LISG IRON. T h e S t a mi n a a n d Brain Po w er M i n e r a l. Wound Care. Lymphedema Symposium. Saturday June 3, 2017.

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1 LISG L y m p h e d e m a I n f o r m a t i o n S u p p o r t G r o u p I R O N T h e S t a mi n a a n d Brain Po w er M i n e r a l Vitamins: Vitamins are natural substances found in living things such as plants. Vitamins must be obtained in the body from foods or supplements as they cannot usually be produced by the body. Minerals: Minerals are found in plants. Plants get their minerals from the soilsoil gets minerals from water washing over rocks. For vitamins to do their job, they require minerals. Minerals must also be obtained from food or supplements. Antioxidants: Antioxidants are specific vitamins or minerals that protect body cells from damaging effects of Free Radicals. Free Radicals come from or are caused by smoking, sunlight, stress, exercise, etc., and are one of the primary causes of premature aging, sickness, and disease. Supplements: Supplements are vitamins and minerals that have been extracted from a plant or created in a laboratory and put into a form that can be ingested and used by the body. There are effective supplements, ineffective supplements, and hazardous supplements. Uneducated consumers are at risk from two sides: 1. Consumers know they should supplement but don t know how to effectively. Therefore, they waste their money, time, and health. 2. Consumers are uninformed (or given bad advice) on the need to supplement and sacrifice their health. V o l u m e 6 I s s u e 4 I n s i d e t h i s i s s u e : Minerals IRON Dietary Corner Danielle s Heavnenly Massage Case Study Systemic Primary Lymphedema A bone fide Lymphedema Therapist must have/be Complete Lymphedema Care & Wound Care 14 Lymphedema Symposium Saturday June 3, 2017 Pages

2 W i n t e r V o l u m e 6 I s s u e 4 P a g e 2 How Do Vitamins and Minerals get in the Body? Vitamins and minerals get into your body when you eat plants such as fruits, vegetables, grains, nuts and spices or when you take a vitamin/ mineral supplement. You can also get some vitamins and minerals into your body by eating meat as most animals eat plant food. Digestive Tract Where do Vitamins/Minerals go in the Body? Vitamins and minerals go from your stomach to your intestines. They then go through a very complex allocation system whereby the body distributes certain vitamins and minerals to parts of your body based on its own priority system. (see image). If a nutrient is needed in a certain organ that the body deems more important, it will take the nutrient from a less important organ, and allocate it to a more important organ. Sort of a rob Peter to pay Paul action. That s why it is critical to maintain proper vitamin and mineral levels. Vitamins and minerals in your body should not be viewed as independent substances, but rather as a cooperative network of nutrients working together. If one nutrient is missing, it throws the entire network of nutrients out of balance. A deficiency of a vitamin or mineral will cause a body part to malfunction and eventually break down - and, like dominos, other body parts will follow -James F. Balch, M.D Prescription for Nutritional Healing

3 W i n t e r V o l u m e 6 I s s u e 4 P a g e 3 Continuation from page 2 How Do Vitamins/Minerals Leave the Body? Vitamins and minerals are used by the body. As they perform their function, they often use themselves up in the process, which is the case with most of the critical diseases fighting antioxidants. Even thinking uses vitamins and minerals. Exercise and stress use a lot of vitamins and minerals; the use of diuretics (substances that increase the discharge of urine) such as drugs, alcohol, coffee, tea and sodas - wash away vitamins and minerals out of the body creating deficiencies - this can create a major health problem! Tobacco and alcohol can also inhibit the absorption of vitamins and minerals, or accelerate the loss of them. Your Health, Your intelligence, Your energy Your appearance Vitamin & Mineral Supplementation is necessary for these reasons: 1. Crop nutrient losses - soil has been depleted of nutrients 2. Poor digestion - indigestion reduces absorption 3. Over-cooking - destroys nutrients 4. Microware cooking - alters structure of nutrients 5. Food storage - length of time stored and freezing deplete nutrients 6. Food selection - limiting food selections 7. Food omission - dieting and allergies reduce or omit sources of nutrients 8. Environmental factors - herbicides and pesticides reduce nutritional values 9. Antibiotics - interfere with intake of nutrients 10. Poor Lifestyle - smoking, alcohol and caffeine inhibit absorption of nutrients 11. Stress - increases body s requirements 12. Out of balance - missing nutrients create an out of balance situation in the body 13. Nutrient variance - some foods have greater amounts of certain nutrients. are dependent upon you replenishing your vitamins and minerals every day.

