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Welcome Pipe Trades Members!

Starting August 1st, we are effectively serving as Pipe Trades Services MN's Rochester site! We offer the same services including a few extra, while using the same billing system that makes PTSMN so unique. For more information on our list of services for PTSMN members, click here. Interested in what Pipe Trades is all about? Click here.

Announcements!

Please join us at our next CHIP information session!
Tuesday, 9 Aug 2016, 7:00 pm
Hy-Vee Barlow Market Cafe
RSVP by 8/8/16

News / Blogs

By Elden Lai 28 Jul, 2016

Dennis is a business man who does investments with many companies and as his business grew more successful, his health issues grew as well. He started to become more international and traveled the world, trying and consuming more new foods. Furthermore, he frequently stayed at hotels that provided continental breakfasts. Before he knew it, his weight had reached 318 pounds. Dennis never thought of himself as terribly heavy because he had grown accustomed to his own image and simply thought that’s how he was. He eventually developed hypertension and high cholesterol. Moreover, he became pre-diabetic. All this meant he had many pills to swallow every day.

Realizing his health was deteriorating from the inside out, Dennis tried diets of all kinds from local dieting companies to exotic supplements. “I’ve tried it all," he exclaimed, “but none of them worked." Finally, Dennis spotted an advertisement in his local newspaper for the CHIP program by Rochester Clinic. His wife also noticed the ad and continuously reminded Dennis until he resolved to attend for sure.

Dennis was understandably skeptical of the CHIP program. Tired and worn out from empty promises by all the companies and diets he had tried, he initially believed this new program would not be any different. 

Fortunately, Dennis found that he had proved himself wrong. The program proved to be insightful and informative, careful to address why certain things were detrimental or beneficial to one’s health. If there were any questions raised that neither of the facilitators, Mei Liu and Dr. Jeng Lai, could answer, Mei was quick to relay the questions to the CHIP headquarters so she could get back to the participants promptly via email with an answer with which she felt confident telling. Within six weeks, Dennis saw numbers all around dropping—cholesterol, blood pressure, and blood sugar levels. In fact, Dennis’ peers were questioning his new habits and lifestyle as they noticed his weight slowly shedding.

Ever since his CHIP class graduated, Dennis went full-force in applying the knowledge he gained. During a follow up at the Mayo Clinic, his doctor stopped in his tracks and asked, “What happened to you?” after seeing a much slimmer Dennis. Furthermore, his doctor was speechless at Dennis’ new blood work results. All his numbers were normal and thus, his medications were ceased. He was quite relieved he was completely off his medications, or, as he called them, his “crutches”. Dennis’ pre-diabetic blood sugar level sat at 94mg before CHIP, just shy of the 100-125mg pre-diabetic range. His number now sits much lower than before in a comfortable, normal range.

“Everyone else in my family is diabetic, but I’m not," beamed Dennis.

“You must have been adopted, then!” joked Dr. Lai, sending the room into laughter.

Naturally, Dennis’ physician inquired what changes were made and Dennis merely said, “Oh, I just exercised more, stopped eating red meat…”, but the physician insisted once more, “But really, Dennis, what did you do?” After receiving a more thorough explanation, Dennis physician praised him for being “a diamond in the rough” because patients enter the clinic saying “Fix me up, doctor," believing pills alone will make everything go away. What they don’t know is that the pills are only temporary fixes, curtains to make it seem like the problems are nonexistent when they really aren’t.

Dennis also had his eyes checked and his optometrist broke news that Dennis needed a prescription change, but not because his eyes worsened. Dennis’ eyes actually improved.

He had also gotten more into preparing foods using healthier options like baking, using alternative ingredients, and utilizing whole foods rather than premade goods. His taste buds have also changed, being described as “more sensitive," especially to salt. The salty foods he once enjoyed are now quite impossible to eat for him. Dennis explains, “I now eat to live, not live to eat."

From the beginning of February to mid-July, Dennis lost 68 pounds and is still losing. He revealed that he did not join the CHIP program for his weight, but for his high cholesterol, hypertension, and diabetes. He does not care about how much he loses or his end weight because the body will get rid of however much it needs to remove. Weight loss is merely a side effect, but cannot go unnoticed.

