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

Wednesday, July 8, 2020

organicgreendoctor: mr hudsons new kidney

organicgreendoctor: mr hudsons new kidney: MR HUDSONS NEW KIDNEY its been a long almost two years to wait for this day when mr hudson would get his new kidney well yesterday was t...

mr hudsons new kidney

MR HUDSONS NEW KIDNEY

its been a long almost two years to wait for this day when mr hudson would get his new kidney
well
yesterday was that day

for those who dont know his story he was born with obstruction to the drainage system to the kidneys
this caused a permanent damage to his kidneys that allowed them to work only about 20-30%

it was discovered on an ultrasound during the second trimester
originally it was thought to be just one kidney but it turned out to be both

for delivery mom was transferred to cedars sinai hospital in los angeles
he was delivered in heart failure and kidney failure about 2 months early
after diuresing the fluid off him
if im remembering right he lost 2 lbs of fluid over several days
his heart returned to normal and at the one year follow up was still normal

his kidney function improved greatly for several days
then
as he grew he outgrew his kidneys and his kidney function tests called the bun and creatinine continued to climb

it was a race against time
would his kidneys work well enough to get him big enough to be able to get a new kidney
the goal was 20 lbs

if his kidneys got worse before he reached that 20 lb weight then he would have to undergone peritoneal dialysis where they run fluid in a tube in his belly then drain the fluid
by doing this the omentum in the belly acts like a kidney filter
if it had to be done it would have been done but ideally its better not to do this unless you just have to

then a living donor had to be found
the goal of the transplant team was to hold mom in reserve for his second transplant and see if a compatible donor could be found
the word was sent out via social media and media and at the end a living donor match with no blood connection to mr hudson was found
she was a better match then mom

so the date was set for april 21 then canceled due to the outbreak of covid 19
then
a month ago the transplanting of living donors were opened back up

the living donor was flown via private jet from the east coast to los angeles to protect her from the covid 19

yesterday
the living donor donated her kidney in the morning
then
not long after that mr hudson started his transplant of his new kidney that took 5 hours to complete
during the procedure his right kidney and right ureter had to be removed since they were so dilated and enlarged making room for the new kidney
which fitted perfectly into his tummy on the right side
they were able to put it retroperitoneally which gives it a lot of stability and protection
his left kidney and ureter was left in place but may have to be removed sometime in the future

there was concern early on that they would have to do bladder repair and put in a tube from the bladder to the lower tummy but the testing showed that area was working ok
so that surgery did not have to be done
lets just say he could win a peeing contest in his age group

the kidney as described by the transplant surgeon as nice and pink and not long after it was placed into position began to produce urine lots of it

so
the surgery went well
he is on a ventilator in pediatric icu
he should be weaned off that today
he is being kept sedated so he wont fight all the tubes he has
his mom and dad are allowed to stay in the room with him
he will be in pediatric icu for 5 days then stay another week after that in a regular room

the new kidney produced a lot of urine at first then slowed down to an acceptible rate

for those medical people at surgery his bun was 117 then right after transplant it dropped to 77 then this morning it is normal at 25
his creatinine pre surgery was 8 then 3.5 right after surgery then this morning it is normal at 0.5

the donor who is in a hospital room reserved for celebrities is doing well
she facetimed hudsons parents in the afternoon during his surgery to make sure they were doing ok
she is a hero our hero mr hudsons hero
what a special person who did this to make hudsons life revert back to a more normal life
thank you thank you so much

she will be discharged from the hospital probably tomorrow or the next day
she will convalesce in santa barbara for a week before flying back to the east coast

i must say it was hard to sit here in my condo those last few hours of his surgery 100 miles away knowing that any other time we would all be in the waiting room giving mom and dad support
now
we have to wait to see him after he gets discharged

thats going to be a long wait again

thanks to all who sent well wishes to mr hudson and his family

the organicgreen doctor

Tuesday, July 7, 2020

organicgreendoctor: organicgreendoctor: update on mr hudson

organicgreendoctor: organicgreendoctor: update on mr hudson: organicgreendoctor: update on mr hudson : UPDATE ON MR HUDSON one night after mr hudson got out of the bathtub and wore his little animal...

garden news-my sanctuary waiting room

GARDEN NEWS-MY SANCTUARY WAITING ROOM
the garden is where i can go to really relax
i like to get there early so i have the whole place to myself
its quiet except for the birds and the chickens
its my happy place
i can look up at the mountains usually they have a mist or low clouds around them
as the sun comes up you can see it climb down the mountain as it moves up in the sky

its beautiful and peaceful

today
if it wasnt for the covid 19 outbreak i would be sitting in the surgery waiting room with mr hudsons parents waiting that long wait for word on how mr hudson is doing
he should have his transplant started at around 915am pacific time
it will be a 4-5 hour surgery
but
alas
i cant be there but again im glad his parents can both be there
so
i decided i want to be in my garden
i want it to be the waiting room while i wait for word on how he is doing

mr hudson loves the garden
thats him above playing in the edge of their garden with his truck
he loves to eat things that grow in there like the small sungold tomatoes and the green beans
he likes to dig in the garden also

