HO-HO, OH NO…ON THE THIRD WEEK BEFORE CHRISTMAS

Holiday Stress

IT COULD REALLY SLEIGH YOU

It’s Black Friday, and visions of angst dance through your head. Because Christmas is right around the corner, just while you’re still trying to recoup after Thanksgiving. Not something to be so grateful about at this point. The headaches raise their ugly heads again. You want to curl up with a steamy cup of hot chocolate (a hit of rum in it wouldn’t be so bad) and wake up when it’s all over. Like in 2017, maybe. But you’re tough and resilient and ready to go.

HELPLESS AND ELFLESS

Whatever’s supposed to be frantically going on at the North Pole, doesn’t seem to have anything to do with you. Where are your merry band of elves working to make things easier? Didn’t they get your text…” HELP!”? Actually, where is anyone in your family stepping up to the wreath? Most of the time you’re pretty much on your own and what you have to do is daunting. A “Bah Humbug” would be acceptable here. Even before gifts and other plans, you need to think of Christmas Cards. Pictures of the family? Touching thoughts? Funny? And who is supposed to get them? You can count on forgetting someone. So you can count on a big hill of guilt. But grab your gift garb and get ready to shop.

SHOPPING THROUGH THE SNOW

There’s so much in store for you. Oh wait, that’s so many stores in store for you.

Door busters can cause you to bust a gut. The lines, the insanity…forget it.

And then there are the decisions. Like the card confusion, who gets what?  If anything. The mailman? Your manicurist? The babysitter? The paperboy? (Oh wait, that hasn’t been an issue for ages and ages thanks to digital news.) Who might give you a gift you aren’t expecting so you better have something on hand for them?  “Oh, you didn’t have to do that”, they gush.  Wish that were true. You do have choices, though. You could shop online. But you could blow hours and hours on that one. Oh, and no guarantee anything you buy will arrive in time for the big day. Actually, there’s another blustery thought: just how many gifts do each person get? If you celebrate Hanukkah, there’s 7 nights of gifts to get. Try and wrap your head around all that. You can’t, so, it’s off you go, ready for the battles at the counters with the only bells jingling are in your head are incessantly loud, annoying and endless. Ah, it’s like music.

Dashing through the snow

In your 6-seat Chevrolet

O’er the crowded freeways you go

Crying all the way

Jingle bells…jingle bells…

PUT THIS ON YOUR LIST:

Dr. Stephen a. Goldstein, MD, FACS. at Denver hormone health.

A lot of the health problems you’re feeling over the holidays, like stress or all other malaise toying around with your body, what you’re feeling might actually be the result of unbalanced hormones. Like so many other things you’re at the mercy of this season, you could be at the mercy of hormones. Hormones are the messengers telling your cells how to operate. There is no end to the damage and tricks they can play. And how miserable they can make you feel. But dr. Stephen a. Goldstein, MD, FACS. at Denver Hormone Health is at the head of the field of hormone replacement therapy. In one consultation, he listens to what is bothering you, then with simple tests, is able to determine exactly what’s going on in regard to your hormones. From there, he creates a uniquely tailored plan to get you back to Christmas joy.

So make an appointment today.

No thank-you card required.

“POPPING THE QUESTION” – What to do to feel your best?

feel your best

At this point our medical Q&A’s are coming to an end. Hopefully, they will help you to know a smidgen of what you should know, like what to do to feel your best. It’s important to know how to take care of yourself and understand how your body ticks. (And keeps ticking.)

WHAT IS NEUROPATHY?

“Pain something or other?”

BOY, THAT HURTS

How about a lot of pain for a lot of people for a lot of different reasons?

Neuropathy is a term that refers to general diseases or malfunctions of the nerves. Nerves at any location in the body can be damaged from injury, disease, infections and even vitamin deficiencies.

Neuropathy is the term used to describe a problem with the nerves, usually the “peripheral nerves” as opposed to the ‘central nervous system’ (the brain and spinal cord).

Peripheral neuropathy is common.

It is estimated that upwards of 20 million Americans suffer from this illness.

It can occur at any age, but is more common among older adults.

A 1999 survey found that 8-9% of Medicare recipients have peripheral neuropathy as their primary or secondary diagnosis. The annual cost to Medicare exceeds $3.5 billion.

OUCH!

The symptoms of neuropathy cover a wide range, from disturbing to debilitating. Here are some examples:

Sensory Neuropathy

  • Tingling and numbness
  • Pins and needles and hypersensitivity
  • Increased pain or the loss of ability to feel pain
  • Loss of ability to detect changes in heat and cold
  • Loss of co-ordination and proprioception
  • Burning, stabbing, lancing, boring or shooting pains – which may be worse at night
  • Skin, hair or nail changes
  • Foot and leg ulcers, infection and gangrene

Motor Neuropathy

  • Muscle weakness – causing unsteadiness and difficulty performing small movements such as buttoning a shirt
  • Muscle wasting
  • Muscle twitching and cramps
  • Muscle paralysis

Autonomic Neuropathy

  • Dizziness and fainting (because of sudden changes in blood pressure)
  • Racing heart
  • Reduction in sweating
  • Inability to tolerate heat
  • Loss of control over the bladder function leading to incontinence or retention of urine
  • Bloating, constipation or diarrhea
  • Difficulties in achieving or maintaining an erection

Neuropathy can also exist without the cause being possible to diagnose, which doctors call ‘idiopathic. Approximately 30% of neuropathies are ‘idiopathic’, or of an unknown cause.

