Incentivized Payments in This Pandemic

There is a Huge Argument between Healthcare and Sickcare in the United States.

Many Americans are having trouble distinguishing what healthcare actually is. They pay for an insurance company to cover the bills that they have regarding health, but every year it covers less and less. They don’t feel like they have options to choose providers that are listed as being the best. They feel like they are strangled in choosing a procedure, prescription, and even if they should get testing done to see if a medication or procedure is necessary. The hoops one must jump through to achieve a diagnosis take longer and longer each year. The insurance layers to gain access to appropriate care or the prescription that the physician recommended instead of some other brand or different drug has affected the ability to recover.

Unfortunately, SARS-COV2 may be even worse.

On March 27th, 2020 information was released that was part of the COVID19 Stimulus Bill. It reported that facilities would receive 20% more than typical reimbursement for positive COVID19 cases. If such a case ended up on a ventilator, the increased in reimbursement with be $39,000. 3x’s the normal reimbursement. Senator Jensen of Minnesota said in a statement on April 8th,

“Nobody can tell me after 35 years in the world of medicine that sometimes those kinds of things impact on what we do.”

He did later say that he doesn’t believe that all decisions were made based on this reimbursement, but he believes that cases are over reported. There were some indications that he believes that the Point of Care cases were over reported and flu cases under reported.

IF you remember the blog from Nov 30th, I talked about the different types of tests. The most common test done does not rule out the common cold or flu. It simply tests for all coronavirus.

So, if this is true…..the number of cases of the flu are under-reported, cases of SARS-COV2 are over reported and we are not being cared for the way we need or expect as the American Public.

A Nurse comes Forward

On May 5th a nurse from Nevada, who had willingly traveled to New York to help relieve some of the stress of overwhelmed medical providers, put a video up on YouTube.

In the video she claims that they are murdering people in the most affected low income, minority hospital in New York. She talks about the fact that people were being defibrillated while they still had a pulse of 40BPM. This is significantly contraindicated and will cause cardiac arrest (heart stop). She states that a patient died waiting for an x-ray because the ventilator tube was not in place. They could not breath on their own. She told the anesthesiologist and the warning went ignored. There is also the discussion about the pressures on the ventilators being higher by 20% than they should be given normal human lungs. Reporting on a case where a feeding tube was placed into the lungs instead of the stomach as well. The mother of two traveled from Nevada to New York to assist. Like hundreds of others. She said that they had plenty of assistance by the time of the video and yet mistakes that were being blamed on over worked and too tired were simply negligence and mismanagement.

This woman was not the only one affected. The protocols placed by administration of the hospitals were not what most of the providers thought were a good idea. There have been an increase in Medical Provider suicide since the start of COVID-19 protocols.

Protocols to improve Finances don’t always mean Best Care

This past decade has brought about more and more Direct to Patient Care, Concierge or Hybrid type Practices. There are some who will say that this shift was due to the ACA Healthcare Bill, but as a provider, I Know it is about more. I have had the opportunity over the past 4 years to interview physicians and other providers who have made the switch. The common theme among them is that they have to see too many people and they don’t actually get to practice medicine anymore. The Popularity of Alternative Medicine currently also paints the picture of what Americans Desire.

Physicians don’t want to see 30 patients a day, neither do physical therapists, surgeons, cardiologist, chiropractors, etc. Yet with declining reimbursement, more hoops for pre-authorization and less autonomy when recommending medication and protocols, this is reality. That is why so many are jumping ship and quitting the profession entirely or moving to concierge direct to patient models.

What happened to that new disease Vaping Lung? or even Influenza?

Do you remember back to January of 2020 the stories of vaping lung disease that was affecting young people. Particularly those who used flavored vape pens? What ever happened with that? My guess is that some of the negative tests where people have died of respiratory symptoms, have been attributed to COVID19, even if it was this instead. Senator Jensen believed this was the case of a 38 year old male who tested negative twice, did admit that he vaped, died of respiratory symptoms, but cause on Death Certificate was attributed to COVID-19.

It also seems that no one has the traditional flu anymore, even though we can trace influenza A and B outbreaks back to 1889 with certainty, and likely back 500 years.

 

Do Your Research! From websites that are giving facts, not social media. 

Stay healthy out there!!

 

References:

Please be sure to FACT Check all information that you see. 

Most information for this blog was taken from the CDC WebSite. 

 

FDA.gov/media/140161/download

FDA.gov/media/143737/download

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862331/#:~:text=The%20most%20significant%20of%20these,intervals%20averaging%20approximately%2040%20years.

What Is Coronavirus?

Why the Hype about Coronavirus?

When the pandemic first started you could see a lot of misinformation spreading. There were those that new other corona viruses existed and those that didn’t. Some would post pictures of Lysol cans on the internet and say “see, nothing to worry about. Lysol kills this so its not new.” Others would look at that same label and say “Lysol is just trying to make money.”

Here is what you need to know. Some form of Coronavirus Causes Most Colds and Flus. 

In fact, there are 4 different types of corona virus that cause common colds. They are more prevalent in cooler months, but are present year round. Hence “Summer Colds”. The most common way you contract them is by touching surfaces that have been contaminated, someone coughing or sneezing, sharing cups, etc..

Symptoms of any coronavirus include: Runny Nose, Headache, sore throat, Mild to moderate fever, cough and sneezing, Chills. More aggressive symptoms can include Shortness of breath, difficulty breathing, body aches and fatigue. If you have any of these symptoms, it is important to use a facemask in public if you have to go out. You should avoid public places if you are running a fever, unless you are going to seek medical treatment. 

On the CDC Website, You can look at data covering the last decade on reports of number of tests reported to the CDC, number of cases of influenza treated and reported in the season, number of hospitalizations and number of deaths from the disease. Most hospitalizations occur because the virus progresses into pneumonia. Pneumonia causes inflammation in the air sacs in the lungs. This causes fluid to accumulate. That means that oxygen can not be produced to be utilized by the body. There are approximately 3 million cases of Pneumonia each year in the United States.