4 W i n t e r V o l u m e 6 I s s u e 4 P a g e 4 IRON The Stamina and Brain Power Mineral If you use a beautiful black patina iron skillet, it will give you something that a new space age non-stick skillet never will iron. Very simply, when you cook in an iron pan, a little of the iron rubs off into your food. Most of us are not up to optimum performance. We are not feeling as strong or as energetic as we could be. And the reason could be that we re not getting as much IRON as we should. IRON deficiency not only robs us of stamina but also weakens our resistance to infection, impairs our ability to learn and may promote stomach cancer and hair loss. Why does IRON affect physical performance? Partly because of a specific reddishbrown, IRON-containing protein in the blood called hemoglobin. As hemoglobin passes through the blood vessels of the lungs, it grabs hold of oxygen molecules and carries them to all parts of the body, where each cell uses it to produce energy. In other words, we can tag hemoglobin as the IRON and Oxygen carrying portion of the blood. Without IRON, the body cannot produce hemoglobin, and without hemoglobin, only a trace of oxygen will reach body cells. The condition, anemia, is a result of hemoglobin-poor blood We also call this, IRON deficiency anemia. IRON s effect on energy may not be limited to perking up tired blood; the muscles themselves may need adequate IRON to function properly. In addition, since IRON and oxygen travel together in hemoglobin to all body cells, all body tissues, organs, bones and brain cells become impaired. Other consequences of IRON deficiency are: decreased physical performance and impairment of mental function. Fortunately, research has proven that IRON supplementation increases physical, mental and memory performance, and therefore, most disabilities can be corrected with about 4 months of IRON supplementation. Women, especially menstruating women, face a greater risk of depleting their IRON stores than men. Although symptoms of an IRON deficiency are individual, one third to one half of menstruating women may show signs of IRON deficiency: fatigue, irritability,

5 W i n t e r V o l u m e 6 I s s u e 4 P a g e 5 IRON The Stamina and Brain Power Mineral dizziness and/or headaches. The US Department of Health and Human Services reveals that 95% of American women aged are not getting enough IRON. Women generally eat less than men which means less IRON intake. And if she s trimming her waistline by cutting down on IRON rich foods like meat, she usually substitutes other poor IRON sources such as: skim milk, yogurt and cottage cheese. But it is not bad enough that she s getting less IRON from her diet. Her body requires more, almost twice as much more, to make up for monthly losses during normal menstruation. Additionally, there are several stages of life when IRON requirements increase. IRON deficiency anemia is the most prevalent nutritional disorder among children in the US. Anemia knows no generation gap. Our senior citizens are at risk as well. Much of the IRON problem is the result of limited absorption of the mineral. People usually absorb only 5 10 % of the IRON they eat in food, and the absorption of IRON is greatly influenced by the foods it is eaten with. Vitamin C, for instance, can greatly increase the absorption of IRON fourfold. The kind of food you eat with your IRON can make the difference between adequate intake of IRON and IRON deficiency. (See information boxes) Symptoms of ANEMIA: Are you Anemic? Apathy Depression Fainting Spells Hair Loss Heartburn Itching Poor Appetite Sore Tongue Brittle Nails Dizziness Fatigue Headaches Irritability Pale Lips/Skin Rapid Pulse Weak Legs

