Comments for Pacific Midwifery http://pacificmidwifery.com Tue, 13 Sep 2011 15:31:06 +0000 hourly 1 http://wordpress.org/?v=3.3.2 Comment on Janell Niemann-Ross by » Thank You MaidaData http://pacificmidwifery.com/pacific-midwifery-vancouver-washington/janell-niemann-ross/#comment-125 » Thank You MaidaData Tue, 13 Sep 2011 15:31:06 +0000 http://pacificmidwifery.com/?page_id=52#comment-125 [...] you to Janelle Niemann Ross, a highly experienced, gentle woman whose demeanor and patience made all the difference. Her [...] [...] you to Janelle Niemann Ross, a highly experienced, gentle woman whose demeanor and patience made all the difference. Her [...]

]]> Comment on Donna Stiles Is Amazing!!! by Rene Eisenbart http://pacificmidwifery.com/events/donna-stiles-is-amazing/#comment-72 Rene Eisenbart Mon, 09 May 2011 04:33:07 +0000 http://pacificmidwifery.com/?p=1356#comment-72 moderator: I intended the prior reply to be a personal message to Donna... please forward it instead of posting to the web... Thanks! - Rene moderator:
I intended the prior reply to be a personal message to Donna… please forward it instead of posting to the web… Thanks!
– Rene

]]> Comment on Donna Stiles Is Amazing!!! by Rene Eisenbart http://pacificmidwifery.com/events/donna-stiles-is-amazing/#comment-71 Rene Eisenbart Mon, 09 May 2011 04:28:28 +0000 http://pacificmidwifery.com/?p=1356#comment-71 Congratulations Donna! I am delighted to find you online and enjoyed reading about your life journey. You delivered Tom's and my son, Dane, almost 25 years ago... and he has grown up to be a wonderful person and a joy in my life. He is an artist and is sharing our home and studio but is working on building a cabin in the woods near the house where he will have a bit more autonomy. You can see his work at www.danesart.com Dane's girlfriend, Isabel Crosby, is a student at Birthing Way College of Midwifery. We love this girl, and we are very happy to have her in our lives. She is interested in making more connections in the midwifery community and also in birthing experience. I've talked with her about you and how much we appreciated your care during my pregnancy and Dane's delivery. Would you consider meeting with her? Thanks, Rene Eisenbart rene.art@gmail.com 503-890-9668 Isabel Crosby isabel.e.crosbygmail.com 503-422-7821 Congratulations Donna!
I am delighted to find you online and enjoyed reading about your life journey. You delivered Tom’s and my son, Dane, almost 25 years ago… and he has grown up to be a wonderful person and a joy in my life. He is an artist and is sharing our home and studio but is working on building a cabin in the woods near the house where he will have a bit more autonomy. You can see his work at http://www.danesart.com
Dane’s girlfriend, Isabel Crosby, is a student at Birthing Way College of Midwifery. We love this girl, and we are very happy to have her in our lives. She is interested in making more connections in the midwifery community and also in birthing experience. I’ve talked with her about you and how much we appreciated your care during my pregnancy and Dane’s delivery. Would you consider meeting with her?
Thanks,
Rene Eisenbart
rene.art@gmail.com
503-890-9668

