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New Treatments for Chronic Fatigue

by Dr. Richard N. Firshein


 
 
     Oxygen is so basic for our every day life, that it is  taken  for
     granted.  The  medical  community  is beginning to rediscover how
     important oxygen is to our bodily functions.
 
     In a recent article, research has indicated a link between oxygen
     and Chronic Fatigue Immune Dysfunctional Syndrome (CFIDS).
 
     What does this have to do with skin care? A person in poor health
     or suffering from stress, is  reflected  in the skin. Proper skin
     care requires more than just getting  a  facial.  It  requires  a
     healthy  body,  proper  diet  and  exercise. The odds are that at
     least one of your clients is suffering from CFIDS.
 
     The following is an  article  by  Dr.  Richard N. Firshein, which
     appeared in the MIDTOWN REPORT, December 28,  1992.  I  hope  you
     find it of interest.

 
     "A  few weeks ago I attended an international conference on CFIDS
     -  the  epidemic  that  has   swept  the  country.  I  discovered
     fascinating new information, much of it still in  the  pioneering
     and  even  theoretical stages, that reflects what I have found in
     my own extensive treatment  of  fatigue patients. Researchers are
     indeed learning way to combat this mysterious viral illness,  and
     are  beginning to understand some of its biochemical markers, the
     disease's 'footprints,' which help us to chase it down.
 
     Chronic fatigue  is  a  severe,  debilitating  disorder which can
     affect anyone.
 
     It seems to be a viral illness, but  nobody  has  proven  that  a
     single  virus  is  responsible. CFIDS is now such a public health
     problem that  the  Centers  for  Disease  Control(CDC) in Atlanta
     receive 3,000 calls a month asking for information and referrals.
 
     Patients describe their fatigue  as  oppressive  -  a  prolonged,
     pervasive  weariness that seems to penetrate every cell. Patients
     with  CFIDS  usually  suffer  from  an  entire  constellation  of
     symptoms,  including  severe  fatigue,  memory  loss,  difficulty
     concentrating,  recurrent  flu-like   illness,  low-grade  fever,
     severe muscle aches and neurological problems.
 
     Though I find that at least 80 percent of fatigue patients in  my
     practice  improve  with  a  variety of innovative treatments, the
     disease can  be  puzzling  and  frustrating  for  the  doctor and
     devastating for the patient. In a  conference  meeting  with  top
     chronic  fatigue  experts,  including  pioneering  physician Paul
     Cheney, one of  the  first  doctors  to  describe  the disease, I
     discovered that many of us have independently arrived at  similar
     conclusions.
 
     The Breath of Life
 
     Scientists have long known that oxygen is literally the breath of
     like,  but  only  recently  have  studies  begun  to  reveal  how
     profoundly  oxygen  metabolism  influences  health  and  illness.
     Oxygen, indeed, may be a key to helping overcome chronic fatigue.
 
     How  can  we drench the body with healthy oxygen? Exercise is one
     simple way, but regular  exercise  is an enormous undertaking for
     CFIDS patients and  often  leaves  them  feeling  much  worse.  I
     recommend a special program that allows the chronically exhausted
     patients   to  participate  in  short  bursts  of  exercise  that
     oxygenate the cells without requiring sustained effort. Over time
     the body builds up more  of the precious mitochondria, the energy
     powerhouses of every cell. Mitochondria utilize oxygen to produce
     energy.
 
     Research presented at the conference  revealed  some  interesting
     new  links  between  oxygen  and  chronic fatigue. One pioneering
     Japanese study found that a key amino acid, L-carnitine, which is
     very important in oxygen metabolism, is deficient in most chronic
     fatigue patients. New research by Dr. Cheney provided yet another
     link to oxygen.  He  has  found  that  giving  his patients daily
     megadoses of intravenous Vitamin B-12(one of the primary 'energy'
     vitamins involved in oxygen metabolism) can significantly improve
     fatigue.
 
     Other vitamins and minerals, used both orally and  intravenously,
     have  proved  helpful in my own practice, including vitamin C and
     magnesium. Magnesium  is  extraordinarily  helpful in alleviating
     muscle aches and calming the nerves.
 
     Other  pioneering  research  is   uncovering   new   nuggets   of
     information  about  immune-enhancing  drugs  and  nutrients.  One
     profoundly helpful anti-viral drug, called Ampligen, will soon be
     the  subject of pilot studies around the country, and we may have
     one  here  in  New  York.  Half  the  patients  on  Ampligen  are
     significantly improved,  and  can  reduce  other medications, and
     there seem to be no unpleasant side effects to the drug. The only
     caveat: the patient may need to take  the  drug  indefinitely  to
     prevent relapse.
 
