Medical News and Reviews  
Medicine has made great improvements since I started my practice over 15 years ago. However, not all announcements can be taken at face value. Medicine is fraught with conflicts of interest, like any other field in which money is involved. We are constantly receiving information about new medications and procedures. There is so much information to take in, and it's difficult for the average person to make an informed judgment. And, we are implored to diagnose ourselves, and to "ask your doctor if the purple pill is right for you" — ads that don't even tell you what the pill is for! It's understandable that the public might be confused.

We hope you enjoy this "News and Reviews" section, and that it helps you separate the hype from the true medical breakthroughs.


Health Care District Makes Good on Promise of Change

In the midst of a growing economic crisis, I write today to offer at least one piece of good news as Thanksgiving and the Christmas holiday season come upon us: many people who might have suffered needlessly will have their health-related needs met, thanks to the ability of the Mt. Diablo Health Care District and John Muir Health to respond effectively to adversity.

Five short months ago, in the wake of a recommendation that the Health Care District (on which I serve) be dissolved, I was compelled to offer a solution to the many problems facing the district board. I presented that solution to the Contra Costa Times readership in a piece that: 1) acknowledged past mistakes, but argued that the District is uniquely positioned to improve the health of people in Concord, Martinez, Pleasant Hill, and portions of Lafayette; 2) described an innovative public-partnership with John Muir Health that created a new grant making program for achieving our mission; 3) publicly challenged myself and my colleagues to make significant steps toward addressing unmet health needs and, if we did not, to consider dissolution.

I believe the grants we have issued since then are a powerful rejoinder to those who doubted the District could change direction and revitalize our 63-year-old mission. Using the county's leading health indicators as our guide, we have successfully distributed $225,000 of the $270,600 to address essential health needs.

  • To address the diverse concerns of our rapidly growing senior population, we issued a series of grants. Senior Helpline Services, which operates two successful programs – phone-a-friend and transportation services – received $25,000 to continue operating its programs. The Monument Crisis Center received $40,000 to distribute food and run recreational services that address both the physical and mental health of low-income seniors. Hospice of the East Bay received $10,000 to create an emergency fund for when its clients face a short-term financial crisis that prevents them from doing such things as purchasing food and prescriptions, or getting a ride to their doctor's appointment. Rehabilitation Services of Northern California received a $20,000 "bridge grant" so that low-income seniors who were relying on a county-run mental health program slated to close would not fall through the cracks while the state assumed the reins of the program. Finally, we gave $5,000 to Jewish Federation, Inc. to run a training program for anyone providing care to a family member or friend with Alzheimer's disease or dementia.
     
  • To help prevent and treat various types of cancer that afflict women, we provided $50,000 to La Clínica de la Raza.
     
  • To improve dental care among underserved populations, we provided $15,000 to Jewish Family and Children's Services of the East Bay. This grant will create a bilingual dental education and prevention program to help non-English speakers find affordable, linguistically competent dental care.
     
  • During a nationwide nursing shortage, we used $46,000 to create the R. Isabelle Chenoweth, RN, endowed nursing scholarship at California State University East Bay. The scholarship will support students from the district who want to attend the nursing program housed at Cal State's Concord campus.
     
  • Finally, we used $14,000 to purchase five automated emergency defibrillators, which will be donated within our district to public entities with a high rate of at-risk populations.
     
  • The remaining $45,600 was unable to be distributed because hopeful applicants did not meet our criteria requiring a 501(c) 3 corporation, affiliation to healthcare, or fell outside our district boundaries.

At the very least, these grants demonstrate that the District has begun to right our ship. More importantly, however, without an elected health care district with a clearly defined mission like ours, the funding we are providing would disappear back into the general fund, with no guarantee that it would ever become available to meet these vital health concerns. In these difficult economic times, the loss of this funding would be especially devastating.

With that in mind, these initial rounds of grants are only a beginning. We take seriously our need to continue serving the community in concrete ways and urge any organization that thinks it can help address critical health needs in our district to apply during our next round of grantmaking, which begins early next year.

Dr. John R. Toth is Chairman of the Board of Directors for the Mt. Diablo Health Care District


Lyme Disease in Northern California
Dr. Toth Addresses Medical Staff at John Muir Hospital, Mt. Diablo
Concord, CA, December 5, 2008
Concerned about the rising incidence of Chronic Lyme Disease in Northern California and the complexities surrounding its diagnosis, Dr. John Toth, addressed the medical staff at John Muir Medical Center in Concord in a lecture entitled, Chronic Lyme Disease, the Missing Diagnosis" Part 1.  In his presentation Dr Toth brought to light the variability in the presentation of chronic Lyme disease as well as the limitations of the Elisa as a screening test and the lack of specificity of the Western Blot as a confirmatory test.

Dr. John Toth - Lyme Disease Presentation

The multiplicity of presentations of this disease helps explain why this polymicrobial infection is so elusive and difficult to diagnose.

In Part II, to be presented in 2009, Dr. Toth will provide in-depth explanations of the most common co-infections that accompany Lyme disease. The date of the Part II presentation will be announced, shortly.

 


John R. Toth, D.O.
Advanced Integrative Medicine
2270 Bacon Street
Concord, CA  94520

 

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