Tag Archives: depression



July 25, 2018

Gracefully Greying – Episode 14

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July 25, 2018. Special guest is Therapist, Toby Beach talks about the emotional aspects of aging, including loneliness, anxiety and depression.

    Prescription for Your Health - Caring for Alzheimer's Patients
    April 17, 2018

    Prescription for Your Health – Caring for Alzheimer’s Patients

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    One of the most difficult and vexing problems that I see in my practice are the trials and tribulations of a family taking care of a loved one with Alzheimers.
    • Statistics state that, of the millions of people with Alzheimer’s and other dementias, 75% of their care is provided at home.
    • According to the National Alliance for Caregiving, during the past year 67 million Americans provide care to a family member, or friend.

    If you’re a caregiver, you know about having to help with the activities of daily living including bathing, shopping, cooking, feeding and making arrangements for medical care. Behavioral issues are another major problem for the caretaker, as well as for the stricken person. In addition, caretakers need to cope with their own anxieties and fears.  Fortunately, there are books and organizations that can help you in this quest. One guide I recommend is from Dr. Peter Roger and Dr. Ann Morrison of John Hopkins Medical School who have written a guide called “Caring For A Loved One With Alzheimer’s Disease.” The other is “The 36 Hour Day,” which explains the tenets and underpinnings for the family caretaker.

    These books explore such issues as:

    • When is it time to take away the car?
    • How do you modify the home for people with dementia (this includes avoiding obstacles and removing throw rugs)?
    • How to deal with troubling behaviors such as wandering and inappropriate outbursts, rage, and obstreperous behavior.
    • How do you handle a loved one with delusions and hallucinations?
    • What can you do when your loved one acts in an embarrassing way in public?
    • Should friends and neighbors be notified?

    Finally, the ultimate decision is when is it time to place a loved one in a nursing home facility – and what options exist to cover the cost.

    So, if you are a caretaker , remember you are not alone in your fears and frustrations. There are excellent resources available to help assuage your concerns.


    Dr. Bragman - Host of Prescription for Your Health on New Radio Media

    About the Author:

    Dr. Jim Bragman
    Host of Prescription For Your Health on New Radio Media

    Get it on Google Play Download on the App Store

    A highly successful Doctor with a practice in West Bloomfield, Michigan, Jim is also an award-winning broadcast journalist who has served as the “on-air” medical expert for various Detroit radio stations, including: WWJ Radio in Detroit (CBS owned and operated), WJBK-TV (Detroit’s FOX network affiliate) and WKBD in Detroit. He has over 20 years of experience in the medical media industry, including nine years as a national radio medical expert for CNN.

    Dr. Jim Bragman has 30 years of experience in private practice, and is also a clinical teacher of medicine at the Wayne State and Michigan State University College of Osteopathic Medical Schools.

    Prescription for Your Health - Depression
    March 25, 2018

    Prescription for Your Health – Depression

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    One of the most common problems that I see in private practice is depression, and it turns out that it can be worse than some chronic diseases, and it can make other conditions worse. Researchers writing in the British Medical Journal “Lancet” say depression can be more damaging to your everyday health than chronic diseases such as Arthritis, Diabetes, and Asthma. In addition, people suffering from a wide range of chronic diseases who also experience depression almost inevitably have a poorer prognosis for the chronic condition. The researchers conclude as a result impairs the overall health state more than other diseases. It also shows the importance of treating depression, which we are very capable of doing today with a combination of psychotherapy and medication.

    The problem for many who suffer from depression is embarrassment. Patients are are afraid to tell their doctors about their bouts of depression. One of the mnemonics that I use in practice to diagnose depression is SIGECAPS.

    • S stands for sleep. People who are depressed either are exhausted after a full 8 or 9 hours of sleep, or awake up in the middle of the night and have trouble falling back asleep.
    • I stands for a lack of interest in pursuing enjoyable activities such as sex or going out to eat or other social functions.
    • G stands for feeling guilty about one’s lot in life.
    • E stands for low energy. Depressed people will feel tired all the time.
    • C stands for concentration. People will have trouble focusing and it will take them double or triple the time to absorb new information.
    • A stands for appetite and most of the time a person will go on a comfort eating binge and gain weight. However, about 10% of the time they will lose 5-10% of their body weight.
    • P stands for psychomotor retardation, which is a fancy way of saying that people who know you well will ask if you if you’re moving in slow motion.
    • stands for feeling hopeless, worthless, and ultimately suicidal.

