Lukner Medical Clinic, LLC

09/07/2026

HOW TO CARE FOR YOUR KIDNEYS IN 2026

Taking care of your kidneys is not just about drinking water and hoping for the best

it’s about daily choices that protect two silent organs working 24/7 to filter your blood, and keep you alive.

Kidney problems don’t start loud; they creep in quietly until it’s too late.

Let’s break down simple steps that help your kidneys stay strong this year and beyond.

Check my comments below 👇🏾

09/05/2026

Rethinking the "Dopamine Deficit" Model of ADHD. A comprehensive 2024 review in Frontiers in Psychiatry examined 40+ years of evidence on dopamine and ADHD and the picture is more nuanced than popular narratives suggest.

Let’s discuss key neurobiological findings:

✅ Monoamine systems (dopamine, norepinephrine, serotonin) share overlapping synthesis pathways, transporters, and regulatory enzymes, making it nearly impossible to isolate a single "dopamine-specific" circuit.

✅ PET/SPECT imaging studies show conflicting results, some report reduced extracellular dopamine, others report increased levels, in the same frontostriatal regions.

✅ Genome-wide association studies (GWAS) have not identified core dopamine-related genes among the top ADHD risk loci, despite decades of candidate-gene research pointing to DRD4 and DAT1.

✅ Rare genetic disorders causing severe brain dopamine deficiency produce motor/neurological symptoms, not the core ADHD phenotype, suggesting low dopamine alone isn't sufficient to cause ADHD.

Finally, I want to add that not everyone gets access to what I share behind the scenes in my community that is growing fast and make you more connected to me, join me here: https://www.patreon.com/betterbrain

💡 The current understanding: ADHD likely emerges from subtle, distributed alterations across interacting monoamine systems and brain networks, shaped by both genetic and developmental factors, rather than a simple hypodopaminergic state.

📚 Reference: MacDonald HJ, Kleppe R, Szigetvari PD, Haavik J (2024).

08/24/2026

Therapists say that “therapy-speak” has invaded their patients’ sessions and lives—and it’s making things difficult on everyone, Olga Khazan reported in 2025. https://theatln.tc/SGJZv553

“Gaslighting” and “love-bombing” are just two of the terms that couples therapists told Khazan their clients are misusing, typically after seeing descriptions of the ideas on social media. But according to the therapist Terry Real, no phrase is used as frequently as this one: “I’m the spouse of a narcissist.”

“True narcissistic personality disorder is marked by, among other traits, an abnormally high sense of self-importance and a lack of empathy,” Khazan explains. “And in reality, it’s very rare.”

Still, the therapists Khazan spoke with said that their clients seem very sure this unusual diagnosis must apply to their spouse. “People are incredibly confident in these conclusions and are not curious, are not open to discussing them and figuring out if they’re accurate,” another therapist told Khazan. “They’re coming in as the experts.”

“Most of the therapists I spoke with said they are glad that people are learning more about mental health,” Khazan continues. But “before the advent of social media, people picked up these ideas in self-help books, psychoanalysis, and pop culture.” Now, therapists say, too many people are getting sucked into online posts about pop-psych concepts—and they misapply them to their own relationships.

“Spouses’ attempts to diagnose each other can become a problem in couples’ sessions, these therapists said, because they distract focus from the dysfunctional patterns that both members of the couple are likely perpetuating,” Khazan writes. As one therapist told her, these labels can, in effect, say: “I’m not gonna change anything about our relationship. You have to change your personality or change all your behaviors to stay with me.”

But therapy-speak language appears to be here to stay. “‘I’ve got issues,’ which originated decades ago as a psychological euphemism for ‘I’ve got problems,’ is now so much a part of the lexicon that it no longer registers as originating in therapy,” Khazan writes. “Perhaps ‘gaslight’ and ‘narcissist’ are headed there too.”

📸: George Marks / Getty

08/23/2026

08/22/2026

Long range weather models are mostly all singing the same tune for next week: A hot and dry pattern is likely to stay for the region.

08/21/2026

📌 ATTENTION PAMPA RESIDENTS: How to Safely Dispose of Medical Sharps at Home 🩺👇

Do you or a loved one use self-injectable medications at home? Because Pampa does not have a public drop-off site for medical sharps, it is incredibly important to know how to throw them away safely.

Under Texas state guidelines, you CAN dispose of needles in your regular household trash, but you must follow these specific safety steps to protect our local waste management workers:
1️⃣ PICK THE RIGHT CONTAINER: Use an official sharps container or a heavy-duty, puncture-resistant plastic bottle (like a thick laundry detergent or bleach bottle).
2️⃣ WATCH THE FILL LINE: Stop filling the container once it is about 3/4 full. Never force needles down or overfill it!
3️⃣ LOCK & TAPE: Screw the cap on tightly. Wrap the entire lid securely with heavy-duty duct tape so it cannot pop open.
4️⃣ LABEL IT: Write "SHARPS - DO NOT RECYCLE" on the outside in large, bold letters using a permanent marker.
5️⃣ TRASH IT: Place the sealed bottle directly into your normal trash bin. 🚫 NEVER put loose needles or your sharps container into the recycling bin!

📦 Looking for an alternative?
If you prefer not to use the household trash, you can look into U.S. Postal Service-approved medical mail-back programs (like Medical Waste Pros or GoSharps) that send you a container and a pre-paid return box to mail them away for medical destruction.
Let’s keep our Pampa community and sanitation workers safe!

Please share this to help inform your neighbors. 🌪️💚

08/17/2026

Many people remember former NFL wide receiver Mike Williams for his incredible talent on the field, but the heartbreaking story of his passing is an urgent reminder about a crucial aspect of our health that often gets overlooked.

In September 2023, Mike passed away at just 36 years old. Tragically, his cause of death wasn't related to the physical toll of football. He died from bacterial sepsis and brain abscesses, which were directly caused by severe, untreated dental decay and retained tooth roots.

🦷 Oral health IS overall health.

It's easy to put off a trip to the dentist, delay a procedure, or ignore a nagging toothache, but infections in the mouth can spread quickly to the bloodstream and the brain with devastating, life-threatening consequences.

Let Mike’s tragic story be a reminder to us all:

Don't ignore tooth pain or sensitivity.

Keep up with routine dental checkups and cleanings.

Treat dental infections seriously. They are medical problems that can become emergencies.

Please don't take your dental health for granted. Take care of yourselves and check in on your loved ones! ❤️

Call now to connect with business.

08/12/2026

📣 The Texas Substance Use Symposium is back! Mark your calendars for March 25–26, 2027, in San Antonio. 📣

Two days of real strategies, real experts, real impact on substance use outcomes across Texas.

📍 San Antonio, TX
📅 March 25–26, 2027
🔗 TxSUS.org

We're heading back to the River Level of the Henry B. González Convention Center, steps from the River Walk's best dining and shopping.
See you on the river! 🌊

08/04/2026

School starts Thursday, August 20. That is just over two weeks away.

If your kids have been going to bed at midnight all summer, trying to move that two hours on the night of the 19th does not work. Shift it back 15 to 20 minutes every couple of days starting now and you will get there comfortably.

Something I see every year: a child gets sent to me for an attention problem, and the real issue is that they are running on six hours of sleep.

I put together a back-to-school health checklist for Pampa families. Sleep, sports physicals, asthma plans before the September cold wave, and the anxiety that shows up as a stomachache instead of worry.

Pampa ISD students return Thursday, August 20. Here's a practical, physician's-eye checklist for the weeks before the first bell: sleep, screenings, asthma plans, mental health, and what's likely to go around this fall.