Dentists Look to Use Botox for Cosmetic Purposes As Board Pulls Interim Policy to Review It

As you lie in the dental chair to get your teeth whitened, how would you feel about getting your laughter lines erased at the same time?The use of Botox and dermal fillers to get rid of wrinkles or crow's feet or to fill deep lines around the mouth is usually done at a cosmetic clinic by a doctor or a nurse working under a doctor's supervision.But a few dentists also offer the service in Perth and others are looking to.As Dr David Hallett points out, dentists spend each day, every day working on the inside of clients' mouths and know facial anatomy better than most."Their education and training [is] in anatomy, specifically in the muscles, the nerves, the vascular system and the physiology of the face," he said."But also too of course, dentists inject in the face all day, every day as part of their practising life, it's just that they inject from inside the mouth rather than outside the mouth."Dr Hallett is the CEO of the state's dental association and said there is widespread interest among its members in being able to use Botox cosmetically."A number of dentists have contacted us wanting to know why, in the past anyway, we haven't supported some deregulation of the use of Botox in dentistry," he said. "Up until now, dentists have been able to use Botox but purely for therapeutic purposes where they've been able to treat jaw joint pain and facial pain but they've not been authorised to use it for what we would call cosmetic purposes."The Dental Board of Australia says under the laws of most states and territories, "prescribing [of Botox] must be for dental treatment only".In WA, the situation is a little different because dentists are authorised to prescribe Botox "for the practice of dentistry" but the Health Department leaves it up to the dental board to decide what the "scope of that practice is".This provides the grey area over its cosmetic use.Paul Meara, who is an oral and maxillofacial surgeon and has trained as both a doctor and a dentist, is concerned about the push by dentists to offer Botox for cosmetic purposes."In its best practice you have a doctor supervising that practice so say, for example, they might have a cosmetic business and the nurse provides the injections but the doctor is supervising the treatment protocol," he said."They decide what dosage they're going to give the patient, where the injections are going to be, and how regular the repeat injections are because it is a temporary drug."He thinks the practice should stay within the remit of a doctor, not a dentist. "Even though they have a good understanding of the anatomy of the face because they're working on the jaws which support the tooth structures, they have less in-depth understanding of a person's general health, the associated effects of Botox being repeatedly used," Dr Meara said."There are some risks with Botox if you inject it in the wrong place; the person can have loss of muscles to the eyelid so they can't see out of an eye, they can have asymmetry in their face, they might over-paralyse one muscle compared to another so they look like a stroke victim."If you have somebody like a dentist doing it just occasionally after doing the course, then their level of experience and their ability to get good results for the patient is a lot less, and it's likely to always be a lot less unless they specifically restrict their practice to cosmetics."Dr Hallett said dentists would back a move into the field."I think it's a sensible move as long as it's in conjunction with their dental treatment so being used to enhance their dental procedures," he said."It would generally mean if you're doing work on people's front teeth that you would probably use Botox or dermal filler in those areas surrounding the [mouth] to enhance their smile or help them adjust to their new dentures or build out their lip or reshape their lip."Dr Meara said pharmaceutical companies were also behind the push."If you're going to the dentist to have teeth whitening, you have to keep going back because your teeth get stained and you have to go back and whiten them," he said."It's the same with Botox; you go, you get your wrinkles fixed and then it wears off, you have to keep going back so obviously from the pharmaceutical company's point of view, pushing the resell of something that's only got a temporary effect is good for business."It's in the pharmaceutical companies' best interest to encourage widespread use of it because they make money out of it, not necessarily because it's being supervised by really experienced practitioners."There are 2,422 dentists registered to practice in WA but no figures as to who offers cosmetic Botox procedures as it is not available on Medicare or private health insurance so is purely a private transaction.Within the industry, it is known that there is at least one clinic in Kelmscott, a practice in Fremantle and one in South Perth offering the service, and others looking to get involved in what is estimated to be a multi-billion-dollar industry.Then there is the question of whether it would become a 'turf war' between dentists and doctors. "I imagine there would be some discussion," Dr Hallett said."I think originally it was the dermatologists and the plastic surgeons to offer the procedures and then it's spread out into more mainstream medical practice and now we've got to a situation where nurse practitioners, under the guidance of a medical practitioner, can also use Botox and dermal fillers."He said the ADA would support the use of Botox for cosmetic purposes and believes there is a mood for change.The Dental Board has removed its interim policy on the use of Botox from its website while it undertakes a review but was unable to say when that would be completed.Topics:dental,doctors-and-medical-professionals,drug-use,perth-6000,broome-6725,karratha-6714,geraldton-6530,kalgoorlie-6430,bunbury-6230,albany-6330 First posted December 06, 2014 10:04:23