he absolutely loves coming to my garden in the community garden
seeing the chickens
digging in the dirt
playing in the bird bath

the last time he was there was 3 months ago
he plucked sweet peas off the vine and ate them after i unzipped them open for him
after i got sick and the covid 19 hit around here we decided to not bring him there anymore until some time in the future

since he is immunocompromised now and will be even more so once he starts his anti rejection drugs his entry into the garden and playing in the soil and compost and being around the chickens has to be limited for now

so
its his happy place
its my happy place
this is where i will putter and keep myself busy while i wait today
i know if he was with me he would love to be there with me

i volunteer here in the community garden 2-3 days a week
most of the veggies you see growing there in the larger central part of the garden that we donate i have planted them or prepped the beds or planted the seeds to begin with

there is always enough to do there to keep be busy
so
tomorrow thats where i will be
in my happy place
knowing
mr hudson would understand thats where i am when he gets his new kidney

i of course would much rather be in the surgery waiting room waiting there
but
being in the garden will keep me busy while i wait

we are with you today mr hudson
i cant wait to see you soon when you get out of the hospital in 10-14 days
my thats a long time to wait

the organicgreen doctor

Monday, July 6, 2020

organicgreendoctor: update on mr hudson

organicgreendoctor: update on mr hudson: UPDATE ON MR HUDSON one night after mr hudson got out of the bathtub and wore his little animal towel mom snapped a picture of him later...

update on mr hudson

UPDATE ON MR HUDSON
one night after mr hudson got out of the bathtub and wore his little animal towel mom snapped a picture of him
later a family friends sister did this drawing of that picture
when you compare it to the original it looks just as real

its time
we have been all been waiting a long time for this day tomorrow
it will be a life changing day for mr hudson

almost two years ago when he was born is when the parents got the full picture of what was wrong with mr hudson and gradually over the ensuing months they realized what would need to be done to ensure mr hudsons longer life
he would need a new kidney since his were permanently damaged in utero so they only worked about 20-30%
since birth with aggressive management the doctors have managed to squeeze almost 2 years out of his little ole kidneys to allow him to grow large enough to accept a small adult kidney

so word was sent out looking for someone who might match hudsons and would be willing to donate one of their kidneys to save his life

several folks reached out to donate their kidney but many were too old or too large or pregnant or several other reasons why to be able to donate

the numbers was down to just a few
when the matching was done one person not related turned out to be the best match
she lived on the east coast

the transplant folks wanted to hold mom back in case mr hudson had to have another transplant later
plus this person was the better match

so
everything was set up to be done in mid april
thats when the covid 19 appeared
all live donor transplants were canceled over most of the country
including mr hudsons

since april he has gained a lot of weight and has gotten bigger and taller so that now the new kidney will fit in his tummy better than had it been done in april

the new date tomorrow was set a few weeks ago for the transplant

one problem was getting the donor here without her getting the covid 19 on the way here
so
funds were raised and folks stepped forward with access to a private jet to fly her here to los angeles this last week

so
tomorrow both mr hudson and the donor will be admitted
the donors kidney will be taken then mr hudson will be given the new kidney
the transplant surgeon will be doing both surgeries
his procedure will take 4-5 hours to do

he will be in the pediatric icu for several days then will he is stable will be transferred to a regular room

this last month he has had to go every week spending the day in the hospital to receive iv drugs to suppress his immune system

every day he takes several drugs sodium chloride sodium bicarbonate calciferol an antibiotic bad tasting iron growth hormone shots and epigen shots to keep his bone marrow stimulated to produce red cells

he receives via his gtube feeding tube a special kidney formula and a special protein fat formula to help him gain weight

he also eat a regular diet but has not had much of an appetite since his kidneys have gotten worse

after the surgery he will go on pediasure and regular food
all the meds i listed above will be discontinued except for probably the antibiotic since the new kidney does all that they did for mr hudson

he will be given two meds to be taken twice a day and one once a day to prevent rejection
those will be taken forever until science comes up with a different regimen

the gtube will be left in place until he eats enough to sustain himself
it will also be used to keep the new kidney well hydrated since a little ole kid like him cant drink that much water via his mouth

one of the hard parts for me is that i have been with him from day one in the nicu and have been there for the doctors rounds and all the nephrology office visits and diagnostic studies until the covid 19 hit
now im not allowed in the hospital at all
only recently did they start letting both parents in

it was hard to hug him as they were leaving to go to los angeles
as they left there he was in his car seat looking out the window at my wife she and i and his sister ms b
i wish i knew what he was thinking as he looked at us

it really hurts inside not to be there in the hospital with him but at least both mom and dad will be able to be there together

as i told mom this is what we have been waiting for and its what will make his life better

yes tears were wiped from our eyes as they drove off


i would like to thank all of the 500+ people who donated to mr hudsons childrens organ transplant association or cota transplant fund
here is the link to mr hudsons fund page

these funds will be held for him to use for non insurance covered expenses and will be carried forward into the future for him to use for his medical care

the family has to stay in los angeles near the hospital for the next month

thanks again for everyones concerns and kind words as we have gone through this journey

a new one starts for mr hudson starting tomorrow

we are all ready

the organicgreen doctor

Friday, July 3, 2020

organicgreendoctor: alzheimers news-how vulnerable are these alzheimer...

