While people may suffer from seasonal mold allergies when levels are high, mold-related illness may be something you’ve heard is “all in your head. And indeed, that’s an accurate statement, but not in the way you think! The problem with mold exposure and subsequent neurological illness is that often we assume just because we can’t readily see something that it doesn’t exist. Yet in the face of more chronic neurotoxic factors that are impacting our environment from multiple sources, we must talk about how to recognize the symptoms of this harmful exposure so we can be better prepared to treat it accordingly.

Always looking for ways to enhance our immune system responses, we were extremely interested in a recent study that noted promising results using both vitamin C (ascorbic acid) and quercetin as a potential antiviral protocol in combination with other prescribed medications. If you aren’t familiar with quercetin, this is simply a plant-based flavonoid, found naturally in some vegetables, seeds or grains and widely available as a nutraceutical supplement as well.

Perhaps at no other time in our recent history has there been a better reason to stop and look at the path our health may have taken. Certainly, the COVID 19 events over the last few months have indeed forced us to regroup and rethink some of the most basic things – from washing our hands and avoiding too-crowded settings, to donning a face covering and, oh, yes, washing our hands!! We know that these things may be necessary now and some are just common sense measures that we may already have been doing. But, we also have to ask – why aren’t we hearing nearly as much, if at all, about things that may increase the risk of COVID 19, not to mention the risk of numerous other health conditions?

You’ve undoubtedly heard of the Mediterranean diet, long-touted for its healthy eating principles that include a plant-based focus with lots of vegetables, fruit, whole grains, fish and especially, the healthy benefit of olive oil! The tenets of this diet have been found to not only reduce the risk of heart disease, but there is increasing evidence it also can positively contribute to healthier aging and cognitive function.1

We talk about the benefits of “food as medicine” and recent study findings point to the validity of following the “Prudent diet,” a long-established protocol founded upon consuming fresh vegetables and fruits, legumes, whole grains, fish and lean poultry. In a paper published in the Multiple Sclerosis Journal (July 2020) the study found that diagnosed multiple sclerosis (MS) patients who followed this type of dietary plan evidenced a 46% lower risk of relapse for multiple sclerosis.

Odds are you or someone you know suffers from migraine…according to information from the Migraine Research Foundation affects nearly ONE IN FOUR households. That means in one of every four homes, someone is likely to be afflicted with this often-disabling disorder. Those are really stunning statistics, especially in light of some new research that has come to light.

We know the current times in which we live hold many uncertainties, for some more than others. From dramatic lifestyle changes to heightened stress, we’ve had to deal with so much over the last few months – and we’re not sure just how long this new way of living may last.

But for many people, there is an additional hardship of isolation, whether we call it social distancing or physical distancing, and separation from others that has impacted every demographic from young to older groups alike.

Oh, if only da Vinci’s words could be our mantra for encouraging us to get enough rest! By now we are all very acquainted with the need to obtain a sufficient amount of quality sleep, ideally from seven to eight hours nightly (or at least more nights than not). But despite medical advice and numerous studies attesting to the value of sleeping well, we still don’t seem to have made it a priority. And now, findings from a recent study published in JAMA Neurology indicates that premature death is more likely to affect poor sleepers.

Imaging technologies are often an integral and necessary part of a comprehensive assessment in order to diagnose many neurological conditions. But when does something designed to be beneficial become too much of a good thing?

Patients with multiple sclerosis (MS) are estimated to receive more magnetic resonance imaging (MRI) studies than perhaps any other diagnosis.

With the research-evidenced knowledge that immune-mediated dysfunction is a very real concern, we all should strive more than ever to improve our immune health and take the offensive against any infection, whether that’s Covid 19 or other illnesses.

In a recent study, “Autoantibody Biomarkers for Basal Ganglia Encephalitis in Sydenham Chorea and Pediatric Autoimmune Neuropsychiatric Disorder Associated With Streptococcal Infections,” findings indicate that the Cunningham Panel has diagnostic AND clinical relevance.* The goal of the study “was to determine if anti-neuronal biomarkers, when used as a group, confirmed the acute disease in Sydenham chorea (SC) and pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS).”

One of the most significant issues with which our multiple sclerosis patients must cope and that we treat in our neurology practice is the resulting cognitive impairment that occurs in nearly two-thirds of patients and is often present in even those who are newly diagnosed.

While the available drugs for MS all claim to delay cognitive impairment, we must fully consider their degree of efficacy as it appears they actually do very little to help in the loss of gray matter, which is what gives us our information processing abilities.

A group of colleagues and I recently had a discussion with Dr. Dale Bredesen, chief science officer at Apollo Health and renowned expert on neurodegenerative disease, about recent study findings that showed low to moderate alcohol consumption was associated with better global cognition scores.1 Published June 2020 in JAMA Network Open, the study was conducted over a nine-year period and followed almost 20,000 people including both males and females.

In my 30 years of working with patients diagnosed with multiple sclerosis (MS), I have gained through the “lens” of integrative medicine an even more expanded perspective to see just how critical it is to consider the many underlying mechanisms that lead to disease. We know the brain is only as healthy as our body and the bilateral communication between the two can most assuredly influence the other – both positively and negatively. So it stands to reason that if we are to truly help our patients heal, we must look at the root cause of disease to fully understand the myriad of mechanisms at work.

Some fascinating and extremely important new research was recently published in the American Journal of Psychiatry reporting on results from a study conducted by Yale University investigators.  The study ascertained in children with PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcus infections) a type of antibodies that bind to particular brain cells called interneurons, which are neurons that modify the signaling of other nearby cells.

I recently read an article just released this month out of The University of Texas Health Science Center at Houston (UTHealth) regarding brain areas that are stimulated by facial recognition, which gave me pause to reflect upon my own experiences of late in our neurology practice.

We know we’ve said it before (and often!) that the need to get quality sleep is critical to many aspects of our health. We also know that sleep may be even elusive right now due to the trying times in which we live.
BUT…as difficult as it may be to achieve a regular sleep schedule, we must consider and be aware of the risks of not sleeping well.

The concept of getting a “good night’s rest” has changed dramatically in recent years and long before we were faced with a global health event that has also contributed to a rising incidence of sleep loss. While we know just how important it is for our health to get quality rest, we’re learning more about how poor sleep patterns can impact our brain health too. 

The third most common disorder in the world, migraines are estimated to affect at least 38 million individuals in the U.S. although some sources state that the actual figure may be closer to 50 million patients – including both adults and children.1 Given its prevalence and often debilitating symptoms that can make doing even simple tasks quite impossible, it’s important to understand more about this health condition, its triggers and options for natural and conventional therapies. Migraines may be chronic (characterized by 15 or more headache days per month) or episodic (0 to 14 headache days per month).