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, December 14, 2018

alzheimers news-whats for breakfast

ALZHEIMERS NEWS-WHATS FOR BREAKFAST
Image result for organicgreendoctor
i like the two cs
coffee
chocolate

in fact i use to eat chocolate off and on all day
until i got put on aricept (donepezil) for my mci due to alzheimers disease 8 years ago
the donepezil interfered with my sleep
adding chocolate to that made the insomnia worse because of the caffeine

so
my compromise on the chocolate thing is if i have chocolate in the house that i need to eat
i eat it for breakfast
well
to stay healthy i eat my breakfast
then eat the chocolate as my breakfast desert
that makes me feel better that im being healthy

im always scouring news reports and research articles for things that may help slow down this disease
i look for things that arent complicated and are based on scientific research

here are two articles
article one
article two

article one
alexander spier spent three years in auschwitz and is a holocaust survivor
he was a multimillionaire who in his later years developed alzheimers disease
he had the type where you escape get paranoid delusional aggressive have anxiety pacing depression
this all worsened his last two years of his life
the antipsychotic meds he was prescribed didnt work well
so
the family moved him to a center that used marijuana to control his symptoms
it helped a lot
if you have had a family member who has experienced these symptoms as they spiral downward at the end then you know what its like
the prescription meds either oversedate them or dont work

after his death the family formed a foundation called the spiers family foundation
which now is financing some of the medical research that needs to be done on marijuana
to prove if it helps or not
the government cant or wont do the research that needs to be done
since marijuana is federally illegal

the only way he would take the marijuana was in edible granola bars

the edible that most people think of is the brownie edible
this is how i would try it as my morning chocolate
an edible chocolate brownie

an aside here
im reading a book written about my first cousins battle with alzheimers disease by her daughter
the biggest issue my first cousin had with her lengthy battle was the symptoms that mr spier had
she was institutionalized for awhile in a psychiatric hospital to regulate her psychotic meds which kept her at times oversedated
i wonder if the edibles would have helped her
knowing her family they probably wouldnt have used them on her

right now
im putting it in writing to my family
if i get all psychotic like she was or like mr spier was
give me my breakfast of coffee and edible brownie please

article two
this article is about coffee
it seems that dark roasted coffee whether caffeinated or decaf has a chemical that is produced in the roasting that seem to possibly lower the risk for developing alzheimers
in the study cited a 21 year study showed those who drank a lot of coffee like 3-5 cups had a 60% lower risk for developing alzheimers
thats good enough for me i say

ok so i was doing that anyway

so
here in a few minutes
i will make myself an extra strong brew of peets italian dark roast coffee
then
pull out my pieces of chocolates + a capsule of cbd
knowing that as i have this for breakfast
that
im fighting that war going on up in my brain
maybe winning a battle just a little up there

the organicgreen doctor

Thursday, December 13, 2018

dont do it i said

DONT DO IT I SAID
Image result for cookie dough
usatoday

she just looked at me
smiled
and
took a bite out of it

i said dont do it

she said
why

i said
two words why

salmonella
e coli

now if you have read about food lately those are two words that most of us know
if you are one of the unlucky ones that got infected from eating contaminated foods
well
you would said the same thing i said
dont do it
its bad real bad if you get it

so my wife she was making cookies
there are two ingredients that are put in cookies that if you eat it as raw uncooked cookie dough
you can get one or both of these infections

eggs
known to sometimes get contaminated with salmonella
anything you eat from a chicken should be cooked well done cooked

flour
it can be contaminated with e coli
a germ we all have but some versions can make you have the gis real bad
if you are young or immunocompromised it can kill you
as can the salmonella

in my medical career ive seen babies with salmonella meningitis salmonella pneumonia salmonella joint infections salmonella gastroenteritis
ive see babies die from it

i know
ive eaten cookie dough myself
before i knew better
not ever again

i dont like what happens if you eat it and get infected
it can definitely ruin a day and sometimes a whole week
or should i say runs

so
all i can say to my wife she as she makes her delicious monster cookies
is
dont eat the dough
dont do it

cook it first
then
ill take care of them for you

the organicgreen doctor

Wednesday, December 12, 2018

dear mr h-dont read or watch this until you get older

DEAR MR H-DONT READ OR WATCH THIS UNTIL YOU GET OLDER

mr h you are now 4 months old
please wait until you are old enough to vote before you read todays blog

