welcome to the organic green doctor blog

i am a family physician who was diagnosed with
early mild cognitive impairment(mci) amnestic type on december 21, 2010
this is a precursor to alzheimers disease
because of this diagnosis i have opted to stop practicing medicine
this blog will be about my journey with this disease
please feel free to follow me along this path
i will continue blogging on organic gardening, green living,
solar power, rainwater collection, and healthy living
i will blog on these plus other things noted to be interesting

Tuesday, September 30, 2014


i called it fate
she called it as a result of her strong religious beliefs
and an early morning prayer for help that morning

two weekends ago my wife she and i went to the school
to visit the garden fair
its the school where i helped put in the garden in the back
ground of the picture below

note i meet today with another school to help them plan
their school garden
my purpose is to help as many people garden organically
as possible especially kids and the schools

my other purpose is to spread the word about alzheimers disease

that morning we stopped by the garden to see the fair
on my way to doing a q&a with a large group of caregivers
on alzheimers disease

i struck a conversation with this lady standing by the rainwater
tank that was on display
ill talk all day about rainwater just like i will on alzheimers disease
and on organic gardens

she and her husband was interested in putting in a system so
i gave her my card with my email address and my blog address
and my twitter link
i told her to email if she had any questions

later as my wife she and i were in front of the garden
i wanted a picture of us so i saw this lady again
so i asked her would you take our picture sure she said
my wife she and i went on to the seminar which was successful
i think based on the response

this lady emailed me this week
that day when
she went out to her car to leave
as she sat in her car
thats when fate kicked in

she flipped over my card which says
this blog is about my journey with possible early alzheimers disease
please feel free to follow me along this path

i called it fate she called it an answer to her prayers
she said she got cold chills down her spine

she has agonized over this for months
her husband in his early 50s has seemed to develop memory loss
that is affecting his work and his life
she was at loss at what to do

as i emailed her back i decided to write my answer in this blog
so others in this situation may benefit from this blog today

first if you notice there is a problem or he notices there is a problem
or others notice there is a problem
there is a problem
dont ignore it

yes you can get early onset alzheimers although it represents less
than 10% of the cases
there is concern that since his mom had alzheimers disease that
this is what it could be

since he is young the same age my brother was when he was
diagnosed i recommend that he get an aggressive evaluation of
his memory loss

yes it can be a slow gradual onset that can be years in the making
the disease itself starts 20-30 years before the diagnosis is made

it is important that all other causes of memory loss be ruled out

like high blood pressure high cholesterol diabetes anxiety stress
depression sleep disorders like insomnia sleep apnea restless legs
etc low thyroid activity low vitamin b12 chronic infection
electrolyte problems  liver disease medication side effects drugs
alcohol old head trauma etc

many of these things can be treated

go to this link and answer the questions on your husband
my guess is that he will score a 5 or greater which will be abnormal
copy this off and take with you when he goes to the doctor

remember even if his score in in the normal range he needs
an evaluation

make an appointment with his primary care doctor
go with him
go in the room with him
write out a list of medications and a list of things that you
have noticed
make a copy to hand to the doctor

when you make the appointment dont make it for anything
but for memory loss

a good workup will include meeting with you and him then
just you and then just him

here is a link to the clinical parameters for evaluation and treatment
for someone with memory loss
the gold standard in the state of texas for this evaluation

if you are not pleased or if you are put off by the doctor i will
send you the name of a neurologist to see for evaluation

remember you are looking for treatable causes

he should have

a good history and examination looking for causes

labs like cbc metabolic profile b12 foalate tsh-thryoid level ua
maybe hiv hep c syphilis tests

a good screening in clinic memory test like the mmse or moca
then based on what this all shows
he may need a neuropsychological test which will tell if there
is memory loss or not
he wont like that one
i do it every year in fact i have to do
one next week and i dread it

then he may need a mri scan of the brain looking for abnormal
things that would explain his memory loss like strokes old head
trauma cyst tumors brain shrinkage etc

then there are new tests that may or may not be done based on
the history
spinal tap for beta amyloid and tau or the amyvid pet scan

the younger the patient the more aggressive the workup
your husband meets that category

remember some people develop memory loss that becomes
stable and never changes the rest of their life
they can still have a meaningful life
many can continue working

what you need is an answer as what is the cause of all this

also remember
he knows he has a problem
he may be scared to know

i hope this is helpful
please free to contact me if you have a question

you may want to look at this blog on tests and links

wishing you the best

the organicgreen doctor

Monday, September 29, 2014

walking with a purpose

this weekend all 500+ of us were walking for the same reason
to find a cure and treatment for this terrible disease
alzheimers disease
by mid century alzheimers disease will cost us $1,000,000,000,000 a year
here in the usa

money we raised this weekend goes into a pool that
supports the local chapters of the alzheimers association
you have at least one if not more in your state
the money is also given to researchers as they work to
find that elusive cure
this is our team that walked with us this weekend
well one was getting a neck massage in that tent in the
back ground and a few others had not arrived yet

