Special Issue - Issue 121.1 by topdoctormagazine

SPECIAL ISSUE

April 2021 - Issue 121.1

Dr. Kenji Oyasu Fighting Stigmas and the Opioid Crisis Pg 1

Why People with COVID Lose Their Sense of Smell

Pg 12

Discovering the Benefits of CytoSyde and How it Boosts Your Immunity

Pg 15

Contents

12 01

Dr. Kenji Oyasu: Fighting

15 12

Stigmas and the Opioid

Why People with COVID Lose Their Sense of Smell

Crisis 05

Telehealth in Medicare &

CytoSyde and How it Boosts

Medicaid:The Hidden Hero

Your Immunity

Keeping Us Connected to Our Doctors even in a Pandemic WHAT'S INSIDE?

Discovering the Benefits of

The “Winning Strategy” of Sports Medicine Surgeon Daryl C. Osbahr

By Brianna Connors Dr. Kenji Oyasu: Fighting Stigmas and the By Brianna Connors Opioid Crisis "Don't worry. He won't die; he'll just wish he was dead." Dr. Kenji Oyasu stood shocked at the words coming from his senior medical professional. Oyasu just had his first encounter with a person in heroin withdrawal in the ER, and his concern led him to ask how he could help. This moment inspired him to dig deeper into emergency medicine, particularly dealing with drug addiction. Dr. Oyasu has twenty years of experience in emergency medicine and acts as the physician executive and founder of ModernMed Recovery. He created ModernMed Recovery to provide lasting change to those with drug addictions and is board certified in addiction and emergency medicine.

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Red Tape Regulations As Dr. Oyasu began working in the ER, he and his peers watched the opioid crisis develop before their eyes as overdoses and opioidrelated complications began to increase. The increase came at the hand of changes in opioid regulation that took, according to Dr. Oyasu, "a billion pills off the market." The decrease in the available drug led people to seek out heroin and deadly cocktails like morphine mixed with fentanyl. A mom of two in her 30s, a young kid just beginning his life, a 78-year-old man - Dr. Oyasu has seen people from all walks of life during his practice. The drug addiction, which he recognizes as a disease process, does not discriminate. However, medical practices do. A cursory search on the Internet seems to provide a host of practices and resources for those seeking recovery, but calling up those practices will most likely get you a "no room at the inn" notice. Complicated regulations surrounding prescriptions for lesser opioids, such as buprenorphine, make it difficult for any practice to increase their patients past 30. If they want to prescribe lesser opioids as a treatment for drug addiction, they need an extra waiver on their DEA license. "Ironically, I can write for all the oxycodone patches I want unlimited, but for buprenorphine, which is a partial opiate, I have to take an 8-hour course which I can take online, and then I can only see 30 patients," Dr. Oyasu said.

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"There are millions of people needing treatment that we over-prescribed for the last 16 years, and you're telling me I can only treat 30 patients at a time." Since the opioid crisis became more mainstream, some regulations have changed. If a practice can have 30 patients successfully for a year, it can apply for a 100-patient license. But getting past the red tape to start treating patients is just one hurdle.

Creating Real Change "Addiction medicine is very difficult to treat. Why? Because addiction is all about compulsive behavior, so once you're speaking to addiction, it doesn't matter the substance. It becomes a lie, cheat, and steal lifestyle," Dr. Oyasu said. Dr. Oyasu works with his team to fight the stigmas attached to treating those with addiction. "We now know about the neurochemical nature of the disease," he said. "All the PET scans in the MRI that we see just demonstrate how this is a narrow biologic disease process, but people still have it in their heads that [drug addiction] is a moral failure or a character flaw." Educating patients and anyone who will listen about drug addiction and the appropriate way to treat it is Dr. Oyasu and his team's passion.

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Currently, many drug rehabilitation programs create a controlled environment where patients quit cold turkey. Dr. Oyasu compares this to a diabetes program that teaches patients what to do but sends them off without insulin access. Patients are prone to failure if they don't receive the best opportunities and tools to succeed.

