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The Wolf That Ravages - Lupus
July 31, 2011
Lupus is Latin for “wolf” - an apt name for a disease that may maul your skin and inner organs relentlessly. Lupus is a group of autoimmune diseases that can affect skin, joints, blood, brain lungs, heart, and in its most feared form the kidneys, leading to kidney failure. One interesting picture produced by SLE (Systemic Lupus Erythematosus) of the brain can be an obsessive-compulsive-like disorder.
Autoimmune diseases – with all our scientific advances – are still not thoroughly understood. From experience and the literature I would consider the following steps if I were afflicted with lupus – which I am not.
1. Eliminate all dairy because casein seems to be hurting badly in lupus. Do not eat butter, cream, milk, yogurt, cheese, or any food with dried milk ingredients. For instance, “milk-free” cheese still usually contains casein. Since lupus is basically a disease of chronic inflammation in the body, it is wise to throw out all foods that contribute to inflammation – and dairy is the worse in that respect. Sugar and artificial molecules come in second. And food items you already know don’t agree with you (allergies and intolerances). Of all those, dairy has been consistently been linked with lupus and other autoimmune diseases.
2. Fish oil. Take good-quality fish oil capsules daily, about three times three. Make sure you don’t have a bleeding problem because fish oil slightly thins the blood. Also eat small ocean fish.
3. Flaxseed. If you don’t have a nut-and-seed problem, flaxseeds have a healing quality in lupus. Use olive oil for cooking.
4. Vitamin D or sunlight is beneficial in lupus, but photosensitivity (skin reactions to sun) is a prominent feature of lupus. What is a person to do? If you can’t tolerate light, take a vitamin D preparation or eat cod liver once a month.
5. Eliminate soy unless fermented. The reports about soy are not clear – sometimes soy hurts, sometimes it helps. This might have to do with two facts, namely that unfermented soy is not better than any other bean, and might even be worse as soy is one of the new mono-crops of gene-manipulated seeds. GMO are linked to lupus by some authors. On the other hand, fermented soy has done well in all studies. Miso, a good soy-sauce and tempeh are fermented soy products; tofu and the “nutritional” bars are not.
6. Caloric restriction has been shown to delay the onset of lupus. That does not mean you should starve yourself. But if you are overweight – even if ever so slightly – you should seriously focus on losing the extra pounds – which might actually happen all by itself if you eliminate dairy, sugar and other junk foods.
7. Herbs. There is a long list of herbs and plants helpful in lupus. I would not recommend any one over any others. And obviously, there might be other herbs and pants beneficial. For me it means that plant material – the way we should nourish ourselves naturally – is the way to go. So, eat a variety of vegetables. And from the list below chose food items, herbs and spices freely in your cooking. For medicinal herbs, chose one at a time and take it according to directions, until the bottle is empty, then choose another one:
Alfalfa sprouts
Antrodia camphorata (a medicinal mushroom)
Apples
Astragalus
Basil
Brussels sprouts
Bupleurum chinense (and other Buleurum species)
Celery
Chamomile (Chamomilla recutita)
Cilantro
Clover
Cordyceps sinensis (a medicinal mushroom)
Curcumin (in turmeric and curries)
Gentiana macrophylla
Green tea
Legumes (beans, peas, lentils, garbanzo)
Lotus flower (Nelumbo nucifera)
Mugwort (Artemisia vulgaris)
Oregano
Parsley
Pycnogenol (French Maritime Pine bark extract)
Rheum emodi
Royal jelly (a honey bee secretion)
Sophora flavenscens
Spinach
Tarragon
Tripterygium wilfordii
Wormwood (Artemisia absinthium, notoriously bad for the brain – absinth! So consult an herbalist for this)
8. Vitamin E and DHEA have been beneficial in lupus, but I would not take them without consulting a physician because both may have side-effects.
9. Avoid mineral oils (lipstick, lotions, creams, etc.) as mineral oils have been implicated in the development of lupus.
10. Certain vaccinations, especially hepatitis B, have been brought in connection with lupus. The jury is still out on that – but think twice before you get an unnecessary vaccination.
11. Exercise moderately.
12. Do sauna regularly for detoxification. Take a cold shower after a hot one to regulate your immune system.
13. Get enough sleep. Your body needs to repair during sleep.
Lupus might be what I like to call the canary diseases: Certain foods and lifestyles hurt all of us. But in some – the canaries – the damage shows earlier. Read More
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Varicose Veins - Phlebitis - Thrombosis
July 29, 2011
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
China Ramblings
July 18, 2011
We are sitting somewhere between Tibet and Mongolia in a remote place – Lanzhou - and waiting for our air plane that is delayed for hours ... Of course, we are having fun anyway. Our Chinese friends put together a new trip, with only three days notice - and it turns out wonderful - perhaps even better than the originally planned Tibet trip. We are visiting places along the Silk Road. Anyway, there are so many Tibetan temples here - it feels more or less like Tibet.
