Cardiovascular Franklin PA

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Franklin Cardiovascular

Franklin Cardiovascular Pa

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Physicians & Surgeons, Cardiology, Medical Clinics, Physicians & Surgeons, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Internal Medicine

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Phone: (856) 589-6034

Address: 438 Ganttown Rd, Sewell, NJ 08080

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Cardiovascular Franklin PA

General Practitioners

Osteoporosis
Arthritis
Fibromyalgia
The common findings of migraines and daily headaches which may arise from blood vessel abnormalities like Chiari formation of crania-cervical stability leading to numbness, tingling and muscle aches can prompt fibromyalgia diagnosis.
Medical Weight Loss
This can be disabling and much more severe in females with the occasional extremely affected male and together with bowel issues, weight loss, hives and reactive skin, and reactive airway disease – shortness of breath.
Primary Care
DEPACE NL; MERLI, G.J.; COSTELLO, C; ANTICOAGULATION IN PATIENTS WITH MECHANICAL AND BIOLOGICAL PROSTETIC HEART VALVESMANAGEMENT AND PREVENTION OF THROMBOSIS IN PRIMARY CARE; SPANDAREF J, KONKLE, BA, MERLI, G.J, ARNOLD PUBLISHERS, OXFORD PRESS, NEW YORK, NEW YORK 2001 (19) 284-297.
Sleep Disorders
Lightheadedness or dizziness is a common first symptom of P&S dysfunction, as is fatigue, malaise, exercise intolerance, but there are a number of other potential reasons for these symptoms as well. Lightheadedness or dizziness may include postural orthoastatic tachycardia syndrome (POTS) or Syncope, with or without fainting. P&S Monitoring helps to identify P&S dysfunction as a reason for these symptoms. Compromise of the QoL functions are also indicators, including: stomach (GI) upset, sleep disorders, bowel and bladder dysfunction, and sex dysfunction. Also, difficult to control blood pressure, blood sugar (even without diabetes), and hormones (
Emergency Care
Constipation
Erectile Dysfunction
Irritable Bowel Syndrome
Many symptoms that may reflect autonomic dysfunction include chronic headaches and migraines, depression, anxiety, chronic fatigue, severe dizziness and presyncope or pre-fainting, syncope or fainting, pounding heart and palpitations, gastroparesis and digestion abnormalities that may involve irritable bowel syndrome and can involve constipation and diarrhea, and of course peripheral neuropathies which are, oftentimes, associated with autonomic dysfunction.
Electrocardiogram
Mild autonomic neuropathy oftentimes can be diagnosed also with assessing heart rate variable intervals based on the electrocardiogram changes and heart rate with response to the maneuvers of Valsalva, which is bearing against a closed glottis maneuver as though you were bearing down, and deep breathing responses along with standing or tilt responses. With mild autonomic neuropathy, one sees abnormalities mainly just with deep breathing or with Valsalva or both. There are calculations and a format we rely on called time domain variables in which we do three different measurements with individuals when assessing heart rate variability. If they have one out of three abnormalities, autonomic neuropathy is usually mild, two out of three abnormalities is usually moderate or advanced, and three abnormalities suggests they may have CAN. Again, risk factor reduction is most important along with antioxidant therapy approaches as outlined above.
Urinary Incontinence
In addition to the symptoms listed in the answer to Question 13, other questions to ask is include: 1) “Do I have erectile dysfunction?” 2) Urinary tract questions such as “Does one pass urine involuntarily such as urinary incontinence.” or 3) “Does one have difficulty emptying urine such as urinary retention.” While structural abnormalities may be the etiology, oftentimes, autonomic dysfunction may be the problem.
Diarrhea

Internal Medicine
Dr. David Elbaum has been practicing cardiology in the Delaware Valley since 1981. In 1993 he left the cardiac catheterization lab to concentrate on non invasive and clinical cardiology. After joining Dr. DePace on a full time basis Dr. Elbaum assumed responsibility for the hospital portion of the Practice. Board Certified in Internal Medicine and Cardiology, Dr. Elbaum was elected a Fellow of both the American College of Cardiology and the American College of Osteopathic Internists. In 1994 he was designated an Authorized User of controlled radioactive materials by the Nuclear Regulatory Commission. Dr. Elbaum has published original research in peer reviewed journals such as the American Journal of Cardiology. He is an Associate Clinical Professor of Medicine at PCOM where he currently teaches the popular Internal Medicine Residents’ Core ECG Course. https://www.do-online.org/practice/home.cfm

