Re: PCP's??? Anal Fissures.

[Guest guest]

,

Full healing of this one really or largely depends on its point of origin .... how susceptible it is to disturbance from the periodic use of it's region.

Minerals and vit C (I found an RN yesterday who had NO idea of the healing propeties of vit c!!!! -turns out they are no longer teacihing even nurses about nutrition!!!! CRIMINAL!!! Where are our nutrition police???) .......... and...wait for it : Yes! Microcurrent!!!

Microcurrent would most likely lend the greatest stimulus to the area ..... microcurrent has been found to heal coral infections that have been present for over 25 years ..... might help this as well. As Dr. McMakin says: 'couldn't hurt!: lololol

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

From: spinetree@...Date: Wed, 27 Apr 2011 08:46:58 -0700Subject: PCP's??? Anal Fissures.

Okay, so have a patient who inquired about natural methods of healing chronic anal fissure. Any ideas? I had to suppress a smile with all this PCP talk. A kind of "watch what you wish for" kind of thing.

Anyway, any good pearls for this gentlemen before I send him to the hemorrhoid clinic???

ph Medlin D.C.

[Guest guest]

Studies show that grains cause anal fissures.

In a study in Farmingham, Minnesota, all people with anal fissures ate grains.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: ph Medlin <spinetree@...>

Date: Wed, 27 Apr 2011 08:46:58 -0700

'oregondc' < >

Subject: PCP's??? Anal Fissures.

Okay, so have a patient who inquired about natural methods of healing chronic anal fissure. Any ideas? I had to suppress a smile with all this PCP talk. A kind of " watch what you wish for " kind of thing.

Anyway, any good pearls for this gentlemen before I send him to the hemorrhoid clinic???

ph Medlin D.C.

[Guest guest]

Don't say it, .AnnetteOn Apr 27, 2011, at 10:13 AM, Sunny Kierstyn wrote:

,

Full healing of this one really or largely depends on its point of origin .... how susceptible it is to disturbance from the periodic use of it's region.

Minerals and vit C (I found an RN yesterday who had NO idea of the healing propeties of vit c!!!! -turns out they are no longer teacihing even nurses about nutrition!!!! CRIMINAL!!! Where are our nutrition police???) .......... and...wait for it : Yes! Microcurrent!!!

Microcurrent would most likely lend the greatest stimulus to the area ..... microcurrent has been found to heal coral infections that have been present for over 25 years ..... might help this as well. As Dr. McMakin says: 'couldn't hurt!: lololol

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

From: spinetree@...Date: Wed, 27 Apr 2011 08:46:58 -0700Subject: PCP's??? Anal Fissures.

Okay, so have a patient who inquired about natural methods of healing chronic anal fissure. Any ideas? I had to suppress a smile with all this PCP talk. A kind of "watch what you wish for" kind of thing.

Anyway, any good pearls for this gentlemen before I send him to the hemorrhoid clinic???

ph Medlin D.C.

[Guest guest]

Thank you Alan, he was my next step. Just thought there may be some ideas out there that he could try first.

ph Medlin D.C.

From: Alan

Sent: Wednesday, April 27, 2011 11:56 AM

Subject: FW: PCP's??? Anal Fissures.

Highly recommend Dr. Steve Cranford D.C., ND. He has been at it a long time and is a gentle practitioner.http://www.sandyclinic.com/Alan D.C.

CC: spinetree@...; To: skrndc1@...From: dranetsimard@...Date: Wed, 27 Apr 2011 10:23:52 -0700Subject: Re: PCP's??? Anal Fissures.

Don't say it, .

Annette

On Apr 27, 2011, at 10:13 AM, Sunny Kierstyn wrote:

, Full healing of this one really or largely depends on its point of origin .... how susceptible it is to disturbance from the periodic use of it's region. Minerals and vit C (I found an RN yesterday who had NO idea of the healing propeties of vit c!!!! -turns out they are no longer teacihing even nurses about nutrition!!!! CRIMINAL!!! Where are our nutrition police???) .......... and...wait for it : Yes! Microcurrent!!! Microcurrent would most likely lend the greatest stimulus to the area ..... microcurrent has been found to heal coral infections that have been present for over 25 years ..... might help this as well. As Dr. McMakin says: 'couldn't hurt!: lololol Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

From: spinetree@...Date: Wed, 27 Apr 2011 08:46:58 -0700Subject: PCP's??? Anal Fissures.

