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24.03.2009 04:47:13

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topic:   MEDICINE & POLITICS  with JANE ORIENT <C>
Intro:   Welcome to the Memory reVITALIZER HOUR SPONSORS: Evergreen Herbal Market in Rio Rancho, and Moses Health& NUTRITION  Store in North Valley.  Special Mention of Dr. Summers Health by Design Clinic.  This is a Medical & Health Show which focuses on information actually useful to the listener.  Sometimes we concur with the party line.  Sometimes we oppose the general current trend in Healthcare.  I hope we use reason, sound data, and good logic in our positions.   Nevertheless, the opinions of myself, Dr. Summers and my guests are theirs alone; and not intended to diagnose, treat, or prevent any specific caller or listener’s health problems.


1. HOUSE KEEPING:
– Leaky Greenies – 1 Free Euro_Facial: -1 Free week of Memory reVITALIZER
2. QUOTE OF THE DAY:
“When plunder becomes a way of life for a group of men living together in society, they create for themselves in the course of time a legal system that autherizes it and a more code that glorifies.”  – Jim Driscoll. Washington, DC, 17 MAR 2009.
3.
The House just passed a bill to fund a mandatary youth group.  This is horribly reminiscent of Stalin’s use of a “Scout” like organization to cement him in power by having the children “re-educated” and the parents controlled by the children.
-  http://studenteducationforum.ipbhost.com/index.php?showtopic=627

SECTION TWO- THREE:
Jane Orient, M.D., Assoc. Am. Physicians & Surgeons
1601 North Tucson Blvd, Suite 9, Tucson, AZ 85716  
Tele   800-635-1196   
Blitzkrieg = Lightening War.  Germany successfully used the Blitzkrieg tactic against Poland (attacked in September 1939), Denmark (April 1940), Norway (April 1940), Belgium (May 1940), the Netherlands (May 1940), Luxembourg (May 1940), France (May 1940), Yugoslavia (April 1941), and Greece (April 1941).

THE OBAMA ADMINISTRATION has instituted a Blitzkrieg against the freedoms of the American people
1. March 18th Bloomberg News:  SENIORS TARGETED BY OBAMA HEALTH PLAN
Most of you know by now that the Senate version (at least)
of the "stimulus" bill includes provisions for extensive rationing of health care for senior citizens.  The author of this part of the bill, former senator and tax evader and disgraced Obama nominee, Tom Daschle was credited  today by Bloomberg with  the following statement.  Bloomberg: "Daschle says health-care reform "will not be pain free." Seniors should be more accepting of  the conditions that come with age instead of treating  them."  
If this does not sufficiently raise your ire, just remember that Senators and Congressmen have their own healthcare plan  that is first dollar or very low co-pay which they are  guaranteed the remainder of their lives and are not subject to this new law if it passes.  

2. MEDICAL CIVIL LIBERTIES
New Gingrich and Rick Tyler had a piece in Newsmax.com on 15 MAR 2009.  He accuses candidate Obama of :formless messages of hope and change.”   Now President has made a change of forcing doctors to participate in medical procedures they believe immoral.  Previously, your physician was protected from the government and others by three laws {1973 Church Amendments; 1996 Public Health Service Act Amendment; 2004 Hyde-Weldon Amendment} from discrimination and intimidation for participation in medical care (or non-care) that they feel morally repugnent. 
– Gingrich N, Tyler R. “Obama’s Attack on Medical Civil Liberties.”Newsmax.com, Sunday, March 15, 2009

3. The Health Insurance Portability and Accountability Act
(HIPAA) was enacted by the U.S. Congress in 1996.   This became enforced in 2003, after most of the politicians who voted for this time bomb were no longer around.  Criminal penalties are given for a number of fraud and abuses of the health care scheme by “covered entities”.  The sell point was the privacy rule, which defined “protected health Information” (PHI).   

COMMENT: The truth is that although your best friend or family member cannot talk to your doctors; the government gets the raw material.  Further, it attempts to force electronic medical records. 
4. EUTHANASIA
This story from a Santa Fe listener. 
“Psychologist Ira Rosofsky (non-prescribing, talk-therapy health worker) calls in an LA Times Op-Ed for withholding treatment of dementia drugs.”  Of course he wants psychologists to be paid to hold the hands of the family of the dementia victims. 

Meanwhile in BRITAIN’s Daily Mail Reporter, there are editorials to stop using cancer drugs, “because they cost too much.  This supported NICE (National Institute
to Certify Excellence)
– www.dailymail.co.uk/health/article-1159506/ 
–The FUTURE LOOK??:  SOYLENT GREEN
The 1973 science fiction movie starred both Charlton Heston and Edward G. Robinson was set in the year 2022, a dystopian future where NYC had grown to 40 million, and the Government had become Fascistic, that is run by a central government with the happy cooperation of a few “chosen” corporations. 

SECTION FOUR:
DHC – Designed Health Clinic    Call 878-0192
Dementia Care            ?  Internal Medicine
Psychiatry                ?  Anti-aging Medicine
Bio Identical hormones        ? Weight Management
Facial Sculpting            ? Body Sculpting


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16.03.2009 07:00:00

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topic: RADIOLOGY  with David John Fillmore, MD, X-ray Associates  505-998-1317
Intro: Welcome to the Memory reVITALIZER HOUR SPONSORS Moses Health& NUTRITION  Store in North Valley.  Special Mention of Dr. Summers Health by Design Clinic.  This is a Medical & Health Show which focuses on information actually useful to the listener.  Sometimes we concur with the party line.  Sometimes we oppose the general current trend in Healthcare.  I hope we use reason, sound data, and good logic in our positions.   Nevertheless, the opinions of myself, Dr. Summers and my guests are theirs alone; and not intended to diagnose, treat, or prevent any specific caller or listener’s health problems.
1. HOUSE KEEPING:
– Leaky Greenies     – 2 Free Euro_Facials:      -1 Free Euro_ Body Sculpting.

– Thanks to Dr Komadina for heightening our awareness of Big  Brother Medicine.

2.Cordyceps sinensis (Cord.y.ceps  Sin.en.sis) ...... Himalayan Viagra
This report by Richard Stone out of Kunming, China.  C.sinensis, one of 400 species of a fungus, is the most prized herbs in the world, priced at $60,000 per kilo in 2008.  This parasitic fungus,  grows inside ghost moth, while it hibernates in mountain meadows int the Tibetan Plateau.  It does not grow in the lab In the ancient days, Chinese kingdoms waged wars over this fungus.  As recently as July 2007, a gun battle between rival villagers broke out with eight dead.  The frenzy in the Himalayas is so intense that 3.5 km2 of mountain grassland are turned into desert each year, effecting the watershed major rivers of China.  The fungus looks like a penis sticking up through the heather about 3 inches. 
Comment: This may be a circumstance, where the less expensive chemical ... viagra... may come to the assistance of Mother Nature. 
– Stone R.  Last Stand for the Body Snatcher of the Himalayas?  Science.  21 NOV 2008;
322:1182.   


3. Most Horrabilist Paper .. From Rotterdam, the Netherlands, concerning Tai Chi Chuan
269 community dwelling seniors, averaging 77 years of experience in walking were studied for falls over a 12 month period   Fall was defined as “unintentionally ending up on the floor.”  The Tai Chi Chuan uses the magic buzz words “Yang Style”.  Amazingly, there wee 115 falls in the Tai Chi group and only 90 in the do nothing group. 
Comment:  Shazam! The Dutch Government does not have to pay for Tai Chi lessons for the elderly.    The problem is the junk science design.  Yang Style is a 112 position marshal arts exercise that takes minimally 2 years to learn when instruction is 1-2 hours per week.  What they did was a 1 hour instruction for 13 weeks, teaching only ten positions, which they did as a Chi Kung exercise.  Let me explain.  Real Tai Chi is a fluid constantly moving exercise.  This stuff was imitating ten of the positions without the transition motions that lead from one position to the other.  It was Phony Tai Chi.  The study acknowledged the study was funded by the Dutch equivalent of the NIH.  Recall that the entitlement mode of the Dutch people is such that spouses of Multiple Sclerosis patients are provided sex workers courtesy of the government.!    
– Logghe IH, Zeeuwe EM, Verhagen AP, Wijnen-Sponselee RMT, Willemsen SP, Bierma-Zeinstra SMA, van Rossum E, Faber MJ, Koes BW.  Lack of effect of Tai Chi Chuan in preventing falls in elderly people living at home: a randomized clinical trial.  JAGS.  JAN 2009; 57:70-75.

4. Vitamin D, for teenies too!
Vitamin D levels in Teenagers were studied by a group from Johns Hopkins, who reported out at the American Heart Association on Wednesday, 11 MAR 2009.   Those with low vitamin D levels were four times more likely to have high blood pressure, high blood sugar, obese, high cholesterol, and big waists.   
Comment: Supplement vitamin D, especially in chubby kids to above 600 IU per day.
— Stengle Jamie.  Vitamin D, Teen Health Tied.  Albuquerque Journal 12
MAR 2009, pA4.

