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, August 23, 2019

organicgreendoctor: alzheimers news-sleeper cells

organicgreendoctor: alzheimers news-sleeper cells: ALZHEIMERS NEWS-SLEEPER CELLS if you have followed this blog for awhile you know that i have problems with sleep and to compensate i take ...

alzheimers news-sleeper cells

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if you have followed this blog for awhile you know that i have problems with sleep and to compensate i take a nap each afternoon after i have lunch
this sort of compensates for the lack of sleep i get at night
it sort of gets programmed into my day

eg last night i only slept 5 hours
hopefully today i will nap an hour or so to compensate for that lack of sleep
the end result is most days i am able to get 7 hours of sleep
the body likes 7-8 hours of uninterrupted sleep so one can stay in a long deep sleep without interruption
the 7 hours i get is ok but not the best way to do it
i have learned to accept this way of getting sleep

i thought for awhile i had the nap gene
if you inherit this gene you have to have a nap everyday
its in your genetics
actually i made that one up

i take aricept (donepezil) for my mci due to alzheimers disease
it raises acetylcholine levels in the brain cells by stopping an enzyme that breaks down the acetylcholine allowing it to accumulate in the brain nerve endings
this is why i get leg cramps muscle fasciculations some visual focusing issues after taking my meds and my issues with sleep
if i stop the aricept (donepezil) the sleep issues go away
or did
i havent stopped the aricept (donepezil) in a while since i afraid to since i think its helping me some

we in medicine know that folks with alzheimers disease have sleep issues and have frequent daytime napping as an issue
in fact one of the early signs in early alzheimers may be frequent napping
ruh roh is all i can say about that

according to this scientific article and this news article about it there may be an explanation besides just the aricept (donepezil) causing my sleep issues and napping issues

there are three parts of the brain that handles wakefulness called the wakeful promotion network
these are listed in the articles
one is the hypothalamus which is in the area where alzheimers disease starts

they have found that in these three centers in alzheimers patients that there are tau proteins that unwind leading to tau tangles that have accumulated in these areas to destroy the cells there and to hinder wakefulness
75% of the brain cells were destroyed in these centers

in alzheimers disease tau proteins build up and slowly destroy brain cells and their connections
one of the areas it attacks and destroys is these wakeful centers

when they looked at folks who dont have alzheimers disease it was found these centers were in intact

the aricept (donepezil) hinders sleep at night
the three wakeful centers are slowly getting destroyed by the tau tangles
both lead to daytime sleepiness

so please accept and understand my early afternoon naps
those of your family also so affected

the organicgreen doctor

Thursday, August 22, 2019

organicgreendoctor: santa barbara country n news-farm to fork day

organicgreendoctor: santa barbara country n news-farm to fork day: SANTA BARBARA COUNTRY N NEWS-FARM TO FORK DAY yesterday as i put the finishing touches on the rainwater barrels for catching rainwater to...

santa barbara country n news-farm to fork day

yesterday as i put the finishing touches on the rainwater barrels for catching rainwater to use in our garden i texted my wife she
lets do a farm to fork day for supper tonight
how about a stir fry of what i can find in the garden

the last several months i have become more and more vegetarian and have cut down on my cheese intake and rarely eat meat
now i not oppose to my eating meat
i usually dont eat it unless its served to me
i use to eat a turkey sandwich every day with a slice of cheese on it but since we have had so many tomatoes the last few weeks i found i am mostly eating a tomato sandwich for lunch each day

what i have noticed is that i had to get my drill out and find the right bit that was the same size of the hole in my belts and drilled another hole in my belts to keep my pants up

i was recently weighed and was found to have lost about 8 lbs in those last few weeks
all done gradually by eating mostly veggie stuff

so i told my wife she yesterday right before i left the garden that i would find whatever veggies i could to throw in the stir fry

here is what i found
red amaranth
green amaranth
curly leaf kale
dinosaur kale
walking stick collard
bell pepper
banana pepper
jalapeno pepper
malabar spinach
three different basils a purple one a greek one then the usual green sweet one
two different mints
squash flower
some unknown asian vine a fellow gardener gave me to stir fry from her garden
french cut green beans
as i got home i grabbed some garlic and onion from storage in our garage

all these things were from my garden

i chopped them up
stir fried them with olive oil and seasonings and a sesame sauce for stir fry
this was then served over rice
with some fresh tomatoes on the side

thats how you lose weight without really trying
eat quite healthy while you are at it

also i have noticed eating this way has eliminated some stomach issues i was having

if you mind your diet you will live longer and healthier

the organicgreen doctor

Wednesday, August 21, 2019

organicgreendoctor: my story revisited 17

organicgreendoctor: my story revisited 17: MY STORY REVISITED 17 i did new years resolutions after i was diagnosed a couple weeks earlier this diagnosis sure made me look at my lif...

