tag:blogger.com,1999:blog-48032944287825943912024-03-05T15:29:28.635-06:00Diary of an INTEGRATIVE Healthcare Nurse PractitionerThe trials, the tears, the laughter, the insanity of starting a new career journey at 43!Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.comBlogger50125tag:blogger.com,1999:blog-4803294428782594391.post-29100613477983292572017-01-20T11:21:00.002-06:002017-01-20T11:21:59.274-06:00Inauguration Day 2017 <div align="center" class="MsoNormal" style="text-align: center;">
Why Can’t We Just
Stand Shoulder to Shoulder?<o:p></o:p></div>
<div align="center" class="MsoNormal" style="text-align: center;">
Today, my daughter isn’t
allowed to watch the Inauguration at School<o:p></o:p></div>
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For 18 months I have watched, listened and observed angry
people share their views on the election, candidates and now ultimately the 45<sup>th</sup>
President of the United States. I have
kept my mouth shut, my pen off of the paper and my hands off of the keyboard
purposely. Not because I am a wimp about
what I believe and stand for, but because quite honestly I didn’t have the
desire to start a pissing match with people I love, admire and respect for
various reasons. I didn’t delete
“friends” from Facebook, Twitter or any social media outlet. I never once commented on anyone’s
opinion. And clearly opinions are like
ass holes right? We all have one. It’s
not that your opinion doesn’t matter, anyone who knows me, knows I love
diversity (I talk about diversity all day long and how important it is for our
health). I have had lots of diversity in
my life. From dating women (I would NOT
recommend doing that while you are married, no matter how unhappily married you
are)! That’s a story for another day though.
To several other controversial
things in my life that I am grateful to have had the right to do in this
country. <o:p></o:p></div>
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My heart hurts today for the thousands of children across
the country (and Middle TN) that are NOT allowed to watch the 45<sup>th</sup>
President of the United States take the oath of office today. The schools will
not allow the inauguration to be viewed.
I had no idea that Ella couldn’t watch it today at Centennial High
School in Williamson Co. !! We were
watching Fox News on my computer (we don’t have a TV or cable) this morning and
I was discussing the inauguration with her.
She informed me that none of the teachers are allowed to view the
inauguration today with their students!
That if students are caught watching on their phones, computers or other
devises they would be sent to ISS!! WHAT
THE HECK? Apparently parents didn’t want
their students watching! THEN KEEP THEM
AT HOME AND GIVE THEM A KITTEN, HOT CHOCOLATE, COLORING BOOK OR WHATEVER MAKES
THEM DISCONNECT FROM REALITY! Ella
didn’t vote for President Elect Trump, she voted for Jill Stein. But she understands that HE IS OUR President
now. Any inauguration is an historic day.
Only 45 men have ever had the honor of standing up there and taking that
oath in front of God and the world. It
is my hope that someday a woman stands there as well. But for today, she doesn’t. <o:p></o:p></div>
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I am honored to be an American and living in the greatest
country in the world. I will watch the
inauguration today of a man who is an outsider, a rebel, a deal maker and
imperfect. Just like all of us. I am not throwing the first stone, and I dare
anyone else to. There was only one perfect man who walked this earth, and it
isn’t any of us. If you don’t want to
watch, that’s your right. If you want to
protest, that too is your right. It’s
your right because we live in a country that you are afforded the privilege to
protest, picket and even burn the flag if you so choose without being sentenced
to death or imprisoned. And, you are free to move to another country at any
moment, if you don’t believe this is the greatest country on earth. Syria, Aleppo, Haiti, Iraq, Baghdad would all be great places for you to
go and live for a while (or forever) if you are so disgruntled with
America. <o:p></o:p></div>
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If you don’t believe this is the greatest country on earth,
then move. Move to Haiti where I spent 3
weeks after the earthquake in a huge army tent with no running water other than
a water hose. Where I witnessed young children die in front of me from lack of
medical care, where I delivered babies whose moms walked for hours to the
clinic with their own pail to use as a toilet.
Who labored and recovered in a room with others and no sterile
instruments, food or running water. Then
walked home or rode a donkey with their babe on their back. Move to Honduras where I was part of a
medical brigade that the people would walk all night to stand in line for hours
and hours to get aspirin, lice and parasite medication, vitamins. Then walk hours and hours home while they had
stood in line all day with very little food or water. <o:p></o:p></div>
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<br /></div>
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I am honored today to watch the 45<sup>th</sup> President of
the United States be sworn into office.
Yes, I voted for Trump. Had I
voted for anyone else I would still be honored to watch this historic day. Not because it is Trump. But because we live in a country that allows
us to vote freely, watch freely and protest freely. If you are boycotting the Inauguration and
are in elected office, then in my opinion, you are boycotting America and your
constituents. Shame on you. But, I acknowledge it is your RIGHT to
boycott. <o:p></o:p></div>
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My candidate did not win 8 years ago and I was shocked he
won 4 years ago. I did not protest, march, cause a ruckus or cry like a baby
because the man I voted for was elected.
I didn’t need a coloring book, hot chocolate, a kitten or puppy to
decrease my anxiety over what just happened. I didn’t see anyone asking
Vanderbilt to cancel classes at that time or any university for that matter. I
thought college was about learning about diversity, tackling challenges,
integrating with other’s opinions and ideals? When President Obama won I
embraced him, supported him and went about my life. <o:p></o:p></div>
<div class="MsoNormal">
I love my liberal friends, patients and family. I have four best friends in my life. The roots, the people that keep me
grounded. 3 out of 4 voted for
Trump. I love and admire the 1 that
voted for Clinton (and it’s not because she owns a house on the beach). </div>
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<br /></div>
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I love diversity and my friends and family
are more important to me than any election!
Our future depends on us! You and
Me…if you want change then get up and go out and change something. But, like it or not, Donald J Trump is YOUR
next President of the United States. I
feel certain he couldn’t give a rats ass if you like him or not. He is president, and we are not. He was voted fairly and squarely (even if he
didn’t win the popular vote). Keep
fighting for what you think is right, vote him out in 4 years, move to Aleppo
or whatever helps you deal with this very sad day in America according to many
on my Facebook feed. If you have a home
and a car..guess what? You are in the
top 1% of wealth in the world! THE WORLD! I for one am honored to live here, in this
country. <o:p></o:p></div>
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<br /></div>
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I am saddened for my SR in High School today, along with the
thousands of other children that are not watching the inauguration of our 45<sup>th</sup>
President of the United States. Shame on
us for being so shallow we shelter our children (the future of our world) from
what? From the freedom to watch a man be
sworn into office that was elected by us?
Not everyone wins the race, not everyone gets a price, not everyone is a
winner, life is hard, life if beautiful, life is not fair sometimes, life is
not to be taken for granted. Buck up
buttercup….stop dumbing down this next generation! <o:p></o:p></div>
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<br /></div>
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God Bless America.
Democrat, Republican, Green Party, Independent or whatever party you
choose….CHOOSE being the key word. We
live in a country where we can CHOOSE.
But, my child didn’t get that option today. I could of kept her home from school, I chose
to send her. Thank God for the ability
to watch online when she gets home. <o:p></o:p></div>
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Congratulations Mr. President, my President, the countries
President. Make us proud, prove those of
us wrong that didn’t vote for you. Keep
us safe. Keep your promises. <o:p></o:p></div>
Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com4tag:blogger.com,1999:blog-4803294428782594391.post-39166343171709486782015-08-10T23:16:00.003-05:002015-08-10T23:16:56.172-05:00I Walked on Water Last Year<div align="center" class="MsoNormal" style="text-align: center;">
<b>One year ago today….I
stepped out in faith! <o:p></o:p></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>And walked on water!</b><o:p></o:p></div>
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It was exactly one year ago today that I left my former job
and stepped out in faith to open my own practice. I have been filled with emotion and tears the
past few weeks as I knew the month of August would be emotional for me. My first born is leaving to start his sophomore
year at ETSU as a premed student, my youngest started her junior year at
Renaissance high last week (a second chance to find her way and thrive in
school), I miscarried twins at 12 weeks 16 years ago that would have been due
this month (yes, if you do the math…I would have had 4 children 4 and under), I
have my first ever speaking gig at a conference in Denver this week….all during
the same month I am celebrating my 1 year anniversary of opening Integrative
Family Medicine! No wonder my adrenals
are screaming at me!!</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The past year has reminded me of the sermon my pastor Pete
Wilson preached earlier this year on <b>“Water
Walkers”.</b> Matthew 14:25-32 is the
story of the 12 disciples in the boat who were afraid when they witnessed Jesus
walking on the water toward them. There were 12 in the boat, but only Peter had
the courage to GET OUT OF THE BOAT. He
walked on water toward Jesus, but began sinking as he took his eyes off of
Jesus…once again he was rescued and safely got back in the boat. For the first time in my life I sat quietly for
nearly a year without making a move. I
prayed, I sat, I waited on God to give me a sign if I was to leave the security
of my job and open my own practice. And
in July 2014 I heard it as clear as day while at the beach alone; “It’s time,
go now”. I have spent my entire life in
warp speed and never taking the time to listen or obey. This time I did both and even though it has
been a wild ride and not without bumps in the road, adversity and fear on my
part, I have stayed the course and kept my eyes on HIM the past year….</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
Needless to say my last year has been a whirlwind of chaos
(not organized most of the time), blessings beyond belief, uncertainty as I
pray every day that patients will actually show up and pay to see me, gratitude
that THEY DO and that I can pay my bills and student loans every month! Here’s a little refresher of the last year in
the life of me and Integrative Family Medicine……<o:p></o:p></div>
<div class="MsoNormal">
<b>August 11, 2014</b> I
gave my notice at work…August 11, 2014 UHOHHHHH…no notice needed! I was free to
leave that day. That afternoon after I left my job of the past 4 ½ years for
the last time I posted on Inside Out that I would no longer be working at my
old position and would be opening my own practice …and low and behold….the
phones started ringing and the voicemail filled up in a matter of less than an
hour. Jackson was at the gym working out
(and had the new cell phones with him) and called me asking what to tell
people. I was speechless, I had no idea if anyone would really call, if anyone
would really want to come see me in private practice. I was loaded with insecurity, determination
and scrappiness! That night as the phones rang, and it was just me and Jackson
at the house I remember telling him “this is a night we will never forget
son. This is the beginning of something
amazing. Let’s don’t mess it up”! </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>August 12, 2014</b>
command central was set up at my house with some of the most incredible friends
ever who dug in and did whatever was needed to get my practice set up. Jackson took charge of the phones and worked
18 hours a day as the scheduler! He had patients texting him at all hours of
the night to set up appointments and I couldn’t have set up practice in 3 WEEKS
had it not been for that kid! Ella
jumped in and helped haul supplies, office furniture and any work that needed
to be done! It truly is a FAMILY
practice that got the foundation laid with the best family of all…my kiddos! <o:p></o:p></div>
<div class="MsoNormal">
<b>The next 3 weeks</b>
were a blur of building out the new office, finding mix and match furniture, Jackson
hanging shelves, pictures, putting together desks, painting, ordering supplies,
setting up my supplement vendors, finding a lab company to work with, being
wined and dined by various reps, getting computers bought (we had no internet for
the first 6 weeks and borrowed from the neighbor), the electronic medical
records crashing one night and us losing ALL appointments that Jackson had
worked so hard on making, me breaking down and crying more than once that day
and afterwards, food brought to the house and office from friends and patients
cheering us on! The list of tasks needed
to do was done in 3 weeks times was overwhelming…but it never occurred to me
that we couldn’t get it done! All the
while you all were cheering us on through the Inside Out Healing From Within
Facebook updates! Showing up willing to work, clean, paint, make appointments
or whatever needed to be done. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
We got that office up and running by the first week of
September and dang if a few weeks into it, Tammy called me late one night in
tears telling me that Blue Cross was going to make me use a different
supervising physician. I scrambled to find a new one and then they said “nope,
you now have to credential all over again the time limit has past and you can’t
bill for one patient you have seen. They
cost me 40,000 in claims since I had not billed anyone with BC/BS. I was calmer
than Tammy and quietly decided that there was no way I was fighting that. I would take the loss (I hadn’t even been
open 2 months yet) and move on. And pray
my patients stayed with me. <o:p></o:p></div>
<div class="MsoNormal">
Thank YOU to every one of you that has been a part of
something short of a miracle the past year.