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9 W i n t e r V o l u m e 6 I s s u e 4 P a g e 9 Dietary Corner Shrimp Panzanella Directions: 1. Preheat over to 350 Degrees 2. Drizzle 2 Tbs oil on rimmed baking sheet. Mash garlic into oil with fork to infuse with flavor discard garlic. Stir bread crumbs into oil until lightly coated.. Bake stirring every 5 min until crisp min. Let cool. Ingredients 4 Tbs of extra virgin olive oil 1 clove garlic, peeled and halved 4 cups 1/2 crusty multi-grain bread cubes 1 lb coarsely chopped, peeled, cooked shrimp 4 large ripe, firm tomatoes, coarsely chopped 2 large green, red and/or yellow bell peppers, diced 3/4 cup chopped fresh parsley 1/2 cup chopped fresh chives 1/2 cup sliced pitted Kalamata olives + 1/2 cup brine 3 Tbs red wine vinegar 1 1/2 tsp chopped fresh thyme or 3/4 tsp dried thyme Freshly ground pepper and salt to taste 3. Combine shrimp, tomatoes, bell peppers, parsley, chives, olives & brine, vinegar, thyme and remaining 2 Tbs oil in large bowl. Season with salt and pepper and let stand 10 minutes to blend flavor. 4. Toss croutons with shrimp mixture and serve on greens. 4 cups mixed salad greens

10 W i n t e r , V o l u m e 6 I s s u e 4 P a g e 1 0 Phyllis has graciously invited me to share information with you about my work. My name is Danielle Robert and I am a certified massage therapist and instructor. Blessed with a vocation that I love more each year, I have been an entrepreneur for 44 years, and am currently providing massage for women, on-site chair massage, and massage seminars in Northern California. Recently I took some time off to invent new massage techniques, to create new aromatherapy blends (supplies from and to develop new ways to meditate (for those interested). It is a privilege to massage you... My most important massage is yours! Specialization Massage for Women Combination of Swedish and other techniques. Please note: moderate pressure used On-site Chair Massage Treat your team Enhance your conference Staff Seminars minute Stress Management through Massage demonstrations tailored for your staff seminars, conferences, and service organization luncheons Topics include 5-minute neck and shoulder massages for yourself and others; breathing and visualization techniques Massage Seminars 4- or 8-hour classes for two couples What to Expect Focus on requested areas such as the neck, shoulders, back and feet Draping for comfort and warmth Silence, sounds of nature, or music Aromatherapy available Optional relaxation tips for use during your massage or in your everyday life Mindfulness meditation suggestions upon request Reducing Stress One Massage at a Time Testimonials "As one of Danielle's teachers, I have been privileged to closely observe her ever-expanding skills and career over the years... Danielle is an outstanding masseuse who brings to the healing process her wisdom, her massage mastery and her caring and loving energy." Robert Brown, Director Soma School of Massage Santa Rosa, California Danielle s on-site chair massage session rewarded and energized my team. Her magic touch relieved the tension buildup resulting from long hours of hard work, helped increase productivity and promoted team bonding. Virginia Caliguiran, Marketing Manager Oracle Corporation Redwood Shores, California Massage Benefits Improves circulation Loosens tense musculature Reduces stress through deep relaxation Refreshes and energizes Background Massage Practitioner Major Bay Area hotels (Hiltons, Hyatts, Marriotts, etc.) Chiropractic offices Oracle health club Neiman-Marcus beauty salon On-site Chair Massage Genentech, Kaiser Permanente,* NASA, Oracle* *Staff seminar included Public Speaking Association of American University Women California State College Northern California Concierge Association Media Radio (WMUK, KCEP) Television (WOOD, WWMT) Certified Member Associated Bodywork & Massage Professionals Wouldn't a relaxing massage feel great right now? (408) Gift Certificates Available

