If I would decide how hospitals are governed (and I don’t), these would be important points for me:
1. Food: Thy food be thy medicine – and vice versa – Hippocrates said. What is served as “food” in hospitals these times, is mostly abysmal and just goes to show that conventional medicine is not interested in really finding out the root cause of disease. In many cases, it is nutrition, stupid!
2. Cafeteria: Same for the place where all the visitors come and eat. It could be an educational experience, instead just another gorging with inferior foodstuff, filled with chemicals, trans-fats, sugars and dairy.
3. Quiet: When I was a child in Germany, and my father was a doctor, he used to take me on his rounds. Hospitals then were very quiet places. The nurses (often nuns) would walk on their rubber soles like on cushions, and they spoke with low voices. The doors to patient rooms were double doors – the patient had privacy and quiet.
4. What hasn’t changed much: That the hospital routine is not geared toward patient recovery but to a ward schedule convenient for doctors and nurses: Then as now patients are pulled out of sleep to measure their temperature or draw blood tests at four am. I would like to see more concern for the patient’s wellbeing than for the organization’s.
5. No TV in patient rooms: My guess is that at least seventy percent of all illness is self-inflicted. It used to be that being in the hospital was a time for contemplation about what brought one there. Not any longer – as TV is squeaking and squealing day and night.
6. Conventional and complementary medicines are BOTH used. There should be no bias toward the one or the other – what has been proven to work should be applied: Hydrotherapy, movement therapy, food, herbal medicine and art, music, journaling, acupuncture, massage, and so on – they all should be used to make patients better. As they are in most European hospital. And paid for by national health insurance. And, no, they are NOT going to be broke …
7. More cleanliness in the facilities. More cleanliness of the patients. Used to be that hospital were spic-and-span places where you could eat from the floor; not any longer. Instead of on cleanliness we trust in antibiotics – to our detriment. Same with patients’ cleanliness: Used to be that nurses washed the patients daily; not any longer. Nurses have gone scientific (necessarily so – but who is now responsible for caring?); the paperwork has become overwhelming. Housekeeping has been out-sourced. And simple ideas like a washing and cleaning have become obsolete. But hospital infections are skyrocketing.
8. More friendliness and caring toward the patient. The patient has become a moneymaking device.
9. Less care and resources to be spent on very old, very sick people in their last days of life – more on pediatric and under-served populations. DNR (Do Not Resuscitate orders discussed with every patient and/or every family). It will lead to savings of money and will allow people to die with dignity.
10. In medical schools, only half of the students should be A+ nerds; the other half should be people who really want to become doctors and patient advocates from all walks of life. We need very brilliant students because they push medicine’s frontiers ahead. But we also need caring primary care physicians. And putting them together in medical school will hopefully lead to a dialogue between them.
As I am thinking more about this, I might come up with more ideas. What would you wish to implement in the hospitals of the future? Read More
Blog: On Health. On Writing. On Life. On Everything.
Listen To Your Body
October 29, 2011
A stalk of Brussels sprouts survived in my fridge while we were traveling to the East Coast. Last night, I suddenly had the vision that I would like to eat those green little roses – and of all things with raisins!
No clue where it came from. The sixth sense? But I knew I had to get up a bit earlier this morning to actually cook this strange breakfast for myself. Since the nearly twenty years I don’t indulge anymore in the ubiquitous müsli or cereal breakfast, I usually eat dinner left-overs or open a can of beans, throw in a handful of fresh or dried herbs, pepper and salt, and some olive oil – it is a fast meal, but no junk food.
At this point in my life, I take my gut feelings seriously. So I browned two large onions in coconut oil before I added the Brussels sprouts rosettes and a cup full of raisins. I let it simmer with some pepper and salt, until the rosettes were soft and the raisins plump. It was delicious – why had I never thought of adding raisins to this dish? The taste mingled the sharp black pepper and the sweet raisins to a new experience. Usually I serve Brussels sprouts with a good sprinkling of nutmeg.
Why do I take my hunches seriously? Because I figure my body wants to tell me about a slight deficiency. Of course I don’t follow hunches for marshmallows and M&Ms, because they are not natural – although I might turn to dark chocolate if I had a craving for something sweet.
Nearly thirty years ago I followed a hunch to visit a certain museum – five hundred miles away. And through that museum, I met my future (and now) husband … but that is a different story!
Why do I bring up something as unscientific as hunches?
Because daily we are bombarded by health news and scientific breakthroughs and advertisements for new super-foods – it is hard to find our way through this maze of information. I early on decided that I need to see – and feel – the difference in my body, my mood, my soul before I believe any new health hype.
For instance, I always craved more fat in my diet than medical wisdom allowed me to eat. It always seemed that my brain did not function well without enough fat – and I am talking good fats here, mostly olive oil. At that time, I was still timid and told my patients to stick to the official line in conventional medicine, namely to cut out fat. But secretly, I bathed my vegetables in all the fat I desired.
And interestingly, it was me who kept her weight since age twelve, not the people who had been advised differently. I was the one who weighed herself every day on a scale – contrary to what medicine was teaching at that time.
So, now, when you take a new supplement: Do you take it because your doctor/your herbalist/your acupuncturist/your friend/your newspaper told you so? Or because you feel suddenly so much better than before?
