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Steroids and Long COVID

Steroids and Long COVID

Steroids and Long COVID

Are Steroids Helpful in Long COVID?

Many patients ask me about steroids early in the treatment of long COVID-19. While it’s true that steroids are often used in hospitalized patients with active COVID-19, the evidence for their effectiveness in patients who are recovering is not strong.

In fact, in animal studies of how COVID affects the brain, it appears that the non-judicious use of steroids in COVID-19 infection can make things worse.  That’s because early in COVID-19 infection, the immune system needs to be fully functional and at full speed.  Steroids like prednisone and dexamethasone shut down immune defense systems, which gives the virus an unchecked advantage in spreading inside the body.

Steroids for COVID-19?

Steroids Are Helpful in Hospitalized COVID.

When COVID-19 patients land in the hospital, its usually because their lungs are failing.  The current evidence indicates that in some people, due to underlying disease or genetic factors, COVID-19 infection triggers a hyper-reaction in their immune system.  The lungs are at ground zero of this reaction and are damaged in the cross-fire.  In this setting, steroids are used to tone-down the immune response to lessen lung damage.

How Would Steroids Help in Long COVID?

We are at the very edge of understanding this question. The first studies that will answer this will be conducted in hamsters, a species that remarkably mimics COVID-19 infection in humans.

It will be sometime before we know how applicable these findings are to humans. Nonetheless, these studies are encouraging and provide additional insight into COVID-19 and long Covid symptoms.

Long COVID Information

Long COVID is a fascinating medical challenge!  Helping patients navigate to recovery from Long COVID is a top priority at Wellivery.  Keep track of Long COVID developments by bookmarking the Wellivery Long COVID page.

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Get email notifications when I post new Health Topics.

Leveraging Dietary Protein

* Why is protein needed? * What kind of protein? * How much? Why is Deitary Protein Important? Obesity Prevention: The American diet tends to be high in carbohydrates and fats.  Excessive intake of these nutrients is driving an epidemic of obesity, diabetes, heart...

Oral Cancer Prevention

Oral Cancer Prevention According to the World Health Organization, oral cancer is the 13th most common cancer on the planet.   The Centers of Disease Control and Prevention estimates that oral cancer will cause 54,000 new cases of oral cancer (2022).  If not detected...

COVID19 Treatment!

TREATMENT FOR COVID19?YES! I have been tracking the scientific and clinical literature since the beginning of the COVID-19 pandemic. I have been particularly vigilant for safe and effective treatments for COVID-19 that are used in NON-HOSPITALIZED patients that have a...

Long COVID Lung

Long COVID Lung A large number of patients that experienced COVID-19 will have persisting lung symptoms such as shortness of breath, wheezing, cough,  and decreased exercise capacity.  These problems are usually worse in patients who became so ill that they required...

Long COVID Brain

Long COVID Brain

Long COVID Brain You have either heard of or experienced first hand the “brain fog” associated with COVID-19 infection.  This disordered operation of thought and memory occurs during an active COVID-19 infection.  But what about later, down the road?  Do these issues...

Long COVID Heart

Long COVID Heart

Infection with COVID-19 has shown us many unique medical problems caused by the virus.  Once you as a patient get out of the danger zone with your initial infection, you may not be out of the woods.  Many patients COVID-19 are reporting new problems beginning many...

Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

How Widespread is Long COVID?

How Widespread is Long COVID?

How Widespread is Long COVID?

Long COVID is Real

Long COVID (also called Postacute Sequelae of SARS-CoV-2 Infection or PASC) is a new clinical diagnosis and as such, the diagnostic criteria for this disorder have not been settled.

What we can say is that survivors of COVID-19 infection are frequently reporting  new mental and physical problems that last weeks to months after their acute COVID-19 symptoms passed.

 

Does everybody with COVID-19 get long COVID?

This is very important question and is a moving target, like so many other aspects of COVID-19.  Only a few studies have been performed that can shed any light on this question.  In 2021, a systematic review of 57 published studies from around the world, covering 250,351 patients diagnosed with COVID-19 found that long covid symptoms occurred in 54% of survivors at 1 month, 55% at 2-5 months, and 54% at 6+ months (Groff et al, 2021).

Ok, so if 50% of COVID-19 survivors get long COVID, how many is that, in the U.S. and the world?  To get that number, we need to know how many people have gotten COVID19 and survived.

 

How Many People Have Survived COVID-19??

