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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Cat Food
August 15, 2010
This morning I marveled at Otto’s silken black fur and how he has changed in ten short months into a purring bundle from a frightened, grimy cat with dander flying all over the place. I got him from a shelter last October, after our last cat Rivka had been carried away by a Maine eagle – or so we think; she left no trace.
The first thing I did was to add a capsule of fish oil (prick the capsule and dribble the fish oil over the food) a day to his food, for a month, against the dander.
I am not a veterinarian but, like humans, cats are part of nature and thrive on natural foods. Canned and dried foods are unnatural and unhealthy for our pets (all this applies to dogs too, but I don’t know much about dogs. I would think that dogs can handle a slightly higher portion of vegetal matters in their diets). Why do we have so many cats with diabetes, obesity, kidney failure, thyroid disease? It is not only that we over-feed our pets; diseases also stem from unnatural, stale food with ingredients that are alien to cats. In the wild, cats are predators with a predominantly fresh meat diet.
Only when we travel does Otto get canned or dried food. Once in a while, he gets a few dried morsels when he is good. The fresh food I cook for him, I freeze until it is used. This is what Otto eats twice a day:
• Meats. Buy something cheap like chicken, turkey, beef, not too fat. Preferably two different kinds. No bones.
• Liver. If I forget the liver (which I have at times), Otto sulks. Usually I get chicken livers. Make sure they are not yellow. Yellow indicates fatty liver - a liver disease.
• Fish. Any ocean fish will do – I take what’s on sale. No bones.
• Plant matter: Either a handful or two of rolled oats. Or a small bag of carrots. Or a bunch of parsley. Or dill. The emphasis is on “or” - cats are no vegetarians; they need a little bit of plant material, but not too much.
Cook until the meats are very soft. Puree. Serve. Love your cat. Read More
Vegetarian? Vegan? Omnivore?
August 13, 2010
We had this before: I am not a vegetarian. Not because I don’t like animals or because I don’t care for the Earth. No, because I am a pragmatic person. I eat what my body needs.
If you ask me what my body needs, my standard answer is: vegetables, vegetables, vegetables. But we need more than vegetables. We need some fish, and occasionally even some meat. Some eggs will do, too.
Vegan or vegetarian food is a great way to cleanse the body after too many years of bad nutrition. People who have switched to vegetal food often remember how wonderful they felt that first month after the change - and therefore are reluctant ever to go back to meats. But after a month or two, deficiencies slowly set in.
As a doctor, I am familiar with vitamin B12 deficiency in vegetarians and vegans. It is a big problem. Because without vitamin B12 one gets anemia (low count of red blood cells) and dementia. The brain needs vitamin B12 to function. The sad fact is: If you are vitamin B12 deficient and replenish with that little red pill (or shots from your doctor), your anemia will vanish – but the brain damage is done: The marbles you have lost, you will not recover because dead brain cells don’t come back.
Vitamin B12 deficiency is a pretty good argument for a doctor not to be a rigid vegetarian. But for people who have not seen the effects of a tiny vitamin lacking, it means nothing.
So, here is another argument: We all know that the animal world is divided into two groups: herbivores and carnivores. The first eat greens exclusively, and the others are carnivores – predators that feast on other animals. And, sure enough, there is a third group, the omnivores; they eat everything that comes near their snouts, and pigs and humans are their most notorious members.
Come to think about it: A cow in the pasture munches on grass, solely, right? Wrong! A cow eats tons of insects, caterpillars, ants and butterflies - creeping, crawling creatures that land in their stomachs by accident – and are put to good use. I heard this story (first-hand!): A young, inexperienced farmer kept horses and sheep in one meadow together. After lambs were born in the spring, she found – to her horror – that a horse had smashed a baby lamb’s skull and licked up the brains. This happened not once but twice. She talked with an older farmer, who looked at her with pity and gave this piece of advice: “That’s why you don’t put out horses and sheep together in the pasture.”
Conversely, when a carnivore catches its prey – let’s say a cat a mouse – they eat it whole, including the stomach contents which contain grains. Lions are known for seeking out especially the stomachs of their victims.
This means that the concepts of strict herbivorism or carnivorism are myths: All creatures need both sources of nutrition (albeit in different proportions) – and seek out what they lack.
On our planet Earth, we get our energy from the sun, and from the plants that convert sun energy into sugar and starches – that is how we are nourished, by photosynthesis. Interestingly, carnivores usually don’t hunt other carnivores; they prefer herbivores. Why? Because the meat of herbivores has been grown on an herbal diet. Even carnivores cannot get too far away from the power of the sun in plant materials. And that, by the way, is the reason we usually don’t eat carnivorous cats and dogs but prefer rabbit, cows, game, lambs. And it might be one of the reasons in Jewish traditions for “forbidden” foods: pigs, shrimp, lobsters, and so on – animals that are carnivores or scavengers (eating dead meats). They are too far away from the green source of vitality. And so, by the way, are cattle that are fed corn: No greens strengthening their meat.
One last thought: So, which are the healthiest meats around? Americans seem to think that chicken and turkey are the best – as if chickens and turkey are not animals. From a nutritional standpoint, poultry are only marginally better than beef, for instance; they also contain unsavory animal fats, especially if they are grain-fed and from a commercial source. In a normal supermarket, the healthiest meat actually might be lamb. Lambs are born out in the meadows; they eat grass all their lives, they are not fed grains and are not treated with antibiotics, and so on. Then they are harvested.
Rule of thumb: Eat vegetarian three days a week, fish or eggs three days, meats one day. No deli – ever.
Sorry, if this is a bit graphic. But even if you close your eyes to not see it - the fact is that animals die so that we can eat; meat is not concocted in factories and comes shrink-wrapped and cooled. Let's make sure that the whole operation - from raising animals, keeping them, to slaughterhouses - is run as humanely as possible.
For every animal I prepare in my kitchen – including fish – I say a prayer. To thank this being that died so that my family can be fed. Read More