Wed, 13 September 2017
Your #Health can be looked at as a train on a train track. There are two ways to go, forward or backward. The right way, or the wrong way. Full speed ahead or trainwreck.
Are you traveling the right way down the tracks toward health? Or are you going the wrong way around a curve about to crash into an oncoming train ( #HeartDisease #Stroke #Cancer #Autoimmunity )?
If you are living under the typical American paradigm of "I'll eat drink, drink, and be merry and modern medicine will save me with a magic bullet prescription medication" then you're on the wrong track.
Health is a never-ending journey, not a destination.
Health is being created or destroyed every moment with every decision you make.
Are you choosing #FullSpeedAhead or #Trainwreck ?
Do you want full speed ahead but don't know the choices to make? Have you been in a Trainwreck and want to get the most out of what's left of your engine?
Then partner with a train engineer that knows how to diagnose what is wrong with your engine, navigate the tracks, and get you traveling in the right direction.
Category:Blog -- posted at: 1:15pm EST
Mon, 11 September 2017
#LowTestosterine aka #LowT is a hot diagnosis these days.
I have consulted with many men who have "Low T" symptoms such as #Fatigue #LowEnergy #LowLibido #BrainFog #WeightGain etc.
They went to a hormone replacement doctor or clinic, had their #Testosterone checked by blood work (an incomplete test 100% of the time), and were told they had Low T and needed Testosterone replacement via injection, topical, pellet, and/or oral.
I caution the men out there not to jump on this bandwagon.
You MUST ASK WHY you have Low T...or better yet, whether you have it at all.
You can't know the answers to those two questions unless you have a COMPLETE workup.
You may have low T due to #BloodSugar issues, or #Aromatization that has gone awry, or #ChronicStress or #LiverIssues or #GutIssues
Taking testosterone without assessing these interconnected areas is like taking a pain killer without pulling the knife out of your hand.
Category:Blog -- posted at: 8:00am EST
Thu, 7 September 2017
Person presents with 7+ years of #Dizziness #Imbalance #Anxiety and #EmotionalInstability
Multiple #Neurologists and #ENT have examined and imaged and said results were normal and recommended #Ativan #Xanax and #SSRI medications. This person does not want medications.
I reviewed the medical records from above doctors and found multiple #FunctionalNeurology abnormal findings in their diagnostics. These findings are DEFINITELY relevant to the case and NOT normal.
My examination confirmed the findings (still there 7 years later...it WILL NOT "just go away").
I have confirmed neurologic abnormalities. Now we must determine WHY they exist.
A history of #TBI #TraumaticBrainInjury from a golf club is one factor.
#Cerebellum #Autoimmunity is another likely contribution, so is #GlutenSensitivity based on family history of #CeliacDisease (Mom). Lastly, a long history of #IBS implicates #GutBrainAxis contribution to metabolic dysfunction.
Lab results will clarify these hypotheses.
I love what I do!
Category:Blog -- posted at: 8:00am EST
Wed, 6 September 2017
#Depression is no longer (and hasn't been for a while) considered to have a primary cause of #NeurotransmitterDeficiency
The most up to date #ScientificResearch shows that the primary driver is #NeuroInflammation
If we are seeking to truly #AddressTheCause then we must ask, "What is causing the neuroinflammation?"
The answer to that question is the key to cracking the case of the individual in question.
The cause(s) could be many: #TraumaticBrainInjury #TBI #Infection#GutDysbiosis #Excitotoxicity #ChronicStress #PoorDiet #NutrientDeficiency#Autoimmunity #PoorLiver #GeneticDefects #HeavyMetals #CorporateToxins#Medications and more.
So if you go to a doctor and complain of depression and they immediately want to put you on #Prozac or some other #SSRI drug, you know one of two things.
If you think you can get more than 8 minutes out of your visit, try asking them what they think could be causing it and what treatment options are available beside medications.
Category:Blog -- posted at: 8:30am EST
Fri, 1 September 2017
Gas and bloating are two of the most common symptoms that present in clinical practice. According the the Journal of the American Medical Association, gas and bloating can be diagnostic of Small Intestinal Bacterial Overgrowth (SIBO). Do you suffer from gas and bloating after meals? Do you suffer from gas and bloating all day long? If you do, you may suffer from SIBO. You are about to find out that SIBO can have many causes beyond the GI tract.
Fri, 1 September 2017
I had a 12 year old female yesterday morning with OCD, Anxiety, Panic Attacks, and a Tic that has seen many neuros, pediatric neuros, had EEGs, etc that cannot diagnose her. This person came in from 3 hours away.
Beyond the obvious Basal Ganglionic issues, she also has Absence Seizures and Vestibular Migraines that the previous doctors denied and supposedly ruled out with EEG.
I was able to induce an Absence Seizure immediately followed by a Vestibular Migraine during my examination, confirming that she has them..
Mom saw it before I even asked her if she saw it. It was great.
As a mentor of mine says, "how can you treat it if you don't diagnosis it first?"
This poor girl has been through the ringer with no help because no one has examined or diagnosed her thoroughly enough, combined with the tunnel vision of only focusing on their "specialty".
Chronic neurologic issues will not be helped if not examined and diagnosed properly. They also will not be helped if there is underlying metabolic dysfunction that has never been considered.
We are excited to see lab results now investigating metabolic, autoimmune, etc contributions. With the results, I can then create an individualized and specific action plan to address her unique constellation of contributing factors.
