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, July 25, 2017

the truth about teachers and schools

THE TRUTH ABOUT TEACHERS AND SCHOOLS
so this email with this attachment
appeared anonymously in my email recently

i just wonder who could have sent it

what you should know about public school and teachers

public teachers in texas are not unionized

teachers in private schools dont have to have a degree or be certified
to teach children

all property taxes dont go to schools
you dont complain about fire police texas dot repairs

teachers dont get free insurance or retirement

teachers are not paid for summers
thats a 9 month salary spread over 12 months

education reform is not partisan
teachers dont believe one party is more for or against
education

in texas not every district starts teachers at $50 k
lots of teachers who have been teaching for 20 years
or more have just reached $50 k

teachers in texas have not received a significant raise in years
not since george bush was governor

retired teachers are not allowed to take social security
and
have not received a cost of living in over 18 years

teacher retirement=20% from teachers 20% from the state
and 60% from investments
not from tax payers

teachers spend way too much time testing

testing was installed by politicians you voted for
this was not an idea from teachers or administration

so when people say teachers are socialists remind them that
teachers do the job tasked to them by politicians

legislators retirement is based off a state judges salary and
increases over time often in excess of $100k/yr

schools and stadiums being built are out of control
but are not paid for by state dollars
bond elections and choices of community decides on these upgrades

there is nearly $10 billion in the rainy day fund that could cover most
of these pressing issues
$1 billion would fix education

districts will have to run this year with a budget equivalent to a
budget from 1995 with higher expectations

teachers plan to block vote and remove those against public education

wont you join them

probably a lot of this pertains to most other states in the united states


the organicgreen doctor

Monday, July 24, 2017

its been too long

ITS BEEN TOO LONG
we have been there now for over 15+ years
we have lost 6,828+ soldiers
we have lost an unknown number of soldiers to
suicide and drug overdose
we have thousands with ptsd that we and they
will be paying for for the rest of their lives
we have spent over a trillion dollars over there

why

so
what do we have to show for it
isis for one thing
now
i supported going to afghanistan to go get ben laden
but
i didnt expect us to still be there 16 years later
with
no end in site for our involvement there

now
iraq
thats a different story
dont think we should have been there in the first place
what a mess we made when we did

so
whats the endpoint here
what are our goals
when do we stop sending all our money and our kids
our sons our daughters our nephews our nieces
our uncles our aunts our fathers our mothers
over there
for what reason
i ask

i have thought about this more recently
since a relative joined the military
since friends kids joined the military
since i reviewed our familys history in regards
to the military

some wars are understandable
for us to fight
like in ww2
but
this one i dont know
i dont want these kids injured fighting over there

now
i am not trying
to be non patriotic
or
to be some antiwar person

i stand take off my hat and usually get a tear in my eyes
when the national anthem is sung at events

we have problems here at home
we need desperately to solve
lets try solving those first
before
we solve someone elses problems
or make them worse like in iraq

so
i say
its time
its been way to long
we arent going to win
like in viet nam
finally
we pulled out
got over it
moved on

lets do that now

the organicgreen doctor

Friday, July 21, 2017

alzheimers news-getting it right

ALZHEIMERS DISEASE-GETTING IT RIGHT
Image result for organicgreendoctor
in the past it was not always easy
to get the diagnosis correct
especially in the early stages of the disease

here are the stages that lead to alzheimers disease

prealzheimers-no symptoms yet

mild cognitive impariment(mci)-mild symptoms like me
some believe mci is early alzheimers

alzheimers disease-more advanced symptoms

even 7 years ago when i was diagnosed with mci
mild cognitive impairment
it was thought to be probably due to alzheimers disease
based on memory testing and history taking
but
really there were not anything else to do to come up with
a more accurate diagnosis

if you are wrong with your diagnosis
then you
start treatment with aricept (donepezil)
have the patient go through the side effects of the medicine
for years
and
if the diagnosis was wrong
well you just made a persons life more miserable than
the disease the person really had

of course in the workup of things that could cause memory issues
that are easily treated are ruled out
like abnormal electrolytes low b12 low thyroid depression
sleep disturbance etc

sometimes whats left is not always alzheimers disease
but may be caused by benign causes that really wont
worsen over time or will go much much slower than
alzheimers disease

so now in 2017
to have a workup for memory loss that appears to possibly
could be maybe alzheimers disease
the usual workup like i had at first is done
ruling out treatable stuff
if it all points towards alzheimers disease
then a more definitive diagnosis can be made

if its memory loss not due to alzheimers
you may not need medication and its accompanying side effects

if it is alzheimers
then there are a lot of research studies going on and are about
to happen on potential treatments for alzheimers
if you know you probably have it you can make yourself
more available for treatment

now you can have genetic tests done
for early onset alzheimers disease the inherited kind
apoe 4 gene signifying increased risk for alzheimers disease
a spinal tap and analysis for beta amyloid and tau
abnormal levels imply you have alzheimers disease

then
as a new study is showing
read this article on it
that the use of the pet scan amyvid for the bad beta amyloid
the hallmark of alzheimers disease
can rule out alzheimers disease as the cause of the
persons memory loss

insurance and medicare and medicaid will not pay for this test
however medicare medicaid and other organizations are sponsoring
a study to see if it really makes a difference these scans

its called the ideas study
i was attempting to get into this study to see if i could get the scan done
but i luckily qualified for the aducanumab study that i am in now

so what they have found is
that a significant number of people who have the diagnosis of
mild cognitive impairment and are on meds like aricept (donepezil)
really dont have alzheimers disease
based on the fact that their amyvid scans are negative

if your amyvid scan is negative you do not have alzheimers disease

i would hate to think that i took all this aricept (donepezil)
had all the side effects like dizziness blurred vision sleep disturbances
occasional veritgo fatigue leg cramps vivid dreams
and fasciculations

whats fasciculations
well eg you can look at my calves
and watch my muscle fasciculate
it looks like something is crawling back and forth under my skin
its from the aricept (donepezil)
people with other neurological diseases like huningtons disease
have them also

so these folks who have negative scans can now stop the aricept
i would love to be able to do that
and
almost get a reprieve from a terrible fatal diagnosis

granted their memory may not ever get better
but
it may not ever get worse either

physicians who referred their patients for the ideas scans
found that over half the mci patients didnt really have alzheimers
75% of the alzheimers patients did

no
sorry to say
my amyvid pet scan is positive
so this ideas study wouldnt have helped me any
except verifying the likelihood that i have alzheimers disease

note
other things can cause the scans to be positive
but
if its negative its not alzheimers disease

they need more folks for the ideas study
if you know someone who might qualify
here is the link
ideas study information

remember
we need financial support to fight this disease
and
emotional support to deal with it

join us as we walk this year

we will be doing the
alzheimers texas walk in georgetown texas
on saturday september 23rd
team name is organicgreendoctor

yes we will be in georgetown for the above walk
as we walk with our austin friends and family
do join us
come say goodbye to us

i also will have a team in the
santa barbara walk to end alzheimers 
on saturday october 28th
team name is organicgreendoctor.com

join us

the organicgreen doctor