Thursday, October 30, 2025

The Dana Jeske Story

The Case That Changed a Surgeon’s Path

A Life Stopped Without Warning


In 2011, mechanical and civil engineer Dana Jeske underwent foot surgery performed by Dr. Scott Schroeder. The operation required the placement of small stainless-steel screws—routine in orthopedic procedures. He healed uneventfully and was released to full activity.  Approximately 3 months after surgery Dana began to experience progressive episodes of complete paralysis.   This began with a 45 minute episode and progressed, up to 10 hours per day. He did not realize this was related to the screws in his feet and Dr Schroeder was not aware of this condition. Dr. Schroeder later recalled, “I was the one who did his foot surgery and placed the screws that contributed to his overall paralysis” 


For five and a half years, Dana lived through cycles of paralysis that would last on average ten hours per day. During these episodes, he was fully conscious but rigid and unable to speak. When movement returned, he appeared otherwise normal until the next attack began.


Searching for a Cause

Dana pursued answers through multiple major medical centers, including Mayo Clinic in Rochester and the University of Washington. Despite extensive testing, doctors could not determine a cause.
At Mayo, the working diagnosis became stiff-person syndrome, later refined to episodic rigid quadriplegia—a description rather than an explanation. Some clinicians suggested psychosomatic origins. “They weren’t certain whether it was a convergence disorder or some cognitive disorder,” Dana said. “They just knew it presented as a stiff-person syndrome.”


Over time, more than twenty physicians offered opinions but no effective treatment. Several told him he would spend the rest of his life in a wheelchair and eventually a convalescent home. Dana’s wife refused to accept that. “One doctor said, once you swallow that pill, you’ll be a lot happier in life,” he remembered. “But my wife wouldn’t buy that—and neither did I.”


Returning to the Source

By 2011, Dr. Schroeder had already been Dana’s Foot & Ankle Physician and Surgeon for over a decade. Dana came back years later with a different foot problem requiring surgery. He also had swelling over the site of the screws from the previous surgery. Dr. Schroeder immediately recognized something was wrong. “He and his wife came in—wonderful people—and not thinking the paralysis would be related to foot, did not mention it,” the surgeon recalled. “I saw swelling where the screws had been placed and was concerned about an allergy. The bones were already healed and I recommended removal of the screws while we were in the operating room for the other procedure.”


After the metal was removed, Dana’s condition changed overnight. The long daily paralysis episodes dropped from ten hours to about three. “It improved literally overnight,” Dr. Schroeder said. It was the first indication that the metals themselves might be the trigger in his case.


Testing for Metal Sensitivity

Dr. Schroeder had already been collaborating with Dr. Vera Stejskal, the Swedish immunotoxicologist who developed the MELISA (Memory Lymphocyte Immunostimulation Assay) test. He sent Dana’s blood to Germany for analysis.


The results showed an allergic reactions to nickel and a severe reaction to palladium.   Nickel is a component in stainless-steel surgical alloys and Dana's white-gold dental crowns  contained roughly 26 percent palladium.  He also had multiple amalgam fillings.


“That was the first connection between the foot and the mouth I had seen,” Dr. Schroeder said. “He didn’t have paralysis before I put the metal in. After I put it in, he did. When I removed it, the paralysis went from ten hours down to three—but it wasn’t gone. He had his amalgams removed and then his gold crowns. The day he had his last gold crown removed he hasn’t been paralyzed since.”


Dana confirmed it plainly: “For five and a half years I was a rigid quadriplegic for half the day. The morning I went in to have my last white-gold crown removed, my wife had to use a gait belt to get me into the dentist’s chair. They removed the crown. I stood up from that chair and walked out—and I have not been paralyzed since. That was 2016.”


The Process of Elimination

Between January and November 2016, Dana removed every known metal source from his body: the stainless-steel screws from his feet, a titanium screw in his knee from an ACL repair, and all amalgam fillings and crowns.


