Officials are currently investigating a multistate outbreak of Cyclospora infections linked to bagged salad mix.
The Autism/Asperger's Research Program at Arizona State University is conducting an Autism Treatment Effectiveness Survey to evaluate the effectiveness of treatments for autism, including medications, nutritional supplements, diets, therapies, and education.
Our goal is to learn which treatments are most effective for different symptoms (language, anxiety, sleep, GI, etc.). Survey results will be posted on our website for families and clinicians, and published in a scientific journal. Your participation is voluntary. The survey will take 15-45 minutes, depending on the number of treatments you wish to rate.Take the Survey!
In order to help address potential member and parent questions around these issues, information was compiled/developed by the American Academy of Pediatrics, and made available online. See this article
Read updates and articles about health care topics. Read more...
Since 2007 Virginia has experienced significant increases in the number of reported Lyme disease cases and other tick-borne infections. The risk of acquiring Lyme disease is no longer confined to northern Virginia. These significant increases are one reason Governor Bob McDonnell has declared May as Lyme Disease Awareness month in Virginia.
Please read this important message from the State Health Commissioner.
See the link below for an important message from the Principal Investigator in the Gardasil trials.An Interview with Dr. Diane M. Harper, HPV Expert
Wondering whether your child's symptoms are serious? Should you call the doctor, treat your child at home, or go to the emergency room? HealthyChildren.org now has an exciting new interactive tool to help parents evaluate their child's symptoms.Try the HealthChildren.org KidsDoc Symptom Checker...
Our telephone is answered 24 hours a day. All after hours or weekend calls will be returned by the physician or nurse on call, however if your child requires medical care between 11:00PM and 8:00AM you will be referred to the emergency room. This telephone service is available for our primary care patients only. All other patients will need to call for assistance during regular office hours.
Some of our out of town patients stay in Lynchburg for long periods of time. Within one block of the Rimland Center, there are furnished townhomes available with flex terms
Some of our patients stay at the Wingate Inn, which is just minutes from our offices and features a hot breakfast daily and free Wi-Fi.
At The Rimland Center, we make every effort to be available and to answer questions regarding your child during your office and/or telephone visit. However, because of HIPPA regulations, we cannot answer medical questions over email.
Moving becomes a part of our lives at many different stages: When we move away from our parents, relocate for a job opportunity, or find somewhere new to retire. No matter your circumstances, it can be a stressful process. And if you're moving with a child with autism, it's especially important to help relieve moving stress for both you and your kid. MyMove has put together a guide to help parents of children with autism prepare for the stress and anxiety of moving day.Read the Guide
Healing Autism Academy is an online learning resource for families affected by autism spectrum disorders, taught, by world leaders in the field of autism.Watch Now
Paul Thomas, a friend and research colleague of mine, quickly wrote an EBook about natural ways to boost the immune system so we do not have to depend on prolonged isolation during COVID 19 as a bridge to putting all our hopes on a vaccine.
I am particularly eager for my patients to read the sections about Vitamin C, Vitamin D and melatonin. Stress management is another important factor to optimize the functioning of your immune system.
Click on the link and you will get a free copy. Food for thought!Get your free COVID-19 EBook
The Neurological Health Foundation has put together a guide with the purpose of "Educating and empowering parents to have healthy children free of chronic health disorders who realize their full neurological potential"Download the guide
Here is a great resource for parents: "Complex Child is a monthly online magazine written by parents of children with special healthcare needs and disabilities. It is intended to provide medical information, along with personal experiences, in simple language that other parents can understand. Articles are on a wide variety of topics ranging from basic information on medical conditions and treatments to advice on how to beat insurance company denials."Complex Child Magazine Complex Child Facebook Page
Check out the site below from the Environmental Working Group on sunscreen recommendations. Our practice recommends 20 minutes a day of sun exposure without sunscreen in order to maintain good Vitamin D levels.Annual Sunscreen Guide
Of the thousands of parents who filled in the Autism Research Institute's survey concerning dietary intervention, 66% said their child improved on a gluten- and casein-free (GF/CF) diet. Please understand that this diet must be followed carefully because even a few crumbs of a cookie is a very big deal...Help for special diets...
By Maureen H. McDonnell, RN
Although the entire mystery of what has caused the autism epidemic has not yet been solved, based on emerging science and parents reporting what specific treatment have improved (or in some cases recovered) their children...
Many of us regularly assess laboratory values of vitamin D. Interpretation of the lab’s reference range can be a challenge to explain to your patient. What is the difference between “normal” and “optimal” and why is their reference range different from what you are recommending? Dr. Michael Stone created this handout a couple of years ago to answer those questions. It has become a very useful explanation that I often give to patients after I’ve done a brief overview of the importance of vitamin D and why I may be suggesting supplementation. We have added references to this document so that the more curious patients can have some evidence behind your suggestions. Additionally, they can take it to their other providers who may have some questions about those recommendations as well.