What’s Different about Sars-COV2?

In a previous blog on November 20, 2020 I talk about the fact surrounding the current pandemic and what you should know. This is a continuation.

The Main Difference is Severity of symptoms. However, the addition of loss of Taste and Smell is of significant note. It can persist for months after the person has recovered from immediate symptoms as well. Another note is that while children with the flu may experience nausea, vomiting and diarrhea, with SARS-COV2, this is more common across all age groups. 

Testing: WHAT IS BEST?

Traditionally, about 60% of persons in the US with symptoms of cold and flu receive a standard flu test each year. Tests for flu virus usually are a nasopharyngeal rapid test with results in as little as 15 minutes. This test has been fairly specific at 90%, but only 70% sensitive, meaning you can get up to 30% either false positive or false negative tests. Tests like this have been available since the 1990’s. If the rapid test is positive, the Point of Care provider will likely prescribe some antiviral. Ask you to drink plenty of fluids, Remain home, Rest and do some light activity. It has been shown that light cardiovascular activity can reduce the risk of pneumonia and decrease time of symptoms of cold and flu. 

You will likely also be asked to make sure you are following proper hygiene. This means frequent hand washing. Handwashing should be done for at least 20 seconds and cover all surfaces of the hand including under the fingernails. It should be done before and after each meal. Any time hands come into contact with the face. Always after using the restroom.

Testing for SARS-COV2 can be done in 3 ways, but one way is more effective. 

First test is the Antigen test.

It is the most common test currently used in the United States. It is very similar to the Flu test in that it is a nasopharyngeal swab. Results come in a few hours to a day. The test is given at Point of Care facilities and Providers. These include Urgent Cares, Primary Care Doctors, Pediatricians and most Emergency Rooms. The test is done because it is the least expensive, Results come quickly and it is then easy to report. However, the test is not as specific to SARS-COV2 according to the FDA.Gov website. A positive test is likely positive for cold, flu, or COVID-19 and should be followed up. 

Second is the Molecular PCR test.

This test is both highly sensitive and specific. It can take up to 1 week to get results. The test is also a Nasopharyngeal swab, but includes saliva testing as well. If you have a positive test at a Point of Care facility, you should ask for it to be followed up with a molecular test before it is reported to the county health department to rull in COVID-19 versus traditional Flu.

Third is the Antibody test.

While antibody testing is not recommended to actually diagnose an active case of the SARS-COV2 virus, it can catch the presence of it if you have had mild symptoms for approximately 2 weeks. According to the FDA.Gov website, best testing for actually accounting for positive cases would be a combination of the molecular PCR test and the Antibody Test. 

What Do I Do Now?

If you feel like you have Flu or Cold Like symptoms, call your primary care provider in the first 48 hours to get a FLU TEST. If it is positive, you can be given antivirals right away and begin recovery. If it is negative, then you can ask for and insist on the Molecular PCR test. 

Stay Home!! Recover away from family, including spouse or partner. Most cases of cold and flu take 7-10 days. Non-hospitalized SARS-COV2 are averaging 3-4 weeks. 

Clean up after yourself! Wash hands thoroughly. Wipe down surfaces that you touch with gloved hands after washing them using a disinfectant wipe. 

Try and do 20 minutes of walking daily.

Drink Plenty of Fluids. 

If you are going to miss work in your recovery, ask your employer about their short term disability policy through the Human Resources Department. There are likely a specific number of days in a row that you need to be absent prior to qualifying. If you come back at day four and go back out at day 6, the process starts over. You want to be mostly symptoms free for 2-3 days before returning to work.

Do Your Research! From websites that are giving facts, not social media. 

Stay healthy out there!!

 

References:

Please be sure to FACT Check all information that you see. 

Most information for this blog was taken from the CDC WebSite. 

FDA.gov/media/140161/download

FDA.gov/media/143737/download

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862331/#:~:text=The%20most%20significant%20of%20these,intervals%20averaging%20approximately%2040%20years.

What is a PANDEMIC and Why Should you look Deeper into the Facts

2020 has been an Unprecedented year

In November of 2019 we started hearing about the Current SARS-CoV2 as it spread through China. 

At the time, we were already in our ridiculously long election cycle that now lasts about 20 months. 

In March New York and areas of CA were overwhelmed with cases. By April, most of the country had gone into lockdown. 

 

But why? 

This will be the first of a few blogs talking about this pandemic in comparison to others that have happened throughout the history of time as we know it. Really particularly looking at the last 150 years. 

Since 1889, We have had 7 pandemics that are of real note in regards to the Corona Type Viruses or Flu and Influenza. During one such pandemic, the United States actually held one of the most iconic Music Festivals in modern history. Can you guess which one I am talking about? Here is a hint, it happened in 1969.

Let’s first address the conspiracy theories that there is a pandemic every election cycle, but only seems to affect one party. 

 

2004 SARS Virus:

First off, there were 8 cases in the US in 2003. 1 Death. All 8 persons had traveled abroad. It did not spread in the US and the only mention politically was the need for increased diplomacy and support between US and China.

2008 AVIAN FLU:

The first time this virus reached the world was actually in 1990. It has a total of 5 world wide spreads. It continues to be in circulation and it was only briefly addressed as a reason to strengthen international support of each country affected and work together to support the people of the world. 

2009 Swine Flu (H1N1):

NOT AN ELECTION YEAR. The CDC actually referred to it as the first Real Pandemic in 40 years. Mostly because the two previous stayed in their respective countries of origin as significantly damaging. This particular flu season in the US was one of the deadliest on record prior to the current pandemic and that of 1918.

2012 MERS:

Much to people’s disappointment, this did NOT come from China. It was first discovered in Camels in Saudi Arabia and passed to humans who were in direct contact with infected animals. It was most common in underserved communities with lack of medical team access. Only 2 Cases reached the US. 

2014 EBOLA:

though not a flu virus was used in the midterm elections to degrade the opposition. Both parties threw Mud. Neither should have because there were 2 Cases in the US. In 2018 there were additional cases totaling 8 from people that had traveled to the two countries in Africa that had outbreaks. 

