Tag Archives: acupuncture

What do we do at Surgical Artistry?

 

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I get this question a good deal.  I think it’s probably somewhat confusing as to what we do and we offer a lot of procedures and products.  Basically we are a two surgeon medical group offering services in Veins, Acupuncture, Plastic Surgery, and General Surgery.  That can be quite a lot.  But even with that said, it’s somewhat confusing as to what each of these items involves.  So I thought I’d make a list which doesn’t include everything, but covers most of what we do:

DR. TAMMY WU PROCEDURES:

DR. CALVIN LEE COSMETIC and BOTOX PROCEDURES:

  • Botox for cosmetic
  • Botox for headaches
  • Botox for hand and axillary sweating
  • Botox for TMJ (jaw pain)
  • Fillers (ie. Juvederm)
  • Lip Augmentation with Juvederm or other injectable fillers
  • Vein Laser
  • Vein Injections (ie. with Asclera)
  • Face Vein treatment
  • Acne Consultation
  • Skin Care Consultation
  • Cosmetic Mole Removal
  • Microdermabrasion
  • Chemical peels (ie. Obagi Blue Peel Radiance and Obagi Blue Peel)

DR. CALVIN LEE ACUPUNCTURE PROCEDURES:

  • Acupuncture trigger point deactivation for muscle pain
  • Acupuncture for back pain / neck pain
  • Acupuncture for buttock pain (ie. pyriformis syndrome)
  • Acupuncture for IT band pain (side of thighs wrapping to below knee)
  • Acupuncture for fertility
  • Acupuncture for TMJ (jaw pain)
  • Acupuncture for stress / anxiety
  • Acupuncture for allergies
  • Acupuncture for fibromyalgia
  • Acupuncture for depression
  • Acupuncture for hormones (hot flashes, acne, menstrual cycle)
  • Acupuncture for facial rejuvenation (cosmetic)
  • Acupuncture to boost the immune system
  • General wellness Acupuncture
  • Anti-nausea acupuncture for those undergoing chemotherapy or pregnancy

  SKIN CARE PRODUCTS:

  • Obagi Line
  • NIA 24 Line
  • Various Skinceuticals

 GRADUATED COMPRESSION SOCKS:

To recover faster from workouts, prevent varicose veins, and prevent injuries

  • Calf sleeves from Sigvaris and CEP brands
  • Full calf sleeves from Sigvaris and CEP brands
  • Dress socks from Sigvaris
  • Thigh high and Pantyhose compression from Sigvaris.

 Contact Us:

Surgical Artistry - Calvin Lee, MD / Tammy Wu, MD

 

Depression

1 hour Lecture by Grace Nadolny, MD on 4/20/13 in Modesto, CA, CME provided by Sutter Gould Medical Foundation as part of it’s Subspecialty Lecture Series.  4 hours total of CME was provided.  Part of the 4 hours of CME included discussion about back pain and ovarian cancer.

Why this is interesting to me

  • I have learned some of this before in my NeuroScience years at Brown University.  It was good to review.
  • I have an acupuncture practice which has a good number of patients with depression.

Learning points (not all points were made in the lecture, but they were learning points for me):

Evidence Based medicine supported treatment of depression

  • includes the use of methylphenidate, exercise, and sertraline

Methylphenidate

  • Ritalin
  • NE and DA reuptake inhibitor.  (Norepinephrine adn Dopamine)
  • Psychostimulant
  • Used for ADHD, Narcolepsy, and Depression

Sertraline

  • Also known as Zoloft, Lustral
  • SSRI – selective serotonin reuptake inhibitor

Depression

  • Population affected: 20%
  • Depression is a state of chronic stress
  • CV risk
  • Diabetes risk
  • Anatomically there is decreased amount of gray matter in the brain.  Decreased size of  Cortex and Hippocampus has been found.
hippocampus

hippocampus

The hippocampus is involved in several functions of the body including:

  • Consolidation of New Memories
  • Emotional Responses
  • Navigation
  • Spatial Orientation

Current concepts of depression

  • glutamatergic theory of depression: exposition to stressful stimuli increases hippocampal glutamatergic neurotransmission and triggers excitotoxic changes.
  • Another theory: depression is closly correlated with neuronal atrophy due to a decrease in BDNF (Brain Derived Neurotrophic Factor)
  • Monoamine hypothesis is considered old school:  deficiency in monoaminergic neurotransmission.  Monoamines being Catecholamines (NE, DA) and Indolamines (5-HT).

Results of Star*D Trials

Sequenced Treatment Alternatives to Relieve Depression

  • Officed based – what is done after a patient fails first line treatment for depression?
  • Level 1 through Level 3 choices in medication to switch to.

After the lecture:  What about Acupuncture for Depression?

I asked Dr. Nadolny about what she thought of acupuncture for depression.  And she seemed very excited.  She said that she didn’t know that acupuncture was readily available in Modesto, CA.  I do hope to recommend some of my patients to Dr. Grace Nadolny in the future and other psychiatrists too, because I feel that at times combination treatment with acupuncture and excellent psychiatric care would be of greatest benefit.

Disclaimer:  I am not an expert on the topic of Depression.  These are notes from a lecture that I took and feel free to use this as a springboard for your own studies.