Compassion First Oyasu's approach involves listening to the stories of his patients. Every single one of his patients receives his personal phone number so that if they have a breakdown, they can have immediate access to someone who will talk with them. Dr. Oyasu is determined to restore people to healthy lives free from addiction. "I don't honestly know how long people need to be treated, but you have to treat it with the same compassion and respect you with any other chronic medical condition, whether it's heart failure, diabetes, and so on." If you would like to learn more about Dr. Oyasu and his practice ModernMed Recovery, you can visit his website here.

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Telehealth in Medicare & Medicaid: The Hidden Hero Keeping Us Connected to Our Doctors even in a Pandemic

“The genie is not going back in the bottle!” In recent months, the Centers for Medicare and Medicaid Services (CMS) has expanded access to telehealth services under President Trump’s emergency declaration. This allows beneficiaries to receive a broader range of services from their doctors without going to a healthcare facility. These benefits are part of the larger effort put forth by CMS and the White House Task Force to ensure that all Americans - particularly those at high-risk - are aware and able to access systems that can keep them healthy. Under the 1135 waiver, Medicare can now pay for office and hospital visits - among other types of visits furnished via telehealth across the country. This is a drastic change from before the waiver when Medicare could only pay for telehealth services on a limited basis.

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As of October 14th, the CMS added eleven new services to the growing list of telehealth services that Medicare will reimburse during the COVID-19 public health emergency. Since March 2020, Medicare has added more than 135 services via telehealth that it will pay for, including emergency department visits and nursing facility visits. Seema Verma, the administrator of CMS, said of the additions: “Responding to President Trump’s Executive Order, CMS is taking action to increase telehealth adoption across the country… This revolutionary method of improving access to care is transforming healthcare delivery in America. President Trump will not let the genie go back into the bottle (CMS.gov, 2020).”

In the past three years, CMS has been working to modernize Medicare as part of the Fostering Innovation and Rethinking Rural Health strategic initiatives. It has unleashed innovation in the private sector, improving access to telecommunication technologies and services to beneficiaries. Starting in 2019, Medicare began paying for virtual check-ins where a patient can connect with doctors via phone or video chat. These check-ins were done as a preliminary way to assess whether the patient needed to come in for an in-person visit. However, in response to the COVID-19 pandemic, CMS rapidly expanded its payment for telehealth services. This allowed Medicare beneficiaries living in all parts of the country access to high-quality care from the comfort of their own home where they could avoid unnecessary exposure to the virus or other illnesses. 06

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“Before the COVID-19 pandemic, only 14,000 beneficiaries received a Medicare telehealth service in a week while over 10.1 million beneficiaries have received a Medicare telehealth service during the public health emergency from mid-March through early-July” reports CMS.gov.

TELEHEALTH IN MEDICARE: WHAT DOES IT LOOK LIKE? As the healthcare industry has had to rush to fill the gaps in coverage during the COVID-19 pandemic, CMS has made keeping people safe and avoiding unnecessary exposure to the virus a priority. Providing a fact sheet on the various telehealth services now allowed through Medicare, patients, and healthcare providers alike can seek guidance on the best options for personalized care. This historic effort has been made possible by new policies implemented in both 2019 and 2020. For a beneficiary, these services can look like an inquiry call to their doctor if they are experiencing symptoms. During this call, it can be assessed whether a physical exam is needed or merely remote monitoring to see if symptoms worsen. If the beneficiary worsens, a virtual check-in allows the doctor a chance to make recommendations without making a patient step into the office or hospital. 07

