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

What’s In A Diagnosis?

Sometimes a patient is desperate for a diagnosis: If she has been going from doctor to doctor, and has been told uncountable times that nothing is wrong, it's all in her head - she might be relieved if she finally gets told she has "chronic fatigue." At least, now she can deal with it. Sometimes a diagnosis can save a life: If your belly hurts, and the diagnosis is “appendicitis”, a surgeon will operate on you, and your life is saved in all likelihood. When my son, a few years ago, had high fever, stiff neck and the worst headaches of his life, only the diagnosis of a physician turned the course of the disease around. The physician thought it likely was a tick-borne disease and probably tularemia: With the right antibiotic, my son recovered quickly. Sometimes a diagnosis is just and word: Say, your doctor tells you that you have hypertension - high blood pressure. That doesn’t help you much. It helps the doctor to know what pill to prescribe you – for the rest of your days. Now you are a patient. High blood pressure is a typical modern-day stress disease. Only about five percent of people who are diagnosed with high blood pressure, have an underlying medical condition. The rest – ninety-five percent! – have a wrong lifestyle. But interestingly, the diagnosis doesn’t tell you that there might be a difference – or that something else than a pill might help you. If you have an especially astute doctor, he will tell you that you have “essential hypertension”, “essential” here meaning no real reason he knows of. With other words, the diagnosis is a medical throwing up his arms in the air, declaring nothing can be done. Except for a few pills, of course. You have stress because your boss is unreasonable, or your spouse is the nagging kind, or your gambling debts are threatening to destroy your family life – again, you might not be able to do much. On the other hand, you might be starting thinking about what can be done. Getting more sleep every night? Eating more vegetables? Going into therapy? Returning to school, training for another line of work? Divorcing your spouse, or going to marriage counseling together? Enrolling in a course of ballroom dancing together? Changing jobs? Taking up tennis to get a handle on your stress and work some of the anger off physically? No – you have a diagnosis, and now you get a pill. That’s all. Your doctor didn’t even tell you to drink more water, I bet. You were probably told to go easy on salt. That is nice advice – if you were also told that most processed and restaurant foods contain too much salt, even your breakfast cereals and the “nutritional” bar. And that the salt problem is really big in black people but less of an issue in Caucasian people. Chances are that your doctor also gives you a diagnosis of too high cholesterol – hypercholesterolemia. That’s another pill, right away. Your doctor didn’t tell you that high blood pressure and high cholesterol aren’t two different diseases. They are one bad lifestyle. More often than not they go together. And, oh, now you got diabetes! Your sugars are too high and this new diabetes really needs good management. Your doctor might even give you a new name for the three diseases above: Syndrome X. He will wiggle his head in concern, because having all three makes it really dangerous. One has to be treated extra-extra carefully – with many pills. Some (or all) of those pills have side effects. Liver failure, depression, impotence, muscle inflammation, fatigue, upset stomach, and so on – which will require more pills and more monitoring. None of the pills will buy you real health – glowing, sweaty, happy health as you might experience when you play a round of pick-up Frisbee or swim in the ocean. I am not saying here you should throw away all the pills your doctor gave you. I am just saying you should strive for health, not for diagnoses and an assortment of pills, so that, one by one – and with the supervision of your physician – you might be able to drop the pills. What is the difference between this diagnosis and that diagnosis? My son’s illness had nothing to do with lifestyle, and all to do with a nasty bug. Most diseases like high blood pressure, diabetes, high blood fats, and many cases of depression, arthritis and cancer have a whole lot to do with lifestyle. If you break a bone, only a good cast will help mending it – and good food will speed up the healing process. Once you have a cancer, of course, a bit of lifestyle change is not enough to save your life – you need surgery, radiation, chemotherapy. Once the cancer is diagnosed, eating more fresh vegetables and going for a daily walk in sunlight might help you recover – but better would have been you would have started on a healthy path many years ago. The uncomfortable truth is: Health does not come out of a pill bottle. And a diagnosis is just a name. What you do with your life counts for your health. Read More 
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The Teeth in Your Mouth

