Investigators believe the Las Vegas Route 91 Harvest Concert shooter, Stephen Paddock, suffered from severe mental illness that was never diagnosed. This seems obvious to us, as anyone who would kill 59 innocent people and wound hundreds more could never be of sound mind.

 

However, one would think a person this mentally unstable would leave a pattern of behavior footprints that would have been picked up earlier in his life.

 

Although no motive has been established in the shooting, investigators have interviewed multiple acquaintances who knew the 64-year-old real estate investor and were told he was disconnected, stand-offish, and lacked multiple social interactions. However, he easily flew under the radar as he had a girlfriend, appeared to be close to his mother, and had successful real estate dealings that funded his gambling habits.

 

Most mass shootings are committed not by those who spent time in mental institutions but by those who dined, shopped, and lived near their victims. And many have been under the care of medical providers, being prescribed medications that address psychological symptoms.  So how do mass shooters evade proper diagnosis?

They don’t fit the stereotype

 

To the layman, the average person with severe mental illness appears highly erratic, confused, unpredictable.  To a trained medical professional, the same symptoms would trigger their suspicions as well.

 

But the average killer may be a psychopath, being impulsive, antisocial, and exhibiting violent behavior.  If they don’t act violent or violently impulsive, they can elude the interviewer.

They may hide from the public

 

A mass shooter will plan their attack, may stake out locations, and but will overall remain isolated to avoid arousing suspicions. And a psychopath, may exhibit antisocial behavior.  So as they stay remain isolated and introverted, they allow less opportunity to be “made.”

They fly under the radar

 

As in Stephen Paddock’s case, he flew under the radar as he did not avoid the public.  He would drink, gamble, frequent casinos and appear to be very successful in his business/real estate dealings. With lack of a criminal record and violent interactions, the average person wouldn’t deem him suspicious of committing such a heinous act.

They don’t want to be treated medically

 

Many people with mental illness may have symptoms they wish to control, but will stop short of admitting they have a medical condition that needs treatment.  Those who suffer from delusions or psychosis may believe others are exhibiting the abnormal behavior, so why would they want to undergo treatment themselves?

 

Moreover, if they fear being “turned in” by the medical provider interviewing them and revealing homicidal ideation, they will be less inclined to seek medical help.

They may not have health insurance

 

If an individual with severe mental illness has difficulty maintaining a job, he/she most likely will be without employer-paid health insurance.  This limits access to seeking medical help all the more.

 

The chilling truth is we have killers who live among us who may plot and plan right under our noses.  Let’s pray they leave enough clues that they get caught before they carry out their plans.

 

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 Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Published in News & Information
Thursday, 05 October 2017 19:16

October is Breast Cancer Awareness Month

Celebrities such as Julia Louise-Dreyfus, Olivia Newton-John, Christina Applegate and Rita Wilson have revealed their breast cancer diagnoses, helping raise awareness for the most common cancer to affect women.  It’s the second most common cause of cancer death in females.

How common is breast cancer?

 

1 in 8 women will develop invasive breast cancer of the course of their lifetime. According to BreastCancer.org, an estimated 252,710 cases of invasive breast cancer are expected to be diagnosed in women in the US with 63,410 cases of non-invasive breast cancer.

40,610 of these women are expected to die this year of breast cancer.

How is breast cancer staged?

 

Breast cancer is staged based on size of the tumor, if lymph nodes are affected and whether the cancer has spread to distant areas of the body.  Prognosis varies greatly on the stage.

Screen-Shot-2012-09-27-at-9.59.51-AM.png

IMAGE ABOVE FROM JOHNSTON HEALTH

 

Is family history a huge factor?

 

85% of breast cancer cases occur in women with NO family history.

Screening of breast cancer

 

Mammograms are the first line screening tool for breast cancer and are currently recommended biennial for women aged 50-74.  However for those at higher risk, mammogram screening should start earlier, with possible follow-up ultrasound, and be performed more regularly.

