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Urgent Care Virtual Appointments

Under normal circumstances, patient/physician relationships cannot be established via telephone (i.e., must be established in person).  Due to the COVID-19 chaos, the Texas Medical Board is temporarily allowing new patients to be established via phone. (This is true for both urgent care as well as routine appointments).  It is still required that we practice medicine within our state boundaries, though, so we are currently offering appointments only to individuals inside the Texas borders.

Here are some details regarding Urgent Care Appointments available at The Woodlands Institute for Health & Wellness:

  • Consultations are $99
  • If you’ve never been a patient at our facility, or if it’s been more than 3 years since your last appointment, some paperwork is required which will be emailed via Adobe Echosign.  Electronic signatures will be required and paperwork must be submitted prior to your consultation.
  • We can accommodate age 2 years and up
  • Upon request, we can provide you with a receipt/superbill which you can submit to your insurance company for possible reimbursement.
  • You CAN use FSA and HSA funds for these appointments.
  • Issues that are typically handled via telemedicine that are considered an urgent care matter include, but are not limited to, for example, headache, cold/flu symptoms, sore throat, allergies, asthma, suspected sinus infection, suspected bladder infection, gastrointestinal complaints (such as heartburn, nausea/vomiting, abdominal pain, diarrhea, constipation), urgent need for a medication refill (see exclusions below), rash (email photos to dchavez@TWIHW.com prior to consult), low grade fever, skin infection, cat/dog bite, suspected eye infection (send photos to dchavez@TWIHW.com prior to consult), suspected ear infection, dizziness, and acute/new onset muscular or joint pain.
  • If you feel strongly that your condition will require blood work or imaging studies, stitches, or possible treatment for stroke or heart attack, please go directly to the ER.
  • The medications that we will prescribe generally include drug classes such as antibiotics, antihistamines, medications for symptom relief of pain and gastrointestinal complaints, and short term prescriptions for maintenance medications for those who are traveling or are in transition to a new healthcare provider.  We will not prescribe lifestyle medications (e.g., Viagra, Cialis, appetite suppressants) or any controlled substances.  Click here for a list of controlled substances.
  • Please note that the consultation fee is for administrative duties, the professional opinion of the provider, and services rendered.  Therefore, the fee shall be paid in advance of appointment, and even if the provider refers you to the Emergency Department for further or escalated evaluation.
  • Call (281) 298-6742 to schedule.  Click HERE for office hours.
  • Once you are established as a patient, keep in mind that you’ll also have access to some of our services, such as ONDAMED, InfraRed sauna, IV nutritional therapies, vitamin injections, allergy testing, and more.

 

By |2020-03-31T08:55:28-05:00March 30th, 2020|General|

SOT (Supportive Oglionucleotide Therapy) For Lyme and Other Infections

By Mila McManus MD

RGCC lab has facilities globally and offers cutting edge testing and integrative therapies for infections and cancers.

SOT (Supportive Oglionucleotide Therapy) is a treatment that effectively silences the genes that are expressed in microbes’ genomes that are allowing them to survive. Your chromosomes contain genes which consist of strings of nucleotides.  These nucleotides are ‘read’ by RNA.  The RNA is then translated into proteins and this is how genes are expressed.  SOT is called ‘anti-sense’ which means it creates a string of nucleotides which bind to the RNA, rendering it ineffective, and therefore it cannot be translated into proteins. By silencing genes that are critical for the microbes’ survival, the microbes will die. SOT will kill the microbes without harming the body; however, as with any other therapy used to treat infections, herxheimer reactions can occur.  This is also known as ‘die-off’ or ‘healing crisis’.  We have a protocol in place for patients to follow that will mitigate the incidence and severity of herxheimer symptoms.  SOT is administered intravenously every 4 to 6 months as needed and remains active in the body for 24-28 weeks. Most people require 1 to 2 SOT infusions per microbe.  Furthermore, if a person has Borrelia and co-infections, treating the most active infection may allow the body’s immune system to recover enough to handle the other infections on its own.

