I am a retired ER physician and father of many. After graduating from Chicago Medical School in 1990, I embarked on a 23-year career in Emergency Medicine. Medical interests include wilderness medicine, addictionology, and trauma psychology. I currently teach health and medicine online. DISCLAIMER: Accept all medical advice with a jaundiced eye. Before following my suggestions, do your own research and consult with your physician first. Enjoy & Learn!
What I Am All About
Monday, October 5, 2020
The COVID-19 Antibiotic Cocktail
Tuesday, September 8, 2020
Chew On This (continued)
There is unfinished business here concerning Fletcherism and his lifelong passion to liquify our food before swallowing. Saliva contains several beneficial ingredients that include amylase, lipase, and lysozyme. The first two are enzymes that break down carbohydrates and fats. Lysozyme, also known as muramidase or N-acetylmuramide glycanhydrolase, is an antimicrobial enzyme produced by animals that forms part of the immune system. Fletcherism is basically a way to facilitate your body's innate wisdom.
So chew your food thoroughly and that includes shakes. You may think that since they are already "liquids" that they don't need such extensive mastication. Think again. They are really suspensions of solids within the liquid.
I learned about this from my paternal grandmother Nellie by the time I was six. Her advice was a bit different, though. She encouraged us to chew 22 times before the swallow. I suppose that was adequate for some foods but probably not for the majority.
So Eat, Be Strong, & Enjoy!
Friday, August 21, 2020
Drink A Little Bit. Drink A Little Bit If You Can
It is an interesting state of affairs when the research on drinking alcohol is so ambiguous that the recommendations are "U-shaped," meaning that they THINK a couple of drinks a day enhances cognition better than no drinks at all and drinking too many.
So pour yourself a strong one (or two) and think about THAT.
"The majority of studies observed a U-shaped relationship between regular alcohol consumption and cognitive function: frequent heavy consumption of alcohol alters brain functions and decreases cognitive performance; regular light and moderate consumption may have a protective impact. In many studies, total abstainers show an inferior cognitive performance than people with moderate or light consumption."
https://bit.ly/2EsrrAE
Wednesday, August 5, 2020
Interesting Psych Findings
Interesting Psych Findings From Quora. I find numbers 2, 3, 4, 6, 13, and 15 the most interesting.
#22 and #23 are news to me. As is #15. I find it hard to believe it's that long!
Wednesday, July 8, 2020
BulletProof Serrapeptase
I've been taking the enzyme Serrapeptase about 10 months now in the hope that it will reduce the size of the coronary artery plaque in my Left Anterior Descending artery (the "Widow Maker"). I have apparently been doing it wrong.
It's not stated in this article but Serrapeptase needs to be taken on an empty stomach 2-4 times per day. Otherwise, it will be wasted on breaking down foods and medicines instead of the target entities.
Since it remodels skin, be sure to supplement with Vitamin C, collagen peptides, and the mineral zinc:
"You can take serrapeptase to help dissolve scar tissue, fight inflammation, improve your immune response, and decrease pain…
...Serrapeptase dissolves fibrin, a particularly tough protein that makes up scar tissue, and emerging research suggests that high doses of serrapeptase may reduce scarring."
Monday, June 29, 2020
Monday, June 22, 2020
The Good. The Bad. And The Ugly
Saturday, June 20, 2020
Six Pro-Inflammatory Foods to Avoid
Sunday, May 31, 2020
Alcohol and Your Immune System
Sunday, March 15, 2020
Boost Your Immunity with Food
Thursday, January 16, 2020
My Quora Answer to: Why do so many people have allergies today? Because we are born into, are raised up in, and work in sterilized environments.
Early and constant exposure to bacteria common in nature but not so much in cities builds our immune systems in many ways. Think about it. Who gets more exposure to allegens such as pollen and fungi?
I wrote about this a few years ago on my blog titled, “Eat Dirt.” That article was specifically aimed at a genus of bacteria called “Nitrosomas,” but could very well apply to other genera and fungi. Nitrisomas species live off of the form of nitrogen found in urine, urea. Believe it or not, they can live on your skin too, like under armpits. Nature's original deodarant.
Other ingested and inhaled allergens directly affect your internal immune system. For one, chronic low-level exposure stimutes the formation of Immunoglobulins G and M which “overpower” the release and activity of IgE. The IgE molecule (if unopposed) attaches to mast cells in your blood, causing the release of histamine, which is the chemical responsible for all those nasty and even deadly allergic reactions.
According to this 2013 study, rural bacteria also affect natural killer T-cells in the lungs of mice. I haven't read the science behind the article but assume it's valid:
https://www.livescience.com/36217-early-bacterial-exposure-immunity.html
Very good question, BTW.
