tag:blogger.com,1999:blog-89215079895005613072024-03-12T15:03:34.050-07:00Breaking Thru the Fibro FogDr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.comBlogger77125tag:blogger.com,1999:blog-8921507989500561307.post-27907709331244007032015-09-15T09:38:00.002-07:002015-09-15T09:44:15.754-07:00The Fibromyalgianess Concept<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">There
are few things in life that make me mad! One is how the only TV commercials
with anyone even remotely close to my own age are those where they’re either selling
some medication like Viagra or life insurance. Another is how the word
‘phonetics’ isn’t spelled phonetically.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">A
third thing that upsets me even more than these things is the concept of
‘fibromyalgianess’, a term coined by Dr. Fred Wolfe a couple of years ago that,
in a recently-published report called “The Role of Opioids in the Treatment of
Chronic Pain”, was defined as <i>the
tendency to respond to illness and psychosocial stress with fatigue, widespread
pain, a general increase in symptoms, and similar factors</i>. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Besides
the fact that it’s hard to pronounce and even harder to spell, there are many things
I dislike about this term. In fact, there are so many things I find distasteful
about it, it’s hard to know where to start.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">So
let’s start by talking about lupusness. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Say
what?<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">I
say let’s start with lupusness because, when Wolfe first coined the term <i>fibromyalgianess</i>, he justified it by
characterizing fibromyalgia as a poorly-defined condition with a wide range of
symptoms that are inadequately explained. But what about lupus? It, like
fibromyalgia, is poorly defined. It, like fibromyalgia is a collection of
symptoms that can be so varied, it has been called the “disease of a thousand
faces.” It, like fibromyalgia, has symptoms like pain, fatigue, and problems
with cognition, all of which are subjective. In fact, up to one half of
patients with lupus meet the criteria for fibromyalgia. Finally, it, like
fibromyalgia, is diagnosed not on the basis of a confirmatory blood test or
X-ray, or any other test, but by seeing whether patients meet enough criteria
to make it likely. In other words, doctors look at a list and check the ones
the patient has. If they have two, the patient has possible lupus; three means
they have probable lupus; and four or more means they almost certainly have
lupus. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">So
why don’t we talk about lupusness, since lupus is so much like fibro? The
answer to this question is two-barbed — ignorance and prejudice — and each one
feeds the other.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">The
ignorance lies in the belief that there continues to be no objective evidence
of physical disease in patients with fibromyalgia; in fact, that it is
primarily a psychological illness. To see that this belief is prevalent even
among physicians, you need look no further than the definition of <i>fibromyalgianess </i>itself, which equates
the symptoms of fibromyalgia to a response to illness and psychological stress.
You aren’t sick; you just aren’t responding right.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">But
evidence of this rampant disbelief also comes in research form, with recent
surveys conducted in Canada and the United States revealing more than one third
of family physicians believe that fibromyalgia patients are ‘malingering’,
which is med-speak for ‘faking’; that one in six pain specialists agree with
them; that more than one third of rheumatologists feel that it is ‘primarily
psychological’ and more than two in three feel that they no longer need to see
fibromyalgia patients; this is despite the fact that rheumatologists like Dr.
Hugh Smythe and Mohammad Yunus were instrumental in gaining recognition of
fibromyalgia as a distinct illness in the first place, back in the nineteen
seventies and eighties, and that rheumatologists have generally been the
primary specialists diagnosing and treating this condition over more than two
decades.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">But
is there really no physical evidence of physical disease? This is where the prejudice creeps in, as so
many with their own agendas purposely choose to ignore a rapidly rising
mountain of research evidence demonstrating numerous physiological and
anatomical abnormalities in those with fibromyalgia, ranging from
objectively-measured alterations in various central, peripheral and autonomic nervous
system functions; abnormal brain activity during sleep; abnormal levels and
responses to various stimuli of a wide range of hormones that include cortisol,
thyroid hormone, parathyroid hormone, growth hormone and others;
physically-measureable alterations in skin temperature and its responses to
various stimuli; and abnormalities in several different immune functions. The
list goes on... and on... and on. In fact, there is far more evidence of
physical disease for fibromyalgia than there is for several other
well-recognized and universally-accepted conditions like <i>post-concussion syndrome</i>. But who would ever question any of the
multi-millionaire professional athletes who have needed (and been granted,
without question) time off from their profession until their dizziness, their
headaches, their sensitivity to light and sound, their nausea, and their
general inability to function (all totally subjective and non-measurable
symptoms) have resolved? <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">So
shall we speak of post-concussion syndromeness then? And if not, why not?<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">The
answer again comes down to those same two things: ignorance and prejudice.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Lest
physicians and researchers forget, history is filled with examples of
conditions that used to be presumed ‘primarily psychological’ until research
proved otherwise. Only about three decades ago, stomach ulcers were often
attributed to stress, until two physicians in Australia identified a bacteria
that causes them. Of course, many disbelieved their research for years. Why?
Because this explanation for ulcers did not fit with what they had learned in
medical school three decades earlier.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Thyroid
disease in the absence of goiter used to be attributed to depression, before
the technology was developed to measure various thyroid hormone levels. And
anyone over age 65 is old enough to have potentially heard multiple sclerosis
called ‘psychogenic paralysis’; it was as late as 1950 that a huge symposium was
held in New York City at which a consensus was reached that multiple sclerosis
was a legitimate physical disease, and that these patients weren’t just
‘malingering’. <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">The
concept of fibromyalgianess is therefore not only ignorant of current research,
it is totally ignorant of the past sometimes sordid history of medicine. How
many more times will we need to learn the lesson that we physicians don’t know
everything yet? And how ignorant, self-serving, and downright mean-spirited it
therefore is to totally ignore all the research that has been painstakingly
compiled on fibromyalgia over the past three plus decades.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">There
is no fibromyalgianess... no more than there is lupusness or diabetesness or multiple
sclerosisness or post-concussion syndromeness.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">But
there is definitely mean-spiritedness.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">And
that’s what really makes me mad about all this!<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<br />
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kevin
White, MD, PhD is a world-recognized expert in fibromyalgia research and
staunch fibro advocate who has won multiple awards for his research, teaching
and books. His most recent book – </span><span style="font-family: Symbol; font-size: 12pt; text-indent: -21.3pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; text-indent: -21.3pt;">BREAKING
THRU THE FIBRO FOG: SCIENTIFIC PROOF FIBROMYALGIA IS REAL – has just won a
Reader’s Favorite Book Award and is already selling on 6 continents. It is
available through the publisher at <a href="http://wortleyroadbooks.com/">http://wortleyroadbooks.com</a>,
through his website at <a href="http://www.thefibrofog.com/">http://www.thefibrofog.com/</a>,
through <a href="http://www.amazon.com/Kevin-P-White/e/B00DD9AO9C/ref=sr_ntt_srch_lnk_1?qid=1442334899&sr=8-1">my
webpage at amazon</a>, and at all major book chains. </span><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><br /><o:p></o:p></span></div>
</div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><br /><o:p></o:p></span></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com15tag:blogger.com,1999:blog-8921507989500561307.post-3824576827807405042014-12-05T10:26:00.001-08:002014-12-05T10:26:12.466-08:00Poll Results: Are you having trouble finding a good specialist?In an earlier blog, I wrote about how fewer and fewer specialists were wanting to see fibro patients, especially among rheumatologists (arthritis specialists). <br />
<br />
The results of the latest poll confirm that this is a huge problem.<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgehVvOQvkARE-MB7x0Be6-RZTks2-oqXAHTq_0gzupiBJHqU2fw7PTZuVo3usNMfVFxTkmm3vtVfzdGmRLeoG_TSzJ2RcyNULRiEg75XDgyqZw5UCyM52oA9dc_mgPBvG2J1E9SvgO5-O3/s1600/Trouble+finding+a+specialist+2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgehVvOQvkARE-MB7x0Be6-RZTks2-oqXAHTq_0gzupiBJHqU2fw7PTZuVo3usNMfVFxTkmm3vtVfzdGmRLeoG_TSzJ2RcyNULRiEg75XDgyqZw5UCyM52oA9dc_mgPBvG2J1E9SvgO5-O3/s1600/Trouble+finding+a+specialist+2.jpg" height="200" width="400" /></a></div>
<br />
<br />
As you can see, in this poll, 90% of you were having a lot of difficulty, and only one in 16 of you found one without problems. I also note that no one said they weren't looking. Now, admittedly, it may be that those who aren't looking for a specialist aren't looking at my website either, or maybe not at this poll. But the 94% having difficulties among those looking is still very concerning.<br />
<br />
I continue to do what I can to educate non-fibro people about fibro, through my book and my talks (which is why I am so busy). But I can't do it alone. I encourage you, please, to go to your local library the next time you are passing by it and ask them to get a copy of my book (either in print or as an eBook). I'll cost you nothing but will give others the opportunity to find out for themselves some of the answers they are looking for.<br />
<br />
Thanks<br />
<br />
Kevin P White, MD, PhD<br />
<br />Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com27tag:blogger.com,1999:blog-8921507989500561307.post-42403319111944478292014-08-12T13:39:00.001-07:002014-08-12T13:43:54.561-07:00THE DAY THE LAUGHTER DIED (A tribute to Robin Williams)<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOsf-7pL_2WguSq4ouMlPJOM_ScsWvA5lCCrnwQajZ7nEKBOy69x_-rCYKGRLGx1kfQ3WdhM2W7sNe6C7ta2iEo_LK5zmzPCsLjDdhiTyMmY2ZV86GG6YOIKvo4DGnFPReeU9aVM53vPOt/s1600/williams_2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOsf-7pL_2WguSq4ouMlPJOM_ScsWvA5lCCrnwQajZ7nEKBOy69x_-rCYKGRLGx1kfQ3WdhM2W7sNe6C7ta2iEo_LK5zmzPCsLjDdhiTyMmY2ZV86GG6YOIKvo4DGnFPReeU9aVM53vPOt/s1600/williams_2.jpg" height="274" width="320" /></a></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><br /></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><br /></span></div>
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<span style="background-color: #444444; font-family: 'Times New Roman', serif; font-size: 12pt;">“A long, long time
ago, I can still remember how the music used to make me smile”<o:p></o:p></span></div>
<div align="right" class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-align: right; text-indent: -18pt;">
<!--[if !supportLists]--><span style="background-color: #444444;"><span style="font-size: 12pt;">—<span style="font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Don McLean, American Pie<o:p></o:p></span></span></div>
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<span style="background-color: #444444;"><br /></span></div>
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<span style="background-color: #444444; font-family: 'Times New Roman', serif; font-size: 12pt;">I was still a kid in the year 1971, when Don
McLean released his blockbuster song <i>American
Pie. </i>It was a song that quickly rose to #1 on the American charts and
stayed there for weeks. More than forty years later, it continues to play on
the radio as a reminder of simpler times. McLean wrote the song in remembrance
of three musicians who had died in a plane crash on February 3<sup>rd</sup>,
1959, the same year I was born. The
musicians were Buddy Holly, Ritchie Valens, and <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Jiles
Perry Richardson, Jr.</span>, whose show name was The Big Bopper. Thanks to the
refrain of McLean’s song, the day of their death would forever become known as ‘The
Day the Music Died’.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-color: #444444;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">It was my wife who brought
in the paper this morning, now 55 years later, while I quickly made a lunch to
bring to work. The first words I heard from her mouth were: “Oh my! He died.”
As I turned to her, I only could wonder who was so important that the word ‘he’
should be enough. But then I saw the huge picture on the paper’s front page and
I understood. ‘He’ was Robin Williams, who in my mind ranks right up there with
Red Skelton as the greatest comedic geniuses of all time. I place these two above
everyone else because both could do what no one else ever could – they could
somehow have an entire audience both laughing and crying at the same time.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-color: #444444;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">I once had the extreme
pleasure of watching Red Skelton live at a show in Reno, when I was just 12-years
old, oddly enough in 1971, the same year American Pie was released. Watching
the master pantomime bring his characters like Clem Kadiddlehopper to life was
magical, mostly because dear old Clem, the hapless hobo, somehow had everyone
laughing and crying together. No one
else ever managed to make me do that until I saw Robin Williams as Mrs.