organicgreendoctor: alzheimers news-how vulnerable are these alzheimer...: ALZHEIMERS NEWS-HOW VULNERABLE ARE THESE ALZHEIMERS PATIENTS when you look at the statistics on the deaths from covid 19 you will see of f...

alzheimers news-how vulnerable are these alzheimers patients

ALZHEIMERS NEWS-HOW VULNERABLE ARE THESE ALZHEIMERS PATIENTS
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when you look at the statistics on the deaths from covid 19 you will see of folks who died so far many have been in long term care facilities
many of these patients in these facilities are alzheimers patients at various stages
many have chronic health conditions that make them more vulnerable
most are older so their immune system are suppressed making them susceptible to infectious agents

in some states over half of these deaths are from long term care facilities
half of the patients in some of these places have some type of dementia

so a large number of these patients are dementia patients that are dying

if you have ever cared for these long term care patients you know that things like scabies and staph can spread through the facilities making it hard to control
all patients are screened for tuberculosis since the germ can sit dormant until an opportunity arises for it to cause an infection
pneumonia and flu are easily spread amongst this population
much
less think how vulnerable they are to the covid 19
which is highly contagious mainly from airborne exposure
a simple mild virus can kill them much less the aggressive covid 19

they cant remember to wash their hands
they cant wear a mask
they tend to wander so forget social distancing

they are exposed and vulnerable

most of these patients if they get the covid 19 will not survive the infection

early on before how to control the spread was really understood it spread like wildfire through these facilities

how did the germ get inside these places
from workers and visitors

now
visitors are kept out of these places
workers are usually screened and they wear better protection for themselves and for the patients
so i think the outbreaks have slowed some in these places now that they know what to do

but
once these high risk patients get it the odds are against them surviving

i watch on tv how family members have to talk on face time or through windows to their loved ones
many havent been able to touch and hug them for weeks

i think of my mom and my younger brother when they were at that stage how difficult it would be for the family and for them to not have that human interaction that human touch

i dont have an answer on how to make the situation better
i just know it hurts to watch
to think about them being in that situation
how painful that must be

we are able to control our exposure by staying inside as much as possible and only going to places that we consider safe
if we do we use protection that may prevent us from catching the virus
these alzheimers patients are dependent on others to protect them

they are so vulnerable

the organicgreendoctor

Wednesday, July 1, 2020

organicgreendoctor: my story revisited #48-it was a hard visit

organicgreendoctor: my story revisited #48-it was a hard visit: MY STORY REVISITED #48-IT WAS A HARD VISIT ten years ago i wrote these words what is disturbing is that i know that in ten years that th...

my story revisited #48-it was a hard visit

MY STORY REVISITED #48-IT WAS A HARD VISIT
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ten years ago i wrote these words

what is disturbing is that i know that in ten years that there will be
medicine that can be used to stop or slow down this disease so that
he and maybe i wouldnt progress to point that he is now and
i might be in the future

that was long before i knew about the aducanumab infusions i would be put on 6 years later
if the covid 19 will allow those studies will be done to see if they really help to stop or slow this disease down

at the time i wrote them i didnt know about the aducanumab and the other antibody studies and other alzheimers drug treatments that were in their infancy 
i just knew they were on the way
i just didnt know i would get a chance to be part of those studies

do they work i dont know yet but im hoping they slow it down

on this road trip with my wife she and my historian brother we visited first my friend gf who was in the later stages of huntingtons disease
we had a good long visit with him
i patted his foot as he lay in his hospital bed in his bedroom 
said my byes
shed some tears as we left
that was the last time we saw him before he died

then
we drove to my younger brothers house to visit him
he was just at the stage where he was going to end his driving his car
he was somewhat communicative
we seemed or at least i did as we remembered things we had done when we were younger
we laughed
what he said didnt make sense to the others but i understood what he was trying to say since i was there with him when these things happened
we were like twins growing up being only one year apart

he progressed a lot after that visit over the next 2 years before his death in the final stages of alzheimers

it was a long sober drive home that weekend

yes
he and i were born not 10 years too early but maybe 20 years too early

here is hoping these meds help to slow it down for me and others
__________
12-20-2011
my younger brother
my wife she and my historian brother and i are going to visit
my younger brother today
he is the one that is in the late mid stages of alzheimers
he had changed a lot between the visit before last and the
last visit
a time span of just a few months
it was scary that this disease could travel that fast in a few months
made me think more about my situation and the
completion of all my ducks in a row

this visit will come just one day after i visit my friend gf who
has huntingtons disease
i know it will be a depressing ride home for us when we
drive back to texas tomorrow

what is disturbing is that i know that in ten years that there will be
medicine that can be used to stop or slow down this disease so that
he and maybe i wouldnt progress to point that he is now and
i might be in the future
just born ten years too early
i know that our kids and nephews and nieces will have something
available to help them

my historian brother will be disturbed by what he sees today as
he has not seen my younger brother in several months
i know i was disturbed as well as my rainwater brother 
when we visited last month
but this visit needs to be done
i know he will know who we are and will enjoy the visit with us

my brother
sorry youve got this sucky disease
lets enjoy our visit today
_________
a sobering visit it was that weekend

the organicgreen doctor

Tuesday, June 30, 2020

organicgreendoctor: how to unstick stuck bowls

organicgreendoctor: how to unstick stuck bowls: HOW TO UNSTICK STUCK BOWLS several weeks maybe months ago i reached into our dishwasher and there was this custard dish sitting inside a ...

