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

Saturday, July 20, 2019

organicgreendoctor: alzheimers news-women get it worse

organicgreendoctor: alzheimers news-women get it worse: ALZHEIMERS NEWS-WOMEN GET IT WORSE well those of us who are married know that womens brains are just wired differently than men when it c...

organicgreendoctor: organicgreendoctor: monsters under the bed

organicgreendoctor: organicgreendoctor: monsters under the bed: organicgreendoctor: monsters under the bed : MONSTERS UNDER THE BED this monster came crawling out from under our bed this last week luc...

alzheimers news-women get it worse

ALZHEIMERS NEWS-WOMEN GET IT WORSE
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well those of us who are married know that womens brains are just wired differently than men
when it comes to alzheimers disease it appears thats true

what happens in alzheimers disease is that early on before symptoms start the beta amyloid starts accumulating in the brain
later a protein called tau protein which is normally found in healthy brain cells begins to unwind and causes brain cell destruction

this release of the tau protein unwinding and its destruction is what causes the symptoms you see in someone with alzheimers disease
in a typical late onset alzheimers patient the amyloid accumulation starts in the mid 40s to late 40s
the tau unwinding and brain cell destruction starts in the early 50s to mid 50s

one harvard research says amyloid is the match that starts the fire and  the tau protein is the wild fire that leads to all the brain cell destruction

the tau protein damage goes from brain cell connection to brain cell connection like a wild fire does
its thought to be like an infection as it spreads as it takes over the brain

womens connections are different than mans and goes to different areas than in a mans brain
this wiring difference may be what causes the disease to be worse in women

women use more brain energy than men do and early on in the disease this may protect them from early memory loss

women who work in the paid work force from early adulthood to middle age tend to have less early memory loss later in life than women who didnt

of course
all of us men knew that womens brains were wired differently

the women also tend to live longer than men
as you get older your chances of getting alzheimers disease increases
most older folks over 80 are women

so whats a women to do

 exercise is important
walking as a form of exercise is best
walking at least 8900 steps a day seems to be the sweet spot for helping
on my iphone thats a little over 3 miles a day
aside here i many days walk 3 miles just staying active
i also read in one article that walking just over 2500 steps is where the benefits starts increasing

diet google mind diet

dont smoke

dont drink too much

if a person is at risk for alzheimers they can decrease the risk by 32% by doing these things above
heck
add controlling heath issues like weight blood pressure cholesterol diabetes makes this number goes even  higher

so women
you are at greater risk
your brain is wired differently
what you can do about it is
those things above

of course
if you do then you will live even longer than men do but will be healthier

the alzheimers associations international conference on alzheimers was held this last week in los angeles
here is the link to read about some of the research that was presented

there may be a trend to push healthy lifestyles to be the new prescription to prevent or slow down this disease

the organicgreen doctor

Thursday, July 18, 2019

organicgreendoctor: monsters under the bed

organicgreendoctor: monsters under the bed: MONSTERS UNDER THE BED this monster came crawling out from under our bed this last week luckily for my wife she she was out of town and...

monsters under the bed

MONSTERS UNDER THE BED
this monster came crawling out from under our bed this last week
luckily for my wife she she was out of town
and
didnt experience how scary it was
and
didnt get to hear me yell real loud to scare it off
and
hear me throw a pillow across the room to impede its progress towards me

i woke up finally
sweating
my heart was beating fast
dont worry i said to myself
its just a dream
an aricept dream

now when my wife she is here she usually calms me down
that night this last week
i had to do it by myself
it was scary
real scary
so real
until
of course
i woke up

thats what living in aricept world is like

whats aricept
its generic version is donepezil

its used in alzheimers disease to slow down symptoms
the earlier its used the more effective it is
i started mine real early than most folks

i think if there was a side effect that would make me stop it
it would be the dream issue
so far the dreams are mostly pleasant except when the monsters come out from under our bed
thats when
i consider stopping it
but
i dont
since
i know it may really be the thing thats making me do so well 8 years later
so
ill just keep on dealing with these monsters

now
once i tried using cbd since there was some evidence it might slow down the disease
well
my dreams got worse real worse real violent real unsettling even after i woke up even during the day so i stopped the cbd
the dreams got back to just the monsters under the bed
which
i can easily deal with
even
though sometimes i scare the bejjeevies out of my wife she

the monster above at the top of this blog is actually from our closet if the door is open
its real tall and scary
if i keep that door closed it doesnt come out
then this one
it comes out of the tv sitting on our small dresser
it has two lights on it that look like two monster misshapen eyes
moving forward to get you as you wake up
scary
real scary
i must add at 200 am when you come out of a deep sleep in the attack mode
yelling and throwing pillows

so
this morning i am glad i didnt have a monster under the bed last night
luckily for me i woke up early before it escalated to them attacking me
so
i just got up
kicked the pillow on the floor
take that i said under my breath
as i went to the bathroom
then
i laid back down
went to sleep
and
finished the dream without those monsters

ok
ill admit
monsters cant come out from under our bed since it sits on the floor like those beds in the hotel rooms
but
its a dream so you can change things if you want

the organicgreen doctor

Wednesday, July 17, 2019

organicgreendoctor: my story revisted 12

organicgreendoctor: my story revisted 12: MY STORY REVISITED 12 i made a decision after i was diagnosed with mild cognitive impariment amnestic type due to alzheimers disease that ...

my story revisted 12

MY STORY REVISITED 12
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i made a decision after i was diagnosed with mild cognitive impariment amnestic type due to alzheimers disease that i would be open and freely talk about my diagnosis and how it affects my life and my familys lives
if you dont believe me just ask me about alzheimers disease and ill tell you more than you want to know
you know like if you ask an old guy about something he just goes on and on and wont stop
well thats me

i have three perspectives of alzheimers that are mentioned in this blog 8 years ago

now we had seen this disease up close and personal with them and my mother
we knew what we were up against

i also got permission from my younger brothers family to freely talk about his disease and got permission from my older brother to freely write about his workup and diagnosis
they both said sort of the same thing
if it helps someone else please do it

in my case i knew a lot more than some since i was a physician who had treated a few patients with alzheimers and had the knowledge to read and understand articles and research on the disease
but
you as ive learned can read about things and think you know about it and when it hits you its not quite like you thought
so
my wife she and i will learn
as my wife says in the video that was done by the university of texas alzheimers center we take one day at a time
but
we are preparing