Doubtfire, and then as Patch Adams, and then as Jakob the Liar, and again and
again in so many other roles that should have won him far more than the single
Academy Award he was given. In my mind, for that talent, of making tears and
laughter flow together, should have won him Best Actor every time.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-color: #444444;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">Imagine my shock then at
hearing not only that he now was dead, but that he had likely taken his own
life; that he, arguably the funniest human of all time, whose wild hoots of
laughter were, in themselves, enough to bring audiences to hysterics, had been
battling severe, treatment-resistant depression. But then I remembered that,
among Williams’ unparalleled talents was his ability to imitate others.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-color: #444444;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">“I do voices,” he told the
stern caseworker assigned to him in Mrs. Doubtfire, when she asked him to list
his special skills. He then paraded before her an endless stream of vocal caricatures,
from Porky Pig to Humphrey Bogart. In
short, he was great at pretending to be someone he wasn’t. And at the end of
his life, perhaps his best imitation was pretending to be happy for so many who
saw him, even fooling those closest to him over the depth of his despair.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-color: #444444;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">I have long felt a special
connection with Robin Williams. For one thing, he and I went to the same small
college in Southern California — Claremont Men’s College — though he dropped
out and ultimately enrolled at the Julliard School of the Performing Arts in
New York. Had he stayed at Claremont, he would have been a senior the year I started
there; I have often kidded that I was the reason he left.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-color: #444444;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">Another thing that made me
feel connected to him was his playing the main role in the movie Patch Adams, a
true story about a physician who believed that doctors needed to be more human
than professional with their patients. As a practicing doctor, I always said
the same; pointing out that the word ‘humane’ itself means having or
demonstrating compassion. Patch also believed in using humor with patients —
that laughter is, indeed, the best medicine. In the movie, Patch the medical
student repeatedly wanders into the children’s ward wearing a clown nose. When I was a medical student, I didn’t have a
clown nose. But I did have a black and white pet puppet pig I called Pomona,
who I wore on my hand all through my pediatrics rotation. Even the nurses used
to laugh watching me trying to hold onto charts with a puppet on one hand. I watched
Patch Adams with tears in my eyes the entire time, even while laughing.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-color: #444444;"><br /></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">Now I find out that Williams
and I have had two other things in common. One was his long-time battles with
addiction. The other was his long-time struggles with depression. From my
perspective, the two often go hand in hand. It was at the height of my own
addiction, back in 2003, that I found myself standing on the rooftop of a
5-storey parking building at 3 o’clock one morning. My car was parked several
blocks away. The only thing that kept me from jumping, ironically enough, was
my fear of heights.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-color: #444444;"><br /></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">And so it is that I find
myself sitting here in stunned disbelief at the passing of Robin Williams. My
wife has repeatedly told me that my sense of humor is one of the reasons she
married me. She didn’t realize, back then, the demons I had hiding behind it.
Apparently, one of the greatest comedians the world has ever known has had
these demons too. <o:p></o:p></span></div>
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<span style="background-color: #444444;"><br /></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">And now he is gone. <o:p></o:p></span></div>
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<span style="background-color: #444444;"><br /></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">To me, he will be
irreplaceable.<o:p></o:p></span></div>
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<span style="background-color: #444444;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">To me, this is the day the
laughter died.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-color: #444444;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">But the man and the laughter
he brought us should never be forgotten. What the rest of us MUST do is to take
comfort in the legacy he has left us, whether we are watching one of his movies
or reveling in one of the few stand-up shows we can find on YouTube... <o:p></o:p></span></div>
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<span style="background-color: #444444;"><br /></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">And both laugh, and cry, as
we do.<o:p></o:p></span></div>
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<span style="background-color: #444444;"><br /></span></div>
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<span style="background-color: #444444;"><br /></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;">Kevin P White<o:p></o:p></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-color: #444444; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Times New Roman', serif; font-size: 12pt;"><a href="http://www.kevinwhitebooks.com/">www.kevinwhitebooks.com</a><o:p></o:p></span></div>
<a href="http://www.thefibrofog.com/" style="background-color: #444444; font-family: 'Times New Roman', serif; font-size: 12pt;">www.thefibrofog.com</a>Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com12tag:blogger.com,1999:blog-8921507989500561307.post-76526084777620710882014-07-09T09:48:00.000-07:002014-07-09T13:01:15.384-07:00Latest Poll - Are You Having Trouble Finding a Good Fibro Specialist?In recent years, more and more Rheumatologists (arthritis specialists) are deciding NOT to see fibro patients anymore. There are a few obvious reasons for this.<br />
<br />
(1) There are too few Rheumatologists for the rapidly-growing population of elderly with some form of arthritis pain.<br />
<br />
(2) It has become clear to them that they don't do much for fibro patients, especially since many specialists only see them once anyway.<br />
<br />
(3) Research has clearly demonstrated that fibromyalgia is much more a neurological than joint or muscle disease.<br />
<br />
(4) Recent American College of Rheumatology criteria for diagnosing fibromyalgia have done away with the tender point examination; all that's needed is for the patient to answer a few questions.<br />
<br />
What I want to know from you is: How much trouble did you have or are you having finding a GOOD fibro specialist (e.g., one who believes you and is trying different things to help you feel better)?<br />
<br />
So please answer my poll on my website home page. To get to my website home page and answer the poll just click <b><span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">HERE</a></span></b><br />
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<b><span style="font-size: 12.0pt;"><o:p></o:p></span></b></div>
<br />
<div class="MsoNormal">
<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;">Multiple award-winning author
of <b><a href="http://www.amazon.ca/s?_encoding=UTF8&field-author=Kevin%20P%20White&search-alias=digital-text">Breaking
Thru the Fibro Fog: Scientific Proof Fibromyalgia Is Real</a><o:p></o:p></b></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_13?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru%2Caps%2C222">Buy
my book</a><o:p></o:p></span></div>
<a href="http://www.kevinwhitebooks.com/" style="font-size: 12pt;">See my other award winning books</a><br />
<br />Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com13tag:blogger.com,1999:blog-8921507989500561307.post-60726116164861219082014-07-09T08:09:00.001-07:002014-07-09T10:23:28.209-07:00What's Fibro Like... When There's a Bun in the Oven?<div class="MsoNormal">
<span style="font-family: Arial, Helvetica, sans-serif;">Fibromyalgia is the disease of a million myths, because of
all the misunderstandings, half-truths and untruths that exist about it. One of
these myths is that it is strictly a middle-aged to older woman’s disease.
However, besides the fact that children and men get it too, more than half of
women with fibromyalgia are under age 40, still in their reproductive years. This
begs the question: what happens in women with fibromyalgia during pregnancy?
More specifically, what happens to them, what happens to their baby, and how
does pregnancy affect the treatment and course of their fibro?</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Well first, let me give you the exciting results of my latest poll in which I asked the question: If you have been pregnant since your fibro started, what happened to your overall level of pain during pregnancy? </span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: Arial, Helvetica, sans-serif;">Drum roll please...</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">As you can see, a grand total of TWO people answered the question. One woman said her pain improved a lot, while the other said it got a little worse. Not much help. So let me tell you what I've learned about fibro and pregnancy through my past practice as a doctor/fibro expert and my reading of the scientific literature...</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><i><br /></i></span>
<span style="font-family: Arial, Helvetica, sans-serif;"><i>How does pregnancy
affect fibromyalgia symptoms? </i>To begin with, not every pregnant woman’s
experience with fibro will be the same. However, they typically experience an
increase in pain, especially over the last few months of pregnancy. This is
when even healthy women tend to experience more discomfort, because they are
gaining weight rapidly, the baby’s growth is accelerating, and there is
increased pressure on their low back, an often problematic area in
fibromyalgia. On the other hand, during pregnancy, chemicals like relaxin are
released in the body that, among other things, help to relax muscles, which may
have some beneficial effect. All in all, however, the average woman with fibro
will notice a significant increase in her pain especially over the last few
months, particularly in the low back and hip area.<i><o:p></o:p></i></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><i>How does fibromyalgia
affect pregnancy?</i> This question has two parts. First, how does fibromyalgia
affect the likelihood of pregnancy? Though there has been little research in
this area, there is no evidence that fibro negatively affects how fertile a
woman is. However, many women (and men) with fibro experience discomfort during
sexual activities, which may cause them to engage in them less frequently. Once pregnancy is achieved, fibromyalgia can
affect the pregnancy itself. For example, in one study conducted in Israel, 112
pregnant women with fibro were more likely to have smaller babies, recurrent
miscarriages (roughly 10% of the women), abnormal blood sugars, and excessive
amniotic fluid; but they also were less likely to have a baby born prematurely,
and were no more likely to require a C-section or any special procedures.</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><i>Are fibromyalgia
treatments/medications dangerous for pregnancy? </i>VERY few medications are
given a nod during pregnancy, regardless of what they are for or the condition
being treated. In fact, some drugs are purposefully not even tested in pregnant
women, because of the potential for lawsuits. As such, there is little research
to go on. Traditional wisdom, which most doctors follow, is to discontinue as
many medications as possible while a patient is pregnant, and this certainly is
true for fibromyalgia. Does this mean that a woman must stop ALL her fibro
medication? Not necessarily. What it does mean is that she, her partner and her
doctor MUST sit down and discuss the various benefits and risks of either
stopping or continuing each medication she’s on.<i><o:p></o:p></i></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><i>What is the best way
to treat fibromyalgia while pregnant? </i>Fortunately, medications are not the
only treatments proven effective for FM. Stretching, meditation, yoga, and deep
heat ointments may help. Pool therapy and/or sitting in a hot tub may be
particularly soothing, especially for those with back pain, and especially late
in the pregnancy. Massage may be helpful too, as long as it is not overly
aggressive. Exercise is important as well, but must be tailored to the person’s
ability and endurance; once again, being in a pool may help. And rest is
crucial. Even healthy pregnant women often find the need to sit or lie down to
relieve pressure on their back and legs. Scheduling regular 20-30 minute breaks
throughout the day can be very helpful. This may require that women in the
workforce need to take a leave earlier than they intended; and they <u>should
be supported by all parties</u> (family, doctor(s), and employer) in this health-related
decision.</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><i>Does fibromyalgia have
any effects on delivery? </i>Although it might be expected that women with FM
will have more pain during labor and delivery than women without, there is no
evidence that outcomes are significantly different. This makes sense, given that
spinal blocks that can now be given to effectively relieve the pain over the
last few crucial hours. As stated earlier, fibromyalgia does not appear to result
in premature deliveries or more C-sections, suggesting that women with fibro
ultimately tolerate labor as well as other women.<i><o:p></o:p></i></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><i>What happens after the
baby is born? </i>It is widely believed that a woman’s fibromyalgia will
continue to be worse than pre-pregnancy levels, and that has been my experience
in the past with most, but not all women. Fibro sufferers typically have very
disrupted sleep; and research has shown that the worse their sleep is, the more
pain they have, especially in the morning. It’s no coincidence that the
mother’s fibro generally doesn’t start returning to baseline until after the
baby starts sleeping a bit better. It is crucial also that the woman’s mood is
followed closely, since post-partum depression can be missed or misinterpreted
as “just your fibro”.</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><i>What is important to
consider when planning a pregnancy? </i>First of all, once a woman has decided
that pregnancy is something both she and her partner want, she needs to make
sure she has the proper support in place. Having a doctor who listens to her, a
therapist she can turn to, a warm pool she can use, a supportive partner, and additional
friends and family members who can help too, all is crucial. Some of this
support may come from her local fibromyalgia support group, where she may find
women who’ve already gone through all this. Second, although breastfeeding is
desirable for the child, if she needs to go back on medications to manage fibro
symptoms getting out of control, she may need to choose to bottle feed the baby
sooner than initially planned. </span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><i>Does fibromyalgia
affect postnatal mother’s health and postnatal care? </i>Long term, there is no
evidence that going through a pregnancy will make a woman’s fibro worse beyond
the first 6 or so months after delivery. By then, she should have been able to
resume any medications that had been controlling her symptoms, and both she and
the baby are sleeping better. She will continue to require the support of her
partner, other family and friends, as all mothers do.</span></div>
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</div>
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<span style="font-size: 12.0pt;">If you have enjoyed reading this, please check out award-winning
best-selling book on fibromyalgia at <a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_13?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru%2Caps%2C222">Amazon</a>. It has been called a MUST-READ for anyone interested in this sadly misunderstood disease.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt;"><br /></span></div>
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<span style="font-size: 12.0pt;">Kevin P White, MD, PhD</span></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com19tag:blogger.com,1999:blog-8921507989500561307.post-37532594470448423632014-05-21T13:58:00.001-07:002014-05-21T13:58:05.287-07:00What Happens to Fibromyalgia During Pregnancy?I've just been asked to write an article about fibromyalgia and pregnancy for the on-line magazine HealthLine. Pregnancy has been euphemistically characterized as "a bun in the oven." But I once had a pregnant patient refer to it as more of "a gun in the oven", because she felt that her fibromyalgia was sure to "go off" at any moment, the further and further she got into pregnancy.<br />
<br />
She was, in a word, scared. Scared that the pain would become so bad she couldn't tolerate it. Afraid that the little medication she remained on would still somehow hurt her baby. Worried that she wouldn't be able to go through labor. And terrified that she'd be absolutely useless as a mother afterwards, because of her pain.<br />
<br />
In the end, she did as well as any woman facing pregnancy. Labor was hard, but she persevered, and was rewarded with a beautiful baby girl who she loved with all her heart the moment she laid eyes on her. And as a mother, though the sleepless nights were hard until her daughter caught on to the night-day thing, she was used to being tired, and thought she tolerated it better than some of her girlfriends had done, as first-time mothers.<br />
<br />
But that's one woman... one story. I wrote my article based upon her and a few other patients I've had who I've walked through pregnancy; and based upon the small amount of research that's been done on it. But what happened to YOUR fibromyalgia when YOU became pregnant? I'd love to know, and be able to update my HealthLine article once enough people have had a chance to respond.<br />
<br />
So <a href="http://www.thefibrofog.com/"><b><span style="font-size: large;">please go to my poll</span></b></a> and let me know. In the meantime, keep checking back and I'll let you know the date my article is coming out.<br />
<br />
Dr. Kevin White<br />
Five-time award winning author of <b><a href="http://www.amazon.com/Kevin-P.-White/e/B00DD9AO9C/ref=sr_tc_2_0?qid=1400705804&sr=1-2-ent">Breaking Thru the Fibro Fog: Scientific Proof Fibromyalgia Is Real</a></b><br />
<br />Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com22tag:blogger.com,1999:blog-8921507989500561307.post-86857722870128373202014-03-11T09:42:00.001-07:002014-03-12T13:09:30.386-07:00THE RAVAGES OF NIGHTINGALE’S DISEASE<div class="MsoNormal">
<span style="font-size: small;">Have you ever heard of
Nightingale’s Disease? It is a disease described in the late 1800s by Florence
Nightingale, who herself suffered from it. It is a potentially-fatal,
multi-systemic disease that involves almost every organ system in the body,
including the central and peripheral nervous system, the autonomic nervous
system that controls things like blood pressure and heart rate, the musculoskeletal
system, the skin, the immune system, the heart and blood vessels, multiple
endocrine glands, the gastrointestinal system, and bladder. Patients with
Nightingale’s disease are two to three times as likely as others their own age to
die of heart disease, as well as four times as likely to die of liver disease,
and ten times as likely to die of suicide. It affects both sexes at any age. In
fact, 10-20% of cases start in childhood, potentially leading to a life-time of
suffering and early death.<o:p></o:p></span></div>
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<span style="font-size: small;"><br /></span></div>
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<span style="font-size: small;">There’s one more thing about
Nightingale’s Disease you should know: I’m the only one who calls it that. Most
everyone else calls it fibromyalgia, or fibrositis, or chronic pain disease, or
depression, or a crock of #%&@! <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: small;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: small;">Why do I now want to call it
Nightingale’s Disease? First of all, I hate the name fibromyalgia for several
reasons, starting with the fact that no one can bloody well spell or pronounce
it — Fibro-my-lasia? Fibro-my-laxis? Fibro-myfeetgrow? Other big reasons are (1)
it is totally inaccurate; (2) it totally belittles the seriousness of this
condition, by focussing only on the muscle pain; and (3) too many doctors and
others treat fibromyalgia like a smelly, wet sock found in a puddle under their
car; they want it gone but definitely don’t want to touch it.</span><span style="font-size: 12.0pt;"><span style="font-size: small;"> </span></span><br />
<br />
<span style="font-size: 12.0pt;"><span style="font-size: small;">Let’s start at the beginning:
Why do I call the name ‘fibromyalgia’ inaccurate? The name means ‘pain in
muscles and fibrous tissues’. It is
considered by many doctors, scientists and cross-eyed milkmen to be an
improvement over the older name ‘fibrositis’, which meant ‘inflammation in
fibrous tissues’, because research has failed to identify any such inflammation
under a microscope. First of all, in a recent on-line poll, over 340
individuals suffering from the condition were asked to name their worst symptom.