I can’t name names because there are too many to mention, but you know
who you are. You have supported me,
loved on me, lifted me up when I was doubting, fed me and the kids, drank wine
with me and simply stopped in the office just to say hello! I love you all more
than you will ever know and am eternally grateful and humbled daily that you
show up!! I promise to keep showing up…if you will! I’m by no means the
smartest NP out there, but I love my patients like family and will walk this
journey with you as long as you want me to!</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
My kids have seen me divorce 13 years ago, receive Food
Stamps and be on a Medical Card for 5 years while going back to school in KY
and then starting Vandy for 3 years, seen me cry as I left Vandy with 200,000
in student loans and no way to pay the minimum payments, seen me scratch my
head the first 2 years in practice wondering what in the heck I was doing…and
have now been an integral part of their
mom deciding at 48 to take one more chance and GET OUT OF THE BOAT….I hope they
remember this past year as the year we were WATER WALKERS together all the while
giving God the glory for anointing me to do what I do and giving me the courage
to STEP OUT IN FAITH and walk on water! <o:p></o:p></div>
<br />
<div class="MsoNormal">
Hoping for 20 more years in practice…actually, I am hoping
Jackson changes his mind and decides his true calling is endocrinology and NOT
orthopedic surgery!! <span style="font-family: Wingdings; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">J</span></div>
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<o:p></o:p>Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com4tag:blogger.com,1999:blog-4803294428782594391.post-50334483722464731302015-08-05T22:01:00.002-05:002015-08-05T22:01:54.520-05:00Marching to the beat of a different drummer...my daughter's story<div class="clearfix" style="background-color: white; color: #141823; font-family: helvetica, arial, sans-serif; font-size: 12px; line-height: 14.6181812286377px; zoom: 1;">
<h2 class="_5clb" style="font-size: 24px; line-height: 28px; margin: 0px; padding: 0px;">
Marching to the beat of a different drummer....my daughter's story</h2>
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Many of you know that as a parent I have struggled with my daughter and her learning style, personality and her short term memory difficulty. Since she was in kindergarten I have fought to find out just exactly what might be going on with her. She has always <strong>"marched to the beat of a different drummer"</strong> as her father says. But as a mother, I was certain something was "amiss" with Ella Kate.<br />
<br />
Long story short.....after discovering last year that she has a 70% hearing loss in her right ear she was given an IEP at school to have work modified etc. Still, something was not right. I took her to the TRIAD center at Vanderbilt, which is the premier Autistic Spectrum Disorder diagnosing center in this part of the country. We spent 6 hours in testing; the doctor said to me " I can tell you what she doesn't have, but I am not sure what she does have going on inside her". Again, another vague answer. It appeared she is not autistic, but had several Asperger autistic traits.<br />
<br />
Fast forward to Dr. Lanpher a geneticist at Vanderbilt; Dr. Lanpher did extensive DNA testing on Ella Kate in August. We have now discovered that she has a micro-deletion on the short arm of her 16th chromosome. This kind of discovery has only been possible for the last three years. As he told me this week, our technology is ahead of our actual research. Therefore, what we don't know about this sort of DNA mishap is far more than what we do know. We know that this area of the 16th chromosome that is missing is related to learning difficulties and autism spectrum disorders!! Unbelievable!! Like he said, this is not a definitive diagnosis, but it is a start and will help her with getting services at school. Is it connected to the hearing loss? No one knows. Both Greg and I will be checked to see if we too have this sort of deletion. Highly unlikely, but not impossible. So, once again I have another gray area!! But, also one that is wide open for research. Given the fact that this research is so new, she is on the cutting edge of research and hopefully her DNA analysis can be used to further research into this amazing field of genetics.<br />
<br />
Moral of the story, I have been persistent for years in attempting to find a way to make learning easier for EK. Nothing has worked, and because I didn't have a medical diagnosis, many services are not available to her. I am a true believer that as parents we know if something is askew in our children. I have now come to believe that the reason I was accepted into the MSN program at Vanderbilt might very well be because God knew that this is a place that we could finally get to the bottom of EK's learning difficulties. Had I not been here, we would not have been able to take it to the next level and actually analyze her DNA. And to think I though I came down here for a man that ended up breaking my heart!!! He doesn't get that much credit anymore!! God knew all along why we were on this difficult journey in Nashville....and to think I thought it was all about me!!!<br />
<br />
It looks like we have found Ella Kate's drummer that she has been marching to for so many years.....will it make a difference in her life? In many ways no it won't. But, in many more it will give me the knowledge to continue the fight to get my daughter the very best help she can get. Do I know what her potential is? Do I care if she wants to work at PetSmart (like she told me last week) the rest of her life? I don't know what her potential is, but if it is working at PetSmart as a stock person, retail sales or a a vet then it is my job as a mother to make sure she reaches whatever her potential is.....a journey that I now have a different outlook on than I did 3 days ago! How many of us are walking around this world with a slight deletion or addition to one of our chromosomes? Dr. Lanpher says millions most likely...and they are just "quirky individuals"...<br />
<br />
God is good indeed...and I thank God for putting me in a place that can help us give EK the best care and support to rebuild her confidence and self esteem. Whatever her potential is in this world, I am grateful that she is my child...and I was chosen to be her mother..as difficult and oftentimes overwhelming as it is for both us! <br />
<br />
Dani<br />
<br />
<strong>UPDATE: 6 1/2 years later...</strong><br />
<br />
<strong>What a wild ride the past 6 1/2 years have been for us! Not long after starting work at my former job for CSFM, I had EK tested for an MTHFR mutation. And low and behold she has a compound heterozygous MTHFR mutation. Meaning she has a decreased ability to detox and she is unable to make the methylated form of folic acid and b12. She was also tested for pylouria and elevated copper, and histamine levels..all three were abnormal. That added another kink into our already complicated medical history! Add that to the hormones of a teenager, the resistance to take any supplements at all and a peri-menopausal mom whose hormones are insane, while trying to learn a new career and then transitioning to her own practice...and you have the perfect cocktail for stress and explosive moments! Her first 2 years of high school were not a pleasant experience for both us. As we were at our wits end this spring with school and tutoring and the mentioning of quitting school and getting a GED, I learned of Renaissance High School. A public school that takes kiddos like mine and basically nurtures them back to the self confident young adults they were meant to be. </strong><br />
<br />
<strong>Tonight I cried as I sat in the back to school night for Renaissance High School in Franklin TN. The high school that EK was accepted into after 10 years of struggling with her academics! I sat in silence tonight as I listened to the principle, Dr. Brian Bass explain how every child that is in that school (and there are only 42ish in each grade) was chosen and CHOSE to be there. This is a school dedicated to educating the kids who "March to the beat of a different drummer" as he stated. Their mission is to nurture them to not only survive but to THRIVE and find their passion in life. As stated above, we have had nothing but failure in the school system dealing with EKs processing and learning style. Tutor after tutor, IEP meeting after IEP meeting, parent/teacher meetings and the list goes on and on. It wasn't until this Spring that my friend Stuart Tutler told me about Renaissance. I sat tonight looking at the quirky, clearly uniquely dressed, artistic teenagers wondering how many of them had similar experiences as EK through the years. I wondered how many of the parents there had cried, not understood, yelled, said harsh words to their kids during terribly high times of stress. I wondered how many kids wanted to just disappear and not be noticed in class and in life, how many shut down daily in classes they didn't understand. I wondered how many broken families were sitting there tonight with me praying that this school and their dedication to teaching out of the box, nurturing our kids self esteem back to health is the answered prayer we had all been praying for? EK and I have a second chance to heal and find the passion in learning that she has never had. What a gift from God that out of only 4-5 openings in the Junior class and 100's that applied...that sweet kid of mine was accepted! </strong><br />
<br />
<strong>For the first time in 11 years of school, I am looking forward to seeing what this year brings for not only EK but for me as a mom...a single mother who has fought nonstop for this kid year after year in the school system. I know her classes will be difficult, but her confidence will be preserved and self esteem nurtured back to health in an environment that is dedicated to making sure EVERY CHILD succeeds. I drove home tonight listening to a kid talk nonstop about the kids in her new school. The school is small, but the demand is HUGE! Evident by the hundreds of kids that did not get in, that are on the wait list. I cried tonight as I thought about the parents that were desperate to find a better way for their babes, a safe harbor in a broken educational system that is not equipped to educated the ones that are "marching to the beat of a different drummer". I am humbled that my babe is given a second chance to spread her wings and find her passion, a love of learning and chance to thrive in an environment where everyone is a little quirky! The English teacher told us that all the teacher there are a little quirky and relate to our kids quirkiness! </strong><br />
<br />
<strong>She still has an MTHFR mutation, microdeletion of the short arm of the 16th chromosome, hearing loss (that she refuses to wear her hearing aid for :)), pylouria etc...won't take her supplements (even though I screamed out last week that "people travel from all over to come see me for help EK..why won't you listen to me and take your supplements"?....And I am closer to menopause than I was yesterday (meaning my fuse is short, and my sheets get changed several times a week due to catching on fire at night) and hormones are insane!! BUT MY BABY HAS A SECOND CHANCE...AND THAT MAKES ME SMILE! </strong></div>
Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com17tag:blogger.com,1999:blog-4803294428782594391.post-44038523531690004252014-10-26T19:47:00.000-05:002014-10-26T19:47:29.623-05:00My first stab at Match.com....Dear Lord, I hope it gets easier!<div class="MsoNormal">
WARNING: This blog could be detrimental to your opinion of
me, but this event that happened is too funny not to share! So read it at your
own risk, or if you want a good laugh…..<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I did something last week I swore I would never do (although
I did sign up briefly 1 year ago, and quickly stopped my subscription). I signed up on Match.com, at the advice of a
patient of mine who met, married and moved away with the love of her life after
meeting him on Match. She told me how Internet
dating is for people like me who are busy and don’t have time to get out to
meet and mingle with other single men. She
pumped me up on all the reasons I should give it one more shot and this time
open my horizons to a “nationwide” search versus a “regional” search. <o:p></o:p></div>
<div class="MsoNormal">
After taking the time to write a glowing, yet honest bio of
myself and what I am looking for in a relationship; I promptly filled out all
of the “qualities” I was looking for in a Match. I love bald headed men; check, I DO NOT want
small children in the mix: check, I would prefer he be a widower or at least 5
years divorced; check, preferably makes more money than me; check, Christian,
check, no smoking; check, sense of humor, check……added my recent big red 80’s hair
photos to the mix and I hit submit…….<o:p></o:p></div>
<div class="MsoNormal">
I promptly get a notice that says not ONE match is out there
for me with those qualities!! “No
matches are found, maybe you should broaden your qualities”…..I read that to
say LOWER YOUR STANDARDS…..so I added they could have hair (I didn’t change
that I preferred the ex-wife be deceased (don’t’ judge me….have you ever dealt
with an angry/jealous ex of a boyfriend? or they make less money than me)…salt
and pepper, gray etc…the basic hair colors…BINGO….thousands of matches nationwide
with hair! Now, I am set and apparently
ready to go LIVE with my search for love, friendship, marriage, etc….<o:p></o:p></div>
<div class="MsoNormal">
Within an hour, the “winks, likes and emails” start coming
in. I am still a doubter on this and
amused at the responses I am getting…some are not at all what I put on my
profile…….<o:p></o:p></div>
<div class="MsoNormal">
Fast forward to yesterday….I decided to meet this guy for
coffee and so I did. He shows up looks
fine, is half bald (but not in a bad way), tall and slim. Is an excellent conversationalist (if you
know me, that’s important), raised Baptist (as was I), good job, a 12 year old
son he shares custody of with his ex.
Who is alive and they get along well he says……she is a hairdresser in
Cool Springs off of Mallory Lane……that immediately caught my attention…so after
a game of 20 questions…..and we narrowed down the salon’s name….then I asked
HER NAME….<o:p></o:p></div>
<div class="MsoNormal">
HOLY CRAP…his ex-wife is MY hairdresser and Ella’s as
well!! I nearly snorted out my Chai
Latte and ran out of the building! Of
the thousands of men (I should of stood my ground and stayed with bald men) I
matched up with the qualities I had listed….first out of the gate I go out with
is MY HAIRDRESSERS EX HUSBAND!!! No
stinking way is this ever going to work out!
