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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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Fast Will Not Last – A Step-By-Step Weight Loss Program

Fast Will Not Last – A Ste After politics, I better return to my own turf. My forte is one-to-one talking with on people, not saving the world. Ali - on Roanne Weisman’s blog Own your Health - has asked me this question: How can I lose weight fast? Truth is: Fast will not last. Most common request seems to be: “Now it is May – can you help me lose fifty pounds till September, because I will marry in September.” My answer is always: “No!” Weight loss should be really slow so that the body does not go into survival mode and defies weight loss. As disappointing as this may be, it is the only way to success. Yo-yo dieting has been shown to be especially detrimental to the heart, so don’t even start that process! Here are my rules: • Do not lose more than two pounds per month! • Weigh yourself every morning. • If you inadvertently lose more than two pounds per month, don’t gloat about, and don’t be disappointed if you regain some of that weight. • Once you have lost those two pounds, put your focus on keeping off those two pounds. The real challenge is to not regain any pounds during the month. • Weight loss does not happen by diet alone, and not by sweating hours in the gym. Weight loss comes from a healthy lifestyle. • One of the most important parts of that healthy lifestyle is getting enough sleep. Sleep deprivation leads to high stress hormone levels in the body, which leads to cravings and overeating. • The next day is won the evening before: Prepare breakfast and lunch, and plan dinner for the next day, then go to bed early. Don’t hang around in front of TV or computer beyond your “tired point” – because then you get a second wind and can’t fall asleep. Best bedtime is between 8.30 and 10.00 pm. If you think you can’t do that every night, give it a try one evening per week – and observe the difference in how you feel. • Below is the step-by step program. Take a new step either every week or every month, or when you feel you need to do more for your health, or when the weight loss progress stalls. • The most important question: Is your weight loss goal realistic? If you are of Dutch ancestry, you might never get to be a dainty as many Asians are (only a rule of thumb – there are small Dutch people, and large Asians!). For that look up your BMI - for instance here: http://www.aarp.org/health/fitness/info-05-2010/bmi_calculator.html?CMP=KNC-360I-GOOGLE-HEA-FIT&HBX_PK=bmi&utm_source=Google&utm_medium=cpc&utm_term=bmi&utm_campaign=G_Health&360cid=SI_148921798_7430108821_1. • Your BMI will give you a weight range. If you are small-boned, you should be at the lower part of that range, if you are big-boned, at the higher end. How do you know about your bones? Compare your wrist bones with those of other people to get an idea where you stand. • If you still have a protruding belly, you are not at your ideal weight. • In every meal have some protein and some good fat. Legumes provide protein. • Most important is your intake of vegetables, which should be mostly cooked, especially in the winter. • Cut down on meat to once a week, and do not eat deli and sausages at all. Have some fish – preferably small fish. And here are the weight loss steps: Step # 1: Buy a green leafy vegetable (chard, spinach, kale, dinosaur kale, kohlrabi greens, etc), cook it with olive oil and garlic - and eat it. Step #2: Leave out all soft beverages - including "diet" beverages. Step #3: Drink herbal teas when you are thirsty. Or plain (or filtered) tap water. Don’t drink bottled water. Step #4: Leave out all dairy (cheese, milk, yoghurt, etc). Milk is a highly inflammatory substance, totally alien for people beyond infancy, that leads to all kinds of diseases besides obesity: diabetes, arthritis, depression, cancer, allergies and asthma, heart disease, and so on. Step #5: Buy a root vegetable (red beets, celeriac, turnip, etc), cook in salt water until just soft enough to pierce with a skewer. Serve with olive oil, pepper and salt as a warm salad. Rutabaga, because it is usually waxed, needs to be peeled before cooking. Cut in cubes, boil with a bit of water and pepper and salt. Step #6: Go for a daily walk. Best is during lunch hour, for the anti-cancer effect of light. Ten minutes in the beginning is fine. Go with a friend – so that you may stay with this habit. Step #7: Leave out all sugars. And don’t use any sweeteners. They fool the body into thinking you get sweets – and then your body wants more food. Besides, most sweeteners except stevia carry their own health concerns. Step #8: Find a new vegetable every week in your supermarket – try out what you don’t know (most vegetables are delicious with garlic and olive oil). Some fat is required with all vegetables because otherwise you cannot absorb the vitamin A in them. Step #9: Leave out all grains and starches until you have your ideal weight. Then you might re-introduce some whole grains – but only if you are not regaining. Step #10: Observe how much you are actually sitting during the day. Sitting is detrimental to your health – and of course, we are a sitting culture. Think about ways to move more: Putter in the garden, clean out the attic, walk a dog, play with the kids, ride a bicycle. The German philosopher Immanuel Kant recognized this principle and kept his handkerchief at the other end of the room, so that he had to get up from his desk to blow his nose. Try to come up with your own – and better - movements! Step #11: Stop all margarine, spreads and butter. If you still eat bread, dunk it in olive oil. Step #12: Volunteer somewhere – in a shelter, a soup kitchen, a church, a political campaign, a gardening project, a reading help for youngsters –to get out of the house and do good! P.S. This is a long entry. But it boilds down to two points: 1. Vegetables, vegetables, vegetables - eat more, and more varied! 2. Put more movement into your day - little movements here and there. P.P.S. Recheck this blog - I might add new points as they come up! Read More 
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Treat Simple Urinary Tract Infection Without Antibiotics!