Monday, January 13, 2020
Nanobes and Coronary Artery Disease
Something I Discovered En Route to Looking Up Other Things
I got my chest CT results and an incidental finding is that I have "severe coronary calcification." So, I started looking up ways to decrease it and found a great article on outpatient chelation therapy. The researchers used a combination of plant powders and tetracycline orally, and EDTA suppositories per rectum.
But why the antibiotic? The article sites nanobacteria (nanobes) as a causative factor in coronary artery disease and the tetracycline kills them off.
This is the first time I've heard about nanobes, sooo...
https://serc.carleton.edu/microbelife/topics/nanobes/index.html
Wednesday, December 25, 2019
My Quora Answer to "Parents, what did your doctor do that pissed you off?"
Not off topic. I wrote my Answer hoping someone would ask.
It's a form of genital mutilation invented in the Bronze Age to set a certain group of men apart from those who didn't belong to their society. We are aghast at female genital mutilation yet look askance when it happens to baby boys. Note too, that it was forced upon the male slaves of the Patriarchs who, like infants, had no say in the matter.
While this happened to my oldest in my first marriage, my second wife and I prevented it happening to our two sons. With vigilent hygiene which we taught them, they had a total of maybe 3 yeast infections (smegma) in childhood. The worst case was in Benny, (of “earbuds in nostrils" fame) and that was very short-lived.
The other scare tactic was telling us that there is an increased risk of penile cancer in uncut men. More recent long-term studies have debunked this.
I believe that if you belong to a religion that still mandates circumcision, that it can certainly wait until the day of reckoning, which is 13-years old in the Jewish tradition. It also seems more in line with how it was done in ancient Canaan. After all, both Abraham and Ishmael were at least that old!
Monday, December 9, 2019
When a Doctor is a Patient
It is really um, “interesting” to do this. I have had a couple of visits where large parts of the exam were never done, yet the provider documented that they did.
My biggest issues are two-fold. First, when someone on the medical staff treats me like crap. That changes immediately when I inform them that I am a physician. Which really sucks when you consider how many patients are NOT docs.
The second is when I get sub-par service from Nurse Practitioners and Physician Assistants. One recent episode illustrates both issues.
I tripped and broke my left arm near the shoulder while running for a bus to Chicago. When I got there, I went to an Immediate Care clinic in Park Ridge, IL. I think because of my reactions to the intense pain, the PA who saw me thought I was putting on an act in order to obtain narcotics. He manhandled my arm and his attitude was confrontational until he saw the X-rays. Then his tune changed.
What's this for to do with your Question? Well, the complaint letter I sent to administration DOES state that I am a physician!
People are documenting things they don’t do, yep, in the point and click medical record
The PA should have held their judgement for the X Ray. Not sure if the same thing might not happen with a physician
Thursday, December 5, 2019
Carcinogenic Water
Saturday, October 19, 2019
Gut Biome and Depression
My Quora Answer to:
Considering the possible link between gut microbiome and depression, what might be the future in treating depression? What steps can be taken now?
Right now, start ingesting a fermented food or drink every day. Consider yogurt, kombucha, real fermented sauerkraut, kimchi, and a little bit of miso or tofu. That is one of my prime Rules for Healthy Living.
In addition, I recommend a twice daily dose of probiotic capsules. Not tablets since they tend to dissolve before entering your intestines. They often contain fillers which can cause a leaky gut. Make sure the capsules don't contain harmful ingredients, also.
I now take a probiotic called Lactobacillus Reuteri. Strains of this bacterium have been found in the guts of many HEALTHY animals, including humans, cows, pigs, sheep, turkeys, and chickens. It is absent in animals that are not healthy. Fowl raised in factory farms live in over-crowded, filthy environments which lead to illnesses, stress, and even depression, an illness called “Poult Growth Depression” (PGD).
I am a physician not a pharmacist, so the next part of my answer is based on my research, not any experience developing drugs. What I do know is that the pharmaceutical industry makes a lot more money from patented products than from naturally occurring medications and supplements. A company did this with fish oil by changing the side chains of the two essential oils in a process called “Omega-3 acid ethyl esterflocation.” These companies do a lot of research which we don't appreciate. One other possibility is to isolate the chemicals produced by L.Reuteri which have psychoactive properties and sell these instead of a live bacterium.
This is a great question and I'm personally excited to see where this leads. Thanks.
Thank you so much, Dr Mangold. I really appreciate the informative, detailed answer. I too am excited about where all of this will lead. In the meantime, I plan to put your suggestions into practice.