Guess what it was? It wasn’t pain, which only was named by 26% (that’s one in
four). Look below and you’ll see what it was:</span><o:p></o:p></span></div>
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<span style="font-size: small;">The worst symptom, reported
by almost half (42%), couldn’t be named because there was more than one. In
other words, there were multiple symptoms.
In another, much larger general population study published in major scientific
and medical journals almost a decade ago, pain was rated as a major problem 75%
of the time, but so were fatigue and sleeplessness, with mental cloudiness,
headaches and a host of other symptoms right behind them. This brings me to my second major objection
to the name ‘fibromyalgia’: it belittles the condition woefully. Think back —
how many of you with fibromyalgia have been told, at some point, that ‘at least
it won’t kill you’? Maybe it was your doctor. Maybe it was your partner. Maybe
it was that cross-eyed milkman I mentioned earlier. But in a recently published
study conducted in Denmark, people with fibromyalgia were <b>significantly more likely to die</b> from heart disease, liver disease,
and suicide. And, the last time I checked, suicide is a form of death. “Don’t worry, son. Your mom isn’t dead. She
just killed herself.” Really?</span></div>
<div class="MsoNormal">
<span style="font-size: small;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: small;">The name also horrifically
belittles the multi-systemic nature of the disease. Under a microscope,
researchers have discovered that the immune cells don’t function properly in
people with fibromyalgia; that high thyroid levels double to triple your chance
of having it; that high prolactin levels multiply that likelihood more than
twenty times; that cortisol levels are all out of whack (high when they should
be low, and vice versa); that the normal night time surge in growth hormone
levels is diminished or gone; that conduction of skin temperature is all goofed
up; that certain brain cells are gone and brain chemicals like serotonin and
Substance P aren’t produced and released properly by the cells that remain;
among other things. The name fibromyalgia implies that this disorder just
affects muscles and fibrous tissues like tendons and ligaments. But that is a
tragic error that completely loses sight of the all-encompassing nature of this
disease. </span></div>
<div class="MsoNormal">
<span style="font-size: small;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: small;">Finally, too many doctors and
others already know to duck (and/or hide) when they hear any word that starts
with ‘fibro’. Or to put their shields
UP!!! </span></div>
<div class="MsoNormal">
<span style="font-size: small;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: small;">So let’s go with
Nightingale’s Disease. I can give you five good reasons. First, most people
won’t have a clue what it is, so you can have a fresh start. </span></div>
<div class="MsoNormal">
<span style="font-size: small;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: small;">Second, it sounds more
official and (a big plus) has the name ‘disease’ in it. Too many critics get
all tingly and warm inside calling it ‘a syndrome, not a disease’, as if that
delegitimizes it. Of course, don’t tell the parents of a Down’s syndrome child,
or anyone with Turner’s disease, or anyone treating the Syndrome of
Inappropriate Anti-Diuretic Hormone (SIADH) or any one of the hundreds of
genetic, chromosomally-induced disorders listed in any medical dictionary that
syndromes aren’t real. </span></div>
<div class="MsoNormal">
<span style="font-size: small;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: small;">Third, the more accurate name
— chronic potentially-debilitating multi-systemic neuro-dermo-immuno-musculo-cardio-gastro-uro
endocrine/neuro-endocrine dysfunction disorder (CPDMSNDIMCGUENEDD for short) — is
at least 25 syllables too long. (And people think fibromyalgia is hard to spell
and say.)</span></div>
<div class="MsoNormal">
<span style="font-size: small;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: small;">Fourth, Florence Nightingale
had it in the 1880s, LONG before there were the so-called ‘overgenerous
compensation systems’ some critics claim all fibro patients are trying to milk
for easy money. And she developed it
while working in some place like India, not in some compensation-spoiled
Western country like Bangladesh (which is, by the way, the country in the world
where fibromyalgia is currently most common).</span></div>
<div class="MsoNormal">
<span style="font-size: small;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: small;">And fifth, because it was Florence
Nightingale — the mother of modern nursing, who graduating nurses around the
world say a pledge to when they graduate from nursing school, and who is
honoured once every year on International Nurses Day — who had this condition
we now call fibromyalgia and first recorded it. Why, by the way, is she so
highly revered? Because she was a meticulous note-taker, whose records were
among the very first to document the risks of spreading germs and thereby was
instrumental in the development of current sterile techniques that are used by
everyone from nurses to brain surgeons; who was considered a war hero for her
tireless efforts during the Crimean War (talk about the world going full
circle); and whose social reforms included improving healthcare for all of society, improving heathcare and advocating for better hunger relief in India, helping to abolish unfair laws against women, and expanding acceptable forms of female participation in the workforce. And among her oh-so-meticulous records was her very own diary, in which she documented the chronic widespread pain, fatigue and mental cloudiness she suffered over the last 40 or so years of her life.</span><br />
<span style="font-size: small;"><br />So - if we believe her notes about germs, and recognize her brilliance and tireless efforts in so many areas, we don't we believe her diary? Almost certainly, she had fibromyalgia.</span><br />
<br />
<span style="font-size: small;">And that's
why we should maybe ditch the name fibromyalgia and call it Nightingale's Disease
instead, or perhaps even Florence Nightingale's Disease; just like amytrophic
lateral sclerosis is now named Lou Gehrig’s Disease after the famous and
highly-respected baseball player who died from it. </span></div>
<div class="MsoNormal">
<div class="MsoNormal">
<span style="font-size: small;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: small;">Why not? Maybe with a
different name, people will start giving fibromyalgia at least some of the
credit it deserves.</span></div>
</div>
<br />
<div class="MsoNormal">
</div>
<div class="MsoNormal">
</div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;">Multiple award-winning author
of <o:p></o:p></span></div>
<div class="MsoNormal">
<b><span style="font-size: 12.0pt;"><a href="http://www.amazon.ca/s?_encoding=UTF8&field-author=Kevin%20P%20White&search-alias=digital-text">Breaking
Thru the Fibro Fog: Scientific Proof Fibromyalgia Is Real</a><o:p></o:p></span></b></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_13?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru%2Caps%2C222">Buy
your copy of my award-winning fibro book</a><o:p></o:p></span></div>
<div class="separator" style="clear: both;">
</div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.kevinwhitebooks.com/">See my other award winning books</a><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><br /></span></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com37tag:blogger.com,1999:blog-8921507989500561307.post-23227459800351412212014-01-23T08:32:00.001-08:002014-01-23T08:32:50.177-08:00No Kidding - Fibromyalgia in Children?<div align="center" class="MsoNormal" style="text-align: center;">
<div style="text-align: left;">
It’s sad, but true. A commonly-held perception of the
typical person with fibromyalgia is that she is a middle-aged house-wife or
labourer in an office or store somewhere making next to minimum wage who
suddenly gets fed up, and/or depressed, and/or angry and says ‘to heck with it
all’ and suddenly succumbs to the various aches and pains that she has had all
along, along with almost every other woman her age.</div>
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Sound familiar?</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The problem is that this picture of the typical person with
fibro is wrong on almost all counts. This, in fact, is one of many reasons I
repeatedly call fibromyalgia ‘the disease of a million myths’. Let’s look at the various errors in the
‘typical fibro’ picture I described above.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
First of all, it has now been shown that roughly half of the
women who develop fibro have already done so by age 35, and many by age 25;
that’s hardly middle age. Second, if anything, research on psychological
profiles has shown that individuals with fibromyalgia tend to be type A
personalities who are used to being high achievers; they are hardly the
non-productive drains on society some critics slander them as. As a practicing
rheumatologist, I saw doctors and lawyers and even a judge whose careers were
on hold, because of fibromyalgia. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Third, most are working and not merely housewives (see
above). Fourth, somewhere between 10 and 30% are male, depending on the
population studied. And up to two-thirds of individuals with fibro drawn from
the general community, as opposed to a subspecialty clinic that will tend to
see the worst cases, are NOT depressed. I recall one fibro patient of mine who
was a real hoot, his sense of humour being one thing that I could always count
on.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
So now, here comes another bomb-shell that most doctors
won’t even consider: fibromyalgia is not at all uncommon in children, including
children under ten years old. We’ve known this for awhile. More than a decade
ago, researchers in Israel studied grade eight children and discovered that
roughly six percent, more than one in twenty, had generalized pain and
tenderness, and met the criteria for fibromyalgia. That translates to an
average of one to two children per average-sized class. Others have since studied fibromyalgia in
children and found it to be common as well.
