Your ER Doc » Stroke Information

Chelation therapy

Your ER Doc — Mon, 01 Jun 2009 19:10:45 +0000

Last week a physician colleague of mine mentioned that chelation therapy is a completely valid and useful treatment for coronary disease. He noted that there are countries where patients can’t even get bypass surgery unless they have been through chelation first.
Chelation therapy is when a substance, usually EDTA, is given in order to “sponge up” minerals and heavy metals that can cause inflammation, and perhaps contribute to coronary disease.
My recollection was that chelation therapy had never shown a benefit in clinical trials for coronary disease. My colleague said that there was plenty of good research out there that was beneficial, but that the drug companies, and cardiovascular disease establishment were squashing the data in order to maintain the status quo.
That’s quite an accusation. That would mean that thousands of doctors and scientists were engaged in a gigantic conspiracy to keep a valuable, and relatively inexpensive treatment from patients in order to make money through prescription medication, bypass surgery, angioplasty, etc. When you consider that coronary heart disease in the number one killer of men and women, and that many people suffer significant disability from it, this would be a conspiracy far more destructive than any genocide on record. It would make Pol Pot seem like a harmless old curmudgeon.
I decided to do a little research myself and eventually found myself on one of my favorite sites, Quackwatch.com, written by Saul Green, PhD. He has an excellent review of the chelation for vascular disease issue.
There have been some good studies done on chelation therapy, with no benefit shown. There also are a couple of large trials ongoing. There are no studies that show any significant benefit that I could find.
Now maybe Dr. Green has a garage full of Ferraris with bumperstickers that say “I love angioplasty” given to him by the American College of Cardiology, I’m not sure.
Or just perhaps there are some alternative practitioners making some claims (and a lot of money) that are based on marginal science. Hmm, that sounds familiar.

Number 4 on The Top 10 Ways to Avoid the ER

Your ER Doc — Tue, 27 Jan 2009 08:35:04 +0000

Welcome to another installment of the Top 10 Ways to Avoid the ER

Number 4 – Drugs

Drugs like methamphetamines, heroine, and cocaine are the scourge of every emergency department I have worked in. Meth is the biggest problem now. If these drugs did not exist, I have no doubt that health care costs would be much lower, people would be much happier, and my job would be way easier.

Here are the problems you can anticipate if you are using these drugs:

Strokes

Heart attacks

Infections in the skin, heart and blood

Psychotic behavior (sometimes shrieking profanities at your ER doctor)

Rotting teeth

Heart failure

Liver damage

Kidney disease

Brain damage

It’s always amazing when I see patients who have been using meth for days, and they come into the ER complaining of “Not feeling good.” Shocker! I usually ask why they expect to feel good after using these destructive chemicals for days on end. Then I explain that we are going to get to know each other very well, because they are going to come back repeatedly into the ER until their body is a complete toxic waste dump–unless of course, they quit. Sometimes this works.

Am I having a stroke?

yourerdoc — Tue, 30 Sep 2008 20:02:34 +0000

Question:

“How do I know if I’m having a stroke?”

Answer:

Excellent question, and actually can be difficult to answer. Sometimes a stroke is obvious—Completely weak on one side of the body, facial droop on one side, trouble talking. I think most people would recognize these symptoms and act on them. Often times, however, I have patients with less classic symptoms who think they have had a stroke. Confusion, weakness, dizziness, headache, all can be part of a stroke, but sorting it out usually requires a trip to the ER.

To simplify this, the American Academy of Neurology has created a

simple stroke diagnostic aid “Give-Me-Five.”

Walk—Is the patient’s balance off?

Talk—Is the speech slurred or face droopy?

Reach—Is one side weak or numb?

See—Is the vision all or partly lost?

Feel—Is there a severe headache?

If the patient appears to have had a stroke, or it is unclear, the best bet is calling 911, and getting checked out in the ER.

Stroke is the 3^rd leading cause of death in the US, and also a huge cause of disability. Preventing stroke is the key, but if a stroke occurs, prompt medical attention can lessen the damaging effects.