Sunday, July 31, 2011

Medical Advice. Huh?

http://thyroid.about.com/b/
Good Housekeeping Magazine Owes it to Millions of Thyroid Patients to Get the Story Right

Wednesday July 27, 2011.

It appears that Good Housekeeping published a misleading article. Or did it? That's the problem with medical commentary these days. The experts don't always agree. Sometimes they rarely agree. I learned this firsthand in my life. I discovered that I couldn't always believe what I was reading or what a doctor told me.
 
The topic of the article cited above is hypothyroidism. There is disagreement among medical professionals about treatment and drugs for hypothyroidism and other medical conditions including cancer, heart disease prevention, diabetes and others.
 
Once upon a time I went to a doctor, who correctly told me that I had (and still have) hypothyroidism. She prescribed a drug, levothyroxine, to treat it. So far so good. At that time I still believed in advice from the conventional medical people.
 
Some years later, I was advised that my blood sugar was getting high, but not given advice. Later, I was told that my cholesterol was high, but not given advice. So far no advice, no drugs. Later still, a doctor strongly recommended that I take a drug to lower my cholesterol.  At that point I started to do research. Yikes and hoity toity, had I ever been fooled. I discovered that conventional doctors' opinions are not the only ones out there. I learned that eating the "healthy" American typical diet is an invitation to disease, especially diabetes. I learned that there is a large group of people who have written intelligently about the dangers of taking drugs to lower cholesterol, and that high cholesterol isn't the cause of heart disease in most cases. I learned that I might have better outcomes if I changed my thyroid medication to bio-identical. Then I discussed these things with my doctor. And my next doctor. And my next doctor. We weren't on the same planet.  Then I read about cancer treatment that didn't include chemotherapy. I'm glad I don't have cancer.
 
The article cited above points to (but doesn't actually say) the need for us to do our own research on conditions we are told we have. We also need to weed out the quackery if we can discover it, or embrace what a conventional doctor might call quackery. The citation above is from a website dedicated to information about thyroid conditions, operated by a woman who is not a doctor, and who did her own research. She has published books.
 
I'm not taking the drugs the doctors recommended, other than one for hypothyroidism. It took me about ten years and several doctors to finally locate a doctor who would go beyond what she had learned in medical school or from seminars presented by drug companies. I'm a lucky one.
 
I believe that people should be able to trust the medical advice they are given, and that that advice is likely to improve their health. (I am not optimistic about advice from doctors at this point.) I have several books about statin drugs that are very informative. After reading them and other information, I wouldn't touch a statin drug. I have several books on diabetes, which interest me because I have been trying for several years with success to keep my blood sugar under control without drugs. It amazes me that there are plenty of contradictory books about diabetes, some suggesting low to no carb diets, others recommending low glycemic raw vegetable vegan diets, and one promoting a high carb diet. They all explain the science. Even Dr. Robert Atkins explained the science. The doctors laughted at him too.
 
I'm glad to get advice from doctors when emergencies come up. They're very good with emergencies. But let's treat chronic conditions with open minds.
 
 