12-31-2010

MY STORY 
i wanted to tell my story because it is therapeutic for me and for my wife she
at the same time as you follow my story you will be educated on alzheimers disease such that you will know more about the disease than most people do and more than most doctors know and more than i knew 2 months ago
and 
hopefully you will know what evaluations need to be done if you or a family member should show signs of the disease

i have been on three sides of the alzheimers picture as a doctor treating patients now as a patient being treated which i dont like being a patient very much
and 
as a family member dealing with a mother and close relative with the disease 
so i have seen all sides of the story of alzheimers disease

i hope not to make the mistakes with my wife she and i that were made along the way dealing with the disease previously

remember
this disease will partially overwhelm the medical system in the near future as more and more baby boomers age

the organicgreen doctor

Tuesday, July 16, 2019

organicgreendoctor: tomato heaven

organicgreendoctor: tomato heaven: TOMATO HEAVEN recently i went to an organic farmers market near a friend we visited in north texas now when i left california i felt rea...

tomato heaven

TOMATO HEAVEN
recently i went to an organic farmers market near a friend we visited in north texas
now when i left california i felt real proud of my tomatoes
until
i saw the ones he grew
in the picture above are early girls and celebrities that i recently harvested
his were larger than mine
mine were tennis ball size
his were softball size
same type of tomato
big difference in size
why
ill explain below

as an aside he said you know i use to raise rice and soybeans in east arkansas
now this will make you feel good about what stuff gets sprayed on our food
he said you know that agent orange stuff
well when the military banned it the us government let us spray that stuff on our crops for another 8 years as the generic version of agent orange

on my trip someone i know said yep when i was younger i would spray that stuff around our soybeans
my leg would be blistered at the end of the day on the side i sprayed as i rode a horse around the crops
the horse had no hair on the side i sprayed on

makes you feel good about our food supply doesnt it

he the farmer told me he decided to quit farming that way and moved to north texas and started a smaller organic farm making a living doing it

we used his tomatoes and other veggies as gifts as we traveled to visit folks
that way we got to eat the veggies and matters as we drove around visiting

these tomatoes of mine the early girl and celebrity are two varieties that grow well here and obviously well in texas

i started them as 4 in plants i purchased at the ace hardware here
i potted them up to a 3 gallon pot and kept them on my porch and living room for a month
thanks to my wife she for putting up with this movable bunch of plants
then
the first week of march i planted them into my garden
originally i planned to plant 6 tomatoes but i ended up with 9 plants
two of them nature planted for me
one appears to be a heirloom plant the other a roma plant

i wrapped the early girl tomato cage with thick row cover to keep it warmer
now it doesnt freeze here but this tomato would get warm and toasty during the day
this early girl outgrew the others by a lot
when i left for vacation it was about 10 ft tall and loaded with tons of tomatoes
so
what i did was harvest the largest green ones off the plant
i would estimate around 20
i wrapped them individually with newspapers
put them in a large reusable grocery bag with a banana to help them ripen
then hug it in our kitchen closet

when i returned from my trip
i unwrapped them and what you see in the top picture is what they looked like on my return to california
i also now am putting green ones on a platter topped with a banana then placed a newspaper over that to see if they will ripen that way

now on my return
alas
all the tomatoes in the garden mine and the other gardeners got a fungus that killed a lot of the leaves and caused rotted areas on about half the tomatoes
i was bummed
but
even with all that i right now in my condo have about 70 tomatoes in different ripening stages
so i guess i cant complain

i removed all the dead leaves and rotten tomatoes and added fish emulsion and seaweed and molasses over the plant and now have a lot of new growth so im hoping for another good crop of tomatoes soon

why did it happen
well in texas and arkansas its hotter and sunnier in the spring unless you get too much spring rain
here in santa barbara well it dont usually get hot
we get in may and june a fog layer that moves in overnight and may not leave until mid morning to mid afternoon
tomatoes dont like fog they like heat and sun
so
they are susceptible to a lot of fungal diseases
so
you have to plant them farther apart
trim the leaves up off the ground a foot
cover the ground with mulch like pine straw to keep water from splashing up on the leaves
this allows air circulation
even when you do things right like this year you still get fungal issues from too much moisture on the leaves

even with all this i lost about half of my tomatoes
but
what are left healthy are red and delicious

in fact ive eaten so many tomatoes in the last week my mouth is sore i guess from all the acid in the matters
i eat a tomato cuke squash onion mixed green sandwich each day for lunch
and
a mixed green salad with lots of tomatoes
with
a sliced tomato on the side for supper
so
yes
im in tomato heaven right now with more tomatoes on the way

the organicgreen doctor

Monday, July 15, 2019

organicgreendoctor: gift of life

organicgreendoctor: gift of life: GIFT OF LIFE this picture is mr h when he was younger this below is about granger smiths son river smith and his gift of life granger s...

gift of life

GIFT OF LIFE

this picture is mr h when he was younger
this below is about granger smiths son river smith and his gift of life

granger smith is a country singer
his son drowned in a tragic accidental drowning recently
he was three years old

i was so happy when ms b learned to swim knowing that if she fell in she could get to the side of the pool and get to the steps
now
its mr h who has to learn to swim
we hope to dunk him in the pool some since he is back from his eventful washington dc trip

soon though when he gets his dialysis tubes put in his little belly he wont be able to swim until after his kidney transplant
we hope to let him enjoy the water until then

for him to get a new kidney it has to come from two sources

a deceased donor

like little river smith who drowned in that tragic accident
this child saved 2 lives with his organ donations
a deceased kidney doesnt last as long as a live donor
but
it saves a life
his familys donation of his organs saved two lives

so for mr h we are looking for a live donor since it will last sometimes twice as long
by then innovation eg may lead to other ways to grow his own kidney when his first kidney fails
so he could get a kidney that was grown from his kidney cells

the deceased donation is one of happiness and wretched grief
the live donation like this one in this article is one of happiness

recently as i stood face to face with someone who wants to donate their kidney to mr h
i told them
it takes a special special person to do this
now
i would give my kidney to mr h if i could qualify
but
i would admit im not sure i could do it to someone else not kin to me
it takes a special person to do that

toddler river smith saved two lives that day at dells childrens hospital in austin texas
please read his moms instagram posting in the article here
yes i teared as i read her posting
it seems i and others did a lot of that last week

organ donation is a gift of live and a gift of love
make sure you let your loved ones know that if you die you want your organs to be donated
i did tell my wife she to please donate everything that can be donated
except
my eyes
i wouldnt want someone to get iritis or my cornea that has a scar from that agave thorn and those lenses that arent good
but
everything else is ok with me
of course
my brain is already been donated to ucla when i die

many drivers licenses have on them a place to put that you are an organ donor

remember lots of folks die waiting for organ donations

go to organdonor.gov for information on donating organs

the organicgreen doctor

Friday, July 12, 2019

organicgreendoctor: alzheimers news-its in the blood

organicgreendoctor: alzheimers news-its in the blood: ALZHEIMERS NEWS-ITS IN THE BLOOD i am frequently asked why did they stop the aducanumab study that you were in at ucla well no one know...