In the U.S. the current data from the CDC says 78M have survived COVID19 (as of 2/8/2022).  This number is currently increasing by 243K cases per day.
World-wide, WHO data indicate 397M cases, increasing at 1.8M cases per day;

How Accurate Are These Numbers?

On this point, we run into an ugly truth about how many people have had documented COVID19.  You see, I was there in early 2020, working in the ER when health systems said: “don’t come in unless you are really sick”, and, ‘we don’t have enough COVID tests to offer it to patients that aren’t being admitted”.  Then, throughout 2021, patients were instructed to assume they had COVID19 if they developed typical symptoms and had been exposed to a person known to be positive. We have all witnessed the widespread failure of COVID testing access.

 

The result: A lot of people that had, and currently have COVID19 didn’t get and aren’t getting counted.

 

So, you wouldn’t be shocked if I suggested the numbers offered above are a large under-representation of the true number of people infected with COVID19.  But, how far off is that number?  Why do I care?  Well, if ~50% of people surviving COVID19 are getting long COVID, it is important to know the size of that group so we can organize a clinical response that can reasonably deliver the needed care.

Estimating the ‘true’ Numbers

Though not often discussed in the media, epidemiologists appreciate that undercounting of COVID19 cases has occured.  In an effort to derive the real case counts, Reese et al considered the reasons for “underdetection” and derived a correction factor.  For every hospitalized patient,  2.5  patients weren’t counted. For every COVID19-positive patient that wasn’t hospitalized, 7.1 were not counted.  Let’s just consider the non-hospitilized scenario: To find the actual number of non-hospitalized COVID19 cases in the U.S., we need to multiply the CDC number by ‘7’.  That yields 546M, more than the population of the U.S., which suggests, as we know, that many people have gotten COVID19 more than once.

How Many Long COVID Patients Should We Prepare to Treat?

Given the currently reported undercounts, along with daily increases and the non-hospitalized correction factor (7. 1), it becomes clear that the current incidence of long COVID could easily be 273M.  As a frame of reference, the incidence of other chronic diseases is:

  • Diabetes: 34 M
  • Pre-diabetes: 88 M
  • Heart Disease: 30 M
  • Mental Health: 52 M
  • Obesity: 119 M

This means long COVID is already the #1 chronic disease in the U.S.

How is the U.S. health system going to respond to the needs of 273M patients with a new chronic disease?

We’ll get into that next.

If you believe you have long COVID, schedule an appointment on Wellivery to get an assessment.

 

Learning about Long COVID

Long COVID Information

Long COVID is a fascinating medical challenge!  Helping patients navigate to recovery from Long COVID is a top priority at Wellivery.  Keep track of Long COVID developments by bookmarking the Wellivery Long COVID page.

Subscribe Now!

Get email notifications when I post new Health Topics.

Leveraging Dietary Protein

* Why is protein needed? * What kind of protein? * How much? Why is Deitary Protein Important? Obesity Prevention: The American diet tends to be high in carbohydrates and fats.  Excessive intake of these nutrients is driving an epidemic of obesity, diabetes, heart...

Oral Cancer Prevention

Oral Cancer Prevention According to the World Health Organization, oral cancer is the 13th most common cancer on the planet.   The Centers of Disease Control and Prevention estimates that oral cancer will cause 54,000 new cases of oral cancer (2022).  If not detected...

COVID19 Treatment!

TREATMENT FOR COVID19?YES! I have been tracking the scientific and clinical literature since the beginning of the COVID-19 pandemic. I have been particularly vigilant for safe and effective treatments for COVID-19 that are used in NON-HOSPITALIZED patients that have a...

Long COVID Lung

Long COVID Lung A large number of patients that experienced COVID-19 will have persisting lung symptoms such as shortness of breath, wheezing, cough,  and decreased exercise capacity.  These problems are usually worse in patients who became so ill that they required...

Long COVID Brain

Long COVID Brain

Long COVID Brain You have either heard of or experienced first hand the “brain fog” associated with COVID-19 infection.  This disordered operation of thought and memory occurs during an active COVID-19 infection.  But what about later, down the road?  Do these issues...

Long COVID Heart

Long COVID Heart

Infection with COVID-19 has shown us many unique medical problems caused by the virus.  Once you as a patient get out of the danger zone with your initial infection, you may not be out of the woods.  Many patients COVID-19 are reporting new problems beginning many...

Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

What is long COVID?

What is long COVID?

What is long COVID?