His exact words were “will that be a problem”?<o:p></o:p></div>
<div class="MsoNormal">
YOU DARN RIGHT that’s a problem…if I have to choose between
a Match date and my hairdresser (the one who controls my color, cut and style
of my hair)….I choose my hairdresser…case closed! <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
We had a great time, he asked me to go canoeing soon and we
left it at that! I immediately called my
hairdresser and told her what had happened!
We laughed and she encouraged me to move forward….not sure about
that! <o:p></o:p></div>
<div class="MsoNormal">
I am sure my patient is correct, I won’t meet a date in my
work; where I treat mainly women with hormone, thyroid and adrenal problems. I
love my church, but it’s full of younger people. There are no men where I work
out at Releve’ One and I am too tired to get back out when I get home and fix
dinner, do laundry, check on the kids etc everyday……good thing I am not looking
to get married anytime soon (or maybe never).
Because this whole internet dating thing is difficult! I think to be successful at it, one has to
commit to spending time (time I am not sure I want to give up) on the hunt. <o:p></o:p></div>
<div class="MsoNormal">
It’s entertaining and I do love a good laugh……and certainly
got one yesterday afternoon at a table for 2 in a coffee shop in
Nolensville. I have no idea if we will
ever see each other again (he did text afterwards) or take off canoeing one day…..but
I do know it was the hair that he noticed first on my profile (and commented on
as well), and it may be the hair that detours the prospect of a relationship as
well! I love a risk (have taken a few lately)…….but
not sure I am up to this! It took me 8
years of driving back and forth to Paducah for Lisa Holt to do my hair every
month, before I was brave enough to find a stylist here….<o:p></o:p></div>
<div class="MsoNormal">
I may lower my standards and add men with hair to my
qualities I am looking for…but, the hairdresser is not negotiable!! I can’t
wait to hear what she has to say about all of this next month when I get
settled in to spend 3 hours in the chair as she does her magic…magic I am not
willing to give up currently for some man. <o:p></o:p></div>
<div class="MsoNormal">
I happened to have had a good hair day yesterday, and as he
was leaving…he shouted out “great hair Dani, who does it”? HA!
Sense of humor; check! <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
<br /></div>
Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com2tag:blogger.com,1999:blog-4803294428782594391.post-64239084482355849862014-10-08T15:55:00.002-05:002014-10-08T15:55:35.990-05:00URGENT INFO FOR ALL BLUE CROSS PATIENTS. PLEASE READ AND SHARE. <div class="MsoNormal">
October 8, 2014<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Dear IFM family,<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNoSpacing" style="text-indent: .5in;">
The past 2 months have been a
whirlwind of blessings and new challenges for me and my family. Since leaving my last job on August 11 I
began an exhaustive 600 page credentialing process with Blue Cross that was to
take only 2 months. Tammy has worked
like a champion in that process putting countless hours and late nights (as we
all have) to provide me the “privilege” of taking BCBS. Since I was not credentialed at my last job,
this was a necessity. Three weeks from
the time BCBS stated everything was progressing smoothly with credentialing and
my supervising MD, I set reasonable fees for non-BCBS patients and opened my
doors with their assurance of the process. And the added assurance that any
patient I saw with BCBS, I would be able to submit claims to BCBS for payment
after credentialing was completed. <o:p></o:p></div>
<div class="MsoNoSpacing" style="text-indent: .5in;">
<br /></div>
<div class="MsoNoSpacing">
Almost
1 month into practice (7 weeks after beginning the credentialing process) while
Tammy was continuing follow-up with their progress, they informed her that
(even though this is MY practice) the MD who supervises and collaborates in
difficult cases must also be in network with BCBS. Despite continual phone calls and status
updates, this information was not delivered to us until 2 days before a deadline
(Monday night) leaving us inadequate time to find a replacement MD. To top it off, this change went into effect
after we began credentialing so there was no way of knowing ahead of time. <o:p></o:p></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
Despite
thinking through every possible scenario and willing MD’s to supervise me, we
are unable to secure an MD and get the paperwork processed through the BCBS
system in time. It is devastating to me
and my staff to have put so much effort, time, and financial resources into
this hoop jumping endeavor all to be treated this unethically and put in a very
uncomfortable position both financially and emotionally. My decision to start my own practice would
not have changed one bit, but I certainly would have put my efforts into more
productive patient related matters (not the hoop jumping we have all done the
past few months). <o:p></o:p></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
So
what does this mean for my beloved patients?
If you do not have BCBS this has no bearing whatsoever. If you do have BCBS do not worry. <b>You
will not receive a bill from us for our services rendered for past appointments.
</b>If you have an appointment tomorrow (Friday October 9, 2014), I will still
honor it for whatever your copay is. It
is unethical to tell you it will be covered and come back on you if it is
not. However, from here out I have to
proceed without accepting BCBS and utilizing the fee schedule as I do for my
non-BCBS patients already. I am
heartbroken to deliver this news to those with BCBS who put their faith in me
from the beginning. Your lab coverage
will not change and you may file your own insurance if you wish as this is for
MY services only. Tammy will help you
with that process. <o:p></o:p></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
God
has blessed me beyond words with an amazing staff, incredible patients, and a peace
of mind that has stayed with me through this entire transition. It is time to focus on patients and not
jumping through unrealistic and unethical insurance hoops. I completely understand if finances prohibit
you from being able to stick with our original treatment plan/frequency. We will do whatever we can to find a way to
work with you as we do our current non-BCBS patients. If that means only seeing you 2x a year or
less, we will work hard to find a middle ground for all of us. <o:p></o:p></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
For
those of you seeing Dr. Myers, he will continue to take BCBS since he was
credentialed before the transition.
Please share this information with anyone you know who has an
appointment and BCBS. It makes me sick
to think this will causes a disruption in the care of someone who needs it, but
please know that we have done everything possible based on what BCBS told our
certified biller with 13+ years of experience.
Please contact us if you have any questions. As much chaos as it has been, I am excited
and energized to move forward and continue walking with you on your healthcare
journey. Thank you for your patience and
understanding with this sensitive matter.
<o:p></o:p></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<b>Fees are as
listed:<o:p></o:p></b></div>
<div class="MsoNoSpacing">
<b>New Patient:
275.00 for 90 minutes<o:p></o:p></b></div>
<div class="MsoNoSpacing">
<b>Follow Up: 150.00
for 30 minutes <o:p></o:p></b></div>
<div class="MsoNoSpacing">
<b>Phone Consults:
150.00 30 minutes <o:p></o:p></b></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<b><i>PLEASE CALL OR EMAIL TAMMY AT (615) 944-3529
OR </i></b><a href="mailto:INTEGRATIVEFAMILYMEDICINE@YAHOO.COM"><b><i>INTEGRATIVEFAMILYMEDICINE@YAHOO.COM</i></b></a><b><i> FOR ALL BILLING AND RESCHEDULING
QUESTIONS. WE WILL DEDICATING THIS LINE
TO BCBS PATIENT QUESTIONS. </i>PLEASE DO
NOT ASK QUESTIONS ON THE FACEBOOK PAGE, WE DO NOT HAVE THE TIME OR STAFF TO
ADDRESS THOSE QUESTIONS, THANKS IN ADVANCE FOR YOUR UNDERSTANDING.<o:p></o:p></b></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
Blessings,<o:p></o:p></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<br />
<div class="MsoNoSpacing">
Dani Williamson <o:p></o:p></div>
Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com4tag:blogger.com,1999:blog-4803294428782594391.post-67420814121695251742014-08-26T22:57:00.000-05:002014-08-26T22:57:10.836-05:00What a difference 2 weeks makes....in turning dreams into reality!!!<div class="MsoNormal">
Wow! What a difference 2 weeks makes! This time 2 weeks ago,
I had given my 3 week notice to my former employer and 8 hours later went from
being employed to self-employed in the simple act of turning in my key. The same key that I had used for almost 4 ½
years to unlock the back door every morning. The same key that started my
journey on the quest to learn as much as I could on the practice of balancing
traditional and Integrative Medicine by one of the greatest mentors I have ever
had. I will be forever grateful for that
opportunity. <o:p></o:p></div>
<div class="MsoNormal">
This time 2 weeks ago, Jackson’s phone was ringing like
crazy and I was in shock for multiple reasons.
I had no idea that people would actually call for an appointment, and I
had promised Jackson 5.00 for every appointment he actually scheduled!! As Jeannetta Hitt said “one for the record
books”. That night two weeks ago yesterday, was a game changer for me. The past two weeks have been humbling,
frustrating, lightning speed and so very fulfilling as I have watched a practice
go from dream to reality in record time! Patients bringing food, donating
office supplies and showing up to help do anything they could do to help me and
the kids. We went from an empty office
building to a space that feels like “home”, and very peaceful. I hope you feel so as well. <o:p></o:p></div>
<div class="MsoNormal">
Jackson has listened to over 400 women and some men tell him
things I am sure he never dreamed of. He
now knows that I have actually been going to work at 5:45 most days of the week
for the past 4+ years and building relationships with people, and a foundation
that is solid. He has a clearer sense of
what I do for a living now. He knows
that my patients are like family to me, and I to many of them. He knows now, why I do what I do. He is
invested in this practice now, and that makes me proud. More than anyone will ever know. Ella started school, but has helped so much
by typing in emails as well. She has not
listened to patients, but she knows how important this transition is for us as
a family. <o:p></o:p></div>
<div class="MsoNormal">
I scheduled a “soft opening” this week to work out the kinks
that would need to be worked out. Thank goodness
I did that. I have seen 9 patients the past 2 days and feel like I am a brand
new NP! It is amazing how much you don’t
know you need when you start a practice like this! This week will be spent working on the flow
and making it smooth for September 2 when we open full force! I saw my first
patient yesterday. It was as nerve wrecking as it was 4 years ago! We have no internet, no fax, no landline,
very few supplements, the scale is weighing 8 lbs light (good news for all of
us), paper charting until our EMR is transitioned, no sign out front yet and
yet we have survived!! I left at 7 pm
tonight and felt a sense of peace, even in the chaos. Amazing isn<o:p></o:p></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWBcyGqx0Wa-ppLk0vvjOgPcznDMwCGg860lQFOQ1wxz5oEULQlIkbrn1oUf1urBiVsthXxj2IgkBRVl4VlYdxgACb7QAZm-mTVvrQ2ccw01kVWWlWB9gs_R7qFuKhXTwt1_B7w3bCHTnN/s1600/IFM+LOGO.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWBcyGqx0Wa-ppLk0vvjOgPcznDMwCGg860lQFOQ1wxz5oEULQlIkbrn1oUf1urBiVsthXxj2IgkBRVl4VlYdxgACb7QAZm-mTVvrQ2ccw01kVWWlWB9gs_R7qFuKhXTwt1_B7w3bCHTnN/s1600/IFM+LOGO.jpg" height="320" width="320" /></a></div>
t it? <br />
<div class="MsoNormal">
No insurance, no retirement, no paycheck guaranteed, still
owe 193,000 in student loans to Vanderbilt, longer hours and more stress than I
had 2 weeks ago….but I have a smile on my face and a determination that is
solid! An amazing group of family, friends, and patients that are rooting for <b>Integrative Family Medicine</b> to
succeed. I am at peace. <o:p></o:p></div>
<div class="MsoNormal">
Thank you for your patience during this transition. I
promise you that I will do my best to walk with you on your healthcare journey.
