I was excited to take this online live webinar today entitled” Artificial Intelligence for Healthcare Professionals.” It fulfilled by physical therapy license renewal requirements and I wanted to learn if it could positively affect my ability to treat patients and expand my healthcare business.

One of the first things that the instructor told us was to avoid putting any personal information (social security, driver’s license and passport information) in AI LLMs (modes). He also stressed that the health professional should not rely solely on AI to make medical decisions. AI is based on statistics and humans are needed to analyze the information it provides. A study in Poland found that those physicians who heavily relied on AI had lost some of their medical skills. AI uses many sources for its information including Facebook, Reddit and outdated Wikipedia websites which are not always reliable. AI has missed rare diseases, confused drugs and misinterpreted lab results so it is important for the health professional to verify it’s information.

Medicare has plans to use AI to decide which medical tests they will pay for based on the patient’s chart information. Patient’s may be denied services even when their own doctors feel these tests are warranted. The physicians’ ability to use their own expertise to diagnosis and treat patients will be affected. AI should expand human insight, not override it. This is the reason that guard rails are needed to protect the public.

The instructor recommended that when searching AI, health professionals should be direct, limit our scope and avoid overloading it with information. Pharmacists can use AI to find dosing errors, drug interactions, help with inventory and for virtual counseling. Dentists can use it for dental image analysis and for voice assistant note taking. Mental health professionals can use it for transcript analysis and creating home exercises. They need to be very careful to avoid using AI trained robots for counseling sessions since AI lacks empathy and the ability to make ethical decisions. Physical therapists, like myself, can use it for posture correction, creating treatment plan,goals and to identify pain patterns. Dieticians can use it for meal planning and patient education.

I look forward to using AI to improve the quality of care my patients receive by providing them with the newest and most effective physical therapy exercises and nutrition supplements. AI can also help me write blog posts, but I promise you that I wrote this post all by myself!

People today are concerned about having a youthful appearance. Most TV commercial actors are below the age of 50. Most of us visit the dermatologist for Botox injections, chemical peels, facial fillers, and facelifts to reduce wrinkles and skin damage in order to look younger. What if we could accomplish this in a more natural way without the risk of side effects. This encouraged me to visit the Aloe Factory and Museum in Aruba.

The tour of the Aloe Factory and Museum was in English and included an audiovisual presentation which highlighted the history of the brand and how the aloe is processed to make their skin care products. Aruba has the perfect climate to grow the aloe plant. The plant requires lots of sunshine and dry soil. Aloe Vera has been revered for its medicinal and beauty enhancing properties. Some know it as “The Plant of immortality”, “Lilly of the Desert” and “The Medicinal Plant.” In Aruba, the plant is knows has Aloe, but the original name, Aloe Vera, was given to the plant by Swedish botanist Carl Von Linne in 1720.

The thick leaves of the Aloe plant are 20-24 inches high. The leaves are pale green and have points along their leaves.. A shoot can be removed from the mother plant and will grow into a full plant within a year. The leaves are removed by hand and assisted by some machinery. The workers then remove the gel -like substance which is then soaked in water. The Gel is then centrifuged and mixed with other beauty enhancing extracts.There is testing to insure safety of the product (there is no animal testing). The company has a research and development department.

Aloe accelerates the healing of wounds and burns. It prevents scarring of the skin and is used after patients have undergone cancer radiation therapy. Aloe relieves muscle soreness, moisturizing the skin and has anti aging effects on the skin. It’s anti inflammatory properties relieve itching from allergies, rashes and mosquito bites. It can have a positive effect on the immune system. When taken orally, it can relieve digestive upset and constipation.

The Aruba Aloe Company has an online store where one can order their lotions, creams, soaps, body washes and bath salts (arubaaloe.com). They ship to 65 countries. Not only does this company offer a great quality product but is also environmentally friendly, using every part of the plant. The unused portions of the plant are grinding up to use a compost (plant fertilizer).

As a healthcare provider, I am aware that falls are a serious threat to the health and
well-being of my older patients. More than one out of four people 65 and older fall each year,
and over 3 million are treated in emergency departments annually for fall injuries. More than
95% of hip fractures are caused by older adult falls. Falls are preventable. The fall prevention
course that I attended in California, presented by the La Jolla Eldercare Planning Council, was
very informative.