SECTION TWO- THREE:
David John Fillmore, MD
X-Ray Associates of New Mexico, PC, 8020 Constitution Place, NE, Suite 202, Albuquerque, NM 87110; 505-998-1317

1. Define – image-guided, minimally invasive, nonsurgical therapy used to strengthen a broken vertebra (spinal bone) weakened by osteoporosis, or cancer. 
HOW DOES ONE TRAIN TO BECOME THIS?
WHAT ARE THE APPLICATIONS OF INTERVENTIONAL RADIOLOGY?
DIAGNOSTIC?
THERAPEUTIC?
Outcome desired - LESS PAIN,
better functionality,
outpatient procedure. 
Questions: Who Needs the Procedure?   (not herniated disks or generalized arthritic back pain)
What does the equipment look like? 
What is injected
How does the procedure work?
Walk me through the procedure ---- What would a patient experience?
What are the risks and downsides. 


SECTION FOUR:
5.  CT Scans and Risk of Cancer:

On Nov 29, 2007 the NEJM published an article by Brenner & Hall that argued 1/3 of all CTs were medically unnecessary.  Further within “a few decades”, about 2% of all cancers in US would be from CT usage.    OUTRAGEOUS study, designed to grab headlines. 

Drs. Bobby Scot and colleagues at the Lovelace Respiratory Research Institute did the right thing and challenged this junk science.  They noted that Brenner & Hall used a flawed method called LNT (linear-no-threshold) to add up hypothetical individual risk (NOT reality).  This LNT technology is based on exposure to a thermonuclear blast.   They found numerous papers showing low-dose radiation stimulated immunity against cancer cells.  The mentioned, but did not carefully analyze the obvious fact that many lives are saved due to early diagnosis by these scans.  There is much math and science, which I will not go into.  Their conclusion, to my thought, is correct in that there truly is no credible evidence to support the notion that current usage of CT scans in the US will cause future cancer. 

-Scott BR, Sanders CL, Mitchel REJ, Boreham DR.  CT scans may reduce rather than increase the risk of cancer.  J Am Physic Surg 2008; 13:8-11.   

6. Rumpelstiltskin
A widowed miller became drunk at a tavern and bragged about his beautiful teenage daughter whom he bragged could spin straw into gold.   Word came to the king, who being greedy was interested in gold.  He had the girl brought to him and upon threat of her father’s life, locked her in a room filled with straw overnight; instructing her to spin straw into gold.  The poor girl broke down in tears of hopelessness.  But in a few minutes, a little dwarf appeared in the room.  The gruff little man who had a wooden leg asked, “What would you give me if I do this for you?”  My mother’s necklace, responded the little girl.  The King was impressed, but put her into a second larger room filled with straw with the same threat to execute her father if she did not spin gold.  Again the girl broke down in tears.  BUT in a few minutes, a little dwarf appeared in the room.  The gruff little man who had a wooden leg asked, “What would you give me if I do this for you?”   The ring on my finger, the frightened girl responded.   She went to sleep.  In the morning the gold was there, the straw was gone, as was her ring.  So a third night, the greedy King put her into an even larger room filled with straw.  Again the girl despaired, but the little gnarled man appeared.  “I have nothing left that I could give”, she said.  The dwarf said,”The King is greedy and you are pretty.  He will marry you.  So I want your first born child.”  The girl felt that the little man was crazy, so she agreed.  Indeed the King did marry her.  A year later she gave birth to a child.  The little man appeared to claim his child.  The Queen cried and lamented, and softened the little man.  “Ok.  To be fair, I will go away for three days.  When I return if you can guess my name, you may keep your child.”  Over the next three days the queen plotted and ordered soldiers to search the kingdom for the little man.  They found him deep in the forest where he was hopping on his one good leg singing,
“Today I bake, Tomorrow I brew,
the next I’ll have the young queen’s child
As no one knew that Rumpelstiltskin is my clue” 

The following day The queen guessed - Conrad?, Harry?, then Rumpelstiltskin?
The little man went into a rage, so uncontrolled he plunged his wooden leg into a knot in the wood floor.  He struggled, ripping off the leg, and bleeding to death. 
COMMENT: The lessons are 1) when you are precisely on target with the truth, the devious ones will respond with uncontrolled anger.  2]Do not brag (hubris) as the authorities (king) will hear   3] Goblins and Jews eat children, so stay close to your mothers.(A Historical lesson from 1700's)

DHC – Designed Health Clinic    Call 878-0192
Dementia Care            ?  Internal Medicine
Psychiatry                ?  Anti-aging Medicine
Bio Identical hormones        ? Weight Management
Facial Sculpting            ? Body Sculpting


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14.03.2009 05:40:08

Listen this radio show.

Our feelings about heath care reform. Is big brother realy nessasary?
Hosted by Dr Steve Komadina.


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14.03.2009 04:20:49

Listen this radio show.

Topic:   Chiropractic  with Kirk Manson, CD Tel:884.0044
Intro: Welcome to the Memory reVITALIZER HOUR SPONSORS: Evergreen Herbal Market in Rio Rancho, and Moses Health& NUTRITION  Store in North Valley.  Special Mention of Dr. Summers Health by Design Clinic.  This is a Medical & Health Show which focuses on information actually useful to the listener.  Sometimes we concur with the party line.  Sometimes we oppose the general current trend in Healthcare.  I hope we use reason, sound data, and good logic in our positions.   Nevertheless, the opinions of myself, Dr. Summers and my guests are theirs alone; and not intended to diagnose, treat, or prevent any specific caller or listener’s health problems.

CHINESE UNMASK HIGH-TECH ADULTERATION WITH MELAMINE
In March 2007 we were surprised by the discovery of contaminated pet food causing death by renal failure.  This was ultimately traced to melamine contaminated gluten in China.  But this was a two shoe event.  In the summer of 2008 Melamine showed up in Baby food.  There had been a previous contamination in 2004.  This time 4 Chinese babies died, 150 babies had acute kidney failure, and 53,000 others were sickened.    It got so bad that wealthy Chinese hired wet nurses to protect their babies.  The FDA actually did a good job here.  It is the reason why the FDA now has 3 offices in Beijing, Guangzhou, Shanghai.  Two more offices are to be put in India, and two in South America. 
Melamine is a useful compound.  It is used to produce plastics, fertilizers and as a fire retardant.  It is insoluble in water, so the presence in milk related Chinese products was a puzzle.  It requires a sophisticated wholesale re-engineering of milk.  Special emulsifiers are used to suspend melamine, the milk has to be diluted in certain manner, and compound infused into the solution.  The motif?  Money, as a small amount of poor quality milk can look like a high fat, high-quality milk.  Now the Chinese have 30 people are detained , including a general manager of one of China’s largest powdered milk makers. 
–Xin Hao, Stone R.  “Chinese Probe unmasks high-tech adulteration with melamine.  Science.  28 NOV 2008; 322:1310-1311.

FROM THE FRONT
a+}The photo incident of Ned and his former girlfriend Sandy, and the 56 photo’s. 
b+} Muzzammil Hassan, the 44 year old Muslim Pakistani banker who came to America 25 years ago and settled into Niagra Falls, NY with his wife.  He took his MBA and founded “Bridges TV” in Buffalo to counter the ‘negative perceptions of Muslims” after 9/11.  On February 12th (two days before Valentine’s Day) Mr. Hassan beheaded his wife as a honor killing.  It seems she filed for divorce on February 6th, which triggered the necessity of her beheading.   Comrad Hassan has been charged with SECOND degree murder.

COMMENT: What is interesting here is the fact that this was not reported in by AP, ABC, CBS, NBC.  Fortunately Officer O’Reilly of Fox News is on the job.   Locally the story was carried on 22 FEB 2009 in the Albuquerque Journal, .... but in the religious section.  The point of this article was the Muslim reaction.  Said Saleemah Abdul-Ghafur, “Muslims don’t want talk about this, for good reason.”  You don’t say!  Perhaps there needs to be much more talking about this.   Then there is Imanm Mohamed Hagamagid Ali of sterling, VA who cleverly said, “violence against women is real and cannot be ignored.”  Did anyone hear condemnation of honor killing here?
– Gorski E.  Slaying puts heat back on Muslims.  Albuquerque Journal.  22 FEB 2009.