 

RGCC offers a highly sensitive PCR test for Lyme and other infections.  With these results, a patient will know what infections are present, as well as which ones are most active/prevalent.   The lab then uses these results to make the SOT, and it is very specific to each microbe.  The PCR test must be repeated prior to each SOT because microbes often mutate and the SOT’s target gene may change.  Once your blood is drawn at our office and shipped to the lab in Greece, results typically take 3 to 4 weeks.  And once SOT is ordered, it will be custom made and arrive at our office in another 3 to 4 weeks. 

 

For Price List, click here.

For a list of the bacteria and viruses for which SOT can be made, click here.

If you’d like more information, call our office (281-298-6742) to schedule an appointment.

By |2020-03-30T09:37:17-05:00March 30th, 2020|General|

RGCC Price List

  • Prime spot testing (very sensitive PCR test for microbes)
    • Initial test $1800
    • Repeat test $499
  • SOT (Supportive Oligonucleotide Therapy) for microbes
    • $2500 per infusion, typically given every 4 to 6 months. Some people need a couple, and some need multiple due to treating multiple microbes, where applicable.
    • Another option is to give half dose initially, then the other half a few weeks later (still totals $2500 for the 2, not each). This is determined on an individual basis if someone requires less aggressive therapy.
  • RGCC Oncotrace $1150
    • This can be a screening tool for cancer
    • This test looks for circulating tumor cells, and quantifies # of cancer cells per volume of blood. This is used for baseline prior to treatments, and to monitor progress.
    • This is ordered typically every 4 mos, but at least every 6 months.
    • When results are in, you’ll be asked to schedule an appointment to discuss them and make adjustments to regimen. Office visits are $189.
  • RGCC Onconomics Plus $2850
    • Extensive test of cancer cells, testing their genetic and tumor markers
    • Tests the sensitivity vs resistance to various chemotherapy agents as well as to numerous natural agents, e.g. vitamins, botanicals/herbs.
    • Also tests the cancer’s sensitivity to glucose/insulin (ie: whether a ketogenic diet would be helpful in treating
    • Also tests the cancer’s sensitivity to heat (ie whether InfraRed sauna, hyperthermia treatments, and/or radiation would be useful in treating)
    • When results are in, you’ll be asked to schedule an appointment to discuss them and make adjustments to regimen. Office visits are $189.
  • SOT (Supportive Oligonucleotide Therapy) for cancer
    • $2500 per infusion, typically given every 4 to 6 months.
    • Another option is to give half dose initially, then the other half a few weeks later (still totals $2500 for the 2, not each). This is determined on an individual basis if someone requires less aggressive therapy.
    • Patient must be monitored regularly with head scans and body scans (CT, PET)-at minimum, prior to each SOT treatment
  • Vaccine prep for cancer $7500
    • Vaccine created specifically for the patient’s cancer
    • Used for solid tumors only (i.e., not available for leukemia)
    • Vaccine infused by IV.
    • 9 week protocol—once a wk x 3 wks, then 3 wks off, then weekly again for 3 wks.
    • Can be repeated 3 mos after the last infusion

**All prices are subject to change

By |2020-03-30T09:26:42-05:00March 30th, 2020|General|

PrimeSpot and SOT

The following microbes are available for PrimeSpot testing and SOT:

HSV1— (Human Simplex Virus-Oral-Facial)
HSV2— (Human Simplex Virus-Genital)
HHV6 (A & B)— (Human Herpes Virus 6)
CMV— (Cytomegalovirus)
VZV— Varicella-zoster (shingles)
EBV— (Epstein Barr)
HPV (16/18) — Human papillomavirus
HPV (6/11) — Human papillomavirus
HBV— (hepatitis B)
HCV — (hepatitis C)
HIV— (human immunodeficiency virus)
XMVR— (Xenotropic Murine Leukemia Virus-related Virus) SOT is NOT available at this time but is tested.
HTLV1— (human T-cell lymphotropic virus)

1) Borrelia mayonii
2) Borrelial burgdorferi
3) Borrelia garinii
4) Borrelial bissettii
5) Borrelial bavariensis
6) Borrelia miyamotoi
7) Bartonella—B. henselae, B. bacilliformis, B. vinsonii, B. quintana
8) Candidatus Borrelia tachyglossi
9) Borrelial valaisiana
10) Borrelial afzelii
11) Borrelial finlandensis
12) Babesia microti
13) Babesia bigemina
14) Babesia divergens
15) Babesia duncani
16) Babesia bovis