     Yet   another  new  prescription  substance  derived  from  liver
     extracts,   called    Kutapressin    has   significantly   helped
     approximately 70 percent of chronic fatigue patients  when  given
     over a period of months.
 
     I   myself  have  found  that  innovative  nutritional  therapies
     emphasizing oxygen metabolism and  immune enhancement have helped
     many of my patients disabled by this disease. Recently I  treated
     a  35-year-old construction worker so exhausted he couldn't work.
     He  suffered  headaches,  fatigue,  lack  of  appetite  and sleep
     disturbances.  Treatment  for  food   allergies,   as   well   as
     intravenous  therapy with Vitamin B-12 and magnesium improved him
     so quickly that he was back to work in a month.
 
     Make Sure It's CFIDS
 
     A final thought: often  patients  come  to  me convinced they are
     suffering from CFIDS, when in fact the source of their fatigue is
     something entirely different. Even though they have many symptoms
     of the disease, there are other significant causes of unremitting
     fatigue,  from  allergies  to   Lyme   Disease,   parasites   and
     nutritional   deficiencies.  Often  several  of  these  disorders
     coexists in a single patient.
 
     A mother of two came to  me  last week and thought she had CFIDS.
     She constantly felt fatigued and washed out. A routine blood test
     revealed she was hyperthyroid -  severely  deficient  in  thyroid
     hormone.  Treatment with thyroid hormone has made her feel better
     than she has in years.
 
     In conclusion,  CFIDS  is  becoming  more  and  more treatable. A
     combination of  new  anti-viral  drugs,  nutrients  that  enhance
     oxygen   absorption   and  boost  the  immune  system,  and  even
     intravenous therapy with key vitamins such as B-12, helps many of
     my patients. Great strides are  being  made in this field, as the
     biochemistry of chronic  fatigue  is  unraveled,  even  the  most
     fatigues patient will have real cause for hope."
 
 
     Dr. Richard N. Firshein is a physician in private practice
     on  the  Upper East Side of New York City, and is Board certified
     in family medicine.

New Treatments for Chronic Fatigue

by Dr. Richard N. Firshein


 
 
     Oxygen is so basic for our every day life, that it is  taken  for
     granted.  The  medical  community  is beginning to rediscover how
     important oxygen is to our bodily functions.
 
     In a recent article, research has indicated a link between oxygen
     and Chronic Fatigue Immune Dysfunctional Syndrome (CFIDS).
 
     What does this have to do with skin care? A person in poor health
     or suffering from stress, is  reflected  in the skin. Proper skin
     care requires more than just getting  a  facial.  It  requires  a
     healthy  body,  proper  diet  and  exercise. The odds are that at
     least one of your clients is suffering from CFIDS.
 
     The following is an  article  by  Dr.  Richard N. Firshein, which
     appeared in the MIDTOWN REPORT, December 28,  1992.  I  hope  you
     find it of interest.

 
     "A  few weeks ago I attended an international conference on CFIDS
     -  the  epidemic  that  has   swept  the  country.  I  discovered
     fascinating new information, much of it still in  the  pioneering
     and  even  theoretical stages, that reflects what I have found in
     my own extensive treatment  of  fatigue patients. Researchers are
     indeed learning way to combat this mysterious viral illness,  and
     are  beginning to understand some of its biochemical markers, the
     disease's 'footprints,' which help us to chase it down.
 
     Chronic fatigue  is  a  severe,  debilitating  disorder which can
     affect anyone.
 
     It seems to be a viral illness, but  nobody  has  proven  that  a
     single  virus  is  responsible. CFIDS is now such a public health
     problem that  the  Centers  for  Disease  Control(CDC) in Atlanta
     receive 3,000 calls a month asking for information and referrals.
 
     Patients describe their fatigue  as  oppressive  -  a  prolonged,
     pervasive  weariness that seems to penetrate every cell. Patients
     with  CFIDS  usually  suffer  from  an  entire  constellation  of
     symptoms,  including  severe  fatigue,  memory  loss,  difficulty
     concentrating,  recurrent  flu-like   illness,  low-grade  fever,
     severe muscle aches and neurological problems.
 
     Though I find that at least 80 percent of fatigue patients in  my
     practice  improve  with  a  variety of innovative treatments, the
     disease can  be  puzzling  and  frustrating  for  the  doctor and
     devastating for the patient. In a  conference  meeting  with  top
     chronic  fatigue  experts,  including  pioneering  physician Paul
     Cheney, one of  the  first  doctors  to  describe  the disease, I
     discovered that many of us have independently arrived at  similar
     conclusions.
 