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
And, contrary to what some naysayers might be thinking, or
saying, it’s not just kids imitating a parent. Fibromyalgia has been identified
around the world, with published studies in Canada, the United States, Iceland,
Germany, Italy, Sweden, Finland, Israel (as I mentioned earlier), Mexico,
Brazil and Turkey. In other words, it is not just seen in rich Westernized
industrialized countries among spoiled rich kids or depressed less wealthy
kids, but in less developed countries as well. In this way, it mimics
fibromyalgia in adults, which also is a worldwide problem, and more common in
poorer countries like Poland, Pakistan and Bangladesh than in ANY wealthy
industrialized country. And, like
fibromyalgia in adults, it is more common in girls than boys, by roughly a
two-to-one margin.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Not only is fibromyalgia seen in children and adolescents,
but when it exists, it affects them physically, emotionally and socially. This
may be particularly true in teenagers, since the teenage years are so crucial
to children determining who they are and who they want to be when they reach
adulthood. It also is vital because of the importance of social connections
during the teenage years, and because of increasing acknowledgement about the
frequency and adverse effects of bullying. Consider being the one teenager in
your class who can’t participate in sports; or who can’t go to dances; or who
is tired all the time; or who has trouble concentrating in class and is
repeatedly requiring special attention from the teacher. Now consider having
fibromyalgia and having to worry about being ridiculed or, worse yet,
physically harmed by your peers. That’s pretty tough if you already feel like
you’ve been mauled by a gorilla just waking up in the morning.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It’s a monstrous problem.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
But how, you might ask, is it diagnosed in a kid? When
should you suspect it in your own kid? What can you do about it once your kid
has it? Is there hope? And can anything be done to prevent it?</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Before I answer those questions, let me relieve your mind by
saying that, just because you yourself have fibromyalgia does not mean that your
kid is going to get it. I will admit that there are families who have a
specific genetic defect, in whom the disease literally runs through the family
– maybe even the cat. This is not to say that everyone has it; but this risk of
children having it is greater. This defect involves a particular chemical that
your nerves produce to dampen pain. In
these families, this chemical is deficient, which makes sense given that pain
is their major symptom. The chemical, in case you are wondering, is called
catecholamine-o-methyltransferase. Try
spelling THAT one in Scrabble. Fortunately,
only a small percentage of fibro sufferers have that defect and can pass it on
to their children. Otherwise, it appears that the risk of your kid getting
fibro is not appreciably greater than the risk any other kid has, which is
about 1-2% sometime over the course of life for a boy, and roughly 5-10% for a
girl. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Fibromyalgia is diagnosed in a kid in the same way that it
is, or should be, diagnosed in an adult. When a child has considerable pain
that has lasted months, especially if that pain is not just in one area and not
explained by anything else, the child should be examined carefully by their
doctor. If the general practitioner is not sure how to proceed, then referral
to a paediatrician (a kid doctor) should be the next step. Whoever does the
examination, the doctor needs to determine how widespread the pain is, and if the
child is diffusely tender to relatively light pressure applied by the
examiner’s thumb. A general exam should also be done to look for anything else,
as fibromyalgia sometimes accompanies some other illness, like juvenile
arthritis. This may result in the need
for laboratory testing and X-rays, but not necessarily. It all depends what
examining the patient shows.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Fibromyalgia should be suspected in any child with
widespread pain and or fatigue. That being said, many children, especially
younger ones, will not come out and complain of these things. As the parent,
you should look for signs of such things – like the child dropping out of all
sports and/or other activities because of pain or being too tired; the child
repeatedly getting injured at sports they used to enjoy without injury; the
child becoming socially isolated; or the child suddenly doing less well in school
or ceasing to do homework (again, maybe they are too tired or can’t concentrate
because of that infamous ‘fibro fog’).</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
There is less research about how to treat fibromyalgia in
children than in adults. As in adults, and despite what some will claim in
their book, there is no proven ‘cure’. That is not to say that children,
adolescents and adults can’t do well. In fact, in children the outlook is quite
a bit better than in adults. In adults, roughly 20% will go into spontaneous
remission or notice virtually-complete resolution of symptoms over a
decade. In kids, somewhere around 70%
will outgrow it before adulthood. The good news, then, is that seven in ten
will outgrow it. The bad news is that three in ten will not. So what is done for those kids? Some of you
may have been kids like this, who continue to struggle with fibromyalgia that
started way back when, when you were only a kid or teenager. Invariably, when I
give talks, I ask people to raise their hands if their diffuse pain started
before age twenty, and at least 10 to 20% of those in the audience do so.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
So what can be done? Well... management in children should
focus more on education, exercise, diet and emotional support than on
medication, primarily because medications carry a greater risk in the child.
And who wants their kid on medication forever anyway? </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I fall back on my <i>ESCAPE</i>
principles of fibro management.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
E = Educate yourself and your child about what fibromyalgia
is and isn’t. The more you and your child understand fibro, the better you both
will be at (1) coping with it; and more importantly (2) making good
choices. For example, letting your child
drop out of sports altogether because he or she can no longer play rugby or
field hockey may be a bit extreme.
Encourage them to get into some gentler, non-contact athletic activity
like swimming or aerobics. And allowing them to be placed on an
anti-inflammatory makes little sense, once you know that fibromyalgia is NOT
caused by inflammation in muscles.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
S = Surround yourself/your child with the right type of
support. If your child’s doctor thinks
he or she is just acting out and should not be believed, find another doctor if
at all possible, or ask for your child to be referred to a paediatrician who
should know better than that. And, if possible, find a good therapist or three.
Find out where your nearest fibromyalgia support group is and attend an
occasional meeting; you almost certainly will meet some young people (teens and
twenties) with fibro there.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
C = Consider fibro a systemic disease, and not just a
disease of sore muscles; because it IS a multi-systemic disease. For this
reason, your child’s overall health must be monitored, including issues like
proper diet.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
A = Accept that there is no little pink pill that is going
to cure everything. I tell people that I
had a perfect record when I was still in practice treating fibromyalgia
patients – I cured absolutely nobody. That is not to say that some didn’t get
better on their own. But the management of fibro almost always must be multi-dimensional. Even if some cream or pill IS found that
relieves your child’s pain, issues like exercise and proper posture and diet
remain important, and these issues must be addressed if you want your child to
maintain health into adulthood, whether or not they outgrow the fibro itself.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
P = Pin-Point the right diagnosis. In adults, fibro is often used as a garbage
pail diagnosis; it is what the doctor says you have when all the tests come
back negative. But fibro should NEVER be treated that way. First of all, people
can have fibro and something else too. And second, people can have something
else and fibro too. What I mean by this is that your child may have very
fixable problems (like a fallen arch in their foot) that will be ignored and
allowed to persist if everyone stops looking for other things once the
diagnosis of fibro is made. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
And the final E of ESCAPE = Enjoy life as much as you can,
as much as your child can. I once had a patient who was very depressed because
he couldn’t work anymore. As I got to know him, I found out that he absolutely loved
trains (I do too), and that he lived in a town with the area’s largest railway
museum. I suggested that he try
volunteering, even just an hour or two a week. The last time I saw him, he was
volunteering 30 hours a week and didn’t miss not working at all. He’d learned
to live on his limited, pension-related income, which in fact was supplemented
a bit because the museum paid him for certain things he did, knowing that he
was out of work.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Fibromyalgia is a terrible disease when it is undiagnosed
and/or ignored and/or untreated or mistreated. And it is an especially terrible
thing to wish on a kid. That being said, most children will outgrow it before
they reach adulthood. And those who don’t are young enough not to be firmly set
in harmful routines.</div>
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<br /></div>
<div class="MsoNormal">
There is hope for the child or teen with fibro... a lot of
hope. And about that, I’d NEVER kid.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Kevin P. White, MD, PhD</div>
<div class="MsoNormal">
Best-selling, five-time award-winning author of</div>
<div class="MsoNormal">
<b><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_17?url=search-alias%3Daps&field-keywords=breaking%20thru%20the%20fibro%20fog&sprefix=Breaking+thru+the%2Caps%2C178&rh=i%3Aaps%2Ck%3Abreaking%20thru%20the%20fibro%20fog">Breaking
thru the Fibro Fog: Scientific Proof Fibromyalgia Is Real</a><o:p></o:p></b></div>
<div class="MsoNormal">
and five other books</div>
<div class="MsoNormal">
To get YOUR copy of Dr. White’s best-selling fibro book,
click <b><span style="font-size: 14.0pt;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_17?url=search-alias%3Daps&field-keywords=breaking%20thru%20the%20fibro%20fog&sprefix=Breaking+thru+the%2Caps%2C178&rh=i%3Aaps%2Ck%3Abreaking%20thru%20the%20fibro%20fog">here</a></span></b></div>
<div class="MsoNormal">
To see all of Dr. White’s books at Amazon, click <b><span style="font-size: 14.0pt;"><a href="http://www.amazon.com/Kevin-P-White/e/B00DD9AO9C/ref=ntt_athr_dp_pel_1">here</a><o:p></o:p></span></b></div>
<br />
<div class="MsoNormal">
To visit Dr. White’s website, click <b><span style="font-size: 14.0pt;"><a href="http://www.thefibrofog.com/">here</a></span></b></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-67698265908082042792013-12-19T13:38:00.000-08:002013-12-19T13:38:04.611-08:00T’was the Pain before Christmas (An ode to those with fibromyalgia)<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">T’was
the night before Christmas, and all through my body<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Not
a thing isn’t hurting. How I need a hot toddy!<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">The
stockings I’d put on my feet with such care…<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">They
now chafe my skin, I feel so raw and rare.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">I’ve
spent almost all of this day in my bed<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">With
this merciless migraine pounding my head.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">I
just feel so tired, all energy sapped.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">How
I wish I could sleep — please — just a half hour nap!<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">When
down in my gut, I can hear such a clatter:<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">I’m
just not quite sure — Is it bowels? Is it bladder?<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Away
to the bathroom, I crawl like a slug<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">And
sigh when I spy in the mirror… my mug.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">My
face seems as white as the new fallen snow.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">And
so are my hands — I’ve Raynaud’s, you know.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">When
what to my wandering eyes should appear<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">But
a toy that my grandchild has somehow left here.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">She’s
a beautiful grandchild — so lively and quick.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Right
now she’ll be dreaming of good ol’ Saint Nick.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">The
rest of my family, well, they’ll do the same.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">If
only I could remember their names.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">There’s
Stacey and Thomas and… Sarah, I’m thinking.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">I
hate when my mind’s like I’ve spent all day drinking.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Whatever
their names or size, big or small,<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Come
Christmas morning, they’ll all come to call.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">They
know not to come too much before noon.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">They
know I’ll be useless if they come too soon.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">But
then in their Honda they’ll park in my drive.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">And
suddenly sprout like a busy beehive.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">They’ll
rush to my door bearing goodies and such.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Mostly
for them though… I can’t eat too much.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">They
know not to hug me too hard, lest I scream<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">And
spend all day smelling like a deep-heating cream.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">My
grandchild will be at the centre of things.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">But
that is the magic that each Christmas brings.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">The
day will seem long for me; yes, that is so.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">But
Christmas comes just once a year, don’t you know.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">And
if I stay careful, and limit myself<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">To
no more than what I can handle, or else,<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">I CAN
enjoy Christmas, and all of the cheer<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">And
then be so thankful it’s just once a year.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">So
if you are hurting like me, might I say<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">I
hope you too tolerate this Christmas Day<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">And
more than just that, I hope that you find<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Some
joy and some love and some true peace of mind.<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;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">And
though we’re in pain, to start things off right<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
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thru the Fibro Fog: Scientific Proof Fibromyalgia Is Real</a><o:p></o:p></span></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-36355636382642587182013-10-03T15:24:00.000-07:002013-10-03T15:35:48.250-07:00Cranial Electrical Stimulation (CES) for FibromyalgiaI recently was contacted by Linda Horncastle, an Occupational Therapist who lives and works in the United Kingdom. She wanted to know my opinions regarding the use of cranial electrical stimulation (CES) for the treatment of fibromyalgia. My first response was wise and confident: I told her I hadn't even heard of it. But then, not wanting to come across as more of an idiot than I already seemed, I told her I would look into it and get back to her.So here I am, getting back to her (and you) regarding my thoughts on CES, having done some reading about it.<br />
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To begin with, cranial electrical stimulation is just what it sounds like: it is low-level pulsed electrical stimulation of the brain, typically administered via little clips attached to the ears (see below). <br />
