When we first moved to Boston, we went on a walk into the woods. I found a little vine with reddish stems and three leaves. I never had seen anything so beautiful and modest. Therefore I unearthed it, roots and all, and planted it in a pot on our roof.
A few days later, my husband developed a palm-sized inflamed red patch on his right buttock. Then I got some bizarre formations with blisters on my arms – and from there, the rash went everywhere.
First we thought we had bedbugs. We pulled the bed apart and sprayed everything. We cleaned and vacuumed our place (was about time!). But the lesions became more.
At work, I showed my arms to colleagues, and drew a blank (!). Finally, an ER doc took one look and said (you guessed it): “Poison ivy.” Of course, I had never encountered poison ivy (Toxicodendron radicans) - there is none in all of Europe.
But despite all out efforts, our rashes and itches did not go away. Weeks later, I consulted the ER doc again. He quizzed me – but we seemed to have done all the right moves. Only, the lesions were still there. He looked at me hard and asked: “You are not eating cashews every day, are you?”
That was exactly what we were doing – every morning in our muesli. Cashews and poison ivy (and mangoes) are in the same botanical family, Anacardiaceae (I talked about that devious family already in connection with back pain), and eating cashews daily kept the poison ivy rash blooming. The rash-producing ingredient is urushiol. Most people are sensitive to urushiol.
Here is what one can do against poison ivy (and poison oak, poison sumac):
• Don’t touch your face and eyes!
• Stop eating cashews and mangoes until all lesions are well healed.
• Wash with soap or a commercial anti-poison-ivy product (they are petroleum-based) all exposed and affected areas twice daily initially, later once a day until no new lesions crop up anymore.
• One prescription suggested using only cold water because warm water might disperse the poisonous oil even more. As much as I am a fan of cold water, there are no studies about this, and I would think that the bodily warmth will spread the oil anyway. But cold water won’t hurt, and it will relieve the itch.
• For more itch relief try the inside jelly of an aloe plant (any aloe will do), or Calamine lotion. I use tea tree oil for about everything (ask my husband!), and I would probably dab it on the rash for itch relief – but I have no scientific proof that it works. Another unproven remedy is jewelweed – but if I were out in the woods and it grew nearby, I would break a stem and apply its juice. Can’t hurt.
• Wash all your clothing and, if you already slept in your bed, your sheets.
• If the rash spreads into your face or, worse, near your eyes, see a physician. You need cortisone immediately because poison ivy in the eyes can lead to blindness.
• Don’t ever burn poison ivy – it can lead to fatal lung reactions. Pull poison ivy with gloved hands and dispose of it in plastic bags. Wash gloves and tools. Often shoes and pets carry the sticky resin.
Poison ivy plants look very variable - it took me years to comfortably identify them. Better stay away from anything reddish and three-leaved! Read More
Blog: On Health. On Writing. On Life. On Everything.
The Man I Most Admire
June 30, 2010
Today is the perfect summer day outside: Warm but not too hot. With brilliant light, the roses in their second flush. So I want to go out into the garden, and give you just a tiny thought for the day.
In my life, I have met interesting people of all kinds of walks. Can't say I tend to worship heroes - but here is one:
Many years ago I had a patient, a friendly middle-aged (aside: I am always astonished what Americans call “middle-aged”; where I come from, “middle-aged” is from thirty to fifty…) small man, a light-colored black man, working as a janitor. As it turned out, with some Native American blood thrown in.
The Native American blood must have made him prone to diabetes – he certainly was not overweight. But he was eager to accommodate to some lifestyle changes. When I said “No cake, no cookies,” he shuffled on his chair, and asked “Not even for birthdays?” We negotiated birthdays exceptions.
But for several visits, his sugars did not come down. I finally decided to get a bit deeper into the cookie business, mindful of the former hospital patient who had agreed to a “one cookie per day” policy, and whose sugars were so abject that we could not send her home. When I inquired about that one cookie, she nodded to the drawer of her nightstand, giving me permission to see for myself. I found a “cookie” the size of a dinner plate. Only one, though: She had stuck to our agreement…
With that in mind, I sat my nice little man down and asked him how many birthdays there were in his life. Turned out he had about ten children and who knows how many grand-children - it boiled down to at least a birthday a week!
You wonder why he is the man I most admire? He got all his children through college – including the one son who was wheelchair-bound from an accident. This nice, unassuming man had, against all odds, kept his family together and made a success out of his life.
Who is your hero? Read More
Syndrome X Everywhere
June 22, 2010
Nearly half of US adults have diabetes, hypertension, or hyper-cholesterolemia - these three conditions make up Syndrome X. Plus, the definition includes a fourth condition, namely “central obesity”: a big belly.
To make the diagnosis does not take a degree from medical school. One can SEE if people are healthy – or unhealthy. Their "love handles" give them away.
In the study, white people were found to have more often only one of the conditions, whereas black and Hispanics were more likely to have two or all three.
Have you ever seen photos of the Thirties? The people look outright … unreal. Slim. We had the Depression then, granted. Barely anybody was fat. As an aside, look at their faces: They also seem happier. America then was hard at work to get itself out of the bad economical times.
Central obesity is what is also called the “apple form”: Extra weight gathers in the middle, as opposed to dragging down the bottom – which is called the “pear form.” For reasons not yet totally understood, the “apple” is the dangerous one. Probably because the “pear” connotes some genetically programmed weight gain, and the “apple” is all – what shall we call it – cultural fat.
Physicians used to think that slab of belly fat just sits there, unmovable, unchanged, forever. Now they have found out that belly fat is extremely active – like a stealth factory churning out secret molecules that make people eat more and build up more fat. That is why belly fat kills.
Slimmer is not a question of beauty but of health. A disclosure: My father was hefty. I loved it. Still love compact people. But it does not make them healthier. It only means that I will go through the heartbreak to lose them earlier – statistically speaking.
Sebastian Kneipp (1821 to 1891), one of my medical heroes, once said: “Big dinners fill coffins.” He knew what he was talking – he carried a paunch himself. Interestingly, he was a vegetarian. He did himself in with dumplings.
Which brings us to food. I will not give you a long lecture about healthy eating. Avoid high fructose corn syrup (HFCS) as a minimum, and stick to vegetables, vegetables, vegetables. Occasionally have some fish and (organic) meat.
We have the best health care system in the world?? Medicine makes us healthy??
We have a disease care system; doctors “manage” diabetes, high blood pressure, lipid abnormalities, and so on, but they don’t cure you. Why should they? They’d lose a patient. So they are going on “managing” your diabetes, high blood pressure, high lipids. If you want health, you have to do it yourself. The old-fashioned way: more sleep, fresher food, cold shower, a daily walk – one step at a time. Read More