{"id":31602,"date":"2024-07-22T22:36:04","date_gmt":"2024-07-23T03:36:04","guid":{"rendered":"https:\/\/wholehealthchicago.com\/blog\/?p=31602"},"modified":"2024-07-22T22:36:06","modified_gmt":"2024-07-23T03:36:06","slug":"brain-fog-why-doctors-arent-helping-you","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2024\/07\/22\/brain-fog-why-doctors-arent-helping-you","title":{"rendered":"BRAIN FOG: WHY DOCTORS AREN\u2019T HELPING YOU"},"content":{"rendered":"\n<p>You can\u2019t remember the name of the Netflix movie you saw last night, scant hours ago. That actor\u2013what was his name? He was in, you know, that other movie, with that woman with the hair. \u201cOh, where is my mind?\u201d. Then you get a notice from Verizon that they\u2019re turning off your phone for nonpayment. You knew you paid it\u2026you think.<\/p>\n\n\n\n<p>&nbsp;Here\u2019s a checklist of \u201cbrain fog\u201d symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>difficulty concentrating,<\/li>\n\n\n\n<li>poor word recall,<\/li>\n\n\n\n<li>problems multitasking,<\/li>\n\n\n\n<li>slow thought processing,<\/li>\n\n\n\n<li>mental fatigue,<\/li>\n\n\n\n<li>poor working memory.<\/li>\n<\/ul>\n\n\n\n<p>Variations on the\u00a0brain fog\u00a0theme, including, \u201cjust can\u2019t concentrate\u201d, \u201cmemory shot to hell&#8221;, and \u201cworried about Alzheimer\u2019s\u201d, are extraordinarily common these days, especially with long COVID, estimated to affect <a href=\"https:\/\/www.gavi.org\/vaccineswork\/nearly-7-americans-struggle-long-covid-infections-surge#:~:text=COVID%2D19-,Nearly%207%25%20of%20Americans%20struggle%20with%20Long%20COVID%20as%20infections,be%20at%20least%2065%20million.\">7% of Americans<\/a>. If you\u2019re experiencing any of this, be assured you\u2019re not alone.<\/p>\n\n\n\n<p>New patients arrive at WholeHealth Chicago centers with chronic and somewhat vague symptoms, like \u201cfatigue\u201d, \u201cbloating\u201d, \u201cbrain fog\u201d, but also having seen a variety of physicians who tell them variations of \u201cyour tests are normal\u201d and \u201ccan\u2019t find anything wrong\u201d.<\/p>\n\n\n\n<p>Let\u2019s spend this week on that most troubling of symptoms: \u2018brain fog\u2019. Neurologists refer to this as \u201cSubjective Cognitive Impairment\u201d (you notice it, but others don\u2019t), as opposed to \u201cObjective Cognitive Impairment\u201d (your family reports how you routinely get lost driving home from Whole Foods or you can\u2019t recognize old friends), which is obviously serious and in the realm of actual dementia.<\/p>\n\n\n\n<p>I\u2019ve written about the more common causes of brain fog in <a href=\"https:\/\/wholehealthchicago.com\/blog\/2020\/11\/02\/causes-of-brain-fog-how-to-test-and-how-to-treat\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">previous Health Tips<\/a>. Generally, these are not overlooked (or should not be overlooked!) by most practitioners. Included here are: stress, hormonal shifts (perimenopause, PMS), hypothyroid, nutritional deficiencies, poor sleep, side effects of medications, toxic metal exposure, undiagnosed diabetes, undiagnosed ADD and even chronic dehydration.<\/p>\n\n\n\n<p>However, there are four conditions that we see at <a href=\"https:\/\/wholehealthchicago.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">WholeHealth Chicago<\/a> that are all too often either overlooked, or if not \u2018overlooked&#8217;, then accompanied by an irritating chunk of conventional physician misinformation: \u201cWell, I\u2019ve read about the brain fog of long COVID (or Lyme, or mold toxicity) but really there\u2019s nothing to be done.\u201d<\/p>\n\n\n\n<p>On the plus side, the actual number of patients with long COVID brain fog (and this includes patients who had an adverse reaction to the vaccine) is going down simply because COVID itself is in decline. I wrote about the mechanism of the <a href=\"https:\/\/wholehealthchicago.com\/blog\/2024\/02\/26\/leaky-brain-the-true-villain-behind-brain-fog\" target=\"_blank\" rel=\"noreferrer noopener\">brain fog here<\/a>, a phenomenon called \u201cleaky brain\u201d triggered by viral brain inflammation.&nbsp;<\/p>\n\n\n\n<p>Patients with <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9843113\/#:~:text=The%20current%20study%20analyzed%2024%20post%20COVID%2D19%20infected%20long,factor%20to%20their%20neurological%20decline\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">long COVID brain fog<\/a> who do undergo a routine MRI will be reassured that it is normal, but if the patient is fortunate enough to have her\u00a0MRI interpreted using a special software system called Neuroquant, originally developed to diagnose the brain shrinkage of early Alzheimer\u2019s, the MRI will also show the inflammation and damage of long COVID.