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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
S u p p l e m e n t w i t h Vi t a m i n s a n d M i n e r a l s
For a Long, Healthy Life
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.
Volume 5
Issue 5
Inside this issue:
Vitamins
1-7
Dietary Corner
8
Daily Care
&
Care of
Bandages and
Garments
9-10
Gradient
Pump
11-14
Website
15
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.
Requirements
for a bona fide
Lymphedema
Therapist
Reminder
16
17
Clinical
Education
----------Comprehensive
Treatment of
Lymphedema
Venus Problems &
Edemas associated
with wounds,
trauma & post
surgery
For more information
(408) 782-1028
Winter 2015-2016, Volume 5 Issue 5
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?
Page 2
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
Winter 2015-2016, Volume 5 Issue 5
Page 3
Vitamin E The Force that Slows Aging and
Strengthens the Heart
Introduction:
Scientists are finding that vitamin E is a
nutritional Swiss Army knife.
Vitamin E modifies blood fats so that
they protects against heart disease. It may
also promote a healthy circulatory system
by preventing the formation of dangerous
blood clots and by protecting red blood
cells from damage by oxidation.
Vitamin E protects health in other ways
as well:
How Vitamin E Helps the Body
To understand Vitamin E’s positive effect,
you must first understand a little bit about
oxygen. With each breath you take, the fats
present in all cells can combine with oxygen
at an excessive rate in a chemical process
known as oxidization. Oxidative damage can
lead to premature aging, lowered resistance,
cancer, and heart disease.
Fortunately, nature has provided us
with a way of slowing down such reactions
via substances called antioxidants. One of
the most important and readily available antioxidants is Vitamin E. Antioxidants like Vit-
1) Provides a key to the healthy functioning amin E can stop damaging reactions, extend
of our muscles, eyes, blood, lungs, and
the life of cells, and even block the formation
more.
2) Possesses a variety of protective actions
that boost our immune system so that
we are better protected from viruses,
bacterial diseases and, in some cases,
cancer.
3) It keeps the sparkle in our eyes! In other
words, it has been shown to prevent the
development of certain kinds of cataracts.
4) Enhance our resistance to the everworsening health threat of pollution.
of tumors.
Antioxidants like Vitamin E also appear
to play a key role in fostering immunity, the
body’s natural ability to repel invading disease organisms.
Winter 2015-2016, Volume 5 Issue 5
Page 4
Vitamin E has great therapeutic value
in the following:
1) Gives relief from disabling stubborn
skin disorders.
2) Defends against an eye problem called
diabetic retinopathy
3) Diminishes occurrence of constriction
of blood vessels, thus reducing chances
of thrombophlebitis, platelet aggregation, and atherosclerosis
4) Supports good cholesterol (HDL)
5) Prevents abnormal blood clotting
6) Lowers amount of sugar in the blood.
7) Guards against the effects of air pollution and ozone
8) Slows down the aging process
9) Fights free radicals
10) Protects circulation, lungs, and skin
11) Reduces day and night-time foot and
leg cramps
12) “Cools” the hot flashes that plague
women during menopause
Low density lipoproteins
(LDL) are “bad guys”—they carry
cholesterol to the cells. Highdensity lipoproteins (HDL) are
“good guys”—they carry cholesterol away from the cells.
***********************************
A high percentage of LDL in the total
cholesterol means a high risk of circulatory
disease like heart attack or stroke. A high
percentage of HDL means a low risk.
Total cholesterol is less important
than keeping HDL levels as high as
possible.
Winter 2015-2016, Volume 5 Issue 5
Page 5
Winter 2015-2016, Volume 5 Issue 5
Page 6
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
are dependent upon
you replenishing your vitamins and
minerals every day.
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.
Winter 2015-2016, Volume 5 Issue 5
Page 7
Winter 2015-2016, Volume 5 Issue 5
Dietary Corner
Page 8
Winter 2015-2016, Volume 5 Issue 5
Page 9
DAILY CARE WHEN WEARING BANDAGES &
COMPRESSION GARMENTS
In AM – Wash affected area/areas, rinse, pat excess water leaving skin slightly moist
– Apply Lotion to affected area/areas
– Apply Alps Lotion to – toes/feet up to knee (leg affected)
– fingers/hand up to elbow crease (arm affected)
- Apply garment (stocking or sleeve) with rubber gloves on hands, using pads of
fingers so as not to snag or pull holes in garment.
