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20Apr/09Off

Mild Cognitive Impairment, MCI, Alzheimer’s and Parkinsonian Disorder



Mild cognitive impairment, (MCI), is a condition in which a person has problems with memory, language, recall and other simple activities of daily living which are severe enough to be noticeable to other people. Often times those affected are frustrated by inabilities to perform otherwise simple things that perhaps a child could easily perform.

Research has shown that individuals with MCI have an increased risk of developing Alzheimer's disease over the next few years; especially when their main problem is memory, although not everyone diagnosed with MCI goes on to develop Alzheimer's. Although Parkinson's is a movement disorder, areas involved in the disease are also the areas involved in MCI.

It is therefore not uncommon for patients suffering with MCI to exhibit balance loss, dysequilibrium and thus increased risk for fall. Because of the overlap of these disorders, when they are recognized early, they can oftentimes be successfully managed with appropriate rehabilitation. My office has had tremendous success in managing patients with these disorders and the earlier treatment is sought, the better the outcome, typically.

End stage disorders invariably involve drug therapy and or live-in care due to overwhelming disability and incapacitation. At the onset of these disorders, the use of a cane oftentimes becomes necessary to assist with walking.. This eventually progresses to a walker. Although this is good for stability, it causes the brain to work even less, thus eventually requiring advancement to a wheel chair.

Due to the lack of gravitational influence from no longer weight bearing upright, this leads to even more rapid deterioration and incapacitation. Because of the severity of progression associated with these disorders, if you or a loved one seem to fit the general description of MCI, we urge you to consider coming in to see us for a consultation. We never charge for this service, and, you can also have a free balance test using state of the art computerized dynamic posturography on the same visit.

16Apr/09Off

The Top 7 Health Problems Linked to Trace Mineral Deficiency or Imbalance



Here are the seven most serious health problems linked to trace mineral imbalance or deficiency (in alphabetical order):

CANCER: Research confirms cancers thrive in acidic conditions where little oxygen is present, but cannot grow in alkaline conditions which are rich in oxygen. For example, there is no such thing as "heart cancer" because blood flowing to the heart from the lungs is highly oxygenated. and slightly alkaline to maximise its oxygen yielding capacity.

The typical western diet, high in animal products, sweets, processed foods and anything fried, turns the pH of blood acidic, making it less able to deliver oxygen to vital organs thereby leaving them more prone to cancer formation. All minerals and trace minerals are alkaline by nature and work in unison to keep your bloods 'pH' at 7.45. MicroMins by NutriPLUS contains the full spectrum of trace minerals and is particularly rich in magnesium, chloride, potassium and sulphate

ALZHEIMERS/SENILITY: Recent studies show that emotional stress can increase the risk of developing senility. Restrained lab mice developed protein tangles in their brains similar to those seen in Alzheimer's victims. Unrestrained mice showed no such tangles. Calcium, magnesium, iron, phosphorus, manganese, tin and zinc have demonstrated combined reductions in stress and can prevent protein-induced brain tangles.

ARTHRITIS: A "self-attacking-self" disease due to an immune system weakened by viral infection, emotional stress or both. Zinc and selenium are often deficient in those with arthritis. These minerals and magnesium remove the "confusion" by restoring "chemical balance" to the body. Both trace minerals are present in MicroMins.

DEPRESSION/MOOD SWINGS: Depression is a whole-body illness. Mood swings, for example, are usually attributed to low blood sugar (hypoglycemia). Iron, zinc, magnesium, lithium and potassium boost levels of brain chemicals called neurotransmitters that ease tension and make us more alert. Chromium, vanadium, copper and manganese raise blood sugar levels to stabilize our moods and make us feel better.