11 W i n t e r , V o l u m e 6 I s s u e 4 P a g e 1 1 Case Study: Treating Systemic Primary Ly mphedema B y Phyllis Tubbs -Gingerich, RN, BSN, LE, C LT - LANA In December, a Blood Vascular Physician phoned saying that one of his patients was in ICU drowning in his own fluids. The physician explained in detail his patient s condition: He had been hospitalized in ICU for over one month, had been treated with many different diuretics with no success, a Foley catheter was in place and there was very little urine output, he was totally immobile due to fibrosis of body tissues and joints, over one liter of fluid was being removed from his lung cavity every day, he was on an air mattress to prevent bed sores, and was breathing by means of a ventilator through his tracheostomy. My first visit for evaluation of this patient in ICU confirmed his very acute, critical medical condition: 1. The small amount of dark brown urine in the urinary collection bag signified that very few body fluids were moving and those being excreted were highly concentrated. 2. A total fibrotic condition of all body tissues and joints existed leaving the patient locked in with hard tissue, immobile joints and the patient flat on his back. My first priority was to get the patient up and moving without compounding already existing problems or causing additional problems for the patient. Treatment had to be done cautiously and gradually so as to not overload his heart and lungs. Treatment began with short stretch bandages wrapped gradiently over a directional flow garment (DFG) and applied to the left leg only, toes to groin. His wife was instructed in manual lymph drainage (MLD) to stimulate the peripheral lymphatics to move fluids out of the left leg, up over the abdomen and into the left axilla. Constant MLD during this phase was requested because of the patient s severe lymphedema condition. Also, the success of this treatment protocol was dependent upon: if this particular gradient bandaging plus this specific MLD would relieve his body of hardened fibrotic tissue fluids, increase excretion of fluids and thus, reduce volume and relieve symptoms. On the onset, it was necessary for us to evaluate and monitor effects before proceeding and expanding treatment protocol.

12 W i n t e r , V o l u m e 6 I s s u e 4 P a g e 1 2 Case Study: Treating Systemic Primary Ly mphedema B y Phyllis Tubbs -Gingerich, RN, BSN, LE, C LT - LANA Page 2 Rational: Gradient bandaging applied over a DFG breaks up fibrosis and softens tissues, and repeated MLD moves fluids out of congested areas into pathways where body fluids can ultimately be excreted. After 3 hours of bandaging with constant MLD, the urinary collection bag was full and had to be emptied. By the 3rd treatment day, both lower legs were bandaged, the patient s wife and family were performing MLD bilaterally and the patient was able to get up and walk around his ICU room. And, the urinary collection bag was constantly being emptied. Rationale: Movement and muscular activity, with resistance on the skin in the form of gradient compression, softens tissues and body fluids move from the toes up the leg. The action of MLD further assists movement of fluids out of affected areas into collateral pathways where they can be excreted. On the 10th day of treatment, the patient was moved from ICU into a private hospital room, his family was assisting with bandaging and performing MLD, and he was awaiting discharge for the Christmas holidays. Rationale: lymphedema is a chronic condition and must be maintained daily. Therefore, most patients, especially gravely affected patients, need the help and support of their family to assist them with their daily care. On December 22, the patient was fit in knee-high gradient compression garments bilaterally. And, when asked how much weight he had lost since his hospital admission seven weeks prior, he said the scales that morning weighed him at 100 lbs. lighter. He stated that he felt so good and that he was really looking forward to being home with family and friends for Christmas. I never ever thought I d be home to celebrate Christmas this year.

13 W i n t e r V o l u m e 6 I s s u e 4 P a g e 1 3 Sponsor Ginger-K Lymphedema & Cancer Care Center Monterey Road, Suite 270 Morgan Hill, California Tel: (408) Fax: (408) phyllis@gingerkcenter.com Plan to attend our Wound Care & Lymphedema Symposium scheduled for Saturday, June 3, 2017, from 8am- 5pm in the Atrium and Conference Room of the Holiday Inn Express Hotel & Suites in Morgan Hill, CA. This beautiful facility is located at Condit Road off Dunne Avenue east of Hwy 101 in Morgan Hill, CA. and has ample, free off- street parking. Food will be served throughout the day with Registration and a continental breakfast beginning at 8am. Presentations - HIGHLIGHTS: Advancements in Lymphatic Research with details of a new Clinical Trails; A Clinical Study in Wound Care; The Treatment of Lymphedema Feet; Wounds - a Severe Side Effect of Lymphedema; Essentials of Wound Care, Classifications of Wounds, Wound Bed Preparation and Dressing Categories; Wound Care Practicum using BSN Medical Wound Care Products, Farrow Wraps and Gradient Bandaging. Exhibitors - will be displaying products and services for not only specialized lymphedema care, but also those that aid in total patient wellness; latest wig styles; wound care products; new designs in lymphedema garments, ready-made & custom; special dietary aids and nutritional support; progress reports in lymphedema research; new technology in the treatment of wounds associated with lymphedema CEU s - available to MD s RN s, PT s, OT s and lymphedema therapists who attend the Forum. Cost: $125.00, includes: continental breakfast, lunch, and finger foods throughout the day, lymphedema care packet, wound care practicum, CEU for 9 Contact Hours, free parking, and access to several exhibitors, and handouts. Non-Professional Cost $75.00 Distribution - over 2,000 invitations will be sent out and only 60 professionals may attend You will receive Symposium brochure/details 2 months prior to the Symposium Date Cancellations no refunds if cancelled within 30 days of symposium To assure your seating, make your reservations early. Fax/ /mail forms Name: Address: City/State/Zip: Professional License # State Licensed Admission: $ Method of payment: Check* VISA MC Card # Exp. Date Signature: Print Name: * Make checks payable to Ginger-K Center

