Cogence

12/30/2020

2020 has been challenging for all of us. I'm grateful to my colleagues and coauthors for your partnership, energy, and commitment to the ongoing process of discernment as we move through this difficult experience together. I had this graphic made a while ago, in anticipation of the Cogence community crossing the 5k member threshold. Ordinarily, I would expect such a milestone to be a moment of satisfaction that energizes and fortifies my efforts to continue the work. It does have some of that effect, but shaded with the realization that participation in Cogence carries with it a sharpened necessity, as we work to navigate dark waters together. It is my fervent wish that all of us be skilled navigators. I will continue to interact with folks in Cogence and other professional venues, while continuing to be mostly absent from FB. As of this writing, Cogence has members on 6 continents, with brilliant clinicians doing great work in all phases of patient care. I'm proud of you folks and grateful for your remarkable ongoing work. I wish you all a much better 2021.

08/06/2020

This is an excellent article to share with patients about COVID-19. It captures the complexity of the immunology in an accessible way that lets patients appreciate the challenges, so they can be motivated to follow the care plans you create. As always, remember that there are robust COVID-19 learning resources that you can access at cogenceimmunology.com. https://www.theatlantic.com/health/archive/2020/08/covid-19-immunity-is-the-pandemics-central-mystery/614956/

Which is too bad because we really need to understand how the immune system reacts to the coronavirus.

06/13/2020

Cogence has passed the 4,000 member threshold! Our clinicians come from every field and from all over the world. They engage in self-paced functional immunology education, watching videos on demand, posting Q&A forum questions, connecting to the weekly Q&A webinar, and receiving clinical pearls by email. Your membership cost is sponsored by Pure Encapsulations, so come join our vibrant community!

05/17/2020

An excellent synopsis of where we are in the COVID-19 process.

05/15/2020

Check out my interview for the Good Medicine On the Go podcast. We talked about genomics of COVID-19 and other interesting clinically actionable topics. The show can be found on

Apple

https://podcasts.apple.com/us/podcast/good-medicine-on-the-go/id1509832933

Google Play

https://play.google.com/music/listen?u=0 #/ps/I7kvlcroga6d2jtwwj6lzspslui

Stitcher

https://www.stitcher.com/podcast/good-medicine-on-the-go

Spotify

https://karawarecoaching.libsyn.com/spotify

https://open.spotify.com/show/63wpuRpvhPOy8jUHfGJo49

05/12/2020

Dr. Joseph Pizzorno, Dr. Helen Messier, Dr. Kara Fitzgerald and I have recently published this paper on COVID-19. Those of you who are in the clinical and scientific communities may find it useful. My abundant thanks to my remarkable coauthors. https://athmjournal.com/covid19/research/evidence-supporting-a-phased-immuno-physiological-approach-to-covid-19-from-prevention-through-recovery/

03/21/2020

FOR EVERYONE: This is not a game. We as a community need real, factual information about this challenging situation. Before you post anything, ask yourself if you are adding to the clear, scientific, discerning dialog or if you’re stirring the pot. If you’re stirring the pot, stop. That doesn’t mean we all need to agree with each other or be silent. It does mean that questions and points of view need to be considered vigorously before being expressed. Do not share anything you have not vetted yourself. That means DO NOT share anything the moment you read it. Nobody can do the work of vetting something on the fly. We’re all in this together, so the quality of our work as a community is something to which we are all contributing. Let’s all do good work together. Thank you.

11/23/2019

11/23/2019

I had a wonderful time at PLMI, talking about cytokine influence on autophagy at this lunchtime lecture. Interferon gamma is required to form the autophagosome. IL-4 blocks it. This means Th2 dominant patients will have trouble accomplishing autophagy and will be less able to to repair their neurons.

10/25/2019

Another excellent, solid step in the right direction. I’m very proud to be part of the functional medicine community and to see this profoundly meaningful journey continue to unfold.

A Functional Medicine outcomes study was published today in JAMA and I am feeling such pride, admiration, and gratitude for everyone involved! This article is the culmination of an aspiration I’ve had for 40 years. It is a first step—but a BIG first step—toward a more rational, systems-based approach to patient-centered health care. My most sincere thanks go out to The Institute for Functional Medicine, the team at the Cleveland Clinic Center for Functional Medicine, the authors of the study, and the many countless others who contributed to making this moment a reality.

This is an open access article. Please read, download, and share it: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753520

10/15/2019

Here’s a paper I wrote that was just published in Frontiers in Psychiatry. It will be indexed in medline about a month from 10/3/19. If you work with patients with TBI, CNS autoimmunity, neurodegenerative diseases, depression, or anxiety, this will teach you about underlying neuroimmunological factors in common among these diseases. Link to full paper: https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00712/full