You’ve heard a lot about COVID-19 but now you are wondering: What is Long COVID?
Long COVID is a new clinical diagnosis, emerging from the COVID-19 pandemic.
Survivors of COVID-19 reported new mental and physical problems that persisted for weeks or months after their acute COVID-19 symptoms passed.  The current working definition of long COVID is:
  • mental or physical problems
  • that began after suspected or proven COVID-19
  • and last four or more weeks

What kinds of problems?

  • Shortness of Breath
  • Poor endurance
  • “Brain fog”
  • Cough
  • Chest pain
  • Headache
  • Palpitations and/or tachycardia
  • Joint pain
  • Muscle aches
  • Tingling and numbness
  • Abdominal pain
  • Diarrhea
  • Sleep difficulties
  • Fever
  • Lightheadedness
  • Unable to function daily
  • Pain
  • Rash (e.g., urticaria)
  • Mood changes
  • Loss of smell and taste
  • Menstrual cycle irregularities

As you can see, these symptoms are not unique to COVID-19 and are often seen in other medical conditions.  The observation that they occur as new problems after COVID-19 is likely related to the body systems involved in the acute infection phase.  Both the CDC and the WHO are actively considering this disorder and though their definitions are different, they are unified in emphasizing both the large number of patients experiencing it and the need to develop a health system response to care for sufferers.

If you believe you have long COVID, schedule an appointment on Wellivery to get an assessment.

 

Wellivery for Chronic Disease Prevention

Long COVID Information

Long COVID is a fascinating medical challenge!  Helping patients navigate to recovery from Long COVID is a top priority at Wellivery.  Keep track of Long COVID developments by bookmarking the Wellivery Long COVID page.

Subscribe Now!

Get email notifications when I post new Health Topics.

Leveraging Dietary Protein

* Why is protein needed? * What kind of protein? * How much? Why is Deitary Protein Important? Obesity Prevention: The American diet tends to be high in carbohydrates and fats.  Excessive intake of these nutrients is driving an epidemic of obesity, diabetes, heart...

Oral Cancer Prevention

Oral Cancer Prevention According to the World Health Organization, oral cancer is the 13th most common cancer on the planet.   The Centers of Disease Control and Prevention estimates that oral cancer will cause 54,000 new cases of oral cancer (2022).  If not detected...

COVID19 Treatment!

TREATMENT FOR COVID19?YES! I have been tracking the scientific and clinical literature since the beginning of the COVID-19 pandemic. I have been particularly vigilant for safe and effective treatments for COVID-19 that are used in NON-HOSPITALIZED patients that have a...

Long COVID Lung

Long COVID Lung A large number of patients that experienced COVID-19 will have persisting lung symptoms such as shortness of breath, wheezing, cough,  and decreased exercise capacity.  These problems are usually worse in patients who became so ill that they required...

Long COVID Brain

Long COVID Brain

Long COVID Brain You have either heard of or experienced first hand the “brain fog” associated with COVID-19 infection.  This disordered operation of thought and memory occurs during an active COVID-19 infection.  But what about later, down the road?  Do these issues...

Long COVID Heart

Long COVID Heart

Infection with COVID-19 has shown us many unique medical problems caused by the virus.  Once you as a patient get out of the danger zone with your initial infection, you may not be out of the woods.  Many patients COVID-19 are reporting new problems beginning many...

Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Electronic Prescription Medicine: No Paper To Lose!

Electronic Prescription Medicine: No Paper To Lose!

Electronic Prescription Medicine: No Paper To Lose!

* Electronic prescriptions mean:

..More accuracy in the order, 

..More convenience for you,

..No paper to lose, and

..It’s FAST!

* Wellivery sends all orders for prescription medication to the pharmacy of your choice! Electronically!

Most chronic diseases cannot be controlled without medication.

Medicines to control your disease, medicines to decrease your symptoms, and medicines to settle the side effects of other medicines.

One of my goals is to keep the number of medicines you need to a minimum.

But, when you need medicine, you need it and sometimes in a hurry.

The last thing you need is the hassle of getting a paper prescription and delivering it to the pharmacist, where you wait some more.

How about this?

I send your prescriptions electronically to your preferred pharmacy.

No paper prescription to lose,

You can go to the pharmacy with a single goal: pick up your prescribed medication, and GO!

Even better: now that Amazon is in the pharmacy game, there’s a pretty good chance you can get more affordable inhalers delivered right to your door!

Wellivery is designed to minimize your contact with sick people and make more time for LIFE!

Electronic prescriptions: another key convenience of Wellivery!