I am looking forward to spending more time with you in appointments and really
digging deep to find the root of what is going on. I am honored to be called your healthcare
provider, and have learned so much from all of you the past 4+ years! I suspect September will be full of surprises
and kinks, so just be patient! I promise
it will be worth the hassle!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Onward and Upward,<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Dani<o:p></o:p></div>
<div class="MsoNormal">
<b><i>You must take personal responsibility. You cannot change the
circumstances, the seasons, or the wind, but you can change yourself. That is
something you have charge of.<o:p></o:p></i></b></div>
<br />
<div class="MsoNormal">
<b><i>Jim Rohn</i></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><i><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4V896XWXkG1onbzbYo11wtF20JpTkklbh_PGJjJZYANUE2t1i0rcFz_CblqO-oOm4zj-O58o4c3XIRycWKrqfz7u5B7lQbE8oU2dlZmpQkCpg8zg10g8SE-Hh6SvTLa1EG0YE7ZffrR1Z/s1600/first+patient+ever+2014.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4V896XWXkG1onbzbYo11wtF20JpTkklbh_PGJjJZYANUE2t1i0rcFz_CblqO-oOm4zj-O58o4c3XIRycWKrqfz7u5B7lQbE8oU2dlZmpQkCpg8zg10g8SE-Hh6SvTLa1EG0YE7ZffrR1Z/s1600/first+patient+ever+2014.jpg" height="320" width="222" /></a></i></b></div>
<b><i> <o:p></o:p></i></b>Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com2tag:blogger.com,1999:blog-4803294428782594391.post-34361639325804867052014-08-11T17:23:00.003-05:002014-08-12T09:57:14.554-05:00Effective Immediately I am no longer associated with Cools Springs Family Medicine<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Arial;">I
am excited to announce that as of September 2, 2014 I will be in <b style="mso-bidi-font-weight: normal;">private practice</b> of my own.<span style="mso-spacerun: yes;"> </span>I will be venturing out on my own,
after 4+ amazing years with an office that laid the groundwork for me to be
able to take the chance on opening a practice of my own.<span style="mso-spacerun: yes;"> </span>After many months of praying for
guidance and planning I have decided to step out into the unknown and take a
chance that I will be able to make a living while supporting my children and
balancing my work and personal life. I apologize to anyone I was scheduled to
see the next 3 weeks. I gave my notice today, and was not expecting to be told
a notice wasn’t necessary.<span style="mso-spacerun: yes;"> </span>On the
flipside of that, my sudden departure allows me to spend the next 3 weeks getting
my office set up, specialty labs ordered in, the supplement store set up and
scheduling finessed. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">Integrative Family Medicine, LLC</span></b><span style="font-family: Arial;"> will officially be open to see patients on September
2, 2014. The primary focus will be on gut health, thyroid conditions (with an
interest in Hashimoto’s Thyroiditis), hormonal balancing, adrenal health and
autoimmune issues.<span style="mso-spacerun: yes;"> </span>The endocrine
system is my passion and I intend focus on that <b style="mso-bidi-font-weight: normal;">alone </b>with the gut for this practice.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Arial;">I
fully support the transition that Cool Springs Family Medicine is making into a
direct pay practice. <span style="mso-spacerun: yes;"> </span>As the years
have progressed, providers are being forced to see more patients, spend less
time with them and are being reimbursed less and less.<span style="mso-spacerun: yes;"> </span>I have a fellow NP friend who was paid
8.00 recently (from insurance) on a visit that also involved an injection. This
kind of treatment from insurance companies, is forcing us to work longer hours
seeing more patients while receiving record lows in reimbursements.<span style="mso-spacerun: yes;"> </span>IFM will be a <b style="mso-bidi-font-weight: normal;">hybrid </b>clinic for at least the first year.<span style="mso-spacerun: yes;"> </span>Meaning that we will only take Blue
Cross and Blue Shield. No Medicare, Medicaid, or any other insurance. Those
patients without BC/BS will be direct pay patients. And will be given a Super
Bill to file your own insurance with at the end of the visit. <span style="mso-spacerun: yes;"> </span>The rates are fair and listed
below.<span style="mso-spacerun: yes;"> </span>My goal is to transition to
a full direct pay practice in 12-18 months. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Arial;">This
model of care allows me to spend from 1- 1/2 hours with you during the initial visit
and 30-45 minutes during the follow up.<span style="mso-spacerun: yes;">
</span>This allows us to take an extremely detailed history, discuss lifestyle
changes and focus on the <b style="mso-bidi-font-weight: normal;">“root cause”</b>
of your illness.<span style="mso-spacerun: yes;"> </span>All the while
having time to <b style="mso-bidi-font-weight: normal;">EDUCATE, EMPOWER AND
ENCOURAGE</b> you to take the steps needed to begin to heal your body from the
INSIDE OUT. By spending more time up front on the initial visit, we can get as
much accomplished as approximately 5-6 follow up visits.<span style="mso-spacerun: yes;"> </span>Imagine, being able to dive right in to
finding the <b style="mso-bidi-font-weight: normal;">“root”</b> cause of your illness?
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Arial;">My
goal is to see no more than 12 patients a day, limiting my new patients to 3.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>And again, you will be given a statement that you can file
with your insurance company for reimbursement. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Arial;">I
am looking forward to this new chapter in my life.<span style="mso-spacerun: yes;"> </span>Words can’t tell you how scared I am, uncertain of the
future and excited for all God has in store for me and my children! I am asking
that you pray for me and those involved in helping me succeed (and there are
many). Pray for favor as well in building a practice whose main focus is on
QUALITY and not QUANITY in terms of patients seen.<span style="mso-spacerun: yes;"> </span>I am stepping out in faith that God has my back and will
provide for me during this uncertain time. If I don’t take this opportunity <b style="mso-bidi-font-weight: normal;">NOW</b> I feel like I am failing myself, my
patients, and my God.<span style="mso-spacerun: yes;"> </span>Therefore,
at the age of 48, once again I am shaking up my life and starting fresh. This
time with no safety net, no health insurance, no retirement and no guarantee of
a paycheck! I can’t tell you how vulnerable I feel right now!<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial;">If
you are interested in scheduling an appointment, please call <o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial;">615-
944-3529 for the 2 weeks while my office manager recovers from a thyroidectomy
(how ironic is that). Jackson is my son, and will take good care of you! He is
excited about this next season in our life.<span style="mso-spacerun: yes;"> </span>And will be helping out in the office when he finishes class
most days</span></i></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">.<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Arial;">Thank
you for all the emails, texts and calls today while I was working. For those of
you that continue care with me at IFM, I am honored. For those of you that are
not able to, it has been a pleasure and an honor to have been a part of your
healthcare journey the past 4 + years.<span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial;">YOU
CAN BEGIN SCHEDULING APPOINTMENTS TOMORROW MORNING AT 8:00 AM! <o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Arial;">Dani<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">Integrative
Family Medicine<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">330 Mallory
Station Road<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">Suite B3<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">Franklin,
TN 37067<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">615-944-3530
<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">Tammy Breece
,Office Manager<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial; font-size: 18.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">Jackson Hobgood, Scheduling until
August 24<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial; font-size: 18.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">615 944-3529 <o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">FEES AND
HOURS: <o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">HOURS: M, W<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">7:00 AM-
5:00 PM<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">T, TH<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">6:00 AM-4:00
PM<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">FRIDAY<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">6:00
AM-12:00 PM <o:p></o:p></span></b></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">INITIAL
VISIT: FOCUS ON THYROID, ADRENAL FATIGUE, SEX HORMONES (ENDOCRINE SYSTEM),
GUT HEALTH, AUTOIMMUNE CONDITIONS<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">90
MINUTES<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;"><br /></span></b></div>
</td>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">$275.00<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">FOLLOW UP
FROM INITIAL VISIT TO REVIEW LABS, DEVISE PLAN AND MAKE REFERRALS FOR ANY
OUTSIDE PROVIDERS NEEDED<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;"><br /></span></b></div>
</td>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">$150.00<o:p></o:p></span></b></div>
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CONSULTS 30 MINUTES<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial;">$150.00<o:p></o:p></span></b></div>
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<br />
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: Arial;">I will not be drawing labs in the
office. If you have labs already
scheduled at CSFM, I can give you a lab order 2 weeks prior to your visit and
you can take them to QUEST OR LABCORP~or anywhere you want to have them
drawn. Or call CSFM and see if you
can have them drawn there. Just make sure you have a copy of them in your hands
when you come for your appointment!
<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: Arial;">Please be patient with us! I was not expecting such overwhelming
support and Jackson has 40 voicemails right now to return and the VM is 100%
full. <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: Arial;">You can email him at </span></b><a href="mailto:integrativefamilymedicine2014@yahoo.com"><b><span style="font-family: Arial;">integrativefamilymedicine2014@yahoo.com</span></b></a><b><span style="font-family: Arial;"> with your
name, phone number and any questions you have. He will email you back ASAP! <o:p></o:p></span></b></div>
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Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com4tag:blogger.com,1999:blog-4803294428782594391.post-20384838142464269962014-03-05T13:43:00.000-06:002014-03-05T13:43:22.206-06:00HEADACHES AND STOMACH PAIN ARE GONE!!! A PATIENT'S SUCCESS STORY AND HARD WORK!<div style="background-color: white; color: #333333; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 14px; line-height: 20px;">
Just had to share an experience I had with my last patient. A 20 year old college student who came to see me in October 2013 with a complain of sudden onset of severe headaches and GI pain with nausea, vomitting x 3 months. She got new glasses thinking it would help her headaches. It did not. Saw the MD at school and all labs were WNL as well as diabetes labs. Her mother is a patient of mine and sent her to me to evaluate. </div>
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She was not gluten free, ate fast foods and pasta. Basically, a typical college diet. Had not been able to determine if her headaches/n/v were food related or not. Didn't think they were. Struggling with fatigue as well. </div>
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I immediately took her off of all gluten, dairy, soy, corn, yeast, eggs, peanuts, The Virgin Diet. Drew labs and Immuno Labs food sensitivity testing checking IgG antibodies to 96 foods. </div>
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At her 6 week f/u in December she had only had 2 headaches since our last visit. Her Vit. D level was very low normal at 36, Ferritin was 9 and low. We continued on the VD until her IgG testing was back. </div>
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F/U today: She only had 9 foods on her list (a very low number) but 4 of the top 7 inflammatory foods were on her list. Cow's Milk/Cheese, Bakers/Brewer's Yeast/Oats/Eggs/WHEAT/Bananas/Alfalfa! Since picking up her results, she has not had ONE headache or stomach ache!! PRAISE GOD and the ability to test patients for food sensitivities! </div>
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She is a different 20 year old than when I first met her! Working on raising Vit. D and ferritin as well. </div>
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THIS IS WHY WE DO WHAT WE DO HERE! Inflammation is the root of these illnesses...and until mainstream medicine figures this out....kids like her are going to be shuffled from doctor to doctor trying to figure out the "why"! </div>
