SMOKINCHOICES (and other musings)

March 30, 2018

Dr Roach – MRI woe, not to fret

Traditional Medicine, and those seeking cause

Don’t know if Dr Roach even noticed that I haven’t bugged him in a while,  maybe  he felt my expiration date had come and gone without a hitch.  This doctor’s longevity suggests that he is one of the good ones who  uses judgement and reason in healthy doses. Even so, he springs from a conventional viewpoint with which I frequently differ, respectfully.  Today is no different, alas.   Jan

  ~                 ~                 ~                ~                ~

To Your Good Health

Unspecified changes on MRI should be reassessed

Dr. Keith Roach

Q 1) Dear Dr Roach:  A recent MRI of my internal auditory canals revealed an incidental finding of “microangiographic changes” in the area of the pons.   I am 65 years old, do not smoke or drink, exercise rather vigorously for an hour almost every day, eat sensibly, am not diabetic, and have normal cholesterol and blood pressure without medication.  Can you comment?  –D.D.

A:  I see this result frequently.  The changes seen on your MRI scan are not specific, but they can be associated with damage to blood vessels from many of the conditions you have avoided, especially smoking and high blood pressure.  The pons, in the deep brain, is susceptible to damage from high blood pressure.  However, some people with no risk factors will have these changes. (*)  When I see this, my practice is to reevaluate whether there are risk factors that could be better managed, consider the use of of aspirin if indicated and advise on diet and exercise;  then, if all is as it should be, tell my patient not to worry too much.  These findings on MRI are not a guarantee of developing brain disease.

(*)  Have no issue with Dr R’s response, shows true concern coming from the allopathic knowledge-base. . s’the way it works.  My nature always struggles with  . . ‘why?’  How does this add up?  If I have no symptoms, pain or problems, what then is wrong – what might be causing this?  Can I in good conscience, just ignore this?   This could be a foreshadow of ‘brain disease’?   With science claiming 1 of 4 of us will develop Alzheimer’s, I think it is a bit unsettling.   These changes can be associated with damage to the blood vessels?  What have I done wrong or worse – – not done, that perhaps I might have if only I had known? 

From D.D.’s  description of own lifestyle — sounds good to me. Even exemplary.   We must think/seek deeper.  Damage to blood vessels? What covert issue could we imagine here.  Is there enough oxygen (1) in the works to keep all flowing the way it should?  Are all those billions of mitochondria getting all the energy (1) they need – 24/7 ?  Are we sure that calcium is not being drained from bones and instead screwing up the arterial system with plaque making it sluggish? (2). . . .and about that ‘just-to-be’ safe suggestion of a daily aspirin — wanna risk  possible internal-bleeding, just in case?     So easy to offset most any of this, naturally, kinda cheaply considering all – and with NO SIDE EFFECTS of any kind, while ensuring that some of those hidden causes or surprise elements never get a toehold. 

Let’s look at some of this,  if you’ve a mind to hear my thoughts.  The way it’s standing, one could be left with potential fear and ongoing angst.  I like probing, questioning and reasoning > reduction = possibilities.  With my pulmonary, cardio and  brain issues (Alzheimer’s) of well over a decade or so now, one might say, I may have found some stuff that works. (Hacker that I guess I have been becoming).


I probably don’t have too much in the way of vascular problems since I have been ingesting Nattokinase 2 X day for around a decade or so.  (I  take this with my rising and bedtime doses of L-Arginine and L-Citrulline, along with Vitamin C crystals, Goji Berry, and Trans-RESVERATROL,  Nattokinase and CoQ10 – – you can never get too much CoQ10 with heart/brain issues)   Blood is flowing well, isn’t clogged; can carry oxygen (1) just fine to all the cells and mitochondria and organs.  AND, I have been utilizing Vitamin K2 daily along with my 5K to 10K grams of Vitamin D3 daily (this being the insurance that the calcium stays where it belongs (2) – in the bones and teeth), not gumming up arteries with plaque or sludge.   Both the vitamin D3 [which is more than a simple vitamin — it is a neurohormone and is one of the most important supplements one can take for heart problems  and hugely relevant fighting inflammation] and Magnesium.  As we all know, inflammation is one of the primary causes  in dealing with chronic cardiology issues including heart failure.  Unfortunately, allopathic physicians, including  well-known cardiologists as well, seldom stress D3 and most of the other potent, healing supplements as they simply aren’t taught their relevance.   But I openly declare my preference for those who are trained, deeply informed and highly expert in natural, holistic therapies.  A great deal of what I’m endeavoring to recount here comes from Drs. Sinatra, Harry Elwardt and  no less than Russell Blaylock (who has no equal) – neurosurgeon, lecturer, author as well as his Wellness Report.   Can only briefly touch on points here and there,  but Dr Blaylock has a load of videos online and many articles and references to his books.  It would be profitable to check him out for yourself.

