Ode to a Kidney Stone

Posted by Dr. Michael Wald

How and why can a 45 -year old man, in top physical condition…a renowned doctor of nutrition and marathon runner, fall victim to an excruciating kidney stone?  Well, I am sure that I know how it happened – how a tiny 2 milimeter kidney stone kept me on my back for days!

I just got over an excruciating kidney stone attack.

It was just a few weeks after I completed running the New York City Marathon (time: 3 hrs, 48 minutes) when I was accompanying my daughter to her place of work in Mount Kisco. I sat down in the car and within just a few minutes I had a strong urgency to urinate – unlike any urge I had every experienced. I asked my daughter to “step on it” and her reply was, “sorry dad, I can’t speed”, so I quietly bit my lip.  After 3-4 minutes we finally arrived at her place of work; I took the drivers seat and sped to my office just a block away.

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VITAMIN B12 – Everything you need to know!

Dr. Michael Wald

Vitamin B12,  also called cobalamin, is a water-soluble vitamin with a key role in the normal functioning of the brain and nervous system, and for the formation of blood. It is one of the eight B vitamins. It is normally involved in the metabolism of every cell of the human body, especially affecting DNA synthesis  (our genetic material) and regulation, but also fatty acid synthesis and energy production. It is the largest and most structurally complicated vitamin and can be produced industrially only through bacterial fermentation-synthesis.

As important as vitamin B12 obviously is there are several important facts about this nutrient you should know that the New York Times article did not mention. Here are some of the most important points:

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Seizures and Epilepsy – Can Diet and Nutrition Help?

Dr. Michael Wald, Director of Nutritional Services at Integrated Medicine of Mount Kisco, P.C. 914-242-8844, www.intmedny.com & Dr. Nilay Shah (Holistic Neurologist and Director of Medical Services)The word epilepsy derives from the Greek word epilepsia, which means “to take hold of” or “to seize.” Epilepsy is not a disease in itself, but rather a symptom of disease. The epilepsies are a group of disorders characterized by sudden, recurrent, and episodic changes in neurologic function caused by abnormalities in the electrical activity of the brain Each episode of neurologic dysfunction is called a seizure. Seizures are termed convulsive when accompanied by motor manifestations or nonconvulsive when accompanied by sensory, cognitive, or emotional events. Epilepsy can occur due to a number of abnormalities such as neurologic injuries, structural brain lesions, or some systemic diseases. Epilepsy is termed idiopathic when there is neither a history of neurologic insult nor other apparent neurologic dysfunction. Whatever the etiology, the common denominator in all these conditions is the epileptic attack or seizure. Continue reading
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New York City Marathon – Success!

Even with an injury I completed my 2nd marathon –the New York City Marathon on behalf of the Tourette’s Syndrome Association of America raising money to help children and adults with this challenging malady.  Tourette’s Syndrome is an inherited neuropsychiatric disorder with onset in childhood, characterized by multiple physical (motor) tic and at least one vocal (phonic) tic; these tics characteristically wax and wane. Tourette’s is defined as part of a spectrum of tic, which includes transient and chronic tics.  People with Tourette’s are most often very creative with the actual advantage of having a nervous system that processes certain types of information up to twice as fast as the rest of us without this condition.  We all have unique characteristics; only if we learn to become aware of and embrace our special qualities can we develop into fully actualized human beings.  To run a marathon, I began by taking notice of my level of physical and mental conditioning and capitalized on this developing an entirely new mental and physical resiliency; not unlike those with Tourette’s Syndrome might do.
As I ran this marathon I was inspired and impressed by the people who participated; all ages, races and nationalities – running together challenging ourselves and transforming our lives in the process.
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Nutritional Supplements, Diet and Disease – is there evidence? An Integrated Perspective

Dr. Michael Wald, Director of Nutrition at Integrated Medicine of Mount Kisco, P.C.

914-242-8844, www.intmedny.com

Below we have provided just a few examples of links to the National Library of Medicine, a trusted source of scientific studies on virtually every condition and topic of scientific and health interest.  It is not possible to provide a more thorough accounting of scientific evidence than that already present on this or other medical databases. Therefore, you are free to search www.pubmedny.com (the website for the National Library of Medicine) for scientific articles on topics of interest. These articles are provided in abstract form (outlines) of the full scientific studies and sometimes free complete articles are provided.

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Your Health is like a Marathon – Practical Tips for Achieving your Personal Health Record

Dr. Michael Wald- Integrated Medicine of Mount Kisco

914-242-8844 – www.intmedny.com

First of all I want to thank everyone who attended our fundraising pre-marathon party to raise money for Tourette’s syndrome.  I’d like to repay you by giving you some practical thoughts for your health using my marathon training experiences as a metaphor. Very practical stuff – promise!

I’ve definitely learned that there are some important parallels between my marathon training and producing health and wellbeing.  These tips, I believe, are essential for anyone who is healthy or those with mild or very serious illness who wish to increase his/her chances of recovery.  If you take my suggestions to heart, I believe that you can complete your “Personal Health Record or (PHR).