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It is not ALWAYS this simple, don't get me wrong! But, this is a classic case of education is power! And she listened, took charge and made huge lifestyle changes in order to heal her body!! </div>
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Educate, Empower, Encourage.....it's what we are to do as providers! And if yours is NOT doing that....then find one that will!</div>
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Blessings, </div>
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Dani</div>
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Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-12012045539021174502013-12-10T19:54:00.001-06:002013-12-10T19:54:32.710-06:00My favorite list of books I recommend to patients, friends and family! Check them out! <a href="http://www.blogger.com/%3CSCRIPT%20charset=%22utf-8%22%20type=%22text/javascript%22%20src=%22http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2F033d4572-ea06-4091-b5d9-2188f0e72eac&Operation=GetScriptTemplate%22%3E%20%3C/SCRIPT%3E%20%3CNOSCRIPT%3E%3CA%20HREF=%22http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2F033d4572-ea06-4091-b5d9-2188f0e72eac&Operation=NoScript%22%3EAmazon.com%20Widgets%3C/A%3E%3C/NOSCRIPT%3E"><script charset="utf-8" src="http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2F033d4572-ea06-4091-b5d9-2188f0e72eac&Operation=GetScriptTemplate" type="text/javascript"> </script> <noscript><a HREF="http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2F033d4572-ea06-4091-b5d9-2188f0e72eac&Operation=NoScript">Amazon.com Widgets</A></noscript></a>Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com1tag:blogger.com,1999:blog-4803294428782594391.post-50750294809596130212013-11-14T15:05:00.002-06:002013-11-14T15:05:47.331-06:00My Favorites Wish List #2! Just in time for Christmas!<a href="http://www.blogger.com/%3CSCRIPT%20charset=%22utf-8%22%20type=%22text/javascript%22%20src=%22http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2Faf286c5b-a423-4ac3-b2e8-7b6ef96ddecd&Operation=GetScriptTemplate%22%3E%20%3C/SCRIPT%3E%20%3CNOSCRIPT%3E%3CA%20HREF=%22http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2Faf286c5b-a423-4ac3-b2e8-7b6ef96ddecd&Operation=NoScript%22%3EAmazon.com%20Widgets%3C/A%3E%3C/NOSCRIPT%3E"><script charset="utf-8" src="http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2Faf286c5b-a423-4ac3-b2e8-7b6ef96ddecd&Operation=GetScriptTemplate" type="text/javascript"> </script> <noscript><a HREF="http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2Faf286c5b-a423-4ac3-b2e8-7b6ef96ddecd&Operation=NoScript">Amazon.com Widgets</A></noscript></a>Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-22548751692402114162013-11-12T16:11:00.000-06:002013-11-12T16:11:28.394-06:00Some of my favorite books! Great Christmas present wish list stuff! <a href="http://www.blogger.com/%3CSCRIPT%20charset=%22utf-8%22%20type=%22text/javascript%22%20src=%22http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2F033d4572-ea06-4091-b5d9-2188f0e72eac&Operation=GetScriptTemplate%22%3E%20%3C/SCRIPT%3E%20%3CNOSCRIPT%3E%3CA%20HREF=%22http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2F033d4572-ea06-4091-b5d9-2188f0e72eac&Operation=NoScript%22%3EAmazon.com%20Widgets%3C/A%3E%3C/NOSCRIPT%3E"><script charset="utf-8" src="http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2F033d4572-ea06-4091-b5d9-2188f0e72eac&Operation=GetScriptTemplate" type="text/javascript"> </script> <noscript><a HREF="http://ws-na.amazon-adsystem.com/widgets/q?rt=tf_ssw&ServiceVersion=20070822&MarketPlace=US&ID=V20070822%2FUS%2Fdiarofaninteh-20%2F8003%2F033d4572-ea06-4091-b5d9-2188f0e72eac&Operation=NoScript">Amazon.com Widgets</A></noscript></a>Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-67512395737612765902013-11-12T14:26:00.000-06:002013-11-12T15:07:34.806-06:00Amazing new book on Hashimoto's!! <a href="http://www.blogger.com/%3Ciframe%20src=%22http://rcm-na.amazon-adsystem.com/e/cm?lt1=_blank&bc1=000000&IS2=1&bg1=FFFFFF&fc1=000000&lc1=0000FF&t=diarofaninteh-20&o=1&p=8&l=as4&m=amazon&f=ifr&ref=ss_til&asins=0615825796%22%20style=%22width:120px;height:240px;%22%20scrolling=%22no%22%20marginwidth=%220%22%20marginheight=%220%22%20frameborder=%220%22%3E%3C/iframe%3E"><iframe frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm-na.amazon-adsystem.com/e/cm?lt1=_blank&bc1=000000&IS2=1&bg1=FFFFFF&fc1=000000&lc1=0000FF&t=diarofaninteh-20&o=1&p=8&l=as4&m=amazon&f=ifr&ref=ss_til&asins=0615825796" style="height: 240px; width: 120px;"></iframe></a>This is hands down the best book I have ever read on the ROOT cause of Hashimoto's! I would highly recommend anyone with Hashi reads this! <br />
<br />
Dani<br />
<br />Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-44327808044345013982013-08-20T18:01:00.000-05:002013-08-20T18:01:53.516-05:00GMO's and your health! Best video I have seen on this deadly problem!! <br />
This is HANDS DOWN the BEST video I have ever seen on the danger of GMO foods for our health. Take 18 minutes and watch this very personal story of learning the hard way about GMO foods and food allergies/sensitivities! <br />
As a family NP in an integrative practice, we teach this daily to our practice! Enjoy and thoughts? <br />
<br />
Dani<br />
<br />
<br />
<a href="http://eatlocalgrown.com/video/11895-kids-food-allergies-gmos.html">http://eatlocalgrown.com/video/11895-kids-food-allergies-gmos.html</a>Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com1tag:blogger.com,1999:blog-4803294428782594391.post-71435667361264707432013-08-17T20:42:00.001-05:002014-11-16T13:40:09.874-06:00Food Either Heals or Kills You....Choose Wisely! <div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfrnQlVRftCcKRRzeRMdbrHzbsmyUm3yavqA5YkYDWFb6ExI_b2AK2hmGSS146v0lBrFAe6fxFbo0JHx8Qt1JFdp0iaFcA70XhRRydKSVNFFQECnmcoDF52VLO3kN4JBGHUBK85GjPjrO3/s1600/food+is+medicine.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfrnQlVRftCcKRRzeRMdbrHzbsmyUm3yavqA5YkYDWFb6ExI_b2AK2hmGSS146v0lBrFAe6fxFbo0JHx8Qt1JFdp0iaFcA70XhRRydKSVNFFQECnmcoDF52VLO3kN4JBGHUBK85GjPjrO3/s320/food+is+medicine.jpg" height="213" width="320" /></a></div>
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<span style="font-family: Arial;">Your Gut is the First Line Defense Against Disease:
Stop Killing Yourself with Fake Food! <o:p></o:p></span></div>
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<span style="font-family: Arial;">For 20+ years I struggled
with bloating, gas, diarrhea (I know….not what you needed to know about me, but
hang with me, this really will be educational), joint pain (Diagnosed with
Lupus in the 1990’s), chronic urticaria that nearly drove me insane and left
lots of scars from scratching so badly on my arms, anxiety at night and fatigue.<span style="mso-spacerun: yes;"> </span>I have had 3 colonoscopies (the
first one alone at the age of 20 in college), 2 endoscopies, 2 barium swallow
tests and many visits to gastroenterologists in 3 different states.<span style="mso-spacerun: yes;"> </span>NOT ONE TIME did any MD EVER ask me,
“Dani, what do you eat? Do you take digestive enzymes before meals; do you take
probiotics after meals?<span style="mso-spacerun: yes;"> </span>Do you
know your food sensitivities? <o:p></o:p></span></div>
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<span style="font-family: Arial;">It wasn’t until I started
work at Cool Springs Family Medicine over 4 1/2 years ago that I was asked those
questions above and found the answers that I had been searching for! 20+ years
of suffering, and being sick from FOOD started to disappear after I implemented
the anti-inflammatory healing process outlined later. When I did IgG serum
antibody testing for food sensitivities I had 29 out of 96 foods on it that
were inflaming my body and causing my symptoms. Eggs were the highest in
inflammation (I won’t be eating any of the eggs my chickens just started laying
today), yeast, milk, cheese and yes SALMON were on the list.<span style="mso-spacerun: yes;"> </span>Even healthy food, can be harmful for
you, if your body is inflamed. <o:p></o:p></span></div>
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<span style="font-family: Arial;"><span style="mso-spacerun: yes;"> </span>Am I bitter and angry over all those years of what seems like
malpractice to me by provider after provider?<span style="mso-spacerun: yes;"> </span>NOPE, I have decided that those years of misery and being
sick from food and inflammation are exactly what I need to share with patients
daily to help set them on the healing journey they must begin to heal their
bodies as well. <o:p></o:p></span></div>
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<span style="font-family: Arial;">I tell patients’ everyday in my own practice now that,
“Food either heals you or kills you, it’s your choice how you feel”.<span style="mso-spacerun: yes;"> </span>It’s not very nice, but it’s true. I
didn’t know anything about gut health for years and I accepted every
prescription the doctors gave me from Xanax, Librium, Nexium, Prilosec, Bentyl, Prozac etc….for irritable bowel syndrome and nervous stomach.<span style="mso-spacerun: yes;"> </span>I was told over and over that I just
needed to “calm down, relax, and not be so high strung”. They weren’t the ones
pooping their brains out after every meal and full of very unflattering gas
(most of the time before I ever left the restaurant). I was given multiple
prescriptions to treat the SYMPTOMS not the ROOT of the problem.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="font-family: Arial;">“The inside of the gut is
evident on the outside of our bodies” I heard a speaker talk about one
time.<span style="mso-spacerun: yes;"> </span>I believe that.<span style="mso-spacerun: yes;"> </span>If the gut is 75-80% of our immune
system and our gut is inflamed and toxic, then our largest organ in our body is
as well. Not only is the majority of the immune system located in our gut, so is 75% or more of the serotonin in our body! The neurotransmitter that helps with anxiety and depression.....no wonder the gut is called the second brain. <b style="mso-bidi-font-weight: normal;">Leaky gut </b>happens when the
gap junctions of the gut are not tight from years of antibiotics, fake inflammatory
food, alcohol, stress, sickness etc. The toxins release into the
bloodstream.<span style="mso-spacerun: yes;"> </span>That release of
toxins causes the immune system to go haywire eventually and the basis for
illness. The GALT, also known as the gut-associated lymphoid tissue, lies just
below the lining of the gut wall.<span style="mso-spacerun: yes;">
</span>This tissue is only one cell thick and specializes in immune structures
that are called Peyer’s patches and are loaded with the B and T immune
cells.<span style="mso-spacerun: yes;"> </span>Those cells are responsible
for recognizing and stopping harmful bacteria in the gut.<span style="mso-spacerun: yes;"> </span>It’s the Peyer’s patches that alert the
immune system to stop the pathogenic bacteria that is trying to pass through
the gut! When that system fails from years of abuse, then LEAKY GUT takes over
our body.<span style="mso-spacerun: yes;"> </span>The gut wall is the only
thing that stands between every nasty thing inside your gut and your
bloodstream! Disgusting to think about all the Captain Crunch, Pop tarts, TV
Dinners, Cheeto’s, Coke’s, Chocolate Icing from a can, Swiss Cake Rolls that I
have eaten in my lifetime just inflaming up my body by leaching out of a very
inflamed leaky gut!<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="font-family: Arial;">4 ½ years have passed since
I started working on my leaky gut and joint pain. And I rarely have any GI
issues anymore, unless I eat those mushrooms that are on my list of
inflammatory foods! I have had salmon 2x in 4 years and both times in the
bathroom before the meal was over! That’s enough to make me a believer.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="font-family: Arial;">Below is a basic plan for
healing the gut and stopping the inflammation in your body.<span style="mso-spacerun: yes;"> </span>Research has shown that inflammation is
the root of most major chronic illnesses. Heart disease, atherosclerosis, DM,
Celiac Disease, Crohn’s Disease and the list goes on and on. <span style="mso-spacerun: yes;"> </span>The landmark book The Mood Cure <a href="http://www.blogger.com/%3Ca%20href=%22http://www.amazon.com/gp/product/0142003646/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=0142003646&linkCode=as2&tag=diarofaninteh-20%22%3EThe%20Mood%20Cure:%20The%204-Step%20Program%20to%20Take%20Charge%20of%20Your%20Emotions--Today%3C/a%3E%3Cimg%20src=%22http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=0142003646%22%20width=%221%22%20height=%221%22%20border=%220%22%20alt=%22%22%20style=%22border:none%20!important;%20margin:0px%20!important;%22%20/%3E"></a><a href="http://www.amazon.com/gp/product/0142003646/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=0142003646&linkCode=as2&tag=diarofaninteh-20">The Mood Cure: The 4-Step Program to Take Charge of Your Emotions--Today</a><img alt="" border="0" src="http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=0142003646" height="1" style="border: none !important; margin: 0px !important;" width="1" /> outlines the research
that when you heal the gut the psychological symptoms of depression, anxiety,
etc. begin to lesson as your body absorbs the amino acids needed for balance.
