The Chinese New Year begins today – time for miscellaneous thoughts and new resolutions! 龙年快乐 read character by character, means “dragon year happy happy” – pronounced long nian kuai le. What I find fascinating is that both “happy” terms are spoken with a down tone. In my ear that double happy-happy sounds less than a Western easygoing, lucky-feeling happy but grimly determined: You better be happy – or else! I might be over-stating it, but to me the Chinese kuai! le! shows perfectly the difference in the Chinese approach to ours: We expect happiness, well, to “happen”, for instance in a relationship. The Chinese know it is hard work … Just finished the Scripps Conference on Natural Supplements here in San Diego – taking advantage to me being right here in California (for only another week now!). Here are some thoughts I am carrying home from that wonderful conference: • Listening to the results of modern science (the conference was for physicians and health practitioners and the talks were evidence-based – using modern science; no touchy-feely mumbo-jumbo). It seems, my thoughts on health have well held up during those many years I am thinking about what our bodies and souls need. The only point where I am more radical is in fat consumption: Most health practitioners are still fat-phobic. I am not talking bacon dripping fat, ice cream and cream puffs here – I am talking olive oil, coconut oil, fish oil, and never say no! if somebody puts foie gras on your plate – it doesn’t happen that often! - George Bernard Shaw (1856 to 1950) had this to say: “No diet will remove all the fat from your body because the brain is entirely fat. Without a brain, you might look good, but all you could do is run for public office“. • Let’s correct that touchy-feely part: Turns out, we alternative practitioners know that body and soul belong together, and at the conference there was a healthy amount of hugging, laughter and tears going on. Because if one thing has become clear – through our old failings and brand-new science: One can’t go it alone. As a physician, I need like-minded colleagues; as a fat person, you need friends, family, community around you to make a dent in your weight – or whatever health problem you are tackling in the moment. • Obesity is a good guess of mine because, firstly, now more than a quarter of Americans are grossly overweight – half are only overweight - and all conditions that physicians usually label as single diseases are coming together: heart disease, diabetes, depression, arthritis, obesity (Mark Hyman called it aptly “diabesity”), cancer – they are ALL ONE, namely a wrong lifestyle. Wrong food, heavily subsidized and advertised by your own government, with your own tax dollars. Time to take matters into your hands and “own your health”! “Own Your Health”, of course, is the title of Roanne Weisman’s book about alternative medicine. She wrote it after overcoming a stroke with the help of many different alternatives, after mainstream medicine had told her she would stay disabled and had to adjust to it. Boy, were they wrong! • The old excuse that it is “all in the genes” cannot be used anymore. Yes, a lot of your weight might be determined by your genes – but only if you allow it to be so. The new science of epigenetics teaches us that genes can be switched on and be switched on – and guess, who does the switching? Your food does it, and you moving your butt around, that does it. Isn’t it marvelous? • It takes a village to raise a child – you have heard it. It also takes a village, or a tribe, or your church group to change your health habits. Line up with a friend to start walking during lunch hour – five minutes in one direction, five minutes back. And be part of the solution, not the problem: Whenever you bring cookies or brownies or a potluck – don’t go to the old recipes! Explore new options without sugar, dairy, white starches. I always see that deviled eggs are the favorite of everybody – and they is nothing wrong with eggs, especially if the are organic, from free-walking hens. Bring cooked greens with olive oil and garlic, pepper and salt – they are delicious cold or hot! Educate your friends – don’t give in to their sugar-icing cravings! They will thank you. • If we would not eat alone and always at a table (not in the car, not in front of TV, not in bed), we likely would be slimmer. In olden times, if you grabbed the biggest piece of meat, your mom would slap you and say: “Don’t be greedy!” If you asked for your fifth pancake, your grandma would say sharply: “Now is enough, dear!” And since nobody catered to their little hurt feelings, children found home less congenial than the outside and their friends. We always asked if we could go “outside” – whatever it was, it was not inside with the parents (your parents made you uncomfortable because they always wanted to prepared you for life), and it was not in front of TV, computer or game boy. When I was a child, our first TV came with a key – whatever happened to THAT technology?? - and we children could not even turn it on when the grown-ups were out working. Of course, we children soon figured out that the key was kept in the bar, behind the bottles. But it was a high-risk gamble – and TV was never half as exciting as our friends outside. We had one fat girl in class, in all of my thirteen