If you have chronic fatigue, aches and pains, fibromyalgia, depression or any other non-specific symptoms that your conventional medical doctor has been having a difficult time solving, you may have Adrenal Fatigue. Dr. Vivian DeNise, Integrative Physician at Patients Medical and Elisa Haggarty of Culinary Farmacy explain what Adrenal Fatigue is, why it happens, what foods can help you feel more balanced and how to treat it naturally, safely and effectively.
Adrenal Fatigue is an umbrella term for a group of symptoms caused by the adrenal glands functioning at less than optimum capacity and as a result, fail to produce adequate amounts of hormones needed by the body. This slideshare helps to explain adrenal fatigue, its symptoms, causes and briefly discusses how to heal from it. In addition, it gives advise on how to best diagnose Adrenal Fatigue and offers a link to a website with more free resources on this health condition.
AHS13 Grayson Wheatley - What is Optimal Health? Complexity Science, Chaos Th...Ancestral Health Society
An ancestral lifestyle relies on alignment of nutrition, physical activity and sleep for achieving optimal health and well-being. New research in complexity science - a rapidly evolving body of work that studies dynamic networking systems - has cast doubt on the effectiveness of how we measure expected outcomes in health and medicine. Complex systems may better explain human health by focusing not on single data elements as “cause-and-effect” but on the interactions among complex biological systems. The implications of complexity science and chaos theory on leading an ancestral lifestyle and achieving optimal health will be discussed.
Adrenal Fatigue is an umbrella term for a group of symptoms caused by the adrenal glands functioning at less than optimum capacity and as a result, fail to produce adequate amounts of hormones needed by the body. This slideshare helps to explain adrenal fatigue, its symptoms, causes and briefly discusses how to heal from it. In addition, it gives advise on how to best diagnose Adrenal Fatigue and offers a link to a website with more free resources on this health condition.
AHS13 Grayson Wheatley - What is Optimal Health? Complexity Science, Chaos Th...Ancestral Health Society
An ancestral lifestyle relies on alignment of nutrition, physical activity and sleep for achieving optimal health and well-being. New research in complexity science - a rapidly evolving body of work that studies dynamic networking systems - has cast doubt on the effectiveness of how we measure expected outcomes in health and medicine. Complex systems may better explain human health by focusing not on single data elements as “cause-and-effect” but on the interactions among complex biological systems. The implications of complexity science and chaos theory on leading an ancestral lifestyle and achieving optimal health will be discussed.
Tables are the evidence that patients can do self-healing for chronic disease...Van Dao Duy
Tables are the evidence that patients can do self-healing for chronic diseases from applying Papaya leaf juice, baking soda, aspirin, sugar, temperature, Vietnamese Qi Gong, breathing, exercise, metabolism, and traditional medicine.
Van Duy Dao – Trainer, Author of Awaken You Wonderful We.
http://www.awakenyouwonderfulwe.com/2020/03/self-healing-diabetes-hypertension.html http://www.awakenyouwonderfulwe.com/2020/03/self-warming-hand-feet-and-whole-body.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-healing-irritation-bowel.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-treating-insomnia-headache.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-healing-hepatitis-liver.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-treating-cold-asthma-coughing.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/tips-to-help-self-treating-sinusitis.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/removing-trigger-points-to-treat.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-healing-diabetes-hypertension.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/series-of-self-healing-on-slideshare.html
Thank my beloved readers!
Thanks you for your times.
Feel free to test these ideas. From my heart, I know that these works can benefit many people. Together we can make a better world. Feel free to share this, give us reviews for the webs, book, reviews article and online Vietnamese courses. Any fair use copy is approved.
One again, thank you!
Awaken parents make wonderful kids.
Awaken teachers make wonderful students.
Awaken employees make wonderful organizations.
Awaken employers make wonderful all.
Awaken ones make wonderful jobs.
Awaken leaders make wonderful world.
That's why I think of "Awaken You wonderful we"
*********************
Xin cảm ơn bạn đọc, mọi sao chép có trích dẫn luôn được phê duyệt. Từ trong tâm, tôi biết rằng, cùng với nhau, chúng ta có thể làm nên nhiều thứ tốt đẹp hơn.
With love,
Van Dao
Hanoi, Vietnam. 1/2020
Naturopathic physician and psychotherapist Dr. Maya Nicole Baylac, presents essential strategies for overcoming stress, anxiety and fear. In this presentation Dr. Baylac demonstrates the physiccal and psychological effects of chronic stress and she empowers individuals with skills for making positive lifestyle changes geared toward helping them achieve optimum health.
Read the article based on the transcription of this presentation -
http://www.hawaiinaturopathicretreat.com/2014/07/the-dynamics-of-stress-anxiety-and-fear-in-modern-society-and-strategies-for-coping/
This presentation, Anxiety: A Naturopathic Psychiatric Approach, was delivered by Dr. Maya Nicole Baylac at the 2014 ICNM (International Congress on Naturopathic Medicine) in Paris, France.
The presentation discusses:
- The symptoms of anxiety, its physical and psychological symptoms and anxiety disorders.
- The origin of anxiety, the body's response to chronic and acute stress.
- The Neurophysiology of Stress.
