Archive | June 2014

QUOTE FOR TUESDAY

“Some people may notice that their seizures occur in response to very specific stimuli or situations, as if the seizure is a ‘reflex’. There is a type of epilepsy called ‘reflex epilepsy‘ – in this type, seizures occur consistently in relation to a specific trigger.”

*Authored by & Reviewed by 3/2014: Steven C. Schachter, MD | Patricia O. Shafer, RN, MN | Also, Authored by 8/2013: Joseph I. Sirven, MD  *                                                                                      

 

Part 11 What is Idiopathic Epilepsy and the Rx for all causes!

Than their is the epilepsy that is diagnosed with a IDIOPATHIC cause – meaning unknown cause and the patient could grow out of it in childhood depending on the type of seizure disorder or not–in where the condition becomes chronic (for life).

Although heredity has been known since antiquity to cause epilepsy, the progress to date in identifying the genetic basis of epilepsy has been limited primarily to the discovery of single gene mutations that cause epilepsy in relatively rare families. For the more common types of epilepsy, heredity plays a subtler role, and it is thought that a combination of mutations in multiple genes likely determine an individual’s susceptibility to seizures, as well as the responsiveness to antiepileptic medications.                                                                                    —————————————————————————————

Epilepsy can be caused by genetic factors (inherited) or acquired (a etiology—cause) , although in most cases it arises in part from both.  The neurology and neurological sciences of Stanford Epilepsy Center Dr. Robert S. Fischer  Ph D. presents the following facts on “Genetic Causes of Epilepsy”.

Articleour genes are the instruction set for building the human body. Genes reside on chromosomes.

Going to the basics is every person has 46 chromosomes, carrying a total of about 30,000 genes. We get half our chromosomes from our mother and half from our father. While genes determine the structure of our body, they also control the excitability of our brain cells. Defective genes can make hyperexcitable brain cells, which are prone to seizures.

In recent years, several epilepsy conditions have been linked to mutations in genes, but the matter is complicated by the fact that different genes may be involved in different circumstances.

In general, the most common epilepsy conditions, including partial seizures, seem to be more acquired than genetic.

Gene testing will soon be able to identify predispositions to epilepsy, allowing doctors to help a patient get treatment and to assist with family counseling. One day, doctors may simply be able to swap a patient’s cheek, test his or her genes, and predict response to various epilepsy medicines, eliminating much of the trial and error in medication choice that goes on today. Eventually, we may even be able to repair or replace defective genes that predispose a person to epilepsy, a process called gene therapy.

Lastly, Dr. Robert Fischer Ph D presented in his article, that I found very interesting, the general population has about a 1% risk of developing epilepsy.  Meanwhile, children of mothers with epilepsy have a 3 to 9% risk of inheriting this disease, while children of fathers have a 1.5 to 3% risk of inheritence. Still, the actual risk is upon the specific type of epilepsy. For example, partial seizures are less likely to run in families than are generalized seizures. In any event, with the usual forms of epilepsy, even if a parent does have the condition, there is more than a 90% chance that their child will not. So most epilepsies are acquired than inherited.

Clearly, genes determine a great deal of who we are, including our possible risk for epilepsy but slim versus a actual cause. But what happens to us in life and what we do is still the larger part of the risk for epilepsy.                                                                                   ————————————————————————————–

A person given this diagnosis in the 1970’s, or before  and even up to the early 1990’s was quiet about ever letting people know about this since in the 1970’s and back with lack of knowledge, information to the public and definitely technology than versus now.  Epilepsy is much more an accepted disease in the overall community compared to 20-25 years ago and back.  Heck in the 1970’s and back these patients when having a seizure episode were characterized as “Freaks”. This was due to ignorance and lack of information but due to the past 20 to 25 years with the computer used more as a must in our lives with media, television and even our government they all have made it possible for society everywhere in the world to learn and understand diseases with acceptance in wanting to help those, particularly the US, but we still need a healthier America. It will take time to get there with the many multicultural lives that all live in the U.S. which practice differently on how important or where a healthy diet with exercise balanced with rest and stress well controlled is on their priority list in living.

For a person diagnosed with or without a cause of epilepsy these steps in learning about the disease with higher technology and continuous research with medications over the years has allowed them to be able to live a completely healthy life doing the same things other people do without the disease but only if the patient is UNDER COMPLETE CONTROL  which includes being COMPLIANT; this does exist in America.