Who is at risk for a fall? People who have fallen once are likely to fall again. People who have
been advised to use a cane or walker may be more likely to fall. Unsteadiness, grabbing onto
furniture or needing support while walking are signs of poor balance; making a fall likely. Those
worried about falling are more likely to fall. Trouble standing from the seated position and
negotiating a curb indicate that leg muscles are weak which is a major reason for falls. Also,
rushing to the bathroom, especially at night along with incontinence increase one’s chance of
falling. Those with numbness in their feet and those who are light headed are also at risk for a
fall.

So, how can a caregiver prevent their patient or family member from falling?

-Talk openly with your loved one and their healthcare provider about fall risks and prevention.

-Tell a healthcare provider right away if your loved one has fallen, or if they are worried about
falling, or seem unsteady or confused. Poor judgment can lead to falls as well.

-Keep an updated list of your loved one’s medications. Show a healthcare provider or
pharmacist all of their medications, including over-the-counter medications, and supplements.
Discuss any side effects, like feeling dizzy or sleepy.

-Ask their healthcare provider about taking vitamin D supplements to improve bone, muscle,
and nerve health.

-Keep the patient moving. Activities that improve balance and strengthen legs (like Tai Chi) can
prevent falls. Speak to the patient’s doctor about starting a formal PT program.

-Have eyes and feet checked. Being able to see and walk comfortably can prevent falls.

-Replace eyeglasses and shoes as needed.

-Make the home safe. Most falls (80%) happen in the bathroom. Be sure to make use of shower
chairs, benches, and raised toilet seats. The Bathtub edge can be carved out to make getting
into the shower easier. Add grab bars in the bathroom—next to and inside the shower, and next
to the toilet.

-To make the bedroom safer, be sure there is a night light in the hallways between the bedroom
and bathroom. Use of lifts, ceiling to floor poles, bedside commodes, bed rails and electric beds
(that move up and down) can improve safety.

-Keep floors clutter-free.

-Remove small throw rugs, or use double-sided tape to keep the rugs from slipping.

-Have handrails and lights installed on all staircases.

-Make sure the home has lots of light. Be certain pets are not getting in the way when the
patient is walking.

-Insure the patient is eating/drinking sufficiently to maintain blood sugar levels and muscle
development.

As a physical therapist and nutritional counselor, the course reinforced the importance of doing
balance testing and gait analysis during my evaluations to determine which muscles are weak
so that they can strengthened during the PT treatments. Monitoring blood pressure to identify
orthostatic hypotension ( excessive lowering of blood pressure), and a home safety evaluation
are important as well. Asking patients about their diet and assessing their mentation can
identify fall risk factors as well.

The farms of St. Lucia are abundant in history and nutritious produce. I learned a great deal while visiting a commercial farm in St Lucia. The farmer was kind enough to let me pick and taste a guava fruit directly from the tree. The tree’s branches are so strong that they can hold a man’s weight without breaking. The guava fruit is ripe when yellow. St. Lucia’s farmers use the pulp, seeds and skin to make jams and jellies. Guava may help to lower blood sugar levels, and boost heart and immune health. It may aid in fighting cancer and reduce constipation.

The farmer informed me that it takes the pineapple plant six months to produce fruit. Bromelain which comes from the plant, is used in many natural allergy formulas. It is ripe when yellow and when one of it’s crowns leaves can be pulled out easily. Those with acid reflux should limit their intake of pineapple and all citrus fruits.

Papaya is also ripe when yellow but can be eaten when green as long as it is peeled and boiled. It is a meat tenderizer and can aid digestions.

I learned that there are more than 60 types of mangoes in St. Lucia. Mangoes have been cultivated for over four thousand years. They provide twenty different vitamins and minerals per serving: Vitamin C, B6,A,E,K,B2,B1, magnesium and potassium. These nutrients improve immunity, eye health, support cell growth and repair and aid in iron absorption.

Coconuts are grown on trees. They boost medium chain triglycerides (MCTs) and boost energy. They support heart health and better digestion. Coconut meat increases HDL (the good cholesterol) which reduces the risk of heart and diabetes diseases. Coconut oil can kill pathogens and hydrate the skin. In St. Lucia, all parts of the coconut are used including the leaves and roots for making doors, roofs, baskets, kites and straw.

Bananas are very fragile and bruise easily. The farmer stated that they use special hooked “machete” knives to cut them down from the branches and make sure not to let them hit the ground. The farmer demonstrated how the workers gather the bananas in their huge leaves and then carry the bananas on their heads. Bananas are high in fiber, vitamin C, B6, potassium and magnesium. It’s nutrients protect nerve and muscle health. They are a quick and healthy snack and perfect for those with difficulty chewing. It’s fiber lowers LDL (bad cholesterol) which reduces the risk for heart attacks and stroke. Diabetics should limit their intake of bananas due to it’s high sugar content. The people of St. Lucia are very creative and manufacture banana rum, banana wine ,banana ketchup and barbecue sauce.