Okay, so have a patient who inquired about natural methods of healing chronic anal fissure. Any ideas? I had to suppress a smile with all this PCP talk. A kind of "watch what you wish for" kind of thing.

Anyway, any good pearls for this gentlemen before I send him to the hemorrhoid clinic???

ph Medlin D.C.

[Guest guest]

Ideas cause fissures.

A study found that 27 people with anal fissures had “ideas” during the week prior to the advent of the fissure.

The control group of 25 otherwise healthy people had “no idea” prior to the fissure.

Patients are told to avoid ideas and take their statins.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: ph Medlin <spinetree@...>

Date: Wed, 27 Apr 2011 12:17:47 -0700

< >, Alan <alansmithdc@...>

Subject: Re: PCP's??? Anal Fissures.

Thank you Alan, he was my next step. Just thought there may be some ideas out there that he could try first.

ph Medlin D.C.

From: Alan <mailto:alansmithdc@...>

Sent: Wednesday, April 27, 2011 11:56 AM

<mailto: >

Subject: FW: PCP's??? Anal Fissures.

Highly recommend Dr. Steve Cranford D.C., ND. He has been at it a long time and is a gentle practitioner.

http://www.sandyclinic.com/

Alan D.C.

CC: spinetree@...;

skrndc1@...

From: dranetsimard@...

Date: Wed, 27 Apr 2011 10:23:52 -0700

Subject: Re: PCP's??? Anal Fissures.

Don't say it, .

Annette

On Apr 27, 2011, at 10:13 AM, Sunny Kierstyn wrote:

,

Full healing of this one really or largely depends on its point of origin .... how susceptible it is to disturbance from the periodic use of it's region.

Minerals and vit C (I found an RN yesterday who had NO idea of the healing propeties of vit c!!!! -turns out they are no longer teacihing even nurses about nutrition!!!! CRIMINAL!!! Where are our nutrition police???) .......... and...wait for it : Yes! Microcurrent!!!

Microcurrent would most likely lend the greatest stimulus to the area ..... microcurrent has been found to heal coral infections that have been present for over 25 years ..... might help this as well. As Dr. McMakin says: 'couldn't hurt!: lololol

Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com <http://www.drsunnykierstyn.com/>

From: spinetree@...

Date: Wed, 27 Apr 2011 08:46:58 -0700

Subject: PCP's??? Anal Fissures.

Okay, so have a patient who inquired about natural methods of healing chronic anal fissure. Any ideas? I had to suppress a smile with all this PCP talk. A kind of " watch what you wish for " kind of thing.

Anyway, any good pearls for this gentlemen before I send him to the hemorrhoid clinic???

ph Medlin D.C.

[Guest guest]

Dare I say anything about grains/food intolerance w/out opening up a can of worms? Get him off the big 5 for a period of 2 wks and see what happens. Gluten (yes, grains), Soy, Dairy, Corn and Eggs. Lube up the area if he can reach it before every bowel movement (w/a good healing salve, Stool softeners, high dose fish oil (over 3-4 G/day) and probiotics (I like Culturelle, it's readily available at any store 3 bid).Fissures are a symptom of Crohn's. Crohn's has been correlated to gluten and I've never had a CD pt NOT respond well to gluten avoidance. CD means autoimmune and that's the real issue. They'll recur if that's not addressed.No need to get into a big discussion on the gluten, por favor:) I'm not making any of this up, I promise. I treat sick guts all day long. Tyna , ND, DCLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246www.corewellnesspdx.comwww.lakeoswegochiro.comwww.renegadewellness.org

[Guest guest]

We have trouble with these blighters every spring here in Tillamook. Sometimes they appear to be more related to carbuncles, fighting for the last available space around all the good holes. There isn't much that can be done about them, though. We usually just wait 'til the fish quit running, then the anal fishers all go away.heh, heh, heh..... PCP's??? Anal Fissures.

Okay, so have a patient who inquired about natural methods of healing chronic anal fissure. Any ideas? I had to suppress a smile with all this PCP talk. A kind of "watch what you wish for" kind of thing.

Anyway, any good pearls for this gentlemen before I send him to the hemorrhoid clinic???

ph Medlin D.C.

