the need for an integrative approach to health care. It is paramount that patients understand the natural healing process and be edu- cated in a way that is aligned with their individual beliefs about the situation. How patients think about disease must be discussed in the therapeutic effort. Communication sets expectations in motion, and nocebo effects are just as powerful as placebos. Expectation of nega- tive outcomes can facilitate such outcomes, so messages to patients must be carefully constructed. Psychoneuroimmunology demonstrates the interconnectivity of bodily systems and the need for an integrative view of the individual. The pathways that interconnect the endocrine, immune, and nervous systems are complex and multidirectional. Attempts to understand disease by seeking isolated causes in a reductionistic way ignore the intricacies at all levels as well as the dynamic response to any inter- vention. There is still a great deal to be learned about Homo sapiens,


but this will need to happen by implementing research in two ways: (1) the traditional reductionistic approach to identify the details and mechanisms of disease and (2) the integrative approach that views individuals in their natural environment in a longitudinal manner.


Erika Cappelluti, M.D., Ph.D., F.C.C.P., is board-certified in Integra- tive/Holistic Medicine, Pulmonary & Critical Care Medicine, and In- ternal Medicine. She also holds a M.A. in Experiential Health & Heal- ing. She is the Medical Director of the Respiratory Care Department at Hartford Hospital and the Respiratory Therapy Program at Goodwin College. She joined Connecticut Multispecialty Group (CMG) in 2004 and recently founded The Center for Integrative Healthcare & Heal- ing, which houses the new Integrative Medicine Department of CMG. For more information, contact the Center for Integrative Healthcare & Healing, 533 Cottage Grove Rd, Bloomfield, CT, 860-243-2224 or visit www.cmgmds.com/cihh.html. See ad on page 3.


Taking Care with Cynthia Ebanks, R.N.


providing support, guidance and inspiration for families challenged by illness, injury and dementia.


Managing the Heat


Heat waves and high humidity put our elderly at high risk for heat stroke, especially those with chronic health issues, kidney disease, diabetes, and high blood pressure. Shade, hydration and cool clothing are critical to managing heat. Here’s how you can help an elderly friend or relative:


• Check in at least once a day during a heat wave for signs of distress: paleness, muscle cramps, nausea and vomiting, rapid heart rate, confusion and hot, dry skin.


• •


If you suspect heat stress, cool the person down with a wet cloth, shower, or garden hose if you’re outside. Start hydration. If symptoms persist, seek medical attention.


If the home is not air conditioned, run electric fans and make sure the house has good ventilation.


When visiting, bring water-based fruits and vegetables. Offer to make, and share, a small meal with limited caffeine, alcohol and sugars.


Assisted Living In Te Home


A registered nurse, trained in dementia and Alzheimer’s, Cynthia Ebanks founded New England Nightingales to help families in the Farmington Valley area provide for loved ones at home. Call, click, or scan icon for information or a free home assessment.


860-676-7786 www.newenglandnightingales.com


Bio-Energetic Body Scan introduces the


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which checks 30 different points of the body and has the capability to test 35,000 bits of information.


Adrenal Glands Thyroid Glands PituitaryGland Throat Ears


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Endocrine System Sinus


Circulatory System Stomach


Small Intestines Large Intestines Ileocecal Valve Lungs


Ess. Fatty Acids Skin


Inhale Allergies Body Organs


Fibrous Tissue


Joints Spleen


Carbohydrate Metabolism


Heart Liver


Gallbladder Urinary Bladder


Pancreas Kidney


Food Allergies


Reproduction System


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