Now, if you want to get an email when I have updated these health topics, just fill in the ‘subscribe’ box to the right.

Until next topic, I wish the best of health to you!

#backpocketdoc

#affordableaccessiblecare

Subscribe Now!

Get email notifications when I post new Health Topics.

Leveraging Dietary Protein

* Why is protein needed? * What kind of protein? * How much? Why is Deitary Protein Important? Obesity Prevention: The American diet tends to be high in carbohydrates and fats.  Excessive intake of these nutrients is driving an epidemic of obesity, diabetes, heart...

Oral Cancer Prevention

Oral Cancer Prevention According to the World Health Organization, oral cancer is the 13th most common cancer on the planet.   The Centers of Disease Control and Prevention estimates that oral cancer will cause 54,000 new cases of oral cancer (2022).  If not detected...

COVID19 Treatment!

TREATMENT FOR COVID19?YES! I have been tracking the scientific and clinical literature since the beginning of the COVID-19 pandemic. I have been particularly vigilant for safe and effective treatments for COVID-19 that are used in NON-HOSPITALIZED patients that have a...

Long COVID Lung

Long COVID Lung A large number of patients that experienced COVID-19 will have persisting lung symptoms such as shortness of breath, wheezing, cough,  and decreased exercise capacity.  These problems are usually worse in patients who became so ill that they required...

Long COVID Brain

Long COVID Brain

Long COVID Brain You have either heard of or experienced first hand the “brain fog” associated with COVID-19 infection.  This disordered operation of thought and memory occurs during an active COVID-19 infection.  But what about later, down the road?  Do these issues...

Long COVID Heart

Long COVID Heart

Infection with COVID-19 has shown us many unique medical problems caused by the virus.  Once you as a patient get out of the danger zone with your initial infection, you may not be out of the woods.  Many patients COVID-19 are reporting new problems beginning many...

Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Blog

Blog

Blog

What is Wellivery and why do you need it?

* Wellivery.com is Dr. Tim Ryschon’s online medicine clinic 

* Wellivery is designed to be affordable, convenient, and reliable.

* Wellivery follows national quality standards

* Wellivery uses your phone to make your care convenient and engaging

 

What is Wellivery?

Wellivery is the name of my  telemedicine clinic.

My clinic, Wellivery.com, is 100% online.  

Using this online method,  I can deliver phone and video-based encounters that focus on your current problem AND on chronic disease prevention.

These visits are designed to achieve stabilization of your chronic disease so you can avoid exacerbations and complications that disrupt an active life.

My strategy depends on making you the expert of your health. 

This will allow you to react quickly to changes in your symptoms..  

It will also equip you to tell me how your treatment plan is working, since you will really understand it.

What Makes Wellivery Different from a Traditional Clinic?

  • A 100% focus on you, your current problem, and considering prevention of future chronic diseases.
  • I don’t try to deliver emergency care (there are plenty of Emergency Rooms doing that).
  • My clinic is based on National Standards and the most modern methods of disease management.
  • It uses 100% online phone and video visits.
  • Doctor visits are affordably priced and you can pay online – no insurance needed.
  • It uses 100% electronic medication prescriptions – sent direct to your pharmacy.
  • It uses proven online symptom assessment.
  • It delivers follow-up visits to assure effective control.
  • It gives you a usable and continuously updated Lifestyle Action Plan.

Why focus on chronic disease?

There are many health problems facing all of us.  I have spent 30 years learning about and treating them.  

Quite a few of these disorders that roll into the ER stand out as being preventable.

Asthma is one.  Heart attacks, certain cancers, and diabetes are others.  Prevention and control of these diseases has been the topic of extensive research which has led to the development of clearly defined treatment directions .

Despite these clear directions, chronic disease care remains poor in the U.S.

Wellivery is My Solution for this Problem.

  • Wellivery focuses only on chronic disease prevention.  

That allows me to really drill into the most current techniques for prevention, control, patient education, and how to deliver care.

  • Wellivery is built around the well-defined National Standards for chronic disease prevention.

That means everything I recommend is state-of-the-art and based on evidence, science, and clinical practice.

  • Wellivery leverages smartphone and telemedicine methods

It is no longer acceptable to require you to come to a clinic when I can do everything that you and I need to accomplish by voice and video.  Delivering doctor visits by phone and video is way less expensive for me which allows me to reduce the cost of the doctor visit for you.

It’s also more convenient for you AND you are exposed to less infectious diseases by avoiding travel and waiting rooms.

