Sunday, August 8, 2010

HOPE

It's been said that when you look at something, intentional or not, you will walk in that direction. Motivational speakers all say that to make a dream become reality, you must see it in your mind so you can walk in that direction. Before the first man ran a four minute mile it was thought to be impossible, so runners didn't see it in their minds. After the first person ran that four minute mile many more did.

Last week I overheard two older women talking about their health problems. I found myself wondering if their health problems weren't worse because they were spending so much time looking at them that they couldn't help but walk towards their problems. Then I found myself wondering what direction I was looking?

Many of my patients have been to more than ten different doctors and still seek answers. Doctors label my patients with some ill defined malady or none at all, and tell them there is no treatment, no cure, no answer. If a patient improves they are told it is probably placebo, psychosomatic, coincidental, or nothing was wrong with them in the first place; because statistically they shouldn't be getting better. As a doctor, I truly understand how easy it is to walk in the same direction as most people and believe the statistics; that a four minute mile is impossible. It is harder to believe in a reality few people see.

I find myself wondering if it is not answers my patients seek, but hope? Maybe, for some, the only real cure is to believe a four minute mile is possible.

Monday, August 2, 2010

Cholesterol - The Good Stuff

If you had a truckload of dirt dumped in your front yard because you intended to build a beautiful landscape, would it make sense to get rid of it because having it there devalued your property? So I wonder why you want to get rid of the cholesterol your body is making? Do you not know what masterpieces your body intends to create with this cholesterol?
Cholesterol is essential for creating healthy cell membranes. We need cholesterol to repair damaged tissues, from sprain/strains to heart and vessel damage. Everyday I see people healing much slower, and developing new muscle aches and pains because of the cholesterol lowering drugs they take. It is important to recognize that often cell membranes are damaged from eating too many chemicals, saturated fats, hydrogenated fats, and don't worry about eating enough cholesterol because your body will make what you need.
Cholesterol is used to create hormones like DHEA, estrogen, testosterone, cortisol, and many more. It seems logical to me that if you have hypothyroidism, andropause, perimenopause, diabetes, or any disease affecting your hormone levels that your cholesterol numbers would be a little high. It is important to remember here that many hormone imbalances are caused by eating too much sugar. Eating less sugar can definitely help lower cholesterol.
Cholesterol is used in the liver to create bile acids. Bile acids are used to break down foods in your gut, so if you have any number of gut issues your cholesterol levels can start to climb. So maybe all those antacids aren't helping you?
Cholesterol is used to convert sunlight to vitamin D. Vitamin D is one of the many miraculous creations your body intends to make with cholesterol. It helps prevent cancer, builds stronger bones, and is essential for proper immune function. I believe our bodies are the best pharmacies around, just give it what it needs and it will make what you need.
Currently 66% of adults are overweight or obese. Obesity in the United States is largely due to a poor diet resulting in cell membrane damage. Fat cells produce estrogen and cause hormonal imbalances. For a lot of people lowering cholesterol is as simple as loosing weight with a good diet and exercise program. If your cholesterol level is high but your triglyceride level is low it is unlikely you will lower your cholesterol with diet and exercise, so look deeper to discover what your body is making with that cholesterol.
If you find yourself on cholesterol lowering medication and wondering what your alternatives are, I would suggest reading the books below. I would never suggest going off any medication without consulting your doctor first.

NOTE: recommended reading "The Great Cholesterol Con" by Dr. Malcolm Kendrick (my favorite); and "Heart Disease, What Your Doctor Won't Tell You" by Rodger Murphee

