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

Desperate Skin – Psoriasis

Twenty-five years ago, my husband suddenly broke out in a rash: His fingertips were raw and started bleeding whenever he touched something - like buttoning his shirt. When he went on a trip to India, he could not carry a suitcase, but traveled with a backpack. When he came back, the rash had intensified, and I worried about him becoming despondent. He consulted a dermatologist who told him he had “dermatitis” and prescribed a cortisone cream. “Dermatitis” means “inflammation of the skin” – duh! He was told these skin rashes would come and go, there was no known cause; he just had to live with it. It is hard to live with leaving a trace of blood on anything you touch! The cortisone helped some. But the rash always came back when he stopped the cream. In his desperation, he went to half a dozen different skin doctors. The pinnacle was when a well-meaning friend gave him, as a present - a visit to a hypnotist. We should have known hypnosis wouldn’t work in a hard-core scientist … Our friends thought it all was psychological: We were pregnant at that time, with our son, and the easiest explanation was that becoming a father was stressing my husband out. We could not really see the stress, as we were giddy with joy and anticipation. But it was true that the rash had appeared during our pregnancy. For three years we tried to figure out what was going on, talking about it at nearly every dinner. Then one day I noticed that new plaques had appeared on my husband’s elbows. It seemed clear now that he had psoriasis. – At the same time he thought he observed that the rash on his hands always got worse when he used shampoo. I made him ask his dermatologist for a skin testing, to look for allergies, and a biopsy, to confirm the suspicion of psoriasis. The doctor said there was no reason to do either. But because I was a colleague, the tests were done. The biopsy confirmed psoriasis. The skin testing showed a whole angry area of patches – all related to spices: vanilla, cinnamon, cloves, bay leaf, curry, citrus peel and benzoic acid (a preservative). And balm of Peru – the fragrance that is in many cosmetics, including shampoos. As a physician, I was all excited: Here was a case of psoriasis triggered by food allergies! Never in medical school had I heard of a connection between skin disease and nutrition! I talked with several dermatologists – none of them got excited. They flatly denied there could be a connection – even in the face of the biopsy and skin test results! Slowly it dawned on me that no dermatologist has any incentive to really cure his patients – as they then would be lost as patients. We, however, implemented a new diet, leaving out the offending agents, and in no time my husband was healed. We even figured why the rash had first appeared during pregnancy: I was in the middle of residency when I got pregnant – which is usually not considered a good time for expanding your family. Because I was more tired, I cooked less and we went out eating more often. Just across the street was a tiny Indian restaurant; we became nearly daily guests there. And curry (probably the turmeric in curry, actually) was one of the problems. In the long run, being forced to always cook from scratch I have helped the health of our family tremendously. Our son grew up knowing about the importance of fresh foods, and even turned out to be a dedicated cook! Natural Medicine has long maintained that many diseases stem from the gut. We have basically four eliminating organs that might get rid of toxic matter: the kidneys (urine), the bowl (feces), the lungs (exhaled breath), the skin (sweat). Often the skin mirrors the health of the intestines: My husband’s body tried to get rid of the spices he was allergic too, and expelled them via the skin – which showed as a rash. Using cortisone cream only suppresses this natural way of detoxification, and pushes the problem underground – until even the internal organs are getting diseased. Never think that a skin disease is just a skin disease: The inflammation in your body might become visible in the skin, but the inflammation happens everywhere. A study showed that psoriasis sufferers have more strokes, heart attacks and cancers! It does not surprise me. But it might surprise the seven and a half million people who suffer from psoriasis in this country. For most of them it would already be curing if the eliminated all dairy products and excessive alcohol. And nobody tells them … Of course, what is true for dermatologists is true for other specialties: Cardiac death is going down – not because of procedures cardiologists are doing but because people are paying more attention to what they eat, and they exercise more. – In obesity, the answer will not come from a little pill your doctor gives you, but from you moving around more and letting go of junk food. – Is your dentist interested in you having healthy teeth and gums – or is he interested in keeping you as a patient? – Veterinarians sell now “scientific” diet for your pets. But can that manufactured food compete with the food you cook yourself at home; I doubt it. Because that food is made for long shelf life and profits, not with the health of your cat or dog in view. – Your depression – does it warrant a pill and you being a patient instead of a vibrant, alive person? Would you do better talking with a friend about your problems, getting out of a sour relationship or dead-end job, nourishing your brain with fresh vegetables and getting up from your sofa and ride your bike? In the last years, we have seen some physicians incorporating alternative methods into their mainstream medicine practice. Acute problems like a broken bone, an appendix threatening to perforate or a cancer definitely need a skilled conventional practitioner. Chronic problems, on the other hand, that have developed over years from had lifestyle choices – arthritis, diabetes, obesity rank high among them - do remarkably well with changes in lifestyle. No surprise there … I am not saying that every problem goes away with better nutrition, exercise, cold showers, green herbs and more sleep. But you will be astonished how many problems will vanish into thin air. Give it a try! And don’t you worry that I am throwing out all conventional medicine! Today I am seeing my conventional dermatologist for a checkup. But I know what she can give me: expertise. Not my health. On my health, I have to work myself. Read More 
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Vegan And Vegetarian – Again

We are, by evolution, omnivores, my friend. Way back we ate grubs - be pleased that I don't do that anymore. But I would, in a starving situation. If I don't eat meat once in a while, I get weak - I tried it. I am small and slim (BMI around 21). Meat is on the table about once a week. Fish three times, vegetarian three times. Occasionally, I do vegetable-broth fasting for detox. I cook and eat several fresh vegetables every day. I make green smoothies every day. But my body tells me that it needs meat and fats (good fats, like coconut, olive, duck). If I don't eat fat, I get voracious and crabby. Besides, I have the same weight since age twelve ... I must be doing something right. Having kept my weight (except for pregnancies - I gained twenty pounds with my daughter, and forty with my son, bouncing right back to my normal weight immediately - umh, with some attention and work) all my life, of course, disqualifies me to dispense advice - because overweight people think it is sheer luck that I am slim. I have a chubby sister and a heavy brother (I love them dearly – and worry about them); I have one slim brother - no, it's not genes! - he is the one who commutes by bike and ran a marathon. My basic idea about nutrition is that we all are coming from different ethnic, geographical backgrounds and therefore really need slightly different foods. What works for me, might not necessarily work for you. What we don't need, however, is industrial junk labeled as "food". But: In nature, there is no "vegetarian" or "vegan" animal, really. A cow in the meadow gobbles up tons of insects with the grass it is eating. A lion, when devouring its prey, goes for the stomach contents first - which contain grasses and grains. We all belong to the same living web. Our brains don't make us superior, or different. Thinking you should be "vegetarian" or "vegan" does not make you so; it does not alter your evolutionary make-up and the ancient requirements of body … and spirit. Lastly, having said that, I am compassionate for the animals who will die for me. The rare times I eat meat, it is organic, grass-fed, free-roaming, preferably local. The animals should be kept humanely, and killed swiftly. I say a prayer over each fish or flesh that goes through my kitchen - not a religious prayer - a prayer of gratitude. Read More 
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Congee and Beans

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 
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