FullSizeRender (1)

3-D MAMMOGRAM IMAGE

What are the risk factors for breast cancer?

 

Risk factors for breast cancer include:

  • Age greater than 50

  • Family History

  • BRAC1 and BRAC2 genetic mutations

  • Alcohol use

  • Never been pregnant or becoming pregnant for the first time over 35 years old

  • Early menarche at age 11 or younger

  • Obesity, especially after menopause

  • Dense breasts

  • Lack of physical activity

  • Use of oral contraceptives

  • Previous “precancerous” tumors such as atypical hyperplasia

  • DES exposure

  • Previous radiation therapy

 

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 Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in News & Information
Tuesday, 03 October 2017 17:03

Las Vegas Shooting: How YOU Can Help

Sunday night’s shooting of concert goers at the Route 91 Harvest Music Festival has left 58 dead and wounded hundreds others in the deadliest mass shooting to affect the United States.  Here’s how you can help:

Las Vegas Victim’s Fund

Established by Steve Sisolak, Clark County Commission Chair, this fund is helping to raise funds for victims and their families.  Go Fund Me Page is here.

Blood Donation

Thousands of units of blood are needed and can come from local and out of state donors.

United Blood Services have locations throughout the country that can accept your blood Donation. Contact UBS here.

The American Red Cross is accepting donations. On their website, they ask to visit redcross.org.

Moreover Red Cross is taking donations. Call 1-800-RED CROSS or text the word REDCROSS to 90999 to make a $10 donation.

Petition

We are asking President Trump to help declare a National Blood Donation Week.  Please sign and SHARE the petition below:

Petition

Secret Garden Radio For Las Vegas Fund

R&B icon Al B. Sure, Host of Secret Garden @SlowJams Morning show via iHeart Radio & Host of Secret Garden Radio @ our historic KCEP Power 88.1 FM is raising money for victims and their families here.

National Compassion Fund

Funds will help the immediate and long term needs of victims and their families.  Donate here.

 

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in News & Information

The Seinfeld and Veep iconic comedian is battling breast cancer.

 

On social media, Julia Louise-Dreyfus revealed that she was diagnosed with breast cancer the day after she won her 6th consecutive Emmy.

 

“1 in 8 women get breast cancer. Today, I’m the one,” Louis-Dreyfus, 56, wrote. “The good news is that I have the most glorious group of supportive and caring family and friends. The bad news is that not all women are so lucky, so let’s fight all cancers and make universal health care a reality.”

At this time no further details have been revealed of her cancer staging, which would come after further testing.

How is breast cancer staged?

Breast cancer is staged based on size of the tumor, if lymph nodes are affected and whether the cancer has spread to distant areas of the body.  Prognosis varies greatly on the stage.



Screen-Shot-2012-09-27-at-9.59.51-AM.png

Image above from Johnston Health

How common is breast cancer?

1 in 8 women will develop invasive breast cancer of the course of their lifetime. According to BreastCancer.org, an estimated 252,710 cases of invasive breast cancer are expected to be diagnosed in women in the US with 63,410 cases of non-invasive breast cancer.

 

40,610 of these women are expected to die this year of breast cancer.

Is family history a huge factor?

 

85% of breast cancer cases occur in women with NO family history.

Screening of breast cancer

Mammograms are the first line screening tool for breast cancer and are currently recommended biennial for women aged 50-74.  However for those at higher risk, mammogram screening should start earlier, with possible follow-up ultrasound, and be performed more regularly.

 

FullSizeRender (1)

3-D Mammogram image

What are the risk factors for breast cancer?

 

Risk factors for breast cancer include:

  • Age greater than 50

  • Family History

  • BRAC1 and BRAC2 genetic mutations

  • Alcohol use

  • Never been pregnant or becoming pregnant for the first time over 35 years old

  • Early menarche at age 11 or younger

  • Obesity, especially after menopause

  • Dense breasts

  • Lack of physical activity

  • Use of oral contraceptives

  • Previous “precancerous” tumors such as atypical hyperplasia

  • DES exposure

  • Previous radiation therapy

 

This is a developing story.

