My husband’s mother is in her 90s. I have blogged before about her osteoporosis and blood pressure issues. When she goes to the hospital, they always take her to Baylor in Dallas. However, three weeks ago, when she had symptoms that appeared to be a stroke, they took her to Presbyterian Hospital. So she was there when Thomas Duncan came to the emergency room and was turned away. She was still there when he came again and was admitted.
When we read about the five children who might have been exposed and the five schools they attended; we were concerned about a teacher friend who works in an inner city Dallas school. When the names of the schools were released, the friend’s school was not named. However a school my husband attended, which is two blocks from his mother’s house was on the list.
I read another article about Thomas Duncan’s fiance, and learned that she attends the church where my husband was baptized. That church is helping the quarantined family members.
OK - Ebola may be distant from you, but it is feeling pretty close to me. I told this story to a group of friends at lunch, and saw them began to move away from me, until I said that we had not been to Dallas to see HH’s mom and no one from Dallas had come to visit us. The ladies relaxed and began to breathe again.
With all the conflicting news about how easily the virus spreads, I have been thinking about how I need to be proactive for my family. I don’t give much credence to government sources that say everything is under control. But I also don’t believe the conspiracy theorists who predict eminent disaster. I’m mostly interested in reports from people who have been in Liberia, or who have experience fighting epidemics.
One expert recommended getting a flu shot. He said that if you show up at an emergency room with fever and achiness, you don’t want triage routing you to an Ebola observation room if all you have is the flu. He made a good point, and I got a flu shot - the first I’ve had since I stopped teaching school.
A Washington Post reporter who spent several weeks in Liberia said that hospitals, hotels, and public buildings have containers of Clorox water at the doors. Before entering, you rinse your hands and arms in Clorox water. You also step into a trough to rinse your shoes in Clorox water. I bought some extra Clorox and stored it in the garage.
The same reporter said that people who have first aid gloves wear them. People who don’t have gloves tie plastic bags over their hands. Some experts say the Ebola virus can live for two hours on a hard surface, other experts say it can live for two weeks. I had a half box of first aid gloves already, but I bought more.
Homeland Security recommends keeping food and water for at least 72 hours. I always intend to keep more than that, but frankly some of our food and water had been used. The Ebola quarantine period is 21 days. If there was an outbreak in our community, and shop employees stayed home to protect themselves, it might be hard to find food for sale. I restocked my nonperishable food.
I read through the Blood Type Diet anti virus protocols. Unfortunately there is not much overlap between what is beneficial for Type Os and what is beneficial for Type As. I need to add a few of those supplements to my list.
I’m not a fearful person, and I have no intention of becoming one now. However, Ebola has already hit pretty close to my family. I want to be proactive and prepared.
La mayor parte de los médicos que llevan tiempo utilizando los grupos sanguíneos como parte del enfoque de sus tratamientos han aprendido a reconocer las características y peculiaridades que se derivan del grupo sanguíneo de su paciente: es posible conjeturar el grupo sanguíneo de alguien incluso sin hacer algún estudio o análisis previo. Hay algo con el aspecto y el comportamiento individual que podemos reconocer como perteneciente a una categoría de persona que tiene cierta similitud y que responde al entorno de un modo particular. Quienes utilizan el concepto de Dieta del Grupo Sanguíneo del Dr. P. D'Adamo en su practica medica holistica hemos visto como nuestros pacientes experimentan una enorme mejora con tan solo elegir de manera informada sobre alimentación y estilo de vida.
La simplicidad y genialidad del enfoque también ha capacitado a la gente para que pueda ayudarse a si misma, haciendo a un lado las formulas de 'dieta única apta para todos' que solo funciona en unos pocos, sino teniendo en cuenta consejos realistas que cambian según los principios naturopaticos profundos relacionados con las necesidades especificas de cada individuo.
Cambios tan pequeños como el aprender a sustituir ciertos alimentos (procesados e industrializados) por otros naturales y benéficos para cada fisiología, sin aditivos nocivos y todo aquello que viene generando patología crónica dentro de la sociedad! Aprender a descifrar las listas de ingredientes que contienen los productos industrializados que invaden las tiendas, cuyos nombres difícilmente se pueden pronunciar y mucho menos ingerir.