Over the years I found out that rarely do I feel better with ANY supplements. Exception are the phytogens (female herbs) by GAIA which I gave been taking for many years now. But I do feel better when I take my daily cold shower (or my daily laps across the pool), when I eat less at dinner and nothing thereafter, when I do moderate exercise throughout the day but feel miserable in the gym. I feel good about myself when I drop a small coin into the hand of a homeless veteran, but feel shabby when I argue to myself that he probably is an alcoholic who deserves his fate (nobody deserves that fate!!).
Over the years I found out that vitamins and homeopathy don’t do anything for me, but freshly cooked meals do. That leaving out dairy cured my asthma, and improved my osteoarthritis vastly. That I need about double as much sleep as my husband, and that I definitely need my small thyroid pill after half of my thyroid was taken out years ago. Without that tiny pill I turn into a nagging bitch (as my husband found out!).
Mind you, I don’t give in to silly cravings like drinking a ton of booze. But the occasional glass of wine seems to be fine. And when I was pregnant, I took very seriously my sudden hankering after lobster, and made my husband drive to a seafood restaurant late at night!
When one turns vegan, most people feel wonderful, initially. Because it is a cleansing diet, after the overload on meats, delis and dairy products of the Western diet. But do you still feel wonderful after a few years on this diet? Or do you believe the vegan ideology more than what your body tells you? Do you feel great after an all-you-can-eat buffet, or do you feel like a stuffed turkey? Do you feel great after a diet coke, or do you have the lingering suspicion you might be addicted to the aspartame and caffeine? Do you feel good after a triathlon, or do all your joints scream?
The big problem of course is that our brain can make us believe what we want to believe, deceivingly. It takes years of practicing your hunch skills before you can trust those wild notions coming out of nowhere. After all, there is something like the placebo effect, which may make you feel good erroneously – at least for a time.
But nobody else can answer the question “How are you?” – except you. Because every body is different, and only you can feel how you are. As my friend Roanne Weisman puts it: Own Your Health!
And, hey, I feel perfect today after Brussels sprouts with raisins! Read More
Invasive Plants 4 – Bindweed
October 17, 2011
We all love morning glories, those blue-purple trumpets that open in abundance in the morning, then fade during the day, only to display a new crop of blooms the next sunny morning. But we all hate field bindweed. Yet, the two are closely related.
The family relationships of morning glories and bindweeds are exceedingly complicated – kind of like trying to figure out how Uncle Ernest is related to Grandma’s sister. Bindweed is Convolvulus arvensis, and the most common garden morning glory is really an Ipomoea. Some bindweeds are in the Calistegia family, but there are even more genera involved in these twining, flowering trumpets.
Let’s say you and I know what a morning glory is: a dazzling, desirable plant in the garden. And its lowly cousin, the bindweed, is a curse.
It is not that bindweed is ugly: Their trumpets are usually a bit smaller and often just plain white. But some have a blushing rose painted in, and could well compete with the showier morning glories if they were not so – well, invasive.
The pop up everywhere and vine themselves around your dahlias and daylilies and whatnot, and smother them. Just when you have hacked the vegetable patch, only days later their peep up again, and show you that all your work was in vain.
It comes out of the ground so dainty and harmless – but don’t be fooled: Scattering their seeds is only the small part of it. Worse is that the teeniest bit of root left in the ground will sprout a whole new plant in no time. That feature makes them a weed – and a weed that in all likelihood won’t be eradicated for good from your garden (or mine).
If the taxonomy and names of morning glories and bindweeds are confusing, so are their origins. Roughly one can say the showy garden morning glories come from the New World, especially Mexico, and bindweeds are Old World inhabitants. Bindweed was introduced to Virginia in the 1700’s, and rapidly spread from there. There is a Mediterranean variety called scammony (Convolvulus scammonia), used as a medicinal plant in Syria.
Bindweed and is mildly poisonous; “mildly poisonous” means you likely will not die but will be sick as a dog and you wish you were dead. Nevertheless, the Aztecs used it as a hallucinogenic – I don’t recommend trying what the Aztecs tried though. Suffice to know that Angel’s trumpet is a relative, too – all morning glories should be handled with caution. Literally handled: Some species, particularly in the subtropics and tropics, are so poisonous that mere contact can make one sick. Livestock might be poisoned, especially by the white roots, if for instance swine dig for the roots.
With all its nauseating toxicity, bindweed has been used as a medicinal plant: A tea from the flowers is good against infections and fevers, and also works as a laxative. Perhaps, to discourage its use, I should call it properly a drastic cathartic, which what it is. It is a cholagogue, meaning it induces the gallbladder to push out bile into the bowels. Nausea and cramps surely are some of its side-effects.
The herb has been laid on festering wounds and promotes healing. But unless you are in bind – umh! – I would prefer comfrey and aloe to heal wounds because we don’t know well enough how much of the bindweed is taken up through a skin sore.
And lastly, bindweed is being investigated as a possible cancer drug. It seems to be an angiogenesis inhibitor, meaning it does not allow a growing tumor to vascularize itself (growing the necessary blood vessel to feed itself) – thus, the cancer is starved. But it sound more straightforward than it is – again, I wouldn’t try this at home.
Bindweed, invasive and frustrating. But it might have its redeeming sides. Nothing on which we should use Round-up (which we should use on NOTHING!!) – just investigate its usefulness. Read More