Showing posts with label Staying Healthy. Show all posts
Showing posts with label Staying Healthy. Show all posts
Saturday, January 26, 2013
New Look for the New Year, my Detox face!
Tuesday, February 9, 2010
Vitamin D the under represented vitamin
I first got interested in Vitamin D a few years ago when a professor of Dermatology at a high profile institution in the North East got kicked out of his job for recommending that people get more sunlight. I was a little curious as to what sparked such controversy as clearly, an Ivy League dermatologist would be unlikely to put his job on the line over a vitamin!
After that I started receiving emails from the 'Vitamin D Research Council' an organization apparently funded by a doctor who believed so much in the importance of vitamin D that he put his career and a fair amount of his own money into proving the point.
Initially I was a little skeptical of the apparently far reaching consequences of Vitamin D deficiency: from possible association with Autism and ADHD to an increase in Cancer and infections. Then my skepticism turned to concern, the more I read and the more I checked my patients' vitamin D levels. Almost 90% of my patients were vitamin D deficient and at least 50% severely so. As a result, I have been checking Vitamin D levels routinely in all patients presenting for an annual physical exam for at least 2 years.
Most patients are not aware that they are deficient and have no symptoms but sometimes people are markedly symptomatic. Fairly often I find that Vitamin B12 deficiency and Vitamin D deficiency go hand in hand.
Such was the case with a patient of mine who came in to my office complaining that she thought she was developing Alzheimer's. She was very distressed and told me a story of constantly forgetting things and her anxiety about this. She became emotional when she explained how she did not want her children to find out. I suggested she see a neurologist and get some labwork done while she was waiting for that appointment.
Apparently she was so demotivated and forgetful she didn't get the labs done, continued with the neurologist who told her she didn't have Alzheimer's but she could try some medicine if she wanted, in case it helped. She declined.
She came back to see me 3 months later more tearful and agitated than before, she could hardly get out of bed in the morning because she was so tired. Her legs hurt and everything was a struggle. This time she got her labwork done and both her Vitamin B12 and Vitamin D level were extremely low.
With replacement she is fine, two weeks later she was back working the garden she loves and now she laughs when I remind her that she was convinced she had Alzheimer's.
Most cases are not as dramatic but is Vitamin D deficiency another one of those 'silent killers'?
Andrew Weil recently wrote an article stating that he is raising his recommendation for Vitamin D to 2000 daily (something most of my patients are already doing) because of a recent study out of the University of San Diego California which suggested that raising vitamin D levels could prevent one-half the cases of Breast cancer and two-thirds the cases of Colon cancer.
Hello this is HUGE!! As Dr Weil points out: a 50 percent reduction in Breast cancer would have saved the lives of more than 20,000 American women in 2009.
Vitamin D is thought to affect the immune system, it controls the utilization of calcium by the bones and so is important for bone strength, lack of it contributes to fatigue, it helps seniors retain their balance. It is important for cardiovascular health, in Diabetes, Psychosis and every month a new article comes out with different attributes.
In short, we need it! You can get it through fortified foods like milk and cereals but the main way is either supplementation or the sun. The latter recommendation being what cost my dermatology colleague his job because he suggested patients go out in the sun for half an hour a day without sunscreen.
Bottom line vitamin D is beginning to be recognized as a critical vitamin, if you have not had yours checked, do it now and take the necessary steps to keep it above a level of 32 (ideally closer to your age).
As always wishing you good health
Dr Tuakli
After that I started receiving emails from the 'Vitamin D Research Council' an organization apparently funded by a doctor who believed so much in the importance of vitamin D that he put his career and a fair amount of his own money into proving the point.
Initially I was a little skeptical of the apparently far reaching consequences of Vitamin D deficiency: from possible association with Autism and ADHD to an increase in Cancer and infections. Then my skepticism turned to concern, the more I read and the more I checked my patients' vitamin D levels. Almost 90% of my patients were vitamin D deficient and at least 50% severely so. As a result, I have been checking Vitamin D levels routinely in all patients presenting for an annual physical exam for at least 2 years.
Most patients are not aware that they are deficient and have no symptoms but sometimes people are markedly symptomatic. Fairly often I find that Vitamin B12 deficiency and Vitamin D deficiency go hand in hand.
Such was the case with a patient of mine who came in to my office complaining that she thought she was developing Alzheimer's. She was very distressed and told me a story of constantly forgetting things and her anxiety about this. She became emotional when she explained how she did not want her children to find out. I suggested she see a neurologist and get some labwork done while she was waiting for that appointment.
Apparently she was so demotivated and forgetful she didn't get the labs done, continued with the neurologist who told her she didn't have Alzheimer's but she could try some medicine if she wanted, in case it helped. She declined.