Friday, July 30, 2010

Looking Forward to Health Care Reform

If there is such a thing as the best time and place to ever have lived, I think I've lived it. As a kid I never met anyone with cancer, or anyone who contracted a fatal disease like small pox, tuberculosis or yellow fever. Everyone who was capable of working did, and there was enough money left over to take care of those who couldn't. It seemed anything was possible in a world bursting with abundance.
Then a couple years ago while raising money to help families with critically ill children, I had to take off my rose tinted glasses. It seemed increasingly more and more families were struggling with critically ill family members. Sixty one percent of bankruptcies in the United States are now due to medical expenses. People are struggling just to take care of their own families.
Often I would make dietary suggestions like cutting back on sugar and eliminating all foreign chemicals like msg, food dyes, high fructose corn syrup, hydrogenated fats, and basically anything made in a lab. Most of the time they would try it for a while and then say if it wasn't guaranteed to fix them they just weren't going to follow through. Sometimes I would suggest someone try exercise, therapy, acupuncture, herbs, and/or manipulation before they resorted to drugs or surgery for non-life threatening ailments. Many times I heard, "I can't because my insurance doesn't pay for that, and it's too expensive".
I believe health care reform is not creating a society that expects to be taken care of, but creating a society that takes responsibility for their own health. There are two types of people who take responsibility for their own health.
The first group of people are those who have gone to the doctor (usually several), did what the doctor told them, and did not get any better. These people often become desperate for answers and willing to try just about anything to feel better. This group of people either grow resentful of "a system that doesn't work", or become part of the next group.
The second group of people are those who don't expect someone else to fix them. This group includes people who do everything within their own ability to maintain good health. They usually research any herb, drug, or new food they plan to put into their bodies. They wouldn't go have surgery unless there was no other viable option, and will research all possibilities. They do not expect their doctor to fix them, but to offer guidance.
Some people take care of themselves naturally, while others do so because of their circumstances. People who do not have insurance will often research alternatives because they are less expensive. People who live in countries with socialized medicine often take more responsibility for their own health because they have to wait for months and sometimes years before a procedure will be covered by their national health care. And most obvious of all, if you become unhealthy you usually try to live healthier.
I believe our health care today is much like an American child who gets upset because they only own a single pair of new shoes. In many other countries a child would feel blessed and grateful beyond words to own a single pair of used shoes. So many children in America leave their old shoes lay behind, because they have or can easily get another pair. I look forward to the day when people take care of their health before it goes bad, because they realize we only have a single pair of shoes to take care of. The best made shoes come from someone who creates that great shoe from their own need. Sometimes we have to lose what we have to appreciate it.

Wednesday, July 28, 2010

Sugar Cramps

Halloween had to be one of my favorite holidays growing up. The next day grandpa would warn me about "sugar cramps" when I would sit down to eat my entire collection of treats in a single sitting. Mom and dad thought if I got sick from eating so much sugar all at once, that I would "learn my lesson"and no longer crave sugar. The next day I always felt bad, but figured a little more sugar would fix me up. If there was such a thing as sugaraholoics anonymous, I could be their poster child.
If you think healthy choices come easily to me, maybe you didn't know about my secret little addiction. I am a sugar addict, and it has been 30 years since I drank my last soda. I tried chromium, gymnema, B vitamins and anything people told me would curb my cravings for sugar. For me the only thing that worked was a strong will to be healthy.
I didn't want the headaches I suffered from because my blood sugar dropped or spiked. I didn't want the hormonal problems I developed because of the stress sugar put on my adrenals, which help to maintain balance between all of your hormones. I didn't want yeast infections and stomach problems. I didn't want sore muscles and joints caused by the increased inflammation secondary to sugar consumption. I didn't want to get sick every time someone around me was sick because sugar compromises my immune system. I didn't want to get diabetes like my grandmother. I didn't want the kidney, heart, gall bladder and liver problems she developed because of her diabetes. It came down to a simple choice, did I want to be healthy or eat sugar?
It is probably a good thing that I made the decision to be healthy back when the only sugar substitute that existed was saccharin which everyone knew tasted nasty and caused cancer. I could have easily cross addicted into using the chemical substances of aspartame (Nutrasweet) and sucralose (Splenda) which seem to be even less healthy than sugar. These chemicals have been linked not only to cancer but to neurological diseases, birth defects, fibromyalgia, and a never ending list of new complaints. I grew up in the "say no to drugs" era when chemicals foreign to our body weren't typically added into our foods.
Occasionally I do fall off the wagon. I'd love to blame Ben & Jerry's Cherry Garcia, but have to admit that I've fallen victim to other gluten free sugary temptations as well. I am no longer so far gone that I don't feel those "sugar cramps" or deny that sugar causes my body and health to deteriorate. I recognize the extensive health problems sugar can cause for not just diabetics, but to me and everyone. May God grant me the strength to chose wisely.

Thursday, July 22, 2010

Looking at the World through Healthier Eyes

Grandpa's laugh growled like an engine revving up, and I can remember laughing with him watching his big Santa belly shake. Through his black framed bottle cap lenses, dad would smile at us revealing his missing front tooth. They were the most handsome men in the world, at least to me. Can you remember far enough back when everything and everyone in your life was beautiful? Do you remember how good that felt?
Feeling good is about being healthy physically, emotionally, and spiritually.
Physically, I think most people know what to do (or not to do) to be healthy. It is easy to look at a morbidly obese person, or see an alcoholic or drug addict sleeping homeless on the street and shake our heads wondering how they could do that to themselves. But as healthy as I live, I recognize that I have my own weaknesses and do not always make the right choices. I know the only difference between me and that drug addict is the ability to control my choices. In a world where biochemically engineered products marketed as food (sometimes deceptively as healthy food) that is less expensive, often addictive, and more accessible than real healthy food - it can be difficult to make the right choices. I know there are many factors that can contribute to poor choices when it comes to our physical health.
Emotionally, I wonder if the increasing amount of antidepressants being prescribed is a result of not understanding the effect our emotional health has on us physically? or not wanting to attempt to cure what ails us physically by working on the emotional aspect? Emotional health comes from understanding that I am beautiful, and appreciating everyone and everything in my life; the good for just that, and the bad for what I can learn from it.
Spiritually comes from understanding that the world and life is not about me, but about discovering the purpose God intended for me. As I grow older, I have come to believe that although our bodies and minds may begin to deteriorate with the normal aging process, our spirituality can grow if we so choose. We can grow to see the world through God's eyes; and see beauty in everything and everyone.

