Low Laser for Varicella in adult

This photo was taken from Intensive Care Unit. October 14, 2007

Lying in bed is my colleague, hospitalized since Friday, October 12, 2007 .



Symptoms:

He complained fever and body aches on Sunday , October 7, 2007.

On Wednesday, the rash appeared, He just noticed that his son got varicella about two weeks earlier.

Friday morning, his wife found he was delier. His wife brought him to the hospital. During first hour, the convulsion happened!!

We admitted him to the Intensive Care Unit,

Brain Scan: normal, electrolyte : normal

Consciousness status : somnolent

Convulsion still occur sometimes.

Regiment: medication for viral become the first line.

I have been using ILIB (Intravascular Laser Irradiation on

Blood)

It will be done 10 times, everyday for 10 days

Result:

After 1st administration, the convulsion diminished,

eye contact has become more adequate.

I will write reports on the progress.

The story:

At friday afternoon, I found cyanotic at all of his nails. He bound to the bed, because couldn't lying down quietly. So, I decided to give him ILIB with the dose for brain injured.

The laser (ILIB) began on Saturday morning. opening power for 50 %, administered for 1 hour. In the evening the nurse reported the the convulsion diminished.

Sunday morning , it was eye contact, but not adequatly. The second laser with the same dose. Nurse reported inthe evening, the fever just 38 degree.


On monday morning contact is good response to questions.Also the same dose given. Evening report: good condition !! Alert !

The followings are some references on chickenpox in adults:

Facts About Chickenpox for Adults

Chickenpox, also known as varicella, is a very contagious disease caused by the varicella-zoster virus. It is spread easily through the air by infected people when they sneeze or cough. The disease also spreads through contact with an infected person's chickenpox blisters. Because chickenpox is very contagious, it is possible for people who have never had chickenpoxnor been vaccinated against it to become infected just by being in a room with someone who has the disease. However, transient exposure is not likely to result in infection.

Symptoms of chickenpox

Early symptoms may include body aches, fever, fatigue, irritability and sore throat. A rash then appears and develops into as many as 250-500 itchy blisters over the entire body, that usually last for 5-7 days and heal with scabs. The rash may even spread into the mouth or other internal parts of the body. The illness is usually not severe, but the risk of hospitalization and
death is increased among adolescents and adults.

Symptoms appear between 10 and 21 days after exposure to the varicellazoster
virus. Persons who were vaccinated against chickenpox may sometimes develop chickenpox disease but the presentation is usually mild, with approximately 50 or fewer red bumps that rarely evolve to blisters.

Here a copy about laser for brain infarction:

The study of low level laser irradiation therapy on brain infarction with SPECT

<<中国临床神经科学 >>2000年z1期Xiao Xuechang , Jia Shaowei , Zleng Xiyuan





Objective:

Effect of rCBF and brain function on ILIB treating brain infarction will be investigated by SPECT brain perfusion imaging. Method: 3 1 patients with brain infarction, 17 patients were treated by ILIB on standard pharmaceutial treatment. SPECT brain perfusion imaging was performed before and after ILIB therapy with comparison of oneself. They were quantified with BFCR%model effect during ILIB in 14 patients were observed. Result: ILIB 30 rnme SPECT showed the improvement of rCBF and cerebral function in 14 patients with brain infarction, and in 17 patients locus were prominence than mirror regions att er ILIB therapy, both are higher singnitficant difference ( t=4.4052, P＜0.0001 ), but mirror regions were not singnificant difference before and after ILIB (t=1.6995, P＞0.05). BFCR%quantitative results of locus were higher mirror regions, and higher singnificant difference (t=4.5278 p＜0.0001 )。 Conclusion: ILIB can improve the rCBF and cerebral function of patients with brain infarction, and provoke function of brain cells. Some new evidence was provided for ILIB treatment of cerebral ischemia

neck pain

Low Level Laser Therapy In The Management Of Chronic Myofascial Pain In The Neck
A Gur, AJ Sarac, R Cevik, O Altindag, and S Sarac
Lasers Surg Med, January 1, 2004; 35(3): 229.