The majority of the neurotransmitters needed for psychological health, are not
located in the brain….they are in the GUT! <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Arial; mso-bidi-font-family: Arial; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: Arial;">Digestive
Enzymes at the beginning of 2 meals a day. Enzymes break down food and help
close the leaky gut.<span style="mso-spacerun: yes;"> </span>They work
like an adaptogen by helping diarrhea and improving constipation we use <a href="http://www.blogger.com/%3Ca%20href=%22http://www.amazon.com/gp/product/B005HXO9LG/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=B005HXO9LG&linkCode=as2&tag=diarofaninteh-20%22%3EInnate%20Response%20-%20Plant%20Enzymes%2090%20tabs%3C/a%3E%3Cimg%20src=%22http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=B005HXO9LG%22%20width=%221%22%20height=%221%22%20border=%220%22%20alt=%22%22%20style=%22border:none%20!important;%20margin:0px%20!important;%22%20/%3E"></a><a href="http://www.amazon.com/gp/product/B005HXO9LG/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=B005HXO9LG&linkCode=as2&tag=diarofaninteh-20">Innate Response - Plant Enzymes 90 tabs</a> or Enzalase from Master Supplements. <img alt="" border="0" src="http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=B005HXO9LG" height="1" style="border: none !important; margin: 0px !important;" width="1" /><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Arial; mso-bidi-font-family: Arial; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: Arial;">Probiotics with
at least 20 billion flora per 14 strains of bacteria.<span style="mso-spacerun: yes;"> </span>These are alive and kept cold. Take them at the end of the
largest meal to inoculate that gut with all the good bacteria.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Arial; mso-bidi-font-family: Arial; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: Arial;">An
anti-inflammatory, real food diet.<span style="mso-spacerun: yes;">
</span>Non-processed, no fake food. I tell people if it was made in a plant, it
is FAKE food! If you have to open it from a package, bag, can, box, tube, roll
etc. it is not real food. I rotated between a few probiotics like <a href="http://www.blogger.com/%3Ca%20href=%22http://www.amazon.com/gp/product/B000V83NSM/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=B000V83NSM&linkCode=as2&tag=diarofaninteh-20%22%3EInnate%20Response%20-%20Flora%2020-14%20Probiotic%2060c(F)%20[Health%20and%20Beauty]%3C/a%3E%3Cimg%20src=%22http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=B000V83NSM%22%20width=%221%22%20height=%221%22%20border=%220%22%20alt=%22%22%20style=%22border:none%20!important;%20margin:0px%20!important;%22%20/%3E"></a><a href="http://www.amazon.com/gp/product/B000V83NSM/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=B000V83NSM&linkCode=as2&tag=diarofaninteh-20">Innate Response - Flora 20-14 Probiotic 60c(F) [Health and Beauty]</a><img alt="" border="0" src="http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=B000V83NSM" height="1" style="border: none !important; margin: 0px !important;" width="1" />, Theralac and Tru Flora from Master Supplements. <o:p></o:p></span></div>
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<span style="font-family: Arial; mso-bidi-font-family: Arial; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"><br /></span></span>
<span style="font-family: Arial; mso-bidi-font-family: Arial; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1. Metagenics 10 day ULTRA CLEAR RENEW <a href="http://www.blogger.com/%3Ca%20href=%22http://www.amazon.com/gp/product/B004GLGXLY/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=B004GLGXLY&linkCode=as2&tag=diarofaninteh-20%22%3EMetagenics%20-%20UltraClear%20RENEW%20Original%20(21%20svgs)%3C/a%3E%3Cimg%20src=%22http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=B004GLGXLY%22%20width=%221%22%20height=%221%22%20border=%220%22%20alt=%22%22%20style=%22border:none%20!important;%20margin:0px%20!important;%22%20/%3E"></a><a href="http://www.amazon.com/gp/product/B004GLGXLY/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=B004GLGXLY&linkCode=as2&tag=diarofaninteh-20">Metagenics - UltraClear RENEW Original (21 svgs)</a><img alt="" border="0" src="http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=B004GLGXLY" height="1" style="border: none !important; margin: 0px !important;" width="1" /> detox: The first step in decreasing inflammation. </span></span><br />
<span style="font-family: Arial; mso-bidi-font-family: Arial; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"><br /></span></span>
<span style="font-family: Arial;"> 2. Paleo Diet, Mediterranean
Diet, The Virgin Diet <a href="http://www.blogger.com/%3Ca%20href=%22http://www.amazon.com/gp/product/0373892713/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=0373892713&linkCode=as2&tag=diarofaninteh-20%22%3EThe%20Virgin%20Diet:%20Drop%207%20Foods,%20Lose%207%20Pounds,%20Just%207%20Days%3C/a%3E%3Cimg%20src=%22http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=0373892713%22%20width=%221%22%20height=%221%22%20border=%220%22%20alt=%22%22%20style=%22border:none%20!important;%20margin:0px%20!important;%22%20/%3E"></a><a href="http://www.amazon.com/gp/product/0373892713/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=0373892713&linkCode=as2&tag=diarofaninteh-20">The Virgin Diet: Drop 7 Foods, Lose 7 Pounds, Just 7 Days</a><img alt="" border="0" src="http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=0373892713" height="1" style="border: none !important; margin: 0px !important;" width="1" /> are good anti-inflammatory diets. And there are loads of books out there on
these diets.<span style="mso-spacerun: yes;"> </span>My favorite Paleo
Diet book is, <a href="http://www.blogger.com/%3Ca%20href=%22http://www.amazon.com/gp/product/1936608898/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=1936608898&linkCode=as2&tag=diarofaninteh-20%22%3EIt%20Starts%20with%20Food:%20Discover%20the%20Whole30%20and%20Change%20Your%20Life%20in%20Unexpected%20Ways%3C/a%3E%3Cimg%20src=%22http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=1936608898%22%20width=%221%22%20height=%221%22%20border=%220%22%20alt=%22%22%20style=%22border:none%20!important;%20margin:0px%20!important;%22%20/%3E"></a><a href="http://www.amazon.com/gp/product/1936608898/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=1936608898&linkCode=as2&tag=diarofaninteh-20">It Starts with Food: Discover the Whole30 and Change Your Life in Unexpected Ways</a><img alt="" border="0" src="http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=1936608898" height="1" style="border: none !important; margin: 0px !important;" width="1" />. My favorite protein shake that I drink every morning is </span><span style="text-indent: -0.25in;"><span style="font-family: Arial;"><a href="http://www.amazon.com/gp/product/B00488K2C6/ref=as_li_qf_sp_asin_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=B00488K2C6&linkCode=as2&tag=diarofaninteh-20">Numedica, Total Vegan Chocolate Delight 21.86 Oz</a><img alt="" border="0" src="http://ir-na.amazon-adsystem.com/e/ir?t=diarofaninteh-20&l=as2&o=1&a=B00488K2C6" height="1" style="border: none !important; margin: 0px !important;" width="1" /></span></span><br />
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<span style="font-family: Arial; mso-bidi-font-family: Arial; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"> 3. <span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span></span><span style="font-family: Arial;">Finding out your
food sensitivities with an IgG blood test from a provider that offers this
testing.<span style="mso-spacerun: yes;"> </span>I use Alletess currently at my office. I am also looking in to Allcat and Cyrex testing as well in the future. </span><br />
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -.25in;">
<span style="font-family: Arial; mso-bidi-font-family: Arial; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: Arial;">Alletesse: <a href="http://www.foodallergy.com/">www.foodallergy.com</a> <o:p></o:p></span></div>
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<span style="font-family: Arial;">Health and healing is a full
body process.<span style="mso-spacerun: yes;"> </span>It takes mental,
physical, emotional, spiritual health working together in harmony.<span style="mso-spacerun: yes;"> </span>And when any of these are off, the
whole system is interrupted. I myself am a work in progress, am not where I
need to be, but am so much better than were I was! Exercise, community with
people I adore and respect, clean diet and lots of laughing have given me my
life back and I wouldn’t eat a POP TART now for any amount of money! It’s not
rocket science, the Bible taught us that our body is a temple…treat it like
one! NO excuses….JUST DO IT!<span style="mso-spacerun: yes;"> </span>Start
today, you won’t be sorry! <o:p></o:p></span></div>
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<span style="font-family: Arial;"><br /></span></div>
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<span style="font-family: Arial;">Dani Williamson, MSN, CNM, FNP</span></div>
<div class="MsoNormal">
<span style="font-family: Arial;">Integrative Family Medicine</span><br />
<span style="font-family: Arial;">330 Mallory Station Road Suite B3</span><br />
<span style="font-family: Arial;">Franklin TN 37067</span><br />
<span style="font-family: Arial;">615-944-3530 Scheduling</span><br />
<span style="font-family: Arial;">615-550-2641 fax</span></div>
<div class="MsoNormal">
<span style="font-family: Arial;">http://www.npdani.blogspot.com </span><br />
<span style="font-family: Arial;">http://www.daniwilliamson.com </span><br />
<span style="font-family: Arial;">Twitter: @npdani</span><br />
<span style="font-family: Arial;">Inside Out~Healing From Within Facebook</span></div>
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<a href="http://eatlocalgrown.com/video/11895-kids-food-allergies-gmos.html">http://eatlocalgrown.com/video/11895-kids-food-allergies-gmos.html</a></div>
Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com4tag:blogger.com,1999:blog-4803294428782594391.post-55533776886657936272013-02-28T21:06:00.002-06:002013-02-28T21:07:46.377-06:00Lessons from the Integrative Healthcare Symposium 2012: Day 1 I have been in NYC at the <a href="http://ihsymposium.com/">ihsymposium.com</a> (Integrative Healthcare Symposium) for the second year in a row! And again I am in awe at the overwhelming knowledge of functional medicine that is present in on place! Some of the most famous leaders, trail blazers, scientist, practitioners are leading sessions that are packed with not only evidence based medicine but clinical experience that one can only gain from years or practice!<br />
<br />
Dr. Jeffery Bland started off the conference today with a comment that went something like this: "What happens when patients get the correct care (traditional treatments and pharmaceuticals) but don't improve? Time after time after time after time....that's when they show up at our office to try functional (integrative, holistic, natural) medicine and oftentimes begin to improve their quality of life. And I can vouch from my short 3 years of experience, that patients don't show up at our office who feel well! We are generally the last resort for many chronically ill patients! <br />
<br />
The resounding theme at this conference is <b><i>heal the gut, decrease the inflammation in your body!</i></b> When you begin to decrease inflammation in the gut you begin to decrease inflammation in the entire body.<br />
On average MD's get 12-16 hours of nutrition education in medical school. This is one of reasons that I feel traditional practitioners are not encouraging patients to clean up their diet and decrease inflammation. As an NP I can vouch we didn't get much education on nutrition as well. It is our job to stop out of the box and begin to help our patients heal from within. In defense of practitioners that don't discuss nutrition with patients, they don't know what to say! Fair enough, but I believe that patients are searching for practitioners that have stepped out of the box on their own and have "unlearned" all that was learned in school about chronic disease! <br />
<br />
Stay tuned to start learning ways to decrease inflammation in the body! <br />
Watch this video to learn some great evidence based medicine on the toxic effects of sugar!<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
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<br />
I'll give you a hint now. If you are ready to start decreasing <b>pain </b>in your body then cut out the following foods from Dr. Hal Blatman MD and his <a href="http://www.blatmanpainclinic.com/">http://www.blatmanpainclinic.com/</a> clinic!<br />
1. White flour<br />
2. White Sugar<br />
3.White/red potato (1 medium potato = 1/2 cup sugar)<br />
4. Fruit juice<br />
5. Artificial sweeteners<br />
6. Hydrogenated oils<br />
<br />
Cut the above foods out and begin the road to a pain free life! More to come on ways to decrease inflammation and healing your body! <br />
<br />
~Happy Healing,<br />
<br />
Dani <br />
<a href="http://www.csfmed.net/">www.csfmed.net </a><br />
<br />
<br />Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com1tag:blogger.com,1999:blog-4803294428782594391.post-12806220645883050092012-12-20T15:39:00.000-06:002012-12-20T15:51:19.049-06:00Amazing Book I am currently reading.....The Virgin DietI have had a several months of all work and no writing and have missed blogging. I have to share with you abou this amazing book I am currently reading. Check out The Virgin Diet at <a href="http://www.jjvirgin.com/">www.jjvirgin.com</a>. <br />
<br />
I can tell you that what JJ has written about in this book is EXACTLY what we teach our patients at Cool Springs Family Medicine <a href="http://www.csfmed.net/">www.csfmed.net</a> on a daily basis! Cut out the gluten, dairy, soy, corn, eggs, sugar/yeast, peanuts and you being to see the gut heal and the weight come off. As well as the joint pain, fatigue, foggy headedness, bloating and many other symptoms begin to resolve! Add digestive enzymes, probiotics and eventually IgG good sensitivity testing to the treatment and people begin the journey to health and healing. <br />
<br />
As healthcare providers, we have to begin to address the root of the these chronic illnesses we see on a daily basis. And personally I believe that the gut is starting point. It's true that a week gut equals a weak immune system. The research is abundant on the gut and brain connection.<br />
<br />
Looking forward to finishing this book and writing a blog!! Ask for this book for Christmas...you won't regret it. A client at the hair salon I was in today overheard me telling my stylist about the book and beginning to clean up her diet...the client asked to see the book (since I had it in my bag for reading under the dryer), when she gave it back she said she felt like it was "written just for her"..... I believe it, and you will too! I don't know JJ Virgin, and I certainly don't make a penny on promoting her book, but I would hope she would do the same had I written the book and she believed in it as much as I do! <br />
<br />
I am finishing this book by the weekend so I can get this next blog written and get the word out to my patients that hear me speak on this daily!! <br />
<br />
Happy reading! <br />
<br />
Blessings, DaniAnonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-27197286661512383202012-01-07T09:20:00.000-06:002012-01-07T09:20:55.625-06:00Hope for Hashimoto's workshop February 25, 2012<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEibSQzqv6p3PQh4AjqwqDtc0P9JHCFaXHwkctjIyIfMur9Ad6tpvO3ozAd2JXo8oWKlovpJzd58hHak3nvInIu8Xo-AJvGcsiQbWSAVx8Ih8CE4kPSbkm4gGoHCdQCF0_1_p-fLEtB1Nk9v/s1600/hashimotos+flyer.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="247" rea="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEibSQzqv6p3PQh4AjqwqDtc0P9JHCFaXHwkctjIyIfMur9Ad6tpvO3ozAd2JXo8oWKlovpJzd58hHak3nvInIu8Xo-AJvGcsiQbWSAVx8Ih8CE4kPSbkm4gGoHCdQCF0_1_p-fLEtB1Nk9v/s320/hashimotos+flyer.jpg" width="320" /></a></div>
You do not want to miss this workshop on the number one undiagnosed autoimmune disease in the country! I have had great success with using Dr. Haskell's protocal and treatments with my patients. I am honored that he has agreed to speak to our patients and the public concerning this epidemic in the United States. Come listen to his research and clnical pearls in person on February 25,2011! <br />
<br />
Hope to see you there! Dani<br />Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-47082698232419596912011-11-15T20:46:00.001-06:002011-11-15T20:49:20.204-06:00Using NAC with TrichotillomaniaThe use of NAC with Trichotillomania:
Trichotillomania is a psychiatric condition characterized by repetitive hair puling that produces noticeable hair loss. The preferred treatments and those most studied in the past have been cognitive behavior therapy and SSRIs (Sertraline). Both have shown improvements in patients with a combined CBT and SSRI the most beneficial (2). A recent study in 2009 showed promise with using N-acetylcysteine for the treatment of trichotillomania (1). NAC is a non-essential amino acid that is precursor to glutathione (the “mother” of all antioxidants that mops up free radicals in the brain) in our bodies that appears to restore the extracellular glutamate concentration in the nucleus accumbens. Therefore, offering promise in the reduction of compulsive behavior in patients. NAC is used for acetaminophen toxicity, chronic bronchitis as well as a mucolytic agent by inhalation in Mucomist I use NAC daily in my practice for my Hashimoto’s patients as a precursor for glutathione and to decrease inflammation. I had never used NAC for trichotillomania until recently.