The final result was freedom from paralysis—but not from lasting damage. A sural-nerve biopsy at Mayo Clinic had shown that 52 of 56 nerve sheaths in his lower extremities were empty. He continues to live with total body neuropathy, unable to feel temperature or touch, and walks with braces to prevent foot drop.


Advocacy Through Experience

After recovering movement, Dana focused on telling his story so others would not be dismissed. “For years, doctors told me it was in my head,” he said. “That’s why I speak out—so people know there could be another cause.”


He hopes his experience can help patients who face similar unexplained neurological symptoms. “Don’t let them tag you with a cognitive disorder,” he said. “Pursue it further.”


Dr. Schroeder has since identified other patients whose chronic muscle cramping and paralysis improved once their metal implants were removed. “Dana is one of three I’ve seen where removal of hardware relieved symptoms that were called stiff-person syndrome,” he noted. “Each one reinforces that we need to get this information out.”


The Broader Connection

Both doctor and patient recognize that Europe has been more proactive in studying these phenomena. “Dana is an engineer and a thinker,” said Dr. Schroeder. “He was already researching this in Europe, and they were far ahead of the United States.”


Dana agreed. “The U.K. was much more receptive to this,” he said. “In the U.S., the medical establishment doesn’t want every person with a filling coming in to sue. But that’s why I had to advocate for myself.”


Through this process, Dana became one of Dr. Schroeder’s earliest and most important cases linking metal hypersensitivity to systemic neurological symptoms, a finding that helped launch the surgeon’s continuing advocacy for implant safety and allergy testing.


Aftermath and Legacy

Although Dr. Schroeder has since retired from surgical practice, he remains committed to educating colleagues about biocompatibility testing, electrochemical interaction of dissimilar metals, and diagnostic imaging for inflammatory reactions. He credits Dana’s case as the one that started it all. “It was the first time I saw paralysis disappear after removing metal,” he said. “That changed the course of my work.”


Dana continues to live in Olympia, Washington, and still manages residual neuropathy. Yet he remains positive and active in sharing his experience. “I’m thankful for Dr. Schroeder,” he said. “He listened when no one else would.”


Together, their story stands as both medical documentation and human testimony—a clear example of what can happen when two determined people refuse to stop searching for the truth.





The Unseen Consequences of Surgical Implants

   An Epilogue by Dr. Robert L. Bard

 

The story of Dana Jeske and Dr. Scott Schroeder represents more than one patient’s recovery—it signals a turning point in modern surgical awareness. Their collaboration exposed an overlooked truth: that metal implants, long considered inert, can corrode, leach, and provoke devastating immune reactions in certain individuals.


This issue is not theoretical for me. Years ago, after undergoing spinal fusion surgery, I began to study the materials placed inside my own body. Metals like titanium, nickel, cobalt, and chromium—celebrated for strength and longevity—can oxidize or shed microscopic particles. These ions circulate, triggering inflammation, autoimmunity, or neurological symptoms. For some patients, their bodies quietly wage war against the very devices meant to heal them.


Dana’s case brought this reality into focus for countless others. His experience demonstrates why preoperative biocompatibility testing should be a clinical standard, much like matching blood type before a transfusion. The MELISA test, for example, can identify sensitivity to metals and guide surgeons toward safer options. Knowing these results in advance may prevent years of unexplained suffering.


Equally vital is the role of diagnostic imaging in confirming and monitoring metal reactions. Through Doppler ultrasound, elastography, and thermography, we can now visualize inflammation surrounding implants—revealing abnormal heat, vascular activity, and tissue stiffness that correlate with immune reactivity. These technologies offer non-invasive, repeatable insight into the biological impact of foreign materials.


The medical industry is making progress—exploring ceramic, polymer, and coated alternatives to reduce corrosion—but vigilance remains essential. Even “biocompatible” materials can fail when placed in a reactive host. The lesson is clear: true healing requires individualized assessment, ongoing monitoring, and transparency about risks.