alzheimers news-its in the blood

ALZHEIMERS NEWS-ITS IN THE BLOOD
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i am frequently asked
why did they stop the aducanumab study that you were in at ucla
well
no one knows
hopefully the company will say something at the alzheimers association international conference meeting in los angeles this week
maybe we will all find out why it was stopped
there are guesses but no one knows for sure why

the company that did the aducanumab study is presenting data on a new study using an antibody that is similar to aducanumab but works on a specific spot on the amyloid proteins structure
hopefully they will say something when they do that presentation

we all want to know
we all deserve to know
they biogen has promised to tell us eventually

i have one more visit at ucla in two weeks to do the final exit visit which will mostly consist of memory testing
for me i can access where i am when i take these tests
so
in two weeks ill know how im doing
they wont tell me but ill know

i am still looking for a new study but have to wait until the fall to reenter one
my getting in is complicated by the fact that my memory is in the normal range now
and
its possible that my amyvid pet scan for the amyloid could be negative if i got the real drug for those almost 30 months i was receiving the infusions
so
what that would mean would be i may not qualify for any of these treatment studies

i knew this when i entered the aducanumab study
i knew it was possible that i would be where i am now
i knew this the aducanumab might be my only chance to get an experimental treatment
that time has passed now im afraid

i read today in an alzheimers article the author said
preventive care may be better than treatment for this disease
that means
take care of all those alzheimers risk factors now when you are younger and it may be better than any drug being developed

i also read usc researchers say that anything you do that can help your blood vessels will help fight alzheimers
like
exercise diet weight control blood pressure control cholesterol control stop smoking dont drink too much you know all those healthy things we should all be doing

then
researchers know have developed a test a blood test maybe just a drop of blood blood test that will identify if you have alzheimers even before you have symptoms
it measues the biomarkers that are the gold standard for diagnosing alzheimers disease
they compared it to the biomarkers used now the spinal analysis of amyloid and tau and the amyvid pet scan for amyloid
the blood test was almost as accurate as those two tests used now

it is predicted to be available in the doctors office in 5 years

now
what do you do when you find out
well
until there is an effective treatment found
you do what that blood vessel guy said take care of your blood vessels
its like if you have really high cholesterol and you find out and you dont do anything about it
well you are gonna die from a stroke or heart attack or blocked arteries in your legs or an abdominal aneurysm or kidney failure
control the cholesterol and you will maybe die of old age
so
be it
with this new alzheimers blood test
you be positive
you need to take real good of your health

that seems to be the answer to alzheimers diabetes high blood pressure heart attack stroke maybe cancer
take care of your health
now
when you are young


the organicgreen doctor

Thursday, July 11, 2019

organicgreendoctor: mr hudson does washington dc

organicgreendoctor: mr hudson does washington dc: MR HUDSON DOES WASHINGTON DC thats mr h peeking over trumps head in the arms of his mom his dad is looking down from above mr h i must ...

mr hudson does washington dc

MR HUDSON DOES WASHINGTON DC
Image result for hudson nash kidney disease
thats mr h peeking over trumps head in the arms of his mom
his dad is looking down from above mr h

i must say mr h did quite well for having to stand up on that stage for over an hour
luckily for all those up there that he is a good natured happy kid
lucky for him that he is that way since he has to endure a lot and will endure more in the future

when we were driving on our recent trip back to arkansas for our family reunion his mom texted us the speech that she gave during the ceremony shown on tv yesterday
as i was driving my wife she read it to me
i had to pull off the freeway since i was so blurryeyed i couldnt drive
yes
i did the same yesterday again when i listened
then
i did it again last night sitting in the airport waiting for our plane to leave
im sure those folks around me was wondering why this greyheaded man with earbuds on looking at his iphone was crying

this means a lot
to hudson now and as he gets older
to all those affected and those who will be affected by kidney disease
sadly
some of you and your family will be affected also

when i heard about this new kidney plan
i was skeptical i must say
another government plan blah blah blah
but
if theres a chance it would help hudson i said then ill check it out
so
the folks from washington sent a lot of stuff to read
so
i sat down with my pen and paper to take notes
i started to read what was being proposed
as i sat there the first thing i wrote was
this looks likes something the democrats would do

then as i read further
the affordable care act set all this up
a czar for medicare and medicaid services for innovation was established
the latest one is standing to the right of the group
he is the bill gates of health care

this czar established by the affordable care act yes ie obamacare is able to act somewhat independent without so much interference from congress and the political system
they can be innovative think out of the box as needed
something politics sometimes wont allow

so this new czar was the right person at the right time to do this job

this kidney plan should be nonpartisan
i do worry that politics will be involved here
the democrats might oppose this since trump stands to gain politically
the republicans might oppose this since it sort of look likes what the democrats might propose

some things should be bipartisan
like
infrastructure
immigration should be but its not
womens and child health

this one kidney failure definitely is one of these bipartisan issues

so after doing a lot of reading and listening to presentations by the hhs secretary and the czar i feel like i can fully support this

we should see more live kidney transplants
less folks having to go to dialysis center since folks will be encouraged to do home dialysis
more financial support to those involved especially the live kidney donor
a new innovative way to pay for kidney treatment
an organization called kidney x has been set up made up of private groups kidney organizations and the department of hhs to provide money and to promote innovation in kidney care
the first research monies were recently awarded to researchers
one goal is a wearable dialysis unit
maybe one day they can 3d print a person their own kidney

medicare pays for a lot of the care for kidney disease no matter the age
eg
hudson can get on medicare two months after starting peritoneal dialysis
he will remain on it for two years after his transplant
he has private insurance that will cover the bulk of the cost

its about time this is happening to our healthcare system
just a few months ago they did a similar plan for primary care as an option on medicare

what if we attacked all diseases like this new plan attacks kidney disease

yes as of now im all in

yesterday
as i watched and listened i mostly watched hudson during the presentations
hudson did something for me
now
i know he was sending me a message
he got a hold of his dads alzheimers purple bracelet and played with it for a long time

hudson
i got the message
we are in this together these battles

to watch the full ceremony including his moms speech you can
click here 

the organicgreen doctor

Wednesday, July 10, 2019

organicgreendoctor: mr hudson will be the face of kidney failure today...

organicgreendoctor: mr hudson will be the face of kidney failure today...: MR HUDSON WILL BE THE FACE OF KIDNEY FAILURE TODAY mr h will probably be up soon ready to eat then get dressed for his big day today he w...

