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Blog: On Health. On Writing. On Life. On Everything.

Bike Month

May is “National Biking Month”. I celebrated today to pick up my cello from the string shop (it had needed re-hairing) by bike – something I had not done before. I had not used my bike on that route before because most of the 2.8-mile drive there is on a very busy – to me meaning: dangerous – road, with horrendous traffic. I set out anyway, and found out that there is a path along the highway, mostly hidden in the bushes, much safer than riding on the highway itself. Although it was narrow and overgrown – I had twigs whipping my face and lots of distracting dirt and debris underfoot, oh, underwheel. But it was doable. Google Maps thought I should be able to paddle the 2.8 miles in 16 minutes. It took me about 25. But the weather was as gorgeous as one expects of May, and it gave me a wonderful work-out. Here are my rules I stick to: • I never go without helmet. • I don’t bike two days in a row because I want to give my muscles a day for recuperating in between. • I don’t bike when I am in a hurry – because that’s when accidents happen. My bike needed a few adjustments before I could use it for errands like shopping. I had a rack installed in the back, with a basket. And I needed an old-fashioned handlebar. The original one seemed to be made for a racer – which I am not. The new one is comfortable and does not strain my neck. The other day, when we were in Rome, we took bikes along the Via Appia antica – the old road build by the Romans more than two thousand years ago. My Italian bike had one of those comfortable handlebars. And, by the way, those bikes were rented – free of charge. Wish we would have that system here! The Via Appia ride will be unforgettable! And for the very occasional use during dusk (I don’t anticipate driving at night), I plastered the bike with a set of reflectors. And I bought a fun bike bell – just like I had as a child! These are some of the health benefits of bicycling: 1. Gets you outdoors. 2. Improves your mood. 3. Gives you light and sunshine for vitamin D repletion. 4. Fights overweight. 5. Moves your bowels better. 6. Strengthens your heart. 7. Builds up your muscles – strength as well as muscle tone. 8. Tones your pelvic area (and is more fun than Kegel exercises!). 9. Improves coordination and balance. 10. Promotes longevity. 11. Increases endurance and stamina. 12. Boosts your immune system. Riding a bike is one of the healthiest choices you can make for yourself and for our Earth – as long as you avoid being run over by a car! Read More 
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Desperate Skin – Psoriasis

Twenty-five years ago, my husband suddenly broke out in a rash: His fingertips were raw and started bleeding whenever he touched something - like buttoning his shirt. When he went on a trip to India, he could not carry a suitcase, but traveled with a backpack. When he came back, the rash had intensified, and I worried about him becoming despondent. He consulted a dermatologist who told him he had “dermatitis” and prescribed a cortisone cream. “Dermatitis” means “inflammation of the skin” – duh! He was told these skin rashes would come and go, there was no known cause; he just had to live with it. It is hard to live with leaving a trace of blood on anything you touch! The cortisone helped some. But the rash always came back when he stopped the cream. In his desperation, he went to half a dozen different skin doctors. The pinnacle was when a well-meaning friend gave him, as a present - a visit to a hypnotist. We should have known hypnosis wouldn’t work in a hard-core scientist … Our friends thought it all was psychological: We were pregnant at that time, with our son, and the easiest explanation was that becoming a father was stressing my husband out. We could not really see the stress, as we were giddy with joy and anticipation. But it was true that the rash had appeared during our pregnancy. For three years we tried to figure out what was going on, talking about it at nearly every dinner. Then one day I noticed that new plaques had appeared on my husband’s elbows. It seemed clear now that he had psoriasis. – At the same time he thought he observed that the rash on his hands always got worse when he used shampoo. I made him ask his dermatologist for a skin testing, to look for allergies, and a biopsy, to confirm the suspicion of psoriasis. The doctor said there was no reason to do either. But because I was a colleague, the tests were done. The biopsy confirmed psoriasis. The skin testing showed a whole angry area of patches – all related to spices: vanilla, cinnamon, cloves, bay leaf, curry, citrus peel and benzoic acid (a preservative). And balm of Peru – the fragrance that is in many cosmetics, including shampoos. As a physician, I was all excited: Here was a case of psoriasis triggered by food allergies! Never in medical school had I heard of a connection between skin disease and nutrition! I talked with several dermatologists – none of them got excited. They flatly denied there could be a connection – even in the face of the biopsy and skin test results! Slowly it dawned on me that no dermatologist has any incentive to really cure his patients – as they then would be lost as patients. We, however, implemented a new diet, leaving out the offending agents, and in no time my husband was healed. We even figured why the rash had first appeared during pregnancy: I was in the middle of residency when I got pregnant – which is usually not considered a good time for expanding your family. Because I was more tired, I cooked less and we went out eating more often. Just across the street was a tiny Indian restaurant; we became nearly daily guests there. And curry (probably the turmeric in curry, actually) was one of the problems. In the long run, being forced to always cook from scratch I have helped the health of our family tremendously. Our son grew up knowing about the importance of fresh foods, and even turned out to be a dedicated cook! Natural Medicine has long maintained that many diseases stem from the gut. We have basically four eliminating organs that might get rid of toxic matter: the kidneys (urine), the bowl (feces), the lungs (exhaled breath), the skin (sweat). Often the skin mirrors the health of the intestines: My husband’s body tried to get rid of the spices he was allergic too, and expelled them via the skin – which showed as a rash. Using cortisone cream only suppresses this natural way of detoxification, and pushes the problem underground – until even the internal organs are getting diseased. Never think that a skin disease is just a skin disease: The inflammation in your body might become visible in the skin, but the inflammation happens everywhere. A study showed that psoriasis sufferers have more strokes, heart attacks and cancers! It does not surprise me. But it might surprise the seven and a half million people who suffer from psoriasis in this country. For most of them it would already be curing if the eliminated all dairy products and excessive alcohol. And nobody tells them … Of course, what is true for dermatologists is true for other specialties: Cardiac death is going down – not because of procedures cardiologists are doing but because people are paying more attention to what they eat, and they exercise more. – In obesity, the answer will not come from a little pill your doctor gives you, but from you moving around more and letting go of junk food. – Is your dentist interested in you having healthy teeth and gums – or is he interested in keeping you as a patient? – Veterinarians sell now “scientific” diet for your pets. But can that manufactured food compete with the food you cook yourself at home; I doubt it. Because that food is made for long shelf life and profits, not with the health of your cat or dog in view. – Your depression – does it warrant a pill and you being a patient instead of a vibrant, alive person? Would you do better talking with a friend about your problems, getting out of a sour relationship or dead-end job, nourishing your brain with fresh vegetables and getting up from your sofa and ride your bike? In the last years, we have seen some physicians incorporating alternative methods into their mainstream medicine practice. Acute problems like a broken bone, an appendix threatening to perforate or a cancer definitely need a skilled conventional practitioner. Chronic problems, on the other hand, that have developed over years from had lifestyle choices – arthritis, diabetes, obesity rank high among them - do remarkably well with changes in lifestyle. No surprise there … I am not saying that every problem goes away with better nutrition, exercise, cold showers, green herbs and more sleep. But you will be astonished how many problems will vanish into thin air. Give it a try! And don’t you worry that I am throwing out all conventional medicine! Today I am seeing my conventional dermatologist for a checkup. But I know what she can give me: expertise. Not my health. On my health, I have to work myself. Read More 
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Bike Friday