As a diagnostic physician, I have learned that science advances most when we listen to the patient first. Dana’s courage, and Dr. Schroeder’s willingness to question convention, have brought us closer to safer medicine. Their story reminds us that implants should never become silent sources of harm—and that every patient’s biology deserves to be understood before the first incision is made.


Robert L. Bard, MD, PC, DABR, FASLMS

Clinical Diagnostic Imaging Specialist, New York City

Founder, Bard Cancer Diagnostics & The AngioFoundation




 Part 2


An Endocrine Perspective On Detox, Metabolic Disease, and Imaging In The MASLD Era

From a 2025 interview with Angela Mazza, DO – Integrative Endocrinology & Metabolic Medicine

The liver is one of the most metabolically sophisticated and hormonally influential organs in human physiology. While it is commonly viewed through the lens of detoxification and digestion, modern endocrinology now recognizes the liver as a critical regulator of hormonal balance, metabolic signaling, and systemic inflammation. Dr. Angela Mazza emphasizes that the liver and endocrine system are tightly interwoven, forming a functional network she refers to as the Hormone–Liver Axis.

When liver pathways become overwhelmed—from environmental exposure, nutrient deficits, endocrine-disrupting chemicals, chronic inflammation, or metabolic overload—the result is a predictable cascade: impaired hormone clearance, disrupted thyroid activation, insulin resistance, and mitochondrial dysfunction. This relationship is gaining urgency in clinical medicine due to the sharp rise of metabolic dysfunction–associated steatotic liver disease (MASLD/MAFLD), now the world’s most common liver disorder and a hallmark of modern metabolic syndrome.


THE LIVER'S ENDOCRINE FUNCTIONS

Three endocrine pathways illustrate the liver’s pivotal role in hormonal homeostasis:

1. Estrogen Metabolism and Clearance
The liver performs Phase I and Phase II biotransformation to break down and neutralize estrogens before excretion. When these pathways are impaired, estrogen metabolites may accumulate, contributing to a clinical picture often described as estrogen dominance. Symptoms may include menstrual irregularity, fibrocystic breast changes, weight gain, mood fluctuations, or amplified vasomotor symptoms in menopause. Research confirms that impaired hepatic metabolism can meaningfully influence circulating estrogen levels and symptomatic expression (Liu et al., 2021).

2. Thyroid Hormone Conversion (T4 → T3)
Approximately 60% of the body’s active thyroid hormone (T3) is generated through hepatic conversion of thyroxine (T4) (Senese et al., 2018). When the liver is inflamed, infiltrated with fat, or burdened by oxidative stress, conversion efficiency declines. Patients may present with fatigue, constipation, cold intolerance, hair changes, or metabolic slowdown—despite normal thyroid bloodwork. This disconnect illustrates that hormone activation and utilization are just as essential as hormone production.

3. Glucose Regulation and Insulin Sensitivity
The liver stores glycogen, releases glucose, and is a primary site of insulin signaling. Hepatic insulin resistance is often the first measurable sign of future metabolic disease. Studies show that liver fat independently predicts insulin resistance and cardiometabolic risk, even before overt diabetes emerges (Bril & Cusi, 2017). This makes the liver central—not peripheral—to endocrine-metabolic dysfunction.

Together, these pathways demonstrate why hormonal symptoms frequently reflect underlying hepatic stress.


    TO BE CONTINUED IN 'THE ROAD TO LONGEVITY'


Survivor Stories (#4)- FROM BADGE TO BALANCE

Former Police Officer Jessica Rivers’ Mission to Reboot Her Health

Written by: Lennard M. Goetze, Ed.D / Photo editor: Daniel Root


When former police officer Jessica Rivers first joined the Ogdensburg City Police Department in New York, she had one driving purpose — to serve and protect her community. “I wanted to give those who didn’t have a voice, a voice,” she said. For nearly two decades, she embodied the resilience and courage emblematic of law enforcement. But behind the uniform, Jessica was silently facing a different kind of battle — one that began with occupational exposures and evolved into a deeply personal journey of recovery, detoxification, and renewal. 