Dimebolin   
Barry Ramo, MD caused quite a stir by mentioning dimebolin (Dimebon), a Russian antihistamine available since 1983.  It is now a neuroprotective with multiple mechanisms of action.  It inhibits L-type calcium channels, modulated NMDA and AMPA (glutamate receptors), and blocking neurotoxic beta-amyloid protein.    The Lancet published a Russian Study in mild - moderate stage Alzheimers patients with promising results in Phase III trials.  After 26 weeks(6.5 months), 44% of Dimebon group (78 subjects) improved as opposed to 20% of placebo group (77 subjects).  The p<0.0001 (ie.  One in 10,000 chance that
the effect of dimebolin is by chance alone). 
Comment: This bears watching, but the probable benefit comes from a mechanism seen in Namenda, which is readily available. 
– Ramo B.  Russian drug looks promising for patients with Alzheimer’s.  Boomer, Albuquerque Journal.  FEB 2009 p 2.   

SECTION TWO- THREE:
Kirk Manson, aaahh ChiroSpa, 1804 Carlisle Blvd, NE, Albuquerque, 87110
www.aaahhChiroSpa.com   Tel: 884.0044


Chiropractic is the third largest doctored profession in healthcare.  Six percent of Americans, and 12 % of Canadians utilize chiropractic, principally for back & neck pain.  Although Chiropractic does not have the same level of credibility as other healthcare professionals, a 2006 Gallup Poll showed 83% of persons satisfied or very satisfied with their care.  Basic principles of Chiropractic include the patient-centered approach.  “The patient is considered to be indispensable in, and ultimately responsible for, the maintenance of health.”  This is a principle I can support. 
History: DD (Daniel David) Palmer of Davenport, Iowa was a healer of the 1890's, who hypothesized that manipulation of the spine could cure disease.  By 1898 he began teaching his theory in the Palmer School of Chiropractic.  In 1906 his school was taken over by Bartlett Joshua (BJ) Palmer.  He rapidly expanded enrollment, and the graduates got in the face of the allopaths.  In 1910 the Chiropractors embraced the x-ray, as a diagnostic tool. Chiropractors were arrested for practicing without a license.   This feud continued to the landmark 1987 decision of Wilk vs AMA in which the court found that the AMA had engaged in unreasonable restraint of trade. 
Theory: “Straight” Chiropractors Reductionism is that a single factor, vertebral subluxation, is both the cause and cure of all health problems.  The Mixer chiropractics combine other paradigms of wellness. 
Areas Treated: Classically low back pain, Whiplash, neck pain, headache are considered the purvey of Chiropractic.  But the are many other areas addressed. 
Dr. Manson – Went to Palmer College West (Sunnivale CA)-1987.   Unique background – Travell Institute on myofascial pain. [Trevell & Simon’s myofascial pain and dysfunction: The trigger point manuel by David G. Simons, Janet G Travell, Lois S. Simmons, and Barbara D. Cummings.
Practiced in Gallop x 4 years.  He worked for Dr. Ferguson in Taos
? Pain Management 
? Oriental Medicine
? Massage

SECTION FOUR:
DHC – Designed Health Clinic    Call 878-0192
Dementia Care               ?  Internal Medicine
Psychiatry                     ?  Anti-aging Medicine
Bio Identical hormones    ? Weight Management
Facial Sculpting              ? Body Sculpting


Tags:



24.02.2009 00:40:38
topic: Urgent Care  with Tom Pascuzzi, M.D. 505-828-4789
Intro: Welcome to the Memory reVITALIZER HOUR SPONSORS: Evergreen Herbal Market in Rio Rancho, and Moses Health& NUTRITION  Store in North Valley.  Special Mention of Dr. Summers Health by Design Clinic.  This is a Medical & Health Show which focuses on information actually useful to the listener.  Sometimes we concur with the party line.  Sometimes we oppose the general current trend in Healthcare.  I hope we use reason, sound data, and good logic in our positions.   Nevertheless, the opinions of myself, Dr. Summers and my guests are theirs alone; and not intended to diagnose, treat, or prevent any specific caller or listener’s health problems.


1. HOUSE KEEPING:
– Leaky Greenies            – 1 free week to novice
– 2 Free Euro_Facials:          -1 Free Euro_ Body Sculpting.

2.   BISPHENOL-A (BPA)   
BPA is a chemical building block from which polycarbonate plastics and epoxy resins are made.  For more than 50 years it has been put into CDs, DVDs, Automobile parts, Sports safety equipment, water bottles, etc.  BPA’s is tough, heat resistant and has optical properties that allow it to be used as lenses for glasses.  Some nutters have linked it to increased prostate and breast cancer wnd reproductive problems.  Last year the flawed JAMA raised the question of heart disease, diabetes, and liver damage.  COMMENT: Madness.  If true concern, eliminate alcohol.... oh that was done.  Premarin has been linked to these problems... are we to outlaw this?  We need to go on offense.  If you hear this nuttiness, tell a friend how crazy our media is. 
– Jacoby M.  Trady places with Bisphenol-A.  C&EN.  15 DEC 2008; 87:31-33
3. LONG TERM USE OF SOME OSTEOPOROSIS MEDICINES QUESTIONED  
From NY Times (15 JUL 2008).  There is growing evidence that bisphosphonates actually looks bones look more dense, but makes them more brittle and likely to fracture.  This would include:
Alendronate (Fosamax)
Risedronate (Actonel)
ibandronate (Boniva)
Zoledronic acid (Reclast, Zometa)

The article looked at a 10 year study, where after five years the number of hip fractures was the same regardless of whether the patient did or did NOT continue taking the medications.  The concern is that long-term suppression of remodeling by bisphosphonates result in microcracks over time.  This weakens the bone, making it subject to fracture.         

COMMENT: Folks, keep taking your bioidentical hormones, and vitamin D!!
– Worst Pills, Best Pills News – January 2009, p11.

4. POLITICAL: HONORS TO DR. STEVE KOMADINA. 
NM Medical Society announced that Dr. Steve Komadina received the Ralph R. Marshall Award from Senator Jeff Bingaman, on DEC 5, 2008.   This is a ward for exemplary service to the NM Medical Society and the state’s physicians. 
– NM Medical News.  Jan/Feb 2009, p1
Nancy Pelosi, speaker of the House and advocate of abortion, went on her government paid for vacation back to her roots in Italy.  She had a meeting with the Pope.  The story headline: “Dope meets Pope, Pope says Nope!”

5.  ASTHMA/ COPD/ Emphysema  FOLKS, LISTEN UP
From the prestigious Medical Letter comes this caution.  The large study (SMART) found an increased risk of asthma-related deaths in patients receiving long-acting beta-1 agonists.  Medications involved and black boxed by FDA are:
- Serevent Diskus (GSK) (salmeterol)
-Foradil Aerolizer (Novartis) = Formoterol
but also the combination products
– Advair Diskus (GSK) = fluticasone / salmeterol
– Symbicort (AstraZeneca) = budesonide/ formoterol 

A bit more detail.  Beta2 agonist = causing smooth muscle relaxation, resulting in dilation of bronchial passages, vasodilation in muscle and liver, relaxation of uterine muscle and release of insulin.   The long acting beta-2 agonists cause down-regulation of the receptor, so the rescue treatments like albuterol simply do not work.  Now when you put a long acting local steroid together with the beta-2 agonist, the risk of asthma-related death goes away.  MEDICAL LETTER RECOMMENDS: no use of isolated long acting Beta2, UNLESS a corticosteroid is added .   Thus Advair Diskus and Symbicort seem to be OK.
COMMENT: Due to the steroid suppression of inflammation, be vigilant about infections as well.                                   

6.  FROM THE FRONT
The photo incident of Ned and his former girlfriend Sandy, and the 56 photo’s. 

SECTION TWO- THREE:
Tom Pascuzzi, MD    Md Urgent Care
7920 Carmel NE        [Wyoming and Paseo del Norte]
Albuquerque, NM 87122
www.mdurgentcare.com 828-4789

Born in Detroit, Michigan, educated at the University of Michigan and the Detroit Medical Center, DR. PASCUZZI obtained his specialty training in Emergency Medicine through the United States Military Joint Military Medical Centers in San Antonio Texas.
Dr. Pascuzzi first arrived in New Mexico in 1990, serving as a Flight Surgeon for the 524th Tactical Fighter Squadron at Cannon Air Force Base, Clovis, New Mexico. From 1992-95 he spent 3 years in residency training at Wilford Hall USAF Hospital and Brook Army Medical Center in San Antonio, Texas. Returning to New Mexico in 1995 he served as Flight Commander for Emergency Services at Kirtland AF Base in Albuquerque, NM for two years.
After leaving the USAF, Tom practiced for 10 years in Santa Fe working at St. Vincent Regional Medical Center. In 2006 he returned to Albuquerque to work for Presbyterian Healthcare Services as Medical Director of Care Coordination and Utilization Management. He has extensive experience in Emergency Medicine and Administrative Medicine.
Over the past two years he has dreamed of bringing quality urgent and emergency medical services to your neighborhood. Today that realty is MD Urgent Care. Tom and his wife Shannon, a native New Yorker, have three young sons, Nicholas, Andrew, and Matthew. As a family, they endeavor to enjoy all of the splendors that our Land of Enchantment has to offer.
m d URGENT CARE: When founded?  Where is facility?  Costs? 