    So, in conclusion, there is no reason to shy away from a condition that is completely understandable and, in most cases, completely treatable. If you don’t manage the depression then you will not be able to manage your chronic condition, because the depression is actually making it worse.


    Dr. Bragman - Host of Prescription for Your Health on New Radio Media

    About the Author:

    Dr. Jim Bragman
    Host of Prescription For Your Health on New Radio Media

    Get it on Google Play Download on the App Store

    A highly successful Doctor with a practice in West Bloomfield, Michigan, Jim is also an award-winning broadcast journalist who has served as the “on-air” medical expert for various Detroit radio stations, including: WWJ Radio in Detroit (CBS owned and operated), WJBK-TV (Detroit’s FOX network affiliate) and WKBD in Detroit. He has over 20 years of experience in the medical media industry, including nine years as a national radio medical expert for CNN.

    Dr. Jim Bragman has 30 years of experience in private practice, and is also a clinical teacher of medicine at the Wayne State and Michigan State University College of Osteopathic Medical Schools.

    Prescription for Your Health - Prostate Cancer
    May 6, 2018

    Prescription for Your Health – Prostate Cancer Screening

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    One of the major controversies in medicine today is: what is the role of screening in prostate cancer?

    This includes the role of the blood test known as OSA or Prostate Specific Antigen in the diagnosis of this prevalent condition. Terms you need to understand include lead time and length time bias. This means that if we diagnose a prostate cancer today versus picking up the diagnosis 1 or 2 years later, then would that make an overall difference in a loved one’s prognosis and life expectancy.

    There are conflicting reports in the medical literature regarding this subject. My personal take on this issue is that researchers who write these papers are in ivory towers and most concerned with cost effectiveness, which is a euphemistic way of saying “what is a life really worth?” At this time, we use a cancer screening scale known as the Gleason Score to determine the degree of aggressiveness of a prostate cancer. The score varies from 2 to 10,  with 10 being the grade that is most likely to spread. When cancers are in the intermediate, range namely 5-7, the question arises whether we should treat immediately or employ “watchful waiting”. The risk with “watchful waiting” is once a cancer leaves the prostate capsule itself and spreads on to either the local lymph nodes or bone then it becomes exceedingly difficult to treat over the long term.

    Although we have made strides in the treatment of prostate cancer in the last few years and have several newer newer drug combinations available, the prognosis remains tenuous at best. We still are not at the point with genetic testing markers to determine who is a candidate for watchful waiting. In contradistinction, if we treat I explain to patients that the two worst symptoms that you might experience would include some urinary incontinence that would require a Depends cloth for a period of time, and erectile dysfunction that generally can be treated with drugs such as Cialis or Viagra or a vacuum pump device. Although sub-optimal, I explain to patients and their families that at least you are alive. I have seen patients who have a preliminary Gleason score of 6 after their prostate biopsy before their operation and at surgery are at an 8. In these cases “watchful waiting” would have resulted in the patient’s death within a few years. So as a result, at this time I am still a strong proponent of routine screening with PSA for prostate cancer. This view is substantiated by the American Urological Society.


    Dr. Bragman - Host of Prescription for Your Health on New Radio Media

    About the Author:

    Dr. Jim Bragman
    Host of Prescription For Your Health on New Radio Media

    Get it on Google Play Download on the App Store

    A highly successful Doctor with a practice in West Bloomfield, Michigan, Jim is also an award-winning broadcast journalist who has served as the “on-air” medical expert for various Detroit radio stations, including: WWJ Radio in Detroit (CBS owned and operated), WJBK-TV (Detroit’s FOX network affiliate) and WKBD in Detroit. He has over 20 years of experience in the medical media industry, including nine years as a national radio medical expert for CNN.

    Dr. Jim Bragman has 30 years of experience in private practice, and is also a clinical teacher of medicine at the Wayne State and Michigan State University College of Osteopathic Medical Schools.