Medicine, Compassion, and Human Courage

 By Amy Price PhD

This is a wonderful example of how people from merging cultures worked together despite personal risk and adverse conditions to bring life and dignity to another human being. I received this story in my inbox after enduring a horrific ordeal involving some who claim to practice medicine. I am sharing this visual demonstration of unselfish kindness so that each of us can remember people that really matter and focus our hearts and minds on them. I want to say a special thank you to people who were there for me at a time when I could not advocate for myself. Thank you for your time, your kindness and your professional help which was given with little hope for a return and who looked past the confusion and injury to value the real person inside and to treat her with dignity.


The story is about US Army Pvt. Channing Moss, who was impaled by a live RPG (rocket propelled grenade) during a Taliban ambush while on patrol. Army regulations say that MEDEVAC choppers are never to carry anyone with a live round in him. Even though they feared it could explode, the flight crew said forget the protocol and flew him to the nearest aid station. Again, regulations say that in such a case the patient is to be put in a sandbagged area away from the surgical unit, given a shot of morphine and left to wait (and die) until others are treated.

Again, the medical team ignored the protocol. Here's a seven-minute video put together by the
Military Times, which includes actual footage of the surgery where Dr. John Oh, a Korean immigrant who became a naturalized citizen and went to West Point , removed the live round with the help of volunteers and a member of the EOD (explosive ordinance disposal) team.

Moss has undergone six operations but is doing well at home in Gainesville, GA. This is one of the most amazing stories. I think you'll find the video pretty remarkable. Our military faces situations we can no even imagine without great financial rewards or much acclaim. I am so thankful that such men and women of grace and courage are representing our country.

Brain Development A Human Right ,

By Amy Price PhD

Clicking on Train Your Brain , Save Your Mind here will take you to a fascinating short video on the power of personal brain optimization and contains a clinically validated assessment tool. This video is presented by Dr Evian Gordon of Brain Resource Company and speaks to the highly acclaimed wellness program, My Brain Solutions. It is well worth investigating, in less than 15 days I showed improvement on several measures of cognition. If you would like to sign-up for MyBrainSolutions please email me ….read on for why training your brain matters… If you have difficulty signing up or have questions please post a comment and I will be happy to help you with this.

Research on cognition that shows transfer of training and increase in quality of life is dependent on carefully assessing individual differences with  clinically accepted tools which provide personalized training to meet these perimeters[1,2,3,4,]


Learning and novelty are partners yet many brain fitness programs offer rote repetition of weak areas without variation in task or content in a bid to target learning, However research shows us this is not the way meaningful learning occurs. Tasks must be individually challenging to hold engagement and yet structured enough to be doable. Ideally tasks will adapt to changing learning curves to build neuroplasticity. The best learning capitalizes on emotional and intellectual strengths already present while strengthening areas of weakness in a positive atmosphere. For example, teaching a university student mnemonics and concept mapping may make the memory more efficient however teaching an individual with organic damage or early dementia how to remember names and faces with a mnemonic is an exercise in futility.

Specific training alone can lead to plastic changes in the brain as demonstrated by expert Braille readers who show an enlarged hand area and smearing of finger representations in the somatosensory cortex. This result was observed in expert, but not in novice Braille readers suggesting that the training and not the blindness which leads to the changes in cortical representation [5]Similar domain specific results were noted in London taxi drivers and expert violinists. Kramer et al [6] states recruitment of additional brain regions helps performance only if the recruited area complements processing of the task in question. This is likely why rote memorization fails to increase working memory whereas training that targets attentional networks and processing speed increases working memory limits. We are incapable of processing in depth what we have not attended to and our capacity for material attended to is limited by the speed at which we process stimuli.

My Brain Solutions has an inviting Dashboard where you can  Empower Your Own Life....See you at the Dashboard!

