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Reflections on Hypnotizability and Its Impact on Successful Surgical Hypnosis: A Sole Anesthetic for SeptoplastyAmerican Journal of Clinical Hypnosis , Apr 2004 by Wain, Harold J << Page 1Continued from page 3.Previous|
PAST MEDICAL HISTORY: Non-contributory FAMILY HISTORY: Non-contributory SURGERY: Lipoma removed from back one year ago. No problems. DRUG ALLERGIES: None known REVIEW OF SYSTEMS: Negative PHYSICAL EXAMINATION: Reveals a well-developed, well-nourished 3year-old male in no distress with normal vital signs. Blood pressure 118/74. Pulse 64. Temperature: 97.6. Physical examination is unremarkable except for the presence of a grossly deviated nasal septum to the right with total obstruction and total dislocation of the septum to the right nostril obstructing the airway. Compensatory hypertrophy of the inferior turbinates on the left side. The rest of the physical examination was unremarkable. PERTINENT LABORATORY DATA: SMA-12 normal. VDRL non-reactive. Urinalysis: yellow, clear, specific gravity 1,022, pH 5, no glucose, blood or protein. CBC revealed 6,200 white count. Hematrocrit 44. PT 10.3 seconds, PTT 35.8 seconds. Chest x-ray - scoliosis of thoracic spine, no other abnormalities. Sinuses normal. COURSE IN HOSPITAL: The patient was taken to the operating room on the 4th of August and had a septoplasty performed under hypnosis. Postop course was completely benign and he was released from the hospital. FINAL DIAGNOSIS: Nasal septal deformity. SURGERY: Septoplasty With Hypnosis DISPOSITION: The patient will be followed in the Clinic. Clinician`s Response to Surgery There were a few times when the author recognized anxiety developing within himself. Initially waiting for the first incision to occur is always anxiety producing. In fact, upon the incision being completed, the initial tension was decreased for all in the operating room suite. This perception was confirmed when the rest of the medical staff that were present were later queried. Shortly after the surgery began, the patient began to cough and there was a mucous and blood drip into his throat. In order to help the patient adapt to the situation the concept of "trance logic" (Orne, 1959) was utilized to enhance the trance. The suggestion, "it is only sea water" was used. Since the patient perceived he was on the beach, this suggestion was congruent with his mind set. By using the concept of trance logic-the ability to make something congruent that was incongruent-the person can accept the situation without utilizing their typical critical vigilance. As further suggestions were offered, the patient maintained his focus of being at the beach. Another perceived trying time occurred when the surgeon said he was going to use the hammer and chisel (see Figure 1). The clinician then responded by giving a suggestion that there was going to be a shield around his nose. It appeared this suggestion might not have been needed. Throughout the procedure the term "comfort" rather than "pressure" was verbally suggested to the patient. Postoperative Phase After the patient returned for his first postoperative check-up the patient was asked about his perception regarding the surgery. he reported "no discomfort at all." His pain was rated at "zero," and he was able to change the packing in his nose after doing his self-hypnotic technique, which was a repeat of his induction. he also reported that after his surgery he went home and began painting his house. There was also little or no swelling and only minor skin discoloration. His only memory for the surgery was being on the beach when the procedure transpired. Previous- 1- 4- 7- 8-Esalen massage: learn the healing power of touch from the renowned body workers of Esalen Institute - includes related informationAmerican Fitness , Jan-Feb, 1998 by Peg Jordan, Kathleen O`Shaughnessy << Page 1Continued from page 1.Previous|A Flurry of New Findings Not many people need convincing that massage feels good. But just how therapeutic is it physically and mentally? Some new research emerged this past year regarding the healing power of touch. Benefits such as reducing stress hormones and boosting immune responses are placing a new light on massage, an ancient practice enjoyed in cultures around the world. What has the massage community most excited these days is how the public is embracing these new findings, moving massage to the forefront of complementary health care techniques. Funding from the Office of Alternative Medicine at the National Institutes of Health supported studies that discovered the following: * Abdominal surgery patients recovered more quickly after massage. * Premature infants who were massaged gained weight almost 47% faster than those who weren`t. * Cancer patients who had massage therapy while undergoing bone marrow transplants were much less anxious and fatigued. Other studies supported by the American Massage Therapy Association (AMTA) revealed a significant decrease in anxiety and respiratory rates among medical school students who were massaged just before an exam. They also showed a significant increase in white blood cells and natural killer cell activity, suggesting a benefit to the immune system. This same immune system enhancement was proven to be beneficial for people with HIV and AIDS. The Touch Research Institute at the University of Miami School of Medicine noted how blood pressure dropped in people with hypertension, pain was reduced in migraine sufferers, and alertness and performance improved in office workers. In fact, the benefit of massage in lowering job stress has many corporations considering a twice-weekly, 15-minute massage break in the office instead of the typical caffeine fix. A group of 26 employees who opted for the massage break were compared to a control group who were told to just close their eyes and relax. Upon electro-encephalogram (EEG) measurement, the massage recipients had better alpha and beta wave correspondence showing greater alertness than the non-massaged group. They also had lower amounts of stress hormones in their saliva. But what was most amazing was that the massaged workers completed math problems in half the time as normal and with half the errors they had before they were massaged. As for the control group, their math skills showed no improvement or declined. What else does massage help? A wide range of medical conditions such as allergies, headache, myofacial pain, sinusitis, sports injuries, temporomandibular joint dysfunction, stress-related diseases and anxiety. Do You Need a Licensed Massage Therapist? Only 25 states require massage therapists to be licensed, certified or registered. According to the AMTA, many more states are working to pass legislation. For the most part, licensing varies so much from state to state that many practitioners feel state laws are no real indication of competency. A reliable way to check out the credentials of someone is to ask if they completed an accredited program and look at their diploma. The Commission on Massage Training Accreditation/Approval (COMTAA) requires a stringent study of 500 hours of classroom instruction in anatomy, physiology, massage therapy techniques, first aid and CPR. A good therapist also gets training in ethical conduct, practice standards and general competency. Eyes relaxation index
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