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Dr. Nalini Chilkov

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Desperate Stroke Patient Goes to China for Proper Care

Posted: 04/24/2011 5:02 pm

NEWS FLASH: Award Winning Film 9000 Needles showing on Thursday May 5th at 8:30PM at the Regent Theater in Hollywood as part of the AWARENESS FESTIVAL

At the age of 40 Devin Dearth's life changed forever. Devin, a vital and active loving husband, father, champion body builder and successful businessman suffered a massive hemmorhagic stroke at 5 a.m. while working out at his gym in a small midwestern town. The stroke damaged his brainstem so extensively that he was not expected to live. While medicine in America excels at high tech emergency medicine, it fails miserably at supporting recovery and the restoration of normal function and does almost nothing to sustain and nourish health over the long term. Devin had to go to China to get proper care. The care he needed was denied to him at home.

Devin has insurance. Great. Emergency services covered. Hospital care covered. Not so great, the rehabilitative care that Devin needed then and continues to need now is not covered by his insurance plan. His insurance company refused to pay for the helicopter that airlifted Devin from his very small town to a hospital in Lexington, Kentucky equipped to save his life. His family received a bill for $20,000 for the air ambulance. Without air transport, Devin would have died before ever getting to the hospital. You can't get approval at 5 a.m. in the morning for special services, but that is what is required. Welcome to health care in America.

After three weeks in intensive care, uncertain if he would survive, he could finally breathe on his own. This one time champion body builder then started rehabilitative care, for a limited amount of time only. He was approved for only 20 days of therapy after suffering a massive brain stem stroke He was making good progress and then the insurance coverage ran out. Devin, still debilitated, unable to walk, sit up, speak, feed or bathe himself was sent home. His family was now in charge. His wife and kids had to lift him from bed to wheelchair. His doctors and therapists knew he was progressing well and that he needed continued therapy. The insurance company said no. Coverage is no longer available. Go home.

9000 Needles: A Story of Hope, Courage and One Family's Unconventional Journey Towards Stroke Recovery is an award winning documentary film made by Devin's brother, -Doug Dearth who refused to accept that his brother was going to go without the care he needed.

Doug searched worldwide and discovered a renowned Acupuncture Treatment Program for Stroke Rehabilitation at First Teaching Hospital of Tianjin University in China under the direction of Dr. Shi Xuemin. Devin's family has now been to China twice for several months at a time, where Devin has received exceptional care, daily acupuncture and physical therapy that allowed him to make dramatic progress. Stroke patients with the financial means to do so come here from all over the world. We watch as after only one acupuncture treatment Devin began to move his previously immobile leg on his own for the first time. After only weeks, he no longer drooled out of the side of his mouth. After several months he could sit up and was beginning to walk and to talk again.

According to the 2010 China Connection Global Health Report stroke patients receiving care at the Tianjin Hospital Program have better outcomes than patients treated with standard post stroke treatment in the U.S.

85 percent are able to walk without assistance (Only 51 percent of U.S. patients completing rehabilitatioin in the U.S. walk without assistance.)

95 percent regain almost complete knee flexion compared with 50 percent in the U.S.

98 percent return to live in their homes instead of long term care facilities while only 68 percent of U.S. stroke patients are able to live in their own homes.

According to Dr. Lee Schwamm, Vice Chairman of Neurology at Massachusetts General Hospital and Chairman of the American Stroke Association Program

Millions of dollars are spent in hospital and acute care settings where patients are moved out of rehab too quickly, often before they are ready. The insurance focus is on regaining minimum levels of independent living and the costs of rehab services are often in excess of $100,000 after insurance expires. This is staggering for most families. Millions of dollars are spent on acute care, but far too little is available for rehabilitation.

Tianjin Hospital patients also see decreases in blood pressure and cholesterol which are causes of stroke, reaping secondary benefits of this approach. Forty-six percent of Tianjin patients have reduced need for blood pressure and cholesterol lowering medications upon completing the program. This is significant because lowering high blood pressure and elevated cholesterol will decrease the risk of a second stroke.

9000 Needles is a story of an extraordinary family who went halfway around the world in search of healing.

9000 Needles is the story of a family's journey to an Acupuncture Stroke Treatment Program in China.

9000 Needles is the story of the power of Acupuncture to heal.

9000 Needles is the story of the failure of health care in America, demonstrating that insurance companies, not the patient's doctors, nor the patients themselves now decide who gets care and how much. It is the story of rationing by insurance companies. It is the story of an inhumane American healthcare system devoid of compassion and common sense. It is a story of how health care in America is a business devoid of heart, devoid of caring.