2016 ZIKA:

Also not a flu virus. It is contracted through bite of infected insect or unprotected sex with someone infected. Originated in 1956. There were approximately 5200 cases in the US and President Obama asked for $1.8Billion to fight it and prevent spread. The bill took 7 months to pass. Congress dragged its feet. Both Hilary Clinton and Donald Trump brought it up while campaigning. Republicans had control of the senate at the time. One party said it was a purposeful stall to affect election results. The other said it was a failure of the President to serve the people. Again, mud slinging. 

2019/20:

SARS-CoV2 proves to be the centerpiece of election slander. One party says it’s a failure of Republicans in not approving bailout and poor management and leadership from the top. The other says it’s a Hoax and nothing more than the Flu. And we are managing it differently than all previous pandemics. 

 

Viruses always run a course. They are really difficult in the first two years, then immunity is built in the community. Viruses can not be treated with antibiotics, but can be treated with antivirals. Antivirals are really aggressive on the body and are targeted to decrease symptoms and duration of symptoms. They can cause Nausea, Dizziness, Diarrhea, Vomiting, Nervousness and Poor Concentration. 

If you run a fever above 100.1, you should stay home. Don’t engage with anyone outside your nuclear family or those that live in your home or dorm room. If you reach a fever of 102, You should seek testing and care with-in 24 hours of first symptoms. Symptoms include sore throat, fatigue, body aches, cough, shortness of breath, difficulty breathing. 

Please be sure to FACT Check all information that you see. 

References:

Most information for this blog was taken from the CDC WebSite. 

FDA.gov/media/140161/download

FDA.gov/media/143737/download

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862331/#:~:text=The%20most%20significant%20of%20these,intervals%20averaging%20approximately%2040%20years.

 

Tainted Oils? How do I know what is good quality?

The Business of Essential Oils is Controversial

Many of you know that since January of 2020, I have incorporated Essential Oils in my practice. I use these oils to help with Air Purification, Calming, Relaxation and support of certain systems of the body. This decision did not come lightly. You see, I was introduced to dōTERRA back in 2011 when a friend of mine asked to borrow the clinic to host a class. I willingly gave her the space to use for free, but was not interested in joining her team. Over the years, many have approached me about different MLM Oil companies and asked me if they could simply use oils from Sprouts and Whole Foods.

After doing some research, I would tell people that they should not ingest the oils unless they could get independent testing results. It turns out, most of those companies won’t release all their testing results and they do it in house. Even as a medical professional, they would not release oil testing results to me. One particular company even goes so far as to say in a letter to its Sales Associates that they don’t need to give the results. The people should just believe what they are told.

As a Consumer, How do you know what to buy and use or not use?

This one is hard. You see, the incorporation of essential oils into my practice came after i received my Functional Medicine Certificate. I was on a web class discussing hormone pathways and support for those pathways and they kept mentioning things like Peppermint Oil, Grapefruit Oil, Majoram, Fennel, Frankincense and Cinnamon and Clove Oils. This company that was doing the education only provides one service: Urine and saliva testing of metabolized hormones.

They don’t sell oils.

They didn’t recommend a brand

They didn’t say internal or external use.

So I did more research…

This is why I USE and Recommend dōTERRA Oils.

  1. Yes they are an MLM, but you can ask my up-line, I have no builders, just customers. In fact, I probably should have signed up to just be a retail seller as it would make more sense currently, but retail purchase is expensive for a minimum order and I wanted to try them first.
  2. 86% of all of the company sales are customers, not SELLERS
  3. they have a 68% return purchase rate for multiple years of re-purchase
  4. They are the only one I could find at the time that really backed what they said in ALL aspects.

Many Don’t Believe me

Yep, Every oil company will tell you the ethically source. They will tell you that they don’t adulterated or alter their product. they will tell you its organic. They will even tell you that they get their oils the same place dōTERRA does.

Don’t believe it. In Many independent studies, not just one, dōTERRA comes out above its competitors.

Not sure you believe it? https://www.consumersadvocate.org/essential-oils Read this Review of 11 companies.

Of the 10 who’s reviews stay up, Améo Oils and dōTERRA are the only that make the cut.

Brands hat you find at area stores like NOW and Aura Cacia are tainted. Brands that you order online that claim to source from dōTERRA sources are tainted like RockyMountain Oils and Plant Therapies.

 

This Letter https://tinyurl.com/y44glwtu show legal action taken against Revive Oils for its misrepresentation and it references another oil company. You can look up that long standing feud as well, and how a Judge with independent labs said no, that product is adulterate.

 

 

Synthetics Cause Harm

As a Medical Provider and Functional Medicine Specialist, My job is to first o no harm. Turns out, 90% of side effects could be eliminated through a few tests and removal of synthetics from our food, diet, and drugs.

Have you noticed the drug commercials with the lists of side effects at the end that are as long as the product information?

Genetic testing like the DNAMedCheck can indicate if you should try a certain type of drug to help with your particular health concern. the DNAHealth Test can also indicate if your genetics are even likely to benefit from the type of therapy recommended. For instance, My body does not process lipids well. Turns out I also am not likely to benefit genetically from statins to control cholesterol. The best recommendation: Diet of low fat and Exercise. Not a Statin drug for cholesterol.

Plant based Therapies have been around for years. There are independent studies done that show that specific essential oils in combination with antibiotics boost effectiveness in drug resistant bacteria and viruses. Notice is said in combination. Here is one Example

This Example shows the immune boosting properties of some oils to support the body’s natural processes.

If we can recommend plant therapies in conjunction with drugs with harmful side effects, why would we not? Could we lower the need for the medications with harmful side effects by supporting the body rather than fighting it? In studies on Cinnamon and Diabetes, it turns out that a lot of blood markers improved. Cholesterol, Glucose, triglycerides.

The hard part is leading the horse to DRINK. Most, if not all, Chronic illness in the United States are caused by the Standard American Diet and our lack of Exercise. So just like anything else, Oils are NOT A CURE for anything. But neither are drugs. Both are meant to support a system to obtain better health and then remove it until a time when it is again necessary.