COULD THIS BE ME?

Nearly 40 drugs and illnesses are known to cause neuropathy.

  • Diabetes – the commonest cause of chronic peripheral neuropathy. High blood sugar levels in people with poorly controlled diabetes damage nerves
  • B12 or folate vitamin deficiencies can cause nerve damage and peripheral neuropathy
  • Drugs – such as some chemotherapy medication and medicines used to treat HIV can cause damage to peripheral nerves
  • Poisons (toxins) – insecticides and solvents can cause peripheral nerve damage
  • Cancers – peripheral neuropathy can occur in people with some cancer E.G: lymphoma and multiple myeloloma
  • Alcohol excess – high alcohol levels in the body cause nerve damage
  • Chronic kidney disease – if the kidneys are not functioning normally, an imbalance of salts and chemicals can cause peripheral neuropathy
  • Chronic liver disease
  • Injuries – broken bones and tight plaster casts can put pressure directly on the nerves.
  • Infections – damage can be caused to peripheral nerves by some infections including shingles HIV infection and Lyme disease
  • Guillain-Barré syndrome is the name given to a specific type of peripheral neuropathy triggered by infection
  • Connective tissue diseases –rheumatoid arthritis, Sjögren’s syndrome and systemic lupus erythematosus.
  • Certain inflammatory conditions – conditions including sarcoidosis and coeliac disease can also cause peripheral neuropathy.
  • Hereditary diseases –Charcot-Marie-Tooth syndrome and Friedreich’s ataxia (So many diseases, so little knowledge they even exist.)

COULDN’T HURT

Fortunately, there are different types of treatments:

Epilepsy drugs like Neurontin, Lyrica and Tegatrol

Antidepressant drugs like Cymbalta, Effexor, Elavil, Norpramin, and Tofrinal

Oxycodone, and other opioid painkillers which in fact, can be actual killers when used to extremes

Lifestyle and dietary changes, drinking plenty of water, and training exercises

Even wearing clothing that causes less irritation

Other complementary therapies like massage, acupuncture and vitamin therapy

 

WHAT IS THE DIFFERENCE BETWEEN CYSTS, GROWTHS, TUMORS AND POLYPS?

“They all scare me.”

WHAT’S IN A NAME

First thought: Fear. Big time. It has to be cancer!  The big “C”.

Well, calm yourself. Yes, of course, you’d be concerned about being diagnosed with any of the above, but let’s walk through the realities.

The first thing to know is that they are all different entities:

CYSTS: Any abnormal fluid filled, bubble-like structure. Can be benign or malignant. More likely to be malignant (cancer) if not a simple bubble but has multiple internal walls and is “complex.”  A cyst, which is infected, is called an “abscess”

POLYPS: A usually nonmalignant growth or tumor protruding from the mucous lining of an organ such as the nose, ears, mouth, lungs, heart, stomach, intestines, urinary bladder, uterus, and cervix

GROWTHS: Any abnormal tissue that can increase or is increasing in size.  May be benign or malignant

TUMORS: Any mass or solid growth of cells.  May be malignant or benign.  Not leukemia, which is liquid. Benign tumors grow slowly and stay in one place. Skin moles and warts are examples

ENGLISH PLEASE

Words like “abnormal”, “benign”, “malignant” wreak havoc on anyone’s psyche. Sometimes you’re the one who notices something questionable on your body. Sometimes you’re totally unaware until your doctor sees something that comes up in a simple examination or tests. Oh brother…those doctors. They speak medical book bugaboo that sends your heart and head into a spin. “Huh?”
“Am I going to die? Be honest with me….”

To which he or she puts on their best iceberg clinical smile in an effort to reassure you. Which never helps. Fact is, doctors do a profoundly inadequate job in communicating. And most still have a lot of work to do with their skills. 

WAIT, THERE’S MORE

Take a deep breath here. Sometimes all it requires is a bandage to help it heal quickly. As if the four terms above aren’t enough to make you break out in a sweat, here are two more bumps in the medical road.

Lesion. Oh yeah, lesion. You’ve heard of it. But where does it fit into the fitful picture?

A lesion is a very general term meaning anything abnormal. A lesion can be used to describe a cut, an injury, warts, ulcers, or yes, a tumor. All tumors can be classified as lesions, but not all lesions are necessarily tumors. There can be various kinds of lesions in almost any part imaginable in the body

Here’s another one: nodules. Nodules are solid, elevated areas of tissue or fluid inside or under the skin with a diameter greater than 0.5 centimeters. Nodules may form on tendons and muscles in response to injury. The vocal cords may also develop nodules. Nodules are normally benign and often painless, although they can affect the functioning of the organ. Think Adele, Keith Urban, Sam Smith, Meghan Trainor, Steven Tyler and John Mayer to name a few. When nodules are on the vocal cords, you see a lot of singers canceling concerts. Touring takes a terrible toll on the vocal cords. But a little rest and they’re back. Good as new.

PASS ON PANIC

If you notice something, it could easily be nothing.

