Second Opinions
A lot of my patients recently are relating stories of having surgery that I regard as unnecessary. More charitably, these are surgical procedures whose chance for producing symptom relief is iffy at best.
Most of my fellow internists do believe that too much surgery is being performed, and that the symptoms people are hoping surgery will cure can often be handled by lifestyle changes instead.
St. John’s wort (Hypericum perforatum), a common shrub-like perennial, bears bright yellow flowers that contain numerous therapeutic substances when dried. Europeans have used the herb for centuries to calm jangled nerves and heal wounds, among other ills. And so it’s not surprising that North Americans have recently embraced its use as a treatment for depression and conditions associated with it.
For thousands of years, traditional healers in China and other parts of the world have looked to the water for healing remedies. Spirulina and kelp were two key finds.
Spirulina is a small, single-celled microorganism that’s rich in chlorophyll, a plant pigment that gives so many lakes and ponds their dark blue-green color. Kelp, in contrast, is a brown algae that grows only in the sea. The name refers to any of the numerous long-stemmed seaweeds that belong to the order Laminariales or Fucales.
Westerners have been slow to put tempeh, soy milk, tofu, and other soybean products on the table. But as evidence mounts that compounds in soy–isoflavones–have impressive health benefits, so too does consumption of this Asian dietary staple.
Well before the first European settlers arrived in North America, Native American tribes had discovered that by scraping away the rough outer bark of the majestic slippery elm tree (Ulmus rubra), they could uncover a remarkable healing substance in the inner bark. They beat the bark into a powder and added water to create a “slippery” concoction ideal for soothing toothaches, healing scrapes, and dispelling constipation.
What Is It? Famed as an energy tonic in China since ancient times, Siberian ginseng only gained recognition in the West in the 1950s, when a Russian scientist (I. I. Brekhman) reported its notable stress-repelling powers. Healthy men and women taking the herb were found to better endure physical strain, resist disease, and perform tests […]
Oil derived from the livers of deep-water sharks shows some promise in fighting cancer and boosting the immune system. Until a decade ago, when a growing number of supplement manufacturers began to take an interest in this nutritional aid, most shark livers were routinely tossed overboard. Today, several companies harvest and process the oil from sharks caught off of Greenland, Norway, Sweden, and other coasts. The oil is available as a by-product of the commercial fishing industry; endangered sharks are not allowed to be killed solely for their oil,
The trace mineral selenium makes its way into our bodies because it is contained in certain foods. Over time, it becomes part of nearly every cell, with particularly high concentrations in the kidneys, liver, pancreas, spleen, and testes.
The most concentrated food source for selenium is the Brazil nut; a single one contains 120 mcg, (which is about twice the RDA). Seafood in general, as well as poultry and meat, are also good sources. So are grains, especially oats and brown rice.
From the olive-sized berries of the saw palmetto tree comes a remedy for benign enlargement of the prostate gland. While harmless, this common condition (BPH, or benign prostatic hyperplasia) can interfere with the urine’s exit from the bladder, causing frequent urination, nighttime awakenings, and other uncomfortable urinary symptoms. It’s not clear what causes BPH. But as the millions of men who suffer from it can attest–more than half of men over 60 are affected–relief is welcome indeed.
SAMe (pronounced “sammy”) is short for S-adenosylmethionine, a molecule that the body continually produces to fuel numerous vital body functions. Discovered in 1952, the popularity of SAMe has soared recently with talk of its ability to ease depression as effectively as prescription antidepressants. (Proponents say SAMe also works faster than antidepressants and with virtually no side effects.)
Saccharomyces boulardii (SB) is a yeast that promotes gastrointestinal health. This microorganism, which is sold as a supplement, is a “probiotic.” Probiotics help maintain a normal balance of beneficial bacteria in the intestinal tract. Well-known probiotics include the lactobacilli and bifidobacteria found in yogurt.
Shiatsu is a Japanese form of massage therapy (the word shiatsu means “finger pressure” in Japanese). Advocates say the practice promotes health and healing by correcting energy imbalances in the body.
