Celebrating Nurses Week 2017: Five Nurses You Should Know

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Physicians are often thrust into the spotlight for the work they do, and often the notoriety is well deserved. However, there are many extraordinary nurses who have equally and dramatically changed the face of health and healthcare through their tireless efforts to serve their communities and make an impact on the world. With Nurses Week 2017 right around the corner, (May 6-12), we honor and celebrate nurses around the globe. From the battleground to the bedside, from offices to surgical suites, from nursing schools to government boardrooms, nurses make decisions daily that impact lives.

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Do You Really Have Fibromyalgia?

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By Dr. David M. Brady

Are you one of tens of millions of individuals silently suffering from widespread pain and fatigue? Have you been diagnosed with fibromyalgia, but recovery seems to elude you? Mass confusion exists over what is truly fibromyalgia and what are the associated syndromes incorrectly diagnosed as fibromyalgia. The common thread of widespread pain and fatigue blurs the lines of distinction, leading to incorrect treatment and poor recovery. Far too often, doctors diagnose a patient with fibromyalgia, when in fact she has a complex set of symptoms with multiple causes. Worse yet, doctors may prescribe a single treatment package, when this one-size-fits-all approach rarely leads to recovery.

Approximately five million people in the United States are suffering from fibromyalgia and an estimated 80 to 90 percent of fibromyalgia patients are women. True diagnosis is difficult, however, when the only diagnostic criteria available is based on subjective questions about someone’s perception of pain. As a result, many individuals are suffering from fibromyalgia but are not properly diagnosed as such, and up to two-thirds of individuals diagnosed with fibromyalgia are suffering from a chameleon condition.

Fibromyalgia is the correct diagnosis only when all other medical and functional conditions have been ruled out. Most physicians, however, do not tackle this arduous task. For this reason, many individuals needlessly suffer from improper diagnosis and treatment.

The mimicry of widespread pain and fatigue syndromes

The presence of widespread pain and fatigue opens the door for a plethora of medical conditions, stemming from a variety of root causes and making it critical for the practitioner to conduct a systematic evaluation before landing on the diagnosis of fibromyalgia.  There are three broad categories of conditions, other than classic fibromyalgia, that are most often the cause of widespread pain and fatigue:

  1. Musculoskeletal problems cause pain that is actually arising from a specific muscle or joint. Examples include myofascial pain syndrome, trigger points or “muscle knots,” and spinal joint problems such disc degeneration and pinched nerves.
  2. Metabolic/Functional problems represent subclinical conditions involving dysfunction of internal organs and individual metabolism, rather than true pathology or disease. Examples include subtle functional hypothyroidism, inefficiency of energy production in the cells due to mitochondrial dysfunction, nutritional deficiencies, chemical and food sensitivities, reactions to medications, and other problems with body metabolism and biochemistry.
  3. Medical problems are caused by the presence of any medical condition or disease such as thyroid disease, diabetes, Lyme disease, and cancer.

Unfortunately, the standard treatment approach for classic fibromyalgia will not help patients whose pain and fatigue are rooted in any of these other three categories.

A typical case of misdiagnosis

Mary’s complex case illustrates the necessity of a systematic evaluation and the ease of misdiagnosis, in the absence of an appropriate evaluation. For decades, Mary experienced terrible digestive issues, including substantial bloating and excessive gas that robbed her of a social life. After her first pregnancy, she also experienced fatigue and achiness, which in turn led to depression and anxiety. Mary made numerous visits to her family physician and a gastroenterologist, getting comprehensive lab work, an endoscopy, and a colonoscopy. To her frustration, the results were all normal. After being referred to a rheumatologist, Mary was diagnosed with fibromyalgia and prescribed the routine medication, Lyrica. After a few months, however, Mary’s symptoms remained unaltered.