It was amazing to witness how organized and innovative St. Lucia farmers are despite the lack of modern farming equipment. Their produce is eaten raw, baked, fried, boiled and grilled. They use every part of the fruit to improve their cuisine, health , economy and environment. As a health coach and nutritional counselor, I learned from the people of St. Lucia, that it is important for me to educate my clients to eat all edible parts of a fruit to benefit from all its nutrients and to cook produce in different ways (boil, grill, bake) to vary their cuisine which makes eating more enjoyable.

This past weekend, I attended a Massachusetts charity event for the “Warrior Within Yoga Project”. This organization provides free yoga classes for veterans and first responders (and their families) across Massachusetts.

There is much scientific evidence that yoga supports stress management, mental health, mindfulness, healthy eating, weight loss and better sleep. It improves energy and vitally through it’s deep breathing exercises. This was my first time participating in a yoga class and I can honestly say that yoga is not for the ‘faint of heart’. I thought that the ‘Downward Dog Pose’ was challenging because it requires a great deal of upper body strength, which I do not possess. The class performed more challenging yoga positions that involved squatting and being on all 4′s, which I found painful for my knees. On a more positive note, I found the “Big Toe and Bridge Poses easy to perform. Besides stretching and strengthening the hip extensors,the yoga instructor told us that these positions help to relieve anxiety and support optimal blood pressure levels. My favorite pose was the ‘Corpse Pose” which was done at the conclusion of the class. This pose helps to manage stress by activating the parasympathetic nervous system, promoting relaxation.

I would like to incorporate the “Raised arm and Standing Forward Bend” poses along with high lunge poses into my physical therapy practice since they are relatively easy to perform in the standing position. These standing postures support respiration, hamstring, quadriceps and shoulder mobility and strength. When treating patients with osteoporosis, care must be taken not to overly flex and rotate the spine to avoid vertebral fractures.

Chair yoga classes are ideal for those who want the benefits of yoga but have ‘sensitive joints”. Yoga classes can be found at your local Y, community center or private yoga studio. When doing yoga at home (online), be sure to create a space that is clutter and distraction free. Having an empty wall near you to hold onto when performing the standing poses would be beneficial. Adding candles or incense will help to create a calm peaceful space.

While attending a Neurocognitive Memory Loss course in San Diego, I took the Mini-Mental State Examination and was happy to find out that my score was optimal and that my occasional memory loss was due to task “overload”. It was suggested that using tools like meditation and stress management would be helpful.

We’ve all forgotten a name, where we put our keys, or if we locked the front door. It is normal to forget things once in a while. However, forgetting how to use the telephone or finding your way home may be signs of a more serious memory problem.

People with mild cognitive impairment ( MCI ) can take care of themselves and do their normal activities. MCI memory problems may include losing things often, forgetting to go to appointments and having more trouble coming up with words than other people the same age. MCI may be an early sign of more serious memory problems to come and it is important to see your doctor every 6-12 months.

We can take steps to help our memory by learning a new skill, following a daily routine, using memory tools such as calendars, to do lists, getting enough sleep, exercising and eating well, cutting down on alcohol consumption and socializing with others.

Certain conditions such as depression, blood clots in the brain, head injury, thyroid, kidney or liver problems may cause temporary memory problems which can improve when treated.

Dementia is the loss of your ability to think, remember and reason to such a level that it interferes with our daily life and activities. Symptoms may include problems with language, trouble reading or recognizing colors or paying attention. Some people experience changes in their personality and behavior. There are different forms of dementia including Alzheimer’s disease, vascular dementia, Lewy body dementia, frontotemporal dementia and mixed dementia. The two most common forms of dementia are Alzheimer’s disease and vascular dementia.

Alzheimer’s Disease or a related dementia symptoms include making poor judgements and decisions a lot of the time, problems taking care of monthly bills, losing track of the date or time of the year, trouble having a conversation and misplacing things often and being unable to find them. Many may ask the same questions over and over again, get lost in places they know well, be unable to follow recipes or directions and begin to look disheveled due to lack of bathing or poor eating. Alzheimer’s disease changes the brain and causes large numbers of brain cells to die. Overtime chores like shopping, driving and cooking become very difficult. As the illness gets worse, someone with Alzheimer’s disease will need someone to take care of them. Certain medications can help slow down some of the symptoms.

