WALES MAN EXCRUCIATING HEADACHE PROMPTS REQUEST FOR HELP

"Hi Dr Rowjee. I've suffered from a severe migrate, high temperature, sore throat and intermittent urination and funny taste in mouth for 3 days." ( "Walter", Wales)

Dear "Walter,"

I am glad we were able to converse on Facebook, this past weekend, about your medical condition.  After our discussion, I have concluded that your headache is likely due to a side effect of L-Tyrosine and or, a much less likely, worst case scenario, a brain tumor has developed.  Please allow me to explain.  You mentioned that you had "severe pain when I move my eyes" and you are "seeing colours, yes, almost hallucinating" both of which are contributing to a "headache is extremely severe."  The combination of  the alterations of vision, such as blurry vision, and  headache,  may indicate a brain cancer or tumor; thus, if your pain does not remit in the short term, a doctor in your locale, would be wise to order a CT of the skull to rule out possible brain tumor etiology.  However, the more likely explanation to your headache is the L-tyrosine you are taking.  You mentioned that you take "2000 mg" of tyrosine per day, and when I asked you if you take illicit drugs, you said "no." 

You mentioned "not really"  having migraine headaches in the past; however, you said " I've had an ltyrosine induced headache before but not this bad."   The 2000 mg L-Tyrosine dose is well within a safe, therapeutic dose for your body mass index; but, your high blood pressure poses a potential problem when mixed with tyrosine.  More specifically, people suffering from high blood pressure, like you, should not take supplementary tyrosine without consultation with a physician.  Thus, although tyrosine will help you relieve stress, a sensible next step is for you to visit a doctor before ingesting anymore L-tyrosine.  STOP the L-tyrosine immediately.  You are  more than likely, unknowingly, experiencing a side effect of L-tyrosine, and you must allow time for this drug to be eliminated from your body.  Once the tyrosine clears your system(s), the headache  should promptly disappear, allowing you to return to normal daily living.   Hydrate well and eat healthy foods. 

Thank you for your question and trust.  God Bless you and God Bless Wales.

Respectfully,

Dr. Roshin

*

NYC MAN WITH NONVERBAL LEARNING DISORDER, AN UNRECOGNIZED PSYCHIATRIC CONDITION WORLDWIDE AND IN THE UNITED STATES, ASKS FOR TREATMENT OPTIONS.

"Hello Dr. Rowjee. Are you familiar with a neurological disorder called Nonverbal Learning Disorder?"  (Nicholas, New York City)

Hi Nicholas,

I have heard of this disorder however, in medical school, this condition was not taught or elaborated upon due to not being in the Diagnostic and Statistical Manual, the "Bible" of psychiatric conditions.  More specifically, nonverbal learning disorder is not listed as a diagnosis in the The DSM-5 (Diagnostic and Statistical Manual) and ICD-10 (International Classification of Diseases); yet, there is plenty of literature on this condition as well as avenues of developing research.

Nonverbal learning disorder, also known as nonverbal learning disability, is characterized by an individual with verbal strengths; however, visual-spatial, motor, and social skills difficulties exist.  People with this disorder have difficulty comprehending nonverbal cues, such as tone of voice or facial expression, and these individuals have challenges with mathematics.  Thus, I understand that this disorder has effected aspects of your life including maintaining employment.

 You replied," Hello Dr. Rowjee. I asked you about this disorder because I was diagnosed with it back in 2009. This disorder causes me lots of problems especially with regards to social skills and executive functioning. I often feel like I can't learn many things effectively to become proficient in it. I will do just about anything to rid myself of this condition. I hear that autologous stem cells are a good treatment for neurological conditions. Can you offer any advice on treatments for this disorder that is a permanent fix either here in the US or overseas? "

.

Besides Medical Tourism Company- Affordable Healthcare, Surgery Abroad/ PlacidWay (http://www.placidway.com/) company in Austria, I was able to locate an article entitled, "Stem Cell Crusader Sparks New Hope for Fighting Diabetes, Heart Disease (http://www.bloomberg.com/news/features/2016-06-27/stem-cell-crusader-sparks-new-hope-for-fighting-diabetes-heart-disease)  listing companies with ongoing stem cell research in Japan.    Essentially, the article is a" Who's Who" list of global contacts that could lead to the exact area of ongoing research you  desire. 

After approximately a month of elapsed time, I was thrilled to hear "Hello Roshin. I found a clinical trial using stem cells as treatment for neurological disorders in Florida-Margate, Florida to be exact. I already contacted the clinical trial director to inquire about participating in the trial. If it wasn't for your article on the stem cell treatment in Japan I wouldn't have found the clinicaltrials.gov website.

Nicholas,  I am humbled that we, collectively, were able to find an ongoing research protocol that could end your distress with the manifestations of nonverbal learning disorder.  Please stay in touch, as I wish to learn your progress, praying for a marked improvement in overall quality of life.

Thank you for your trust and question.  God Bless you and God Bless New York City.