<\/p>\n\n\n\n<p>Interestingly, other overlooked conditions of brain fog, brain inflammation, and leaky brain may show up as abnormalities when interpreted using Neuroquant.<\/p>\n\n\n\n<p>Although these have not been completely studied with a sufficient number of patients, the same mechanism of inflammation\/leaky brain has been shown to occur in:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lyme and co-infections;<\/li>\n\n\n\n<li>mold biotoxin illness (a\/k\/a \u201cchronic inflammatory response syndrome\u201d patients call it \u2018mold madness);<\/li>\n\n\n\n<li>some cases of fibromyalgia (\u201cfibro fog\u201d);<\/li>\n\n\n\n<li>post concussion syndrome (many neurologists consider this a chronic brain inflammation);<\/li>\n\n\n\n<li>food sensitivities, most notably gluten;<\/li>\n\n\n\n<li>cancer chemotherapy (\u201cchemo-brain\u201d).<\/li>\n<\/ul>\n\n\n\n<p>Keep in mind that <a href=\"https:\/\/www.simonmed.com\/wp-content\/uploads\/2022\/07\/SPIN-Neuroquant-bi-fold.pdf\">Neuroquant<\/a> is not a treatment of any kind. It is simply a new way of interpreting your brain MRI without contrast but with newly developed software.<\/p>\n\n\n\n<p>At WholeHealth Chicago, we attempt to diagnose every case of brain fog from a chronological perspective. \u201cI was fine until I had COVID.\u201d, is easy. This is likely long COVID brain fog. On the other hand, \u201cWe always went to Wisconsin as kids. Sure I had tick bites.\u201d, becomes more challenging and requires a serious search for chronic Lyme and co-infections. \u201cWe pulled down some plasterboard and there it was, a wall of black mold.\u201d Oh, yuck!<\/p>\n\n\n\n<p>Most diagnostic tests (Lyme, inflammatory markers, even Neuroquant) are covered by insurance. Measuring toxic mold is not, but is reasonably priced. Obviously, treatment is based on diagnosis, but except for some use of antibiotics for Lyme, most use natural products and <a href=\"https:\/\/ivs.wholehealthchicago.com\/shop\/product\/2\">infusions of ozone<\/a> to hyperoxygenate your cells to enhance self healing.<br><\/p>\n\n\n\n<p>Be well,<\/p>\n\n\n\n<p><em>David Edelberg, MD<\/em><a href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https:\/\/wholehealthchicago.com\/blog\/2024\/07\/15\/first-it-was-lyme-disease-now-its-babesia&amp;display=popup&amp;ref=plugin&amp;src=share_button\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><a href=\"https:\/\/twitter.com\/share?url=https:\/\/wholehealthchicago.com\/blog\/2024\/07\/15\/first-it-was-lyme-disease-now-its-babesia&amp;text=FIRST%20IT%20WAS%20LYME%20DISEASE%2C%20NOW%20IT%E2%80%99S%20BABESIA\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><a href=\"https:\/\/www.linkedin.com\/shareArticle?mini=true&amp;url=https:\/\/wholehealthchicago.com\/blog\/2024\/07\/15\/first-it-was-lyme-disease-now-its-babesia\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><a href=\"https:\/\/wholehealthchicago.com\/blog\/2024\/07\/15\/first-it-was-lyme-disease-now-its-babesia\"><\/a><a href=\"mailto:?subject=Your%20friend%20has%20shared%20an%20article%20with%20you.&amp;body=FIRST%20IT%20WAS%20LYME%20DISEASE%2C%20NOW%20IT%E2%80%99S%20BABESIA%0D%0Ahttps%3A%2F%2Fwholehealthchicago.com%2Fblog%2F2024%2F07%2F15%2Ffirst-it-was-lyme-disease-now-its-babesia%0D%0A\"><\/a><span id=\"docs-internal-guid-d291f1ac-7fff-2749-55a0-579246bc0177\"><span style=\"font-size: 13.5pt; font-family: Arial, sans-serif; color: rgb(61, 71, 77); background-color: transparent; font-weight: 700; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline;\"><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>You can\u2019t remember the name of the Netflix movie you saw last night, scant hours ago. That actor\u2013what was his name? He was in, you know, that other movie, with that woman with the hair. \u201cOh, where is my mind?\u201d. Then you get a notice from Verizon that they\u2019re turning off your phone for nonpayment. [&hellip;]<\/p>\n","protected":false},"author":4902,"featured_media":31604,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[204,2408,2777,2269,2778],"tags":[448,1817,2312],"class_list":["post-31602","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-b","category-brain-diseases","category-cognitive-health","category-covid","category-neuroquant","tag-brain-fog","tag-cognitive-health","tag-long-covid"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>BRAIN FOG: WHY DOCTORS AREN\u2019T HELPING YOU<\/title>\r\n<meta name=\"description\" content=\"Let\u2019s spend this week on that most troubling of symptoms: \u2018brain fog.\u2019 Neurologists refer to this as \u201cSubjective Cognitive Impairment\u201d (you notice it but others don\u2019t) as opposed to \u201cObjective 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