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

Monday, March 27, 2017

rot care

Image result for rot
our healthcare system is not going to work
if we have one party ram through a program without
the other

although i like the start that obamacare gave us
protecting millions of us from financial ruin
it was rammed down the republicans throats
when the democrats had total power in the late 1990s

that left a bad taste in the republicans mouth
a real bitter one that helped to lose the democrats
any control of the government

what goes around comes around

then the republicans did the
gotcha thing
tried to ram a new plan down the democrats throat
how do you like the taste they said
politics it seems makes strange bedfellows
the freedom caucus who wanted to wipe out a lot the gains
that were made to protect our health
which most of us dont want to lose
they sort of teamed with the democrats
whom they probably dont agree with on anything
to defeat the attempt at trump ryan care

like a republican senator said at one of those rowdy
back home meetings recently
we just need to back up
take a deep deep breath
pause for a while
get the democrats and the republicans who can work together
to come up with a bipartisan health system
they want agree on everything
what comes out of it will be mutually agreed on

my suggestion
5 moderate republicans and 5 moderate democrats
with no majority for either party

the plan will probably be a better one
that we can all accept

if we dont
we wont have a workable plan

it will just get changed again with the democrats get power again
we cant let that keep happening

first let me say i think that there should be a
two option health care plan

one option
medicare for all
just add things to it that make it save money
like a tax for the medicare for all if you chose this one
say a 1 % tax that all pay no matter their income
add copays with the  deductibles and co insurance
like regular medicare does now
the copays would be new
make the copays set or make them sliding scale
i dont mind paying a $25 copay to see my primary care provider

start putting controls on services provided that seem a waste of money
like even stricter criteria for mris and other testings
i have had mris and scans not the research ones that didnt
necessarily change my care that much
it would have saved medicare a lot of money

make it harder to prolong folks lives
did you know that 90+% of doctors die at home
while most nondoctors die in the hospital
i think we know something yall dont

allow nurse practitioners or physician assistants to operate
they dont get paid as much as doctors do
let them be independent but keep the pay down to the level
so that they make the same income they do now
also then cut the doctors reimbursement to the nurse practitioner level
make it mandatory that all providers take this medicare for all

i personally see a competent neurology nurse practitioner and have
no problem doing it

there are other ways
to get more costs down
change how we allow our drugs to cost us so much

look closer at foreign countries like sweden and canada
and england to see how they hold their costs down
we need to do those things that they do thats good

option two
private insurance
that you obtain yourself or via your employer
set some standards they all must meet
put them out in the private market

i recently bought my medicare supplement
it was fairly easy and straightforward
almost too easy
i was worried i was doing something wrong
i was missing some loop hole
it just worked fairly smoothly

i think that what will happen over time is that the
medicare for all will gradually take over
if its kept simple and straightforward and efficient
as medicare is now

maybe allow for medicare for all supplements to be sold
like they are now with the regular medicare

i told someone the other day
im calling our new insurance plan the congress is coming
up with
ryanobamatrump care

smiled and said
oh you mean
rot care

yep thats what we are going to end up with
if we are not careful
rot care

the organicgreen doctor

Friday, March 24, 2017

alzheimers news-1 down 47 to go

Image result for organicgreendoctor
i did it yesterday
got my birthday present
as i wrote the best ever

as i drove the 3 hours trip i did a lot of contemplating
thinking about this 6 year long journey that i have been on
hoping it will last a long long time before its all over

i thought how lucky i am to be this far along
and not have worsening memory loss

during that time this last 6 years
i lost my brother from the final stages of this disease
had my older brother get diagnosed with it

i thought maybe just maybe i am the lucky one
getting an opportunity that they didnt get
to really really slow this down

i am honored to be in this trial
knowing that if its successful as it might be
that it could be a game changer for me
and all my relatives behind me
to have a chance to avoid this awful disease

thats how close we are to finding a treatment
its right now today not off tens of years from now
for me and my family it started yesterday

yesterday the day for the rest of our lives

lets getter on is what i muttered under my breath
i arrived yesterday early of course to the infusion center
its located in this building at the university of texas southwestern
medical center
i walked up to this desk where the busy infusion center is
there sits this guy called santa claus
he is the receptionist
everyone calls him that
since he looks like santa claus
plays one at christmas
nice as you would expect santa claus to be
nice first person to interact with