mr hudson will be the face of kidney failure today

MR HUDSON WILL BE THE FACE OF KIDNEY FAILURE TODAY

mr h will probably be up soon ready to eat then get dressed for his big day today
he will be wearing this nice blue bow tie
my favorite color i must add

im not suppose to write about it
however
first i googled donald trumps schedule today
here is what it says
1110am est he will deliver remarks and sign an executive order to advance american kidney health

huumm
i said to myself as i read this
and
you know mr h is going to washington today to be the face of kidney failure
they have to be related

then
on politico up jumped yesterday this article on the same thing
so
i read it
twice

so i put 2+2=4
i know now where hudson will be today at 1110am est
yes
his mom is suppose to give a short statement on hudson and his condition
we plan to be tuned to cspan and the national 24 hr news channels ie fox news cnn msnbc to see if we can watch it live
if not
we will watch it delayed on the internet
links to be posted tomorrow with my thoughts on this

mr h your journey starts today

the organicgreen doctor

Tuesday, July 9, 2019

organicgreendoctor: mr hudson is on his way to washington dc today

organicgreendoctor: mr hudson is on his way to washington dc today: MR HUDSON IS ON HIS WAY TO WASHINGTON DC TODAY as you can see he will be all dressed up for the kidney event he is going to tomorrow hint...

mr hudson is on his way to washington dc today

MR HUDSON IS ON HIS WAY TO WASHINGTON DC TODAY

as you can see he will be all dressed up for the kidney event he is going to tomorrow
hint
maybe tune in to a 24 hour news channel around 1100 am est
if its not done live i will post links to it the next day
it could be on the national news wednesday evening

i have been asked by those involved to not write about more specific reasons for the event
afterwards i can write all i want to
thats why we i have been vague about why he is going to washington dc today

now
he has flown before about 6 months ago to a wedding in new orleans
now
he is going to advance his cause and others with kidney failure on this trip

besides the question of why we are being vague
the other most common question is
when will he get transplanted

when he gains a few more lbs around 4 lbs now i think he will be eligible to be transplanted
that should happen in the next year most likely
when he meets that magic weight he will get it unless he is doing well
ie
if he is stable growing good eating well they will wait until there are downward changes

remember kidneys donated from
a cadaver donor only last 10-15 years
a live donor will last longer like 15-20 years

each year you can wait as long as the patient is doing well the longer it will be until the second transplant has to be done

this fall hudson will get his tubes put into his belly to ready him for home peritoneal dialysis which he will do until he gets his transplant

the longer you do peritoneal dialysis the greater chance of damage being done to the body
so
its a fine line deciding when to transplant

so for now
hudson is doing some traveling today
so
tomorrow he can do what he can and his family to advance the cause for better kidney care

i as a proud granddaddy couldnt be prouder of him and his family

go hudson go

the organicgreen doctor

Monday, July 1, 2019

organicgreendoctor: mr hudson goes to washington dc

organicgreendoctor: mr hudson goes to washington dc: MR HUDSON GOES TO WASHINGTON DC this cute face could be on national tv soon keep reading to know why he is going to washington dc read...

mr hudson goes to washington dc

MR HUDSON GOES TO WASHINGTON DC

this cute face could be on national tv soon
keep reading to know why he is going to washington dc
read his story below

this is mr h that i have written about several times since he was born 10 months ago
he had an early rough start for the first two months but has improved since

his name is
hudson joseph william nash
joseph after his maternal grandfather who passed before he was born
he would i am sure be so proud of mr hudsons toughness and good nature dealing with all this
william named after his paternal grandfather
that would be be the organicgreen doctor
yes he has been in the garden multiple times in his lifetime
as an aside his sister ms b was born by csection with a bag of my texas country n soil in a baggie lying under the surgical table
hudson well thats one of those millennial or generation x names

he was born early at 34 weeks by csection since he was found to have totally obstructed kidneys that as it turned out left him with chronic kidney failure or chronic kidney disease
his initial 6 weeks were pretty rocky
once i told my wife she that ms b needs to be brought into the nicu to see him even with all those tubes everywhere since i thought he wasnt going to make it
he was in kidney failure and heart failure
with treatment he lost almost 2 lbs of fluid caused by diffuse edema
but
he is a tough little bugger
the heart thing totally cleared
in fact he recently got a clean bill of health on his heart
he is otherwise a normal 10 month old doing what a child who was 6 weeks premature should be doing
laughing playing standing trying to talk eating well

as i say and others say when they see him
you would never know anything was wrong with him

however
he is in kidney failure
he takes a shot of epigen every 10 days to stimulate his bone marrow to make red blood cells
this hormone is made in the kidney
he takes a shot of growth hormone every day or he will whenever it gets approved by the insurance company to make sure he grows appropriately
he makes enough of his own growth hormone
his body becomes resistant to growth hormone so he needs more to keep his growth up
he use to take a blood pressure medicine called nifedipine or procardia three times a day for his blood pressure but he is off that now
he takes an antibiotic keflex or cephalexin to prevent a kidney infection since he has severe urine reflux that could damage his kidneys
he takes a strong salt solution called sodium chloride or nacl since his kidneys cant keep enough salt in his body
he takes sodium bicarbonate known as baking soda to keep his bicarb levels up
he takes a special prescription of calcium to maintain a normal calcium and phosphorus levels and vitamin d level

he has been on breast milk since he was born even though mom has to work every day during the week
this will be used as long as the milk supply holds up
breast milk works best for kids with kidney failure
its funny how a womans body knows how to make that milk just right
he is eating well for his age
he seems to me to be developmentally normal for his true age which right now is 9 months old

yes he looks like a normal baby
except
he is in kidney failure
he probably will start dialysis in a few weeks and will soon be put on the transplant list at cedars sinai in los angeles
waiting for a donor from this list may take up to 2 years
the longer one stays on dialysis the more damage can be done to the rest of the body
they would like to see him get a live donor instead
since
a live donated kidney can last twice as long as a donor from someone who has died
yes he can take an adult kidney if its not too big
hudson has to weigh 23 lbs to get his transplant
he weighs 18+ lbs now

when he does get transplanted he will be one of 68+-  kids under 4 years of age that get a live donor kidney transplant each year

his kidneys are slowly deteriorating
his bun which is a kidney function should be less than 15
his is 44
when it gets to 50 he will start dialysis until he is transplanted

he will have to have catheters placed in his belly
he will be in the hospital for a week or two
his parents and hopefully my wife she and i will learn how to do all that so he can have home dialysis

two things are going for hudson
he is healthy otherwise
he has such a sweet happy disposition

now
why is he going to washington
well in about two weeks look for him to be on the national news
he and his parents are going there
she his mom will talk at an event there
Hudson may be the representative sort of the poster child or face of chronic kidney disease
especially pediatric kidney disease

when the details of when this happens is known i will post it here and on facebook so that you can see cute little hudson in his little bowtie and suit

our goals in all of this are

1  to publicize hudsons case hoping for a live donor
since sometimes parents and family dont match up
he may need a non family member kidney
it helps to have several donors lined up so the best match is used
luckily for hudson he is a universal recipient being ab+

his grandparents are all too old
his dad is probably too big well not probably is too big
so that leaves his mom who is not tall
but its always possible that she wont match
plus they would like to save her for his transplant in his teenage years when he will probably have to have his next one
so they would like to hold her kidney in reserve for future use

once you get in the teenage and beyond years the wait for kidney donations start lengthening like to 8-11 years or longer
1 in 4 folks on the donor list die before they get a kidney