Dentists Look to Use Botox for Cosmetic Purposes As Board Pulls Interim Policy to Review It 1

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Find Answers to the Hottest Questions About Dental Chair
Find Answers to the Hottest Questions About Dental Chair
Here are top 10 questions about dental chair asked by people online.1. Cavity Question? First Time Getting A Filling.?If you have been eating TONS of sugars and acids, and not brushing your teeth for long periods of time, yes, the cavities may be worse off than before. But, it sounds to me like you have been taking pretty good care of your teeth- keep up the good work! First, a few pointers: *Rinse out your mouth after eating sugars or sodas with water ASAP *Do not eat too much sugar Procedure:(bear with me, I have not had a filling in 4 years) *sit in dental chair *dentist puts an expander in your mouth to hold your mouth open *rubber sheet is placed in your mouth to protect? the other teeth? *numbing shot is given to the areas that will be affected *dentist makes sure tooth is free of debris, then begins to drill out the cavities that need to be filled *dentist uses gun filled with filling to fill the cavities *tooth is washed with water and cooled down(the filling is HOT!!) And you are done! On a scale of 1-10, the numbing shot is about a 5. It hurts, but not too badly. That is the only painful part. If you do not have to get a numbing shot, there is nothing to worry about! Fillings are a piece of cake, and you will be overjoyed when you are all finished. The fillings will be sensitive for a few days...I remember not being able to eat anything too hot or too cold for about 4 days. After that, though, fillings are just fine. Good luck! Do not stress, fillings are no big deal!2. Dental Chair Warranty - Annual Awards - Best Brand May Surprise You!By Jayme Amos. Get free updates of posts here This is about to feel like an awards show with a clear, obvious loser and winners. First, take a guess what dental chair warranty might be the best? Seriously - pause for just a second- do not skip ahead! Ok, now I will list them from best to worst... Arguably the Most Important Equipment in Your Office: Which Company Has The Best Dental Chair Warranty? Pelton and Crane's dental chair warranty rings in at 5 years. That's huge. That means that your typical loan for dental equipment will have parts and labor covered for the whole loan. Very impressive! The upholstery is covered with just 1 year or warranty, however, and it seems the upholstery warranty length is the same among all manufacturers of dental chairs. What I really like about a 5 year warranty is that we normally see clients have loans that extend for 5 years. If you are considering having a loan for your equipment, it only seems wise to have a warranty that lasts the entire length of the loan, right? Marus' dental chair warranty tied for first place with a 5 year warranty! While this is technically a tie, we are putting them in 2nd place for a reason most doctors never consider...but might want to.... One observation that stood out to us was the issue of market share. In the business world, market share means who sold the most. Marus' market share is considerably lower than Pelton and Crane - for that reason alone, Marus is not at the top of the list, even though the warranty is the same. Market share might not seem like the most important issue but it is one to consider seriously. Why? When you have a chair stop working, you and your patients are stuck. Market share of a dental chair becomes important when you want fast access to parts, service technicians who are deeply familiar with the product and a representative from the manufacturer who is close enough to come help out when you are in a bind. The bigger the market share, the more access to cheaper, better, faster response. Market share is NOT a primary determining factor but it is one you should consider on your search of the right brand. For that reason, we give a slight disadvantage to Marus on our awards list. But hey, a tie for 1st place is pretty dang good. But do not be fooled...the 5 year dental chair warranty are more rare than you might think. Dentists deserve to let go of a little stress and a 5 year dental chair warranty is a nice bonus when you are trying to fall asleep at night, worry free. Forest chair warranties also tie with a 5 year warranty as described on their website. We found this to be interesting as Forest has a perception of being the "up and comer" in the industry. Their market share is considerably lower than the other 2 brands at the top of our list. Where do you fit in? Are you an adopter of the "underdog" or are you more likely to purchase based on larger market share? If you like the underdog and want a 5 year dental chair warranty, Forest Dental Chairs are for you. The Midmark dental chair warranty comes in at 2 years, as described on their website. Their number 2 ranking shows they are not in the same 5-year-league as the others but #4 in line any way you look at it. Not a bad spot to sit in when you consider all the various options of dental chairs. If you are like most dentists, this comes as a surprise! Did you "guess" that Adec would be near the top of this dental chair warranty list? The winners of this list have a dental chair warranty that extends through the entire length of your loan, giving you peace of mind. Meanwhile, the brand that many "think" is the best, has the weakest warranty by far. That surprised us. We will see if things change in the coming years and we will make sure to update you as things change!