 

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 Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in News & Information

As Baby Boomers age out of blood donation, younger generations need to help fill the void.

 

Although the process of blood donation and transfusion was discovered in the 1600’s, widespread civilian blood donation became popular during World War II. According to the American Red Cross, 13 million pints were collected for the war effort. And children of this era learned of how significant blood product was for our troops and war effort. Baby Boomers incorporated routine blood donation as part of their culture.



 

blood donation.jpg

 

 

Yet as Baby Boomers age are the younger generations picking up the slack?

 

According to James AuBuchon, president and chief executive of Bloodworks Northwest, “The older generations seemed to have internalized the message that we always have to have an adequate supply of blood on the shelves.”  He continues, “The younger generations just seem less wired toward that message.”

 

Blood banks have, however, made some progress recruiting younger individuals as many are beginning to donate blood on high school and college campuses.

 

According to USA Today:

 

  • 20% of blood donations come from the youngest of age groups 16-18 and 19-22.

  • Less than 10% of blood donations come from 23-29 year olds.

  • Less than 12% of blood donations come from those in their 30’s.

  • This year, the active hurricane season has hampered blood collection efforts.

The White House Can Help

A petition has been started asking the White House to proclaim a National Blood Donation Week to help raise blood supply and awareness. People can easily add their name to the petition here:

 

Petition for National Blood Donation Week

How can I Donate Blood?

 

As long as you are over 17 years old (16 with the consent of parent) and weigh above 110 lbs, you may qualify for blood donation. The blood bank will screen you prior to donation.

 

Local drives can be found going to  American Red Cross Blood Drive Locator.  or United Blood Services/BloodHero.com.

 

One pint of blood can help save up to three lives.  Thank you so much for your support!!

 

LearnHealthSpanish.com / Medical Spanish made easy.

 

 

Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in News & Information

Ex-Patriot’s tight end, and convicted murder, Aaron Hernandez, was found post mortem to have had severe CTE.

 

Athletes who sustain multiple concussions are at high risk of developing CTE, Chronic Traumatic Encephalopathy. This progressive, degenerative disease of the brain is also found in veterans and those who sustained repeated head trauma. Symptoms include mood disorders, paranoia, impulse control issues, aggression, and memory loss to name a few.

 

A lawsuit (reportedly $20 million) has been filed by the family against the NFL and New England Patriots. Hernandez was only 27 years old when he hung himself in his prison cell April 19th of this year.

Researchers from Boston University concluded the 27 year-old football star had stage 3 of 4 CTE. This severity is rarely seen in someone this young.

 

The lawsuit claims that by the time Hernandez joined the NFL, the league knew of the dangers of concussions and led players to believe they were safe. Attorney Jose Baez stated the Patriots and NFL were “fully aware of the damage that could be inflicted from repetitive impact injuries and failed to disclose, treat or protect him from the dangers of such damage.”

 

Neuropathologists found loss of brain volume (atrophy), and tau protein deposits throughout his frontal lobes. The frontal lobe of the brain regulates impulse control, memory, judgement, social behavior and problem solving.

 

What are the stages of CTE?

 

The CTE Stages are as follows:

 

Stage 1: Loss of concentration, attention, dizziness and headaches

 

Stage 2: Additionally short term memory loss,  mood disorder such as depression, and at times explosive outbursts

 

Stage 3: Worsening loss of memory, judgement, ability to do daily tasks, movement disorders, tremors and suicidality

 

Stage 4: Amnesia, severe cognitive impairment, evidence of dementia.



CTE.jpg

Image from Sites at Penn State

 

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LearnHealthSpanish.com / Medical Spanish made easy.

 

 

Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Published in News & Information
Thursday, 21 September 2017 17:08

One-third of Americans Have “Bad Teeth”

A study out of the University of Michigan finds 1 in 3 middle-aged Americans suffer poor dental health.