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TELEHEALTH IN MEDICARE: HERE TO STAY? Telehealth services and the technologies needed for such procedures are nothing new. They were already in progress and en route to being widely accepted before the start of this year and the COVID-19 public health emergency. However, due to the PHE, telehealth became the premier source of care - being widely accepted and, in many cases, the only avenue through which medical attention could be accessed. As we have no real way of knowing the PHE’s end, there is no approaching end date for telehealth and its services. Not to mention, with its proven track record thus far, it may very well become the preferred method of care for many patients. Medicare and Medicaid beneficiaries, especially. While telehealth will never replace the gold-standard of an in-person doctor’s visit, it serves as an important addition to access. Its rapid explosion in recent months has raised the question of whether returning to the status quo will turn back the clock on innovation and a new level of care. Remote patient monitoring (RPM) is one such innovation under question should Medicare revert to pre-pandemic telehealth service limitations.

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TELEHEALTH IN MEDICARE: WHAT IS RPM, AND WHY IS IT THE BACKBONE OF TELEHEALTH? Remote patient monitoring (RPM) is a delivery method for healthcare that uses the most advanced technologies to gather and analyze patient data, which is then used to develop and manage a treatment plan tailormade or related to a chronic illness or health condition. RPM is about moving conventional healthcare delivery outside of the box for better patient care and outcomes. These technologies are the latest and greatest, emphasizing today’s consumer-friendly personal tech items. Leveraging Bluetooth and smartphones or tablets, these data collection devices are used specifically to make patients comfortable monitoring and aiding in their own care. As a result of this comfort, engagement levels between patients, their monitoring devices, and ultimately the doctor are increased. Naturally, higher engagement levels correlate to improving the overall quality of care. Not only is the patient incentivized to be involved in his or her own health due to the comfort of quality RPM devices, but clinicians are equally better equipped to understand and manage their patients’ health situations. This is extremely important in the prevention of deteriorating health or worsening conditions. RPM is the backbone of Telehealth because it enables clinicians to actually see what their patients are doing daily. Never before has this level of care been accessible to the public. 09

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As witnessed in recent months, without Telehealth - without RPM the mode of most healthcare delivery systems would have been cut off for weeks on end. With Telehealth services and RPM, where a patient can interact with their doctor via technology and have their situations monitored 24/7, it is possible to diagnose, treat, assess, and prevent. It is more convenient than conventional doctor or hospital visits. It is more accessible to the demographics of the public. And it is an essential part of limiting unnecessary exposure to the more vulnerable. In conclusion, without the advances of technology, especially in the medical field, the COVID-19 virus would be able to spread much faster and further like the H1N1 Influenza Pandemic of 1918 where social distancing wasn’t a thing between doctors and their patients nor even in medical wards. 50 million people are estimated to have perished just a hundred years ago from a similar virus compared to the 1.14 million people who have died from COVID-19. No one should ever die from a horrible disease and our hearts go out to all those suffering from COVID-19 (it has touched our own office as well). It is our dream at Top Doctor Magazine and among the doctors, we serve to continue the exponential growth in medical advances over the past century so that mankind can be much closer to realizing a world virtually free from lifeending diseases in the not-so-distant future.

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Citations:

Gilman, M., & Stensland, J. (2013). Telehealth and Medicare: payment policy, current use, and prospects for growth. Medicare & medicaid research review, 3(4), mmrr.003.04.a04. https://doi.org/10.5600/mmrr.003.04.a04 CareInnovations. (2020). What Is Telehealth? What Is Remote Patient Monitoring? How Are They Different? Retrieved from https://news.careinnovations.com/blog/what-is-telehealth-what-is-remote-patientmonitoring-how-are-they-different CMS. (2020). President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak. Retrieved from https://www.cms.gov/newsroom/pressreleases/president-trump-expands-telehealth-benefits-medicare-beneficiariesduring-covid-19-outbreak CMS. (2020). Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021. Retrieved from https://www.cms.gov/newsroom/fact-sheets/proposed-policy-payment-and-qualityprovisions-changes-medicare-physician-fee-schedule-calendar-year-4 CMS. (2020). List of Telehealth Services. Retrieved from https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/TelehealthCodes Foley & Lardner, LLP. (2020). Top Ten Medicare Remote Patient Monitoring FAQs for 2021. Retrieved from https://www.foley.com/en/insights/publications/2020/08/tenmedicare-remote-patient-monitoring-faqs-2021 CMS. (2020). Trump Administration Announces Historically Low Premiums and New Insulin Benefit as Medicare Open Enrollment Begins. Retrieved from https://www.cms.gov/newsroom/press-releases/trump-administration-announceshistorically-low-premiums-and-new-insulin-benefit-medicare-open CMS. (2020). Telehealth Benefits in Medicare are a Lifeline for Patients During Coronavirus Outbreak. Retrieved from https://www.cms.gov/newsroom/pressreleases/telehealth-benefits-medicare-are-lifeline-patients-during-coronavirusoutbreak

