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PoliticsWhat are the lawmakers, and other state and federal officials, up to when it comes to health reform laws? As much of the country grapples with problems resulting from opioid addiction, some Massachusetts scientists say they’re getting a better understanding of the profound role the brain plays in addiction.
Their work is among a growing body of research showing that addiction is a complex brain disease that affects people differently. After spending 40 minutes lying on the floor with his eyes closed, being led through a meditation exercise, one of the students in a recent mindfulness class said something that many of the other students appeared to be thinking.
Farley-Dimino hopes the mindfulness classes at UMass Medical School’s Center for Mindfulness not only help her recovery, but also allow her to teach mindfulness to others in her work at The Recover Project in Greenfield.
Most of the studies being done at the Center for Mindfulness involve the most common and most addictive substance on the planet: nicotine. Brewer has found this mindfulness approach is more effective than some of the top anti-smoking programs. In an online community where smokers communicate about using the app, Brewer says many are reporting that smoking and mindfulness just don’t mix.
Meditation is just one focus of the research taking place at the University of Massachusetts Medical School. One study found the part of the brain responsible for craving, and that the brain actually rewires itself to accommodate addiction.
DiFranza found something else surprising: that addiction affects the connections in the brain, sometimes permanently. In a yet-to-be-published study done by Andrew Tapper, associate professor of psychiatry and interim director of the medical school’s Brudnick institute, scientists identified the area in the brains of mice responsible for withdrawal. Tapper hopes his research helps scientists figure out how to reduce activity in that part of the brain, alleviating withdrawal symptoms. What this means, the scientists say, is that any addiction treatment will have to be individualized and take into account that addiction changes the brain. And for many of those struggling, like Farley-Dimino, treatment is ultimately going to have to address the root of addiction.
About CommonHealthMassachusetts is the leading laboratory for health care reform in the nation, and a hub of medical innovation. The center brings together services including primary care, hormone therapy and mental health support as well as chest and facial reconstruction procedures. The most common causes of whiplash are injuries that arise from motor vehicle accidents (MVA). Many people who suffer from headaches, chronic neck or facial pain, or even ringing in the ears do not know that their bite may be to blame. Although it is not known exactly what causes TMD, there are many factors that can lead to TMJ-related problems. It is important to have this condition properly diagnosed by a trained TMJ specialist who can ensure patients receive the proper treatment.
TMJ disorder (TMD) refers to a range of conditions that affect the temporomandibular joint (TMJ), which is the point at which the jaw opens and closes. TMJ Dentistry to Relieve Headaches and Jaw Pain Fairfax VA“My headaches are gone, Dr. TMJ Dentistry Treatment to Relieve Severe Headaches, Jaw Pain, and ‘Popping’ along with Ringing in the Ears Fairfax VAKevin experienced a childhood accident which left his upper front teeth imbedded in his upper jaw. TMJ Dental Treatment Plan for Debilitating Headaches, Neck Pain and Teeth Grinding Fairfax VAKitty came to the office seeking minor corrections to her already pretty smile. Smile Rejuvenation for a Non-surgical Dental Facelift“So glad to have finally found a dental office that truly cares about the individual-professional, skilled and knowledgeable staff. How Our Neuromuscular Dentist Can Help“I greatly dislike going to ANY dentist for any reason, including just having my teeth cleaned. When I first heard that Medi-Weightloss Clinics puts clients on a 600- to 800-calorie-a-day diet, I was horrified.
That’s not to say that people should give up or that weight loss is hopeless, just that it’s very very hard. Maybe losing 20 pounds in a month and 50 in four is enough motivation for some people to keep on going and to transform their eating habits and lifestyles. In short, the Medi-Weightloss plan seems extreme, its results are not supported by science, and it’s a for-profit business whose rate of expansion suggests those profits are coming in. Cohen brought Medi-Weightloss to my attention out of concern for a patient who went to the Watertown clinic after her bariatric surgery. She said she was skeptical herself nearly two years ago when she was approached by the clinic’s owner to become its medical director. Elkadry reviews every patient’s chart to make sure they are given proper care, and she’s been impressed by the quality of the nurse practitioners who actually see the clinic’s customers. The colon cleansers most patients are given are to combat the constipation that comes of eating so few calories, she said, particularly during the first few days when patients are allowed only protein.

