by Tony Cusano | Jan 30, 2025 | Public
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by Tony Cusano | Apr 10, 2021 | Public
This recent report about the neuro-cognitive effects in some victims of COVID-19 highlights a stark fact; the human body is really a mind-body. Our minds and bodies seem to operate independently, but they cannot be separated.
Post-COVID and long COVID are as real as phantom limb pain (where someone feels pain in a limb that was amputated). And anyone can experience the underlying connection to help understand why.
Hold your thumb and first finger apart like you’re holding a lemon wedge. Now imagine you’re holding the wedge – really see it. Now bring it to your lips and imagine you’re biting on it.
Now you’re salivating.
That’s an automatic reflex to tasting a lemon wedge in your mouth.
But there’s no lemon, except in your mind. And you can’t stop the saliva from flowing as long as you are visualizing the lemon.
The cognitive and neuropsychological sequellae of COVID are just as real as the saliva we make for an imaginary lemon, even if our imaginations are the only real stimulus.
Next time you say something is just in someone’s head, remember, that’s where all biological reality flows.
And PS – when you feel overwhelmed, imagine that lemon, let the saliva flow, and enjoy the moment (Put a little sugar on it if that makes it easier).
It’s a reflex that is mediated through the vagal nerve, and so the experience is powerfully calming if we let it be.
If you would like to learn more about the mind-body connection, and how you can use it to collaborate with your doctors and take charge of your own healthcare, call us at 203-692-4422, or email ajc@www.operamhealthcare.com.
by Tony Cusano | Sep 13, 2020 | Public
We encourage collaboratively sharing in medical decisions with your doctor based on a rigorous review of the benefits, risks, alternatives, and unknowns of all diagnostic or treatment plans.
The recent FDA announcement that a strong clinical trial it had ordered as a condition of its approval of Belviq for weight loss revealed an increase in cancer risk highlights the reasons for our collaborative philosophy of medical care. The FDA had ordered the trial to measure to any possible cardiovascular toxicity because it had found such toxicity after it approved prior weight loss drugs. Instead, it found an unexpected cancer risk.
While the risks of obesity are high, and the benefits of weight loss for that condition are also high, and the alternatives to medications like Belviq are also risky, finding a potential cancer risk reveals why using a treatment with so many unknowns should be approached with great caution, even after a long period of experience with the treatment by many doctors. You should have a say in deciding how such risks fit into your own goals and values.
It also reveals why even drugs considered to be “safe” based on their long term use warrant careful consideration each time they are prescribed. How long would it have taken for the cancer risk signal to have been discovered for Lorcaserin had the FDA not ordered a rigorous trial for a toxicity completely unrelated to the one it discovered? Few approved drugs receive such an order for more rapid rigorous analysis.
Take charge of your medical care by collaborating with your doctor. We can help educate, coach, and advocate to help. Call us at 203-692-4422, or email us at ajc@www.operamhealthcare.com for an introductory consultation.
by Tony Cusano | Jul 19, 2020 | Public
We most certainly agree that as with any medical decision, the decision to get vaccinated against influenza must be made in the context of a full understanding and evaluation of the benefits, risks, alternatives, and unknowns.
This year, that analysis is even more fraught with importance. Please carefully consider getting vaccinated early against influenza.
This year, Operam Healthcare is offering free consultation to those who wish assistance in making their decision regarding influenza vaccine. If you would like such coaching, please email or call, or check out our website for further information.
by Tony Cusano | Jun 14, 2020 | Public
The COVID 19 pandemic has put enormous pressure on the medical and scientific communities to find answers quickly. The behavior of doctors and scientists under stress reveals cracks that have always been present, but have now become gaping fissures.
We recently reviewed the way hydroxychloroquine illustrates Sir William Osler’s famous observation that “medicine is a science of uncertainty and an art of probability.” The recent retractions of two large observational studies by two widely-respected medical journals highlight the powerful wisdom of Osler’s missive.
Many physicians rely on the information they read in those medical journals. However, many don’t take the time to dissect every study. They rely on experts to do it, and follow guidelines created by those experts to help them make their medical decisions.
The hydroxychloroquine dust-up reveals how even experts may miss critical flaws in research methods. That’s why it’s so critical that you collaborate well with your doctors. You should ask the hard questions they may not have.
Careful review of the benefits, risks, alternatives and unknowns is the powerful tool to fully explore the science behind difficult decisions. Knowing how to ask hard questions about what the experts say will help assure that any medical decision will account for the uncertainty, and apply the probability in a way that respects your own goals and values.
We can help to educate, coach and advocate to help you better collaborate with your doctors. If you would like to learn more, call 203-692-4422, or email ajc@www.operamhealthcare.com.
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