then there was some snafu
we may have to reschedule
some protocol has to followed exactly right
i was the first one starting this study there
some special approval had to done by some god in massachusetts
or somewhere back east at biogen

we may need to reschedule if you dont want to wait
nope i said
im staying until this gets settled
ive waited too long and this may mean to much to me and my family
i just want to get this thing done
getter done i mumbled under my breath

finally after awhile it all got cleared up

back i went
nice nurse
nice receptionist
nice neurologist
it helps to have nice medical personal taking care of you
when you are dealing with the unknown
dealing with a terminal illness
i remembered as i watched them start my infusion and draw my blood
their patients are the ones that dont usually fair well
its their diagnoses

below thats the brown bag stuff hanging on the pole
the stuff thats either fake stuff or the real deal
the real deal for me please
i thought as i watched them hook all this up
i want to be the exception for them
i want to be a success result

the only thing i noticed as i got my infusion was
that i tasted salt on my tongue and i got real thirsty
dont know if thats a good sign or not
when it comes to whether or not i am in the placebo group
or not

if i get headaches get confused have some dizziness
then theres a good chance i got the real deal stuff
however not everyone has side effects
i am at higher risk for side effects since i have the apoe 4/apoe 4 gene
this gene put me at an increased risk for getting alzheimers disease

prior to getting the infusion i had a memory test done
for some reason i noticed that i did better on it than usual
it may be because i have had it done so much
i can anticipate the answers before they ask the questions
they for this study do a variety of memory tests
most of which i havent done before
which make them more accurate

i finished my infusion without any effects
i return each month to do the same thing all over again
i dont have to wait around the extra hour or so like i did
this time
in and out in an hour or so each time

i decided i can deal with whatever problems pop up
in the end it may be all worth it

i scheduled my next infusion date on 4/20
i did that date on purpose
its in case you dont know is marijuana day

why pick that day
there is a lot of research that needs to be done on the ingredients
in marijuana
they appear to be useful in the treatment of neurological diseases
like alzheimers
the federal government severely limits the research that needs to
be done on these marijuana ingredients

in my contact with folks affected by these diseases
they are using marijuana
obtaining it from states where its legal
using strands that have the potential to help

its sad that good scientific research cant be done
to find things like this that may help

its my small way of protesting our governments restrictions
on this research

hopefully if this aducanumab stuff works for me
i wont have to get involved with using any 420 stuff

a month of waiting
round two

keep following me on this journey
i am hoping the end result will be a good one
if it is
there may be hope for a lot of people

the organcgreen doctor

Thursday, March 23, 2017

alzheimers news-its my day


Image result for organicgreendoctor
today is my birthday
i have had a lot of birthdays
the 40th one was memorable
yes i got black stuff and got my yard trashed
i got all those over 40 jokes

came number 50
yes i got the aarp stuff in the mail

came the number 60
i told my wife she
i just want a quiet one
have people leave me alone
no harassment please
i got enough at age 40 and 50

after my 60th birthday
our life was humming along pretty good
we had no idea what would be coming along
in about 9 months
our lives would change

there was the diagnosis
that diverted our future to where it is today
an uncertain one

i have got a lot of presents over the years
some well most have been good ones
i got the best birthday present ever

my phone rang
this is the alzheimers disease center at ut southwestern
we have an opening tomorrow at our infusion center
do you want to start your aducanumab infusions tomorrow

i didnt even hesitate a second
we have made receiving these infusions our priorty
ill be there

im ready
to get this show on the road
the sooner the better

for those who dont know
aducanumab is an antibody that attacks the bad beta amyloid
that accumulates in the brain
beta amyloid is thought to be the substance that causes alzheimers disease
if you remove it
the alzheimers disease may be stopped or at least slowed down

i will be one of the first to get this stuff at the alzheimers center

everyone knows the drug humira
its advertised on tv all the time
its used for diseases like rheumatiod arthirits ulcerative colitis
crohns disease and other connective tissue diseases
its given as shots under the skin usually every 2 weeks
its an antibody against a protein that causes the inflammation in
these diseases
its generic name is adalimumab

my drug
my birthday present today
works similarly
the protein it attacks is the bad beta amyloid in the brain

this drug aducanumab
is the best hope that we have right now to slow this disease down
this study i am in will determine if it works or not
my reading and my hope is that it will

i am ready
to get the best birthday present ever today
it must be a sign
getting it today on my birthday
i believe
i believe
its a good sign

the organicgreen doctor