2  to find live kidney donors for other patients

3  to stimulate interest in live kidney donation and or other organ donations
since hudson is an infant he gets moved up on the donor list but it can still take up to 2 years
to get a kidney that way

4  to stimulate interest in chronic kidney failure or chronic kidney disease especially in kids

5  to stimulate interest in potential new kidney health care in the united states that may be soon proposed that will need bipartisan support

 here is hudsons facebook page

click on this link above

please share freely

for hudson
and
maybe for others waiting for a kidney transplant

please share this blog

the organicgreen doctor


Thursday, June 27, 2019

organicgreendoctor: hey you are going the wrong way

organicgreendoctor: hey you are going the wrong way: HEY YOU ARE GOING THE WRONG WAY we had friends visiting from out of state who went to a butterfly garden display in san diego there was b...

hey you are going the wrong way

HEY YOU ARE GOING THE WRONG WAY

we had friends visiting from out of state who went to a butterfly garden display in san diego
there was butterflies everywhere of all kinds
especially monarchs
we were shown several butterfly pictures especially monarchs

so
i said
you know if they release them they wont know where to go
they wont go south down to mexico where they are suppose to stay for the winter
if they go north well that dont end well when winter comes
like
what happened in the book i read called flight behavior by barbara kingsolver 
where the monarchs didnt go south like they were suppose to and many of them didnt make it

what are you talking about they said

well i said according to this research study if you raise butterflies in captivity like some folks do at schools and at home and release them
well
it seems they all go willy nilly in different directions
they all need to go south
for the winter
thats their life cycle
to end up way down south

it seems some have different genes that are raised and sold commercially but even those with all the regular genes they lose that sense of direction
sort of
the way i thought of it
when my wife she drives
if she doesnt have her gps maps on her phone
well
just like the monarchs she can drive willy nilly to where she goes

trust me
eg
once when driving across country i let her drive after a pit stop
i instantly fell asleep before she took off
as i woke about two hours later
where we at
i dont know
so i using my map
now this was pre gps times
i figured she had gone the wrong way 100 miles the wrong way
so
now
ill call her
my monarch butterfly

so it seems these home grown monarchs dont know which way to go
unless
they are left outside to hatch and grow through their various stages
then
off they go headed down south

monarchs in hawaii and australia and central america and south america and africa dont have to migrate
but
those in north america have to go south
or
they wil end up like those in the book mentioned above

lesson
raise them outside or they may be doomed to be willy nilly butterflies
like my wife she

the organicgreen doctor

Wednesday, June 26, 2019

my story revisited 11

MY STORY REVISITED 11
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after i was diagnosed with mild cognitive impairment amnestic type and placed on aricept generic donepezil i was not allowed in the normal control group of the adni 2 or alzheimers disease neuroimaging initiative study
later after being stable on the drugs for three months i was placed in the mild cognitive impairment wing of the adni 2 study
i was in the adni 2 study for 5 years
they wanted an intial mri so i would be ready for the study and for diagnostic reasons for my neurologist
now
i have had a lot of mris done over the last 8 1/2 years in the two long studies i have been in 
i think its well over 10 but you know after a while you quit counting

now as part of these studies you dont get the results
however
for some reason i would get copies sent to me of some of the mri reports
so 
unlike the amyvid pet scans done in the study which i never got an official written report 
so
i know that mine all are normal except for two specks of white matter hyperintensities which are small white specks that are associated with an increased risk for stroke and dementia
when these are seen on folks mris its a warning sign to the patient and to their doctors

no doctor told me that i found out by reading research papers on these white spots
so
thats one of the reasons i got more aggressive with my blood pressure control and my cholesterol control 
doing what i could to not get any more
there is a number for some reason off the top of my head this morning its 7 that means your risk is even greater for these events stroke and dementia to occur
so
i jumped right on a statin drug and my pressure drug and improved my diet and improved my exercise and kept my weight under control

now when they do these mris for memory issues they are looking for explanations for why a person had memory loss
eg
my mom had diffuse cerebral atrophy or brain shrinkage that was compatible with alzheimers disease
she also had a small subdural hematoma from a fall that cleared on its on
my younger brother with his first mri had changes compatible with alzheimers disease
another close relative had brain shrinkage of their frontal and temporal lobes 
these explained all their memory issues

other things they look for is too much fluid in the ventricles of the brain like what happens in the babies that have hydrocephalus
if this normal pressure hydrocephalus can be discovered in adults it can be potentially be treated with shunting of the fluid from the brain like they do in the babies
in some of these patients their memory and neurological symptoms almost totally resolve

other things to find on mri are strokes masses like cysts or aneurysms or tumors or old scars like from trauma or like that lady in the news lately who had a tapeworm cyst
many of these are treatable
if an old stoke is seen then preventative measures can be started like cholesterol and blood pressure measurements maybe aspirin or other drug therapy

so on all my mris the only thing that is found are those two white matter hyperintensities that havent changed but are just sitting there warning me to 
take care of my health to maybe prevent more and maybe slow down the alzheimers thing some

now after the initial mri then i would have more tests 
some i was able to duplicate in the private world
like 
the genetic blood tests for early onset alzheimers genes and the late onset gene apoe 4
the spinal fluid analysis for amyloid and for tau proteins levels of which become abnormal in alzheimers disease

here is what i wrote 8 plus years ago about that first of many mris i would have

as i read these old blogs i realize how much i didnt know and i realize how much i have learned in the last 8 plus years