my story revisited 17

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i did new years resolutions after i was diagnosed a couple weeks earlier
this diagnosis sure made me look at my life much closer

it was interesting to read through these resolutions and i realized that doing some of them may be some of the reasons that now almost 9 years later i am doing better
that plus taking aricept (donepezil)

an aside here i read an article about how aricept (donepezil) can cause brain cells to rejuvenate in the hippocampal area and that it has antiinflammatory effects also
the hippocampal area is where alzheimers starts and where the first shrinkage occurs that can be detected on scans

i also had my first study mri after my diagnosis
these are called functional mris that are able to measure how the hippocampal area is functioning
now somehow i would get a copy of my mri report while i was in the study even though i dont think i was suppose to get them
mine have always been normal
early on in mild cognitive impairment due to alzheimers my diagnosis the mri can be normal
my mother and younger brother had abnormal scans when they were diagnosed
the scans i had done the amyvid pet scans for the amyloid in the brain were positive

this morning i read over my mri blog then read over my blog on my new years resolution
it was sobering

yes we did our hwy one trip along the california coast from san francisco to santa barbara
our oldest son got married and now has two kiddos ms b and mr h
our youngest son is now married
so i gained two daughterinlaws
all of these i was afraid i would miss
when i was diagnosed 9 years ago i really didnt think i would be doing this well

yes i got my long term disability from my disability insurance which gave me 5 more years of income plus i was placed on medicare after the first year after my diagnosis and added a medicare supplement and drug plan to it
i must say its the best health insurance combo ive ever had

i really had a lot going on in our life the first month after my diagnosis
so far
i am pleased how its all turned out

i had an an mri of the brain that was normal
thats good news and bad news
the good news is that there were not any changes of alzheimers seen on the mri-i did not expect any
when changes are noted usually there are more cognitive problems than what i have
the bad news is that there is not another treatable cause found for my problem

i am trying to find out what other patients that i know with alzheimers had on their mris when they were first diagnosed
i know my mom had cerebral atrophy and increased ventricle size on her ct scan early on in her diagnosis
(means the brain shrinks)

i will have a pet scan later on that may tell me more

my wife she and i did not sit down and do any new years
resolutions this year on january 1, 2011
we were just 2 weeks from receiving my diagnosis and
my starting medication
the previous week before new years was when we
did what is equivalent to new years resolutions

we decided to change our diets and eat better
we already generally ate an american heart association diet
but tweaked it with a mediterranean version
(except of course i have added chocolate and snickers)

we decided to start exercising every day
i do ranch aerobics every day at the country n
but now i added long walks 2-3 miles to my daily exercise
i will commonly take the dogs with us to the river so they
can swim as it is only 5 minutes away
it is so quiet and relaxing
you can just stand there watching the dogs in the river,
hear the birds, hear the wind blowing through the trees
with no outside noises
its sometimes hard to turn back to go back home

we drink a glass of red wine each night
that helps to raise the good hdl (mine was low) cholesterol 
and may help with cognitive decline but i was already doing that

relax relax   
that may be one of the most important ones of all     
i am at peace with everything      
i have accepted what may be in the future   
at least my mind may go first before my body goes     
i am lucky if it happens this way
although this would be worse on my wife she

we resolved  to get all our paperwork in order for our living wills,
will, durable power of attorney, power of attorney for health care,
(i will get no cpr tattooed across my  chest) and other paper work
we will sit down and discuss all this together and
will discuss with our sons so every one knows what we want

actually everyone should do this anyway
we are lucky that we can do this now together
dont wait

we also are getting our financial house in order
i am retiring 3-5 years before i planned
but we despite making a good income for several years we have
always lived frugally and have been able to do the things we
want to do when we want to do them
this may change some 

i have to do an exit interview with the clinic i work for so will
know more about the future regards sick pay, fmla (i didnt think
i would have to deal with that personally-wish i had been better
about doing these for patients), malpractice coverage for the rest of
my life, health care (now i know all about cobra-thanks to obama
care i can now extend it to about 2 1/2 years), and work on
what to do with my 401k
i may be able to get long term disability (i have  long term
disability insurance) as i can not practice medicine again

my wife she and i want to spend more time with our families
and to do some traveling to areas we have not been
(google hwy one california trip to the right of this blog)
i dont want to be traveling to those places later if i dont know im
we also are in the middle of a wedding journey with our son
and his finance
so we should have a busy year 

so we had a busy week before new years
maybe 1-1- 2012 we will do new years resolutions
i just hope that both our health stays the same

i am much better today than i thought i would be when i wrote all this

the organicgreen doctor

Monday, August 19, 2019

organicgreendoctor: it was the bees day this weekend

organicgreendoctor: it was the bees day this weekend: IT WAS THE BEES DAY THIS WEEKEND this was my bee hive i had at the country n in texas the bees seemed quite happy being on our 10 acres ...

