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

To Mammogram, Or Not To Mammogram

About this subject I do write with trepidation – as the right answers are still not known – medicine and science have not advanced far enough to let us make rational decisions. In actuality, regarding mammograms, we are living in something like medieval times. Do mammograms help prevent cancer? No, they don’t. They do find some cancers. But they also “find” an unacceptably high number of “cancers” that aren’t cancers - false positives. For which women then undergo unnecessary treatment. Do mammograms prevent deaths from cancer? The answer is amazingly unclear: For the longest time – basically for the entire twentieth century - namely since the advent of radical mastectomy, breast cancer death numbers didn’t budge. In the last few years, we seem to make a little dent. But it is not clear to me if it comes from therapies, or from better lifestyles that women have adopted - similar to the improvement of cardio-vascular health that happened mostly in the kitchen and the gym, not in the doctor’s office. For thirteen years now I have not done a mammogram. Not because I try to be reckless, but because I have my doubts. In a way, I am sticking my head in the sand (breast cancer runs in my family). On the other hand, I have a history of heavy radiation as a child, and mammogram certainly is adding to my risk to develop breast cancer. You could say that I made a decision rather to die of breast cancer than from breast cancer treatment. You don’t have to follow me here – or rather, I don’t want you to follow me here because I shudder of the responsibility I would take on if I talked you out of mammograms. In reality, I always encourage my patients to have their yearly mammograms – regardless of the personal doubts I am harboring. Because of my childhood radiation history – I had bad tuberculosis as a child with tons of fluoroscopy - my decision not to add any more radiation (I also have myself padded down at airports rather than going through the screening machines) is not applicable to everyone. In addition, I had mammograms since age eighteen every year because of lumps (and twice had lumps removed that turned out to be benign. So, I had an unusual number of mammograms - enough for a lifetime, I think. My doctors, because of my history, are basically waiting for me to develop breast or thyroid cancer. But over the years I came to realize that the real causes for breast cancer - diet, exercise and environmental pollution, including radiation - are not addressed by physicians and authorities. But I want to encourage every woman to come to her own decision. Every case has different variables. Lately I am also changing my thinking about cancer generally - not that one person has it, and the other person doesn't have it. Truth is, at a certain age, we probably are all always having cancerous cells in us, and keeping them at bay as best as we can we good lifestyle habits seems to be much more important. - I also have a body that would react badly to any kind of treatment - so I rather am putting my energy into a good lifestyle. And cancers in later years are often less aggressive than cancer in children and young adults. And a last thought: Medicine is yet is unable to differ between "bad" cancer and "good" cancer - we don't know which one will explode and kill a patient. So we are working with big guns on all cancers. It seems to me that surviving cancer has more to do with which type your cancer is and how good your immune system works than with any treatment. This argument is also very applicable to prostate cancer in men. If I would find a lump, I certainly would have it removed surgically. If I get "exploding" cancer, I hope I will die gracefully. Not knowing if I already have such a time bomb inside me, I make sure I walk every day during daylight to get my daily dose of vitamin D and exercise, I eat my veggies and drink my green smoothie, I keep my animal flesh consumption low (but I don’t advocate vegetarian or vegan lifestyles), I take a daily cold shower or cold sitzbath to strengthen my immune system, and I make sure I sleep long before midnight so that my body can catch bad cells and repair what is broken – before it explodes. The rest is not in my hands. Read More 
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News About Cancer