Kerrville Company Fighting Dental Anxiety
Kerrville Company Fighting Dental Anxiety
The drug-free procedure a Kerrville company has developed to take the stress out of dental visits is raising eyebrows both with its innovative mix of strategies and its early success., president and chief executive officer of Solace, the company that produces and markets the treatment called NuCalm, said almost every one of the dentists the firm has approached has exhibited a degree of skepticism about the product.That's understandable for a relaxation regimen that features anti-adrenaline tablets, dark glasses, a mild electrical pulse administered behind the ears and headphones playing specially imbedded music designed to lower a patient's brain wave activity to that attained at the first stage of sleep."The first time I heard about it, I felt like I was listening to a Star Trek episode," said Poole, who was retained to commercialize the product developed by Kerrville neuroscientist .But the process has proven its effectiveness in more than 13,000 clinical applications across the United States and the United Kingdom over nearly three years, the company says, and dentists are taking notice.According to NuCalm patient surveys, while 82 percent of the respondents exhibited some level of dental anxiety, more than 95 percent felt relaxed after the product was administered by their dentist. Ninety-eight percent said they'd recommend NuCalm to friends and family. "It was great," said , a San Antonio educational administrator who used NuCalm while having a filling done. "There was no sedation required, and there was no recovery time." , a San Antonio homemaker, said that while she got a shot to numb her mouth when 13 teeth were pulled and implant surgery was done this year, the NuCalm treatment kept her relaxed but not totally unaware."It's the best ever," she said. "I'd recommend it to anybody as opposed to being put to sleep."While NuCalm isn't marketed as a substitute for pain medication, it can be used as an alternative for nitrous oxide, Valium and other sedatives dentists use to calm patients before treatment."Some people really don't want to be in the dental chair," said Dr. , who with Dr. pioneered NuCalm in the San Antonio area. "This is opening up more avenues where people could seek treatment."Little said that by making patients more comfortable, NuCalm helps dentists work better. In addition, dentists don't take the stress that normally fills their office home with them when the treatment is available, he said."This has really changed things," said Little, who does not charge extra for the NuCalm regimen. "I want every dentist to have it."The treatment requires patients to wear dark glasses and to take three tablets with amino acids and other natural compounds that combat the effects of adrenaline. Then a low-level electrical charge - less than one-millionth of an amp - is administered through pads attached behind the ears to boost the impact of the tablets. While some patients feel a slight tickling behind the ears from the charge, the feeling goes away when the device is dialed down.Poole, with Solace, said the key piece of the treatment is the "neuroacoustic software." Through headphones, patients hear soothing guitar and piano music. Unheard are "binaural beats" and frequency-level interplays that reduce brain waves to the initial phase of sleep."We're essentially hypnotizing the brain wave through a specific beat," Poole said. Dentists said the process has resulted in no negative side effects. The worst criticism patients had was that the treatment had no real effect.The only component that requires clearance is the electrotherapy unit, officials said. It has been cleared.A NuCalm system costs dentists $3,995, which gives an office two sets of dark glasses, an electrotherapy device, headphones with the specialized software and 30 applications of the tablets. Insurance companies don't cover treatment costs yet but could as more dentists adopt it.To date, about 150 dental clinicians use the procedure.That number could grow as the company, which employs about 22 people, officially rolls out the product industrywide in the coming year. Solace also is soliciting investors to expand its anxiety-fighting products into new medical arenas.Post-traumatic stress disorders, dialysis and smoking cessation are some of the areas under evaluation."We're just at the beginning here," Poole said.Not quite "Space: the final frontier," but for one Earth-bound company, it may fit.
Deep Cavity in Govt. Dental Care
Deep Cavity in Govt. Dental Care
Imagine you're at the dentists, perched on a rickety stool and not on a dental chair, with no handpiece, forceps or basic kit that your dentist could reach out for. This is the dismal scenario in hundreds of government hospitals across Karnataka.Although the State government launched its ambitious 'Danta Bhagya' scheme two years ago to provide free dentures to senior citizens, it has done little to cater to the primary oral healthcare needs of people in rural areas.While there are 370 dentists working in centres run by the Heath Department as against the sanctioned strength of 424, most of them are unable to use their skills effectively without the basic dental chair - a must for a teeth examination.This results in the dentists having to send away their patients after prescribing rudimentary medicines. These patients, who would have spent a negligible amount in government centres, end up spending hundreds of rupees in a private clinic.In fact, most of the 75 dentists, who were recruited in January this year, are yet to see a single patient. They end up seeing patients with general ailments, according to one of the dentists.Sources in the Health Department said that although hospitals have 235 dental chairs, more than 30 per cent of them are rusty and in need of repairs. Lack of an annual maintenance contract for the equipment has only added to the problem."Most patients in rural areas come with common dental problems that need extraction, cavity filling and scaling. But most centres don't have extraction forceps, filling instruments and other material. It is difficult to get a regular flow of material in the community health centres and taluk hospitals as there isn't a separate budgetary allocation or a monitoring body for dental issues," said a dentist, who has been serving in the department for 13 years.No labs tooThat is not all. None of the hospitals, including district hospitals, has a dental laboratory with X-ray machines. There are only three dental lab technicians in the State-run hospitals.Although the department had chalked out a proposal to set up labs in the district hospitals and it had also been included in the 2015-2016 budget, the proposal has been shelved because of lack of funds.Admitting that dental infrastructure in the State-run hospitals needs to be upgraded, Health Commissioner P.S. Vastrad said the problem was with Community Health Centres (CHCs) and taluk hospitals."In the last few years, the focus is on primary and tertiary healthcare. Preventive healthcare, especially dental healthcare, has not got the importance it deserves. However, we have one dentist in every taluk and district hospital. We will soon procure more dental chairs and those that are not working will be repaired," the commissioner said.