If your doctor notices something, it could also be nothing.

If there’s a question, there are tests.

Usually the results will be negative.

“Whew”.

When the results are inconclusive, there are further tests that can be done.

If it’s something malignant, it’s not a death sentence. There are more treatments with greater successes that ever before.

Don’t come to your own conclusions.

Remember, you’re not the doctor.

WHAT IS LUPUS?

“It’s…uh…something that occurs in the body, right?”

 

NO ONE’S IMMUNE

Lupus is a chronic, autoimmune disease that can damage any part of the body (skin, joints, and/or organs inside the body). Chronic means that the signs and symptoms tend to last longer than six weeks and often for many years.

In lupus, something goes wrong with your immune system, which is the part of the body that fights off viruses, bacteria, and germs (“foreign invaders,” like the flu). Normally our immune system produces proteins called antibodies that protect the body from these invaders. Autoimmune means your immune system cannot tell the difference between these foreign invaders and your body’s healthy tissues (“auto” means “self”) and creates autoantibodies that attack and destroy healthy tissue. These autoantibodies cause inflammation, pain, and damage in various parts of the body.

Lupus is also a disease of flares (the symptoms worsen and you feel ill) and remissions (the symptoms improve and you feel better).

Our research estimates that at least 1.5 million Americans have lupus. The actual number may be higher; however, there have been no large-scale studies to show the actual number of people in the U.S. living with lupus.

  • More than 16,000 new cases of lupus are reported annually across the country.
  • It is believed that 5 million people throughout the world have a form of lupus.
  • Lupus strikes mostly women of childbearing age (15-44). However, men, children, and teenagers develop lupus, too. Most people with lupus develop the disease between the ages of 15-44.
  • Women of color are two to three times more likely to develop lupus than Caucasians.
  • People of all races and ethnic groups can develop lupus.

SYMPTOMS UP THE WAZOO

Symptoms of lupus vary, but some of the most common symptoms of lupus are:

  • Skin involvement occurs in up to 80% of patients.
  • Many patients experience the malar, or butterfly, red rash across the cheeks and nose during flares.
  • Two-thirds of people have photosensitivity
  • Many lupus patients suffer from anemia, or low blood count, as well
  • The most common symptom of lupus is extreme fatigue.
  • 70% of patients also report painful and swollen joints.
  • Many times lupus also triggers other autoimmune conditions such as Raynaud’s Phenomenon where fingertips and/or toes become pale or purple from the cold or stress
  • Lupus often times causes a “lupus fog” making it hard to think, focus and remember things.
  • Lupus patients are susceptible to depression and other mental conditions.
  • Lupus also tends to “bring along” other autoimmune diseases. While it has not been determined that lupus causes the other autoimmune conditions to develop, many lupus patients seem predisposed to multiple conditions such as: Fibromyalgia, Rheumatoid Arthritis, Antiphospholipid syndrome, Crohn’s Disease, Multiple Sclerosis and Sjögren’s syndrome
  • Symptoms may come and go. The times when a person is having symptoms are called flares, which can range from mild to severe. New symptoms may appear at any time.
  • No single factor is known to cause lupus. Research suggests that a combination of genetic, hormonal, environmental, and immune system factors may be behind it. Environmental factors, ranging from viral and bacterial infections to severe emotional stress or overexposure to sunlight, may play a role in provoking or triggering the disease. Certain drugs, such as the blood pressure drug hydralazine and the heart rhythm drug procainamide, may cause lupus-like symptoms. High estrogen levels resulting from pregnancy may aggravate lupus.

Symptoms are frequently confused with other conditions including arthritis, skin conditions and blood disease. Just talking about it is enough to cause a case of hyperventilation in anyone.

CLEARLY CLUELESS

Lupus is not contagious, not even through sexual contact. You cannot “catch” lupus from someone or “give” lupus to someone.

Lupus is not like or related to cancer. Cancer is a condition of malignant, abnormal tissues that grow rapidly and spread into surrounding tissues. Lupus is an autoimmune disease, as described above. However, some treatments for lupus may include immunosuppressant drugs that are also used in chemotherapy.

Lupus is not like or related to HIV (Human Immune Deficiency Virus) or AIDS (Acquired Immune Deficiency Syndrome). In HIV or AIDS, the immune system is underactive; in lupus, the immune system is overactive.

FORGET THE SILENT TREATMENT

Treatment of lupus can be broken down into self-care and managed-care. Self-care is about protecting your overall general health and well-being to help control your flares. Managed care involves partnering with your healthcare team to develop the right treatment plans and medications and following up with them periodically.

Lupus Self-Care & Treatment

  • Reduce Stress: Stress is a known trigger for lupus flares. Keeping yourself relaxed and eliminating unnecessary stress can help control flares
  • Maintain a Healthy Diet and Lifestyle
  • Exercise Regularly: It doesn’t need to be a 5 mile run every day. Something as simple as going for a walk can help tremendously
  • Rest: Fatigue is a huge factor with lupus patients. Some need 12 hours of sleep a night or taking periodical naps throughout the day
  • Avoid Ultraviolet and fluorescent light: UVA/UVB and fluorescents easily trigger flares
  • Use Sunscreen: Even when the sun’s rays are not at their peak, lupus patients can still feel the effects
  • Monitor other conditions such as blood pressure and cholesterol and diabetes

Managed Care Treatments

Managing Lupus can often require a team of doctors from a Primary Care Physician (PCP) to a Rheumatologist, who specializes in lupus management. It’s important that all your doctors work together and work with you to develop the right treatment plan.