Most people have had at least one vacation ruined by sunburn. Usually, they then smarten up and remember that heading outside means putting on sunblock. Children are frequent victims of sunburn, their time in the sun flying by as sandcastles get bigger and bigger. We grown-ups can be caught unaware, too. Whether skiing, backpacking, or just sprawled on the chilly deck of a cruise ship, we just don’t notice until it’s too late how the dazzling sunlight has baked our pale arms, legs, and face into a glowing lobster red.
It’s a reflection of the body’s remarkable power to recover that most people do quite well after a stroke. We know that actors Patricia Neal and Kirk Douglas went back to work, but so do teachers, doctors, and cab drivers.
Even more remarkable is how each year the number of people who have strokes declines. This is a dramatic statement about how medications for lowering blood pressure and cholesterol, low-fat diets, and regular exercise are finally paying off.
An interesting transition in any primary care physician’s career occurs when he or she realizes that the real culprit filling up the office every day is stress. It’s not “disease,” like you’re taught at medical school. In fact, people under age 65 are remarkably free of disease these days. So why the waiting room crowds complaining about headaches, skin rashes, back pains, colds, stomach distress, insomnia? Of course, all these people undergo “tests” to rule out the diseases they’re worried about. The results are routinely normal. So you, the doctor, having to do something, write out a prescription for medication to mask the symptoms. Years later, tired of fighting off decades of unrelenting stress, the body falls prey to real ulcers or genuine heart attacks.
For some of us, a strained or sprained muscle (if it’s mild) can be a badge of honor. We feel proud that at 40-something we can rub a shoulder dramatically and complain we played too many innings of baseball or too many sets of tennis. I remember treating the strained shoulder of an octogenarian who was bursting to tell me how it had occurred during an evening of vigorous sex. More serious strains and sprains are too painful to occasion boasting. Instead, they may require specialized medical help. Sprains particularly can take a long time to heal, and ligaments (bands that connect bones to each other at the joints) that are injured may remain weak and prone to reinjury.
The supplement and lifestyle suggestions we offer at WholeHealth Chicago are helpful for both mild and serious muscle strains and sprains, and they can complement any medical treatment.
You know the sensation. First, it’s an uncomfortable little “awareness” in the back of your throat, and the thought crosses your mind, “I hope I’m not coming down with something.” Slowly, over the next few hours or so, your awareness increases. Then the next morning, you awaken with the sensation of having swallowed a blowtorch. And, since a sore throat is all too often the first act of a bad cold, you know what the next few days are going to be like, and wonder what you can do to prevent things from getting worse. Here are some suggestions from WholeHealth Chicago.
In my town, doctors refer to it as the “Denver drip,” but of course the “Chicago crud” or “Manhattan mucus” serve just as well. In fact, that decidedly unpleasant, back-of-the-throat, thick-as-molasses post nasal drainage is simply your sinuses, endlessly trying to empty themselves. What with clogged heads, tickly coughs, constant nose blowing, and voices perpetually needing a “harrumph!” to clear them, it’s little wonder that sinus sufferers are willing to undergo repeated surgeries for temporary relief. Or borrow somebody’s old antibiotics. Or fantasize about plunging a Craftsman power drill up their nostrils.
Since almost everyone gets chickenpox as a child, most of us are susceptible to developing shingles as adults. Each illness is caused by the same virus, which is called varicella in children and herpes zoster in adults. After the chickenpox ends, the virus goes into hibernation in the nerve cells along the spinal cord. Then, many years later, when the immune system is weakened in some way–by age, stress, certain drugs, illness (even the flu)–the virus awakens. At some point along the spine, it travels along a nerve, producing a painful rash along the band of skin served by that nerve. Herpes zoster means “belt of fire”–the name is apt.
My guess is that there’s never been a human being in the history of mankind who ever answered “Yes, sure, okay!” to the question “Would you like to pass another kidney stone?” We’re not positive why some people get stones and others don’t, but stone formation does run in families, and has less to do with diet than we once thought. When the stone, which forms in the kidney, decides to move, it’s during the l-o-n-g passage down the ureter (the tube from the kidney to the bladder) that causes so much pain.