Problem: High rates of fast food, poor quality high carbohydrate processed foods, lack of regular exercise that includes both resistance and cardiovascular training, Poor Hydration to move things through our digestive tract and high intake of sugary drinks.

Solution: Exercise 6 days a week for 30 min of cardio vascular, 30 min of resistance training. You can not our run a bad diet though. So 2-3 Meals a day focused on 6 oz of LEAN Protein, 1 cup of veggies that are green and 1/2 cup of Fruit, legume or grain (oatmeal, rice, corn, quinoa, Millet). Calorie goals should be 1500-2200kcal/day. with 50% – 60% coming from protein. Water intake minimum should be 80 oz. With exercise and a dry climate, 100-130 oz.

Supplementation: with essential oils to promote immune health, detoxification and help with seasonal threats. With Omega 3s to assists in brain health, cardiovascular health and joint lubrication. Vitamin D for tissue and hormone repair. B vitamins for the nervous system.

If you are interested in essential oils click here

Interested in Pharmacy grade Supplements click Here

 

 

Can you be Healthy at Every Size

This is a blog I have struggled with.

I started writing it the first week of July 2020. I struggle with it because I know people who struggle with Body Acceptance. I Know people who Body shame others. I know people with significant Body Dysmorphia and Eating disorders. 

One of my goals as a Functional Medicine Wellness Coach is to Empower People to Health. So I feel obligated to write this particular article. But also, obligated to be vulnerable with you and caring in what I write. There is a Movement called Health at Every Size, or HAES for short. It wants people to recognize that a person who is Morbidly Obese can be as healthy as a person of “Normal” size. (20-25% body fat in the pictures below).

 

Body Fat Percentages
20-25% is considered healthy for Females, 12-20% for Males

HAES challenges some of the key assumptions of traditional approaches to weight management. These include

  1. that adiposity poses significant morbidity and mortality risk,
  2. that weight loss will prolong life,
  3. that anyone who is determined can lose weight and keep it off through appropriate diet and exercise,
  4. that the pursuit of weight loss is a practical and positive goal,
  5. that the only way for people living with obesity to improve health is to lose weight, and
  6. that obesity-related costs place a large burden on the economic and health system, and this can be corrected by focused attention to obesity treatment and prevention

Principles of HAES:

  1. Intuitive eating
  2. Body acceptance
  3. Movement for health not weight loss or performance

So What does the research say?

HAES says that not every approach works the same on each individual and a 2015 Study in the American Journal of Public Health denounced HAES research stating that While the exact proportion of obese people who are metabolically healthy varies depending on what criteria are used to define both obesity and health, it is smaller than the proportion of obese people who are not metabolically healthy. As it is currently not possible to predict which people will remain metabolically healthy despite excessive weight gain, it may be dangerous to make blanket community statements that people can have health at every size. 

Interpreted: We are unsure who is really healthy and stays that way according to cardiac and lung function, Diabetes as well as Cholesterol levels. This also includes things like Sleep Apnea. 

Study published in the Journal of American Diet Association in 2005  Showed that persons of obese nature improved metabolic fitness in cardio, lipid profiles, social behavior, depression and self esteem. But Intuitive eating not without risks: Food is calorie dense and nutrition deficient, which allows for people who lack satiety gene to over eat, as they don’t feel full, Causes those with sweet tooth gene to eat more sugars which lead to further obesity and then other health concerns. Cost of Nutrient poor versus nutrient rich foods is significantly different and has a significant impact on Socio-economic habits and allowances. Then the environment which someone grows up in with genetic predisposition for obesity or thinness.

Body Acceptance:

On top of all of this, body acceptance is lacking world wide in the female population. The Number of women who berate themselves daily about weight, acne, size of hips or thighs is remarkable. It shows how we look at the world as a society and what society believes is attractive versus what’s healthy is out of balance. There is also research that has been published on the difference, particularly in women, on how providers see and treat women. It showed that if a woman was obese, no matter the reason for her visit, she was more likely to be lectured about weight ad diet. A woman who was put together with good clothing, hair, makeup was less likely to be taken seriously regarding pain. Also, a woman who was dressed in sweats, hair in a bun and no make-up was looked on as drug seeking if there was a complaint of pain. As providers of Healthcare it means that we need to be aware of the bias we come to the table with and try to think of the person in front of us. Try and connect more intimately with the complaint they have in front of us and try and treat equally, regardless of size. 

 

Here is some startling information: If you use the calculator found here:Calculate BMI and HERE: Calculate Body Fat You can get a sense of where you fall according to Normals. I have a BMI of 25.1, putting me at obese. My Body Fat with this crude calculation is 36.5%, placing me also in the obese category. 

Moving for health, Not Fitness

Movement for health is a great tipping point many have difficulty overcoming, Particularly in the Endurance category and Body Building Category. The ability to just go for a walk to walk and enjoy the outdoors is lost on many. The use of E-bikes has improved the number of persons in a specific socioeconomic class enjoying trains throughout the cities in the US recently. The other portion of this coin is Movement sometimes takes an inner motivation that people don’t possess and therefore need a significant amount of goals or push to get the exercise in. 

The Skeletal system:

Whether or not a person with excess weight develops metabolic diseases such as diabetes or cardiovascular disease, sooner or later the mechanical effects of excess weight and the resultant gait abnormalities, combined with systemic inflammation, are likely to take a toll. As one example, adults who are overweight have a 2.2-fold greater chance of developing knee osteoarthritis than those with a BMI under 25 kg/m2, and this increases to a 2.6-fold greater risk for adults with a BMI of 30 kg/m2 or more. Moreover, every increment in BMI contributes to escalating difficulties in performing activities of everyday life, such as walking, getting out of a chair and climbing stairs.

