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

Desperate Skin – Psoriasis

Twenty-five years ago, my husband suddenly broke out in a rash: His fingertips were raw and started bleeding whenever he touched something - like buttoning his shirt. When he went on a trip to India, he could not carry a suitcase, but traveled with a backpack. When he came back, the rash had intensified, and I worried about him becoming despondent. He consulted a dermatologist who told him he had “dermatitis” and prescribed a cortisone cream. “Dermatitis” means “inflammation of the skin” – duh! He was told these skin rashes would come and go, there was no known cause; he just had to live with it. It is hard to live with leaving a trace of blood on anything you touch! The cortisone helped some. But the rash always came back when he stopped the cream. In his desperation, he went to half a dozen different skin doctors. The pinnacle was when a well-meaning friend gave him, as a present - a visit to a hypnotist. We should have known hypnosis wouldn’t work in a hard-core scientist … Our friends thought it all was psychological: We were pregnant at that time, with our son, and the easiest explanation was that becoming a father was stressing my husband out. We could not really see the stress, as we were giddy with joy and anticipation. But it was true that the rash had appeared during our pregnancy. For three years we tried to figure out what was going on, talking about it at nearly every dinner. Then one day I noticed that new plaques had appeared on my husband’s elbows. It seemed clear now that he had psoriasis. – At the same time he thought he observed that the rash on his hands always got worse when he used shampoo. I made him ask his dermatologist for a skin testing, to look for allergies, and a biopsy, to confirm the suspicion of psoriasis. The doctor said there was no reason to do either. But because I was a colleague, the tests were done. The biopsy confirmed psoriasis. The skin testing showed a whole angry area of patches – all related to spices: vanilla, cinnamon, cloves, bay leaf, curry, citrus peel and benzoic acid (a preservative). And balm of Peru – the fragrance that is in many cosmetics, including shampoos. As a physician, I was all excited: Here was a case of psoriasis triggered by food allergies! Never in medical school had I heard of a connection between skin disease and nutrition! I talked with several dermatologists – none of them got excited. They flatly denied there could be a connection – even in the face of the biopsy and skin test results! Slowly it dawned on me that no dermatologist has any incentive to really cure his patients – as they then would be lost as patients. We, however, implemented a new diet, leaving out the offending agents, and in no time my husband was healed. We even figured why the rash had first appeared during pregnancy: I was in the middle of residency when I got pregnant – which is usually not considered a good time for expanding your family. Because I was more tired, I cooked less and we went out eating more often. Just across the street was a tiny Indian restaurant; we became nearly daily guests there. And curry (probably the turmeric in curry, actually) was one of the problems. In the long run, being forced to always cook from scratch I have helped the health of our family tremendously. Our son grew up knowing about the importance of fresh foods, and even turned out to be a dedicated cook! Natural Medicine has long maintained that many diseases stem from the gut. We have basically four eliminating organs that might get rid of toxic matter: the kidneys (urine), the bowl (feces), the lungs (exhaled breath), the skin (sweat). Often the skin mirrors the health of the intestines: My husband’s body tried to get rid of the spices he was allergic too, and expelled them via the skin – which showed as a rash. Using cortisone cream only suppresses this natural way of detoxification, and pushes the problem underground – until even the internal organs are getting diseased. Never think that a skin disease is just a skin disease: The inflammation in your body might become visible in the skin, but the inflammation happens everywhere. A study showed that psoriasis sufferers have more strokes, heart attacks and cancers! It does not surprise me. But it might surprise the seven and a half million people who suffer from psoriasis in this country. For most of them it would already be curing if the eliminated all dairy products and excessive alcohol. And nobody tells them … Of course, what is true for dermatologists is true for other specialties: Cardiac death is going down – not because of procedures cardiologists are doing but because people are paying more attention to what they eat, and they exercise more. – In obesity, the answer will not come from a little pill your doctor gives you, but from you moving around more and letting go of junk food. – Is your dentist interested in you having healthy teeth and gums – or is he interested in keeping you as a patient? – Veterinarians sell now “scientific” diet for your pets. But can that manufactured food compete with the food you cook yourself at home; I doubt it. Because that food is made for long shelf life and profits, not with the health of your cat or dog in view. – Your depression – does it warrant a pill and you being a patient instead of a vibrant, alive person? Would you do better talking with a friend about your problems, getting out of a sour relationship or dead-end job, nourishing your brain with fresh vegetables and getting up from your sofa and ride your bike? In the last years, we have seen some physicians incorporating alternative methods into their mainstream medicine practice. Acute problems like a broken bone, an appendix threatening to perforate or a cancer definitely need a skilled conventional practitioner. Chronic problems, on the other hand, that have developed over years from had lifestyle choices – arthritis, diabetes, obesity rank high among them - do remarkably well with changes in lifestyle. No surprise there … I am not saying that every problem goes away with better nutrition, exercise, cold showers, green herbs and more sleep. But you will be astonished how many problems will vanish into thin air. Give it a try! And don’t you worry that I am throwing out all conventional medicine! Today I am seeing my conventional dermatologist for a checkup. But I know what she can give me: expertise. Not my health. On my health, I have to work myself. Read More 
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Care Of Unsightly Fingernails