URGENT CARE: Treatment of conditions that require prompt attention, but do not pose an immediate, serious health threat. We provide rapid and reliable care for most acute illnesses and injuries including the treatment of cough, colds, fever, flu, pain, strains, lacerations and broken bones on a walk-in basis.   WHEN TO USE

Gastroenteritis:
Symptoms: acute diarrhea; .. ±fever  ± nausea    ±Abdominal pain / cramps.
Cause:    50%– food borne with norovirus; 20% - especially children, due to rotavirus;
misc. = adenovirus/ astrovirus.
Bacteria = E. Coli, but legendary concerns are bloody stools of Salmonella, Shigella,
Staphylococcus, Campylobacter jejuni, and Yersinia.
008.45     Intestinal Clostridium Difficile Infections
Treatment:  Probiotics / zinc/ antidirrheal agents/ antiemetic drugs/  ?? Antibiotics




SECTION FOUR:
DHC – Designed Health Clinic    Call 878-0192
Dementia Care            ?  Internal Medicine
Psychiatry                ?  Anti-aging Medicine
Bio Identical hormones        ? Weight Management
Facial Sculpting            ? Body Sculpting


Tags:



17.02.2009 10:54:16
14 FEB , 2009   Topic FDA  with Peter Barton HUTT

Into: Welcome to the Memory reVITALIZER HOUR SPONSORS: Evergreen
Herbal Market in Rio Rancho, and Moses Health& NUTRITION Store in North Valley.
Special Mention of Dr. Summers Health by Design Clinic. This is a Medical &
Health Show which focuses on information actually useful to the listener. Sometimes we
concur with the party line. Sometimes we oppose the general current trend in Healthcare.
I hope we use reason, sound data, and good logic in our positions. Nevertheless, the
opinions of myself, Dr. Summers and my guests are theirs alone; and not intended to
diagnose, treat, or prevent any specific caller or listener’s health problems.
1. HOUSE KEEPING:
1a. $8 Trillion ... Unbelievable. Found Stealth Health in this. The Harry
Reid Train from Disneyland to Las Vegas – 2 hours.@ 311 mph ... for $8
Billion x 5 years ecological impact. Unprecedented spending. Hang onto
your wallets and your lives. Congratulations folks, we now have mandated
socialized medicine. In Britain NICE = national institute for clinical
excellence. It is not so NICE, as it rations healthcare. Now we have the
NCHI (national coordination of health information) department of the
government. Ugh!
2. COMPUTED TOMOGRAPHY ANGIOGRAPHY {CTA} in Peripheral Arterial Disease
PAD is a narrowing of arteries going into the legs. Symptoms consist of
intermittant claudication (pain), numbness, bluish coloration of the toes/feet.
There are now effective methods of treating these disorders. Now CTA has an
established sensitivity and specifiicity of 98% for detecting PAD. So it must be
time to restudy it. A week end study of Medline (687) and Embase (344). The
Dutch authors excluded 868, leaving 21 studies (2.03 %). How accurate can a
study be when you throw out 98% of the data. Conclusion of the chosen 21 studies
95% sensitive and 96% specific. WOW!
COMMENT: It should have been a letter to the editor.
Met R, Bipat S, Legemate DA, Reekers JA, Koelemay MJW. Diagnostic performance of
computed tomography angiography in peripheral arterial diseas: Systemic review and metaanalysis.
JAMA. 28 JAN 2009; 301: 415-424.

3. 200TH ANNIVERSIARY OF DARWIN:
You and I have heard of Charles Darwin, whose birthday os Thursday 12 FEB.
We understand that species change and mutate. In Islam they like to keep them
dumb and down on the farm. A survey published in Science showed in Egypt
only 8% thought evolution could possibly be true. For 92% it was not possible.
Lest we blame Egypt, look at Pakistan where 14% believe evolution of species is
possible, and 86% deny its possibility. Got to the east, Indonesia.... one of two
Muslim democracies, where all boys must be trained in Islam .... 16% think
evolution is probably true. This leaves 84% who feel it is false or never thought
about it.
– Hameed S. Bracing for Islamic Creationism. Science. 12 DEC 2008; 322:1637-38.
4. Oxytocin, the “Love Hormone”
Casual Sex is perhaps not so casual. Recent work on Oxytocin, a 9 amino acid peptide
(Cysteine-tyrosine-isoleucine-glutamine-asparagine-cysteine-proline-leucine-glycine), is now
suspected to be the “love hormone” It is released from the posterior pituitary. It is called forth
by breast feeding, uterine contraction, vaginal organism (and penile orgasm) and “sexual arousal.
Actions of oxytocin within the brain include sexual arousal, bonding, maternal behavior,
increasing trust and reducing fear, reducing opiate or alcohol withdrawal symptoms. Given to
male rats in the CSF, it results in ‘spontaneous’ erections. When given systemically it can
impair memory retrieval. Even kissing, holding hands, and massage will result in rises of
oxytocin in women.
Thus, the concept of cold sexual intercourse is a fantasy. Choose your mate, BEFORE you leap into bed. Happy valentines day!
– www.oxytocin.org. — http://en.wikipedia.org/wiki/oxytocin
SECTION TWO- THREE:

Peter Barton Hutt, Esq,
Covington & Burling,
1201 Pennsylvania Ave,
Washington, DC 2004-2401
www.cov.com
He was Chief Counsel for FDA from 1971-1975. He has specialized in FDA Law
since, and teaches a course on FDA at Harvard Law School and at Stanfor Law
School. He has argued cases before the Supreme Court, (Powell v. Texas), which a
rare distinction in the world of attorneys. In April 2005 Mr. Hutt was presented
the Distinguished Alumni Award by the FDA.
1. History of the Agency.
1906 – Federal Food and Drug Act. 1938 Food, Drug, and Cosmetic Act. – Las-
Lure (blinded women); and Banbar- diabetes cure. This gave Safety authority
1962 – Food, Drug, and Cosmetics Act Amendments PL 87–781 Added
“Effective”
1994 – Dietary Supplement Health and Education Act
Today .... 25 cents on a dollar controlled. Their budget is 2.4 billion per year. They have 9,100
employees ($109,000 pre employee).
2. The “Safe & Effective” Change of 1962.
3. I heard a show where the host complained she did not understand why The Evil Drug
Company did not simply mix her favorite herb right into their pain pills. She had no concept she
was mixing two different worlds.
4. FUTURE:
$2 Billion x 11 years... But $2 billion marketing +$2 Billion profit.
Europe is regulated to death. We are the only engine in America.


Tags:



09.02.2009 07:00:00
Private Family Medical Practice Torre Near, MD

SECTION ONE:
1. News from the FRONT:
a]Flu Season – Jeff Ross [ . . . . . . . . . . . . . . . . . . . . . . www.cdc.gov/flu
Congratulations to WHO/ UNICEF for success against measles. from 2000-
2006 measles
vaccine has been distributed to 478 million children age 9-14 months in 46

priority countires. Result a 60% drop in mortality from 873,000 in 1999 to345,000 by 2005.

a+] Single payer Issue: Price Controls do not hold down inflation. Rather they
produce shortages of goods, drop in quality, and both illegal and alternative
activity. Freedom is in the soul of man, and slavery / power is in the hearts of
leaders. Cue Bono!

Plus ca change (Plu da cha n gè)
Plus c’est la meme chose (Plus se la men chÇsè)

b] Clinic - Prostate and Male Sexual Health [ Short]
The prostate is an exocrine gland about the size of a walnut which is
located at the base of the penis – i.e. between the penis and the
bladder. The urethra runs through it, which is the problem. With age it
grows and chokes off the bladder. By age 70, forty-five per cent of
men are symptomatic with hesitancy of urine stream, and nighttime
arousal to pass urine.
In youth, the prostate is an important sexual organ, creating a watery
alkaline (pH 7.29) fluid that is about 30% of the semen. This allows
the sperm to last longer in the naturally acid vaginal tract. The
prostate is arousable and is the male equivalent of the famous “gspot”.
In the aged, the prostate swells due to "-adrenergic mediated stromal
smooth-muscle cells and the estrogen sensitive glandular epithelial
cells. Estrogen, specifically estrone and estradiol cause both the
stroma and epithelium to swell. Estradiol further aggravates matters
by increasing DHT (actually inhibits the elimination of DHT). This DHT
swells epithelium and Stroma.
Curiously, Estriol (E3), Progesterone, and Testosterone with
Progesterone cause shrinkage of the epithelium
The first line of INTERVENTION is blockade of alpha-adrenalin
receptors on the smooth muscles, or fibromuscular stroma of the
prostate. This relaxes the prostate and is a good temporary solution.
Drugs that do this are:
Flomax [tam.su.lo.sin tamsulosin]
Uroxatal [al.fuzo.sin alfuzosin ]
Next, we can block the production of DHT by blocking 5-alpha
reductase:
Prescription drugs that do this are
Avodart [du.tas.teride dutasteride]
Proscar [Fin.asteride finasteride]
However this is risky business. First it increases the risk of conversion
to prostate cancer, and it leads to impotence.
There are fortunately there are numerous less risky means of
shrinking the prostate, while enhancing male sexual performance.
This is a delicate matter and a bit of art work however. Prostate and
male sexual health is a major activity here at dHc. Call us
today at 505.878.0192 for an appointment.