how to unstick stuck bowls

HOW TO UNSTICK STUCK BOWLS
several weeks maybe months ago i reached into our dishwasher and there was this custard dish sitting inside a soup bowl
i reached down to remove the custard dish
it was stuck like it was part of the soup bowl
i ran hot water over it
still stayed stuck
i soaked it in a vinegar solution
still stayed stuck
i soaked it in warm soapy water
still stayed stuck
i soaked in in a solution of oxiclean
still stayed stuck

i reached down picked it up and opened the trash can to throw away the stuck dishes
my wife she said what are you doing i want that soup bowl dont throw it away
so
i put it in with the other soup bowls

once
when she wasnt looking i got out my hammer
my plan was to wack that custard dish to shatter it
i would throw away the shards in the trash
and
then what was left was an intact soup bowl

as i lifted up the hammer to wack the custard dish i thought
nothing good is going to come of this
so
i put it back into the cupboard
leaving it as a permanent decoration inside the cabinet

now when i read my news feeds and social media i am always on the lookout for articles on
uses for duct tape
uses for wd 40
both of these things amaze me
at
how well they work

then last week
there it was on facebook
uses for wd 40
i clicked on it cautiously
there was pictures and descriptions for all these uses for wd 40

as i clicked on them suddenly there it was
how to unstick stuck dishes
so
i read it
then
i got out our two stuck dishes that had been joined together for weeks maybe months
i sprayed a generous supply of wd 40 on the stuck areas
i pushed
i pulled
i shook
i twisted
then
i heard this almost pop
i thought i had broken the custard dish
but
voila
here they are all separated now

i must say my wife she was happy to have her soup bowl back

the organicgreen doctor

Monday, June 29, 2020

organicgreendoctor: this is our moment

organicgreendoctor: this is our moment: THIS IS OUR MOMENT when i go out the door i wear my mask even if its a short trip to the garage or laundry it has become a habit a ritua...

this is our moment

THIS IS OUR MOMENT
when i go out the door i wear my mask even if its a short trip to the garage or laundry
it has become a habit a ritual like putting on my shoes or putting my keys and cellphone in my pocket
its what i do going out the door
i dont even think twice about it
i have 5 cloth masks that i change each day
each day i wash the one i wore that day
to remove any germs that may have accumulated on the outside of the mask

i wash my hands going out the door or returning inside
its part of my routine

i wipe down any areas i might have touched before i wash my hands
like the door knobs or entry door to our 4 condo unit

none of this i really thought about just a few months ago

i would hate to be excessively ocd about this though on the abnormal side since i think it would drive you crazy

we still quarantine our mail and our groceries and packages for 3 days
frozen goods we wash down or wipe with disinfectant wipes
i know they say its ok but i would like to see a study done to prove if it does or not
until then thats what we are doing

we use hydrogen peroxide to decontaminate with since its easier for us to get in gallon containers
i would prefer clorox or ethanol since the peroxide has to sit longer to work on surfaces
we have some clorox but we save that for the time we need extra deep cleaning

so
my wife she and i are doing our part to slow down this outbreak

we wear masks
we social distance
we wash our hands or disinfectant them
we avoid high risk places
if we do enter a high risk area we switch to our n95 masks eg grocery store pharmacy doctors office etc

are you doing your part
i sure hope so since its all of us together doing what needs to be done to slow this down until we get a vaccine or the virus slows its self down

if you will not wear a mask and social distance
then
look around your circle of friends and family
please stay away from these high risk folks

your parents
your grandparents
anyone pregnant yes pregnant women have now been moved into the high risk category
obese folks
if you arent sure if they are obese take their height and weight and put it into a bmi calculator
diabetic folks
asthmatic of any age
emphysema or other lung diseases
immunosuppressed folks like cancer patients transplant patients pts with arthritis like rheumatoid or psoriasis or lupus on immunosuppresive drugs heart patients etc
there is probably not anyone who doesnt have someone at risk for severe infection with the covid 19 in their circle
you probably need to add hypertension to that list also

this is our moment in our history when each of us can make a difference on how this all turns out
its really up to us to do what needs to be done
some of this the politicians cant do
we have to do it
each of us individually

so if you arent going to do these things please isolate yourself from your vulnerable family and friends

lets not let history say we didnt do our part to fight this disease

as vice president pence and multiple governors said yesterday
wear a mask
keep social distancing
wash your hands

thats really not too much to ask to save your family member or friends life is it
and
maybe your own

the organicgreen doctor

Friday, June 26, 2020

organicgreendoctor: alzheimers news-a new alzheimers brain scan

organicgreendoctor: alzheimers news-a new alzheimers brain scan: ALZHEIMERS NEWS-A NEW ALZHEIMERS BRAIN SCAN the brain scans that you can get during the evaluation for alzheimers disease are mri of the...

