OK. This was a fun one.
I was invited by me physician colleague, Randall Oliver, MD, to present this lecgure at the CME lecture series he had arranged in Evansville. As the title would suggest, this is a presentation looking at psychiatric and psychopharmacology topics in primary care medicine. The conclusion of this lecture, if the participants mastered it, they could prescribe psychiatric medications with greater finesse than most board-certified pychiatrists.
It was a wonderful, "tuned in" and "there to learn" audience. It was a privilege to present to them.
Pedal to the metal allopathic psychiatry for generalists cadyLouis Cady, MD
This document provides an overview of a presentation on practicing psychiatry as a primary care physician. It discusses diagnosing and treating common conditions like depression and anxiety, prescribing psychotropic medications safely, avoiding legal issues, and not practicing beyond one's expertise, especially with regards to second generation antipsychotics. Key recommendations include starting low doses and being cautious of drug interactions when treating with antidepressants or benzodiazepines.
Scratching Your Head Psychiatry: Practicing OUTSIDE of the Allopathic BoxLouis Cady, MD
In this first lecture of his 5-lecture series for IMMH in Santa Fe, NM, Dr. Cady reviews the absolute need to get the biological basis right in confusing and confounding cases. Using real patient stories, he illustrates the blending of functional testing, food allergy testing, and hormonal interventions.
This document discusses anxiety, its symptoms, causes, and treatment options. It defines anxiety and lists its common symptoms. It then explores how emotions can impact bodily functions and health, noting that emotions are influenced by environmental information processed through "nodal points" in the body. The document outlines both pharmaceutical and natural remedies for treating anxiety, including herbal supplements, lifestyle changes like diet, sleep, and stress management techniques. It emphasizes taking a holistic approach to treatment by addressing physical, mental, and environmental factors that can contribute to anxiety.
The Moral Imperative of Integrative Medicine - IMMH 2020Louis Cady, MD
IN this presentation, Dr. Cady reviews several of the handful of functional, integrative medicine techniques required for a holistic and comprehensive management of psychiatric issues. MTHFR, hormone balance, diagnosis and treating intestinal dysbiosis, need for trace elements, and hormones (including thyroid, testosterone and estradiol) are reviewed.
Thyroid, Adrenals, and Sex Steroids - A Balancing ActLouis Cady, MD
This was the second presentation gibven on MZarch 29, 2019 at the Manlove Psychiagtric Group and Brain Injury Institute spring conference in Rapid City, SD.
In this presentation, Dr. Cady carefully goes over the necessity of integrating and overview and awareness of hormones and their levels in the elucidation of what truly is going on with the patient.
This was an overview lecture only. Dr. Cady will be presenting a 16 hour CME program in Austin Texas on June 22 and 23 for the National Procedures Institute, and will explore all aspects of all relevant hormones and what can be done to manage and optimize them.
This document discusses alternative approaches to treating ADHD without medication. It notes that ADHD is often misdiagnosed and many conditions can cause ADHD-like symptoms. Stimulant medications for ADHD like Ritalin have many potential side effects and may cause long-term brain changes. Lifestyle factors like nutrition, sleep, screen time, and treating underlying conditions provide a safer alternative or addition to medications for managing ADHD symptoms.
The document discusses an integrative medicine presentation on hypothyroidism and the thyroid. It provides background on the speaker's commercial relationships and credentials. The presentation examines the limitations of conventional thyroid testing and treatment, exploring additional factors like selenium, iron, and cortisol that can impact thyroid function at the tissue level. It advocates for a more comprehensive evaluation and management of hypothyroidism that considers multiple nutritional and lifestyle factors.
This document discusses the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in children and adults, focusing on clinical aspects of medication management. It describes how stimulant medications like methylphenidate and amphetamines are the best documented and most effective treatment for ADHD symptoms. Behavioral therapies can also be effective, either alone or in combination with medication. The optimal treatment is medication management combined with behavioral therapy.
Pedal to the metal allopathic psychiatry for generalists cadyLouis Cady, MD
This document provides an overview of a presentation on practicing psychiatry as a primary care physician. It discusses diagnosing and treating common conditions like depression and anxiety, prescribing psychotropic medications safely, avoiding legal issues, and not practicing beyond one's expertise, especially with regards to second generation antipsychotics. Key recommendations include starting low doses and being cautious of drug interactions when treating with antidepressants or benzodiazepines.
Scratching Your Head Psychiatry: Practicing OUTSIDE of the Allopathic BoxLouis Cady, MD
In this first lecture of his 5-lecture series for IMMH in Santa Fe, NM, Dr. Cady reviews the absolute need to get the biological basis right in confusing and confounding cases. Using real patient stories, he illustrates the blending of functional testing, food allergy testing, and hormonal interventions.
This document discusses anxiety, its symptoms, causes, and treatment options. It defines anxiety and lists its common symptoms. It then explores how emotions can impact bodily functions and health, noting that emotions are influenced by environmental information processed through "nodal points" in the body. The document outlines both pharmaceutical and natural remedies for treating anxiety, including herbal supplements, lifestyle changes like diet, sleep, and stress management techniques. It emphasizes taking a holistic approach to treatment by addressing physical, mental, and environmental factors that can contribute to anxiety.
The Moral Imperative of Integrative Medicine - IMMH 2020Louis Cady, MD
IN this presentation, Dr. Cady reviews several of the handful of functional, integrative medicine techniques required for a holistic and comprehensive management of psychiatric issues. MTHFR, hormone balance, diagnosis and treating intestinal dysbiosis, need for trace elements, and hormones (including thyroid, testosterone and estradiol) are reviewed.