we raised $2,700 to go into the pot
the walk itself raised over $55,000 for that pot
maybe some of this money will find itself to the right research
that will find the cure
will find itself to caregiver education or support that will help
you or your family when your time comes to get affected
by this terrible disease
yall will be glad its there when the time comes

be looking around for your local walk
www.alz.org/walk is the link to find your local one

in our group
my family that walked
my wife she and our son and his girlfriend
are affected since my father and mom had the disease
and my younger brother
as i have written before i may have it
mr b and i have done this walk four times now
his grandmother had alzheimers disease
thats why he walks

some of my habitat buddies walked with us
one of them his mom had alzheimers diease

the kid who is pointing to  his face in the team picture
hes an aggie fan and had the face painter a member of our team
to paint aggie stuff on his face
sorry razorback fans
his aunt had the disease

a former coworker mr bs mom is involved with the team
since her mom had the disease when she passed

another walkers dad has dementia probably from parkinsons

another walkers dad was diagnosed in the last few years

so we all us walkers like many of you are affected by the disease

this is a lady whose husband died from alzheimers two years ago
her and her family have a large team that walk each year
she and i got recognized for being two of the top individual

but its the younger walkers who will be helped by the research
that finds the cure
maybe even one of them will be the one that finds the answer

thanks again to those who supported our team financially  and
just as important emotionally with your kind words and support

future walks we will be doing my wife she and i

wtea travis county at camp mabry on sunday october 12
with the austin regional clinic team

wtea bell county at pepper creek trails in temple on
saturday november 1 with the organicgreendoctor team

wtea at the clinton library in little rock on november 8 with
the team #joe nash in the memory of my younger brother

the organicgreen doctor

Friday, September 26, 2014


this is disgusting
it makes me nauseated
it makes me want to puke
it really pi$$e$ me off

heres the story
if you get diagnosed with alzheimers disease
the doctors usually will put you on a medication called
aricept (donepezil) to hopefully slow down the progression
of the symptoms for awhile
it does not stop the disease progression though
the earlier you start this in the disease the better it may work

then as the disease progresses on into the mid stages and
into the later stages
when it seems theres this point when things make that
fateful turn downward
many doctors will add a drug called namenda
it works slightly different from aricept and may
slow things down some for awhile

my opinion is that using these two meds like this is worth
as its really the only thing we have that may help some

remember there is not a cure or treatment or the disease
but thank goodness its coming

now here comes the disgusting part
shows how bad our legal medical government system is
it sheds an awful light on big pharma
yes its those old drug companies again screwing us over

aricept is generic now and is called donepezil
several companies make it
i personally pay $60 a year for it using my medicare d
drug plan
thank you mr george w for doing this plan

if you paid cash for it you would pay
$10+- for 30 pills

then in a few years after i have progressed the doctor
will add namenda to my regimen

lets see namenda comes not generic yet
a months worth at costco cash price is $149.50
whoa i hope george ws medicare d covers that

whats that you say the drug company called actavis is discontinuing
making it
but its not even gone generic yet

so you have to buy the drug called namenda xr
lets see that will be $300+ a month for that

so why would they quit making the cheaper stuff
oh i see so doctors now have to use the namenda xr
no other company can make the cheaper namenda
the drug company makes another extra $200 a month
off your parents or grandparents or you uncle or aunt
or your unlucky early onset alzheimers brother

that is so disgusting that we and our government let this
$#!) happen

what is that you say

what it is going to get worse

so the patent for the old form namenda goes off patent in 2015
then many different companies can make it
the price would intially drop 10% then later it will drop 90%
some demented person that has advanced could be treated for
$20+- a month

so by stopping making the namenda pill actavis is forcing
all these patients to go on namenda xr
which doesnt work any better than namenda

so when the namenda generic comes next year if it does
now all the patients will nicely be on namenda xr
doctors and patients commonly dont want to change

well ok when does that patent go off
oh my goodness

by doing this actavis makes it much harder for a generic company
to come in and make the new generic

wonder if they have trouble sleeping at night
they rank up there with all those folks that call the elderly
trying to scam them
wait its the same thing isnt it

then sometimes the brand company like actavis
will actually buy out the new generic company so the price will
stay up even longer

so lets see thats $240 a year vs $3600

i have to stop writing now
i am so disgusted
i just puked all over my laptop

i have instructed my wife she
no brand namenda xr for me please
just let me slide down that slope without it

williamson county walk to end alzheimers
is tomorrow at the beautiful san gabriel park
in georgetown texas
walk starts at 900am
registration desk opens at 800am
temperature at walk time is to be 72 degrees

you can still donate and or join our team
at this link 

remember there is no charge to walk with us
just show up and sign the waiver form

see you tomorrow
if not send us good vibes in the am as we walk
to do our part to help end this awful disease
oh write you congresspersons governor and your attorney general
unless you live in texas since big pharma own these guys

the organicgreen doctor