A physician can tell much when she looks at your nails – if she was trained well. The nails can show fungus and other specific nail diseases. But many internal diseases show also at your fingers and nails – and other than the tongue, which in Traditional Chinese Medicine is used to diagnose diseases, the fingers are usually not hidden, and I don’t have to ask a patient to show me his tongue.
By the way, Sebastian Kneipp used to gauge the health of a person by ear diagnosis – also freely to be inspected. One anecdote goes that he gave Pope Leo XIII another nine years, when the Pope already was at the ripe age of eighty-eight. Sure enough, the Pope died at ninety-seven – and had a chance to implement some of his social-minded reforms. Leo XIII was one of the most progressive of popes.
Of course, fingers, tongue, ears – there’s no hocus-pocus involved: Any part of your body is affected by the same age, the same experiences, the same nutrition and, usually, by the same disease. No wonder then that an experienced observer can tell much from them.
Some of the diseases I recognize by nails: Liver disease, iron deficiency, chronic autoimmune inflammation, arthritis, psoriasis, gout, a bad infection or severe stress that happened months ago, circulatory diseases, Kawasaki disease, a sluggish or overactive thyroid, certain heavy metal poisonings, skin diseases (even sometimes a melanoma under the nail – so-called subungual melanoma), vitamin B12 and C deficiencies, lung and heart disease, impaired kidney function, folate deficiency, malnutrition (protein deficiency), nail injuries, use of certain antibiotics, and so on.
Having said this it is obvious that we doctors don’t encourage artificial nails and nail polish – it takes an important diagnostic tool away from us! This list also alarms you that changes in your nails should be examined by your doctor. But sometimes one has only “ugly” nails, with now apparent reason – perhaps brought simply on by the aging process or dirty work. Here is a nice simple method to make your nail beautiful again:
• Keep fingernails short by filing with an emery board, never by cutting (toenails should be cut straight).
• Wash and brush hands and nails with a soft brush and a non-harsh soap. I prefer olive oil soap.
• Apply tea tree oil to the nails thinly; rub it in.
• Apply olive oil with rosemary essential oil (other essential oils like oregano, lavender, myrrh work the same way) to hands and nails.
• If your hands are rough, apply coconut oil (the same organic grade that you use for cooking) regularly. Read More
Blog: On Health. On Writing. On Life. On Everything.
My Hospital Manifesto
October 30, 2011
If I would decide how hospitals are governed (and I don’t), these would be important points for me:
1. Food: Thy food be thy medicine – and vice versa – Hippocrates said. What is served as “food” in hospitals these times, is mostly abysmal and just goes to show that conventional medicine is not interested in really finding out the root cause of disease. In many cases, it is nutrition, stupid!
2. Cafeteria: Same for the place where all the visitors come and eat. It could be an educational experience, instead just another gorging with inferior foodstuff, filled with chemicals, trans-fats, sugars and dairy.
3. Quiet: When I was a child in Germany, and my father was a doctor, he used to take me on his rounds. Hospitals then were very quiet places. The nurses (often nuns) would walk on their rubber soles like on cushions, and they spoke with low voices. The doors to patient rooms were double doors – the patient had privacy and quiet.
4. What hasn’t changed much: That the hospital routine is not geared toward patient recovery but to a ward schedule convenient for doctors and nurses: Then as now patients are pulled out of sleep to measure their temperature or draw blood tests at four am. I would like to see more concern for the patient’s wellbeing than for the organization’s.
5. No TV in patient rooms: My guess is that at least seventy percent of all illness is self-inflicted. It used to be that being in the hospital was a time for contemplation about what brought one there. Not any longer – as TV is squeaking and squealing day and night.
6. Conventional and complementary medicines are BOTH used. There should be no bias toward the one or the other – what has been proven to work should be applied: Hydrotherapy, movement therapy, food, herbal medicine and art, music, journaling, acupuncture, massage, and so on – they all should be used to make patients better. As they are in most European hospital. And paid for by national health insurance. And, no, they are NOT going to be broke …
7. More cleanliness in the facilities. More cleanliness of the patients. Used to be that hospital were spic-and-span places where you could eat from the floor; not any longer. Instead of on cleanliness we trust in antibiotics – to our detriment. Same with patients’ cleanliness: Used to be that nurses washed the patients daily; not any longer. Nurses have gone scientific (necessarily so – but who is now responsible for caring?); the paperwork has become overwhelming. Housekeeping has been out-sourced. And simple ideas like a washing and cleaning have become obsolete. But hospital infections are skyrocketing.
8. More friendliness and caring toward the patient. The patient has become a moneymaking device.
9. Less care and resources to be spent on very old, very sick people in their last days of life – more on pediatric and under-served populations. DNR (Do Not Resuscitate orders discussed with every patient and/or every family). It will lead to savings of money and will allow people to die with dignity.
10. In medical schools, only half of the students should be A+ nerds; the other half should be people who really want to become doctors and patient advocates from all walks of life. We need very brilliant students because they push medicine’s frontiers ahead. But we also need caring primary care physicians. And putting them together in medical school will hopefully lead to a dialogue between them.
As I am thinking more about this, I might come up with more ideas. What would you wish to implement in the hospitals of the future? Read More
Walking Pneumonia
September 2, 2011
You are familiar with the term of "walking pneumonia", I guess. "Walking pneumonia" is unknown to other medical cultures. I always stumble over the expression. After all these years in this country, it still has the capitalistic notion to it: "Sick - but not too sick to work."
A friend adamantly denies "walking pneumonia" has to do with mean bosses who force their employees to work, whatever deplorable state they might be in. She maintains the term has been around forever, and simply discerns between one who is sick and still can walk, and one who is sick and can't get out of bed.
I can follow my friend there. BUT: Any pneumonia has inflammation in the lung tissues, and warrants treatment with antibiotics. And: We don't do this with other diseases - combining a diagnosis like "pneumonia" with a description of the state of the patient like "walking".
We make no difference between "walking cancer" and "non-walking cancer", or "walking rheumatoid arthritis" or "non-walking rheumatoid arthritis".
For me, "walking pneumonia" sounds decidedly odd. Thinking about it - and playing with it as the doctor-writer I am - also decidedly funny. Begging your pardon for poking fun of serious conditions, but they popped up:
"Limping foot blisters"
"Still mumbling Alzheimer's"
"Groping legal blindness"
"Absolutely, totally mortified acne".
If you ask me, pneumonia is pneumonia. Walking or not.
Oh, and by the way: If you have a bad head cold or a bad bronchitis, make sure they don't develop into pneumonia. Rinsing your nose with saltwater, taking extra deep breaths, quitting smoking, taking GSE (Grapefruit Seed Extract) 16 drops three times a day with lots of water, or Oregano capsules (GAIA has a reliable formula) or some herbs against colds might prevent ... pneumonia. Read More