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, November 17, 2017

alzheimers news-is there room

Image result for organicgreendoctor
thats the question raised by a recent rand corporation study on
what would happen if a treatment for alzheimers disease
came on the market

well that very likely will be a reality in less than 5 years
if some of the drugs show promise in fighting this disease
get approved for use

biogen which makes the aducanumab drug i take each month
sponsored the rand corporation study

the result of the study i am in will come out in 2019
if the results are promising the drug will be approved
soon after that

they probably will go after folks who have changes in the
brain already of alzheimers they just dont know it yet
the prealzheimers or prodromal state
ie normal memory with positive scans
those like me with early symptoms

if you are too far long with the disease its probably too late
to get treatment

now recently in this blog i wrote titled
alzheimers news-can we afford it
that we basically may not be able to afford these treatments
at the same time we cant afford not to do them

lets say in 2020 a new treatment becomes available
there are literally thousands of people no thats millions
in just the us who will fit the criteria for treatment
me when i was 55 i would have had a positive scan
thats when if not earlier i would have wanted to get treated
to get maximum effect from the drug

so what would it take to get diagnosed and evaluated
to qualify for treatment

you go to a doctor usually a specialist like a neurologist
a geriatrician or psychiatrist
its usually a neurologist
there arent enough of them available
now remember we are talking about several million folks
needing to see the specialists
can you imagine the back load of appointments just to get
the work up will include probably the amyvid pet scan
for the beta amyloid
its the stuff that the aducanumab removes

remember we are talking millions of people here
after finally getting into the neurologist
now need the amyvid pet scan
there are not enough scanners that do this in the us
to do all the scans that will need to be done

can you imagine the delay its going to take to get
your diagnosis

this stuff will probably be given in infusion centers
the ones where things like
chemotherapy is done
infusions for ms connective tissue diseases like rheumatoid
lupus ulcerative colitis psoriasis etc

you can see the backlog that will build up just to get the infusion
whenever you finally get diagnosed
especially early on
will there be enough drug available for all these folks who
will need treatment

the rand corporations conclusion is that it will probably take
18 months to get seen and get diagnosed before receiving

as those of us know who are familiar with alzheimers know
those two years are a long time in alzheimers time

it is predicted by the study that starting in 2020 over the
next 2 decades over 2 million people will develop alzheimers
waiting for diagnostic studies and treatments

we will be at the finish line but we wont be able to cross it

i feel like those of us needing treatment
are like charlie brown when he goes to kick that football
lucys gonna pull it away at the last minute

the organicgreen doctor

Wednesday, November 15, 2017

do i or dont i

organicgreendoctor: longevity
those are those words that i mumbled under my breath
like those shakespeare words
to be or not to be
that is the question

so now
its all about
blood pressure

do i or dont i

well according to the new guidelines
heres an article that discusses them
do i or dont i
with the new guidelines
more of us will now have high blood pressure
or hypertension
hbp for short

the new goal is 130/80

at first
these three things came to mind

uh oh
now more of us will have preexisting conditions
hbp can get you axed from good insurance rates
if they being congress mess with the no preexisting clause
when looking to buy health insurance

those drug companies are going to make a killing
i realized
most bp meds are generic and are cheap
but these new guidelines will generate more drug costs
more labs and more doctor visits

as you push folks blood pressure lower
there is a point on folks where its too low
they get dizzy
they especially the older folks can fall
break bones or get head injuries etc

the counter to all this is
by improving blood flow and preventing damage to
the heart the arteries and the brain
diseases like heart disease stroke alzheimers disease
may be prevented or the journey to those diseases
slowed down a lot

for me
i want the envelope pushed to the limit
of where i get maximum benefit from controlling my bp

when i gave up on not taking bp meds
my bp was running around 140+- over 90+-
i felt ok
when i read more about how important it was to control
the bp in regards to slowing down alzheimers
i jumped on board with the bp control idea

i dont mind dying suddenly from a heart attack
or a stroke
i just dont want to fall into that alzheimers pit

on the meds i went
no second thought about it
i did notice that
when i lost weight and starting eating better
sleeping better exercising that my blood pressure started
easing downward
when i got near 110/70+- that i started getting dizzy when i
stood up and had problems with fatigue
i had my dose decreased
my bp stays between 120-130/80s
i feel ok with that
im happy with that dose of medicine and no side effects

so you if you didnt already have hbp
you need to decide if you want to take meds
for your new high bp according to the new guidelines

my warning
try diet change decrease salt decrease stress weight loss
two of my siblings had to get off their bp meds when they
did those things
now they are drug free
with normal blood pressures

if these things dont work for you
i say
get on the meds
just be careful with getting it too low
you may have symptoms
getting those numbers down in the new normal range
may add years to your life
and or
add better health to your last remaining years

try diet and exercise and weight loss first
add meds if this doesnt work
watch for side effects of dizziness on standing or bending over
try to get your blood pressure to stay in the new guidelines
insist on the cheaper generics
live longer

the organicgreen doctor

Tuesday, November 14, 2017

no more taxes more taxes


when i do our budget for the year
i figure out how much we will have in income
i do a budget to fit our spending to fit that budget
no credit card debt no borrowing money to live on

at the end of the year
we live within that budget
we have accumulated no more debt

thats the way it seems most financial folks recommend
that you do

now this new tax bill thing
i read about it in the left media and the right media and
the in between media
how can they all say three different things

when i read that stuff
i get real blurry eyed
i get vertigous
i get to where i cant concentrate
i get to where i cant even think

i have tried to put our income into the proposal to see
how it would affect us
you know how you feel if you are so tired you cant think
thats how i feel when i try to figure it out

all i know is that i want to pay my fair share of taxes
not more than that
at the end of the day
i dont want our country to have this big pile of debt

all seem to agree though
at the end of the rainbow for the new tax bill
there is a pile of debt
$1.5+-trillion of it

none of us should accept this

it just seems
like they are hiding something
this carrot is being offered us
a tax cut for the middle class

what i want to know is what will
bill gates pay jerry jones pay the koch brothers pay
donald trump pay those millionaire congress folks pay
those millionaire athletes pay

what will a couple who are both working pay
what will a struggling mom with a kid pay
what will a retired grandparent pay

for me
what would i have paid in my prime
what will i pay now

now i am all for simplifying the tax code
make sure we all pay our share
make sure that those richer than most of us
they should pay more
i think most of us agree with that

when i look at the tax bill
it just doesnt smell right

i am sure if it was the democrats doing a bill
it probably wouldnt smell right either
they tend to go too far the other way

if it looks like a rat smells like a rat
its probably a rat

this new tax bill
the odor is there

the organicgreen doctor