Health & Wellness March 2022

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SCRIPPS MEMORIAL La Jolla joins two other Level 1 adult trauma centers in San Diego County — Scripps Mercy Hospital San Diego and UC San Diego Medical Center.

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Scripps Memorial La Jolla now Level 1 trauma center

By City News Service

REGION — Scripps Memorial Hospital La Jolla was verified as a Level 1 trauma center, the highest designation awarded by the American College of Surgeons to indicate the highest range of injury care available to patients, it was announced Feb. 24.

Scripps Memorial La Jolla joins two other Level 1 adult trauma centers in San Diego County — Scripps Mercy Hospital San Diego and UC San Diego Medical Center.

“Several years ago, Scripps made a commitment to elevate this trauma center to the highest level possible while significantly increasing the amount of academic medical education,” Scripps Health President and CEO Chris Van Gorder said in a statement. “Physician medical education has long been a core part of our health care mission, and now we offer trauma center physician training in addition to trauma research at two of our hospitals, Scripps Mercy

Hospital San Diego and now Scripps Memorial Hospital La Jolla — the only health system in San Diego County with two Level 1 trauma centers.”

Contributing to the verification was the hospital's development of a collaborative research program, establishment of an academic training program for surgical residents from the Naval Medical Center San Diego and expansion of education programs for other healthcare providers.

“Level 1 verification

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for the trauma center at Scripps La Jolla will benefit all of the patients we treat each year, whether they suffer a traumatic brain injury, spinal injury, broken bones or a gunshot wound,” said Dr. Walter Biffl, Scripps La Jolla trauma medical director. “While we still provide the entire spectrum of trauma care, the addition of trauma research and resident training has ensured that all of our trauma team members stay focused on the latest developments in trauma care.

“Our research studies are based on the patients and injuries seen in our community, improving their care locally and sharing our findings with trauma providers worldwide,'' he said.

“We are committed to keeping Scripps La Jolla at the forefront of trauma care for years to come. At the same time, our community education efforts are helping people prevent traumatic injuries by avoiding things like falls, cycling accidents and car crashes.”

Surveyors from the

ACS who evaluated the hospital pinpointed strengths including: “innovative clinical care guidelines, rapid and high-quality care of the most critical trauma patients and outstanding collaboration with prehospital EMS providers and the San Diego County trauma system,” according to the hospital.

The surveyors noted that the center had no adult patient transfers to other facilities over the past year because all the needed care was available on site.

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Tri-City offers broad range of colorectal cancer services

T YOU NEED to change your habits for effective long-term weight loss.

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S P O N S O R ED C O N T EN T

Spring into better eating habits healthy living

dr. kern brar, m.d.

I

was asked by a patient to give them a list of spring cleaning recommendations and I feel like some of these may be helpful for those of us trying to make healthier decisions in 2022.

1. The single most important thing is removing high fructose corn syrup from your diet, so go through your pantry and fridge and look at the label of everything you put in your mouth.

2. Throw away foods that are high in fat and sugar, usually cookies and snacks we may reach for in times of stress for indulgence. Some of my patients also use various high protein, low sugar options but I urge you to check the labels.

3. Get rid of the extra calories in sugary drinks

and sodas including diet sodas which usually just substitute a synthetic sugar like aspartame or sucralose. I recommend replacing these with a soda water machine that lets you make carbonated water without any additional calories.

4. Move high calorie foods like nuts and cookies to the top of the pantry so you have to make a whole hearted effort to get to them. You may not want to throw away a few things that you plan to indulge in once you return to your healthy weight.

In terms of things to buy, I recommend shopping on the outside of most grocery stores to get fresh fruits/vegetables and meats, especially fish.

Things that are usually boxed have unneeded chemicals including extra salt, sugar and fats that most of us simply do not need. Cutting out these chemicals that help preserve foods will definitely improve your energy levels and improve your overall well-being.

I recommend farm to

table produce to support local growers, and we have quite a few collectives in the region. Some of the supermarket produce may have traveled many miles to get here, so make sure all produce is thoroughly washed to reduce the risk of food-borne illnesses.

The goal in effective long term weight loss is to change your habits and behaviors to enjoy high fiber low calorie density foods instead of high calorie, low fiber foods. I often tell my patients to stay away from things that bodybuilders use to gain weight.

Peanut butter, egg yolks, dried fruits and nuts seem to be common hurdles for some of my patients on the weight loss journey.

Dr Kern Brar is a board certified internal medicine physician and partner at Tri-City Primary Care.

He lives in North County and has helped hundreds of patients lose weight with medically monitored weight loss and a natural approach to health.

