Clinical Case Studies

Case study # 1: Psychiatric medications and the elderly

A 91 year old female with no known health problems except for hypertension was prescribed a combination of Abilify and Seroquel despite the CDC warnings and major news investigations with the following results:

Severe agitation
Anxiety
Anger
Confusion
Pronounced Hallucinations
Incontinence, including BM
Memory collapse

When the family had confronted the prescribing physician and demanded to dispense with the aforementioned medications, within 2 days, the woman stopped hallucinating, became lucid and was able to control her bowls.

This Case study is unfortunately very common as doctors continue to prescribe dangerous meds. According to geriatric specialists, including Paula Rochan, a Toronto-based geriatrician and senior scientist at the Kunin-Lunenfeld Applied Research Unit at Baycrest Centre for Geriatric Care: "The risks associated with these therapies outweigh the benefits. So you're dealing with a group of drugs where it's not really clear that they're useful. Yet they're still being widely used."

“Doctors are continuing to prescribe drugs dangerous to seniors in spite of government warnings, a CBC News investigation reveals.

More than two years ago, CBC News first reported that more than one million seniors were prescribed atypical antipsychotics. Atypical antipsychotics are specific kinds of antipsychotic drugs. They are considered by many experts to be ineffective or even dangerous for elderly patients.

Health Canada followed up with warnings pointing to the drugs' side effects — including a 60 per cent greater risk of death in seniors who were taking the drugs than in patients taking placebos — gleaned from 13 scientific studies. It also warned that elderly patients taking atypical antipsychotics were almost twice as likely to die from side effects such as heart failure.

In its advisory, Health Canada requested that the drugs' manufacturers include a warning describing the risk in the safety information sheet provided along with the drugs and that health care providers refrain from relying too much on the drugs to treat dementia.

Atypical antipsychotics are drugs such as Risperidone (Risperdal), Quetiapine (Seroquel), Olanzapine (Zyprexa) and Clozapine (Clozaril). Many of these types of drugs have never been tested on seniors. They are intended to treat severe mood disorders, symptoms of schizophrenia and bipolar disorder in adults under 65.
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Case study #2

A female, Age 53, 5 ft. 7 inches in height
Beginning weight: 195 poundsBP 167/96Pulse 70
Blood Type B positive.  Vegetarian.
Ayurvedic Dosha (physical constitution): Kapha-Vata

Goals reached: 146.4 pounds, BP 145/80pulse 70
Sugar addiction much improved better sleep and digestion.
(Extreme hunger, uncontrolled BP, sugar addiction, constipation, low mood)

Recommended changes:

Add organic animal sources of protein
Socialize
Parsley tea
Ayurvedic dietary adjustments
Evening walk 45 min. daily
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Case study #3

A Female, age 41, 5ft. 5 inches in height: 
Beginning weight: 168.2 poundsBP 115/74Pulse 72
Blood type O positive.
Ayurvedic Dosha (physical constitution): Kapha
(Weight loss and stress management.)

Goals reached:156.2 pounds, BP 110/67, pulse 64. This client needs further help with stress eating.

Recommended changes:

Blood type Diet
Anti-stress supplementation with L-Tyrosine and Sub-lingual Vit. B- Complex
Stress management through daily walking regiment
Pilates
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Case Study #4

A Female, Age 39, 5ft. 4 inches in height: 
Beginning weight 176.2 pounds, BP 148/89, Pulse 78
Blood type O negative.
Ayurvedic Dosha (physical constitution):  Pitta
(Allergies, PMS, digestive discomfort, skin eruptions, palpitations.)

While continuing the program, the Goals reached: 157.6 pounds, 
BP 109/67, pulse 66, all complaints resolved.

Recommended changes:

Blood Type Diet
Ayurvedic treatment of allergies
Custom supplementation
Pilates
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Case Study # 5

A Male, Age 54, undergoing cholesterol control protocol since Early 2007. 
The protocol consisted of Omega-3 Essential Fatty Acids, garlic and of Vitamin C therapy — TCL level: 211.

Admitted to the hospital on 5/28/2008 for medical emergency and tested for cholesterol in order to further assess his cardio-vascular risk.
The TCL levels were read as 307. Immediately prescribed and administered the statin drug, Zocor, 40 ml.