So what about the ‘energy’? (1) Already done! One of the built-in blessings of Arginine.  It feeds these cells, repairs the ailing ones and helps the expiring ones to go away.  By all means – – Google L-Arginine, L-Citrulline,  Nattokinase,  K2 and Trans-RESVERATROL and Goji berry. When you understand it and what each is doing — it fits together so that you get it. . fully understand.  s’ how it worked for me and I’m doing  fine in most respects.   Other than a blood draw the last year or so, I’ve spent $0.00 on meds or practitioners, so, seem to be ahead in the game of life and ‘how to play it’.  .  it works for me.

As an aside – –   as we age, our blood tends to become thicker, slower, even sticky or sludgy.  So don’t use rat poison, use Nattokinase if you prefer healthy and natural (plus cheaper), nothing in it to harm the body.  It seems I have done this cardio therapy endlessly, so not covering it it all over again, but there is the Taurine, D-Ribose and Carnitine – each having magnificent contributions which I also employ daily (and try for twice).  I stack these while adding other supplements with them (A, B, Folate, Biotin, Zinc and Kelp powder which I believe everybody should  take as Thyroid problems are almost pandemic in our land. ) 


Often, when we are low on energy, we need protein.  I use proteins, both animal, and plant based, but for my heart and brain – it’s the Amino Acids in the form of Powders I buy online. . (so many places/options,  among them Bulk Supplements. . or just put in browser and shop around.  Need we stress that it isn’t just what we take for health, it s also what we are willing to avoid; empty calories, wrong fats, sugars and as much toxic stuff as you can discover or detect.  Eat as clean as you know now to do.

Q 2) Dear Dr Roach:  In a recent column, you mentioned that apixaban has a lower risk of intracranial hemorrhage than warfarin.  But shouldn’t you note that the absolute risk is extremely low?   It drives me crazy to hear the advertisements for NOACs claim a 60 percent reduction (which is true) but not mention that absolute risk is very low.  I can understand the use of NOACs in people who have difficulty achieving stable anti-coagulation levels or who don’t have their level checked regularly.  But lowering health-care costs should be a consideration.  –P.W.

A:   I share the concern for the difference between absolute risk reduction and relative risk reduction, but the concept is difficult for some people.  In the current case, in the use of a new oral anticoagulant  (NOAC),  such as apixaban,  has a lower risk of major bleeding.  How much lower?  In an analysis of themajor studies, about 5.4 percent of the NOAC group had a major bleed, while 6.2 percent of the warfarin group did.

I agree that the relative risk reduction can overstate the case, especially for low-risk events.  The issue with the cost of health-care is also complex.  However, because the total cost to the health-care system for a major bleed is so high, NOACs were found to save the systemn money — between $100 and $500 per person per year.

Whose money should the doctor save?  The patient’s or the system’s?   This is one of many haard questions.  I personally prefer to try to make these decisions with the  patient.

Dr Roach answers letters only in his column but provides an order form of available health newsletters at  Write him at 628 Virginia Dr.,  Orlando, Florida, 32853-6475;  or

The 2nd query is honestly so simple to correct and be done with.   From my first day of taking Warfarin and  then, Coumadin, was physically feeling the hurt from these meds. Wasn’t myself, was impacted in little and various strange ways, dizziness, light-headed generally weaker.  When I pleaded for a change to Nattokinase (a fairly new, all-natural product made of fermented Soy . . in Japan, and read up on it – – was so impressed! It was superior in every possible way – thoroughly researched, with trials and all),  I was denied this change by any physician I spoke to about it.  They never heard of it, and wouldn’t take my word for it.  So the first thing I did when I left medicine was to buy Nattokinase.  I bought pills in those days.  Now I buy the Powder form online at Bulk Supplements or where ever  along with all my other powders I use in my protocols.  Its way cheaper, do it myself and know what I’m getting, and I’m doin’ okay.  Sorry, you know me, can’t relate anything it seems without these asides. 

