Monday, October 14, 2013

Alternative Medicine 3--Nutrition


“In our last posting, Curmudge, you suggested that we had learned a few things about alternative medicine worth sharing.  How do you propose that we proceed?”

“This may be a bit presumptuous, Julie, but we are going to provide a blog’s worth of guidance for a selection of people with various degrees of health.  We’ll start at the healthy end of the spectrum—with young people who are healthy and want to stay that way.  Their simplest path forward is good nutrition.”

“Nutrition!  Here we go again, discussing something about which we know absolutely nothing.”

“As of a few weeks ago, I knew at least a little bit.  Here are my rules of thumb:
(a)  Everything that tastes really good is probably bad for you.
(b)  An apple a day would have kept the doctor away many years ago when doctors made house calls.
(c)  If you are healthy and happy with your diet, don’t change it.
‘If it ain’t broke don’t fix it.’  Of course, you might die tomorrow.
(d)  If you are 79 years old, you must have been eating some of the right foods for the past 79 years.  But don’t make big plans for ten years from now.
(e)  If you are obese and don’t want to stay that way, change your diet and lifestyle.  There are a million sources of advice out there.  If you decide to remain obese, move to Mississippi, the fattest state in the nation.  You’ll have lots of company down there.”

“Curmudge, some of your rules sound rather unkind, but it’s hard to argue against them.  And you suggested that you have learned more about nutrition in the past few weeks.  You must have been reading the right books; it can’t be from your exemplary eating habits.”

“I grew up as a meat-and-potatoes kid.  During the Second World War the meat was sometimes Spam®, and we raised potatoes in our victory garden.  Nationally, every week we celebrated ‘Meatless Tuesday.’  The objective of a meal was to get over the feeling of hunger, and that has continued until recently.  If we look around, we see most people still eating that way; and in the U.S. they eat too much.  Regrettably, in some parts of the world people never get over feeling hungry.”

“In the past many years since your youth, Professor, scientists have learned that the real purpose of eating is to nourish the biochemical systems that run one’s body.  Paraphrasing Blaylock’s comment about nutrition and cancer, ‘New techniques for measuring biochemical events on a molecular level have allowed us to map out the many ways the components of (a proper diet including) fruits and vegetables inhibit cancer formation.’ (1) “

“You’ve got it right as usual, Julie.  That’s the link between the natural products side of alternative medicine and nutrition.  One’s good health can be largely dependent on the specific natural products in the foods that he eats.  That’s why we could say a moment ago that good nutrition is the best path forward for a healthy person who wants to stay healthy.”

“Shall we provide some specific suggestions for that up-to-now healthy person?”

“Sure.  Most people in the U.S. have been eating too much sugar, refined carbohydrates, and the wrong kind of fat.  Instead, they need more fruits and vegetables, especially the cruciferous ones like broccoli, cauliflower, and Brussels sprouts.  There was even an article in the August 2013 National Geographic about how we eat too much sugar, much of it invisible as high-fructose corn syrup.  The average American eats 22.7 teaspoons of sugar per day without touching the sugar bowl.  Among the worst sources are sugar-coated breakfast cereals and carbonated drinks (soda).  We have acquired a taste for poor nutrition.  For example, a can of soup wouldn’t taste right if were not crammed full of salt.”

“Curmudge, I believe everyone knows what you just said, but they seem unwilling to put it into practice.  But suppose our ‘healthy person’ really wants to get serious about his/her diet.  Assuming she has a computer and is willing to learn, what resources should she turn to?”

“I first recommend a change in syntax.  Use the French word régime instead of diet.  Diet connotes ‘fat’ and an effort that is often short, unpleasant, and unsuccessful.  Second, recognize that many of the experts in nutrition are those who have used diet as the foundation for their approach to diseases via alternate medicine.  And finally, you’ll see that many of those diseases are senior citizens’ afflictions that have been the most resistant to conventional medicine, such as cancer.”               

“I suspect that the first nutrition ‘guru’ that you will recommend is Andrew Weil, MD.”

“For him, ‘guru’ is he right term, Julie, and he can certainly provide more authoritative advice than we can.  It‘s spelled out in his anti-inflammatory diet and food pyramid.  Most of the authorities whose books I have read are fairly consistent in their dietary recommendations.  Russell Blaylock MD and Donald Yance, a nutritionist and herbalist (2), describe in detail why certain foods are good or bad for you.  And locally (Green Bay), Terry Lemerond includes diet advice in his Terry’s Traditional Diet.  For the dedicated meat eater, Al Sears MD provides advice on protein. (3)”

“A new find for us, Old Guy, but seemingly not for a lot of other people, is William Davis’s book, Wheat Belly.  I even found a summary of the book on the web, so the price is right for a tightwad like you.  Dr. Davis makes a pretty strong case for a wheat-free diet, although some of his assertions have recently been contested.  Davis’s diet has a lot in common with the well-known Paleo diet.”

“Davis’s results sound impressive, Julie, but adhering to a wheat-free diet would be difficult.  I would have to make toast from rye bread and give up frosted cupcakes and weissbier (beer made from wheat).”  

“But Curmudge, all of these diets are demanding, and it’s hard to get enthusiastic about eating a bunch of vegetables.”

“Try juicing or blenderizing them, Julie.  I haven’t tried that yet, but Doc Mack has.  The first step is to buy a blender, and it’s critical to find one that is easy to clean. (1, p. 28)”

“We can’t leave nutrition without considering smart shopping.  Look for a store that uses the NuVal system for evaluating food nutrition. The system considers 30-plus nutrients and nutrition factors – the good (protein, calcium, vitamins) and the not-so-good (sugar, sodium, cholesterol).  And then it boils it down into an algorithm that gives a score from 1 (bad) to 100 (good) for each food item.  These numbers should be visible for each item in a store that has adopted this fairly new system.  I’ve seen some of these numbers in the local Festival Foods.  So, Professor, we’re at the end of another class.  Do we have a final observation for our readers?”

“When I’m in a restaurant or in the hospital where I volunteer, there seem to be lots of obese people.  But in my apartment complex, where most of the residents are over 80 years old, very few people are obese.  I think I know why.  Bon appétit, Julie.”      

Kaizen Curmudgeon

(1)  Blaylock, Russell L., MD  Natural Strategies for Cancer Patients (2003, Kensington)
(2)  Yance, Donald R.  Herbal Medicine, Healing & Cancer (1999, McGraw-Hill)
(3)  Sears, Al, MD  P.A.C.E. (2010, Wellness Research and Consulting)

Link to posting from blog archives: Patient Safety—Communications 1/22/09
http://kaizencurmudgeon.blogspot.com/2009/01/patient-safety-communications.html

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