c] Generic Dilantin causes seizure:
Monday Jan21, 2008 Albuquerque Journal ran Joe & Teresa Graedon’s column
where a patient reported seizure on generic dilantin. The blood dilantin level was
undetectable !!

d] Vitamin E news: Its good to have some in you
Guys at Yale/ U So Carolina figured out how to get the government to pay for
extended vacations in northern Italy. They looked at 698 community-living
persons 65 or older over 3 years (1998 - November 1, 2001).
They collected blood samples and did physical stress testing (eg) 4-meter walking
speed; 5 time chair - stand test). They found at p<0.01 that low serum vitamin E
was related to decline in physical function. There was no efect seen in B12/ B6/
B9/ Vit D/ Iron.
– Bartali G, Frongillo EA, Guralnik JM, Stipanuk MH, Allor HG,
Cherubini A, Bandinelli S, Ferrucci L, Gill TM. Serum micro-nutrient
concentrations and decline in physical function among older persons.
JAMA 23 JAN 2008; 299:308-315.

e] Most Horriblist Paper of the Week
The Dutch government paid for a Stalinistic Show Trial of “Droids” Recall this is a
government that guarantees Sexual health – Viagra and Prostitutes are a
government expense. Also Rationed health – What’s my diagnosis TV Show lets
the audience do the rationing. They gave ORAL testosterone to 237 men (120
Testosterone & 117 placebo) x 6 months. They then proved that the dose was
woefully inadequate, by drawing a single testosterone which showed no difference
between the placebo group and treatment group. They then pretended to be
surprised that there were no changes in hand grip strength, cognitive tests, and
bone mineral density. Conclusion Hey you Dutch men do not need Testosterone
supplemtation. Cue Bono !
– Emmelot-Vonk J, Verharr HJJ, Pour HRN, Aleman A, Lock TMTW,
Bosch JLHR, Grobbeee DE, van der Schouw VT. Effect of Testosterone
Supplementation of Functional Mobility, Cognition, and Other Parameters in
Older Men. JAMA. 01 JAN 2008; 299:39-52.

f] SYPHILIS WAS GIVEN TO COLUMBUS BY THE INDIANS:
A Guyana Indian tribe -Akwio- has a skin and sexually transmitted disease
Treponema pallidum pallidum discovered in 1999 by Canadian doctors. DNA
analysis reveals that this illness is older than syphilis, and the probable orgin of
syphils. Hence Indians gave syphilis to Columbus (Zimmer C. Science 18 JAN
2008; 319:272.
SECTION TWO - THREE:
Torre Near, MD
CV: Purdue University- BS (1980); UNM- MD (1984); U Wisconsin - Internal
Medicine (1987)
Veteran: Presbyterian Urgent Care; ER in Gallup and Grants; Hospitalist at
Lovelace 87-91.
StatMed,LLC [ 505.400-3990] since October 2005
Topic: 1]Single payer Health Schemes and PRIVATE MEDICINE:
1. HOW NOW PRIVATE PRACTICE: Confucius’s Law:
Single Payer = Committee Driven Health Price Controls = “The Formulary”,
“The Spigot Theory” where Family Practice gets penalized if they refer.
Price Control does not hold down inflation. Rather they produce shortages
of goods, drop in quality, and both illegal and alternative activity. Freedom is
in the soul of man, and slavery / power is in the hearts of leaders. Cue Bono!

If they do not profit in it, they glory in it !
Plus ca change
Plus c’est la meme chose
2. Urgent Care: Private versus Box Store urgent care at HMO’s and UNM
Brief wait time. Cost similar to Co-Pay for HMO’s. Free Follow-up.
Consistent care by personally that evaluated you initially.
Case of the week discussed.

SECTION FOUR: DHC – Designed Health Clinic
Dementia Care
Internal Medicine
Psychiatry
Anti-aging Medicine
Bio Identical hormones


Tags:



02.02.2009 07:00:00

Topic: Rheumatic Diseases

with Jacqueline Dean, MD 341.4148

Intro: Welcome to the Memory reVITALIZER HOUR SPONSORS: Evergreen Herbal Market in Rio Rancho, and Moses Health& NUTRITION Store in North Valley. Special Mention of Dr. Summers Health by Design Clinic. This is a Medical & Health Show which focuses on information actually useful to the listener. Sometimes we concur with the party line. Sometimes we oppose the general current trend in Healthcare. I hope we use reason, sound data, and good logic in our positions. Nevertheless, the opinions of myself, Dr. Summers and my guests are theirs alone; and not intended to diagnose, treat, or prevent any specific caller or listener's health problems.

1. BIOENGINEERED TISSUES

Engineers such as Farshid Guilak of Duke University are reshaping the future of worn out body parts, such as cartilage, ligaments, and even heart muscle. Let's look at knees which can withstand 12 megapascals of pressure -- more than ten times the amount generated by hanging from a cliff ledge of Sandia mountain by a single fingernail. In the past there was anti-inflammatory medications and ultimately knee replacement. More recently there is knee microsurgery, where the damaged tissue is cleaned out.



NBA star Greg Oden, of the Portland Trailblazers has received a new technology of microfracture. Here tiny holes are punched in the bones surrounding the knee. The influx of blood brought stem cells out of the bone marrow, which were to differentiate into cartilage-producing chondrocytes. Odens knees self repaired so well that he is back to "solid monster dunks."



In the future look for new technologies such as 1] transplant cartilage from elsewhere 2] amplification of harvested chondrocytes from person or cadavers by growing them in a petri dish; then reinjecting where needed. 3} engineered cartilage where amplified chondrocytes (cartilage cells) are grown on flexible scaffolds of polyvinyl pyrrolidone, then surgically placed. Here the new tissue is actually stronger than the original!



- Service RF. Coming soon to a knee near you: cartilage like your very own. Science. (05 DEC 2008)l 322L1460-1461.



2. TIDBIT:

Fresh from Pultusk Poland, a crack team of anthropology & Archeologists have found the remains of Nicolaus Copernicus, who died in 1543. Recall Copernicus was the Polock mathematician who turned the world on his ear - he put the Sun at the center of the Solar system. Prior to that time the church had placed the earth as the center of the universe. Copernicus was buried under a medieval cathedral in the a Polish town of Frömbork. Hair that had fallen in the creases of his astronomical book, Calendarium Romanum Magnum were matched for DNA with the skeleton. Now with the magic of MRI, his face has been reconstructed. Unlike the 54,600 versions listed on Google, he looked like typical Polish man of the age of 70.

- Holden C (Ed). Random samples: molecular match for man who moved the earth. (05 DEC 2008); 322:1443.





3. THE GINGERBREAD MAN : Psychiatric explanation given. Why should Parents and Grandparents read traditional fairy tales to children.... it's the lessons, silly! Each Fairy Tale has a lesson to teach the little skulls full of mush. The lesson of the Gingerbread man is that one should not run from those who love you, as you will often run INTO the mouths of Foxes.



4. POLITICS

Electronic medical records - considered by Congress ... Will have a guest in March on this issue We will have Jane Orient, Executive Director of AssocAmPhys&Surg on 21 MAR 2009

House Bill 105 sponsored by John Heaton (D- Carlsbad) will be heard in Santa FE on 03 FEB, 2009 at 1:30 PM room 309 or Merry Roundhouse. Gun rights people nee to get a friend or two up to watch this.

Pfizer nears drug deal.

This deal of $65-70 billion to acquire rival Wyeth, is driven by the loss of Lipitor in 2011. Lipitor gives Pfizer about $12..7 billion per year. Discussion: The pharmaceutical industry is sick. We will have a guest on this issue - Peter Barton Hutt, a former FDA chief council on FEB 14th.







SECTION TWO- THREE:

Jacqueline Dean, MD

Albuquerque Rehabilitation & Rheumatology, PC

1617 University NE, Albuquerque, NM 87102 505.341-4148

A. Osteoporosis:

Last August 30 we had Bruce R. Troen, MD, Geriatric Research Education and Clinical Center, U. Miami on this topic.