How do we know that inflammation happens overtime with obesity? Studies of adipose tissue show that they have their own homeostasis in relation to Hormone secretion and cytokine production. The Adipose or Fat tissue actually makes its own estrogen and Cytokines. In the current environment with COVID-19 showing a Cytokine storm as the leading cause of Intubation in ventilator use, we know that an Obese person is more likely to suffer this fate. Intubation comes with a host of problems later down the road such as poor lung function. Poor lung function leads to decreased ability for the Cardio-respiratory system to keep up with the body’s needs. 

In addition to this, Cytokines can actually cause destruction of small Blood vessels in the capillary beds.  

After this time, carrying excess weight may become ‘hard wired’ into the parts of the brain that regulate body weight, and it may be almost impossible to make any changes at all. In normal animals, exposure to an energy dense diet that is high in fat, or high in fat and sugar – similar to the default diet of modern societies – initially leads to physiological changes that would tend to counteract weight gain, as recently reviewed

The study by Sainsbury showed that animals originally will stop eating or eat lighter meals when exposed to high sugar and high fat diets in order to regulate body fat. This is done by the hypothalamus supporting release of Leptin. What happened over time though was that the animals became leptin resistant in a period of 9-12 months and then developed higher body fat and lost the ability to feel satiety. They never felt full, so kept over eating. 

Studies in 2006 and 2007 showed that Obese Rats that were continually fed the same diet developed a leptin resistance. In the 2007 study, Rats were able to “reset” Their Leptin resistance and become a healthier weight again with dietary changes. However, the 2006 study showed that the rats actually reached a “Set Point” that was higher than the original point at which the body thought it was healthy. This is why some people say things like “I have to starve myself to get below X and maintain it.” This is where the Genetics come into play. If you are predisposed to weight gain and have a difficult time taking it off, using Lipids circulating in your blood as energy or converting stored fat to energy, you may develop a higher “set point” This is the Definition of epigenetic. The effect the environment, including nutrition, has on the genes you were born with. The really dangerous part of that: IT leads to future generations of obesity due to the fact that the DNA is changed. 

The HAES movement says wait until it is convenient to do something about the weight. Epigenetics says you can not waste that time. By Age 50, it may be too late. If you have a family history of obesity and you want to see positive changes for your future generations, it should start prior to pregnancy and certainly through your lifetime and the child’s lifetime. That does not mean Body Shaming. It means education about healthy choices and responsibility. It will take 3 generations to DAMAGE the DNA and 5 generations to REVERSE the Damage.

 

 

Studies:

Vincent HK, Heywood K, Connelly J, Hurley RW: Obesity and weight loss in the treatment and prevention of osteoarthritis. PM & R. 2012, 4 (5 Suppl): S59-S67.

Blagojevic M, Jinks C, Jeffery A, Jordan KP: Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis and cartilage / OARS. 2010, 18: 24-33. 10.1016/j.joca.2009.08.010.

Enriori PJ, Evans AE, Sinnayah P, Jobst EE, Tonelli-Lemos L, Billes SK, Glavas MM, Grayson BE, Perello M, Nillni EA, Grove KL, Cowley MA: Diet-induced obesity causes severe but reversible leptin resistance in arcuate melanocortin neurons. Cell Metab. 2007, 5: 181-194. 10.1016/j.cmet.2007.02.004.

MacLean PS, Higgins JA, Jackman MR, Johnson GC, Fleming-Elder BK, Wyatt HR, Melanson EL, Hill JO: Peripheral metabolic responses to prolonged weight reduction that promote rapid, efficient regain in obesity-prone rats. Am J Physiol Regul Integr Comp Physiol. 2006, 290: 1577-1588. 10.1152/ajpregu.00810.2005.

Milagro FI, Campion J, Garcia-Diaz DF, Goyenechea E, Paternain L, Martinez JA: High fat diet-induced obesity modifies the methylation pattern of leptin promoter in rats. J Physiol Biochem. 2009, 65: 1-9. 10.1007/BF03165964.

Zhang FF, Morabia A, Carroll J, Gonzalez K, Fulda K, Kaur M, Vishwanatha JK, Santella RM, Cardarelli R: Dietary patterns are associated with levels of global genomic DNA methylation in a cancer-free population. J Nutrition. 2011, 141: 1165-1171. 10.3945/jn.110.134536.

Sumithran P, Prendergast LA, Delbridge E, Purcell K, Shulkes A, Kriketos A, Proietto J: Long-term persistence of hormonal adaptations to weight loss. N Engl J Med. 2011, 365: 1597-1604. 10.1056/NEJMoa1105816.

Size acceptance and intuitive eating improve health for obese, female chronic dieters.

Bacon L, Stern JS, Van Loan MD, Keim NL, J Am Diet Assoc. 2005 Jun; 105(6):929-3

Am J Public Health. 2015 May; 105(5): e38–e42.

Published online 2015 May. doi: 10.2105/AJPH.2015.302552The Health at Every Size Paradigm and Obesity: Missing Empirical Evidence May Help Push the Reframing Obesity Debate Forward, Tarra L. Penney, BSc, MA and Sara F. L. Kirk, PhD

Velho S, Paccaud F, Waeber G, Vollenweider P, Marques-Vidal P: Metabolically healthy obesity: different prevalences using different criteria. Eur J Clin Nutrition. 2010, 64: 1043-1051. 10.1038/ejcn.2010.114.

Sainsbury A: The Biology of Weight Control. A modern epidemic – expert perspectives on obesity and diabetes. Edited by: Baur L, Twigg S, Magnusson R. 2012, Sydney, Australia: Sydney University Press

 

 

 

 

 

What do we need to make Healthcare and Education for ALL actually work?

Why is Everyone Against Medicare for All?

Is it because we don’t really know what that means? Is it because all anyone can say is “Tax the Rich More”? Does anyone, including your congressional Representative, understand why the system works in places like France, Finland, Norway, Germany and Canada?

Let me explain, in simple terms, what Medicare for all would need to look like to work effectively.