Neurology
The book covers a range of clinical disorders, including anxiety, arrhythmia, atherosclerosis, bipolar disease, dementia, depression, fatigue, fibromyalgia, heart diseases, hypertension, mast cell disorder, migraine, and PTSD. Clinical Autonomic and Mitochondrial Disorders: Diagnosis, Prevention, and Treatment for Mind-Body Wellness is an essential resource for physicians, residents, fellows, medical students, and researchers in cardiology, primary care, neurology, endocrinology, psychiatry, and integrative and functional medicine.
Epilepsy

Attention Deficit Hyperactivity Disorder (ADHD)
Answer: More Parasympathetic activity in the brain and we become more sleepy and with even more, we begin to become depressed (depression is too much Parasympathetic activity, and is the start of many of the psychological symptoms of today, including Anxiety, ADD/ADHD, Bipolar Disorders, Manic-Depression, Major Depressive Disorders, Obsessive Compulsive Disorders, etc.).
Depression
Psychiatry
Anxiety

Endocrinologist

Diabetes Care
Endocrinology
Hypothyroidism
These include undergoing back surgery, slow healing, bladder issues, hernias, valve regurgitation, gallbladder issues, hives and reactive skin, food and medicine intolerance, and hypothyroidism.
Thyroid

Ultrasound
TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND INTRACARDIAC ULTRASOUND IN CARDIOVASCULAR DIAGNOSIS AND RESEARCH. MAY 18-20, 1995, SHANGHAI XU HUI DISTRICT MEDICAL ASSOCIATION, SHANGHAI, CHINA.
MRI
Answer: A good board-certified neurologist should be sought out first. Also, a good clinical evaluation and brain imaging are helpful. MRI may suggest a patient has MSA and not Parkinson’s disease by showing atrophy of certain parts of the brain known as Putamen and Cerebellum. This, however, is not conclusive. Positron Emission Tomography (PET) may be suggestive of MSA if metabolism of glucose is low in the areas of the brain affected. Most imaging techniques are still experimental, however.
Nuclear Medicine

Gangrene
Peripheral arterial disease (PAD) is caused by atherosclerosis, which is the narrowing and / or blockage of the blood vessels in the legs. PAD manifests as pain in the legs when walking, which is relieved by rest. If you have PAD you are at greater risk of developing gangrene in your legs.

Lesions
Answer: One method of treating mitochondrial dysfunction is to promote a strong antioxidant atmosphere (milieu) throughout the body. Another is to promote an anti-inflammatory milieu throughout the body. A third would be increased nitric oxide throughout the body, especially for anti-atherosclerotic effects. These are some of the goals of the Franklin Cardiovascular Mind-Body Wellness Program. Many of our patients with autonomic dysfunction do respond to this cocktail of antioxidants which we feel are helpful in mitochondrial dysfunction based on the fact that some of these substances are actually seen in the chemical pathways of the Krebs and electron transport chain. Specifically, these substances include Alpha-Lipoic Acid and Coenzyme Q-10. Other cofactors such as B vitamins, Manganese, and Magnesium are important. The nitric oxide pathway is also important to preserve and we feel that using precursors to nitric oxide such as L-citrulline, L-arginine, and even beet root extract, in which inorganic nitrates go to nitric oxide, are very helpful. We also believe in using Omega-3 to strength myelin sheaths and to act as an anti-inflammatory molecule. An interesting point is that atherosclerosis requires oxidation of LDL molecules to be incorporated into the plaque of atherosclerotic lesions of the artery walls and many of the compounds in the Franklin Cardiovascular cocktail have antioxidant effects which retard oxidation of LDL particles.

Physical Therapists

Physical Therapy
The role of surrounding muscle for joint connective tissue constraint and protection correlates with the benefits of physical therapy and exercise for the treatment of EDS.

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