Thyroid, Adrenals, and Sex Steroids - A Balancing ActLouis Cady, MD
This was the second presentation gibven on MZarch 29, 2019 at the Manlove Psychiagtric Group and Brain Injury Institute spring conference in Rapid City, SD.
In this presentation, Dr. Cady carefully goes over the necessity of integrating and overview and awareness of hormones and their levels in the elucidation of what truly is going on with the patient.
This was an overview lecture only. Dr. Cady will be presenting a 16 hour CME program in Austin Texas on June 22 and 23 for the National Procedures Institute, and will explore all aspects of all relevant hormones and what can be done to manage and optimize them.
This document discusses alternative approaches to treating ADHD without medication. It notes that ADHD is often misdiagnosed and many conditions can cause ADHD-like symptoms. Stimulant medications for ADHD like Ritalin have many potential side effects and may cause long-term brain changes. Lifestyle factors like nutrition, sleep, screen time, and treating underlying conditions provide a safer alternative or addition to medications for managing ADHD symptoms.
The document discusses an integrative medicine presentation on hypothyroidism and the thyroid. It provides background on the speaker's commercial relationships and credentials. The presentation examines the limitations of conventional thyroid testing and treatment, exploring additional factors like selenium, iron, and cortisol that can impact thyroid function at the tissue level. It advocates for a more comprehensive evaluation and management of hypothyroidism that considers multiple nutritional and lifestyle factors.
This document discusses the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in children and adults, focusing on clinical aspects of medication management. It describes how stimulant medications like methylphenidate and amphetamines are the best documented and most effective treatment for ADHD symptoms. Behavioral therapies can also be effective, either alone or in combination with medication. The optimal treatment is medication management combined with behavioral therapy.
How to go professionally with life stress - The presentation was designed as a part of the conference of Psychiatry.
الدتور حسن هاشم
دكتوراة ادرة الأزمات والكوارث - دكتوراة ادلرة الأعمال - ماجستير ادارة الجودة - عضو مؤسس للموسسة المصرية للتأهيل النفسي الإجتماعي - عضو الجمعية العالمية للتأهيل النفسي والإجتماعي - مؤسس عدة شركات تدريب واستشارات
Effective performance through better stress handlingDishari Gupta
This document discusses various aspects of stress including definitions, types, causes, effects, and strategies for managing stress. It defines stress as the body's non-specific response to any demand placed on it and outlines Hans Selye's three stages of the stress response: alarm reaction, resistance, and exhaustion. The document also identifies different sources of stress like work, environment, thoughts, and conflicts. It provides tips for reducing stress through yoga, time management, chromotherapy, counseling, maintaining a positive lifestyle, and engaging in relaxing activities.
Student stress managment short versionJitesh Patil
The document discusses stress, its causes and effects, and strategies for managing it. It defines stress as the body's nonspecific response to demands and describes how stress exists on a continuum from no stress to extreme distress. Distress can negatively impact physical and mental health. Sources of distress include both external factors like life events and daily hassles, as well as internal factors like negative thinking patterns. Symptoms of distress are described. Strategies for managing stress involve lifestyle changes like exercise and sleep, cognitive changes like reframing thoughts, and situational changes like time management. Relaxation techniques and brief medication use may also help in reducing distress.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
This document summarizes the history of psychological disorders and their treatment. It discusses early beliefs that abnormal behavior was caused by demons or humoral imbalances. It then describes the introduction of more humane care in asylums in the 16th century and early psychological explanations proposed by Mesmer involving magnetic fluids. The development of diagnostic systems like the DSM is outlined as well as the role of psychopharmacology and specific disorders like depression, bipolar disorder, anxiety disorders, and ADHD. Causes proposed for different disorders include physiological, cognitive, and psychoanalytic explanations.
This document discusses attention deficit hyperactivity disorder (ADHD), including its prevalence in children, symptoms, types, causes, treatment options, and tips for supporting children with ADHD. Some key points include:
- ADHD affects 5-10% of school-aged children in the US, with boys being diagnosed more often than girls. Symptoms include inattention, hyperactivity, and impulsivity.
- There are three main types of ADHD: predominantly inattentive, predominantly hyperactive-impulsive, and combined presentation.
- Causes are believed to include changes in brain structure and genetics, as well as environmental factors like exposure to chemicals during pregnancy or childhood.
-
The document discusses stress relief and relaxation techniques. It recommends cultivating the relaxation response through meditation, deep breathing exercises, yoga, nutrition, and lifestyle changes. The goal is to lower stress levels and reduce health risks by controlling the body's reaction to stressors.
This document discusses depression and anxiety, including their signs, symptoms, types, and treatments. Depression is described as a common and treatable medical illness that affects physical, mental, and emotional well-being. Anxiety involves feelings of fear, worry, and uneasiness. The document outlines different types of depression and anxiety and lists common signs and symptoms. It also discusses diagnostic evaluations and various treatment options for depression and anxiety, including medications, psychotherapy, and alternative therapies like exercise.
Depression: What Is It and What Are My Treatment Options? (Community Lecture)Summit Health
This document discusses depression, including its definition, statistics, types, causes, consequences, role of neurotransmitters, treatment options like medication and cognitive behavioral therapy. It defines depression and differentiates it from normal sadness. It covers diagnostic criteria, risk factors, and treatments including antidepressant medications, electroconvulsive therapy, light therapy, and cognitive behavioral therapy. Relapse prevention and the importance of continued treatment are also discussed.