Compliant meaning taking their medications everyday as ordered by their neurologist with yearly or sooner follow-up visits with blood levels of the anti-seizure medications there on.  This is the only way one with chronic epilepsy is guaranteed that living this way MAY stop the seizures from occurring (inactive epilepsy you can call it — meaning you’ll always have the disease but can put the seizure activity in a remission by medications preventing the seizure.)

The purpose for (follow up) F/U visits is for the neurologist to see how good of a therapeutic drug level your anti-seizure med is in (you get the blood test before the F/U visit).  Possible do a EEG (electroencephalogram); the only test to decipher if you have spikes in your brain waves indicating you had a seizure (a 26 lead to wires on the brain, which is painless).  Go to the expert for keeping you on the right track.  Its just like based on the principle why a person gets a check up on there car by seeing the mechanic (the car’s doctor).

Types of seizures whether with a etiology or unknown:

I-Partial seizures (seizures beginning local)

1-simple partial seizures-(the person is conscious and not impaired).  With motor symptoms, autonomic symptoms and even psychic symptoms.

2.)-Complex partial seizures-(the person is with impairment of consciousness)

II-Generalized seizures-(bilaterally symmetrical and without local onset).

3.) Tonic clonic seizures – Grand Mal

Ending line is  make your life one without seizures occurring, don’t put your life on HOLD you need to TAKE CARE OF YOURSELF! That is all up to you the patient diagnosed with epilepsy or at risk for it.

 

QUOTE FOR MONDAY

“The general population has about a 1% risk of developing epilepsy.  Meanwhile, children of mothers with epilepsy have a 3 to 9% risk of inheriting this disease, while children of fathers have a 1.5 to 3% risk of inheritance.”

 

Dr. Robert S. Fischer  Ph D. Stanford Epilepsy Center http://neurology.stanford.edu/epilepsy/patientcare/videos

PART I What is Epilepsy and the possible causes?

Most people with epilepsy are otherwise healthy; as long as it is controlled like most other diseases.  A seizure is a physical manifestation of paroxysmal and abnormal electrical firing of neurons in the brain.  Think of it as numerous voltage (hyperexcitability of neurons) going throughout the brain meaning brain waves going in all directions with the brain saying its too much activity.  In simpler terms the brain is saying I don’t know what to do, too much brain wave excitability for the organ to register in what to do and freaks out causing the brain to go into a seizure.

When the seizure occurs there is a decrease in oxygen since the brain isn’t capable to send messages during the seizure.  If the seizure continues to repeat one right after another the person is in status epilepticus and if the seizures do not stop the person can lead to a neuronal death;  like John Travolta’s son who died of this for example. The term seizure disorder might refer to any number of conditions that result  in such a paroxysmal electrical discharge. 

These conditions could be metabolic or structural in the cause. *For example if metabolic this could be “Canavan disease” which is primarily a disease of demyelination.  Your myelin sheath that protects and insulates the nerves is being destroyed and can cause a seizure as one of the symptoms.                
*Another example being metabolic is thought to be caused by brain acetate deficiency resulting from a defect of Nacetylaspartic acid (NAA) catabolism (meaning breakdown is occurring).  Accumulation of NAA, a compound thought to be responsible for maintaining cerebral fluid balance, can lead to cerebral edema and neurological injury, like a seizure as one symptoms of the disease. *A structural condition to cause a seizure could be a tumor in the brain.  *Than there is just idiopathic, unknown cause for the epilepsy which if starts usually in childhood but can resolve by the child growing out of it, like in petite mal seizures but it not it goes into motor/focal or grand mal that is permanent and the individual needs Rx for life, with medications.
Remember, etiology (the cause) of epilepsy can be generally a sign of underlying pathology involving the brain–knowing the cause
To find this out diagnostic tooling (tests) by a neurologist who specializes in epilepsy is the best resource to go to (Ex. New York University hospital).  The epilepsy may be the first sign of a nervous system disease (ex. Brain tumor), or it may be a sign of a systemic or metabolic derangement.  Where the treatment may be able to resolve the seizure symptom completely where this wasn’t a seizure disorder or epilepsy but just a symptom due to another disorder that may be 100% curable, like a operable tumor removed surgically from the brain.   That’s why you need diagnostic tooling to find out the cause; if its not idiopathic (unknown). Metabolic and Systemic Causes of Seizures: a.) Electrolyte Imbalance=In the blood having acidosis, heavy metal poisoning, Hypocalcemia (low Ca+) , Hypocapnea (low carbon dioxide), Hypoglycemia (low glucose), Hypoxia (low oxygen), Sodium-Potassium imbalance, and than Systemic  diseases (liver, renal failure, etc…).  Then their is also toxemia of pregnancy, and water intoxication. b.) Infections like meningitis, encephalitis, brain abcess. c.) Withdrawal of sedative-hypnotic drugs=Alcohol, Antiepileptic drugs, Barbiturates, Benzodiazepines. d.) Iatrogenic drug overdose=Theopylline, Penicillin. Other causes of epilepsy can be Trauma, Heredity. Structural causes of epilepsy: Head trauma/Degenerative Disease like Alzheimer’s or Creutfeldz-Jacob or Huntington’s Chorea or Multiple Sclerosis or Pick’s Disease. There is also tumors or genetic disease or Stroke or Infections or Febrile seizures. Than their is the epilepsy cause IDIOPATHIC – meaning unknown cause  come back tomorrow and learn about this with genes and their role.  Also learn about genes and their role in epilepsy with the treatment or prevention of seizures.   See how our society has changed in their perception of what epilepsy is and why.  Lastly learn about the type of seizures and the Rx. and prevention of seizures.

