Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 32

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Asthma, Allergies and Nutrition – The Story Part III – THE NUTRITION STUDIES – THE TO DO
There is good quality data on specific parts of a diet or nutritional plan as it relates to asthma. This section will detail these micronutrient and macronutrient benefits and how to implement them in an overall asthma plan. We will start by looking at a list of high quality nutritional interventions and then follow with an expanded view of a few critical players…… and a second section of mothers and death risk perinatally.
To your health,
Dr. M

Dr. M’s Women and Children First Podcast #52 – Jacquelyn Paykel, MD – Whole Health Medicine

This weeks guest is my former classmate and good friend, Dr. Jacquelyn Paykel. Jax, as I call her, is a tour de force in the world of Integrative Medicine at the Armed Forces level. She is a graduate of the University of Wisconsin in Milwaukee with a degree in Anthropology. She then obtained medical and residency degrees in Obstetrics and Gynecology at the University of Wisconsin in Madison. To round out her degrees, she completed an Integrative Medicine Fellowship at the University of Arizona as well as an MBA at the UNC Kenan Flagler Business School.
She is the Chief of the Whole Health Service (WHS) at James A. Haley Veterans’ Hospital in Tampa, Florida, leading the first-of-its-kind VA WHS within the U.S. where they develop and implement novel patient-centered clinical and well-being services for patients and employees. A U.S. Navy Veteran, Dr. Paykel has mentored and consulted with VA Medical Centers across the country on implementation of Whole Health. She leads the development and national spread of THRIVE – a virtual Whole Health healing program.
This week we discuss her work with the Veterans Administration Department and Whole Health Service. This work is a model for the entire country.
Enjoy,
Dr. M

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Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 31

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THE NUTRITIONAL STUDIES
We know that the foods that we consume affect our intestinal microbiome, our immune system, our metabolism and therefore have a significant effect on inflammation. Is this knowledge translatable to asthma? Let us look specifically at nutrition as it relates to Asthma. Are there specific diet studies available that lead us toward a unified diet for better asthma health? Can we make good recommendations for our patients on a macronutrient basis with fats, carbohydrates and protein ratios and types. Do we have data to support certain micronutrient needs in asthma and how a diet could provide these nutrients? How much can we trust the data?…..
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 30

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Asthma, Allergies and Nutrition – The Story
Here is a long form look at asthma and allergies as I am preparing a lecture on asthma and allergies for a conference in October. I will break it up into a few parts for your consumption.
  • Asthma is now well known to be an inflammatory disease based on the response to anti-inflammatory medications and pathophysiological evidence making it a prime candidate for anti-inflammatory nutritional interventions.
  • The Standard American Diet is filled with pro-inflammatory highly refined and processed foods that are laden with excessive amounts of sugar and unhealthy fats thus promoting inflammatory pathways that exacerbate disease.
  • The genesis of the inflammation is now believed to start in part in the intestinal and pulmonary microbiomes with the loss of immune tolerance. The intestinal microbiome is highly responsive to whole food dietary alterations.
  • Uric acid, a by product of fructose metabolism, is becoming a known driver of inflammasome activation and local tissue inflammation
  • We will discuss in depth the food choices that lower the inflammatory burden, the asthma phenotype and the food immune reactions that exacerbate disease……..

Enjoy,

Dr. M

Dr. M’s Women and Children First Podcast #51 – Paul Smolen, MD – Parenting Class

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This weeks guest is my friend, Dr. Paul Smolen, also known as Doc Smo by his friends, is a pediatrician with 38 years of experience caring for children and families. He is a graduate of Duke University (1974), Rutgers Medical School (1978), and Wake Forest University-N.C. Baptist Hospital (1982). At Wake Forest University he completed a residency in general pediatrics, served as chief resident, and completed a fellowship in ambulatory pediatrics. For over 38 years, he was an Adjunct Associate Professor of Pediatrics at the University of North Carolina-Chapel Hill helping to train a generation of medical students and pediatric residents as well as author several research papers. He is also the author of two parenting books,  Can Doesn’t Mean Should (2015) and Great Kids Don’t Just Happen (2019). Doc Smo is a bona-fide expert in knowing what parents want and need to know about parenting and child health. Imparting practical and useful advice is the goal of every “Pedcast” that he produced over his podcasting career.
This week we discuss his book Great Kids Don’t Just Happen.
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 29

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Literature Review:
1) Is loneliness tied to an increase in death risk? A new study in Nature says yes to a degree of the pooled effect size of 1.32 for all cause mortality. (Wang et. al. 2023) In effect, that is a very large effect of the variable loneliness on death risk. Why would this be? Many reasons come to mind. The greatest of which is the control that our mind wields on our immune system. If we think in negative and in sad terms over a period of time, the immune system will shift into a pro inflammatory state and weakened pathogen killing which has massive downstream effects on physiology.
2) In an impressive inoculation study in the UK, researchers gave the ancestral strain of SARS2 to test subjects and then followed them for 2 weeks in quarantine……..
Enjoy
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 28

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Outdoor Yard Safety
Yard work season is here and for me, lots of happy times spent outdoors. I remember as a youth earning money mowing lawns. The work was fun and the money was happily accepted. My father was my mower safety coach. Unfortunately, despite good teaching, I still burned myself on the engine by not paying attention to where I was touching. I still spilt gasoline on myself. I still ran over projectile objects in the grass carelessly. Ah, youth….
Have a great day,
Dr. M

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