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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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Brown Fat And My Californian Pool

The experiment is still on: How long into the winter will I succeed to keep up my daily twenty-one laps in the pool? So far, so good. The water is much colder now, but the days have been sunny and friendly – the fog lifted while we were at the East Coast. Truthfully, lately it has been harder to face the pool: I am still battling a minor cold, and every day I have to decide if it is prudent to swim with the cold, or if I should just snuggle up in a warm blanket. But the exhilarating feeling after my daily swim – I seem to be addicted to it. I look full of vigor. My posture definitely is straighter. I am building up muscles where I never had any – on my back and my arms. Plus, the tiny belly I had is getting smoother (not smaller). On the negative side is my skin. No outright rash or itching yet, but I have the suspicion that my skin looks a bit older, notwithstanding the coconut oil I slab all over me after each bath. For a few days, I had been getting extremely cold after each swim, and couldn’t get warm at all. If you ever read my water book, you know that staying cold after water exposure is not a good idea. But with my inborn stubbornness (which might just get worse with age …) and medical curiosity, I kept doing what I should not have done: go swimming. And got colder and colder. In spite of the knee bends, blankets and hot tea with fresh ginger. Two nights in a row, I didn’t get warm all night – certainly not a healthy state! Until yesterday. Shortly after I went swimming, had taken my short cold shower to get rid of the chlorine, had done my exercise, had rolled up in my blanket and imbibed the tea, I got really warm. Even my hands felt tingling with warmth. This lasted all night, and is still going on. I suddenly had the feeling that, for the first time in my life, that I was getting on the warm side in life. Like, where my husband always is. Looking around for an explanation, I stumbled onto brown fat. Brown fat gets activated by cold. Brown fat is supposed to be healthier than yellow fat that just stores superfluous calories. Babies have more brown fat because it protects them from hypothermia – a constant threat for newborns. Brown fat is not so much fat but is related to muscles. Brown fat is brown from the mitochondria and their iron contents; mitochondria are tiny energy factories. Brown fat has also more blood vessels for better oxygenation and is metabolically more active than yellow fat – it actually burns calories instead just storing them. So, by swimming in the cool pool, I must have tapped into my brown fat – I can’t come up with any other explanation. And did you know? Brown fat is implemented in weight loss. Yes! Brown fat can make you lose weight – IF you have enough brown fat. Sebastian Kneipp, the father of the Kaltwasserkur (Cold Water Cure) is famous for jumping into the wintry Danube River to cure his tuberculosis. Later, he modified his approach because he observed that some weakened patients were not able to withstand the bitter cold he himself had applied to his body. One could say he watered down his original approach … I had always repeated what I had been taught: that too much cold might be hazardous to your health. Which still might be true for frail people. But I might be onto something here … I will let you know how this will work out. P.S. After today's laps, I have very warm hands. Read More 
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Poison Ivy Story

When we first moved to Boston, we went on a walk into the woods. I found a little vine with reddish stems and three leaves. I never had seen anything so beautiful and modest. Therefore I unearthed it, roots and all, and planted it in a pot on our roof. A few days later, my husband developed a palm-sized inflamed red patch on his right buttock. Then I got some bizarre formations with blisters on my arms – and from there, the rash went everywhere. First we thought we had bedbugs. We pulled the bed apart and sprayed everything. We cleaned and vacuumed our place (was about time!). But the lesions became more. At work, I showed my arms to colleagues, and drew a blank (!). Finally, an ER doc took one look and said (you guessed it): “Poison ivy.” Of course, I had never encountered poison ivy (Toxicodendron radicans) - there is none in all of Europe. But despite all out efforts, our rashes and itches did not go away. Weeks later, I consulted the ER doc again. He quizzed me – but we seemed to have done all the right moves. Only, the lesions were still there. He looked at me hard and asked: “You are not eating cashews every day, are you?” That was exactly what we were doing – every morning in our muesli. Cashews and poison ivy (and mangoes) are in the same botanical family, Anacardiaceae (I talked about that devious family already in connection with back pain), and eating cashews daily kept the poison ivy rash blooming. The rash-producing ingredient is urushiol. Most people are sensitive to urushiol. Here is what one can do against poison ivy (and poison oak, poison sumac): • Don’t touch your face and eyes! • Stop eating cashews and mangoes until all lesions are well healed. • Wash with soap or a commercial anti-poison-ivy product (they are petroleum-based) all exposed and affected areas twice daily initially, later once a day until no new lesions crop up anymore. • One prescription suggested using only cold water because warm water might disperse the poisonous oil even more. As much as I am a fan of cold water, there are no studies about this, and I would think that the bodily warmth will spread the oil anyway. But cold water won’t hurt, and it will relieve the itch. • For more itch relief try the inside jelly of an aloe plant (any aloe will do), or Calamine lotion. I use tea tree oil for about everything (ask my husband!), and I would probably dab it on the rash for itch relief – but I have no scientific proof that it works. Another unproven remedy is jewelweed – but if I were out in the woods and it grew nearby, I would break a stem and apply its juice. Can’t hurt. • Wash all your clothing and, if you already slept in your bed, your sheets. • If the rash spreads into your face or, worse, near your eyes, see a physician. You need cortisone immediately because poison ivy in the eyes can lead to blindness. • Don’t ever burn poison ivy – it can lead to fatal lung reactions. Pull poison ivy with gloved hands and dispose of it in plastic bags. Wash gloves and tools. Often shoes and pets carry the sticky resin. Poison ivy plants look very variable - it took me years to comfortably identify them. Better stay away from anything reddish and three-leaved! Read More 
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