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By S. Ressel. Indiana Wesleyan University. 2017.

Rosenbaum did his own laboratory testing because different lab- oratories sometimes yield different results buy 75 mg venlor amex. He too found elevated muscle enzymes indicative of muscle inflammation as well as a dangerously low potassium level order venlor 75 mg free shipping. In fact, it was low enough to cause electrocardiogram (EKG) abnormalities. Rosenbaum did was to encourage Maria to begin eating foods rich in potassium and take potassium supplements. There was no identifiable medical condition that could explain what was going on with her. Maria’s journal revealed her fear of becoming overweight and meno- pausal and how strong her feelings were regarding this subject. Rosenbaum suspect that diuretics, or “water pills,” were playing a role in Maria’s mys- tery malady. These medications increase the volume of urine formation, helping the body to decrease excess fluid. Unfortunately, they can also “wash out” essential minerals and electrolytes like potassium and cause muscle spas- 156 Diagnosing Your Mystery Malady ming and weakness along with an elevation in muscle enzymes. Rosen- baum asked Maria directly if she were taking any diuretics to help her shed water weight. Most doctors, as matter of routine, will inquire about what medica- tions a patient is taking, but there was nothing else in Maria’s medical records or even in Dr. Rosenbaum’s subsequent questioning of her list of medications, that would be related to her condition, particularly since her thyroid levels were normal. While it was pretty sparse—only a half-hearted effort at best—on a second look, it turned out to be good enough. Under Step Two relating to the history of her ailment, he noted that Maria had scribbled she was taking soy, evening primrose oil, and other sup- plements. When she didn’t remember what they were, she was instructed to return home and call Dr. Among her supplements was one “specifically formulated to prevent and treat cellulite. Rosenbaum, even came with instructions on how to massage certain cellulite-prone areas. Unfortunately, it also had an ingredient that was essentially the same as a diuretic and, taken on a daily basis as she was doing, would deplete her body of essential minerals and electrolytes like potassium.

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He found that Kathy was suffering from a malady known as hypersensitivity pneumoni- tis—also known as farmer’s lung or cheese lung—and more recently iden- tified as a form of “sick building syndrome effective venlor 75mg. It is also found in hay stored in barns and in the fermentation process at cheese factories cheap venlor 75 mg amex. For those who are sensitive to this type of mold, prolonged exposure to it can cause fibrosis of (a buildup of tissue in) the lungs. Closely associated with sick building syndrome and other syndromes resulting from exposure to toxic mold is a controversial illness known as 16 Becoming Your Own Medical Detective “multiple chemical sensitivity. For an esti- mated 20–30 percent of the population (some thirty-seven million Ameri- cans), the symptoms of multiple chemical sensitivity can range from mild headaches, dizziness, short-term memory loss, nosebleeds, irritability, itchy eyes, and scratchy throats to possible damage to the nervous and respiratory systems. In its most extreme form, sufferers are confined to a plastic bubble world or one made up of only natural materials. A different set of illnesses of an environmental nature appear to be a by-product of disturbance of ecosystems. This would include, for example, occurrences of Lyme disease in suburbia. Given that Borrelia burgdorferi, the bacteria that causes Lyme disease, has been around a long time, why are peo- ple suddenly being diagnosed with it? In open woodlands, foxes and bob- cats keep a lid on the bacteria by hunting the mice that carry it, but when these predators vanish with our woodlands as developers clear lots for new subdivisions, the mice and their ticks proliferate unnaturally. Richard Oster- field, an animal ecologist at the Institute of Ecosystem Studies in Millbrook, New York, found in a recent survey that infected ticks were seven times as prevalent on one- and two-acre lots as they were on the fifteen-acre lots of yesteryear. The intriguing case study of a little boy who contracted Lyme disease while on a Boy Scout outing is described in Chapter 13. In Malaysia, where pig farmers started pushing back the forest to expand operations, displaced fruit bats began spreading a pathogen now known as the Nipah virus. The pigs developed a cough so loud it became known as the “one-mile cough. A full discussion of the medical consequences of disturbing the ecosys- tem is beyond the scope of this book.