12-30-2010

MRI TODAY 
i have my mri today as part of my workup
it will be looking for other causes of this disease
such as infection, stroke, abnormal masses, etc that
could be treatable
then the diagnosis might be mci nonamnesic type
that would be nice
then the chances of progression would be about 20-30%
vs the sucky 50-80% of what i have

also there are certain changes on the mri that are seen with
alzheimers and may be found on me in the early stages of
this disease like changes in the part of the brain called the
hippocampus where alzheimers starts
or increases in the size of the ventricles of the brain
or shrinkage in the cortex of the brain

if it is normal then that doesnt mean i dont have mci amnesic type
it just means that changes havent shown up on mri yet

i will give the report of the scan on this blog when i get it

next
in february i will probably have a lumbar puncture for the
research study i am it     
i will have some of the fluid sent off
to a lab to test for tau and amyloid proteins which are proteins that are
found in abnormal levels in alzheimers patients
i will also have dna analysis to see if i carry the genes for
this disease

these tests by themselves dont make a diagnosis but like a
lot of things in medicine when added together they will make the
diagnosis more likely

later on
i will have a pet scan done which will show even better
any changes that may occur in the brain

also when i enter the studies i will have all these tests
on a regular basis as they follow me during the study
except i will not receive the results since i had to sign a waiver

the worse test i may have to have again this year and annually
is the neuropsychological testing
this is where they pick up abnormalities by asking questions
doing drawings etc
i think i would rather have the lumbar puncture instead

but its important since the neuropsychological testing shows how well the brain is
functioning in real time

the organicgreen doctor

Tuesday, June 25, 2019

organicgreendoctor: no not that clint

organicgreendoctor: no not that clint: NO  NOT THAT CLINT google map i plan on this to be a short blog today when i saw on the news about the clint texas facility with all th...

no not that clint

NO NOT THAT CLINT
Map of Clint, TX 79836
google map

i plan on this to be a short blog today
when i saw on the news about the clint texas facility with all those kids
i figured that well it must be one of those places way out in the middle of nowhere in west texas where you can drive for hours and never see a car or a human or a bird or another animal
so
i googled clint texas
why
its just 30 miles from el paso tx

first let me say when you read the description of how these kids there are having to live with dirty clothes reduced caloric intake no soap no tooth brushes kids with dirty or no diapers snotty stained nasty clothes kids taking care of babies etc
well
its a disgrace

now before yall democrats start trashing trump and the republicans about this
be real careful
since
if trump loses in 2020 this is now your problem

my suggestion to the democrats if you plan on winning the election in 2020 i suggest you work with trump and the republicans to fix this problem now
its the right moral thing to do
even
if you lose the next election
sorry its still your problem
just fix it now

its all our problem this disgrace
dont wait for 18 months to fix it
yall meaning the democrats and the republicans are all responsible for this national disgrace

all i can say is

just do yalls damn job
quit embarrassing all of us

the organicgreen docotr

Monday, June 24, 2019

organicgreendoctor: my neck hurts

organicgreendoctor: my neck hurts: MY NECK HURTS from cnn article on neck horns i notice that my neck hurts after i spend about 3 hours each morning on my computer using m...

my neck hurts

MY NECK HURTS
An X-ray of a 28-year-old male participant from the study.
from cnn article on neck horns

i notice that my neck hurts after i spend about 3 hours each morning on my computer using my laptop and occasionally looking at my cellphone if i need to

i reach up and find this tender spot that gets sore
i know since i am a doctor and took human anatomy that that spot is called the occipital protuberance

now mine which you cant really see is a big one

im sure if i had a shaved head that if you looked at the back of my head from afar
you would think you were looking at the end of a football

now after reading this article which i link here i understand why that hurts

i
like our president
had in his heel
i have
a
skull spur

i wonder if thats a medical condition that is in the medical books
i think not
its a digital age disease
like
years ago when folks would get atari tendinitis of the thumb

now
the infamous bone spurs in the foot that the president has or should i say says he had
is where the plantar fascia attaches to the heel bone or calcaneous
this plantar fascia holds the foot in its spring like position

yes
women who wear those awful high hells designed by men mess up that spring like position
commonly athletes will get bone spurs and or plantar fasciitis
the constant pull on the fascia can lead to microtears that can be very slow to heal
and can be quite painful

yes
i suffered from this called plantar fasciitis for several years
im sure i had those microtears
im sure if my foot was ever xrayed i would have bone spurs
they dont usually go away unless they are removed
these spurs can develop as calcium builds up along the fascia attachment to the heel bone
now back to my head

it seems that according to this article that folks are now developing these
what they called neck spurs
from
too much bending of the neck looking at computers and cell phones
especially vulnerable may be kids and young adults

then
is saw another article that said this isnt really happening

i dont know the truth
but
i believe the first article
since
i can reach up this morning after 2 hours on the computer
push on that skull knot
ouch
that hurts i said

the cure
stop looking down so much

lay down those electrical devices and enjoy whats going on around you
like talking with family and friends

the cure and treatment if its for real is simple

the organicgreen doctor

Friday, June 21, 2019

organicgreendoctor: alzheimers news-can a virus in a mouse treat alzhe...

organicgreendoctor: alzheimers news-can a virus in a mouse treat alzhe...: ALZHEIMERS NEWS-CAN A VIRUS IN A MOUSE TREAT ALZHEIMERS the answer time will tell after the research is moved to humans warning it make...

alzheimers news-can a virus in a mouse treat alzheimers

ALZHEIMERS NEWS-CAN A VIRUS IN A MOUSE TREAT ALZHEIMERS
Image result for organicgreendoctor
the answer
time will tell
after the research is moved to humans
warning it make take a while to get the research done

in the theory of alzheimers amyloid for some reason starts to accumulate in the brain causing brain cells to die

as these cells die the protein tau which provides structure to the brain cells get damaged and start to unwind
this tau protein unwinds and forms tangles which get deposited in the brain leading to brain cell damage

amyloid deposition starts the alzheimers disease process then the tau tangles finishes the job

amyloid is the match that starts the fire and tau is the forest fire that burns through the brain

then to the virus
you can take a virus
its covered with a coat of proteins that surrounds all the dna and genes of the virus
scientist can remove all the dna and the genes leaving just this shell of proteins
they can add tau protein to this shell of proteins
they are called virus like particles or vlps
these are used to induce antibodies against the tau as the virus coat infects the brain

by doing this these anti tau antibodies attach to the tau and then the tau can be removed from the brain

the scientists have made mice that develop alzheimers disease
i always wondered about that how an alzheimers mouse would survive in the wild
wandering around all lost and all
not well i would think

so
at the university of new mexico scientists as described in this article took that virus shell covered with tau protein and infected these alzheimers mice with the virus
the virus induced a lot of anti tau antibodies and removed the tau from the mices brain

the mice had mris done of the brain
now i cant really picture how they got a mice to let them do an mri on them
do they have this mice sized mri or do they use a regular human sized one

