Archives for Health Matters Blog

Corona Virus – A Physician’s Perspective

My patients ask, “What should I do to prepare for the Corona Virus?” This is what I’ve shared with them, and now with you… To My Patients, The first issue is, how dangerous is this virus? In China, where the quality of health care is significantly lower than in the US, the mortality rate is about 3.4%. About 84,000 people have been identified as having the virus, and there have been 2869 deaths. In reality, many more people have had the virus, but not been identified, since the symptoms for most people are no different than a cold or mild
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The Link Between Diet, Exercise and Alzheimer’s

A new study finds that lifestyle changes can improve cognition This article published in The Wall Street Journal is a very important and welcome sign that the discussion around Alzheimer’s disease (AD) as well as many other neurodegenerative disorders is shifting. Alzheimer’s and other forms of dementia are not inevitable, and we do not have to wait around helplessly for the development of medication. We can take action NOW. I would amplify the measures described in this excellent article by adding an assessment of hormones, and the elimination of inflammatory factors (e.g., infections, gastrointestinal disorders, mold exposures). I would lean
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TBI: An Overlooked Cause of Mental and Physical Problems in Adults

Traumatic brain injury’s (TBI) after-effects can show up months and years after a long-forgotten head injury from a car accident, a fall, sport-related head injury, etc. Often overlooked in psychiatric evaluations of adults, traumatic brain injury can manifest in a host of mental and physical ways. It’s important to rule out TBI as a cause or partial cause of medical issues because effective treatments are available, and validation of the person’s symptoms as non-psychological is important. What is traumatic brain injury (TBI) and how do I know if I have it? Each year, according to CDC estimates, 2.5 million individuals
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Little Known 12-Step Resource Helps Patients

In my years of practice I know one thing for certain: patients who have outside support heal faster, improve their interpersonal relationships, and are more productive in their lives. Sometimes that support comes from family, a spouse, or loved one. Sometimes from a psychotherapist or a coach.  I want to give a shout out to a 12-step program that does a deep dive psychologically and has helped transform the lives of a number of patients. It is called Adult Children of Alcoholics (ACA).  They have meetings around the country. Since meetings cost one or two dollars to attend, getting help becomes
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Why do antidepressants?

One reason they fail has to do with about the role of some specific ingredients necessary for neuronal function. The first ingredient is L-tryptophan.  A person who is taking an antidepressant medication has to have a healthy balanced diet. Key issue: He or she has to get enough protein in their diet.  Most depressed people eat too many carbohydrates.  If you are one of them, keep a diet log for 5 days. You are likely to see that you crave carbs, sweets, chocolate, and salt. And!  That you eat the foods you crave. Solution: You need to get more protein
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Is This Really Bipolar Disorder?

Is This Really Bipolar Disorder? 18-year-old female freshman in 2012 who presents with rapid cycling bipolar type 1, suicidal at times, insomnia, exhaustion, insomnia, memory issues, tremor, PMS. Atypical presentation: visual and auditory hallucinations/illusions, depersonalization, synthesia; responds well to benzos. Medication failure: Lithium, Lamictal, Seroquel, Xanax, BCP. Chronic sinusitis, ETOH seizures-TLE-like, cataplexy/REM Latency. Diet: High glycemic index. After treatment: 13 months free of any symptoms of bipolar disorder Graduates college without incident. Bipolar disorder triggered by immune dysregulation compromised by hormonal and nutritional factors. 2016 Mold in dorm and Lyme disease = her genetics indicate any immune system insult ➡️C1q
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Precision Medicine applied to Psychiatry

Samantha, a 14-year old girl, was brought to my office by her mother. When I first saw her, she was withdrawn, barely made eye contact, and had her headphones in even as she was answering my questions. She was depressed, had been diagnosed with ADD, and an anxiety disorder, but her mother did not want to put her on medication, so she sought my help. Importantly, Samantha was having episodes of crying, rage and extreme irritability seemingly randomly, and they could occur anywhere and anytime. Feeling terrible remorse, and extreme embarrassment, her self-esteem, and social life suffered greatly. A careful
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