She came back to see me 3 months later more tearful and agitated than before, she could hardly get out of bed in the morning because she was so tired. Her legs hurt and everything was a struggle. This time she got her labwork done and both her Vitamin B12 and Vitamin D level were extremely low.
With replacement she is fine, two weeks later she was back working the garden she loves and now she laughs when I remind her that she was convinced she had Alzheimer's.
Most cases are not as dramatic but is Vitamin D deficiency another one of those 'silent killers'?
Andrew Weil recently wrote an article stating that he is raising his recommendation for Vitamin D to 2000 daily (something most of my patients are already doing) because of a recent study out of the University of San Diego California which suggested that raising vitamin D levels could prevent one-half the cases of Breast cancer and two-thirds the cases of Colon cancer.
Hello this is HUGE!! As Dr Weil points out: a 50 percent reduction in Breast cancer would have saved the lives of more than 20,000 American women in 2009.
Vitamin D is thought to affect the immune system, it controls the utilization of calcium by the bones and so is important for bone strength, lack of it contributes to fatigue, it helps seniors retain their balance. It is important for cardiovascular health, in Diabetes, Psychosis and every month a new article comes out with different attributes.
In short, we need it! You can get it through fortified foods like milk and cereals but the main way is either supplementation or the sun. The latter recommendation being what cost my dermatology colleague his job because he suggested patients go out in the sun for half an hour a day without sunscreen.
Bottom line vitamin D is beginning to be recognized as a critical vitamin, if you have not had yours checked, do it now and take the necessary steps to keep it above a level of 32 (ideally closer to your age).
As always wishing you good health
Dr Tuakli
Wednesday, November 18, 2009
Is the fedex man delivering more than just packages?
There is a story that is told in medical history about a milk delivery maid who was dubbed 'Typhoid Mary' because she single handed contributed to the biggest typhoid epidemic in England. An interesting story often told to very green medical students as an introduction to the term "carrier".
A patient of mine came in recently with the Swine Flu H1N1) he was very sick and was still wearing his Fedex uniform. I advised him that the type of work he was doing and his exposure to the elements would only make him sicker, needless to say I put him out of work for a week.
As I looked at this poor person with bloodshot eyes, sweating and coughing up a storm, I had cause to rethink our (the Health Establishment's) definition of 'High Risk' patients i.e those who are eligible to recieve the H1N1 vaccine. Surely the delivery man innocently delivering packages from one establishment to the next and potentially picking up infection at one and depositing it at the next, is at high risk. Not only that, he (or she) presents a risk to the community at large as he proffers his pen with a grin and the instruction to 'sign your name!' before darting off to the next densely populated building.
In my office we have been lucky enough to have had the H1N1 shot throughout the 'shortage' and we have religiously followed the Health departments instructions to limit its use to high risk individuals; children ages 6 months to 24 years, healthcare workers and pregnant women. As of this week I have opened it up to many more people that I consider high risk such as teachers and metro workers.
I have been struggling with the idea from the beginning that students need to be vaccinated but not those who teach them. Maybe I am more sypathetic because my husband is a professor or just because I have NEVER seen my 17 year old son as sick as he was with the Swine Flu. He rarely gets sick but this bug made him as sick as a dog! (He came down with it 3 days before I recieved my supply of vaccines ...........).
Anyway to cut a long story short, come on and get your H1N1 vaccine, lets curb this epidemic. It takes 2 weeks to develop a good immunity so hurry in, next week is Thanksgiving and yes, if you drive a UPS truck ................ you are welcome too!
A patient of mine came in recently with the Swine Flu H1N1) he was very sick and was still wearing his Fedex uniform. I advised him that the type of work he was doing and his exposure to the elements would only make him sicker, needless to say I put him out of work for a week.
As I looked at this poor person with bloodshot eyes, sweating and coughing up a storm, I had cause to rethink our (the Health Establishment's) definition of 'High Risk' patients i.e those who are eligible to recieve the H1N1 vaccine. Surely the delivery man innocently delivering packages from one establishment to the next and potentially picking up infection at one and depositing it at the next, is at high risk. Not only that, he (or she) presents a risk to the community at large as he proffers his pen with a grin and the instruction to 'sign your name!' before darting off to the next densely populated building.
In my office we have been lucky enough to have had the H1N1 shot throughout the 'shortage' and we have religiously followed the Health departments instructions to limit its use to high risk individuals; children ages 6 months to 24 years, healthcare workers and pregnant women. As of this week I have opened it up to many more people that I consider high risk such as teachers and metro workers.
I have been struggling with the idea from the beginning that students need to be vaccinated but not those who teach them. Maybe I am more sypathetic because my husband is a professor or just because I have NEVER seen my 17 year old son as sick as he was with the Swine Flu. He rarely gets sick but this bug made him as sick as a dog! (He came down with it 3 days before I recieved my supply of vaccines ...........).
