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

龙年快乐Happy Dragon Year 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 

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What Stays

Coming from another funeral - this time in Europe - the question lingers: What stays if we have to die anyway? In this case, love stayed. Love stayed long after the body of the loved one was felled by a series of strokes. For a dozen years the spouse cared for the loved one, with a thousand fears and doubts and difficulties, but never faltering. After all those many years, the loved one died at home, with the family by the bedside. - We all wish for such a death. And such a love. Not asking what is in there for me. But asking what is the needed thing to do now. - We hear too much about who should be allowed to marry and who not. We should hear more what marriage involves. Not figuring out what he/she does wrong, but what he/she needs now. Whenever I feel sorry that I am not getting what I want, I feel a distances from the people I am with. When I ask: What can I give? What does he/she need now?, I feel close - and rewarded. (It goes without saying that I don't condone cruelty, abuse, and the myriad of vices that make a marriage unbearable.) We all know too many examples of the contrasting outcome: The spouse divorces the ailing partner, and runs away with the money, to a better life. A better life? I cannot think of life and time better applied than caring thus. Read More 
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Varicose Veins - Phlebitis - Thrombosis

Varicose veins are thought to be ugly, and in a way, they are. But as a doctor, I am less concerned with beauty, more with health problems – and varicose veins are not always as harmless as they seem. Thrombosis is a clot that blocks a vein, usually in one leg. Thrombosis may lead to pulmonary embolus and, in rare cases, to a stroke; both can be fatal. The symptoms are swelling and pain and warmth of the affected limb. Physicians order a Doppler scan, to make sure the patient does not have the feared clotting situation. If it is a clot, the patient will be admitted to a hospital and a severe thinning of the blood will be administered with heparin, Coumadin and other anti-coagulants, until the clot is gone or at least stabilized. Often the Doppler test comes back negative – no clot, good news! The patient has “only” phlebitis, an inflammation of the wall of a vein. The symptoms are exactly the same: pain, swelling, warmth. In German phlebitis is generally called “cramping veins” because cramps are also a feature of phlebitis/thrombosis. What can you do against inflamed veins? Phlebitis and thrombosis can have several causes, sometimes combined: A genetic disposition plays a role. Longtime immobility - like sitting on a long trans-Atlantic flight without getting up, or being bed-ridden, especially after surgery – is known to cause clots. Hormone therapy can lead to clotting. Less well known reasons are cancer and food sensitivities, or even just plain food that is not healthy. Nutrition that is less than optimal is known to promote inflammation. That inflammation can show up as different diseases in the body; one is phlebitis/thrombosis. Junk foods with high sugar content, white starches, trans-fats and particularly dairy are highly inflammatory for everybody. Food sensitivities, on the other hand, specific for individuals, can also inflame, but the causative foods are sometimes hard to pinpoint. I have seen reactions to banana, avocado, nuts, beef (it might be more what the cattle ate than the cows themselves) and cherries – but there are endless possibilities; a food diary might help in recurrent cases. Varicose veins frequently occur in people with unrecognized gluten intolerance. Slowly, over the years, the varicosities grow, which is often thought as being just another sign of aging. However, varicosities can be viewed as a sign of chronic inflammation of the body. Pregnancies and much standing can aggravate the condition. What to do in phlebitis: 1. Eliminate all offending foods. 2. Move moderately every day. Don’t sit for prolonged times. Go for a walk every day. 3. Don’t sit with legs crossed – that clamps down of the veinous blood flow. 4. Elevate legs as often as possible. 5. High-dosed fish oil, three capsules three times a day. Fish oil is a mild blood thinner (and could be contra-advised in some conditions) and a strong anti-inflammatory agent. 6. Cold washings and gushes of the legs, cold sitzbaths and barefoot walking in the ocean all are beneficial. 7. In the acute situation, an icepack (not longer than 16 minutes at a time) might bring relief. 8. Wear support panty hose. It prevents the veins to bulge out bigger and bigger. On very hot days cut out the crotch of the panty hose. Wear the support hose also after you are better. 9. Don’t rush into surgery. Phlebitis is often not just a mechanical problem – think about the food connection first. 10. If symptoms get worse with fish oil therapy, you better return to your physician – soon! Read More 
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