Sunday, September 6, 2020

Fecal Transplant Greatly Improving Alzheimer's and Other Diseases and Illnesses?



As many of you who read this blog know I back in 2013 suffered from c difficile and ended up going through many rounds of different drugs without anything working. Luckily back then I was doing research and had discovered (on my own) that fecal transplants starting to gain acceptance and being performed around the country. At the time the success rate of fecal transplants for c difificle was 90%. To be honest since I had the fecal transplant I really haven't had any issues in terms of major flare ups (the only time I was in the hospital for Crohn's was when I was initially diagnosed.

Other uses for fecal transplant may include autismalcoholism, obesity, multiple sclerosisParkinson's, rheumatoid arthritis, acne, insomnia, major depression, diabetes, cancerpeanut allergieschronic fatigue syndrome and even anorexia

recent case study showed that a 82 year old man who had c difficile and Alzheimer's was treated with a fecal transplant (he received from his wife). Just 2 months after the fecal transplant there were improvements that were noticed for Alzheimer's. First the patient had a sharpened state of mental acuity and mood improved. Between 4-6 months there were further improvements to memory and mood. Initially the Mental Mini Score Exam (a metric used to determine dementia) was only 20 (which indicates mild dementia). Only two months after the fecal transplant the number increased to 26. At 6 months the score increased to 29 (the maximum score is 30). The author who published the case study is now running a double blind placebo controlled clinical trial to see if having a fecal transplant (orally) would have any effect on Alzheimer's patients. Although, this is only one reported case it would be interesting if fecal transplants could help individuals with Alzheimer's and dementia. Also given that there really aren't any drugs on the market that reverse the underlying condition of Alzheimer's (my understanding from when my grandmother had dementia was the drugs keep things stable but over time the disease takes over). Roughly over 44 million people around the world have Alzheimer's. If a fecal transplant or a fecal transplant was required once a year and it could truly improve the symptoms of the disease it would be a game changer for not only patients but their caregivers and most likely save the healthcare system worldwide tens of billions of dollars a year.

Within the next few years there will be more researchers and doctors studying fecal transplants to see how effective they are at treating various illness and diseases. The hard part too is that often times researchers stumble into these findings like with the Alzheimer's case study (since the patient had both c difficle and Alzheimer's). My view is that even if fecal transplants could help 10%-20% of people with all these illnesses and diseases (inflammatory bowel disease, cancer, Alzheimer's, etc.) fecal transplant would be something of a wonder drug that would greatly improve the quality of life of tens of millions of people around the world, improve their well being, happiness, and also make them more productive, and they are their families wouldn't be faced with the same psychological and financial burdens. The psychological aspect for Alzheimer's can be burdensome to caretakers (who are usually family members) and often times family members will take turns with other siblings to look after loved ones. 

Some questions will have to be answered in terms of what method is most effective to deliver the fecal transplant: by colonoscopy, enema, pills, naso tube, etc. the frequency of the treatment and the dosage. These questions would take time and clinical trials to figure out. Also and most important is the safety of the procedure. Generally fecal transplants are fairly safe however with COVID going on there will have to be safety protocols in place to ensure COVID isn't transmitted to patients. The other thing too is that fecal transplants are extremely safe (yes one person did die (the patient also had a rare blood condition too) but that was because the transplant was contaminated-it had been stored in a freezer for several months and developed e-coli). Remember Dr. Thomas Borody and his clinic in Australia have performed over 30,000 fecal transplants for over 25 years and to my knowledge haven't had many adverse effects. 

Sunday, March 15, 2020

Crohn's and Coronavirus: What I Am Doing

Image result for coronavirus
With the coronavirus recently coming to the United States and infecting many different people the question is what are Crohn's patients to do. I contact my regular doctor and GI and both had similar advice in terms of avoiding large places/crowds, washing hands, and the usual common sense advice. Although I am not a medical professional I thought I would share what my game plane is to perhaps help other individuals.

The first thing I did last early last week was to stock up on water, toilet paper, and antibacterial soap. My views is that I could possibly be self quarantine for some period of time so I want to make sure I have the essentials. I have been washing my hands multiple times a day and avoid touching any public surface, I use the end of my key to press elevator buttons and use the end of the key to hit the automatic door opener just to reduce the risk. Also I have been avoiding going out as much as possible to also reduce my risk. However, at some point I will have to go out again to get groceries/get gas/etc.

Work wise I want to try to work from home later this week. I have a laptop that I can do work things but currently only have access to e-mail. Our company has a VPN (virtual private network) that I have used before but currently my VPN hasn't been working so I need to have that fixed before I can work from home. Honestly, I would be okay working from home considering I could do the same type of work from home. In some ways it would be a little less stressful (many times people will come in and ask for something).

My view is that my behavior of self isolating and self quarantining this week should reduce my risk of catching coronavirus. Also I have been on the lookout for anyone who might be coughing. I went out to dinner last night with my parents and noticed a woman sitting roughly 20 feet away from me and she had a dry cough but she only coughed a few times in a 20 minute period (so it may have been something else).

I currently take Humira which does lower my immune system however as I write this there is only 1 documented case of inflammatory bowel disease in the United States and there really isn't good data regarding what the outcomes are. Once the data is actually out there I would be curious to see if Crohn's patients would get sicker than just regular individuals. Also I would say other than Crohn's I am relatively healthy 33 year old male, who doesn't smoke, who doesn't have any cardiovascular issues, no diabetes, no cancer, no heart issues, and real other health issues.

My advice to other Crohn's patients is make sure you have enough supplies to last you a while, avoid going out as much as possible, wash your hands on a regular basis, if you do go out stay at least 6 feet away from other people, and just remember that this will eventually pass (even though it doesn't feel like it now) I know this too shall pass.