You are very welcome. Thanks for that. Sometimes I put in a labor of love in my answers and get zero feedback, so it motivates me again when I get comments like yours.
Monday, October 14, 2019
My Contributions to Humanity
My Quora Answer to:
What's been your most valuable contribution to humanity?
In order:
1. Seven beautiful, caring, loving, and compassionate children.
2. Being a physician. Especially the ER part.
3. Saving lives.
3. Medical missions to Mexico and Nicaragua.
4. The Medicine Cabinet, my baby. This was a non-profit group I started in the Spring of 1994 in response to the Rwandan civil war. In fact, our shipment of medications and medical equipment was one of the first from the U.S. In 2007, the thugs at the IRS killed my baby, claiming it was just a shell corporation. Despite the fact that I never made a penny from it not accepted cash donations.
5. My “War on Abortions After the First Trimester.”
6. My fight against aborting babies just because they have Down Syndrome. I call this "Geneticide," or the mass extermination of people based solely on genetics.
7. How to Think Like a Doctor and its Spanish translation, Cómo Pensar Como un Doctor.
8. Barefoot Doctors.
9. And my book My Worst Thanksgiving Ever, although you'd be hard pressed to find my “contributions to humanity” but they are there, especially in follow-up.
Saturday, October 5, 2019
Death by Ecstasy
My Quora Answer to:
Can a man with a weak heart die from an organism?
Orgasm?
If you mean orgasm then the answer is “yes.” The best celebrity anecdote is from Richard Pryor whose own father “came and went” at the same time while having sex with one of his own prostitutes (he was a pimp).
These days, we older men with heart disease need to be extra careful because taking nitroglycerin, having Coronary Artery Disease, and using Viagra to flog a dying horse, all add up to what our special needs government calls a “Black Box Warning.” In other words, proceed with caution. But in all honesty, no one ever in the midst of passion has stepped back to say, “hey, let's think about this first.”
Sildenafil, the generic name/form of Viagra, works by relaxing the smooth muscles that line the arterial (oxygen-carrying) side of our blood system. In penises, that's a good thing. But in horny old men, that means a lot of the blood moves from the core (heart, lungs, etc.) to the periphery, leaving less blood to oxygenate these vital organs. So, at the moment of ecstasy there is a battle, and the poor ol' geezer often loses.
Taps are now on order.
Wednesday, September 25, 2019
Life Extension and Brain Boosters
Brain Boosters Revised
The following is a cut-and-paste response with my added comments and advice to a real friend of mine who has cognitive issues. No matter what station in life you are at, there are many take home issues here. As always, consult with your physician before blahdy blahdy Hell.
Josh:
This is mostly cut-and-paste from the Life Extension website. I've put my thoughts in italics. While it addresses cognitive decline with aging, It's great advice for all of us. At the end I'll give my best recommendation for you.
Proactive lifestyle changes, cognitive and nutritional interventions such as phosphatidylserine and glyceryl phosphoryl choline have been shown to decrease the rate of intellectual decay and potentially reverse age-related cognitive decline.
I .Lifestyle changes can help reduce age-related cognitive decline:
A.Switch from a western diet high in simple sugars and saturated fats to a Mediterranean diet high in mono- and polyunsaturated omega-3 fats, fiber, and polyphenol.
An eating pattern based on the traditional Mediterranean diet has been shown to have anti-aging effects on brain, cardiovascular, and metabolic functions, and on overall longevity. Findings from a variety of studies suggest eating a Mediterranean-style diet can slow cognitive decline and may reduce risk of dementia. If you are already eating Indian cuisine, it will be easy to go.
With its emphasis on fruits, vegetables, unrefined whole grains, legumes, and extra virgin olive oil, as well as moderate amounts of seafood, fermented dairy products, and red wine with meals,200 the traditional Mediterranean diet provides ample amounts of critical nutrients such as mono- and polyunsaturated fatty acids, antioxidants, vitamins, minerals, and phytonutrients. It can be used as a template that can be adapted to favor local and seasonal availability of specific foods.
A study including 832 participants examined every two to three years for up to 18 years found that those whose diets most closely reflected a Mediterranean diet experienced significantly less cognitive decline than those whose diets least reflected a Mediterranean diet. A study based on data collected over 16 years from men participating in the Health Professionals’ Follow-up Study found that those whose diets were most Mediterranean-like were 36% less likely to report poor subjective cognitive function than those whose diets were least Mediterranean-like. Examining the brains of cognitively normal older-age subjects has revealed that adherence to a Mediterranean-like dietary pattern is associated with reduced β-amyloid accumulation. The components of the diet most closely linked to this effect were high fruit and vegetable consumption and moderate wine consumption.
