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Showing posts with label physician. Show all posts
Showing posts with label physician. Show all posts

Saturday, June 22, 2013

The Truth About Thyroid Disease - Natural Options Your physician Won't Tell You About


7 Lies We Tell Our Doctors

Addressing Thyroid Disease Naturally

Classic signs of thyroid hormone insufficiency include fatigue, memory loss, cold hands and feet, muscle and joint pain, depression, high cholesterol, and constipation. Over the past 2 years, I have seen a large influx of patients that had been located on thyroid hormones to treat the above symptoms. Many of these individuals responded well to thyroid hormone initially, but were no longer receiving as much benefit from its use. Furthermore, many of them continued to develop additional symptoms such as dry eyes, dry and bleeding nasal passages, and dry hair and skin. Most of them were also experiencing greater loss of hair.

What you should know about Thyroid Hormone Production:

Thyroid hormone production is under the influence of a chemical called thyroid stimulating hormone (Tsh). Tsh is made by the pituitary gland. When circulating levels of thyroxine (T-4) are low, Tsh sends a message to your thyroid gland to start producing more T-4. The construction blocks your body uses to make T-4 come from food constituents that we accumulate from the diet (tyrosine - an amino acid from protein and unavoidable minerals - iodine, zinc, etc). Once your body makes T-4, it must be activated by other nutrients (vitamins and minerals) into something known as T-31. T-3 is the active form of thyroid hormone that works to growth the body's metabolism. However, unavoidable nutrient deficiencies and stress can lead to a allowance in T-3 and instead the production of Reverse T-3. This form of T-3 is not as productive and leads to symptoms of hypothyroidism. Unfortunately, Reverse T-3 is cannot be great from T-3 in primary thyroid lab reports and this is a coarse oversight by many physicians. Once T-3 is made it will attach to the nucleus inside your cells and growth the body's metabolism appropriately. Once again, however, unavoidable nutrient deficiencies can decrease the responsiveness of our body's cells to T-3, causing symptoms of hypothyroidism. For these reasons lab reports ordinarily performed by physicians that look at Tsh, T-4, and T-3, can be misleading. A simplified diagram of thyroid hormone production is listed below:

Tsh Stimulates the thyroid gland to make T-4. T-4 Converts to either T-3 or Reverse T-3 (Rt3). Rt3 is inactive. Normal T-3 attaches to the cell nucleus. Once attachment of T-3 occurs the body's metabolism increases.

As if the above data were not involved enough, there are also environmental factors that can also corollary thyroid hormone production. Oral contraceptives and estrogen containing medications have been shown to sacrifice the conversion of T4 to T3. Many herbicides and pesticides include estrogen mimicking compounds known to corollary thyroid hormone production. Soy foods and sodas can cause a allowance in thyroid hormone. unavoidable food allergies and selenium insufficiency are associated to autoimmune thyroid dysfunction3,4. Heavy metal exposure straight through air, water, dental fillings etc. Have been associated to poor thyroid function.

Remember that thyroid disease is never just as straightforward as taking a medication either it is bio-identical or not. Thyroid dysfunction has a cause. An astute physician will take an active roll in care and seek to achieve a widespread exam and laboratory work up that will recognize the cause. Keep in mind that your body has the capability to make its own thyroid hormone providing that all the indispensable nutrients indispensable are present in the diet or straight through supplementation, providing that the environment is conducive to the expression of good health, and providing that the individual is properly educated in the care of his/her body. Many patients that come to me initially are taking some form of thyroid medication. Many were instructed that the medication was a life long necessity. And in many it is very coarse that the medication becomes unnecessary.

1. Moncayo R, et al. The role of selenium, vitamin C, and zinc in benign thyroid diseases and of selenium in malignant thyroid diseases: Low selenium levels are found in subacute and silent thyroiditis and in papillary and follicular carcinoma. Bmc Endocr Disord. 2008 Jan 25;8:2.