Respectfully,

Dr.  Roshin

*

NJ MAN GENETIC TEST CONFIRMS LYNCH SYNDROME

"Hi Doctor Roshin. This is the official paperwork about my Lynch diagnosis." 
( Mr. Bruce, New Jersey) 

Dear Mr. Bruce, 

Before I begin any explanation on your sent paperwork, do know that with knowledge, "you can beat cancer." God has afforded you this gift of knowledge, and by knowing the diagnosis, you now have the ability to manage and most importantly, help prevent, if not eliminate the possible manifestations, from cancer. 

Your genetic test was positive for a clinically significant mutation (c.454-13A>G) in the MLH1 gene, which has a direct link to a high risk of colorectal and gastric cancers and an elevated risk of pancreatic cancer. Individuals who carry the mutation in the MLH1 gene have Lynch Syndrome, a condition often referred to as hereditary non-polyposis colon cancer. Men and women with Lynch syndrome have an increased risk of developing colorectal cancer, often at a young age. In fact, there is a 52-82% increased risk of colorectal cancer, as compared to the general population risk of 1.9%, in those people with the MLH1 gene mutation. Females with Lynch Syndrome due to the mutation in the MLH1 gene, have an increased risk of endometrial and ovarian cancer. Additionally, people with Lynch syndrome caused by a mutation in the MLH1 gene, have an increased risk of developing a spectrum of secondary cancers not limited to the following: small intestine, gastric, ureter, pelvic, hepatobiliary tract (liver), brain (glioblastoma), sebaceous gland, and pancreatic. 

Although there are high risks for cancer in patients with Lynch syndrome, many of the risks can be diminished with prompt and steadfast medical guidance and management. Now that you are aware of an increased risk of colorectal cancer, what should you do? Talk with your physician about having a colonoscopy done every 1-2 years searching for polyps (adenomatous), the lesions that lead to colon cancer. If a polyp is found, the gastroenterologist can remove the polyp immediately during the colonoscopy procedure. In addition, a surgical consult should be considered, on an individual basis, to evaluate those parts of the colon which may need to be resected. Finally, the National Comprehensive Cancer Network has suggested that aspirin may decrease the risk of colon cancer in Lynch Syndrome patients; however, there is not enough data to sufficiently make a recommendation for its standard use; yet, this would be a conversation worth having with your physician. Management of Lynch Syndrome will be individualized based on each your and each patient's medical history. 

Knowledge is a powerful entity when used resourcefully. Thus, channel the knowledge of your diagnosis into methods to prevent the side effects of cancer or cancer altogether. You live a rich, quality filled family life, and with support of doctors and new research methodologies, you can easily add years of longevity for a continued robust existence. Thank you for your sharing your story with the world and thank you for your trust. God Bless you and God Bless New Jersey. 


Respectfully, 







Dr. Roshin









*

       * GAY MUSLIM TEEN ASKS IF A CURE EXISTS?


"Hey Doc. Does low prenatal  testosterone cause homosexuality in males?  I am so.  My family are rejecting me."  ("Asim", England)

Dear "Asim,"

Upon exposure to certain hormones, fetal sex differentiation occurs; thus, male and female organs grow.  This is a known fact; however, your question addresses "the hormonal theory of sexuality and gender identity", which postulates that hormones also play a role in sexual orientation and eventual  gender identity in adult life.  Is this theory true?  Well, the theory itself originated from abundant research studies using mammals, not human beings, and what was researched and concluded is that  prenatal factors and hormones that interact with the developing brain does show sex-typed behavior in children.  Whether the mammal correlation can be linked to humans is highly controversial.  Recently, a 2010 study published in the "Trends of Cognitive Sciences" magazine, entitled " Sex-related variation in human behavior and the brain" did lend support in humans that prenatal androgen exposure influences eventual childhood sex-typed behavior.  Realize that in addition to hormones, sexual orientation has been linked to genes, SRY and ZRY.  Thus, to answer your question " Does low prenatal  testosterone cause homosexuality in males?" presently, the answer would have to be yes, that possibility exists. 

You indicated that "I suffer from ED" but know that there are medications and techniques to address erectile dysfunction, a condition that has no correlation with homosexual tendencies.  You also asked "Is there anything to fix my gay tendebcy?"  The answer is no, there is no medication or treatment to fix lesbian or homosexual desires. 

You also mentioned "I think my strong homosexuality could be as a result of many many strict generations of suppression of those feelings in the DNA in the Islamic side of my family."   There are many religions and cultures with strict forbiddance of  gay and or lesbian lifestyles; yet, in my opinion, religion should stand neutral in this area of genetics.  If a person is attracted to an individual of the same sex, I have written in the past that "no  law can legislate genetics."  Both politics and religion should realize that both entities risk discrimination and intolerance without undoing strict policy or scripture. 

Asim, you have shown much courage to express your true inner feelings; thus, for your own mental health, you must surround yourself with people who support who you are as an individual.   Let your faith help guide your journey, realizing any scripture that unintentionally or purposely condones hatred and violence, is an interpretation of man, not God.  Congratulations on taking your first big step.

I am deeply humbled by your trust in me on an issue that is both sensitive and controversial.   God Bless you.

Respectfully,

Dr. Roshin