When Dennis walked through the doors that night to share his CHIP adventure, I could not recognize him. He was much slimmer and had an unrecognizable glow to his face. I was about to say, “I’m sorry, but this is for CHIP”, before finally recognizing Dennis. Dennis was always very enthusiastic and energetic during his time as a CHIP participant, but he looked much happier as his health improved. His doctor at Mayo even told him that he looked “less worried”—and Dennis really was less worried. He was less worried about his health for tomorrow, for the next week, for the future. When his grandchildren asked him if he would still be around when they’re in high school, Dennis exclaimed, “Of course! I’ll even still be there when you’re in college!”

Dennis did explain that there will be rough patches while fully transitioning to the CHIP lifestyle, which is completely normal. Body weight will also plateau as the body will take a break before continuing to lose more weight.

It’s not hard to see that the CHIP program has made Dennis healthier and happier than ever. He is relieved that unlike diets, he does not have to worry about what will happen to his body when he’s off CHIP because CHIP is a lifelong lifestyle change. “CHIP has given me the ticket to do all the fun things I want to do with my family”, proclaimed Dennis, grinning from ear to ear, “I’m living proof that the CHIP program works!”

By Elden Lai 20 Jul, 2016
During the past several years, much has been written about a preparation called platelet-rich plasma (PRP) and its potential effectiveness in the treatment of injuries.   Rochester Clinic provides PRP and ultrasound guided injections!  

PRP can be carefully injected into the injured area. For example, in Achilles tendonitis, a condition commonly seen in runners and tennis players, the heel cord can become swollen, inflamed, and painful. A mixture of PRP and local anesthetic can be injected directly into this inflamed tissue.

PRP is produced from your own blood and can help the root cause and not just the symptoms.  
By Elden Lai 14 Jun, 2016
In winter, snow and icy create slippery surfaces causing falls. However, falls do not happen only in winter. It is the fifth leading cause of death in older adults. Lower extremity strength is particularly important. When we walk, about 50% of the time we have one foot on the ground so the other leg can swing and move the body forward. Weak muscles or painful joints would cause the body to swing and fall. Our body uses different mechanisms to ensure balance in case we trip. The first mechanism is for the ankles to hold up the body. There are several easy tests to assess the lower body strength in association with the fall risks, such as timed up and go, single leg stance and chair rise. Have a healthy high protein breakfast to maintain muscle strength.
By Rochester Clinic 26 May, 2016

Bones are not just lifeless matter attached to living tissues. It’s as much living as the tissues themselves. And just like the tissues, it’s constantly changing too. The old bone cells are broken down and replaced with new ones in a three-part process called bone remodeling that involves resorption (digestion of old bone cells), reversal (new cells are birthed) and formation (new cells turn into fully formed bones).

This process, just like any other biological processes in the body, requires hormones and growth factors. Some of the names include parathyroid hormone (PTH), calcitriol, insulin-like growth factors (IGFs), prostaglandins, tumor growth factor-beta (TGF-beta), bone morphogenetic proteins (BMP), and plain old cytokines. For this discussion we need to remember only one thing: a large cytokines and growth factors are involved in bone remodeling process.

Which means we accelerate the bone remodeling process by supplying these cytokines and growth factors as suggested by studies like these studies from PubMD (US National Library of Medicine).

Platelet-rich plasma: Growth factor enhancement for bone grafts.
Clinical effectiveness of autologous platelet-rich plasma

 

Why Platelet-Rich Plasma?

Autologous Platelet-Rich Plasma (PRP), being completely “whole and natural” can more closely simulate a highly efficient in-vivo situation that anything else out there that are made up of artificial recombinant proteins. In PRP, we are taking advantage of the biological benefits of growth factors whose functions we know as well as those we do not know of yet. From the 15+ factors we know are in PRP including platelet derived growth factor (PDRF), transforming growth factor-beta (TGF-beta), platelet factor 4 (PF4), interleukin 1 (IL-1), platelet-derived angiogenesis factor (PDAF), vascular endothelial growth factor (VEGF), epidermal growth factor (EGF), platelet-derived endothelial growth factor (PDEGF), epithelial cell growth factor (ECGF), insulin-like growth factor (IGF), osteocalcin (Oc), osteonectin (On), fibrinogen (Fg), vitronectin (Vn), fibronectin (Fn) and thrombospontin-1 (TSP-1)… we’re actually supplying a “holistic” set of nutrients for healing that cannot be mimicked by those obtained artificially.