- Adapted and Maladapted Stress Response. Acute and Chronic Stress.
- Effect of Anxiety on Mental and Physical Health.
- Conventional Treatment of Anxiety. Benzodiazepines + SSRIs.
- Naturopathic Assessment of Anxiety. History taking, Physical Exam, laboratory Testing.
- Treating the Cause. Fear, Emotional Stress and Oxidative Stress.
- Treatment. Eliminating Environmental and Social Stressors.
- Treatment: Biochemistry of Anxiety. Nutrition, Detoxification, IV, Exercise.
- Case Study with Treatment Outcome.
Dr. Houston Anderson is one of the premiere natural medicine doctors in Arizona. His office is located in Chandler, AZ, but many of his patients drive from Gilbert, Mesa, San Tan, Tempe and Ahwatukee for his specialized holistic care. The Top 3 Female Hormones Imbalances is a presentation he has made multiple times and loves to share with those searching for holistic healthcare.!
Integrative and Holistic approach to treating postpartum depression. Symptoms can be reduced with a combination of medications, dietary adjustments, supplements, and lifestyle changes.
Hormonal Imbalance Effects on Women HealthGods Own Store
Hormonal imbalance is the inability of human body to produce certain hormones in the right amount leading to complications including infertility, anxiety, fatigue, hair loss, mood swings, blood sugar problems, etc. These may be caused due to many reasons such as diet, lifestyle, or certain diseases. Check out the effects of hormonal imbalance in women.
There's a natural treatment to Chronic Fatigue Syndrome that I bet you haven't considered. With 1 million people diagnosed, spreading the word about this treatment for CFS will change lives. Remember to share.
Tables are the evidence that patients can do self-healing for chronic disease...Van Dao Duy
Tables are the evidence that patients can do self-healing for chronic diseases from applying Papaya leaf juice, baking soda, aspirin, sugar, temperature, Vietnamese Qi Gong, breathing, exercise, metabolism, and traditional medicine.
Van Duy Dao – Trainer, Author of Awaken You Wonderful We.
http://www.awakenyouwonderfulwe.com/2020/03/self-healing-diabetes-hypertension.html http://www.awakenyouwonderfulwe.com/2020/03/self-warming-hand-feet-and-whole-body.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-healing-irritation-bowel.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-treating-insomnia-headache.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-healing-hepatitis-liver.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-treating-cold-asthma-coughing.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/tips-to-help-self-treating-sinusitis.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/removing-trigger-points-to-treat.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/self-healing-diabetes-hypertension.htmlhttp://www.awakenyouwonderfulwe.com/2020/03/series-of-self-healing-on-slideshare.html
Thank my beloved readers!
Thanks you for your times.
Feel free to test these ideas. From my heart, I know that these works can benefit many people. Together we can make a better world. Feel free to share this, give us reviews for the webs, book, reviews article and online Vietnamese courses. Any fair use copy is approved.
One again, thank you!
Awaken parents make wonderful kids.
Awaken teachers make wonderful students.
Awaken employees make wonderful organizations.
Awaken employers make wonderful all.
Awaken ones make wonderful jobs.
Awaken leaders make wonderful world.
That's why I think of "Awaken You wonderful we"
*********************
Xin cảm ơn bạn đọc, mọi sao chép có trích dẫn luôn được phê duyệt. Từ trong tâm, tôi biết rằng, cùng với nhau, chúng ta có thể làm nên nhiều thứ tốt đẹp hơn.
With love,
Van Dao
Hanoi, Vietnam. 1/2020
Naturopathic physician and psychotherapist Dr. Maya Nicole Baylac, presents essential strategies for overcoming stress, anxiety and fear. In this presentation Dr. Baylac demonstrates the physiccal and psychological effects of chronic stress and she empowers individuals with skills for making positive lifestyle changes geared toward helping them achieve optimum health.
Read the article based on the transcription of this presentation -
http://www.hawaiinaturopathicretreat.com/2014/07/the-dynamics-of-stress-anxiety-and-fear-in-modern-society-and-strategies-for-coping/
This presentation, Anxiety: A Naturopathic Psychiatric Approach, was delivered by Dr. Maya Nicole Baylac at the 2014 ICNM (International Congress on Naturopathic Medicine) in Paris, France.
The presentation discusses:
- The symptoms of anxiety, its physical and psychological symptoms and anxiety disorders.
- The origin of anxiety, the body's response to chronic and acute stress.
- The Neurophysiology of Stress.
- Adapted and Maladapted Stress Response. Acute and Chronic Stress.
- Effect of Anxiety on Mental and Physical Health.
- Conventional Treatment of Anxiety. Benzodiazepines + SSRIs.
- Naturopathic Assessment of Anxiety. History taking, Physical Exam, laboratory Testing.
- Treating the Cause. Fear, Emotional Stress and Oxidative Stress.
- Treatment. Eliminating Environmental and Social Stressors.
- Treatment: Biochemistry of Anxiety. Nutrition, Detoxification, IV, Exercise.
- Case Study with Treatment Outcome.
Dr. Houston Anderson is one of the premiere natural medicine doctors in Arizona. His office is located in Chandler, AZ, but many of his patients drive from Gilbert, Mesa, San Tan, Tempe and Ahwatukee for his specialized holistic care. The Top 3 Female Hormones Imbalances is a presentation he has made multiple times and loves to share with those searching for holistic healthcare.!
