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

Friday, January 19, 2018

sb country n news-homesteading

SB COUNTRY N NEWS-HOMESTEADING

liberty hill living magazine

now that we have moved
i guess i dont get to homestead anymore
now that we dont live at the country n anymore

now
i get up each morning
go to my garden plot at the gardens
carrying my container of compost materials
say hi to the four chickens there
dump the best of the stuff in the container
over the fence to those chickens
lucky girls
the rest
i dump into the compost piles thats maintained there
its 9 piles that are 4 ft x 4 ft x 4 ft each
i sometimes will stir down into the pile
just to feel the heat and see all the worms working
like crazy

then over to my garden i go
i put my shadow in my garden as much as possible
looking for problems like unwatered plants
insect infestations
varmint damage
lucky for us we dont get too much of either of these
just think you can garden here without
ever stepping onto a mound of fireants
or
get bitten by mosquitoes

after inspecting things well
i hand water my garden
i try to do this at least twice a week
it reduces water use
it makes me come to the garden and make sure
its all ok
ill also harvest things if they are ready
right now thats broccoli swiss chard kale spinach
arugula lettuce mix cilantro carrots beets sweet peas
green onions if i decide to pull them early
before they get big
for onions i planted mostly the texas 1015 yellow sweet onions
they seem to be short light and hopefully will do well
here
i have close to 150+- of the different onions
i have 3 other varieties planted
including a red variety

i also while i am there stroll through the garden
looking at the other 20 plots
sometimes i run into another gardener
i stop and visit with them for awhile

i also commonly will walk down through the orchard
where there are numerous different citruses
bananas mulberries pomegranates avocados to name
some of them
ive been known to reach up and pluck one
for my immediate consumption

fresh flavor is the best

so i can spend a few minutes there
and
i have been known to spend over two hours there

usually once a week
i volunteer there for 2-3 hours
doing whatever the garden manager needs done
like
making a bed to plant
planting veggies
harvesting veggies
putting down mulch
putting out fresh compost
organically treating veggies for insects
enjoying every minute of it

the produce from the central plots are donated to
food kitchens

then im off to do whatever i want the rest of the day
like the new 310 gallons of rainwater catchment at the school where i
volunteer at once a week

recently
i was able to access this article in the liberty living magazine
where they interviewed me about my garden at the country n in texas
here is the link
the section on my interview is about half way down the page

yes
we are no longer homesteading
but
well
we sort of  are
santa barbara style

mudslide update
hwy 101 due to be opened on monday
one local school district carpenteria opened back up
the mudslide area is still blocked off from folks going back
20 dead 3 missing 127 houses destroyed 254 damaged
it will be years before this area will if ever brought back to normal

thatcher update
he is unhooked from everything
he is now in a room with mom and dad

here is his gofundme account
#thatcher strong

the organicgreen doctor

Thursday, January 18, 2018

alzheimers news-trumps memory test

ALZHEIMERS NEWS-TRUMPS MEMORY TEST
Image result for organicgreendoctor
ill be the first to admit
i dont like donald trump
but
lets be fair to him regards his memory test

alzheimers starts in the brain 15-30 years before
any symptoms start
before any memory tests are abnormal

there are subtle things that can happen before the
memory tests become abnormal

sometimes the first thing is spatial things
missing things in your peripheral vision
which can show up when driving
sometimes subtle memory things happen
im speaking from personal experience here
things you notice that others do not

eventually when the time comes
the memory tests become abnormal

first let me say
if you are going to need memory testing anytime
soon
dont be reading whats in those memory tests
it affects how accurate they are

now i have personally been administered the same memory
test he had done more than 15 times over the last 8 years
i have personally administered that particular test to
family members and friends several times
i am quite familiar with the moca memory test

when you go to a doctors office
he might administer one of three tests

one is the minicog test
it involves being told three words to remember
then
you are given a time and asked to draw that time
on a clock

if you dont pass that one
you have memory issues
you need more evaluation

its a quick and simple test
its not sensitive though in picking folks up early
with memory loss

the next is the mmse
multimental state exam
its scored up to 30
get 30 and you might be ok
but
for those like me when i was first tested
it missed me
i got a normal score on the mmse

the third test is the moca
thats the one that trump took
the best score you can get is 30
a normal score is 27-30

when i was first tested in 2010
my score was 25
which was abnormal
its in the mild cognitive impairment range

the moca test is a more sensitive test to pick
up those early changes
like what you see with early alzheimers or mild cognitive impairment

its not a 10 minute test
its a 20-30 minute test

so with a normal result
a 30 score
as of right now
trump probably doesnt have any symptoms of dementia
or short term memory loss
the first thing that usually shows up in alzheimers disease

my scores earlier this year on one of the moca test
was 30
a perfect score

so why did mine get better
medication ie aricept (donepezil)
supplements
correcting things like cholesterol blood pressure weight exercise
stress sleep staying mentally engaged
all helped to make my scores improved

so i have a perfect score on my last moca test
does that mean i dont have alzheimers disease
no
the diagnosis is made on more than just the moca test

they use
family history
past medical history
risk factors
spinal fluid for tau and amyloid
a pet scan for amyloid the amyvid pet scan
genetic tests
serial memory tests
then
the gold standard
the neuropsychological exam
eg mine is abnormal even though my last moca was normal

the neuropsychological exam is more accurate
if there are memory issues it will show up
yes you can have a normal moca and have
an abnormal neuropsychological exam
it take 2-3 hours to do this exam

