Page 7 - Adelante Magazine February 2021

BY: DANIEL PEARCE, D.O., FACOI, AAHIVMS
A
ASK THE
DOCTOR

RISKS FOR EARLY DEMENTIA

RISKS FOR EARLY DEMENTIA much of the nutrition guidelines and documents as your nuclear bunker stocked with food.
There are risks you can and can’t change: in years past. Some parts of the current Hospitals have enough tests and Personal
Can’t Change: age, sex, and genetic risk government I trust and others not so much. Protective Equipment (PPE) and isolation
Can Change: low level of education, physical procedures now, including using a PPE
inactivity, high alcohol intake, smoking, hyper- PREDICTING HEART ATTACKS buddy—where a coworker inspects the PPE to
tension, and diabetes. There are calculators that providers use to get make sure it is put on correctly. I remember this
There are studies looking into improving these a score on the risk for fractures, heart attacks, rule started when Ebola came to us and nurses
changeable factors and seeing if it prevents lung blood clots, etc. A risk score predicting were catching it.
dementia. If you want to wait, then it may be whether a patient is going to have a heart
too late. Now the education piece is tougher, attack soon has been used to urge the patient HOLIDAY SURGES
but maybe keeping your mind active and to have a procedure done. A calculator that Have happened. Now there is almost no one
having projects you care about will be helpful seemed helpful has been used for years to who doesn’t know someone who had Covid
rather than sitting for hours watching the boob recommend the workup. With more data and a and more know someone who suffered and or
tube or doom scrolling on the web. larger, higher quality study, the calculator was died.
“A mind is a terrible thing to waste.” (Young & not that helpful. It is good that physician/scien- The virus doesn’t care if you need money, love
Rubicam) It is sad to watch and a lot of work to tists keep studying and arrive at firmer conclu- your friends and relatives, or must enter a
care for those whose minds are failing. sions which save complications from building. The delay between infection and
Healthy lifestyle: good nutrition, exercise, etc is unnecessary procedures/surgery and unnec- symptoms is about 3-5 days and the virus test
important for many reasons. essary medications and visits. will be positive after about 3 days.

RESISTANT HYPERTENSION POLICE CHOKE HOLDS SHOULD BE END OF LIFE DISCUSSIONS WITH COVID
Many who have hypertension that needs 3-4 BANNED “But the Internet guy said Covid wasn’t real.”
meds at high dose should get a test called A neurology expert says, "Neck restraints can Providers complain that, in the time of Covid,
Aldosterone. It is a hormone that may be high. lead to medical complications and death, even when a person is near death having discus-
A simple pill at a low dose can have dramatic when applying very little pressure." In light of sions with family over the phone with an inter-
effects. those who have died as a result of this preter with masks on and a loud fan sucking
restraint, it is recommended to use other non- out the germs in the room is not a good
A SECOND CANCER! lethal means to restrain patients. situation.
Many who survive their first cancer due to It is so important to sort out what you want and
better treatments come down with a second ARE HOSPITALS COVID HOTSPOTS? don’t want to happen before you are near
cancer. Many times this is due to preventable A large study of Emergency Department death. Look up on the web: POLST
causes: obesity, tobacco, and lack of a healthy personnel in hospitals with high and low Covid Physician’s order for Life Sustaining Treatment
lifestyle. Again, there are many benefits of the exposure found that where masks were in short and fill the form and bring it with your medica-
healthy lifestyle. You pay now or later. I will pay supply, more staff had antibodies to Covid than tions to the hospital.
less since I am paying now by living a healthy the places where there were enough masks.
lifestyle and the cost is not that much to lower This is an association that the more masks are Keep those questions coming and be safe!
my risk of strokes, heart attacks, cancer, etc. used covering the nose and mouth, the less
Covid infections. Masks are important in
NEW NUTRITION GUIDELINES AFFECTED preventing transmission of the corona virus dpearce@western.edu
BY WHITE HOUSE from and to you.
The guidelines are as mentioned above but Daniel Pearce, D.O., FACOI, AAHIVMS
more detailed. The scientists recommended A low or high percent of staff who had Covid Clinical Associate Professor of Medicine, Loma
Linda University School of Medicine Adjunct
cutting simple carbs (sugars) down to 6% antibodies was correlated to high or low levels Professor of Internal Medicine and HIV, Touro
instead of 10% of the calories and cutting in the community in which they lived. We know University California College of Osteopathic
alcoholic drinks down more. It looks like the that our staff, hospital staff, prison staff, any Medicine and Midwestern University Arizona
politicians ignored these recommendations and business staff bring Covid into their workplace College of Osteopathic Medicine HIV, Hepatitis
B,C, Transgender, Suboxone Specialist, Borrego
left the guidelines the same as the previous from home or bring Covid from home to the Health (Riverside, San Bernardino, San Jacinto)
ones. workplace. Lately with tighter controls, Member, Coachella Valley Clinical Research
This influencing contrary to the evidence is not hospitals have had only rare transmissions so Initiative
new. The American Dairy Association funded they are safe places, but certainly not as safe REFERENCES: Medscape®
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