Sarah I. Woodrow, MD
Location and Office HoursUniversity of Kansas Medical Center
3901 Rainbow Blvd Ste 3021
Kansas City, KS 66160
- BlueCross BlueShield
- BlueCross BlueShield of Illinois
- BlueCross BlueShield of Kansas City
- Coventry Health Care
- First Health
- Great-West Healthcare Cigna
- Horizon BlueCross BlueShield
- Independence BlueCross BlueShield
What do I ask my doctor about peripheral neuropathy?
Baptist Health South Florida answeredIf you think you might have peripheral neuropathy, it's important that you go to a doctor right away. When you got to your doctor's appointment, have a list of questions to ask so that you won't forget them, from most to least important. Before going to your doctor's appointment, make sure you make a list of the medications you are taking and of your medical history. Peripheral neuropathy varies in signs and is difficult to diagnose without a review of your symptoms and risk factors. Because peripheral neuropathy runs in families, be aware of your family medical history. Alcohol abuse and exposure to toxins also cause the disease; your doctor will want to know how much you drink and if your work or home environment may expose you to unhealthy substances. Be sure to ask how your peripheral neuropathy symptoms may be related to your medications and current condition.
What conditions are associated with low serotonin levels?
Bradley Bongiovanni, ND, Integrative Medicine, answeredDr. Murray covered the conditions associated with low serotonin quite well. What many patients (and physicians who treat patients with low serotonin) are not aware of is the importance of measuring serotonin levels clinically. Likely less than 1% of clinicians who treat these patients with low serotonin actually measure it.
The question arises, how do you measure it. There are several ways: brain tissue biopsy, spinal tap of CNS fluid, serum or urine. The first two are not recommended in an outpatient setting obviously, and serum measurements tend to be less stable (unless you're collecting in a research setting). Thus, urine is the ideal specimen for most clinicians in an outpatient setting.
Is it accurate? Valid question, but not the right question. Yes, urine is extremely reliable and accurate as a specimen choice. The best question, however, is does the urine accurately reflect what's happening in the brain? Animal research and clinical experience suggest it does.
Where this rubber meets the road is for the average patient with a mood disorder presents to the clinic. Without testing, how would the clinician know how to treat the disorder? Answer: they don't, they guess. The problem is that the clinician ends up treating a diagnosis, not the biochemical imbalance underlying it. Does the patient have a predominantly serotonergic depression? Or is it dopaminergic? The treatment would be quite different. And this is the benefit of measuring multiple neurotransmitter levels in the clinical, outpatient setting.Helpful? 1 person found this helpful.
How does our body make electricity?
Discovery Health answered
We may not be able to power our television sets or computers with the electrical signals we make -- but without them, we would be unable to tell our bodies what to do.
Every step that we take, every move that we make and everything that we do is enabled and controlled by the electrical signals that run through our bodies.
If you ever took physics, you might recall that everything is made up of atoms, and that atoms are composed of protons, neutrons and electrons.
Neutrons have a neutral charge, protons have a positive charge and electrons have a negative charge.
When there is an imbalance in these charges, an atom becomes positively or negatively charged. This matters because the switch between one charge and the other is what allows electrons to flow from atom to atom.
This flow of electrons, or a negative charge, is commonly known as electricity. We can generate electricity in our body because it has so many atoms.
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