In my mind, this is a non-issue. .  just take Nattokinase instead of rat poison of any kind, no side effects or danger of inner bleeding as this is plant based and healthy and natural.    Jan


March 17, 2018

Can we Hack-Fix Ourselves?

So here’s why I’ve been sorta MIA lately

My life seems to have changed a bit in this 88th year.  Kinda started like any other,  but has taken some weird turns. Last fall, I had become fascinated with Dr Morse’s ‘fruitarian thing’. . sounded kinda fun and made a whole lot of sense to me.  Still does.  But I think maybe my timing wasn’t too cool,  Any guy who can get paraplegics and other severely disabled people back up and living fully again, has my utmost respect.  All happened, was documented.  As to my participation in such a plan, well it  was most certainly faulty for me  rather than appropriate,  and I actually should have known better.   I was already in pretty damned good shape for my long years.  My six ‘chronic’ afflictions were seemingly under control and doin’ okay. . .  .  without Pharmaceuticals.  Some might think that alone put me miles ahead of a lot of others.   Maybe it’s  just a question of perspective – – I dunno.  But it IS  the viewpoint I live with.

The concept I wish to touch on here is that I had in fact been devising my own protocol per my rationalized, researched efforts over those years wherein I sought no medical help other than books  written by an assortment of what I deemed “qualified and worthy” MDs you know, those who had allowed life to reveal to them ‘goodies’ available outside the so-called establishment ‘BOX’ such as it is.  Of course, it was bad enough before the lunatic in the oval office took an axe to all things recognizable in our American life.  Soon, there may be very little left which might be worth the struggle to try to muster up the funds to pay for medicine at all.  When I walked away from medicine, I had been a cardiac patient for about a decade.   IMO, I’ve done quite well for my heart and brain.   Their needs are similar – – both have really big energy needs and also require excellent circulation in order to fulfill their various functions.  This takes vital nutrient and clean pathways or it isn’t gonna happen.  It won’t happen with  with symptom manipulation which only is possibly capable of making us ‘Feel Better’  – it doesn’t fix the problems.   But I think the high cost and poor success rate already points this out without my belaboring the point.

Of course,  I am speaking of the Amino Acids  (L-Arginine with L-Citrulline on rising and bedtime), then during the day, I work in Taurine,  D-Ribose and Alcar stacked.   Because of the pollution we must live with, it is advisable to avail something like N.A.C. in effort to offset, while culling out useless, devitalized commercially prepared foodstuff.  And of all the smart things we ‘could do’ for our body – – nothing can equate with hi-octane use of time-tested fighting-tools the body recognises such as abundant quantities of Vitamins C, A, D – always with a K-2 tablet, E – dbl your small amount – the heart and brain love it same as they do Cod Liver oil and Omega 3’s.     Magnesium – – where would I be without it?  I take a lot – 2 X a day.  Have never taken Calcium – period,  and have almost indestructible bones.  And please, please don’t take blood thinners.  I neither clot nor bleed like a stuck pig – – my blood flows freely, kinda normal as I continue to take Nattokinase which is superior to ANYTHING BIG PhRMA has created.  Plus this organic soy product is plant based – with no side effects and is far more effective – – what’s not to like?   These are just obvious well-known items which the medical community enjoys debunking. . . should wonder why.  If everybody ate right, did some simple, common sense stuff like this and kept active enough to keep that lymph flowing like it should – – no one would need doctors barring accidents. 

I’ve started a new addition to the heart/brain care – at it 5 or 6 weeks now. Wanted to try it out before speaking with you about it.  I am satisfied that these two products are in fact very effective.   One is BioPQQ (Pyrroloquinoline Quinone) and the second is a CoEnzyme Q10  called H2Q an advanced, bio available product. These can be costly depending on where you get them.  Bought at  I almost always buy online and shop for what I want, but also to get best price  The PQQ was first discovered by our space people.  It was a dust they found, researched > developed.  They first found its greatest usefulness with brain issues (including Alzheimer’s). . but then learned it could reverse heart disease.  At the time, I was at a low point and thought maybe it was too late for me, didn’t see how I could make it for two or three weeks which is the time needed to notice any help.  But sure enough, after a few days my body began to show its gratitude and I was hopeful.  Nothing major. . just returning strength and with that – hope.

