1. Fats are bad for us. - Even at that time when I felt I was giving best medical advice to my patient (“Cut down on fat”), I myself never was really able to cut out fats much. I get so incredibly hungry without! But I am still at the weight I had at age twelve … and have slowly come to the conclusion that I probably gave bad advice to my patients. (Sorry!). What I advise now: Olive oil for salads, coconut oil for frying, occasionally a bit of European-style cultured butter (very occasionally!).
2. Exercise hard. – The Centenarian Study has shown that people who live to a ripe old age usually are not strong on exercise. They have friends, putter around house and garden and live for a worthwhile cause. Plus they have good genes. – I am not saying don’t exercise – but like everything else: Do it in moderation! – A minute here and there on your yoga ball, daily, will give you better health than the gym once a week (my guess – no studies done).
3. Eat a snack before you go to bed. – Diabetics are taught this, and usually crackers and milk are recommended, both of which I think are really bad ideas. That dairy is unhealthy I have said before; crackers are nothing else than cardboard “food” – devoid of any nutritional value.
4. Snacks, in general. – Bad idea. Few people fare well on the “more meals but smaller meals” advice. Most people do “more meals and more and more calories.” I never snack – and I never try my own food when I am cooking – I just smell out if more salt is needed. And healthy snacks like celery sticks without the dip? They really make me hungry. - Forget snacks! Think of something more important!
5. Oh, and carrying water with you wherever you go. – Don’t! We got two hands to do really interesting stuff with them like fixing a car or playing the cello – NOT for lugging a water bottle or a coffee pot around. You don’t have to drink in the middle of your exercise or yoga class – before and after is plenty. Except if you are crossing a desert, don’t be seen with a bottle/cup in your hand. And drinks with calories in them? Also a no-no: Water and teas are all what is needed. Because drinks with calories are not drinks – they are meals.
6. Take a Tylenol or an Aspirin for fever. – Now, the body makes a fever to kill the germs that invaded you. It’s usually not a good idea to interfere with your body’s action. Go to bed early, drink hot herbal teas and sleep it out is usually the better response to a beginning cold.
7. Take a painkiller against pain. - If a simple Tylenol, etc. will do the trick, the pain is probably not so bad that you cannot tough it out (which is easier on your body – all the pain medications have unwanted side effects). Also: Better think why you got the pain in the first place: Hangover? Too much sun? Too much computer? Too little movement? Bad posture? Too little sleep?
To be continued, I guess. Read More
Blog: On Health. On Writing. On Life. On Everything.
Fats Are Bad – And a Few Other Medical Myths I Am Not Sure I Still Believe In
September 7, 2010
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Quackery
July 30, 2010
On the British "Quackometer" site, I have been negatively reviewed: http://www.quackometer.net/.
This is what I answered:
Dear Mr. Andy Lewis,
Basically, I like the idea of a quackometer. On the other hand, I am not tickled that I received all those ducks. They are cute, though.
In my books and health blog, I use easy language while being informed about science. I use some new-agey terms so that people understand me – that explains “This web site is using lots of alternative medicine terms.”
At the same time, you accuse me of the opposite: “It is full of scientific jargon that is out of place and probably doesn't know the meaning of any of the terms.” You don’t want to argue with degrees - but here I have to: I was a teacher of mathematics and statistics, and have a master’s degree in philosophy, especially in epistemology (which is the science of what we can know, and where we better shut up – as Wittgenstein put it). That all before I studied medicine and finished with board-certification here in the U.S.A. in internal medicine. And I hold a degree in “Natural Medicine.” So, in all likelihood, I do understand the medical and scientific terms I use.
“It shows little or no critical thought and so should be treated with caution!” You might have overlooked my blog that states that homeopathy has no scientific basis – therefore I don’t use it with patients. But I did two courses of homeopathy to make sure I did not throw out a valuable tool unexamined. Then again, barely anybody dies of sugar pills – and here in the U.S.A. (unfortunately, I don’t have British numbers) about 100,000 people die per year of allopathic drugs. Only on your website today I found the information of this anti-malaria homeopathic concoction; that indeed is murderous, and I strongly oppose it.