     The Breath of Life
 
     Scientists have long known that oxygen is literally the breath of
     like,  but  only  recently  have  studies  begun  to  reveal  how
     profoundly  oxygen  metabolism  influences  health  and  illness.
     Oxygen, indeed, may be a key to helping overcome chronic fatigue.
 
     How  can  we drench the body with healthy oxygen? Exercise is one
     simple way, but regular  exercise  is an enormous undertaking for
     CFIDS patients and  often  leaves  them  feeling  much  worse.  I
     recommend a special program that allows the chronically exhausted
     patients   to  participate  in  short  bursts  of  exercise  that
     oxygenate the cells without requiring sustained effort. Over time
     the body builds up more  of the precious mitochondria, the energy
     powerhouses of every cell. Mitochondria utilize oxygen to produce
     energy.
 
     Research presented at the conference  revealed  some  interesting
     new  links  between  oxygen  and  chronic fatigue. One pioneering
     Japanese study found that a key amino acid, L-carnitine, which is
     very important in oxygen metabolism, is deficient in most chronic
     fatigue patients. New research by Dr. Cheney provided yet another
     link to oxygen.  He  has  found  that  giving  his patients daily
     megadoses of intravenous Vitamin B-12(one of the primary 'energy'
     vitamins involved in oxygen metabolism) can significantly improve
     fatigue.
 
     Other vitamins and minerals, used both orally and  intravenously,
     have  proved  helpful in my own practice, including vitamin C and
     magnesium. Magnesium  is  extraordinarily  helpful in alleviating
     muscle aches and calming the nerves.
 
     Other  pioneering  research  is   uncovering   new   nuggets   of
     information  about  immune-enhancing  drugs  and  nutrients.  One
     profoundly helpful anti-viral drug, called Ampligen, will soon be
     the  subject of pilot studies around the country, and we may have
     one  here  in  New  York.  Half  the  patients  on  Ampligen  are
     significantly improved,  and  can  reduce  other medications, and
     there seem to be no unpleasant side effects to the drug. The only
     caveat: the patient may need to take  the  drug  indefinitely  to
     prevent relapse.
 
     Yet   another  new  prescription  substance  derived  from  liver
     extracts,   called    Kutapressin    has   significantly   helped
     approximately 70 percent of chronic fatigue patients  when  given
     over a period of months.
 
     I   myself  have  found  that  innovative  nutritional  therapies
     emphasizing oxygen metabolism and  immune enhancement have helped
     many of my patients disabled by this disease. Recently I  treated
     a  35-year-old construction worker so exhausted he couldn't work.
     He  suffered  headaches,  fatigue,  lack  of  appetite  and sleep
     disturbances.  Treatment  for  food   allergies,   as   well   as
     intravenous  therapy with Vitamin B-12 and magnesium improved him
     so quickly that he was back to work in a month.
 
     Make Sure It's CFIDS
 
     A final thought: often  patients  come  to  me convinced they are
     suffering from CFIDS, when in fact the source of their fatigue is
     something entirely different. Even though they have many symptoms
     of the disease, there are other significant causes of unremitting
     fatigue,  from  allergies  to   Lyme   Disease,   parasites   and
     nutritional   deficiencies.  Often  several  of  these  disorders
     coexists in a single patient.
 
     A mother of two came to  me  last week and thought she had CFIDS.
     She constantly felt fatigued and washed out. A routine blood test
     revealed she was hyperthyroid -  severely  deficient  in  thyroid
     hormone.  Treatment with thyroid hormone has made her feel better
     than she has in years.
 
     In conclusion,  CFIDS  is  becoming  more  and  more treatable. A
     combination of  new  anti-viral  drugs,  nutrients  that  enhance
     oxygen   absorption   and  boost  the  immune  system,  and  even
     intravenous therapy with key vitamins such as B-12, helps many of
     my patients. Great strides are  being  made in this field, as the
     biochemistry of chronic  fatigue  is  unraveled,  even  the  most
     fatigues patient will have real cause for hope."
 
 
     Dr. Richard N. Firshein is a physician in private practice
     on  the  Upper East Side of New York City, and is Board certified
     in family medicine.

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HYPERBARIC OXYGEN THERAPY OF ARIZONA L.L.C., 12802 N. Cave Creek Road, Phoenix, Arizona 85022(602) 996-8327 Fax: (602) 996-3348. If you have a patient that needs hyperbaric services, or want more information, please contact us.


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