it was the bees day this weekend


this was my bee hive i had at the country n in texas
the bees seemed quite happy being on our 10 acres
they had acess to all these native plants all year round
there was always something blooming around there

they supplied us with a lot of honey the few years before we moved

now the county n was a good location since it was surrounded by large ranches and they didnt have to be worried about getting zapped by some pesticide or insecticide or weed killer on somebodys corn field or soybean field

when i took my bee class before i got my bees
they said
if you live next to a big corn field you probably cant have bees
they will all die from the stuff that gets sprayed on those fields
3 miles away will be too close to these fields since thats how far a bee will forage for nectar

ive seen online where friends have tried to unsuccessfully have bees several times only to find them all gone or all dead
its some poison sprayed somewhere close by

honeybees are important
without them we all or many of us would probably starve

they are the pollinators for many of our fruit and veggie crops

we all need to take care of them

at our community garden here we have added several hives on the edges of the property
protected with a tall fence to keep folks out
to raise honey and also to provide pollination for our orchard and veggie gardens

just this weekend i went out to look at them
swarming all around zipping back and forth
they seemed all quite happy and content
doing their job
feeding and caring for their queen
pollinating our veggies and fruit
soon to be providing us with some honey to be used in a fall event as a fundraiser for our garden
i hope to access some of the honey if its auctioned or sold at this event

fresh honey local honey tastes the best

saturday was national honeybee day

we should all celebrate that day each year
without them our food supply would be limited

do your part to protect them

for a bee story that will make you smile click on this old blog called
bouncer and the bee

rip bouncer

the organicgreen doctor

Friday, August 16, 2019

organicgreendoctor: alzheimers news-will downs syndrome patients give ...

organicgreendoctor: alzheimers news-will downs syndrome patients give ...: ALZHEIMERS NEWS-WILL DOWNS SYNDROME PATIENTS GIVE US AN ANSWER the app or amyloid precursor protein starts the ball rolling in alzheimers ...

alzheimers news-will downs syndrome patients give us an answer

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the app or amyloid precursor protein starts the ball rolling in alzheimers disease
it leads to the deposition of abeta amyloid in the brain
the start of alzheimers starts when this deposition starts then later the tau protein does its damage
we arent sure
we arent sure
how to stop it
we arent sure

a patient with downs syndrome has an extra chromosome 21
thus its also called trisomy 21
on the 21st chromosome is the gene for the app protein the parent protein that starts the abeta amyloid deposition in the brain that starts this alzheimers disease ball rolling

thus downs syndrome patients have an extra gene to help make the amyloid protein that gets deposited in their brains

10% of the general population over 65 have alzheimers
the downs syndrome patient starts deposition on day one of their life
it gradually worsens so if they reach 40 then 30 % of them have alzheimers
if they reach 60 then it jumps to over 50% of them will have alzheimers
it use to be before modern medicine helped them they didnt live that long
now they do

they the downs syndrome patient may help us find a cure or treatment for alzheimers disease

you have a population that starts to accumulate amyloid the day they are born
the chances of other causes of dementia being involved isnt as great as the general population
you have a population that you know will likely probably get alzheimers and can start treatment at a much earlier age say eg 25
the group all have the same genetic make up that is causing the disease

now they are starting a study in patients with downs syndrome using an antibody against the abeta amyloid protein hoping that it will slow down the disease before it takes off in the brain
it will probably be given before symptoms start

if it works or helps it will benefit the rest of the millions of us that may be affected by alzheimers disease

so this usually gentle happy friendly lovable population my be the group that finds the treatment or cure for the disease that is expected to break our health care system financially one day
the disease that is so devastating for those affected by the disease

who would have thought that they would be the ones to help the rest of us

the organicgreen doctor

Thursday, August 15, 2019

organicgreendoctor: santa barbara country n news-rainwater collection ...