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Why People with COVID Lose Their Sense of Smell By Odessa Kramer There are now over 29 million coronavirus cases in the U.S. From body malaise to shortness of breath, the virus presents itself in different ways. One of the most common and interesting symptoms is anosmia or smell blindness. An NIH review studied a total of 11,054 COVID-19 patients and found that this loss of smell often precedes the other, more severe symptoms of the virus. This loss of smell can suddenly occur in people infected with COVID-19 and is often associated with loss of taste, too. Loss of smell in COVID-positive patients may happen with or without a stuffy or runny nose; in some cases, this may even be permanent. 12

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Even though buying a piano is a significant investment for parents with a young child, after much begging on Dr. Roy's part and seeing her dedication, she would receive her first piano at 8. For the next twenty years, she took lessons, performed in recitals, and competed across her hometown of Toronto, Canada. She would even become a student at the Royal Conservatory of Music. Her love for music and piano would continue to be a balm as she transitioned into medical school. "Fast forward to when I was doing my residency in North Carolina at Duke Medical Center. I would work 12-14 hour days. I would be exhausted when I got home, but when I got home, I would look at my piano and go 'alright Lip, just 15 minutes," said Dr. Roy. "Then I would play classical, I would play Simon and Garfunkel, whatever I wanted to, and I would just feel calm. Soon, I'd look up at the clock, and two hours would have passed."

Inflammation and Loss of Smell C.T. scans of people with COVID-19 who have reported anosmia reveal a cleft syndrome – this happens when swollen soft tissue and mucus block the olfactory cleft, the part within the nose responsible for smelling. The novel coronavirus makes its way into the body by attaching to cells in the upper respiratory tract. Once the virus permeates these cells, with the help of the TMPRSS2 protein and replicates, the inflammatory response is then activated. Inflammation is the immune system's response when it detects foreign and possibly harmful bodies. A column by University of London consultant rhinologist and ENT surgeon, Simon Gane, and University of Reading associate professor, Jane Parker, attributes anosmia to this inflammation and swelling phenomenon. They believe that when the immune system can rid the body of the virus, the swelling subsides, and the sense of smell returns to normal. However, the loss of smell persists even after the person tests negative for the virus in numerous recorded cases. Dr. Gane and Professor Parker present a theoretical explanation based on inflammation physiology: inflammation could trigger the release of chemicals from other systems that may damage tissues and possibly olfactory neurons– the receptors of the sense of smell – in the process. Luckily, olfactory neurons are regenerative.

