Sunday, April 18, 2010
Monday, April 12, 2010
WELLSOURCE - The WIN-WIN Wellness Solution
Successful wellness programs are proven to lower healthcare costs, increase productivity, and decrease illness and injury. Healthy people feel better and live longer. Improve the world by improving the health of your community.
Tuesday, March 23, 2010
The Energy and Weight Loss Connection Nobody Talks About
People always wonder why they lack energy or why they cannot lose weight. Well one large reason is it depends on how much ATP (adenosine tri-phosphate) your mitochondria (our own power generators) create. ATP is the universal fuel in the body and the common currency of all biological energy. ATP allows us to move our muscles and provide the required energy for our organs. We also need it to fuel the ion pumps in our cell membranes since they alone consume as much energy as all other bodily processes combined.
All this can affect your healthy weight loss since you may not have the energy to commit 100% to your exercise for caloric burning workouts.
So what influences how much ATP your mitochondria create? Your genetics, your exercise level, your nutritional status, your surroundings of electro smog, or an endocrine problem. Of course you can’t change your genetics, but you dictate and control your exercise, your nutritional status, and how you control your electromagnetic surroundings.
So let’s talk about your mitochondria. As you age, the number of mitochondria in your cells decreases in efficiency by about 5-8 percent every ten years. That explains why you have less energy the older you get. Two ways to reverse this is by 1) exercise and 2) by accurate pulsating electro-magnetic fields such as through the MRS 2000+. Those who exercise or use the MRS 2000+ have more mitochondria, which mean more potential for energy and the ability to burn more calories for healthy weight loss.
Another factor that contributes to low ATP production is oxidative damage to the mitochondria. A deficiency of antioxidants increases this rate of oxidative damage to the mitochondria. Again your nutritional status and exercise contributes to this.
Due to changes in our food intake, eating patterns, and food production methods, many people are eating low iodine rich foods. This correlates to an under functioning thyroid gland. Those who suffer from this have a 60 percent reduction in ATP production.
Make a resolution right now to make sure you are providing the best opportunity for your body to produce ATP and optimize your body to assist with healthy weight loss.
References:
Short KR, Bigelow ML, Kahl J, et al. Decline in skeletal muscle mitochondrial function with aging in humans. Proc Natl Acad Sci USA. 2005; 102: 5618-5623
Carmichael, J. Magnetic resonance stimulation, using the field to maximize your health. 2009; 52-55
Mesnhikova EF, Ritov VB, Fairfull L, et al. Effects of exercise on mitochondrial content and function in aging human skeletal muscle. J Gerontol: Bio Sci 2006; 61:534-540
Wei YH, Lee HC. Oxidative stress, mitochondrial DNA mutation, and impairment of antioxidant enzymes in aging. Exp Biol Med (Maywood). 2002; 227:671-82
All this can affect your healthy weight loss since you may not have the energy to commit 100% to your exercise for caloric burning workouts.
So what influences how much ATP your mitochondria create? Your genetics, your exercise level, your nutritional status, your surroundings of electro smog, or an endocrine problem. Of course you can’t change your genetics, but you dictate and control your exercise, your nutritional status, and how you control your electromagnetic surroundings.
So let’s talk about your mitochondria. As you age, the number of mitochondria in your cells decreases in efficiency by about 5-8 percent every ten years. That explains why you have less energy the older you get. Two ways to reverse this is by 1) exercise and 2) by accurate pulsating electro-magnetic fields such as through the MRS 2000+. Those who exercise or use the MRS 2000+ have more mitochondria, which mean more potential for energy and the ability to burn more calories for healthy weight loss.
Another factor that contributes to low ATP production is oxidative damage to the mitochondria. A deficiency of antioxidants increases this rate of oxidative damage to the mitochondria. Again your nutritional status and exercise contributes to this.
Due to changes in our food intake, eating patterns, and food production methods, many people are eating low iodine rich foods. This correlates to an under functioning thyroid gland. Those who suffer from this have a 60 percent reduction in ATP production.
Make a resolution right now to make sure you are providing the best opportunity for your body to produce ATP and optimize your body to assist with healthy weight loss.