  • No Insurance Needed

Your ability to get great chronic disease care should not be gummed up by an insurance issue.  That’s why I keep the insurance companies out of our visits and keep the cost of the visit fair and reasonable for an out-of-pocket expense.

  • Electronic Prescriptions

It is kind of ridiculous in this electronic era that you’d have to take a paper prescription to the pharmacy for your medication.  In my system, these medication orders are transmitted electronically.  That keeps your care convenient and efficient and no paper to lose!

  • Online Symptom Assessment

Years of research have produced convenient ways to track your disease symptoms.  These symptom surveys can be used to give an early sign that your disease is out of control and vice versa, can be reassuring proof that your lifestyle action plan is working.

  • Follow-up Care is an Essential Part of Wellivery

Chronic disease prevention and control has a lot of moving parts.  Inconsistent follow-up care:

  • Interrupts medication refills,
  • Blocks clinical reassessment, 
  • Prevents adjustments in medication dosage, and
  • Derails optimization of treatment plans.

Even if patients are motivated to go into their doctor’s clinic for follow-up, with the COVID19 pandemic, they are discouraged to go for fear of catching the virus.  

Wellivery makes that follow-up visit as easy as a phone call but loaded with important information about your asthma.

  • Lifestyle Action Plan

I need to get you really involved in chronic disease preventionl.  The best way is to develop a plan that you understand and can follow.  This Lifestyle Action Plan is modified as your disease risk changes which happens due to illness, seasons, or age.  We revisit this plan at every follow-up visit and then I send it to your phone where you can study it and refer to it when your symptoms change.

Wellivery provides:

  • Consistent,
  • Quality strategies for prevention and control of your present and future disease.
  • Based on National clinical guidelines

Let me be your partner in getting in control.

Here’s where my three decades of experience come in handy.  I have selected the most important concepts that I know you need to understand for optimal self-management and prevention.

I post them at Wellivery.com in the section titled Wellivery Says.

And since neither you or I stop learning, I add new sections frequently, bringing you the most expert guidance available.

Now, if you want to get an email when I have updated these health topics, just fill in the ‘subscribe’ box to the right.

Until next topic, I wish the best of health to you!

 

#backpocketdoc

#affordableaccessiblecare

Subscribe Now!

Get email notifications when I post new Health Topics.

Leveraging Dietary Protein

* Why is protein needed? * What kind of protein? * How much? Why is Deitary Protein Important? Obesity Prevention: The American diet tends to be high in carbohydrates and fats.  Excessive intake of these nutrients is driving an epidemic of obesity, diabetes, heart...

Oral Cancer Prevention

Oral Cancer Prevention According to the World Health Organization, oral cancer is the 13th most common cancer on the planet.   The Centers of Disease Control and Prevention estimates that oral cancer will cause 54,000 new cases of oral cancer (2022).  If not detected...

COVID19 Treatment!

TREATMENT FOR COVID19?YES! I have been tracking the scientific and clinical literature since the beginning of the COVID-19 pandemic. I have been particularly vigilant for safe and effective treatments for COVID-19 that are used in NON-HOSPITALIZED patients that have a...

Long COVID Lung

Long COVID Lung A large number of patients that experienced COVID-19 will have persisting lung symptoms such as shortness of breath, wheezing, cough,  and decreased exercise capacity.  These problems are usually worse in patients who became so ill that they required...

Long COVID Brain

Long COVID Brain

Long COVID Brain You have either heard of or experienced first hand the “brain fog” associated with COVID-19 infection.  This disordered operation of thought and memory occurs during an active COVID-19 infection.  But what about later, down the road?  Do these issues...

Long COVID Heart

Long COVID Heart

Infection with COVID-19 has shown us many unique medical problems caused by the virus.  Once you as a patient get out of the danger zone with your initial infection, you may not be out of the woods.  Many patients COVID-19 are reporting new problems beginning many...

Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Follow-up Care:  Wellivery Makes It Easy!

Follow-up Care: Wellivery Makes It Easy!

Follow-up Care: Wellivery Makes It Easy!

Follow-up Care

* Follow-up Care is Essential to good chronic disease control.

* Follow-up allows determination of disease control and progression .

* Other chronic diseases are detected early.

* Medication refills are provided

* Your Lifestle Action Plan is updated.

Chronic disease control cannot be achieved in one doctor visit a year.

Follow-up visits are designed to:

  • reassess the status of any current chronic disease
  • review the treatment plan for your current chronic disease
  • refill prescription medications (electronically)
  • review your Lifestyle Action Plan goals and adjust to assure progress in controlling your risk for new disease
  • order screening to test for emerging new disease.
  • schedule your next appointment, usually in 3 months.