However, since many ailments heal with time and better lifestyle, homeopathy (which is often combined with compassionate care and good advice for exercise and healthy eating) might be less of a safety problem than conventional medicine. I have practiced medicine for thirty years and have become skeptical of profit-driven, procedure-oriented, drug-dispensing allopathic medicine. But I would never discard good conventional medicine where it is needed and useful: When my son came home from camp with high fever, stiff neck and the worst headache of his life, I did not think for a second that “alternatives” were the answer. I drove him straight to the Emergency Room of a famous Boston Teaching Hospital (where they promptly misdiagnosed his tularemia – but that is another story…). – Appendicitis needs a good surgeon. And one doesn’t treat a heart attack by holding hands. – Guess we agree here.
Also, I am very critical of indiscriminate use of vitamins and other supplements without proven value and without documented deficiencies. You might also have noticed that I don’t sell anything – only my books which is the way to disperse ideas and knowledge). Not even a mug or a t-shirt.
There are bad genes and unfortunate accidents. But apart from that, health is a simple proposition, in my opinion: Eat well, sleep well, move a bit, drink fresh water, get your relationships and priorities right – and automatically, you will be healthier. Common sense, not more. But it is so much easier to pop a pill (allopathic, homeopathic, naturopathic) than do something yourself - that’s probably why my books sell so poorly.
Alexa Fleckenstein M.D.
P.S. I forgot two arguments:
1. Using language as the sole indicator for quackery might not work because – as you somewhere noticed yourself – language is ambiguous.
2. Writing on a rather “quackery” website should not constitute quackery itself – I often just bring arguments which might be enlightening – and lure readers to my blog. Also, if writing on a “quackery” site makes me guilty of quackery – then writing on the “Quackometer” redeems me??
Last thought: Homeopathy fills a void that conventional medicine leaves: Homeopathic practitioners care and listen. If we want to persuade patients with our scientific arguments, we first have to return to caring and listening.
Update 1/2/2011:
They took me off the list, after all!! Read More
1 Comments
To Sleep or Not to Sleep
July 27, 2010
We all have heard that the tryptophan in milk, cheese or turkey makes us fall asleep faster – so off we go and enjoy a little snack at bedtime. I guess even doctors have given that advice.
It is bad advice. Tryptophan does not do the trick – and melatonin from wine or grapes does not do much either. Alcohol is the worst soporific because it makes you fall asleep by dampening down your brain - only your brain recovers and gets over-excited. So, you won't sleep long.
One should have the last meal not later than six or seven pm - and NOT have a snack before turning in to bed. We call it breakfast because we are supposed to break the nightly fast in the morning. If we eat late, the body is busy digesting instead of sleeping and repairing. Repair is crucial because daily we are exposed to harmful chemicals and radiation that break DNA strands which could lead to cancer.
The two things that help falling asleep easier are:
1. Going to bed with the early signs of tiredness. For most people that would be between eight and ten. If you then watch TV or sit at the computer, you get a second wind and sleep the worse for it. As a doctor who did many nights of duty, I know that one can experience even get a third and fourth and so on wind if needed – adrenalin always gets us going - but it is definitely not healthy.
2. Warm feet make you fall asleep as a study showed; cold feet keep you up. Taking a warm foot bath, or going to bed with socks might help. Perhaps you even one day you try the crazy-sounding “wet socks” - an old-world sleep remedy. I have tried them – they help: You need two pairs of socks; preferably one cotton, one wool, but both cotton works, too. Wet the cotton pair with cold water (as cold as comes from the faucet), wring lightly; they should be wet but not dripping. Put on the woolen pair of socks on top of it. You can wrap your feet in a towel if you want – but a bit of moisture does not hurt your bedding. Sleep.
You will sleep like a baby. If you wake in the night, you may remove towel and socks. But you might not wake until the morning. Read More