1. Posner, M., & Rothbart M. Educating the human brain. Washington, DC US: American Psychological Association.; 2007:189-208. doi:10.1037/11519-009


2. Jaeggi SM, Buschkuehl M, Jonides J, Perrig WJ. Improving fluid intelligence with training on working memory. Proceedings of the National Academy of Sciences of the United States of America. 2008;105(19):6829-33. Available at: http://www.ncbi.nlm.nih.gov/pubmed/18443283

3. Willis SL, Tennstedt SL, Marsiske M, et al. Long-term effects of cognitive training on everyday functional outcomes in older adults. JAMA : the journal of the American Medical Association. 2006;296(23):2805-14. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17179457


4. Gordon E, Arns M, Paul RH. Research Report THE INTEGRATE MODEL OF EMOTION, THINKING AND SELF REGULATION: AN APPLICATION TO THE “PARADOX OF AGING”. Thinking. 2008;7(3):367-404.

5. Greenwood PM. Functional plasticity in cognitive aging: review and hypothesis. Neuropsychology. 2007;21(6):657-73. http://www.ncbi.nlm.nih.gov/pubmed/17983277


6. Kramer AF, Bherer L, Colcombe SJ, Dong W, Greenough WT. Environmental influences on cognitive and brain plasticity during aging. The journals of gerontology. Series A, Biological sciences and medical sciences. 2004;59(9):M940-57.: http://www.ncbi.nlm.nih.gov/pubmed/15472160.

Does Platelet Rich Plasma Really Work?

By Amy Price PhD

What is Platelet Rich Plasma Treatment (PRP)?


PRP has been around since the 1980s but mostly as an adjunct to surgical or dental procedures. PRP patients have a small amount of their own blood removed and then processed through a centrifuge machine. The high speed rotation separates red blood cells from the platelets. A teaspoon or two of the clear platelet rich concentrate (3 to 10 times that of regular blood) will be returned and injected into damaged areas to catalyze the growth of new cells.

Various methods are now commercially available for preparing PRP and a similar material called “autologous growth factor,” which is PRP plus the white blood cell buffy coat obtained during PRP preparation. As a result, assessment of these strategies in clinical orthopedic practice has accelerated.

The platelet rich mixture can be injected where the area does not normally have a rich blood supply and has the advantage of not triggering a clotting response. Patients are their own donors so there is little risk of rejection, allergy or transmissable infections Some stem cell companies are combining PRP with stem cell therapy to increase healing results. The theory and technique behind PRP is similar to that of Prolotherapy (proliferation therapy). Typically Prolotherapy treatments are offered first, and mostly resolve musculoskeletal problems. When results from traditional Prolotherapy treatments are not adequate, PRP may be employed. PRP and Prolotherapy, are office procedures.

How does PRP therapy help?

The body’s responds to injury by mobilizing platelet cells. Platelets are packed with multiple healing and growth factors which initiate repair while attracting stem cells the bodies built in construction managers. PRP intensifies the body’s healing efforts by delivering concentrated platelets. The technique appears to help regenerate ligament and tendon fibers, which shortens rehabilitation time.

How long will it take?

One to two hours, including preparation and recovery time is the average time for the procedure. Advantages include pain relief and speedy healing without the risk of surgery, Many individuals can return to work right after the procedure.

How often can a person have PRP done?

The norm is three injections within a six-month time frame, two to three weeks apart. Relief is usually recognized after the first or second injection.

What are the expected results?

Initial improvement may be seen within a few weeks, gradually increasing as the healing progresses. Some doctors describe PRP as a growth factor cocktail. MRI images after PRP have shown definitive tissue repair. It seems to work better on soft tissue areas like tendons and ligaments, in bone injury it may even slow healing. Results are donor dependent and certain health conditions such as diabetes, thyroid disease or habits like smoking and heavy drinking may hinder the effectiveness as can hormone deficiencies. Younger patients and athletes have more growth factors resident in platelets so this makes them better overall candidates Research into the effects of platelet-rich plasma therapy has accelerated in recent months, with most doctors cautioning that more rigorous studies are necessary before the therapy can emerge as scientifically proven. Even with a 20-40% failure rate many researchers suspect that the procedure could grow in attractiveness treatment for reasons both medical and financial. PRP is about 2000.00 dollars, stem cell therapy is about 8000.00 per site plus travel, diagnostics, preparation and time whereas surgery is much more expensive with extensive recuperation time. PRP has also been used to augment surgery with promising results.