alzheimers news-a new alzheimers brain scan

ALZHEIMERS NEWS-A NEW ALZHEIMERS BRAIN SCAN
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the brain scans that you can get during the evaluation for alzheimers disease are

mri of the brain
i have had several of these
they have all been normal
most were done as part of alzheimers research studies
some i got the reports others i didnt
however if something shows up like a stroke or brain tumor or mass etc they notify you
as one gets a workup for memory loss one of the later tests to do is a mri scan of the brain to rule out treatable causes of memory loss or explanations of why one has memory loss like strokes old head injuries masses arterial abnormalities etc
insurances tend to pay for the mri of the brain

a glucose metabolism pet scan of the brain
iv glucose is given to you and wherever in the brain normal working brain cells are taking up glucose they will show on this brain scan
if you are further along with alzheimers disease this scan will show defects in the areas when the brain isnt working taking up the glucose
insurances might pay for this scan

an amyvid pet san of the brain
a radioactive material is given iv and is taken up in the brain where amyloid is deposited
if you have alzheimers disease this scan will be positive even if you arent having symptoms yet
i have had 3 of these done
i got the results of my last one that was positive for amyloid at the beginning of the aducanumab study i was in
this scan is not covered by health insurance


empr.com on tauvid

now just approved is a tau pet scan of the brain called tauvid
using tauvid given iv it identifies tau neurofibrillary tangles in the brain
where tau goes usually thats where the patient is having symptoms
this is not covered by health insurance either yet
i have not had one of these done
mine will probably be positive
the adni 3 study is doing these as part of their long term study
i opted not to do the adni3 study since i wanted to get into the treatment study with biogens aducanumab infusions 3 years ago

so the workup would go
mri of the brain to rule out treatable causes and also for the brain shrinkage that comes with alzheimers disease
amyvid pet scan for amyloid to more definitively diagnose alzheimers
then
maybe do a tauvid pet scan to define how extensive the tau spread is

the thinking is that amyloid accumulates first in the hippocampal area then spreads across the brain
the amyloid will show up on the amyvid pet scan before symptoms occur
later
maybe 5-10 years later the tau protein tangles will show up on the tauvid pet scan

you can also measure amyloid and tau in the spinal fluid and track its progression that way
that requires spinal taps

having had both the scan is easier and better and safer than the spinal tap

as the tau spreads first to the hippocampal area it then moves on
eg it may go to the frontal part of the brain first and you will see frontal lobe symptoms

we are getting closer to good diagnostic testing for alzheimers disease so a patient or family can know where their loved one is in the alzheimers disease process

these scans also improve the accuracy of the diagnosis of alzheimers

the organicgreen doctor

Thursday, June 25, 2020

organicgreendoctor: my story revisited #47-can you prevent it

organicgreendoctor: my story revisited #47-can you prevent it: MY STORY REVISITED-CAN YOU PREVENT IT i wrote this blog below almost 9 years ago since then more research has shown that doing all these ...

my story revisited #47-can you prevent it

MY STORY REVISITED-CAN YOU PREVENT IT
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i wrote this blog below almost 9 years ago
since then more research has shown that doing all these things may help slow down alzheimers or maybe prevent it maybe
ill take slow it down as a second option if prevent it doesnt happen

slow it down has seemed to happen with me

last week i wrote this blog titled these may slow it down on research about 5 things to do that may slow it down by 60% if you do all 5
yes they are on the list below

i have done these things for the last almost 10 years and hope thats the reason i can sit here today and write this blog
something almost 10 years ago i didnt think i would be able to be doing today

also if you do all these things your overall health and well being will improve
__________
12-09-2011
PREVENT IT?
people are always asking cant you prevent alzheimers
disease
before they were told no you cant
youre just screwed if you are going to get it

now it appears there are those things you can do to prevent
alzheimers disease or to slow the progress down or to delay
the onset
sometimes you are genetically programmed to just get it
like i may be with my positive apoe 4 genotype
but maybe it can be slowed down

how do you do it
its what your doctors have been telling you for years
start now
start early
start young
for these to work well
even if you have alzheimers or mild cognitive impairment these things
can slow it down

exercise regularly
control your blood pressure over your lifetime
control your lipids-triglycerides, good hdl cholesterol, bad ldl cholesterol
maintain a normal weight
control your diabetes throughout your lifetime
eat a normal diet especially a mediterranean diet
get normal restful sleep
avoid excessive alcohol
dont smoke
stay active mentally throughout your life
listen to music or play a musical instrument
stay socialized with friends, churches, groups, family

these also will make you live longer and healthier
___________

i hope to do all of these as long as i can

the organicgreen doctor

Tuesday, June 23, 2020

my telemedicine visit

MY TELEMEDICINE VISIT
when i was typing up the title of todays blog my spell checker didnt recognize the word telemedicine
it will not be long though before it will be in the spell check vocabulary

i never thought i would like to do a telemedicine visit
i like the idea of going to the clinic and seeing the front staff and seeing the nurses and talking face to face one to one to my primary care doctor whom i will call dr m
my mother in law says he reminds her of me