organicgreendoctor: santa barbara country n news-rainwater collection ...: SANTA BARBARA COUNTRY N NEWS-RAINWATER COLLECTION I NTRO my google search says that santa barbara gets an average yearly rainfall of 19 in...

santa barbara country n news-rainwater collection intro


my google search says that santa barbara gets an average yearly rainfall of 19 inches
austin where we use to live gets an average yearly rainfall of 35 inches
if you had a structure that had a 100 square feet roof then in a years time you could collect about 50 gallons for an inch of rain
in santa barbara that would be about 950 gallons that one could collect off of a roof this size
add to that all the moisture that collects on the roof from the morning fog
as ms b calls it its froggy today

since moving here two years ago i have helped put in a 300 gallon rainwater collection system at the elementary school where i volunteer in their garden

i have been itching to do more rainwater collection systems

recently the old greenhouse was torn down and another one is being built
i asked the brains behind the community garden and its major supporter
you know if you put up rain gutters and put in some rainwater tanks you could collect around 6000 gallons of rainwater off that structure each year

hopefully he is interested
this area has a water supply problem that is not going away
i think rainwater collections should be encouraged like in texas where there are tax advantages for doing them and laws are passed making it easier for homeowners to do them
ie keeping the hoa at bay

now i put in a 30000 gallon system at the country n in texas
i also helped put tanks at 3 different schools and helped my neighbor put in his 20000 gallon system
i have plenty of experience

while standing in the garden one early sunday morning
the best time to be there
i happened to look over at our chicken coop
it has a metal roof
it is out from under the big ole oaks
what a good building to collect rainwater from
i thought

then i thought about
a few weeks earlier when a crew was cleaning up debris from down the hill near the garden
they chunked at old plastic gutter into their trash truck
it was intact
i climbed in the back of the  truck and saved that gutter
i might use that one day

i remembered about  a year ago when i was walking around the garden perimeter fence i noticed that someone had thrown out these 2 2 inch pvc pipes
the size i used sometimes for downspouts for rainwater collection

so that sunday morning i thought to myself
i want to put up a rainwater collection system off that chicken coop to maybe save a 1000 gallons of rainwater each year

the way the coop sits all that 1000 gallons runs off it down the hill to a creek then out to the ocean
why not keep it in our garden

i asked the right people
i got their permission

first i took the rainwater gutter
cleaned it up good
spray painted it
trimmed it to fit the coop roof
cost practically zero
actually it was zero since i had all the supplies already

i took the pvc pipes
spray painted them nutmeg with paint left over from my school rainwater system
trimmed it to fit the coop structure
i did have to run the gutter the opposite way i wanted to since the chicken coop was not level at the roof line
ie it leaned to the left instead of to the right

this is the end product
minus the two 55 gallon tanks which will arrive next week
the tanks will be placed on top of concrete blocks which i also scavenged from the back of that dump truck
gardeners will be able to put a watering can under the spout on the tank to get rainwater to use in their gardens

as a bonus to me for doing this
i will run the overflow line from the two tanks into my garden where i have 1 foot deep trenches filled with mulch in my walkways which i calculate can hold around 500 gallons

i have now introduced a rainwater collection system to our community garden saving us around 1000 gallons of water each year

may this introduction lead to more collection systems here

the organicgreen doctor

Wednesday, August 14, 2019

organicgreendoctor: my story revisited 16

organicgreendoctor: my story revisited 16: MY STORY REVISITED 16 even though i had prescribed aricept (donepezil) several times and i read off the side effects to the patient or the...

organicgreendoctor: my story revisited 16

organicgreendoctor: my story revisited 16: MY STORY REVISITED 16 even though i had prescribed aricept (donepezil) several times and i read off the side effects to the patient or the...

my story revisited 16

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even though i had prescribed aricept (donepezil) several times and i read off the side effects to the patient or their families
i really didnt understand what those side effects were until i started taking it

now i understand why so many folks stop taking it
had i not been ready for those side effects the first month or so
had i not known that they would slowly get better
there is no way i would have finished taking that first months prescription
i am quite sure i would have stopped it too

now almost 9 years later i realize that having started aricept (donepezil) so early may be one of the reasons that my symptoms have improved and stayed that way
i also understand that if its the aricept (donepezil) thats made my memory better
it will eventually wear off and the memory will start to fade since the disease wins in the end

below in one of the old blogs posted today a month after i started i wrote about how the aricept (donepezil) works
basically it keeps the acetycholine levels elevated in the brain and elsewhere in the body
this makes the nerve cells keep firing even if slightly damaged
thus slowing down the symptoms