2. Pansini F, et al. corollary of the hormonal contraception on serum reverse triiodothyronine levels. Gynecol Obstet invest 1987;23:133.

3. Mazokopakis Ee, et al. Effects of 12 months medicine with L-selenomethionine on serum anti-Tpo Levels in Patients with Hashimoto's thyroiditis. Thyroid 2007 Jul;17(7):609-12.

4. Negro R, et al. The influence of selenium supplementation on postpartum thyroid status in pregnant women with thyroid peroxidase autoantibodies. J Clin Endocrinol Metab 2007 Apr;92(4):1263-8. Epub 2007 Feb 6.

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Monday, June 10, 2013

A Country physician by Franz Kafka


7 Lies We Tell Our Doctors

The Challenges

This is a story of conflict in several forms. Emotional conflict for a variety of reasons, is a continuous presence, lurking within the characters throughout the story.It is a deep, brooding and depressing tale, but at the same time, a haunting sense of helplessness and bitterness emanates, as though the author is writing in a diary.

The "Country Doctor" is confronted with several challenges, which are all linked and project him into a chain of circumstances, over which he has no control. He was first challenged as a doctor and his observation for a patient, whom he believed was in need of his urgent attention. A severe snow storm and the death of his own horse interrupted his mission. Circumstances and developments are now practically beyond his control. By apparent good fortune, a mysterious groom and horses are revealed, which will enable the doctor to continue his journey.

Strong conflicting emotions now come to be apparent. The Doctor, whilst grateful for the delivery of his transportation, must now face someone else challenge, this time from the groom. A corporeal conflict is now introduced, as the groom imposes himself upon Rosa. This is seen as a recompense for the horses and carriage. It is now apparent the doctor has strong, romantically inclined feelings for Rosa! He is again challenged and refusing to admit any failings or frailness on his part, he is mysteriously conveyed away from the scene by horse and carriage!

An inner conflict now prevails for the Doctor! As a doctor he had a duty towards a outpatient and as a man, to safe Rosa. He believes that by his attendance at the patient's house, he is justifying the decisions he has made. In his mind, his position as a medical doctor and a man of point has been restored and he can again exercise control of himself. The bizarre setting at the patient's house however, reveals strange characters, particularly the patient. The doctor once again appears to have lost all sense of reality by events that have taken place and is in the depths of self pity. In addition, because of his betrayal of Rosa he is suffering deep remorse and guilt.

Fact or Fiction

A "Nightmarish" atmosphere prevails within this story, which is written with a surrealistic and dreamlike quality, that at times can be thought about exotic and romantic, but then transposes into a scenario that is both horrific and psychotic. The characters are in many ways extreme, but although there is no actual corporeal violence, apart from the incident between Rosa and the groom, there is a premonition that the catalyst of circumstances will explode into confrontations.

a) The story and characters is at the same time, gripping, disturbing and confusing.

b) A reader can have mixed emotions with regard to the Doctor, which vary with the character changes in the plot. One is left with the sense of awakening from a bad experience, which is difficult to decree is the result of a disturbed mind, or is a fabricated story?

Themes

1)A basically good and decent person, trying hard to result his path of duty as a house doctor, when he is confronted with situations and circumstances, imagined or otherwise, that tests both his medical beliefs and his basic instincts as a man.

2)This man, who has seemingly practiced as a doctor all his life, is now forced to make indispensable decisions, of an emotional and violent nature. They bear no relation to former experiences and he is thrust into a surreal, dreamlike world

3)This is a man, lost and helpless in abnormal situations, by hypothesize of his exertion to achieve his duty.

4) How this apparently unworldly and maybe mentally disturbed, but caring man is manipulated by various population for their own purposes.

5)The end result is viewed as the thinking destruction of this man. He becomes lost and confused, in strange and tragic circumstances, which are beyond his control!

Citations

Compiled in Mla format
a) Bregman, Etti. "No Rose without Thorns". Psychoanalytic Electronic Publishing. June 12th 2010 http://www.pep-web.org/toc.php?journal=aim&volume=46&Phpsessid=b4mnv0higrngi3n9siu4q39si5#77.
b) Librett, Jeffrey. "Project Muse ". The Johns Hopkins University Press. June 12th 2010 http://muse.jhu.edu/.

