A new study to answer the question: Which is the optimal blood pressure goal? has been terminated prematurely because it became statistically overwhelmingly clear that lower blood pressure targets will save lives.
That is a great outcome of a study: The clear-cut benefit of lower blood pressure. Not that it is all news: In medical school I already learned this medicine pearl: People with low pressure live for a long time, but they will feel lousy often – from dizziness and lack of energy. People with high blood pressure feel on top of the world – until they drop dead of stroke or heart attack.
It is good to know that our recent blood pressure goals have been set too high. If you have high blood pressure, or borderline high blood pressure, get ready for your doctor to put you on medication, or increase your anti-hypertension pills.
But the question is: Why do I read one report after the other about this blood pressure study, and all the commentators remark on how important it is to increase medications – and not a single commentator mentions that there are ways to lower your blood pressure without pills - naturally?
There are! You don’t have to take pills for the rest of your life; they can have serious side effect – one of the least seems to be impotence (erectile dysfunction), which is obviously a minor problem for the prescribing physician, but may make your life thoroughly miserable.
Here, if you want to go the natural way:
• End your hot showers always with a short (20 to 30 seconds) cold shower. Don’t do it yet if your blood pressure is uncontrolled high. But if you are on a pill, reasonably controlled, to can make this a daily habit. If a cold shower feels too harsh, wash yourself down with a cold facecloth twice a day in front of the sink.
• Get yourself a cheap step counter and walk more. The step counter is not really necessary, but is a great motivator. Walk more stairs, too.
• Also, walk on uneven surfaces whenever you have an occasion. Walking the beach, hiking, and walking barefoot have all been shown to lower blood pressure. One study showed that walking barefoot on pebbles is especially effective. Why is that so? The more uneven the terrain is, the more muscles you use, and the greater is the relaxation effect.
• Get enough sleep. Sleep deprivation leads to more stress, and stress increases blood pressure. Aim for being in bed around ten pm. Read for a few minutes, then sleep in darkness, with open window, whenever possible. Grandmother’s advice that sleep before midnight counts double sort of bears out in modern circadian rhythm studies.
• Meditate if your stress level is high. Or do woodworking, or play a musical instrument – any hobby that absorbs your attention wholly and makes you happy has a good de-stressing effect. Even just listening to soothing music lowers your blood pressure.
• Drink enough water. Salt does not seem the main culprit (but it does not hurt to ditch all processed foods – which are notoriously high in salt), but not drinking enough is. Aim for very light yellow urine. Dark urine shows that you are dehydrated (unless there is a kidney/bladder problem).
• Keep your relationships in order. I am all for a good fight if it is necessary. But an unhappy relationship will break your heart – with or without high blood pressure.
• Reduce screen time – TV, Twitter, telephone and Internet. All overexcite your brain. Be yourself – find quiet time often.
• Eat a diet high in vegetables and herbs. Plants contain thousands of chemical compound which all conspire to keep your blood pressure low. Eat meat but only organic (or from a farmer whose agricultural practices you trust). Have plenty of good fats like organic olive oil, coconut oil, cultured butter – fat is not the enemy.
• Slowly move toward your ideal weight by eating less sugars and starches. Avoid artificial sweeteners, too.
• And if you insist on a pill, let it be herbs (it may be advisable to work with a good herbalist – or a doctor who know herbs):
o Stinging nettle
o Linden
o Olive leaf
o Yarrow
o French Lavender
o Cinnamon
o Cat’s claw
o Hawthorn
o Celery seeds
o Garlic
o Cardamom
o Basil
And so many more! Some may go into your food as spices when you cook. Actually, cooking every evening from scratch might be the best course you could take: It will relax you after work and absorb your attention – and it will heal you body that gets high blood pressure from the pressures and habits of modern life. In 95 percent, hypertension is a lifestyle issue; only in five percent, a serious medical diagnosis (kidneys, endocrine) can be made.
If high blood pressure stems from wrong lifestyles, I suggest we replace it with better, healthier, more joyful lifestyles. Read More
Blog: On Health. On Writing. On Life. On Everything.
To Mammogram, Or Not To Mammogram
January 31, 2012
About this subject I do write with trepidation – as the right answers are still not known – medicine and science have not advanced far enough to let us make rational decisions. In actuality, regarding mammograms, we are living in something like medieval times.
