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.
If I Had an Incurable Disease...
June 28, 2010
At one point, my cat Kachi had a herpes eye infection that didn’t go away; whatever the vet tried – hundreds of dollars of medications (that was when I decided that I never again would put that much money into pet health care) - nothing helped.
When it threatened her good eye, I thought” What would I do in a patient who has an incurable disease?” Of course, the first thing that came to my mind was cleaning up my cat's diet.
Until then, she had been fed with dry food and cans – like so many pets. I stopped the dry food and cooked, pureed and froze her meals: meat, carrots, a handful of oats, fish.
Within a week, her eye started to heal. After three weeks she was fine. Interestingly, the condition returned, as soon as we returned to processed foods.
So this is what I would do if I had an incurable disease:
• Clean up my eating act. No dairy, as starters. Dairy provides double jeopardy in disease: It is highly inflammatory. Some poorly understood diseases – like sarcoid, autoimmune diseases, multiple sclerosis, chronic fatigue syndrome, fibromyalgia, and so on – will benefit from less inflammation. And dairy is a potent concoction of hormones that lets cells grow - which cancer patients should avoid it like the devil.
As always, don’t just avoid bad foods; cram your plate with good ones – and that means: vegetables, vegetables, vegetable. And herbs and fruit, of course. Plant material has all the phyto-nutrients that your body needs for repair. Plus, good oils like olive oil, fish, occasionally meat (but no deli and cured meats), whole grains, legumes.
But there is more:
• Moderate exercise. Don’t go crazy with mindless machines in a gym – just go for a daily walk, putter around in the garden, clean out attic and garage, and generally find things to do that involve movement.
• End every hot shower or bath with a short (seconds only) cold shower (unless you have uncontrolled high blood pressure or an arterial disease). A cold shower improved immune function, and if you have an ill-understood disease – like my cat’s herpes) – you want your immune system in best working order.
• Add medicinal mushrooms, probiotics, fish oil and cod liver oil to your regimen.
• Get a life: Don’t use sickness as an excuse not to pursue your dreams – go for them right now! Enroll in a course you always wanted to do: woodworking, Etruscan history, welding, playing the mandolin, quilting – whatever captures your fancy. Against physicians’ predictions, I have seen patients survive for many years on bad diseases. Because survival has much to do with the purpose in your life.
• Get a spiritual life: Write it down in your journal just like this: I believe in … And see what will come out. It might mot be religious - but it will be powerful because it stands for your deepest convictions. And then follow your path! Make connections with like-minded people. Needless to say: Let go of stifling, abusive, dead-end relationships (but don’t conclude too fast that it is all your spouse’s fault – it might well be yours; work on yourself first!).
Of course, here we have again the Five Health Essentials of European Natural Medicine: Water, movement, food, herbs, order. If I had an incurable disease, I would embrace these Health Essentials, and make the best of my life that it can be.
P.S. In the summer, I would make a daily garden tea. Read More