Anyway to cut a long story short, come on and get your H1N1 vaccine, lets curb this epidemic. It takes 2 weeks to develop a good immunity so hurry in, next week is Thanksgiving and yes, if you drive a UPS truck ................ you are welcome too!
Monday, April 27, 2009
SWINE FLU, A Public Health Care Emergency !!!
Tonight I am going to talk about a potential health problem called the Swine Flu. Although the initial symptoms of Swine Flu are pretty similar to the Flu we are all used to it can rapidly get out of hand because humans don't have any immunity to it. It is called Swine flu because it is usually found in pigs.
Even when a person does not get a Flu shot, because of years of exposure to human Flu strains they have a certain ability to withstand the worst symptoms of the flu but with Swine flu there is no innate protection. This is why the World Health Organization has announced the possibility of a pandemic.
A pandemic is worse than an epidemic in the sense that it involves a much wider area of the globe and many more people and thus can take a lot longer to get under control.
There have been 40 confirmed cases of Swine Flu in the US so far. 7 in California, 2 in Kansas, 28 in New York City, 1 in Ohio and 2 in Texas. As you can see there is no defined geographic distribution of the spread and it is assumed that most cases are from travel or contact with a traveller, in these days where thousands of people fly from A to B daily it could just be a couple of days before we are in the throes of an epidemic. Currently this Swine Flu Outbreak is defined as a Public Health Emergency .
PREVENTION is always better than cure!
Wash your hands frequently, avoid sick people. Try to stay in good health, take vitamin C, get plenty of sleep. Drink plenty of fluids and eat nutritious food.
If you have an 'Flu-like" illness be seen quickly. Symptoms may include high fever, chills, sore throat , sweats, body aches and cough.
If you get sick antiviral medication can make the illness milder so you can feel better faster. They can also prevent the more serious complications. The problem is that if you don't start the medication within 48 hours it may not be effective. Because of this we will most often treat a patient 'empirically' before the culture result is obtained. It is important to avoid all aspirin products including peptobismol when you have the flu especially in children under 18.
The medicines that treat the Swine Flu, Tamiflu and Relenza are 70 to 90 percent effective at preventing the Swine Flu.
A person is contagious for 7 to 10 days with the Swine Flu.
In children, according to the CDC emergency warning signs are:
Fast breathing
Bluish skin color
Not drinking enough fluids
Lethargy
irritability
Fever with a rash
Seeming to get better and then return of fever and worsening cough
In adults, emergency signs requiring urgent medical attention include:
Chest pain
Shortness of breath
Sudden Dizziness
Confusion
Persistent vomiting
I hope this information is helpful. Please feel free to call our office for any further assistance you may need.
Dr Tuakli
Even when a person does not get a Flu shot, because of years of exposure to human Flu strains they have a certain ability to withstand the worst symptoms of the flu but with Swine flu there is no innate protection. This is why the World Health Organization has announced the possibility of a pandemic.
A pandemic is worse than an epidemic in the sense that it involves a much wider area of the globe and many more people and thus can take a lot longer to get under control.
There have been 40 confirmed cases of Swine Flu in the US so far. 7 in California, 2 in Kansas, 28 in New York City, 1 in Ohio and 2 in Texas. As you can see there is no defined geographic distribution of the spread and it is assumed that most cases are from travel or contact with a traveller, in these days where thousands of people fly from A to B daily it could just be a couple of days before we are in the throes of an epidemic. Currently this Swine Flu Outbreak is defined as a Public Health Emergency .
PREVENTION is always better than cure!
Wash your hands frequently, avoid sick people. Try to stay in good health, take vitamin C, get plenty of sleep. Drink plenty of fluids and eat nutritious food.
If you have an 'Flu-like" illness be seen quickly. Symptoms may include high fever, chills, sore throat , sweats, body aches and cough.
If you get sick antiviral medication can make the illness milder so you can feel better faster. They can also prevent the more serious complications. The problem is that if you don't start the medication within 48 hours it may not be effective. Because of this we will most often treat a patient 'empirically' before the culture result is obtained. It is important to avoid all aspirin products including peptobismol when you have the flu especially in children under 18.
The medicines that treat the Swine Flu, Tamiflu and Relenza are 70 to 90 percent effective at preventing the Swine Flu.
A person is contagious for 7 to 10 days with the Swine Flu.
In children, according to the CDC emergency warning signs are:
Fast breathing
Bluish skin color
Not drinking enough fluids
Lethargy
irritability
Fever with a rash
Seeming to get better and then return of fever and worsening cough
In adults, emergency signs requiring urgent medical attention include:
Chest pain
Shortness of breath
Sudden Dizziness
Confusion
Persistent vomiting
I hope this information is helpful. Please feel free to call our office for any further assistance you may need.
Dr Tuakli
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