Who gives deliveries in the delivery room female nurses
and female doctors

Zyprexa->Serouel->Risperdal->Abilify Maintena

Patrick Soon-Shiong    $7.3 billion
Thomas Frist           $4 billion
Gayle Cook             $3.7 billion
Ronda Stryker          $2.5 billion
Faulkner               $1.7 billion

Healthcare future is female
Female Doctors By Country

Health Care

How do I make any supplement into liquid?
PhysiciansEMR

RASS


Names of antipsychotics | nuerotoxins, antipsychotics, neuroleptics

extrapyramidal symptoms include acute dyskinesias and dystonic reactions, tardive dyskinesia, Parkinsonism, akinesia, akathisia, and neuroleptic malignant syndrome
Top Drugs

                  
                    
                    
                    
                  
                  

                    

                      
COMPREHENSIVE METABOLIC PANEL - Final result (04/13/2018 11:41 AM)
                    
                    

                      
Component
                      
Value
                      
Ref Range
                    
                  
                  

                    

                      
Sodium(na)
                      
138
                      
135 - 146 MMOL/L
                    
                    

                      
Potassium(k)
                      
4.1Comment: NO VISIBLE HEMOLYSIS
                      
3.5 - 5.3 MMOL/L
                    
                    

                      
Chloride(chloide)
                      
104
                      
98 - 110 MMOL/L
                    
                    

                      
CO2
                      
26
                      
21 - 33 MMOL/L
                    
                    

                      
BUN
				
Blood urea nitrogen
				

			
                      
15
                      
8 - 24 MG/DL
                    
                    

                      
Glucose(C6H12O6)
                      
85
                      
70 - 99 MG/DL
                    
                    

                      
Creatinine
                      
0.98
                      
0.50 - 1.50 MG/DL
                    
                    

                      
Calcium(Ca)
                      
9.7
                      
8.5 - 10.5 MG/DL
                    
                    

                      
Total Protein
                      
7.0
                      
6.0 - 8.3 G/DL
                    
                    

                      
Albumin 
                      
4.7
                      
3.5 - 5.0 G/DL
                    
                    

                      
Total Bilirubin
                      
0.5
                      
0.1 - 1.2 MG/DL
                    
                    

                      
Alkaline Phosphatase
                      
53
                      
25 - 125 IU/L
                    
                    

                      
AST (SGOT)
                      
21
                      
5 - 40 IU/L
                    
                    

                      
ALT (SGPT)
                      
36
                      
5 - 50 IU/L
                    
                    

                      
Anion Gap
                      
8
                      
4 - 14 MMOL/L
                    
                    

                      
Est. GFR Non-Black
                      
>60
Comment: 

GFR is calculated by IDMS traceable MDRD method, and the result is about 5% lower than previously reported results (prior to Dec 12, 2011).

                      
 
                    
                    

                      
Est. GFR Black
                      
>60
Comment: 

GFR is calculated by IDMS traceable MDRD method, and the result is about 5% lower than previously reported results (prior to Dec 12, 2011).

                      
 
                    
                    

                      
Triglycerides
                      
324 (01/15/2016)
                      
<150 MG/DL
                    
                  
                
OCT 02 2017
Thyroid Panels
Cholesterol, Total    105NORMAL
Triglycerides         137NORMAL
HDL Cholesterol       28
VLDL Cholesterol Cal  27
LDL Cholesterol Calc  50

TSH
T4
T3
Interpretation
High
Normal
Normal
Mild (subclinical) hypothyroidism
High
Low
Low or normal
Hypothyroidism
Low
Normal
Normal
Mild (subclinical) hyperthyroidism
Low
High or normal
High or normal
Hyperthyroidism
Low
Low or normal
Low or normal
Nonthyroidal illness; pituitary (secondary) hypothyroidism
Normal
High
High
Thyroid hormone resistance syndrome (a mutation in the thyroid hormone receptor decreases thyroid hormone function)

Pet Scan radioactive particles vs MRI scan
10 Most Prescribed Psychiatric Drugs in the the U.S. (in millions)

	

		
44
		
14
		
15
		
16
		
18
		
19
		
19
		
27
		
14
	
	

		
Xanax
		
Valium/

			Diazepam
		
Seroquel

    (antipsychotic)
		
Cymbalta
(antidepressant)
		
Trazodone
(antidepressant)
		
Prozac
		
Zoloft
		
Lexapro
		
Effexor
	

Top 10 Psychiatric Drugs by primary mechanism

	

		
15
		
66
		
31
		
83
		
18
	
	

		
Antipsychotic
		
SSRI
		
SNRI
		
Benzo-diazepene
		
5-T2A Blocker & SSRI
	

Weight gain from antipsychotic drugs after 2.5 months (in pounds)