Rodney G. , DC

Tillamook Natural Health Center

309 Laurel Ave.

Tillamook, OR 97141

503-842-6532

[Guest guest]

Hi Tyna,

No wish to argue here. I'm weary of the subject frankly.

Thank you for some actual and real options for this man. Someone who wishes to actually BE a PCP must have some will to deal with the common complaints of their patients. As Chiropractors or PCP's or both we MUST provide excellent service that addresses the patient's complaint. Without that they will indeed go elsewhere 100% of the time.

He does not have Chron's disease or any other bowel disorder (IBS, constipation etc.) that can contribute to roids or fissures and actually eats very healthy. He exercises and eats no dairy. This has been going on for about two years. I've suggested Witch hazel, which he said absolutely kills the itching and inflammation. I'll forward him some of your other suggestions as well.

Thank You very much for your suggestions!!!!!

ph Medlin D.C.

From: Tyna

Sent: Thursday, April 28, 2011 8:08 AM

Subject: Re: PCP's??? Anal Fissures.

Dare I say anything about grains/food intolerance w/out opening up a can of worms?

Get him off the big 5 for a period of 2 wks and see what happens. Gluten (yes, grains), Soy, Dairy, Corn and Eggs. Lube up the area if he can reach it before every bowel movement (w/a good healing salve,

Stool softeners, high dose fish oil (over 3-4 G/day) and probiotics (I like Culturelle, it's readily available at any store 3 bid).

Fissures are a symptom of Crohn's. Crohn's has been correlated to gluten and I've never had a CD pt NOT respond well to gluten avoidance. CD means autoimmune and that's the real issue. They'll recur if that's not addressed.

No need to get into a big discussion on the gluten, por favor:) I'm not making any of this up, I promise. I treat sick guts all day long.

Tyna , ND, DC

Lake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246

www.corewellnesspdx.com

www.lakeoswegochiro.com

www.renegadewellness.org

[Guest guest]

You're the best! Sorry .AnnetteOn Apr 28, 2011, at 8:58 AM, Rod DC wrote:

We have trouble with these blighters every spring here in Tillamook. Sometimes they appear to be more related to carbuncles, fighting for the last available space around all the good holes. There isn't much that can be done about them, though. We usually just wait 'til the fish quit running, then the anal fishers all go away.heh, heh, heh..... PCP's??? Anal Fissures.

Okay, so have a patient who inquired about natural methods of healing chronic anal fissure. Any ideas? I had to suppress a smile with all this PCP talk. A kind of "watch what you wish for" kind of thing.

Anyway, any good pearls for this gentlemen before I send him to the hemorrhoid clinic???

ph Medlin D.C.

Rodney G. , DC

Tillamook Natural Health Center

309 Laurel Ave.

Tillamook, OR 97141

503-842-6532

[Guest guest]

Healthy people don't get anal fissures. Anyone can look on the internet and find out how to "treat" the discomfort of anal fissures with various ointments and salves. I don't understand why a PCP would be all that helpful, other than pointing a person in the right direction. A great PCP, in my opinion, would ask questions like "Why do people get anal fissures and what can they do to avoid them in the future?", "What are the differences in environment and lifestyle between those who get anal fissures and those who do not get anal fissures?"Something caused it to happen with this guy. Something was toxic or something was deficient. How can he create sufficiency and purity to allow his anus to self-heal and self-regulate? What is interfering with the body's self healing? A great PCP should be a doctor of cause. Aren't most DC's already the PCP's for their own family? What would you do if it was your kid?Jamey Dyson, DCOn Apr 28, 2011, at 9:41 AM, ph Medlin wrote:

Hi Tyna,

No wish to argue here. I'm weary of the subject frankly.

Thank you for some actual and real options for this man. Someone who wishes to actually BE a PCP must have some will to deal with the common complaints of their patients. As Chiropractors or PCP's or both we MUST provide excellent service that addresses the patient's complaint. Without that they will indeed go elsewhere 100% of the time.

He does not have Chron's disease or any other bowel disorder (IBS, constipation etc.) that can contribute to roids or fissures and actually eats very healthy. He exercises and eats no dairy. This has been going on for about two years. I've suggested Witch hazel, which he said absolutely kills the itching and inflammation. I'll forward him some of your other suggestions as well.

Thank You very much for your suggestions!!!!!

ph Medlin D.C.