In Germany, the system works well for most people. Everyone kicks in what they need to in Taxes. Taxes that are fairly qual across the board. The Government then controls costs of services in some manner. The manner is how much prices for tests, drugs, and procedures can be set initially and then also increased to account for inflation. The other reason it works so well: Less Administration, more Healthcare Workers. Germany’s system runs on 10-15% of all healthcare jobs, including at the insurance level, being administrative, non-billable persons. The US is more than Double this rate at 23%. That is up from 8.3% in 2016.

In France, the Taxes are around 46% of income. Do you know what they are in the US? 24%. Thats right. Just above half. Now, I am not saying that you can not tax the rich more, but everyone has to have a tax increase. One of the benefits of the systems in Europe that are Thriving is that all persons believe that healthcare is needed. They all know that they need to contribute when and where they can. And They ALL understand that everyone plays a part, not just the wealthy. What we need, to support the claim of Healthcare and Education for all, Is Higher Taxes. I know, shoot the messenger. But with Trillions of dollars in deficit, How do we expect to cover this “Right” as some like to call it.

Graph Showing US Healthcare As Largest Employer

Where is all the Money in Healthcare Going?

In the US, Administrative jobs in healthcare have grown 3000% since 2007. If you don’t believe that the cost of healthcare has gone up because the cost of employing these persons, think again. But why do we need so many non-billable persons administrating what gets done? Rules and Regulations put in place by Insurance companies. Legal Suits Filed for the smallest incidence of something going wrong in a surgery, that maybe couldn’t be helped. The act of trying to “Manage Costs”.  The staggering statistic that 1 in 8 Americans or 16million persons are employed in Healthcare in the US, yet this number does not include the Insurance and Pharmaceutical industry according to the US Bureau of Labor and Statistics.

To Summarize what we need to make Medicare for All Work:

  1. A Global across the Board increase in Income taxes by no less than 10%. At EVERY tax bracket.
  2. Decrease in administrative Roles in Healthcare to bring back the 1 admin for every 4 providers ratio (according to the 2015 AAFP the ration is currently 3 admin for every 1 Provider)
  3. Limits in Prescription Drug Costs
  4. Personal Accountability for Health in Nutrition and Exercise Recommendations that are Followed by the Patient
  5. Decrease the Hoops to Jump through to Access Care.
  6. Lawsuits only filed in case of wrongful death or injury due to negligence or not following the Gold Standard of Care

So when you see that A. O-C. or other Democrats are asking for, look at all of their statements. Alexandria Ocasio-Cortez Clearly states that she thinks healthcare and education programs like those in Finland, Germany and Norway could work here in the US. Her statements clearly include Trade School Education too, not just 4 year university.

Yes, it’s a socialistic ideal, but so is Medicare, Medicaid, and Social Security as well as Welfare, Food stamps, Section-8 housing, Headstart Programs, and Daycare assistance Programs. In some extent, so are Pension Plans that are outdated and bankrupting companies.

*Statistics taken from Taxinfo.org and BLS National website.

Voted Best of Greenwood Village 4th Year Running!

Press Release

FOR IMMEDIATE RELEASE

Agility Physical Therapy and Sports Medicine Receives 2020 Best of Greenwood Village Award

Greenwood Village Award Program Honors the Achievement

GREENWOOD VILLAGE July 14, 2020 — Agility Physical Therapy and Sports Medicine has been selected for the 2020 Best of Greenwood Village Award in the Doctors of Physical Therapy category by the Greenwood Village Award Program.

Each year, the Greenwood Village Award Program identifies companies that we believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and our community. These exceptional companies help make the Greenwood Village area a great place to live, work and play.

Various sources of information were gathered and analyzed to choose the winners in each category. The 2020 Greenwood Village Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the Greenwood Village Award Program and data provided by third parties.

About Greenwood Village Award Program

The Greenwood Village Award Program is an annual awards program honoring the achievements and accomplishments of local businesses throughout the Greenwood Village area. Recognition is given to those companies that have shown the ability to use their best practices and implemented programs to generate competitive advantages and long-term value.

The Greenwood Village Award Program was established to recognize the best of local businesses in our community. Our organization works exclusively with local business owners, trade groups, professional associations and other business advertising and marketing groups. Our mission is to recognize the small business community’s contributions to the U.S. economy.

SOURCE: Greenwood Village Award Program

CONTACT:
Greenwood Village Award Program
Email: PublicRelations@2020-communitybestinformation.com
URL: https://www.2020-communitybestinformation.com

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Genetics and Health

Nutrition and Supplements for GENETICS and HEALTH, avoiding drugs

Can I tell you a story and see if it seems familiar? Picture this:

You see someone that claims to love and support you after 3-6 months. That person is either a friend or a family member. Maybe a FAN on social media. In that time, you have changed your body composition so that your waist is trimmer, you have more muscle and less fat. Your skin looks healthier and you hold your head higher. They say something like: "Wow, you look really good, Are you Starving yourself?" or "Why'd you lose weight, you were fine before." then there is the "I've seen your posts, what are you trying to prove?".

We've all had it, right? It makes us feel bad. I mean shoot, look what was said about Adele's Decision to Get Healthy.

What we know about Obesity:

Obesity is the number one cause of almost ALL CHRONIC disease. It causes joint degeneration, heart disease, diabetes, cancer of all types. It is one of the leading COSTS in the healthcare system. So why are people Health Shaming you? They feel Guilty. Or, they think you should feel guilty for improving because you are now supposedly Fat-Shaming them by losing the unhealthy habits.

What Role Does Genetics Play in ALL of this?

Back in April, I did a Blog on Genetics and Pharmacology. (you can reference that here)

Is Pharmacology Necessary?

What I would like to tell you today, is that that while sometimes pharmaceutical intervention is necessary; Pharmacology can also do harm in more than just the side effects. You see, Most drugs are meant to alleviate symptoms short term and then time out. We want to adjust and treat the cause of the symptom, not just override it or mask it with a drug. Most drugs come with side effects that lead to the need for another drug. If we can look to the genetics and the NEEDS of the PERSON, we can decrease our dependency on pharmaceuticals by 3 fold in this Country

Now, there are times when you need to be on a specific drug for a longer amount of time, but you should also know those nutrient deficiencies are created with those drugs or combination of drugs.

