What nutrients can help with diabetic neuropathy

To male it simple,
1. Omega3 fatty acids
2. VitaminD
3.curcumin
4.Alfa Lipoic Acid   600 mg per day
5.Folic Acid
6.Acetyl L Carnitine. 1500 to 3000 mg per day
7.Benfotiamine

Benfotiamine is the fat soluble form of vitamin B1 Thiamine

Covid-19 Pandemic Times

As a physician I always wondered who would diagnose the first ever patient in USA with this Covid-19.

New England Journal of Medicine (NEJM) published the first case details on March 3^rd, 2020.

It reads,” an outbreak of novel Corona virus (2019-nCOV) that began in Wuhan, China has spread rapidly with cases confirmed in multiple countries. The case highlights the importance of close coordination between clinician and public health authorities at local, state, federal levels as well as need for rapid dissemination of clinical information related to the case of patients with this emerging infection.

Just to get timelines straight, China reported on 12/31/19 a cluster of Pneumonia cases in relation to

Seafood wholesale market, Wuhan, Hubei Province.

On January 7^th, 2020 Chinese health authorities confirmed this cluster was associated with novel corona virus (2019-nCOV).

On January 19th, 2020, a 35 year old man presented to an urgent care clinic in Snowhomish county, Washington with 4 day history of cough and fever. He did disclose that he had returned from Wuhan after a family visit on January 15th, 2020.

The patient had seen a health alert from CDC about novel corona virus outbreak in China and as he was running fever and cough decided to get checked. He was checked for flu and culture of all respiratory viruses and they were normal.

Washington Dept of health notified CDC emergency operations center and specimens of nasopharyngeal and oral and blood collected and on Jan 20,2020 CDC confirmed the case as of novel corona virus.

He was admitted to Providence regional medical center in isolation for further observation and care.

He had mild symptoms initially but progressed.

He progressed with vomiting and diarrhea and stool cultures positive for corona.

On Day 9th of his illness he developed pneumonia and dropped oxygen concentrations to 90%.

He was initially treated with IV antibiotics as a hospital acquired pneumonia but quickly discontinued and started on Remdesivir. He improved with care and was discharged.

He was in Wuhan but did not visit the Wuhan seafood market.

Right now, everyone everywhere in the world has been in protection mode to some extent.

We have started social distancing, frequent hand washing, wearing a masks, healthy diet, exercise, and good sleeping habits. Human health depends on healthy ecosystem.

- a tiny video of the precautions to take during Covid-19.

Dharmo Rakshati Rakshita  

                 

A line from Manusmriti says “Dharma protects its protector.”

On similar grounds, the Ministry of environment and Forestry of India, put out their motto as

Prakriti Rakshati Rakshita meaning “Nature protects its protector.”

Science is not political. It pursues truth. A wide majority of new infectious diseases in people come from animals, from wildlife and livestock.

The notion to choose between climate and economy is weird.

There is something called planetary consciousness, meaning taking a holistic view of public health, that includes health of natural environment.

Man clears forests, removes habitats, brings wild animals close to human settlements.

Hunting and selling wildlife are a common sport. This does increase risk of transmission from animals to human.

Have we not heard of HIV, Ebola, Zika, SARS, MERS, and bird flu?

To end my blog,

I am reminded of William Wordsworth’s poem,

I Wandered Lonely as a Cloud.

The words in part are,

I wandered lonely as a cloud

That floats on high o’er vale’s and hills,

When all at once I saw a crowd,

A host, of golden daffodils.

Besides the lake, beneath the trees,

Fluttering and dancing in the breeze.

For oft, when on my couch I lie

In vacant or in pensive mood,

They flash upon that inward eye

Which is the bliss of solitude

And then my heart with pleasure fills,

And dances with the daffodils.

Believe in God.

With Him nothing is impossible.

Happiness is like the lost remote control that you are looking everywhere to find out you were just sitting on it.

-        By Nalini Dave, MD

Stem cells

Almost all cancers arise in organs and tissues containing cells that have the ability, for the lifetime of the organism to replicate in order to maintain and replace cells that are lost because of aging or  damage.

The entire lining of gut is replaced every 7 days.

The skin epithelium is replaced once a month.

Healing damaged tissue with use of large number of un damaged cells seems to be he most efficient mechanism of repair.

However tissues in which cancers usually arise eg skin,mammary glands,gut,brain and blood ,only a minority population of stem cells maintains and repairs the tissue,where as the most replication competent cells have a limited life span.

Green detox smoothie

With the NewYear,the word detox is all over.

I am going to be giving you 3 different detox smoothies.

Let's get started,

I am not going to give you proportions in exact amounts as it does not work that way.

We can use base as water or coconut water.

Next ,to the coconut water in the blender add 1/2 cup of blueberries,

Handful of cilantro and a handful of parsley.

Add 1/2 of a green apple

Add a tsf of chia seeds.

Add a cupful of baby greens packet that are sold in grocery stores.

Home made dressing

In the previous blog,I had used soy sauce but if allergic,one can use Tamari.

Maple syrup and lime juice can be used to make consistency thinner.

I have a good recipe for Tofu marinade!

The previous dressing we made that had Asian flair,marinate tofu in that and then add corn starch.

Tofu is ready to be pan fried.

Home made salad dressings

I hate to get into exact measurements as one cannot think independently of the taste.

This dressing has a Asian flavour.

Mix sesame oil,soy sauce,brown sugar,chilli garlic Sambal,almond butter 

Mix the above thoroughly and use as a dressing.

Add water if too thick or mix of lemon juice and water to make it thinner.

Cannabis ( continued)

Delta9- tetrahydrocannabinol is the primary psychoactive constituent of cannabis and acts as agonists at both CB1 and CB 2 receptors.

It activates presynapticCB1 receptors decreasing cyclic AMP synthesis with downstream functional effects resulting in reduced neurotransmission.

Clinically the effects observed are impaired learning,memory,spatial orientation and attention during cannabis intoxication.

Delta 9 THC can cause tachycardia,low BP,dry mouth and dry eyes.

It's use does not result in respiratory depression observed with benzodiazepine or opioids administration as CB 1 receptors are not found in medullary respiratory centres.

Delta9 THC exhibits both analgesic and anti inflammatory properties.

CannabidiolCBD lacks the intoxicating properties or the high of THC.

It demonstrates weak affinity for CB1 and CB2 receptors.CBD may have indirect effects at CB1 receptors but not with CB 2.

CBD has ANticonvulsant,anti anxiety,anti inflammatory and heuroprotective properties.

The presence of CBD product in Cannabis is believed to moderate or counteract psychosis inducing effects of THC.

Other names of mine phytocannabinoids are,

Cannabigerol has antibacterial properties.

Tetrahydrocannabivarin has antiepileptic effects.

Synthetic Cannabinoids

Dronabinol,identical to THC 

Na lions,a THC analogue

These have been used for nausea,vomitting,appetite stimulation,pain,spasticity.

Recreational use of illegally synthesised cannabinoid receptor agonists are sold in the market as Black Mamba,crazy clown,K-2,spice

These agents of abuse are associated with psychosis,agitation,vomitting and death.

List of conditions for which medical cannabis is used are,

1.Alzeimers

2. ALS

3.cachexia

4.cancer

5.Crohns disease

6.seizures and epilepsy

7. Glaucoma

8. HepatitisC

9.AIDS

10.MS to reduce spasticity

11. Chronic pain

12.Nausea

13. PTSD

I want to thank Mayo clinic for educating us with authentic information about medical cannabis.