By |2020-03-30T09:21:16-05:00March 30th, 2020|General|

Updates during COVID-19 Executive Orders

We hope this email finds you well. We remain open for business and are complying with city/state/CDC recommendations and requirements.
  • We have reduced on-site staff and have employees working from home.  Our business hours have not changed.
  • We are continually restocking supplements and looking for alternatives when some are on back order.  We received several boxes of supplements today! You can see our Supplement Price list here.
  • We are offering CURB SIDE pick up. You can call or email admin@twihw.com to order supplements.  We will bring them to your car if you wish.
  • We are still offering FREE shipping.
  • We are keeping a wait list for supplements that will ship out as soon as they arrive, if applicable.
  • PHONE appointments are available currently for established AS WELL AS new patients!  The Texas Medical Board is currently allowing this.
  • In case you haven’t heard, on January 1st, we rolled out our new pricing structure to be more affordable than ever. Call for details.
  • Due to the 10 person limit in the building, please avoid bringing any guests with you to an appointment. 
  • Our ancillary services, such as ONDAMED, InfraRed sauna, IV therapies, pellet procedures, allergy testing, and vitamin injections are still available for scheduling.
  • Stay tuned for more updates!
Stay Well,
Mila McManus MD

 

By |2020-03-31T08:06:30-05:00March 30th, 2020|General|

Immune Boosters

If you fear Coronavirus (or flu), have been exposed, if you are sick,  have been in a big crowd, or if you’re going to be….here are some suggestions, and also a recipe for DIY hand sanitizer:
 
On Guard essential oil
Vitamin C -oral AND Mega Dose IV available
Zinc 25mg daily
Vitamin D at least 2000iu daily.  If/when potentially exposed to a virus, take 25,000iu daily for 3 to 5 days.
Nebulizer treatments! (with Vitamin C, Colloidal silver, etc)
Also, see below for DIY Hand Sanitizer
 
Stay Well,
Mila McManus MD

 

By |2020-03-16T08:54:00-05:00March 16th, 2020|General|

Blood Sugar Made Very Simple

By Nancy Mehlert, MS

  1. 1. We have about 1 gallon of blood. Ideally, it should have about 4 grams (1 teaspoon) of glucose in it at all times for optimal function.  Less or more negatively affects function.
  2. 2. If you consume, for example, 2 ounces of Gluten Free Pasta, it contains 42 grams of net carbohydrate. As it digests, blood sugar rises from the optimal 4 grams to 46 grams of glucose.  This creates a significant blood sugar imbalance and the body responds quickly to address the problem.
  3. 3. The corrective measure is two fold. First, the liver stores a portion of the glucose as glycogen for future release when blood sugar is too low.  Second, the body releases insulin to usher the excess glucose into any cells willing to receive it, which most of the time, it will be fat cells, thus storing the glucose as fat causing weight gain.
  4. 4. This lowers blood sugar back to normal optimal levels and stockpiles sugar supplies in the liver. Next time you fail to eat, the liver will release fuel in the form of glucose, RATHER than burn fat from the body.
  5. 5. So every time we eat excessive amounts of carbohydrate, we are storing excess sugar in the liver and in fat cells and the next time the body needs fuel, it will access the liver stores, rather than burn fat. This cycle prevents weight loss. Learning to maintain stable blood sugar is key to weight loss.
By |2020-03-03T09:12:56-06:00March 5th, 2020|General, NANCY’S NUTRITIONAL NUGGET|

“I honestly did not think I would have seen the benefits so soon.”

from   L.S.

I am definitely seeing the benefits of this cleanse and all the supplements Dr. McManus prescribed. I have more energy, my skin is beautiful, and for the first time I don’t have swelling in my hands and feet (so bad I want to amputate). My pain is about 10% better. But, the best thing I have noticed (for the first time in my life) I am never hungry or crave anything. Trust me I have tried all the DIETs: healthy eating / organic/ algae-E3 Live/ Isagenics/ pills/ cleans/ Eat right for your blood type/ Keto/ Paleo/ Mega Cleans/ Starvation/ and fad DIETs and all I do is DIE every time. Lol.  I finally have hope today, instead of wishing I would die or better, someone put me out of this misery. I honestly did not think I would have seen the benefits so soon. I am losing weight. I lost 7 lbs. I don’t even care about the number, I’m just glad all my work is paying off and I can fit in my clothes comfortably.  Thanks, and tell Dr. McManus she is an Angel
    

By |2020-03-03T12:25:15-06:00March 5th, 2020|General, Testimonials|

Keys to Successful Weight Loss

By Mila McManus M.D.