Vascular dementia symptoms may begin suddenly due to changes in brain blood supply, often after a stroke. Controlling high blood pressure, high cholesterol, managing diabetes and eliminating smoking can reduce the risk of having more strokes.

A neurologist is one of the health professionals that can diagnose the root cause of memory problems by using brain scans, urinalysis with urine culture, and a neuropsychology evaluation which includes memory testing, sensory testing, balance testing, language and math skills testing. Blood testing can include a complete blood count, comprehensive metabolic panel, B1, B6, B12, zinc, methylmalonic acid, folic acid, ammonia, HIV and syphilis testing.

FInding out what is causing your memory problems is crucial for getting the right treatment and support. Some memory problems get worse over time and It is important to plan ahead and make decisions about legal and financial matters as early as possible.

On the outskirts of Belfast Ireland, in the Ards Peninsula, there is a Cictercian monastery called ‘ Grey Abbey’. It was founded in 1193 by an Anglo Norman woman. It was built in the gothic style, on very fertile land. It was run by monks from the order of ‘Holm Cultram’.

Of particular interest to me is its vast herbal garden. Herbal medicine, also called botanical medicine, refers to using a plant’s seeds ,berries, roots, leaves ,bark or flowers for medicinal purposes. Herbalism has a long tradition of use outside conventional medicine. It is used today by herbalists,naturopaths, acupuncturists, nutritionists and chiropractors to treat and prevent disease .

The monks of Grey Abbey were largely vegetarian and lived by their labor; eating from their vegetable garden and using the herbs grown in their herbal garden in their infirmary. Some of the herbs grown were made into teas such as lemon balm and valerian which had sedative effects useful for inducing sleep. Borage flowers were added to wine to dispel feelings of melancholy . It is said that the monks smoked woodruff and drank wormwood to elicit a ‘ high’ feeling. Many of the leaves from St. John’s wort, feverfew and woundwort were rubbed onto wounds to facilitate healing.

For those interested in learning more about herbalism and natural healing, there are many online sources and books available. It is best, however, to consult with a licensed professional who has extensive knowledge of the use of herbal Medicine if you are seeking treatment for a medical condition.

You can learn more about Grey Abbey by viewing their website GreyAbbeyHouse.com

THE BENEFITS OF TAI CHI
I decided to take a tai chi class at the YMCA. I wanted to learn a few new exercises that I
could do with my physical therapy patients. I learned that not only could it improve their
overall strength , balance and range of motion, but it can also lower their stress levels
and blood pressure, while improving their lung function and circulation. There have
been studies that show tai chi can reduce a senior citizen’s fall risk since it improves the
ability to sense the position of one’s body in space which declines with age.

Tai chi originated as an ancient martial art in China. It is a practice that involves a series
of slow gentle movements named for animal actions-for example “white crane spreads
its wings” in a meditative state of mind, with controlled breathing. Movements are never
forced. The muscles are relaxed rather than tensed, the joints are not fully extended or
bent, and connective tissues are not stretched stretched. Tai chi is said to unblock Qi
(the energy force) and encourage the proper flow of energy. Tai chi is said to also
promote the balance of the body’s opposite Yin and Yang elements.

Choose loose-fitting clothes that don’t restrict your range of motion. You need shoes
that won’t slip and can provide enough support to help you balance, but have soles thin
enough to allow you to feel the ground. Running shoes, designed to propel you forward,
are usually unsuitable.

While in the class, I had to modify some of the movements that involved balancing on
one leg due to the strain it put on my “old knees”. Tai chi can be easily adapted for
anyone, from the most fit people to those confined to wheelchairs or recovering from
surgery.

If you have a limiting musculoskeletal problem or medical condition — or if you take
medications that can make you dizzy or lightheaded — check with your doctor or
physical therapist before starting tai chi. Given its excellent safety record, chances are
that you will be encouraged to try it.

Consider observing and taking a class. Taking a class may be the best way to learn tai
chi. Seeing a teacher in action, getting feedback, and experiencing the camaraderie of a
group are all pluses. Contact your local senior center, recreation or community center to
inquire if they offer tai chi. For those with difficulty leaving the home, there are plenty of
videos to watch on YouTube or available for purchase.

Tai chi can be part of a multifaceted exercise regime. Performing different types of
exercises weekly (aerobic, weight lifting, dance, yoga, tai chi) along with following a
healthy eating plan will energize your life!