Friday, July 16, 2010

Overuse of Antacids

If you have ever felt that burning ache in the pit of your stomach racing up into your chest, you can probably testify to the effectiveness of antacids for pain relief. From Tums to Priolsec and the ever growing variety, anactids are one of the most common drug I see used by my patients. Antacids are so commonly used that most of my patients do not even include them on their list of medications they are currently taking. Noticing numerous GI complaints, a progressively worsening health, ridges in their fingernails indicating malabsorbtion of nutrients, and many other problems I will discover they are taking antacids.
Our bodies are miraculous creations capable of innately curing itself given the proper care. The normal response to food entering the stomach is stimulation of cells that produce HCL. When these cells are stimulated, the normal neurological response is to close the sphincter leading to your esophagus so no acid can enter and cause heartburn. Therefore if you have heartburn it is for two reasons:
1) The sphincter is mechanically compromised.
2) More commonly, there is not enough HCL being produced to stimulate the sphincter to close or stay closed. Poor diets, smoking, medications, hypothyroidism, and other health issues can cause this to occur by slowing down your digestive system (constipation). When this occurs food sits for longer periods of time in your stomach causing the food to putrify and form acid. This acid and not your body's HCL is more likely what causes your heartburn. Food putrification as well as the use of antacids causes the stomach lining to breakdown. The more the stomach lining breaks down, the fewer cells there are to produce HCL causing your digestion to slow even more, causing additional stomach lining breakdown, causing.....hopefully you see the progressively worsening scenario.
When this process occurs you are said to have hypochloridria because there is not enough HCL and other enzymes necessary to break down and utilize foods properly in your stomach. Many nutrients are not properly broken down or absorbed. Calcium requires an acidic environment to be absorbed, over time you will start to develop osteoporosis. Iron absorbs best on an empty stomach in an acidic environment, over time you may develop anemia. These are only a couple of many health disorders that can occur indirectly as a result of long term antacid usage.
Taking antacids for recurring heart burn makes about as much sense as taking Tylenol for a brain tumor. If pain is merely controlled and changes are not made to correct what caused the heartburn to occur, it will not likely heal. Or as one of my favorite quotes goes, "Insanity is doing the same thing over and over and expecting a different result".

TREATMENT: I would suggest seeking advice from an alternative care physician with experience and knowledge in this area.

Sunday, July 11, 2010

Pain Threshold

"How wimpy are you?" would have to be the layman's version of, "What kind of pain threshold do you have?" Although a doctor will ask you about your pain to try to determine its source, I doubt any doctor would ask you such a question because everyone perceives pain differently. One person may cut themselves to the bone and hardly feel the pain at all, while another may cry out from a simple paper cut.
"Suck it up" is probably the layman's way of saying, "I think there is a significant emotional component to your pain". From the time we are young crying out for our mother's attention or blocking painful outcries so as not to be thought of as a sissy, we develop emotional patterns to our pain. Many authors like Louise Hay and intuitive healers believe all pain and disease processes have an emotional orgin. I have come to believe that our physical well being is a direct reflection of our emotional well being.
"That looks like it hurts" would have to be the layman's way of saying "There is a significant physical component to your pain". There are occasions when your pain receptors are stimulated and you should have pain, a message to your brain that you need to change or do something differently. It is not uncommon to see terrible arthritis, healed compression fractures, or healed rib fractures on x-rays in patients with no pain in the affected area. Innately our bodies are capable of completely healing from (almost?) anything if we eliminate the physical AND emotional component of the pain.
"You are always whining about something hurting" would be the layman's way of saying, "There must be a physical orgin to your pain, but it is difficult to determine what that is because of your overlying emotional components and my limited knowledge." We often expect our bodies to heal themselves when we experience pain, and therefore do little to nothing to change or do something differently. A diabetic may just take more medicine when eating a high glycemic meal; or after a spinal surgery a person may not retrain their muscles to function properly with therapy and return to the same lifestyle or activities that caused the biomechanical dysfunction to start out with. Alcoholics, and people using multiple medications will almost always have a lower pain threshold and more chronic pain. Once a person has allowed multiple incidences of pain to occur without making any changes, chronic pain is almost a guarantee. So choose wisely.