Zoned, Stoned And Blown Pain Psych R X And C D Cady At OliverLouis Cady, MD
Review by Louis B. Cady, MD (Cady Wellness Institute) of the interdigitation between psychiatric disorders, chemical dependency and issues in treatment and recovery. This presentation reviews the enormous intertwinement between untreated ADHD and the development and maintenance of substance use and chemical dependency, examining both biological and psychodynamic influences. It concludes with tips from the recovery community and recommendations on how treatment teams can collaborate with each other.
ADHD is a neurodevelopmental disorder characterized by inattention and/or hyperactivity that impairs functioning. It was originally called "minimal brain disease" but its name and understanding has evolved over time. ADHD is caused by both genetic and environmental factors that impact brain regions involved in attention, motor control, and reward processing. It is diagnosed through evaluations of behaviors and sometimes brain imaging. Treatment involves medication, therapy, and lifestyle changes to manage symptoms and improve functioning.
Global Medical Cures™ | Medicines for Treating Depression
Disclaimer-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Chronic illness health psychologist Alison Wearden talks about how stress effects our health and our recovery from illness, and specialist physiotherapist Phil Langridge talks about breathlessness and what we can do to control it.
Graham Atherton discusses gardening for those with allergies, the signs of heart disorder to be aware of if you are taking itraconazole and advice on travel.
This document discusses stress management and coping with stress. It defines stress as the body's reaction to real or perceived threats or changes. Stress can be caused by internal factors like negative thoughts or external factors like life events. The body responds to stress through the endocrine system by releasing hormones that cause physical symptoms like increased heart rate. Chronic stress can lead to exhaustion if not managed properly. Some major causes of stress include job changes, relationships changes, and major life events. The document provides several tips for coping with stress, including time management, scheduling, self-care, stopping negative thoughts, asking for help, stress-relieving activities, keeping a journal, focusing on the present, and meditation.
PSA 2019 ADHD and ASD medications lectureMegan Yap
This document discusses child development and the use of psychoactive medications in school-aged children. It covers domains of normal child development, developmental conditions like ADHD and ASD, the roles of paediatricians and pharmacists, red flags for developmental issues, and medications used to treat conditions affecting attention, behavior, anxiety, and more. Key medications discussed include stimulants, antidepressants, antipsychotics, clonidine, and guanfacine. Guidelines around administering medications in schools and ways pharmacists can support families are also summarized.
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
How to go professionally with life stress - The presentation was designed as a part of the conference of Psychiatry.
الدتور حسن هاشم
دكتوراة ادرة الأزمات والكوارث - دكتوراة ادلرة الأعمال - ماجستير ادارة الجودة - عضو مؤسس للموسسة المصرية للتأهيل النفسي الإجتماعي - عضو الجمعية العالمية للتأهيل النفسي والإجتماعي - مؤسس عدة شركات تدريب واستشارات
Effective performance through better stress handlingDishari Gupta
This document discusses various aspects of stress including definitions, types, causes, effects, and strategies for managing stress. It defines stress as the body's non-specific response to any demand placed on it and outlines Hans Selye's three stages of the stress response: alarm reaction, resistance, and exhaustion. The document also identifies different sources of stress like work, environment, thoughts, and conflicts. It provides tips for reducing stress through yoga, time management, chromotherapy, counseling, maintaining a positive lifestyle, and engaging in relaxing activities.
Student stress managment short versionJitesh Patil
The document discusses stress, its causes and effects, and strategies for managing it. It defines stress as the body's nonspecific response to demands and describes how stress exists on a continuum from no stress to extreme distress. Distress can negatively impact physical and mental health. Sources of distress include both external factors like life events and daily hassles, as well as internal factors like negative thinking patterns. Symptoms of distress are described. Strategies for managing stress involve lifestyle changes like exercise and sleep, cognitive changes like reframing thoughts, and situational changes like time management. Relaxation techniques and brief medication use may also help in reducing distress.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
This document summarizes the history of psychological disorders and their treatment. It discusses early beliefs that abnormal behavior was caused by demons or humoral imbalances. It then describes the introduction of more humane care in asylums in the 16th century and early psychological explanations proposed by Mesmer involving magnetic fluids. The development of diagnostic systems like the DSM is outlined as well as the role of psychopharmacology and specific disorders like depression, bipolar disorder, anxiety disorders, and ADHD. Causes proposed for different disorders include physiological, cognitive, and psychoanalytic explanations.
This document discusses attention deficit hyperactivity disorder (ADHD), including its prevalence in children, symptoms, types, causes, treatment options, and tips for supporting children with ADHD. Some key points include:
- ADHD affects 5-10% of school-aged children in the US, with boys being diagnosed more often than girls. Symptoms include inattention, hyperactivity, and impulsivity.
- There are three main types of ADHD: predominantly inattentive, predominantly hyperactive-impulsive, and combined presentation.
- Causes are believed to include changes in brain structure and genetics, as well as environmental factors like exposure to chemicals during pregnancy or childhood.
-
The document discusses stress relief and relaxation techniques. It recommends cultivating the relaxation response through meditation, deep breathing exercises, yoga, nutrition, and lifestyle changes. The goal is to lower stress levels and reduce health risks by controlling the body's reaction to stressors.
This document discusses depression and anxiety, including their signs, symptoms, types, and treatments. Depression is described as a common and treatable medical illness that affects physical, mental, and emotional well-being. Anxiety involves feelings of fear, worry, and uneasiness. The document outlines different types of depression and anxiety and lists common signs and symptoms. It also discusses diagnostic evaluations and various treatment options for depression and anxiety, including medications, psychotherapy, and alternative therapies like exercise.