mr h has chronic kidney failure that is due to an obstruction that occurred before he was born that resulted in permanent kidney damage
this obstruction was relieved in just a few minutes after he was born
but
it was too late to save his kidneys
they are functioning well enough right now but will gradually fail more as he grows this year

now 4 months later
he is being added to the kidney transplant list with an eye to being transplanted some time after his first birthday when he gets over 10 lbs and around 23 inches tall
he has to be big enough to receive an adult kidney
the wait on the transplant list for a cadaver kidney can be over 2 years at his age
an adult may have to wait 10-15 years for a kidney
unless
they get a live kidney donor

mr h takes
medicine 3 times a day to control his blood pressure
two medicines one once a day and the other twice a day to control his high potassium level
a salt solution nacl sodium chloride several times a day to keep his sodium level up
an antibiotic to keep him from getting a kidney infection
he receives a weekly injection of a hormone that the kidney makes that stimulates the bone marrow to make red cells
he takes a multivitamin drop each day

his blood pressure is kept normal
his potassium and sodium is kept normal
his blood count hgb hemoglobin is normal
for those medical folks his creatinine is 2.2

his growth is normal for his age
it is around 50 percentile for his age
he is the product of a tall day and a short mom
this growth needs to be maintain so he can reach his goal of an early transplant hopefully after his first birthday next year

if his kidneys fail sooner he will go on peritoneal dialysis using his abdomen
a tube is inserted into the abdominal cavity and fluid is ran in and out over 12 hours every day
this is done until a kidney becomes available
either by a live donor or a cadaver donor ie someone dies usually tragically and the family donates the persons organs so others can live

i certainly would want my organs donated that way if this happened to me
i cant donate my kidney because of the monthly infusions i receive and my age

an adult kidney can be used but it has to be a small one since it an adult kidney has to fit into a little toddlers belly

lucky for mr h he has blood type ab+ that makes him a universal recipient

lucky for the live donors is that people do just fine with just one kidney
many folks just have one kidney and dont even know it

below is a video of sarah hyland a star from modern family
she talks about her two transplants she has had

mr h will need one now then will probably need his second one in his late teenage or early adult years

ms hyland freely talks about what its like to get transplanted and what its like to be on dialysis
her story is what mr h is facing

yes
for us mr hs family
this video is sobering
but
at the same time it is encouraging

 

the organicgreen doctor

Monday, December 10, 2018

the sound was out of this world

THE SOUND WAS OUT OF THIS WORLD
Image result for american flag on the moon in the solar wind nasa
nasa

i remember being glued to the tv and radio during the moon flights
one picture that sticks in my brain is
the one where the astronaut has stuck the american flag in the moon ground
and
the moon solar wind is making the flag flutter
in a slow motion way
but there was no sound with it

it is amazing to me that the space folks can lift off rockets to outer space
then land parts of it back on earth
onto a small area like a barge
like in a space movie

that happened last week when we were walking above the beach
see my blog on that what a way to go
then came the sonic boom later that i thought maybe was an earthquake
or something like that
it was the rocket landing back on earth just a few miles away
then
this happened this week


this is the recording from the insight lander on mars
it has recordings to monitor marsquakes
as the wind blows across sensors and solar panels you can hear the wind
thought to be about 10-15 mph

i listened with earphones and after the inital introductions i turned up  the sound as loud as i could
i swear i could feel my laptop and earphones vibrating in the wind
i felt like i was there

i also turned off all the lights in the condo and listened again
mesmerizing yes mesmerizing it was
i pretended i was there sitting in the dark
on mars
listening to the howling martian wind

its nice to escape this world with all our problems
and
just take a few seconds to forget about it
and
recharge

each time i did it i realized this was sound from our nearest planet millions of miles away
being transmitted via the internet to my laptop
then up into my earphones

just like i could be mesmerized with the moon solar wind on that american flag years ago
i am mesmerized by this mars solar wind

its an out of this world experience

who would have thunk it
right

the organicgreen doctor

Friday, December 7, 2018

alzheimers news-my alzheimers family tree

ALZHEIMERS NEWS-MY ALZHEIMERS FAMILY TREE
Image result for organicgreendoctor
yesterday as my son and his wife and mr h were driving down to ucla for mr hs transplant office appointment the topic of apoe 4 came up
i had just a few days before been down to ucla for my 3rd or 21st  infusions of the aducanumab experimental alzheimers drug
it was the 3rd if i was on placebo before
it was the 21st if i got the real drug aducanumab to begin with
again i really feel like i got the real drug to begin with