The Invisible Risks of the Job
Like many in public safety, Jessica knew the physical dangers of her work — armed confrontations, high-speed pursuits, and the unrelenting stress of crisis response. What she didn’t anticipate were the toxic hazards embedded in her daily environment. “People don’t realize what police officers are exposed to,” she explained. “We walk into homes filled with cigarette smoke, black mold, feces, urine — all kinds of biological and chemical waste. And then there are meth labs. You can smell the chemicals the moment you walk in.”

Although Jessica wasn’t directly involved in every meth lab raid, she often responded as part of patrol support, assisting narcotics teams during operations. “Even after the detectives cleared the scene, the toxins remained. The chemicals soak into the walls and furniture. You’re breathing that in without any protection,” she recalled. “Eighteen years of that — it builds up in your system.”

Her case mirrors a growing awareness in law enforcement and fire service communities: chronic exposure to toxic environments can lead to serious long-term health consequences — from endocrine disruption to organ inflammation and neurological impairment.


The Breaking Point
Jessica’s turning point came after a serious on-duty injury in 2013. A fall left her with herniated discs in her neck and lower back, a torn rotator cuff, and a torn labrum — all from a single incident. “I did everything the doctors told me to do,” she said. “Physical therapy, medication, surgery — nothing worked. I was exhausted, in pain, and slipping further from the life I recognized.”

Despite being in her thirties, she began to feel decades older. “I was bedridden half the time. My body hurt everywhere. I had migraines six or seven days a week, brain fog, chronic fatigue, allergies — I felt like I was 80 years old. I remember thinking, I can’t live the rest of my life like this.

Her health struggles deepened after undergoing an MRI with gadolinium contrast, a compound later revealed to be a heavy metal-based agent. “I didn’t know anything about gadolinium poisoning at the time,” she said. “But soon after, I had ringing in my ears, metallic taste in my mouth, and constant pain. It was terrifying.”


Discovering Detox
Jessica’s path to recovery began when she discovered Detoxination®, the sauna and niacin detox protocol developed by Daniel Root, building on the pioneering work of his father, Dr. David E. Root (ret.), a physician internationally recognized for creating clinical detoxification programs for exposed workers, first responders, and veterans. Introduced to the program by a colleague, Detective David LeBeau, who had successfully undergone the same treatment following meth-lab-related illness, Jessica decided to take a leap of faith. “I had done everything the doctors told me to do, and nothing worked,” she recalled. “So I said to myself, If it worked for him, it’s got to work for me. I didn’t care what it cost — I just wanted my life back.”

Through Daniel Root’s Detoxination® protocol, Jessica participated in a structured, multi-week program combining infrared sauna sessions, high-dose niacin therapy, hydration, and nutrient replenishment — all aimed at mobilizing and excreting stored toxins, including heavy metals such as gadolinium from contrast MRIs.

“Thanks to this program, within 30 days I was able to turn it around and go back to work,” Jessica said. “This was the best investment I ever made.” The improvement was remarkable. Chronic pain subsided, migraines diminished, and her cognitive clarity returned. The detox experience not only rejuvenated her physically but also sparked a new level of awareness about environmental toxicants, self-care, and long-term wellness.

Jessica’s story is just one of many. Individuals struggling with chronic inflammation, brain fog, fatigue, electro-hypersensitivity (EHS), and multiple chemical sensitivities (MCS) have turned to Detoxination® — and rediscovered the vibrant, healthy life they thought was lost.

 

Rebooting Body and Mind
Jessica’s journey wasn’t just about removing toxins — it became a total reboot of body and mind. “The detox gave me back my life,” she said. “It taught me that healing is a full-time commitment.” Since completing the program, she has continued to practice homeopathic and functional wellness routines — including liver and gallbladder cleanses, intermittent fasting, and manual lymphatic drainage. “I found out my liver was congested, so I focused on liver health,” she explained. “I’ve learned so much about my body’s detox pathways — the lymphatic system, the skin, the kidneys. Once you know how it works, you start living differently.”