Depression: What Is It and What Are My Treatment Options? (Community Lecture)Summit Health
This document discusses depression, including its definition, statistics, types, causes, consequences, role of neurotransmitters, treatment options like medication and cognitive behavioral therapy. It defines depression and differentiates it from normal sadness. It covers diagnostic criteria, risk factors, and treatments including antidepressant medications, electroconvulsive therapy, light therapy, and cognitive behavioral therapy. Relapse prevention and the importance of continued treatment are also discussed.
Zoned, Stoned And Blown Pain Psych R X And C D Cady At OliverLouis Cady, MD
Review by Louis B. Cady, MD (Cady Wellness Institute) of the interdigitation between psychiatric disorders, chemical dependency and issues in treatment and recovery. This presentation reviews the enormous intertwinement between untreated ADHD and the development and maintenance of substance use and chemical dependency, examining both biological and psychodynamic influences. It concludes with tips from the recovery community and recommendations on how treatment teams can collaborate with each other.
ADHD is a neurodevelopmental disorder characterized by inattention and/or hyperactivity that impairs functioning. It was originally called "minimal brain disease" but its name and understanding has evolved over time. ADHD is caused by both genetic and environmental factors that impact brain regions involved in attention, motor control, and reward processing. It is diagnosed through evaluations of behaviors and sometimes brain imaging. Treatment involves medication, therapy, and lifestyle changes to manage symptoms and improve functioning.
Global Medical Cures™ | Medicines for Treating Depression
Disclaimer-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Chronic illness health psychologist Alison Wearden talks about how stress effects our health and our recovery from illness, and specialist physiotherapist Phil Langridge talks about breathlessness and what we can do to control it.
Graham Atherton discusses gardening for those with allergies, the signs of heart disorder to be aware of if you are taking itraconazole and advice on travel.
This document discusses stress management and coping with stress. It defines stress as the body's reaction to real or perceived threats or changes. Stress can be caused by internal factors like negative thoughts or external factors like life events. The body responds to stress through the endocrine system by releasing hormones that cause physical symptoms like increased heart rate. Chronic stress can lead to exhaustion if not managed properly. Some major causes of stress include job changes, relationships changes, and major life events. The document provides several tips for coping with stress, including time management, scheduling, self-care, stopping negative thoughts, asking for help, stress-relieving activities, keeping a journal, focusing on the present, and meditation.
PSA 2019 ADHD and ASD medications lectureMegan Yap
This document discusses child development and the use of psychoactive medications in school-aged children. It covers domains of normal child development, developmental conditions like ADHD and ASD, the roles of paediatricians and pharmacists, red flags for developmental issues, and medications used to treat conditions affecting attention, behavior, anxiety, and more. Key medications discussed include stimulants, antidepressants, antipsychotics, clonidine, and guanfacine. Guidelines around administering medications in schools and ways pharmacists can support families are also summarized.
Similar to SEND IN THE SHRINKS - Olicer CME Seminar 2029 (20)
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
Allopurinol, a uric acid synthesis inhibitor acts by inhibiting Xanthine oxidase competitively as well as non- competitively, Whereas Oxypurinol is a non-competitive inhibitor of xanthine oxidase.
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)MuskanShingari
Skin is the largest organ of the human body, serving crucial functions that include protection, sensation, regulation, and synthesis. Structurally, it consists of three main layers: the epidermis, dermis, and hypodermis (subcutaneous layer).
1. **Epidermis**: The outermost layer primarily composed of epithelial cells called keratinocytes. It provides a protective barrier against environmental factors, pathogens, and UV radiation.
2. **Dermis**: Located beneath the epidermis, the dermis contains connective tissue, blood vessels, hair follicles, and sweat glands. It plays a vital role in supporting and nourishing the epidermis, regulating body temperature, and housing sensory receptors for touch, pressure, temperature, and pain.
3. **Hypodermis**: Also known as the subcutaneous layer, it consists of fat and connective tissue that anchors the skin to underlying structures like muscles and bones. It provides insulation, cushioning, and energy storage.
Skin performs essential functions such as regulating body temperature through sweat production and blood flow control, synthesizing vitamin D when exposed to sunlight, and serving as a sensory interface with the external environment.
Maintaining skin health is crucial for overall well-being, involving proper hygiene, hydration, protection from sun exposure, and avoiding harmful substances. Skin conditions and diseases range from minor irritations to chronic disorders, emphasizing the importance of regular care and medical attention when needed.
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptxFFragrant
There are many traditional Chinese medicine therapies to treat blocked fallopian tubes. And herbal medicine Fuyan Pill is one of the more effective choices.
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
Congestive Heart failure is caused by low cardiac output and high sympathetic discharge. Diuretics reduce preload, ACE inhibitors lower afterload, beta blockers reduce sympathetic activity, and digitalis has inotropic effects. Newer medications target vasodilation and myosin activation to improve heart efficiency while lowering energy requirements. Combination therapy, following an assessment of cardiac function and volume status, is the most effective strategy to heart failure care.