	

		
-2.0
		
-.7
		
.2
		
.9
		
1.5
		
1.9
		
2.4
		
4.6
		
5.0
		
6.5
		
7.0
		
9.2
		
9.9
	
	

		
Placebo
		
Moban
		
Geodon
		
Permitil
		
Abilify
		
Solian
		
Haldol
		
Risperdal
		
Seroquel
		
Serdolect
		
Thorazine
		
Zyprexa
		
Clozapine
	

Most common medications for bipolar

	

		
70.9
		
53
		
.30
		
.8
		
5.6
		
5.8
	
	

		
Mood Stabalizers
		
Antipsychotics
		
Antidepressants
		
Anxiety
		
Sleep
		
Other
	

Tardive Dyskinesia risk

	

		
39
		
53
	
	

		
atypical
		
(out of 100%)typical
	

qtc
PCOS Polycystic ovary syndrome

Sedation

Qt interval prolongation


  
Cardiac conditions such as bradycardia, myocardial infarction, or hearth failure
  
Electrolyte distirbuances
  
Female sex
  
Genetic Polymorphisms
  
Age older then 65 years old
  
Congentital long QT syndrome or other inherited cardiac abnormalities
  
Concomitant medications or diseases states that prolong QT interval or affect electrolytes
  
history of Qt prolongation

Atypical Antipsychotics and Metabolic Effects





Potency of different drugs
NMDA, GABA, 
Serequel
Lipid Panel

	

		

		
150(100-199)
	
	

		
Triglycerides
		
137(0-149)
	
	

		
HDL
		
28
	
	

		
VLDL
		
27
	
	

		
LDL
		
50
	

Component
Your Value
Standard Range
LDL Direct
121 mg/dL
<130 mg/dL
Total Cholesterol
180 MG/DL
25 - 199 MG/DL
Triglycerides
191 MG/DL
10 - 150 MG/DL
HDL Cholesterol
29 MG/DL
35 - 135 MG/DL
Total Chol / HDL Cholesterol
6.2  
<4.5
Non-HDL Cholesterol
151 MG/DL
MG/DL
TARGET: <(LDL-C TARGET + 30)MG/DL
Coronary Heart Disease Risk Table
 
 
TOTAL CHOLESTEROL/HDL RATIO:CHD RISK
CORONARY HEART DISEASE RISK TABLE

                    MEN     WOMEN
1/2 AVERAGE RISK    3.4      3.3
AVERAGE RISK        5.8      4.4
2 X AVERAGE RISK    9.6      7.1
3 X AVERAGE RISK    23.4     11.0

Use the calculated Patient Ratio and the CHD Risk Table to determine the patient's CHD Risk.

ATP III Classification (LDL):
<100       mg/dl     Optimal
100-129    mg/dl     Near or Above Optimal
130-159    mg/dl     Borderline
160-189    mg/dl     High
>190       mg/dl     Very High
AB = 6

	A = 2

	B = 3

	O = 5



Inherited Blood Type/Donor/Organ Donor/Blood Donation


Parent 1
AB
AB
AB
AB
B
A
A
O
O
O


Parent 2
AB
B
A
O
B
B
A
B
A
O


O




+
+
+
+
+
+


A
+
+
+
+

+
+

+



B
+
+
+
+
+
+

+




AB
+
+
+


+







Overdose

	

		
13607.775mg
		
450 mg
		
2mg
		
5g
		

		
800mg
		
200mg
		
75mg
		
70mg
		
21mg
	
	

		
ambien(mg)
		
zyperax(mg)
		
fentanyl(mcg)
		
lithium(450g)
		
Carfentanil
			

				

					

						

							

								

							
						
					
				
			
		
		
Codeine
		
morphine
		
herion
		
Vitamin A
		
Vitamin D
	
	

		
5mg
		
5-10mg
		

		

		

		

		

		

		

		

	

Antipsychotic Side Effects By Receptors Blocked

	

		
Receptor Type
		
Side Effects
	
	

		
D2
		
EPS, prolactin elevation
	
	

		
M1
		
Cognitive Deficits, dry mouth, constipation, increased heart rate, urinary retention, blured vision 
	
	

		
α1
		
hypotension
	
	

		
5-HT2A
		
Anti-EPS?
	