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The treatment has been approved by the US Food and Drug Administration (FDA) for the treatment of depression, anxiety and insomnia. Usually, CES is administered for between 20 minutes and one hour per treatment; and some patients receive several treatments per week over weeks. </div>
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Recently, several have been using it also for the treatment of pain. The question that Ms. Horncastle had for me was: do I believe it works? To answer her, I have done a search of the medical scientific literature to see what I might find. I hadn't expected to find a whole lot; but I was somewhat surprised, in that at least two well-designed, randomized, sham-controlled, double-blinded studies have been conducted and reported. By randomized, sham controlled and double-blinded, what I mean is that a number of patients with fibromyalgia were randomly assigned either to receive real treatment (real CES) or a mock treatment, in that ear clips were applied, but didn't administer any electrical currents. Since patients don't actually feel the real currents (it isn't like sticking your finger in a light socket; there is no shock), the patients in these two studies truly did not know if they were receiving the real CES or fake CES. </div>
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What happened? Interestingly, both studies demonstrated a greater reduction in pain with real CES treatment than with the fake treatment, but the reduction in pain was small. In one study, the reduction in pain was just over 10%; while in the other study, there was a 27% reduction in pain and a 28% reduction in tender point scores. These results are not earth-shattering; but they are reductions nonetheless. In the most recent study, functional MRI scans of the brain were done that showed that the CES treatment resulted in significant reductions in the activation of the pain-regulating center of the brain, suggesting that this was a true pain reduction, and not merely a reduction in depression or anxiety related to pain.</div>
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CES may have more benefit for other manifestations of fibromyalgia than pain, however. In the sham-controlled study published in 2001, for example, the percentage of patients who rated their sleep as poor dropped from 60% to 5% in those who received active CES, while the sleep of patients who received the sham treatment actually worsened. Those receiving real CES also noticed a significant improvement in overall quality of life. Interestingly, when patients who received either the sham treatment were later given real CES, many responded.</div>
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How good were these studies? From a scientist's point of view, two positive studies are not definitive. However both studies noted above were well-designed, in that they were randomized, sham-controlled and double-blinded. What this means is that neither patients nor doctors could falsely bias the results. In this regard, the studies were good. However, one study only involved three weeks of treatment and the other eight weeks.</div>
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More recently, a Cochrane database review has been published assessing the effects of CES and other forms of non-invasive brain stimulation that include repetitive transcranial magnetic <span class="highlight">stimulation</span> (rTMS), <span class="highlight">cranial</span> electrotherapy <span class="highlight">stimulation</span> (CES), and transcranial direct current <span class="highlight">stimulation</span> (tDCS). Overall, a 15% reduction in pain was noted between active and sham treatments over 33 studies.</div>
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So... to answer Ms. Horncastle: I think that there is certainly reason to believe that CES can be helpful in some fibromyalgia patients, but the effects regarding pain reduction will usually be small, in the order of 10 to 30%. However, greater improvements might be observed in sleep and other symptoms, resulting in an overall improvement in quality of life.</div>
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Are CES and other forms of non-invasive brain stimulation safe? That question is harder to answer. The FDA considers them so. What might happen twenty and thirty years down the line, no one can be sure. For years, scientists have been trying to determine if society's now rampant use of cell phones and other hand-held electrical devices will result in increased rates of brain cancer. So far, no significant increases have been identified. But again, what will happen in 20 or 30 years? Time will tell. I suggest, however, that the risk of CES devices used in the short-term will likely be very low. Note also that we don't know the long-term risks of many other things, including some of the newer drugs now being used for fibro.</div>
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The bottom line: Would I recommend that CES be used in a fibro patient? I believe that, if you have a therapist who is knowledgeable and judicious in its use, and you have symptoms that are interfering significantly with your quality of life, CES would be reasonable to try. It might especially help your sleep. And I think life always seems much more tolerable after a good night's sleep.</div>
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<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;">Multiple award-winning author
of <b style="mso-bidi-font-weight: normal;"><a href="http://www.amazon.ca/s?_encoding=UTF8&field-author=Kevin%20P%20White&search-alias=digital-text">Breaking
Thru the Fibro Fog: Scientific Proof Fibromyalgia Is Real</a></b></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_13?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru%2Caps%2C222">Buy
my book</a></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.kevinwhitebooks.com/">See my other award winning books</a></span></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com2tag:blogger.com,1999:blog-8921507989500561307.post-18052296949035824132013-09-30T10:40:00.002-07:002013-09-30T10:46:52.870-07:00Novel about Autism Wins International Book AwardJust thought I'd let everyone know that another one of my novels has won an international book award. The book is called Puck, and I am really excited about it. It is the story of an autistic boy who learns to play hockey.<br />
<br />
Told from the perspective of the boy's father, the book describes the ups and downs the young family has, from the first realization that something is wrong, to the day autism is diagnosed, to the many struggles and successes that follow.<br />
<br />
It is called 'Puck' because that is the very first word the boy says, when he is eight years old... and that one word changes everything.<br />
<br />
Readers Favorite Review wrote: <br />
<br />
<span id="revieww">“Puck” by Kevin White is the beautiful, heart-warming
and heart-wrenching story of Kathy and Jason and their autistic young
son Luke. It is a great story that Kevin White wrote with feeling,
understanding and a lot of love. I felt all of the pain and joy along
with Jason and Kathy. I cheered for Luke and became emotionally attached
to him. The final chapters tore at my heart and made me proud too at
the same time. I was really sad to leave my new friends behind when I
got to the last page. Kevin White has written a winner that can easily
hold its own as the top best seller for many weeks. It would make a
fantastic movie as well. My hope is that there is a follow-up so that we
can see where life takes Luke next. Kevin White is a five star writer
who has left me wanting more.</span><br />
<br />
<span id="revieww">I sincerely hope that some of my blog fans will go to amazon and pick it up as an eBook (just 99 cents), read it, and then comment on it. If you'd prefer a printed copy, the book is in its final editing stage and should be available through amazon as a printed book within a month. Proceeds from all my books go to a variety of charities. And, by the way, October is International Autism Month.</span><br />
<br />
<span id="revieww">Thanks</span><br />
<span id="revieww"><br /></span>
<br />
<div class="separator" style="clear: both; text-align: center;">
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<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span></div>
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<span style="font-size: 12.0pt;">Multiple award-winning author
of <b style="mso-bidi-font-weight: normal;"><a href="http://www.amazon.ca/s?_encoding=UTF8&field-author=Kevin%20P%20White&search-alias=digital-text">Breaking
Thru the Fibro Fog: Scientific Proof Fibromyalgia Is Real</a></b></span></div>
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<span style="font-size: 12.0pt;"><a href="http://www.kevinwhitebooks.com/">See my other award winning books</a></span></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-5809211224863235592013-08-15T09:44:00.000-07:002013-08-15T09:48:50.502-07:00Fibromyalgia and Myofascial Pain Syndrome: Similarities & Differences<!--[if !mso]>
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I just read a comment to one of my many YouTube videos, one called <br />
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><a href="http://www.youtube.com/watch?v=kEERo26HU60&feature=em-comment_received&lc=slpDH523KXcFB5if5uDKrZEeLk60ZzKdvsgjFsG1L0E&lch=email">Fibromyalgia:
The Disease Where Even Hugs Hurt</a>, in which the writer asked me if
fibromyalgia and myofascial pain syndrome are the same. I'd like to respond to
that question here.</span><br />
<br />
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">To begin with, let
me say that the two conditions are alike in many ways. Both are associated with
chronic (i.e., long-standing) muscle pain. In both conditions, that pain can be
anywhere from mild and merely annoying to severe and disabling. And both
conditions are poorly understood by most doctors.</span><br />
<br />
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">But this is how they
are different. Myofascial pain syndrome (MPS) refers to chronic muscle pain in
a localized area... for example, your shoulder or hip. Fibromyalgia (FM),
on the other hand, refers to generalized pain. In fact, about half of patients
with fibromyalgia say they hurt everywhere. This doesn't mean that they hurt
everywhere all the time or even every day. But if you ask them to colour in
where they've had pain in the last month on a pain diagram like the one below,
most will colour in at least half of it. Meanwhile, the person with MPS will
just colour in their shoulder and areas next to it (possibly their upper back
and chest on the same side; maybe their neck on the same side; potentially even
that same arm). That is not to say that people with MPS can't have MPS in
more than one place. Having MPS in your shoulder doesn't prevent you from
getting it in your hip. Theoretically, if you had MPS in enough places,
you could have widespread pain that is virtually indistinguishable from the
pain of fibro. But there is one major difference: MPS generally is pain; fibro
is pain PLUS a host of other symptoms (Read below) </span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-ZcECd2hqV8Wk5UdlKgo8ExYSZ9Y_X7XpJIytWMdsnsf127euq87DX9Rv3oLAcaAyvJP0dPde110D-2tH9vFhpbL3e38_6vbOiwDGePOSQzpMyRbj9YwSs4m88HtD58aB-B4DPiA_FjsB/s1600/Pain+Diagram.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-ZcECd2hqV8Wk5UdlKgo8ExYSZ9Y_X7XpJIytWMdsnsf127euq87DX9Rv3oLAcaAyvJP0dPde110D-2tH9vFhpbL3e38_6vbOiwDGePOSQzpMyRbj9YwSs4m88HtD58aB-B4DPiA_FjsB/s200/Pain+Diagram.jpg" width="194" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Pain Diagram: Patients are asked to colour in where they have pain.</td></tr>
</tbody></table>
<div align="center" class="separator" style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1kJfhvrEW1THJbPm93MHBDKqK765eysbGbCvWu_9tUIG2kPhtzC1Q54Bxs0mHC3mhbnTPyKihy9_aIkd4Zi_SvfVdvD_rdAlgS2EAZUoHXCiVy8Yfs0X5kD3xwFRy9Akl5DGPD38WlSA6/s1600/Pain+Diagram.jpg"><span style="color: blue; mso-no-proof: yes; text-decoration: none; text-underline: none;"><span style="mso-ignore: vglayout;"></span></span></a></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">If you ask
people with MPS what their worst symptom is, almost all will say that it is
their pain. Some may be extremely tired because the pain keeps them from
sleeping. Some may have severe headaches if their MPS affects their neck. Some
may be very depressed about everything. But pain is GENERALLY the #1 worst
symptom they have. Among those with fibro, however, pain is the worst symptom
in only about half. The remainder will rank fatigue, or sleeplessness, or
headaches, or problems with memory and concentration (the so called <i>fibro
fog</i>), or irritable bowel syndrome as #1. That, more than the localized
versus generalized distribution of the pain, is the #1 difference between these
two conditions.</span><br />
<br />
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">That being said, can
MPS and FM co-exist? Most certainly. In fact, they commonly do. I have
met relatively few patients with fibro who don't have one area that is always
painful, that is their worst area. Most also have an area that is so tender
that pushing on it causes pain to shoot elsewhere. This last phenomenon - where
pushing on someone's upper back on the right side causes pain to shoot all the
way down their right arm - is called <i>triggering</i>; and locating <i>trigger
points</i> is a major way doctors diagnose MPS. </span><br />
<br />
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">Similarly,
many people with FM once started with pain that was localized to one area. In
other words, they started with MPS that then spread to become generalized pain
associated with numerous other symptoms. Their MPS spread to become fibro.</span><br />
<br />
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">Are there
differences in the way MPS and FM are treated? Yes and No. If someone has
localized pain only, treatment generally should be geared locally, for example
with physiotherapy directed to that affected shoulder or hip, or with local
injection(s) of anesthetic +/- a steroid to reduce pain +/- inflammation.
However, if someone with fibro has one really bad area, localized
treatment of that area also may be helpful. </span><br />
<br />
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">If someone asked me
which I'd rather have, MPS or fibro, I wouldn't hesitate a second: I'd rather
have MPS because treatment IS more localized and there is a reasonably good
chance that the pain can ultimately be made to go away or, at least, be
significantly reduced. That is not to belittle MPS, as for some it is a
nightmare. But MPS usually does NOT become fibro, and most patients ultimately
do well. That being stated, MPS must be treated aggressively and as soon
as possible, so that the pain doesn't spread and other symptoms develop. </span><br />
<br />
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">Developing FM
on top of MPS is a real pain.</span><br />
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;">Multiple award-winning author
of <b style="mso-bidi-font-weight: normal;">Breaking Thru the Fibro Fog:
Scientific Proof Fibromyalgia Is Real</b></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_13?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru%2Caps%2C222">Buy
my book</a></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.kevinwhitebooks.com/">See my other award winning books</a></span></div>
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<![endif]--><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-CA; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br /></span>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-CA; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br /></span>Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com9tag:blogger.com,1999:blog-8921507989500561307.post-69208823439432559612013-07-18T06:14:00.002-07:002013-07-18T06:14:38.040-07:00New PollI've just posted a new poll. The question is:<br />
<br />
What fibromyalgia symptom do you find most problematic for you?<br />
<br />
To vote, please <span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">visit my website</a></span><br />
<br />
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<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;">Multiple award-winning author
of <b style="mso-bidi-font-weight: normal;">Breaking Thru the Fibro Fog:
Scientific Proof Fibromyalgia Is Real</b></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a></span></div>
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Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-8926216884711842642013-07-17T18:35:00.002-07:002013-07-18T04:13:21.678-07:00Vitamin B as a Treatment for Fibromyalgia: What is the evidence?This past week, I was on the radio again, FM 101.1 in Dallas, Texas, speaking about herbal remedies. Specifically, I was asked to explain what the evidence is for and against using them.<br />
<br />