From: Tyna

Sent: Thursday, April 28, 2011 8:08 AM

Subject: Re: PCP's??? Anal Fissures.

Dare I say anything about grains/food intolerance w/out opening up a can of worms?

Get him off the big 5 for a period of 2 wks and see what happens. Gluten (yes, grains), Soy, Dairy, Corn and Eggs. Lube up the area if he can reach it before every bowel movement (w/a good healing salve,

Stool softeners, high dose fish oil (over 3-4 G/day) and probiotics (I like Culturelle, it's readily available at any store 3 bid).

Fissures are a symptom of Crohn's. Crohn's has been correlated to gluten and I've never had a CD pt NOT respond well to gluten avoidance. CD means autoimmune and that's the real issue. They'll recur if that's not addressed.

No need to get into a big discussion on the gluten, por favor:) I'm not making any of this up, I promise. I treat sick guts all day long.

Tyna , ND, DC

Lake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246

www.corewellnesspdx.com

www.lakeoswegochiro.com

www.renegadewellness.org

[Guest guest]

"Healthy people don't get anal fissures". What? Are you serious? And you don't believe a PCP can be that helpful? The internet? come on.

Again, it's important to understand the problems and conditions that present to our offices or we end up looking like foolish elitists.

Good luck with your theory in practice.

ph Medlin D.C.

From: Jamey Dyson

Sent: Thursday, April 28, 2011 12:35 PM

ph Medlin

Cc: DCs

Subject: Re: Re: PCP's??? Anal Fissures.

Healthy people don't get anal fissures. Anyone can look on the internet and find out how to "treat" the discomfort of anal fissures with various ointments and salves. I don't understand why a PCP would be all that helpful, other than pointing a person in the right direction. A great PCP, in my opinion, would ask questions like "Why do people get anal fissures and what can they do to avoid them in the future?", "What are the differences in environment and lifestyle between those who get anal fissures and those who do not get anal fissures?"

Something caused it to happen with this guy. Something was toxic or something was deficient. How can he create sufficiency and purity to allow his anus to self-heal and self-regulate? What is interfering with the body's self healing? A great PCP should be a doctor of cause. Aren't most DC's already the PCP's for their own family? What would you do if it was y our kid?

Jamey Dyson, DC

On Apr 28, 2011, at 9:41 AM, ph Medlin wrote:

Hi Tyna,

No wish to argue here. I'm weary of the subject frankly.

Thank you for some actual and real options for this man. Someone who wishes to actually BE a PCP must have some will to deal with the common complaints of their patients. As Chiropractors or PCP's or both we MUST provide excellent service that addresses the patient's complaint. Without that they will indeed go elsewhere 100% of the time.

He does not have Chron's disease or any other bowel disorder (IBS, constipation etc.) that can contribute to roids or fissures and actually eats very healthy. He exercises and eats no dairy. This has been going on for about two years. I've suggested Witch hazel, which he said absolutely kills the itching and inflammation. I'll forward him some of your other suggestions as well.

Thank You very much for your suggestions!!!!!

ph Medlin D.C.

From: Tyna

Sent: Thursday, April 28, 2011 8:08 AM

Subject: Re: PCP's??? Anal Fissures.

Dare I say anything about grains/food intolerance w/out opening up a can of worms?

Get him off the big 5 for a period of 2 wks and see what happens. Gluten (yes, grains), Soy, Dairy, Corn and Eggs. Lube up the area if he can reach it before every bowel movement (w/a good healing salve,

Stool softeners, high dose fish oil (over 3-4 G/day) and probiotics (I like Culturelle, it's readily available at any store 3 bid).

Fissures are a symptom of Crohn's. Crohn's has been correlated to gluten and I've never had a CD pt NOT respond well to gluten avoidance. CD means autoimmune and that's the real issue. They'll recur if that's not addressed.

No need to get into a big discussion on the gluten, por favor:) I'm not making any of this up, I promise. I treat sick guts all day long.

