safety query for bone marrow transplant recipient

[Guest guest]

Hi All,

 

Today I had a conversation with a prospective patient who had a bone marrow

transplant 4 years ago for leukemia - I forget what kind she said she had. She

is now coming off the immuno-suppressive drugs and other meds the doctors use to

prevent transplant rejection. In talking with her, I remembered a presentation

I had done a couple of years ago to the Leukemia Association in San Diego.

Several of the members there raised a question as to whether acupuncture would

be possible for transplant recipients, since it can stimulate the immune system

- and possibly risk rejection of the tissue transplant. Herbs were also a

concern, as transplant patients were instructed to avoid plant matter because of

the risk of contact with molds or other vectors which might cause infection

during immuno-suppression.

 

I asked this woman to speak with her doctor before coming to see me, and to

ask her doctor whether it is safe for her to now have acupuncture. She will

come to see me on Monday, at least for an evaluation if not also for treatment.

 

Has anyone faced the question of acupuncture and herb safety for transplant

recipients? If so, what info have you found, and if you have done treatments,

what impact did they have on the transplant, if any? Also, am I covering myself

by having her ask her doctor and noting her reply in my charts, or should I

speak with her doctor myself?

 

Thanks so much,

 

 

 

Photos

Got holiday prints? See all the ways to get quality prints in your hands ASAP.

 

 

[Guest guest]

if it interests you, pattern is: marrow afflicted, culprit Earth

 

>

Several of the members there raised a question as to whether acupuncture

would be possible for transplant recipients, since it can stimulate the

immune system and possibly risk rejection of the tissue transplant

>

 

acupuncture cannot directly stimulate immune system if you leave Metal

untouched

 

immune system lives largely in lymphatics at ileocecal junction where

appendix sits

 

3 points which *directly* stimulate this are: LI 10 LI 11 and the point

at Evil Wind at sterno mastoid muscle

 

>

Also, am I covering myself by having her ask her doctor and noting her

reply in my charts, or should I speak with her doctor myself?

>

 

while this is a commendable approach, involving the doctor does not

protect you if things went wrong, for he or she is not privy to how

acupuncture works

 

in common with all acupuncturists, one is entirely on one's own when one

hangs the shingle

 

be reasonably sure of what you are doing and do it with courage and

certainty in your own self

 

all healers walk alone

 

best

 

dr holmes

www.acu-free.com

 

 

wrote:

> Hi All,

>

> Today I had a conversation with a prospective patient who had a bone marrow

> transplant 4 years ago for leukemia - I forget what kind she said she had.

She

> is now coming off the immuno-suppressive drugs and other meds the doctors use

to

> prevent transplant rejection. In talking with her, I remembered a

presentation

> I had done a couple of years ago to the Leukemia Association in San Diego.

> Several of the members there raised a question as to whether acupuncture would

> be possible for transplant recipients, since it can stimulate the immune

system

> - and possibly risk rejection of the tissue transplant. Herbs were also a

> concern, as transplant patients were instructed to avoid plant matter because

of

> the risk of contact with molds or other vectors which might cause infection

> during immuno-suppression.

>

> I asked this woman to speak with her doctor before coming to see me, and to

> ask her doctor whether it is safe for her to now have acupuncture. She will

> come to see me on Monday, at least for an evaluation if not also for

treatment.

>

> Has anyone faced the question of acupuncture and herb safety for transplant

> recipients? If so, what info have you found, and if you have done treatments,

> what impact did they have on the transplant, if any? Also, am I covering

myself

> by having her ask her doctor and noting her reply in my charts, or should I

> speak with her doctor myself?

>

> Thanks so much,

>

>

>

>

> Photos

> Got holiday prints? See all the ways to get quality prints in your hands ASAP.

>

>

[Guest guest]

Does your state require an Informed Consent? If it does you could include this

pre-existing condition as part of the informed consent.

P.T.

-

holmes

Chinese Medicine

Friday, January 13, 2006 2:01 AM

Re: safety query for bone marrow transplant recipient

 

 

if it interests you, pattern is: marrow afflicted, culprit Earth

 

>

Several of the members there raised a question as to whether acupuncture

would be possible for transplant recipients, since it can stimulate the

immune system and possibly risk rejection of the tissue transplant

>

 

acupuncture cannot directly stimulate immune system if you leave Metal

untouched

 

immune system lives largely in lymphatics at ileocecal junction where

appendix sits

 

3 points which *directly* stimulate this are: LI 10 LI 11 and the point

at Evil Wind at sterno mastoid muscle

 

>

Also, am I covering myself by having her ask her doctor and noting her

reply in my charts, or should I speak with her doctor myself?

