Friday, September 28, 2012

Mid-level practitioners

Mid-level practitioner

DEA: Mid-Level Practitioners Authorization by State


CNM Certified Nurse Midwives


CRNA Certified Registered Nurse Anesthetists


DOM Doctors of Oriental Medicine
HMD Homeopathic Physician
MP Medical Psychologists
ND Naturopathic Physician
NP Nurse Practitioners
OD Optometrists
PA Physician Assistants
RPH Registered Pharmacists


Drug Enforcement Administration (DEA) number

HIPAA National Provider Identifier (NPI) number

RN registered nurses PT physical therapists immigration

Thursday, September 27, 2012

Alzheimer's disease

Alzheimer's disease 

ALZ Clinical Trials Phase III Taiwan 

6/7/2021 Aduhelm (aducanumab) - Biogen Eisai 
1/6/2023 Leqembi (lecanemab-irmb) Eisai Biogen 7/6/2023 traditional approval 

oligomannate GV-971 九期一 甘露特钠胶囊 
阿尔茨海默症新药难在哪 阿杜卡奴抗体 aducanumab 渤健 卫材 

Changhua, Kaohsiung Medical University, Kaohsiung Chang Gung, National Cheng Kung, National Taiwan University, Chang Gung

National Institute on Aging: Alzheimer's Disease Research Centers

Treating Alzheimer's > Cognitive Symptoms

Bredesen Protocol

Three cholinesterase inhibitors are commonly prescribed:
  1. donepezil (Aricept), which is approved to treat all stages of Alzheimer’s disease 2006
  2. rivastigmine (Exelon), approved for mild to moderate Alzheimer’s 2007
  3. galantamine (approved in 2001 under the trade name Reminyl and renamed Razadyne in 2005), also approved for mild to moderate stages
How are cholinesterase inhibitors used?
  • Donepezil (Aricept®) is a tablet and can be administered once daily. Generally, the initial dose is 5 mg a day(usually given at night). After four to six weeks, if it is well tolerated, the dose is often increased to the therapeutic goal of 10 mg a day.
  • Rivastigmine (Exelon®) is available as patch, a capsule or as a liquid. The dosage is gradually increased to minimize side effects. Usually the medication is started at 1.5 mg daily. After two weeks the dosage is increased to 1.5 mg twice a day. The therapeutic goal is to increase the dosage gradually every two weeks to reach 6 to 12 mg a day given in two doses, each equal to half the total. There is a greater frequency of side effects at these higher doses; however, taking drugs with meals may be helpful in reducing the occurrence of side effects.
  • Galantamine (Razadyne) is supplied as tablets in strengths of 4, 8 and 12 mg. The recommended starting dose is 4 mg twice a day. If well tolerated after four weeks or more of treatment, the dose is increased to 8 mg twice a day. There was no statistical benefit in clinical trials for 12 mg twice a day over the dose of 8 mg twice a day, but if 8 mg twice a day is well tolerated after four weeks, the dose can be increased to 12 mg twice a day by the physician. Galantamine is also available in an “extended release” form as Razadyne ER that is designed to be taken once a day.
Treatments > Medications for Memory Loss

藥物治療 - 阿茲海默症

膽鹼酶抑制劑:愛憶欣(Aricept, donepezil)、憶思能(Exelon,rivastigmine)、利憶靈(Reminyl, galantamine)。可能的副作用有噁心、拉肚子、厭食、頭痛、嘔吐等。

* Alzheimers disease alternative treatments
Caprylic acid - coconet oil
Omega-3 fatty acidFatty acid ratio in food low Omega-6/Omega-3: canned fish in water, Vegetable oil linseed/flaxseed, Canola rapeseed oil 菜籽油和芥花油 low ω-6, Are seed oils really as harmful as Robert F. Kennedy Jr. claims? 
* Phosphatidylserine 

1997 A Controlled Trial of Selegiline, Alpha-Tocopherol, or Both as Treatment for Alzheimer's Disease
Moderate stage: Vitamin-E (Alpha-Tocopherol) 2000IU
Dietary Supplement Fact Sheet: Vitamin E Tolerable Upper Intake Levels 1500 IU 

Cancer Treatment Resources and Support Groups

NCI: How To Find a Doctor or Treatment Facility If You Have Cancer
American Cancer Society: Choosing a doctor and a hospital
Inspire: Ovarian Cancer National Alliance Support Community: Discussions, Forum
Livingly dying

National Comprehensive Cancer Network
NCCN Member Institutions, older map Houston Boston Northwestern Philly Case NM Portland Rochester Austin
NIH: National Cancer Institute
NCI-Designated Cancer Centers Comprehensive Cancer Center CCC, older map

USNews Best Hospital in San Jose, CA
USNews Top-Ranked Hospitals for Cancer

Association of Community Cancer Centers directory California

The Joint Commission Quality Report: El Camino Hospital

American Board of Medical Specialties - Board Certified Doctors

American Medical Association: Doctor Finder
American Society of Clinical Oncology (ASCO) Member
American College of Surgeons: member search FACS
American Congress of Obstetricians and Gynecologists: Find an Ob-Gyn FACOG

USNews Top Doctors - Gynecologic Oncologists
USNews Top Doctors - Medical Oncologists
US News Top Doctors - Internists
US News Top Doctors - Family Medicine

American Cancer Society: Search for Resources
Stanford Cancer Institute Supportive Care Services
Kaiser Permanente Santa Clara Cancer Support Groups Gynecological Cancer Support Group:

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Cancer Support Community San Francisco Bay Area Walnut Creek

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EmergingMed Clinical Trial Specialists
My Clinical Trial Locator: map

R,A, Bloch Cancer Foundation Multidisciplinary Second Opinion Centers

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