years of school. And that poor girl, we all pitied her – but we wouldn’t play with her. • “This body is not a home but an inn, and that only briefly.” Seneca (4 BC to 65 AD) said that. I think we have to start talking about what is needed: That people take their own health in their hands. Your doctors can only assist you – not do the work for you. So let’s start by calling fat “fat” – no more pussyfooting around it; physicians have long enough colluded with patients and avoided the “F” word: “I won’t call you fat, if you stay my patient”. The health care system is falling apart under the burden of health care costs brought about by overweight people (don’t forget – I still am for a national health care system!), the Earth is brought down under the burden of too many people who consume too much, and all our wealth so far has brought us very little real happiness it seems – if we judge by how many people are on anti-depressants. • Bad news: Before you die of being overweight, the Earth might have died of pollution. Definitely, future generations – they are your kids, my kids, our kids and grandkids! – are in danger. Newborn babies have been found to have more than 200 industrial chemicals in their umbilical cord blood, right when they are born. The womb has not protected them. We are finding out the hard way that you can’t dump dirt there, and assume you are safe here. We all have only this one Earth – and do you want to be responsible for babies born with birth defects? Global warming is real – so is overpopulation and increasing environmental diseases. • And what do they mean by “natural supplements”? I am glad to report that they do not mean artificially manufactured vitamins or new-fangled molecules, but they promote (mostly – no industry is perfect!) clean, whole, fresh herbs preserved in a bottle of tincture or capsule as well as possible. And if you are waiting for that miracle pill that might do the work for you – dream on! Real health is work. And didn’t you know it: Being sick sucks much worse. Real health takes very little: A bit clean water, a few simple, fresh foods, a good night’s sleep – every night, a few herbs to treat little things early, abundance and walking and dancing and laughter with friends. Music, art, books. Ask more of this life just than a heavily mortgaged house, a car and a career! A happy, hard-working New Year to you! Read More
Blog: On Health. On Writing. On Life. On Everything.
My Neighbor Is Sick
June 22, 2011
My neighbor suddenly has abdominal pain – on the right, under his rib cage. Now there are many reasons to have that kind of pain, and he of course needs a check-up with his doctor – very soon. Today.
The doctor will hopefully soon find out what ails the neighbor - but here are some ideas. Because the other piece of information is that he has been on a diet for a while - a high-protein diet.
After having made sure he sought an immediate appointment with his doctor, I gave him a piece of my mind: No diet is a short-cut for good, healthy, everyday eating habits. “But I already lost eight pounds!” he said.
Eight pounds lost weight does not prove that one is healthy! It always puzzles me: People who would never feed their car the wrong octane fuel, seemingly give little thought to what is healthy fuel for their own bodies and thus constantly violate the laws of Nature.
These are the most frequent bad consequences of the ill-advised high-protein diet (and I have seem them all!):
• Constipation. The bowel needs roughage to function according to plan. Protein is digested more thoroughly than fiber, leaving little substance in the intestines lumen to push matters forward, which will lead to impaction can lead to a plugging-up of the whole plumbing system.
• Gallbladder inflammation (cholecystitis). High protein diets are often also high in fat, which may drive the gallbladder into overdrive. This can cause inflammation and/or move stones.
• Kidney stones. High protein can lead to kidney stones, especially in already somewhat compromised kidneys – which come naturally with aging. At any rate, drinking enough water is always advisable.
A high-protein in the long one has been shown to promote premature aging, high blood pressure, osteoporosis and cancer – neither of which plays a likely role in my neighbor’s present affliction.
Whatever he has, he needs to reassess what he is doing to his health. And I am sure after this scare, he will. We have talked about diet and healthy eating here often, so I can make this short:
• Vegetables, vegetables, vegetables!
• No artificial molecules (sweeteners, flavors, colors, high fructose corn syrup, preservatives, taste enhancers, vitamin-enhanced, iron-fortified, soft or fruit drinks, etc.).
• No dairy – because it is the most ubiquitous inflammatory and unnecessary food there is.
• No sugar and white starch; they are addictive and put the pounds on you.
• Have a modest intake of meat, fish and eggs.
In order to turn around your eating habits, it is useful to practice mindful eating – the way of slowly savoring and appreciating everything that goes into your mouth.
• Sit down at a table when you eat – set the table in a nice way, even if you are alone. Especially if you are alone.
• Say grace for your food - even if you are not a religious person. Because millions of people go hungry every day.
