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

Ibuprofen And Aplastic Anemia

This is the story of a friend’s friend – no statistics behind it, no big scientific study double-blind, randomized, placebo-controlled - nothing but anecdotal evidence (and you won't see a study done on this soon!). But a poignant story anyway, and a reminder: A woman in her forties was in quite good health, as it seemed, until one day, she got weak and ill, and was diagnosed with aplastic anemia. Aplastic anemia is a very serious diagnosis. It means the bone marrow is not churning out the required number of blood cells necessary for survival, and her physicians recommend a bone marrow transplant to her. One of the doctors told her that her platelet count was so low that she might start bleeding anytime (most worrisome is bleeding into the brain), and said that, as a minimum, she should stop all aspirin or ibuprofen (or any drug in that family of painkillers) as those might increase the bleeding risk. Now this woman had taken high doses of ibuprofen on the advice of her GYN doctor for uterine fibroids and terrible cramps. She heeded the advice, stopped all pills, and slowly but surely, her blood cell count crept higher and higher, until it became clear that she did not need new bone marrow at all. When I came to this country many years ago, I found that in a drugstore one could buy bottles of a thousand aspirin or ibuprofen pills. In Germany, one bought them in little tubes with ten or twenty each. That’s not only a difference in size: It is a difference in cultures: When you have a headache in Europe, you ask why you have the ache (nagging husband, too much sun, too much TV, too much booze, too little sleep, no exercise – the list is endless). You try to change the root cause of the pain. Here, you take a pill. This woman had a good reason to take ibuprofen – her fibroid cramps – and took them under the supervision of a physician – and still, it nearly killed her. Ibuprofen can have bad effects on the kidneys, the liver, the stomach lining – and thousands people die each year of internal bleeding. Aplastic anemia is exceedingly rare. But this story illustrates that no drug is without side-effects and we need to have a healthy respect of any drug we put in our bodies. Most painkillers are taken against headaches and menstrual cramps. Why not try natural methods first? More sleep, more movement, healthy fresh foods, water instead of soft beverages, less sugar and salt before periods, skullcap tincture against cramps – one has so many healthier options! Read More 
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Vitamins

A reader has started a discussion, and I want to continue it here, bit by bit so that everyone can follow it. The argument was this: “Vitamins are natural substances, right? All animals produce ascorbate acid in the liver/kidney and there is no difference between this and synthetic one. Not the case for all vitamins (i.e. E) but today nothing is pure.” Answer: Vitamins are natural substances - as long as they are in the plant or in the meat. What you buy in a bottle, is mostly low-quality stuff. I do think about vitamins as about sugar: Sugar in plants was a nourishing thing - until mankind was able to refine it and eat it in large quantities. Then it became a poison (responsible for heart disease, diabetes, cancer, depression, arthritis, and many more "degenerative" diseases. you swallow a vitamin pill (aside from that it might not be healthy stuff in the first place), you flush your system with too much good stuff in too short time - and your body has no clue what to do with it. We are supposed to chew and digest food slowly, so the body can deal with what comes. With vitamin pills, we overwhelm and poison out bodies. Now, I say this with a grain of salt. In deficiencies, and for a limited time, the replacement of vitamins can be a good thing - under supervision of a physician. But I have seen too many overdosed people - especially the elderly - who take vitamins to make up for lousy nutrition ... and if one pill helps, two or three might help even better ... Read More 
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A Hodgepodge Letter From Jerusalem

If you think that America is a melting pot – Israel is the most colorfully mixed country, the loudest and the most silent, the most hilarious and the saddest. Jerusalem is the most beautiful city in the world. I know you might fight me over this – and I have indeed seen beauty all over the world. The bustling daring of New York, the lovely harbor of Sidney, the classical stones of Florence, the young energy of the new Berlin – you get it. Jerusalem has something else: An ordinance in place for many thousand years – precisely since King David, I was told – that every house in the city has to be built of the local stone, at least the façade. The house might be an old synagogue or a modern high-rise - they all are clad in the same white-golden sandstone; even most pavements use this stone. When one approaches the city from afar, it looks like a dream dwelling: a white city shimmering on the hills. That this thousands-of-years-old ordinance is still in place shows a will to community: The individual burgher might have preferred a modern glass building or a brick castle; nevertheless, he abides by the rules. Compare an American town with billboards and every-which style of architecture: There the individual will wins out, under all circumstances. I can’t make up my mind, which one I find the more useful guide pole – individualism or communal thinking - but I know that Jerusalem is singular, and beautiful. Another thing I like about Jewish life: They cherish family, books, history. We all should live thus (I am saying this knowing full well that family life can be stifling, even in the best of cases). Certainly, you want to hear about the food here: A meal starts with several fresh salads. The other night, with little appetite, I ordered only two appetizers: cauliflower and chopped liver. The cauliflower was delicious but so gigantic that I shared it with the whole table, ate until I was bursting – and then there was some left over. The chopped liver was a mountain into which I could only bore a little hole – and nobody wanted to share; I have a thing going for liver since childhood, but mostly avoid it now as liver is the main detoxifying organ in the body – even of a cow. Nobody at the table seemed to share my liver thing … Our Government plans to abandon the Food Pyramid (about time!!), and replace it with the Dinner Plate. So, my Israel proportion shock comes just in time: For healthy nutrition you need to know really only two basics: 1. Freshness – everything you eat should have grown somewhere. 2. Portion size – your meal should fit on a small dinner plate. If you have to lose weight, make it a breakfast plate; they are smaller. No snacks – that goes without saying. And a last observation from Jerusalem: The Church of the Holy Sepulcher is owned communally by several branches of the Christian faith: Western Church (Italian and French Catholic) and Eastern Church (Copts, Armenians, Greek and Russian Orthodox). And if I believe the tour guide, it is a mess: Those Churches are in constant fight over every inch of the church – so much so that the key is kept in the hands of a neutral third, the Muslims. It says something about religions if the message of Peace for the World is not heeded in the very church building it once started (or presumably started – history and archaeology are messy in the Holy Land). In the Knesset, I heard the President of Israel, Shimon Peres, give a speech in Hebrew. I did only understand two words: Tikwa and Shalom – hope and peace. Good enough for me. Read More 
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