Tuesday, July 19, 2011

Visiting Boston

I went to Boston last week, on a bus with twenty-five other people. We took in the mythology of the beginning of our nation’s revolution, some Americana and some local culture. Then we came home. My companions on this trip were the other people who took the trip with me. After having taken a few previous trips with Jack, our driver, he was like a familiar friend. He even hugged me and other women goodbye at the end. Jan, our tour guide, was a winner, too.
We spent more time on the road than the three days in Massachusetts. It was worth it for the most part. The scenery in New York State and Massachusetts is beautiful. The mountains and hills are largely wooded. Some panoramic views looked spectacular.
In Boston, I enjoyed our tour of the USS Constitution, the oldest operative US Navy commissioned ship. It was known as Old Ironsides because cannon balls would not penetrate its keel. Next to it in dry dock was a navy destroyer. The old and the new together. The Constitution is in very good shape for its age, which the guide told us and I immediately forgot. She said it held five hundred men in its active days. Pretty crowded, even for small guys who took turns sleeping in hammocks. I was the last person to get back onto the bus because I wanted to stay and look at the boats.
Equally fascinating was our day at Lexington and Concord. A local guide took us to the relevant historical sites where battles too place. She was very good at bringing us into the events that might actually have happened as reported. Mythology here seemed more important than historical accuracy, although she said it all happened. We stood where the shot heard round the world (the expression was coined by Emerson) happened as the alleged beginning of the revolutionary war. She also told of some of the events that led to it. She said that the battle of Lexington and the Battle of Concord each lasted about five minutes. The patriots lost and Lexington and won at Concord.
We visited Paul Revere’s house in Boston, which has been restored. Fireplaces and old furniture. Revere’s midnight ride was recounted. I have read that Longfellow invented many of the details of that ride, although at Lexington our excellent guide pointed out that he was captured before he got to Concord. Longellow left out that part of Revere’s adventure. Related to this, we also visited the Old North Church in Boston, which is an Episcopal Church, where the alleged “one if by land and two if by sea” was said by Paul Revere before he rowed across the river, borrowed a horse and began his famous ride to warn the settlers that the Regulars were coming.
Americana meant stops at the Lucy Desi Center in Jamestown, NY, and the Norman Rockwell Museum in Stockwell, MA, both on the way to Boston. Both were interesting in different ways. Lucille Ball’s hometown is Jamestown. The center captures her and Desi Arnaz’s life on television. In Stockwell, Rockwell’s original paintings are exhibited, I ate this up. He captured Americana on covers of the Saturday Evening Post, and the original paintings are in that museum. He was criticized by some for giving us sentimental art, but his art captured mid-century America very well. He was an excellent portrait painter. The museum has a room of his dog paintings. Dogs are present in the paintings but are not the subject of the paintings. There are photos there of Rockwell positioning dogs as models for a photographer, next to the corresponding paintings. Did we think he painted everyone and everything without models?
Local sights and tastes included dinner at Cheers, which was mediocre; the view from the top of the Prudential Building, about 50 stories high; tour of Boston Harbor in a boat; tour of the Charles River on a World War II duck; tour of part of Harvard University; an afternoon walking on the Freedom Trail mixed with time at the Quincy Market; plenty of clam chowder; other undistinguished meals here and there. On my own I located and dined at Legal Sea Food in Boston. I couldn’t forego a good lobster dinner in a city famous for seafood. And wonder of wonders, I had no beans in Beantown.

I had a good time. I took no photos. I am home now.

Sunday, June 19, 2011

Speaking Christian -- Book Review

Here is a book about words. The full title is Speaking Christian: Why Christian Words Have Lost Their Meaning and Power—and How They Can Be Restored. It is by Marcus J. Borg, well known Bible and Jesus scholar and author of many books.
The book is written in understandable language. It’s interesting and thought provoking. According to Borg, the purpose of the book is to “exposit an alternative understanding, one that draws on the Bible and premodern Christian tradition….it compares and contrasts the contemporary meanings of Christian language with their often very different biblical and traditional meanings.” He points out that Christians often misunderstand the faith as presented in the language of the New Testament, because the words have taken on newer meanings than were intended originally.
Each word or phrase has its own chapter. Borg tells how the word is used today and what it meant in the Bible and the early Christian community. He presents a short essay (two or more pages) about the word or concept, with occasional personal anecdotes. This is not a dictionary, not written in alphabetical or encyclopedia format. It moves from one word to the next, so that one can pick it up and not need to read it in sequence.
Some chapters are Salvation, the Bible, God, God’s Character, Jesus, Mercy, Righteousness, Sin, and Heaven. I was impressed with the chapter about Mercy. He offers official dictionary definitions to show what most people think it is, and then goes into its historic origins, turning it into something like compassion. Of course, he has to explain compassion, too. Mercy in scripture and Hebrew associations is not about a person in power granting clemency to someone with less power. The Mercy chapter is just one example of the way Borg deals with the words of Christianity.
“Heaven and hell” Christianity gets its day, too. Borg doesn’t buy it. He says that that framework emphasizes the afterlife, sin and forgiveness, and is the main reason that many people are Christians. Borg, as a liberal Protestant, explains that the Kingdom of Heaven is here on earth now and not just about going to heaven later. Borg doesn’t agree with a lot of the teachings with which Christians have grown up. He seems lukewarm about the Trinity, the afterlife, and about the divinity of Jesus.
There is a lot in this book. Borg correctly points out, “Christians in this country (and elsewhere) are deeply divided by different understandings of a shared language.” It is available from Amazon.com.