Physical Medicine and Rehabilitation, School of Medicine, Dicle University, Diyarbakir, Turkey.

BACKGROUND AND OBJECTIVES: A prospective, double-blind, randomized, and controlled trial was conducted in patients with chronic myofascial pain syndrome (MPS) in the neck to evaluate the effects of infrared low level 904 nm Gallium-Arsenide (Ga-As) laser therapy (LLLT) on clinical and quality of life (QoL).

STUDY DESIGN/PATIENTS AND METHODS: The study group consisted of 60 MPS patients. Patients were randomly assigned to two treatment groups: Group I (actual laser; 30 patients) and Group II (placebo laser; 30 patients). LLLT continued daily for 2 weeks except weekends. Follow-up measures were evaluated at baseline, 2, 3, and 12 weeks. All patients were evaluated with respect to pain at rest, pain at movement, number of trigger points (TP), the Neck Pain and Disability Visual Analog Scale (NPAD), Beck depression Inventory (BDI), and the Nottingham Health Profile (NHP). RESULTS: In active laser group, statistically significant improvements were detected in all outcome measures compared with baseline (P <>

CONCLUSION: This study revealed that short-period application of LLLT is effective in pain relief and in the improvement of functional ability and QoL in patients with MPS. Lasers Surg. Med. 35:229-235, 2004.

Copyright 2004 Wiley-Liss, Inc.

Low-Intensity Laser Irradiation Stimulates Bone Nodule Formation Via Insulin-Like Growth Factor-I Expression in Rat Calvarial Cells

Low-Intensity Laser Irradiation Stimulates Bone Nodule Formation Via Insulin-Like Growth Factor-I Expression in Rat Calvarial Cells

Noriyoshi Shimizu, Kotoe Mayahara, Takeshi Kiyosaki,

Akikuni Yamaguchi, Yasuhiro Ozawa, Yoshimitsu Abiko

Background and Objective: We previously reported that low-intensity laser irradiation stimulated bone nodule formation through enhanced cellular proliferation and differentiation. However, the mechanisms of irradiation are unclear. Thus, we attempted to determine the responsibility of insulin-like growth factor (IGF)-I for the action observed.

Study Design/Materials and Methods: Osteoblast-like cells were isolated from fetal rat calvariae and cultured with rat recombinant (r) IGF-I, IGF-I antibody (Ab), and/or the cells were irradiated once (3.75 J/cm2) with a low-intensity Ga-Al-As laser (830 nm). The number and area of bone nodules formed in the culture were analyzed, and IGF-I expression was also examined.

Results: Treatment with rIGF-I significantly stimulated the number and area of bone nodules. This stimulatory effect was quite similar to those by laser irradiation, and this stimulation was abrogated dose-dependently by treatment with IGF-I-Ab. Moreover, laser irradiation significantly increased IGF-I protein and gene expression.

Conclusion: The stimulatory effect of bone nodule formation by low-intensity laser irradiation will be at least partly mediated by IGF-I expression. Lasers Surg. Med. 39:551-559, 2007. © 2007 Wiley-Liss, Inc.

Key words: low-intensity laserl bone formation; IGF-I; bone nodule; calvarial cell; osteoblast

dysphagia- aftter stroke

Next week will be : Mr A

Dysphagia- Chapter

Mr S. 78 y. o

Chief complaint: difficulty of swallow




Anamnesis: liguid, semisolid , easy to swallow
could'not swallow medicine by water


Picture above: thick, not clean (Stroke?)


CT scan, MRI : non stroke

Feeding habit: every meal served after blend= semisolid





Physical examination:
- oral : gag refleks good
- oromotor : good
- all reflects : good


Solution: I asked him to chew a bite of fruit as exercise, at least an apple a day.


Picture below: a week after --> excellent!

So, use it , or lose it !!!!