Vienna, in the nineteenth century: At his teaching hospital – the Allgemeines Krankenhaus der Stadt Wien – a pathologist named Karl von Rokitansky institutes an autopsy on every single patient who dies there. After the autopsy, clinicians and pathologists sit down together to compare notes: The Morbidity/Mortality Conference is born.
New diseases were found, old diseases became better known, medicine improved greatly, and Vienna became a magnet for physicians who wanted to learn there - it still is Europe's biggest hospital. My father spend some semesters studying medicine in Vienna. In Europe, one is not as wedded to one's alma mater as one is in the USA; in Europe, it behooves everybody to seek out good schools and good teachers to learn as much as possible. For instance, I studied in Nuremberg (Nürnberg), Brunswick (Braunschweig), Kiel and Hamburg, and finished degrees in mathematics, philosophy, social sciences and medicine. Here, if you change schools, you are frowned upon. – Both methods seem useful in their own way – I am not sure which one I prefer.
Back to pathologist Rokitansky. For about a century after he made them mandatory, autopsies were the norm, especially at teaching hospitals. Now they are the exception: Barely one in a hundred dead bodies get a second look, to find out what the cause of their demise was. Autopsies are not “cost-effective”, and different imaging procedures, done when the patient is still alive give the patient a better chance to stay alive.
But medical knowledge and skills are in decline – and patients complain. It seems as if physicians don’t want to be confronted anymore with their mistakes. Before, a physician learned from every case. Now the physician just tries to handle the case load.
This time it seems it is up the patient to demand an autopsy … Read More
Blog: On Health. On Writing. On Life. On Everything.
Cancer – From Another Perspective
April 29, 2012
Science now thinks that cancer cells use a very ancient mechanism when they invade a body: It seems cancer cells are descendants of single cells that integrated themselves into our genome. Whenever the whole organism is threatened by extinction, at least the cancer cells may have a shot at survival.
If one reverses the point of view: As long as your body is healthy, those ancient single cells have no business to stir and take over as cancerous growth. Let your body go to the dogs, however, and you give the cancer cells an edge.
This is what Natural Medicine has taught for a long time: That cancer is a degenerative disease, and that it develops in a pre-diseased body.
Not to get into the intricacies of genetic disposition to certain cancers (which can’t be disputed), it is nevertheless a fresh perspective on our old bodies in health and disease: Keep this temple of your well-being in good shape, and you have a chance at a long, good life. Run down your body with poor nutrition, hours in front of TV or computer, no exercise, too little sleep, lots of stress from relationships, work habits, drug use, and so on – and you might reap what you sow.
Of course, this is statistics speaking. For the individual a bad disease sometimes just means bad luck. Sometimes. More often disease stems from bad habits.
Get up right now and jump up and down twenty-one times – give no chance to those nasty single cells that are still asleep! Another way to put it: Love your body – it is the only one you have. Read More
More About Brown Fat
November 2, 2011
My experiment is going on. Of course, I have no idea if it is really new brown fat that turns me into an oven every time after my daily cold laps in the pool. For all I know, I could have a not-yet-recognized infection or any other disease that makes me burn up. Only thing I know is that I feel terrific – for the moment.
But for the sake of an interesting exploration, let’s stick with my brown fat hypothesis. This is what I have learned about about brown fat so far:
1. It used to be thought that only babies (protecting them from hypothermia) or bears (keeping a reasonable core temperature during hibernation) have brown fat. It turns out that traces of brown fat are still around in adult people. – A little aside: Other ways to increase body temperature are increasing surrounding temperature, moving about, shivering, and eating certain “warming” foods like cinnamon, ginger, onions, garlic, rutabaga, coriander, cloves – interestingly foods often used in the winter kitchen. But there is no hint that those foods increase brown fat. Or a shred of a proof that a so-called "Brown Fat Diet" will increase that precious tissue in your body.
2. Brown fat can help weight loss by increasing metabolism speed.
3. Brown fat also can decrease elevated insulin-resistance (also called pre-diabetes) and a diabetic situation.
4. Brown fat can be induced to increase by cold exposure – be it by swimming in cold water, immersing in a tub filled with ice water, or dancing in a walk-in food refrigerator (don’t you wish you had one of those at home??).
5. Needless to say, there are already pharmaceutical firms are already working on drugs that might trigger growth of brown fat, without going through the ado of cold exposure. The easy way out, I call it. And definitely not an interesting way, if you ask me.
I like to think about cold-induced brown fat as one of the benefits of moderate stress. We all know that stress is bad for you, don’t we? Not necessarily though. Moderate stress might be what makes the body function in the way Nature intended it. With heated dwellings with forgo the winter cold stress – and get sick for it, lacking brown fat. With air-conditioning in the summer, we miss out on the sweating which give our body a good cleanse of all the toxins – and get sick for it. Occasional hunger stress (fasting!) is another beneficial stress mechanism. Not only do we get healthier on occasional fasting, and live longer with less belly ballast, it also seems we get to be happier with fewer pounds – and less depressed.
One estimate is that there are about three million residential swimming pools in California (I am not even mentioning the pools in Florida and all across southern U.S.A.). If these pools are anything like our pool here in La Jolla, all those turquoise eyes should be gazing at the sky, basically unused. All, of course, using up precious water resources. How about using them? If you are in decent health (ask your physician), you start by doing a single lap across your pool. Tomorrow two, and every day one more until you reach twenty-one laps. The brown fat will appear very fast – and will help you lose weight.
Putting on brown fat, however, might mean walking a fine line: You want to increase your metabolism by cold exposure. But you don’t want to get where most winter swimmers end up: with more fat on their bodies. Fat (of any kind) protects against cold, and makes you better able to withstand long swims in icy water. Don’t go there! Read More
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