Sorry, I know I’ve covered  all this so many, many times.  But this post isn’t about my personal protocol. . . it’s about, kinda – – how I screwed it up and why.  And this has only recently crossed my mind, so I wanted to share with you.       

How Sourdough Bread may actually be helping me “come back”

When I sorta crashed, ran outta steam,. . it didn’t seem to be just low energy.  I became weakened, frail, less steady on my feet.  Every thing was harder and I made a lot of messes which also made life harder.  Tended my blog less even tho it remains one of my greatest pleasures.  Remember speaking about my determination to finally satisfactorily make Sourdough Bread.   Now I have baked off 4 loaves.  First two didn’t rise. . .flat little things.  EXPENSIVE little things and they were baked with much love and great expectation. Couldn’t just throw them out – – all that expensive stuff inside them.  Of course they were kinda gummy,  but I ate every crumb. . and I did enjoy them.   Have really labored over all this (like my life depended on it).  On the internet chasing down one more lead and so on. I now await still one more book – Jake O’Shaunesy’s Sourdough book. . can’t wait!  It’s really an old book.  Have been trying to breathe in the air that Sander Katz used in his book Wild Fermentation.  Lovin every minute of it.  The last two loaves were acceptable, almost – they rose more and I used quite a bit of Rye.  Actually pretty good.  Have two more loaves for tomorrow morning’s oven.  This time the “Sponge” turned out just great, . .so I have high hopes.  I keep discovering new things  Sander had written, but it only makes sense to me after I know I did it wrong and now I get it.  He writes well – – I’m just a slow learner as I’m prone to point out. 

So why is all this helping me?   Because I was so darned weakened.  Barely had the strength to get from one chair to another while using a cane and bouncing off walls to hold self up.  Picture a cardiac patient with all that kneading!  Absolute insanity. It’s a lot of work.  And I love it.  But I’ve been in love with kitchens since at least age 5 or so.  and there’s my inner Pit Bull. 

Fortunately I don’t require labels to be happy and secure.   Aside from the fact that I believe “What good would it do”  (to run to doc, get tests up the gazoo just to get a label.  Why?. . .so I could fixate on it?  In so doing, maybe pull myself down even further or be talked into useless medicine?  Not a path I choose.  My gut or intuit is still good.  And throughout life, have honestly believed that I’ve enjoyed an abundant share of blessings, and that remains.  So I’m good.  If I’m needed elsewhere, I’m good to go, but til then. . life is good. 

So, How have I hurt myself, and what’s the plan?

IMO, I had been playing around with all my ideas and would only put into or onto my body substances which were organic, healthful and of which I approved. . so there wasn’t a lot of risk in my choices.  When it made sense,  if it worked and I seem to be profiting from it – – I kept it as part of my routine.  If there was no change or improvement – that too, was an answer, so it  was dropped.  Over time, my protocol was customised for me and what my body seemed to need.  For many – ya couldn’t ask for much more for an octogenarian. I was happy and doin’ fine.  It was foolish to rock my stable boat. . there was no reason to do so.  One can appreciate another path without having to join it to prove appreciation.  I believe the radical changes from a balanced successful nutritional path (for me) was not in my best interests.  I have paid a rather steep price.  It’s been about six months now. 