talking about this with them led to a discussion of the apoe 4 gene and what it means
could he have the apoe 4 gene she asked
he has the apoe 4 gene i answered since i have the apoe 4/apoe 4 gene
he probably doesnt have the double version since his mom my wife she probably doesnt have it
the same with his brother

an explanation is below
also if you look at all my siblings below my younger brother who died with alzheimers disease probably had the apoe 4/apoe 4 gene
if his kids asked me the same question
i would say yes you probably have at least the single version of the gene

should i get tested
no i said
it doesnt really matter yet
just take care of your health and it wont matter much about the gene
dont take care of your health and it will matter a lot

remember
25% of you reading this have the apoe 4 gene
less than 3% of you reading this have the apoe 4/apoe 4 gene

this all made me start thinking about my family ancestry and how much dementia was in the family
so over time i have asked cousins and my two older siblings about aunts and uncles and grandparents and great grand parents if any of them had dementia
i knew there was a lot of dementia in our family i just didnt realize how much

i had never just put into a family tree before

so below is my family dementia tree
the D under a symbol means that the person has or died with dementia
some of the other relatives i dont know if they had it or not

when i looked at this family dementia tree
i worked my way to each one many i knew and many i didnt know
it when you see it like this seems sobering

ok so i cried again as i thought of my brother and mom and dad and aunts and uncles and cousins and grandparents that had this awful awful disease
but thats ok if i cry sometimes
right


the eight symbols on the bottom right are me and my siblings
the one with the * and circle is me
yes i got that awful D by my symbol

the one next to me is my younger brother who was diagnosed in his mid 50s and died in his early 60s
the one on the end on the right is my older brother who was diagnosed a few years ago with mild alzheimers and now is fairly stable on his minimal symptoms
all the other siblings have been memory tested and are in the normal range for now

both my parents had alzheimers disease
my dad wasnt officially diagnosed but he had it when he died
my mom probably had the double apoe 4 gene
my guess is that my dad had a single apoe 4 gene
since i am double apoe 4/apoe 4 i got a gene for each parent
if my parents genes are as above then each of my siblings will have the apoe 4 gene
some will be like me and probably my younger brother and have the apoe 4/apoe 4 gene

should they be tested
no and yes
no it doesnt matter just take care of your health is the recommendation
yes if you want to know and if you really really really understand what the results mean
knowing does cause a momentary moment of melancholy but it did at least for me make me more aggressive in taking care of my health since the single gene increases your alzheimers risk by about 3-5 x
a double gene increases it by about 15-20 x

i had this momentary melancholy after i got my genetic results
and
again when i got my amyvid pet scan even though i knew it would be positive
then i moved on

have any of my siblings been tested
yes two of us have

if you look at my tree you will see that all my moms 4 siblings died with dementia
her mother my maternal grandmother died with dementia
her grandfather my maternal great grandfather mggf died with dementia

if you look at my fathers side you will see that at least two of his siblings died with dementia
some of his siblings i dont know their history
his mother my paternal grandmother died with dementia
he had two nieces and a nephew my paternal cousins that died with dementia

so you look at all the Ds in that graph you will see a lot of folks have dementia or died with dementia

why
it has to have a genetic component
my guess its the apoe 4 gene sort of known as the late onset alzheimers gene
it puts you at greater risk for dementia than those without the gene
the single apoe 4 gene risk is about the same as someone with diabetes who doesnt take care of their diabetes

things that accentuate the risk if you have the apoe 4 gene or the apoe 4/apoe 4 gene are
not controlling high blood pressure cholesterol diabetes weight exercise diet sleep stress etc
not controlling these if you have the gene makes it more likely you will get alzheimers disease
controlling these makes it more likely that you wont get alzheimers

if you have the double version it is even more important to be aggressive about your health

also smoking which was more prevalent in past generations also accentuates the risk for alzheimers especially if you have the gene

now
there are other genes that are being identified and will be indentified to put you or us at risk
these will eventually be available for testing in the future

for now
my recommendation is
should i get tested you ask
only if you are ready emotionally socially to handle it and understand what it means

i must say having my diagnosis and knowing i have this gene sure motivates me everyday

as i was writing this blog and reading about new blood tests for alzheimers disease i realized that my blood from the adni study and now with the aducanumab study is out there being studied at universities all over the world
i think since it makes me feel good if its true that somewhere in some university lab they have my dna or my rna or my blood serum and they are doing tests on it that will help discover either a test for alzheimers that we all can have done to tell us if we have it or if we will get it
or
they will discover some treatment for alzheimers that we will all get to use one day

that would make it all worthwhile if it was my dna rna or serum they used to make these discoveries
of course
i will never know if it was mine that was used

the organicgreen doctor

Wednesday, December 5, 2018

new treatment maybe

NEW TREATMENT MAYBE
this drug that has been around for years is approved to treat this list of diseases or conditions