Integrative and Holistic approach to treating postpartum depression. Symptoms can be reduced with a combination of medications, dietary adjustments, supplements, and lifestyle changes.
Hormonal Imbalance Effects on Women HealthGods Own Store
Hormonal imbalance is the inability of human body to produce certain hormones in the right amount leading to complications including infertility, anxiety, fatigue, hair loss, mood swings, blood sugar problems, etc. These may be caused due to many reasons such as diet, lifestyle, or certain diseases. Check out the effects of hormonal imbalance in women.
There's a natural treatment to Chronic Fatigue Syndrome that I bet you haven't considered. With 1 million people diagnosed, spreading the word about this treatment for CFS will change lives. Remember to share.
Are you giving your body everything it needs to function properly? Check out this quick reference guide from Vita Living to learn how to enhance your daily diet with vitamins, supplements and other natural health products.
Vitamins as coenzymes, different forms and deficiency disorders Lovnish Thakur
Vitamins are organic compounds which are needed in small quantities to sustain life.
Get from food, because the human body either does not produce enough of them, or none at all
Holistic physician, Dr. Vivian DeNise explains the difference between bio-identical hormone replacement therapy and synthetic hormones. She also details symptoms and medical conditions that may result from unbalanced hormones and benefits of getting balanced by an expert holistic doctor.
Squeaky Clean for 2013 Delicious Detox Seminar with Dr. Vivian DeNise and Eli...Patients Medical
Dr. Vivian DeNise, Integrative Physician and Elisa Haggarty, healthy chef let you in on why EVERYONE needs to detox, and how to do it safely and deliciously! Recipe for a Green Smoothie included.
Holistic physician and pediatrician, Dr. Vivian DeNise at Patients Medical gives information on how to tell if a patient needs to be evaluated for ADD or ADHD, tests to find the "root cause" of the symptoms, and natural treatment options for both children and adults living with ADD or ADHD.
Your Thyroid: The Master Gland You May Not Even Know ExistsPatients Medical
Dr. Vivian DeNise explains what your thyroid gland is, how it works and what hypothyroid and hyperthyroid conditions are. She also reveals how integrative diagnostics and conventional diagnostics differ.
Balance Your Hormones - Balance Your Life! with Bio-Identical Hormone Pellet ...Patients Medical
Dr. Marcia A. Harris, holistic gynecologist at Patients Medical explains why bio-identical hormones are WAY better for you than synthetic hormones and how pellet therapy can provide a more stable and convenient method of delivering the hormones to your body than pills or creams.
With conventional allopathic medicine, when we present our symptoms to our doctors we are hoping for a solution. What we often receive is a diagnosis accompanied by a prescription to relieve our symptoms, and we are sent home. However, symptoms are the body’s way of telling us that something is out of balance; similar to the warning light that pops up on the dashboard of our cars when something is wrong.
Adrenal fatigue, bioidentical hormones, and health literacydjtoft
Prepared for second year medical students - a discussion of the medical claims made by popular health trendsetters in the press, why large audiences flock to these 'news' outlets, how this impacts health literacy of the population, and the role of medical practitioner to promote health and health literacy.
MANopause and the Aging Prostate with Dr. Kamau KokayiPatients Medical
Dr. Kamau Kokayi discusses andropause, men's hormone balance and the factors that lead to Prostate Cancer in men. He also discusses holistic treatment protocols that he recommends for men suffering with testosterone deficiency (low T) and other related medical conditions.
Autoimmune diseases share a common thread: they involve an immune system that mistakenly attacks the body’s own healthy tissue. They are often misdiagnosed but can have
severe health consequences, which is why a holistic approach is necessary for a complete understanding. Our Autoimmune panel is a global resource for creating in-depth insights on consumer ailments.
Geriatric Population. Geriatric Palliative and End-of-Life Care.Michelle Peck
During your journey through this slide deck Geriatric Population. Geriatric Palliative and End-of-Life Care you will experience what it means to die badly.
After practicing as a Geriatric Clinician for over a decade what I know for sure is: Life is a tremendous gift. 100% of us are going to die. If you don't communicate your end-of-life plan, then you should plan on dying badly.
In The Cost of Dying: End-of-Life Care on CBS 60 minutes Steve Kroft interviews Doctor Ira R. Byock. “Families cannot imagine that there could be anything worse than their loved one dying, but in fact there are things worse, generally it’s having someone you love die badly.” ~Doctor Ira Byock
“Dr. Byock what do you mean dying badly?” ~Mr. Kroft
“Dying suffering, dying connected to machines, denial of death at some point becomes a delusion and we start acting in ways that make no sense whatsoever.” ~Doctor Ira Byock
A majority of Americans say they want to die at home. Why is this not happening?
Place of death should be regarded as an essential goal in end-of-life care.
Let’s explore how the end-of-life decision occurs?
For Doctors
Bernacki & Block (2014) found in their review and synthesis of best practices that physician attitudes, training, and perceptions of feeling inadequate in managing the emotional and behavioral reactions of patients all play a role. A majority of trainees were not taught how to communicate and they express strong desires to learn more. Physician barriers also include not addressing psychosocial concerns, placing focus on diagnoses, treatments, and procedures during discussions about the medical care at the end-of-life.