	

		
5-HT2C
		
Satiety blockade
	

D = dopamine, EPS = Extra Pyramidal Side Effects, M=muscarine, H=Histamine, 5-HT=serontonin

Diabetes insulin resistent

Top antipsychotics prescribed 2011-2012
Mania

	

		

		
EPS
		
Sedation
		
Weight
		
Hyperlygemia
		
Anticholinergic
		
Othorstatic

			hypotension
		
TD
		
Hyperprolactinemia 
		
diabetes
		
cardiac arrhythmias
		
torsades de pointes
		
QTc
	
	

		
Risperidone
		
++
		
++
		
++
		
++
		
+
		
++
		

		

		
+/-
		

		
+
		
low
	
	

		
Seroquel
		
-
		
+
		
++
		
+++
		
++
		
++
		

		

		
+/-
		
-
		
+
		
2
	
	

		
Olanzapine
		
+
		
+++
		
+++
		
+++
		
+++
		
+
		

		

		
+
		
-
		
+
		
low
	
	

		
Clozapine
		
+
		
+++
		
+++
		
+++
		
+++
		
++
		

		

		

		

		

		

	
	

		
Solian
		
++
		
+
		
+
		
+
		
+
		
+
		

		

		

		

		

		

	
	

		
Abilify
		
+
		
+
		
+
		
+
		
+
		
+
		

		

		

		

		
-
		
-
	
	

		
Geodon 
		
+
		
++
		
+
		
+
		
+
		
++
		

		

		

		

		

		

	
	

		
latuda
		

		

		

		

		

		

		

		

		

		

		

		

	
	

		
haldol
		

		

		

		

		

		

		

		

		

		

		

		

	
	

		
remeron
		

		

		

		

		

		

		

		

		

		

		

		
high
	
	

		
elavil
		

		

		

		

		

		

		

		

		

		

		

		
4
	
	

		
trazodone
		

		

		

		

		

		

		

		

		

		

		

		

	
	

		
doxepin
		

		

		

		

		

		

		

		

		

		

		

		
1
	



	

		
14
		
14
		
15
		
17
		
18
		
24
		
27
		
32
		
33
		
33
		
37
		
38
	
	

		
Solian
		
Paliperidone
		
Sertindole
		
Iloperidone
		
Aripirazole
		
Lurasidone
		
Risperidone
		
Haloperidol
		
Asenpaine
		
Olan/apine
		
Quetiapine
		
Ziprasidone
	
	

		

		

		

		

		

		

		

		

		

		

		

		

	

zyprexa = hyperlipidemia, hyperglycemia
Is diabetes risk solely based on weight or something else?
NMS
For example is it 

	

		
Receptor Type
		
Adverse Effects
		
Withdrawal Effects
	
	

		
Dopamine
		
EPS, weight gain, endocrine effects, akathisia, TD, increased prolactin, sexual or reproductive system dysfunction
		
Pychosis, mania, agitation, akathisia, dyskinesia
	
	

		
Serotonin
		
Weight gain, diabetes, increased appetite
		
EPS, akathisia, psychosis, decrease apetite
	
	

		
Histamine
		
Weight gain, diabetes, sedation
		
agitation, insomnia, anxiety, EPS
	
	

		
Muscarinic
		
Dry mouth, blurred vision, constipation, urinary retention, diabetes, memory problems, cognitive problems, tachycardia, hypertension
		
Agitation, confusion, psychosis, anxiety, insomnia, sialorrhea, EPS, akathisia, diarhea, nausea, vomiting, bradycardia, hypotension, syncope
	
	

		
Adrenergic
		
Postural hypotension, dizziness, syncope
		
Tachycardia, hypertension, hypotension, dizziness
	

Mechanisms behind receptor-mediated psychotropic-induced weight effects

	

		
Receptor
		
Activity
		
Effects/Mechanism
		
receptor name
	
	

		
Dopamine-2
		
Antagonism
		
Weight gain
		
d
	
	

		
Histamine-1
		
Antagonism
		
Weight gain
		
h
	
	

		
Murscarinic-3
		
Antagonism
		
diabetes via glucose tolerance
		
m
	
	

		
Serontonin-1A
		
Partial agonism
		
migigate weight effects
		
5-HT1A
	
	

		
Serotonin-2C
		
Antagonism
		
causes weight gain via disinhibition of hpythalamic neuropeptide Y neurons and inhibition of pro-opiomelanocortin neurons; may also influence leptin restistance
		
5-HT2C
		
	


Relative affinity for H1 Receptors (100)

	

		
100
		
10
		
4.99
		
1.6
		

	
	

		
Doxepin
		
Amitriptyline
		
Antidepressants
		
Trazodone
		

	

Atypical Agents and Histamine H1 Receptor Blockade

	

		
7.1
		
1.7
		
9.1
		
14
		
36
	
	

		
Benadryl
		
Risperidone
		
Seroquel
		
Zyprexa
		
Clozapine
	

EPS = extrapymadil symptoms.  Source C Correll, "Assessing and maximizing the safety and tolerability of antipsychotics used in treatment of children and adolescents." J Chin Psychiatry 69, suppl. 4 (2008) 26-36. Also see C. Cornell, "Antipsychotics use in children and adolescents." J Am Acad Child Adols Psychiatry.47 (2008) 9-20
Richmond Agitation Sedation Scale



“I have struggled with having a mental illness since my teenage years. Currently I am 51 years old. Initially I was diagnosed with depression, but even with medications, my illness worsened, and in time I was having bipolar mood swings and psychotic symptoms.