Do mammograms help prevent cancer? No, they don’t. They do find some cancers. But they also “find” an unacceptably high number of “cancers” that aren’t cancers - false positives. For which women then undergo unnecessary treatment.
Do mammograms prevent deaths from cancer? The answer is amazingly unclear: For the longest time – basically for the entire twentieth century - namely since the advent of radical mastectomy, breast cancer death numbers didn’t budge. In the last few years, we seem to make a little dent. But it is not clear to me if it comes from therapies, or from better lifestyles that women have adopted - similar to the improvement of cardio-vascular health that happened mostly in the kitchen and the gym, not in the doctor’s office.
For thirteen years now I have not done a mammogram. Not because I try to be reckless, but because I have my doubts. In a way, I am sticking my head in the sand (breast cancer runs in my family). On the other hand, I have a history of heavy radiation as a child, and mammogram certainly is adding to my risk to develop breast cancer. You could say that I made a decision rather to die of breast cancer than from breast cancer treatment. You don’t have to follow me here – or rather, I don’t want you to follow me here because I shudder of the responsibility I would take on if I talked you out of mammograms. In reality, I always encourage my patients to have their yearly mammograms – regardless of the personal doubts I am harboring.
Because of my childhood radiation history – I had bad tuberculosis as a child with tons of fluoroscopy - my decision not to add any more radiation (I also have myself padded down at airports rather than going through the screening machines) is not applicable to everyone. In addition, I had mammograms since age eighteen every year because of lumps (and twice had lumps removed that turned out to be benign. So, I had an unusual number of mammograms - enough for a lifetime, I think. My doctors, because of my history, are basically waiting for me to develop breast or thyroid cancer. But over the years I came to realize that the real causes for breast cancer - diet, exercise and environmental pollution, including radiation - are not addressed by physicians and authorities. But I want to encourage every woman to come to her own decision. Every case has different variables.
Lately I am also changing my thinking about cancer generally - not that one person has it, and the other person doesn't have it. Truth is, at a certain age, we probably are all always having cancerous cells in us, and keeping them at bay as best as we can we good lifestyle habits seems to be much more important. - I also have a body that would react badly to any kind of treatment - so I rather am putting my energy into a good lifestyle. And cancers in later years are often less aggressive than cancer in children and young adults.
And a last thought: Medicine is yet is unable to differ between "bad" cancer and "good" cancer - we don't know which one will explode and kill a patient. So we are working with big guns on all cancers. It seems to me that surviving cancer has more to do with which type your cancer is and how good your immune system works than with any treatment. This argument is also very applicable to prostate cancer in men.
If I would find a lump, I certainly would have it removed surgically. If I get "exploding" cancer, I hope I will die gracefully. Not knowing if I already have such a time bomb inside me, I make sure I walk every day during daylight to get my daily dose of vitamin D and exercise, I eat my veggies and drink my green smoothie, I keep my animal flesh consumption low (but I don’t advocate vegetarian or vegan lifestyles), I take a daily cold shower or cold sitzbath to strengthen my immune system, and I make sure I sleep long before midnight so that my body can catch bad cells and repair what is broken – before it explodes.
The rest is not in my hands. Read More
Bone Health
January 26, 2012
We have talked about bone health before. But is comes up all the time. Here my thoughts:
• Light: A daily walk, sun or clouds for making vitamin under the skin. How high is your vitamin D level (blood test)? Should be over 40.
• Greens and other vegetables build bones. All plant material gives calcium plus all the other minerals needed for bone health. Fruit, nuts, herbs, legumes and whole grains are good, too – in moderate amounts.
• Avoid dairy and too much meat because their acidity leaches calcium out of the bones.
• Daily movement is important. Walking is probably the best. But anything helps – like cleaning out the garage or the attic, working in the garden.
• Sufficient sleep before midnight. Repair time in the body, according to Chinese Medicine, is between 11 pm and 1 am. If you are not asleep, repair can’t take place.
• Is your thyroid working normally? Over-activity leads to bone loss.
• Similar with the parathyroid glands: Make sure your PTH is in range. Is relatively rare – but an often overlooked problem.
• Unrecognized gluten problems can lead to osteoporosis. It turns out that half of all celiac patients have NO gastro0intestinal symptoms. So, it can unrecognized forever. Unrecognized gluten sensitivity is the most common cause of unexplained osteoporosis. Unfortunately, the tests are not 100% reliable – but a test is a beginning. Read More