As it turns out, I have been receiving a ton of questions lately about fibromyalgia and especially about how to treat it with herbals. So here I am beginning what I intend will be a series of blogs about herbal and other alternative remedies for fibromyalgia and its associated symptoms (especially pain, fatigue and insomnia). I say this in the context of a recent poll in which 36% of people with fibro felt that some alternative therapy (herbal or otherwise) was THE MOST HELPFUL part of their treatment... more effective than any pharmaceutical drug or conventional treatment.<br />
<br />
Let me start with vitamin B1 (thiamine), because I just received an email today asking about it from my good friend Tamara in Windsor. But before I start with that, let me go back even further to remind you what my basic philosophy about treating fibro is, which is... I never treated fibro.<br />
<br />
That's right. I don't believe in treating fibro. Does that sound crazy? Well let me put that in perspective by saying that I don't believe in treating rheumatoid arthritis or diabetes either. Or, in fact, any disease. I believe in the Patch Adams approach to medicine. Did you see the movie? You should. In the movie called Patch Adams, Robin Williams plays the young Patch while he's still in medical school. Near the end of the movie, Patch is being threatened with expulsion from the school for setting up a free clinic to offer treatment to those who can't afford to pay the rates necessary to be seen at the hospital. He is specifically asked if he has been, without a license, treating diseases in this clinic. His response is that he never treats disease, and then explains:<br />
<br />
"If you treat a disease, sometimes you win, sometimes you lose. But if you treat the person, I guarantee you will win every time."<br />
<br />
This is especially true of treating any chronic disease which, by definition, lacks a cure. And it is ESPECIALLY true of fibromyalgia, which has so many different symptoms. Let me explain what I mean this way:<br />
<br />
UNLESS YOU ARE EXTREMELY LUCKY, THERE IS LIKELY NO ONE TREATMENT THAT WILL RID YOU OF ALL YOUR FIBRO SYMPTOMS<br />
<br />
The key, then, is to work to improve those symptoms that are most troubling to you, because effectively managing them will most improve your overall quality of life.<br />
<br />
And that brings me back to vitamin B1, which is also called thiamine. I did an extensive search of the medical literature today to find everything I could about vitamin B1 and fibromyalgia. What I found was... not much.<br />
<br />
Thiamine deficiency is a known clinical condition that usually is associated with severe malnutrition. In North America and Europe, more wealthy countries, this degree of malnutrition is most commonly seen in alcoholics. Severe thiamine deficiency is associated with major neurological problems, especially affecting the brain. In such cases, death may result. To begin with, very few with fibromyalgia are likely to have anywhere near this degree of malnutrition (unless they are alcoholic).<br />
<br />
Thiamine is critical in the production of energy within cells, however, and low levels could be associated with fatigue, which is a prominent symptom in fibro. Could undetected thiamine deficiency be causing the severe fatigue so many with fibro face? The answer to this is that there is only a very small bit of evidence to support this. In a couple of papers from more than 20 years ago, this possibility was raised. In these papers, the vitamin B1 abnormalities demonstrated in FM were found not to be induced by any nutritional deficiency, but more likely related to reduced activation of thiamine into thiamine pyrophosphate, which is important in energy production. Sadly, almost no further research has been done on this, until a recent paper was published (in May 2013) in which vitamin B1 was said to help relieve the symptoms of fibromyalgia in three patients who were found to be low in it. The biggest problems with this last paper are (1) that only three patients were tested; and (2) that there was no comparison against placebo, which generally is required to determine if a drug (or herbal) actually works or not.<br />
<br />
I'll get into the whys and wherefores of placebo trials in another blog (soon, I promise). But that only three patients were tested and there was no comparison group is a big problem, in terms of me saying that vitamin B works.<br />
<br />
So what DO I recommend? Let me say that, if you have an excellently balanced diet, you probably don't require vitamins of any kind (except perhaps vitamin D if you live in a northern climate, and that's to prevent osteoporosis/thinning of the bones). That being said, very, VERY few of us have well-balanced diets. So taking a daily multivitamin that contains a good dose of thiamine seems perfectly reasonable to me. Make sure you check that your multivitamin has enough thiamine, however, because some preparations may not. The recommended daily allowance of thiamine is 1.4 milligrams. Make sure that whatever vitamin you take has at least that much.<br />
<br />
Thiamine is also found in a wide variety of foods at low concentrations. Yeast, yeast extract, and pork are the most highly concentrated sources of thiamine.<sup> </sup>But in general, cereal grains are where most people get most of their thiamine, with whole grains richer than refined grains. Other foods that are rich in thiamine are oatmeal, flax, sunflower seeds, brown rice, whole grain rye, asparagus, kale, cauliflower, potatoes, oranges, liver (beef, pork, and chicken), and eggs.<br />
<br />
So actually treating fibro with thiamine is unproven and likely not necessary, beyond a good diet and a daily multivitamin. Starting your day with an egg on wheat toast and a glass of OJ to wash down your multivitamin might be a good place to start.<br />
<br />
(Note: this advice comes from a man who typically eats his first meal of the day late in the afternoon... so do what I say, not what I do.)<br />
<br />
In my next blog, I'll talk about a couple of herbal preparations that HAVE been tested and found to be helpful for improving sleep. But first, I need to take a nap.<br />
<br />
zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz<br />
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<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span><br />
<span style="font-size: 12.0pt;">Multiple award-winning author of <b>Breaking Thru the Fibro Fog: Scientific Proof Fibromyalgia Is Real</b></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a></span></div>
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<span style="font-size: 12.0pt;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_13?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru%2Caps%2C222">Buy
my book</a></span></div>
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<span style="font-size: 12.0pt;"><a href="http://www.kevinwhitebooks.com/">See my other award winning books</a></span></div>
<br />Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com46tag:blogger.com,1999:blog-8921507989500561307.post-71926958392089677312013-06-30T20:11:00.001-07:002013-06-30T20:11:11.281-07:00Latest Poll Results - How Knowledgeable About Fibro Is Your Doctor?<span style="font-size: small;">The current poll has been up for awhile, because I wanted to get at least 200 responses. We now have beyond that. The question was: How knowledgeable is your PRIMARY doctor about fibromyalgia? Here are the results:</span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQH0mX-RKsRUfwK4Fq06cZvQilhqPqyIk4twVZOI9Yvldy92C4lLPk63J_ygcEZ9L7Kben-cRUCczp16R5c-Kddxt59VrrAk7dmD48c7jt2ryeqx1jDWyKND7H1LyYTX0w8H_57l6j4nSF/s472/HowKnowledgeable+is+your+doctor.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="368" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQH0mX-RKsRUfwK4Fq06cZvQilhqPqyIk4twVZOI9Yvldy92C4lLPk63J_ygcEZ9L7Kben-cRUCczp16R5c-Kddxt59VrrAk7dmD48c7jt2ryeqx1jDWyKND7H1LyYTX0w8H_57l6j4nSF/s640/HowKnowledgeable+is+your+doctor.jpg" width="640" /></a></div>
<span style="font-size: small;">What is scary here is that</span>, in 2013, one in 10 primary doctors still doesn't believe in fibro, and one in three essentially is useless treating it. When you consider that there are at least 6 million Americans with this disease, that means that 2 million fibro sufferers are receiving either no or totally inadequate care from their primary doctor... a very sad statistic.<br />
<br />
What this means is that two million Americans with fibro either have to just live with what they have, seek care elsewhere, or learn how to manage their fibro themselves. The good news is that, in my experience, the ones with fibro who ultimately do the best are those who take control of their own health and healthcare.<br />
<br />
Step 1 is learning as much as you can about fibromyalgia. If you haven't already, please feel free to use my website (see below) as a free resource for information. Sign up for my newsletter and go to the newsletter page to see all the useful information and links there.<br />
<br />
There is hope for fibro. What's crucial is taking a first step.<br />
<br />
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<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span></div>
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<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a></span></div>
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<br />
<br />
<br />Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com1tag:blogger.com,1999:blog-8921507989500561307.post-3894224066026361132013-05-13T09:13:00.002-07:002013-05-13T09:18:06.488-07:00Is Fibromyalgia an Autoimmune Disease?This is a question I've been asked many times. What is meant by this question is this: is the immune system 'responsible' for the symptoms of fibromyalgia? In other words, is immune system dysfunction the CAUSE of fibro. Examples of clearly autoimmune diseases are systemic lupus erythematosis (SLE) and rheumatoid arthritis, diseases in which a person's own immune cells (white blood cells) start attacking that person's own tissues. The theory is this: that someone is exposed to some virus, bacteria or other 'foreign invader', the immune system turns on to attack it (which is appropriate), but then the immune system also starts attacking the person's own tissue because some protein, sugar or fat or other molecule on the surface of the virus/bacteria looks close to some protein/sugar/fat on the surface of the person's own tissues. <br />
<br />
There is definitely an autoimmune 'link' with fibro, as there is a
significant association between fibro and a number of well-established autoimmune
diseases, including systemic lupus, rheumatoid arthritis, ankylosing
spondylitis, psoriatic arthritis, and others. Specific abnormalities in white blood cell function have been identified as well, under a microscope. But none of this confirms that fibro itself is CAUSED by immune system dysfunction.<br />
<br />
Attempts
to identify a fibro-specific autoimmune antibody have not yet been
successful.<br />
<br />
And, though it's not difficult to rationalize that a fibro case is autoimmune in those whose symptoms start following a flu-like illness or other
infection, or in the setting of some other auto-immune like lupus. On the other hand, it's somewhat difficult to justify an autoimmune cause
in those whose fibro starts right after an injury, so-called 'post-traumatic fibromyalgia.'<br />
<br />
Hence, I SUSPECT that a SUBSET of fibro cases have an
autoimmune component to them. But how might affect treatment of fibro?<br />
<br />
Well, those who have an underlying autoimmune
disease (like lupus) should be treated accordingly, with attempts to
reduce the autoimmune response. One such drug commonly used in severe cases of autoimmune disease, especially when the disease is out of control, is prednisone, a very potent immune system inhibitor. To date, the only study to assess whether suppressing the immune system in people with fibro works was a study, published about 20 years ago, in which patients were given Prednisone. In that study, Prednisone didn't seem to work. It IS
possible, however, that such a drug MIGHT have an effect if we could
isolate and treat those who specifically have an autoimmune component to their
disease.<br />
<br />
So, to get back to the question: Is Fibromyalgia an Autoimmune Disease?<br />
<br />
I can confidently answer that I don't know. Again, I SUSPECT that SOME cases have an autoimmune basis. To date, all that can be done to identify such people is to look for the presence of other confirmable autoimmune diseases (like lupus) and treat them for those underlying diseases. In some, their fibro symptoms may improve as well.<br />
<br />
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<br />
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<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_13?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru%2Caps%2C222">Buy
my book</a></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.kevinwhitebooks.com/">See my other award winning books</a></span></div>
<br />
<br />
<br />Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com26tag:blogger.com,1999:blog-8921507989500561307.post-31574228391412605642013-03-08T15:17:00.000-08:002013-03-08T15:30:48.737-08:00Doctors Dropping the Ball: Why Fibro Patients Should Be Worried<!--[if gte mso 9]><xml>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">People still tell me I was crazy.
But way back in 1989, my wife and I, just married, packed up and left sunny
California to move to Canada, the land of ice and snow. I had just spent a year
working as a private Internal Medicine specialist, but now was returning to do
two years of training to become a Rheumatologist, an arthritis specialist.
Meanwhile, my wife was returning to school too, to further her training as a
biochemist.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br />
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">"But WHY Canada?"
people asked us, thinking that this meant we were suddenly going to start
living in igloos and eating whale blubber, and only speak some strange northern
native language. To be honest, the main reason we were making the plunge (or
should I say slide, since everyone knows Canadian waters are frozen 13 months
every year) was that Donna and I both are Canadian, love Canada, and enjoy
donuts. But another reason I looked forward to the move was that I heard that
where I was going, they had specialized inpatient Rheumatology units, where
patients with severe arthritis and sudden attacks of arthritis could be
admitted for intensive treatment, including physiotherapy and pool therapy and
so on. That seemed really progressive and patient-centred to me. Soon
after I arrived, I learned that, not only did they have a unit for arthritis
patients, they also had 3 inpatient beds reserved for patients with
fibromyalgia, to give them intensive therapy and education early in their
illness, to help them feel as good as possible as quickly as possible.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br />
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">But then things changed. I think
it was about 1991 that University Hospital lost its three designated
fibromyalgia patient beds. But no worries: to replace it, a nice new 2-week,
intensive outpatient program was created. Of course, this made it difficult for
fibro patients who lived out of town (just where do they stay during those 2
weeks?); but at least it was something. Next to go, a couple of years
later, were all the arthritis beds, so fibro patients could no longer even be
squeezed into an arthritis bed. But that was okay, because fibromyalgia
patients still were being seen by most if not all the Rheumatologists in town.
But then, that all changed. Sometime about five years ago, none of the
Rheumatologists working out of the hospital were seeing fibro patients
anymore. A couple working in a community clinic and private office were.
But at least everyone still had that wonderful and now well-established and
perfected two week program.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">I just found out that this
program is now closing too. And this comes on the heels of a recently-published
survey of Ontario (that's where I live) Rheumatologists, in which more than
half (55%) said they felt fibromyalgia was MOSTLY a psychosomatic disease, and
only one in four were even willing to see fibro patients anymore. This, to me,
is both tragic and inexcusable. To begin with, as I clearly demonstrate in my
book, <span style="color: red;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_19?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru+the+f%2Caps%2C215">Breaking thru the Fibro Fog: Scientific Proof Fibromyalgia
Is Real</a></span>, the evidence is now OVERWHELMING that fibro is a REAL
PHYSICAL ILLNESS. In fact, it is a multi-systemic disease, which involves the
central and peripheral nervous system, the autonomic nervous system, the immune
system, the endocrine system (hormones), the gastrointestinal system and the
cardiovascular system. In many ways, it is as complex as diseases like systemic
lupus. </span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">The other way in which the
disheartening results of this most recent poll are so horrific is that it was
Rheumatologists who have been behind much of the positive research that has
been done in this area. People with fibro and those who love them owe much
gratitude to the likes of fibro pioneers like Hugh Smythe, Muhammad Yunus, Jon
Russell, Robert Bennett, Dan Buskila and many, many others. Though they still
advocate for those with fibro... what about all the other Rheumatologists?
