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Historical Medicine
Concussion Follow Up
Recipe of the Week
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Issue: #5January 23, 2012
lake

Volume 2, Letter 5

 

January 23, 2012 

  

The wonders of historical medicine.

 

I have been collecting old medical tomes for years now and always marvel at the crazy things that we called medicine back in the day.  

 

Think about leaches and blood letting or purging evil spirits with emetics or sanitariums for tuberculosis!  Back in the early 1900's to 1950's there was a condition known as enlarged thymus and thymic asthma.  The thymus is a gland in the neck that is critical to immune function.  Doctors believed that this enlarged gland was a cause of sudden infant death and other disorders.  The treatment was radiation to the thymus the equivalent of 10 modern CT scans!  The result - cancer and autoimmunity in these patients and early death.  

 

Fast forward to the 1970's and beyond.  Enlarged tonsils and adenoids must be a problem of the tissue and thus they started to be removed.  Few people are looking in to "why are these glands enlarged?"  Again we have an organ that is important in immune function being pulled out.   I find that in my practice the enlarged immune glands are a response to immune dysregulation and are overactive.  The root cause needs to be established.  

 

Often we see this with milk protein intolerance or wheat intolerance.  In a 2011 study by Van Den Aardweg et al in the British Medical Journal they showed that removal of the adenoid has no effect on recurrent upper respiratory infections, colds.   Removing the tonsils and adenoids will help reduce ear infections but at what cost?  Use this treatment as a last resort after exhausting other food elimination options.   Ideally, the answer is not removal but understanding the root cause.

 

Today, recent data is proving another myth wrong.  The appendix is thought to be vestigial and non functional.  Robb Dunn at NC state has turned this myth upside down.  It turns out that if you do not have your appendix, you are at increased risk of serious bacterial infections like clostridium difficile.   The appendix' function is to recolonize your intestines with friendly bacteria, commensal, after an infection or with intestinal dysbiosis.  Having the appropriate bacteria in your intestines is crucial to your health.  Therefore, it appears that your appendix is necessary as well.

 

Finally, junk DNA is a term that I learned in medical school.  It was used to describe the portion of our genes that we did not understand.  To believe that we actually called a part of the body "Junk" is absurd.  The medical community thought that this part of DNA was just a space filler. The epigenetics movement has proven that junk DNA is actually an active part of the signaling system between the environment and our genome.  It is another elegant display of our incredible human body.

 

Every piece of our body has an important function despite our lack of knowledge in it.

 

My take home point today:  Don't remove any part of your body unless you are left with no choice!!!!!

  

 

Common sense,

  

Dr. Magryta

 
Concussion Follow Up

 

The iphone and android phones have apps for determining whether an athlete had a concussion during an injury.  As a parent or a coach, you can run through a computer symptom checklist and determine the danger for an athlete.  I would recommend these apps for use by coaches and parents alike.  I found a good one for the iphone called "concussion recognition and response" app.  

 

In less than 5 minutes you can determine the severity of the injury.  The app then allows you to credibly determine the ability of an athlete to return to play. 

 

See the Link.

 

Dr. M

 

 

 

 

 

The newsletter archive in the links section is officially working.  New readers can now go back in time to learn about the future!

 

Recipe of the Week
 
Orzo with Vegetables 

This is a nice and tasty Italian dish.  You can also serve this cold like a salad. Just add all ingredients together and drizzle with garlic infused olive oil. 
 
Ingredients: 
 
1 pound orzo pasta 
2 tablespoons of olive oil
1 bunch fresh asparagus cut into inch long pieces
1 cup sliced yellow onion
1 red bell pepper sliced  
4 whole carrots chopped
2 heads broccoli chopped
1 tablespoon minced garlic 
1 teaspoon chopped parsley
2 teaspoons chopped basil
1/2 teaspoon chopped oregano
salt and pepper to taste
 
Directions:
 
Cook pasta according to package directions then drain.
In a skillet over medium heat saute the onion until brown.  Add the broccoli and carrots. Cook until semi soft.  Add the peppers, garlic, basil, oregano and asparagus and cook for 3 minutes.  Combine pasta, vegetables and parsley.  Salt and pepper to desired taste.  
 
For an added flair add 1/2 cup of pecorino romano cheese and 12 ounces of chopped grilled salmon cubes.  
 
For gluten free varieties use corn pasta or rice pasta.
 
Enjoy
 
Dr. M
 
 
  

Copyright � 2010-2012 Christopher J. Magryta, MD. Readers, please note: The information provided in this newsletter is for educational and informational purposes only. It is not a substitute for advice and treatment provided by your physician or other healthcare professional and is not to be used to diagnose or treat a health issue.


 


Chris Magryta
Salisbury Pediatric Associates
Touchstone Pediatrics