Can Someone Help Me with My Homework?
Can Someone Help Me with My Homework?
A. Mother- Dental hygienists B. Dental hygienists clean teeth and provide preventive dental care, as well as teach patients how to practice good oral hygiene. They examine patients teeth and gums, recording the presence of diseases or abnormalities. They may explain the relationship between diet and oral health, educate patients how to properly brush and floss teeth. Hygienists use rotary, hand instruments, take x-rays, and may administer local anesthetics in some states C.Assist the dentist at chair-side with the delivery of instruments and preparation of dental materials Counsel patients about preventative dental care and nutrition Perform a variety of office management tasks Operatory and instrument infection control• Related QuestionsQuestion about my dental sedation apt.?New trustworthy oral dental sedation strategies mean you could have dental treatments completed quickly with little or no discomfort. In case you are worried or nervous about dental therapy, sedation can support chill out you, making your experience more first-class and agony free the country wide Institute of Dental and Craniofacial research has performed research on this procedure and located that the sedation is secure but only if the dentist is proffessional. Patient on who is underneath sedation can think little anguish after one days however its now not a subject of worry. Nonetheless there also prospects that patient can believe nausea simply considering the fact that he or she is hungry but after having meals its turn out to be natural------major dental work needed but not much money?First, any patient deserves to be treated with respect. I am guessing there is some type of board or agency that regulates dentists in Ontario or in the whole of Canada. Report him to them. Next, I would not assume your sister knows everything about how the University of Toronto selects patients. Who knows? Your case might be a very good case for educational purposes. Contact their dental school and talk to the person who makes appointments about your situation. University dental schools can save you a substanital amount of money, and the dental students are well supervised by their professors. Find out, too, if there are any other dental schools in your area.------Which is the best company that manufactures dental chairs in India?Well Good Question to ask!As Soon As dentist completes his or her academic years,first thing they look for is clinical set-up.Today considering Dentistry market freshers generally opt for not only reasonable but also durable dental chair units.Before Buying any dental chair dentist should look after following basic points1. Whether it is electrically operated or manually2.Programs available(too many programs is not needed in initial practice)3.Stable and Sturdy Dental Chair Base4.Operating light(go for LED based OPERATING LIGHT)5. Delivery Unit(Go for large instrument tray as you start your practice you require bigger instrument space)6.Bi-articulated headrest for patient comfort.7.Synchronized Back-Rest for proper patient back support. 8. Go for ceramic spittoon as it is easy to clean.For more details you can whatsapp or call our product specialist who can guide you in choosing your dental chair-7777005104Which is the best company that manufactures dental chairs in India?------Should I become a Respiratory Therapist, or Dental Assistant?If you are choosing between respiratory therapy and dental assisting, then respiratory therapy is definitely the better choice. Respiratory therapy is a in demand profession and the opportunities are vast. You will hardly be out of work and the pay is good as a respiratory therapist. However, you need to know that there is a difference between a dental hygienist and a dental assistant. You should also consider a nursing program that qualifies you to be a RN. It takes the same duration to complete as a respiratory therapy program. Everyone knows nursing is always in acute shortage. The opportunities appear to be more vast and variant than respiratory therapy. RNs also get slightly more pay then respiratory therapist. Ask yourself what you really know about the profession and ask to observe a therapist or RN at work. Then make your choice from there. The schooling will be good investment. Trust me.------Can I sue this dentist/dental practice?well thank god your ok,always trust your instincts you should have known at the reception desk by the way you were treated it was dodgey place,thats a terrible ordeal to go through thank god you left,you can file a complaint against them to the medical board of dentristy i would get advice on how to do that straighta way and tell them your experience they put you through trauma if you can see a free legal aid lawyer they might help you,the main thing is that your ok,if you can speak to a lawyer for free i would or ask this question again in legal advice,he was about to do it which would have made devestating consequences i would ask if this is malpractice,but since he didnt thank god you might not have a case but do complain to the medical board take care ,and always check feedback and qualifications next time make sure they are an expert------Why dont my teeth whiten?whitening toothpaste dont whiten teeth..if you want whiter teeth you need to visit your dentist to get bleaching trays-works within a couple of weeks..put bleaching gel into trays and inserted in mouth whilst you are sleeping. in surgery bleaching-lay in dental chair for up to two hours and your teeth will come out significantly lighter Whitening strips-whiten you teeth but not as white as the two methods already stated. Im a dental hygienist..i do this on a weekly basis-best choice is in surgery if you are in a rush or the bleaching trays. I bleached my own teeth and my teeth did get very sensitive but if you use a flouride mouthwash and proenamel and sensydone toothpastes. These are great for sensitivity.------What kind of lawyer would I need to sue this dentist?You would likely need a malpractice attorney, although truthfully, the costs associated for what you would gain back may not be worth it. An attorney experienced in civil litigation may help you to settle the claim with your insurance. This dentist is in the wrong, your status as a former (or even current) cutter has nothing to do with unauthorized treatment. As for him speculating on your mental status, he has no training in that area and is unqualified to make that assesment. (Not to mention that DID has nothing to do with psychosis). I would cease communications with the insurance company and let them communicate through your attorney, as this is obviously going to get complicated and speaking with them further at this point, even to refute his claims, may hurt your case. -Neb.