So When might you need to be on a drug longer than 90 days? Severe, chronic disease states like diabetes, COPD, Hypertension that is Hereditary, Thyroid medication after thyroid removal; Hormone replacement therapy after menopause or in cases of severe low-T. The list is not endless though.

When should you talk about Health Management vs. Pharmaceutical Management?

Let's say you are someone who has High Blood Pressure or Hypertension, has a BMI greater than 23 (Calculate Here)With Extra weight around your midsection and When you measure your waist it is greater than the measurement of your Hips. Your medication should only be given in conjunction with a Nutrition and Exercise Plan. Notice I Did NOT use the word DIEt. That's right, to DIET is to DIE. Think in terms of Nutrition. What helps my Body GAIN what it NEEDS?

That Plan should be Monitored and carried out to work towards lowering or removing the medication altogether. This plan would take 90 days to 18 months and appropriate supplements would be added to ensure nutrient depletion did not occur.

For MOST individuals, Physical Activity alone is not enough. We need to CHANGE Nutrients being put in. Genetics play a role in the AMOUNT of food needed, the TYPE of food needed, the ability to tell if you are FULL or HUNGRY and the AMOUNT and TYPE of physical activity required.

Feel Better - Find Nutrients Depleted b...ent Depletion Calculator - Mytavin.com

This is an example of someone taking Lipitor, Aldactizone and Metformin. The LIST is all of the deficiencies created. These deficiencies can also play a role on the GENETIC Expression of some markers for EACH INDIVIDUAL.

When did Being a Proper weight and size become a Negative?

I Don't Know about YOU, But I'd Rather have the TOP of this Picture than the Bottom. So many times, even in my own life, I have had people ask me why I am exercising or why I am skipping desert. Or My favorite, "You've lost so much weight, You should Eat". My goal is to CHANGE HEALTH in this country, one person at a time. I want to restore people's ability to believe in themselves. To tell that person trying to sabotage them, "HEY! Back off. Its about and for ME, not you." Because really, that person is jealous that you had the Guts to change your health. I want to teach people To Fight for their HEALTH, and to know when they can say NOT TODAY to a drug or surgery. I want to bring AMERICA BACK TO RIGHT through education, Nutrition Exercise and Supplements, not Drugs.

To schedule a Consult to see if we are a right fit to correct your health, Click Here

~Dr. Marci

References:

  1. https://dnalife.academy/dna-health/
  2. Recent developments in genetic/genomic medicine, Rachel H. Horton and Anneke M. Lucassen, Clin Sci (Lond). 2019 Mar 15; 133(5): 697–708.Published online 2019 Mar 5. Prepublished online 2019 Feb 27. doi: 10.1042/CS20180436
  3. Pharmacogenomics in the treatment of mood disorders: Strategies and Opportunities for personalized psychiatry; Azmeraw T. Amare,1 Klaus Oliver Schubert,1,2 and Bernhard T. Baune1; EPMA J. 2017 Sep; 8(3): 211–227.Published online 2017 Sep 5. doi: 10.1007/s13167-017-0112-8
  4. Future Trends in the Pharmacogenomics of Brain Disorders and Dementia: Influence of APOE and CYP2D6 Variants; Ramón Cacabelos,1,2,* Lucía Fernández-Novoa,1,2 Rocío Martínez-Bouza,1,2 Adam McKay,1,2 Juan C. Carril,1,2 Valter Lombardi,1,2 Lola Corzo,1,2 Iván Carrera,1,2 Iván Tellado,1,2 Laura Nebril,1,2 Margarita Alcaraz,1,2 Susana Rodríguez,1,2 Ángela Casas,1,2 Verónica Couceiro,1,2 and Antón Álvarez1,2Pharmaceuticals (Basel). 2010 Oct; 3(10): 3040–3100.Published online 2010 Sep 29. doi: 10.3390/ph3103040
  5. Some observations on the role of environment and genetics in behaviour of wild and domestic forms of Sus scrofa (European wild boars and domestic pigs)S Robert, J Dancosse, A Dallaire – Applied Animal Behaviour Science, 1987 – Elsevier
  6. https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/english_bmi_calculator/bmi_calculator.html
  7. https://mytavin.com/results/medications/612-83-1100

Lemon Water: The Good, The Bad and The Ugly

What are the benefits and Negatives of Drinking Lemon Water daily?

 

 

Research suggests that the average female needs 91 oz of water while the average male needs 125oz of water daily,  But it’s so bland. So how do you get it in? What about flavored water or water with something added to it? 

 

The most common fruit placed in water is Lemon, and with good reason. The question is, is it for your betterment or does it cause harm. Well, just like anything, too much of a good thing is too much. Use best Judgement and guidance from multiple providers, including your dentist. 

 

So what is Lemon Water Used For? 

Ayurvedic medicine has long stated that lemon in the water plays a role in detoxification, hydration, weight loss, digestion, improved skin quality, prevention of kidney stones, and it’s a good source of Vitamin-C.  But which of those hold water?

Turmeric powder,Turmeric in Mortar Grinder drugs and ingredient herbs on wooden background

It turns out that most of it is correct. In a study published in 2016, they looked at the benefits of using lemon water with honey in it to decrease lipid profiles. 50 people participated and the results were conclusive. The Fat weight of the person decreased, Triglyceride levels went down and Free Fatty Mass decreased. The questions for the researchers that I have is in part around the fasting and in part around subject numbers. Intermittent fasting is also shown to improve Free Fat Mass and triglycerides, so is it a side effect of just that, or is it actually the lemon in the water? 

 

If i was not convinced that it had to do with the lemon in the water, a 1014 study with 100 participants showed similar results. They added daily walking for 20 minutes as a component of their study though, and took out fasting. 

 

The most conclusive results that I could find were in a 2019 study looking at changes in the gut microbiome and longevity. That study showed that microbial activity of bacteria that help the body break down and digest food was increased by 10% -30% depending on the individual’s microbiome at the start of the study. They showed that the persons had more energy and then they also were looked at over a period of ten years. They tested at younger ages via blood work, mental cognitive tests and agility than same aged peers. 

