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

The Big Itch – Eczema

Today, in a New York Times blog, I published a version of this: One remedy does not work for all - that is the wisdom coming out of these letters. Seeing a good dermatologist and soothing your skin with some cortisone and/or other substance stands at the beginning. Leave out gluten, dairy, nuts, nightshades (tomato, bell & hot pepper, eggplant, potato) - they are, in my experience, the worst offenders. But I have seen people react to spices, artificial colorings, preservatives, even to apples. Use nothing on your skin than virgin coconut oil, aloe vera gel (best directly from the plant), and your prescription ointment. Try to avoid make-up and read the labels of your shampoo and conditioner: Balm of Peru is only one ingredient that lets rashes bloom! Take a probiotic and vitamin D, and go out into the sun as often as possible - but never to the point of reddening or burning. Then listen to your body - to the itch? What food makes you itch? What activity? Because every body is different, and my itch is not your itch. As soon as your itch gets better, avoid the cortisone cream, and go all coconut oil. If your body itches consistently after a certain food, eliminate it - it is hurting you. Eczema is an inflammation of your skin (often on the basis of your gut being inflamed, too). And every bit of inflammation lowers the threshold for the itch, and a new allergy. A lot of psychological theories are floating around – that certain personalities get it, that one gets it during stress, and so on. I think it is probably the inferior food we fall for in times of stress – comfort food that is loaded with sugars, white carbs and bad fats,. And when you have a chronic disease and an extremely itchy, disfiguring rash – yes, you might seem odd to so some people … When you have healed, try to introduce some of the eliminated foods again - very, very cautiously. Some you might have to leave out forever, or may have them only very occasionally. Go swimming in the ocean, whenever you can! - And my heart goes out to you poor thing! Read More 
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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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The Wolf That Ravages - Lupus

Lupus is Latin for “wolf” - an apt name for a disease that may maul your skin and inner organs relentlessly. Lupus is a group of autoimmune diseases that can affect skin, joints, blood, brain lungs, heart, and in its most feared form the kidneys, leading to kidney failure. One interesting picture produced by SLE (Systemic Lupus Erythematosus) of the brain can be an obsessive-compulsive-like disorder. Autoimmune diseases – with all our scientific advances – are still not thoroughly understood. From experience and the literature I would consider the following steps if I were afflicted with lupus – which I am not. 1. Eliminate all dairy because casein seems to be hurting badly in lupus. Do not eat butter, cream, milk, yogurt, cheese, or any food with dried milk ingredients. For instance, “milk-free” cheese still usually contains casein. Since lupus is basically a disease of chronic inflammation in the body, it is wise to throw out all foods that contribute to inflammation – and dairy is the worse in that respect. Sugar and artificial molecules come in second. And food items you already know don’t agree with you (allergies and intolerances). Of all those, dairy has been consistently been linked with lupus and other autoimmune diseases. 2. Fish oil. Take good-quality fish oil capsules daily, about three times three. Make sure you don’t have a bleeding problem because fish oil slightly thins the blood. Also eat small ocean fish. 3. Flaxseed. If you don’t have a nut-and-seed problem, flaxseeds have a healing quality in lupus. Use olive oil for cooking. 4. Vitamin D or sunlight is beneficial in lupus, but photosensitivity (skin reactions to sun) is a prominent feature of lupus. What is a person to do? If you can’t tolerate light, take a vitamin D preparation or eat cod liver once a month. 5. Eliminate soy unless fermented. The reports about soy are not clear – sometimes soy hurts, sometimes it helps. This might have to do with two facts, namely that unfermented soy is not better than any other bean, and might even be worse as soy is one of the new mono-crops of gene-manipulated seeds. GMO are linked to lupus by some authors. On the other hand, fermented soy has done well in all studies. Miso, a good soy-sauce and tempeh are fermented soy products; tofu and the “nutritional” bars are not. 6. Caloric restriction has been shown to delay the onset of lupus. That does not mean you should starve yourself. But if you are overweight – even if ever so slightly – you should seriously focus on losing the extra pounds – which might actually happen all by itself if you eliminate dairy, sugar and other junk foods. 7. Herbs. There is a long list of herbs and plants helpful in lupus. I would not recommend any one over any others. And obviously, there might be other herbs and pants beneficial. For me it means that plant material – the way we should nourish ourselves naturally – is the way to go. So, eat a variety of vegetables. And from the list below chose food items, herbs and spices freely in your cooking. For medicinal herbs, chose one at a time and take it according to directions, until the bottle is empty, then choose another one: Alfalfa sprouts Antrodia camphorata (a medicinal mushroom) Apples Astragalus Basil Brussels sprouts Bupleurum chinense (and other Buleurum species) Celery Chamomile (Chamomilla recutita) Cilantro Clover Cordyceps sinensis (a medicinal mushroom) Curcumin (in turmeric and curries) Gentiana macrophylla Green tea Legumes (beans, peas, lentils, garbanzo) Lotus flower (Nelumbo nucifera) Mugwort (Artemisia vulgaris) Oregano Parsley Pycnogenol (French Maritime Pine bark extract) Rheum emodi Royal jelly (a honey bee secretion) Sophora flavenscens Spinach Tarragon Tripterygium wilfordii Wormwood (Artemisia absinthium, notoriously bad for the brain – absinth! So consult an herbalist for this) 8. Vitamin E and DHEA have been beneficial in lupus, but I would not take them without consulting a physician because both may have side-effects. 9. Avoid mineral oils (lipstick, lotions, creams, etc.) as mineral oils have been implicated in the development of lupus. 10. Certain vaccinations, especially hepatitis B, have been brought in connection with lupus. The jury is still out on that – but think twice before you get an unnecessary vaccination. 11. Exercise moderately. 12. Do sauna regularly for detoxification. Take a cold shower after a hot one to regulate your immune system. 13. Get enough sleep. Your body needs to repair during sleep. Lupus might be what I like to call the canary diseases: Certain foods and lifestyles hurt all of us. But in some – the canaries – the damage shows earlier. Read More 
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