the mice that were treated showed improvement in their memory compared to those not treated
the mice that were treated showed that the brain had less shrinkage especially in the hippocampus where alzheimers starts
remember 100% of these alzheimers mice will get alzheimers
except
maybe those who are treated with the virus infection

so how does this get to humans
well
it will take millions and millions of dollars to get there
from
the federal government
maybe the alzheimers association
maybe some drug company willing to plop down millions and millions

the pay off if it works for a drug company will be in the billions
the pay off for alzheimers patients will be a new treatment for alzheimers
the pay off for society is that it will save millions and millions of health care dollars
and
much heartache for thousands of us families

i may too late for this treatment if it became available
since it can take 10 years or so for it to be completely studied

but
as one who has followed mouse alzheimers studies over the last almost 9 years
what works in a mouse
well
many times it dont work in humans

this technique has been successful in treating many cancers

however
this one does seem promising though for treating alzheimers

of mice and men

we just need an answer to how to treat this awful disease

the organicgreen doctor

Thursday, June 20, 2019

organicgreendoctor: santa barbara country n news-kids compost

organicgreendoctor: santa barbara country n news-kids compost: SANTA BARBARA COUNTRY N NEWS-KIDS COMPOST this is the picture of one of the garden beds from the elementary schools kindergarten garden t...

santa barbara country n news-kids compost

SANTA BARBARA COUNTRY N NEWS-KIDS COMPOST
this is the picture of one of the garden beds from the elementary schools kindergarten garden that i volunteer at once a week for a couple of hours during the school year

now in this bed this year the kids prepped the soil then planted lettuce swiss chard see the big one thats left kale carrots tomatoes green beans sweet peas
yes they ate all that veggie stuff they grew in the garden

after the school year was over i came in and cleaned up the bed
i added a lot of garden soil
i left the two cherry tomatoes that i will keep growing  this summer so that there will be ripe tomatoes to pick and eat for them when they return to school this fall

included in the soil is layers of the compost that they made in their blue worm composter bin

my wife she found this blue storage bin for me to use
i drilled holes around the sides and in the bottom
i put in a layer of newspapers to act as a cover on the bottom holes
this would keep the worms from escaping and would allow all the liquid stuff produced to drop down into a large metal cooking dish with high sides that sat under the blue bin

in that dish would be this dark nutrient rich liquid the kids called worm juice
we would dilute it with our rainwater and water all the veggies with it
they sure liked pouring that worm juice mix all over the garden

here is how we made the blue worm composter compost
i added a starter handful of worms and compost from our community garden as well as some from the teachers garden probably less than 100 worms
to that we added pages and pages of ripped to pieces shredded newspapers
the kids layered in leaves that were collected and piled last fall in the corner of the garden
then
they added food scraps from home and from their snacks and their lunches
the teacher had to watch since some wanted to put all their lunch in there
over the year they also added any weeds from the garden and any veggie trimmings from the garden

the blue box was kept moist
all of this was covered with a layer of newspapers
then
the blue lid was kept on top to keep out vermin

then
the kids watched as the worm population grew and grew and the worm compost grew and grew
and
the worm composter got heavier and heavier

many a time during the year the kids would dig in the composter looking at the worms and rolly pollies and other things that somehow got i there

once we put a pumpkin from halloween in there and it slowly disappeared

at the end of the year we harvested all the worms and counted them
each kid would put 10 worms in a small cup then 10 cups of them in a larger cup to make a 100
then they took the 100 worm cups and put them in a larger cup to count to 1000
in the end
we went from less than 100 worms to more than 1000 worms

then
after the school was over with
this is what the bin looked like as i harvested over 20 gallons of worm compost and spread it out over the garden beds

if you have ever used worm compost in the garden you know how rich it is for the soil

its this years kindergardeners as i call them contribution to next years kindergardeners garden

the most squeamish of the group who wouldnt touch garden soil and most definitely not a worm
became the ones that wanted to go first when digging out the worms in the worm bin

my job was successful

another group indoctrinated

the organicgreen doctor

Wednesday, June 19, 2019

organicgreendoctor: my story revisited 10

organicgreendoctor: my story revisited 10: MY STORY REVISITED 10 if you have a loved one who has to take aricept or donepezil or is contemplating taking aricept or donepezil for mem...

my story revisited 10

MY STORY REVISITED 10
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if you have a loved one who has to take aricept or donepezil or is contemplating taking aricept or donepezil for memory loss you might read my todays blog
now these are my experiences taking it over the last 8 years which may be slightly different from others who take it

i realize that most folks dont get to hear someone who is on aricept or donepezil be able to really describe the side effects that they have and have had while taking this drug
since
many folks are too far along with the disease when the drug is started

the day i saw the neurologist she wrote me a prescription for aricept or donepezil
i had read in the drug book all the side effects of this medicine
i use to open the book and read the major side effects of drugs to patients
in fact
the day before i got my prescription of aricept i had written one for my patient
i opened the book and read the major side effects of the aricept to him and his daughter
that probably was one of the last prescriptions i ever wrote
it seems sort of surreal doesnt it or is that ironic

now  before my appointment i had read research that implied that the earlier you start aricept in the alzheimers journey the better it works to delay symptoms
eg
my mom and younger brother were started on it in the middle part of the disease
i started it just when minimal symptoms were detected
in the research studies those who started it early like me might get say 10 years of benefit
those who started it later like my mom and younger brother might only get 1-4 years of benefit
then
symptoms fall off the cliff down into the abyss of alzheimers disease

i know and understand that its possible that might happen to me some day
when i dont know
im just enjoying these moments now in my life

as i look back on the side effects in the list in the book and compare it to what i experienced
today
i dont have major ones

at first
i was dizzy for a few days but that went away
i would get vertigo if i moved my head too fast
that went away
i started having abdominal pain in the morning that would take a few hours to go away
i remember meeting my nurse for lunch once soon after i was diagnosed and i was not able to eat anything because of the discomfort
this abdominal pain is mostly gone now
i eat breakfast spread out over the morning doing so 4 times starting at about 600am and finishing at about 1000am
basically i keep my stomach full for a few hours
this prevents the abdominal pain
i never get the diarrhea some folks get but lets just say constipation is never an issue here
i did get blurry vision for about a month after i took it but that has pretty much gone away now

as i write about in the old blogs from 8 years ago i do get hyper in the morning and also seem to be hyper alert and clear headed until about noon time then it seems to fade some
in fact
i have noticed that in the morning i can find myself doing all the talking like if you have ever been around someone with hyperactive add
by the afternoon and evening you will find me to be almost the opposite
im the quiet guy in the room