Happily, I recently flew to New York to attend my oldest niece’s wedding. I was excited for the wedding, but worried that all the unhealthy food choices would ruin the healthy diet plan that I had been following at home.

So, before attending the wedding, in my hotel room, I developed a plan of action. I knew it was important to stick to the Mediterranean diet which limits refined carbohydrates such as pasta, breads, potatoes and rice and therefore lowers your sugar intake. This diet emphasizes eating lean proteins and vegetables that have few saturated fats. It is the sugar and saturated fats that cause inflammation in the body which can lead to heart problems, joint pain and cancer.

Taking control of the amount of food I would be consuming was crucial to avoid weight gain. I promised myself that at the smorgasbord, I would fill at least one half of my plate with vegetables. Grilled vegetables would be ideal. It is best to avoid sauces since they have lots of sugars and fats. I knew pickles and olives were a safe bet. Olives are so nutritious, filled with omega 9 fats that help with heart and skin health.

I decided that I would avoid red meat and instead look for grilled fish and chicken dishes since they have fewer saturated fats. Asian dishes are generally healthier, being stir fried, rather than deep fried. The omega 3 fatty acids in fish are also helpful for heart, joint and brain health. Since I love salads, I plan on filling my plate with salad. Hopefully, I will be able to find a salad that is not already dressed. The dressings would add unnecessary calories. Spritzing the salad with lemon juice and/or olive oil would be a better option.

Now, for the main meal. I would choose a plain soup for the appetizer and avoid soup that is ‘creamed’. Instead chicken broth (without noodles) or vegetable soup is preferred. A small salad is also a good alternative. I would once again choose a main dish with a lean protein and a steamed vegetable on the side. Since sweet potatoes (not regular potatoes) are very nutritious, if offered, I might splurge and have a half of a sweet potato and a vegetable as a side dish.

Now, the hardest part is choosing a dessert without feeling deprived. Ideally, there would be a fruit cup option. I could eat it with a small piece of dark chocolate and a half a glass of red wine. That would satisfy my sweet tooth and provide me with the flavonoids (type of antioxidant) that protect the heart and brain by improving blood flow. I suppose if I wanted to save on calories, herbal tea would be a wiser choice than wine. I have also learned that I could order a decadent dessert (in addition to the fruit) and only taste a forkful of it. This would satisfy my craving for sweets and leave me feeling less deprived.

I am happy to report that I followed through with my eating plan of action, enjoyed my trip immensely and did not gain any weight. Those at my table were so impressed with my food choices, that I picked up some new clients for nutritional counseling.

Feng Shui is the ancient Chinese practice that charts the balance of energy, or chi, via scientific calculations. The goal of Feng Shui is to invite positive chi (energy) into your home so that your life feels both energized and balanced. The space in your home and office reflects your life. Your life’s vision is reflected in your environment. Use the space in your home and office to create positive energy which can affect how you feel as well.

Feng Shui consultants advise their customers on how to use the 5 elements ( fire, earth, metal, water and wood) along with colors to increase energy in their environment to maximize wealth, fame, health, creativity and partnership.

Here are some simple ways to maximize the energy in your home:

Let’s start with the front door. The outside of the front door should be clear of clutter (as the rest of the house) so that the door can open freely and energy or chi can flow through. Be sure to remove anything that is blocking the door from opening all the way. Many consultants recommend painting the front door red to maximize the energy brought into the home. If the doorbell is not working, fix it. Also, remove any dead plants in the home and near the front door.

The first thing you see when you walk into your home is important. Entering the home through the garage, back or side doors is not ideal since what you usually see when you enter through these doors does not create positive energy. If you see the living room when you enter your home, it is best that the sofa be placed against a wall, not a window, to increase the feeling of security in the home. Living room chairs for visitors should be clean and the floors as well. In regards to the bedrooms, having a headboard for your bed creates a feeling of security. The desk and bed should be in line of sight with the room door. This allows one to see who is entering their space and gives one the security needed to be creative. It creates a “safe space”. Be sure to remove clutter in all rooms, including the basement.

Bring nature into your home by having a waterfall close to the front door. Metal chimes awaken your sense of hearing. Candles input the element of fire and energy into the home. Incense awakens the sense of smell. A fireplace and artwork with rocks and wood bring nature into the home. Plants cleanse the air in the environment.

Try using these tips to rearrange your home and hopefully you will receive the benefits of having more positive energy in your life. Have fun with it!

I would like to thank AARP and Julie Delene for providing us with this valuable information.