Early July, in Sankt Petersburg/Russia, I was bitten by a mosquito. Not paying attention, I must have scratched the bite, and when I looked next – about a week later – my right ankle showed the telltale sign of a honey-colored crust: Impetigo!
Impetigo is an infectious rash, usually caused by Staphylococcus or Streptococcus bacteria. Since we were traveling, nobody did a culture, we never will know who the culprit is. For first aid, still in Russia, I dabbed tea tree oil on it – too late, as it turned out; I should have treated the mosquito bite thus!
At home, two weeks after the bite, for healing I added some herbs, taken by mouth: Olive leaf extract, oregano, Andrographis paniculata and neem. The rash got paler, but by then it had spread up my right calf, to both of my thighs, and to my forehead and right cheek. Tea tree oil immediately removed the itchy spots from my face, but the rest stalled – not getting better or worse. – It is interesting to note that impetigo usually spares the trunk; it prefers head and limbs. I conclude those bacteria don’t like it hot …
With all infections, it is a good idea to clean up one's diet - no sugars, dairy, and as few white starches as possible. Mine was already pretty good; not much I could do here.
We traveled to Maine. Bathing in the salt water every day was soothing, and accelerated the healing (careful if you try this at home: Some warmer oceans easily might carry offending bacteria!). But then it slowed down again. In my desperation, I applied mud from the edge of the ocean once a day – because in Europe muds and clays are thought of as healing agents. It sure didn’t look pretty – my legs were blackish, peeling and scattering dried mud wherever I walked and sat and lay – especially in my bed. But mud greatly helped: Every day the rash looked a bit paler, and felt less itchy.
In case you think I am a crazy doctor going off the cliff: All along I was in contact with my primary care provider, who happens to be specialized in Infectious Disease. Because I have many, many allergies to antibiotics, and because of the growing problem of antibiotic resistance, he thought it was worth to try alternatives. So, mud it was. I even took a jar full of mud home when we left Maine after the summer. But the jar soon was empty – and the rash blossomed again. I added propolis, black seed oil (Nigella) and to berberine (the yellow dye makes goldenseal and goldenthread antibacterial; but goldenseal is an endangered species, so I don’t use it) the mix of herbal capsules that I was taking by mouth; not all at once, but every three hours one of the herbs, while awake (dosage is found on the bottle).
An Iranian friend of mine wrote me that her grandmother would use a salve of turmeric and sheep fat (lanolin) on skin infections. So I made a salve with turmeric, adding cinnamon for fragrance, and Manuka honey for good measure (Manuka honey got excellent results in trials in killing bacteria). However, I used coconut oil instead of lanolin, because I had coconut oil in the house, it smells better than sheep fat, and it is known for having antibacterial properties itself.
Things healed nicely – until I noticed new lesions at the nape of my neck, where I must have scratched there – despite fussy cleanliness throughout. Presently, I am steeping myrrh in alcohol for a tincture; another friend recently had brought me myrrh and frankincense from Oman. Tonight, I will use this tincture for the first time. Mainly I am looking for replacing the turmeric with something less colorful – I am doubtful if I will ever be able to wash the yellow color out of my bed sheets … - And, yes, the Three Magi valued myrrh and frankincense as highly as gold! Why? Because of their anti-germ abilities, which was needed in ancient times when you lived with cow and donkey in a stable. Not to mention that frankincense binds to the cannabinoid receptors in the brain.
Against the intense itch, I am also using the jelly inside of a huge old aloe vera plant I grow on the windowsill. It soothes the itch, and seems to help to reduce the angry red.
Why going to this length (approaching three month) to treat an itchy – but luckily not painful – rash? Part is, of course, my many allergies. Another part is that the rash is not life-threatening – I have some room for experimenting. Also, I am not a kid in a day care situation who might spread the infection to other kids. And mainly I want to find out if curing this rash by herbs alone is even doable; finding proof of principle, as scientists say.
It’s not nice having an ugly rash. Adding ridicule to injury: In Germany, I was told, the slang word for this very unpleasant and persistent impetigo is “shlep-sh***!” - One could not have come up with a more suitable term!
Oh, and stay posted to find out if the herbs finally will work! Read More
Blog: On Health. On Writing. On Life. On Everything.
To Mammogram, Or Not To Mammogram
January 31, 2012
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
龙年快乐Happy Dragon Year 2012!
