Page 7 - Adelante Magazine June 2022
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                                                                                     BY: DANIEL PEARCE, D.O., FCOI, AAHIVMS










                                                                            CAR CRASHES

                                                                            AND SLEEP DISORDERS

                                                                              implant are desirable places for bacteria to go
                                                                              and make themselves at home.  The foreign
                                                                              body must be removed, the wound must heal
                                                                              completely  before  a  new  device  is  put  in.
                                                                              Taking out an artificial joint leaves your limb
                                                                              looking like a boneless chicken.
                                                                              ANTI-ALCOHOL   DRUG   GOOD   FOR
        CAR CRASHES AND SLEEP DISORDERS    OBESITY SURGERIES                  ANXIETY?
        This was a hot topic that led to physicians in  Stapling  the  stomach  and  making  it  smaller  There is more data showing that disulfuram
        training to have their hours reduced so that  and making the fluids bypass some of the small  (Antabuse®) also treats anxiety in addition to
        adequate sleep was built into their schedules.  intestine  is  one  way  to  treat  obesity.  Other  making people feel quite ill if they drink alcohol.
        There  were  more  suicides  and  car  crashes  procedures are less involved such as inflating  We use it for alcoholics who can’t control their
        when the sleep deprived drove home.   a  balloon  in  the  stomach,  putting  a  sleeve  impulses and then remember they will become
        Now we have a study showing that people with  around the stomach, or putting a device in the  ill  if  they  drink  when  disulfuram  is  in  their
        sleep  apnea  have  more  crashes.  This  is  first part of the intestine. Each of these has  system.    Naltrexone  (Vivitrol®)  is  good  for
        especially true for the elderly. The more their  advantages and disadvantages; your surgeon  alcohol use disorder too; and is injectable or
        sleep was interrupted, the more crashes. Many  will discuss what might be best for you.  These  oral.  The  injectable  form  really  controls  the
        don’t get a mask that is best for them and don’t  procedures may be available when a strong try  impulse since they can’t skip a few days of pills
        use  their  machines.  At  the  time  that  mask  has been made to modify lifestyle but didn’t  and start drinking, if they drink on naltrexone
        seemed the best but then it didn’t. To avoid  work well enough.       they do not feel the good effects of alcohol—
        crashes,  heart  attacks,  strokes,  diabetes,                        this   reminds   me   of   buprenorphine
        obesity risks, it is best to get good sleep and  INTERMITTENT FASTING HELPFUL?  (Suboxone®)  which  eliminates  the  high  of
        have another visit for a new mask.  A larger, better study than the preliminary ones,  opioids taken on top of it.  Good to know that
                                           showed that timing of meals being different in  some medications have two beneficial actions.
        STRESS CAN MAKE YOUR BRAIN MESS    one group but the same calorie level intake for
        UP                                 both  groups  did  not  show  the  intermittent  ZUCKERBERG-CHAN PROJECTS
        Working memory, the memory you have right  fasting  group  losing  more  weight.    This  is  From Facebook fame, this couple is funding
        now to say something to someone, can freeze  frustrating for all of us! Exercise, healthy food  many basic science projects with millions of
        if there is too much distraction. This is normal.  and  portion/calories  control  is  the  proven  dollars. Some of these are:
        Concentration/focus/being mindful is the key.  method.                1.  Funding promising young scientists.
        Whenever  I  let  my  mind  wander  when                              2.  A public web atlas of all human cells so that
        snowboarding  (like  looking  at  another  HIGHER RISK OF DEMENTIA WITH HEAD  each scientist can add their knowledge to this
        snowboarder),  I  would  fall.  Ouch!  This  TRAUMA BUT NO CONCUSSION  data base.
        weekend I looked at the bathroom key on my  There is now a study out that shows that those  3.  A database of gene research so that others
        neck while walking on a sailboat of a friend’s  with traumatic brain injury without concussion  can  access  this  open  source  database  and
        and fell.  We were at the dock so there was no  or  loss  of  consciousness  have  changes  on  build on others’ research rather than wasting
        major boat rocking. I was fine when we were  scans   and   autopsies   showing   tiny  time and money on the same project.  This
        out  to  sea.    Sometimes  I  let  go  of  the  strokes/damaged brain and other abnormal-  funding of basic science has paid off and will
        rudder/tiller on my 8 foot sailboat for no reason  ities associated with more severe head trauma.  pay off more later. The funding of collaboration
        and the boat starts spinning, risking a capsize.  Therefore, avoid any head injuries. Maybe you  and infrastructure where there has been a hole
        Gotta keep your mind on the task!.  should wear a helmet.             has been quite a kick to progress.
        My computer slows down on opening pages
        when there are too many tasks up. I should  DON’T LET THAT METAL/PLASTIC JOINT  Keep those questions coming and be safe!
        have bought a laptop with more memory. This  GET INFECTED
        laptop’s memory gets full fast with too many  Our skin keeps bacteria and viruses out and  dpearce@western.edu
        open items, just like the human brain.  our immune system cleans out some of what
                                           is floating around. It is best to not have any  Daniel Pearce, D.O., FACOI, AAHIVMS
        FAT SHAMING                        wounds  on  the  skin  when  you  go  for  joint  Clinical Associate Professor of Medicine, Loma
        It has been shown that fat shaming causes the  replacement  since  all  wounds  have  a  little  Linda  University  School  of  Medicine  Adjunct
        opposite of the desired outcome, more weight  infection.  Before surgery the surgeon checks  Professor of Internal Medicine and HIV, Touro
                                                                                University  California  College  of  Osteopathic
        gain. It also causes more inflammation, higher  the nose for resistant staph. A new study found  Medicine  and  Midwestern  University  Arizona
        risk of depression, anxiety, substance abuse,  that treating staph when found was helpful in  College of Osteopathic Medicine HIV, Hepatitis
        suicides, avoiding exercise, and hypertension.  reducing infections of the new joints.  Artificial  B,C,  Transgender,  Suboxone  Specialist,
        If you want people to lose weight, do the right  joints have no circulation so there is no ability  Borrego Health (Riverside, San Bernardino, San
        thing  and  do  not  fat  shame.    Brazil  fined  a  to fight off a minor infection. Foreign bodies,  Jacinto)  Member,  Coachella  Valley  Clinical
                                                                                Research Initiative
        comedian who fat shamed during his show!  like  the  metal  and  plastic  of  a  new  joint,  a
                                           pacemaker,  an  intravenous  line,  a  silicone  REFERENCES:  Medscape®
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