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
Blog: On Health. On Writing. On Life. On Everything.
The Five Health Essentials
August 18, 2010
European Natural medicine works with the Five Health Essentials. Here they are:
• Water - our wellspring, inside and out
• Movement – shapes our bodies and our minds
• Food - the building blocks of our body
• Herbs - the essence of Nature
• Order for our lives – balance in the world.
Today let’s talk a bit about water in general; I will tackle the other four Essentials in the next few days.
We are mostly water, and therefore we need water. Drinking water (or herbal teas) helps nearly all biochemical functions; we die pretty fast without drink (usually within three days). Without food we can survive about 30 days. – These are rough numbers – and don’t try this at home.
Every body nowadays knows that we should take enough fluid in. But few people are aware that one can overdo drinking. I usually recommend seven cups of water - from a beautiful cup – not from plastic. And preferably filtered. Seven cups, of course, is an inane recommendation because your size, the temperature, exercise, your clothing, wind conditions, what you have been eating, and so on will influence how much you really have to drink. Seven is a sacred number and should just keep you mindful of your water intake. But it is not written in stone. Better observe your urine: If it is getting dark, you need more water. If it is water-clear, you had too much.
Soup and fruit contain fluids; coffee and alcoholic drinks like beer and wine count less because they dehydrate. But they don’t count for nothing. Hard liquor and milk don’t count at all (and should be avoided altogether).
Whatever you drink, it should never be ice cold! Iced liquids hamper digestion by clamping down on blood circulation in the stomach, and decrease energy in the body. However, it is not enough to lose weight!
Water from the outside is as important as water from the inside. This is the perfect time for starting cold showers because the cold water is much warmer than it will be in a few months (unless you live in the southern hemisphere). August is the time to go swimming – in a lake, in the ocean, or even just dunking in a rubber pool in the backyard. Beyond cold showers you have heard here already about cold sitzbaths, saltwater nose rinses, sauna – all of which are tricks to keep you healthy. Read More
How to Measure Diabetes
July 21, 2010
In ancient times, diabetes was diagnosed by licking the urine of the patient. If it tasted sweet, a diagnosis of diabetes mellitus (“honeysweet flow”) was made. As a physician, I am glad we have advanced to better tests...
There are basically four different tests to diagnose diabetes (I am talking here mostly of type II):
• Spot blood sugar. Since sugars rise and fall depending what and when you ate, this is a very unreliable test.
• Fasting blood sugar. Does only take a bit of blood, is cheap and fast – but still can vary with what one ate the day before. However, if your fasting numbers are up consistently, you should pay attention!
• Oral Glucose Tolerance Test: a complicated procedure where one drinks an awfully sweet fluid before blood will be drawn in half-hour intervals to ascertain how fast the sugar load is cleared out. It’s complicated, and very time-consuming for the patient. I object of giving a patient a drink 75 to 100 gm of unpalatably sweet glucose solution – which can’t be healthy if there is a disease caused by sugar. My suspicion is that this test is still be used because doctors can bill the most for this.
• Glycosylated hemoglobin, also called A1c: An easy blood test that gives a rough average of your sugars through the last month. I like this one the best because the usual ups and downs of sugar are not interfering with the test, but going into the overall measuring. With frequent episodes of hypoglycemia (too low blood sugars), the test might come back falsely low or normal. In iron-deficiency, A1c are higher than they really are, suggesting diabetes where there might be none. Every time one eats sugar, it “glycosylates” (adding a sugar to the molecule) a protein on the surface of an erythrocytes (red blood cells), and the chemical process is never reversed as long as the blood cell lives. Red blood cells live about three months; blood we draw is always a mixture of very young cells, newly released into the bloodstream from the bone marrow, and older cells, soon to be discarded. Measuring blood glycosylation therefore represents a fair mirroring of recent sugar intake and over time, those numbers can be compared: A lower A1c means you have done something right lately.
In conventional medicine, A1c is called normal if it is below 6.0. A1c is measured in percent of how much of the blood is “sugared”. Starting at 6.1, you have diabetes. That in it itself is rather absurd: A little step upward from 5.9 to 6.0 does not give you diabetes – you had it coming all along. In Natural Medicine, we think that between 5.0 and 6.0, one has “latent” (developing) diabetes. Why that number of 6.0? Because if one would chose 5.0 as the cut-off point, most Americans would have to be diagnosed with the disease.
The Oral Glucose Tolerance Test is more sensitive to detect cases of diabetes – but only if the cut-off point for diabetes is set at 6.0 A1c.
Arbitrarily putting the number to 6.0 does not make a person healthier. In fact, at the date of diabetes diagnosis, I good proportion of patients have already end-organ failure, namely eye problems, kidney failure, neuropathy – to name a few.
Just looking around tells us that many people are overweight and have some of the telltale signs of diabetes: belly fat, scant hairs on arms and legs, rosy cheeks. One sign alone does not make the diagnosis – but several together gives me an idea. But one can be very overweight and never develop diabetes, because in order to get the disease, you have to have the genes AND an unfortunate lifestyle.
Don’t think that genes are an excuse. Because diabetes type II does not strike, if one lives frugally. For instance, after World War II in Europe, basically nobody had it (but people died in droves of tuberculosis then…). Ten years later, with ballooning economies and waistlines, diabetes was back.
But you don’t have to starve yourself, to heal diabetes. You need a mixture of moderate movement (walking, swimming, biking – or dancing; whatever you like) and a diet without sugars, white starches and bad fats.
In diabetes drug studies, diabetes often is called “controlled” if the blood sugar stays within the limits if 7.0 to 10.0 A1c. We can be sure that at those numbers the damage done by high sugars is continuing in the body. I personally favor an approach that does not “manage” the patient’s diabetes, but gets rid of it. And in many cases it can be done, with exercise, better nutrition – and determination on the patient’s side. Read More