Jessica also shifted her nutrition, eliminating dairy, gluten, soy, and processed foods. “It was a total lifestyle change. The detox was the beginning — but it’s something you carry on for life. You realize it’s not a one-and-done fix. It’s a mindset.”

  

A Model for Resilience, a Voice for Change
Jessica’s transformation has caught the attention of health advocates and clinicians, including Dr. Robert L. Bard, a Manhattan-based diagnostic imaging specialist and co-director of DetoxScan International. Dr. Bard, known as “The Cancer Detective,” extended an invitation to Jessica for a full ultrasound screening of her liver and kidneys — key organs often affected by toxin accumulation.

“First responders like Jessica are living proof that detoxification and early screening can prevent long-term disease,” Dr. Bard noted. “Her story represents the courage to take ownership of one’s health.” From small-town police patrols to national health advocacy, Jessica Rivers’ story has come full circle — from protector to self-healer, and now, educator. “I used to think strength meant pushing through pain,” she said. “Now I know real strength is listening to your body and giving it what it needs to heal.” Her words carry weight far beyond her own experience. In a profession built on service and sacrifice, Jessica’s new mission is to remind others that saving yourself is also an act of service — one that begins with awareness, detox, and a renewed commitment to living well.



References:

(1) FDA Drug Safety Communication. “Gadolinium-based contrast agents (GBCAs): FDA evaluating the risk of gadolinium retention.” U.S. Food and Drug Administration, 2022.  (2) Root DE, et al. “Human Detoxification of Persistent Toxic Substances.” Journal of Environmental and Public Health, 2015. (3) Bard RL. “Ultrasound Detection of Toxic Injury and Organ Stress.” AngioMed News, 2024. (4) Occupational Safety and Health Administration (OSHA). “Hazards of Methamphetamine Labs.” U.S. Department of Labor, 2020. (5) Mazza A. “Endocrine Disruptors and First Responder Health.” HealthTech Reporter, 2024.

 


 PART 2


Did Someone Say "REBOOT"?
From Setback to Strength: The Lifestyle Upgrade of Jessica Rivers

By: Angela Mazza, DO / Integrative Endocrinologist

Years of working with patients facing burnout, hormonal imbalance, and chronic fatigue have affirmed a simple truth: setbacks can be powerful catalysts for transformation. The concept of a “Lifestyle Reboot” was developed as a practical response to this—supporting patients in rebuilding their health with structure, intention, and hope. This model focuses on four key pillars: daily movement, functional nutrition, emotional regulation, and restorative sleep. It serves as a blueprint for those ready to shift from reactive treatment to proactive, regenerative living.

The story of Jessica Rivers—a retired police officer who faced serious health decline after years of high-stress service—is a compelling real-world example of this path. Though not a patient, her experience parallels the same framework offered through the Reboot model. Her recovery, both physical and emotional, echoes what happens when the body is supported holistically.

A core principle of this approach is reintegrating movement into daily life—not necessarily through structured workouts, but through consistent, functional activity. Individuals recovering from metabolic decline or stress-related illness benefit enormously from light, frequent movement that activates circulation, supports mitochondrial function, and improves energy metabolism.

Equally central is nourishment as a healing tool. Emphasizing plant-based, anti-inflammatory foods and hydration, this model advocates for simple changes that stabilize blood sugar, protect the gut, and support hormonal regulation. Everyday tools—like a daily tablespoon of olive oil, clean protein intake, and hydration rituals—can make a meaningful difference in cellular repair and resilience.

Mental clarity and stress management are also key. Creative activities that calm the nervous system—whether it’s crochet, painting, or breathwork—help restore balance to the adrenal axis and reduce the cumulative impact of chronic stress on immune and endocrine function. These practices are not distractions; they are forms of medicine.

Lastly, restorative sleep is prioritized as a non-negotiable part of recovery. During sleep, the body undergoes hormonal recalibration, memory processing, detoxification, and tissue repair. Rebooting a lifestyle begins and ends with supporting this deep biological rhythm.