after coming out of the throes of my covid 19 experiences i was off all my medications
some i couldnt tolerate when i got the gi stuff eg my aricept (donepezil) which is notorious for causing stomach upset
let me tell you get the covid 19 gis and you wont be able to take it at all
that was my case
then i guess i lost so much weight and probably was on the dry side a lot ie dehydrated that my blood pressure was low most of the time
so i had to stop my blood pressure meds for awhile
eventually i was able to get back on them as i gained some weight and became more active and was able to eat more food
even though i had to lower the dose some

so not long after i was feeling better i felt i needed help getting back on all my meds and need more evaluation for my exertional shortness of breath and hoarseness and sore throat and lack of appetite

at that time they were discouraging in the clinic visits and recommending telemedicine visits
so
i thought what the heck ill try that

i had done several zoom like meetings and felt comfortable doing it

so
i thought what would i want a patient to have ready and do before we do a visit

take a blood pressure and pulse and weight
i even got out my stethoscope and listened to my heart and lungs
i gave them my findings
list all your medicines you are taking
mine at one point was easy
i wasnt taking any
but
at the point of my visit i had restarted  some of them

i had also sent via the electronic my chart a list of things i was having issues with so the nurse and doctor could read them before they did the visit

i made a list to check off of things i needed addressed
keep the list short and to the point
really what you should be doing anyway when you do an in office visit

in other words be prepared for the visit so you will get your questions answered

we worked our way down through the list and he addressed all my concerns
he ordered diagnostic testing
adjusted my medications
he ordered labs
then
after all of these were done and a period of blood pressure readings were to be done then a follow up visit was to be done

i did the followup in a month again as a telemedicine visit and i was more comfortable doing one this time

i do wonder how this will change how we do health care in the future

i do like seeing dr m in the office though
there is no substitute for those face to face interactions

my plan is for my next follow up visit to be in the office
i have done three visits in office to the specialists there and feel comfortable doing so
i would say its like going to trader joes to shop as far as safety is concerned
at trader joes i am in and out in 10 minutes
i did feel uncomfortable in the waiting room even though they had folks spaced out at least 6 feet apart and all had masks on
i also made the first of the afternoon appointments so it wasnt a full waiting room

i wear my n95 mask
i carry a pocket size hand sanitizer which i freely use

of course when i did the telemedicine visit i didnt have to do any of that

have any of you done telemedicine visits yet

the organicgreen doctor

Monday, June 22, 2020

organicgreendoctor: coins

organicgreendoctor: coins: COINS after reading an article about coin shortages and before i started writing this blog i searched around our condo looking for change...

coins

COINS
after reading an article about coin shortages and before i started writing this blog i searched around our condo looking for change
i could only find these few coins that were in my key bowl

i know that since i became sick 3 months ago with the covid 19 i have done no transactions with cash
i had cash in my wallet but my wife she stole it
i figure if i use cash then they have to give me back change with those gloved hands that has touched all those shoppers purchases and via the checkout the check out person has now deposited those germs onto the change
my wife she told the person just keep the change
i bet that cvs clerk hasnt gotten a $3+ tip before

my solution
i only use a credit card or debit card that i can hold in my hand and put in the scanner myself and not have to put in any passwords

there is really no place i go to shop that i have to do this use coins that is
except
if i wash my car at the automatic car wash and i decide to vacuum out my car

you have to go inside and hand them a dollar and get back 4 covid 19 coated quarters
well thats the way i think about it anyway

my decision last time was ill just use my small hand vac when i get home
ill live with the stuff it leaves in the car
its all garden soil and compost and mulch anyway

so i plan today to donate my 5 coins somewhere and say just keep the change
to
do my part
to
help increase the coin supply in the economy

please release some of your coins into the supply chain to help with the shortage

the organicgreen doctor

Friday, June 19, 2020

organicgreendoctor: alzheimers news- these may slow it down

organicgreendoctor: alzheimers news- these may slow it down: ALZHEIMERS NEWS-THESE MAY SLOW IT DOWN the national institute on aging or nia did a study recently looking at lifestyle changes that we ca...

alzheimers news- these may slow it down

ALZHEIMERS NEWS-THESE MAY SLOW IT DOWN
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the national institute on aging or nia did a study recently looking at lifestyle changes that we can all do that can slow down the risk of getting alzheimers disease by as much as 60%

here is a link to a review article on the study

these 5 things arent that hard to do
many of you are probably doing them already anyway

like many things the younger you start them and the longer you do them the more effective they are

here they are

150 minutes of moderate exercise a week
eating a well balanced diet like the mind diet or mediterranean diet
light to moderate alcohol consumption
engagement in cognitive activities like chess reading writing etc
not smoking

if you do 2 or 3 the risk goes down by 37%
if you do 4 or 5 the risk goes down by 60%

that doesnt seem to be to hard to do right
then
add
controlling your blood pressure
controlling your cholesterol
maybe even controlling your blood sugar

these will not only reduce your risk for alzheimers disease as you get older
but
it also will decrease your risk for heart disease and stroke and the complications of diabetes

there
see how easy it is to drop your risks

the organicgreen doctor

Thursday, June 18, 2020

organicgreendoctor: garden news-tomatoes beans and more

organicgreendoctor: garden news-tomatoes beans and more: GARDEN NEWS-TOMATOES BEANS AND MORE this week i made a big pot of vegetable soup trying to use as much as i could from my garden suppleme...