• Have no distractions – no TV, computer, cell phone, game, radio, newspaper, or book.
• Have no stress – avoid disputes at the dinner table. But have a lively conversation about important things in your life.
• Never ever eat in the car or on public transportation; teach your children that NOTHING can be eaten in the supermarket because it has not been paid for (and one should sit down for eating).
• Chew thoroughly; put fork or spoon down between bites.
The How you eat might be more important than the What you eat – at least for a while.
If you live alone, go back to the Tibetans Alternative: Where one eats one food at each meal, and rotates, instead of filling the plate with everything at the same time.
Whatever the neighbor has, let’s wish him a speedy recovery! Read More
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Irritable Bowel Syndrome?
September 6, 2010
In my thirty years in medicine, I have never diagnosed anybody with “irritable bowel syndrome.”
Not that I didn't want to make the diagnosis. But it always seemed to be the last resort - if there wasn't a better explanation for the patient's symptoms. And there always was.
If my patients came with the label, I quietly looked for a more appropriate diagnosis, mostly some kind of food intolerance and/or infections. And if they came with any of the myriad of gastrointestinal complaints, they deserved a thorough workup.
Food allergies: Physicians differ between food allergies and food intolerance. For the patient the difference is minimal: The only action that will help is leaving out the offending food.
Allergies are mediated either through blood – then they show up in blood tests. Or they are cell-mediated, which means they can’t be detected by blood tests; skin prick test is the way to go then.
If you usually feel good (or even just better) in the morning before you eat, food problems are likely. – Floating stools point to a food culprit, too.
There are rare and dangerous diseases, therefore a doctor should eliminate serious diagnoses. But this is what you can do yourself:
• Write a food journal. Everything that goes into your mouth should go in here – including beverages, pills and chewing gum. A pattern might become clear once you regularly record everything.
• In my experience, these are the most common food offenders: dairy, soy, nuts, gluten, corn – especially HFCS (High Fructose Corn Syrup), nightshades (tomato, potato, eggplant, bell and hot peppers), citrus, seafood, lectins, food colorings, preservatives, flavor enhancers (like MSG), eggs, apples and other fruit, chocolate (though probably less common than people think – it usually are the non-cacao ingredients that cause trouble), yeast. And don’t forget: prescription medication! Recreational drugs.
• Read labels! Of course, foods without labels – like kale and carrots – are healthier anyway because only processed food is required to be labeled.
• Has anybody in your family a bowel disease? You might have the same.
• Jot down pains, headache, heartburn, stomach ache, bloating, diarrhea, constipation, blurred vision, slow urination, skin rashes, blocked nose or ears,
• Don’t eat after dinner – and don’t have dinner late. The sheer bulk in your stomach may create the discomfort; besides it prevents the cell repair that should be taking place nightly – but can’t happen when your body is busy digesting.
• Are you very thirsty – especially during and after a meal? That might be a sign of a food allergy. Don’t suppress your thirst – this is how your body gets rid of the offending food: by diluting it.
• If you suspect food allergies, leave out the whole list above plus whatever you suspect for a week. Then one by one, every few days reintroduce another food from the list. – Sometimes only repeated exposure shows the problem – that happens mostly with cell-mediated allergies.
• Blood-mediated allergies are the quick ones – that can bring you to the emergency room - like peanuts. Never try to force your body into accepting any food that it doesn’t want!
• Slow allergies make you sick over time – by the chronic inflammation in your body. That causes for instance cancer in the long run.
• Take a probiotics regularly. I personally like Primal Defense (this is not an endorsement – only an idea to start with. Begin with a small dose, slowly take more. If a probiotic does not agree with you, change the brand.
• Most people benefit from fish oil – to counteract the constant inflammation that comes with food allergies.
• Chew well.
• Eat vegetables, vegetables, vegetables. Not only are they good for you – they also seem to cause fewer allergies.
• Serious runners suffer from a curious disease called “runner’s diarrhea” (about fifty percent of them.
• Obesity might be a sign for food allergies: We tend to crave exactly the foods that are worst for us.
• And most importantly: Don’t eat it if it hurts you!
Unfortunately, you can even have a bowel disease without any gastrointestinal complaints: About fifty percent of gluten intolerance (celiac sprue) patients never notice anything wrong with their belly. But they might have joint or back pain, diabetes, autoimmune disease, mental fog, depression – and a host of other problems. Read More