Organic Fertilizers For The Body

Platelet-Rich Plasma is like organic fertilizers for our body. The PRP difference is like adding chemical fertilizers versus organic fertilizers on plants. Chemical fertilizers are rich in essential nutrients that   we know   are needed for crops. On the other hand, organic fertilizers supply nutrients not only to the plants but also to the soil, improving the soil structure and tilth, water holding capacity, reduces erosion as well as promote slow and consistent release of nutrients to the plants itself.

Clearly, organic fertilizers are better, aren’t they?

Bonus: Strong Antimicrobial Properties

It seems that the Platelet-Rich Plasma’s healing function has synergistic function to anti-microbial properties. A   new study confirms   that using Platelet-Rich Plasma in surgeries may have the potential to prevent infection and to reduce the need for costly post-operative treatments.

That’s a nice bonus for the organic fertilizer of our bodies. Perhaps, there are more. So why wouldn’t anyone not take advantage of them?

The scope of Platelet-Rich Plasma is growing as the scientific community continues to unearth its inherent properties. PRP is an unignorable, and unavoidable component of healing.

© Rochester Clinic & DrPRP

 

 

By Rochester Clinic 08 Apr, 2016

Imagine you’re strolling the aisles in a video store trying to find a good movie for the weekend. You finally settle on one with an interesting title. However, after watching the movie, your reaction is, “Huh? That’s not what I expected.”

It’s a similar situation when people are searching for healthy eating guidelines. Many people choose a vegetarian or vegan diet thinking it is healthy because there are no animal products. The individual may be puzzled by increased blood sugar, blood pressure and/or cholesterol levels. Vegetarians and vegans focus on eliminating animal products, but may not be focused on foods that are detrimental to their health, like refined flour, refined sugar, salt, and oil. For example, a piece of chocolate cake or a donut fits the vegetarian or vegan diet, but contains loads of empty calories. Refined sugars, flours, salt and oil can cause a spike in blood sugar and increase cholesterol levels.

By Rochester Clinic 06 Apr, 2016

Did You Know   is a weekly post brought to you by the physicians at the   Rochester Clinic . This week,   Dr. Jengyu Lai   discusses the importance of receiving the proper custom orthotics.

Did You Know?

What does “custom” mean?

If you walk into the health section at Wal-Mart, you may notice a Dr. Scholl’s machine dispensing “custom” orthotics or inserts. What is “custom?” What does it mean to receive “custom” orthotics?

Last month a group of podiatrists in Chicago filed a class action law suit against Dr. Scholl’s for false advertising. First of all, an orthotic device should be prescribed and dispensed by a licensed provider. A measuring machine providing over-the-counter inserts at the supermarket is not a licensed provider. Secondly, a customized device is produced from scratch based on a patient’s foot, not something off the shelf. Adding pads or wedges to an insert purchased off the shelf isn’t qualified as a customized orthotic device either.

True custom foot orthoses are prescribed by qualified physicians based on the patient’s anatomical and functional characteristics of their feet and ankles. The devices are milled according to the feet and modified based on each prescription. It is not uncommon to have two different devices for the patient since the feet are not identical.

For more information about the class action law suit filed against Dr. Scholl’s, click on the link lawsuit against Dr. Scholl’s .

For a consultation with podiatrist   Dr. Jengyu Lai   contact the   Rochester Clinic   at 507-218-3095.


Categories:   Podiatry

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By Rochester Clinic 01 Apr, 2016
Manli Jiang, MD, PhD recently joined our practice. Dr. Jiang has extensive experience in knee and shoulder intra-articular injections. Dr. Jiang believes that improving osteoarthritis requires multiple levels of support, medical and podiatric interventions, and possibly appropriate lifestyle modifications. This approach makes Dr. Jiang a perfect addition, especially as we continue to advocate lifestyle medicine.

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