Thursday, June 16, 2011

Mowing the Lawn

I enjoy gardening. Yard maintenance in the woods is a different thing.
I came to the cottage this week for the purpose of mowing the lawn. You might ask why someone would drive more than 200 miles to mow the lawn, even if it was a foot and a half high with tassels on the tops. Even though we were hoping the deer would eat it so it wouldn’t be so tall.
I own this somewhat off-the-grid place on the shore of Lake Michigan with my brother. It has been for sale for six years since our mother died and left it to us. Most of my adult children and my two brothers’ adult children use it like a woodsy timeshare. Once in a while one of them will mow the lawn and cut firewood.
To date this year, however, I am the only person who has been here, although Sarah came with me for the long Memorial Day weekend. So I am responsible for the lawn for now. When Sarah and I were here last, we were unable to start the lawn mower. It’s only about thirty years old and might be the oldest mower on this island. I think my father bought it, and he died in 1992. Maybe he bought it when he bought the cottage in 1970. Is that a reason for it not to start? Apparently yes.
I came here to deal with it. This morning I stuffed the mower into the back of my little Toyota Yaris. Did I mention that it was raining? I took this heavy albatross to Dave’s Garage, without calling him first, of course. Dave and this mower are old friends. My husband took it to him at the start of many growing seasons when it wouldn’t start. Dave had us on file. Dave tuned it up for about $76. While he was doing that, I went to Mann’s Mercantile and looked at new lawn mowers. Just under $200. Hmmm.
Sometime during the morning the rain stopped. It stayed cloudy and wet. By 1:00 the mower was home and it was somewhat dry in the woods. Somewhat. The mower started right away. I mowed for a long time, starting with the driest places, which were the once gravel driveway and the sparsely grassed front yard facing the lake. You might know the expression, the grass is always greener over the septic tank. It’s true. Beginning with the septic tank, it was all downhill, not geographically but humanly. The grass was wetter and thicker. The grass over the plumbing mound was very wet and very thick. Mowing was hard work.
Usually I enjoy mowing the lawn. Not this time. I did it because it had to be done. When the grass is a foot and a half tall, it’s time. It was hard work pushing through grass that preferred to fall down instead of being cut, grass that gave me greenish wet shoes and jeans. I worked up a huge sweat. Finally, the mower stopped. It wasn’t out of gas. It was smoking. It had given up, I think. Most of the mound remained unmowed. The mower and I came to the same conclusion. It was time to stop. I found gobs of wet mulch in the underside, impeding the blade. I put it away.
I don’t think I’ll mow tall wet grass for a while again. The deer can have it.
(I must get back onto the grid to publish this. I’ll join the people on the lawn of the library, where people use its wi-fi when the library is closed. That is, if it isn’t raining again.)

Saturday, June 11, 2011

Things That Matter

I like many things, from avocados to zucchini. Not just food things. While enjoying my morning walk today, I thought about some things that make life worth living for me. I recognize that the things I like best are also good for people as a whole.

Here are the things that matter to me.

1. Faith. It shapes us as we grow throughout life. I believe that we Christians should look to what Jesus did and said as reported in the New Testament. We should not be distracted by Christians who forget that Jesus is the Prince of Peace. Faith means ordering our national behavior to avoid wars. It means loving our neighbors as ourselves, and not using our fellow human beings for our individual or national selfish purposes. I believe that individually, locally and nationally, we should respect the faith of others who practice their faith differently. Mahatma Gandhi, a Hindu, was reported to have said that he admired Jesus but not the Christians.