Selective alpha1 blockers are Prazosin, Terazosin, Doxazosin, Tamsulosin and Silodosin majorly used to treat BPH, also hypertension, PTSD, Raynaud's phenomenon, CHF
CLASSIFICATION OF H1 ANTIHISTAMINICS-
FIRST GENERATION ANTIHISTAMINICS-
1)HIGHLY SEDATIVE-DIPHENHYDRAMINE,DIMENHYDRINATE,PROMETHAZINE,HYDROXYZINE 2)MODERATELY SEDATIVE- PHENARIMINE,CYPROHEPTADINE, MECLIZINE,CINNARIZINE
3)MILD SEDATIVE-CHLORPHENIRAMINE,DEXCHLORPHENIRAMINE
TRIPROLIDINE,CLEMASTINE
SECOND GENERATION ANTIHISTAMINICS-FEXOFENADINE,
LORATADINE,DESLORATADINE,CETIRIZINE,LEVOCETIRIZINE,
AZELASTINE,MIZOLASTINE,EBASTINE,RUPATADINE. Mechanism of action of 2nd generation antihistaminics-
These drugs competitively antagonize actions of
histamine at the H1 receptors.
Pharmacological actions-
Antagonism of histamine-The H1 antagonists effectively block histamine induced bronchoconstriction, contraction of intestinal and other smooth muscle and triple response especially wheal, flare and itch. Constriction of larger blood vessel by histamine is also antagonized.
2) Antiallergic actions-Many manifestations of immediate hypersensitivity (type I reactions)are suppressed. Urticaria, itching and angioedema are well controlled.3) CNS action-The older antihistamines produce variable degree of CNS depression.But in case of 2nd gen antihistaminics there is less CNS depressant property as these cross BBB to significantly lesser extent.
4) Anticholinergic action- many H1 blockers
in addition antagonize muscarinic actions of ACh. BUT IN 2ND gen histaminics there is Higher H1 selectivitiy : no anticholinergic side effects
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)GeorgeKieling1
Home
Organization
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
About AOMA: The Academy of Oriental Medicine at Austin offers a masters-level graduate program in acupuncture and Oriental medicine, preparing its students for careers as skilled, professional practitioners. AOMA is known for its internationally recognized faculty, award-winning student clinical internship program, and herbal medicine program. Since its founding in 1993, AOMA has grown rapidly in size and reputation, drawing students from around the nation and faculty from around the world. AOMA also conducts more than 20,000 patient visits annually in its student and professional clinics. AOMA collaborates with Western healthcare institutions including the Seton Family of Hospitals, and gives back to the community through partnerships with nonprofit organizations and by providing free and reduced price treatments to people who cannot afford them. The Academy of Oriental Medicine at Austin is located at 2700 West Anderson Lane. AOMA also serves patients and retail customers at its south Austin location, 4701 West Gate Blvd. For more information see www.aoma.edu or call 512-492-303434.
Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) CosmeticsMuskanShingari
Acne is a common skin condition that occurs when hair follicles become clogged with oil and dead skin cells. It typically manifests as pimples, blackheads, or whiteheads, often on the face, chest, shoulders, or back. Acne can range from mild to severe and may cause emotional distress and scarring in some cases.
**Causes:**
1. **Excess Oil Production:** Hormonal changes during adolescence or certain times in adulthood can increase sebum (oil) production, leading to clogged pores.
2. **Clogged Pores:** When dead skin cells and oil block hair follicles, bacteria (usually Propionibacterium acnes) can thrive, causing inflammation and acne lesions.
3. **Hormonal Factors:** Fluctuations in hormone levels, such as during puberty, menstrual cycles, pregnancy, or certain medical conditions, can contribute to acne.
4. **Genetics:** A family history of acne can increase the likelihood of developing the condition.
**Types of Acne:**
- **Whiteheads:** Closed plugged pores.
- **Blackheads:** Open plugged pores with a dark surface.
- **Papules:** Small red, tender bumps.
- **Pustules:** Pimples with pus at their tips.
- **Nodules:** Large, solid, painful lumps beneath the surface.
- **Cysts:** Painful, pus-filled lumps beneath the surface that can cause scarring.
**Treatment:**
Treatment depends on the severity and type of acne but may include:
- **Topical Treatments:** Such as benzoyl peroxide, salicylic acid, or retinoids to reduce bacteria and unclog pores.
- **Oral Medications:** Antibiotics or oral contraceptives for hormonal acne.
- **Procedures:** Such as chemical peels, extraction of comedones, or light therapy for more severe cases.
**Prevention and Management:**
- **Cleanse:** Regularly wash skin with a gentle cleanser.
- **Moisturize:** Use non-comedogenic moisturizers to keep skin hydrated without clogging pores.
- **Avoid Irritants:** Such as harsh cosmetics or excessive scrubbing.
- **Sun Protection:** Use sunscreen to prevent exacerbation of acne scars and inflammation.
Acne treatment can take time, and consistency in skincare routines and treatments is crucial. Consulting a dermatologist can help tailor a treatment plan that suits individual needs and reduces the risk of scarring or long-term skin damage.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Nano-gold for Cancer Therapy chemistry investigatory project
SEND IN THE SHRINKS - Olicer CME Seminar 2029
1. Louis B. Cady, MD – CEO & Founder – Cady Wellness Institute
Adjunct Professor – University of Southern Indiana
Adjunct Clinical Lecturer – Indiana University School of Medicine
Department of Psychiatry
Child, Adolescent, Adult & Forensic Psychiatry – Evansville, Indiana
Send in the Shrinks!
Know When to Hold’Em, When To
Fold’Em, and When to Start Thinking
A CME Presentation for the Oliver Pain Clinic CME
program ~ April 11, 2009 Evansville, Indiana
2. Louis B. Cady, M.D. – historical statement of
support, conflict of interests…
• Abbott Laboratories
• Bristol-Myers Squibb (Serzone)
• Celltech (Metadate CD)
• Cephalon (Provigil)
• Elli Lilly (Prozac)
• Forest Pharmaceuticals
(Celexa, Lexapro)
• Glaxo-SmithKline (Wellbutrin, Paxil)
• Janssen (Concerta, Reminyl)
• McNeil (Concerta)
• Pfizer-Roerig (Zoloft)
• Sanofi~aventis (Ambien)
• Sepracor (Lunesta)
• Searle Pharmaceutical (Ambien)
• Shire Pharmaceuticals (Adderall, Vyvnase)
• Takeda Pharmaceuticals (Rozerem)
• Wyeth-Ayerst (Effexor)
Note: There is no
commercial sponsor
for this talk this a.m.