For Patients
Bernacki & Block (2014) found that patients who do bring up dying concerns with their physicians often meet barriers and often are not aware that they are at the end-of-life. Patients that have not set goals based on meaningful conversations about their desires may overuse life-prolonging treatment and underuse services that support quality of life.
Conclusion
Bernacki & Block (2014) found that there is a large body of evidence demonstrating that early discussions of serious illness care goals are associated with:
♛ beneficial outcomes for patients,
♛ no harmful adverse effects, and
♛ potential cost savings.
Apply & Do
To prevent dying badly start early conversations, enhance your knowledge and establish goals. Dreams are only dreams until you write them down. When you write dreams down then they become goals.
Do ♛ The Conversation Project a collaboration with the Institute for Healthcare Improvement. http://theconversationproject.org/starter-kit/intro/
Do your conversation kit now and make your loved ones aware of your wishes.
Wishing you the very best, Michelle
Bernacki RE, Block SD, for the American College of Physicians High Value Care Task Force. Communication About Serious Illness Care Goals: A Review and Synthesis of Best Practices. JAMA Intern Med. 2014;174(12):1994-2003.
Supercharge your brain and ditch anxiety and depression for good!Patients Medical
Dr. Vivian DeNise of Patients Medical and Dr. Sandlin Lowe of The Amen Clinic New York explain the causes of anxiety and depression, the cutting-edge technology that can be used to diagnose deficiencies in the brain that cause these conditions and several non-invasive holistic medical approaches that we use to treat.
Stem Cell Therapy Clinical Trial at Patients MedicalPatients Medical
Dr. Kamau Kokayi from the New York Stem Cell Treatment Center at Patients Medical gives the latest information on the amazing discoveries and healing capacity of stem cells and details on enrolling in the current clinical trial at NYSCTC.
Dr. Victor I. Rosenberg exposes plastic surgery gimmicks such as "Gummy Bear" Implants, Vampire Facelifts and SmartLipo. After 40 years in the industry, he reveals what really works to get you the best results for your money.
Weight No More! HCG Diet Seminar with Dr. Marcia A. HarrisPatients Medical
Dr. Marcia A. Harris gives you the scoop on her own personal experience with the HCG Diet, who it's best for and how it may help you lose over 30 pounds in a month!
Stem Cell Therapy: The Future is Here! Find Out About the Clinical Trial and ...Patients Medical
Dr. Kamau Kokayi, Director of New York Stem Cell Treatment Center at Patients Medical presents research on how stem cell therapy has helped patients already.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. A holistic medical center
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Focus on the root cause
Integrate modern medicine, holistic
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11. Please tell us what
you liked and what
you would like to
see from us in the
future!
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12. Introducing our speakers:
Vivian DeNise, DO
ABAARM, FAARM
Integrative Internal Medicine
Holistic Pediatrics
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13. Completed her medical degree
at New York College of
Osteopathic Medicine
Certified in Integrative Medicine
with the American Academy of
Anti-Aging Medicine (A4M)
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14. Specialties include
Balancing Adrenal Function
Detoxification
Hormonal Imbalances
Nutritional Deficiencies
Thyroid Disorders
Weight Loss
Gastro-Intestinal Problems
Women’s and Men’s Wellness
Pediatrics
And many more!
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16. Introducing our speakers:
Elisa Haggarty of Culinary Farmacy
Certified Holistic Health Coach &Natural Foods Chef
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17. Received Professional
Holistic Health Coaching
training at The Institute for
Integrative Nutrition
Training at The Natural
Gourmet Institute
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18. Studied over 100 different
dietary theories
Uses food, stress
management and other
techniques to help women
live an abundantly rich life!
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27. Lack of energy and motivation usually
in response to:
physical exertion
emotional stress
lack of sleep
boredom
“other”
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28. Fatigue can be a single symptom, a
cluster of symptoms or a clinical
syndrome such as chronic fatigue
syndrome or cancer.
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29. Symptoms of fatigue can be divided
into 3 separate categories:
Physical
Cognitive
Emotional
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30. Reduced activity
Low energy
Tiredness
Decreased physical endurance
Increased effort with physical tasks and
with overcoming activity
General weakness
Heaviness, slowness, or sluggishness
Non Restorative sleep
Sleeplessness
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37. A phenomenon due to oxidative stress and
mitochondropathy
Oxidative stress occurs at the cellular level
Imbalance between free radicals and anti-
oxidants
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38. Infectious
Chronic Fatigue Syndrome
Fibromyalgia
Lyme Disease
Hepatitis C
HIV / AIDS
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39. Fatigue must be present for ≥ 6 months
A decrease of functional activity and somatic symptoms and
pain not attributable to a specific diagnosis or disease
In addition at least 4 of the following must be present
Sore throat
Impaired memory or cognition
Un-refreshing sleep
Post-exertional fatigue
Tender glands
Aching stiff muscles
Joint pain
Headaches
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40. Central Nervous and Hormonal Imbalance
Imbalance in neurotransmitters
Cortisol Deficiency
Disturbance of Circadian Rhythms
Infections
Immune System Abnormalities
Allergies
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41. Is defined as chronic
diffuse pain in absence of
inflammatory or structural
musculoskeletal
abnormalities. In addition,
fatigue, sleep and mood
disturbances are also
present.