now i take my aricept in the morning even though it says take it at night
thats because of the abdominal pain it can cause
however
taking it at night can also prevent you from sleeping

when i take it at night i will not sleep
its like i took speed or something
speed for those who dont know are amphetamines

so i take it in the morning
i eat small frequent eatings in the morning
i do ok with that
i sleep not good but better

now my younger brother took it at night and it never bothered him

so today
my biggest side effects of the aricept or donepezil
are

sleep
i have no trouble falling asleep at night but i wake up about 5 hours later and sometimes i cant go back to sleep
luckily i am retired so i compensate some by taking an afternoon nap

if i dont do this after a few days i get totally exhausted which happened this last week
i do take a low low dose of melatonin that seems to help but i noticed after taking it for a few days i have even more problems with fatigue

its like being on a roller coaster sometimes
but
i manage to handle it ok

i must say right now i have a good life i am happy with

another issue i have with the aricept or donepezil is the vivid vivid dreams that i have that usually arent disturbing or violent
once i was on a herbal supplement for sleep that made me develop these horrible god awful dreams that made me stop taking the herbal supplement
i think it was the interaction between the aricept and the herb

now i have problems that has sort of developed over the last few years where i yell out at night and sometimes act out the dreams
my wife she says i yell real loud and thrash about and sometimes knock things off my bedside table
i keep a container of water on the bedside table but keep a lid on it
several times its gone flying across the room

lucky for my wife she i face away from her on my right side so all this activity is away from her
yes
ive scared the bejivies out of her a few times

i know this is the aricept
but
i also know that this could be the alzheimers disease advancing on me
since
this happens with this disease even without the aricept
it always is concerning to me when this happens since i wonder which is it

another thing that happens as a side effect is leg cramps and fasciculations
the leg cramps are better over time but they still happen usually after i have done a lot of physical activity
the fasciculations have not gotten better
i see them as a more ominous sign for me

these fasciculations are caused by small muscle fibers contracting and relaxing sort of independent of the total muscle ie the calf muscle
these only seem to happen usually on the calves of both legs

its common in folks with neurological diseases
eg
my friend greg who died from huntingtons disease had them all over his body especially his arms and legs
also like him when they are happening if i lay down my feet and lower legs get real fidgety so that i cant keep them still
in fact
if i lay still they will just move some on their own

yesterday after working 4 hours in the garden as i was lying down for my nap
i had my wife she look at them from afar
she could see this weird movement in my calves like snakes crawling around
she even put her hand on them and could feel all the movement
yep it weirded her out

now some if not all of these fasciculations are probably from the aricept
it inhibits the breakdown of acetylcholine in the nerve endings so that the nerve cells will fire and contract
in the brain this is good since damaged brain cells work better
this is how aricept works
but
the side effect is you get muscle cramps and fasciculations elsewhere
ie
for me it is in the calves

why dont i just stop this aricept stuff and be done with it
well
you can bet ive thought about it
ive even tried it for short bursts of time
things get better
however
it seems
if you have the disease like i do and its helping you to slow down the disease symptoms and you stop it
then
its possible you will not return to the same improved memory that you had when you stopped

if fact
say for me
if i stopped it my symptoms from the drug will be gone
but
i might be worse off with my memory so that those around me would notice a significant change
so
there is no way i will ever stop this aricept until i reach the point where it doesnt matter anymore

so
this the pill story that started 8 years ago
heres hoping for at least 8 or more years of it


12-27-2010

THE PILL
the pill sits on my desk
its name is aricept
its generic name is donepezil
the mgm strength is 5 mg
i just wrote a prescription a few days ago for my patient to take
now it sits here in front of me to take
i had to listen to the neurologist go over the side effects
hell i already know about it as i gave the same speech last week

do i really need this
lets see the side effects are nausea,vomiting, diarrhea
(that would be good since i have to have the black snake ie a colonoscopy
this week),
weight loss(i do need to loose 5-10 lbs), dizziness(i know what
thats like as i have recurrent vertigo), weakness, trouble sleeping
(every one that knows me knows that may be a good side
effect as i have probably fallen asleep on all of them in the past)
tremors, or muscle cramps(that dont sound good)

then they list the bad stuff that im sure the lawyers made them
write-seizures, dark emesis, irregular heart beat(i had that one
time 25 years ago and i did not like it at all), trouble peeing
(thats bad),
severe abdominal pain, and severe allergic reaction

then it says but most people do fine without major side effects-
well why did they not just write that and end it there

i mean do i really need this
if i had not had that neuropsychological testing a year ago
that was normal when i applied for long term care insurance
if i had not signed up for that study on alzheimers and had
that neuropsychological exam done that was abnormal
then i would not be sitting here writing about taking that damn
pill but would have been writing about something more
pleasant like the holidays

well when you put the total picture together-family history,
subtle things noted at work, abnormal test after a normal
one last year and the chance that all this could take off
sometime in the near future and the fact this pill will slow it
down for awhile
then i have decided to take it and never look back on the
decisions i made this week

now maybe i can find my shovel i misplaced

here goes i had my coffee and my bagel and now the
journey begins

12-28-2010

THE PILL DAY TWO
well today is day two of the pill-aricept(donepezil)
i got the generic brand for a $15 copay
when my mom was on it was over $100 a month
now the branded cost is $263

so alzheimers can initially be treated for $180 a year now
vs cash price of $3156 a year
(full generic price not available when this was written)

this is one way to decrease health care cost
i am glad i have health insurance
i feel sorry for those that do not

again i sit here ignoring that little white memory pill
-but i dont have memory problems thats noticeable

i am suppose to take it after eating breakfast
(oops not suppose to eat today see below)

will aricept really make a difference
i dont know but i think so in the long run

the only thing i noticed was some dizziness that lasted for
awhile but then it went away
i demonstrated last night that insomnia is not part of the
side effect for me yet

i did notice that i beat everyone at jeopordy even my
historic relative after i took the aricept (donepezil)

no just kidding!

here goes day 2

12-29-2010

THE PILL
my wife likes the side effect of this medicine
no not that side effect

it makes me slightly hyper and fitigitty so i am able to
get a lot done in the am after i take it
(so this is what add hyperactive type feels like)

the other side effect is insomnia
but i have found an afternoon nap helps a lot with that

12-30-2010

PILL HOLIDAY
i took a pill holiday as i had to be fasting until scope time
it was nice to not have some of the side effects-insomnia
and hyperactivity and dizziness
supposedly some of these will resolve over time or may
get worse
time will tell
i hope the hyperactivity continues as i sure have a lot of
projects to do around my place

i wish to thank my wife she for being with me through all this

the organicgreen doctor