- Cancer associated with severe/chronic pain, nausea or severe vomiting, or cachexia or severe wasting
- Glaucoma
- HIV/AIDS
- Tourette’s syndrome
- Amyotrophic lateral sclerosis (ALS)
- Seizures, including those characteristic of epilepsy
- Severe and persistent muscle spasms, including those characteristic of multiple sclerosis
- Inflammatory bowel disease, including Crohn’s disease
- Terminal illness, with a probable life expectancy of less than one year
- Intractable pain
- Post-traumatic stress disorder
- Autism spectrum disorders
- Obstructive sleep apnea

this drug just got approved to also treat alzheimers disease since its been shown is some early research to possibly slow down the development of alzheimers disease
my approach with all this is if it shows promise
and
it wont kill me
it might help
well
im going to take it
the option is well right now theres not one

so
they approved its use for this condition
alzheimers disease

well
i guess you are wondering whats this drug that just got approved for use in alzheimers
well
it was marijuana

where
in minnesota since its passed its new medical marijuana laws which allow medical marijuana treatment of these conditions above

more will be added later

the ones that ive seen patients or friends use medical marijuana are
glaucoma its been used for this for a long time
pain if you talk to pain folks you will find that many of them have added marijuana to their treatments
chemotherapy side effects
seizures
loss of appetite especially from chemotherapy hiv aids
multiple sclerosis symptoms
als
anxiety
sleep

if you look closely at these diseases
many of them are neurological
many are terminal or potentially terminal
many have inflammation as their cause
one pain has lead to opioid abuse which is the main reason our longevity in the united states has decreased the first time in modern history and has lead to the largest source of organ donations mostly from young adults

now
we need the federal government to get on board so that the research that really needs to be done on this drug can be done

in the meantime
what harm will it cause if you treat some of these diseases with this stuff
the alternative
well
there may not be one right now


addendum
i live in california
i obtained this bottle of marijuana softgels with 10 mg of cbd oil in them from a reputable company
thanks to california laws the regulation of this drug has made it easier to accurately dose this drug
i took them after i read an article that showed in animal studies that the cbd oil could lower the amyloid in the brain
true research in humans hasnt really been done enough yet thanks to the federal government but it needs to be done since this drug may help slow this disease down
in the meantime a lot of folks are using it for this reason
no it doesnt make you high since it has no thc in it


the organicgreen doctor

Tuesday, December 4, 2018

what a way to go

WHAT A WAY TO GO
Image result for spacex launch vandenberg yesterday
af.mil

yesterday after dropping our car off to have a routine maintenance done
i noted we only put 5000 miles on our car last year
i put almost 3500 on my car in the 18 months ive lived here

after leaving the dealership we headed to one of our favorite places to hike around here
its called the butterfly grove
its a large area of eucalyptuses that have become a place for the monarchs to congregate each winter
in the past there would be droves and droves of them
attracting lots of visitors each year
now not so much

with the drought a lot of the trees have died and fallen down all over the place
the local government agency that supervises the groves have put up signs saying that the trails through all the groves are closed off until its safe to go in there

also with the climate changing and its warmer and drier here the monarchs arent staying here much in the last few years

now my wife she and i havent always been rule followers
yes
we broke the rules yesterday
into the butterfly grove we walked
yes there was a lot of dead trees felled and the trail was blocked in a lot of places
but a lot of other rule breakers had made a trail around these blocked areas
i wonder if they got arrested
no we didnt either

i felt like i was in the wooded area of southern arkansas
it was quiet except for birds and buzzing bees
yes we did see an occasional monarch fluttering all over the place
i stood looking up into those huge eucalyptus trees just wandering what a beautiful site that must have been
i guess it wont be happening again anymore

now thats sad

an illegal walk through the forest that we are glad we did
yes we werent alone that day
there were other rule breakers afoot

as we burst out of the eucalyptus forest we walked onto a flat bluff of several acres
that overlooks the pacific ocean
we stood multiple times as we hiked across this plateau
stopping to feel the breezes hear the waves see the boats in the distances see the birds chasing the waves down below