Treatment may include drugs like nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen and Aleve

In some cases, Prednisone can help. Even antimalarial drugs.

All of which can have serious side effects.

When none of these treatments work, chemotherapy is indicated.

THE CELEBRITY OF LUPUS

As we’ve said, anyone can get lupus. Anyone. Like Toni Braxton, Nick Cannon, Seal, Rapper Snoop Dogg’s daughter, and America’s much-missed legend Michael Jackson. Lady Gaga is also reporting that she was tested “borderline” positive for lupus.

Then there’s Selena Gomez. Selena Gomez is the queen of Instagram. The pop star is Instagram’s most followed person, with a whopping 89.2 million followers and counting (for some perspective: President Barack Obama only has 8 million Insta followers). But Selena has a secret she kept for 3 years. She suffers from lupus. When she took time off, the tabloids speculated she was in rehab for some sort of addiction.  But in reality, she was undergoing chemotherapy in a bid to fight the symptoms of the disease which has no cure. But she came back with the release of her second album Revival which ended up on several year-end lists of best albums. The record debuted at number one on the U.S. Billboard 200. But sadly, Selena Gomez, 24, has officially begun canceling dates on her Revival World Tour following her tragic announcement that her lupus has been affecting her ability to perform again. She even posted a message on Instagram, tearfully questioning what she will be doing with her life overall.

Just another example of the serious nature of the illness.

 

WHAT IS PSORIATIC ARTHRITIS?

“There are different kinds of arthritis? You’re kidding me.”

A RASH DECISION

Psoriatic arthritis is a form of arthritis that affects some people who have psoriasis — a condition that features red patches of skin topped with silvery scales. Most people develop psoriasis first and are later diagnosed with psoriatic arthritis, but the joint problems can sometimes begin before skin lesions appear. it seems to run in families. One in 20 Americans who have psoriasis, usually between the ages of 30 and 50, also get psoriatic arthritis. As many as 40% of people with psoriatic arthritis have a family member with skin or joint problems.

JUST SWELL…

Joint pain, stiffness and swelling are the main symptoms of psoriatic arthritis. They can affect any part of your body, including your fingertips and spine, and can range from relatively mild to severe. In both psoriasis and psoriatic arthritis, disease flares may alternate with periods of remission.

Both psoriatic arthritis and psoriasis are chronic diseases that get worse over time, but you may have periods when your symptoms improve or go into remission alternating with times when symptoms become worse.

Psoriatic arthritis can affect joints on just one side or on both sides of your body. The signs and symptoms of psoriatic arthritis often resemble those of rheumatoid arthritis. Both diseases cause joints to become painful, swollen and warm to the touch.

However, psoriatic arthritis is more likely to also cause:

  • Swollen fingers and toes. Psoriatic arthritis can cause a painful, sausage-like swelling of your fingers and toes. You may also develop swelling and deformities in your hands and feet before having significant joint symptoms
  • Foot pain. Psoriatic arthritis can also cause pain at the points where tendons and ligaments attach to your bones — especially at the back of your heel (Achilles tendinitis) or in the sole of your foot (plantar fasciitis)
  • Lower back pain. Some people develop a condition called spondylitis as a result of psoriatic arthritis. Spondylitis mainly causes inflammation of the joints between the vertebrae of your spine and in the joints between your spine and pelvis

WORK IT

You treat psoriatic arthritis by controlling the inflammation. The way you do that depends on how severe it is and what works for you. You’ll probably need to take a medication, which could include a:

  • Nonsteroidal anti-inflammatory drug (NSAID)
  • Disease-modifying antirheumatic drug (DMARD)
  • Biologic drug
  • Enzyme inhibitor

Exercise is also important for you. It helps protect your joints by making the muscles around them stronger. Gentle, low-impact movement can lessen pain and expand your range of motion. Physical activity may help you relax, ease your stress, and sleep better, too.

Other ways to help manage psoriatic arthritis and protect your joints are:

  • Heat and cold therapy
  • Hands-on therapies, like massage, acupuncture, and acupressure
  • Splints
  • Assistive devices

There’s no cure for the condition, but newer medications can control it so well that it goes into remission, which means you have no symptoms. Which could help cure your fear.

FORE!

In 2010 Pro golfer Phil Mickelson announced that he was being treated for psoriatic arthritis. According to media reports, he first developed symptoms right before the U.S. Open, and the pain quickly became so intense that he couldn’t walk. Chalking the pain up to years of practicing for and playing pro golf, he figured it would pass. But when lab tests came back, he was diagnosed with the disease. Currently you probably see him on television talking about getting help with the hope of helping others with the illness.

WHAT IS THE BEST THING YOU CAN DO TO FEEL YOUR BEST?

“Tell me right now.”