Jessica Rivers’ journey—choosing to reinvent her life after illness—reinforces the value of addressing the root causes of dysfunction, not just the symptoms. It demonstrates what happens when the body is given the opportunity to heal, and when the mind is aligned with a vision of better living.

The Lifestyle Reboot model offers a map forward for anyone standing at a crossroads in their health journey. Whether the starting point is fatigue, inflammation, metabolic disruption, or emotional exhaustion, the process of rebuilding is possible—and powerful.

Health, at any stage, can be reimagined. And with the right systems in place, it can be reclaimed.


 SCIENCE REVIEW


Teltale Toxicity Readings: How Imaging is Transforming Kidney and Thyroid Disease Detection
By: Robert L. Bard, MD / Edited by: Lennard M. Goetze, Ed.D

For decades, physicians have relied on blood tests as the frontline tool for detecting kidney and thyroid disorders. While invaluable, these tests often miss the earliest stages of disease—subtle damage that silently progresses until symptoms appear or blood values finally rise above abnormal thresholds. Modern imaging technologies, particularly ultrasound and elastography, are shifting this paradigm by revealing microscopic changes long before laboratory markers signal trouble.

Dr. Robert Bard, a diagnostic imaging specialist, emphasizes that the future of organ health lies not in abandoning blood tests, but in complementing them with real-time, non-invasive imaging that can catch disease in its earliest and most treatable stages.



Sonogram depicts the kidney, with the far corner showing faint shadows of the adjacent liver margin. The comparative echo density between the liver parenchyma and the renal cortex provides an important diagnostic clue for fibrosis. As the liver becomes more echogenic—appearing brighter than the kidney cortex—it suggests progressive hepatic fibrosis. Conversely, if the kidney cortex appears more echogenic than the adjacent darker hepatic edge, this may indicate renal fibrosis.

Within the center of the kidney’s characteristic bean-shaped structure, several tiny microcalculi can be observed. These appear as small white linear echoes and dots but are non-obstructive. At both poles of the kidney, the darker, bulb-like regions represent the renal calyces (CAEs), which function in filtration and urine collection. Notably, the renal capsule on the side opposite the liver appears irregular rather than smooth, warranting closer examination.

Overall, the findings show probable central microcalculi—the clustered white dots—and a potential renal lesion or area of scarring at the opposite pole. This suspicion is supported by the measurement markers: one side demonstrates a smooth, continuous capsule, while the other shows a darker, incomplete capsule border, consistent with localized abnormality.





Elastography and the Kidney: Seeing Scarring Before It Shows

Elastography, a specialized ultrasound technique, measures tissue stiffness. In the kidney, fibrosis and scarring increase stiffness, even when blood chemistry remains stable.

Historically, subtle kidney disease was uncovered only during transplants—organs that looked healthy to the naked eye sometimes failed quickly because hidden scarring was present. Elastography now provides a window into these microscopic changes without the risks of biopsy.

By quantifying stiffness, elastography enables physicians to:

  • Detect early kidney fibrosis missed by blood tests
  • Differentiate between reversible inflammation and irreversible scarring
  • Monitor how treatments or lifestyle interventions are affecting tissue health

For high-risk populations—veterans, firefighters, industrial workers—regular elastography could identify early toxin-related kidney damage years before blood markers shift.


Ultrasound and the Thyroid: Detecting Autoimmune Disease

The thyroid gland presents a similar challenge. Blood tests for thyroid antibodies and hormone levels are valuable, but they are not sensitive enough to identify early autoimmune changes.

High-resolution ultrasound can visualize the thyroid’s texture, vascularity, and structural irregularities long before lab abnormalities appear. Typical findings in autoimmune thyroid disease include:

  • A heterogeneous or “patchy” internal texture
  • Hypoechoic (dark) regions indicating inflammation
  • Increased blood flow patterns detected on Doppler ultrasound

When combined with elastography, ultrasound can also assess thyroid stiffness—an indicator of fibrosis from chronic autoimmune activity. This gives physicians a fuller picture: not only whether antibodies are present, but whether tissue itself is changing structurally.