3. H - 3
“There are two objects of medical education: to heal
the sick and to advance the science.”
- Dr. Charles H. Mayo, MD
“The glory of medicine is that it is always moving
forward, that there is always more to learn.”
- Dr. William J. Mayo
4.
5. The CME Rules of Engagement
• My muzzle is off.
• The peer-reviewed medical literature is my
arbiter.
• Fair balance is key, unless there is only one
agent.
• I will stretch you and make you want to go
“check me out” in the literature.
7. A Psych work-up in 6 – 7 Minutes
• 1 Minute: background
• 1 Minute: “chief complaint”
• 2 Minutes: SSIGECAPS
– 3 “target symptoms”
– WORRY?
– TOO MUCH ENERGY?
• 1 Minute: medical differential: OSA,
thyroid, cardiac
• 1 Minute: explanation of medication
choice, titration issues
3
8. LOW ENERGY – frequently occurring with
depression. A “no duh,” KNOWN finding.
• People with depression
have LOW ENERGY….
So you….
9. Depression & Anxiety Dx in 1 Easy Lesson
DEPRESSION
SIG: E- CAPS!
• Sleep
• Sadness
• Interest loss
• Guilt
• Energy
• Concentration
• Appetite
• Psychomotor Sx
• Suicidal thinking
• Gen. ANXIETY D.O.
• Somatic Sx (“energy”,etc.)
• WORRY
• Irritability
• Concentration
• Keyed up
• Insomnia (“sleep”)
• Restlessness
SWICKIR is Quicker:
Worry + 3 = GAD (Baughman)
5of 9 with 1 of 2 x 2 weeks
10. Depression & LOW ENERGY in
One Easy Lesson
DEPRESSION
SIG: E- CAPS!
• Sleep
• Sadness
• Interest loss
• Guilt
• Energy
• Concentration
• Appetite
• Psychomotor Sx
• Suicidal thinking
OTHER FREQUENT CAUSES:
• Hypothyroidism
• Sub-syndromal or other
• Low DHEA
• Exhausted adrenals
– (can check with 4 cortisol
levels)
• Low testosterone
• Low micronutrients and
vitamins
• (low growth hormone)
5 of 9 with 1 of 2 x 2 weeks
w/o other causes!!!
MUST EXCLUDE OTHER
CAUSES, as well as treat for
presumptive diagnosis.
11. ADHD – A Family Practice Perspective
Montano, B – Un. Of CT Medical School Dept of Family Practice
• Adult prevalence rate 4.5%
• Most adult sufferers have not been properly
diagnosed or treated.
• They have at least one comorbid psych. d.o.
• This d.o. may offer the first clue of ADHD
• Comorbidities may confound the diagnosis.
• Use of available standardized rating scales
helpful.
• Primary caregivers encouraged to dx and tx.
J Clin Psychiatry. 2004;65 Suppl 3:18-21.
12.
13. The FOUR FLAVORS OF ADHD, or…
314.00 ADHD Predominantly Inattentive
Type*
314.01 ADHD Predominant Hyperactive-
Impulsive Type*
314.04 ADHD, Combined Type
314.9 ADHD – Not Otherwise Specified
If it doesn’t wiggle, it doesn’t mean it’s
not hurting your productivity!
15. Kids and Adults – Differences in
INATTENTIVE domain
AS A CHILD:
• Difficulty sustaining
attention
• No follow through
• Cannot organize
• Loses important items
AS AN ADULT:
• Same – in meetings,
reading, paperwork
• Paralyzing
procrastination
• Slow, inefficient. Poor
time management
• Disorganized
Sources: DSM-IV (TR). APA 2000:85-93)
Weiss MD, Weiss JR. J Clin Psychiatry 2004;65(Suppl 3):27-37.
16. Kids and Adults – Differences in
HYPERACTIVE domain
AS A CHILD:
• Squirming, fidgeting
• Cannot stay seated
• Cannot wait turn
• Runs/climbs excessively
• Cannot play quietly
• On the go/driven by motor
• Talks excessively
• Blurts out answers
• Intrudes, interrupts others
AS AN ADULT:
• Work inefficiencies
• Can’t sit through meetings
• Cannot wait in line
• Drives too fast
• Self-selects very active job
• Cannot tolerate frustration
• Talks excessively
• Makes inappropriate
comments
• Interrupts others
Sources: DSM-IV (TR). APA 2000:85-93)
Weiss MD, Weiss JR. J Clin Psychiatry 2004;65(Suppl 3):27-37.
18. Scene of a Pharmacy. Late 15th century Fresco. Castle of Issogne, Valle d’Aosta,
Italy. (Pharmacy shows collection of herbs, ointments, oils, and rare substances.
“Mumia” was one of the most exotic!)
21. The “Old-Timey” method and The Doc Cady
“Can’ts” of the TCA’s
Pee
Poop
Spit
Spurt
Focus
Think
Stand up
Stay awake
Stay thin
ANTICHOLINERGIC/
ANTIMUSCARINIC
EFFECTS
Alpha-adrenergic
blockade
"Antihistamine"
effects
Paroxetine –
Paxil ® Paxil CR
® Pexeva ®
22. Why you don’t want anticholinergics
Difficulties with:
PEE
POOP
SPIT
SPURT (or equiv. !)