Tyna , ND, DC

Lake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246

www.corewellnesspdx.com

www.lakeoswegochiro.com

www.renegadewellness.org

[Guest guest]

Joe, why do you have to get so "cold"?Yes, I would venture to say... I know it's a stretch... that someone who has a non-healing anal fissure for 2 years is, by definition, not completely healthy. Why would I thing such a crazy thing?I understand the problem. My wife had an extremely painful anal fissure after giving birth... believe me, I understand the problem. What was the amazing treatment recommended by the M.D.? A tube of A & D ointment from Walgreens. How much did that visit cost? Talk about elitists! By the way it worked like a charm.My theory in practice? Teaching people how to be truly healthy in a modern world by empowering them with the knowledge to take care of themselves better... I'd say luck is on my side.JameyOn Apr 28, 2011, at 12:44 PM, ph Medlin wrote:

"Healthy people don't get anal fissures". What? Are you serious? And you don't believe a PCP can be that helpful? The internet? come on.

Again, it's important to understand the problems and conditions that present to our offices or we end up looking like foolish elitists.

Good luck with your theory in practice.

ph Medlin D.C.

From: Jamey Dyson

Sent: Thursday, April 28, 2011 12:35 PM

ph Medlin

Cc: DCs

Subject: Re: Re: PCP's??? Anal Fissures.

Healthy people don't get anal fissures. Anyone can look on the internet and find out how to "treat" the discomfort of anal fissures with various ointments and salves. I don't understand why a PCP would be all that helpful, other than pointing a person in the right direction. A great PCP, in my opinion, would ask questions like "Why do people get anal fissures and what can they do to avoid them in the future?", "What are the differences in environment and lifestyle between those who get anal fissures and those who do not get anal fissures?"

Something caused it to happen with this guy. Something was toxic or something was deficient. How can he create sufficiency and purity to allow his anus to self-heal and self-regulate? What is interfering with the body's self healing? A great PCP should be a doctor of cause. Aren't most DC's already the PCP's for their own family? What would you do if it was y our kid?

Jamey Dyson, DC

On Apr 28, 2011, at 9:41 AM, ph Medlin wrote:

Hi Tyna,

No wish to argue here. I'm weary of the subject frankly.

Thank you for some actual and real options for this man. Someone who wishes to actually BE a PCP must have some will to deal with the common complaints of their patients. As Chiropractors or PCP's or both we MUST provide excellent service that addresses the patient's complaint. Without that they will indeed go elsewhere 100% of the time.

He does not have Chron's disease or any other bowel disorder (IBS, constipation etc.) that can contribute to roids or fissures and actually eats very healthy. He exercises and eats no dairy. This has been going on for about two years. I've suggested Witch hazel, which he said absolutely kills the itching and inflammation. I'll forward him some of your other suggestions as well.

Thank You very much for your suggestions!!!!!

ph Medlin D.C.

From: Tyna

Sent: Thursday, April 28, 2011 8:08 AM

Subject: Re: PCP's??? Anal Fissures.

Dare I say anything about grains/food intolerance w/out opening up a can of worms?

Get him off the big 5 for a period of 2 wks and see what happens. Gluten (yes, grains), Soy, Dairy, Corn and Eggs. Lube up the area if he can reach it before every bowel movement (w/a good healing salve,

Stool softeners, high dose fish oil (over 3-4 G/day) and probiotics (I like Culturelle, it's readily available at any store 3 bid).

Fissures are a symptom of Crohn's. Crohn's has been correlated to gluten and I've never had a CD pt NOT respond well to gluten avoidance. CD means autoimmune and that's the real issue. They'll recur if that's not addressed.

No need to get into a big discussion on the gluten, por favor:) I'm not making any of this up, I promise. I treat sick guts all day long.

Tyna , ND, DC

Lake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246

www.corewellnesspdx.com

www.lakeoswegochiro.com

www.renegadewellness.org

[Guest guest]

Sorry Jamey, that probably came off colder than I wished, and I'm talking waaayyyy more about fissures than I want, but one does not have to be unhealthy for these things to present. For many people they heal quickly, for some they don't and yes a perfectly healthy person can suffer with fissures or chronic h.roids etc... Part of my point though is that we can't just look at everyone as "oh, if you just lived healthier, this wouldn't be happening to you" because this is many times not the case at all.

no offense intended.

ph Medlin D.C.

From: Jamey Dyson

Sent: Thursday, April 28, 2011 1:12 PM

ph Medlin

Cc: DCs

Subject: Re: Re: PCP's??? Anal Fissures.

Joe, why do you have to get so "cold"?