These citations were thought about for their comprehensive perceptions of the author. Their observations of this spirited character, indicate a complicated person, within whom a conflicting personality exists.

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Monday, June 3, 2013

How Do You Know If You Have Diabetes? Three Ways to Tell Before You Go to the physician


7 Lies We Tell Our Doctors

How do you know if you have diabetes without going to the Doctor? This is a tiny more complicated quiz, than it sounds. A lot of habitancy don't have any idea that they're diabetic until they go for a blood test that shows elevated blood sugar, but there are some ways to tell.

Here are the top three:

Excessive Thirst - if you're constantly thirsty without any singular reason, then there's a good opening you're diabetic or pre diabetic. What happens is that your body tries to get rid of the sugar by filtering it through the kidneys and then out via urination. Since you're peeing a lot, you need to drink a lot. If you get a lot of thirst or dry mouth after eating sugary or starchy food, you're definitely need to see your doctor to confirm.

Excessive excretion - This tends to go hand in hand with the first one. How do you know if you have diabetes? You'll be going to the bathroom. A lot. Your body will try to get rid of the excess sugar as best it can, so you'll be peeing a whole lot in an attempt to get blood sugar levels down to a manageable level.

Your urine will also tend to institute an odd smell that's hard to describe. It's not the unpleasant smell of ammonia that you commonly get. So if you're finding yourself having to get up a lot to pee or taking way more bathroom breaks than usual, you should again go see your doctor.

Excessive Fatigue - Being a diabetic is tiring. I personally can judge my blood sugar level just by my level of exhaustion. This one isn't a great riposte to the how do you know if you have diabetes question, because lots of things can cause fatigue. But if you're constantly tired and lethargic, this is one of the things you'll definitely need to have checked out, especially if you're also overweight or having one of the other symptoms mentioned.

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Wednesday, May 29, 2013

Five Things Your Eye physician Won't Tell You


7 Lies We Tell Our Doctors

As an Optometrist, there are many thorough answers I give patients to questions they ask. However, there are inevitable things that, although eye doctors won't say it outright, hold true over the board. Here are five things that your eye doctor will never tell you, with good reason:

1. You can ordinarily get your contacts economy online. This might be true, but unfortunately not at the most popular websites - and you may pay a excellent for the lower price. Your eye doctor gets trial lenses based on the whole of boxes they sell, so if you buy your lenses online, your doctor may not be able to provide you with replacements for ripped, torn or lost lenses.

2. You can probably find economy eyeglasses than what your eye doctor carries. Lenses have to be cut precisely, with specific curves and measurements - "close enough" just isn't good enough. You didn't come to my office to see roughly as well as possible, you came because you want clear vision. Often times paying more upfront will contain extra services or a built-in warranty.

3. No matter what you think or are told, your case is not unique. I hear the same stories all day, every day. Everybody says they had perfect vision until they turned 40. Everybody says they're "blind as a bat." It's rare that a patient walks in and says something we haven't heard. But these experiences allow us to help you swiftly and effectively, as long as we listen.

4. Not Everybody needs a annual exam. Young wholesome habitancy with garage vision may not need a annual exam. But I would in effect suggest a annual exam for anything over 40 years old or anything with a house history of any eye disease. However, if you're between 20 and 40 years old, you've never needed glasses and you've had your eyes dilated, you probably can come every other year to make sure your eyes remain healthy.

5. Your eye doctor works for you. Make sure you feel like you got your money's worth. If your vision isn't 100% crisp or if you have any questions, don't be bashful. Call your eye doctor and schedule a followup appointment. If it's within a cheap whole of time from your exam, there should be no payment for this. You are entitled to feel inevitable in the care your receive and the outcome of the exam. We will never be right 100% of the time, so we're not upset to have to see you again.

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