The single worst affliction I’ve ever encountered is this Psoriasis thing  which I continue to struggle with.  Its ugly, wretchedly mean – itching, burning, skin cracking and even bleeding.  It goes from the back of both hands and now has reached above my elbows.  I keep dreaming up new formulae and it’s getting better.  Had to buy some H-Psoriasis oil from Healing Natural Oils online, which is rather costly, but is plant based and effective. $60 for 1 ounce (or so).  Have been so busy with the bread, wasn’t into trying to make this too, so called them on phone and told her I was going to make it myself as I had looked up the ingredients and can do – no problem (just not right now). . but needed a healthy discount as there was a whole lot of profit in this formula.  No argument.  So 2nd bottle here soon now.  I WILL NOT  go to medicine for any RX or light.  Doesn’t cure either and is costly.  I plan to knock this out in due course.  It is a simple reflection of internal  imbalance. . and when I figure it out, it’ll probably be gone on its on.  I have given my formula out on what I do for my skin several times.  I use HA and C-Serum after oil cleansing – thats all.  But I put a lot of good stuff in my creams and lotions.  The C-Serum is REALLY helping, big time.. . just sayin’    It’ll help til a true fix comes along  Anyway, I believe this skin disease did come about due to the upset I created in my system with the radical change I put my body thru.  It wasn’t smart, but I will not abuse myself over it.  We live and learn, hopefully, and we can’t do that well if under recrimination.   So love starts in self, for self and gladly radiates outward as a natural consequence.   . . . works for me       

Noticing Self  (or Body) Hackers on Internet (a number of them)

Reading online, it seems to be the new thing these days of Self Hacking  or Body Hacking.  I know it sounds strange.  What is meant by all this;  people have learned that x y and z is truly helpful for correcting, fixing – – bettering (Hacking) whatever problem you may be experiencing.  Some of these people have really gut-wrenching stories, which seems to make their sales pitch more appealing I guess. Whatever works.   But in a recent one I was kinda getting into  I noticed that everything this young man was willing to share with you costs somewhere around $36. or $39.00 – – after joining the VIP club becoming a part of it all.  The club price was up there too. Can’t tell you what a turn off it is to someone like me.  I do what I do as a labor of love, a giving back for the good life I’ve known.  When I find stuff that works,  I share it as that is my joy.    When a physician has distinguished him/herself in ways I admire and they write a book about it,  I’m only too happy to buy their book.  In their books, they are sharing what they too have learned – because it helps others. 

I got to thinking about this. . why, I guess I’m a hacker too.  True I haven’t “invented” a new path or a medicine, but I sure as hell was  into wading thru all the ‘stuff’ out there to see/learn what might serve me best for this or that. . .and why.  Finding it, then wanting to share.  I think it’s a great system.  I have a shameful amount of books (forgive me. . I’m a Virgo)  and I’ll need another 5 or so years to finish reading all my books.   One jumps to mind right off, a book I truly love in every possible way from 2015 by Alberto Villoldo.  He is praised highly by so many other medical voices for “Leading Edge Nutritional Science”  and “an opportunity to move beyond mis-perceived limitations and write new, empowering stories for our lives” and  “demystifying age-old wisdom with practical cutting edge science.  ONE SPIRIT MEDICINE  is the big answer to our health-care problems in the 21st century.  This book will change your life.”  I couldn’t agree more.  In One Spirit Medicine, Alberto speaks of  “hacking” the body as well.  The way he spoke of it, was uplifting.  Jan

March 11, 2018

CA’s Gov Brown still wows me

CA’s Incomparable Gov Brown

In the early 70’s, I had become involved with astrology, seriously.  A friend had told me of her recent experience of a so-called reading from an astrologer which she deemed amazing.  On a lark, I also went to see her. . really not expecting anything – I wasn’t too much into weird sciences, being kind of a traditionalist.   But this lady knew stuff about me which should have been impossible to know. She literally knocked my socks off.  How was this possible?  How could anyone reach into my heart and soul and secret places and ‘see’ such stuff?  Once my eyes were opened to ‘other’ possibilities,  I was driven to learn more. 

So I did.  Studied with her and so many others, including at the ‘Temple of Astrology’ downtown Los Angeles.  I was blessed to have studied there at such a reputable academy. I regarded this ancient, relevant, noble science as almost sacred.  A calling, if you will, if practiced with the dignity and ethics it deserved.  I however, never felt compelled nor comfortable to practice as a professional.  I felt conflicted with regard to free-will and my total acceptance of that supremacy above all else.  Why would that matter?  What do I mean?Maybe it’s not relevant – – but it bothered me.  So often, we go to something  outside ourselves for answers we should find within us.  We feel unsure and possibly vulnerable and liable to believe another who may or may not have a ‘truth or direction’ we seek.  The crystal ball was not what I was after – the divination thing, but instead. . wise choices based on understanding.

