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
Blog: On Health. On Writing. On Life. On Everything.
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
Swimming In The Cold
November 7, 2011
One aspect of my cold pool experience is that, every day, with my twenty-one laps, I am sucking up vitamin D - so to speak. The vitamin is manufactured under the skin with sunlight – or even just daylight, on a cloudy day.
There is not one vitamin D but several. The precursors are taken up with food – all vitamins D are fat-soluble, so a fat-free diet doesn’t do a thing for you. And then these precursors are metabolized under your skin with sun exposure. As we age, or with darker skin, we require more light to do the job.
And don’t think that “fortified” milk, yogurt or cheese will provide you with the right amount of vitamin D. They will only make any disease in your body worse because they are inflammatory. Also, there are several forms of vitamin D, your physician should supply you with a vitamin D preparation, particularly in the winter and particularly if you are living in the inner city where light might be filtered away by high buildings and smog.
Vitamin D is important for several reasons:
1. It protects you from all kind of cancers. And, please, don’t be afraid that you catch skin cancer from that short of an exposure – not more than twenty minute. On the contrary! The other mostly unknown fact about skin cancer is that vegetables protect you from skin cancer much better than a sunscreen. Disclosure: I don’t use any sunscreen, ever. I usually dress with long sleeves, long pants and a sun hat. But I don’t fool myself with sunscreen: They are not doing the job they advertise they are doing.
2. Sun and day light protect you from the so-called winter blues – Seasonal Affective Disorder (SAD). The more northern you live, the more at danger you are for depression, and the higher the incidence of alcoholism is. So, go out daily, at around noon, sun or rain, and fill up on light! You also get the exercise and the joy of walking in a park, or even just on a bustling street.
3. Vitamin D is essential for your bone health. Vitamin D is important for uptake of calcium and phosphorus, among others, from your bowels – without vitamin D the food or pill just passes you by. You also, of course, need a diet high in plant material so that you have access to all the minerals your body needs – because calcium alone doesn’t do a thing for your bones.
4. Vitamin D is essential for immune function - it protects your health in so many ways, not only against cancer. It also plays a role in warding off the common cold and the more dangerous flu. A virus alone can’t kill you – you also have to have a weakened body and a low immune function to make you susceptible to death and disease.
5. Insufficient vitamin D seem to lead to diminished intelligence and autism in children, and to dementia in older people.
6. The lack of vitamin D seems to be involved in the development of multiple sclerosis (MS). Being outside - especially in your youth - protects you.
7. Low vitamin D in your blood makes you more vulnerable to stroke – it is easy to see if you don’t eat fresh food and never get out of the house, that you immediately are at higher danger of vascular events.
8. Vitamin D seems to prevent or improve several other diseases like rheumatoid arthritis (RA) and asthma – and it protects against radiation damage.
All this I get from my twenty minutes in the pool each day. And that is apart from the cold stimulus and apart from the exercise I get.
Should we not start a movement making people use their unheated, underused pools more? – If I only knew how! I am such an apolitical person.
And I admit publicly: It is hard every day to walk into that cold pool. – But isn’t everything worthwhile hard? Like raising a family, doing your job day-in, day-out, learning a new skill – and being afflicted by a bad, possibly preventable disease? Read More
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