Everyone should have his or her vitamin D level checked at least once a year (infants through the elderly).
Below are conditions that have been associated with vitamin D levels:
< 10 ng/mL Severely deficient < 15 ng/mL Risk of rickets[i] < 20 ng/mL 75% greater risk of colon cancer[ii] < 30 ng/mL Deficient
Increased calcium loss from bones, osteoporosis[iii]
Poor wound healing[iv]
Increased muscle pain[v]
Increased joint and back pain[vi]
Greater risk of depression[vii]
Increased migraines [x]
Increased autoimmune disease (lupus, scleroderma)[xi]
30–50 ng/mL Suboptimal levels < 34 ng/mL Twice the risk of heart attack[xiii] < 36 ng/mL Increased incidence of high blood pressure[xiv] < 40 ng/mL Three times the risk of multiple sclerosis[xv] > 50 ng/Ml 50% reduction in breast cancer, decreased risk of all solid cancers[xvi] 80–100 ng/mL Slowing of cancer growth in patients with cancer[xvii] > 100 ng/mL Increased risk of toxic symptoms (hypercalcemia)[xviii]
Natural Production of Vitamin D
Your skin makes vitamin D when it is exposed to a pinking dose of sunlight. How much vitamin D you make depends on your age, how much skin is uncovered, and your skin tone. Without sunblock and with arms and legs exposed, your skin will make 10,000 to 15,000 units of vitamin D in one pinking sun exposure, on average. Sunblock with an SPF of more than 15 blocks 100% of vitamin D production in the skin.
Depending on the latitude at which you live, you may only get enough radiation from the sun for vitamin D production between May and October. Also, the darker your skin, the more sun you need to make enough vitamin D.
Vitamin D Supplementation Doses
Normal dosing of vitamin D depends on your blood levels. Some practitioners recommend treatment doses for blood level ranges as high as:
|<10 ng/mL||10,000 units per day|
|10–20 ng/mL||10,000 units per day|
|20–30 ng/mL||8,000 units per day|
|30–40 ng/mL||5,000 units per day|
|40–50 ng/mL||2,000 units per day|
If you are taking a vitamin D supplement, adequate calcium and magnesium intake are also required.
It is very difficult to get too much vitamin D. People can take up to 10,000 units per day for 6 months and not have any adverse effects. However, people with sarcoidosis, tuberculosis, Lyme disease, lymphoma, or kidney disease have to be supplemented carefully because of an increased risk of their blood calcium level becoming too high.Rechecking Your Vitamin D Level
It is recommended that you have your vitamin D level rechecked within 2 weeks to 2 months after starting supplementation, depending on your medical and health condition. Other lab tests for calcium, ionized calcium, magnesium, and parathyroid hormone levels (PTH) may also be done during the recheck.*From the Institute of Functional Medicine
The website of Julie Matthews, Certified Nutrition Consultant and Autism Diet Specialist She understands, applies, and customizes the varied dietary strategies - as there is no "one size fits all" approach, nor one particular "autism diet."Learn More
Imagine an autism-focused health center located in the heart of a small Southern city full of hospitality and charm, where patients, families, and interested medical professionals can receive the individual care and education they so desperately need. Far more than just a doctor’s office, the RIMLAND Center includes not only exam rooms and lab equipment but also a state-of-the-art hyperbaric oxygen therapy center and a demonstration kitchen where families and doctors can learn first-hand how to implement the diets - gluten-free, casein-free, special carbohydrate - that have the potential to change their children’s lives.
Imagine a doctor’s office where, instead of an impersonal and anxiety-producing waiting room, patients enter a skylit room with brick walls, bistro tables, comfortable chairs and sofas - a relaxing environment made for the whole family. While they wait, children can enjoy the adjacent playroom, which also serves as an arena assessment area for physical therapists, occupational therapists and others. Plasma TVs bring to life educational videos, making the most out of the time between assessments and hyperbaric sessions, and the building can also serve as a community center where special needs organizations can meet outside of office hours.
The new mentoring center is international in scope, helping to bring the Defeat Autism Now! biomedical approach - autism is treatable, recovery is possible - to clinicians from around the globe. Over 80 doctors have already expressed their interest in participating in such a mentoring experience, and families from as far away as Italy have already made use of all the facility has to offer. Every doctor trained and every family served can help more children and bring us closer to the goal of restoring these children to their full potential.
Wondering whether your child's symptoms are serious? Should you call the doctor, treat your child at home, or go to the emergency room?Try the HealthChildren.org KidsDoc Symptom Checker...
Our telephone is answered 24 hours a day. All after hours or weekend calls will be returned by the physician or nurse on call, however if your child requires medical care between 11pm and 8am you will be referred to the emergency room. This telephone service is available for our primary care patients only. All other patients will need to call for assistance during regular office hours.