DIABETES: This is a metabolic disorder with abnormally high blood glucose levels. Common symptoms include frequent night time urination, excessive thirst, increased appetite, unintentional weight gain/loss, blurred vision, fatigue, physical weakness numbness and tingling in the hands and feet. Diabetes is an autoimmune disorder, resulting from a mistaken attack by the immune system on otherwise healthy insulin-producing cells in the pancreas. Chromium, manganese, selenium, tin, vanadium and zinc all contribute towards rectifying these problems

HEART DISEASE (CARDIOVASCULAR DISEASE): Hypertension is often a precursor to heart problems. Potassium reduces hypertension through enhanced kidney function. Magnesium removes obstructions in the heart arteries while boron reduces magnesium excretions. Calcium lowers cholesterol build-up in the heart. Chromium enhances "good" (HDL) cholesterol, as does copper, helping to prevent heart disease. Fluoride reduces calcified heart valves, which is very common with ageing. Iron enhances oxygen transfer to the heart. Selenium reduces atherosclerosis that is invariably linked to heart attacks. Vanadium reduces fat and cholesterol in blood serum. Other trace minerals such as manganese, zinc, molybdenum, tin, nickel and silicon play additional roles in preventing heart disease.

OSTEOPOROSIS: This is a progressive disease in which bones gradually become weaker, causing changes in posture and increasing the risk of fractures. Boron, calcium, copper, iron, magnesium, sulphur, zinc, and manganese increase bone mass and reverse such bone deterioration.

These are the top seven health conditions, but they are really just the tip of the iceberg. Trace minerals are vital for joint movement, positive emotions, heart function, strong bones, good circulation, and brain health.

MicroMins ([http://www.nutriplusonline.co.uk/listman/listings/l0083.shtml]) is the only product we know of that is, made entirely by nature and equipped with the mineral-composition and richness necessary for addressing these top medical concerns.

10Apr/09Off

Dealing With Asthma



Having been raised on a farm, I'm sure we lived with, and inhaled, all the plants and dust particles that they now alert us to that make the pollen count such that one should stay inside if you have a breathing problem. That was just a "way of life" for us at that time and we didn't even consider what might be causing a problem breathing.

As time progressed and man made chemicals began to be used for flies, and other annoying insects, DDT was introduced to protect animals from them. And so it was that, on the farm, DDT was used to spray the cows before we left them out to pasture in the fields. This was the first thing I can remember that really affected me. It bothered me to inhale, making my eyes water and itch, and my nose drip, so I was excused from spraying the cows, or even remaining in the barn when someone else did it. Apparently I was allergic to what was used in the DDT to keep the flies away.

To my knowledge, I was not allergic to any other product although, in fall when everything ripened, I apparently was bothered to some extent because I got the usual runny nose and itchy eyes. After several weeks that would leave again and I was fine.

When I was older, I usually had a cold for the Christmas season. With quite a few nephews and nieces by that time in my life, I would feel frustrated because I felt I shouldn't get too close if I had a winter cold.

It wasn't until many years later, after raising our own family and still getting that cold for Christmas, that this annual affliction came about the second week in December and it was gone after a number of days. I was happy about that because it meant I wouldn't have the usual illness for Christmas. I was disappointed when it all returned, a day or two before the holidays began, only this time it didn't go away. After a couple weeks of that I contacted my doctor and he suspected there was more to it than I thought. He inquired about when we would put our Christmas tree in and, because we always did that several days before, he suspected I was allergic to the tree. He suggested that I have testing done to see if there were other items I was allergic to and, after testing near to 100 items, it was determined that I indeed was allergic to specific molds, certain trees, cats, and dogs, even though we no longer had either of them in our home. Needless to say, we used an artificial tree since that time.

Further testing, including the Pulmonary Function test, showed that I was suffering from Asthma so I was under a doctor's constant scrutiny. Being put on medication helped, however, it caused me to gain weight and I found myself fighting to not take what was all prescribed. Eventually, I found myself gasping for air and ended up in emergency twice. When Gil, my husband, had foot surgery, I needed to do the driving and one visit to his doctor was at a time when I could not get my air. Sitting in the car, I looked at him and said, "You know, we're like two little old people trying to take care of each other," and we laughed about it, though it's hard to laugh when you are struggling for air. It was at that doctor's visit when he asked my doctor if I would be that way if I didn't fight taking what was prescribed for me. The doctor's emphatic "No" left an impression on me. That, along with him telling me that it affected my heart when I had to breathe so hard to get my air, put a little fear in me.

It was later, when someone gave me a book about asthma to read, I could see that I had the tendencies described in the book, which was to "fight" taking the "drugs" as I referred to them. In my mind I'd determined that no one was going to make a "drug addict" out of me and, since these were the most drugs I'd ever taken at one time, I was determined that I could get along without so many. Eventually I learned to deal with that problem.