Free will and choice are God-given. . . part of who we are.  And part of who we are is to find out ‘why’ we are here.  It is for each of us to find those answers — for ourselves, per our needs. . .at our own pace.   Which is why I got into the study in the first place.  As I went forward, I truly felt there was no better path to self knowledge;  understanding self and others, and with that light into consciousness. . . the falling away of critical judgementalness of others, who are also just trying to be the best they know how to be. 

Anyway, it was during those years of my immersion therein, that friends would ask questions or want answers to one situation or another that a friend gave me Jerry Brown’s birth details and asked if I would draw up a chart and let them know what I found. . if he had a chance at winning in his run for Governor of California.  I had never heard of him, but I fell into total adoration of who he was thru his chart. This was an ethical, moral, almost saintly individual, who had few personal needs, required little, slept on the floor on some kind of mat.  I saw nothing blocking his path.  When he won, his path forward earned him high praise for his service to those in his state.  He was always for the “people.” 

And all these years later,  he’s doing it again.  He doesn’t really ‘walk on water’ . . . but oh, I loved him then and I still do now.  He is one remarkable person.  (How I miss California – – still think of it as ‘home’. . . where I grew up.)  You’ll see what I mean with the article I have below as he defends against tyrannical Washington and their rampant terrorizing of our country and it’s laws, ethics and morals. . . . . is there no end in sight?    Jan

Gov. Brown blast Sessions over ‘sanctuary’ lawsuit


March 1, 2018

Pet Euthanasia file is gone

Post was defiled, then removed; original disappeared, . . was dismayed/rued. so wrote the following – trying to explain.    Inexplicably,  I see the original has “showed up” again, where it has been since written.   I remain confused;  nothing more to say on the matter.  Let your own conscience guide you. . too much bizarre stuff for me to comprehend.  Someone playing games with me?   Maybe WordPress is trying to tell me something.   The blog-style I chose to use hasn’t been supported in years and they have suggested I choose a new one. . but do I have it in me to go thru a whole new learning process.         I donno.  .  .   too much stress lately, probably not.  .  not today        Jan


I have no idea what happened to my post  about my precious pet Heidi and her suffering (and my own) over her illness which ended in her death February 1, 2017.   According to the records I keep manually, the post was called ” PET EUTHANASIA, Painless, safe – cheap” and dated 2-05-17.  There was a photo of her.    I cannot go into it all again, nor do I have the stomach to even try for it. 

Since it was so very painful for me to go through, I had tried to keep it simple – – not rambling on about what she meant to me, nor fully how it impacted me..  I just had in mind to offer to others the means I had found during that night online as  I had been searching for an answer  for weeks to end her suffering as kindly as possible .  . . which, that night, I did. . but she died about two hours later.  I had not been able to ease Heidi’s pain and suffering.         

The intelligent, thoughtful advice I had found  was sincere,  thoughtful,  most loving and had,  from his personal experience carried out this process for his own family’s  quite difficult experience.   He had given anonymously and I had finally found it.  Since it was too late for Heidi, it seemed – – it was probably meant for others. . . which is why I posted it.   When I perceived recently that readers were coming to see Heidi, 2 .  . .   I wondered what that was, so checked on it.   Somehow, it had been retitled.  Showed only Heidi’ picture, no story or reason for being there.  Tried to edit and there was nothing else there.  So I went to my posts and DID find the original – it was fine. Very confusing to me – – where did this  intrusive, damaged file come from – –  how did it get in my blog? The original is still there!  So I went back to the errant replica, which had a distinctly different name from the original . . trashed it.      Returned to original to duplicate it and bring forward , but it was gone.    In retrospect, I should have contemplated such a possibility, but. . .my brain being s bit compromised of late. . it didn’t occur to me until too late.  So all I can do is offer my apology and tell you what I know.  Don’t know how or why this fiasco happened, but I killed this post which was to be of help to others.  I am sorry.    Jan

P.S.   I had searched the internet for weeks trying to find this  kind of information.  Only advice I can suggest is to broaden search word efforts. . remember thinking – it wasn’t where you’d think it would be –  –   I found it – so anyone else can too.  

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