I had a patient in her 20’s present with a history of trichotillomania that developed while pregnant two years ago. When she came to see me she had completely plucked her eyebrows and eyelashes out. No prior history whatsoever of trichotillomania. I was at a loss for what to do. On exam she had barely any eyelashes left on top or bottom and a few stray eyebrows. Exam otherwise was completely normal. She explained how plucking felt “good” and there was no pain involved with it. She has no prior psych history. She is unsure what provokes the plucking but was clearly seeking help with stopping this clearly physically scaring condition.
A recent article that Dr. Kalb was familiar with discussed the research on using NAC during a double blind placebo controlled study for trichotillomania (1). The study showed that using NAC (1200-2400 mg/d) had led to statistically significant reductions in trichotillomania symptoms. We started her on NAC 1200 mg daily as well as an herbal anxiety control supplement. On her 12-week f/u appointment she reported pain with plucking for the first time and therefore a decreased desire to pluck. Her eyelashes and eyebrows were growing back in as well. She continues to take NAC as well as the herbal anxiety control.
1. Grant JE, Odlaug BL, Kim SW. N-acetylcysteine, a glutamate modulator, in the treatment of trichotillomania: a double-blind, placebo-controlled study. Arch Gen Psychiatry. 2009 Jul;66(7):756-63.
2. Dougherty DD, Loh R, Jenike MA, Keuthen NJ. Single modality versus dual modality treatment for trichotillomania: sertraline, behavioral therapy, or both? J Clin Psychiatry. 2006 Jul;67(7):1086-92.
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<a href="http://permatechmakeup.com/gallery/trichotillomania.jpg" imageanchor="1" style="margin-left:1em; margin-right:1em"><img border="0" height="357" width="500" src="http://permatechmakeup.com/gallery/trichotillomania.jpg" /></a></div>Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-50231103021076299002011-11-09T20:50:00.001-06:002011-11-09T20:50:05.771-06:00The Happiness Hormone: Pregnenolone!<a href="http://http://www.healthiertalk.com/pregnenolone-happiness-hormone-0105"></a>Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com1tag:blogger.com,1999:blog-4803294428782594391.post-19485356810026584922011-07-16T22:19:00.001-05:002011-07-16T22:20:27.373-05:00"I have air in my testicles"...and yet another translation situation in Honduras!<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdX2Nc8wO8KNIbwW_e3K2aa2NbJ_bK7CRfdq2XHBYrQp_19Ozj369hgtzgMiKEmC4VVivYD-qOD3QuSY7lzGa_0Uq2Bhpy9rKT1yBzgJuerbc9ILoRJfXwSIo-Nb41t2FGw8Ctfyz1uCkw/s1600/P7141660.JPG" imageanchor="1" style="margin-left:1em; margin-right:1em"><img border="0" height="240" width="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdX2Nc8wO8KNIbwW_e3K2aa2NbJ_bK7CRfdq2XHBYrQp_19Ozj369hgtzgMiKEmC4VVivYD-qOD3QuSY7lzGa_0Uq2Bhpy9rKT1yBzgJuerbc9ILoRJfXwSIo-Nb41t2FGw8Ctfyz1uCkw/s320/P7141660.JPG" /></a></div><br />
Honduras July 14, 2011<br />
“I have air in my testicles”<br />
<br />
Today was our last day in the clinic in Duyure. I was blessed to go on a food delivery trip to 6 of the families in the village. That was an amazing experience to be welcomed into the homes of these sweet, sweet people. I had several patients I had seen in the clinic that hugged my neck and one even pulled out of her bra my notes that instructed her to return today for her repeat blood pressure!! It was precious. <br />
<br />
My little boy patient with the 544 blood sugar yesterday returned this morning with a fasting BS of 99! I was thrilled….but the reality is that this was just one day with increased insulin….and no way to get the insulin on a regular basis. The reality of his situation and so many others breaks my heart. <br />
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The patient that stole my heart today was an 83 year old cowboy that came in with a big sombrero, plaid shirt, jeans and a big buckle on his belt . He came walking in and sat right down and plainly said that “I have air in my testicles”! As he very graphically continued to show me, as if I didn’t know where his testicles were located. I happened to have two observers from the education team in my room at the time that were sitting there with their mouths open, about to laugh out loud! My sweet, sweet MaryLeigh the interpreter, never flinched and continued to ask him the questions I was asking. He flat out stated that “I pee straight, but there is air in my testicles”. We don’t do prostate exams, but I symptomatically treated him for a prostate infection<br />
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The next patient had a “bump in her anus” and it hurt to sit on the chair, and had told us that she had not had a bm in 15 days!! On further investigation, she has had a bm recently but there was pain and a “bump”. This is an elderly lady and I was worried there might be a fistula or the very least a large hemorrhoid . She had a tiny, tiny external hemorrhoid. We had no Preparation H or Tucks for her. When she left she hugged my neck and said “Mucho Gracious for looking at my butthole”! Of course Maryleigh translated exactly what was said!! Everyone in the room busted out in laughter! <br />
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The clinic was being broken down and myself and another provider were still seeing patients that had waited for 10 hours to be seen. We didn’t turn one patient away during our 4 days. <br />
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We haven’t had internet for 2 days in the pasada and I find myself grumbling about it. This morning as I am typing yesterdays events I realized that as I silently grumble about the 1 ½ hour ride each way up/down the mountain, the lack of vegetables, the heat, the critters in our cabin etc, and the lack of internet, that in reality I am nothing but a spoiled baby. I didn’t walk 4 hours to get to the clinic with no water to drink, I have enough money to feed my children, and buy their medicine, a car to drive with air conditioning… and thank God I do, so that I can use my resources to be able to serve others that can’t.Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com4tag:blogger.com,1999:blog-4803294428782594391.post-64263491276388364462011-07-16T22:16:00.002-05:002011-07-16T22:16:53.074-05:00"I feel like a cow"...and other funny translations from Honduras 2011Honduras 2011<br />
Day 3, July 13, 2011<br />
“ I feel like a cow today”<br />
<br />
<br />
I cried today for a patient that only has salt wrapped in corn tortillas for food. Her son was in the area beside of us with malnutrition and they were working on getting him a nutrition consult and a delivery of food bags that will feed him for one month. I learned from Meridith the local Missionary with Mission Lazarus that salt wrapped in corn tortillas is the food for the “poorest of the poor”. The salt gives them a feeling of fullness and there fore they can continue to work and do their chores. I was devastated and had to look away to keep from breaking down in front of her. <br />
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The other patient today that broke my heart was an 11 year old boy with a blood sugar of 544!! Over 126 is not acceptable with a fasting BS check. He is an insulin dependent diabetic and only has ½ vial of insulin left to use until his doctor appointment in September, 4 hours away!! He doesn’t have strips to check his BS daily due to cost. We have no insulin in our formulary. I went to get Dr. Stephens, Meridith and another provider to assess him. No DKA or dehydration. We are working on getting him insulin, but with his newly increased dose twice daily, his ½ vial will not last long at all. Another story that is very difficult for me to absorb!! My heart broke for the mother as we told her we didn’t have insulin but would do our best to find some in the pharmacy in San Marcos. He is coming back in tomorrow for another check to see if his increased insulin was sufficient. I can’t imagine the pain that these mothers experience daily knowing that they are unable to meet the needs of their sick children. We are so very blessed to be able to pick up our prescription at the local pharmacy and go on our way! <br />
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The funny story of the day was when my interpreter was giving me the symptoms of my patient and then all of a sudden with headache, stomach acid, low back pain she says “and she feels like a cow today as well”! I guess my face was frozen and then I burst out laughing! Margaret said she swears that what the patient said, but with further questioning, somehow “I vomited today” was translated into “I feel like a cow today”. A much needed burst of laughter indeed! I told her that I too feel like a cow with all of the carbs that I have been fed since arriving in Honduras!! <br />
<br />
I am typing this in the dark, since the power and the internet are down tonight, a nightly occurance apparently. At least I didn’t walk 4 hours each way to get here with nothing but a salt tortilla and no water to drink along the way…..and I complain about no hot water! Looking forward to what tomorrow brings. Keep praying for the people of Duyure, Honduras and our safety each day. <br />
<br />
Blessings, DaniAnonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-62217646666709212982011-07-12T22:26:00.000-05:002011-07-12T22:26:38.814-05:00Duyure Honduras: Day 2Honuras Medical Mission Trip<br />
Day 2: July 12, 2011<br />
<br />
<br />
We are in Honduras in the rainy season and had a torrential downpour last night that made travel up the mountain today scary for our bus of gringos….but we made it without a hitch! We started a bit earlier today and had 250 scheduled to see.<br />
<br />
I had a new translator today and it takes a while to get in sync with each other and find a flow that works for both of us…but we came together quickly and I was thrilled with our day of seeing patients. I saw lots of ringworm on the body and scalp today as well as fungus on the feet (athletes foot). We had a patient with blood sugar of 408 and BP of 160/102 who walked 2 hours to get to the clinic today! I brought Dr. Stephens in on her consult and we are so limited in diabetes medication that we gave her what we had, but are hoping that Mission Lazarus can find her the Metformin that she needs to help bring her diabetes in control….the Honduran diet is not diabetes friendly at all. Therefore speaking to the patient about a low carb high protein diet is not beneficial. They don’t have fresh vegetables like us and have a bean, rice, corn tortilla diet. The teaching is challenging and frustrating as a provider! <br />
<br />
My favorite patient today was a little boy whose mom is very concerned because he doesn’t’ seem to “focus” in class and has a hard time getting his homework. She has taken him to several doctors and no one has addressed his issues. She wanted to know if he was “born this way”? He was clearly not focusing on our visit, but when I asked him what he wanted to be when he grew up he told me a “pilot” and wanted to learn his lessons. This is another case of no way to really change his diet, and put lots of good vitamins and minerals in his body as well as get him the help he needs to be able to focus. I felt so sorry for the mother who clearly wants to help her child learn and do well in school. <br />