2. Relationships. Family matters greatly. Good family relationships strengthen us. They support us in our need. They give us environments in which to nurture each other. I love my five adult children, four grandchildren, brothers and their wives and children and grandchildren. I loved my husband even through stormy years together. A permanent partner is important for health and happiness. Good friends are few but satisfying. Family and friends are not to be manipulated but honored. When we offend our family or friends, it is important to mend the relationships. I have offended my family and friends but not ended the relationships. On the corporate and national scenes, we have seen examples of abuse of relationships throughout history. What must a person do to his or her relationships in order to become President? How many Presidents and politicians and celebrities have dishonored their wives through infidelity? How many worship power?

3. Health. Good health makes life worth living. I order my life around the hope of long life without disability or chronic illness. Our American medical system is a good thing when we have emergencies or life threatening illnesses. It isn’t very good in the way its benefits are distributed. I am thankful for Medicare and hope our politicians do not destroy it. Many opportunities are available to encourage good health. A large amount of material on health is available to us in books and on the internet. I think it is hard to navigate through all the contradictory information. Yet we have opportunities to make decisions about our health. I believe that many Americans live their lives with obesity, degenerative diseases including heart disease and diabetes, buying time with prescription and nonprescription drugs, while losing the health battle. I also believe that these conditions are preventable; my opinion has been voiced by many doctors and other health professionals. I believe that if what I said above about faith is valid, the United States should provide all Americans with a single payer medical care system. I also know that the issue has become one of politics rather than caring for one’s neighbor.

4. Food. Food is related to health. Good food promotes health; bad food promotes illness. I like to cook. I like the taste, color, texture, and smell of food. I like having farmers’ markets in Madison where I can buy fresh vegetables and frozen grass-fed meats. I enjoy eating in good restaurants. And I recognize that there is a big land mine in all this. The joy of variety in supermarkets brings with it the possibility that we will bring home bags of processed and genetically altered “foods” that are likely to bring on poor health. The wide availability of fast food for a stressed and hurried population makes bad food easy to consume. Michelle Obama has given visibility to obesity among children. Who will win, Michelle or our unhealthy economics of food production? Some people find themselves depending on junk food in fast food restaurants and convenience stores. Of course they get sick.

5. Brains. An educated population can make wise decisions. It doesn’t always do it, but it can do it. An educated population is likely to make informed choices about living. I value my education. It’s not just about finding jobs, although that helps, but it is about being human. A good public school system is important for everyone. A good university should not be out of economic reach for people who want to be educated. The internet provides a great deal of educational material. Good libraries offer reading materials for all kinds of people without discrimination. They need our support. It is no accident that I chose to be a librarian.

6. Mobility. We can travel, move into different homes, enjoy walking in the woods. Our country offers good highways that take people everywhere. Many cities have transit systems. Individually, we have crutches, walkers and wheelchairs. If we have money, we can see the world. If we don’t have money, well, too bad. At least we can walk around the block. Much of our mobility depends of money and government policy regarding how to go from point A to point B. Roads or railroads or airlines? We have come a long way with mobility. I am thankful for mine.

This is dedicated to Andrea, my granddaughter, whose high school graduation ceremony is today. I hope she will care about these things as she begins a new part of her life.

Thursday, June 9, 2011

Infidelity

High profile spousal infidelity has been in the news a lot lately. Right now it centers on New York Rep. Anthony Weiner. A short time ago the focus was former Gov. Arnold Schwartzenegger. Before them we heard about others, including Tiger Woods, John Edwards, Virginia former Governor Mark Sanford, Prince Charles, President Bill Clinton, former House Speaker Newt Gingrich, President John F. Kennedy (not publicized at the time), President Franklin D. Roosevelt (less publicized and a long time ago), and many more. They all had wives.