Category:Blog -- posted at: 9:41am EST
Mon, 12 June 2017
Using a semen analysis to determine the cause of male infertility is like using the exhaust to diagnose a problem with your car. It can be helpful, but to figure out the real cause to the problem, you have to get your hands dirty and dig deeper.
Direct download: Infertility_Solutions_-_Determining_the_cause_of_Male_Infertility_with_Functional_Medicine.mp3
Category:Podcast -- posted at: 9:57am EST
Fri, 12 May 2017
I recently sprained my ankle during a workout and thought I'd use the experience as a teaching platform. Today I dig in to the idea that the commonly voiced R.I.C.E. strategy for soft tissue injury is hurting you and slowing your return to action. I cover the science proving that ice is a poor recovery strategy, and I present a strategy that truly is effective and allows you to get back into action as fast as possible.
Sat, 6 May 2017
I sprained my ankle today running in a workout. Most people go right to the R.I.C.E. (Rest, Ice, Compress, Elevate) strategy when they sprain an ankle or sustain an injury.
If your goal is to HEAL FASTER and return to the gym and/or quality of life ASAP, then the R.I. of R.I.C.E. is NOT a good strategy.
Rest (assuming no fracture) and Ice slow healing. Yes, Ice does decrease pain (for a short period) by numbing nerves, but it also slows healing by causing blood vessels to constrict. This means that the swelling and inflammation (which are causing the pain along with tissue damage) remain in the injured area (especially when paired with Rest).
To speed healing you want to C.H.E.M. (copyright Dr. Bartemus): Compress, Heat, Elevate, Move.
Compress with an ACE bandage or my favorite tool from MobilityWOD.com, Voodoo Floss.
While Compressed, you want to Move for a couple reasons:
Heat augments the benefits of Movement by causing blood vessels to open up (vasodilation). This increases the Movement of swelling and inflammation away from the damaged area and increases the Movement of white blood cells and healing factors to the area.
Elevation of the injured area (my ankle in this case) above the level of the heart uses gravity to increase Movement of swelling and inflammation away from the injured area, especially when the area is being Compressed. To really create synergy while Compressing, Heating, and Elevating (and therefore likely sitting/laying still), add Movement by putting a TENS or e-stim unit on the area and turning it up enough to create passive Movement (make the muscles jump).
In conclusion, to heal faster get rid of R.I.C.E. and use C.H.E.M.!
Category:Blog -- posted at: 7:50am EST
Thu, 4 May 2017
It’s commonly thought that sleep apnea is simply a problem of obesity or structural issues that interfere with breathing. However, a commonly overlooked cause of sleep apnea in men and women is the brain. When the brain is not functioning properly, this can interfere with the body’s ability to maintain proper breathing function while asleep.
Sleep apnea and the brain in women
The brain’s influence on sleep apnea can be seen in women during perimenopause and menopause if their estrogen drops too low.
Insufficient estrogen causes the brain to fail in signaling the palate and tongue to maintain tone during sleep. The resulting lack of tone blocks the airway.
The brain-related cause of sleep apnea is different in men. In a rat study, young male rats responded to normal episodes of oxygen deprivation during sleep by automatically increasing brain activity to take deeper and more frequent breaths. However, the older male rats did not respond in the same way due, it’s theorized, to more aged brains.
Researchers observed a much different response to these normal episodes of sleep-induced oxygen deprivation in female rats. For one thing, older female rats responded much more positively to these hypoxic events than the older males.
Younger female rats had an even better response, especially during specific times in the menstrual cycle. This led scientists to believe female hormones play a role in how they respond to normal episodes of oxygen deprivation during sleep.
This theory is what leads researchers to believe estrogen deficiency contributes to sleep apnea in women during perimenopause and menopause. Estrogen influences serotonin, a brain neurotransmitter chemical that plays a role in giving the tongue and palate tone, including during sleep.
Estrogen tells the brain to breathe in women
To test the theory that the interplay between estrogen and serotonin plays a role in sleep apnea, researchers induced menopause in female rats by removing their ovaries. Sure enough, post-mortem brain biopsies showed less serotonin in the area of the brain that controls the tongue. This had made it harder for the female rats to respond to episodes of oxygen deprivation during sleep. This helps explain why sleep apnea affects more women in midlife.
Sleep apnea and the brain in men
Middle-aged men also experience higher rates of sleep apnea due to the effect of declining testosterone on the brain.
In midlife, men snore more and have more episodes where they stop breathing.
Middle-aged women, however, more commonly complain of insomnia, as well as headaches, fatigue, and irritability caused by sleep deprivation and poor sleep quality. That estrogen deficiency promotes weight gain, and restless leg syndrome only worsens the problem of sleep apnea.
Hormone status that plummets too low in midlife can be the result of chronic stress, poor diets, lack of exercise, and other standard bad habits of modern living. These are areas we can address through functional medicine.
Functional neurology and sleep apnea
Sleep apnea can also arise in relation to traumatic brain injuries, childhood brain development disorders such as autism, or other brain-related issues. In functional neurology we can identify areas of dysfunction related to sleep apnea, such as with nerves traveling from the tongue to the brain through the brainstem. Based on findings, customized rehabilitation exercises may help address problems with sleep apnea.
Functional medicine and neurology strategies can profoundly improve both brain and hormone function so you not only sleep better, but also feel and function better. Ask my office for more advice.
Category:Podcast -- posted at: 6:00am EST