References:
Short KR, Bigelow ML, Kahl J, et al. Decline in skeletal muscle mitochondrial function with aging in humans. Proc Natl Acad Sci USA. 2005; 102: 5618-5623
Carmichael, J. Magnetic resonance stimulation, using the field to maximize your health. 2009; 52-55
Mesnhikova EF, Ritov VB, Fairfull L, et al. Effects of exercise on mitochondrial content and function in aging human skeletal muscle. J Gerontol: Bio Sci 2006; 61:534-540
Wei YH, Lee HC. Oxidative stress, mitochondrial DNA mutation, and impairment of antioxidant enzymes in aging. Exp Biol Med (Maywood). 2002; 227:671-82
Disclaimer:This information is not intended to replace health care advice of a physician. No statements made herein are intended to diagnose or treat human illness. If you have pain, fatigue, discomfort or any disease, please see your doctor. Though pulsed electromagnetic field therapy devices have been evaluated and given 510(k) clearance by FDA, the MRS 2000 has not been evaluated by this organization.
Tuesday, March 2, 2010
BHRT (bioidentical hormone replacement therapy)
When I was asked about BHRT (bioidentical hormone replacement therapy) six years ago I couldn't tell you a thing about it! When I was in school you learned to replace estrogen in postmenopausal women and women who had their uterus removed, now, six years later I have a story to tell! I have been on a journey discovering the extensive benefits that "natural hormones" can provide to teens, women, and even men. I have seen baron women become pregnant, hostile women settle back into a life of happiness, and men earn their energy and sex drive back. When I was first presented with the idea of BHRT I simply dismissed the possibilities due to the many colleagues that tried to discredit it's relevance. Today I have seen first hand the lives transformed and am thrilled to have the opportunity to work with families to restore a hormone balance.I look forward to meeting you and treating your hormone imbalances.
Sincerely,
Kristen Spratt, MSN, FNP, BC
Carolina Family Healthcare
Tuesday, February 16, 2010
Important messaging and strategy topics that everyone should consider in depth about Diabetes
1) Do your primary care physicians know that there are studies that have proven that diabetes can be prevented? Do you know what the range in efficacy is for interventions like lifestyle or metformin? Do you know how large these studies were and when they were conducted and how long patient follow up occurred?
a. Primary care physicians are going to have to own diabetes and diabetes prevention, and we have the opportunity to help educate them on these subjects. No one else is doing it.
i. Did you know that there are only about 5,000 endocrinologists in the US, and 1,500 of them do not provide clinical care? Also, 1/3 of them are over the age of 60, nearing retirement, and the ranks are not being refilled (see http://www.endo-society.org/media/press/2008/Endocrinology-Workforce-Shortage-Represents.cfm). Finally, most of these endocrinologists are NOT primarily focused on or interested in diabetes care, most are biased towards hormonal disorders.
ii. Did you know that 90% of all diabetics are managed by PCPs? Did you know that 99.5% of all pre-diabetics are managed by PCPs?
b. Thus, my point: the diabetes epidemic is growing uncontested. There is no reliable “channel” for prevention or even management of diabetes outside of primary care. Primary care must OWN primary prevention of this disease state.
c. And to that point, there is no other physician group whose primary purpose is the assessment of risk and the prevention of disease. We offer the first in a line of “advanced risk assessment” tools that primary care physicians can use to identify those individuals most vulnerable to chronic disease states. We offer them a path towards early intervention, helping to arrest the progression of disease while there is still time – while there is still an option to do so effectively. We can help them to pre-empt this disease.
d. We need to help educate these physicians on the data, the studies that demonstrate that prevention of diabetes is achievable, and what can be done to make it happen.
2) Did you know that there is NO PRIMARY PREVENTION GUIDELINE for type 2 diabetes? With no guideline, what are primary care physicians referencing to determine “what to do” with a high-risk patient?
a. This is a complex answer that we must reduce to a “simple standard” for diabetes prevention. The simple standard for high-risk individuals should include 4 evidence-based therapies:
i. Aggressively engage patients to improve lifestyle choices:
1. Improving diet
2. Improving nutrition
3. Increasing exercise
ii. If diagnosed with hypertension, aggressively manage blood pressure to 140/90 and consider 130/80 if additional risk factors are present
iii. If diagnosed with dyslipidemia, aggressively manage LDL to <130 mg/dL, HDL to >40, and non-HDL cholesterol to <160 mg/dL
iv. Consider ASA therapy if cardiovascular risk factors warrant its use
b. Importantly, treatments for blood pressure, cholesterol, and hypercoaguability are recommended by national guidelines if a patient presents with hypertension, dyslipidemia, or recognized cardiovascular risk factors, respectively.