To learn more call 760940-7000.

he American Cancer Society and Colorectal Cancer Alliance estimate that more than 150,000 people of all ages in the U.S. will be diagnosed with colorectal cancer in 2022.

This disease is the third most commonly diagnosed cancer and the second leading cause of death in men and women combined. Both organizations note that the rate of new cases continues to decline, thanks to healthier lifestyles and screenings.

“The importance of getting screened cannot be emphasized enough as some patients may not have obvious symptoms,” said Kristen Blaker, MD, FASCRS, FACS, a colorectal surgeon at Coastal Surgeons, which is affiliated with Tri-City Medical Center.

“There are several athome, stool-based screening tests available for people who may not want to do a colonoscopy. These are a good first step, but a colonoscopy is considered the ‘gold-standard’ as it provides the most definitive results and can identify polyps before they turn cancerous.”

Other virtual screenings include computed tomography (CT) colonography and flexible sigmoidoscopy (FSIG), both recommended every five years.

Stool-based tests, including the fecal immunochemical test (FIT) and guaiac-based fecal occult blood test (gFOBT), are provided by a doctor and need to be completed annually. FIT DNA kits, such as Cologuard, which is the only one approved by the U.S. Food and Drug Administration (FDA), are shipped to people’s home by the company and must then be sent back for testing.

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screening is now recommended for people at average risk starting at the age of 45, as the incidence rate is rising in younger adults, and it should be repeated every 10 years until the age of 75. For those with a personal or family history of the disease and polyps, or have inflammatory bowel disease, screening is recommended before age 45.

“Approximately 20% to 30% of colorectal cancer cases are associated with a family history of colon polyps,” said Dr. Blaker.

“About three to five percent of those are actually associated with an identifiable colorectal family cancer syndrome, meaning there is an inherited gene mutation that is passed down in each generation. In these cases, genetic testing and counseling should be considered.”

Aaron Byzak, Chief External Affairs Officer for Tri-City Medical Center, started getting screened for colorectal cancer at age 35.

“My mother passed away at 55 years of age from colorectal cancer,” said Byzak.

“This disease has taken the lives of more than a half dozen of my family members. My siblings and I get screened regularly because if caught early, colorectal cancer can be prevented or treated with surgical intervention.”

Once cancer is identified from a biopsy done during a colonoscopy, an oncologist will “stage” the colorectal cancer based on the size of the tumor, and if it

has spread to lymph nodes or metastasized. Stages range from 0 to IV depending upon how far the cancer has spread inside and/or outside of the colon.

“Most colorectal cancers are treated with surgery and those in the higher stages may require chemotherapy,” said Dr. Blaker. “Early-stage cancers and polyps can be removed during a colonoscopy, whereas a colectomy is needed to remove all or parts of the colon for later stage cancers. Once the tumor has been removed, the oncologist can test it genetically and tailor a patient’s chemotherapy accordingly, as well as determine targeted drug therapy.”

“At Tri-City, we perform robotic-assisted colorectal surgery using the da Vinci® Xi surgical system,” added Dr. Blaker.

“This minimally invasive approach means smaller incisions resulting in better outcomes, reduced hospital stay and quicker recovery. Through the hospital’s Perioperative Surgical Home, we can provide enhanced recovery to our patients.”

Tri-City is the only hospital in San Diego County with a Perioperative Surgical Home to care for patients scheduled to have elective colorectal surgery.

This is a multi-disciplinary, physician led team using evidence-based practices to care for the patient from the decision to have surgery and beyond discharge.

This approach focuses the team’s attention to maximize a patient’s quick recovery.

Screening for colorectal cancer saves lives. Call Tri-City Medical Center today at 855-222-8262 to set up an appointment with a primary care doctor to schedule a screening.

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Spring forward by cleansing your soul intentional living

angie & marc rosenberg

I

n Spring, we can find ourselves motivated for organization, cleansing, and change.

As a part of our seasonal shift, in moving from shorter to longer days, we are given the gift of more daylight. What do we do with this gift, well Spring Clean of course.

There’s something about a longer day that helps motivate us to clear out the old and prioritize what we find useful and needed. In the same way, we clean out our material items, so too should we give time to consider all the excess and unintentional consumption we accumulate emotionally, mentally, nutritionally, physically, and relationally throughout the year.

And so we must ask ourselves, is there a meaningful purpose behind this accumulation? Have we considered how our consumption impacts our lives on a daily and the potential residue it can leave be-

IS THERE a meaningful purpose behind this accumulation?

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hind?

The change of season brings a blossoming of flowers, the emergence of life, and a breath of fresh air.

I often think about how spring showers clear away the dark of winter. In the same way, nature responds to this change, so too can

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we shower ourselves with greater awareness of the impacts of our consumption.