The appetite suppressants the clinics typically prescribe have been FDA-approved for decades (though Cohen says that’s only because they’re grandfathered in; they’d never pass muster today, he said). Elkadry, a urogynecologist at Mount Auburn Hospital whose specialty is operating on women with pelvic floor problems, said she’s referred several of her patients to Medi-Weightloss to lose weight before surgery. Medi-Weightloss is a chain of clinics that, as of this week, counts 90 franchises nationwide, including four in Massachusetts. The crash diet the chain recommends to most customers – who he calls patients – is very motivating, he said.
Even in the best of circumstances, 60 to 70 percent of diet participants drop out within a few months, said Dr. Siegel says he occasionally will put one of his patients on the kind of extremely low-calorie diet that Medi-Weightloss relies on. But, when people regain dozens of pounds quickly lost, they tend to regain fat, not muscle.
Speed: Losing weight fast can make you feel good – it’s certainly encouraging to watch the pounds melt away. Cost: Perhaps some people will be more committed to weight loss if they have to pay dearly for it, but it’s worth comparison shopping for price as well as approach. Bottom line: It’s probably a better idea to focus on not gaining more weight than to try to lose what you’ve got. Rachel Zimmerman worked as a staff reporter for The Wall Street Journal for 10 years in Seattle, New York and in Boston as a health and medicine reporter.
Rachel has also written for The New York Times, the (now-defunct) Seattle Post-Intelligencer and the alternative newspaper Willamette Week, in Portland, Ore., among other publications.
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RELATED TOPICSOpioid Addiction CrisisWBUR’s Morning Editiongeneticscancer vaccinecancerLATEST POSTSOpinion: Pending Mass.
She’s been sober seven years, something she credits largely to the 12 steps of Alcoholics Anonymous.
Using fMRI neurofeedback technology to measure brain activity, center researchers measured the effects of meditation in real time. It’s also an area of the brain that becomes active when a smoker is craving a cigarette.
Much of it is being done at the school’s Brudnick Neuropsychiatric Research Institute, which has a center devoted solely to addiction research. Joesph DiFranza, a family doctor and professor of family medicine and community health at the medical school, studies the brains of smokers using MRIs.
But what scientists don’t know is why some people become addicted, while others do not.
From the lab to your doctor’s office, from the broad political stage to the numbers on your scale, we’d like CommonHealth to be your go-to source for news, conversation and smart analysis. Its creation reflects a shift within mainstream medicine about how to treat transgender patients. Many times x-ray is a good diagnostic tool if the problem is caused by injury to a bone, however, many people continue to have pain and this is where an MRI may be a better diagnostic option.An MRI shows the condition of the intervertebral discs, an X-ray does NOT, and if someone is suffering from a herniated or bulging disc, this exam is the gold standard. Only a trained neuromuscular dentist can tell if an incorrect bite is causing these problems. Stress, a misaligned bite, injury, arthritis, or a combination of these factors can lead to pain and discomfort associated with TMD.
These conditions also affect the nerves and muscles of the face, and can lead to chronic pain and other problems.
The trauma also may have affected the development of his face, leaving him with a shortened upper jaw, hidden teeth, and over-closure of the lower third of the face.
However, in her initial consult she described frequent debilitating headaches, neck pain, sensitive teeth, clenching and grinding – all symptoms consistent with Temporomandibular Disorder (DMD). No one likes spending time at the dental office but when I am at Rye Smiles for Life it is such a relaxing atmosphere, like a treat for myself. This is the first dental office that I have returned to on a regular basis to maintain the health of my teeth and gums. Most people can lose a decent percentage of their extra pounds; most people can’t keep them off for more than a year. Maybe paying $1,200 for 14 weeks of treatment at Medi-Weightloss instead of as little as about $100 for Weight Watchers over the same period encourages some people to be more careful about what they eat, to work out a little harder.