it also elevates the levels elsewhere in the body
thus some of the side effects
like abdominal pain and nausea
mine happens in the morning only so i eat small frequent snacks in the morning
it doesnt bother me much after lunch

another probably the most disturbing side effects is it interferes with my sleep
this is the side effect that most affects my life
i have programmed into my day an early afternoon nap
this allows me to make it through the late afternoon and early evening
without that nap
i feel zombied out in the afternoon and evening
you may find me not being very conversational or wanting to do much

the nap prevents that
even if i miss my nap
i still dont sleep longer at night
i wake up early anyway
nap it is

another side effect that i have that is rarely bothersome is my vivid dreams
i call them my aricept dreams
in a couple of blogs that first year i describe some of them

i do sometimes act out them at night
i will yell out and try to attack those monsters in the dark which i wrote about recently

once when i was trying cbd since there was a hint it may slow down alzheimers disease
and may help sleep
after a few nights my dreams changed to a more bothersome violent disturbing restless sleep
so i stopped the cbd and my dreams returned to the usual pleasant ones

it likely was due to the interaction of the cbd and the aricept (donepezil)

i would say if i could change one side effect of the medicine it would be the lack of sleep
i can handle and enjoy the dreams
i get to see friends and family ive not seen in awhile
i can handle the other side effects which are milder
dizziness mild vertigo leg cramps fasciculations or muscle twitch of the muscles blurry vision nausea fatigue in the afternoon hyperactivity in the morning

those are mild some dont happen every day and arent that bothersome
maybe those god awful leg cramps that makes be fly out of bed in the middle of the night to uncramp my calf
even that one isnt that bothersome and often now

my advice to newly diagnosed folks is
try to take it
try to get through the first few weeks of taking the drug
it will get better
it might slow down the diseases symptoms for you and your family

not everyone has these side effects
but i do

thats the one that bothers me the most

donepezil (aricept) works in the brain by inhibiting the enzyme acetylcholinesterase that breaks down the chemical acetylcholine
thus it is called an acetycholinesterase inhibitor

acetylcholine is is a chemical that helps many brain functions
such as memory, attention, reasoning, and language
(it doesnt help me remember names-thats a long time problem)
(it does make me more attentive-i know now what people with
add feel when they get on medication so they can focus and
be productive)

in alzheimers there is a destruction of the brain cells that produce
acetylcholine  so the levels of acetylcholine drop

by inhibiting the enzyme aricept (donepezil) makes the levels of acetycholine go up in the
brain and remain up for a while
this helps to slow the decline in memory

however its effects are short lived-a few months to
a few years

it is not a cure for alzheimers
it does not slow down the progression of the disease

the problem with alzheimers is that the diagnosis is usually
made too late to slow down the symptoms much

it is important that an early diagnosis be made (as is in my
case-very early diagnosis) so that medication can be
started (donepezil-aricept) 
testing can be done (labs, genetic tests, spinal tap analysis,
mri and pet scans ) 
life planning can be done

then when this medication doesnt work any more another
medication is usually added-most commonly used is namenda

i personally want to apologize to all those women who have had
or having morning sickness and especially to any i treated for it
sorry i was not more sympathetic
well now i have morning sickness every morning for 4 hours after i
take the new dose of the aricept
but at least i can take medications that work for the nausea
pregnant women cant take certain medications during pregnancy
for the nausea


one of the side effects of taking aricept (donepezil) is that you
have these fantastic dreams
the dreams are vivid hd dreams
they are never violent or disturbing

last night in my dream my wife she and my cowgirl sisterinlaw she
went horseback riding
my younger son he went to work out at the gym
my brothers and i and my parents were staying at a cabin in the
mountains somewhere i am not sure where
it was a beautiful place

they were all late getting back from their rides and gym and our
meal got cold
it was raccoon cooked with an apple in its mouth
(i ran into a raccoon early the morning before he was getting into
our cats food-teach him huh)
there was dressing and greens and veggies surrounding that
old raccoon
i got mad cause they were late but didnt yell or throw things
i just gave them my stare that im told i have
no violence

later we all got together again at a mountain resort that had an
alzheimers center and we had a similar meal that was enjoyed
by all
although i dont remember eating any raccoon in my dream

i woke up and felt like i was still in that resort
i just hope my wife she didnt leave me there

so thats my aricept (donepezil) world i live in
heres hoping you dont have to join me there

the organicgreen doctor

Tuesday, August 13, 2019

organicgreendoctor: Pa$S2u0Rd

organicgreendoctor: Pa$S2u0Rd: Pa$S2u0Rd i have read where there are people who have actually used the word password as their password above is how i would change pass...