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Men – Hold on to your prostates!

The US Preventative Services Task Force recommended last week that healthy men no longer receive the PSA blood test.  According to the Task Force, the test has resulted in needless procedures that have left tens of thousands of men incontinent, impotent or both.  “Unfortunately, the evidence now shows that the test does not save men’s lives”, said Dr. Virginia Moyer, chairwoman of the task force.  The PSA test was routinely given to men aged 50 and over to identify cancerous cells in the prostate.  These cells grow slowly and the vast majority of men with cancer cells never get prostate cancer.

Many routine medical procedures, by definition, are recommended to people with little or no explanation.  On the other hand, many people are ill-equiped to properly question their health care providers.  We encourage our patients to question us and our recommendation to foster communication between doctor and patient; to further education and proactiveness.  Any health care provider that becomes defensive or is unable to justify the reason(s) for why they have recommended a procedure(s) must examine his/her purpose for practicing medicine.  There is a saying that goes, “Give a man a fish and feed him for a day, give a man a fish and feed him for a lifetime.”

The PSA is just a single example of many tests that are routinely recommended in medical circles that have caused needless suffering. Future story posts will include the dangers of mammography, CT scans and x-rays.  Natural medicine offers many preventative strategies to offset a certain degree of negative effects of various medical procedures.

Please consult our Q and A section of our Home page for additional educational materials on prostate health, preventing and treating breast and ovarian cancer.

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Discovered Dangers: Blood Work for Optimal Preventive Health

Blood laboratory work is often an important part of assessing and diagnosing your current health issues. But more than just identifying current disease states, laboratory tests can be used preventively to identify sub-clinical diseases hidden from normal view that represent degenerative health problems early on, before they develop into full-blown diseases.

New patients come to me all the time saying “My doctor says my blood work is normal, but I still don’t feel well.” In over 20 years of clinical practice, I have discovered that most medical doctors rarely order anything beyond “routine” standard lab panels and only review the results of these for blatantly high or low abnormal values.

There are several problems with this approach. Although standard lab panels give a good general glimpse into your health, they do not include other important predictive factors for disease. For example, while cholesterol and triglyceride levels are helpful for considering heart disease, homocysteine and CRP are also predictors of heart health that are not included in a standard lab panel. A standard lab panel may not identify issues specific to your symptoms and current health concerns, which may require additional specialized tests that would require many doctors of different specialties to uncover.
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Who uses Complimentary/Alternative Healthcare?

Who uses Complimentary/Alternative Healthcare?

By Dr. Michael Wald

People ask me all the time, “Do you think that one day more doctors and the public will accept what you do?”  Honestly, I stand there is disbelieve because, from my perspective (and apparently the statistics agree with me), the use of Complimentary-Alternative Medicine (CAM) by you (the public) are here to stay and growing rapidly!

I am concerned with the public’s general lack of ability to determine what is good and what is “not so good” CAM Care.  It is not a matter of intelligence on the part of the public, it is simply a matter of not knowing enough about a particular part of CAM care that is the problem.  For example, as a practitioner of clinical nutrition there are big differences between a practitioner who is a naturopath, a clinical nutritionist, a nutritional practitioner with a master’s degree in the subject, a dietician, a certified nutritionist, a practitioner who obtains their degree over the internet, etc.  At the end of the day, it is often a trial and effort process for the health care consumer (that’s you!) in your journey to determine who can best help you.  Much of the choosing is purely emotional based in my opinion; people saying things like, “he or she is a great doctor because of personality, or because of nothing tangible at all.  A good practitioner can tell in less than 10 seconds if a practitioner is worth his/her mustard based on the recommendations given to a person with a particular health problem.

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Natural Hormones – Can they extend your quality of life & help you live longer?

Who wants to live longer, as we do today, but with impaired memory, loss of sex drive and suffering from heart disease and diabetes? The answer is few people do – optimizing one’s hormone levels has been shown to improve sex drive, overall sense of wellbeing, burn fat, strengthen bones, help maintain muscle throughout the body, lower cholesterol levels, improve memory and help ward off almost every major killer of modern living…and that’s not all!

We human beings age in die largely because our hormone levels diminish or fade away completely resulting in loss of quality of life and shorter life span. Women are outliving men in part because of estrogen levels. Estrogens signal longevity genes in the body that reduce the formation of molecules I like to call “cell-killers”, otherwise known as free radicals. Free radicals cause genetic damage resulting in shorter lifespans from disease. Studies in men demonstrate similar health promoting effects of testosterone, but in both men and women, it is the combined effects of many dozens of hormones that get the job done! My research has demonstrated that every single thing you eat has an effect, either positively or negatively, upon hormonal levels providing the opportunity to “turn the hormonal tide” in your favor – living better!. How do you get the hormone balance right?
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