Eventually, Mary was referred to me. From her answers on my fibromyalgia questionnaire, it was evident to me that she had many symptoms associated with fibromyalgia but that she lacked the classic history of high stress or trauma, in either her childhood or current life, that are generally found in classic fibromyalgia cases. A physical exam revealed many muscle trigger points, muscle spasms, and localized areas of pain, but lacked a widespread hyper-perception of pain to normal stimuli. After reviewing lab work from a functional perspective, several areas of concern were identified. The entire evaluation indicated Mary was suffering from a combination of functional/metabolic imbalances, musculoskeletal problems, and autoimmune issues that accounted for her pain and fatigue.

After addressing the metabolic/functional, musculoskeletal, and medical root problems, Mary regained full health and a productive life, which would have been impossible if she had accepted her original diagnosis and continued with the medication. Because Mary had been misdiagnosed with fibromyalgia, her treatment yielded poor results.

The root of classic fibromyalgia

So what sets fibromyalgia apart from its camouflaging conditions? The simple answer is the central nervous system. Classic fibromyalgia involves a hyper-responsive nervous system that accentuates pain in response to normal stimuli. Studies are showing strong correlations between physical and/or emotional trauma, particularly during childhood, and the development of fibromyalgia. Some people develop fibromyalgia after a severe car accident, work related injury, serious surgical procedures, physical or emotional abuse, or after witnessing a horrific event. These traumatic events derail the central nervous system and may lead to a heightened and prolonged pain response to normal stimuli, such as bright lights, sounds, changes in temperature, moderate pressure on the skin or muscles, household chemicals, etc.

Many fibromyalgia patients have extraordinary amounts of stress in their lives or have experienced intensely emotional events in the past. The stress and emotional trauma disrupts the brain’s ability to process pain appropriately. Therefore, widespread pain and fatigue in the presence of stress and trauma, but in the absence of a metabolic, functional, or musculoskeletal problem, often points to classic fibromyalgia.

Do you have classic fibromyalgia?

So do you think you might have classic fibromyalgia? Remember, fibromyalgia is the correct diagnosis only when all other medical, musculoskeletal, and metabolic/functional conditions have been ruled out. Fibromyalgia is a real problem with a real solution, when diagnosed correctly.

Take this short quiz and find out whether you may be experiencing fibromyalgia. If you score over 13 after adding your scores from sections 1, 2, and 3, and you answer “yes” to section 4, and “no” to section 5, you may have classic fibromyalgia.

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Source: 2011 Modification of the American College of Rheumatology Diagnostic Criteria for Fibromyalgia.

Dr. David Brady, a foremost authority on properly diagnosing and treating fibromyalgia, has been featured in top popular media including ELLE and NPR; has published in leading peer-reviewed medical journals including Open Journal of Rheumatology and Autoimmune Disease and Integrative Medicine: A Clinician’s Journal; has published chapters on fibromyalgia in definitive medical textbooks including Advancing Medicine with Food and Nutrients and Integrative Gastroenterology; and has presented at prestigious medical conferences including the Annual Symposium of Functional Medicine and the Integrative Healthcare Symposium. In private practice at Whole Body Medicine in Fairfield, CT, Dr. Brady additionally is the VP of Health Sciences and the Director of the Human Nutrition Institute at the University of Bridgeport, as well as the Chief Medical Officer of Designs for Health, Inc. and of Diagnostic Solutions Laboratory, LLC. Having witnessed his own mother suffer through the wringer of the medical system, Dr. Brady is uniquely passionate not only as a doctor but also as a patient advocate, ensuring that patients receive compassionate care and meaningful results. For more information, visit FibroFix.com and DrDavidBrady.com.

Farm to Hospital: How the Way We Farm Makes Us Sick

Written by: Ron Weiss, MD

Given the recent turn of events, it is unclear whether the Affordable Care Act really has been given a reprieve, or whether millions still risk losing their current health insurance benefits. Regardless, it is critical for the politicians in Washington to understand that the primary cause of America’s health care crisis is not a lack of health insurance. It is not rising drug costs or insufficient access to primary care medicine. It is federal agriculture policy.

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Which Nutrients Best Support Healthy Vision?

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Written by Austin Winegar, AsktheScientists.com

Eye health is an often-overlooked aspect in our journey to overall health, but there are some important nutrients out there that can help support healthy vision.