Yes, I would venture to say... I know it's a stretch... that someone who has a non-healing anal fissure for 2 years is, by definition, not completely healthy. Why would I thing such a crazy thing?

I understand the problem. My wife had an extremely painful anal fissure after giving birth... believe me, I understand the problem. What was the amazing treatment recommended by the M.D.? A tube of A & D ointment from Walgreens. How much did that visit cost? Talk about elitists! By the way it worked like a charm.

My theory in practice? Teaching people how to be truly healthy in a modern world by empowering them with the knowledge to take care of themselves better... I'd say luck is on my side.

Jamey

On Apr 28, 2011, at 12:44 PM, ph Medlin wrote:

"Healthy people don't get anal fissures". What? Are you serious? And you don't believe a PCP can be that helpful? The internet? come on.

Again, it's important to understand the problems and conditions that present to our offices or we end up looking like foolish elitists.

Good luck with your theory in practice.

ph Medlin D.C.

From: Jamey Dyson

Sent: Thursday, April 28, 2011 12:35 PM

ph Medlin

Cc: DCs

Subject: Re: Re: PCP's??? Anal Fissures.

Healthy people don't get anal fissures. Anyone can look on the internet and find out how to "treat" the discomfort of anal fissures with various ointments and salves. I don't understand why a PCP would be all that helpful, other than pointing a person in the right direction. A great PCP, in my opinion, would ask questions like "Why do people get anal fissures and what can they do to avoid them in the future?", "What are the differences in environment and lifestyle between those who get anal fissures and those who do not get anal fissures?"

Something caused it to happen with this guy. Something was toxic or something was deficient. How can he create sufficiency and purity to allow his anus to self-heal and self-regulate? What is interfering with the body's self healing? A great PCP should be a doctor of cause. Aren't most DC's already the PCP's for their own family? What would you do if it was y our kid?

Jamey Dyson, DC

On Apr 28, 2011, at 9:41 AM, ph Medlin wrote:

Hi Tyna,

No wish to argue here. I'm weary of the subject frankly.

Thank you for some actual and real options for this man. Someone who wishes to actually BE a PCP must have some will to deal with the common complaints of their patients. As Chiropractors or PCP's or both we MUST provide excellent service that addresses the patient's complaint. Without that they will indeed go elsewhere 100% of the time.

He does not have Chron's disease or any other bowel disorder (IBS, constipation etc.) that can contribute to roids or fissures and actually eats very healthy. He exercises and eats no dairy. This has been going on for about two years. I've suggested Witch hazel, which he said absolutely kills the itching and inflammation. I'll forward him some of your other suggestions as well.

Thank You very much for your suggestions!!!!!

ph Medlin D.C.

From: Tyna

Sent: Thursday, April 28, 2011 8:08 AM

Subject: Re: PCP's??? Anal Fissures.

Dare I say anything about grains/food intolerance w/out opening up a can of worms?

Get him off the big 5 for a period of 2 wks and see what happens. Gluten (yes, grains), Soy, Dairy, Corn and Eggs. Lube up the area if he can reach it before every bowel movement (w/a good healing salve,

Stool softeners, high dose fish oil (over 3-4 G/day) and probiotics (I like Culturelle, it's readily available at any store 3 bid).

Fissures are a symptom of Crohn's. Crohn's has been correlated to gluten and I've never had a CD pt NOT respond well to gluten avoidance. CD means autoimmune and that's the real issue. They'll recur if that's not addressed.

No need to get into a big discussion on the gluten, por favor:) I'm not making any of this up, I promise. I treat sick guts all day long.

Tyna , ND, DC

Lake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246

www.corewellnesspdx.com

www.lakeoswegochiro.com

www.renegadewellness.org

[Guest guest]

Throw in some barley malt extract from the health food store as a natural stool softener (tremendous "pain" and pressure reliever for that condition), give it a couple of weeks, and the bill could climb as high as $9.99.

G.

Gatti, Gatti, Maier, Sayer, Thayer, & Associates

1781 Liberty St. SE

Salem, OR 97302

1-(800) 289-3443

msmith@...

From: [mailto: ] On Behalf Of ph MedlinSent: Thursday, April 28, 2011 1:34 PMJamey DysonCc: DCsSubject: Re: Re: PCP's??? Anal Fissures.