The Limitations of Blood Tests

Blood tests remain essential for evaluating kidney and thyroid function. Serum creatinine, glomerular filtration rate (GFR), and thyroid hormone levels (TSH, T3, T4) are standard measures. Yet according to reports and clinical providers, these tests have been known to have blind spots.

  • Kidney Disease: Substantial damage must occur before creatinine rises enough to flag abnormality. By then, up to 50% of kidney function may already be lost.
  • Thyroid Disease: Autoimmune disorders such as Hashimoto’s thyroiditis often smolder for years before antibodies or hormone imbalances appear in blood tests.

This lag creates a dangerous window where diseases progress quietly. Patients who appear “normal” on lab reports may already be developing fibrosis in their kidneys or inflammation in their thyroid gland.


Broader Implications for Patient Care

The ability to visualize disease in real time has profound implications:

  • Early Intervention: Patients can adopt lifestyle or medical treatments before irreversible damage occurs.
  • Personalized Monitoring: Imaging provides quantitative benchmarks, allowing doctors to measure progression or improvement with precision.
  • Validation of Therapies: Functional medicine approaches, such as detoxification or dietary interventions, can now be monitored through imaging evidence rather than anecdotal reports.

For Bard, the message is clear: “We cannot rely solely on bloodwork. By the time numbers change, damage may already be permanent. Imaging provides the missing evidence.”


Conclusion: Toward a New Standard of Detection

Kidney and thyroid diseases often advance invisibly until it is too late. Blood tests remain essential, but they are not enough on their own. The integration of elastography and ultrasound offers physicians the ability to see what blood cannot show—the early scarring, inflammation, and tissue changes that foreshadow chronic illness.

For patients, this represents not only earlier diagnosis but also hope. With imaging, physicians can finally shift from documenting decline to preserving health. The future of medicine lies in bridging the gap between lab values and structural evidence, creating a proactive approach that honors both science and prevention.



References

(1) Levey AS, Becker C, Inker LA. Glomerular filtration rate and albuminuria for detection and staging of acute and chronic kidney disease in adults: a systematic review. JAMA. 2015;313(8):837-846. doi:10.1001/jama.2015.0602 (2) Barr RG, Wilson SR, Rubens D, Garcia-Tsao G, Ferraioli G. Elastography assessment of liver fibrosis: Society of Radiologists in Ultrasound consensus conference statement. Radiology. 2015;276(3):845-861. doi:10.1148/radiol.2015150619  (3) Grenier N, Gennisson JL, Cornelis F, Le Bras Y, Couzi L. Renal ultrasound elastography. Diagn Interv Imaging. 2013;94(5):545-550. doi:10.1016/j.diii.2013.02.005  (4) Shin JH, Baek JH, Chung J, Ha EJ, Lim HK, Lee YH. Ultrasonography diagnosis and imaging-based management of thyroid nodules: revised Korean Society of Thyroid Radiology consensus statement. Korean J Radiol. 2016;17(3):370-395. doi:10.3348/kjr.2016.17.3.370 (5) Rago T, Vitti P. Role of thyroid ultrasound in the diagnostic evaluation of thyroid nodules. Best Pract Res Clin Endocrinol Metab. 2008;22(6):913-928. doi:10.1016/j.beem.2008.09.018 (6) Paschke R, HegedĂĽs L, Alexander E, Valcavi R, Papini E, Gharib H. Thyroid nodule guidelines: agreement, disagreement and need for future research. Nat Rev Endocrinol. 2011;7(6):354-361. doi:10.1038/nrendo.2011.1

 


(Ret) Detective LeBeau- Surviving a Silent Killer from the Job

 S U R V I V O R   S T O R Y   Detective David LeBeau’s Detox Story: “I Shouldn’t Be Alive Today” Across the country, we are seeing a growin...