Medicine, for me, is a quest for my healthier self, and healthier patients. I am learning something new every day. In a way, I feel sorry for my patients of so many years ago – now, I think, I could help them so much better.
This also implies that you – the patient – could possibly be a step ahead of your physician, if you are trying to figure out what makes your body feel better and stronger and more awake, and happier. With the Internet, we all have more information at our fingertips, flawed and good information, for sure – but more of the latter. If you ask me.
Take for instance the stomach problems that plagued me when I was younger. Setting out with conventional drugs like H2-receptor blockers (Tagamet, Zantac) and proton-pump inhibitors (Prilosec, Prevacid) years ago, I at least got the problem under control. Then, twenty years the, I found that at the root of my heartburn and stomach aches were allergies: I left out the offending foods – and I dropped all meds, and never looked back.
Forward a bit, and I discovered probiotics – bacteria that are helpful for the intestines. They improved my bowels, and I took them faithfully for many years. I still recommend them to nearly every patient I encounter. Many studies link probiotics to good clinical outcomes, even if we have not yet quite figured out all the intricacies of how they work. One thing is sure: What you eat helps or destroys the microbiome that coexists in your body. A microbiome is the whole entity of bacteria, good or bad, that thrives with you, in you, on you.
Don’t worry – the good guys are winning right now. Otherwise you would be dead. But that the good guys are winning is not guaranteed – it could change any moment. You could crowd out the good guys with sugar, or commercial dairy, or destroy them with a course of antibiotics) or meat from one of those inhumane, antibiotic-resistance breeding feed lots – the list is long how you can hurt your microbiome inside and outside; cosmetics and household cleaners are high on the list. But even if we did everything right in our personal lives, outside forces can destroy your good bacteria – pollutants in water, air and soil.
Not to be an alarmist, but no man is an island, and if we don’t preserve our Mother Earth, we surely can forget about the intricacies of feeding our coworkers - our good bacteria - the right amount of this and that.
Health comes down to the health of our gastrointestinal tract. Lately, I have found that probiotics can be applied not just as capsules or caplets, but as probiotic foods. A big group which I just mention in passing are fermented foods – sauerkraut, miso, kimchi, tempeh, and so on. “Fermented” can be taken as another word for “loaded with gut-healthy bacteria”.
I have argued widely against the dangers of dairy – and still do. Ninety-nine-point nine percent of dairy is bad for you because of the highly inflammatory proteins and cancer-breeding hormones (be it naturally occurring, or gene-technologically inserted). But there is a tiny fraction of organic dairy that contains live cultures. Examples are yogurt, kefir, buttermilk and sour cream. But only, if they truly are organic, contain live cultures and have absolutely no additives that turn a good food into a nightmare: sugars, sweeteners, fruit, fruit substitutes, tapioca, carrageenan, and so on. In my mind, to qualify as natural they also have to have their full fat content – nothing skimmed or improved or processed any way other than pasteurizing – and the good bacteria have to be added afterward. Fat is not the culprit in milk and milk products – milk proteins are. Not only are they inflammatory, but also addictive. Now you can even get dairy-free organic yogurts, made for instance from almond milk. Or probiotic powders, ready to be dissolved in warm water. But always read the labels for ingredients!
Good dairy bacteria do not take away dairy’s inflammatory proteins and cancer-causing hormones. Therefore these probiotics should be taken in small amounts – very small amounts, indeed: a sip or a teaspoon full is the serving size here. And you don’t eat or drink them. You swish them around in your mouth as long as you can stand it, or unless you forget about them, and finally swallow them.
Probiotics thus taken increase not only your gut health, but especially your oral health. Studies show that probiotics swished around in the mouth after brushing your teeth reduce caries and gum disease in most cases – and I bet the result would be even better if people would add a healthy, sugar-free diet on top of this.
Using this to fight caries sure beats taking poisonous fluoride. Fluoride made me always uneasy: Studies link fluoride to cancer and neurotoxicity. But other studies clearly showed that it reduced caries – and I had not yet come by a natural method to preserve my teeth. Granted, “primitive” societies usually boast perfect teeth, but I had not quite found out why. Not sure, why, but sugar-free nutrition was probably the main cause. Then again, who of us modern Americans can boast a totally absolutely sugar-free diet – since infancy? Not that I know anyone.
Still, I am a believer in brushing and flossing (and also with good results, I have to say) – and don’t want to get rid of that. But neither fluoride toothpaste appealed to me, nor the brutal cleaning of my teeth at the dentist’s office twice a year. There is nothing natural in putting sharp metal scraping objects in your mouth. Now I am using an organic, neem-based tooth powder most of the time.
With oral swishing probiotics we gently provide a mildly acidic environment in our mouths for a few minutes. That cleans your teeth of plaque and implants healthy bacteria into the lining of your mouth, which then can grow during the next hours, or overnight, and fight bad bacteria. The result is amazing. And natural.
We take for granted that with advancing age we will lose our teeth, and that diseases will creep up on us. Ever been to a nursing home? A certain old-age odor emanates from those old bodies. We think the odor is normal. It is not. If one eats well, nourishes one’s oral cavity and intestines, in their entire length, and not destroys the precious skin bacteria with harsh soaps and cosmetics, we would smell like babies until our final days (and those will come even if we take good care of ourselves, but I bet those final days with be sweeter and easier if you have lived your life well).
Working on the microbiome in my mouth – that has been the newest station on my medical quest. In a way, this quest has been a journey from mouth to anus - and still is. Read More
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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
Anonymous = Venomous
July 9, 2011
We have enough of vitamin discussion for a while. The other thing on my mind lately is how hate recently has grown.
This is not a new phenomenon. It always happens in economically bad times: Politicians play out one group against another to curry favors to one group. We know how it ends: It ends in scape-goating and fascism. In the Thirties, in Germany, the targets were Jews; now it is immigrants.
Not that I am against a reasonable law to curb illegal immigration. But there is no reason to hate the unfortunates who want to make a better life for themselves and their families. We need rules, but if we start hating, the hate will come to haunt us more than the ones for which it was intended.
As an aside: The illegal immigrants fill usually two kinds of jobs: the ones Americans don’t want like cleaning houses and picking tomatoes, and the ones that Americans can’t do because education has been going downhill in this country for a while. - Let’s make better rules – but let’s not throw out the baby with the bathwater! (and let’s make education a priority!).
The Internet surely is spewing with hate mails – usually anonymous hate mail. Anonymous equals venomous all too often. I propose that we all are always signing with our full name – I think we would reconsider writing hateful contributions if those could be tracked back to the writer for many years to come.
Here are some questions:
1. Are you writing anonymous Internet contributions? Do you want to make the Earth a better place? Hate will not make it a better place. – Interestingly, no newspaper will publish a letter if it doesn’t have the full name (exceptions are intended to shield vulnerable parties – but even then the newspaper knows the name).
2. Are you following gossip and crime stories on TV and on the Internet with glee? Do you take sides – and don’t know the participants. Once, a long time ago, I worked in a medical prison situation. The people whom I met there, looked, talked, acted like you and me. But they all were murderers. Ever since then I wonder what makes a person a murderer – and I shun easy answers and prejudice.
3. Do you know any people of the group that is targeted for scape-goating? Get to know some – because you have to walk in somebody’s moccasins to understand their predicament.
Compassion and forgiveness are required in these difficult times. If you are a hating person (and we all have traits of hate – don’t think there are exceptions!) the hate will mark you face and will mar your life. My New-Age friends would say that, by the Law of Attraction, hat will attract hate into your life. You deserve better! Read More