When I was sixteen, I got a toothache – one of the molars on the lower left hurt. The dentist was very nice and said he couldn’t see anything (that was before the time of dental x-rays) but would bore a hole to see how the tooth looked inside. He couldn’t find anything bad on top. So he drilled another hole on one side, then on the other – all for the sake of exploration. “Sorry,” he said, “I can’t find anything “. He sent me home after filling the tooth with amalgam, on three sides. Next day I had a whopping sinusitis, and it became clear that the aching tooth had been an early warning sign. These many years later I still have that tooth, repaired on three sides – after no caries at all! I still have it because that encounter left me an avid tooth-brusher – and very skeptical of dental treatment. Clearly I am not a dentist and not an expert in tooth health – but I must have been doing something right all these years because I still have all my teeth. Science also has established that good teeth signal good overall health. Diseases of teeth are mainly two: caries (tooth decay) and parodontosis (gum disease). When gum disease gets worse, it loosens the teeth (then it is called periodontitis); one can lose a perfectly healthy tooth only because it lost its grip on the bone (or the other way round). Here my dentistry ideas – and don’t forget I am a lay person in this field (and welcome the discussion with dentists!): 1. Brushing: Brushing your teeth after each meal or snack is important (and it might even cut down on your snacks!). An electric brush is the best. But even by hand can be effective if you do it right: Brush into the gum line – not just across it. Use a color-free toothpaste, like Tom’s of Maine (they don’t pay me to say this – but this is what I use) because allergies to dye can cause gum disease. Don’t use a too hard brush. 2. Flossing: The first time I ever heard of flossing was when I came to America. I thought Americans were crazy, and I hated the feeling of floss between my teeth. But after a bout with gum disease, I started flossing – and it made all the difference. Using tape instead of regular thin floss has made it bearable for me. Floss once a day – be always gentle on your gums. 3. Herbs: For a while I went to regular hygienic sessions. But the brutality with which they used sharp instruments to remove plaque appalled me; there is nothing natural about that process – “primitive” people have healthy teeth because of their sugar-free diet. I got myself a dental hook and did the work myself – gentler. Since then, I have started brushing my teeth with a drop (or a few, depending) of herbs – and all the plaque has melted away. No hooks and medieval treatment anymore! • Tea tree oil: This is a great plaque-fighting herb. Use one drop, once a day, together with your regular toothpaste. When you feel your plaque is in control, use it less often – about once a week because one of the concerns with tea tree oil is that it is allergenic, to a degree. • Oregano, myrrh, neem, aloe (the inside gel of the leaf only): These (and other) herbs one can use to brush teeth and gums. Use the one or other herb extract with each brushing of your teeth – rotate them so that the likelihood of developing an allergy is reduced. It will keep the dentist away. – One can also buy neem sticks for cleaning teeth – that is how it has been done in India for thousands of years. The discussion about fluoride is not yet finished. I have read tons of scientific papers about it – and still cannot make up my mind. It is a toxic substance and I am against using it indiscriminately in drinking water. But I like it in toothpaste as many studies have shown that fluoride greatly reduces caries. When we use the herbs above against gum disease, we also are fighting bacteria with toxic compounds (namely herbs) – only we assume (and have studies to back it up) that herbs are gentler on our bodies than the mining by-product fluoride. Also, I know that herbs help against gum disease. But herbs are less established against caries. Eating fresh food, chewing well, not snacking between meals, avoiding sugary beverages (including all juices!) will go a long way protecting your teeth. Still, you should see a dentist regularly to make sure that a little problem didn’t creep up. A small hole is easily mended – a big hole might mean the tooth has to come out. Don’t whiten your teeth! The process of whitening damages the precious tooth enamel. Also, we are supposed to have off-white teeth (actually, rather yellowish-looking) – that color connotes health. Only people on TV strive to that whiteness which is unnatural and unnecessary – and damaging. (But then again, you know me – I am also against under-arm shaving…). If you ask: I would never have a root canal. In Natural Medicine, we think of a root canal as breeding “focus” of bacteria, viruses, fungi and debris that can’t be good for your body in the long time. Sealing bacteria into a body cavity spells future disaster. Arthritis, soft-tissue rheumatic pains, neuralgias, chronic fatigue, headaches and migraines, susceptibility to infections and allergies are thought to be caused by such a “focus” in the body. Modern treatments with laser, etc. certainly give better outcomes. But dentists acknowledge that there is not such thing as a sterile root canal. And don’t forget: Stand on one leg while brushing your teeth to exercise balance and pelvic musculature! What good are all the teeth in your mouth, if your vagina falls out? Read More 
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News from My Summer Reading Pile

Remember my summer reading list? Slowly I am making my way through, devouring one Commissaire Maigret after the other. This is what I found: “He had a bath, followed by a cold shower, and ate a substantial breakfast while watching the rain fall as continuously as on a November morning. At nine o’clock he had the ballistic expert on the line.” (Excerpt from “Maigret and the Surly Inspector”) Not only James Bond – Commissaire Maigret also is fond of cold showers! Georges Simenon wrote this story in 1946. Something that was once common wisdom, namely that a cold shower does one good, has mostly been forgotten. Just as a reminder – here are the benefits of ending each hot shower/bath with a cold shower (don’t do it if you have uncontrolled high blood pressure and/or arterial disease). A daily cold shower • boosts immune function • lifts your mood • fights fatigue and hangover • normalizes your blood pressure • decreases chronic pain • trains and improves blood circulation – arterial and venous • detoxifies the body • deepens breathing, relieving obstructions in the lung • tones subcutaneous connective tissues • improves lymphatic circulation • rejuvenate and heals skin • regulates the activity of all glands (pituitary, thyroid, adrenal, ovaries/testes • enhances motivation for physical exercise • is helpful in diabetes, obesity, gout, rheumatic diseases, chronic fatigue, varicose veins and hemorrhoids • regulates sympathetic/parasympathetic nerve system (the non-voluntary part of the nerve system) to an optimum Now that the water is summer-warm it is the perfect time to begin cold showers. In February, it will be murder – I am screaming every time I have to get into the cold shower. But I do get in! Read More 
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