c. Thus, the opportunity that PreDx DRS offers is to identify those patients who are highly vulnerable to diabetes and associated cardiovascular disease (patients with HIGH PreDx Scores) and to ensure that each patient is treated aggressively with lifestyle intervention and indicated therapies in order to help reduce the risk for diabetes and cardiovascular events.
d. Remember that, nationally, less than 10% of diabetics are treated to evidence-based guidelines with indicated therapies. Thus, we must assume that it is no better among pre-diabetics, and we should not assume that all patients at risk according to PreDx are receiving appropriate, indicated medications like lifestyle interventions, antihypertensives, or statins.
e. PreDx DRS is an “alarm bell” that should help physicians to “STOP, REASSESS, and OPTIMIZE”. Every high PreDx Score needs a fresh assessment to determine if, in light of the new PreDx DRS MOD/HIGH-HIGH result, the patient warrants any of the therapies listed above for hypertension or dyslipidemia – or – just as importantly – if they need to be managed more aggressively towards target levels for BP or lipids.
3) Remember the basic messaging:
a. Diabetes is preventable, but 80-90% of patients seen by an IM are eligible for prevention based on common risk factors, and they are overwhelmed with this population.
b. We must identify those individuals who are most likely to convert to diabetes, and focus our preventive efforts and therapies.
c. PreDx DRS leverages technology that didn’t exist 10 years ago, allowing us to establish “pattern recognition” for progressing diabetes.
d. With this new information, physicians can identify patients with up to a 1,600% increased risk of developing diabetes within 5 years.
e. The biomarkers represent inflammation, glucose metabolism, and adipocyte function, and provide results that are superior to every other method of risk assessment except OGTT (we are equivalent to OGTT, the gold standard that is rarely used in primary care).
f. PreDx DRS also captures cardiovascular risk, as patients with HIGH scores are also significantly more likely to experience heart attack or other cardiovascular events within 5 years.
g. By establishing diabetes risk, and risk of associated cardiovascular events, we believe that PreDx DRS is identifying the 10% of patients that drive 70% of future medical costs.
h. We are enabling early intervention with lifestyle changes and appropriate pharmaceuticals, which have both been proven to reduce the incidence of diabetes in large, prospective studies.
i. Ultimately, we are helping to shape personalized medicine in a way that helps prevent the country’s most common disease.
a. Primary care physicians are going to have to own diabetes and diabetes prevention, and we have the opportunity to help educate them on these subjects. No one else is doing it.
i. Did you know that there are only about 5,000 endocrinologists in the US, and 1,500 of them do not provide clinical care? Also, 1/3 of them are over the age of 60, nearing retirement, and the ranks are not being refilled (see http://www.endo-society.org/media/press/2008/Endocrinology-Workforce-Shortage-Represents.cfm). Finally, most of these endocrinologists are NOT primarily focused on or interested in diabetes care, most are biased towards hormonal disorders.
ii. Did you know that 90% of all diabetics are managed by PCPs? Did you know that 99.5% of all pre-diabetics are managed by PCPs?
b. Thus, my point: the diabetes epidemic is growing uncontested. There is no reliable “channel” for prevention or even management of diabetes outside of primary care. Primary care must OWN primary prevention of this disease state.
c. And to that point, there is no other physician group whose primary purpose is the assessment of risk and the prevention of disease. We offer the first in a line of “advanced risk assessment” tools that primary care physicians can use to identify those individuals most vulnerable to chronic disease states. We offer them a path towards early intervention, helping to arrest the progression of disease while there is still time – while there is still an option to do so effectively. We can help them to pre-empt this disease.
d. We need to help educate these physicians on the data, the studies that demonstrate that prevention of diabetes is achievable, and what can be done to make it happen.