THE ANSWER TO THIS ONE IS SIMPLE. IF YOU’RE FEELING LIKE SOMETHING IS GOING ON IN YOUR BODY THAT YOU HAVE NO ANSWER FOR, DR. STEPHEN A. GOLDSTEIN, M.D, F.A.C.S. AT DENVER HORMONE HEALTH, IS THE DOCTOR TO SEE. BECAUSE HORMONE IMBALANCE JUST MIGHT BE WHAT’S BOTHERING YOU. ONCE YOU’RE THERE, YOU’VE GOT HIS FULL ATTENTION. FEW HAVE THE KNOWLEDGE AND EXPERIENCE IN THE FIELD OF HORMONE REPLACEMENT THERAPY AS HE DOES. DETAILED EVALUATION OF YOUR SYMPTOMS AND SIMPLE TESTS WILL LET HIM ASSESS ANY ISSUES WITH YOUR HORMONE LEVELS THAT ARE LEAVING YOU FEELING LESS THAN YOUR BEST. AT THAT POINT HE WILL CREATE AN INDIVIDUALIZED TREATMENT PLAN THAT IS TAILORED JUST FOR YOU. AND YOU ALONE. GETTING YOUR HORMONES IN BALANCE IS THE BEST THING YOU CAN DO FOR YOURSELF.

AND SEEING DE. GOLDSTEIN IS THE BEST WAY TO DO THAT.

SO CALL FOR AN APPOINTMENT NOW.

“POPPING THE QUESTION” – What is Hormone Health?

Hormone Health

Questions, questions, questions. (Yep, we’re sure by this time you have a ton more of them) To tell the truth, the questions we have about our bodies could fill a book a million times the size of War and Peace. Questions like What is Hormone Health? If you’re still a bit curious, read on.

WHAT ARE TELOMERES?

“I admit I am totally clueless here.”

TO TELL IT

The whole concept of telomeres is best understood once you get an overall view of

DNA, chromosomes and genes. They are all intertwined and work together to keep you alive and make you who you are. It’s kind of complicated, but hopefully we’ll make it clear for you.

ELEPHANTS MAKE ELEPHANTS

We all know that elephants only give birth to little elephants, giraffes to giraffes, dogs to dogs and so on for every type of living creature. But why is this so?

The answer lies in a molecule DNA. DNA contains the instructions needed for an organism to develop, survive and reproduce. To carry out these functions, DNA sequences must be converted into messages that can be used to produce proteins, which are the complex molecules that do most of the work in our bodies. DNA is also what makes each species unique as the biological instructions they make is passed from adult organisms to their offspring during reproduction.

DNA is found inside a special area of the cell called the nucleus. Because the cell is very small, and because organisms have many DNA molecules per cell, each DNA molecule must be tightly packaged into thread-like structures. This packaged form of the DNA is called a chromosome. Chromosomes carry hereditary information for everything from height to eye color. They are made of protein and one molecule of DNA, which contains an organism’s genetic instructions, passed down as we’ve said, from parents. In humans, animals, and plants, most chromosomes are arranged in pairs within the nucleus of a cell.

GENE SCENE

Each DNA sequence that contains instructions to make a protein is known as a gene.

Scientist use the term “double helix” to describe DNA’s winding, two-stranded chemical structure. (If you’re watching this season’s show “Zoo”, they talk about a triple helix. (Remember this is television fantasy, so don’t worry you have one.)  The double helix – which looks much like a twisted ladder – gives DNA the power to pass along biological instructions with great precision.

Genes play an important role in determining physical traits — how we look —and lots of other stuff about us. They carry information that makes you who you are and what you look like: curly or straight hair, long or short legs, even how you might smile or laugh. Many of these things are passed from one generation to the next in a family by genes.

Each cell in the human body contains about 25,000 to 35,000 genes. Genes aren’t just found in humans — all animals and plants have genes, too.

To put it in simple terms, the whole DNA/chromosome/gene thing is sort of like recipes in a Cookbook for Life. Fortunately, they do all the cooking.

THE LONG AND SHORT OF IT

At the ends of the chromosomes are stretches of DNA called telomeres, which protect our genetic data, make it possible for cells to divide. Telomeres have been compared with the plastic tips on shoelaces, because they keep chromosome ends from fraying and sticking to each other, which would destroy or scramble an organism’s genetic information. Without telomeres, the ends of chromosomes would look like broken DNA, and the cell would try to fix something that wasn’t broken. Each time a cell divides, the telomeres get shorter. When they get too short, the cell can no longer divide; it becomes inactive or it dies. This shortening process is associated with aging, cancer, and a higher risk of death. So telomeres have also been compared with a bomb fuse. Telomeres can also be shortened by stress, smoking, obesity, lack of exercise and a bad diet. In every way, shortened telomeres can shorten your life.

 

WHAT IS MEDICAL MARIJUANA?

“Yeah, man…”

SMOKE THIS

Weed, grass, doobie, pot, spliff, bud, Mary Jane…there are more names for marijuana than you can imagine. Marijuana was introduced to American society in 1910 by Mexican immigrants. “Horrors! Immoral!” The backlash was immediate. And then the 60’s slowly and liberally glided into their counterculture heyday and pot was king. And today, its popularity is enjoying an all-time high. Marijuana is greenish-gray mixture of the dried, shredded leaves and flowers of Cannabis sativa—the hemp plant. Some users smoke marijuana in hand-rolled cigarettes called joints; many use pipes, water pipes (sometimes called bongs), or marijuana cigars called blunts (often made by slicing open cigars and replacing some or all of the tobacco with marijuana). Marijuana can also be used to brew tea and, particularly when it is sold or consumed for medicinal purposes, is frequently mixed into foods such as brownies, cookies, or candies. “Yummmmmmmmmmmm….”, more please.