El soñar no hace daño. ¿No creen?
¿De qué manera se relacionan estos dos conceptos?
La pérdida de peso y las lectinas
Ya sabemos que tanto el contenido calórico, como el exceso de grasa en la dieta, así como la falta de ejercicio, o bien la combinación de los tres, son causa suficiente de que exista un enorme porcentaje de obesidad entre la población.
¡Si! Pero la cosa no es tan simple: La respuesta insulinica hacia la comida que ingerimos, viene siendo un aspecto clave en determinar la manera en que el cuerpo metaboliza las calorías consumidas.
¿Que es la insulina, y como es que esta hormona nos hace engordar?
Para simplificar, se le puede considerar a la insulina como la hormona que protege y regula nuestros niveles de azúcar evitando que estos se disparen. Después de haber ingerido un platillo alto en carbohidratos (como pasta o cereal o dulce etc.) convertimos más azúcar en nuestra sangre de la que requerimos. Es así que producimos insulina para facilitar el almacenamiento de este exceso de azúcar. Siendo este almacenamiento limitado (tanto en hígado como en tejido muscular); dicho exceso de azúcar en la gran mayoría de los casos es enviado a las células grasas para su almacenamiento.
Este proceso de almacenamiento calórico del azúcar está regulado por la insulina que se une a receptores específicos en la parte externa de las células grasas. Una vez que la insulina se agrega a las células grasas envía la señal de detener el proceso que metaboliza la grasa para uso de energía, favoreciendo la conversión de dicha azúcar en grasa al interior de la célula
¿En qué momento entran en juego las lectinas no compatibles dentro de este proceso?
Aparentemente algunas lectinas contienen efectos que se asemejan a los efectos de la insulina sobre los receptores de células grasas. Sin embargo a diferencia de la insulina que tiene un efecto temporal sobre dichos receptores, las lectinas una vez que se pegan a los receptores, suelen permanecer allí por tiempo prolongado.
Una cierta lectina en el germen de trigo por ejemplo, es capaz de adherirse a receptores de insulina y enviar la señal a las células grasas de parar el proceso de quema de grasa y de almacenar las calorías extras en forma de grasa. Gran parte de los alimentos cotidianos fabricados por la industria alimenticia contienen lectinas capaces de enviar mensajes similares a las células grasas.
Para obtener su peso deseado debe eliminar aquellos alimentos que contengan lectinas adversas a su tipo sanguíneo. Se recomienda también desintoxicar en la medida de lo posible al organismo de todas aquellas lectinas ‘a evitar’, que formaban parte de su dieta cotidiana anteriormente.
La suplementacion con el amino acido, N Acetyl Glucosamina ayuda a desintoxicar al cuerpo y deshacerse de las lectinas no compatibles que aun se encuentran dentro de sus células actuando como inhibidores de insulina, impidiendo así el proceso metabólico eficaz de pérdida de peso. D’Adamo ha diseñado un suplemento llamado
Deflect para asistir en dicha tarea. Actúa como 'exterminador' de lectinas no compatibles y difíciles de desechar. Evitando así que se adhieran a nuestros receptores de insulina que bloquean nuestro metabolismo de grasas.
Cianocobalamina versus Metilcobalamina
¿En qué forma se diferencia la vitamina B12?
La cianocobalamina es la forma más común de vitamina B12, que se encuentra en las farmacias. Le sorprenderá que esta forma de vitamina B 12 no ocurra en plantas o tejido animal. En otras palabras, sería imposible encontrar este componente químicamente sintetizado en la naturaleza. Tal como lo implica el nombre, la cianocobalamina contiene una molécula de cianuro. Muchos conocen el cianuro como sustancia venenosa. Sin embargo, desde un punto de vista toxicológico la cantidad presente de cianuro en un suplemento B12 común es pequeña y considerada insignificante. De cualquier manera el cuerpo necesita eliminar este componente por medio de los sistemas de desintoxicación a través de la sustancia glutathione que es de suma importancia en este proceso eliminador del cianuro.