Don't they believe their colleagues anymore? Again, the research proving fibro
is real should now be considered undeniable.</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br />
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">And so it is that next month I
set off on tour again, starting in the UK where I have a series of talks. But I
can't do this alone. Please send people to my website to learn more... there's
lots of free information there, including a famous editorial I published in
2004 called Fibromyalgia: The Answer Is Blowin' in the Wind. In that article, I
borrow two lines from the incomparable Bob Dylan's wonderful song:</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br />
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">How many times can a man turn his
head, and pretend that he just doesn't see?</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">and...</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">How many ears must one man have
before he can hear people cry?</span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br />
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">It's time for people with
fibromyalgia and those who love and support them to fight back. It is time for
everyone who sufferers from this tragically-misunderstood disease to be seen
and heard.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;">Kevin
White, MD, PhD, multiple award-winning researcher, author, teacher &
speaker</span></div>
<div class="MsoNormal">
<span style="color: yellow;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;"><a href="http://thefibrofog.com/">Visit my website</a></span></span></div>
<div class="MsoNormal">
<span style="color: yellow;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_13?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru%2Caps%2C222">Buy my book</a></span></span></div>
<div class="MsoNormal">
<span style="color: yellow;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-CA;"><a href="http://www.kevinwhitebooks.com/">See my other
award winning books</a></span></span></div>
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Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com1tag:blogger.com,1999:blog-8921507989500561307.post-11173967857514776692013-02-04T10:02:00.002-08:002013-03-08T14:32:36.901-08:00An Apology... and Upcoming StuffFirst of all, let me apologize to everyone who comes to this page to read my blogs. I haven't been writing much these past couple of months. That, I hope, is about to change.<br />
<br />
I have been trying to set up a blog page on my actual website, to streamline everything, and have met a few roadblocks. I'm still trying, however, and should have it up and running shortly. Otherwise, I have been crazy busy.<br />
<br />
Upcoming things/events are these:<br />
<br />
Join me tomorrow morning, Tuesday February 5th, from 10:30 to 10:45 AM when I will be a guest speaker on 1330 WFIN Radio in Findlay, Ohio (a suburb of Toledo), with host Doug Jenkins. I'll be talking about how our lovely winter weather affects fibromyalgia and chronic pain in general. So sit by a warm fire and listen in. Online, the show is at <!--[if gte mso 9]><xml>
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<![endif]--><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-CA; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><a href="http://www.blogtalkradio.com/in-short-order">http://www.blogtalkradio.com/in-short-order</a></span>. I've done this show before and Sue is both a wonderful host and a tremendous advocate for those who suffer with chronic disease. The show should be a lot of fun, as well as very informative.<br />
<br />
Other news: I am in the process of editing my second book about fibromyalgia. The tentative title (drum-roll please) is... 7 Secrets to Getting/Giving Better Care for Fibromyalgia: Steps to an Effective Patient-Centered Approach. This book is based upon about 20 years of personal experience treating and researching fibromyalgia. And guess what... it'll be a fun, easy read because I made it so. I've even injected lots of humour (Laughter IS, after all, the best medicine). Expect this book to come out as an eBook at amazon.com within the next month or so (I'll keep you posted).<br />
<br />
Also, I just had the extreme pleasure of meeting Thomas Hennessy Jr. Who, you ask, is Thomas Hennessy Jr.? He, my fine feathered friends, is the founder of the Annual Fibromyalgia Awareness Day that occurs every May 12th. The man is a hot hire, let me tell you. Who he doesn't know would be a very short list. Check out his FaceBook page at <!--[if gte mso 9]><xml>
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<br />
And one of the hundreds of songs I've written is apparently currently being reviewed by members of the Canadian Olympic Curling Team for official use in promotion. That's kind of cool.<br />
<br />
Finally, I WILL be writing another news-related blog real soon. Did you know that now, 55% of Rheumatologists believe fibromyalgia is mostly psychosomatic? And 71% feel that Rheumatologists should no longer see fibro patients. That will be the main topic of my next blog, which I hope to post later this week.<br />
<br />
Again, I apologize for writing so infrequently lately. I hope to have a few more blogs posted in the next few weeks.<br />
<br />
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<br />Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-10702534916191966902013-01-08T10:36:00.000-08:002013-01-08T10:36:06.377-08:00Hockey That Matters (Let’s Hope Fans Remember This Time)<!--[if gte mso 9]><xml>
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<br />
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The National Hockey League holds several dubious
distinctions. Among them are that it is the only major professional sports
league that has had four work stoppages (all since 1992); and it the only one
to have lost an entire season. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The 2004-2005 season was lost, in its entirety, due to a
lockout. When play resumed with all 30 teams playing in 15 games on October 15<sup>th</sup>,
2005, there were eleven sell-outs. That season, attendance figures were the
highest ever. I was one fan who sat out that season... not because of the
lockout or the lost season; but because of the insulting marketing slogan the
NHL used to bring fans back. Do you remember it? It was in a whole series of
hockey commercials that played repeatedly. The slogan was: The Hockey That
Matters Is Back.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
As the father of three boys who have played a combined 32
years of non-professional minor league hockey, starting at age seven, and as
someone who still plays hockey in my fifties, just for the fun of it, I was and
remain deeply offended. Think about it... saying that the NHL is the hockey
that matters more than insinuates that all other hockey doesn’t. I beg to
differ. My youngest son continued to play hockey all through the NHL lockout
this time, a star player on a very weak Midget team that has struggled all
season in a highly competitive league. That team has only three wins in the 26
games they’ve played so far. They’ve been blown out as badly as 10-0 and 8-2.
They give their all every game, and often do very well for a period or two,
before being completely overtaken in the third period. In three tournaments
they’ve played, they’ve won only one game. And yet last night, at a late evening
practice, every single player but one (who was working) showed up. Moreover, as
I watched them along with several other parents, I noticed that they were
having fun... pumping their fists, slapping teammates on the back, and tapping their
goalies’ pads after each goal, assist or save. And their coaches were their
encouraging them and guiding them, all without being paid a cent.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
THAT, Canada, is the hockey that REALLY matters... NOT the
NHL. <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>For this hockey will always be there, no
matter what happens to the NHL. This hockey is more about friendship than about
winning and losing. These teams will not relocate when another town offers them
a tax break or a sweeter deal on rink revenue. And this hockey is absolutely
essential for the NHL to even exist.<span style="mso-spacerun: yes;"> </span>Let’s
remember all this, this time around. And instead of rushing off to an NHL game
or sitting down to vegetate in front of a long string of them on TV, get up and
go to see those who play every day at your local rink down the street or around
the corner. You don’t have to pay these players anything to play. You don’t pay
their coaches anything to coach. They all do it solely because they love the
game. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Kevin White, MD, PhD</div>
<div class="MsoNormal">
<a href="http://kevinwhitebooks.com/">http://kevinwhitebooks.com</a></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-38081162693335257722012-12-20T11:13:00.001-08:002012-12-20T11:20:19.580-08:00Newtown Connecticut... Let Us Never ForgetFirst of all, as a parent of four children, let me say that my heart goes out to all the victims of the Newtown Connecticut shooting, and to their families, friends, classmates and co-workers, as well as to the town itself. Never will that town recover its catastrophic losses. Never will that town forget. My hope is that no one else does either.<br />
<br />
What happened in Newtown Connecticut was nothing short of horrific. But what was equally horrific was reading the next day the same old, ill-reasoned rhetoric arguing against stricter gun laws... "guns don't kill people, people do"... and hearing some Americans screaming out defending their Second Amendment right to bear arms.<br />
<br />
The fact is that guns DO kill people. Would that misguided and mentally ill young man have walked into that school and killed 26 people with a knife? Would 26 have died if all he had was a pistol? The sad fact is that semi-automatic weapons provide those who wish to commit mass murder a perfect weapon to do just that, and potential victims no chance to defend themselves.<br />
<br />
The Second Amendment does give Americans the right to bear arms...but it says nothing about the right to bear semi-automatic rifles, which didn't even exist and might not even have been conceived of when the Second Amendment was written. Do those who argue against such weapons being banned also argue for fully-automatic rifles to be legalized? Why not bazookas? The fact is that the right to bear arms is not the same as the right to bear ALL arms. Had Adam Lanza's mother not had an automatic rifle in her home that her son could so easily access, I have little doubt that those children and teachers would either all or mostly be alive today. No one hunts with a semi-automatic rifle. Why have them freely accessible to the public?<br />
<br />
This week, flags across the US were set at half mast. But that is not nearly enough. It is time to take the weapons that allow for such horrors to take place off the market. Sure, some criminals still will have them. But has a law-abiding citizen EVER defended himself or herself against a semi-automatic-carrying criminal by pulling out their own semi-automatic and shooting the criminal first?<br />
<br />
It is long past time to stop the madness.<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-4g_paRvU6RveKGIgrA2H-_X6PdwVcesjw9OknCvsmT88Qvg5GoaVfj3dOlwbAecAwttfZ8X4GrrR3cSknhU1mEObtvZIjQ4yfr2stWSKrRctOv4pD1x38i_YfWsk2nlVn5g1Fr2P73hA/s1600/This+Is+the+Yard.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-4g_paRvU6RveKGIgrA2H-_X6PdwVcesjw9OknCvsmT88Qvg5GoaVfj3dOlwbAecAwttfZ8X4GrrR3cSknhU1mEObtvZIjQ4yfr2stWSKrRctOv4pD1x38i_YfWsk2nlVn5g1Fr2P73hA/s400/This+Is+the+Yard.jpg" width="311" /></a></div>
<br />
<br />
Kevin White, MD, PhD<br />
Multiple Award-Winning and Best-Selling Author and Musician<br />
<div class="MsoNormal">
Visit my websites</div>
<br />
<div class="MsoNormal">
<a href="http://kevinwhitebooks.com/">http://kevinwhitebooks.com</a></div>
<div class="MsoNormal">
<a href="http://thefibrofog.com/">http://thefibrofog.com</a></div>
<div class="MsoNormal">
<a href="http://kpwhitemusic.com/">http://kpwhitemusic.com</a></div>
<br />
<br />Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-18577892218726841282012-11-08T13:32:00.001-08:002012-11-08T13:32:49.536-08:00A Quick TipIf you have pain in your hands, have you ever had a hot wax treatment at physiotherapy or occupational therapy? If so, how did it feel? Many people find it feels WONDERFUL. Wouldn't it be nice if you could give yourself hot wax treatments at home?<br />
<br />
Well... you can... or at least, you can do something that feels much the same.<br />
<br />
What you need:<br />
<br />
(1) A sink with hot running water<br />
(2) A bottle of mineral oil<br />
(3) A thin pair of plastic gloves (non-latex if you are allergic)<br />
<br />
What you do:<br />
(1) Fill the sink up with hot water. How hot? Hot enough that it's hot, but not so hot that you can't stand to hold a bare hand in it for at least 10 seconds. In other words, we don't want you burning yourself.<br />
<br />
(2) Rub mineral oil on both hands (really cover the entire hand)<br />
<br />
(3) Pull the gloves on<br />
<br />
(4) Soak your hands in the hot water for 10-15 minutes.<br />
<br />
This LITERALLY will feel like a hot wax treatment. But it's easy and safe to do and costs next to nothing. Best of all, you can do it whenever you want, wherever you want, so long as you have a sink, thin plastic gloves, and a little mineral oil.<br />
<br />
I hope this helps.<br />
<br />
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<a href="http://www.blogger.com/blogger.g?blogID=8921507989500561307" name="OLE_LINK2"></a><a href="http://www.blogger.com/blogger.g?blogID=8921507989500561307" name="OLE_LINK1"><span style="mso-bookmark: OLE_LINK2;"><span style="font-size: 12.0pt;">Kevin White, MD,
PhD, multiple award-winning researcher, author, teacher & speaker</span></span></a><span style="font-size: 12.0pt;"> </span></div>
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<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a></span></div>
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<span style="font-size: 12.0pt;"><a href="http://www.amazon.com/s/ref=nb_sb_ss_i_0_13?url=search-alias%3Daps&field-keywords=breaking+thru+the+fibro+fog&sprefix=breaking+thru%2Caps%2C222">Buy
my book</a></span></div>
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<span style="font-size: 12.0pt;"><a href="http://www.kevinwhitebooks.com/">See my other award winning books</a></span></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-44236293698588895992012-11-08T12:46:00.001-08:002012-11-08T12:46:26.277-08:00A New Poll - How much does your doctor know about fibro?One of the main objectives behind my book, my videos and my numerous public appearances (on radio and TV and as a guest speaker) is to educate those who DON'T have fibro about this very sadly misunderstood disease. I have found, over the years, that primary doctors range from not even believing in it, to almost specializing in it. That being said, most know relatively little.<br />
<br />
So my question to you is: how much does YOUR PRIMARY DOCTOR know about fibro? Does he or she not even believe in it? Is s/he average? Is s/he better than average?<br />
<br />
Please go to my website and take the poll.<br />
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<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span></div>
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Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-70669889551275650642012-10-31T15:34:00.001-07:002012-10-31T15:50:36.275-07:00Obamacare vs. RomneyCare - Poll ResultsThe 2012 U.S. Presidential Election is coming down to the wire... less than one week to go... and it's finally time for me to weigh in on the Obamacare vs. Romneycare debate. More specifically, which man, as president, would be better for people with fibromyalgia?<br />
<br />