Publicly most of the men offered apologies. Privately they had to deal with the damage to their marriages. Their wives responded in a variety of ways. Some stayed married. Some didn't. But does a public apology mend a relationship?

Whenever a famous unfaithful husband is exposed publicly, I feel the pain that I assume their wives feel and felt after being betrayed in their relationships. I feel it because it hits me close to home. It happened to me, too, a long time ago. We are a large sisterhood.

Do those men excuse themselves by saying their sexual activities were their wives' fault, or they did things that technically were not sexual intercourse? Are their public apologies designed as attempts to retain their celebrity or power status? Is it all about narcissism?

Now that we have prostitutes (for Eliot Spitzer), oral sex (for Bill Clinton), subsequent death of spouse (for John Edwards), cybersex (for Rep. Weiner), phone sex (for many others), we are aware of the many ways for vulnerable men in high positions to take risks that can lead to their public destruction and the permanent changes to their most intimate relationships.

One televised image that stays with me is of Hillary Clinton, then First Lady, walking near, not with, her husband after his famous speech in which he acknowledged that he had sinned. Her body language said to me that Bill would have to deal with this episode in their lives himself.

Don't these men think about the pain they cause by thinking with a body part other than their brains? Do they think women are playthings to be used? Does power entitle them? Will they ever "get" it?

Tuesday, April 19, 2011

Sugar, Fat and Salt

Incompatible? I think so. Today I’m noticing the pairing of ice cream and obesity. This is a meditation about ice cream and overeating.
While I was on the road to and from Minneapolis last weekend, I listened to the audio version of The End of Overeating: Taking Control of the Insatiable American Appetite, by Dr. David Kessler. It’s a book about how sugar, fat and salt lead to the obesity epidemic in the US. Today I ate Ben & Jerry’s Phish Food ice cream. Most of a pint carton. I had read the book before, so I knew what I was doing.

Phish Food ice cream tastes very good. Ben & Jerry tell us on the label that it is All Natural. I think they have created something delicious and unnatural. In the framework of the book by Kessler, this dessert represents why people get fat. Kessler’s book isn’t about Ben & Jerry’s; it’s about sugar, fat and salt in addicting combinations. It’s also about how corporate food processing companies and fast food and chain restaurants exploit our appetites. It’s about the science behind it. Kessler points out that the processed foods of today are more complex than they were thirty years ago. They contain sugar and fat and salt in several forms, which he calls layering.

Phish Food ice cream is largely a combination of sugar (in various forms) and fat, with some salt. The description says it is “Chocolate Ice Cream with Gooey Marshmallow, caramel Swirls & Fudge Fish.” The carton also says, “…we made the marshmallow nougat chewy and the caramel gooey.” This adds up to an irresistible product that contains five fats and four sweeteners on its ingredients list, with salt listed twice. Do I want to eat liquid sugar, corn syrup, sugar and corn syrup solids, combined with cream, coconut oil, butter, egg yolks and milk fat? Apparently a lot of people do. And it’s called “all natural.”

Kessler points out that it is the way the sugar, fat and salt are combined that makes the difference. Food scientists have experimented a lot to create foods that taste good, look good, and make the consumer want more. They market them in appealing ways. Combined with that, many people eat away from home and snack throughout the day. Successful snacks contain combinations of these ingredients. Of course people are getting fatter after they fill up on them.

In addition to ice cream, I like potato chips. They have less sugar, although the potatoes aren’t innocent. They have plenty of fat and salt. French fries are a lot like the chips. There are other sweets that many people like and I manage not to eat very often, such as cake, pie, cookies, chocolate and cheesecake.

Kessler’s book is about food science. Kessler was commissioner of the US Food and Drug Administration under presidents George H.W. Bush and Bill Clinton. He knows his stuff. Ben and Jerry know their stuff, too. They and Kessler are on the American dietary collision course. I have read that two-thirds of Americans now are overweight or obese. We shouldn’t wonder why.