The three most common excuses given for the inability to lose weight are thyroid malfunction, eating too many calories, and inadequate exercise. Everyone knows that.  Right? Not so fast.  In fact, we wish we had a nickel for every time someone has said, “No matter what I do, what I eat, how much I exercise, I can’t lose weight!”.  Truth be told, there are many variables that can prevent weight loss even when it seems like the diet and exercise are more than adequate. Our stressful and toxic world contributes more than you might realize, along with important lifestyle habits. There may also be other physiological reasons. For most people, there are several variables at play. Here is a list of considerations when you are at your weight loss wit’s end.

 

  • Inflammation affects metabolism. Inflammation stems from various factors, but one, in particular, is a food sensitivity.  You may not realize, for instance, the eggs, almonds, or wheat in your diet are sabotaging your efforts because of an underlying food sensitivity.  Another source of inflammation is alcohol. (Of course, the calories from alcohol don’t help either.)

 

  • Poor sleep quality and sleep deprivation cause an increase in ghrelin, a hormone that stimulates appetite, as well as cause a decrease in leptin, a hormone that tells you when to stop eating.

 

  • Thyroid function may be low despite normal lab results.  Test yourself here for low thyroid symptoms. Your thyroid ratios may be suboptimal because your body can’t adequately convert inactive thyroid (T4) to active thyroid (T3) due to vitamin deficiencies, stress, poor gut health, or heavy metals. In addition, infection and inflammation increase Reverse T3 (RT3) which blocks thyroid function at the cellular level.

 

  • Guessing at caloric needs and exercise needs without knowing your own biological, physiological needs can sabotage your efforts. Consider having a metabolic test to determine your accurate resting metabolic rate, caloric needs for weight loss and for weight maintenance. It is easy and affordable. Ask for a Metacheck appointment.

 

  • Trying to exercise your way to weight loss is pretty fruitless when not examining your diet. Dietary adjustments will be a much faster route to weight loss compared to trying to overcompensate with exercise.

 

  • Doing the wrong types of exercise is a recipe for long term disaster. Muscle mass contributes greatly to your metabolic rate.  If you are trying to jog off your behind and belly fat, you may find that strength training to increase muscle mass is more effective at burning calories, toning every area of the body, and getting faster results.

 

  • Hormonal Imbalances for both men and women can greatly impact the ability to lose weight. For example, imbalances of sex hormones (e.g., testosterone, estrogen, progesterone) can impact thyroid function which, in turn, affects metabolism. Have you heard of estrogen dominance?  Men can struggle with this as well if testosterone is declining while exposure to estrogenic plastics, chemicals, or soy causes increased estrogen levels.

 

  • Poor gut health (even with absence of any obvious gastrointestinal symptoms) caused by medications, poor diet, antibiotics, and artificial sweeteners, to name a few, will often affect weight.  Good gut health is mission-critical for weight loss.

 

  •  Lectins, which are in many healthy foods, can cause weight gain and inhibit weight loss. Read about lectins here, and read about which foods contain the most lectins here.

 

  • Nutritional deficiencies affect metabolism. Are you deficient in iodine, selenium, vitamin D, or iron perhaps? Deficiencies here will affect your thyroid function.

 

  • Medications can affect your metabolism, including birth control pills, antidepressants, and beta-blockers. Even Zyrtec and Allegra, common allergy medications, can cause weight gain.

 

  • Toxins may be sabotaging your efforts, too. Today, our toxin exposure is significantly higher than it was just fifty years ago.  Additionally, some of us don’t eliminate toxins as well as others do.   A good detox program may be helpful!  Read our article on toxin testing and search our site for detox recipes that will help you get rid of harmful toxins.  PEMF Therapy and IR Sauna are two additional detoxifying options available at our office.