Remote place – don’t think “quaint”. China is so modern now, Internet is everywhere, and even the ancient Tibetan monasteries and old-fashioned stores are equipped with every new gadget – the monk this morning had a portable speaker phone to be able to address the crowd of tourists.
One thing about China: The Chinese work very hard, most of them – and driving through the country, one can see it: Tons of construction everywhere. They transport sand and stones – they don’t build one house – they build a whole village or a part of town. Hundreds of little stores along the main roads of a town, and many are producing, not just selling.
There are so many Chinese – and the need to feed the family is pressing. But they seem less stressed than we are, and always ready to smile and laugh - or is this only a superficial impression by a visitor who cannot see behind the faces? Because they are only allowed one child, they cherish that one child. To the point of spoiling - as some observers claim. As a rule, Chinese have not yet much time for entertainment. Their lives are work and family, it seems. Except for a little fireworks on Sundays …
On our first night in Beijing, I ate duck tongue. It is not a delicatessen. It arrives on the table because Chinese people eat everything and they let go nothing to waste. The duck is slaughtered not for the tongue, rest assured. And how does it taste? Like some tiny bit of dried meat on a stick – surprise, surprise: a duck tongue has a bone – or at least something that feels and looks like a bone. I won’t eat it again.
I also ate sea cucumber soup – and that was delicious! I had first eaten it years ago in Brisbane/Australia, and I still like it.
Last night, in the area occupied by the Tibetan minority in Gansu Province, we had dinner in a large gazebo, open to the grasslands and the sunset. First a tea was served with green tea leaves, Chinese dates (which are not really dates) , a sort of dried logan, and bits of candy sugar – an auspicious beginning for a long meal that lasted for hours. A Chinese meal is shared. Everybody sits around a round table with a lazy Susan. The dishes turn round and round, and so are stories and laughter. We are traveling with friends and their family – what could be better?
The temperatures in the Grasslands are extreme: At these altitude, it is very hot during the day, rather chilly in the evening, cold at night. This morning I took a cold shower – briskly cold.
Oh, and Chinese toilets. The toilets are supposed to bring you own. Chinese toilets are holes in the grounds. They have three important advantages:
• They can be kept cleaner than a Western style toilet because one doesn’t touch anything.
• They are more physiological: The squatting position furthers defecation.
• And one gets extra exercise by being forced to squat – it keeps Chinese people nimble in their hips and strong in their legs.
One more story about food: In the grassland I walked up to a parked truck filled to capacity with yaks. They were either a smaller kind, or not yet grown, about a dozen of them, with long rugged hair. I talked to one yak – he was frightened and sniveled and it broke my heart – these beautiful animals on their way to be slaughtered.
Like many of us, I am of a divided mind: I feel with the animals – but I also want to eat. As a physician, I know that many people become depleted in vitamin B12 if they avoid meat, fish and eggs. Personally, I could never be a vegetarian because I get weak after a short time and need some meat – about once a week. At our home, we have frequently vegetarian meals – just not always. – And for the record and the truth – yes, I ate yak meat that very evening because that was what we got served, and I was hungry after a day of sightseeing.
This is the human predicament: We want to do better, but we cannot totally avoid to kill other beings for our own benefit. At least, we should face the suffering we are inflicting, keeping it to a minimum by reducing meat consumption – and say a prayer for every non-vegetarian meal we are having.
We also had the famous nomad tea with yak milk. Whenever I had read about it, the milk was described as rancid. Ours was not – it was a pure, satisfying drink. – On the other hand, we had plenty of rancid yak butter fragrance in our noses today because that is what they make candles out in the monasteries. People bring that rancid butter as a tribute, it seems, plus money.
Last thing for today: The high meadows in the Grasslands are of exquisite beauty. Their wild flowers are full of aroma, and the grass is indescribably fresh. The nomads use it for their horses and yaks – they look so proud on their sinewy horses! I am aware that we come in just as tourists, but the nomads live off the land in a gentle and conserving way – and when most civilizations will have fallen down because we have exploited our good old Earth, these and other nomad people have a chance to repopulate the Earth in a new and better way – hopefully. Read More