Big Problem

1.5million Fractures in US per year

$17,000,000,000 (billion) cost per year

75% of osteoporetic fractures are women; they loose 1.2% bone mas

per year, especially trabecular bone



Recap:

1. Bone is plastic and fluid throughout life.

2. Microscopically there are two cell types - Those that grab onto existing bone & rip up bone (OsteoCLASTS), coupled with these cells are those cells which lay down more bone called OsteoBLASTS. Again like a highway machine that at one end rips up the pavement, at the other end lay down the new highway.

3. Osteoclasts and Osteoblasts are influenced by :

Vitamin D

Hormones

Estrogen/ Progesterone/ testosterone

PTH

Local chemicals - Cytokines

IL-1, IL-6, IL-11, TNF - inflammatory cytokine

anti-inflammatory

M-CSF (macrophage colony stimulating factor)

RANKL -(Receptor Activator of Nuclear factor-Kappa b Ligand)

TGF- - (Transforming Growth Factor Beta)

Minerals:

Ca, Boron, Silicon, Strontium

4. Causes of osteoporosis

- Menarche, MANarche (andropause)

- Senile Osteoporosis

Fat & Bone: and odd couple. ... bone marrow adipogenesis... toxic to osteoblasts? Related to PPAR and diabetes

5. DX: BMD: DEXA (dual energy x-ray Absorption), Ultrasound, QCT (quantitative computed tomograpy

6. WHAT TO DO?

SUN, Exercise, antioxidants - Memory reVITALIZER., proper minerals (Boron, Silicon, Strontium) ...

VITAMIN D - proper dose 1,000 - 2,000 IU per day, and to check the 1,25 vitamin D3 levels.

Forteo (teriparatide) = Parathyroid hormone

Injection at physician's office

MiaCalcin Nasal Spray = calcitonin-salmon

Bisphosphonates - Not discussed, but that is ok as I do not support this class of drugs.

Reason's for approaches to osteoporosis discussed.


SECTION FOUR:

DHC - Designed Health Clinic Call 878-0192

Dementia Care Internal Medicine

Psychiatry Anti-aging Medicine

Bio Identical hormones Weight Management

Facial Sculpting Body Sculpting
Tags:



20.01.2009 05:12:26

This is a Medical & Health Show which focuses on information actually useful to the listener. Sometimes we concur with the party line. Sometimes we oppose the general current trend in Healthcare. I hope we use reason, sound data, and good logic in our positions. Nevertheless, the opinions of myself, Dr. Summers and my guests are theirs alone; and not intended to diagnose, treat, or prevent any specific caller or listener’s health problems.

1. ALTITUDE SICKNESS

Quick report by John West, MD on the Train to Lhasa, Tibet. The train runs fro Qinghai province, China to Lhasa, the traditional capitol of Tibet. Now the trip starts at 9,210 ft² and goes as high as 16,642 ft (5,074 meters). Over 14 hours of the trip, the average altitude is 15,639 ft (4,768 meters). Attitude Sickness = Headache is a primary symptom used to diagnose altitude sickness, although headache is also a symptom of dehydration. A headache occurring at an altitude above 2,400 meters (8000 feet = 76 kPa), combined with any one or more of the following symptoms, can indicate altitude sickness: Lack of appetite, nausea, or vomiting

Fatigue or weakness Dizziness or light-headedness Insomnia
Pins and needles Shortness of breath upon exertion
Persistent rapid pulse Drowsiness General malaise

Peripheral edema (swelling of hands, feet, and face).

SYMPTOMS THAT MAY INDICATE LIFE-THREATENING ALTITUDE SICKNESS INCLUDE:

pulmonary edema (fluid in the lungs): persistent dry cough fever shortness of breath even when resting cerebral edema (swelling of the brain): headache that does not respond

to analgesics unsteady gait increased vomiting gradual loss of consciousness. Note: Sandia Crest = 10,678 ft; Solution – Each car has oxygen concentrators to bring the concentration of oxygen up to 25% levels. This gives substantial improvement in O2 saturation of Hemoglobin. The Author is mistaken by thinking that acclimation occurs. IT DOES NOT. Also Mountain sickness begans at about 6,000 feet for older folks. Hence == Tijeras, NM.

– West JB. A new approach to very-high altitude land travel: the Train to lhasa, Tibet. Ann Int Med. 16 DEC 2008; 149: 898-901.

2. ACUPUNCTURE & ORIENTAL MEDICINE PRACTICE ACT [61-14A-3 NMSA 1978]

I received notice of the above act to be submitted to NM legislation this year. It appears the acupuncturists and Oriental Medicine doctors want to play with the big dogs on the porch. The NM Osteopathic Medical Association {NMOMA) was the first to send out the alert. The NMOMA folks are organizing opposition. Discussion: Nurse Practitioners, Pharmacists and Psychologists have been awarded this authority already. MUST do 3hr collage course. MY POSITION: REMOVE ALL LICENSING REQUIREMENTS for prescriptive authority. We can be like Mexico! Brings the cost down, in preparation for OBAMA-CARE.

2. FREE-SOURCE OTC MEDS ARE DANGEROUS. Dr. Dima Qato and colleagues at U Chicago did analysis of 3,000 community- residing individuals (REAL WORLD) from age 57 - 85 years old. They querried prescriptions, over-the-counter, and dietary supplements uses on a regular schedule. What they found was not unexpected. 9%-NO medications; 81% take prescription Medications; 42% take OTC’s; and 49% take supplements . 4% [1 in 25 ] were on potential dangerous combinations!!! More than half of the adults were on five or more prescription medications ± OTC ± supplements. 29% were on more than five prescriptions!

– Qato DM, Alexander GC, Conti RM, Johnson M, Schumm P, Lindau ST. “Use of prescription and OTC medications on dietary supplements among older adults in the United States.” JAMA. 24 DEC 2008. 300:2867-2878.

4. Glia have purpose

150 years ago Virchow described neuroglia or glia as a type of Styrofoam peanuts. The name neuroglia means “nerve glue”. The concept was they were inert cells that merely supported nerve cells (neurons). Today, we have the report of Bacaj and colleagues, from the Rockefeller University Developmental Genetics Department on a specific cluster of neurons in C. Elegans. They could genetically eliminate glia, and found profound deficits. Comment: Indeed we have know since the mid-nineties that glia are crucial for metabolism and survival of neurons. Indeed they are in charge of inflammatory responses inside of the CNS. They signal apoptosis. They have more synapses with neurons than neurons do.

– Bacaj T, Tevlin M, Lu Y, Shaham S. Glia are essential for sensory organ function in C. Elegans. Science 31 OCT 2008; 322:744-747

SECTION TWO- THREE:

Darmara L. Kaplan, M.D.

711 Encino Place NE, Suite C Albuquerque, NM 87102 Telé 242-3991 Female Incontinence:

  1. Stress incontinence – Elderly women, intraabdominal pressure (cough, laugh, sneeze) results in urine leaks. Rx: SURGERY, PESSARIES Meds: Vaginal estrogen, Detrol (tolterodine), Ditropan/ Oxytrol (oxybutynin), propantheline, Enablex (darifenacin), Vesicare (solifenacin), Sanctura (trospium), Imipramine, pseudoephedrine, Cymbalta (duloxetine)

  2. Urge incontinence – overactive detrusor muscle. Seen in stroke, Parkinsons, cystitis, atrophic vaginitis, bladder wall hypertrophy. Sm =- frequency.

  3. Functional incontinence: Normal detrusor and sphincter mechanisms . Cause lack of access to toilet – immobility, unable to articulate (dementia/ delirium) or rapid potent diuretics

  4. Overflow incontinence – a mans problem seen with BPH (benign prostatic hyperplasia), but fecal impaction or uretheral stricture can cause it. It can be an an atonic bladder (diabetes, radiation, tumor, CVA). Some medications can impair detrusor contractions (anticholinergics, calcium channel blockers). SM = dribbling & incomplete emptying.




20.01.2009 04:20:55

This is a Medical & Health Show which focuses on information actually useful to the listener. Sometimes we concur with the party line. Sometimes we oppose the general current trend in Healthcare. I hope we use reason, sound data, and good logic in our positions. Nevertheless, the opinions of myself, Dr. Summers and my guests are theirs alone; and not intended to diagnose, treat, or prevent any specific caller or listener’s health problems.

Section 1

1. McDonald’s Logic:

Premise : In 1955 Life expectancy was 69.6 years, and McDonald’s was started selling hamburgers. Premise: In 2004 Life expectancy had risen to 77.9 years, an improvement in longevity of 8.3 years. Incredible! Conclusion: Therefore: McDonald’s is associated with living longer!