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Post-Hospitalization Care and "Smell Therapy" The onslaught of the pandemic overwhelmed the healthcare system. Patients who were lucky enough to make it out of the hospital and "recover" often don't get the necessary post-discharge care they need, as hospitals around the country don't have enough resources and staff. Those who are declared "COVID-free" but are still showing mild symptoms must stay home and wait out these symptoms. The lack of extensive and long-term recovery treatment plans for patients is by no means hospitals' fault. The pandemic nearly paralyzed the entire healthcare system, and it doesn't help that physicians and nurses have been in short supply even before this major health crisis. The spike further exacerbates this shortage in demands for COVID-19 care professionals. Fortunately, the rise of telemedicine and remote learning is helping address this need. These strategies allow healthcare workers to care for more patients through online consultations and virtual health monitoring. More importantly, they provide training to a broader population to prepare for today's healthcare workforce demands. The pandemic has also lead to a new way in which nurses can learn new skills. For qualified nurses who want to learn new skills, there are online R.N. to BSN programs that can give them the necessary abilities to provide specialized care for patients, especially in rehabilitation. These online programs have helped ensure that today's nurses can keep up with the modern demands of COVID-19, such as loss of smell, although the pandemic has made in-classroom learning very difficult. While nurses and physicians are battling the pandemic in hospitals, other organizations take the reins during recovery. Aiding them in post-discharge care are charities and other organizations offering "smell therapy" and other services to help manage lingering effects from COVID-19. These services can last up to four months per individual and can be safely done at home. 14

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Discovering the Benefits of CytoSyde and How it Boosts Your Immunity By Brianna Connors Fast approaching the one-year anniversary of the United States’ first COVID-19 related lockdown, we see a nation still struggling to control case numbers and outbreaks. Confusion and fear still abound, creating the overarching issue of misinformation. Experts across the country harbor varying opinions, offering advice that aligns most of the time, some of the time, or not at all. For Dr. Hassan Bennani, CEO of KellBenx, Inc, acknowledging the issue at hand led him on a personal journey to discover the best research and results-backed solution. 15

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The solution he discovered and presented is a product composed of eight natural ingredients that have been used successfully in China for hundreds of years. Sitting down with him in an interview, Top Doctor Magazine learned that Dr. Bennani’s philosophy to overcome the public health crisis that is the COVID-19 Pandemic has to be thinking for oneself and choosing a product based on the research that convinces you.

“Ever since I was a kid, I never imagined myself doing something else [than being a doctor],” said Dr. Bennani. “My background is that I am an MD by training, but for the last 25 years, one of my best passions is to research. And when it comes to research, it opens up a lot of opportunities to explore, to find something that is new that can have an impact and make a difference.” With extensive experience working alongside numerous companies to bring their products to market, educate clinicians about them, and position the products for people to use correctly, Dr. Bennani opened his lab in Long Island, New York, in 2010. At KellBenx, Inc., the focus is on developing new diagnostic tests such as prenatal testing. But when the pandemic hit, Dr. Bennani’s focus shifted to finding a true solution to help as many people as possible.

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“The key here is that everyone is going to get [COVID-19] one day; even if you get the vaccine, you’re still going to get it. It is just a matter of time,” explained Dr. Bennani. “I think it was the CDC that said it’s going to take about five years for everyone worldwide to come into contact with this virus. And even after that, it’s going to be here like the flu virus. We have to get used to it, live with it, and carry on with our lives. This is why we want to talk today about how we are going to change the long-term side effects and make it as simple as the flu virus.”

Breaking Down COVID-19 To begin the process of overcoming COVID-19, we must first understand how it affects us. The coronavirus is a family of nine viruses, of which seven affect humans. We have experienced previous coronaviruses (like SARS and MERS), but we contained them. The coronaviruses that have come before made those who became infected symptomatic, so they were quickly identified and isolated. The coronavirus (SARS-CoV-2) that causes COVID-19 is different because it features an incubation period of 5 days during which an infected person is asymptomatic and yet still contagious. “The transmission was so quick and so difficult to contain because of the incubation period,” said Dr. Bennani, “And that’s why people were able to travel from China to other countries without knowing they had the virus. Now it is too late. We cannot contain it; it has to go through everybody.” This coronavirus is one of the cold viruses and exhibits two distinct phases. Phase one sees the virus entering the body and targeting the ACE receptors in the lungs. It moves inside the cells, hijacks the mechanism of replication, and starts duplicating. And by doing this, the virus uses the cell to print itself and increase, all while inside the cell and protected from the antibodies that the body is producing.