Wanting to lose even more than the surgery offered, she paid her $268 initiation fee and accepted the vitamins they gave her. Eman Elkadry, another Harvard doctor who works on the side serving as the Waltham Medi-Weightloss clinic’s medical director, says the patient must have misunderstood. He saw way too many women in his practice who were overweight and struggling, and says he wanted to help.

Richard Siegel, an assistant professor at Tufts University School of Medicine, and a doctor at Tufts Medical Center’s Weight and Wellness Center. He doesn’t think such drastic measures are necessary for most people, but says it can be motivating for a few who need lots of structure, or who need to drop pounds before weight loss surgery.
Better to adopt good eating and exercise habits and carry around some extra weight, he said.
But no matter what the pace of loss, the pounds are bound to come creeping back unless you make dramatic lifestyle changes. Appetite suppressants might help a bit in the short-term, but are addictive and unsafe to keep taking for longer than a few months, which is when the pounds start creeping back.
Eating lots of fruits, vegetable and healthy fats, and exercising nearly every day, is much healthier than being miserable with yourself and feeling like a failure when you can’t lose the weight.
Paid Leave Bill Targets An Issue Of 'Human Dignity Violated'Policies For Transgender High School Athletes Vary From State To StateSudders: Combating Mass. They specifically found that meditation deactivates the part of the brain called the posterior cingulate cortex. The 21-day Craving to Quit app talks people through daily breathing and meditation exercises to help them overcome their cravings.
The researchers are measuring activity in the brain, brain chemistry and other things, and mostly what they’re uncovering is that the brain plays a powerful role in addiction. He says what happens in the brain when someone craves a cigarette is the same thing that happens when someone is hungry: The brain will not quiet down until that need is met.
His work found that as cravings increase, there is a weakening in the connections from the anterior cingulate (the part of the brain where cravings appear to originate) to the frontal cortex (the part of the brain responsible for self control). Your hosts are Carey Goldberg, former Boston bureau chief of The New York Times, and Rachel Zimmerman, former health and medicine reporter for The Wall Street Journal. Our state-of-the-art application of neuromuscular techniques can help relieve such pain, and the results are often immediate, dramatic, and life-changing!
Clenching or grinding of the teeth, called bruxism, can also cause muscle fatigue, spasms, and pain.
In fact, patients frequently report a lifting effect to the face after undergoing TMJ treatment. Even if someone could stick to a crash diet like that, wouldn’t they just regain all the weight the minute they started eating again? Maybe taking medications that are not proven to help, but probably don’t do much harm in the short term, will give some the extra confidence they need to tackle such a challenging task. To her surprise, she said, she found it effective at combatting the 15 pounds of extra “baby fat” she was still carrying around.
Subsequent $70 weekly visits include a private counseling session, usually with a nurse-practitioner, that involves a weight check, review of a food diary and lessons in exercise, and smart eating. For about $200 more, you can get care at Tufts Medical Center, which has more nutrition counseling and medical involvement, some of which may be covered by insurance. In one exercise, the app uses the analogy of fire, in which a smoker’s craving is described as a fire and every cigarette smoked is adding a log to the fire.
Over time, these problems can affect the joints, resulting in tissue damage and even more pain. Rye has helped many patients throughout the years achieve the smiles they have always wanted. Sure the program is expensive – at least as costly as a weight loss program at Tufts Medical Center, arguably one of the best nutrition research institutions in the country. He wishes clients would come back monthly beyond the 14 weeks – to get help keeping the weight off – but as with most diets, they tend to drift off.
Research shows that people on very low calorie diets like Medi-Weightloss’ will regain more pounds than people on a less restrictive diet, though the percent lost after a year is about the same. The same 14 weeks on Weight Watchers, which doesn’t have medical oversight, will cost about $100.
It tells smokers to draw a line around the craving, don’t act on it, and it eventually burns down. A community based weight loss support program called TOPS – Take Off Pounds Sensibly – runs just $20 a year.
When Cohen checked them and found that they weren’t, she stopped going to the clinic, and stuck with her primary care doc.

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