2) Did you know that there is NO PRIMARY PREVENTION GUIDELINE for type 2 diabetes? With no guideline, what are primary care physicians referencing to determine “what to do” with a high-risk patient?
a. This is a complex answer that we must reduce to a “simple standard” for diabetes prevention. The simple standard for high-risk individuals should include 4 evidence-based therapies:
i. Aggressively engage patients to improve lifestyle choices:
1. Improving diet
2. Improving nutrition
3. Increasing exercise
ii. If diagnosed with hypertension, aggressively manage blood pressure to 140/90 and consider 130/80 if additional risk factors are present
iii. If diagnosed with dyslipidemia, aggressively manage LDL to <130 mg/dL, HDL to >40, and non-HDL cholesterol to <160 mg/dL
iv. Consider ASA therapy if cardiovascular risk factors warrant its use
b. Importantly, treatments for blood pressure, cholesterol, and hypercoaguability are recommended by national guidelines if a patient presents with hypertension, dyslipidemia, or recognized cardiovascular risk factors, respectively.
c. Thus, the opportunity that PreDx DRS offers is to identify those patients who are highly vulnerable to diabetes and associated cardiovascular disease (patients with HIGH PreDx Scores) and to ensure that each patient is treated aggressively with lifestyle intervention and indicated therapies in order to help reduce the risk for diabetes and cardiovascular events.
d. Remember that, nationally, less than 10% of diabetics are treated to evidence-based guidelines with indicated therapies. Thus, we must assume that it is no better among pre-diabetics, and we should not assume that all patients at risk according to PreDx are receiving appropriate, indicated medications like lifestyle interventions, antihypertensives, or statins.
e. PreDx DRS is an “alarm bell” that should help physicians to “STOP, REASSESS, and OPTIMIZE”. Every high PreDx Score needs a fresh assessment to determine if, in light of the new PreDx DRS MOD/HIGH-HIGH result, the patient warrants any of the therapies listed above for hypertension or dyslipidemia – or – just as importantly – if they need to be managed more aggressively towards target levels for BP or lipids.
3) Remember the basic messaging:
a. Diabetes is preventable, but 80-90% of patients seen by an IM are eligible for prevention based on common risk factors, and they are overwhelmed with this population.
b. We must identify those individuals who are most likely to convert to diabetes, and focus our preventive efforts and therapies.
c. PreDx DRS leverages technology that didn’t exist 10 years ago, allowing us to establish “pattern recognition” for progressing diabetes.
d. With this new information, physicians can identify patients with up to a 1,600% increased risk of developing diabetes within 5 years.
e. The biomarkers represent inflammation, glucose metabolism, and adipocyte function, and provide results that are superior to every other method of risk assessment except OGTT (we are equivalent to OGTT, the gold standard that is rarely used in primary care).
f. PreDx DRS also captures cardiovascular risk, as patients with HIGH scores are also significantly more likely to experience heart attack or other cardiovascular events within 5 years.
g. By establishing diabetes risk, and risk of associated cardiovascular events, we believe that PreDx DRS is identifying the 10% of patients that drive 70% of future medical costs.
h. We are enabling early intervention with lifestyle changes and appropriate pharmaceuticals, which have both been proven to reduce the incidence of diabetes in large, prospective studies.
i. Ultimately, we are helping to shape personalized medicine in a way that helps prevent the country’s most common disease.
Wednesday, February 10, 2010
Carolina Family Healthcare Website
The website also explains the MRS 2000 and all its components. This device is amazing! Just take a look at the testimonials.
Also there is a link to the many different social media sites that Carolina Family Healthcare is apart of. There is Twitter, Blogger, Linked-In & Facebook and soon to have YouTube!
If you have any questions please do not hesitate to call or contact us through the many different social media sites.
Monday, February 8, 2010
Tethys looks at a series of biomarkers in the blood to determine the likelihood that someone will develop type 2 diabetes within five years.
Unlike the genetic make-up of a patient, which doesn't change, Urdea says the information provided by the PreDx test offers insight into biological changes that can signal the onset of diabetes before it happens. This ability gives doctors a way to identify high-risk patients in time so that lifestyle changes and drug therapies can be used to prevent development of the disease.
Edward Kersh, chief of cardiology at St. Luke's Hospital in San Francisco, began using the test in June. When the PreDx test shows a patient to be at high risk for developing diabetes, he says he refers them to the hospital's diabetes clinic for education and to help alter their lifestyles. Traditionally, though, he says getting patients to alter their lifestyle is a challenge — only about 10 percent do so over the long term. Though it's too early to tell, he thinks the PreDx test results will prove to be powerful motivators. "When the patient sees it in black and white on a piece of paper and reads it, they say, 'You mean I'm going to have diabetes in five years? What can I do about it?'" says Kersh. "You can X, Y, and Z, lose weight, exercise more.' They become very motivated to do it."
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