 

Chonic Disease Control.

That means controlling your symptoms.  Controlling your disease course.  Controlling your risk for new disease.

So that you can be active.

So you can sleep well.

Because you have become the expert on your disease!

Now, if you want to get an email when I have updated these health topics, just fill in the ‘subscribe’ box to the right.

Until next topic, I wish the best of health to you!

 

#backpocketdoc

#affordableaccessiblecare

Subscribe Now!

Get email notifications when I post new Health Topics.

Leveraging Dietary Protein

* Why is protein needed? * What kind of protein? * How much? Why is Deitary Protein Important? Obesity Prevention: The American diet tends to be high in carbohydrates and fats.  Excessive intake of these nutrients is driving an epidemic of obesity, diabetes, heart...

Oral Cancer Prevention

Oral Cancer Prevention According to the World Health Organization, oral cancer is the 13th most common cancer on the planet.   The Centers of Disease Control and Prevention estimates that oral cancer will cause 54,000 new cases of oral cancer (2022).  If not detected...

COVID19 Treatment!

TREATMENT FOR COVID19?YES! I have been tracking the scientific and clinical literature since the beginning of the COVID-19 pandemic. I have been particularly vigilant for safe and effective treatments for COVID-19 that are used in NON-HOSPITALIZED patients that have a...

Long COVID Lung

Long COVID Lung A large number of patients that experienced COVID-19 will have persisting lung symptoms such as shortness of breath, wheezing, cough,  and decreased exercise capacity.  These problems are usually worse in patients who became so ill that they required...

Long COVID Brain

Long COVID Brain

Long COVID Brain You have either heard of or experienced first hand the “brain fog” associated with COVID-19 infection.  This disordered operation of thought and memory occurs during an active COVID-19 infection.  But what about later, down the road?  Do these issues...

Long COVID Heart

Long COVID Heart

Infection with COVID-19 has shown us many unique medical problems caused by the virus.  Once you as a patient get out of the danger zone with your initial infection, you may not be out of the woods.  Many patients COVID-19 are reporting new problems beginning many...

Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Children and Chronic Disease

Children and Chronic Disease

Children and Chronic Disease

*  Chronic disease occurs in children.

* For example, Asthma afflicts about 10% of children annually.

* Type II diabetes is becoming more common.

* Obesity in children sets the stage for early heart disease and diabetes.

Children have chronic disease – sad but true.

They can have diseases in all the major adult chronic disease catagories including: heart disease, cancer, and diabetes.

My approach to them is the same – control the current disease and control their risk for new chronic disease.

Compared to adults, we get an earlier start on both goals in kids.

And, kids are seldom the decision makers on key risk factors (nutrition, physical activity, smoke exposure).

That means we can enlist their parents and guardians in attacking these risk factors.

This ‘team’ is in a very powerful position to put each child on a healthy course for life.

Now, if you want to get an email when I have updated these health topics, just fill in the ‘subscribe’ box to the right.

Until next topic, I wish the best of health to you!

#backpocketdoc

#affordableaccessiblecare

Subscribe Now!

Get email notifications when I post new Health Topics.

Leveraging Dietary Protein

* Why is protein needed? * What kind of protein? * How much? Why is Deitary Protein Important? Obesity Prevention: The American diet tends to be high in carbohydrates and fats.  Excessive intake of these nutrients is driving an epidemic of obesity, diabetes, heart...

Oral Cancer Prevention

Oral Cancer Prevention According to the World Health Organization, oral cancer is the 13th most common cancer on the planet.   The Centers of Disease Control and Prevention estimates that oral cancer will cause 54,000 new cases of oral cancer (2022).  If not detected...

COVID19 Treatment!

TREATMENT FOR COVID19?YES! I have been tracking the scientific and clinical literature since the beginning of the COVID-19 pandemic. I have been particularly vigilant for safe and effective treatments for COVID-19 that are used in NON-HOSPITALIZED patients that have a...

Long COVID Lung

Long COVID Lung A large number of patients that experienced COVID-19 will have persisting lung symptoms such as shortness of breath, wheezing, cough,  and decreased exercise capacity.  These problems are usually worse in patients who became so ill that they required...

Long COVID Brain

Long COVID Brain

Long COVID Brain You have either heard of or experienced first hand the “brain fog” associated with COVID-19 infection.  This disordered operation of thought and memory occurs during an active COVID-19 infection.  But what about later, down the road?  Do these issues...