------I have had some very bad experiences with dentists. How can I get past my fear to go again?circulate deepest. I had a the enamel soreness - later realised it become an infection. He took out the enamel and become particularly form. My primary NHS dentist (London) is form yet i do in contrast to this different individual which I have been given some days in the past as he reported i mandatory braces once I my enamel have been (overcrowded in accordance to him) My different dentist on the comparable prepare not at all reported this. I particularly have been deepest as quickly as, it become high priced however the accepted of the service become superb, if i become wealthy i might luckily circulate back. :(------Can a dentist tell a parent she can not be present at her minor childs dental appointment?Your daughter's father needs to evaluate getting himself a criminal expert and hearth returned on the dentist. On right of the checklist, minors can't be constrained in any sort for any scientific technique devoid of parental consent. He additionally has the alternative of staying in the room, while the dental technique is being preformed. when you consider that she is a minor, the dentist can no longer restrict the watching of a parental training. those are in straightforward terms the right 2 considerable concerns I even have study. Please evaluate Taking criminal movements against The Dentist. If he has no longer already been suggested for what he's doing, He could evaluate doing this to different babies as properly. wish Your Daughter Is Feeling properly, additionally terrific desires With this subject. -------Dental hygienist schools LA?hi! I easily have the same concern,yet reversed-i'm a dental assistant genuine now,yet I easily have continuously been involved indoors the truly therapy container.For the dental container i visit aid you recognize that contained for the period of a wail it gets relatively uninteresting,i'm doing various the government.artwork too-like coping with dental insurance companies,gathering money etc. ,yet i visit aid you recognize one ingredient-I easily have in no way worked something greater convenient then this! in case you do now not techniques are you able to placed up a fact the way it is to be a PT assistant,what's the approximate earnings,how long did it take you to graduate and is it greater effective helpful to pass without postpone for PT fairly of PT assistant!thank you very plenty in case you establish directly to respond to!:))------Does anyone know anything about dental malpractice?Regardless of whether or not the dentist used a paper clip, the fact that you were squirming in the chair and demanded/asked for pain meds should have been an indication to the dentist that there was a problem. While I agree that the paper clip did not cause the infection- the meer introduction of the object did not help the matter- it just elevated it. There are guidelines for sanitary instructions. Just because a patient is in pain and requests pain medicine does not make him/her a drug addict. While the paper clip thing is a little strange, a dental professional refusing to provide pain medication thus invoking unnecessary pain unto a patient should also be looked into here. If doctors can get lawsuits from the same treatment- then dentists need to be held to the same standards. Report your dentist to the state licensing board.------What should I do? Failed Root Canal, Possible Dental Malpractice. Please Read! I know its Long! Help!?Based on the information you wrote, this doesn't have anything to do with malpractice. It doesn't sound as if this is a retreat because the first dentist did not finish the case. A retreat would involve a completed case that has reinfected. The first dentist was not necessarily having difficulty with the endodontic treatment. Multiple files of different sizes are generally used to open and shape the canals. A referral to the specialist was prudent because some teeth can become problematic. Unfortunately for you there is discomfort associated with the infected tooth, and this is exacerbated with the inconvenience of seeing a specialist and the additional fees involved. An extraction is an option, albeit usually a poor choice as teeth can shift over time, leading to more advanced problems. Maybe the endodontist has a payment plan to make the cost of the root canal therapy easier to address. Good luck.------Scared about the dentist :O?in case your appointment is first situation interior the morning he could do wonderful,maximum teenagers do mornings greater beneficial as a results of fact their not as drained from the day. be effective to study what is going to ensue in a relaxing voice, additionally he may even do greater beneficial in case your not interior the room. especially situations parent deliver out detrimental vibes and the youngsters can %. up on those vibes. so which you should be happy and calm whilst going and whilst your on the dentist. one greater situation make effective that for the duration of case your not distracting him whilst he's interior the room that he isn't being compelled to do something he won't like which incorporate gaging on x-rays or fluoride. One undesirable adventure will smash any destiny visits. good success. undergo in ideas babies prefer greater time and patiences------Can an onlay treat me or is the crown really my only option?First off, I am impressed with your extensive dental knowledge to know the difference between in inlay, onlay and a crown! Get the onlay(for the entire cusp) and save as much tooth structure as possible. Strength depends greatly on quality of bond to underlying tooth structure and the clinical capability of the dentist. The new Cerec Emax crowns show strength and durability capabilities similar to metal crowns. Very strong and durable, however the porcelain is still prone to fracture, especially in tight biting areas and people who grind their teeth. Your dentist can do an only without a CEREC machine--but really, who wants to deal with a temporary while the permanent is being made. Find a CEREC doctor. You won't regret it.