Most UTIs can be dealt with simply, with herbs, probiotics, and so on. Antibiotics should be reserved for the really dangerous infections. Not only should we curb antibiotic use because of possible resistances; it also has been shown that bacteria bury into the bladder wall during a course with antibiotics – only to pop up again a bit later! But for starters, this warning: IMMEDIATELY see your physician or the Emergency Room, if you have any of these signs/symptoms: • Blood in the urine • Pus from your vagina /penis • Fever (ANY fever means that the infection has gone beyond the confines of the bladder) • Flank/kidney pains: If you have pain that far away from your bladder, it means that the UTI ascended to your kidneys. Or that you have kidney stones. • ALL UTIs in children should be seen by a doctor. • If you never had a UTI before. The usual cause of UTIs, especially in women, is sexual intercourse. Women have a very short urethra, so bacteria can walk up easily and invade the bladder. UTIs are most common in young women (frequent sex) and in women after menopause (lacking estrogen leads to shrinking tissues which means less protection against invading bacteria). This is what you can do to prevent UTIs: • Make sure that man and woman are clean at their private parts. Insist especially that your man washes behind his foreskin daily, and you yourself wash between the folds. Don’t use soap – daily water washings suffice! • Use a lubricant to make sex smoother. • Right after sex, the woman should get up and urinate to flush out potential bacteria. • Avoid all sugars and white starches. • If you tend to get UTIs often, take cranberry capsules for at least a day after sex. Cranberries prevent bacteria to lodge onto the bladder mucosa. • Drink enough hot fluid. • Take a daily probiotic – this helps get rid of bad bacteria in the bowel (which are most often the culprit in urinary infections). • A new and promising treatment is another probiotic, Lactobacillus crispatus that normalizes the vagina flora (taken intra-vaginally), thus preventing “bad” bacteria to invade the bladder. • Doing Kegel exercises or standing on one leg (see a former blog) to strengthen pelvic muscle. If your muscles down there are weak, you might not be able to empty your bladder fully each time – and that is a set-up for recurrent UTIs. • Regularly take women’s herbs after menopause to strengthen vaginal mucosa. Prevention of course is better than treatment. But when you get the familiar sensation of burning during voiding that heralds a UTTI, you should act IMMEDIATELY, because any infection is easier to treat, the earlier you catch it. Other symptoms of a UTI are: a cloudy urine, an offensive odor, discomfort in your bladder area and the urge to go frequently. Apart from the measures above that you should continue, use these tried-and-true herbs in a tea, three times a day: • Uva ursi (Arctostaphylos uva-ursi) • Usnea spp. – a group of lichens growing on trees Other herbs helpful in UTI: • Goldenseal (Hydrastis canadensis) – or any other source of berberine would do as goldenseal is an endangered species. • Marshmallow root (Althea officinalis) – soothing, but not necessarily healing • Buchu (Agathosma betulina – formerly Barosma betulina), a plant from South Africa. • Corn silk (Zea mays) – and old stand-by • Horsetail (Equisetum arvense) – should not be taken too long as it is harsh on the kidneys. • Indian Coleus plant (Coleus forskohlii) reportedly has effectivity against UTIs too, but the data are still scant. This would be a plant to investigate if you have allergies to all the aforementioned herbs. • Also worth trying is D-Mannose – not strictly an herb, but a sugar - which only works against E. coli that happens to be the most commonly found bacterium in UTIs. • Similar proanthocyanidins that work in cranberries are also found in blueberries and strongly colored fruit and vegetables, tea (black and green), black currant, bilberry, grape seed, grape skin and red wine,  Read More 
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