En comparación con la cianocobalamina, la metilcobalamina es mejor absorbida y retenida dentro de los tejidos; en otras palabras: es utilizada con mayor eficacia. La metilcobalamina es metabolizada primordialmente por el hígado, el cerebro y el sistema nervioso.
La metilcobalamina es una forma específica de B12 necesaria para la salud del sistema nervioso. Debe ser la opción ideal para optimizar dicho sistema. La rigidez muscular es señal de deficiencia de B12 así como cosquilleo o falta de sensibilidad, sensación de quemadura, calambres, dolor en terminaciones nerviosas y reflejos lentos. Dada la importancia de la metilcobalamina en la salud mental también lo es para la vista. El trabajo constante visual suele reducir la capacidad de 'acomodación visual', la metilcobalamina logra agilizar esta 'adaptación visual', en tanto que la cianocobalamina resulta ser ineficaz.
Un nivel elevado de homocisteína es un indicador metabólico de bajos niveles de formas de coenzima de vitamina B12, en particular la metilcobalamina . Dicha homocisteina se viene enfatizando en la literatura médica, por su asociación con enfermedad cardiovascular entre otras. Los medios publicitarios advierten sobre la importancia del ácido fólico como medida necesaria para bajar niveles de homocisteina. La combinación de ácido fólico y metilcobalamina funciona de manera mas eficaz.
El uso mas estudiado de la metilcobalamina, tiene que ver con el sueño. Aun no esta muy claro sobre el curso de acción de esta, sin embargo es muy probable que la metilcobalamina sea necesaria para la síntesis de melatonina. Puede modular la secreción de melatonina, resaltar la sensibilidad a la luz, y normalizar el ritmo circadiano (su reloj de 24 horas) por ello, las personas suplementando B 12 han mejorado la calidad de sueño, sintiéndose mas refrescados al despertar.
La metilcobalamina es particularmente efectiva en nivelar su reloj de 24horas. Para ello es recomendable combinar la suplementación de metilcobalamina, con exponerse a la luz solar por las mañanas, esto coadyuva a la regulación de su reloj de 24 horas.
La metilcobalamina no solo regula su ciclo circadiano sino también ayuda a regular la hormona de estrés, cortisol, particularmente importante en aquellos con sangre tipo A y AB. Otros beneficios son el lograr mantener la temperatura corporal estable durante todo el día así como un mejoramiento del nivel de concentración, especialmente en aquellas personas con tipo de sangre A y B.
When DD met SIL, he was in training for bicycle racing. After two years of marriage, what she has learned is that when he is training he eats healthy, but when he is not training, he prefers fried chicken and pizza. She has also learned that because he grew up in a family with five children, there were no leftovers. He is of the opinion that eating leftovers is somehow bad.
In many ways DD's husband is very much like her Daddy. HH talks about eating healthy, but when left to his own, he eats bread and chips. While he cheerfully eats leftovers, I've learned that after I use a recipe a few times, he is tired of it, and wants something new.
A friend of mine shared a recipe for gluten free pizza. The crust was made of eggs and mozzarella cheese, no grain at all. I sent it to DD as a joke, saying that she should try it for SIL. One thing led to another, and we have challenged each other to find healthy recipes for our picky eaters. Here are the rules. One week I find a recipe and we both make it. The next week she finds the recipe.
The recipes cannot be time consuming to prepare. She has a baby, and I have a company to run. Neither of us can spend hours in the kitchen.
The recipes need to be relatively good for both Type As and Type Os. SIL needs to eat less wheat and cheddar cheese. HH needs to watch his carbs to keep his blood sugar down. He also needs flavor or he adds lots of black pepper, which is not good for him.
We are going to try to avoid avoids, making substitutions where it's possible. But we are not going to reject a recipe that nudges our husbands toward healthy eating if an avoid is present in small amounts.
We have to be able to prepare small quantities so leftovers are limited.
The pizza was a huge hit. I was surprised at how much like deep dish pizza this grain free recipe tasted. It was fast and easy. All of us loved it.
