Dr Rinds Journal

 Many people that have heartburn or a mid-chest pain after eating are told they have a hiatal hernia and offered either surgery or are told they have to live with it. There is another option. Sometimes we can fix an uncomplicated hiatal hernia with simple common sense and without going to great lengths. Let’s see what is a hiatal hernia and what a logical approach to fixing an uncomplicated one might be.

Hiatal Hernia: Food enters the mouth and travels down to the stomach via a tube called the esophagus. This tube (the esophagus) has to pass through a 'hole' or opening in the diaphragm (which separates the chest cavity from the abdominal cavity) called the esophageal hiatus. Sometimes the upper portion of the stomach slides up above the diaphragm and food can get stuck there (pressure pain) or the stomach acids can wash against the unprotected esophagus (burning pain or 'heart burn' or 'acid reflux').  Once these contents wash down over time (we can assist the process by drinking some water) the pain clears and may return another day. When the stomach or abdominal contents bulge up through the opening in the diaphragm, they are said to herniate through this hiatus, hence a hiatus hernia. If the contents become twisted, we might have a life threatening situation that requires surgery.  If it is a simple problem, we might be able to fix it with no more that some drinking water. A simple way to pop the stomach back down below the diaphragm where it belongs is to make it heavy enough until gravity pulls down on it. It's the next best thing to reaching in and grabbing the stomach and giving it a yank downward to pop it back down to where it belongs. 

 
So how do we do that? I'll tell you how, and how I found the method (which was probably discovered by many people on their own in a similar fashion). Two years ago, my father (88 years old at that time) was visiting me. At 3AM I heard him calling me from his bedroom. I came over and he said he had a severe chest pain. You can image what was the first thought in my mind. But then, he said this has happened a few times, tends to come on when he bends forward and often clears on its own after 20 to 60 minutes. He had already been checked by his doctor and it was not his heart. I did an examination and found it was not a rib strain, it did not appear to be cardiac so I thought it might be some food stretching the lower portion of the esophagus, likely a hiatus hernia. I would have reached through his belly to grab the stomach and pull it down if I could. Since I couldn't, I did the next best thing. I had him drink at least 3 full glasses of lukewarm water in order to place a 'weight' in his stomach. Then, to make the water momentarily heavier, I asked him to make a quick dip by bending his knees thus allowing the body to fall down a few inches and then to catch himself and stop the downward movement. He did it poorly, but fortunately, I had a rebounder (mini-trampoline) so I asked him to get on it and bounce a few times while I supported him by holding his hands. He did that well for about 5 or 10 times. The pain stopped immediately.

 

Two weeks later he called me from his home at 2AM to tell me he was having another pain attack. I told him to drink the water and try doing the same by bending the knees and holding onto something for support. It worked. He has not had any more attacks since then and no surgery was needed. I've since used this approach with several patients and have had equally good results.

Disclaimer: The above article is for educational/informational purposes only. It is not meant to give specific medical advice. Before trying any of the above suggestions, discuss it with your doctor. Not everyone can tolerate drinking this quantity of fluid or the physical exercise component of this technique.

I did this experiment using a thermal imaging camera (the MHS-5000) to look for changes in temperatures using a Cell phone. Note that after several minutes of using a cell phone, the right side of the head is slightly warmer than the left side. What is interesting is that the entire head became warmer by 2oC (3.9oF). It is likely that the internal structures (i.e., brain) not visible to the camera also warmed up. I don’t know what the physiological or medical implications of this temperature rise are but it does make one think.

A thermographic image is produced by surface temperature differences. The camera senses these temperatures and converts each (thermal) point into a point of color which corresponds to the point’s temperature. The temperature gradient follows a spectral pattern in which blue is cool and red is warm. Note that there is an increase of approximately 2oC (or 3.9oF) after 10 minutes on the cell phone. I sell no telephone related products and do use a cell phone (but whenever I can, I now use a device to distance the phone from me). I just thought this was too interesting not to share.

Many women are concerned about the recent recommendations to limit mammography to women over age 50. On November 16th, the U.S. Preventive Services Task Force (USPSTF), an independent panel of doctors and scientists that make recommendations to the U.S. Department of Health and Human Services, announced a change in their mammography screening guidelines. The new guidelines recommend several changes. The most controversial change was that screening mammograms be taken every 2 years for women age 50-74 versus their old guidelines which recommended screening mammograms every 1-2 years starting at age 40.

This may actually be a blessing in disguise since women might now be motivated to look at other options. There is an option which is non-invasive and very accurate. Thermography! Thermography looks at a woman’s risk for developing cancer (i.e., best use of thermography is before the problem) while mammography is used for identifying a problem after it is present and has been there long enough to start becoming visible.  If these technologies were to be compared to working with the weather, then a thermogram would tell you what the chance of rain is and if over time the weather is getting better or worse. The mammogram would be there to tell you how many inches it already rained.  In other words, the thermogram is best used in the ‘preventive’ mode (before the cancer comes) while the mammogram is best used in a ‘corrective’ mode (it only begins to give information about a cancer once the cancer is there). Each has a different purpose. A colleague of mine put it this way, “using a mammogram for preventive care is like trying to drive forward by using the rear-view mirror”. Similarly, using a thermogram to image a tumor is not an appropriate use of that technology. The assessment for tumor location and size would be obtained with a mammogram, ultrasound or MRI.

In a car analogy, the thermogram is there to let you know that a rough road is coming up, likelihood of potholes etc. and provide time to make a course change. The mammogram lets you know how big the pothole was that you already hit.


An additional benefit to thermography is that it is a sensitive indicator of change in the vascularity and general health appearance of the breast. It can show increased/decreased vascularity (see the grey scale images above), thermal symmetry or new hot spots that were not there before.  It can show unhealthy changes in the breast years before a cancer forms in that breast. This allows for monitoring of those changes in response to health and lifestyle changes. If the right things are being done, then we see an image indicative of a healthier breast.


It is important to remember is that not all thermographic equipment is equal. The resolution should be no less than 80,000 pixels. Also, the unit should be able to not only take color but also black and while thermal images. The color images are best for demonstrating regional differences and changes while black and white image is much better for seeing  the vascular patter (See example below). Each has a different but equally important function.

It is also important to work with a doctor knowledgeable in breast health improvement.

Check out this recent news story which aired on WUSA Channel 9!

The story features my office and explores the benefits of this life-saving proceduere.

This is my first blog post on this website - this online business to be exact!

Feel free to grab a cup of tea and a cookie, put your feet up and take a look around. You'll find heaps of great content and information about my business, and there's plenty of goodies.

I hope you enjoy and feel free to let me know what you think!