GRADE SCHOOL GANJA

Big problem. Kids are crazy for it. In 2015, 11.8 percent of 8th-graders reported marijuana use in the past year and 6.5 percent were current users. Among 10th-graders, 25.4 percent had used marijuana in the past year and 14.8 percent were current users. Rates of use among 12th-graders were higher still: 34.9 percent had used marijuana during the year prior to the survey and 21.3 percent were current users; 6.0 percent said they used marijuana daily or near-daily. Research has shown that marijuana’s negative effects on attention, memory, and learning can last for days or weeks after the acute effects of the drug wear off, depending on the user’s history with the drug. Consequently, someone who smokes marijuana daily may be functioning at a reduced intellectual level most or all of the time. It’s not exactly producing future scholars and Nobel recipients.

PROBLEMS ALL OVER THE JOINT

While pleasure is key for most users, there are contrary side effects for others, including bloodshot eyes, depression, dizziness, fast heartbeat, low blood pressure and even hallucinations. The drug can also affect judgment and coordination, which could lead to accidents and injuries. Because marijuana contains some of the same chemicals found in tobacco, there have been concerns that smoking it could harm the lungs. The effects of inhaled marijuana on lung health aren’t clear, but there’s some evidence it might increase the risk for bronchitis and other lung problems.

The National Institute on Drug Abuse says marijuana can be addictive and is considered a “gateway drug” to using other drugs. The more often you use, the more likely you are to become dependent. You have difficulty stopping if you need to stop. You have cravings during periods when you’re not using. And you need more and more of it to have the same effect.

Another issue is that the FDA doesn’t oversee medical marijuana like it does prescription drugs. Although states monitor and regulate sales, they often don’t have the resources to do so. That means the strength of and ingredients in medical marijuana can differ quite a bit depending on where you buy it.

HOP ON THE CANNA BUS

On the other side, we don’t need to keep listing all the health benefits of cannabis. There are already tons of articles about cannabis being an all-in-one medicine with only a tiny, tiny percent of a chance of an overdose.

The term medical marijuana refers to using the whole unprocessed marijuana plant or its basic extracts to treat a disease or symptom. The U.S. Food and Drug Administration (FDA) has not recognized or approved the marijuana plant as medicine.

However, scientific study of the chemicals in marijuana, called cannabinoids, has led to two FDA-approved medications that contain cannabinoid chemicals in pill form. Continued research may lead to more medications.

Medical marijuana is legal in 25 states and the District of Columbia:

  • Alaska
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Hawaii
  • Illinois
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Montana
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • Ohio
  • Oregon
  • Pennsylvania
  • Rhode Island
  • Vermont
  • Washington

States that allow restricted use only include: Alabama, Florida, Georgia, Iowa, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, Oklahoma, South Carolina, Utah, Virginia, Wisconsin and Wyoming.

Medical marijuana is used to treat a number of different conditions, including:

Alzheimer’s disease

Appetite loss

Cancer

Crohn’s disease

Eating disorders such as anorexia

Glaucoma

Mental health conditions like schizophrenia and posttraumatic stress disorder (PTSD)

Multiple sclerosis

Muscle spasms

Nausea

Pain

Controlling nausea caused by cancer chemotherapy

Even kill cancer cells and slow tumor growth

More than half of Americans support legalizing the intoxicating weed, particularly for medical use, according to recent opinion polls. Last year, a Pew Research Center survey found that 52 percent of Americans favored legalizing marijuana, while a Gallup poll put the number at 51 percent.

One glitch, however, is that physicians still don’t have national guidelines on how to prescribe it. Most physicians have never been trained to prescribe marijuana and it is still not covered in medical schools. So they’re not exactly sure about dosages and method of delivery. Only some states are beginning to require doctors to take additional medical courses on medical marijuana. With “hit and miss”, you can only hope for “hit”.

 

WHAT IS LACTOSE INTOLERANCE?

“Doesn’t it make babies burp or something?”

OH, SUGAR SUGAR

It may sound mysterious, but it’s really not. Lactose is just a sugar found in milk and dairy products. If you have lactose intolerance, you may love milk, but your body doesn’t — and it lets you know that when you have too much. You might have symptoms like cramps after a bowl of cereal or gas after an ice cream treat. Lactose intolerance means the body cannot easily digest lactose. This is not the same thing as a food allergy to milk. People with lactose intolerance do not produce enough of the lactase enzyme to break down lactose. A deficiency of lactase — an enzyme produced in your small intestine — is usually the culprit for lactose intolerance. Normally when a person eats something containing lactose, an enzyme in the small intestine called lactase breaks down lactose into simpler sugar forms called glucose and galactose. These simple sugars are then easily absorbed into the bloodstream and turned into energy — fuel for our bodies

Many people have low levels of lactase but are able to digest milk products without problems. If you’re actually lactose intolerant, though, your lactase deficiency leads to symptoms after you eat dairy foods.