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Phase two is when the virus promotes the ACE receptor cells in other organs to colonize them. As a result, Dr. Bennani and many others in the medical field have discovered that COVID-19 was only located in the lungs for some people, but now it is going into the heart, kidneys, and other body systems. Through all of this, we see the most prominent effect COVID-19 has on those it infects. “The third part of what it does is lower your immunity so other pathogens can also harm the patient,” explained Dr. Bennani. “Once it is inside the cells, we cannot do much.” To stop the COVID-19 virus from getting into the cells - and ultimately stop a person from becoming ill - we must combat it from the three ways it attacks.

Step 1: Virus Load First, the essential step to combating COVID-19 is to lower the virus load. “Proven by all the studies today, what’s going to dictate the severity of symptoms and the complications is the virus load in the lungs,” says Dr. Bennani. “If you get exposed to high loads of the virus, the disease will be severe, and you might have severe complications, so we need to lower the virus load. This step is crucial so we can shorten symptoms and save lives.” The virus load is essentially a way to quantify the number of viruses to which you have been exposed. With any virus, you can be exposed to a small amount or a large amount. For COVID-19, in particular, it is critical that the amount of viruses you are exposed to is small. If you are exposed to a small virus load, you will likely experience light symptoms; if you are exposed to a high virus load, you are more likely to experience severe symptoms. “That’s why wearing a mask is very important. The mask protects, and it is vital to emphasize that,” explained Dr. Bennani.

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Step 2: Cytokine Storm The second way the coronavirus attacks the body and proves deadly is its ability to trigger what is known as a cytokine storm. A cytokine storm is a condition in which an infection triggers the immune system to flood the bloodstream with inflammatory proteins called cytokines. These cytokines can damage and even kill tissue and organs. “Your reaction to the virus can work against you,” says Dr. Bennani, “[You] go into a stage where inflammation is out of control and releasing too many cytokines, which can start a cytokine storm in which the organs start to shut down. And that can kill the patient.”

Step 3: Immunity Finally, the third step we must be aware of in combating COVID-19 is promoting immunity. Because the virus lowers the immune response while attacking the cells, it puts the body in a dire situation of susceptibility to other pathogens. For example, many of the people who end up in the ICU with COVID-19 also have pneumonia. As a result, it is imperative to boost the body's immune response- this will help lower COVID-19’s severe symptoms and protect the infected person from contracting other illnesses or complications.

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Introducing CytoSyde For Dr. Bennani, the answer to COVID-19 is in answering the three ways it attacks and compromises the body. In his search to understand the virus and find a way to treat it, he discovered a product initially from and patented in China called Shufeng Jiedu - a compound made up of 8 natural ingredients. Scientists from Germany investigating the influenza virus looked to China to understand why the number of flu virus-related deaths was so low in the country. Since 2016, the scientists were able to bring to light that the Chinese were taking Shufeng Jiedu and that it considerably lowered the chance of dying or having complications. After further study, Shufeng Jiedu has more than 90 published publications, and it’s been proven that more than 100 million people in China have used the remedy. From the success rate they found, the German scientists were able to bring Shufeng Jiedu back to their country, compound the product, and now have more than 30 thousand people who have taken it to excellent outcome. With its marked track record, Dr. Bennani has worked to bring Shufeng Jiedu to the United States for its abilities to combat the COVID-19 virus, rebranding it to the name CytoSyde. The product comes in a box of thirty-six capsules. As a threeday treatment, a person would take four capsules three times a day. Dr. Bennani’s company has taken worldwide exclusivity on CytoSyde and registered it with the FDA as a supplement. Currently, he is working on establishing various distribution channels to allow for ready access to CytoSyde as Dr. Bennani believes it is a remedy every household in America should have. “How we counter the [COVID-19] virus is this product,” says Dr. Bennani. “The mode of action for this product lowers the virus load, regulates and modulates the inflammation, therefore, preventing a cytokine storm, and finally, it promotes your immunity.”

