Alexa Fleckenstein M.D.

Waiting for my transit airplane - already pretty stinky after traveling now for 24 hours, and not having farther advanced yet than from Perth to Shanghai - I find out that China does not allow access to Gmail, Amazon, Twitter or Google – so much for Freedom of Speech . I can as well use this time to write about things I learned in Western Australia recently. I learned about Noongar medicine, from the Aborigines in the South West – bush medicine, that is. The Aborigines are First Nation of Australia, just like our Natives in the Americas. The Aborigines believe that each person has a totem that is also the place where one belongs to, the spirit of that place, and the linchpin, so to speak, of your life. You see, the place from where you came, and where your soul is bound up, cannot be changed. That is some heavy stuff for somebody who, at age forty, left everything behind in Germany, and immigrated to the USA. But it is an interesting idea – one with many consequences. For instance, Aborigines are not interested in waging war, because you can only inhabit your own totem land, never the one of somebody else. His land will never be your land. So there’s no use for war. Nor for greed and envy, it seems. If you always live smack in the middle of the life that belongs to you – and only you – you are always home. You are also always at the most interesting, most fulfilled spot of your life. You wouldn’t have use for the Kardashians … Traveling – like I am doing now – has a different meaning under this aspect. Aborigines travel across the land according to changing food supplies throughout the seasons. Like Native Americans went from their winter dwellings in the forest to the coast in summer, to gorge on mussels and clams and lobsters – we still have an unexcavated midden near out Maine cabin. The Aborigines had an even harder life, roaming the arid regions of Western, North and middle Australia. They needed to know their seasonal foodstuff well – lizards and grubs and roots mostly, occasionally a kangaroo or an emu. All food is shared. I tried a piece of Australian celery last week. Very tasty. Seasonal is the keyword here. Aborigines don’t do sightseeing; they revisit their spirit location again and again. Because from there, strength and knowledge emanates. Place is important with such a concept; time is not. The seasons are revisitings. Life is a string of revisitings. Aging is not a problem. Any time you revisit your totem spot, you gain more knowledge, and – like the food – you share your knowledge with your tribe. The knowledge is handed down mostly as songs – long ballads, with repetitive lines. And the song is your totem, too. It is fascinating that I come to this Aboriginal knowledge just when I am also reading Flights, by the Polish author Olga Tokarczuk. I have been told she might win a Nobel – she certainly has written here a profound account of our restless, traveling lives. Not to hammer in the moral of this Aboriginal philosophy too much – you can do that for yourself. But I have found myself contemplating this new thought. New for me, of course. Very old for the Aborigines. So old that people estimate they have lived that same kind of life for at least 50,000 years. Without destroying their environment in the process. Compare this to our man-made global warming. Read More 

A new study to answer the question: Which is the optimal blood pressure goal? has been terminated prematurely because it became statistically overwhelmingly clear that lower blood pressure targets will save lives. That is a great outcome of a study: The clear-cut benefit of lower blood pressure. Not that it is all news: In medical school I already learned this medicine pearl: People with low pressure live for a long time, but they will feel lousy often – from dizziness and lack of energy. People with high blood pressure feel on top of the world – until they drop dead of stroke or heart attack. It is good to know that our recent blood pressure goals have been set too high. If you have high blood pressure, or borderline high blood pressure, get ready for your doctor to put you on medication, or increase your anti-hypertension pills. But the question is: Why do I read one report after the other about this blood pressure study, and all the commentators remark on how important it is to increase medications – and not a single commentator mentions that there are ways to lower your blood pressure without pills - naturally? There are! You don’t have to take pills for the rest of your life; they can have serious side effect – one of the least seems to be impotence (erectile dysfunction), which is obviously a minor problem for the prescribing physician, but may make your life thoroughly miserable. Here, if you want to go the natural way: • End your hot showers always with a short (20 to 30 seconds) cold shower. Don’t do it yet if your blood pressure is uncontrolled high. But if you are on a pill, reasonably controlled, to can make this a daily habit. If a cold shower feels too harsh, wash yourself down with a cold facecloth twice a day in front of the sink. • Get yourself a cheap step counter and walk more. The step counter is not really necessary, but is a great motivator. Walk more stairs, too. • Also, walk on uneven surfaces whenever you have an occasion. Walking the beach, hiking, and walking barefoot have all been shown to lower blood pressure. One study showed that walking barefoot on pebbles is especially effective. Why is that so? The more uneven the terrain is, the more muscles you use, and the greater is the relaxation effect. • Get enough sleep. Sleep deprivation leads to more stress, and stress increases blood pressure. Aim for being in bed around ten pm. Read for a few minutes, then sleep in darkness, with open window, whenever possible. Grandmother’s advice that sleep before midnight counts double sort of bears out in modern circadian rhythm studies. • Meditate if your stress level is high. Or do woodworking, or play a musical instrument – any hobby that absorbs your attention wholly and makes you happy has a good de-stressing effect. Even just listening to soothing music lowers your blood pressure. • Drink enough water. Salt does not seem the main culprit (but it does not hurt to ditch all processed foods – which are notoriously high in salt), but not drinking enough is. Aim for very light yellow urine. Dark urine shows that you are dehydrated (unless there is a kidney/bladder problem). • Keep your relationships in order. I am all for a good fight if it is necessary. But an unhappy relationship will break your heart – with or without high blood pressure. • Reduce screen time – TV, Twitter, telephone and Internet. All overexcite your brain. Be yourself – find quiet time often. • Eat a diet high in vegetables and herbs. Plants contain thousands of chemical compound which all conspire to keep your blood pressure low. Eat meat but only organic (or from a farmer whose agricultural practices you trust). Have plenty of good fats like organic olive oil, coconut oil, cultured butter – fat is not the enemy. • Slowly move toward your ideal weight by eating less sugars and starches. Avoid artificial sweeteners, too. • And if you insist on a pill, let it be herbs (it may be advisable to work with a good herbalist – or a doctor who know herbs): o Stinging nettle o Linden o Olive leaf o Yarrow o French Lavender o Cinnamon o Cat’s claw o Hawthorn o Celery seeds o Garlic o Cardamom o Basil And so many more! Some may go into your food as spices when you cook. Actually, cooking every evening from scratch might be the best course you could take: It will relax you after work and absorb your attention – and it will heal you body that gets high blood pressure from the pressures and habits of modern life. In 95 percent, hypertension is a lifestyle issue; only in five percent, a serious medical diagnosis (kidneys, endocrine) can be made. If high blood pressure stems from wrong lifestyles, I suggest we replace it with better, healthier, more joyful lifestyles. Read More