Vitamin C

Vitamin C is an antioxidant found in fruits and vegetables. It supports healthy capillaries, gums, teeth, and cartilage. Vitamin C can be found in virtually every cell in the body, and its concentration is significantly higher in the retina than in the blood. Since the human body does not make vitamin C, it must be consumed as part of the diet.*

Zinc
Zinc is a trace mineral that is found in high concentrations in the eye. It plays a critical role in transporting vitamin A to the retina.*

Lutein & Zeaxanthin
Lutein and zeaxanthin are carotenoids and both serve as antioxidants, which help to neutralize free radicals and reduce oxidative stress.*

Omega-3 Fatty Acids
Fats are an essential part of the human diet. The two families of essential fatty acids are omega-3 fatty acids and omega-6 fatty acids. Most individuals get enough of the essential omega-6 fatty acids; however low intakes of omega-3 fatty acids is common, particularly Docosahexaenoic acid (DHA) and Eicosapentaenoic acid (EPA). These fatty acids are important in many aspects of health, including: membrane structure, neural development, supporting cardiovascular health, and providing a healthy inflammation response in connection with exercise.*

DHA is found in high concentrations in the retina and it has been shown that DHA helps maintain the health of the retina.* Read more  »

The Many Benefits of Omega-3s

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Written by Brian Dixon, PhD

No nutritional program is complete without a high-quality source of beneficial omega-3 fatty acids.

Fats are an essential part of our diet. However, we should limit unhealthy fat intake and encourage consumption of healthy fats. Saturated fats found in meat, milk, and cheese help to promote the formation of artery-clogging fatty deposits. The trans-fatty acids (found in partially hydrogenated vegetable oils) are even more harmful to our health. Monounsaturated fats found in vegetable oils do not promote arterial fat deposits and polyunsaturated fatty acids, such as the omega-3 fatty acids, are the most beneficial to overall health. Read more  »

How Diet Plays a Role in Disease Prevention

 

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This morning, Dr. Oz visited the Today Show to talk about an important new study published in the Journal of the American Medical Association (JAMA) by researchers at the Tufts Friedman School of Nutrition. Scientists looked at data regarding what Americans eat and what they die from and found a clear relationship between certain foods and the risk of disease. The researchers discovered that they could attribute almost half (45%) of the more than 700,000 deaths from heart disease, stroke, and diabetes to just 10 dietary factors.

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My Father is the Happy Face Killer

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Rejection and Self Love

I am the daughter of a serial killer.

My suffering and self-inflicted guilt and shame went beyond my father’s name in national news, his creepy smiley faces left on letters to the detectives who were looking for the crazed murderer. They would find out later all of it was unmotivated by money, greed, jealousy, or passion. All murder is senseless, but without any motive, the trail of women’s bodies found along wooden paths didn’t add up to much of a pattern that could help detectives determine if the murders were linked. Finally, their work would become a lot easier. The authorities had the wrong people in custody for one particular murder, and my narcissistic father just couldn’t take it. He wrote letters to authorities begging them to notice him. Who knows, if his ego didn’t get in the way, maybe he’d still be driving his truck on long-hauls, dropping into my house to rustle the hair of his grandkids.

In 1995, my father was arrested and is now serving multiple life sentences at the Oregon State Penitentiary.

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The Dangerous Spread of Fake Ads

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Cowritten with Robert Glazer, Founder and Managing Director of Acceleration Partners.

Did Fake News Sneak up on America?

A recent Pew Research Center study reports that two-thirds of American adults get their news on Facebook, yet our legal and law enforcement systems have not kept up with the dramatic advances in communication technology. Just as these tools have the power to bring us together and enhance our lives, we are beginning to realize they also have a dark side. The speed and anonymity of the Internet have led to the development of a phenomenon that challenges the foundation of our society: the rapid creation and sharing of scams and fake news. This problem has reached such epic proportions that many fear the rapid spread of fake Internet news actually affected our presidential election. Now we are left trying to understand how this tsunami hit us seemingly without warning.

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