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By S. Ressel. Indiana Wesleyan University. 2017.

Rosenbaum did his own laboratory testing because different lab- oratories sometimes yield different results buy 75 mg venlor amex. He too found elevated muscle enzymes indicative of muscle inflammation as well as a dangerously low potassium level order venlor 75 mg free shipping. In fact, it was low enough to cause electrocardiogram (EKG) abnormalities. Rosenbaum did was to encourage Maria to begin eating foods rich in potassium and take potassium supplements. There was no identifiable medical condition that could explain what was going on with her. Maria’s journal revealed her fear of becoming overweight and meno- pausal and how strong her feelings were regarding this subject. Rosenbaum suspect that diuretics, or “water pills,” were playing a role in Maria’s mys- tery malady. These medications increase the volume of urine formation, helping the body to decrease excess fluid. Unfortunately, they can also “wash out” essential minerals and electrolytes like potassium and cause muscle spas- 156 Diagnosing Your Mystery Malady ming and weakness along with an elevation in muscle enzymes. Rosen- baum asked Maria directly if she were taking any diuretics to help her shed water weight. Most doctors, as matter of routine, will inquire about what medica- tions a patient is taking, but there was nothing else in Maria’s medical records or even in Dr. Rosenbaum’s subsequent questioning of her list of medications, that would be related to her condition, particularly since her thyroid levels were normal. While it was pretty sparse—only a half-hearted effort at best—on a second look, it turned out to be good enough. Under Step Two relating to the history of her ailment, he noted that Maria had scribbled she was taking soy, evening primrose oil, and other sup- plements. When she didn’t remember what they were, she was instructed to return home and call Dr. Among her supplements was one “specifically formulated to prevent and treat cellulite. Rosenbaum, even came with instructions on how to massage certain cellulite-prone areas. Unfortunately, it also had an ingredient that was essentially the same as a diuretic and, taken on a daily basis as she was doing, would deplete her body of essential minerals and electrolytes like potassium.

cheap venlor 75mg on-line

He found that Kathy was suffering from a malady known as hypersensitivity pneumoni- tis—also known as farmer’s lung or cheese lung—and more recently iden- tified as a form of “sick building syndrome effective venlor 75mg. It is also found in hay stored in barns and in the fermentation process at cheese factories cheap venlor 75 mg amex. For those who are sensitive to this type of mold, prolonged exposure to it can cause fibrosis of (a buildup of tissue in) the lungs. Closely associated with sick building syndrome and other syndromes resulting from exposure to toxic mold is a controversial illness known as 16 Becoming Your Own Medical Detective “multiple chemical sensitivity. For an esti- mated 20–30 percent of the population (some thirty-seven million Ameri- cans), the symptoms of multiple chemical sensitivity can range from mild headaches, dizziness, short-term memory loss, nosebleeds, irritability, itchy eyes, and scratchy throats to possible damage to the nervous and respiratory systems. In its most extreme form, sufferers are confined to a plastic bubble world or one made up of only natural materials. A different set of illnesses of an environmental nature appear to be a by-product of disturbance of ecosystems. This would include, for example, occurrences of Lyme disease in suburbia. Given that Borrelia burgdorferi, the bacteria that causes Lyme disease, has been around a long time, why are peo- ple suddenly being diagnosed with it? In open woodlands, foxes and bob- cats keep a lid on the bacteria by hunting the mice that carry it, but when these predators vanish with our woodlands as developers clear lots for new subdivisions, the mice and their ticks proliferate unnaturally. Richard Oster- field, an animal ecologist at the Institute of Ecosystem Studies in Millbrook, New York, found in a recent survey that infected ticks were seven times as prevalent on one- and two-acre lots as they were on the fifteen-acre lots of yesteryear. The intriguing case study of a little boy who contracted Lyme disease while on a Boy Scout outing is described in Chapter 13. In Malaysia, where pig farmers started pushing back the forest to expand operations, displaced fruit bats began spreading a pathogen now known as the Nipah virus. The pigs developed a cough so loud it became known as the “one-mile cough. A full discussion of the medical consequences of disturbing the ecosys- tem is beyond the scope of this book.

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