After consulting with the hospital internist, Dr. Molina-Garcia, a compelling case to lower the dosage to 20 and then 10 ml was made by Dr. Larisa
Upon her recommendations and after 2 weeks of low-cholesterol, 80 percent vegetarian and restricted calories diet, another cholesterol test was ordered as the test in the hospital was suspiciously high.

The updated test came back with the following results: TCL 161, both HDL and LDL found to be in a normal range. The patient’s regular internist complemented him on discontinuing Zocor, which interacts poorly with the prescribed medication.
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Case Study #6

A Male, Age 49, high cholesterol (TCL 270 +).

The recommended supplements and life style changes: 
Red Yeast Rice with CoQ10 and daily aerobic exercise

Report: Cholesterol levels significantly down, general sense of wellness much improved. 
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Case Study #7

A Female, Age 61, post-menopausal, complained of stress related to care giving for an elderly parent and suffering from insomnia; prescribed Ambian by her physician with adverse reaction.   

The recommended strategy: personally balanced Calcium/Magnesium supplementation at bed time, one and a half hour before retiring. After two weeks, the client reported (1) fell asleep quickly; (2) remained asleep for the night and have been waking refreshed.
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Case Study #8

A male, Age 56: Fatty Liver, CVD with Cardiac Infraction, allergies, IBS, eczema. 
Family history: stroke, heart disease and Type 2 diabetes. 
Blood Type: O positive

Weight: 212 pounds
Cholesterol with medication: 164
Triglycerides with medicine: 294
LDL/”bad” cholesterol: 63

Goals: reduce Fatty liver, control digestive problems and eczema and lose weight in order to improve cardiac function and prevent stroke as well as prevent the onset of the Type 2 Diabetes.

Recommendations: Blood type diet, reduction in alcohol consumption, daily walking regiment, Eczema care cream. 

While the client is still under regular care, the following intermediate results have been achieved in 12 months: digestion and skin condition, while not perfect is much improved.

Last annual Physical with regular internists - Results: ultrasound showed liver is "much less fatty" than it was in May, all other internal organs including aorta, pancreas, spleen, bile ducts, and kidneys looked good.

Weight: under 200 pounds and moving down.

Blood tests with his personal physician’s comments:

Total Cholesterol: 145--excellent
Triglycerides = 207--little high, will come down with weight
LDL = 58--great
AFP test normal
Chemo panels normal
Fasting Blood sugar = 103 (physician likes it under 100 but diabetic is apparently 125; she says this will come down with weight loss).
Blood Sugar Control hemoglobin’s = 5.9; anything under 6 is considered good.
PSA normal
Thyroid normal
Liver and kidney functions normal
White count "somewhat low but very stable"
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Case Study #9

A 50-year old female with a history of substantial upper-respiratory allergies came down with severe rhinovirus, sinusitis and soar throat. 
The following course of action was suggested: 

1.avoidance of over the counter cold medications that suppress the                      symptoms
2.apple cider steam inhalation for virus control
3.avoidance of heavy proteins and the consuming of a light nourishing                          soup-based diet
4.hydration through the hot lemon/honey/ginger tea
5.doubling regular dosage of Vitamin-C
6.Echinacea-Golden Seal herbal tincture
7.acupuncture if possible

After only 4 days, the female reported 90 percent improvement in symptoms and the complete lack of need for a doctor’s visit, nor anti-biotics, as well as any allergy flare-ups.
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Case Study #10

A 41- one Year old female with metabolic syndrome X.

July 2007 – Cholesterol ratio – 3.5, total count 223, HDL 63, LDL 133, Triglycerides 133 (ouch), blood glucose post test 95, glycosylated hemoglobin 5.

July 2008 – Cholesterol ratio – 2.7, total count 205, HDL 76, LDL 115, Triglycerides 71 (yea!), blood glucose post test 87, glycosylated hemoglobin 5.2 

The client added “Thought you might want this data for your case studies!  
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European Institute For Natural Health 
Dr. Larisa N. Gruer RND, PhD 
Clinical Director

(949) 335-5812
1100 Quail St. Suite 207
Newport Beach, CA 92656.