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43. 4 Major Categories
1. Physical Stress
2. Chemical Stress
3. Thermal Stress
4. Emotional Stress
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44. 1. Overworking or shift work
2. Lack of sleep / insomnia
3. Athletic over-training
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45. 40 million people in the US have some kind of problem with
sleep
Accounts for more than 50% of doctor visits each year
Affects 25-40% of all children and adolescents
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46. Chronic stress
Caffeine
Carbohydrates before
bed
Restless Leg Syndrome
(RLS)
Sleep Apnea
Alcohol or Drug Abuse
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47. Not only causes fatigue but also
Deficits in memory
Decreased concentration
Depressive mood
Irritability
Decreased libido or Erectile Dysfunction
(ED)
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48. In one study, Severe Fatigue was reported by
11% of Adolescents in the 11-14 year old age
17% of the 13-16 year olds
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49. Environmental pollutants such as
Insecticides and Pesticides
Heavy Metal Poisonings such as
Mercury, Aluminum
Food Additives and allergies
Vitamin and Mineral Deficiencies
Medically prescribed drugs
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50. Eating fish or shellfish
Dental work such as Mercury amalgams
Breathing contaminated vapors or skin
contact with: antiseptics, bactericides,
batteries, cosmetics, fabric softeners,
floor wax and polish, paints, tattoo inks,
perfumes, etc.
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51. Aspartame = AsparticAcid + phenylalanine +
methanol
Accounts for > 75% of adverse reactions to food
additives reported to FDA.
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54. B12 deficiency may cause
Muscle weakness
Fatigue
Tingling of extremities
Mental Fogginess
Memory Problems
Mood Swings
Feeling of apathy
Lack of motivation
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55. Lack of Vitamin B5 (Pantothenic Acid) can lead
to adrenal exhaustion and ultimately to
destruction of the adrenal glands.
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56. Caffeine
Synthetic Estrogen
supplementation*
Sleeping pills
*Synthetic estrogen is NOT the same as Bio-Identical
Hormone Replacement Therapy.
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58. The adrenal glands are the second biggest
store of Vitamin C in the body.
If there is an insufficient amount of Vitamin C,
there will be insufficient amounts of adrenal
hormones made, leading to immune
deficiencies.
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59. Statins such as Lipitor, Crestor deplete CoQ10
Oral contraceptives
Antidiabetics such as the Sufonylureas,
Biguanides, Metformin
Anti Hypertensives: Hydralazine, Thiazides, B
blockers, Clonidine, Methyl dopa
Psychotropics: Phenothiazines, Tricyclic
Antidepressants, Haloperidol
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60. Meloncholic depression is associated with
hypercortisolism secondary to CRH
Atypical Depression is associated with
pathologic reduction of mediators and a
decrease in the hypothalamic CRH
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68. Essential for maintaining blood sugar levels
in the proper balance
Powerful anti-inflammatory
Decreases the effect of white blood cells
Direct effect on the heart and blood pressure
Influences behavior, mood, excitability
Regulation of adrenal sex hormones
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69. Difficulty in awakening in the morning
Lack of energy
Increased energy to do everyday tasks
Decreased sex drive
Decreased ability to handle stress
Increased time to recover from illness, injury or
trauma
Light headed when standing up quickly
Mild depression
Less enjoyment or happiness with life
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70. Increased PMS
Symptoms increase if meals are skipped or
inadequate
Thoughts less focused, more fuzzy
Memory less accurate
Decreased tolerance
Don’t really wake up until 10:00AM
Afternoon low between 3:00 and 4:00PM
Feels better after evening meal
Decreased productivity
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71. A careful history and physical from a
physician
Blood Tests
Salivary tests
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75. Proper amount of sleep
Proper nutrition including a lot of fresh
vegetables, fruits, nuts and legumes
Meditation, Yoga, prayer etc. for stress relief
Mild to moderate exercise
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77. We’ll address questions about Dr.
DeNise’s fees and insurance policies
towards the end,
but now is the time to ask your adrenal
fatigue questions!
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79. “Let food be thy medicine and medicine be thy food”
Hippocrates
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80. • Health started for me with a
bout of depression and anxiety.
• I learned to question the advice
given to me and the
prescriptions handed to me.
• No one in the medical community
inquired about my diet- my
lifestyle.
• I encourage you to find out what
works for YOU and never doubt www.culinaryfarmacy.com
that food has an amazing
capacity to heal us.
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81. Individual Heath Coaching Programs
4 Week Sugar Boot Camp
Health Supportive Cooking Classes
Workshops/Cooking Demos
10 day Whole Foods Winter Detox
*Ingredients to success: whole foods cooking,
local, seasonal, fresh, plant based, cleansing
and mind set shifts
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82. Food has a profound capacity to both cause
sickness or promote health.
Everyday, 3 times a day, and over 1,095
times a year we have the ability to change
the expression of our genes.
The most essential component of health, is
restoring energy…the naturally occurring
energy that our adrenal glands provide.