Devin suffered his stroke over three years ago. Each year he is offered a very limited amount of care by his insurance company. This means he will never have the opportunity to recover as much function as might be possible for him. When the allotment for care has been used up, it's over until next year. He is on his own. Patients who suffer severe strokes need ongoing and aggressive post stroke rehabilitative care. This care is not available to him. He lives in a small town in the Midwest. The closest acupuncturist is a 90 minute drive away. There is no facility where he can receive all the services he needs under one roof. And even if such a facility existed, his insurance would not cover his treatments. He cannot even get ongoing physical therapy and speech therapy throughout the year. His insurance company has decided he is a disposable person, no longer worthy of services. He can stay in his wheelchair as far as they are concerned.

One of the treatments that helps him the most, acupuncture, is not covered at all.

The film 9000 needles, which chronicles Devin's journey and treatment is emotionally moving. See it. As we watch, we share in the in the love and anguish of this family, the courage of this patient and the dedication and skill of his Chinese doctors. The film shows Devin's remarkable progress day by day, week by week, needle by needle, over 9000 needles in all.

This film makes us aware of the failures of our health care system, the power of Acupuncture and the importance of support, love and devotion from loved ones. Not only is it necessary to reform health care and reign in the abuses of the insurance industry in America, but this film compels us to bring acupuncture care into the American health care system as a standard of care for stroke patients. We will have to convince the insurance companies first.

I have practiced Acupuncture for three decades. In all these years I have never lost my sense of awe for the power of this elegant system of healing. This film reminded me once again of the profound results that are possible with Chinese Medicine. This is an exceptionally safe and cost effective ancient system that is now well integrated into modern medicine in China today. There is no reason it cannot be integrated with medicine in America. It is my hope that acupuncturists in America will be included in the health care teams of both in-patient and out-patient stroke treatment centers as part of our own American health care system.

In order for this to be so, we must all write to our legislators and to insurance companies and lobby for the inclusion of acupuncture in the American health care system and all insurance policies, including Medicare. We must also lobby for humane care in which the doctor decides how much and what type of care a patient needs. Insurance companies pay their own on staff doctors to deny care. These are not the doctors who should be making clinical decisions. We must put decision making back in the hands of the patient's doctors. We must allow patients to be part of the decision making process.

 Watch this film. Write to your legislators. Demand a humane health care system. Don't let insurance companies run our health care system and make heartless and mercenary decisions that rob us of our humanity and our dignity and the quality of our lives. Take action. Write a letter today.

For more information on 9000 Needles, visit the film's official website www.9000Needles.com. Set up a screening. Watch it with your friends, family and health care professionals.

NEWS FLASH 9000 Needles is showing in Los Angeles at the Regent Theater Hollywood on Thursday May 5th at 8:30 p.m. as part of the AWARENESS FESTIVAL

For more information on the Devin Dearth Foundation, visit www.devindearth.org.

For more information about visiting First Teaching Hospital of Tianjin University visit the website of China Connection Global Healthcare

Dr. Nalini Chilkov has been practicing Chinese Medicine and Acupuncture and Integrative Cancer Care for over thirty years.