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Of course as we were getting ready to leave the clinic today, we had another downpour and we were all piled in the bus for our 90 minute ride back down the mountain when we got stuck!!! All the men got out, the women went to the back to weigh the bus down (no jokes please)….and 20 minutes later, several wheelbarrows of sand, some wood planks later we take off and then slide sideways and busted the top off the water line and up shot a flow of water that who knows how long it took to turn it off! When we pulled out of the clinic, the men were working frantically to turn off the water from the street! Seems that nothing is easy!! And we slid back down the mountain!<br />
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One scorpion on the back of one of our leaders at dinner and a nice thunderstorm later….we are ready for bed and day 3 of this adventure!! <br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-_tvcTzKy6wkyOgQNVu6qJgyLW1r8j3glySPmfiImab99nomUBlOsD4QesSu1U3gDQ7tQn3gmaXWvM4aY05bIOUblJKC4GkldC_1xmRvAVtfZxetAk-motLVBjMBIKqrz4lrnwy8nXw3d/s1600/P7111593.JPG" imageanchor="1" style="margin-left:1em; margin-right:1em"><img border="0" height="240" width="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-_tvcTzKy6wkyOgQNVu6qJgyLW1r8j3glySPmfiImab99nomUBlOsD4QesSu1U3gDQ7tQn3gmaXWvM4aY05bIOUblJKC4GkldC_1xmRvAVtfZxetAk-motLVBjMBIKqrz4lrnwy8nXw3d/s320/P7111593.JPG" /></a></div>Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-89899123110518708682011-07-12T19:31:00.001-05:002011-07-12T19:31:03.965-05:00Honduras Day one July 11, 2011Honduras 2011<br />
Mission Lazuras and Crosspoint Community Church<br />
<br />
<br />
Day One: July 11, 2011<br />
<br />
Our team over 30 arrived yesterday after a 4 hour bus ride from the airport in Tegucigalpa. As we were pulling into our ranch in San Marcos that is owned by Mission Lazuras we had a flat tire! So we entered the ranch by walking the rest of the way! What a beautiful location we are staying at. I was expecting something like Haiti last year. The pasada (lodge) is the center or our ranch and where we eat our meals, gather to talk, hang in the hammock, have devotionals and can connect to the internet. Our cabins hold ten and have hot showers and a toilet that flushes!! I am thrilled! It is the rainy season here and currently the tin roof is alive with the sound of pouring rain and thunder! <br />
Our clinic is in Duyure and is a 1-1 ½ hour school bus ride up to the top of the mountain. The roads are hairpin turns and I learned quickly to NOT look down! Our lives are in the hands of our driver who is not only navigating the narrow road, but attempting not to hit any number of cows or donkeys that are in the road. <br />
When we arrived today at the makeshift clinic there were probably already 200 villagers waiting for hours and most had walked for at least 2 hours to see us. By the time our day was ending some patients had waited 10 hours or more to see us. No one was angry, mean or rude. We have 5 providers: 2 NP’s, 2 PA-C’s and one MD. The pharmacy is set up with a formulary that is small, but efficient to treat the kinds of cases we are seeing over and over. <br />
We saw over 250 patients today with various chronic and acute problems. I did get to see one pregnant patient today! She was nine months pregnant, and travels two hours to a hospital for delivery! Maybe this week she will come back in labor and I can deliver a Honduran baby! <br />
The poverty is great here, but the spirit and the pride is even greater. I am impressed with how well kept and clean the children are we saw in the clinic today. We are exhausted and a bit smelly indeed, but the smiles and hugs make it all worth while….and give you the motivation to get up tomorrow and do it all over again!Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0tag:blogger.com,1999:blog-4803294428782594391.post-79050345174730624482011-07-07T19:47:00.000-05:002011-07-07T19:47:24.487-05:00Heading to Honduras! Sign up to follow the journey with my blog!!Just a quick note to let everyone know that myself and a medical mission team will be heading to Honduras on Sunday for 7 days in the mountains in San Marcos De Colon. The medical team will be traveling to Duyure each day to set up a clinic in the village. We expect to see several thousand patients while there. There will be a construction team as well going to a different location each day. I am going with my church <a href="http://www.crosspoint.tv/">www.crosspoint.tv</a> and feel blessed to be able to use my skills in one of the 3 poorest countries in the world. We will be teamed with <a href="http://www.missionlazuras.com/">www.missionlazuras.com</a> and staying at their ranch in San Marcos Del Colon at night. Please read their website and learn about all of the amazing work they are doing in Honduras and beyond!! <br />
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I am asking for your prayers and support while we are gone on this trip. Although this trip will not be as long or as tiring as my 21 days in Haiti last year, it will be challenging non the less. Please pray for peace, safety and healing during our journey!!<br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEic2-kUlZAiq8rCC_ZG9t_ULH1uZcN0E-G_-l6h0roTmAKB7gDeFiIMMA17P6UhgP1Dp8H_yjS91tznQt45xN7RxV-uNKPGDOEVotgA2I3vE9NLHSVLpdynNScXvlXTMYWiqvRpchSG9hmV/s1600/P2200809.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEic2-kUlZAiq8rCC_ZG9t_ULH1uZcN0E-G_-l6h0roTmAKB7gDeFiIMMA17P6UhgP1Dp8H_yjS91tznQt45xN7RxV-uNKPGDOEVotgA2I3vE9NLHSVLpdynNScXvlXTMYWiqvRpchSG9hmV/s320/P2200809.JPG" width="320" /></a></div> Last years Haiti Medial Mission Trip<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEimfqg5SdNymG-IrvR3oXfsXxevwJgrVoKfDdD6btefJ3rhyJn-5j4cX_rPRmP4lB6MJHSDbp0IrT0E0pPW-MlQQfx5m7zxlXPI_A1DUNHnK3JWwQg6QHZtahqB7YlAUyb9az1lyY1fpSpo/s1600/25862_1407569109089_1228279182_31182520_272707_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEimfqg5SdNymG-IrvR3oXfsXxevwJgrVoKfDdD6btefJ3rhyJn-5j4cX_rPRmP4lB6MJHSDbp0IrT0E0pPW-MlQQfx5m7zxlXPI_A1DUNHnK3JWwQg6QHZtahqB7YlAUyb9az1lyY1fpSpo/s320/25862_1407569109089_1228279182_31182520_272707_n.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBt2Aj9mx2qZ88Bysb7Ml-MbNJ5zUTXwBaHCnJ6cjVogKK3Ts-MN1KhfZUoLeo8tXrxP-a5jJu0g-CTZLA2v1Ly0Za-vKD0pcX_JtYsuSNten2AU8SZqgmF2DjORK4JD5JRlv6INe5S7u0/s1600/25513_1390953896336_1306775383_1156393_6388634_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBt2Aj9mx2qZ88Bysb7Ml-MbNJ5zUTXwBaHCnJ6cjVogKK3Ts-MN1KhfZUoLeo8tXrxP-a5jJu0g-CTZLA2v1Ly0Za-vKD0pcX_JtYsuSNten2AU8SZqgmF2DjORK4JD5JRlv6INe5S7u0/s320/25513_1390953896336_1306775383_1156393_6388634_n.jpg" width="320" /></a></div> Delivering a sweet baby boy that they named Daniel!<br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhE2yCpEVtTw8C6XefGvL-k1fFfECGOLSmm3urKPekvamQTq4YRbxARu9fsPceoE_hFAqRiWN67C8I45cyIyld480lk3_BTTGUL00oTTGoEpMZr3DDCOnu48pVSrBndCwoPBFZXVtim7x_V/s1600/26502_1403674571728_1228279182_31173322_379109_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhE2yCpEVtTw8C6XefGvL-k1fFfECGOLSmm3urKPekvamQTq4YRbxARu9fsPceoE_hFAqRiWN67C8I45cyIyld480lk3_BTTGUL00oTTGoEpMZr3DDCOnu48pVSrBndCwoPBFZXVtim7x_V/s320/26502_1403674571728_1228279182_31173322_379109_n.jpg" width="320" /></a></div> Check back here often to see updates on my journey! <br />
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Blessings~<br />
<br />
Dani<br />
<br />
Deuteronomy 31:6-8<br />
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</style> Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com1tag:blogger.com,1999:blog-4803294428782594391.post-69955319685086251802011-06-26T09:30:00.000-05:002011-06-26T09:32:25.952-05:00Gloria's Testimony on her healing journey at Cool Springs Family MedicineTESTIMONY of GLORIA <br /><br />Over the years I have found by veering away from traditional medicine<br />and prescription drugs, I would become much healthier. A search to find doctors<br />who treat you holistic and alternatively before resorting to traditional <br />medicine is very difficult to find. <br /> <br />Recently I found myself getting more and more depressed about aging and dreaded getting older. I began seeing my body looking old and I was loosing the<br />high energy that I had always had. I have been blessed with outstanding<br />good health all my life because I always tried to take good care of my<br />body. So believe me, I was beginning to feel hopeless and puzzled by<br />what was happening to my body. <br /><br />The search was on when I found Cool Springs Family Medicine.<br /><br />At Cool Springs Family Medicine, I was treated like I was very important<br />and cared for by all the staff. Dani Williamson, nurse practitioner, did some very extensive blood test and quickly found my problems. I was so thankful<br />and I began to have hope again. <br /><br />One of the tests that Dani did was to test my Thyroid Antibodies. No other doctor had tested it because my Thyroid Panel had always been normal. I was shocked to discover that I had Hashimoto’s disease. The level was 1490.3 and normal<br />Is 60. Everything I have read about Hassimoto’s disease is that there is<br />nothing you can do about it. The only thing is wait under the antibodies destroy you thyroid and then you start taking hormone pills. Well, I knew in my heart<br />that that would NOT be my fate! Also I knew that once you begin taking thyroid medicine, then your thyroid completely stops making the hormones.<br /><br />Right away Dani put me on some vitamins that support the thyroid and that settle the antibodies down. She also told me to start on a Gluten Free Diet. There is a book that was just printed that she recommended I read and would give me hope also: Hope for Hashimoto’s by Dr. Alexander Haskell, N.D.<br /><br />After three months, Dani did another blood test and the Thyroid Antibodies was<br />Down 540 points to 950.3 from 1490.3! I was beyond excited and so happy. I knew Dani and Cool Springs Family Medicine was a God sent. <br /><br />Having gone through menopause about 15 years ago, my hormone levels<br />were depleted; which explained my lack of interest in sex, dry vagina,<br />lack of energy, lack of enthusiasm for life, my skin looking wrinkled and<br />saggy in a lot of places on my body. <br /><br />Dani suggested I do the Testosterone Pellets that could be inserted under<br />my skin and would last for 3 months. Since my testosterone level was<br />zero, I was anxious to receive this treatment. She also subscribed Progesterone Troches that I would let dissolved in my mouth at bedtime. <br /><br />Within a week, I began to feel better, my endurance level was coming back and I began to feel younger and like a woman again. Within two weeks, my sex drive was back and I was feeling that desire I used to have for my husband. Believe me, he was very happy about that because he wasn’t feeling rejected by me anymore!<br /><br />Another thing I was seeing was that when I would go work out, my trainer was amazed because I was getting stronger and she was able to add more weights to my workout. I was feeling a lot stronger during the spinning classes too. <br /><br />I cannot believe the difference in my health and life now. I will continue to <br />work until I get my Thyroid Antibodies down to normal and I will continue to<br />get the testosterone pellet inserts regularly and continue with the progesterone troches. <br /><br />Thank you Cool Springs Family Medicine and Dani Williamson for giving me<br />my life back. (My husband thanks you too).Anonymoushttp://www.blogger.com/profile/11800912752892777513noreply@blogger.com0