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84. SUGAR
Consuming foods you are allergic/sensitive too
(corn, yeast, wheat/gluten, dairy, eggs, soy, alco
hol are the top offenders)
Stimulants (coffee, chocolate or cacao)
Refined and processed foods = nutrient zappers
Stress
Toxic environments
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85. Ingredients
2 heaping tablespoons of cashew butter (can
use almond butter)
1 tbs tahini
1 heaping tablespoon of carob powder
1 tablespoon of coconut oil
1 tbs coconut nectar or natural sweetener
3/4 cup coconut flakes
dash of Himalayan sea salt
2 tablespoon of hemp seeds or flax seeds
Cinnamon to taste
1/4 cup sesame seeds for coating
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86. All you need is a food
processor, or high
speed blender
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87. Regulating blood sugar with balanced meals
it the key to adrenal health.
My formula for optimal blood sugar success
(on the plate)
FAT, FIBER & PROTEIN = stable blood sugar
and less adrenal stress
Fat: tahini, coconut oil
Fiber: hemp seeds, flax seeds, sesame seeds
Protein: almond/cashew butter, hemp & flax
seeds www.patientsmedical.com
88. Don’t believe the hype that fat is bad or even
that saturated fats will lead to coronary heart
disease.
Fat does not make you fat (hint…sugar is the
most common culprit in weight gain).
Fats, and especially saturated fats are essential
for blood sugar balance and hormone
regulation.
Fat breakdown & assimilation happens in the
small intestine (gut) and so it takes the longest
to digest.
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89. Is a Medium Chain Fatty Acid which help to
inhibit the growth of yeast (candida) and they
not stored as fat in the body.
MCFA’s create heat or thermogenesis in the
body and boost metabolism.
MCFA’s help boost immunity. It has Lauric
acid and is found in breast milk.
MCFA’s are needed for proper utilization of
the essential fatty acids! They work in tandem!
The heart draws on the MCFA’s in times of
stress.
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90. A really great alternative
to chocolate. Why avoid
raw cacao you ask?
Cacao is a stimulant-
containing theobromine
which is a relative of
caffeine.
• When rejuvenating the adrenals, we want to remove stimulants
• Carob is stimulant free, high in calcium, magnesium, Vit. A and D.
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91. Both very high in Omega 3 fatty acids
which are anti-inflammatory.
Both have dietary fiber (flax more so) and
both have protein.
Using hemp and flax seeds helps make
your meals/snacks more nutrient dense.
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92. Your adrenal glands keep you hydrated. If
you are constantly thirsty- that is a sign you
are off balance and you have weak adrenals.
Salt (unrefined Himalayan or Celtic) helps to
rehydrate your cells, electrifies your cells and
contain countless trace minerals.
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93. If you want to take control of your health,
naturally- all you have to do is ask.
I am offering each of you a free one hour
health breakthrough consultation!
Find out how to create your unique
culinary farmacy !
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94. It’s time to nourish your adrenal glands!
Value?
Renewed sense of health
Improved energy and mental clarity
Boost immunity
Become a culinary master of clean eating
Kick cravings
Feel more rested, balanced, leaner
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95. What you get!
Accountability and expert guidance
Access to a private Facebook group for support
10 day Meal Plan (guess work taken care of!)
Resources Packet shopping list and reminders
3 online tele-seminars (recorded mp3 files)
Options for taking the detox at your pace
Video food demonstrations
Recommended supplement list
Top 5 ways to detoxify beyond food
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96. Normal Registration rate $197
For YOU: $147
Tonight: $127
Nourish your adrenals without the stimulants,
sugar, and decrease inflammation by removing
allergens like: wheat/gluten/soy/dairy!
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103. Balance Your Hormones – Balance Your Life!
Dr. Harris explains how hormone imbalance can make your
sick, tired and CRAZY! Learn how all-natural Bio-Identical
Hormones work and why she recommends them.
Wednesday, February20th at 6:30pm
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104. Come See Our Holistic Ophthalmologist
Dr. Ayman Matta will be seeing patients on
Friday, February 22nd in the afternoon.
See one of our staff members for details and scheduling.
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105. Just for MEN: Boost Your Mojo Naturally
Dr. DeNise and Nutritionist/Personal Trainer, Judy Penta
explain how to improve your focus, physique, libido and
energy without dangerous OTC or prescription drugs.
Tuesday, March 19th at 6:30pm
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106. Are You Suffering from Hair Loss?
Get a free hair/scalp evaluation and
stem cell therapy consultation with
Dr. Paul A. Dreschnack
By Appointment Only
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107. Dr. Rashmi Dr. Kamau Kokayi, Dr. Marcia A. Harris
Dr. Stuart Weg, Dr. Vivan DeNise,
Gulati, Medical Holistic and Chinese Holistic GYN and
Alternative Pain Integrative Internal
Director Medicine Internal Medicine
Management Medicine and Peds
Dr. Eileen DiFrancesco Dr. Paul A. Dreschnack Dr. Victor I. Rosenberg
Dr. Gino Bottino Dr. L. Deanna Howard
Psychopharmacology Plastic Surgery Plastic Surgery
Holistic Oncology Holistic GYN
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110. To get more information or to schedule an
appointment,
call 212-679-9667 or
email media@patientsmedical.com
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Editor's Notes
Fatigue is one of the most frequent symptoms bringing patients into the doctor’s office today, sometimes leading to multiple visits without relief and the patient leaving feeling helpless and hopeless. Often times it is misdiagnosed as depression. Your fatiguenot only affects you but your work but more importantly your health and your family, the result can be devastating.