the moca test is a screening test
it doesnt rule out alzheimers disease

there is a state
called
prealzheimers or prodromal alzheimers disease
the memory tests are all normal
the scans and spinal fluid levels are abnormal
in this stage
you just dont have symptoms yet

so
trump
either does not have alzheimers disease at all
or
he is in that prealzheimers state or prodromal state
a time that can last 10-20 years

so
as a medical doctor
as a family doctor
as someone who has had this test multiple times
as someone who has administered this test multiple times
as someone who reads 10+ articles on alzheimers disease each day
as someone who has lectured on alzheimers disease multiple times
as someone who has been and is now in two of the most
important alzheimers studies ever done
i feel like
i can speak with some authority about alzheimers disease

so
if i was trumps medical doctor
if i had administered the moca test to him
i would tell him
right now there is no evidence that you have memory loss or dementia

i would tell him to correct those other health issues
like
the what i called heart attack levels of the ldl cholesterol
he is just a point or so away from being labeled morbid obese
get more sleep
get more physical activity
greatly improve his diet
let your calcium score on that heart ct be a warning
if a heart attack or a stroke dont get you
demential or alzheimers might in the future


the posting of the moca test for all to read
i think does a disservice to those who may need a moca test
in their workup for memory loss
practicing or reading the tests affects its accuracy
i am not allowed in my studies to have other memory testing
since it causes what they call testing effect

also
this doesnt mean trump doesnt have mental problems
or psychological issues
this moca test this screening test
doesnt check
for anxiety
for depression
for bipolar disorder
for psychosis
for paranoia
for narcissism

those are tested usually by a psychologist or psychiatrist

so
no he dont appear to have active dementia or alzheimers
manifesting itself right now

lets all move on from this

mudslide update
maybe next week the 101 will be open
no new recoveries no change in the death toll
we saw what seemed to be miles of trucks loaded with mud
and stuff on the freeway waiting to go to a dump place
way north of santa barbara
they are expecting to dump over 20,000 dump truck loads of
stuff in those dump sites

thatcher update
he is awake
playful
tape free
looks like iv free except for the pic line
oxygen free
soon to be moved from icu
you go thatcher

here is his gofundme account
#thatcher strong

the organicgreen doctor

Wednesday, January 17, 2018

did i or you get faked newsed on facebook

DID I OR YOU GET FAKED NEWSED ON FACEBOOK
Image result for facebook
during the election i got tired of all the stuff that was
appearing on facebook
from both sides
so
i found an app and put it on my facebook page
it filters out political stuff
especially any mention of trump or clinton
then
if folks got too aggressive on their political postings
i used my darwinian clicker and blocked them
i must admit i blocked more folks who believe
like i did then those who have opposing views from mine
then
if racists or bigoted or homophobic stuff got posted
i blocked that person also
so
what was left was a much more pleasant read each day

when i go on facebook i want to know
how folks are doing
how their family is doing
not that other stuff

then
i started hearing about the true fake news stuff
not trumps fake news he rants about
the real fake news that was mainly put out by
the russian hackers it seems against the clinton
run for president

it seems from court and legal documents that the russians
wanted trump to win
the russians as most agree hate and loathe clinton
so
they did these fake news stories and posted it
mainly on facebook
mainly to folks in areas that determined the election
like
michigan and wisconsin and pennsylvania and a few
other states

after i heard about all this
i no longer click on any news related stories on facebook
ever
i consider anything that gets posted there as
possibly fake news

i get all my news online from 3 different news feeds
that gives me a variety of news sources from
across the news spectrum
then
i decide for myself what to believe
not just what some reporter wrote

so i wondered
did i read fake news on facebook during the election
that may have affected my thinking

so kim komando the computer guru
posted this link that you can click on to see if you
got faked news

here is her article click here

here is the facebook link to see if you got faked

this should disturb you that this has happened to us

no i didnt click on any fake news sites on facebook
according to this link


mudslide update
the hwy 101 is still closed between santa barbara and los angeles
since i have to have an mri at ucla to get my next infusion
i cant get it anywhere else since this is all part of the study
we had to make it down to los angeles yesterday to be here
for our mid morning mri scan today
so off we went north for about an hour up the 101
then up and over the  mountains
a slow trip that was quite curvy
but i must add quite beautiful
the line of cars and trucks seemed to extend behind
us for a couple of miles
all moving slow
lucky for us we seemed to be number 3 in line
then after 3 hours of driving we made it to the
interstate 5 south of bakersfield
then
lucky for us
we drove during the right time of day for the la traffic
missing all the backups on the notorious 405
we made the trip in a little over 5 hours
it could have easily take 7 hours
but it didnt
if we are lucky in 1 week the 101 will be opened some
so we will not have to go back the way we came

the mudslides were the result of a perfect storm
it turned out to be a 1 in 2000 year event
in all my reading on this this morning
there was a flood several years ago
down the creek that is a block away from our condo
it was a 15 foot of mud rocks debri that caused flooding
in the part of santa barbara we live in
yes it closed the 101 then

so in the south
you have tornadoes and floods
we here it seems
have mudslides and fires and i must add earthquakes
although the south is getting a lot of earthquakes now
from all the fracking thats done

there has been no change in the death toll
someone who was displaced in the mudslides
will be staying at our condo while we are gone
our contribution to the cause

THASHER UPDATE
he is extubated
his ivs are out
his pic line in in
his oxygen is off
he smiled
he sucks on his pacifier
he drank a bottle of formula
his parents have got to hold him in a chair
he grabbed his dads hat off his head
the miracle child

here is his gofundme account
#thatcher strong

the organicgreen doctor