References

1. Rai B, Oest ME, Dupont KM, Ho KH, Teoh SH, Guldberg RE: Combination of platelet-rich plasma with polycaprolactone-tricalcium phosphate scaffolds for segmental bone defect repair. J Biomed Mater Res A 2007;81:888-899.

2. Sipe JB, Zhang J, Waits C, Skikne B, Garimella R, Anderson HC: Localization of bone morphogenetic proteins (BMPs)-2, -4, and -6 within megakaryocytes and platelets. Bone 2004;35:1316-1322.

3. Kark LR, Karp JM, Davies JE: Platelet releasate increases the proliferation and migration of bone marrow-derived cells cultured under osteogenic conditions. Clin Oral Implants Res 2006;17:321-327.

4. Gruber R, Kandler B, Fischer MB, Watzek G: Osteogenic differentiation induced by bone morphogenetic proteins can be suppressed by platelet-released supernatant in vitro. Clin Oral Implants Res 2006;17:188-193.

5. Ranly DM, McMillan J, Krause WF, Lohmann CH, Boyan BD, Schwartz Z: Platelet-rich plasma: A review of its components and use in bone repair, in Akay M (ed): Encyclopedia of Biomedical Engineering, vol 5. Hoboken, NJ: John Wiley & Sons, Inc., 2006, pp 2804-2815.

6. Ranly DM, Lohmann CH, Andreacchio D, Boyan BD, Schwartz Z. Platelet-rich plasma inhibits demineralized bone matrix-induced bone formation in nude mice. J Bone Joint Surg Am 2007;89:139-147.

7. Schwartz Z, Somers A, Mellonig JT, et al: Ability of commercial demineralized bone allograft to induce bone formation is donor age-dependent but not gender-dependent (abstract). Trans Orthopaed Res Soc 1997;22:230.

8. Weibrich G, Kleis WK, Hitzler WE, Hafner G. Comparison of the platelet concentrate collection system with the plasma-rich-in-growth-factors kit to produce platelet-rich plasma: A technical report. Int J Oral Maxillofac Implants 2005;20:118-123.

9. Thibault L, Beausejour A, de Grandmont MJ, Lemieux R, Leblanc JF: Characterization of blood components prepared from whole-blood donations after a 24-hour hold with the platelet-rich plasma method. Transfusion 2006;46:1292-1299.

10. Li H, Zou X, Xue Q, Egund N, Lind M, Bunger C: Anterior lumbar interbody fusion with carbon fiber cage loaded with bioceramics and platelet-rich plasma: An experimental study on pigs. Eur Spine J 2004;13:354-358.

11. Weiner BK, Walker M: Efficacy of autologous growth factors in lumbar intertransverse fusions. Spine 2003;28:1968-1970.

12. Muschler GF, Nitto H, Matsukura Y, et al: Spine fusion using cell matrix composites enriched in bone marrow-derived cells. Clin Orthop Relat Res 2003;(407):102-118.

13. Muschler GF, Matsukura Y, Nitto H, et al: Selective retention of bone marrow-derived cells to enhance spinal fusion. Clin Orthop Relat Res 2005;(432):242-251.

14. Brodke D, Pedrozo HA, Kapur TA, et al: Bone grafts prepared with selective cell retention technology heal canine segmental defects as effectively as autograft. J Orthop Res 2006;24:857-866.

15. Murray MM, Spindler KP, Ballard P, Welch TP, Zurakowski D, Nanney LB: Enhanced histologic repair in a central wound in the anterior cruciate ligament with a collagen-platelet-rich plasma scaffold. J Orthop Res 2007;25:1007-1017.