One of the easiest places to start is in our own homes. The place we ought to find peace, relaxation, and comfort, is the place we tend to overconsume the most. Pause and take some purposeful time to look around your home.

Take notice of all the areas in which consumption is excessive. Start with tangibles such as material items.

An easy and resourceful way of doing this is to categorize your home items.

One category is marked for “keep”, one is marked for “not sure”, and one is marked “remove”. Gather

two bins or bags for items that you consider “not sure” and “remove”. Start with a closest, and move throughout your home, intentionally and honestly removing items, including food, that no longer serve a healthy purpose for you.

It is not without consideration that this act of cleansing can be challenging, testing our values and priorities, and bringing clarity to what holds the most meaning. Sometimes it’s important to have support in this process. Share the experience with family or friends, or seek professional supports to guide your journey.

As the sun warms you up this spring, think about how you can create more forward momentum for yourself. What gives you energy and what is valuable to you? Creating more space by getting rid of what you do not need or becoming clear on what it is you do need, can create the motivation necessary for you to be successful with your intentions.

NTENTION Tips For Cleansing Your Soul: 1. Make a list of everything you consume daily.

2. Ask yourself with truth, are these needed or do I need to make some changes?

3. Declutter by eliminating what is not needed to create space.

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LINGUSTICUM PORTERI, also known as bear root, wild parsnip, Porter’s Lovage or wild celery, is most commonly known as osha in the herb world. Courtesy photo

HERB OF THE MONTH

Osha (Lingusticum Porteri)

H

ave you ever watched a bear emerge from hibernation?

Though we have plenty of bears here in the Gila Wilderness of New Mexico, I’ve only read stories. They’ve been recorded digging up the osha plant and then rubbing the roots over their coats just after waking up from their winter slumber.

Lingusticum Porteri, also known as bear root, wild parsnip, Porter´s Lovage, or wild celery is most commonly known as osha in the herb world. In fact, osha means bear in a local Native American language.

This extraordinary plant is a potent antioxidant proven to reduce inflammatory markers in recent studies. For generations Curanderos and Native healers have used osha for its antibacterial, antiviral, antifungal and antiparasitic properties.

It has also been shown to increase oxytocin, the happiness hormone produced

by the hypothalamus. Bear hug anyone?

Osha is a member of the carrot and parsley family. The flowering plant can grow up to 7 feet high in moist rich mountain soil.

Osha is easily confused with poison hemlock in appearance, but it’s odor is different and carries an extremely strong celery scent.

Due to over harvesting for many years, ethical wildcrafting is necessary to preserve this important gift from mother nature, as it is now considered endangered.

Not everyone has an ethnobotany professor as a neighbor, so it's best to buy osha from a reputable organic source such as an online apothecary. It can easily be decocted (made in to a tea), infused into a tincture, or added to a healing salve.

As with all healing herbs and supplements, it is important to discuss using osha with your doctor, especially if you or your pet are pregnant or nursing.

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Be aware of oral inflammation

T IT IS IMPORTANT to remember that we can absorb 30%-40% of our dietary intake, but certain factors can decrease how much availability of magnesium the body has. Courtesy photo

Magnesium & common usages

O

ne of my favorite supplements is magnesium, I use it with my patients for many common everyday health problems, and I have to say it works like a charm.

I use it for with my female patients who are menstruating, it helps them with their menstrual cramps, and it helps them with their hormonal induced headaches.

I use it with the patients that need to regulate their bowel movements, and are nutrient deficient, I use it with my cardiovascular patients, and with those that suffer from chronic fatigue.

I use it with my patients that suffer from mild neuropsychological symptoms such as mild depression, general anxiety, and restless leg syndrome.

There are different types of magnesium, I will focus on the most clinically relevant types. Magnesium glycinate, magnesium citrate, magnesium oxide, magnesium malate, magnesium sulfate.

Obviously, these are general guidance, and always remember to check with your healthcare provider.

The different molecular structure gives magnesium its name. Through school, research, and treating patients I have come to learn which are the best for certain conditions and which way they are best absorbed by the body.

MAGNESIUM OXIDE • Antacid • Poorly absorbed when compared to other types.

MAGNESIUM CITRATE • Hypertension • Constipation MAGNESIUM GLYCINATE • Constipation • Menstrual cramps MAGNESIUM MALATE • Chronic fatigue MAGNESIUM SULFATE • Absorbed well through the skin.

• What we find in Epson Salt.

• Relieves menstrual cramps when applied topically and intravenously.

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health pearls

sadi jimenez, n.d.

• Relieves musculoskeletal pains and aches, especially those cause by over exertion of physical activity.