Being unable to breathe is no fun. At my place of work one morning, I called the gal who came in to help me and asked if she would bring an Anacin, or other aspirin, assuring her that there was nothing wrong, and I'd explain to her when she came in. She arrived about 8:00 a.m. and at approximately 8:05 I took an aspirin. I knew I had an infection and was going to see a doctor but an aspirin, I felt, would help until I got there, later in the day.

I learned a lesson on that day because it wasn't too long before I could not breathe. Using my inhalers I tried to help myself and, thinking that going outside would help, I did that. It was all to no avail and I returned to my office and asked her to call Gil. I needed medical help. The janitor happened to come in and said he was taking me to the hospital at once, which he did. When the door on the car closed, I felt really panicky; it was as though all air was shut off from me.

On arriving at the hospital, he parked and we proceeded to go inside where he said, very loudly, "she's having an asthma attack." Those waiting in the room immediately all looked at me and the attendants ran for a wheel chair and wheeled me to emergency. They immediately gave me an adrenalin shot so in a short time I could get air once more, however, my body seemed to fly out of control. Later they gave me another shot which calmed my body down. It was through this experience, and not a nice one, I discovered that an asthmatic should not take aspirin. I was released from the hospital the following day, after they had thoroughly checked everything, however I will never forget that experience and have not taken an aspirin since then.

The next time I required help to breathe was when I was given an injection for dental work. Later results, sending me to emergency, frightened me to the point where I refuse injections when I go to see my dentist. It may be painful but it certainly isn't anything compared to not being able to breathe. That time I came home from emergency the same evening I was taken in. The trip to the hospital in our family car was, once again, a scary time and opening the window to put my head out, trying to get air in my lungs, was all useless because my airways were restricted. It's a time I soon tried to forget.

I found, quite by accident, that I've gotten to be allergic to a couple other medications that include sulfa, which I'd been given a number of times for an infection, and iodine that was used in the vein, both causing the hives. Our bodies apparently change with added years so I am cautious when I am given medications for some ailment.

After about 25 years, my medications have lessened and, although I "run out of air" if I walk fast, carry heavy objects, etc. I am happy that it has gotten so much better and I can live with it. With aspirin advertised for various ailments, I wonder how many people know that aspirin causes an attack. Hopefully, someone told them about it and they don't have to learn in the manner I did.

I feel concern for children who have asthma because I feel an adult can reason why this may be happening, but it must be terribly frightening to a child. I pray their parents, or caretakers, know what can happen and what they are able to do. My recommendation is that every parent with an asthmatic child make themselves aware of all the dangers of taking medication, even aspirin, before they give it to their child.

9Apr/09Off

The Good and Bad of the Hip and Knee Replacement



When I speak with other orthopedic doctors, one thing is clear-hip and knee replacement surgeries are on the rise. As the baby boomer generation grows older, demand is growing for these increasingly common surgeries, according to a study presented at the American Academy of Orthopaedic Surgeons' 2006 annual meeting.

It's obvious that the baby boomers are not so willing to give up their active lifestyle and leisure pursuits, so hip and knee replacement is going to be more prevalent as time goes on! So the question for many over the age of 55 is:

Is Surgery For You?

When people suffer from severe osteoarthritis, hip or knee replacement is often the best option to stay active longer. In over 70% of patients, implants replace joints that are damaged or worn out due to osteoarthritis. But many also have the same surgery performed due to fractures, injury trauma or rheumatoid arthritis. Although the average age of patients is 71 years old, the trend seems to be leaning toward younger and younger patients.

Undergoing a hip or knee replacement is a major decision for you and your doctor, so it may help to know that 82% of 1,001 patients surveyed by Consumer Reports were "very satisfied" or "completely satisfied" with their results.

As I tell my patients, however, recovery doesn't happen overnight and may be painful. Of the people surveyed, the majority was able to cease taking pain medication after two months, but 12% were still taking it one year after surgery.

It is encouraging to know that 90% of patients could do everyday activities after one month. At the same time, it is important not to push your body too hard. In fact, one-third of hip patients and one-quarter of knee patients were unable to walk half a mile one year after their surgeries. While most people have success with replacement surgery, there is a small chance of infection, and complications, like weakened muscles and legs of unequal length, can occur.