Sorry Jamey, that probably came off colder than I wished, and I'm talking waaayyyy more about fissures than I want, but one does not have to be unhealthy for these things to present. For many people they heal quickly, for some they don't and yes a perfectly healthy person can suffer with fissures or chronic h.roids etc... Part of my point though is that we can't just look at everyone as "oh, if you just lived healthier, this wouldn't be happening to you" because this is many times not the case at all.

no offense intended.

ph Medlin D.C.

From: Jamey Dyson

Sent: Thursday, April 28, 2011 1:12 PM

ph Medlin

Cc: DCs

Subject: Re: Re: PCP's??? Anal Fissures.

Joe, why do you have to get so "cold"?

Yes, I would venture to say... I know it's a stretch... that someone who has a non-healing anal fissure for 2 years is, by definition, not completely healthy. Why would I thing such a crazy thing?

I understand the problem. My wife had an extremely painful anal fissure after giving birth... believe me, I understand the problem. What was the amazing treatment recommended by the M.D.? A tube of A & D ointment from Walgreens. How much did that visit cost? Talk about elitists! By the way it worked like a charm.

My theory in practice? Teaching people how to be truly healthy in a modern world by empowering them with the knowledge to take care of themselves better... I'd say luck is on my side.

Jamey

On Apr 28, 2011, at 12:44 PM, ph Medlin wrote:

"Healthy people don't get anal fissures". What? Are you serious? And you don't believe a PCP can be that helpful? The internet? come on.

Again, it's important to understand the problems and conditions that present to our offices or we end up looking like foolish elitists.

Good luck with your theory in practice.

ph Medlin D.C.

From: Jamey Dyson

Sent: Thursday, April 28, 2011 12:35 PM

ph Medlin

Cc: DCs

Subject: Re: Re: PCP's??? Anal Fissures.

Healthy people don't get anal fissures. Anyone can look on the internet and find out how to "treat" the discomfort of anal fissures with various ointments and salves. I don't understand why a PCP would be all that helpful, other than pointing a person in the right direction. A great PCP, in my opinion, would ask questions like "Why do people get anal fissures and what can they do to avoid them in the future?", "What are the differences in environment and lifestyle between those who get anal fissures and those who do not get anal fissures?"

Something caused it to happen with this guy. Something was toxic or something was deficient. How can he create sufficiency and purity to allow his anus to self-heal and self-regulate? What is interfering with the body's self healing? A great PCP should be a doctor of cause. Aren't most DC's already the PCP's for their own family? What would you do if it was y our kid?

Jamey Dyson, DC

On Apr 28, 2011, at 9:41 AM, ph Medlin wrote:

Hi Tyna,

No wish to argue here. I'm weary of the subject frankly.

Thank you for some actual and real options for this man. Someone who wishes to actually BE a PCP must have some will to deal with the common complaints of their patients. As Chiropractors or PCP's or both we MUST provide excellent service that addresses the patient's complaint. Without that they will indeed go elsewhere 100% of the time.

He does not have Chron's disease or any other bowel disorder (IBS, constipation etc.) that can contribute to roids or fissures and actually eats very healthy. He exercises and eats no dairy. This has been going on for about two years. I've suggested Witch hazel, which he said absolutely kills the itching and inflammation. I'll forward him some of your other suggestions as well.

Thank You very much for your suggestions!!!!!

ph Medlin D.C.

From: Tyna

Sent: Thursday, April 28, 2011 8:08 AM

Subject: Re: PCP's??? Anal Fissures.

Dare I say anything about grains/food intolerance w/out opening up a can of worms?

Get him off the big 5 for a period of 2 wks and see what happens. Gluten (yes, grains), Soy, Dairy, Corn and Eggs. Lube up the area if he can reach it before every bowel movement (w/a good healing salve,

Stool softeners, high dose fish oil (over 3-4 G/day) and probiotics (I like Culturelle, it's readily available at any store 3 bid).

Fissures are a symptom of Crohn's. Crohn's has been correlated to gluten and I've never had a CD pt NOT respond well to gluten avoidance. CD means autoimmune and that's the real issue. They'll recur if that's not addressed.

No need to get into a big discussion on the gluten, por favor:) I'm not making any of this up, I promise. I treat sick guts all day long.

Tyna , ND, DC

Lake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246

www.corewellnesspdx.com

www.lakeoswegochiro.com

www.renegadewellness.org