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Novel Corona Virus COVID 19: A Word from the Doctor

We are experiencing an epidemic, “an increase, often sudden, in the number of cases of a disease above what is normally expected in that population in that area”. This is a NEW disease.

 

The world is experiencing a pandemic, “an epidemic that has spread over several countries or continents usually affecting a large number of people.”

 

Public Health “is the science of protecting and improving the health of entire populations, big and small.” In the absence of epidemics and pandemics, the protection Public Health provides is not apparent in everyday life, but its’ purpose in keeping us healthy is. If the spread of a disease can be mitigated (made less severe) it can reduce the impact on society. It requires everyone taking part.

 

Where Do We Start?

 

The best current source of information is Anthony Fauci MD https://www.niaid.nih.gov/about/director When he speaks we should listen closely.

 

He has advised “if you feel sick, stay home and call your Doctor for direction.” I want to review basic things we all can do to make it harder for this transmissible virus to take advantage of our health.

 

I have found the Florida Department of Health http://www.floridahealth.gov  to be an excellent site for concise up to date information for the everyday individual seeking basic advice.

 

Try the COVID 19 Resource Toolkit tab in the middle of their home page. My favorite starter items are:

      http://ww11.doh.state.fl.us/comm/_partners/action/covid19_resp_prevent_8.5×11.pdf          

      http://ww11.doh.state.fl.us/comm/_partners/action/covid19_general_8.5x11_2.pdf

      http://ww11.doh.state.fl.us/comm/_partners/action/covid19_social_distancing.pdf

      http://ww11.doh.state.fl.us/comm/_partners/action/covid19_should_i_get_tested.pdf

 

Although these items seem very basic…they are, Very…Basic, much like blocking and tackling, for all you football fans out there. Social Distancing is extremely important and basic. It is not a joke, as this type of virus transmits […]

Doctor’s Notes: Spring 2019 – Genomics, A Primer

“ Your genome sequence can become a vital part of your medical record, thereby providing critical information about how to optimize your health” 
– Leroy Hood MD, PhD     
  

We have all heard talk of our genome. What is that? It is defined by the National Library of Medicine as

“…our complete set of DNA and all of its genes. Each genome contains all the information to build and maintain our organism. The human genome contains more than 3 billion DNA base pairs, contained in our chromosomes”  …23 pairs of chromosomes, of which we get one pair from Mom and one pair from Dad, for a total of 46 chromosomes. These are found in every cell in our body that has a nucleus.

The study of these genes is called Genomics and was made possible by the discovery of the DNA structure by James D Watson and Francis H C Crick on February 28, 1953 at Cambridge University and by the Human Genome Project which in 2003 was successful in mapping the entire genome of the human species. Genomic Medicine is an emerging medical study devoted to using this information for better diagnosis of conditions and diseases to be able to better personalize therapy.

How is this practical for us? There are various areas of development of this study that are maturing as this note is written.

The most common to the lay public is in the form of testing that is available direct to consumer, the most prevalent one being 23andMe which includes both ancestry and health information. The pertinent aspects […]

Doctor’s Notes: Fall 2018 – Eat Better. Feel Better.

“ An ounce of prevention is worth a pound of cure”
– Benjamin Franklin

”You don’t have to go on a diet, just change your diet.”  But, there are so many choices and we are all different in our makeup, routines, environments, genetics, habits and comfort foods. Of course, but if you could feel better from a change in your habits and comfort foods, mixed in with some education on the subject, it might just be worth it.

It is not that difficult. Health minded approaches to nutrition have made their way to your local grocery store and your favorite restaurant. It is understandably difficult to know where to begin in our busy lives. Let’s try to understand how we nourish and what to nourish with.

Everyone is talking about taking probiotics, “they are good for you”.

The World Gastroenterology Organization Global Guidelines define a probiotic as “live microorganisms that confer a health benefit on the host when taken in the adequate amounts” and “strictly speaking, are live microbes shown in controlled human studies to impart a health benefit”. The evidence based applications for adults are associated with active disease imbalanced states such as acute diarrheal states, antibiotic related diarrheal states, irritable bowel syndrome, colitis and certain liver diseases. The Human Microbiome Project began in 2007 and is active today at the Mayo Clinic and Scripps Institute among other centers worldwide.  What if you don’t have any of those conditions and you generally feel well?

What are my personal “probiotics” and how are they?

They are your own personal group on microbes localized mostly in your large intestine, the colon. They become associated with us while we are in the womb, increase in number during vaginal birth and […]

Doctor’s Notes: Fall 2016 – Anti-Aging (to be or not to be)

“ Life flows on within you and without you” - George Harrison, Sgt. Pepper’s Lonely Hearts Club Band Anti-aging is defined as “used to prevent or lessen the effects of aging”. The American Academy of Anti-Aging Medicine was founded in 1992 to advance therapies for “prevention, treatment and reversal of age related dysfunction” [...]

Father, Son Doctors Share Graduation Moment

As spring becomes summer a new group of young physicians begin their careers in caring for others. A very special addition to this group of healers is David A. Levine, MD. [...]

Doctor’s Notes: Fall 2015 – The Big Picture

“A stitch in time saves nine” – Francis Baily, English Astronomer, 1797 Much is heard daily, of new scientific and medical advances. All are important but oft times there is no further talk of them, they are replaced by new information or are years away from practical application. As our […]

Doctor’s Notes: Summer 2015 – “60 is the new 40″…if you want it to be

“Life is a Journey, not a Destination” – Ralph Waldo Emerson We have come a long way in advances to maintain health and prolong fruitful life. The latter part of the 20th century brought a renaissance in medical research and discovery. That knowledge is working today, as a colleague so […]

Doctor’s Notes: Winter 2015 – We Are What We Eat – Past, Present & Future

“A good man always knows his limitations” – Harry Callahan How and what we obtain as our nutrition for life is a complex set of events based on a myriad of factors. Mores and habits are crucial to life and survival. As an infant in the womb amniotic fluid is […]

Doctor’s Notes: Fall 2014 – Staying Well in Trying Times

“An ounce of prevention is worth a pound of cure” – Benjamin Franklin Autumn has arrived and our thoughts turn to the holiday season preparations, but our attention is brought to the news of the first case of Ebola Virus Disease (EVD) diagnosed in the United States on Tuesday September […]

Florida Physician Practice Quality Award

I would like to thank my fabulous office staff for assisting in our excellent medical care and making it possible for us to be given the Florida Physician Practice Quality Award for the second year running. They’re the best. Be Well, […]