Keep Todays Memories For Tomorrow-Free Screenings

Sparks of Genius Brain Optimization Center to Hold Free Memory Screenings

National Event Stresses the Importance of Proper Detection and Treatment

Boca Raton, FL— Consumers who want a status check on their memory can take advantage of free, confidential screenings on November 17 as part of National Memory Screening Day, an annual initiative of the Alzheimer’s Foundation of America (AFA) designed to promote proper detection of memory problems and strategies for successful aging.
Memory screenings are a significant first step toward finding out if a person may have a memory problem. Memory problems could be caused by Alzheimer’s disease or other medical conditions.
Now in its seventh year, AFA’s National Memory Screening Day coincides with National Alzheimer’s Disease Awareness Month, which takes place during November.
On November 17, Sparks of Genius Brain Optimization Center will hold memory screenings at 7777 Glades Road, Boca Raton, from 10 am – 3 pm. Please call 561-859-4060 for more information or to make an appointment. You are also welcome to stop by. Refreshments will be provided.
At Sparks of Genius we offer cognitive training program which can slow down the progression of memory loss or delay it’s onset.
AFA suggests memory screenings for adults concerned about memory loss or experiencing warning signs of dementia; whose family and friends have noticed changes in them; or who believe they are at risk due to a family history of Alzheimer's disease or a related illness. Screenings also are appropriate for those who do not have a concern right now, but who want to see how their memory is now and for future comparisons.
The event features a face-to-face screening, which takes only about five to ten minutes, and consists of a series of questions and tasks. Screenings will be conducted by Dr. Rohn Kessler, Dr. Amy Price and Ninah Kessler, LCSW. The results do not represent a diagnosis, and AFA advises those individuals with below-normal scores or those who have normal scores but are still concerned to follow up with a qualified healthcare professional.
Eric J. Hall, AFA’s president and CEO, is urging consumers “to be proactive about brain health.”
”We pay so much attention to the health of our bodies, but we should be equally concerned about the health of our brains,” he said. “National Memory Screening Day offers the opportunity to find out how your memory is now and to learn how to protect it in the future.”

For more information about National Memory Screening Day, visit www.nationalmemoryscreening.org or call 866-AFA-8484.

Telomeres, Telomerase and The Graduate Student

By Amy Price PhD
Carol Greider was still a graduate student when she started work on a project that along with Elizabeth Blackburn and Jack Szostak  won this year's Nobel prize for medicine. These US-based researchers  discovered how the body protects the chromosomes housing vital genetic code.

Genetics intrigue me because they are beautifully ordered and I have wondered and asked how the telomeres and telemorase are sequenced. When the telemeres are shortened life span is reduced whereas if there is uncontrolled growth cell corruption occurs. These scientists did more than ask they worked together to find answers.

Elizabeth Blackburn, of the University of California, San Francisco, and Jack Szostak, of Harvard Medical School, discovered that a unique DNA sequence in the telomeres protects the chromosomes from degradation.


Joined by Johns Hopkins University's Carol Greider, then a graduate student, Blackburn started to investigate how the teleomeres themselves were made and the pair went on to discover telomerase - the enzyme that enables DNA polymerases to copy the entire length of the chromosome without missing the very end portion.

Some inherited diseases are now known to be caused by telomerase defects, including certain forms of anaemia in which there is insufficient cell divisions in the stem cells of the bone marrow. Apparently elevated telomerase can be a biological marker for malignancy and there is research underway to see if vaccines can be developed to arrest the defects.

The Nobel Assembly at Sweden's Karolinska Institute, which awarded the prize, said: "The discoveries... have added a new dimension to our understanding of the cell, shed light on disease mechanisms, and stimulated the development of potential new therapies."

Disease and Genomic Advances

By Amy Price PhD

Until recently only a geneticist Francis Crick and one other individual have had their genome read. Apparently Dr Crick did not wish to know if he had a specific dominant gene for dementia but was happy to know all other variants. No one knows the public impact in the face of fullscale  genetic information and there are ethical concerns as genetic engineering has not enjoyed a widespread safety or success rate but it appears the tide may be shifting.

A 5 month old male baby from Turkey was critically ill. Scientists and doctors teamed together from multiple nations to enable the reading of  his genome quickly and were able to work out that he had a wrong diagnosis. This was reported in 'Proceedings of the National Academy of Sciences'. The analysis only took ten days and determined that the boy suffered a genetic mutation that coded for a gut disease that eventually destroys other organs including the kidneys. Additional clinical tests determined that the boy had the rare disease and he is now recovering.

