of joint swelling and pain might be as important as sophisticated testing to
distinguish the type of arthritis you have.Multiple joints are usually involved with rheumatoid arthritis,
osteoarthritis, and autoimmune problems.Autoimmune and rheumatoid arthritis are more likely to be symmetrical
and involve the upper body. Lower body involvement points more toward osteoarthritis
and gout.Of course it is also possible
to have more than one form of these common diseases.Your diagnosis is important because the
treatment might be different for different conditions.
The risk of
complications from colonoscopies might outweigh the potential benefits after
the age of 75, unless you have a history of polyps previously treated.Mammograms over the age of 70 and sometimes
earlier than that can lead to overtreatment.Thermographies might be better as a preventive test.With no previous history of precancerous
lesions, pap smears can be discontinued at age 65.PSA’s have no benefit after the age of 75 and
are optional for men before that.Bone
density tests are recommended every five years, beginning at age 65 for women
and 70 for men.One ultrasound per
lifetime to screen for abdominal aneurysm is recommended.I would add CardioRisk tests for arterial
plaque, a questionnaire for the risk of falls, and periodic blood tests for
vitamin D, CRP sensitive, glucose, Lp(a), and other lipids.
See AARP Magazine, February/March issue, 2017, p. 24-25.
American consumes 22 tsp of sugar daily.Recommended maximum intakes are 6 tsp for women and 9 tsp for men.Excess sugar increases blood pressure, raises
your chances of developing diabetes, lowers HDL cholesterol, and raises your
risk of dying from heart disease by 38%.It takes 12,500 steps per day to cancel out two 20 ounce sodas.
See the AARP Magazine, February/March issue, 2017, p. 23.
In 2013 per
capita spending for prescription drugs was $858.The mean expenditures in 19 other
industrialized countries was $400.That
gap has increased even more in the last 3 years.While increased research costs have accounted
for some of the increased prices, gouging by Big Pharma is a much bigger factor
in my opinion.While drug substitution
by pharmacists, greater availability of generics, and authorizing Medicare to
negotiate prices with drug companies might have some impact, a much wider
acceptance of natural remedies that are effective would have much more
American Heart Association recommends that added sugar in the diet be limited
to 25 Gm per day.Currently, 2-5 year
olds consume 53 Gms of added sugar, 6-11 year olds 79 Gms, and 12-19 year olds
93 Gm.Evidence links excessive sugar
intake to fatigue, weight gain and hyperlipidemia, which are all risk factors
for cardiovascular disease in later life.
overdoses of medications are common with this combination of prescribed
medications.Fatalities can result from
using such drugs as Valium, Ativan, and Xanax with narcotic pain meds.Every effort should be made to use herbal
preparations, amino acids, lifestyle changes, and relaxation techniques like
massage and the Kaufman procedures to avoid this risk.Periodic attempts to reduce dosages and find
alternative combinations that are effective are strongly recommended.
guidelines for Diabetes from major physician organizations recommend that tight
blood sugar control (a HBA1C less than 7) should be a major goal for diabetic
patients.However, an article in the
highly respected journal, Circulation,
that analyzed all the scientific data concluded that tight glycemic control
didn’t prevent 10 out of the 11 micro and macro complications of diabetes,
including fatal heart attacks, strokes, retinopathy, kidney disease and
all-cause mortality.The only complication
prevented was nonfatal heart attacks.Perhaps side effects from medications are playing a role.We should try using such supplements as
chromium, cinnamon, berberine, and BergaMet to achieve better control safely.
can cause 29% of all cancer deaths, including lung, throat, stomach, liver,
colon, pancreas, kidney and leukemia.Cardiovascular disease is also related to smoking. 40 million U.S. adults
continue to smoke.If you need help to
quit, try Crave Arrest, which is a cheap and easy supplement that is available
from our office.
advocates contend that everyone should get annual flu shots.However, only 41% of all adults received flu
shots last year.It is thought that the
reasons for not getting the shots are “access, price, and education”.Wrong!People are more concerned with ineffectiveness, toxicity, requirements
for annual boosters, and reactions to the shots.Alternatives to flu shots are homeopathics
like mucococcinium and vitamin D supplements.Mercury-free shots are also available.
Anxiety Disorder in men greater than 40 y.o. doubled the risk of death due to
cancer in men over a 15 year study.Similar effects were not found in women.This confirms that anxiety is not just a personality trait, but that it
is important to treat it effectively.
time for taking bio-identical HRT to control symptoms of menopause is 10-11 years.Longer periods of time might be indicated in
slender white or Asian women or in those with a family history of hip
fractures.As menopause symptoms
decrease, every year or two, the patient might try to reduce the dose or switch
to an intra-vaginal prescription.Natural progesterone might be used instead of estrogen-containing
preparations, especially if the indication is osteopenia or osteoporosis.
study confirmed that there is some benefit for bypass surgery coupled with
optimal drug therapy to help patients live longer.There is some doubt as to the benefit in
elderly patients due to non-cardiovascular risks.And there are risks with the surgery as
well.Chelation therapy was not included
in the study, but TACT showed that chelation was at least as effective as the
surgical approach without the concomitant risks.If surgery is performed, follow-up chelation
is likely to be very helpful indeed.
treated hypertension in midlife can result in dementia latter in life with
devastating implications, according to a report from the American Heart
Association.Blood pressure is sometimes
difficult control without taking multiple drugs with potential side
effects.The use of natural supplements,
lifestyle changes, and stress reduction measures can be very effective to
reduce the reliance on drugs.One way or
another, the blood pressure must be controlled.
in the Family Practice Journal summarized the research on treating chronic
sinusitis.Intranasal steroids worked
slightly better than placebo, and nasal salt irrigation was almost as effective
as the steroids.Z-packs for 3 months
did not improve symptoms.Surgery was
about the same as medical therapy.Those
of us in the alternative field might treat with Low-dose Antigens or with sinus
injections with Procaine anesthetics.Reports are much better with the natural approach.
See the Journal of Family Practice, Nov, 2016, 829-831.
Dr. Frank Shallenberger with calling our attention to a study in the AMA Journal
that pregnant women who take SSRI drugs for depression from the fourth month of
their pregnancy are much more likely to have children who develop autism.The reason appears to be a disruption of the
5HTP biochemical that control serotonin in the body.Instead of the drugs (like Prozac, Zoloft,
Paxil, Effexor, for example), it would appear that such natural treatments as
brain mapping and neurofeedback would be safer.Measuring neurotranmitters and correcting imbalances with supplements is
another excellent treatment that is very safe.
See Second Opinion newsletter and Boukhris, T.JAMA pediatrics 2016 Feb. 117-124.
and Magnesium at the highest doses tolerated might do well in controlling
hypertension.Cofactors include grape
seed extract and taurine.BP nat relief
is an herbal preparation which often works very well.Many BP meds have disturbing side effects.