Magnet Therapy Zaps Depression
Magnet Therapy Zaps Depression
Kimberly Depaz experienced the first signs of depression when she was 5 years old, mostly as feelings of being "really down" and different from everyone else.Throughout her adult life, she tried every medication and anti-depressant under the sun - Prozac, Zoloft, Wellbutrin and a variety of anti-anxiety medications that provided little more than side effects.The depression, and even detailed suicidal thoughts, never went away.Then her Fort Myers psychiatrist offered her a seemingly novel treatment to go along with her counseling: employing high-powered magnets to stimulate the region of her brain that governs mood."I have noticed a difference. I would say that I feel more alive," said Depaz, 51. "I'm really happy this is happening, and I'm real optimistic. It was my last, honest to God, last resort."The treatment - transcranial magnetic stimulation - was approved by the Food and Drug Administration in 2008 for the treatment of patients with medication-resistant depression. The FDA cleared it for use in migraines in December.Researchers are now probing its efficacy in other disorders, such as anxiety and post-traumatic stress disorder. Other studies suggest it may help with memory.Regulatory approval has led to a growing number of psychiatric clinics offering the treatment to patients who have otherwise found no relief.Psychiatric Associates of Southwest Florida in south Fort Myers began offering it in August. Depaz is its first patient."As a process, it's probably the most magnificent aspect of the treatment of patients that I've seen in all of my, almost half century (in practice)," said Dr. Robert Pollack, CEO of the clinic and Depaz's psychiatrist. "The living proof is how many people are getting it, how many people are getting better."Many insurers do not cover the procedure, reflecting the uncertainty the medical community still has about the procedure. And others will pay only on a case-by-case basis. For those uninsured, the price is a steep one: A seven-week course of treatment might run as high as $15,000.Family Psychiatry, another Fort Myers psychiatric practice, has offered the treatment since April 2013. About a dozen patients have received treatment since then, said Jonathan Hart, the clinic's TMS coordinator."It's not a lot because, frankly, it's limited by insurance coverage," Hart said. "But we've had a lot of success stories."Hart said clinic patients have mostly shown at least some improvement since undergoing treatment. Just under half have had their depression go into remission, he said.Depaz said she usually feels the fog of her depression lift shortly after the treatment."Just clearer, is the best way I can describe," she said. "A lot clearer."How it worksMagnets generate a directed, pulsed magnetic field - similar to an MRI in strength - to the prefrontal cortex, the front part of the brain behind the forehead. The magnetic fields induce small electrical currents, which encourage a mood-lifting chemical reaction in the brain.The treatment is daily, for four to six weeks. If the patient improves enough, the treatment is then provided as a periodic booster.Unlike electro-convulsive therapy, patients don't need sedation and/or anesthesia while undergoing the procedure. It also does not produce the minor memory loss that can come with the shock treatment.Patients are seated on what looks like a dental chair. A technician straps their heads in place to prevent movement, and then attaches magnets to their heads. Patients may read or watch TV while undergoing the procedure, but they may not sleep.The room is dimly lit, and extra noise is avoided to minimize patient anxiety. Ten-pulse bursts are delivered each second, for four seconds at a time, at intervals of 26 seconds. The whole process lasts 37 minutes and 30 seconds.Patients and technicians wear ear plugs as the machine emits a sound of rapid knocks, a sound reminiscent of a woodpecker. Depaz likened the sensation of electromagnetic pulses to a hard flicking on the same spot of her skull, over and over."Initially, it seemed a bit painful. But it wasn't like, 'Oh, my gosh, I can't take this!' Nothing like that," she said.Doubts remainDespite regulatory approval and studies suggesting the treatment may help patients with depression resistant to medication, not everyone in the psychiatric community is convinced magnetic stimulation of the brain works.They say not enough studies have proven its efficacy, and that many of those done were not done rigorously enough. And these critics worry increased marketing of this treatment could detract patients from effective medications and, in cases of particularly hard-to-treat cases, the current gold standard therapy - electro-convulsive (or "electro-shock") therapy.Fort Myers psychiatrist and researcher Frederick Schaerf said he is a TMS skeptic and even doubts the concept of "treatment-resistant" depression. He said such patients likely have not found the right medication regimen."I don't see its value as a treatment," Schaerf said. "There are other ways to treat patients with pharmacology."The National Institute of Mental Health describes the treatment as effective for some patients, but notes that studies of its efficacy have been "mixed." The American Psychiatric Association's guidelines for depression treatment states the procedure conveys "relatively small to moderate benefits."Pollack dismissed critics of the treatment and compared TMS skeptics to those who initially questioned the benefits of anti-depressants. He said the proof is in the growing body of evidence that the treatment can help certain patients."There is skepticism always in anything that you do. That's just the way it is," he said. "I'll stand by anything I see data on."