Gluten Free Pizza
3 cups mozzarella cheese
1/2 tsp oregano
1/2 tsp basil
Boars Head turkey pepperoni
Pizza sauce, tomato sauce or Marinara sauce
Preheat oven to 450 degrees. Spray 8x8 pan with cooking spray.
Mix eggs, cheese, and spices. Pour in pan and bake 15 minutes.
Take the pizza out of the oven. Top with sauce, pepperoni, and any other toppings
Bake 10 minutes more.
Then it was DD's turn. She found
Quinoa Enchilada Casserole (this is how I adjusted the recipe to be more in line with the BTD)
1 cup quinoa
1 jar mild enchilada or taco sauce
1 can Rotel tomatoes with green chiles, drained
2 cups chopped chicken
1 cup canned black beans, drained
2 Tbsp fresh cilantro or 1 tsp dry cilantro
1 teaspoon cumin
1 cup shredded mozzarella cheese,
Cook quinoa according to package instructions; set aside.
Preheat oven to 375 degrees F.
Spray baking dish with cooking spray.
Combine quinoa, chicken, enchilada sauce, Rotel, black beans, cilantro, and cumin.
Spread quinoa mixture into the prepared baking dish. Top with cheese
Bake until bubbly and cheese has melted, about 15 minutes.
Serve immediately, garnished with avocado and tomato, if desired.
HH and I both loved this recipe. I used to make traditional chicken enchilada casserole before the BTD. The old recipe had so many avoids, and I couldn't think of enough substitutes. This has a similar texture and a similar taste, but the ingredients are much healthier and the result is definitely lighter and less greasy.
Next week it's my turn again. I'm going to see what I can find in the BTD Recipe Center.
It must have been a year ago that I read an article about research that showed people who sat for longer lengths of time died earlier. The researchers emphasized that they weren't studying a sedentary lifestyle, they were studying length of time sitting. So someone who exercised faithfully for one hour a day and spent the rest of the day at a desk job might sit longer than a store clerk who came from work, watched TV and never exercised.
I saved the article, thinking it a curious fact that might make an interesting blog. I was concerned that I spent way too much time sitting at the computer, but I seemed helpless to change my own behavior. Photo editing can’t be done standing up!
About six months ago I read another article about the same subject. This researcher delved a little deeper into why the statistics showed sitting was a statistical predictor of early death. He proposed things like - people who sat a lot tended to snack on unhealthy food - vending machine snacks at the office, large sodas in the car, ice cream and chips in front of the television. Or sitting could effect circulation to legs and feet. Again I saved the article, but again I never wrote the blog, or acted on the advice.
Then I developed two mild symptoms. They came on a couple of months apart so I wasn't sure whether they were related. One of the symptoms was abdominal pain on my left side - not severe, but nagging. If you look up abdominal pain, all of the scary stuff is on the right side. I am pretty self aware, and I’m not afraid to experiment with myself. I tried different supplements, switching out some neutral foods, changed up my exercise. The pain did not respond to any of those variations. There were only two things I noticed with any consistency - the pain moved around and (I bet you see this coming) it was worse on days when I did a lot of sitting. In fact on days when I walked around all day with 20 pounds of camera equipment on my back, I didn’t hurt at all.
Eventually I went to the doctor. He said the abdominal pain was muscular skeletal. So I called my Strong Son the Physical Therapist. He stretched me out on the sofa, checked me over, and said that he is certain I have a slightly bulging disk at L1 or L2. None of the tests he did indicated a severe bulge, but the location of the pain is consistent for the nerves that come out of L 1 and 2.
He says that when I sit and bend over to work on the computer I increase the pressure on the nerve. When I arch my back, it reverses the bulge and relieves the pain. He gave me two exercises to do, and I am getting better.
But I know what I really need to do. I need to get up from the computer more often, and stop sitting for long periods of time. Precisely what the article said a year ago. If you are sitting too much, don’t wait, like I did, for something uncomfortable to develop. Get up and get moving.
I just had some dental work done on Monday. The dentist assured me that, while I would be sore for a day or two from the procedure, I should be in less pain than I was before, since my tooth is now “fixed.”