i have read where there are people who have actually used the word password as their password
above is how i would change password to be a better password
eg 2u would replace the w or the double u or 2u
although not a perfect password its better

what i do is do at least 8 characters making sure to use some caps some numbers some symbols
i usually will write a sentence or look one up in some written material
then take the first letter of each word
use it or cap it or change it to a number or a symbol
when i get to >8 i figure thats enough

so what i have is a random password that makes no sense
its harder to remember of course
its much more secure than
something like my birthday and address etc
which is easier to hack than the random one

now the harder to remember one is what i am after
besides the better security

if you are in my situation or if you are worrying about getting memory loss
one of the things that will happen will you will start having trouble remembering your passwords

when i get  my interviews for the alzheimers research studies they will commonly ask you
do you have trouble remembering your passwords
i usually smile
nope never

so each morning i make my coffee then head over to my laptop
i have to log onto my computer
so i type in my random password that makes no sense
its on to one google email then another google email then another email then my blog facebook page then my personal facebook then my twitter account then my  blog page
later after my blog is all done
i log onto my financial accounts that will be 2 or 3 of them
then i might log onto my credit card account

all of these different accounts have different passwords
all randomly designed

so each morning after i have finished my computer time
i sit back
take a deep breath
a sigh of relief
i know that my memory is ok that day since i remembered all ten of my passwords
that are no where near looking similar

my memory is intact today
im good

the organicgreen doctor

Monday, August 12, 2019

organicgreendoctor: mind your heart

organicgreendoctor: mind your heart: MIND YOUR HEART see these rainbow colors in this food red green yellow purple orange well if you are eating these rainbow colored foods...

mind your heart

see these rainbow colors in this food
red green yellow purple orange
well if you are eating these rainbow colored foods every day
you are minding your heart
mind your heart
you mind your brain
you attack your risks for heart attack stroke dementia

how do you mind your heart
with the mind diet

my guess is that a lot of the food all of you like to eat is on the list from the mind diet
ill link a good article here on the mind diet

i based my diet on the mind diet
altering it to fit the foods i like to eat
i dont eat a lot of red meat but i do when i decide i want some
what ive noticed as i have started eating less and less red meat i dont have an urge for it much anymore

this diet includes vegetables with an emphasis on green leafy ones fruits nuts berries olive oil fish poultry whole grains beans limited wine
limit but dont eliminate butter margarine cheese red meat fried foods pastries and sweets
eg limit fried foods to once a week
yes i occasionally eat fried foods usually in the form of fried green tomatoes

note my garden and thus my green tomatoes are kept behind a locked gate
this keeps my wife she from picking my green tomatoes
thus limiting my fried foods

here is my diet for today

1 egg with toast a handful of mixed unsalted nuts 1 banana
later this morning i will have another handful of mixed nuts and an apple

for lunch i will have a big ole tomato sandwich with tomato cucumber lettuce mix with carrots and cauliflower broccoli banana pepper on the side and maybe a few chips
for desert a vegan cookie from traders joes that is the best cookie i can find to eat

for supper we will eat a pot of billie beans or peruvan beans that i grew in my garden and picked fresh yesterday and shelled on my front porch just like we did in the south when i was growing up
my wife she will cook a pan of iron skillet corn bread
thats a veggie right
we add a glass of wine at 500pm
another cookie

all of this is on the mind diet
when the big tomatoes arent available i will substitute turkey on my sandwich maybe add a slice of cheese

tomorrow night our supper will be either grilled veggies from the garden to include egg plant peppers tomatoes potatoes onions garlic green beans and whatever else i can find in the frig or garden
we might do a stirfry with olive oil of amaryth walking collard leaves malibar spinach dinosaur kale curly leaf kale and some unkown leaf an asian gardener told me to put in my stirfry and three different basil leaves
we will add another stirfry of green beans from the garden mixed with garlic and onion and some sesame seed based sauce
all of this will be from my garden except of course the rice that we will add to the meal

so thats a sampling of how i do my mind diet
also you should limit portions and dont over do the stuff that needs limited like fried foods red meat etc

why am i writing about this
it seems that as mentioned in this article that if you follow a mostly plant based diet that you can reduce cardiovascular events by 32%
cardiovascular events are heart attacks heart failure kidney failure stroke
some folks are adding dementia to cardiovascular or vascular events

this was shown in this study that followed people for 30 years who ate a mostly plant based diet
sudden early death from these risks were reduced by 25%

add a little extra exercise and i bet those numbers get even better

when i look at all of this i realize growing up since we ate so much from our garden that we mostly ate a plant based diet

look over your diet
adjust it to fit the mind diet

thats how you mind your heart and your brain

the organicgreen doctor

Friday, August 9, 2019

organicgreendoctor: alzheimers news-should a young person be tested

organicgreendoctor: alzheimers news-should a young person be tested: ALZHEIMERS NEWS-SHOULD A YOUNG PERSON BE TESTED thats a question i have been asked several times over the last 9 years my answer maybe ...