Isabel Crosby
isabel.e.crosbygmail.com
503-422-7821

]]> Comment on Herb Use After Breast Cancer? Black Cohosh, YES! by Kathleen http://pacificmidwifery.com/breast-health/herb-use-after-breast-cancer-black-cohosh-yes/#comment-69 Kathleen Wed, 23 Mar 2011 04:15:25 +0000 http://pacificmidwifery.com/?p=1348#comment-69 Michele, Here are 2 research studies describing Cohosh use for symptom relief applicable to your situation. Hope this is helpful!!! 1) Black cohosh (Cimicifuga racemosa) in tamoxifen-treated breast cancer patients January 18th, 2011 by Tori Hudson, N.D. A prospective observational study was carried out in 50 breast cancer patients on tamoxifen, an anti-estrogen therapy that can also induce or worsen menopausal symptoms. All 50 women were post surgery, 87% of them were post radiation treatment and approximately half of them had received chemotherapy as well. Each patient was treated with an isopropanolic extract of black cohosh (1-4 tablets, 2.5 mg) for 6 months. Symptoms were recorded before therapy and after 1, 3 and 6 months using the menopause rating scale (MRS II). Results: The total MRS II score for women while on black cohosh treatment reduced from 17.6 to 13.6, a statistically significant reduction. Symptoms of hot flashes, sweating, sleep problems, and anxiety improved, but vaginal dryness and body aches/pains did not change. Twenty two patients reported adverse events, but none were linked with the black cohosh; 90% of the women reported the tolerability of the black cohosh extract as very good or good. Commentary: This is one more positive study using black cohosh extract for menopausal symptoms and even more meaningful, women on tamoxifen can have more problematic menopause symptoms and so a significant benefit of black cohosh is especially needed. Readers will also want to be reminded that we do have safety data on black cohosh in breast cancer patients—there is no estrogen in black cohosh, no phytoestrogens in black cohosh, no ability to stimulate breast cancer cells and laboratory data showed that black cohosh inhibited proliferation of estrogen receptor positive breast cancer cells and augmented the anti-estrogen effect when using black cohosh with tamoxifen. Black cohosh is clearly the first choice herb for menopause symptoms in breast cancer patients, and in breast cancer patients on tamoxifen. Reference: Rostock M, Fischer J, Mumm A, et al. Black cohosh (Cimicifuga racemosa) in tamoxifen-treated breast cancer patients with climacteric complaints – a prospective observational study. Gynecol Endocrinol. 2011 Jan 13; 2) Black Cohosh associated with breast cancer risk reduction October 1st, 2007 by Tori Hudson, N.D. This population-based cased-control study in Philadelphia consisted of 949 breast cancer cases and 1,524 controls. Herbal supplements including black cohosh, ginseng and red clover were the most prevalent preparations. After adjusting for potential confounding factors, black cohosh use was associated with a 61 percent reduction in the risk of breast cancer with an odds ratio of 0.39, 95% CI: 0.22-0.70. The breast protective effect was similar for a specific black cohosh preparation, Remifemin, odds ratio 0.47, 95%, CI: 0.27-0.82. Rebbeck T, Troxel A, Norman S, et al. A retrospective case-control study of the use of hormone-related supplements and association with breast cancer. Int. J. Cancer 2007; 120:1523-1528. Michele,
Here are 2 research studies describing Cohosh use for symptom relief applicable to your situation. Hope this is helpful!!!
1) Black cohosh (Cimicifuga racemosa) in tamoxifen-treated breast cancer patients
January 18th, 2011 by Tori Hudson, N.D.
A prospective observational study was carried out in 50 breast cancer patients on tamoxifen, an anti-estrogen therapy that can also induce or worsen menopausal symptoms. All 50 women were post surgery, 87% of them were post radiation treatment and approximately half of them had received chemotherapy as well. Each patient was treated with an isopropanolic extract of black cohosh (1-4 tablets, 2.5 mg) for 6 months. Symptoms were recorded before therapy and after 1, 3 and 6 months using the menopause rating scale (MRS II).
Results: The total MRS II score for women while on black cohosh treatment reduced from 17.6 to 13.6, a statistically significant reduction. Symptoms of hot flashes, sweating, sleep problems, and anxiety improved, but vaginal dryness and body aches/pains did not change. Twenty two patients reported adverse events, but none were linked with the black cohosh; 90% of the women reported the tolerability of the black cohosh extract as very good or good.
Commentary: This is one more positive study using black cohosh extract for menopausal symptoms and even more meaningful, women on tamoxifen can have more problematic menopause symptoms and so a significant benefit of black cohosh is especially needed. Readers will also want to be reminded that we do have safety data on black cohosh in breast cancer patients—there is no estrogen in black cohosh, no phytoestrogens in black cohosh, no ability to stimulate breast cancer cells and laboratory data showed that black cohosh inhibited proliferation of estrogen receptor positive breast cancer cells and augmented the anti-estrogen effect when using black cohosh with tamoxifen. Black cohosh is clearly the first choice herb for menopause symptoms in breast cancer patients, and in breast cancer patients on tamoxifen.
Reference:
Rostock M, Fischer J, Mumm A, et al. Black cohosh (Cimicifuga racemosa) in tamoxifen-treated breast cancer patients with climacteric complaints – a prospective observational study. Gynecol Endocrinol. 2011 Jan 13;

2) Black Cohosh associated with breast cancer risk reduction
October 1st, 2007 by Tori Hudson, N.D.
This population-based cased-control study in Philadelphia consisted of 949 breast cancer cases and 1,524 controls. Herbal supplements including black cohosh, ginseng and red clover were the most prevalent preparations. After adjusting for potential confounding factors, black cohosh use was associated with a 61 percent reduction in the risk of breast cancer with an odds ratio of 0.39, 95% CI: 0.22-0.70. The breast protective effect was similar for a specific black cohosh preparation, Remifemin, odds ratio 0.47, 95%, CI: 0.27-0.82.
Rebbeck T, Troxel A, Norman S, et al. A retrospective case-control study of the use of hormone-related supplements and association with breast cancer. Int. J. Cancer 2007; 120:1523-1528.

]]> Comment on Herb Use After Breast Cancer? Black Cohosh, YES! by Michele http://pacificmidwifery.com/breast-health/herb-use-after-breast-cancer-black-cohosh-yes/#comment-68 Michele Tue, 22 Mar 2011 00:14:01 +0000 http://pacificmidwifery.com/?p=1348#comment-68 Hi. I am a breast cancer survivor (2 years out) facing a hysterectomy and removal of ovaries next week. There are SO many contradictory reports on black cohosh, yet it was truly effective to relieve hot flashes when I was on Tamoxifen. Who does one believe? I'll be suddenly entering menopause at surgery next Wednesday and am desperate to find something natural and SAFE to help me with the inevitable side-effects. Please help! (Only 43, so nowhere near natural menopause...) Hi. I am a breast cancer survivor (2 years out) facing a hysterectomy and removal of ovaries next week. There are SO many contradictory reports on black cohosh, yet it was truly effective to relieve hot flashes when I was on Tamoxifen. Who does one believe? I’ll be suddenly entering menopause at surgery next Wednesday and am desperate to find something natural and SAFE to help me with the inevitable side-effects. Please help! (Only 43, so nowhere near natural menopause…)

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