If I would decide how hospitals are governed (and I don’t), these would be important points for me:
1. Food: Thy food be thy medicine – and vice versa – Hippocrates said. What is served as “food” in hospitals these times, is mostly abysmal and just goes to show that conventional medicine is not interested in really finding out the root cause of disease. In many cases, it is nutrition, stupid!
2. Cafeteria: Same for the place where all the visitors come and eat. It could be an educational experience, instead just another gorging with inferior foodstuff, filled with chemicals, trans-fats, sugars and dairy.
3. Quiet: When I was a child in Germany, and my father was a doctor, he used to take me on his rounds. Hospitals then were very quiet places. The nurses (often nuns) would walk on their rubber soles like on cushions, and they spoke with low voices. The doors to patient rooms were double doors – the patient had privacy and quiet.
4. What hasn’t changed much: That the hospital routine is not geared toward patient recovery but to a ward schedule convenient for doctors and nurses: Then as now patients are pulled out of sleep to measure their temperature or draw blood tests at four am. I would like to see more concern for the patient’s wellbeing than for the organization’s.
5. No TV in patient rooms: My guess is that at least seventy percent of all illness is self-inflicted. It used to be that being in the hospital was a time for contemplation about what brought one there. Not any longer – as TV is squeaking and squealing day and night.
6. Conventional and complementary medicines are BOTH used. There should be no bias toward the one or the other – what has been proven to work should be applied: Hydrotherapy, movement therapy, food, herbal medicine and art, music, journaling, acupuncture, massage, and so on – they all should be used to make patients better. As they are in most European hospital. And paid for by national health insurance. And, no, they are NOT going to be broke …
7. More cleanliness in the facilities. More cleanliness of the patients. Used to be that hospital were spic-and-span places where you could eat from the floor; not any longer. Instead of on cleanliness we trust in antibiotics – to our detriment. Same with patients’ cleanliness: Used to be that nurses washed the patients daily; not any longer. Nurses have gone scientific (necessarily so – but who is now responsible for caring?); the paperwork has become overwhelming. Housekeeping has been out-sourced. And simple ideas like a washing and cleaning have become obsolete. But hospital infections are skyrocketing.
8. More friendliness and caring toward the patient. The patient has become a moneymaking device.
9. Less care and resources to be spent on very old, very sick people in their last days of life – more on pediatric and under-served populations. DNR (Do Not Resuscitate orders discussed with every patient and/or every family). It will lead to savings of money and will allow people to die with dignity.
10. In medical schools, only half of the students should be A+ nerds; the other half should be people who really want to become doctors and patient advocates from all walks of life. We need very brilliant students because they push medicine’s frontiers ahead. But we also need caring primary care physicians. And putting them together in medical school will hopefully lead to a dialogue between them.
As I am thinking more about this, I might come up with more ideas. What would you wish to implement in the hospitals of the future? Read More
Blog: On Health. On Writing. On Life. On Everything.
Congee and Beans
February 28, 2011
Surely, I've been stressing my mantra "Vegetables, vegetables, vegetables" on this blog; without vegetables, no health.
Think of congee and beens as "fast" vegetables. They don't substitute for greens and roots and cabbages. But congee for breakfast and beans for lunch keep me going all day until I arrive at my vegetable-laden dinner table. The amino acids in congee and beans complement each other to a full, nourishing set, and congee and beans have this in common: They are easy to make and very economical – I bet you can’t come up with a healthier meal that’s less expensive.
• Congee: This Asian dish is basically rice cooked with lots and lots of water into a very satisfying thick soup. If you think you know rice, and don’t like it, try congee. To me it always tastes like it was made in heaven by some motherly, nourishing angel. Here is how you make it yourself:
If you have a rice cooker with a congee setting (which I don’t), you have it easy. I use a pressure cooker. One cup of brown rice – preferably the short, sticky variety – to two cups of water. Cook for about ten minutes. After cooling, add three to four cups more water. Cook for another ten minutes or so (I know my recipes are awfully vague; that’s how I cook – you figure out your own way). The pressure cooker method works better if you do it in two steps rather than pouring in all the water in the beginning. If, on the other hand, you have only a simple, big pot, you let the rice simmer on very low heat for several hours. If needed, add more water.
One cup of dry rice, transformed into congee, fills about four big breakfast bowls. You serve it with any kind of fermented pickles – sauerkraut being very good and cheap. (Look up my old blog on fermented foods if you are not familiar with their health benefits). Chinese traditionally have some nice pickles – but it has to be the fermented kind, not the modern processed stuff, and the fermented pickles are not longer found easily. I have used sour cabbage from the Russian store, or Greek marinated grape leaves (high in resveratrol!). Japanese have great fermented things like umeboshi plum paste. You only need a little bit for a whole bowl. Whatever you like. But don’t do sweet stuff like maple syrup – the congee needs fermented foods. Anything sweet will only feed your sweet tooth. And it is not written in stone that a breakfast needs to be sweet – that is the Kellogg brothers' invention, I suspect.
I always add a liberal amount of olive oil because otherwise it won’t last me until lunch. By the way, you may add a pinch of salt to your bowl – but fermented foods usually provide all the saltiness you may want.
This breakfast has one great advantage: Filling without stuffing, it squashes all cravings – and makes you go until lunch without ever thinking of food.
• Beans: I apologize to the purists among you, but I use canned beans. Of course, one can also soak beans overnight and cook them – but I have more interesting things to do. When you buy canned beans, make sure they have no additives – they should be beans and water, nothing else.
You open a can of beans and heat the contents (including the fluid) in a small pot to a boil. Add olive oil (I can’t even think of life without olive oil!), and pinch of salt and pepper. Toss in a handful of fresh or a table spoon full of dried herbs: Dill and parsley turn a boring can of beans a festive and health meal. Tarragon goes beautifully with garbanzos (which, technically are no beans, but belong to the legume family), marjoram or savory are great with butter beans, Italian herbs or Herbes de Provence plus garlic make dark beans a spectacular meal. Cilantro goes with everything – again add some garlic, and you already have a detoxifying, chelating medicine – “Your food be your medicine” as Hippocrates already said. We can now buy so many different kinds of canned beans. Find out what you like – and then rotate, because it is not good to eat the same fare every day.
If you can’t warm up your beans at midday at work on a stove (don’t use a microwave!), you can also make a bean salad (same ingredients, just drain the fluid of, and perhaps cut a small onion into the mix). But keep your beans refrigerated at all times, as they are prone to botulism germs when left at room temperature longer than two hours. And, hopefully you know better than use a bulging can of beans – discard it!
And then, as they say: Enjoy!
P.S. Did you notice that congee and beans are perfectly gluten-free? No-sweat gluten-free! Read More