14 W i n t e r V o l u m e 6 I s s u e 4 P a g e 1 4 Symposium Agenda 8AM Doors open Exhibitors Setup. Holiday Inn Atrium - Continental breakfast served Registration Professionals pick up CEU packets 8:45AM Opening Forum Remarks - Welcome and Introductions 9AM 9:45AM Jude T. Roussere, MD, A Clinical Study 9:45AM 10AM Questions 10AM 11:00AM Amir Dastgah DPM & Sara Karamloo, DPM, Why Lymphedema Patients Must Have Healthy Feet 11:00AM 11:15AM Questions 11:15AM 12:00PM Phyllis Tubbs-Gingerich, RN,BSN,LE,CLT-Lymphedema & Cancer Care Specialist, Healthy Tissues An Important Ingredient in Prevention and Treatment of Lymphedema 12:00PM 12:15PM Questions 12:15PM 1:00PM Lunch Visit Exhibitors 1:00PM 2:00PM Stanley Rockson, MD, Stanford University School of Medicine, Chair of the Lymphatic Research Foundation/Medical Advisory Board Advancements in Lymphatic Research & Lymphedema Clinical Trials Report 2:00PM 2:15PM - Questions 2:15PM 3:15PM - Wade Farrow, MD, V.P. of Wound Care, US Medical Director of BSN medical. Essentials of Wound Care, Classifications of Wounds, Wound Bed Preparation and Dressing Categories. 3:15PM 5PM Wound Care Practicum Wade Farrow, MD Instructor, BSN Medical Wound Care Products. Application of two layer and four layer compression systems 5PM Closing - Visit Exhibitors - Turn in Class Assessments - Pick up CEU certificates

15 W i n t e r V o l u m e 6 I s s u e 4 P a g e 1 5 Date June 3, 2017 Time 8am to 5pm see Symposium Agenda Location Holiday Inn Express Hotel and Suites Condit Road Morgan Hill, CA Symposium Details Directions 101 South from San Jose Exit Dunne Ave Turn left on Dunne, going over 101 Go to 2 nd stop light Left on Condit Road Go approx. 200 yards Entrance into Hotel is on left. Reservations Block of rooms reserved for symposium Cut-off date May 6, 2017 $ for a King Room/night plus tax (10%) Cancellations prior to 72hrs in advance of symposium On-line reservations Type in Morgan Hill in Destination box Type dates of stay in the check in and check out box Click on find a hotel Click on link that says: Holiday Inn Express & Suites: San Jose/Morgan Hill Wait for new screen to load the dates you entered will show Click + next to more options. Under group code (in the box), type the 3 letter code provided Click availability New screen will pop up giving room types & rates available for our group Click on book this room Follow directions to make room reservations Attractions in our area you ll want to see: 14 Wineries with tasting rooms, Monterey Peninsula and Aquarium, Santa Cruz Wharf & Boardwalk, Carmel, San Jose and San Juan Batista Missions, City of San Francisco, Sonoma & the Wine Country, Filoli Mansion, Winchester Mystery House Additional information phone Ginger-K Lymphedema & Cancer Care Center