The boy's physician sent a blood sample and Dr Lifton of Yale Medical school along with teams in Beirut and Turkey decoded the DNA to reveal a diagnosis. The scientists did a follow up study with 39 patients who had the same condition the boy was originally thought to have and found that five them had the same genetic mutation. For practical reasons, the initial concentration is on the small percentage of the genome which codes for proteins rather than the non coding DNA.

Rather than the usual method of  looking one gene at a time hoping to guess which was the right gene causing the problems,  a new method was utilized where they could look at all the genes in the genome simultaneously.  They identified a specific allele which had mutations on both copies and which causes the sufferers not to be able to absorb water or electrolytes through the gastrointestinal tract.

This is a turning point in personalized predictive medicine. Professor Mike McCarthy, a geneticist at Oxford University commented, "This is an interesting study - lots of groups are now using the power of new methods for sequencing the human genome to find DNA changes that underlie rare diseases (and increasingly for common diseases too)".

There is tremendous potential for Genomics to pave the way for diagnostic breakthroughs.

Brain Optimization For The Job You Want!

By Ninah Kessler, Brain Fitness Coach

Can an economic downturn be good? Can it help you to recreate your life at a higher level? It can if you have the right mindset. That’s why it’s so important to teach your brain to think positively. But we also have to take care of the machinery of the brain itself. We need brain fitness.

The experts used to think that we all had a limited number of neurons in our brain. Then in the 1990’s, the decade of the brain, neuroscientists discovered that we could develop new neurons and new neuronal connections at any age. If we want to succeed in this new millennium, it behooves us to strengthen our brains.

Without help, our brains reach their peak in our twenties and then start deteriorating. By our 40’s we can usually notice a difference. It’s really very similar to what happens to our bodies. On the cognitive level, names disappear and our brains slow down. Multitasking becomes more challenging. The technical term for this is age related cognitive decline. It’s normal, but it’s not nice.

The good news is that there are things that we can do to slow down and reverse this process.

I’d like to give you an analogy from the physical world. In the 2008 Summer Olympics Dara Torres beat out women half her age to bring home silver medals. How did she do that? It wasn’t luck or chance. She created a professional training team to supercharge her body. On the everyday level, if you want to create a functional aesthetically pleasing body, you have a better chance if you work with a professional trainer or at least take a class. If you are extremely motivated, you can create your own program, but most of us do not have this level of commitment.

The key to training our brains is to expose ourselves to new and novel stimulation, continually challenging ourselves to take it to a higher level. Now we can all do this on our own to a certain degree. Crossword puzzles and suduko are good, and Nintendo DS, bridge, golf and bananagrams are even better. Traveling is great, especially if you learn a language, and playing a new musical instrument is a great neuronal enhancer. And don’t forget to eat a healthy diet, get physical exercise and decrease stress.

But the experience is enhanced with the expertise of a brain fitness coach. It is brain science to know that there are many different abilities that need training – logic, memory, attention, processing speed and mental flexibility, to name a few. Creating a training program that compensates for your weaknesses and enhances your strengths is an art.

When you’re looking for a job, you need your brain to be at its best. You need mental flexibility to figure out where the jobs are and how to format your old job qualifications into skills sets that will take you where you want to be. You need auditory processing ability and processing speed to answer questions in an interview. The best way to get these skills is with a brain fitness coach. You can even increase your brain fitness even if you’re dyslexic, have adult ADHD or a brain injury. Those with cognitive challenges often benefit the most.

A brain fitness coach can help you with stress too. It’s so easy for our thoughts to take a negative direction especially when we are looking for a job. Do you really have the luxury of wasting long periods of time in an unnecessary funk?

At Sparks of Genius, we’ve been training people to get the most out of their brains since 2001 and we have been cited as a brain fitness leader in The Wall Street Journal. You can work with your own personalized fitness coach or be part of a group. One day brain fitness coaches will be as popular as life coaches or personal trainers. But for you, that day can be now.

Ninah Kessler, LCSW, Brain Fitness Coach. SparksofGenius.com 561-859-4060