| Hippocrates | | |
Let food be thy medicine and thy medicine be thy food. |
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| FREE THOUGHTS | |
I wonder if the snow loves the trees and fields, that it kisses them so gently? And then it covers them up snug, you know, with a white quilt; and perhaps it says "Go to sleep, darlings, till the summer comes again.
Lewis Carroll, Alice's Adventures in Wonderland & Through the Looking-Glass
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| Quality Products | |
This book is written by a man that I respect and admire. I have learned more from him in the last 4 years than anyone. The future of medicine is here.
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Please email me your favorite products. I would like to share quality products with our readers. Think - car seats, toys, anything that a mother would love!
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| PRIMETIME | 
For all teenagers and college students interested in a new medical experience, pay attention.
Salisbury Pediatrics has opened a new wing dedicated to you. In Primetime we are only focused on your needs as an emerging adult.
From the music when you enter, to the autonomy of your visit, we are sure that you will love a new way to see your doctor.
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| FEEDBACK |
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Please reply with feedback or questions here. I will try to answer as many questions via the newsletter as possible. As always be well and love your children!
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| Dr. Magryta |  | |
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My garden flowers.
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Volume 4, Letter 22
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May 19, 2014
Bedtime routines are beloved by some parents and neglected by others. What does the data say regarding bedtime consistency and behavior in children?
In the November 2013 issue of Pediatrics, Dr. Kelly analyzed the effects of altered sleep patterns on 7 year olds. This was a large prospective study of 10,230 children in the United Kingdom. The children's sleep habits were assessed at intervals of 3,5 and 7 years of age. Subsequently, teachers and mothers completed a behavioral analysis at the 7 year mark.
What they found was that children with bedtimes later than 9 PM had greater behavioral difficulties than children with regular bedtimes. They also looked at permutations of changes in bedtime behavior over the study period and found that changing an irregular pattern at 3 and 5 years old to a regular pattern improved behavior. The opposite effect was also seen with regular to irregular sleep.
This data mirrors previous studies that link sleep to behavior.
For the bold scientists in the crowd, read this Nature Reviews citation on sleep and epigenetics.
I firmly believe that every interaction that our body has with the environment affects our genome and the reading thereof. Sleep and circadian rhythms can affect your life in many ways. The knowledge that it affects the reading of our DNA is shifting how we providers of care see medicine.
It is no longer a case of the sleep deprived blues. Sleep deprivation is now being shown to affect metabolism, i.e. obesity risk and also neuronal function, i.e. thoughts and maybe dementia.
My kids stay up late on occasion, but in general, it is lights out by 8 PM. Keep this data in mind when caring for children and grandchildren. By the way, it may also give you back some couples time. (sorely needed for most marriages)
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| The GUT Part 2 |
When I first started practicing medicine, I spent the vast majority of my time reading about asthma, allergies and eczema. Little did I know that I was opening the door of the micro biome. Most allergists back then were caught up in treating allergies with medicine and shots. I wondered why very few were asking the question as to why allergies have increased 2-3 times in the developed countries in the last few decades. Then I ran into an article by J F. Bach in the New England Journal of Medicine in 2002. It was a tutorial through what is at the root of allergic and autoimmune disease. The words on the page were astounding. A root cause was hypothesized by David Strachan: the hygiene hypothesis! It states - humans evolved with dirt filled with microbes that challenged our immune system from birth to know right from wrong. Better stated to know a friendly microbe from a pathogen. David Strachan believed that if the immune system was not appropriately challenged early on then it would turn on its host, us. This was the root of the name auto immunity or allergy. Think back over the last few years of newsletters. How many articles have we discussed that proved his case to a large extent? The common theme to this and other hypothesis is the gut micro biome. The human gut contains no microbes at birth! By adulthood it has 10 to the 14th microbes! How does this happen? If Strachan is correct, the developed world is not stimulating the immune system appropriately from birth with the right microbes.We have the correct number, just not the right types. At birth, historically, children would be delivered vaginally and then immediately be put to breast. These actions supplied the infant's gut with lactobacillus and bifidobacter species, both known to confer health benefits. If a child is born via c-section, goes to a warming table of gloved nurses and then receives a formula bottle, oops wrong microbes. If the infant plays with chemically sprayed CLEAN toys on a CLEAN carpet in a CLEAN house, then they are missing out on the outdoor yard/farm microbes of yesteryear. The picture expands from here with antibiotics, diets and other drugs. We will touch on that during the immune section. The theory that we are not challenging our immune system appropriately anymore scares me for the future of a healthy human society. If our gut ecosystems are going south at birth, we have a lot of work to do to rectify the situation. |
| Recipe of the Week |
Dairy free Mashed Potatoes
Ingredients:
3 Pounds of mixed potatoes - red, purple and yellow (any type that you like)
2 Small yellow onions - chopped
6 garlic cloves - chopped
1/2 cup of vegetable broth
3 tablespoons of EVOO
S and P to taste
Parsley garnish
Directions: Boil potatoes until soft to fork penetration. In skillet, on medium/low heat caramelize onions in 1 tablespoon of EVOO. When onions are soft and brown add garlic and cook for 1 minute on same heat setting. Drain potatoes and mash with a large fork or mashing device. Add broth, onion/garlic mix, remaining EVOO and mix. S and P to taste.
Transfer to a serving bowl and garnish with parsley.
Dr. M
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Newsletter Photos
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If you have any pictures of your family that you wish to share for the header of this newsletter -
please send them to:
Newsletter@salisburypediatrics.com
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The newsletter archive can be found in the links section. New readers can now go back in time to learn about the future!
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Copyright � 2010-2014 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.
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Chris Magryta
Salisbury Pediatric Associates
Touchstone Pediatrics |
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