Dr. Cataldie's Corner

Can Antibiotics Cure Chronic Back Pain?

Maybe. We are going to be hearing a lot about this and I wanted to give you all a preliminary report of what I know about it so far.  This just hit Medscape on May 8th and it is already all over the media. Here are the results of the studies that indicate 40% of chronic low back pain related to a herniated disc may be caused by a bacterial infection in the damaged disc. The name of the bacteria found in 40% of the herniated discs sampled from chronic back pain patients is Propionibacterium acnes. This bacteria is common…

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Do you suck your baby’s pacifier? You should!

This is news to me. As a matter of fact, I thought just the opposite. I was evidently wrong. In the highly respected medical journal, Pediatrics, it was reported , May 6, 2013, that parents who clean their baby’s pacifier by sucking on it themselves before giving it to the baby actually protect the child from developing allergies. The babies in the study were followed until three years old. The kids who had pacifiers cleaned by sucking parents had significantly less asthma, eczema skin disease, and sensitization to potential things that…

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“It’s your turn to get up and feed the baby”

It is now official, guys, women are more attuned to a baby’s needs, at least when that need is to be fed. More attuned as in their brains are more activated when a hungry baby cries. Now, I realize that any couple with a kid figured that out a long time ago. But this study is really cool so I wanted to share it with you. It was released by the National Institutes of Health May 6, 2013. Here is the short version. They had females and males “zone out” to white background noise and get really relaxed. Then…

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Colic in babies could be a form of migraine

Before we jump into this, we need to define “colic”. Colic is the condition in which otherwise healthy infants let you know they are in distress by crying. Colic is often defined by the 3X3 “rule”. If your infant cries for over 3 hours per day for 3 days out of the week for 3 weeks and is otherwise healthy, your baby fits the “colic” criteria. Colic usually goes away on its own.
Researchers have found a strong link between colic and childhood and adolescent migraine headaches. Indeed, colic may be a form of migraine but the brain and nervous…

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SUDS and the “Terrible Twos”

SUDS (Single Use Detergent Sacs) laundry detergents packets can be very attractive to toddlers. They can also be very toxic if they are chewed and/or swallowed. A recent study of about 600 kids who did just that, revealed serious medical consequences: severe nausea, vomiting, diarrhea, severe drooling due to swollen throat, and inability to breathe. Some children required having a tube put into their throats (tracheas) and being placed on breathing machines. Eye exposures to the detergent caused damage to the cornea of the children’s eyes. The average age of the child that got into the detergent packets was…

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Ultrarapid Opiate Detox – An easier, softer way?

Several people have asked me about this “ultra-rapid” detox process that has been around about 20 years of so and I’ve visited with a few patients who have been through it. Those few I met at Woodlake Detox. The idea is you sleep your way through opiate detox. That’s right, you go into this facility and they put you under general anesthesia – just like you are having surgery. Anesthesia is a medically controlled drug induced coma. While you are in coma for several hours, they inject naltrexone into your blood system. Naltrexone is an opiate blocker. So…

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Science Meets Religion – Again

We have previously talked about the Five “A’s” that put young people at risk for substance abuse: Availability, Awareness, Acceptability, Adolescent Brain, Assessment of Risk. One of the five major reasons that adolescents and young adults use alcohol and or drugs for the first time is “Acceptability by others of that use” also called  perceived “social acceptance” also called perceived  “social norms”. We used to call it peer pressure. The terms are not that relevant but what is relevant is that adolescents and young adults want to fit into a peer group. That is an undeniable fact. So working…

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Mary Get’s a “D” for Nutrition

Mary presented to treatment several months ago. She gave an all too increasingly familiar story of her journey into opiate addiction. It all started out after she was injured in a motor vehicle accident three years before her admission. She was given Lortab and liked the feeling. On admission she was up to 180 mg of Roxicodon per day just to function and the chronic pain in her back was worse than ever. She also had generalized muscle, bone, and joint pain. Physical examination revealed pain to touch on her lower legs and her sternum. She was also noted…

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How “insane” do drinking alcoholics get?

Well crazy enough to get drunk and drive onto a lawn thinking it’s a parking lot. The irony being that particular lawn belongs to the Wilson House. Yep. You guessed it, the birthplace of Bill Wilson.

Check out the link: http://www.wtop.com/209/3172932/Man-gets-DUI-after-driving-on-AA-co-founders-lawn
Louis Cataldie, MD
Diplomate ABAM
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Non-suicidal Self Harm Cutters, Burners, and Hitters

Sally is sixteen years old and somewhat defiant but then again she’s 16 years old. Her mother made her come to see me for an addiction assessment because during a parental search of her room, they found some “synthetic” marijuana. Of course, she is angry about being “violated” by the search. Purportedly, her erratic behavior prompted the search. During the course of her visit I ask about self mutilation. She breaks eye contact, looks at the floor and then says: “Yes. But I’m not crazy.”

I don’t think she’s crazy either. I do think she is using cutting as a…

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