WARMINGTON: Living Legend Gordon Lightfoot Marks 80th Birthday Playing 80th Show of 2018
WARMINGTON: Living Legend Gordon Lightfoot Marks 80th Birthday Playing 80th Show of 2018
So how is Gordon Lightfoot spending his 80th birthdayUp on stage and with his fans of course - 3,000 strong Friday night in Oshawa."I can't think of any better way to celebrate," he said Friday in his dressing room at the Tribute Communities Centre. "It's perfect."It will be extra special Saturday night at the Opera House in Orillia where the legendary singer/songwriter will bring in number 80 where it all began."It sure brings back a lot of memories," he said.His beloved wife Kim said there is no question "it will be very emotional for him - as was this whole year of shows."Lightfoot says this whole weekend - Thursday in Hamilton, Friday in Oshawa, Saturday in Orillia and Sunday at the National Art's Centre in Ottawa - has been as fun a Canadian experience as this Canadian icon could ever ask for.He works hard at it too. He gets to the venue every day at 1 p.m., tunes his guitars for an hour before getting up on stage for sound check with his bandmates."We want it to sound right and we want to make sure the audience is entertained," he said.Sunday's show will also mark the 80th show of 2018 - his own little statement that somebody turning 80 can tour as well as the youngsters."I started doing this in 1965. I feel very blessed to be still doing it (but) it is true I almost didn't make to 80 a few times," he said with a laugh.One time he almost got hit by a truck on a movie set. Other times were close calls on the highway.And there was the 2002 health crisis in which he had an abdominal aortic aneurysm that landed him in emergency with headlines suggesting he was at "death's door."They were wrong. The worst example was in 2010 when it was reported he had died.Lightfoot was sitting in the dental chair and heard in the background on AM 640 legendary radio host Charles Adler expressing his sorrow on the news being widely reported."The first thing I thought of was to call (Charles) and tell him I was still alive," Lightfoot said with a chuckle.I remember that day all too well - tracking him down for a photo out front of the Toronto Sun."I remember, I was checking to see if I had a pulse," he said. "At the time it seemed strange but now it seems funny."But he doesn't take any day for granted."I made it through and I came back," he said. "I have met many people who have been through health scares and I always tell them to keep fighting."One thing for sure whether it's The Wreck of The Edmund Fitzgerald, If You Could Read My Mind, Early Morning Rain, Sundown, Carefree Highway Sundown or any of the other classic hits, Lightfoot's material will live on forever.And at 80 he is still performing to sold out audiences of people from little kids all the way up to 100.He has no plans to retire either."We are going out on tour in the spring again," he said.But that's not the biggest news of the day for life suffering fans hoping for new material. Let me be the first to break that there is new stuff coming. For the first time since his life-saving surgery in 2002, Lightfoot has written new material."I have," he said with a coy grin. "I have about 14 new songs written and I think the new album will be out in about a year."While fans can't wait to hear new material, they wonder what is Lightfoot going to write about"It's going to be philosophical but kind of funny and positive too," he said. "It will be my 21st original album and I am very proud of that since I wasn't sure I still had one in me."Turns out the present at Gordon Lightfoot's 80th birthday is for his
Girl, Four, Is Left Brain-damaged After She Went to the DENTIST to Have Teeth Capped and Had a Seizu
Girl, Four, Is Left Brain-damaged After She Went to the DENTIST to Have Teeth Capped and Had a Seizu
A four-year-old girl can no longer walk, talk, eat or see after a trip to the dentist to have a tooth removed and now the girl's family is threatening to sue the dentist who botched the routine procedure.Nevaeh Hall, four, was a healthy little girl two months ago, when her parents took her to Diamond Dentistry in Houston, Texas to have a few teeth capped and pulled due to decay.While they waited in the waiting room for hours, their little girl started having seizures but her dentist, Dr Bethaniel Jefferson, didn't raise the alarm and decided to treat her herself instead of calling 911.Little Nevaeh ended up leaving the routine appointment in an ambulance, and has now been hospitalized for severe brain damage.Scroll down for videoAt a press conference on Thursday, Nevaeh's mother Courissa Clark said she was threatening to sue the practice and Dr Jefferson for the botched procedure which has left her daughter without the ability to walk, talk, eat or see. She also warned other parents against a restraint device the dentist used to keep her daughter from flailing about during the procedure.The device, called a papoose, covers small children like a cocoon so they can not move during a dental procedure.An attorney for the family revealed that Dr Jefferson administered five sedatives to the 30-pound child during the seven-hour procedure. Four hours of that procedure were spent in the papoose.About two hours into the procedure, Clark says she heard her daughter crying so she went into the room to see how she was doing. At that point she wasn't in the papoose yet, but she could see her flailing about in the dental chair.'When I went back there and saw her, my first question was: "OK, do we need to call the ambulance or are you all going to call the ambulance?"'And they said: "We're just going to try to get her to calm down. We're going to monitor her. We're going to watch her. You guys have nothing to worry about, but we do need you all to wait in the waiting room and let her rest so she can walk back out of here,"' Clark recalled.'The whole time they just assured us that everything was OK. The next time we were allowed to come in is when the paramedics were actually coming back.'Family attorney Jim Moriarity held up a chart at the press conference, showing little Nevaeh's vitals during the procedure. At one point the child's oxygen levels got down to 49 per cent and her heartbeat went up to a racing 196 beats per minute.'In essence what happened is this child was chemically and physically suffocated,' Jim Moriarty said. 'This child suffered massive brain damage during that time period and that didn't have to happen.'Since the botched procedure, the Texas State Board of Dentistry has suspended Dr Jefferson's medical license and it appears the practice has shut down.Dr Jefferson is scheduled to have a hearing later this month to determine whether to permanently revoke her license, but the final decision won't be handed down until summer.She has refused to speak with any news outlet about the incident.Nevaeh's parents are now threatening to sue the practice and Dr Jefferson, but they say no legal victory will reverse the damage Dr Jefferson has done.'At this point there's nothing else that can be done to get that same four year old back. It hurts to see her like that,' Clark said.Nevaeh's father Derrick Hall broke down in tears as be spoke about his brain-damaged daughter.'It's heartbreaking. It really is like...I never in a million years would have thought something like this would happen,' Hall told KTRK.The family has set up a GoFundMe page to help with the costs of Nevaeh's medical bills.