A recent study found that cancer grows astonishingly slowly – at least some cancers. It can take twenty years to full-blown cancer disease. What does that mean for us? It means that instead of staring at the future and spending your life dreading the bad diagnosis, you can do something today to suppress developing cancer cells. It means that instead your oncologist becoming the heroic cancer fighter – be your own hero! Today, and every day! Cancer cells are generated in our body all the time, by error and by damaged DNA. A healthy immune system will pick them out and gobble them up, effectively destroying them before they get out of hands. What have you done today to ward off those tiny enemies? Exercise protects from cancer. So, go in the yard, rake some leaves (I have done that yesterday – looks good so far – before the rest of the leaves will come down). Or go for a walk. Remember that some light also protects from cancer, via vitamin D that is created under your skin when you are expose to light. It might help to eat some cod liver once a month, also for a good dose of vitamin D. But not more often: I would be worried about pollution of fish – and pollutants might be especially high in fish liver. Alternative: Get a good old-fashioned cod liver oil. And then: veggies. Eat cabbages and greens and roots and salads – everything you can put your hands on. A few days ago, we had our first killing frost. The day before I harvested everything from my garden in pots (did I mention earlier that this year I grew vegetables in pots on the terrace – because the flowers in my garden have not left a speck of soil for vegetables. Was a mixed result: The vegetables are smaller than I hoped for. But when I harvested the last red cabbages, kohlrabi, mustard greens, chards and dinosaur kale, I got two big plastic bags full of greens - and we had eaten some all summer. Right now I am slow-cooking oxtail with cabbage in the oven. The smell is delicious. Oxtail might not sound like health food, but everything from the Brassica (cabbage family) is. And what is the best health food worth if you don’t eat it? The secret is to eat a small portion of meat, and a good helping of brassica. Broccoli is in the cruciferous family (another name for the cabbage family). Most of them are edible and contain cancer-fighting compounds. Horseradish belongs here, and Brussels sprouts, Savoy cabbage, bok choy – and so many more. It does not have to be boring. And in sauerkraut you get the goodies of the cabbage family with the health benefits of fermentation – it can’t get healthier. And sauerkraut is cheap food, as are many of the cabbages. If you have already cancer: Eat as many vegetables as you can. You might prolong your life that way. Veggies also gives you better skin. If you can’t cook: Throw a veggie in a pot with a little water and a lot of olive oil. Add plenty of garlic (preferably fresh), and pepper and salt. Simmer on low heat under a lid until done. I still have to find a vegetable that manages to taste bad with this recipe … Read More 
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Sleepless - And Unrepaired?

Can’t fall asleep? Toss and turn? Wake up at three and never be able to get some more winks? Research about circadian rhythms has borne out what our grandmother’s told us: Sleep before midnight matters. The major repair work in the body happens from around eleven pm to one am. Repair means: Mending muscles, replacing worn-out cells, rewiring brain connections, restoring broken DNA before cancer can develop. That repair will not happen if you are not in bed, not asleep. Try basic sleep hygiene: • Go to bed latest at ten. It helps to read some books – uplifting books rather than thrillers. But whatever works for you. • Do not eat after dinner – preferably not after six pm. Because, if your body has to digest your stomach contents, it has less time for repair. • No stimulants after noon (coffee, tea, coke, chocolate, etc.). • Sleep with window open (if your neighborhood is not too noisy). Indoor pollution is usually worse than outdoor pollution, and you don’t want to re-breathe you own spent air all night. Second thought: If we don't get enough sleep, we are stressed out the next day. Fact is that the quality of every day of your life is decided the evening before: Did you get to bed in time? Stress elevates cortisol in our body, and high cortisol makes us ravenously hungry. The stress hormone cortisol links poor sleep and obesity. Last thought: When we were still living in caves, in the darkness, without electricity, we would be confined to our communal sleeping on and under bear skins for about twelve hours a night. Obviously, nobody can sleep that long. So, we woke up after four hours and had a little sex (took about five minutes). Then we would lie awake a while. Toward morning, we would sleep another four hours. Question: What did we do during those unused three hours fifty-five minutes? We would think. Think a bout the meaning of the lingering dream that the Gods had sent. What did they want us to learn from this dream? Nowadays we want to sleep effectively: eight hours per night, without waste of time. But something got lost along the line: The reflecting. Next time, you can’t sleep, think about what is good in your life, and how you can do better. Remember what you wanted your life to be when you were a kid. Dare to dream! Read More 
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