Long COVID Heart

Long COVID Heart

Infection with COVID-19 has shown us many unique medical problems caused by the virus.  Once you as a patient get out of the danger zone with your initial infection, you may not be out of the woods.  Many patients COVID-19 are reporting new problems beginning many...

Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Symptom Surveys

Symptom Surveys

Symptom Surveys

Symptom Surveys

All diseases cause changes in you how you feel. These sensations are called symptoms.  Each chronic disease has its own symptoms with some overlap between diseases.  Scientific research has shown that symptom surveys in chronic disease are useful in classifying severity status.  I use these surveys to customize your Lifestyle Action Plan and to reassess your disease. For your convenience, I’ll have you complete such surveys on your phone.  This means you can do them when you have time, wherever you are.

No office visit needed!

Now, if you want to get an email when I have updated these health topics, just fill in the ‘subscribe’ box to the right.

Until next topic, I wish the best of health to you!

#backpocketdoc

#affordableaccessiblecare

Subscribe Now!

Get email notifications when I post new Health Topics.

Leveraging Dietary Protein

* Why is protein needed? * What kind of protein? * How much? Why is Deitary Protein Important? Obesity Prevention: The American diet tends to be high in carbohydrates and fats.  Excessive intake of these nutrients is driving an epidemic of obesity, diabetes, heart...

Oral Cancer Prevention

Oral Cancer Prevention According to the World Health Organization, oral cancer is the 13th most common cancer on the planet.   The Centers of Disease Control and Prevention estimates that oral cancer will cause 54,000 new cases of oral cancer (2022).  If not detected...

COVID19 Treatment!

TREATMENT FOR COVID19?YES! I have been tracking the scientific and clinical literature since the beginning of the COVID-19 pandemic. I have been particularly vigilant for safe and effective treatments for COVID-19 that are used in NON-HOSPITALIZED patients that have a...

Long COVID Lung

Long COVID Lung A large number of patients that experienced COVID-19 will have persisting lung symptoms such as shortness of breath, wheezing, cough,  and decreased exercise capacity.  These problems are usually worse in patients who became so ill that they required...

Long COVID Brain

Long COVID Brain

Long COVID Brain You have either heard of or experienced first hand the “brain fog” associated with COVID-19 infection.  This disordered operation of thought and memory occurs during an active COVID-19 infection.  But what about later, down the road?  Do these issues...

Long COVID Heart

Long COVID Heart

Infection with COVID-19 has shown us many unique medical problems caused by the virus.  Once you as a patient get out of the danger zone with your initial infection, you may not be out of the woods.  Many patients COVID-19 are reporting new problems beginning many...

Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

Cancer: Let’s Talk Prevention!

Cancer: Let’s Talk Prevention!

Cancer: Let’s Talk Prevention!

* Prevention of cancer by avoiding known causes is our first priority.
* Cigarette Smoking is the most important known cause of cancer!
* Catching cancer at its earliest stage gives the greatest chance of survival.
* That means you need to get your screenings!
* Having a diagnosis of cancer does not mean we stop working on prevention or screening.
* Some cancers are not the cause of death – they are just along for the ride!

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Cancer is a scary word.

Really scary.  Most non-medical people regard it as a lethal condition.

But, really, what does cancer mean?

Cancer is a condition of out-of-control cell growth.  It usually begins a one site or organ.  If not detected and treated, it continues to grow and can spread through the blood to other organs.

We know conclusively what causes certain cancers, like lung cancer, which is triggered by cigarette smoke.  And cervical cancer, which follows infection with the human papilloma virus.

For other cancers, we don’t yet know the precise cause, but have identified risk factors that steadily push people into that cancer.

Wellivery focuses on two aspects of cancer.

  • screening to allow earliest diagnosis and treatment
  • risk reduction – to prevent cancer from emerging.

 

In the U.S., hospitals and pharmaceutical companies have worked hard and at great expense to treat cancer. Countless lives have been saved by this approach.

Unfortunately, many patients die when the cancer is diagnosed too late or when the treatment fails.

Clearly, prevention of cancer would have a vast impact.

The U.S. healthcare system has not been particularly effective at preventing cancer.  Medical research has shown how doctors should work with patients to prevent cancer and how to make screening happen.  However, this research is not universally used, and for many reasons, patients don’t have access to either screening or prevention planning.

Cancer prevention and screening for earlist diagnosis is a primary focus of Wellivery.  Our formula?