 

  • Inadequate hydration can slow your metabolism.

 

  • Unaddressed emotional trauma can affect eating habits and have neurohormonal effects that contribute to weight gain.

 

  • Emotional eating habits are a common problem, such as binge eating chips or cookies when sad or stressed, or celebrating good times with cake and champagne.

 

  • Not eating enough calories can be disastrous on your metabolism.  Starving yourself, or eating a normal number of calories, and then following with excessive exercise or exertion, can cause reduced muscle mass and, therefore, slowing of metabolic rate.

 

  • Eating too late at night can affect weight, mainly because studies show that late eaters tend to make poorer food choices and eat more calories.

 

  • Eating too quickly will tend to cause you to eat more calories because you’re shoveling in more food during the interval between intake of food and getting the signal from your brain that you are full.

 

  • Excessive fruit intake can affect weight because the sugar in fruit, fructose, more easily stores as fat than other types of carbs.

 

  • Stress-yes, stress. Its effects are evil in every way.

 

Ready to do something about it?  Here are ways to get started:

  1. Read Highway to Health, A Nutritional Roadmap, by Mila McManus MD, available in our office and on Amazon. This book includes everything you need to know about nutrition and lifestyle to maintain a healthy weight. The 2nd edition was published in December 2019.
  2. Call 281-298-6742 to learn how we can help you start losing weight today!
  3. Use our website to find healthy recipes that are sure to spice up your taste buds and make you feel better.
  4. Follow the links in this article to test yourself and learn more.
  5. Join us on March 19 at 5:30 pm for Wellness Night Out where Dr. McManus will discuss the challenges of weight loss. Healthy snacks will be served. 

References:

The Plant Paradox by Dr Gundry

medicalnewstoday.com

epocrates.com

Why Isn’t my Brain Working? by Dr. Kharrazian

Adrenal Fatigue by Dr. James Wilson

By |2020-03-03T12:24:23-06:00March 5th, 2020|Articles, Ask Dr McManus, General, Recommended Reading|

One Skillet Spinach Artichoke Chicken

From www.paleorunningmoma.com, Paleo and Whole30, dairy free, egg free

Makes 6 Servings

Ingredients:

6 bone-in chicken thighs, skin-on

Sea salt and pepper to season chicken

1 teaspoon lemon garlic seasoning or garlic powder

3 tablespoons ghee

8 ounces fresh spinach, roughly chopped

14 ounce can artichoke hearts roughly chopped

½ medium onion chopped

4 cloves garlic, minced

¾ cup chicken broth, or bone broth

1 tablespoon fresh lemon juice

Pinch crushed red pepper, optional

Sea salt and pepper to season veggies

¼ cup coconut milk, full fat, blended prior to adding

2 teaspoons spicy brown mustard

2 teaspoons arrowroot

 

Instructions:

  1. 1. Preheat the oven to 400° and make sure ingredients are prepped.
  2. 2. Heat a large cast iron skillet (or any oven proof skillet) over medium-high heat. Season chicken with salt, pepper, and lemon-garlic seasoning, rubbing in to coat the skin.
  3. 3. Add 2 tablespoons of ghee to the skillet, then brown the chicken on both sides, about 3-4 minutes per side.
  4. 4. Remove the chicken from the skillet onto a plate and lower heat to medium. Add remaining tablespoon of ghee to the pan.
  5. 5. Add onions and cook until softened for one minute. Add garlic and cook for another 30 seconds. Then add spinach in batches until wilted.  Finally add the artichoke hearts stirring and cooking for another 3 minutes until vegetables are heated through.  Season with crushed red pepper, salt and pepper to taste, stir in the broth and lemon juice. Remove from heat.
  6. 6. Return chicken to the skillet and place the skillet in preheated oven and bake 25 minutes, until cooked through, and then return the skillet to the stovetop.
  7. 7. Remove the chicken to dinner plates. Whisk the arrowroot and mustard into the coconut milk and then add to the skillet.  Whisk while bringing to a boil for 2-3 minutes until thickened.  Serve the veggies and sauce with the chicken and enjoy.
By |2020-03-03T12:26:52-06:00March 5th, 2020|General, Recipes|
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