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Why CytoSyde Works CytoSyde meets the COVID-19 virus at all three points in which it attacks the body. First, it lowers the virus load count by binding directly to the main proteins of the virus, preventing it from entering the cells. “With this understanding, we know that the earlier we take this product, the later outcome of the virus will be dictated because it is going to shorten symptoms and stop complications,” says Dr. Bennani. The second mode of action of CytoSyde is found in how it regulates and modulates inflammation. Through such regulation, it is possible to ward off the cytokine storm. As a result, having organ failure or difficulties in the organs is much lower if not eliminated. “All doctors fear the cytokine storm,” said Dr. Bennani, “Once it settles, there is nothing you can do.” And finally, the third mode of action is that CytoSyde promotes the body’s immunity. “[The product] promotes the body to secrete more antibodies and more T cells, enabling you to fight the virus that has invaded,” Dr. Bennani explained. “But it also protects against other pathogens that can take advantage of the body’s weakness and cause more damage.” Dr. Bennani told Top Doctor Magazine of a personal story from one of his close friends who experienced firsthand the remarkable capabilities of CytoSyde in combating COVID-19. “I have a friend, and I was talking to him on the phone two weeks ago. He sounded like he was having difficulty breathing, and I know he has asthma, so I asked him why he was breathing like that. He responded that he had worked late and felt tired. I insisted he tell me everything, to which he replied that his body ached and he felt hot. Immediately, I told him he had to go get tested even though it was late on Friday,” he said.

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When the test came back positive, the doctor was able to take Bennani’s friend, put him on an IV, and give him vitamin C. In addition, Dr. Bennani sent a box of CytoSyde, which arrived the same day. “The next day, my friend called me,” said Dr. Bennani, “and he explained how much better he was breathing. Three days later, upon completing the CytoSyde treatment, he had absolutely no symptoms, no complications, no coughs. Nothing. It even helped his asthma.” Cases like these motivate Dr. Bennani to continue his work in bringing awareness to CytoSyde to help more and more people. As he put it, he is doing this for the joy of saving lives.

CytoSyde and the Future “The vaccine is here, and it is a good thing,” said Dr. Bennani when asked if CytoSyde is a replacement for getting a COVID-19 vaccine. “I’m not against the vaccine; in fact, I promote it. The only risk about the vaccine is not knowing exactly how it will react with the body long term. However, just because we don’t know doesn’t mean it’s going to be bad.” The vaccine gives a person a certain amount of immunity against the virus. However, it does not guarantee 100% against future infection. As Dr. Bennani explained, it is similar to the flu virus, which comes every year. Despite getting the flu vaccine, people still get infected, fall ill, and sometimes even die from complications. “That’s what people need to understand; even with the vaccine, you are still going to get the coronavirus. You might have mild symptoms or severe, but not as severe as without the vaccine. The product is going to shorten the symptoms and prevent complications. There is no harm if you take it; it’s a safety net.”

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Shufeng Jiedu means to detoxify and expel, precisely what it does to the coronavirus in the body. Used for centuries in China, it is not a new treatment or even a new discovery. What is new about it is the understanding of how it works to cancel the COVID-19 virus. For Dr. Bennani, this understanding brings light to not just the COVID-19 virus but to all other viruses as well. “It works for influenza; it works for all the viruses in the coronavirus family, and it might work for any virus in the future because it cancels the mechanism,” he explained. “This is what we want; we want to give reassurance to people. Yes, the virus is serious, but if we do the right thing, we can prevent people from dying, from ending up in the ICU.” If you would like to know more about CytoSyde or are interested in purchasing it, scan the QR code to place an inquiry. Citations: 1 - Studies on Shufeng Jiedu 2 - Shufeng Jiedu in Germany 3 - Global Literature