Sometimes magnesium is warranted for multiple conditions, and in this case, I tend to use a blend of citrate, glycinate, and malate. I usually recommend a loading dose (a high amount for a short amount of time), and a maintenance dose (an amount that tends to be lower, but longer in duration).

Patients with cardiac arrythmias should consult their doctors before starting any type of mineral regimen. However, magnesium has also shown to decrease cardiovascular disease. In this instance it is important to consult with a qualified healthcare professional.

Certain populations have lower magnesium levels, the elderly, diabetics, IBD, IBS, food allergies, alcoholism, and a poor microbial diversity, might warrant an ongoing treatment with magnesium.

It is important to remember, that we can absorb between 30-40% of our dietary intake, but cer-

tain factors can decrease how much availability of the magnesium the body has.

Things like our soil. It is worthy of mention that recent studies show that our soils through centuries of cultivation have 28% less magnesium.

Processed food, dietary aluminum, a low protein intake < 30g/diet, high phosphorus to magnesium ration, very high calcium intake, alcohol, soft drinks and coffee, and some drugs such as diuretics can also lower our absorption rates.

Keep in mind that some factors can increase available magnesium that are bodies can use such as fermentable fiber, vitamin D, vitamin B6, and hard magnesium-rich water.

CITATIONS 1) Fiorentini D, Cappadone C, Farruggia G, Prata C. Magnesium: Biochemistry, Nutrition, Detection, and Social Impact of Diseases Linked to Its Deficiency.

Nutrients. 2021;13(4):1136.

Published 2021 Mar 30. doi:10.3390/nu13041136 2) Hartshorn AS, Chadwick OA, Vitousek PM, Kirch PV. Prehistoric agricultural depletion of soil nutrients in Hawai'i. Proc Natl Acad Sci U S A. 2006 Jul 18;103(29):11092-7. doi: 10.1073/pnas.0604594103.

Epub 2006 Jul 10. PMID: 16832047; PMCID: PMC1544177.

he gums and the mucosal lining of the mouth are exposed to the outside world and susceptible to microbial growth and infections. If you don’t get cleanings done on a regular basis, then these microbes make a home around your teeth and under your gums, creating constant inflammation. They can also gain access to the rest of your body, because bleeding or ‘leaky’ gums can give aggressive microbes access to your bloodstream.

Why This is Important.

With any infection, including Covid 19, the goal is to maintain a healthy immune system and to lower systemic inflammation. If your body is fighting other bacteria and infections on different fronts, including in your mouth and gut, then your immune system is already overtaxed.

It takes a lot of energy for your body to fight infections 24/7, which is what happens with gum disease.

So it's important to support gum and tooth health and keep your gums from getting red and inflamed or allowing them to bleed.

Following are the most important things you can do at home to keep your mouth healthy: • USE BAKING SODA The easiest way to use baking soda is once a day pick some up with a wet toothbrush and massage it along your gum line. Don’t be too aggressive as it is abrasive. I recommend that you do this after you brush your teeth as you have always done. Then spit out the excess.

You can also make a suspension with baking soda and 3%hydrogen peroxide bought at the drugstore.

First dilute the hydrogen peroxide by 50%, then add the baking soda to form a loose slurry. Dip a tool such as the Doctor’s Brushpick or Soft Picks by GUM into the slurry and use it to massage the gums in between the

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• FLOSS EVERY DAY Floss at least once a day.

Usually this is best at night after you have eaten your last meal for the day. My favorite floss is one that stretches and frays as you floss, made by Dr Tungs.

• USE A RUBBER TIP Use a rubber tip to wipe the plaque off along your gum line that otherwise sticks and is hard to remove.

I have made bicarbonate, or baking soda, a staple for everyone’s dental health because it kills spirochetes and amoeba. These are miDr. Carey O’Rielly, DDS crobes not fully killed by anything else, including an- is a holistic dentist practicing at Integrative Dentistry in tibiotics.

Amoeba are aggres- Encinitas. Visit his website at sive parasites that cause the myholisticdentist.com or call 760-632-1304.

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gums to bleed and then feed on the blood. So some cases of amoeba need even more aggressive management, requiring a solution of bleach so diluted that it becomes a homeopathic. pH Paper – Another excellent, simple practice is to use pH paper to test whether your mouth is alkaline or acidic. Simply tear off a small strip, wet it on your tongue and wait a few seconds for the color to change.

There is a handy color chart which tells you what your pH level is.

Ideally you want a 7.0 pH for your saliva. 5.5 is too acidic. 8 or above is too alkaline.

If it‘s too acidic, it can be because of stress or a diet too high in sugar or acidic foods and beverages.

These include coffee, lemons, carbonated drinks and vinegar. Over my 35 years of practice, I have seen these approaches work!

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