A physician can tell much when she looks at your nails – if she was trained well. The nails can show fungus and other specific nail diseases. But many internal diseases show also at your fingers and nails – and other than the tongue, which in Traditional Chinese Medicine is used to diagnose diseases, the fingers are usually not hidden, and I don’t have to ask a patient to show me his tongue. By the way, Sebastian Kneipp used to gauge the health of a person by ear diagnosis – also freely to be inspected. One anecdote goes that he gave Pope Leo XIII another nine years, when the Pope already was at the ripe age of eighty-eight. Sure enough, the Pope died at ninety-seven – and had a chance to implement some of his social-minded reforms. Leo XIII was one of the most progressive of popes. Of course, fingers, tongue, ears – there’s no hocus-pocus involved: Any part of your body is affected by the same age, the same experiences, the same nutrition and, usually, by the same disease. No wonder then that an experienced observer can tell much from them. Some of the diseases I recognize by nails: Liver disease, iron deficiency, chronic autoimmune inflammation, arthritis, psoriasis, gout, a bad infection or severe stress that happened months ago, circulatory diseases, Kawasaki disease, a sluggish or overactive thyroid, certain heavy metal poisonings, skin diseases (even sometimes a melanoma under the nail – so-called subungual melanoma), vitamin B12 and C deficiencies, lung and heart disease, impaired kidney function, folate deficiency, malnutrition (protein deficiency), nail injuries, use of certain antibiotics, and so on. Having said this it is obvious that we doctors don’t encourage artificial nails and nail polish – it takes an important diagnostic tool away from us! This list also alarms you that changes in your nails should be examined by your doctor. But sometimes one has only “ugly” nails, with now apparent reason – perhaps brought simply on by the aging process or dirty work. Here is a nice simple method to make your nail beautiful again: • Keep fingernails short by filing with an emery board, never by cutting (toenails should be cut straight). • Wash and brush hands and nails with a soft brush and a non-harsh soap. I prefer olive oil soap. • Apply tea tree oil to the nails thinly; rub it in. • Apply olive oil with rosemary essential oil (other essential oils like oregano, lavender, myrrh work the same way) to hands and nails. • If your hands are rough, apply coconut oil (the same organic grade that you use for cooking) regularly. Read More 
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Dead Sea Story

Years ago, I found myself in a hotel at the Dead Sea in Israel. The hotel also catered to patients, because it has been shown that sunlight and saltwater improves such conditions as eczema and psoriasis. The hotel had an excellent buffet with all kinds of healthy vegetables and gorgeous fruit. For me most striking observation was that the patient group flocked around cheese, cakes, cookies, pizza, lasagna, spaghetti with meatballs, and bacon, whereas the other travelers delved into the abundance of fresh foods. In addition, the patient group was visibly more overweight than the others. I had a hard time not pointing out to every patient the damage they were doing to their bodies just as they were seeking the healing waters of the Dead Sea. You go online for eczema remedies, and you find a thousand products screaming “Here! Buy me!” This is my simple advice: 1. Get rid of anything you might be allergic to. – Some researchers deny that allergies play a role – I don’t agree with them; but let’s not call it allergies then, but food intolerances. Because in many cases, food intolerance plays a role in psoriasis and eczema – and the Standard American Diet (SAD) is especially at fault. The offending foods? The list I gathered from my patients is long, and dairy for sure tops it. Citrus fruit, wheat (and, by association, barley, rye, oats), soy, nuts have been most often the culprits in my patients. Coffee (including caffeinated) seems to trigger eczema too. 2. Use coconut oil on the affected, itchy, thickened skin. Coconut oil is anti-bacterial, soothes the itch and helps the poor skin to heal. 3. If you can afford, vacation at the ocean. Moderate sunlight and saltwater do miracles for posriasis and eczema. 4. If you want to go the extra mile, get a good probiotic (bacteria that are helpful for bowel health – but not frpm yogurt, take capsules) to heal your gut, and take fish oil capsules against inflammation. Often this works also for rheumatoid arthritis and other auto-immune diseases, too. An additional biggie in psoriasis is alcohol – avoid it. Some other ideas why people now get eczema are that babies are brought up in a too clean environment, and that emotional issues play a role. The first we can’t do anything about once you are grown-up. The emotional issue – well, we all still struggle to grow up, don’t we? Can’t hurt to work on that. Read More 
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