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The “Winning Strategy” of Sports Medicine Surgeon Daryl C. Osbahr As a little boy, Dr. Daryl C. Osbahr wanted to be a professional athlete. And if not that, he wanted to be a sports medicine surgeon who took care of professional athletes. "What I learned really quickly was that I couldn't keep myself healthy enough, and so I had to devote my life to working on keeping other people healthy enough to play sports," Osbahr said. Inspired by mentors Dr. Don Ames and Dr. James Andrews, Osbahr threw his passion for athletics into pursuing his doctorate in orthopedic sports medicine. His mentors taught him to pursue his work with excellence and discipline, and Osbahr keeps their advice at the forefront of his mind.

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Today, he serves as the Chief of Orthopaedic Surgery and Managing Director for the Rothman Orthopaedic Institute in Florida. He is currently preparing Rothman Florida to expand their community outreach and has helped numerous teams, ranging from ballet to basketball.

A Passion for Sports "I find myself constantly learning and falling in love with my job when working with athletes from all sports as you can become easily inspired by the dedication and work ethic of many of these athletes. It’s humbling when you have an opportunity to help them get back on track to being successful," Dr. Osbahr said. Many doctors gravitate toward helping athletes within their sport of interest. Osbahr's appreciation for the skills in each sport naturally created more opportunities to work with athletes in different fields and at different stages of life. He uses his position as Co-Chief Medical Officer of USA Baseball, Committee Member of the Florida High School Athletic Association (FHSAA), Board Member of the Florida Alliance for Sports Medicine, Medical Director for the Sunshine State Athletic Conference, and other organizations to help young athletes learn how to maintain their health. He also teaches preventative care, which helps athletes avoid and minimize injuring themselves even in contact sports.

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Treating the Whole Person The world of sports medicine wasn't always so intentionally-focused, according to Dr. Osbahr. Historically, sports medicine was about treating injuries. Now, the focus has become holistic - building a team of support around the athlete. "Often in medical care, we tend to just focus on the physical injury and not really address the mental effects of the injury," Dr. Osbahr added. "Optimal treatment of the patient needs to include analyzing their psychological approach and how mentally they're dealing with their injury because it will directly reflect upon their successful or unsuccessful recovery."

The Winning Strategy He believes in building trust with his patients, an authentic connection that allows him to improve their care. When past clients call him to ask for advice, he always connects with them because he believes in maintaining that relationship even past retirement. Osbahr finds fulfillment in connecting people with the right solutions and impacting their lives for the better. Building that connection allows Osbahr to maintain accountability with the athletes in his care. He ensures that, even in these times of Covid-19, his athletes are taking the appropriate steps to recover and stay healthy. If you would like to learn more about Dr. Daryl C. Osbahr and the Rothman Orthopaedic Institute, you can visit his website here.

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A Word from the Editors Top Doctor Magazine is a magazine from doctors for doctors and patients. We cover everything from cutting edge medical techniques and procedures to enterprising doctors, dentists, surgeon, naturopaths, chiropaths, orthodontists and more who are thought leaders within their own medical practice and changing the way we all experience medicine for the better. We wish to be your one-stop digest for inspiration by other professionals in your field who are making waves and setting trends and if you too are a trend-setter, reach out to us so that we can interview you for your own spotlight within an upcoming Top Doctor Magazine issue!

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Brianna Connors

Justin Miller

Derek Archer

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Top Doctor Awards with Richard MacDonald Our annual Top Doctors Awards recognize and reward doctors who are outstanding in their field. To participate, you must be nominated in your category.

Why the Blind Faith Statue? Richard MacDonald's statues are known around the world for their elegance and craftsmanship. We've chosen his Blind Faith Statue to represent our prestigious awards given to Top Doctors around the nation each year to capture the delicate and heroic juggling act our doctors face each day to save lives and deliver better health and wellness.