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

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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What I Brought Back From Africa

No not what you think! Recently at a trip to Namibia, my husband attended a conference in Swakopmund, a seaside resort. At a place called Kristall Gallerie – a heaven for gem stone fans like me – I bought a simple necklace from pietersite, a stone that they claim is (nearly) only found in Namibia (there is actually another site in China). Pietersite is a stone marbled in blue, red and gold, and is related to Tiger’s eye. Mine is less dramatic (and less expensive, although pietersite is rather inexpensive overall) - just different blues. But that is not what I wanted to tell. After a few days of Swakopmund and wonderful forays into the desert, where we saw ancient Welwitschia plants (I wrote about it earlier), my husband went on a safari with a colleague, and I visited friends in the country. Dörte and Volker Berner emigrated to Namibia in the sixties. She is a sculptor, he a carpet designer. They spent their lives doing what they like best. They never had much money, but managed to raise three children in the middle of an African savannah. Two years ago, Volker gave over his carpet factory to the people of the Ovambo tribe, and retired to reading and listening to music. Dörte still chisels away at her stones. Both Dörte and Volker have created beautiful art in a beautiful (if barren) place. Look at their websites (find them at Quick Links, on the left), and see for yourself! When we were young, Dörte was this quiet and serious girl – I admired her for it. At that time, you wouldn’t have given a penny for me; I was totally into boys, and had no idea who I was, and who I could become. But Dörte already knew about herself. And quietly, seriously, she has created a huge body of work. Her powerful stone sculptures are earthy, solid, beautiful. Volker’s carpets have up to one hundred and fifty different colors – unmatched in their subtlety and color intensity. We all could be proud if we had built a life full of beauty, restraint and purpose like Dörte and Volker have. If you want to visit them, the Eningu Clay Lodge is close to them – and it probably doesn’t surprise you that the Berner’s have built that lodge too. So, I brought back the story of their lives and a renewed friendship. But, again, that was not what I wanted to write about today. I brought back the nap. The what??? The nap! During the five days with the Berner’s, I followed their daily rhythm, and had a nap every day. Lunch at one, a nap afterward. Mostly, I was lying under my mosquito net (which in that area is more decorative than useful), and wondered about this waste of time. But when I came home, I immediately restructured my day around the nap. As a writer, I of course have the privilege to nap. If you have a nine-to-five job, you still have to wait. But if you are working from home, if you are a home-bound parent, you can implement a nap – it is YOUR day, after all! This is what a week of regular napping has done to me: • More energy from early morning to night I am getting up at six, going to bed at ten • Incredible mental clearness • Weight loss – which was not even intended; it just seems that I am thinking less of food but more of interesting things • More work done (of course!) • More exercise because I am dragging my feet less. P.S. I also brought back t-shirts with lions and elephants for the neighbors’ kids. Read More 
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The Means And The Goals

For me, the Five Health Essentials have one advantage over all the fad diets and exercise programs: The fifth Health Essential. Remember, in European Natural Medicine, there are five Health Essentials: 1. Water (note that I didn’t say: bottled) 2. Movement (note that I didn’t say: exercise) 3. Food (note that I didn’t say: superfoods) 4. Herbs (note that I didn’t say: vitamins) 5. Order. Number five – order - is the one I want to talk about today. Number one to four are only the means; number five tells you that there are goals in life beyond living for the perfect diet or the perfectly sculpted body. We live to enjoy life to the fullest: to love, to learn, to share, to explore, to nurture, to care, to create. Number five tells you that you are part of the natural order: You are born, and you will die. In between are your days and nights, which you can fill with garbage, or can fill with purpose and meaning. Nothing in nature comes in round numbers (think 80-10-10! – one of the current fad diets) and nothing in nature comes in a square (think tofu!). Natural order makes you laugh and weep, sleep and wake, work and rest. You know those over-exercised zealots – those narcissistic bores. Or those food faddists whose brains seem build from tofu with Swiss cheese holes. It is not about how you look or how many push-ups you can do (actually, being able to do one would be swell) – it is about leaving the world a better, happier, more just and more beautiful place for all its inhabitants. Order – think what it could do for you. Read More 
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