alzheimers news-should a young person be tested

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thats a question i have been asked several times over the last 9 years
my answer
maybe not

then this last week a former patient and nurse lh asked me to post something for her age group
let say she is 40
is a nurse
has 5 kids

here is her excellent question

You say the best time to change would have been 20 years ago. I'd love it if you were to write a blog with recommendations for the rest of us. When should (the collective) we start screening for any of this? I know we cannot just March into an office and ask for screenings without certain symptoms. But, are there any screening that could/should be done by certain ages? Similar to mammograms and colonoscopies...age related screenings. Or is it only symptom based as this point? What treatment should one seek and when? Any other recommendations?

today there is not a test that will tell you that you have alzheimers disease at your age except a genetic test for the early onset gene which is rare
if it the early onset is in your family you will know it as there will be a lot of relatives diagnosed in their late 40s and 50s who died from it in their 50s and early 60s
i eg personally dont know anyone with this type of alzheimers disease but ive have met families that have it

there is the test for the late onset alzheimers gene called apoe 4
if you carry one version your chances are increased 2-3 times that you might get alzheimers disease
if you carry two versions like i have then your chances are increased 10-20 times that you will get alzheimers disease
14% of yall have this gene
less than 3% of yall have the double version
way less than 1% have the early onset gene

if you have the early onset gene you will get alzheimers at a young age
if you have the late onset gene you may not get alzheimers disease if you take real good care of your health

should you have this test
if i was your age i would have it
thats me
others including my siblings have chosen not to have it done

its not quite like being tested for huntingtons where if you are positive then you know you will 100% get huntingtons
if you are positive for the apoe 4 it means your risks are increased
how you live your life may determine if it causes you to get alzheimers disease

there is a blood test that may be available in europe in over a year that will 100% tell you if you have alzheimers disease
so if 30 years before symptoms start if the process has started up in your brain then this test will be positive
if its positive then you know you are getting alzheimers disease
this test measures rna that programs proteins that show up in patients with alzheimers disease
so at your age had the test been available then my blood test would have been positive for this rna
so they could have told me at 30 or 40 or 50
dr nash you have the beginnings of alzheimers
i could then plan my life accordingly

this test very likely will be in the us in 2021 or 2022

another test that may become available is 94% accurate for diagnosing alzheimers disease

so right now there is no test except for the early onset gene
but probably in 2 years the new alzheimers test will be available here

the question is do you want to know
its similar to other diseases like huntingtons that folks have to make a decision on whether to be tested

for me
im a i wanna know person
tell me
then ill attack the problem the best i can

ill live right eat right exercise right
look for clinical studies
talk to others about it
thats what i do
had i known at your age lh i would be much better for me had i really known 29 years ago
doing all the right things would have probably pared down my risks by as much as 40+%

now back to your question
memory testing is now recommended at the welcome to medicare wellness exam and the annual medicare physical visit so most get screened at 65
but these memory screens dont pick folks up early
eventually 65 will be too old to screen as it should have been done younger like your age

now no matter what the age if there are memory issues an evaluation needs to be done

is there issues with lack of exercise obesity sleep disturbances mental health issues like anxiety depression alcohol or drug abuse medication side effects high blood pressure cholesterol diabetes other health issues
i would say most memory issues in your age group are related to medicines drug alcohol abuse hormones like thyroid mental health issues stress sleep issues

if like in my family there is a real strong family history of alzheimers disease
i would say for example if you are genetically kin to me then you will probably get alzheimers disease one day
you dont really need a blood test to know that unless you are like me where you want to really know

you might consider an apoe 4 gene test but you really need to put a lot of thought into it
some folks cant handle the results
as my historian brother who does a lot of ancestry dna research says
if you cant handle the results of what you may find then dont do the test