 

 

QUOTE FOR THE WEEKEND

“Osteoporosis is called a “silent disease” because it progresses without symptoms until a fracture occurs. It develops less often in men than in women because men have larger skeletons, their bone loss starts later and progresses more slowly, and they have no period of rapid hormonal change and bone loss. However, in the past few years the problem of osteoporosis in men has been recognized as an important public health issue, particularly in light of estimates that the number of men above the age of 70 will continue to increase as life expectancy continues to rise.”

Centers for Disease Control and Prevention’s National Center for Health Statistics

Many Men are unaware of their risk to osteoporosis until it already hits them!

So many are aware due to media and school that women are the ones at risk of osteoporosis after a certain age (menopause) but so are men!  BOTH genders need to protect their bones.

It is estimated that 2 million men in America are with the diagnosis Osteoporosis with another 12 million who are at risk for the thinning bone disease.  Men develop osteoporosis are also likely to become disabled just like women or even die as a result of a hip fracture that leads into another complication like pneumonia with continuing on declining in their health to sepsis that takes over causing the death, for example.  Is there a way to prevent this, of course (like most diseases).

Even with these statistics present and available most men avoid the doctor or think of this disease as a women’s problem not a man’s, like prostate cancer.  Well guess what gentlemen, it might just be that time for you to address this as a concern in your daily living for prevention which in this case starts now at any age.  The key word is PREVENTION to never have to deal with it or lower your risks at a high number to make it almost extinct in being ever diagnosed with it.

There are risk factors for men in developing Osteoporosis:

 Many of the same risk factors that affect women apply to men, too, but men also face some unique challenges. Let’s get into specifics:

Matthew Drake, MD, PhD an endocrinologist, assistant professor of medicine, and male osteoporosis researcher at the Mayo Clinic in Rochester, Minn. used as my reliable reference shows these as factors for men regarding osteoporosis:

Age. For starters in understanding how good bone production works or how your bone stays strong is this, the bone is constantly being removed, reabsorbed, and rebuilt in the body.  This bone remodeling process is balanced, for the most part, until age 50. After that, he said, the amount of bone being reabsorbed into the body exceeds the amount being put back, leading to thinning, weakened bones.  “The main risk for bone osteoporosis is simply getting older,” Dr. Drake said. “Beyond the age of 50, men begin to steadily lose bone at rate of about 0.5 to 1 percent per year.”

Drake added that part of the reason osteoporosis is less common in men is because they don’t go through menopause and the accompanying rapid rate of  bone loss due to declining estrogen levels.   Instead, men tend to develop osteoporosis about 8 to 10 years later than women. He said there isn’t much that men can do about the age-related decline in testosterone levels associated with bone health. Testosterone supplementation is not recommended unless testosterone levels are very low.  Though you can help yourself with other supplements like.

 Not getting enough calcium and vitamin D?  Calcium and vitamin D play a critical role in bone health. Calcium is a mineral essential to building strong bones, and vitamin D helps the body absorb the calcium in your diet. Men older than 50 need about 1,000 milligrams (mg) of calcium each day. Good sources of calcium include milk and other dairy products as well as fortified orange juice and cereals.  Always remember if you are already diagnosed with a disease or illness check with your doctor to make sure the change you add to your life is safe with what ever diagnosis you already have (ex. Hypercalcemia).

 *If you don’t get enough calcium through your diet, you may need to take a supplement. Spread out your doses throughout the day to avoid taking more than 500 mg of calcium at one time. If you take too much at once, it may overwhelm the body’s ability to absorb it effectively, Drake said.