This is how you feel as you are about to get ready to go to sleep
It can be a single symptom such as I am tired, or a cluster of symptoms such as I am tired, I feel stressed out, I feel depressed.
People will develop a variety of different complaints depending on which of the body’s functions have been compromised and the general areas of susceptibility which they have inherited or acquired. It is unlikely the same combination of symptoms will be seen twice. The bodies reaction to stress is different in different people.
For example: your tired, you can’t get through your workout the way you use to , you have aches and pains. When you try to go to sleep you can’t and even if you do you still get up as if you didn’t sleep.
Often referred to as “brain fog”, you can’t get through daily things like reading the newspaper or an article the way you use to , you forget what your are doing, you have slow word recall you have mind chatter
You can be depressed or overwhelmed, everything seems to be an effort. You may no longer care about people and situations that use to bring you pleasure. Loved ones or coworkers may presume that the person is lazy or lacks motivtion, but we will see later in the presentation that nothing could be further from the truth, in fact the people with severe fatigue must drive themselves much harder.
The causes of fatigue also overlap and at times are difficult to sort out thus Making diagnosis difficult. Without a knowledgeable physician treatment can be reduced to the patient being given a prescription for an antidepressant and told to seek therapy. In fact sometimes this treatment will help for a short time until the patient no longer responds. Traditional medicine encourages the doctor to just up the dose. Perhaps it is depression but it could also be from anemia, or toxic exposure if you are a car mechanic or work in a salon. Perhaps you are deficient in Vitamin D3 like 3 out of 4 Americans. We will see that some medications have this as a common side effect. The possibilites are endless, so it is my hope to give you some helpful insight.
Neurologic diseases include:Parkinson’s,Alzheimers, Epilepsy, MSRhuematological diseases include Rhuematoid arthritis
It’s interesting to note that we frequently see hypoglycemia occurring in the adolescent age group due to their tremendous rate of metabolism and growth.
Fatigue is a central component of most diseases. Therefore it is essential to minimize your oxidative stress by increasing your antioxidants such as Vitamin C, CoQ10, eating organic foods and drinking clean water.
Most wooden playground equipment is treated with arsenic!
One theory of CFS is that there is activation of the immune system that causes an increase of inflammatory mediators. Inflammatory mediators work at the mitochondrial level to alter cell signaling, which causes a reduction of ATP (which is the energy source) in the mitochondria thus enhancing mitochondrial oxidative stress and producing severe fatigue.In a study published in Archives of General Psychiatry Jan. 2009, Heim and Nater found that childhood trauma is associated with a 6 fold increase in chronic fatigue syndrome.
Theories include an imbalance in neurotransimitters. Theses are chemicals made primarily in the brain that allows nerve cells to talk to each other, they can be excitatory or inhibitory and to make it even more confusing sometimes they can act as both depending on the situation :so some of these are abnormally high serotonin, decreased dopamine which have been associated with addictions and cravings or an imbalance of norepinephrine which causes lack of energy, focus, motivation and mood. Although I told you that most of the neurotransmitters are produced in the brain, norepinephrine one of them that is made in the adrenal glands primarily and this will become important later in our talk.Infections have included:Lyme, candida, herpes type6 Human T cell virus, EBV, measles, coxsackie B, CMV and parvo. 80% of all cases start with flu-like symptoms. In the US outbreaks are often found in clusters such as within the same household , workplace or community.The majority of patients with CFS have allergies to foods, pollen, metals(nickel,mercury). In theory these allergens begin to trigger the cascade of immune abnormalities.
Ok now we have gone over only some of the major diseases, so lets move on to other causes of fatigue. There are 4 major stress categories that play an enormous role in fatigue.
People who are involved in a weekly rotating shift have magnified stress because their bodies never have a chance to adjust to the new circadian rhythm produced by each sleep change. People on alternating shifts with less than three weeks between shift changes are continually hammering their adrenal glands. Every time the wake/sleep cycle is altered it takes several days to weeks to establish a new normal pattern for this cycle. It is known that shift work decreases one’s Serotonin level which leads to fatigue and depression.Lack of sleep can be caused by a variety of reasons such as stress, restless leg syndrome, sleep apnea or drug abuse. In addition athletes are one of our most underserved populations in American medicine. It is not uncommon for the doctor to just assume an athlete is in great health. However, over exercising especially for endurance athletes cause them lose their performance capacity. Studies have been published showing mutations in the mitochondrial DNA in muscle biopsies from athletes with sustained fatigue are consistent with those of patients with CFS.
It is interesting to note that 50% of all accidents caused by falling asleep at the wheel involves teenagers.
Carbs before bed keeps blood sugar high
The fatigue was either attributed to over exercising or being highly sedentary such as playing video games. Today many of our children are over extended. I have had children in my practice that were on hockey teams on the ice at 5 am because that was the only time the team could get ice time. These are not olympic hopefuls, there just regular kids . Many children play more than one sport often taking up 6 -7 days a week! Add this on top of the high demands of school work and you have a very fatigued child.