FOCUS
THINK
Related to
ANTICHOLINERGIC
EFFECTS
23. REMEMBER
1. A.D. Rx is given to
treat a LACK of
acetylcholine.
2. Why deliberately
give your patient
(old OR young)
something which
screws around with
cholinergic
neurotransmission?
28. S-citalopram
(escitalopram)
R-citalopram
Escitalopram: Benefits of the
Single Isomer
Most selective SSRI: “more than
twice as selective” as citalopram
More potent than citalopram in
vitro, lower effective dose
Purified “active ingredient” of
citalopram
Not therapeutically active
Anti-H 1 adverse effects
Pharmacokinetic effects –
Isomeric “ballast” with no
clinical benefit
Hyttel et al., 1992; Owens et al., 2001; von Moltke et al., 2001
“Celexa”
29. SSRI’s: Good News, Bad News
Clinical
usefulness
Rx-Rx
2nd order
Drug
Robust
2D6
NE
Prozac
Generally well-
tolerated
Neglible
DA
Zoloft
Sedation:
+/- benefits
2D6
Anti-CH!!
Paxil
Lexapro -
UNUSUALLY
CLEAN & powerful
Neglible
Anti-hist./
- nothing
CELEXA/
LEXAPRO
Occasionally
extremely
helpful
3A4 (mild)
-
Luvox (CR)
30. Other serotonin boosters of
significance
Clinical
usefulness
Rx-Rx
2nd order
Drug
“gold stand-
ard”- but TCA
2D6
5 HT
Imipramine
5HT + NE
(side effects!)
CLEAN
NE @
“inflection point”
Effexor
Sedation, weight
gain (may be a
good thing!)
None
5HT AND
NE
Remeron
LIMITED:
“Prozac with an
antidote”
3A4 (? fatal)
“SSRI” =
2ND; 5HT2
blocker = 1st
Serzone
PRISTIQ BALANCED CLEAN IDIOT PROOF!
31.
32. Learning from the past: the role of
norepinephrine in medication therapy
[adapted by Cady from Richelson, Elliott. Pharmacology of antidepressants--characteristics
of the ideal drug. Mayo Clin Proc 1994;69:1069-1081]
385
286
67
7
3
0
0
0 100 200 300 400 500
Norpramin
Vivactil
Pamelor
Wellbutrin
Tofranil
Prozac
Zoloft
Ratio of blocking NE over 5-HT
33. A new wrinkle in medication therapy:
serotonin/norepinephrine
blocking potency ratio or..."Is the antidepressant well-
balanced?"
[adapted by Cady from Richelson, Elliott. Pharmacology of antidepressants--
characteristics of the ideal drug. Mayo Clin Proc 1994;69:1069-1081]
71
64
45
26
23
5
5
4
0 10 20 30 40 50 60 70 80
Luvox
Zoloft
Paxil
Desyrel
Prozac
Effexor
Anafranil
["Serzone"]
Selectivity for blocking uptake of 5-HT over NE
35. Common sense ‘investing’ – in your
choice of medication
• Peter Lynch: “you should be able to explain in a
‘two minute pitch’ why you are buying a stock.”
• Warren Buffet: “You are neither right nor wrong
because the crowd disagrees with you. You are
right because your data and reasoning are
right.”
If you can’t explain to the medical
board what you’re doing, you
shouldn’t be doing it.
36. WAYS TO TELL YOU MAY BE
HEADED INTO TROUBLE
• Atypical antipsychotics – in ANYBODY that isn’t
clearly bipolar manic or schizophrenic.
– Use as “sleepers”
– Use for “anxiety”
• Alprazolam:
– Unless you choose to use it [off label] for infrequent
treatment of episodic panic attacks or severe anxiety
– Unless it is panic disorder
• Unless they have failed every other reasonable treatment
37. Further ways to head into trouble
• Combining medications in an off-label
manner: Strattera plus stimulant
• Using off-label medication without thorough
explanation, documentation of informed
consent, and appropriate charting.
– EXPLAIN THE POTENTIAL SIDE EFFECTS
• EXAMPLE: Trazodone and priapism
41. Top five reasons to start thinking
• Are you jamming a symptom into a
syndrome?
• Are you using the right tool for the job?
• Have you actually read the PI and are using
the medication responsibly?
• Are you “missing the medical” because of
the “head case” factor?
• Are you really a pessimistic, nihilistic,
practitioner?
42. 1) Jamming symptoms into syndromes.
• FATIGUE:
– Yes – it could be part of depression – “low
energy”
• Differential:
– Functional hypothyroidism (TSH doesn’t get it)
– OSA
– Post-viral fatigue
– IgG food sensitivities
– (Undisclosed family stress)
43. 2) Right tool for the job
• Buspirone - $4 - $10 at Walmart
– The only specific modern FDA approved anti-
anxiety agent.
– PI dosing is titrate up to 20 mg TID.
– Not “prn”
• Mood stabilizers for mood problems
• Antipsychotics for psychotic problems.
– Think about the potential for side effects!
44. 3) Read the PI? Example: Lamotrigine
• Rationale:
– Quote it and inspire confidence
– Enlist the patient in a therapeutic alliance.
– Forestall problems.
• Pay-offs:
– Maximum therapeutic “pay off” for this Rx trial.
– Avoid catastrophic reactions and malpractice
suits.