I was still in pain Monday night, but not worried. I’m still sore from the procedure, plus it’s possible that some of the pain isn’t from the tooth he just worked on, but rather the wisdom tooth 2 teeth away. But suddenly on Tuesday night, I felt excruciating pain when I bit down on the left side! No question- this WAS from the tooth he just worked on!
But Wednesday night started Rosh Hashana, and I was busy all day Wednesday getting ready for the holiday. I really did NOT want to spend the day at the dentist, nor was I willing to do any driving on the holiday itself unless things were very serious. I did watch myself carefully for signs of infection- had my mouth gotten red or swollen, or had I spiked a fever, I would have gone to the Emergency Room.
My mouth only got worse as time went on. It hurts to chew on the left side at all. It hurts to chew on the right side “too much” and it even hurts to talk too much! I prepared the softest foods I could within the holiday and Shabbos restrictions, but the end result was rather imperfect eating.
I did make some soft green beans in the oven, and some spinach later on, but I couldn’t use electricity to make a green smoothie. The rice stuffing from the turkey was way softer than any of the greens I prepared, so I found myself eating more carbs and fewer veggies than normal. Fortunately, the turkey was soft enough for me to eat, so I managed to get plenty of protein. Plus I had stewed sweet potatoes, carrots, and squash that were all soft enough to eat easily.
I’m trying to do better today. I started the day with a green smoothie. That contained pasteurized liquid egg whites, spinach, a banana, and flax seeds. Lunch was a bowl of rice cereal and 3 scrambled eggs. I’ve managed to avoid talking or chewing too much today, so I’m not in as much pain. Now that the holidays are over, I should be able to nourish myself properly, even without being able to chew.
I called my dentist last night, after Shabbos was over, and left him a message. He’ll probably call back tomorrow. I hope I can get this fixed sooner rather than later!
The recent headlines about the death of Joan Rivers - in particular the alleged role of her otolaryngologist unauthorized to operate at the GI Endoscopy clinic where Ms. Rivers went into cardiorespiratory arrest - feed the theory that pursuing a career as an MD has transformed dramatically in our lifetimes.
I can remember meeting with many a doctor of my own generation, back in the late 1980s and 1990s, who said, "I'm getting out." Either early retirement because of their unwillingness to participate in the New Paradigm with its curbs on autonomy and excellence, or, perhaps for the less scrupulous, seeking employment/consultant positions with biotech/pharmaceutical companies.
For all the jokes, it may be fair to say that we were better off when, in and of itself, a clinical practice could be as lucrative as an ambitious physician desired. Thus it could attract those who enjoyed clinical work, interacting with people, sleuthing diagnoses, keeping abreast of the latest medical breakthroughs and research, paying careful attention to medications, and supervising assistants and office staff. Medical doctors could look forward to excellent remuneration for the tremendous responsibility.
Today (with third-party-hands on more of that remuneration), if Lucre is still an MD's objective, the name of the Game is: Gimmick.
"Procedurists" (seeing patients on Mondays - routing them into Procedures Tues.-thru-Fri.)
A Little Business On the Side (co-owning ambulatory "procedures" clinics with colleagues)
Competitiveness: "Be The Only One In Town Who..."
Celebrity photos on the wall
Performing procedures "backstage"
Administering anaesthesia at the patients' homes (remember that one?)
Taking unauthorized photos of an unconscious patient, with impunity (Doctor as Paparazza)
Waltzing into a surgery center with NO OPERATING PRIVILEGES and being treated like a star oneself
...Normal medical cautions be damned.
The phenomenon figures into the growing conviction of many that naturopaths and osteopaths, as well as other "alternative" practitioners, are safer to life and limb, which is 180º from the old saw that they were the Snake-Oil salesmen! Among this population, there could be not only increased safety, but greater health and educated participation.
In the PME (Pre-modern Medical Era), I had some very lovely Old School doctors with many famous clients. They were wealthy, but they were humble, careful, and friendly in the examining/consultation room. They were well-informed and gave very considered and conservative counsel to this non-celebrity. If a "procedure" were required, they had attending privileges at reputable hospitals they did not own. Never a soupçon of Conflict of Interest.