My car broke down – for good. A week before we wanted to give it away to a charity anyway. A still had the last car, my trusted sixteen-year old Subaru in the garage, but a had to go and register it. So, I reactivated my bike. That’s not quite precise. I had never really used it because ten years ago, when it was brand-new, I worried it would be stolen. It is bright red, and folds to a rather neat parcel if needed. Because I am small and tend to topple with bigger bikes, this has small wheels; it fits me perfectly well. Now that it isn’t brand-new any longer, I dare leave it outside a store, locked of course, with an extra heavy lock. Of course, this all happened when we had an eighty-five degree heat wave (in Boston, in mid-March! And there are still people who deny the reality of global warming …), and we live on a rather steep hill. Come to think about it: The hill was probably the other reason why I never quite took to biking regularly. But now I am back into the swing. It is wonderful! I am getting exercise while I am outdoors. Within a day, I could feel the difference in toning my legs, and feeling more alive (not to mention PROUD!). I don’t take the fastest routes, but plan my way along beautiful streets. And not too steep hills, if possible. On a bike, you are closer to the street life than in a car: You see more, smell more, hear more, experience more! Other bikers smile at you because the recognize you as one of theirs: One of the people who want to make the world a better place. The bike is called Bike Friday – that’s the brand name. Why I mention it? No, they don’t pay me. But there is also a movement called “Bike Friday(s)!” – meaning: On Fridays, instead of taking the car to work, bike to work – if possible. A brilliant idea – to give riding your bike a chance just once. After that, you might be hooked and will to want to ride your bike every Friday. Or every day. Think of the possibilities! Same as with with running, I don’t do biking every day. Because of the really tough hill, I think I should not overtax my knees and give them a break. So, I bike only every other day. But if you live in flatter terrain, there is no reason to not bike daily. Unless it’s snowy. Sure, I got a new helmet. I was not aware that the plastic foam of which helmets are made deteriorates rather soon in UV light, and that they should therefore be renewed every three years. Sounds rather excessive and expensive to me, but I am not a materials chemist, so I have to take the bike shop people (who, by the way, were extremely nice and patient) by their word. After a really bad bang you have to get a new helmet, too – the material is made for absorbing a good hit – but not several. Sounds The only problem that I haven’t solved: Since this is a folding bike, there is no place to put a back rack or a front basket or pannier bags on it. For the time being, I am carrying my groceries in a backpack. Which doesn’t make it any easier to negotiate the hill. Anybody has an idea? Read More 
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