*Your skin makes vitamin D when exposed to sunlight, but most people don’t get enough that way, often because of spending too much time indoors or using sunscreen. Men 50 to 69 years old need about 800 to 1,000 international units (IU) of vitamin D every day. You might benefit from taking either a calcium supplement with vitamin D or a separate vitamin D supplement.

 Not getting enough exercise. Try to get in at least 30 minutes a day. Exercises that make you work against gravity, called weight-bearing exercises — like walking, jogging, basketball, soccer, and hiking.  Help maintain bone health.   Your bones support the weight of your body during these types of exercises, which keeps them strong.

Smoking. The use of tobacco is directly linked to decreased bone density.

Drinking too much alcohol. Overindulging can speed up bone loss. Drake recommended men drink no more than two alcoholic drinks a day to protect their bones.

 Taking certain medications. Many common medical conditions and the medicines used to treat them can cause bone loss. Included are depression, diabetes, rheumatoid arthritis, and drugs like steroids and some medications used to treat heartburn and cancer.

 Again, Talk to your doctor about the various medications you’re taking for diseases or illnesses, find out how the meds may affect your bones, and what precautions you can take to reduce your risk of osteoporosis.

 

 

QUOTE FOR FRIDAY

“When I was suddenly thrust into what everyone calls menopause (Orchids) earlier than my body planned, I decided someone needed to take charge on so many levels. It was time to not only change the vernacular, but to speak up and say “Hey! This isn’t an old lady’s disease! We aren’t old! We are strong and dammit, we are beautiful and sexy too!”
Lisa Jey Davis, Orchids: The New Black. How to Get Over Your Ovaries & Make ‘The Change of Life’ Your Bitch

Menopause and effects of it on women’s health

What is Menopause?

Menopause is when the ovaries naturally stop producing 2 hormones called estrogen and progesterone. Your ovaries are similar to what a car does in that over years it wears down, well so does the mechanism that regulates your hormones which is the ovaries. You go 12 consecutive months without having a period with no reasons to be explained for its occurrence, both biological or physical with it never returning. If both ovaries are removed surgically the menopause kicks in immediately. Menopause has signs and symptoms (s/s) that kick in which have varying intensities (it depends on the individual). You may experience mild to severe s/s. Those s/s can be : 1- Hot Flashes 2-Irregular Periods 3- Breast Pains 4- Night Sweats 5- Mood Swings 6- Loss of Labido 7- Vaginal Dryness 8-Brittle Nails 9-Bloating 10-Irritability 11-Depression 12- Weight Gain 13- Osteoporosis-one of the worst symptoms of menopause.

According to U.S. Census data from 2000, there are about 37.5 million women reaching or currently at menopause (ages 40 to 59).

As women near menopause, they may have symptoms too from the changes their body is making. Some women may not have any other symptoms at all. Symptoms that some women experience near menopause include symptoms close to the actual menopause symptoms are like the hot flashes (getting warm in the face, neck, or chest), night sweats or sleeping problems that led to feeling tired, stressed or tense, vaginal changes (the vagina may become dry and thin and sex may be painful) and thinning of bones, which may lead to loss of height and bone breaks. If a woman would like to treat her symptoms, she should talk to her health care provider to discuss treatment options.

Did you know over 60% of adult Americans are considered obese or overweight?

Weight gain happens when a person increases their body mass, whether it is a result of fat deposits, additional muscle tissue, or excess fluid. However, weight gain associated with menopause typically involves increased amounts of fat around the abdomen. One of the most accurate ways to see if you are obese is to measure your body mass index which is free online, check out the internet. I do every so often.

Go to Free HYPERLINK “http://www.aicr.org/bmi_calculator”BMIHYPERLINK “http://www.aicr.org/bmi_calculator” Calculator – AICR.org

www.aicr.org/HYPERLINK “http://www.aicr.org/bmi”bmi calculator.

On average, a women gains about 12 to 15 pounds between the ages of 45 and 55, this is usually when menopause typically occurs. This extra weight generally does not evenly distribute itself throughout a woman’s body. The weight tends to accumulate around the abdomen instead and women often notice the shape of their bodies slowly losing their hour-glass figure.