i have the double apoe 4 apoe4 gene
that means both my sons have at least the  apoe 4 gene
the same is probably true of my younger brothers kids and probably my other siblings kids and most of my cousins and their kids
they dont really need to be tested they basically already know
they should be living their lives accordingly

should they get the alzheimers blood test when it becomes available
well since they and their cousins are around your age i would say yes if and only if they truly understand the results and feel like they can handle definitely knowing the results

right now the workup is based on symptoms in most medical offices
no symptoms no workup
i prefer a more aggressive approach
ask the question about memory maybe like in folks over 50
these folks may not have alzheimers but may have treatable causes of memory issues

now in your lifetime and definitely in your kids lifetimes there will be treatment but as we are finding out it will need to be started at a younger age
eg in me had i known in my 40s and treatment to stop or prevent it was available then i would have to start the treatment and stay on if forever
like someone who has rheumatoid arthritis or ulcrerative colitis or lupus etc does now

there may one day be a genetic treatment likes whats happening with huntingtons and with sickle cell disease where the patients dna is being alter to normal dna
thus ending the disease

maybe some versions of alzheimers can be treated this way one day

so what to do today

its been proven in several research studies that if you are risk for late onset alzheimers disease that you can markedly lower that risk by as much as 50% by living a good life style
to include

eating right eg the mind diet most of what one likes to eat is on there just maybe not as much as we americans consume
the red belts of the most alzheimer disease rates correlates with the red belts of obesity diabetes poor diets poverty poor health care etc

exercise you dont have to go to a gym or kill your self exercising just live an active physical life
ive never done gyms i hike walk i use to jog i use to bike play sports i garden take care of grandkids man thats exercise

dont smoke dont drink too much thats 1 wine glass for females 1-2 for males

if you are obese you should eat right and exercise to lose weight

control any mental health issues like anxiety depression sleep issues stress

control you weight your blood pressure your cholesterol your diabetes

stay active socially and mentally and phyically all your life

if you do have memory issues have an evaluation done
many things that cause memory issues are treatable

so lh
i hope that answers your question
stay tuned
the alzheimers story will be changing a lot in the next 10 years

live a good healthy life is my final answer

the organicgreen doctor

Thursday, August 8, 2019

organicgreendoctor: santa barbara country n news-an egg test

organicgreendoctor: santa barbara country n news-an egg test: SANTA BARBARA COUNTRY N NEWS-AN EGG TEST when we lived in texas we had around 12 chickens plus or minus based on how nature felt about th...

santa barbara country n news-an egg test

when we lived in texas we had around 12 chickens plus or minus based on how nature felt about the chickens
we usually always had fresh eggs
we got
white ones
brown ones
blue ones

our chickens were free range organic
what that means they got to commonly have the run of our 10 acres moving from their coop out into the pastures and also around my garden compost pile of leaves and green stuff from trimmings mowing etc
they ate all natural stuff
they ate a lot of bugs and seeds
they were quite adapt at catching and eating grasshoppers

so i usually had a fairly fresh egg every morning for breakfast once we got our chickens
i have continued to do so since moving here

now these chickens they liked to hide eggs not always laying them in the right place like the 6 nesting boxes we provided
they had two boxes that was their favs and mostly ignored the others

occasionally we would find a pile of them tucked behind something
we never really knew how old these eggs were
we would do the float test
you take a glass of water
drop the egg in
if it floats dont eat it
if it sinks it should be good
the egg above was from lilys eggs at our local farmers market
they have the best eggs
the egg sunk quickly to the bottom of the glass

i took it out this morning
cracked it on the side of my dish
one thing ive noticed besides the fact these fresh eggs have such great flavor
when you crack them the egg shell is hard
it takes 2-3 whacks to crack them
the old store white ones just takes a gentle tap

when i got on a cost saving while shopping phase
its a game i play
eat real well but see how much less money you can spend doing it
i brought these old white standard grocery store eggs
they probably have been stored somewhere for weeks or maybe months
probably were layed in these big on chicken houses with the chickens all in a row
all being egg laying machines

again what i noticed besides the eggs tasting like cooked cardboard
that the egg shell is easy to crack
the brown free range organic eggs are much more tougher
im sure my worms in my worm buckets will like these brown lilys egg shells
the free range organic eggs are obviously heavier as you lift the 12 egg cartons
the white cardboard tasting ones are light
well like they have 12 cardboard eggs in them

what i decided is
some things are just worth paying more money for
of course coffee

this last week in the plot next to mine in the community garden i glanced over and saw this beautiful artichoke flower
i think its one of the prettiest flowers

the bees think so too

the organicgreen doctor