Apply Skin Adhesive on skin at level of top band – do not apply to inner leg near groin
or in armpit. (skin adhesive is not used if garment has silicon band at top)
In PM - Remove Garment
Wash affected area/areas, rinse, pat excess water leaving skin slightly moist
Apply Lotion to affected area/areas
Wash garment in warm mild soap (dreft or ivory), rinse well. Roll garment in
thick fluffy towel to remove excess moisture and hang to dry overnight
Go to sleep without compression unless otherwise directed
NOTE – one stocking worn daily will last 3-4 months. Replace them every 3-4 months to
maintain reduction of swelling. Please wear garment one week and report progress and/
or any difficulty – 408-782-1028. Your response is vital if changes are necessary in your
treatment program
- Always exercise with compression unless water exercises are performed
- Increase compression if you vacation or air travel at over 4,000 ft. elevation
- 1st day wearing garment mark date with permanent marker on top band.
- If the garment gets a snag or tear, repair it with “Wooly Yarn/Wooly Thread”
- Gradient compression garments move fluids while you’re moving and exercising.
Try not to sit in these garments longer than 45 minutes at a time.. The body has a hard
time moving fluids past a 90 degree bend.
Winter 2015-2016, Volume 5 Issue 5
Page 10
CARE OF BANDAGES & GARMENTS
Bandages –
1. All bandages touching the skin (tubular, short or long stretch, stockinette & finger bandages) should be washed daily. Short stretch, long stretch, padding, and pressure pieces not in
contact with the skin can be washed every 3 days – more frequently in warm weather and/or
if soiled. All the above except foam is washable.
2. Wash all bandages in tepid water using a mild liquid soap such as Ivory or Dreft – NO
WOOLITE & no soap powders.
3. Place bandages in a lingerie bag before putting in washing machine. Wash on slow cycle,
fast spin.
4. Dry bandages on a flat surface, hang them over a drying rack, or over a shower stall. Roll
them tightly after they’re dry.
5. Avoid ironing bandages or cutting them.
6. Roll bandages immediately after removing them from the bandaged arm or leg.
7. Don’t use “clips” to fasten bandages – use tape to secure bandages in place.
If using bandages daily, they need to be replaced every 2 -3 months
Garments – Wash new garment before 1st wearingCompression garments are washed in tepid water every day after wear, using a mild liquid detergent such as Ivory or Dreft - NO WOOLITE - no soap powder
Wash inside out
Rinse garment thoroughly in tepid water & squeeze out excess water – do not
twist or wring
4 Roll garment in thick fluffy towel to get all water out – hang to dry overnight
5 Purchase at least 2 garments – wear one while the other is laundered. Never
sleep in gradient compression garments.
6 If you’re wearing one garment daily, it will maintain its compression
for approximately 3 months – replace every 3 – 4 months.
7 Purchase a new garment before the old one has lost its compression.
8 Before applying garment, put the day’s date on inside band with an indelible pen
9 Apply garments with rubber gloves to avoid any ripping or snagging – making
sure weave of fabric is smoothed out from end to end.
Do not overstretch the garment when applying it.
Goal of gradient compression garments is to reduce swelling and pain and increase mobility. Never set at 90 degrees any longer than 45 minutes. These garments move fluid
while you’re moving.
Winter 2015-2016, Volume 5 Issue 5
Page 11
Gradient Sequential Pneumatic Pump
Devon Medical
#5208
8 Chamber Gradient Sequential Pump
CircuFlow™ 5208 Intermittent Pneumatic Compression (IPC) Pump provides
patients the comfort to treat chronic venous and lymphatic disorders in their
own homes. Using intermittent gradient sequential pressure applied through
easy-to-use multi-chambered garments, the CircuFlow™ 5208 increases blood
flow and provides extra cellular fluid clearances.
*Medicare reimbursement code E0652*
Winter 2015-2016, Volume 5 Issue 5
Page 12
The CircuFlow™ 5208 offers 2 sub-therapy modes: Pre-therapy Mode which
mimics the “uncorking” of manual lymphatic drainage. Focus Mode which concentrates
on areas of the limb most affected by Lymphedema Fibrosis.