now this is true meditation

the nearby airport squirted its big planes out over this plateau as they edged upward into the deep blue sky
then
as we looked up with the bright sun at our back
there was this reflection off something that seemed to be headed right towards us
getting bigger and bigger
all i could think was the governments coming to get us for walking in the butterfly grove

my wife she said i think its a big drone heading our way

it got bigger and bigger and shinier and then it seemed to get this long long white tail
attached to it
what the heck is that
then it seemed to just go higher and higher and higher with that white stuff blowing out the bottom of whatever that was
then it disappeared deep deep way up high in the sky

later we heard this booming sound in the distance
i looked up wondering did it blow up or something

then i remembered that the space x falcon was being launched from vandenberg afb which is about an hour from here
the launch time as i looked at my watch was right now as we were walking

i would have loved to see all this at night it would have been beautifuler im sure

its funny just that morning as i was reading about the launch i thought we have to go and watch it get launched sometimes
well
i got to see it from afar standing with my wife she on that plateau looking over the ocean on one side then the illegal butterfly grove on the other side

this morning i read where folks could pay about $2500 to have some of their ashes put in a capsule
that allowed your remains to orbit the earth eventually burning all up in space

hummmmmm thats cheaper than a funeral

now
i plan to tell my wife she

thats the way i want to go

the organicgreen doctor

Monday, December 3, 2018

sb country n news-how sweet it is

SB COUNTRY N NEWS-HOW SWEET IT IS

this is a sweet yellow 1015 onion i planted a few years ago in my texas country n garden
the 1015s are the best onions that ive ever planted
this one above is sitting on top of my size 12 foot to get an idea of how big it was

if you take a 1015 onion and bite into it its sweet like a georgia vidalia onion
this 1015 onion is as good as the georgia one
kinda like the football teams texas is as good as georgia
they will be playing in the sweet bowl ie sugar bowl come jan 1st

also when you cut into the 1015 onion it doesnt burn your eyes

since moving here to santa barbara i am having to relearn how to garden in this environment
we are 2 miles inland from the beach and up on the edge of the beginnings of the foothills of the mountains
the climate is warmer and drier than the beach area
there is less moisture from the fog so there are less mildew problems where my garden is located

last year i planted about 5 different onions including some 1015 onions i ordered from dixondale farms in texas
the 1015 onions did better than the ones that i bought locally

the california organic seed company called renees garden seeds had these onions for sale
i looked at the listing
well i said thats my texas 1015s
then i looked where they were grown and it was the dixondale farms where most garden nurseries get their onions from in texas especially austin
so
i went right to the source myself and ordered them online
they appeared a few days later

what i have found from talking to folks is that i cant expect to get a big ole onion like i grew in texas but i can expect to get one half that size
now if i was further inland into warmer climates then i might reach that forefoot size onion

so it is with the garlic i now realize my garlic will be a smaller size no matter how well i grow it

i also learned that we have all these microclimates here because of the ocean and the mountains being so close together that the onions i need are short day onions
most sold here are intermediate day onions
the 1015 onion is a short day onion
so
i ordered two bunches of these short day 1015 onions

in my garden i set aside a 3 ft by 7 ft bed that i prepped for these onions 2-3 months ago
i dug out down 18 inches and did layers of cardboard newspapers compost mulch soil until i reached the top of where i wanted my bed to be
each layer was given a sprinkling of a good organic fertilizer and a soaking of fish emulsion seaweed and molasses
i also added a lot of worm compost from my worm compost towers buried between my beds
i also buried a 3 inch pvc pipe with 3/8 in holes drilled on the lower side then covered it with a drain sleeve
this will be how i water the onions deeply and will add the liquid fertilizer seaweed molasses mixture regularly
i also added a drip line to water the surface area when needed
this was covered up with a layer of newspaper and cardboard to let all that stuff stay moist and breakdown into the richest soil ever

come planting time the cardboard was removed then
following dixondales directions altered some to fit my bed i planted these onions 1 inch deep and 4 inches apart for a total of 85 1015 onions in this 3 ft x 7 ft bed

the two bunches were more than i needed so i will scatter the left over ones throughout my garden and the school garden and my sons garden and will give some to the community garden to plant

so here is the final look to my main bed
the brown round cap at the bottom is the cover to my buried pvc
the square concrete block on the right of the picture sits on my 5 gal bucket worm tower

heres hoping all this work will give me some onion chimes come the late spring like in these pictures from the texas country n garden


the organicgreen doctor