45. 4) Don’t “miss the medical”
• Frequent:
– Low thyroid
– “Viagra requests”
– Post-viral fatigue
– OSA
– Less than optimal DHEA
46. “But the doctor told me my thyroid
was fine.”
• TSH frequently only thing checked.
• Nothing known about Free T4 or Free T3.
• Free T4 can be converted to Reverse T3 under
stress (cortisol)
• Free T4 can be underconverted to T3..
• Can have normal levels (or slightly elevated
levels) of everything and have auto-immune
thyroid disease.
47. Snoring and OSA – no laughing matter
• All adults:
– 2% of women; 4% of men
• Adults aged 30-60 years:
– 9-24% for men
– 4-9% for women
– Adults > 65 years: 65%
• Three biggest killers of
OSA sufferers:
– heart attacks
– Strokes
– Traffic accidents
48. Impotence: nature's way of saying,
"No hard feelings.”
• ABILITY goes…
• THEN desire……
• AND, there is no
known “Viagra
deficiency” in the
published literature.
50. DHEA – the critical hormone most
doctors never check
• Produced in the adrenal cortex
– Humans and primates are unique in secreting large
amounts
• Immune system booster
• Insulin regulator
• Energy increase – remarkable
• Boosts growth hormone
– 20% in men; 30% in women in one study
• [Yen, Morales Khorram – one year double-blind placebo
controlled crossover experiment – with 100mg DHEA]
53. Signs & Symptoms of Adrenal Fatigue
• Difficulty getting up in a.m.
• Ongoing lethargy during the day.
• Continued fatigue not relieved by sleep.
• Craving for salt or salty foods.
• Increased effort to do daily tasks
• LESS PRODUCTIVE
• Decreased sex drive
• Decreased ability to handle stress.
• Light-headed when standing up quickly
• Increased recovery time for illness
• Generally less happy about life. THINK
CORTISOL!!
54. 5. NIHLISM ANYONE? Or…… Just how
bad do you think your patient is, anyway?
Are they really supposed to be THAT BAD?
55. “The Happy Hungarian”
Franz Lizst – 19th century traveling classical pianist rockstar.
Fathered children in his 70’s. (!!)
60. Nutrient Deficiencies and Previous
Supplementation
19%
Subjects showing no deficiency in norming studies by Spectracell
43%
Multiple deficiencies
with no previous
supplementation
38%
Multiple deficiencies with
PREVIOUS
SUPPLEMENTATION!
64. • Decline in male sex steroids not
as abrupt as menopause, but
equally debilitating
– Between 40 – 70, average
male loses:
• Nearly 2" of height
• 15% of bone density
• 10 – 20 pounds of
muscle
Testosterone (Men)
65. – By age 70, 15% of men are
completely impotent; larger
percentage have considerably
decreased libido and fullness
of erection
– Correlation to decrease in
bioavailable testosterone
Testosterone (Men)
66. Hormone Lab Values
Age-Related Laboratory Normal Ranges
compared with
Optimal Ranges
Female
Lower
Normal
Lower
Optimal
Upper
Optimal
Upper
Normal
DHEA Sulfate (ug/dL) 12 350 500 379
Total Testosterone (ng/dL) 15 50 70 70
Free Testosterone (pg/mL) 0.6 7 10 8.5
Testosterone, % Free (%) 0.5 0.5 1.9 1.9
71. Your Classic Car: Do you want “normal”
maintenance & aging, or “OPTIMAL”?!
“NORMAL”
OPTIMAL
72. “Age management
medicine” for automobiles
“Conventional medical
practice” for automobiles
No car lasts forever. We should
therefore take care of them if we want
to get the maximum mileage out of
them!
No car lasts forever. That’s life. Get
another one.
Paint fades and oil gets used up as the
car ages. We should do something
about it.
Paint fades and oil gets used up as the
car ages. This is a normal part of aging
and we should leave it alone.
It is a known fact that oil breaks down
with age, and is contaminated by
combustion products from the engine,
which results in more friction and wear
on the engine. We should do oil
changes every 3,000 miles to keep our
car in top shape.
It is a known fact that oil breaks down
with age, and is contaminated by
combustion products from the engine,
which results in more friction and wear
on the engine. This is just too bad. This
is the oil that came with the car. We
shouldn’t intervene. Just let the engine
seize!
73. There are fuel additives
we can use to keep our
cars burning cleaner and
preserve engines.
No fuel additives should
be used. They are
unnatural. Gas is all that
is required.
We should use optimal
quality of gas. Cheap gas
causes “pinging” which is
hard on the engine.
The quality of the gas is
irrelevant. Anything that
the motor will burn is
adequate.
We should take our car in
for preventive
maintenance before
anything breaks.
Preventive maintenance?
This is silly! Wait until
something breaks, then have
the car towed in so the
mechanic can really tell what
is wrong.
74. Doc Cady’s Genial Principles of
Pharmacotherapy with ANYTHING
•Always start LOW
• Modafanil: 1/8 [ONE-EIGHTH!!] of a 200 mg
tablet. ¼ tablet can produce REAL side effects.
• Lexapro – ¼ of a tablet
• For hormones: same principle. Check labs.
Don’t exceed physiologic norms (with
exception of selecting your “age range” for
your values.)
79. “For me, the practice of medicine has
opened the door to the greatest adventure in
life. Medicine is like a hallway lined with
doors, each door opening into a different
room, and each room opening
into another hallway,
again lined with doors.
Medicine is always
wonderful and never will
be finished.”
- Charles H. Mayo, M.D.
80. Thank you for your attendance.
Please see:
www.cadywellness.com/oliver for handouts.