Author Archives: Ryan Isherwood, M.D.
“I had a TSH drawn and my level was 1.44. I know this is in the normal range but was wondering since it is at the low end of normal if I should consult my doctor about a thyroid medication.” When we check thyroid levels we look at the TSH (thyroid stimulating hormone) which is a signal from the pituitary (in the brain). If the TSH is high (above 5) then they have hypothyroid – or an under active thyroid – and that is when someone needs to go on thyroid medication. When the TSH is low (usually less than 0.4) then they have hyperthyroid – or over active thyroid – and should have a different treatment, not thyroid medication. … Continue reading
What tips do you suggest to keep families safe in the sun, (i.e., how much sun exposure is safe, what times of day, eyewear, etc.)? The first thing is to limit your amount of sun exposure. Sunburns can occur in as little as 15-30 minutes. The worst time of the day to be out in the sun is during the noon hour. When you are in the sun for an extended period of time, apply sunscreen, wear light cloth cotton clothing that covers most of your skin and spend plenty of time in the shade. Sunglasses and large hats that cover the ears and nose will also help to protect from the sun. How do you know what SPF level … Continue reading
When some people think of yoga, they imagine having to stretch like a gymnast. That makes them worry that they’re too old, unfit, or “tight” to do yoga. The truth is you’re never too old to improve flexibility. Most Westernized yoga classes focus on learning physical poses, which are called asanas. They also usually include some form of breathing technique and possibly a meditation technique as well. Some yoga classes are designed purely for relaxation. But there are styles of yoga that teach you how to move your body in new ways. Choosing one of these styles offers the greatest health benefits by enabling you to develop your flexibility, strength, and balance. My wife, Kim, owns and teaches a form … Continue reading
Currently I am sitting in my office being stressed about writing my blog. What to write about? I tend to procrastinate at times and this would be one of them. As I write I feel the tension in my shoulders and neck. This is where I and most people I know and treat “carry” their stress. So why not discuss stress and all that it does to our bodies and minds. We all suffer from it at some point in time if not regularly. Stress is a compounding factor in our day to day lives and the functioning of ourselves as living beings. There is “good stress” and “bad stress”. I never understood the concept of calling stress good. I … Continue reading
As a physician my duty is to help the patients with their problems and work to not only give them a diagnosis, but to also determine an appropriate treatment. For me that treatment must have 2 criteria. First it must be effective and show clinical evidence of this effectiveness. That is why the drug companies spend billions of dollars on studies and trials. They want to show me that their new drug is better than their or someone else’s old drug. This is good practice but this all adds to the cost of the drug to manufacture. That brings me to my second criteria, cost. It does no good to prescribe the latest and greatest medication to a patient if … Continue reading