The Institute for Healthcare Policy and Innovation at the University of Michigan, with support from AARP and Michigan Medicine, conducted the University of Michigan National Poll on Healthy Aging poll and found the following:

 

  • 33% of Americans aged 50-64 are embarrassed by the condition of their teeth

  • Close to 40% suffer pain, difficulty eating and missing work due to their teeth

  • 40% do not get regular cleanings or preventative care for their dental health

  • 28% lack dental insurance

  • 51% are concerned they won’t have dental coverage once they turn 65

  • Many of the study participants only went to the dentist once the dental issue was serious

  • 13% are hoping that Medicare or Medicaid will provide their dental coverage, but traditional Medicare doesn’t cover routine dental care and Medicaid dental benefits are rare.

 

The majority of the respondents understand the importance of routine preventative dental care and would seek evaluation earlier if they could.

 

Study author Dr. Preeti Malani, stated, “Even those who were diligent about seeing the dentist and had dental insurance throughout adulthood may find it harder to afford dental care as they get older and coverage options may be more limited.”

 

Other issues that affect one seeking dental care include fear of having a dental procedure and lack of local dental specialists in their city or town.

 

Emphasis needs to be put on ensuring dental care is apart of Medicare or any new healthcare system, and should include children and adults of all ages.

 

Tooth decay and gum disease can be linked to a variety of health issues including cardiovascular risk.

The American Dental Association recommends the following:

 

  • Brushing your teeth with fluoride toothpaste twice a day.

  • Flossing once a day

  • Drinking plenty of water and keeping a healthy diet

  • Replace your toothbrush every 3 months or sooner if frayed or damaged

  • Dental check ups once or twice a year, or more often if needed.

 

 

young-woman-brushing-teeth

 

 

 

The moral, don’t wait till the last minute.  Regular checkups prevent worsening issues, and a dental issue caught early is easier, and less expensive, to treat.

 

For more on this study, see here.

 

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LearnHealthSpanish.com / Medical Spanish made easy.

 

 

Daliah Wachs is a guest contributor to GCN news.  Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

Published in News & Information
Tuesday, 19 September 2017 17:09

Study: Bald Men ARE Sexy

A recent study reports bald men are found to be more attractive, confident and dominant.

 

For years I’ve been urging listeners and patients to embrace their receding their hairline and shave their heads rather than struggling to maintain their precious locks.  So many men who’ve donned the clean-shaven look have overshadowed their hairy competitors. Just look at Bruce Willis (image above).

 

Now a study out of the University of Pennsylvania confirms that people find bald men more attractive.

 

Researchers asked male and female college students to rate attractiveness, confidence and dominance after viewing pictures of men with hair and then their hair digitally removed.  Although shaving one’s head made the subject appear 4 years older, they were found to be at an advantage in all categories.

 

Maybe it’s because we grew up seeing Mr. Clean with his bald head and ripping muscles make our mom’s giggle when she cleaned the house.  Maybe its because of the myth that balding could signify high testosterone.

What causes baldness?

 

Hair is made in follicles within the skin and grows for about three years until it sheds and new hair grows.  Hair loss (alopecia) occurs when hair follicles shrink and smaller, thinner hairs grow, lasting shorter and shorter times.

 

Genetics play a huge factor, with the most influential genes coming from mother’s X chromosome, which came from her father.  So maternal and paternal genes can both be responsible for baldness.

 

Sex hormones, androgens, can cause male pattern baldness.  Medications (such as anabolic steroids), illness such as low thyroid and diabetes, and cancer can cause hair loss as well.   A recent study found Prostaglandin D2 protein may block hair growth in those who suffer male pattern baldness. It’s believed 80% of men under 70 will have some receding hairline.

 

Although hair offers many protective elements, especially from the sun, male pattern hair loss is not considered dangerous.  And study authors suggest rather than spending time, money and energy on hair loss treatment, embrace the scalp.  It's sexy….