If you’re lactase deficient, undigested lactose sits in the gut and gets broken down by bacteria, causing extremely uncomfortable and even embarrassing symptoms.

Lactose intolerance is fairly common. It seems to affect guys and girls equally. Some ethnic groups are more likely to be affected than others because their diets traditionally include fewer dairy products.  Lactose intolerance most commonly runs in families, and symptoms usually develop during the teen or adult years.

GASSING UP

Symptoms of lactose intolerance can be mild to severe, depending on how much lactase your body makes. Symptoms usually begin 30 minutes to 2 hours after you eat or drink milk products. If you have lactose intolerance, your symptoms may include:

  • Pain or cramps.
  • Nausea which may be accompanied by.
  • Gurgling or rumbling sounds in your belly.
  • Loose stools or diarrhea.

Many people who have gas, belly pain, bloating, and diarrhea suspect they may be lactose-intolerant. The best way to check this is to avoid eating all milk and dairy products to see if your symptoms go away. If they do, then you can try adding small amounts of milk products to see if your symptoms come back. If you feel sick after drinking a glass of milk one time, you probably do not have lactose intolerance. But if you feel sick every time you have milk, ice cream, or another dairy product, you may have lactose intolerance. If you experience other symptoms, particularly hives and wheezing, immediately after consuming milk, you probably have a milk allergy — that is, you are allergic to the proteins in milk, and may not be lactose intolerant.

People may be or may become lactose intolerant for different reasons:

  • Ethnic background. People of Asian, African, Native American, and Hispanic backgrounds are more likely to develop lactose intolerance at a young age. are more likely to be affected than others because their diets traditionally include fewer dairy products: Almost all Asians and Native Americans are lactose intolerant, and up to 80% of African Americans and Hispanic Americans also have symptoms of lactose intolerance. Their ancestors did not eat dairy foods, so their bodies were not prepared to digest dairy, and they passed these genes on from generation to generation.
  • Other problems with the digestive tract. People who have inflammation of their upper small intestine, such as celiac or Crohn’s disease, have a reduced level of the lactase enzyme
  • Certain antibiotics can trigger temporary lactose intolerance by interfering with the intestine’s ability to produce the lactase enzyme.
  • After a bout of infectious diarrhea, some kids can develop a temporary lactose intolerance that usually improves after a few days or weeks.
  • As people get older, their bodies usually stop producing the lactase enzyme, and most people will naturally become lactose intolerant over time.

LIVING LA VIDA LACTOSE

Not to milk the issue, lactose intolerance is a very individual condition and it’s often easy to manage if you’re in tune with your body. There’s no cure for lactose intolerance but living with it can easily be made more than tolerable.  Everyone’s different, but most people with lactose intolerance are able to eat a small amount of dairy. The trick is to eat dairy products in combination with other foods that don’t contain lactose and not eat too much dairy at once. It can also help to keep a food diary to learn which foods your body can or can’t tolerate.

Dairy foods are the best source of calcium, a mineral that’s important for bone growth. Because growing teens need about 1,300 milligrams (mg) of calcium each day, experts recommend that even teens who have lactose intolerance continue to include some dairy in their diet.

Foods like cheese or yogurt may be easier to digest than milk, so try a cup of yogurt for dessert or add a piece of cheese to your sandwich. Lactose-free milk is also a great way to get calcium in your diet without the problems that can come with lactose.

Taking a lactase enzyme supplement might help, too. Taking this before eating foods that contain dairy will help the body digest the lactose sugar in dairy so you don’t develop the symptoms of lactose intolerance, like pain, cramping, bloating, gas, and diarrhea.

Teens with the most severe symptoms of lactose intolerance might have to avoid all dairy products. It’s extra important that these teens find other good calcium sources, so talking to a registered dietitian is a good idea. Dietitians are trained in nutrition and they can help people who are lactose intolerant come up with eating alternatives and develop a well-balanced diet that provides lots of calcium for developing strong bones. There are many nondairy foods that contain calcium, including:

  • Broccoli, okra, kale, collards, and turnip greens
  • Canned sardines, tuna, and salmon
  • Calcium-fortified juices and cereals
  • Calcium-fortified soy products such as soy milk, tofu, and soybeans
  • Almonds

An important thing to do is learn to read food labels. Lactose is added to some boxed, canned, frozen, and prepared foods like bread, cereal, lunchmeats, salad dressings, mixes for cakes and cookies, and coffee creamers. Be aware of certain words that may mean the food has lactose in it: butter, cheese, cream, dried milk, milk solids, powdered milk, and whey, for example.

WHAT IS A PLACEBO EFFECT?

“Are you referring to Placebo Domingo, the dead singer?”

FAKING IT

A placebo is anything that seems to be a “real” medical treatment — but isn’t. It could be a pill, a shot, or some other type of “fake” treatment, an inactive substance like sugar, distilled water or saline solution.  What all placebos have in common is that they do not contain an active substance meant to affect health.

NOBODY KNOWS

Researchers use placebos during studies to help them understand what effect a new drug or some other treatment might have on a particular condition. For instance, some people in a study might be given a new drug to lower cholesterol. Others would get a placebo. None of the people in the study will know if they got the real treatment or the placebo.

Researchers then compare the effects of the drug and the placebo on the people in the study. That way, they can determine the effectiveness of the new drug and check for side effects.