As the song said, "Those Were The Days, My Friend".
PS. Interesting: Two days after this blog posts, the following appears in The New York Times:
"The Famous Can Present a Minefield for Doctors: Joan Rivers' Treatment Seen as Possible Example of V.I.P. Syndrome".
Fall-out from some of the Gimmicks I describe.
About a year ago, our Strong Son decided to train for a triathlon. In High School he ran track and cross country. He swam on our local swim team from 4th grade through high school, then swam on his High School swim team. He has enjoyed riding bicycles for fun, but had never ridden competitively. He decided to buy a better bicycle and start to train.
He did his first triathlon in the spring, and has done several since then. HH and I have been looking for time when we could go and cheer him on. We finally got the opportunity.
For me as a photographer, the transition zone was a great place to start. I got him jumping into the water and coming out. Then HH and I took a shortcut to a spot on the bicycle route where we would see him twice. A half a block away he ran by us on the first part of the run.
We took another short cut and I was waiting with my camera at the finish line. SS finished 14 out of 54 in his age group. For HH and me it was like a trip back in time to all of the swim and track meets we used to attend when he was young.
SS has always eaten healthy compared to most young adults his age. We ate healthy at home, and his High School track coach encouraged the runners to stay away from sodas and junk food. But training for triathlons has made him take a personal interest in nutrition. He has read a lot and is striking his own balance between what trainers recommend and what the Blood Type diet recommends. For instance, he eats a lot of carbs before an event, but does not load up on bread or pasta. He stays away from high fructose and sodium (supposed) sports drinks, but he does drink coconut water.
I am delighted that he is doing his own research and experimenting to see how his body responds.
As we were waiting for one of his friends to finish the triathlon, I noticed a very fit, muscular young man sitting on a blanket nearby. He wore a tri shirt that said “Powered by Veggie Fuel” The visual implication was that he was vegetarian if not vegan. I wanted to go up and ask if he knew his blood type. I had just gathered up my nerve when he and his friends packed up their blankets and moved off.
From my futile attempts at vegetarianism back in my pre-BTD health nut days, I know that I could not stay healthy enough without flesh foods to exercise much less participate in a triathlon. SS has discovered the same thing about his Type O body. I’m guessing this young man was a Type A. I wish I had acted more quickly and asked him.
I am at DD’s house today. SIL is going on an overnight Men’s Retreat with their church, and I am going to keep DD and BC company while he is gone.
DD has always liked soy nuts. She likes the taste and she likes the crunch. But soy nuts are expensive. And it is hard to find soy nuts without salt. I have been known to put a package of unsalted soy nuts in her Christmas stocking. They are that much of a treat for her.
She was at the store recently and found a bag of soy beans. She mistook them for soy nuts until she got home and looked at the bag more closely. Rather than being irritated, she went online and found out that she could make soy nuts at home out of the soy beans.
That is what we have been doing this morning - besides watching an adorable 5 month old creep and roll and kick all over the living room floor.
Here is how she made them:
Soak the soybeans overnight.
Rinse them and let them drain in a colander.
Spray olive oil cooking spray on a pan, add the soy beans, then spray a little more olive oil on top of the beans.
Cook for 15 mins at 400 degrees – then stir them around
Cook another 25-30 mins, then remove them from the oven.
Add salt if you must.
I tried some of the first batch. They are delicious - just as crunchy as packaged soy nuts, but - honestly - much more flavorful.
DD began to wonder if she could do the same with other vegetables. I said that I had eaten crunchy green beans and peas out of packages from the health food store. I thought they were delicious, but they were so expensive that I rarely bought them.
DD had some English peas in her refrigerator, so we tried cooking them in the same way she had cooked the soybeans. They didn’t need to cook quite as long, but again they were delicious.
She and I are both very excited about this. Crunchy vegetables are such an easy snack. You can eat them in the car, or grab a handful when you are busy. When you make them yourself, they are no more expensive than cooking fresh vegetables.