 

Yul-Brynner

 

Yul Brynner, The King and I



 

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LearnHealthSpanish.com / Medical Spanish made easy.

 

 

Daliah Wachs is a guest contributor to GCN news.  Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Published in News & Information

Media giant, Larry King, reveals he underwent surgery this summer to treat lung cancer.

The 83-year-old veteran broadcaster and TV host said, in an interview with US Weekly, that a routine check up revealed an abnormal chest x-ray that was followed up with a CT scan and later PET scan.  The result was early stage lung cancer.

 

In July, King had a stage I cancerous mass removed at Cedars-Sinai Medical Center in Los Angeles and was back to work within a week.

 

King suffered a heart attack in 1987 and hadn’t smoked since.  Prior to quitting he had been smoking three packs a day.  Since then, he’s been diligent with his annual check-ups stating, “I’ve gone through a lot in life – I’ve had a heart attack and heart surgery. Part of my checkup is the chest X-ray, and that is the protocol.”  King referred to his bypass surgery after his heart attack, managing diabetes, and undergoing radiation treatment for prostate cancer over the years.

 

King suggests the cancer was not a metastasis to the lung but rather a primary lung cancer.  In the US interview, he stated, “the doctor said that tobacco from 30 years ago is still related to this lung cancer.”

 

It’s true. Although lung cancer risk drops dramatically the longer one avoids tobacco products, the resulting tissue damage, injury to one’s immune response, and genetic mutations may persist.  Moreover, lung cancer can occur even in non-smokers.

 

Early lung cancer can be silent.  As it progresses, however, symptoms such as chronic cough, wheeze, blood in sputum, lethargy and weight loss can ensue.

 

But Larry King won’t let this hold him back. He’s currently working on the sixth season of Larry King Now.

 

larry king and I.jpg

Larry King and Dr. Daliah Talkers Los Angeles 2011


 

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LearnHealthSpanish.com / Medical Spanish made easy.

 

 

Daliah Wachs is a guest contributor to GCN news.  Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Published in News & Information

A study from Germany and Synchrotron Radiation Facility, published in Scientific Reports, states that nanoparticles from toxic tattoo elements leak into the body.

 

Although previous studies suggested tattoo ink compounds to migrate to lymph nodes, as researchers would find pigmented lymph nodes, this was the first study that identified ink particles in nano form that leaked and deposited in distant tissues.

 

“The lymph nodes become tinted with the color of the tattoo. It is the response of the body to clean the site of entrance of the tattoo. What we didn’t know is that they do it in a nano form, which implies that they may not have the same behavior as the particles at a micro level. And that is the problem: we don’t know how nanoparticles react,” Bernhard Hesse, study author stated.

 

Tattoo ink contains multiple compounds, such as the inorganic compound titanium dioxide, heavy metals such as lead, beryllium, chromium, cobalt, nickel and arsenic, as well as preservatives. Their safety in human tissue has been controversial.

 

 

tattoo-in-skin-cross-section2

 

The lymphatic system is an intricate drainage system that helps clear the body of debris, toxins and unwanted materials.  Lymph nodes hold the white blood cells that fight infections and act as a filter as the debris gets cleared through.  Liver and kidney’s eventually handle the detoxification needed.

 

The consequences of tattoo ink depositing elsewhere has yet to be determined. Can it lead to cancer?  Can it cause inflammation increasing heart risk?

Study author, Hiram Castillo, states, “When someone wants to get a tattoo, they are often very careful in choosing a parlor where they use sterile needles that haven’t been used previously. No one checks the chemical composition of the colors, but our study shows that maybe they should.”

 

Dr. Daliah says, "I'm not overly worried as people have had tattoos for decades, but some full back or body tattoos could be risky."

 

 

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LearnHealthSpanish.com / Medical Spanish made easy.

 

 

Daliah Wachs is a guest contributor to GCN news.  Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.    The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in News & Information