Are There Less Drastic Alternatives?

It is true that a standard replacement gives most people the best possible results, but some alternatives are available:

Hip resurfacing - This procedure can help even severe arthritis sufferers by employing a smaller implant and removing less of the bone than standard replacement surgery.

Knee Osteotomy - Best for young, active patients, this surgery shifts pressure off of the weakest part of the joint. It is an option for people whose arthritis is located on only one side of the knee.

Partial knee replacement - This is a choice if you have limited osteoarthritis and involves resurfacing only one compartment of the knee.

Although hip or knee replacement-or the alternatives-is a big decision, it is important not to wait too long. If you have pain that makes it difficult to sleep and perform everyday tasks, and doesn't respond to pain medication, you should see an orthopedic surgeon who will help you decide what course of action to take.

The good news is that joint replacements are improving, so chance of success is high, and patients can enjoy many years of freedom from aches and pains. There is no reason why you shouldn't make your golden years as active and fulfilling as possible.

8Apr/09Off

Vertigo, Dizziness and Dysequilibrium



Many people with balance disorders confuse the symptoms that they are experiencing, which can have harmful consequences when presenting to your doctor, who will often medicate you based upon your complaint. First off, vertigo is a symptom, not a diagnosis.

It is a symptom of spinning, or feeling as though you, or the environment is going around and around. The most common form of this is when you get into or out of bed, and suddenly you are holding on as the room begins to spin violently. This is the most common form seen in my office, which is also the easiest to treat with close to 100% success in a single office visit.

Dizziness, also a symptom, not a diagnosis, is a sense of lightheadedness, or almost a feeling as though you are going to pass out. Dizziness does not include the rotary spinning sensation of vertigo.

Dysequilibrium, again, a symptom, not a diagnosis, is quite simply a loss of balance. You may feel as though you lean to one side or fall to one side on walking, or just feel as though you may fall at any instant. Often, dizziness and dysequilibrium are the direct result of untreated vertigo. Left untreated, each attack of vertigo changes the brains monitoring and regulation of the postural systems, which over time, causes less than desirable changes, which include poor stability and thus increased risk of fall.

This is actually an endemic problem currently, with falls being the leading cause of death in the elderly, and the leading cause of nonfatal injuries in all-remaining age groups. To appropriately treat any of these symptoms however, the key remains in being able to accurately diagnose what is wrong. This is the focus of my office, fit with a complete vestibular laboratory and balance center. Drug therapies such as frequently prescribed vestibular suppressant medication such as Meclizine, (Antivert), will often magnify symptoms of dysequilibrium due to the slowing of nerve conduction and thus slowed reaction times, comparable to that of alcohol use. Worse still, they have no benefit as a treatment. They merely reduce ones perception of symptoms temporarily.

5Apr/09Off

Post Anesthesia Nicotine Withdrawal



You are probably anxious about an upcoming surgery and on top of that you know you will have to go hours without having a cigarette before, during and after surgery. When someone smokes they are fully aware that the nicotine has total control over them and if they don't have a cigarette, withdrawal symptoms will emerge. Post anesthesia nicotine withdrawal makes the process worse.

When you begin to come out of anesthesia you will most likely be given pain pills. You are glad for that, because you think it will knock out that incredible nicotine withdrawal headache, but in most cases it doesn't. Of course the best thing to do is to quit smoking at least six to eight weeks before a scheduled operation.

If you continue to smoke before the surgery, be prepared for the post anesthesia nicotine withdrawal symptoms which are quite uncomfortable. Not only that, take note that smokers are at a greater risk for wound infections after surgery, because smoking takes oxygen away from the cells that are important for the healing process.

Smokers, on average, will spend two - three days longer in the hospital after surgery than non-smokers. Vasoconstriction is when the small blood vessels shrink. This is what happens to smokers and then there isn't enough hemoglobin to move oxygen from one part of the body to the part that was surgically worked on.

Remember that smoking takes a toll on your heart, lungs and immune system. After surgery, as a smoker, you have a much greater risk for circulatory problems, heart problems and other related complications. If you are scheduled for any type of surgery, even if it's considered minor surgery on an out-patient basis, you are still going to be under anesthesia and will need healthy cells for an on-course and quicker healing process.