Key Features:
Chamber Adjustment: Digitally controls pressure within 8 individual garment chambers
Patient Comfort: Ability to adjust or skip individual chamber pressures preventing discomfort from ulcers
Easy Application: Automatic vacuum that drains the air in 60 seconds from the garments for
fast and easy removal after therapy
Dual Operation Modes: gradient mode or pressure mode
Sub-therapy Modes: Optional uncorking mode and focus mode
Customizable Cycle Time: 20-240 seconds, distal to proximal
Customizable Pressure: 20-120 mmHg
Smart Pressure Monitoring: Automatically prevents pressure tunneling due to operator set
up error
Digital LCD Screen: (4x1) screen provides easy access to essential set up information and
real-time pressure readings
Specifications:
Dimensions: 11.5”(W) x 10”(D) x 4”(H)
Weight: 12 lbs.
Inflation Cycle: Adjustable 2.5 – 30 seconds per chamber
Deflation Cycle: 12 seconds
Cycle Time: Adjustable 20 – 240 seconds
Therapy Time: Adjustable 15 – 180 minutes
End Therapy Vacuum Time: 60 seconds
Electrical: 5208: 120VAC, 60Hz, 100VA MAX
5228: 220VAC, 50Hz, 100VA MAX
Fuse Rated: 250VAC, 1.0AMP, SLO-BLO
Applied Part: TYPE B
Protection Against Electric Shock: CLASS I
Operation Mode: Continuous operation with intermittent loading
Winter 2015-2016, Volume 5 Issue 5
Pneumatic
Appliances:
Inflatable
Arm & Leg
Garments
Page 13
Winter 2015-2016, Volume 5 Issue 5
Page 14
Rental Details
Rental Costs:
$300/month
$200/week
Delivery: Pumps are delivered to patient at location preferred by Doctor,
either patient’s home, medical facility or medical office.
Delivery Day: All pumps are pre-scheduled for delivery on Mondays
Setting pump: The pump is set according to patient’s condition, highest mmHg
distally to lowest mmHg proximally thus satisfying gradient properties of the
pump and pneumatic appliance.
Documents needed:
Doctor’s prescription stating medical necessity
Signed rental agreement
Name of patient, diagnosis (ICD9 or ICD10 code, DOB)
Location/place of pump delivery
Phone number of patient for scheduling delivery
Contact
Phyllis Tubbs-Gingerich,RN,BSN,LE,CLT- Lymphedema Specialist
Ginger-K Lymphedema & Cancer Care Center
16360 Monterey Road, Suite – 270
Morgan Hill, CA. 95037-5406
Phone: 408-782-1028
Fax: 408-782-1061
e-mail – [email protected]
web address: www.gingerkcenter.com
Winter 2015-2016, Volume 5 Issue 5
Page 15
Look for us on our new, bigger and better
website:
www.gingerkcenter.com
With more:
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




Education for patient self care
Medical shoes and orthotics
Athletic shoes for problematic feet
Mastectomy Necessities & Accessories
Sports Apparel
Lingerie
Wigs - human and synthetic
Fashionable gradient compression garments
Creek Lane Biomedical Products
Continuing education for medical professionals
Medical skin care products and micro- nutritionals
Upcoming events
Winter 2015-2016, Volume 5 Issue 5
Page 16
A bona fide Lymphedema Therapist must have/be:
1. A medical professional with solid background in anatomy and
physiology of the lymphatic system
2. Completed 140 hrs. of education in the field of lymphedema with 3. Approximately 2 x’s that amount of time in practicum preparation
4. 5 years’ experience in the field of lymphedema treatment and care
5. Pass the LANA Test to become a Nationally Qualified Lymphedema
Therapist
(Ginger-K Center meets all these criteria)
Winter 2015-2016, Volume 5 Issue 5
%PDF-1.5
Page 17
JUST A REMINDER
WE HAVE MOVED!
You will find us at our
beautiful, new location:
16360 Monterey Street
Suite 270
Morgan Hill 95037-5406
Phone: (408) 782-1028
Fax: (408) 782-1061
Email: [email protected]
Page 18
LISG
Support the
Lymphedema Information Support Group©
LISG is a non-profit organization and we depend upon your support.
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 Quarterly newsletters
 Calendar of upcoming events
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 Other helpful information
The level of my gift is:
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For donations in honor of a loved one, please fill in the amount and indicate in whose memory
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Check: Y/N OR Credit Card #______________________ Exp. Date__________
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We appreciate your support.
Phyllis Tubbs-Gingerich
RN, Founder LISG
Please make check payable to:
LISG - Lymphedema Information Support Group
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16360 Monterey Road, Suite 270,
Morgan Hill CA 95037-5046
Phone: 408-782-1028
Fax: 408-782-1061
Web: www.gingerkcenter.com
Email: [email protected]