating and destruction of the target tissue.

Sunday, September 11, 2016

Learning to Sit on the Floor Part 2


by Baxter
Last week, our resident physical therapist and yoga teacher Shari Ser began a discussion about learning how to sit well on the floor. While sitting on the floor is frequently the first position we take in most modern yoga classes, there is often little attention given to the various ways we can sit comfortably either at the start of a class or for home meditation practice. So if you did not have a chance to get to it last week, I suggest you read Shari’s post now (see Learning to Sit on the Floor), with special attention to the last half of the post that covered yoga poses to strengthen the supporting muscles of the spine and back, as well as ways to improve flexibility of the spine, especially in the area of the rib cage. 

Today I’m going to address a follow-up question one of our readers left on Shari’s post: 

Something missing for me here: I can't sit cross-legged because my knees won't go down and my ankles can't stand the bend caused by knees less than halfway to the floor. I couldn't do this even when I was young, flexible, and lean. Help? 

This reader highlights a reality that many of my students encounter when trying to take a comfortable seat in yoga: their bodies don’t allow them to sit easily in cross-legged position, not due to lack of work on the poses that can open and strengthen them to improve their ability to sit, but due to structural realities of their bodies. It turns out some people’s skeletons and connective tissue just don’t permit enough movement—particularly in the hip joint—to allow the pelvis and femur bones (thigh bones) to take their ideal positions. This usually becomes apparent after a practitioner has spent a reasonable amount of time trying to improve his or her sitting position without seeing any changes in those joints.

So today I’m going to make some suggestions for those individuals, and I suspect many of our readers fall into that category! First, make sure you have an adequate support under your sitting bones to elevate your entire body for sitting. Shari suggested a folded blanket or pillow on a chair seat to start to get the idea of your hips being slightly higher than your knees. For challenged yogis who are sitting in Seated Crossed Legs position (Sukasana), I suggest sitting on two to three folded blankets, on a block, or on the edge of a firm bolster.
You will have to experiment with how much height you need to get your hips high enough so they are even with or higher then your knees. Sometimes, if your support is high enough, you might feel a release in your pelvis and hip joints, and your knees might drop a bit more than expected, even for those like our questioner today. Second, provide some support under your knees. Using a block on each side may immediately resolve any pain that is occurring in you knees or hips (and maybe even your ankles). 
If you do all that and your ankles are still uncomfortable, try rolling a blanket and wrapping it around your ankles and under your knees. This alone may support and cushion your ankles and support your knees.
Unfortunately, even with all of these props, some of my students are still unable to get comfortable Seated Crossed Legs position. So this is where my personal favorite way to sit comes in: Hero pose (Virasana).
In Hero pose, the challenges for your body are different than Seated Crossed Legs position (Sukasana), so you may still need some support. If your knee joints and/or ankles are stiff, the propping I will show here today will likely take care of those difficulties. If your lower spine is stiff or your front thigh muscles are tight, you may still need a lift under your hips to get that slight forward pelvic tilt that allows your lumbar spine (lower spine) to take on its natural curve. In this pose I personally always sit on at least one block on its lowest or middle or lower height, so I suspect you will need to experiment on you own to discover the height that is best for you.

Start by placing a folded blanket on your mat to support your shins. Then kneel on the blanket, with your knees near front of blanket, and your ankles and feet hanging off the back edge. Have your knees hips-distance apart, but splay your shins a bit wider apart in back. Place a block on its lowest or middle height (or a stack of two blocks) sideways between your feet, so both sitting bones can rest on it). Then carefully sit back on the block. Adjust your pelvis, as you might move it in Cat/Cow pose, until your lower back feels like it has a nice natural arch. 



Many practitioners have ankles that are very stiff and inflexible. So if your ankles are uncomfortable in this pose, you can use an additional blanket under your ankles to relieve that tension. (To improve ankle flexibility in the long run, practice poses such as Child’s pose (Balasana) and Cobra pose (Bhujangasana) that stretch your ankles and the tops of your feet.)
Finally, if you do end up adopting Hero pose as your preferred sitting pose, I’d suggest you exit from it carefully—especially if you end up sitting for longer periods of time—because your knees have been deeply flexed in this position. To come out of the pose, carefully shift forward onto hands and knees and stretch one leg at time back behind you to open up your knee joints.

And with whichever sitting pose you choose to work on, as you build strength and flexibility in your spine with our other recommended yoga poses, add in an inner action I call the “inner lift.” This simply means that as you sit, you imagine lengthening up from your sitting bones to the crown of your head through the center of your spine. Notice how long you can maintain this feeling of inner lift before you begin to sag and lose support. Then, try to re-establish the feeling again for a while. If you start to fatigue and can no longer easily maintain your inner lift, stop for the day and note how long you sat. Try to gradually spend more time in your seated position, so that eventually you, like our reader who is preparing for his wedding, will be ready to sit for longer periods of time! 

And if you do find yourself in a situation where you need to spend a long time sitting on the floor and you realize that even in your preferred position your legs are starting to go numb or you are feeling pain, switch to another seated position to give your legs a rest (switching between supported versions of Simple Crossed Legs and Hero pose works well for many of us).

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