630,000 children are born each year with elevated levels of mercury. 1 in 12 women of child bearing age have enough mercury to put her unborn at risk. Sulfur containing antioxidant enzymes are readily destroyed by heavy metals. One such enzyme is adenylcyclase which catalyzes the synthesis of cAMP from ATP. Remember ATP is the energy source. cAMP is a cofactor for enzymes in the adrenal cortex. Mercury accumulates in the adrenal glands and disrupts adrenal function. It causes a defect in adrenal steroid biosynthesis by inhibiting the activity of 21a-hydroxylase, thus causing lowered plasma levels of corticosterone and elevated concentrations of progesterone and DHEA. Because patients are incapable of synthesizing cortisol there’s a compensatory rise in ACTH leading to adrenal hyperplasia. In turn the adrenal glands by their accelerated activity to produce steroids to the point that production begins to dimish and the glands will atropy or stop working
First a few words about allergies, the adrenal glands are implicated in most types of allergies. Most allergies involve an inflammatory process and one of the major anti inflammatories in the body is cortisol. Frequently, the allergen is merely the straw that breaks the camels back. The allergen would not cause the person any trouble if he had an adequate level of his own adrenal production of the anti inflammatory glucocorticoids aka cortisol
Diseases that can be triggered or worsened include CFS, Fibromyalgia, Brain Tumors, MS, Epilepsy, Parkinsons , Alzhiemers, Lymphoma, Birth Defects, Diabetes, Cancer
Symptoms often include muscle weakness fatigue, lack of energy, tingling in extremities, mental fogginess, memory problems mood swings feelings of apathy and lack of motivation
Brewer’s yeast, calf liver, chicken liver, peanuts, split peas , pecans are some sources of B5. Note synthetic estrogen either for oral contraceptives or replacement therapy is very different from bio identical hormone replacement therapy.
Who doesn’t have emotional stress, we worry about our spouses, our children, parents. Relationships today seem to be more transient and lacking commitment. We worry about the economy and the days ahead. Depression can fall into 2 categories Meloncholic depression is characterized by insomnia, early morning awakening, anorexia, rumination of guilt, personal unworthiness and pessimism. Atypical depression is characterized by hypersomnia, weight gain, increased appetite, severe lethargy and fatigue. There are 30 million Americans on antidepressants, that is 1 in 10 people.
Adrenal fatigue occurs when the amount of stress overextends the capacity of the body to compensate and recover from that stress or combined stresses. It was first recognized by Dr. Hans Selye in 1936 and was called the general adaptation syndrome.
First lets discuss what the adrenal glands are and what they do. They are 2 small triangular shaped glands that sit on top of the kidneys . They are considered the “anti-stress” glands of the body. But in traditional medicine it is often the forgotten gland.
Your adrenal glands respond to every kind of stress in the same way whatever the source.
During a crisis they work together to dilate bronchi (air passages in the lungs), and blood vessels to the muscle, which brings more blood and oxygen to the tissues in need of it, increases heart beats and strength of contraction, and cause other physiologic changes to help the body respond to stressful situations via “flight or fight”. For example if your driving your car and another driver cuts in front of you what helps you react is your epinephrine and cortisol
Aldosterone is the major hormone controlling the sodium and potassium levels, and thus fluid balance, within your bloodstream, cells and interstial fluids. Sometimes this lead patients to crave salt.Cortisol controls or greatly influences the metabolism of fats, proteins, and carbohydrates to maintain blood glucose within a narrow optimal range and keep it there even under stressful conditions. Cortisol along with DHEA are primarily responsible to make Estrogen, progesterone and testosterone after menopause. Does this sound like an umimportant gland to you?
Ok so now we see the importance of the adrenals in acute stress and stresses be it diseases, physical, chemical, thermal or emotional. Adrenal fatigue can evolve over months to many years, but it occurs when the adrenal glands decrease their output of the steroids, leaving the body open to aging and disease.
People tend to show a tendency toward increased fears, anxiety and depression, at times having confusion, difficulties in concentration and acute memory recall. They have less tolerance and more irritability.
There may be dizziness when standing up, due to a drop in blood pressure. Other symptoms that aren’t always recognized is that of musculoskeletal pain. It is not uncommon due to muscle weakness that we often see patients with sacro-iliac pain, low back pain, knee pain or foot and ankle weakness or aching calves. There may be one of these or there may be all.
Just a word about this graph this shows that the normal cortisol pattern is high in the morning to get you ready to start your day, it actually increases right before you awake. This is the pattern we would expect to see in adrenal crisis.
This is a pattern of a person just starting to experience adrenal fatigue. Getting up in the morning isn’t so bad but they seem to crash around noon and drag through the rest of the day
This is what you would expect for a person with extreme adrenal fatigue, they have a very difficult time dragging themselves out of bed in the morning. They get a second wind about 6 pm and then have a hard time falling asleep and so the vicious cycle begins.
In CFS there has been unusually low levels of aceylcarnitine. Increased doses of vitamin C and B complex can be gotten through Intravenous drips.