 

So why do some think it is harmful to drink lemon water? The answers might surprise you. 

Most of the time, we don’t think about washing fruits that we peel, but they can be a significant host for things like e.coli, staph and MRSA. One study of 20 restaurants across the US showed that almost all of the oranges and lemons contained at minimum E. Coli on the skin. You don’t want to stick that in your water (or beer).When it comes to restaurant lemons and oranges, Squeeze them into the drink, but leave the fruit on the plate please. 

 

Lemons are acidic in nature, so they can irritate the skin, gums and cold sores or canker sores. The American Dental association recommends that you stay away from them in those instances. Also, if you have weak tooth enamel or start to notice your teeth feel rough when you run your tongue over them, re-consider your flavor of water. That acidity may also play a role in GERD. While some people get a benefit for their heartburn from lemon water, others can suffer because the pH balance in the stomach is upset by trying to balance out the acidity of the lemons. 

The last thing you may want to consider is about migraines. If you are unsure of your triggers, check citrus fruits specifically when you know you have some down time. Getting a migraine at work because you drink lemon water is not a good plan.

 

That’s all for now, Check back later for more health news!

 

Effects of Lifelong Intake of Leon Polyphenols on aging and intestinal microbiome; Shimizu et al. sci rep. (2019)9;3671
Effects on 8P of Daily Lemon intake and Walking. Y.Kato et al. J. Nutr. Metab. (2014)2014:912684
Does Short Term Lemon Honey Fasting Have Effect on Lipid Profile and Body composition. J. Ayurveda Integ Med (2016)Mar; 7(11-13).

What Role do Genetics Play in Pharmacology?

Ever Had a bad experience with a Prescription?

Ever thought it was an allergic reaction to a medication?

In 2017 I had a significant abdominal surgery that required me to take pain medication, anti-inflammatories, and Antibiotics. The Surgery was supposed to help with a significant abdominal umbilical hernia. It occurred on a Wednesday, and by Monday, I was having a significant reaction to the Pain medication, where my FACE went NUMB. Talk about scary.

Leading up to the surgery, I had taken part in 2 appointments where I discussed previous bad reactions to the pain medication and talked about my concerns. They told me it was a necessary evil in this case so that I could sleep. The Morning of Surgery, After long discussion with the Anesthesiologist, He asked If I had testing done to look at my response to different drugs. At that time, I didn’t even know that was a thing that could be done.

The News media and Medical Media lately has talked a lot about epigenetics, Epigenomics and now, we are starting to hear about pharmacogenetics. Pharmacogenetics can be done through DNA testing to specifically look at your genetics and how they might react to specific types of drugs. They can allow for better dosing, Better drug choice, so there is less guess work, And over all better outcomes. Pharmacogenetics can also help in looking at how some people may become addicted and others not to things like Marijuana, which the Prop 64 group in Colorado would have us believe is not possible.

Pharmacogenetics can also let us know when it might be time to change a drug, because the Epigenetics/Epigenomics, or the Environmental Factors that cause the genes to change, may have been affected over long term use of specific drugs. These drugs can be related to addiction treatment, Pain Management, Mental Health Disorders (Bipolar, Schizophrenia, Depression), Autoimmune Logical Drugs including Chemotherapy.

Along the line of Epigenetics/Epigenomics, there is a specific testing that can be done that supports your DNA sections. IT looks at what will optimally support your health and with that information, we can create a supplement that is SPECIFIC to you. Repeating the test about 6 months after initial testing and consuming of those supplements is recommended due to the changes you could potentially make. Then every year.

 

Why would you need a DNA specific supplement? Colorado has one of the highest levels of radiation exposure in the continental US. Specifically, We have a lot of naturally occurring Uranium and Radon. Both of those are known carcinogens. Also, think about how much and what type of sunscreen you apply every year in Colorado while enjoying the outdoor lifestyle you love. Chemical Barriers are more likely to interact with the radiation from the sun to create mutation of cells. It starts at the Skin level, But Quickly spreads to the body as the skin is an organ that ABSORBS things you put on it.

 

If you have questions about how DNA Testing can improve your health, life and longevity, Don’t Hesitate to reach out!

 

References:

*https://dnalife.academy/dna-health/

*Recent developments in genetic/genomic medicine, Rachel H. Horton and Anneke M. Lucassen, Clin Sci (Lond). 2019 Mar 15; 133(5): 697–708.Published online 2019 Mar 5. Prepublished online 2019 Feb 27. doi: 10.1042/CS20180436

*Pharmacogenomics in the treatment of mood disorders: Strategies and Opportunities for personalized psychiatry; Azmeraw T. Amare,1 Klaus Oliver Schubert,1,2 and Bernhard T. Baune1; EPMA J. 2017 Sep; 8(3): 211–227.Published online 2017 Sep 5. doi: 10.1007/s13167-017-0112-8
*Future Trends in the Pharmacogenomics of Brain Disorders and Dementia: Influence of APOE and CYP2D6 Variants; Ramón Cacabelos,1,2,* Lucía Fernández-Novoa,1,2 Rocío Martínez-Bouza,1,2 Adam McKay,1,2 Juan C. Carril,1,2 Valter Lombardi,1,2 Lola Corzo,1,2 Iván Carrera,1,2 Iván Tellado,1,2 Laura Nebril,1,2 Margarita Alcaraz,1,2 Susana Rodríguez,1,2 Ángela Casas,1,2 Verónica Couceiro,1,2 and Antón Álvarez1,2Pharmaceuticals (Basel). 2010 Oct; 3(10): 3040–3100.Published online 2010 Sep 29. doi: 10.3390/ph3103040
*Some observations on the role of environment and genetics in behaviour of wild and domestic forms of Sus scrofa (European wild boars and domestic pigs)S Robert, J Dancosse, A Dallaire – Applied Animal Behaviour Science, 1987 – Elsevier