Sometimes a person can have a response to a placebo. The response can be positive or negative. For instance, the person’s symptoms may improve. Or the person may have what appears to be side effects from the treatment. These responses are known as the “placebo effect.”

There are some conditions in which a placebo can produce results even when people know they are taking a placebo. Studies show that placebos can have an effect on conditions such as:

  • Depression
  • Pain
  • Sleep disorders
  • Irritable bowel syndrome
  • Menopause

In one study involving asthma, people using a placebo inhaler did no better on breathing tests than sitting and doing nothing. But when researchers asked for people’s perception of how they felt, the placebo inhaler was reported as being as effective as medicine in providing relief.

IT’S ALL IN YOUR MIND

Research on the placebo effect has focused on the relationship of mind and body. One of the most common theories is that the placebo effect is due to what a participant believes will happen. If a person expects a pill to do something, then it’s possible that the body’s own chemistry can cause effects similar to what a medication might have caused.

For instance, in one study, people were given a placebo and told it was a stimulant. After taking the pill, their pulse rate sped up, their blood pressure increased, and their reaction speeds improved. When people were given the same pill and told it was to help them get to sleep, they experienced the opposite effects.

Experts also say that there is a relationship between how strongly a person expects to have results and whether or not results occur. The stronger the feeling, the more likely it is that a person will experience positive effects. There may be a profound effect due to the interaction between a patient and health care provider.

The same appears to be true for negative effects. If people expect to have side effects such as headaches, nausea, or drowsiness, there is a greater chance of those reactions happening.

The fact that the placebo effect is tied to expectations doesn’t make it imaginary or fake. Some studies show that there are actual physical changes that occur with the placebo effect. For instance, some studies have documented an increase in the body’s production of endorphins, one of the body’s natural pain relievers.

GREAT EXPECTATIONS

The power of positive thinking is not a new subject.

The placebo effect is also called the placebo response, simply because the person has the expectation that it will be helpful. Expectation plays a potent role in the placebo effect. The more a person believes they are going to benefit from a treatment, the more likely it is that they will experience a benefit.

To separate out this power of positive thinking and some other variables from a drug’s true medical benefits, companies seeking governmental approval of a new treatment often use placebo-controlled drug studies. If patients on the new drug fare significantly better than those taking placebo, the study helps support the conclusion that the medicine is effective.

It has been shown that placebos have measurable physiological effects. Randomized trials, some of them led by researchers at the Harvard Program in Placebo Studies and the Therapeutic Encounter, have deepened the understanding of the placebo effect and its various components. Researchers have also used brain scans and other technologies to show that there may be a physiological explanation for the placebo effect in many cases. Placebos tend to speed up pulse rate, increase blood pressure, and improve reaction speeds, for example, when participants are told they have taken a stimulant. Placebos have the opposite physiological effects when participants are told they have taken a sleep-producing drug.

The placebo effect is part of the human potential to react positively to a healer. A patient’s distress may be relieved by something for which there is no medical basis. A familiar example is Band-Aid put on a child. It can make the child feel better by its soothing effect, though there is no medical reason it should make the child feel better. People who receive a placebo may also experience negative effects. They are like side effects with a medication and may include, for example, nausea, diarrhea and constipation. Get real.

WHAT IS HORMONE HEALTH?

“Whatever it is, I want it.”

BEFORE ANYTHING, YOU NEED TO KNOW WHAT A HORMONE IS. IT’S A CHEMICAL SUBSTANCE PRODUCED IN THE BODY THAT CONTROLS AND REGULATES THE ACTIVITY OF CERTAIN CELLS OR ORGANS. HORMONES ARE ESSENTIAL FOR EVERY ACTIVITY OF LIFE, INCLUDING THE PROCESSES OF DIGESTION, METABOLISM, GROWTH, REPRODUCTION, AND MOOD CONTROL. MANY HORMONES, SUCH AS NEUROTRANSMITTERS, ARE ACTIVE IN MORE THAN ONE PHYSICAL WAY. THINK OF THEM AS WORKHORSES OF MAKING YOUR BODY WORK THE WAY IT’S SUPPOSED TO. BUT SOMETIMES THESE HORMONES GO HAYWIRE…OUT OF BALANCE. WHEN THAT HAPPENS YOUR WHOLE BODY IS OUT OF WHACK. FORTUNATELY, WHEN THAT HAPPENS, THERE’S HELP. AT DENVER HORMONE HEALTH, DR. STEPHEN A. GOLDSTEIN, M.D, F.A.C.S. IS AT THE FOREFRONT OF USING HORMONE REPLACEMENT TO REPLACE WHAT YOUR BODY NEEDS TO FEEL ITS BEST. FIRST, HE LISTENS. THEN WITH SIMPLE TESTS, HE CAN DETERMINE EXACTLY WHAT YOU NEED, CREATING A TREATMENT PLAN THAT IS UNIQUELY TAILORRD TO YOUR NEEDS. MAKING YOU FEEL YOUR BEST, IS DR. GOLDSTEINS ONLY GOAL.

WHICH IS WHY, WITHOUT QUESTION, HE’S THE ANSWER YOU’RE LOOKING FOR.

CALL NOW FOR AN APPOINTMENT.