2. Ubiquitin Apology:

For some time I have been using Ubiquitin interchangeably with Ubiquinone. Recall that Ubiquinone is another name for vitamin co-Q10. I have marveled at the incredible complexity of this rather simple molecule. It seems to have the ability to profile new proteins coded by DNA in the nucleus and produced via RNA in the endoplasmic reticulum. Ubiquitin is like “inspector No. 43” whose tags show up in a package of underwear, .... “Inspected by No. 43.” The good proteins go on to other career as an enzyme, or a receptor. The flawed ones go to the wastebasket - lysosomes, where they are broken down and recycled. Amazing!.

Turns out I am wrong.

Ubiquitin is a large protein(molecule with a large number of amino acids) used

ubiquitously by cells to vet a newly formed protein. It was identified in 1975 as a 8.5 kDa protein (huge) and led to a Nobel prize in 2004 going to Aaron Ciechanover, Avram Hershko and Irvine rose of UC-Irvine. It is a system that modifies proteins after they come out of the factory (endoplasmic reticulum). So, ubiquiTIN is the protein factory inspector who judges & polishes new proteins made by the cell.

Ubiquinone or Coenzyme Q10 is a0.6kD small lipid soluble molecule in the class called quinone. It hangs out around mitochondria where it produces ‘safe’ energy by transferring electrons, which absorbs free-radicles into a compound called semiquinone. It is the only compound in the Electron transfer chain which is a lipid, not a protein. NOW THE ENERGY PRODUCED IN THE MITOCHONDRIA HELPS DRIVE THE ACTION OF UBIQUITIN, THE FACTORY INSPECTOR.

Again Ubiquitin = protein factory inspector in the endoplasmic reticulum department Ubiquinone = coQ10, the lipid energy producer over in the mitochondria department

-Gabbe C, Dikic I. Going Global on Ubiquitin. Science. 07 NOV 2008; 322:872-874.

3. SHOE: PICKING A SHOE IS NOT EASY.

1] Shoe Size † Arch Size

2] Proper Arch Support is the KEY. THE quality of the Arch (shoe’s midsole)

is the highly variable. It is the hidden portion is the important point

3] SETS DISTRIBUTION of weight between

Ankle

Knee

Hip

Back

4] Purpose of shoe is **

Run – Walk – Fashion

5] Price is Last Consideration.

– Snow PG. Deciding on the right pair of shoes these days is no easy task. FIT, Albuquerque Journal, NOV 2008, pp2-4

4. Czar Tom Daschel’s Health Superboard

Rejected Tom Daschel, former Senate Democrat Majority Leader, has resurfaced as the Obama pick for head of HHS, the 65,000 make-work department of the people’s government in control of 80% of the nation’s health via VA/ Medicare/ Medicaid/ HMO regulations. Czar Daschel bemoaned, “high cost of American Health Care”. He wants a Board to CHOOSE what will be covered and how much it will pay. Thus the “providers” will be steered to the clinically valuable and cost effective drugs and tests. In UK this is called National Institute for Health and Clinical Evaluation, or NICE, .... which is not so nice. These Slow speed Yo-Yo operators are responsible for high cancer/ cardiac mortality.

– Editorial staff. Czar Daschle’s health superboard: so sweeping as to be impractical. Inves Bus Daily. 02 DEC 2008. .

SECTION TWO- THREE:
PAIN with Barry R. Maron, MD, METAMORPHOSIS CLINIC
112 Monroe St 87109 Tel:260.9917;
Doctor on Call (John Vigil) 10700 Menaul 323.8911.

Background: Orthopaedic Surgeion since 1971 who specialized in trauma. Pain Management interest arouse from this. “Today, I have entered a different world ...” “Pain is the 5th. ..”

PAIN: WHAT IS IT? .............................. 26,930,000 hits on Google Sensory experience of unpleasant, noxious, feeling leading to avoidance. It is HIGHLY SUBJECTIVE. Can be psychological.

WHAT ARE THE CHARACTERIZATIONS OF PAIN?

-dull -burning -stabbing -crushing -squeezing -bloating/ pressure – focal

What is the Location?

head – neck – low back -joints of hands
eyes – abdomen – ? – bone

What is the Time Course?

– paroxysmal – Chronic – Acute

What are the Associations?

Change in weather – Motion: reaching, twisting – Position
Season – Reliving event – Cycle of Menses
Cancer

What is Pain Management? What type of doctors specialize in Pain Control?

anesthesiology – psychiatry -Psysiatry
neurology – surgeons – Family practice
homeopaths – holistic (hypnosis) – Oriental medicine

Tags: News | Pain | Logic



09.01.2009 06:19:12
Welcome to the Memory reVITALIZER HOUR SPONSORS:
Evergreen Herbal Market in Rio Rancho, and Moses Health& NUTRITION
Store in North Valley. Special Mention of Menaul Compounding Pharmacy
on Menaul, east of Juan Tabo.
This is a Medical & Health Show which focuses on information actually useful
to the listener. Sometimes we concur with the party line. Sometimes we
oppose the general current trend in Healthcare. I hope we use reason, sound
data, and good logic in our positions. Nevertheless, the opinions of myself, Dr.
Summers and my guests are theirs alone; and not intended to diagnose, treat, or
prevent any specific caller or listener’s health problems.

SECTION ONE:
1. Is Herpes Virus innocent?
Last Nov 15th the Houston Zoo held a memorial service for Mac, a two
year old Asian Elephant born weighing 384 lb. He was a smart little
elephant learning more than 50 behaviors and grew to over two tons.
Less than 12 hours before his death he displayed lethargy and loss of
appetite. He died of internal hemorrhages. He was the 6th Houston
6th elephant to die fo the disease.
– “Lozano J A. Zoo Mourns Popular elephant. Albuquerque Journal 16
NOV
2008; p A12
2. Herpes gladiatorum
The Japanese have proven what I have suspected for decades that herpes type 1
(cold sores) can show up on the skin anywhere on the body. Of course they were
motivated as it was passing from Sumo Wrestler to Sumo Wrestler. Indeed one
wrestler died of it. Usually it was raw painful lesions arising on the abrasions of the
face, neck, arms, and legs that occur with the sport. The credit must go to the
National Institute of Infectious Diseases in Tokyo.
– Holden C. Sumo Non-Bonum. Science. 17 OCT 2008, p 353.
3. Activity around Senile Plaques in Alzheimer’s Disease
In the brain, the hall mark of Alzheimer’s disease is the senile or amyloid plaque.
Indeed most therapies under consideration are geared around shrinking or
preventing these plaques. My iconoclastic approach is that this is a mistake, but
the majority of my colleagues do not listen to me. Recently work done at Ludwig
Maximillians University in Munchen, Germany has discovered that the neurons in
the zone around the plaque is hyperactive. In fact these neurons fire in unison,
leading the researchers to worry about this as a source of seizures in AD. Their
methodology in their mutant mice was elegant, but too complex to explain in our
limited time.
CONCLUSION: highly active neurons at the border of the amyloid plaque. Possible
cause of seizures
COMMENT: the role of the plaque is to maintain homeostasis. Think TBC or
Histoplasmosis. The toxin leak is the etiology. Should figure out ways to help the
containment process.
4. Bleach kills Bacteria
At first blush, this does not seem like news. You use it in your own household,
right. However Melanie Coker of U. Otago, Christchurch, New Zeland has show
that immune cells of our bodies release HOCl (hypochlorous acid). This then
oxidizes bacterial proteins, unfolding them and hitting them between the amino
acids releasing NH2Cl and NHCl2 , which kills the bacteria.
– SLR. Bleach kills Bacteria on multiple fronts. CEN. 17 NOV 2008. P 55
SECTION TWO- THREE:
Professor Dennis Q McInerny, PhD, Professor of Philosophy at Our Lady of
Guatalupe Seminar in Denton, Nebraska. His curriculum vitae reveals time spent
at St. Thomas University (St. Paul), Notre Dame, U of Minnesota, U of Kentucky,
Bradley College (Peoria, IL). His excellent short paper back book is Being Logical:
a guide to good thinking by Random House, New York.
[O]– 402. 797.7700
SIMPLE ARGUMENT:
Premise Statement No.1 (Because, since or on account of)
Premise statement No.2
CONCLUSION (Thus, So, Therefore)
CONJUNCTIVE ARGUMENT:
A (and) B | therefore, A or | therefore B
#1 Anne is a sophomore at U of M
#2 (And) she is majoring in biology
| U of M offers majors in biology
DISJUNCTIVE
A or B | therefor not-A, not-B, A, or B but B … A
#1 Ann is a sophomore at U of M
#2 (or) Ann has graduated from the U of M
CONDITIONAL ARGUMENT
#1(antecedent) A ´ B (consequent)
#2 A
(conclusion) | therefore, B
If Ann has graduated from a University ,´ she will have a degree
Ann graduated from U of M school of biology in 2001
| therefore Ann has degree from U of M.
SYLLOGISTIC ARGUMENT
major premise #1 Every M is a P
minor premise #2 Every S is M
Conclusion THEREFORE S is P
#1 Every US Senator is a professional politician
#2 Tom Udall is a US Senator
| Tom Udall is a professional politician
TRUTH OF PREMISES
any premise that is false throws the logic off. Eg.
#1 Every US Senator is an excellent golfer
#2 Tom Udall is a US Senator
| Tom Udall is an excellent golfer
RELEVANCY OF PREMISES
#1 Arnold Schwarzenegger is a famous actor
#2 Arnold is a handsome man
| Therefore Arnold schwarzenegger should be Governor of California
Tags:



09.07.2008 04:13:49
JUNE 21, 2008
topic: CALL-IN / BioIdentical Hormones
Welcome. This is a Medical & Health Show which focuses on information actually useful to the listener. Sometimes we concurwith the party line. Sometimes we oppose the general current trend in Healthcare. I hope we use reason, sound data, and good logic in our positions. Nevertheless, the opinions of myself, Dr. Summers and my guests are theirs alone; and not intended to diagnose, treat, or prevent any specific caller or listener’s health problems.
guests are theirs alone; and not intended to diagnose, treat, or prevent any specific caller or listener’s health problems.
1. The Right Resident Bugs in the Gut. The human gastrointestinal tract has over 500 distinct types of bacteria /yeast/ and the like. Their estimated numbers are greater than the number of humans on the planet – 1014. That is 100 million millions of bugs in
the gut. Now, we know from the tomato/ salmonella scare that the right bugs are important, but the human system is too complex to study so we use the fruit fly (Drosophila). A group of south Korean scientists studied the effects of a gene called “Homeobox Caudal” on the type and number of bacteria in the fruit fly gut. They found that the antibodies made by the gut of the fruit fly changed, hence the types of bacteria shifted in proportion and the host fruit fly dies. Point of the lesson? 1) Your host genes effect the number and type of bacteria in your gut. 2)Not only are their good bacteria important, but BALANCE of bacteria is the key for the host survival.
— Ruy J, Kim S, Lee H, Bai J Y, Nam Y, Bae J, Lee D, Shin S, Ha E, Lee W. Innate
immune homeostasis by homeobox gene Caudal and the commensal-gut mutualism in
Drisophilia. Science. 8 FEB 2008; 319:777-781.
2) Add Salt to your Tomato’s. A news item from Chemical and Engineering
News is that by growing tomatoes in 12% diluted seawater, there were better antioxidants found. There were 37% more essential sugarss, 20% more vitamin C, 20% more vitamin E of all types, 31% more dihydrolipoic acid, and 15% more chlorogenic acids, than tomatoes grown in fresh water!. WOW ! ! How do you like those tomatoes! The authores note that addition of seawater should be intermittant, as repeated use will damage soil quality.
– Chemical & Engineering News. Seawater boots Tomato’s antioxidants. 05 MAY 2008. p 39.
3) More Tomatoes & Salmonella. A group from the Roswell Park Cancer Institute in Buffalo New York did a neat experiment on an agonist to Toll-Like Receptor 5. They isolated a small fragment of Salmonella flagella and found a chemical that inhibits nuclear factor-kappa Beta (NF-6&). Recall that NF-6& is the transcription factor that blocks apoptosis (programed cell suicide) by tumor cells. Now the Salmonella chemical was produced in large quantity and called
“CBLB502?. The Buffalo group has gave injections of CBLB502 to mice and rhesus monkeys forty-five minutes before exposing them to whole body letal radiation. They found the animals either survived or lived longer with fewer adverse effects before dying of the radiation. Folks this drug, made by Cleveland BioLabs of Buffalo, offers hope of reducing side effects from radiation given to humans for cancer treatment.
– Burdelya L, Krivokrysenko, Tallant TC, Strom E, Gleiberman AS, Gupta D. Kurnosov OV, Fort FL. An
Agonist of toll-like receptor 5 has radioprotective activity in mouse and primate models. Science. 11 APR 2008. 320: 226-230.
~ ~And NOW and INTERVIEW OF Dr. Zamanian by DON DAVIS at the
Menaul Compounding Pharmacy. ~ ~~~

SECTION TWO - Three: HORMONE REPLACEMENT FOR WOMEN:
[Please see the Chemistry flow sheets at the end]
Women are born they have 1-2 million undeveloped eggs. At puberty only 300,000
eggs remain with 600 eggs dying per month. At menopause all eggs are used up.
Estrogen is produced by the eggs and placenta during pregnancy, adrenal glands,
and in men testes. Strangely, there are many women who have had estrogen deficiency or progesterone deficiency from the get-go. For example small breasts, lack of curves (android) body and irregular cycles may indicate low estrogen beginning even before puberty. OTHER HEALTH PROBLEMS with estrogen deficiency = infertility, premature aging, osteopenia / osteoporosis, increased cardiovascular disease, Alzheimer’s disease. On the other hand progesterone deficiency can manifest with pudginess, large breasts, often with cysts, cysts of the ovaries, fibroids of the uterus, and heavy periods. PROBLEMS with progesterone deficiency: CYSTS {breasts, ovaries), cancer of the breast, endometriosis, endometrial hyperplasia, endometrial cancer, uterine fibroids, enlarged uterus, infertility, preeclampsia.
Menopause When To Treat: hot flashes, vaginal dryness, night sweats, urinary dysfunction (recurrent cystitis), insomnia decreased libido, palpitation acne/ facial hair,
,emotional lability hair loss (androgenic alopecia)[high adrostanediol glucuronide]
,fatigue, breast droopiness, arthralgia dry skin
NATURAL WAYS to encourage endogenous hormone production:
Vitamin A - 30,000 - 60,000 IU daily
Zinc 30 -60 mg per day balanced with copper 2 - 40 mg per day
Boron - 3 mg bid
Chaste tree berry (vitex agnus castus) - 175 mg extract per day
Black Cohosh (cimicifuga racemosa) - 40 mg bid or dried root 500 mg bid
Exercise increases 2-OH-E1
NATURAL Estrogens are produced by the ovaries in women, the placenta in pregnancy, adrenal glands, and in men testes. More than 20 natural estrogens are circulating in human women. There are three main players E1 [estrone], E2 [ Estradiol], E3 [estriol]. The trick in female HRT is to be One With Nature! Same types, Same timing, Same physiologic doses. Precursors of estrogen are cholesterol, progesterone and even testosterone. Androstenedione converts to estrogen in peripheral tissues, .. especially in fat cells. 97% of estrogen is protein bound. E1 produced in ovary are converted by the liver to E2, with blood levels of 100 - 300 mcg per day. . E2 is anti-cancer (antiproliferative) and pro immune system. E2 has most receptors in the vagina, and has less affinity than E1 for the receptor.
METABOLITES:
- 2-OH-E1 increases lean body mass, decreases breast cancer risk
Natural ways to increase are exercise, cruciferous vegetables, Flax, DIM (iodine as diIndolylMethane), high fat (Atkins) diet, Cimetidine(Tagamet), Pesticides - 2-OH E2 decreases obesity and blood pressure, renal protective in diabetic rats.
Little estrogen activity.
– 16 alpha OH E1 == BAD. increases breast cancer risk, but it does increase
Bone Mineral Density
Natural way to decrease is to increase cruciferous vegetables.
Avoid pesticides, obesity, and alcohol.
— 4 OH_E1 == most dangerous with increase cancer of breast, uterus, liver, bone.
IF HIGH can give more Mg++ to convert it to harmlessness.
– 2 methoxy E2 is cytotoxic to tumor cells and prevents bone loss
NON BIO-IDENTICAL ESTROGENS These founded the field – Willard Allen,
MD.
PREMARIN– conjugated estrogen from pregnant mares
Cenestin - conjugated estrogen from soy/ yams
esterified estrogens = estrone (Estratest) from soy and yams
Estropipate (Ogen) = from Mexican Yams
*** All oral HRT converts to estrone E1 in the small bowl and then liver by cytochrome
p450 enzymes
BIO-IDENTICAL HORMONES:
The trick in female HRT is to be One With Nature! Same types, Same timing, Same physiologic
doses. Bioidentical hormones have a structure that is EXACTLY the same as the structure of
hormones secreted by the female body. Non bioidentical hormones have been modified, or are
modified by the body before absorption. Non-bioidentical hormones cause excessive binding,
unstable or incomplete binding to the cellular receptors. The human liver was not meant to
process these hormones, and thus these hormones tend to accumulate in the body. Thus the nonbioidentical
ethinylestradiol will thicken artery walls, elevate cholesterol, increase blood
pressure, and make the blood thicker giving rise to clots that can kill.
BIO-identical hormones are made in compounding pharmacies.
The Bi Est Theory
E2:E3 == 20:80
PROGESTAGENS:
very bad.
PROGESTERONE:
promotes
thermogenesis
is a diuretic
aids thyroid hormone
stabilizes blood sugar
normalizes zinc and copper ratios.