  • Use established clinical guidelines
  • Get patients screed according to these guidelines
  • Develop a prevention plan for each patient
  • Control risk factors that are already present
  • Use the smartphone and phone visits as the primary platform for patient communication and education – not the doctor office.

Cancer is like most chronic diseases that occur when a genetic susceptabilty that you inherited interacts with your environment (like: nutrition, stress, excess weight, physical inactivity, smoking, alcohol).  We can’t change your genetic profile.

You CAN change the enviromental factors that will push you into cancer.  Wellivery is designed to be your expert physician counselor, guiding you to victory over your risk of cancer.

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Leveraging Dietary Protein

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Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!

How To Control Your Heart Disease!

How To Control Your Heart Disease!

How To Control Your Heart Disease!

*  Heart Disease includes: Coronary Artery Disease, Heart Valve disease, and Heart Failure.

*  If you have one of these diagnosed conditions, focusing on control of it is the most important priority.

*  If you don’t have one of these conditions, we need to focus on prevention!

*  Most of the risk factors for heart disease are under your control.

*  Wellivery helps you to focus on those risk factors by delivering affordable access to a doctor.

Heart Disease is a scary phrase.

But, really, what does it mean?

Heart disease as a disease category includes:

  • Coronary Artery Disease
  • problems with heart valves
  • Heart Failure

Coronary Artery Disease is the most common type and causes a decrease in blood supply to the muscle of your heart.  When this occurs suddenly, its called a heart attack.

The shorter amount of time the blockage occurs, the less damage occurs in your heart muscle.

In the U.S., hospitals and ambulance systems have worked hard and at great expense to rapidly relieve such blockages. Countless lives have been saved by this approach.

Unfortunately, many patients die when the blockage causes cardiac arrest or severe heart damage.

Clearly, prevention of coronary artery disease would have a vast impact in preventing these problems.

The U.S. healthcare system has not been particularly effective at preventing coronary artery disease.  Medical research has shown how doctors should work with patients to prevent coronary artery disease and its complications.  Few doctor offices are able to follow these guidelines due to time constraints and administrative distractions.

Heart disease prevention is a primary focus of Wellivery.  Our formula?

  • Use established clinical guidelines
  • Develop a prevention plan for each patient
  • Control risk factors that are already present, and
  • Use the smartphone and phone visits as the primary platform for patient communication and education – not the doctor office.

Heart disease like most chronic diseases occurs when a genetic susceptabilty that you inherited interacts with your environment including things like: nutrition, stress, excess weight, physical inactivity, smoking, and alcohol.  We can’t change your genetic profile.

You CAN change these environmental factors that will push you into heart disease.  Wellivery is designed to be your expert physician counselor, guiding you to victory over your risk of heart disease.

Make an appointment and start making a prevention change today!

 

 

Subscribe Now!

Get email notifications when I post new Health Topics.

Leveraging Dietary Protein

* Why is protein needed? * What kind of protein? * How much? Why is Deitary Protein Important? Obesity Prevention: The American diet tends to be high in carbohydrates and fats.  Excessive intake of these nutrients is driving an epidemic of obesity, diabetes, heart...

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Oral Cancer Prevention According to the World Health Organization, oral cancer is the 13th most common cancer on the planet.   The Centers of Disease Control and Prevention estimates that oral cancer will cause 54,000 new cases of oral cancer (2022).  If not detected...

COVID19 Treatment!

TREATMENT FOR COVID19?YES! I have been tracking the scientific and clinical literature since the beginning of the COVID-19 pandemic. I have been particularly vigilant for safe and effective treatments for COVID-19 that are used in NON-HOSPITALIZED patients that have a...

Long COVID Lung

Long COVID Lung A large number of patients that experienced COVID-19 will have persisting lung symptoms such as shortness of breath, wheezing, cough,  and decreased exercise capacity.  These problems are usually worse in patients who became so ill that they required...

Long COVID Brain

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Long COVID Brain You have either heard of or experienced first hand the “brain fog” associated with COVID-19 infection.  This disordered operation of thought and memory occurs during an active COVID-19 infection.  But what about later, down the road?  Do these issues...

Long COVID Heart

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Infection with COVID-19 has shown us many unique medical problems caused by the virus.  Once you as a patient get out of the danger zone with your initial infection, you may not be out of the woods.  Many patients COVID-19 are reporting new problems beginning many...

Everyday Health for

Everybody!

 Same Day Appointments are Available.

720-900-0943

Telemedicine for You!