>

 

while this is a commendable approach, involving the doctor does not

protect you if things went wrong, for he or she is not privy to how

acupuncture works

 

in common with all acupuncturists, one is entirely on one's own when one

hangs the shingle

 

be reasonably sure of what you are doing and do it with courage and

certainty in your own self

 

all healers walk alone

 

best

 

dr holmes

www.acu-free.com

 

 

wrote:

> Hi All,

>

> Today I had a conversation with a prospective patient who had a bone

marrow

> transplant 4 years ago for leukemia - I forget what kind she said she had.

She

> is now coming off the immuno-suppressive drugs and other meds the doctors

use to

> prevent transplant rejection. In talking with her, I remembered a

presentation

> I had done a couple of years ago to the Leukemia Association in San Diego.

> Several of the members there raised a question as to whether acupuncture

would

> be possible for transplant recipients, since it can stimulate the immune

system

> - and possibly risk rejection of the tissue transplant. Herbs were also a

> concern, as transplant patients were instructed to avoid plant matter

because of

> the risk of contact with molds or other vectors which might cause infection

> during immuno-suppression.

>

> I asked this woman to speak with her doctor before coming to see me, and

to

> ask her doctor whether it is safe for her to now have acupuncture. She will

> come to see me on Monday, at least for an evaluation if not also for

treatment.

>

> Has anyone faced the question of acupuncture and herb safety for

transplant

> recipients? If so, what info have you found, and if you have done

treatments,

> what impact did they have on the transplant, if any? Also, am I covering

myself

> by having her ask her doctor and noting her reply in my charts, or should I

> speak with her doctor myself?

>

> Thanks so much,

>

>

>

>

> Photos

> Got holiday prints? See all the ways to get quality prints in your hands

ASAP.

>

>

[Guest guest]

fair point

 

asked of legal & insurance experts when writing a course in some states

and the answer was largely that informed consent even if given does not

preclude a law suite

 

it does make it evident that the matter was discussed and patient duly

informed for whatever that is worth

 

dr holmes

www.acu-free.com

 

 

P.T. Ferrance wrote:

> Does your state require an Informed Consent? If it does you could include

this

> pre-existing condition as part of the informed consent.

> P.T.

> -

> holmes

> Chinese Medicine

> Friday, January 13, 2006 2:01 AM

> Re: safety query for bone marrow transplant recipient

>

>

> if it interests you, pattern is: marrow afflicted, culprit Earth

>

> >

> Several of the members there raised a question as to whether acupuncture

> would be possible for transplant recipients, since it can stimulate the

> immune system and possibly risk rejection of the tissue transplant

> >

>

> acupuncture cannot directly stimulate immune system if you leave Metal

> untouched

>

> immune system lives largely in lymphatics at ileocecal junction where

> appendix sits

>

> 3 points which *directly* stimulate this are: LI 10 LI 11 and the point

> at Evil Wind at sterno mastoid muscle

>

> >

> Also, am I covering myself by having her ask her doctor and noting her

> reply in my charts, or should I speak with her doctor myself?

> >

>

> while this is a commendable approach, involving the doctor does not

> protect you if things went wrong, for he or she is not privy to how

> acupuncture works

>

> in common with all acupuncturists, one is entirely on one's own when one

> hangs the shingle

>

> be reasonably sure of what you are doing and do it with courage and

> certainty in your own self

>

> all healers walk alone

>

> best

>

> dr holmes

> www.acu-free.com

>

>

> wrote:

> > Hi All,

> >

> > Today I had a conversation with a prospective patient who had a bone

marrow

> > transplant 4 years ago for leukemia - I forget what kind she said she had.

She

> > is now coming off the immuno-suppressive drugs and other meds the doctors

> use to

> > prevent transplant rejection. In talking with her, I remembered a

presentation

> > I had done a couple of years ago to the Leukemia Association in San Diego.

> > Several of the members there raised a question as to whether acupuncture

would

> > be possible for transplant recipients, since it can stimulate the immune

system

> > - and possibly risk rejection of the tissue transplant. Herbs were also a

> > concern, as transplant patients were instructed to avoid plant matter

> because of

> > the risk of contact with molds or other vectors which might cause

infection

> > during immuno-suppression.

> >

> > I asked this woman to speak with her doctor before coming to see me, and

to

> > ask her doctor whether it is safe for her to now have acupuncture. She

will

> > come to see me on Monday, at least for an evaluation if not also for

treatment.

> >

> > Has anyone faced the question of acupuncture and herb safety for

transplant

> > recipients? If so, what info have you found, and if you have done

treatments,

> > what impact did they have on the transplant, if any? Also, am I covering

> myself

> > by having her ask her doctor and noting her reply in my charts, or should

I

> > speak with her doctor myself?

> >

> > Thanks so much,

> >

> >