Ammonia, that is produced in the body is a product resulting from the metabolism of nitrogen and hydrogen. The urea cycle is what converts ammonia into urea, as the urea enters the bloodstream it is filtered by the kidneys and removed through the process of urination. Limited brain function will occur when the liver is unable to remove toxins or ammonia from the body. This is called hepatic encephalopathy. Ammonia that is produced in the intestines, supposedly approximately. four grams, is then transferred to the liver and amino acid arginine then detoxifies ammonia into urea, this is one process of ammonia. Another process has to do with when ammonia is produced elsewhere in the body such as the brain,lungs and muscles which normally detoxifies into glutamine as it enters the bloodstream and becomes glutamate. When ammonia from the brain is unable to be detoxified by the liver by becoming glutamine and eventually glutamate, a person with such a disorder or metabolic insufficiency will suffer from high brain ammonia. Since ammonia is a toxic substance it has a toxic affect on the brain. Instead of the brain releasing glutamate the ammonia will become ammonia gas since the brain or metabolic disorder prevents it from detoxifying and the brain becomes induced by the swelling of astrocytes that increase intracranial pressure because of insufficient breakdown from glutamine into glutamate. Perhaps, the intracranial pressure or swelling is consistent with that of what is referred to as frontal lobe syndrome. The frontal lobe is part of the forebrain. Neuronal toxicity occurs as ammonia accumulates in the gray or white parts of the brain referred to gray or white matter. The brain processes neuron information within the gray matter as synapses along the neurons have a function by processing information in the brain. Myelin axons in the brain occur beneath the gray matter and are called white matter. These axons form neural circuits in the brain that affect an individuals ability to learn ect., if there are high levels of ammonia and glutamine accumulation, this results in the deprivation of the production of glutamate. Once this process occurs it affects or inhibits learning because it affects the brains ability to interpret sensory and motor information which causes a problem with cognitive functions of the brain due to excess ammonia buildup. Supplements of L-ornithine and L-aspartate can reduce the amount of ammonia in the body in efforts to reduce intracranial swelling and ammonia toxicity.
I am extremely exhausted. I don't know why? It's not like I'm taking care of kids and grand kids. But then again what do I really do? If I were to explain my problem to someone it would be like talking to them about the logistics of life. And that's where things about me and people seem to disagree. Why, because I do feel that things run or operate a lot smoother when you eliminate problems or situations that cause delays or other incidents to occur. People see my type of life logistics as a problem or even a form of disability. Don't I dislike that? Of course, I mean when a person wants something done in a way that expedites and moves things along, you get a lot done faster, sooner and without problems that occur when you "Didn't do it last night." So you can think of logistics sort of like the holidays, if you were not logistic minded you would have Santa creeping down the chimney at all hours of the day on Christmas, that ain't fun, with your children supposedly waiting for their gifts. Then again if this is your ways of giving them facts, it teaches one not to "Wait on Christmas." In my life Santa knew to have it down the chimney beforehand and in my life's lessons I learned to do the same thing. Another words, I didn't wait on Christmas. This became a fact finder in my world. Well, there was one incident that his elves were a bit tardy, but they made up for it. Logistics, taught me that things need to work accordingly. I know that nothing is perfect, but when you know that there are problems or people that can't deliver, (I'm no parent, so don't hate on me as a result), then logistical measures need to be implemented that much more. I have a problem with empty wallet syndrome. There are other things that become fact, when people are reared this way. In the working world people should view logistics like the holidays and Santa getting it down the chimney pretty much on schedule and not see someone thinking that was as a hindrance, abnormality or some kind of disorder. If you kind of like things delayed or nothing on schedule or as it should be then you probably like to wait on Christmas. Yes, these are the types of people who upset many and are probably the reason for such exhaustion.
Is it too difficult to ask that a patient return to their physician's office every three or four months for lab work evaluation? For some it may be since they have work schedules they have to adhere to and for others it may be because, visits are costly and of course they have other obligations. EMR software should also be text interactive in that you can communicate with a patient by text and have that information as part of their medical chart. For example patient: Don't bother me, needs medications. Hey, you need them as for your reason for visiting the physician regarding your gripes and complaints. The physician, or at least one that prescribes medications properly has to know how you are doing regarding your health in order to ensure that your medications are working properly. If your health problem become more serious or if they improve, then your medications will have to be adjusted accordingly. This you are aware of. Would it be simpler to be able to text a prescription for labs from a patients chart, or for any type of testing to a patient directly from the EMR? Just as an EMR allows the front desk office staff to fax or send medical records, lab results and other radiology reports, the EMR should also allow the same kind of medical records or prescriptions to be texted directly to the patient. A front desk office worker will just type in a message indication the request for follow up labs as a three month appointment or follow reminder or other testing and then select the prescriptions from the EMR eg. for labs ect. and then press send. This way the patient has all of the prescriptions they need and they can send them, if they want to another facility. The front desk can also use the send by text to send lab results instantly. By sending the prescriptions and three month or followup visit reminders via text through the EMR a patient can respond accordingly and have immediate access to prescriptions necessary so that they can have labs or other testing done. They don't have to come by the office to pick the prescriptions up or wait for them to come in the mail. Physicians should also utilize the ability the teledoc visit with their patients, if a patient due to other circumstances cannot make a routine physician appointment. The three month or followup office visit does not have to be a day long ordeal for anyone. The three month office visit can become as simple as a text!
Neurotransmitters are the chemicals in the brain that are responsible for communicating information regarding thoughts and feelings throughout the body. Neurotransmitters are considered chemical messengers that transmit signals through the cell neurons. Dopamine is a neurotransmitter that regulates emotional responses, serotonin is a neurotransmitter that affects mood, social behavior, appetite, digestion sleep ect.,norepinephrine is another main neurotransmitter that is a stress hormone that is responsible for adrenaline in the body. The problem occurs when the synaptic connections along the neurons don't function properly that result in a delayed or overabundant state of reaction. This process is highly complex in that neurotransmitters need to be accepted by receptors in order to be maintain proper signaling between each neuron, if not then you have a dysfunction. If a robot or a machine in the form of a wearable can be placed on the body to determine a mood or a feeling of a person then it may be also possible that, neurotransmitters such as serotonin, dopamine and norepinephrine can be controlled by using signaling impulses to regulate the amounts of acetylcholine,dopamine,endorphins,GABA, glutamate , serotonin and norepinephrine for adequate brain function. For example: Person Jeffhead is extremely moody and gets upset when he likes to be on his own and becomes upset when he feels crowded by others. His adrenaline, just "goes there!" whenever this occurs. One of Jeffhead's parent's who retired quickly once he found out that he needed to advance his programming skills to adapt them to human life. "I'm too old for this s___!" he says. But still, the situation remains as he would not allow any of his other offspring to use that as an excuse, he still considers them, spring chickens. One of Jeffhead's siblings, who wants to learn more about robotic design and human interaction, because she works in the medical field which is not her calling or choosing, but she wants to use artificial adaptation by way of computers to assist in mental development where is it needed. Anyway's, If Jeffhead had a wearable that could sense his mood perhaps signals could be sent to his body to alter the release or neurotransmitters by having the wearable interact with Jeffhead's body and his mood. The body runs on electrical impulses and regulating them by focusing on the stimulation of neurotransmitters would greatly improve Jeffhead's situation enormously!
Blogs are written by