A. Olive oil
Use extra virgin olive oil on vegetables, legumes, salads, stir-fries, and sautés;
Flavor food with herbs, spices, garlic, onion, and lemons.
B. Vegetables (mainly deep greeny veggies like kale, asparagus, and the cruceriforms. From Wikipedia:
Have vegetables with both lunch and dinner;
Use vegetables as a main dish often;
Have some raw, dressed with olive oil and vinegar, every day.
C. Fruits
Fruit products often contain added sugar (Low consumption).
Eat raw fruits as dessert most days. Stick to berries, pomegranates, and green bananas (which is a prebiotic).
Include a variety of seasonally appropriate fruits.
D. Unrefined whole grains
Use whole grain bread, pasta, and flour;
Include whole unrefined grains for the fiber, but try to avoid wheat because gluten has its own drawbacks. For more wheat alternatives, check out my friend Dr.Bill David's website, www.wheatbellycom).
E. Legumes
Include a variety of beans, lentils, and peas.
Cook dried beans or choose canned beans without additives.
Because some legumes are high in lectins, l recommend only those I mention in my post of the same name.
F. Nuts and olives
Have nuts and olives as snacks. Peanuts are not avoid choice, though.
Eat a handful of raw nuts daily.
Choose a variety of nuts.
G. Moderate seafood intake
Fatty fish (tuna, salmon, sardines) twice or more weekly;
Shellfish (oysters, clams, squid, shrimp) occasionally. No, avoid clams and oysters unless farm-raised.
H. Moderate fermented dairy (yogurt and cheese, kefir).
Use unsweetened yogurt and flavor with fruit.
Have small amounts of fresh or cured cheese occasionally;. Hard cheeses are best. I love cottage cheese though, so I chest on this one.
Avoid ice cream. Well, except Breyers Butter Pecan.!
I.Home cooking
Limited intake of homemade baked goods and processed baked goods (high in sugar, processed fats, and additives). 8n fact Josh, just avoid altogether.
Bake at home;
Use olive oil instead of butter. Naw. Use organic, range-fed butter and ghee liberally.
Eat baked goods only occasionally or better, not at all
Little meat and limited poultry.
I disagree with this. Range-fed livestock and chicken, wild salmon and tuna, crab and shrimp, calamari, and lobster are tasty and healthy foods. Avoid clams and oysters since they are filter-feeders which means you are eating fish poop and spawn. Overlooked meats in the US are goat and sheep. Also, Dave Asprey recommends organ meats from range-fed livestock.
Limit meat consumption to a fistful per meal.
J. Beverages
Avoid beer, hard liquor, and sugar-sweetened soft drinks.
Include moderate amounts (up to 1 glass per day for women and 2 glasses per day for men) of wine, preferably red, always with meals. Merlot, Shiraz, and Port. You want a red wine so dry it makes you pucker.
Drink water instead of soft drinks. Limit fruit juices most of all. If you decide to do Intermittent Fasting, break your fast with a single glass of apple or grape juice. These replenish your liver's glycogen stores but too much decreases sperm count and semen volume.
Read up on Bulletproof Coffee which is coffee with ghee (or range-fed organic butter such as KerryGold) and coconut or MCT oils. www.bulletproofcoffee.com. I think. It's what I drink.
Monday, August 19, 2019
Scary Patients
My Quora Answer to:
As a doctor, have you ever been in danger from your patient?
Yes. Just one.
I was working in the ER at Waupun Hospital when the EMT's brought in a patient from a local prison. Waupun, Wisconsin is home to three prisons and close to a few others. The local economy thrives off of kidnapping and caging people.
Before I entered the bay, my nurse pulled me aside and warned me not to get close to the patient. He explained that the prisoner had permanently disabled a nurse at another hospital by attacking her physically during her intake exam. It was the only time in my career when I saw and treated a patient without doing a physical exam.
NB: I always did physical exams even with my psych patients. In addition, a physician can learn a lot just by observation. In medspeech, we document this with “A, A, Ox3, in NAD” which is shorthand for Awake, Alert, Oriented to person, place, and time, and in No Acute Distress. With ambulatory patients we also observe gait and lower body strength but the prisoner was shackled to a gurney and I was NOT going to unchain him just to observe his gait. That's how scared I was.
After delivery and while she was still sedated (it was a C-section), and while I was in the nursery with my new pride and joy, a nurse or other staff person convinced my wife to sign the consent forms. And they KNEW of our stance beforehand! They mutilated our baby against our wishes. And the insurance company paid them for it!