Thyroid Symptoms? Try Empirical Treatment

Posted by & filed under Hormones.

Many patients, most of them women, have symptoms suggestive of underactive thyroid glands, but thyroid blood tests are normal.  They complain of constipation, hair loss, cold intolerance, low body temperature, weight gain, fatigue, depression, dry skin, and changes in menstruation.  Unless blood tests are abnormal, many physicians decline to offer thyroid hormone therapy. I have… Read more »

Fish Oil Prevents Heart Failure

Posted by & filed under Cardiovascular.

Along with their many other benefits, omega three fatty acids, primarily found in fish, have now been found protective against the development of heart failure.  (Annals of Internal Medicine, 2 August, 2011, pp. 160-170)  In adults aged 65 years or older, the incidence of new onset heart failure was substantially lower in subjects with the… Read more »

Back Pain and Ruptured Discs

Posted by & filed under Bone Health.

Low back pain problems occur in 60-80% of people at some time in their lives.  Much of this relates to lumbar disc disease, either protrusion (bulge) or rupture. The disc is a layer of cartilage and fiber, about a quarter inch thick, that acts as a cushion between two vertebrae.  It assists in twisting and… Read more »

Hormone Pellets and Osteoporosis: A Case Report

Posted by & filed under Hormones.

A post-menopausal woman had been diagnosed with osteoporosis, and was taking both Fosamax and transdermal hormone replacement therapy, without improvement.  She did not want to continue taking Fosamax out of concern it would damage her jaw or cause swallowing problems, which bisphosphonates are reported to induce. We stopped the Fosamax and began treatment with subcutaneous… Read more »

Finding a Better a CPAP

Posted by & filed under Sleep.

Sleep apnea is a very common condition.  I used to diagnose it occasionally in my practice, in retrospect missing many cases.  Now I specifically look for it in anyone who has impaired sleep, obesity, loud snoring, difficulty breathing through the nose, witnessed episodes of stopping breathing while asleep, restless leg syndrome, daytime drowsiness, chronic fatigue,… Read more »

A Breast Cancer Victory

Posted by & filed under Cancer.

Two years ago, an elderly woman came to the office with a mass in her right breast.  It was a good-sized lump over an inch in diameter, firm and well-demarcated, non-tender, with the feel of a cancer.  Mammography confirmed my suspicion, with findings definitive for breast cancer.  She refused a biopsy, decided to address it… Read more »

Lifestyle Therapy of Emotional Illness

Posted by & filed under Mental Health.

Anxiety, depression, schizophrenia, and other mental problems are common and often difficult to deal with.  They can create disability and impairment in family structure as serious, and expensive, as most physical illnesses.  In our current state of knowledge, therapy mainly involves prescription of sedatives and other psychiatric medications. Drugs, however, do not address cause, have… Read more »