garden news-tomatoes beans and more

GARDEN NEWS-TOMATOES BEANS AND MORE
this week i made a big pot of vegetable soup trying to use as much as i could from my garden supplementing it with veggies from the store and our freezer

in reading posts specifically from the south you guys are in the throes of tomato harvest
our tomatoes are just now starting to turn
here are a few sungolds i harvested last week
these are sweet in fact ms b says these are her favorite tomatoes
she is planting one in her garden in the picture above

the green beans are french filet beans
we like to snack on them as does ms b

here are my t tomatoes named after my relative who grew them from a volunteer tomato in her yard
i harvested the seeds and started tomatoes from them
i call them t tomatoes
they grow in bunches and the vines are loaded with all of these green tomatoes
it will interesting to see what the end product will look like and taste like

in my garden i harvested to put in my soup
kale
swiss chard
malabar spinach
celery
amaranth
zucchini squash
tatume squash
onions
garlic
christmas lima beans
bell peppers
the other ingredients were corn potatoes sweet peas black beans and pinto beans
yep a hearty soup for sure

i have used the garden as my go to place to get some exercise and to do it safely
i spray the lock to the gate to be safe then wait a few minutes before i put in the code and open the gate
i put on my work gloves which have a plastic or vinyl palmar surface so i can spray then with disinfectant or what i commonly do is wash the well like i am washing my hands for 20 seconds
i wear a cloth mask
if more people show up in the garden i switch to my n95 mask
i social distance at least 10 ft
my garden is at the far corner of the garden so there is usually no traffic there except for me
if i am doing volunteer work elsewhere in the garden i usually am alone and away from other people
the property is about an acre in size
i usually use my own tools that i bring back and forth into the garden
i have my own water hose to use and no one else uses it
as i leave i wash my gloves and wash my hands and respray the lock before i lock it up

so
im being safe
in my happy place

the organicgreen doctor

Wednesday, June 17, 2020

organicgreendoctor: my story revisited #46-memory testing at home

organicgreendoctor: my story revisited #46-memory testing at home: MY STORY REVISITED #46-MEMORY TESTING AT HOME over the last ten years i have had a lot of folks reach out to me about having memory testin...

my story revisited #46-memory testing at home

MY STORY REVISITED #46-MEMORY TESTING AT HOME
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over the last ten years i have had a lot of folks reach out to me about having memory testing
there are a couple of in home memory tests that you can do yourself

these are
the ad8 test which is usually answered by the patient or a loved one

the other is the sage test which is a good in home test to do
if you do it be honest dont cheat dont get help
its probably the more accurate test that is similar to the in clinic ones done like the mmse or the moca
eg
when i do the sage test i get them all correct
if someone with early alzheimers does the sage test you should obviously tell there was an issue
if someone more advanced did the sage test they might not get any correct

here is the ad8 test

here is the sage test description and here is the sage test from ohio state
__________
12-02-2011
AD8 TEST
the ad8 test is a screening test designed by washington state
it can screen for cognitive changes in dementia
the i cant remember **** stage

it can be taken by a patient or can be administered by a family
member or friend
eg
when i take this test i get a perfect score
and when i take the sage test i do ok also
however when more advanced tests are given to me thats
when the slight cognitive problems i have show up

(report-one year follow up neuropsych tests from ut southwestern
show no change in cognition over the last year)

the ad8 test will pick up someone with problems more advanced
than i am eg pat summitt would probably have problems with
this test and glen campbell
my younger brother he would probably not get any of these
correct as he is in stage 5 of alzheimers disease

go to this link to read about the sage test and take the test online

the ad8 test can also be obtained online at this link and printed off
to be done manually

if you or a family member score poorly on this test consider
seeing your primary care provider for evaluation
__________
if you or your loved one has a problem with their memory thats not too early it will show up on these two tests

its better to know early on there is an issue
i am a good example for that
yes again i got them all right today

the organicgreen doctor

Tuesday, June 16, 2020

organicgreendoctor: the letter e

organicgreendoctor: the letter e: THE LETTER E it is pronounced e if you have more than one its called ees it almost became the letter folks got when they didnt pass a ...

the letter e

THE LETTER E
it is pronounced e
if you have more than one its called ees

it almost became the letter folks got when they didnt pass a test
but
thankful i guess it didnt

of course if you didnt pass your tests or if you didnt get a passing grade on your report card
you could say well i got all ees
and
that doesnt sound as bad as if you got all fs
right

i thought about it as i listened to this video about the letter e grading

in the 1800s a womens college used the letter scale with the letter e as the not passing grade
a excellent
b good
c fair
d barely passing
e failed

i had a sibling who barely made it out of high school with a high d average
he now has two bachelors one masters and a phd

the e spread to some schools over time but eventually was eliminated from use

so
back then you could say man i eed that test instead of saying i elfed it
that just sounds better
and
seeing a big ole red e on a paper with a circle around it just doesnt look as bad as a big ole red f circled on the paper

maybe they should bring back the letter e

the organicgreen doctor

Monday, June 15, 2020

organicgreendoctor: my covid19 toilet paper

organicgreendoctor: my covid19 toilet paper: MY COVID 19 TOILET PAPER during my throes of my covid 19 infection i realized we were going through all of our toilet paper rapidly since ...