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VA Jill
I'm not perfect and neither are you
11:17 AM on 04/27/2011
It figures......the insurance companies Just Don't Care. Period. Time to get them out of the equation.....or at least regulate the hell out of them.
03:54 PM on 04/25/2011
My late husband Jimmy was locked-in and it's shameful to me that I hear the same problems — care it too expensive, insurance benefits don't cover that, etc. — almost six years after his death. Like Elizabeth Russell's comment that "Reading Devin's story was like reading our own..." It is also like reading about Jimmy's.
03:40 PM on 04/25/2011
Dr. Chilkov sheds light on a very important topic. I am trying to help a family in Denver whose 49-year brother suffered a similar stroke which left him with "locked-in syndrome." They have had to fight for treatment every step of the way. The American system gives up on people who cost too much or are too complicated. Rehab in the US is based on making progress in therapy, and yet for a locked-in patient, progress comes in tiny, incremental pieces. So this man is being dismissed from therapy and being sent to a nursing home where insurance can pull the plug and put him on Medicaid. We are definitely going to explore the China option. Reading Devin's story was like reading our own. Thank you for this article.
02:56 PM on 04/25/2011
So I guess you believe in the comment, 'All strokes are different, all stroke recoveries are different'.
The first part is definitely true because a 1 ml. difference can cause totally different damage. But the second part has never been proven. If someone uses this comment I immediately don't believe anything they say because they have not studied recovery enough., What peer-reviewed study can you point to that breaks out spontaneous recovery from the use of acupuncture?
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Nalini Chilkov
11:21 PM on 04/25/2011
No one is claiming "spontaneous recovery". That is magical thinking. All stroke patients recover incrementally.
12:05 AM on 04/26/2011
Ok, natural recovery which occurs after the bleed damage drains or the penumbra recovers. I would have hoped you would answer the serious question of what peer-reviewed research there is vs. picking one statement you don't understand.
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Nalini Chilkov
11:31 AM on 04/26/2011
416 studies are listed on PubMed....http://www.ncbi.nlm.nih.gov/pubmed?term=Acupuncture%20and%20stroke
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frank day
Obama cares about all of U.S.
01:39 PM on 04/25/2011
We don't have a health care system.
We have a sick care system.
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Nalini Chilkov
11:21 PM on 04/25/2011
True. "Health" is not the goal in our system.
12:04 PM on 04/25/2011
An old study - suggests it might
Does Acupuncture Improve Motor Recovery After Stroke?
http://stroke.ahajournals.org/cgi/reprint/16/2/323?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=accupuncture&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT
Newer studies suggest it doesn't
Acupuncture May Not Aid Stroke Patients
http://findarticles.com/p/articles/mi_7490/is_20101109/ai_n56292526/
Part of the problem here is that in China acupuncture is a common treatment for stroke. So much so that it is almost impossible to separate the spontaneous recovery from the use of acupuncture. This is a major problem with most treatments during the spontaneous recovery phase.
If you google acupuncture for stroke rehabilitation you will find 73,000 results so you can choose your belief system.
A one person result does not justify the conclusions presented
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Nalini Chilkov
01:19 PM on 04/25/2011
Chinese Medicine is based on highly individualized treatment. Stroke patients are complex. I recommend any stroke victim interested in including acupuncture as part of their care be assessed by an experienced acupuncturist to determine if this would be of value for them as an individual. No therapy helps EVERY patient. Let's be reasonable.
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10:56 AM on 04/25/2011
I had a stroke at 46, a year ago. Although acupuncture hasn't helped much for me, it's obvious that we need to broaden our thinking about how to treat stroke or brain injury survivors. Many people do get better, but our health system isn't set up for the long time frame and alternative treatments that we need. I talk about it at http://myhappystroke.blogspot.com.
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Dana Ullman
Evidence Based Homeopath
09:20 PM on 04/24/2011
I happen to be in Taipei right now teaching homeopathic medicine to physicians, pharmacists, and the general public. I have been amazed to hear personal stories of people here who have families in the USA but who come back to China whenever they need health care!

Whenever people say that American health care is the "best in the world", I simply assume that they really mean that it is the most expensive in the world.
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Nalini Chilkov
01:21 PM on 04/25/2011
One of the major differences in China and in much of the world is that most people have access to the health care system. Even "insured" patients in the US find themselves denied care. In this case the patient's doctors and physical therapists agree on the rehabilitation plan, but the insurance company will not provide the recommended care to the patient. Clearly this is not a clinical decision on the part of the insurer, but a financial one.
05:11 PM on 04/25/2011
Dana U. sez... " I have been amazed to hear personal stories..."

Once again, only anecdotal evidence!
08:05 PM on 04/24/2011
This is a unique movie showing a real-life family dealing with an unfolding tragedy in real time. If you know anyone that could be helped with acupuncture and Chinese medicine, please get them to the film festive to enlighten them and support this touching movie.
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Nalini Chilkov
01:23 PM on 04/25/2011
Yes, this film is screening in Los Angeles on May 5th at the Regent Theater in Hollywood.
Anyone who would like to see the film should go to the website and either purchase a copy of the film or contact the filmaker to arrange for a screening in your area or to your group. It is a very compelling story and a very well made award winning film. http://9000needles.com