Before I spout my opinion, let me tell you what YOU said.<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEix21HcwC7PWI8S-HzWMog1zV_W3GQvDMONQVRty8iVWpdnS2EPtNyZ6paz6vh5lkngUkQidzHCfHqUys7sZyqKBro0Atk9sXACQAyHU2rG8qt83oJ5dKJvWgoruvoza1L8OcaGFEnggTtX/s1600/WhichPresidentBetterforFibro.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEix21HcwC7PWI8S-HzWMog1zV_W3GQvDMONQVRty8iVWpdnS2EPtNyZ6paz6vh5lkngUkQidzHCfHqUys7sZyqKBro0Atk9sXACQAyHU2rG8qt83oJ5dKJvWgoruvoza1L8OcaGFEnggTtX/s1600/WhichPresidentBetterforFibro.jpg" /></a></div>
<br />
In a nutshell, roughly half of all respondents felt that Obama would be better, one in four felt Romney would be better; and the remaining one in four either didn't know or felt there was no difference between the two men. To be honest, I find these results not at all surprising... and here's why.<br />
<br />
To begin with, Romney himself, during this campaign, claimed that he was writing off anyone relying on government financial support... he was conceding them to Obama. What this means is that any of you who are receiving government assistance for disability or for unemployment, Romney doesn't really really value. He is already convinced you won't vote for him, and doesn't see this as a problem. How does that feel?<br />
<br />
Second, although Obama's health care reform is not perfect, it is skewed towards helping those who cannot afford private insurance or who are otherwise ineligible for it. In my years working with many patients with fibromyalgia, I found that many were dropped by their private insurance carrier once fibro was diagnosed. Some individuals who continued to work, lost their insurance when their company switched from one insurance carrier to another, because each employee had to be approved before being covered. Others retained their insurance, but only for non-pre-existing conditions... so, if you had fibromyalgia before your company switched insurers, you were out of luck. Returning to a system that relies predominantly on private insurers, as Romney and Ryan intend (as a priority), will open all these cans of worms again for Americans with fibro, and many will lose their insurance one way or the other. Obama has fought to make sure those who can't afford or are otherwise ineligible for insurance still can get the health care they need (and, in his and my opinion both) deserve.<br />
<br />
Also, as someone who has lived and worked as a physician in both countries, let me tell you a little bit about how insurers pay emergency rooms or clinics (as an example) for services, if you happen to go there. Hospitals and clinics generally have negotiated arrangements with insurers, so they pay only a percentage of the actual bill. For example, if you go to the ER and have an X-ray done, the charge might be $350 for the X-ray itself, but also $250 to cover the fee of the doctor who ordered it, and $250 for the radiologist who reads it. The final bill for that one X-ray, therefore, will be $350 + $250 + $250 = $850. Wow, right? BUT, if you have private insurance and they are billed, the hospitalmight only be paid $200, and yet the bill is considered paid. But what happens if you DON'T have private insurance and, hence, DON'T have a pre-negotiated arrangement for the hospital? Answer: <b>You are on the hook for the full $850. </b>It is for this reason that, despite Romney's and Ryan's assertions that the U.S. can't AFFORD universal health care, in fact, universal health care is less expensive... because hospitals and emergency rooms, and clinics and private physicians all have pre-negotiated arrangements with the universal insurance provider, so NO ONE has to pay $850 for an X-ray that the hospital is actually happy to accept $250 for. Evidence of this fact is that health care costs in Canada are much lower, per person, than in the U.S.... the two countries aren't even close. In fact, health care services in the U.S. are among the most expensive in the world. And does that make U.S. health care better? The answer is a resounding no. In a just published study, the U.S. was found to have the worst health care delivery system of any of the world's economic superpowers. Again, I truly believe that Obama's health care plan is intended to change this.<br />
<br />
Another issue I'll discuss thaty favors Obama over Romney is their stance on women's issues, since fibromyalgia is predominantly a disease of women, with 80% or more of diagnosed cases being female. According to Romney and Ryan, women's disease screening procedures like mammography (for early detection of breast cancer) are 'non-essential' and should not be covered by insurers. Though long considered an 'invisible disease', the truth is that we now have the technology (via specialized imaging scans like SPECT and functional MRI) to SEE pain, and considerable research is being conducted at several centres around the world to refine such tests, as well as to develop blood tests to facilitate in the diagnosis of fibromyalgia. This is a critical issue because one in four doctors in North America still believes that all fibromyalgia patients are faking. Once an objective test is available to diagnose this disorder, many if not the vast majority of these naysayers will become believers. But if Romneycare won't even cover a long-standing, routine and relatively inexpensive screening test for breast cancer, what chance is there it will spring for ANY of these new tests for fibro? Answer: virtually none.<br />
<br />
I pride myself on being a fairly balanced and even-minded person; so I would like to say a few nice things about Romney here; but frankly, in terms of the fibromyalgia and chronic pain issue, I just can't see them. Each person who reads this must make their own decision. But I've made mine as a dual citizen who is eligible to vote in both Canada and the U.S., and as a physician, researcher and staunch fibromyalgia patient advocate.<br />
<br />
I'm sorry, Mitt. But Obama and Obamacare have my vote.<br />
<br />
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<br />
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<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span></div>
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<span style="font-size: 12.0pt;"><a href="http://www.wortleyroadbooks.com/Store/tabid/1523/CategoryID/23/List/1/Level/1/ProductID/293/Language/en-US/Default.aspx">Buy
my book</a></span></div>
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<span style="font-size: 12.0pt;"><a href="http://thefibrofog.com/">Visit my website</a></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><a href="http://www.kevinwhitebooks.com/">See my other award winning books</a></span></div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-34281501535489411572012-10-16T12:06:00.003-07:002012-10-16T12:10:08.790-07:00Breaking Thru Hits #3 on AmazonThanks to everyone who has bought my fibromyalgia book or has recommended it to someone else... just today, it climbed to #3, as the third most popular book on fibromyalgia at Amazon.<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgao9I1UOUo54cZc9gWQdTn2nDB9fDMCYikA-24oiB9dwiutwdf4hAOeyd0FYKOirrxkNLMXYpVUtgeAsNaTYDXh9P2DP3uPXk40uAZcrtNMJdLR9bx8rL7PwoANo9JaMUkWsE2_s3CgmYu/s1600/BestsellerRanking_October16th_2012_highlighted.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="396" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgao9I1UOUo54cZc9gWQdTn2nDB9fDMCYikA-24oiB9dwiutwdf4hAOeyd0FYKOirrxkNLMXYpVUtgeAsNaTYDXh9P2DP3uPXk40uAZcrtNMJdLR9bx8rL7PwoANo9JaMUkWsE2_s3CgmYu/s400/BestsellerRanking_October16th_2012_highlighted.jpg" width="400" /></a></div>
<br />
Of course, my goal is to have it hit #1 in this list and the top 100 overall at Amazon. Why? Because the top 100 books at Amazon make other best-seller lists, like the NY Times best seller list... and then the book can really take off. Note that 15% of GROSS proceeds are being donated to charity to fund fibromyalgia research. It'd be really great to see my book start making serious money for research purposes to help find a cure for fibro, with other proceeds going towards supporting other charities like the Kid's Help Phone and Big Brothers, Big Sisters.<br />
<br />
So PLEASE let others know about my book, which you can check out at <!--[if gte mso 9]><xml>
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<br />
Thanks<br />
<br />
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<span style="font-size: 12.0pt;">Kevin White, MD, PhD,
multiple award-winning researcher, author, teacher & speaker</span></div>
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<br />Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com0tag:blogger.com,1999:blog-8921507989500561307.post-80274333003787682252012-09-25T05:52:00.000-07:002012-09-25T06:18:35.546-07:00Six Secrets to Living Better with Fibromyalgia <!--[if gte mso 9]><xml>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
Yesterday at around 4:30 p.m., I received a phone call from Harry
Douglas, the host of a nationally-syndicated radio show.<span style="mso-spacerun: yes;"> </span>The first thing he said was: “This may seem
like a strange request, but stick with me, Doc.<span style="mso-spacerun: yes;">
</span>I want you to be on my radio show, Car Concerns Radio U.S.A.”<span style="mso-spacerun: yes;"> </span>I laughed. Really?<span style="mso-spacerun: yes;"> </span>“I know it sounds strange, Doc,” he said. “But
I talk all the time about car’s engines and tires and so on... but the most
important piece of any car is the nut behind the wheel.”<span style="mso-spacerun: yes;"> </span>It turns out he also does shows on things that
affect drivers, and wanted to do one on fibromyalgia.</div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
“When do you want me on the show?” I asked.</div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
“How about tomorrow morning at nine?” he answered.</div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
So now it’s 8:43, and I’m quickly finishing up this blog, because I
just KNOW someone is going to call in (it’s a call-in show) and ask me how to
treat fibromyalgia.<span style="mso-spacerun: yes;"> </span>So here are my Six
Secrets to Living Better with Fibro.</div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal">
Before I get into them, may I say that, although no one has
ever proven the ability to CURE fibro, fibromyalgia CAN be treated. Again, not
cured… but certainly treated to the point that people feel better than they did.<span style="mso-spacerun: yes;"> </span><br />
<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal">
There are six secrets, because there is no ONE THING that
reverses fibro. You can’t just shove a couple of cinnamon sticks up your nose,
wait 5 minutes, and expect to feel 98.2% better.<span style="mso-spacerun: yes;"> </span>And all those books that claim that all you
need to do is start this or stop that and everything will melt away... well, go
back to my cinnamon stick example. Sure, SOME people DO respond beautifully to
a given drug or therapy or dietary change (especially the small percentage who
are gluten sensitive). But MOST DO NOT. For the<span style="mso-spacerun: yes;">
</span>vast majority, feeling better with fibro requires several things. Here
are the six I think are MOST IMPORTANT.</div>
<div class="MsoNormal">
The SIX SECRETS to doing better with fibromyalgia are these:<br />
</div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">(1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Learn as much as you can about what fibromyalgia,
including what it is and what it isn’t (do you remember all those myths I told
you about at the start?); no one likes to fight in the dark; truly knowing what
you are up against and climbing out from all the lies, misconceptions and
misunderstandings is a HUGE first step.</div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">(2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Educate important people around you, so they can
be more supportive (some doctors are even open to being educated, if the source
is legitimate. True stories: one patient gave her disbelieving doctor a copy of
my book and received a letter of apology from him a week later; and a lawyer in
England was gifted with one from a woman fighting for disability payments, won
the case, and now gives FREE copies to ALL his clients).</div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">(3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Recognize that the management of fibromyalgia is
not usually a single, simple thing, like a little pink pill you take twice a
day, or avoiding sugar, or bathing in coconut oil. Long-term results with fibromyalgia
usually require a combination of approaches that include things your doctor or
other health care professionals can do for you, AND things you must do for
yourself, like lifestyle, dietary, and attitudinal changes, as well as
carefully increased activity and exercise</div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">(4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Here I’m largely going to repeat what I just
said, that doing better with fibro requires things that YOU must do. Don’t rely
totally on your doctor or your therapist or anyone else. In fact, the more you
can do for yourself, the more control you have over your own health.</div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">(5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Don’t overlook or let others other treatable
conditions that often co-exist with fibromyalgia, like tendonitis of the heel
causing foot pain, which might result in you being unable to walk but can often
be treated with a custom shoe insert +/- occupational therapy +/- a short
course of an anti-inflammatory drug; this is where having a conscientious and
fibro-educated doctor or therapist is a HUGE plus.</div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br />
And finally…<br />
</div>
<div class="MsoListParagraph" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">(6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Keep a sense of humour - this might seem silly,
but the fibro patients I’ve seen do best are those who still can laugh, even
when they hurt. Perhaps my favorite patient of all time was a man who had
terrible fibro but loved to laugh.<span style="mso-spacerun: yes;"> </span>Every
time I saw him, he’d tell me about how the last thing I’d tried with him hadn’t
worked, and then would start telling me a couple of good jokes he’d just heard.<span style="mso-spacerun: yes;"> </span>One day after about a year of trying one
thing after another, he came back and something HAD worked. He was feeling
better than he had in years. The last time I saw him he was volunteering at a
local railway museum 20-30 hours per week and “loving it”.<span style="mso-spacerun: yes;"> </span>This time, he was doing so well we hardly had
to talk about his pain or fatigue at all. But he STILL had a long list of new jokes
to tell me.</div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Dr. Kevin White<br />
<br />
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span style="color: red;"><b>IMPORTANT NOTICE: </b></span><b>Note that, in recognition of National Pain Awareness Month, all through September, my book is selling for <span style="font-size: medium;">$18 off the cover price</span> through the publisher, Wortley Road Books. Get your copy now before the price goes up again.</b></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
</div>
<h4 class="MsoNormal" style="margin-left: 18.0pt;">
<span style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-CA; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><a href="http://www.wortleyroadbooks.com/Store/tabid/1523/CategoryID/23/List/1/Level/1/ProductID/293/Language/en-US/Default.aspx">Buy
my book</a></span></h4>
</div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Kevin White, MD, PhD is a world
expert in fibromyalgia research and treatment, a staunch fibromyalgia patient
advocate who tours Canada, the U.S. and Europe educating people about the
realities of fibromyalgia, and the multiple award-winning author of <i style="mso-bidi-font-style: normal;">Breaking Thru the Fibro Fog: Scientific
Proof Fibromyalgia Is Real</i>. Visit him at <a href="http://thefibrofog.com/">http://thefibrofog.com</a>.
His award-winning, best-selling book is available as both a printed soft-cover
and eBook at <a href="http://amazon.com/">http://amazon.com</a> and bookstores.</div>
Dr. Kevin Whitehttp://www.blogger.com/profile/06969880720276404993noreply@blogger.com1