my covid19 toilet paper

MY COVID 19 TOILET PAPER

during my throes of my covid 19 infection i realized we were going through all of our toilet paper rapidly since i mainly had gastrointestinal symptoms initially
luckily i had just bought a 6 pack of toilet paper on my last shopping trip before i got sick

as our supply dwindled i got creative in ways to save the use of this scarce commodity
ill spare you the details
i also researched some survivalist websites for suggestions
we started accumulation of newspaper like material just in case

we tried to get some on our instacart order from the grocery store
there was none available
the same from the pharmacy

i went on amazon
there was some toilet paper on there but they were back ordered or not in stock
then

6/8/12 Family Rolls Toilet Paper,Ultra Soft Roll Toilet Paper,280-Sheet per roll,3-Layers Standard Rolls,Gentle Toilet Tissue Soft Paper Towels Enviro Friendly Recycled Bath Paper,White (6rolls)


there was this short non descriptive ad for toilet paper for rolls of 6 for about $12
i jumped on it and ordered it
then
the notice came
its back ordered but will be shipped soon
a few weeks ago a notice arrived its on its way
i waited
i waited
i waited
it said it was coming from china
a slow boat from china i presumed
then
after several weeks it never arrived
i notified amazon
they said they would refund me my money
then
a few days it arrived
looking like this below

then i opened it
there were 12 of these little bitty baby rolls of toilet paper
the one on the right is the one i bought from trader joes
the one on the left is the one i received on the slow boat from china

all i could say was
well ive been had
my wife she and i had a good laugh out of it
we even come up with a few joke lines
ill spare you them also

any suggestions for what to do with this
we arent disappointed
we got our toilet paper
we got our refund i think
ive decided not to complain if i dont get my refund
since
i guess i cant complain
right
we got a much needed laugh out of it

i think we will keep them as our backup in case we run out of our adult toilet paper

the organicgreen doctor

Friday, June 12, 2020

organicgreendoctor: alzheimers news-neurobiology of covid 19

organicgreendoctor: alzheimers news-neurobiology of covid 19: ALZHEIMERS NEWS-NEUROBIOLOGY OF COVID 19 that is the name of the article published recently in the journal of alzheimers disease linked h...

alzheimers news-neurobiology of covid 19

ALZHEIMERS NEWS-NEUROBIOLOGY OF COVID 19
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that is the name of the article published recently in the journal of alzheimers disease linked here
warning its 17 pages long
in a review of the article i read this morning from businesswire linked here it gives a good summary of what they found

there are  neurological symptoms folks get that can be due to the covid 19 infections
thinking back over my illness for what i am sure was a covid 19 infection i only had a bad headache relieved with acetaminophen and hoarseness
the hoarseness after about 3 months has mostly about 90% cleared up

folks who get covid 10 can have these symptoms or events happen to them
stroke
paralysis
seizures
confusion
coma

they can be left during recovery with long term effects like cognitive decline and add and brain fog and possibly alzheimers disease

what happens is that there is an inflammatory response that occurs
the body uses cytokines to release these inflammatory chemicals which does the damage
it the lungs with a covid 19 infection the inflammatory response from the body can be so overwhelming it the response to the infection does most of the damage to the lungs
its commonly this lung damage that kills covid 19 patients

also
they get lots of blood clots everywhere there are blood vessels
the brain is one of those areas
now its found this inflammatory response also attacks the brain

the author of the article describes three stages with this excerpt from the businesswire one
  • NeuroCovid Stage I: The virus damage is limited to epithelial cells of nose and mouth and the main symptoms include transient loss of smell and taste.
  • NeuroCovid Stage II: The virus triggers a flood of inflammation, called cytokine storm, which begins in the lungs and travels in the blood vessels throughout all body organs. This cytokine storm leads to the formation of blood clots which cause small or large strokes in the brain.
  • NeuroCovid Stage III: An explosive level of cytokine storm damages the blood brain barrier, the protective insulation layer in blood vessels of the brain. As a result, blood content, inflammatory markers, and virus particles invade the brain and patients develop seizures, confusion, coma, or encephalopathy
these patients who recover from stage 2 and stage 3 need a lot of physical therapy and occupational therapy and nutritional support and close monitoring
the author recommends they have a baseline mri of the brain before they leave the hospital
they some of them may even leave the hospital with minimal symptoms but develop issues later after discharge especially with cognitive issues

so
i guess
we need to add
covid 19 as another potential cause of alzheimers disease

now will you
wear a mask
social distance
wash your hands

the organicgreen doctor

Thursday, June 11, 2020

organicgreendoctor: can asymptomatic folks give you the virus

organicgreendoctor: can asymptomatic folks give you the virus: CAN ASYMPTOMATIC FOLKS GIVE YOU THE VIRUS the answer appears to be yes i was asked that question this week by someone who heard the new...