January 23, 2012
The Chinese New Year begins today – time for miscellaneous thoughts and new resolutions! 龙年快乐 read character by character, means “dragon year happy happy” – pronounced long nian kuai le. What I find fascinating is that both “happy” terms are spoken with a down tone. In my ear that double happy-happy sounds less than a Western easygoing, lucky-feeling happy but grimly determined: You better be happy – or else! I might be over-stating it, but to me the Chinese kuai! le! shows perfectly the difference in the Chinese approach to ours: We expect happiness, well, to “happen”, for instance in a relationship. The Chinese know it is hard work … Just finished the Scripps Conference on Natural Supplements here in San Diego – taking advantage to me being right here in California (for only another week now!). Here are some thoughts I am carrying home from that wonderful conference: • Listening to the results of modern science (the conference was for physicians and health practitioners and the talks were evidence-based – using modern science; no touchy-feely mumbo-jumbo). It seems, my thoughts on health have well held up during those many years I am thinking about what our bodies and souls need. The only point where I am more radical is in fat consumption: Most health practitioners are still fat-phobic. I am not talking bacon dripping fat, ice cream and cream puffs here – I am talking olive oil, coconut oil, fish oil, and never say no! if somebody puts foie gras on your plate – it doesn’t happen that often! - George Bernard Shaw (1856 to 1950) had this to say: “No diet will remove all the fat from your body because the brain is entirely fat. Without a brain, you might look good, but all you could do is run for public office“. • Let’s correct that touchy-feely part: Turns out, we alternative practitioners know that body and soul belong together, and at the conference there was a healthy amount of hugging, laughter and tears going on. Because if one thing has become clear – through our old failings and brand-new science: One can’t go it alone. As a physician, I need like-minded colleagues; as a fat person, you need friends, family, community around you to make a dent in your weight – or whatever health problem you are tackling in the moment. • Obesity is a good guess of mine because, firstly, now more than a quarter of Americans are grossly overweight – half are only overweight - and all conditions that physicians usually label as single diseases are coming together: heart disease, diabetes, depression, arthritis, obesity (Mark Hyman called it aptly “diabesity”), cancer – they are ALL ONE, namely a wrong lifestyle. Wrong food, heavily subsidized and advertised by your own government, with your own tax dollars. Time to take matters into your hands and “own your health”! “Own Your Health”, of course, is the title of Roanne Weisman’s book about alternative medicine. She wrote it after overcoming a stroke with the help of many different alternatives, after mainstream medicine had told her she would stay disabled and had to adjust to it. Boy, were they wrong! • The old excuse that it is “all in the genes” cannot be used anymore. Yes, a lot of your weight might be determined by your genes – but only if you allow it to be so. The new science of epigenetics teaches us that genes can be switched on and be switched on – and guess, who does the switching? Your food does it, and you moving your butt around, that does it. Isn’t it marvelous? • It takes a village to raise a child – you have heard it. It also takes a village, or a tribe, or your church group to change your health habits. Line up with a friend to start walking during lunch hour – five minutes in one direction, five minutes back. And be part of the solution, not the problem: Whenever you bring cookies or brownies or a potluck – don’t go to the old recipes! Explore new options without sugar, dairy, white starches. I always see that deviled eggs are the favorite of everybody – and they is nothing wrong with eggs, especially if the are organic, from free-walking hens. Bring cooked greens with olive oil and garlic, pepper and salt – they are delicious cold or hot! Educate your friends – don’t give in to their sugar-icing cravings! They will thank you. • If we would not eat alone and always at a table (not in the car, not in front of TV, not in bed), we likely would be slimmer. In olden times, if you grabbed the biggest piece of meat, your mom would slap you and say: “Don’t be greedy!” If you asked for your fifth pancake, your grandma would say sharply: “Now is enough, dear!” And since nobody catered to their little hurt feelings, children found home less congenial than the outside and their friends. We always asked if we could go “outside” – whatever it was, it was not inside with the parents (your parents made you uncomfortable because they always wanted to prepared you for life), and it was not in front of TV, computer or game boy. When I was a child, our first TV came with a key – whatever happened to THAT technology?? - and we children could not even turn it on when the grown-ups were out working. Of course, we children soon figured out that the key was kept in the bar, behind the bottles. But it was a high-risk gamble – and TV was never half as exciting as our friends outside. We had one fat girl in class, in all of my thirteen years of school. And that poor girl, we all pitied her – but we wouldn’t play with her. • “This body is not a home but an inn, and that only briefly.” Seneca (4 BC to 65 AD) said that. I think we have to start talking about what is needed: That people take their own health in their hands. Your doctors can only assist you – not do the work for you. So let’s start by calling fat “fat” – no more pussyfooting around it; physicians have long enough colluded with patients and avoided the “F” word: “I won’t call you fat, if you stay my patient”. The health care system is falling apart under the burden of health care costs brought about by overweight people (don’t forget – I still am for a national health care system!), the Earth is brought down under the burden of too many people who consume too much, and all our wealth so far has brought us very little real happiness it seems – if we judge by how many people are on anti-depressants. • Bad news: Before you die of being overweight, the Earth might have died of pollution. Definitely, future generations – they are your kids, my kids, our kids and grandkids! – are in danger. Newborn babies have been found to have more than 200 industrial chemicals in their umbilical cord blood, right when they are born. The womb has not protected them. We are finding out the hard way that you can’t dump dirt there, and assume you are safe here. We all have only this one Earth – and do you want to be responsible for babies born with birth defects? Global warming is real – so is overpopulation and increasing environmental diseases. • And what do they mean by “natural supplements”? I am glad to report that they do not mean artificially manufactured vitamins or new-fangled molecules, but they promote (mostly – no industry is perfect!) clean, whole, fresh herbs preserved in a bottle of tincture or capsule as well as possible. And if you are waiting for that miracle pill that might do the work for you – dream on! Real health is work. And didn’t you know it: Being sick sucks much worse. Real health takes very little: A bit clean water, a few simple, fresh foods, a good night’s sleep – every night, a few herbs to treat little things early, abundance and walking and dancing and laughter with friends. Music, art, books. Ask more of this life just than a heavily mortgaged house, a car and a career! A happy, hard-working New Year to you! Read More