My illness turned my life upside down and estranged me from my family and friends. In August, 2010, my husband called Dr. Alice Lee-Bloem for help, because I was deteriorating after trying to get off my medications (Lithium, Zyprexa, Prozac, and Lipitor) through “True Hope”, a nutritional company, that had success in using their nutritional products, E. M. Power Plus and other supplements, to help bipolar patients get off their medications long distance. Initially, I had done well, but in time, my mental health deteriorated to the point that I was almost in need of being hospitalized. I was psychotic and unable to sleep. I was also very irritable and paranoid of everyone around me.

Dr. Lee told me to get back on some medication to restabilize me. I was started on Risperdal, and it helped me enough to prevent the need to rehospitalize me. Then she started me on a nutritional regimen and did a lot of energy medicine work on me. Over time, my sleep, mood, and cognitive functions improved, and I was able to start weaning down on my Risperdal. As I came down on Risperdal, I transitioned to a small dosage of liquid Haldol. Eventually, I was able to get off of the Haldol completely as well.
I did an analysis, using muscle testing, to check for the patient’s qualitative function, and the results indicated that the patient was on too much medication, not too little.  I had been too conservative with the taper and not aggressive enough.  This was it.  After six months of treatment, we would need to stop the remaining 0.3 mg of Risperdal.  To do so would go against my training and would require courage and faith in following the testing results.  I shared my results and conclusion with the family and patient, looking a little concerned, worried and apologetic.
Switching Drugs Risperidone

	

		

		
Risperidone
		
Seroquel
		
Olanzapine
		
Clozapine
		
Solian
		
Abilify
		
Geodon
		
Haldol
		
Doxepin
		
Remeron
		
Elavil
		
Trazodone
	
	

		
Risperidone
		
++
		
++
		
++
		
++
		
+
		
++
		

		

		
+/-
		

		
+
		
low
	
	

		
Seroquel
		
-
		
+
		
++
		
+++
		
++
		
++
		

		

		
+/-
		
-
		
+
		
2
	
	

		
Olanzapine
		
+
		
+++
		
+++
		
+++
		
+++
		
+
		

		

		
+
		
-
		
+
		
low
	
	

		
Clozapine
		
+
		
+++
		
+++
		
+++
		
+++
		
++
		

		

		

		

		

		

	
	

		
Solian
		
++
		
+
		
+
		
+
		
+
		
+
		

		

		

		

		

		

	
	

		
Abilify
		
+
		
+
		
+
		
+
		
+
		
+
		

		

		

		

		
-
		
-
	
	

		
Geodon 
		
+
		
++
		
+
		
+
		
+
		
++
		

		

		

		

		

		

	
	

		
haldol
		

		

		

		

		

		

		

		

		

		

		

		

	
	

		
doxepin
		

		

		

		

		

		

		

		

		

		

		

		
1
	
	

		
remeron
		

		

		

		

		

		

		

		

		

		

		

		
high
	
	

		
elavil
		

		

		

		

		

		

		

		

		

		

		

		
4
	
	

		
trazodone
		

		

		

		

		

		

		

		

		

		

		

		

	

Valid ID, such as

Driver’s license
Employment or School ID
Social Security card
Green Card
Valid Passport
Veteran’s ID
Insurance card or Medical card (if you have one)

Proof of income for every household member,
Which may include
a paycheck stub OR
a copy of your tax form reporting your income OR
a bank statement if you receive direct deposit
Proof of residence, for example, a bill addressed to you sent by mail
Evidence of health or dental insurance coverage, if any
A picture ID card

Different names for holistic types of medicine across the world

	

		

		
holistic
		
alternative
		
integrative
		
natural
		
homeopathic
		
naturopaths
	
	

		
holistic
		

		

		

		

		

		

	
	

		
alternative
		

		
acupnture
		

		

		

		

	
	

		
integrative
		

		

		
surgery

			pharmaceuticals

			herbs

			chirpractic
		

		

		

	
	

		
natural
		

		

		

		
herbs

			massage

			acupuncture
		

		

	
	

		
homeopathic
		

		

		

		

		
europe & india
		

	
	

		
naturopaths
		

		

		

		

		

		

	


Nutrition based treatments: GERD, Kidney Stones, T2D