Small Is Beautiful for World Cup Debutants Iceland
Small Is Beautiful for World Cup Debutants Iceland
ZURICH (Reuters) - National team coaches are not usually found down the pub with fans two hours before kickoff, but when Iceland are involved, things tend to be different. Iceland coach Heimir Hallgrimsson recalled that when he joined Iceland as assistant in 2011, the team were unloved. "Half the seats were empty at international games," he told Reuters in an interview after giving a presentation at the FIFA museum. So he tried the personal touch. Hallgrimsson offered to meet the Tolfan, the team's supporters' group, in a nearby pub before home games. Fans would get the lineup "before even the players knew it", and Hallgrimsson would talk them through the tactics and show them the same motivational video the team would see. "The first time we did it, seven supporters turned up. Now we get 500 or 600 people," he said, sipping a beer. "There is one rule: nobody takes pictures or makes a recording, nobody puts anything online. Nothing has ever leaked out. That shows the respect for the national team." It is all part of the low-key approach which Iceland are proud to adopt even after their astonishing run to the Euro 2016 quarter-finals. Hallgrimsson, assistant to Lars Lagerback in that campaign, still practices as a dentist in his local village - something he says has helped his football coaching. "When you are a dentist, you have to adjust yourself to the client in the dental chair," he said. "So some might be really scared, some might be really relaxed. It's the same when you are coaching football players. You have to know what type of player he is and adapt to their mentality." With a population of 340,000, Iceland is the smallest country ever to qualify for the World Cup. Their first venture at the finals will see them face Nigeria, Africa's most populous nation, as well as Argentina and Croatia. Iceland's change in fortunes began about 15 years ago when the country began building indoor artificial pitches. There are now dozens of them around the country, owned and administered by municipal governments, prompting a boom in participation in the sport. With 25,0000 registered players, an impressive seven percent of the population play organised football, rising to 30 percent in the 15 to 16 age group. Although children have to pay to play, part of the fee is subsidised and it goes towards paying the coaches, another key to Iceland's success. The country boasts 600 coaches holding UEFA licences, most earning a welcome addition to their regular income. Hallgrimsson said that young players, meanwhile, are given "organised and fun training which helps with inner motivation and makes them fall in love with the game." It is one of the benefits of being a small country. "It's our system and it works in our country," said technical director Arnar Bill Gunnarsson, suggesting it would not be feasible in larger nations. Another plus is that it is easier to get things done. "We don't think of our disadvantages as disadvantages," said Hallgrimsson. "If you want to change something, you maybe need to speak to one or two people. In a big country, you have to go through many steps and then, maybe, it doesn't get accepted anyway." For example, if the women's team need Hallgrimsson's help, they do not have to go far - as he doubles as their scout. One theme that runs through Icelandic football is that everyone is treated equally. Hallgrimsson proudly pointed out that Everton forward Gylfi Sigurdsson, their most recognised player, is also the one with the best work rate. "That's what identifies the team's spirit. We've got a bond between the fans and the team, and that's what we need to get results," he said. "Nobody is too big to play for this team." "We know we can't be best in all areas, we are Iceland," he added. "If we tried to emulate Spain or Germany we would be a bad replica." Instead, Iceland's philosophy was to concentrate on being better in certain aspects of the game. "We know we don't have the best passing team, so we are not bothered about statistics about successful passes, or percentage of ball possession... we have to be better elsewhere," he said. "We have to be harder-working than our opponents, we have to be disciplined, we have to be really organised, we have to be focused, we have to be good at set pieces... so these are things that have to be instilled in all our players." Iceland will even stop short at some of the tactics widely seen as necessary to win in the modern game. "We pride ourselves on being very honest; we don't lay on the ground and fake injuries, that is just not in our nature," said Gunnarsson. "Sometimes we are in the lead and we want to keep the lead, but we are terrible at wasting time." That approach is just one more thing which makes Iceland different - and proud of it.
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