What can resolve this issue? As years progress the metabolism slows down; setting the physiological stage for weight gain. As a woman’s hormones fluctuate prior to menopause and preparing for a permanently reduced hormonal level, it is likely to experience weight gain. I’m over 40 y/o and in menopause. I have found a way effective for me to stay in my BMI therapeutically by increasing my metabolism and keeping it at a steady rate without any heavy workout at this time. If you too are experiencing this problem and would like guidance in how to fix this naturally with not being put on drugs than come to healthyusa.tsfl.com. We will show you how to increase your metabolism with you making the choices of what foods you want in your body. You will be able to treat yourself to foods high in fats or carbohydrates or sugars occasionally when you reach your therapeutic ratio of your body mass index. Join Dr. Anderson with his book “Dr. A’s healthy habits” and myself as a health coach assisting you in doing what you need to know in understanding how the body works with foods and what foods (out of the 4 food groups is good for the body on a regular daily basis). I hope you join me like so many others where we were so happy with ourselves with the results, how it financially stayed within our budget or cheaper, and how it all paid off. You take a look for yourself and I think you may just like what you see. No contract, No fee, No donations, it’s just a look at the website healthyusa.tsfl.com. I have been a RN a quarter just over a quarter of a century and have seen disease from cancer units to cardiac units to all types of med surg. & could go on with my experience. I have worked from sea to shining sea, NY to California. I saw what unhealthy habits have done to peoples bodies of all ages in the US and will try every attempt not to end up like that but be healthier in living my life with staying out of facilities. Come aboard in helping yourselves with others making a healthier USA we take that responsibility on as a citizen in America and to those around us (particularly the young).

QUOTE FOR THURSDAY

We can make a commitment to promote vegetables and fruits and whole grains on every part of every menu. We can make portion sizes smaller and emphasize quality over quantity. And we can help create a culture – imagine this – where our kids ask for healthy options instead of resisting them.


Michelle Obama

I may not be a fan of President Obama but the First Lady does makes so much sense in this particular statement. If you want to learn how to decrease disease/illness now and for our future generations for both men and women with reviewing the top 6 diseases for men in America go to healthyusa.tsfl.com

Part 2 Men vs. Women — how to decrease disease or illness.

So what’s the key to decreasing these diseases or illnesses in men live a healthier life so men in America can decrease the chances of developing these diseases or if with one of these diagnoses already it will surely help decrease the impact of the disease or illness compared to living an unhealthy life. So if you need guidance I have direction, I surely did for my habits and diet.

Various lifestyle factors for men or women have been associated with increasing the risk of stroke. These include lack of exercise, alcohol, diet, obesity, smoking, drug use, and stress. Guidelines endorsed by the Centers for Disease Control and Prevention and the National Institutes of Health recommend that Americans should exercise for at least 30 minutes of moderately intense physical activity on most, and preferably all, days of the week. Recent epidemiologic studies have shown a U-shaped curve for alcohol consumption and coronary heart disease mortality, with low-to-moderate alcohol consumption associated with lower overall mortality.

Both genders living with a high daily dietary intake of fat is associated with obesity and may act as an independent risk factor or may affect other stroke risk factors such as hypertension, diabetes, hyperlipidemia, and cardiac disease.

Homocysteine is another important dietary component associated with stroke risk, while other dietary stroke risk factors are thought to be mediated through the daily intake of several vitamins and antioxidants.                                    Smoking, especially current smoking, is a crucial and extremely modifiable independent determinant of stroke. Despite the obstacles to the modification of lifestyle factors, health professionals should be encouraged to continue to identify such factors and help improve our ability to prevent stroke, decrease cancers caused by smoking, decrease coronary artery disease which decreases your chance with Obesity, ED, stroke, & hypertension and more.

Learn healthy habits or healthier habits, broaden your knowledge on the 4 food groups in what is lean or leaner or leanest with each group, increase your activity 30 minutes a day and learn what a healthy diet actually is through Dr. Wayne Scott Anderson’s book “Dr. A’s habits of health” and even if you need to lose weight we can show you the way to do it healthy. It’s not a diet for 3 months or even 6 to a year but it is learning how to get to your body mass index in the ideal weight range for your height and you decide how low you want to go. We can show you through the book and those having more difficulty can buy our foods for 6 months or even a year or in my case I started almost a year ago and I use both their healthy foods as well as healthy foods from the store. You decide the choices, no one else. If you are interested go to my website healthyusa.tsfl.com and peek at what we offer for no prescription, no charge, no donation and no hacking. If you like what you see join me and so many others trying to get America healthier and in time decrease our population in diseases or illnesses primarily impacted by health habits, diet, and weight. Wouldn’t you and the future want to get better in mind and body to impact our health care system that includes our insurance and most importantly lives of citizens in the USA in how they live (which would be more active). It is your choice and I hope you decide to come aboard to my website healthyusa.tsfl.com and I know if I could do it so can too. It just takes discipline and the drive to want to stay healthy or get in a better state of heath. Hope I have helped someone out there in broadening your knowledge regarding how to keep or reach a healthier life.