It’s one thing to do your exercise and stick with your heart-healthy diet at home, but what about when you travel? It may take a bit of extra effort and commitment, but you definitely can take the program on the road with you.
Do all recovering heart patients stay with it? Research from the University of Houston indicates that individuals with heavy demands on their time tend to slip in terms of exercise. When eating alone, as on a business trip, they’re likely to eat foods higher in fat than they would if at home or even if eating with others.
No doubt about it, we’re living in a mobile society, and that puts a strain on your commitment. Most of us spend a lot of time on the road, travelling for business or for pleasure.
As with all other aspects of your recovery, you’ve got to view this one with a positive, upbeat attitude. Don’t view it with doom and gloom like Nathan Pritikin did in his books when he called restaurants “the enemy camp” to be avoided at all costs. Even a respected heart researcher like Dr William Castelli of the Framingham Heart Study has sounded pessimistic about the prospects when he told a group of physicians that “if you have to eat out you are as good as dead”.
Well, I’d like to take major exception with those two negative opinions. I’ve travelled extensively following the publication of The 8-Week Cholesterol Cure, at times spending as much as 70 per cent of the month on the road, at other times travelling non-stop, city to-city for a month or more at a time.
I’ve flown on virtually every airline in the sky, stayed at every major hotel chain and dozens of little independent motels, visited large cities and small towns and eaten in countless restaurants. I can speak with some authority, then, when I say that it’s not only possible, but actually easy, to take one’s heart-healthy program on the road.
The travel industry recognises a giant trend toward the desire to make healthy choices in exercise and dining. They’re reponding beautifully, more strongly than locally based restaurants and food companies. That’s no doubt because the traveller tends to be more educated, more affluent and more in tune with the compelling necessity to take care of himself and herself.
If you have special dietary requirements, let the hotel know. Speaking up will let the management know that they need to get on the stick if they want to keep your business. Be outspoken and be proud of your healthful eating habits.
In Canada, 1500 regular hotel customers did just that. When interviewed about what they wanted in foods, they spoke up about healthy alternatives to heavy, rich dishes. As a result, 32 Holiday Inn hotels across that country now offer menu items developed in co-operation with the Canadian Heart Foundation. They call such items as filet of salmon, chicken Shanghai and spinach salad with sesame seed dressing “Heart Smart”.
I mention these things to let you know that you’re not in the minority. Rather, you’re riding the crest of a trend that’s sweeping across most of the Western world. Start taking the attitude that the first things to pack when travelling ate your healthy program and practices. Don’t leave home without them!
A good start is to get acquainted with an accommodating travel agent. If you don’t already know this, it costs no mote to arrange your travel arrangements with an agent than to do so yourself. In fact, very often an agent can do the bookings for far less.
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Cardio & Blood/ Cholesterol
I won’t trouble you with the full spelling of this one. Suffice it say that drugs in this category decrease synthesis of cholesterol the liver by partially inhibiting an enzyme necessary for its production The first drug to receive FDA approval in this category was lovastatin More than one million patients in America now take the drug I daily doses of 20 mg, 40 mg or more depending on the severity cholesterol elevation.
The second drug in this category was approved by the American FDA in 1991, although it had been used elsewhere in the world for a couple of years before that. Pravastatin is prescribed to be taken as one 40 mg tablet at bedtime. This once-a-day dosing is the principle advantage the drug has over Mevacor.
In data presented to the US FDA by Bristol-Myers Squibb, Pravachol was reported to decrease total cholesterol by 24 per cent, LDL cholesterol by 32 per cent, and triglycerides by 15 per cent. HDL levels rise by 5 to 10 per cent. These effects are similar to those achieved with Mevacor at similar dosages.
Both Mevacor and Pravachol have been shown to be particularly effective when prescribed in combination with bile sequestrant drugs, either cholestyramine or colestipol. And both require the patient to follow a low-fat, low-cholesterol diet in addition to taking medication.
*150\85\2*
Cardio & Blood/ Cholesterol
COATED TONGUE
The commonest cause for a uniformly coated tongue in a child is simply drinking milk. Children may have a coated tongue at any time, but it is more common when they are ill and have a fever. Encourage your child to drink plenty of clear fluids.
EAR DISCHARGE
If your child has a discharge of pus or blood from the ear you should see your doctor immediately, as this can be a sign of inflammation or infection in either the external or middle ear. If blood is present it may indicate that some kind of trauma to the ear has occurred. Do not put any cotton wool in the ear, and do not try to clean away the discharge with a cotton bud.
‘BAT’ EARS (PROTRUDING EARS)
Some children are born with ears that stick out noticeably. If your child feels self-conscious about this, or is teased at school, straightforward surgery can improve the appearance of the ears. A small piece of cartilage is removed from behind the ears under a general anaesthetic, and this allows the ear to sit flat against the side of the head.
*234\90\8*
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Mouth
Most children are born without any teeth. If your child does have a tooth at birth, check with your dentist to make sure it is a normal tooth with a root structure and not just an extra tooth which can dislodge and be breathed in accidentally.
The tongue in newborn babies has a very short band connecting it to the floor of the mouth. This usually stretches over time, and is not a cause for concern.
Ears
The ears of a newborn baby often look a little squashed. The cartilage hardens after about a month and the ears begin to take on their normal shape.
Chest
Newborn babies sometimes have enlarged breasts at birth due to the influence of the mother’s hormones inside the womb. This can occur in both male and female babies, and may last for several month. Occasionally a few drops or milk will tie secreted. If one breast becomes reddened or tender, check with your doctor in case it is a sign of infection.
*67\90\8*
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You have to actually feel good to really feel anything.
HUSBAND
Not a problem in the world. Both spouses young and in perfect mental and physical health. Never a physical symptom of illness, always feeling energetic, well nourished, and well exercised. Two people glowing with health; hale, hardy, and feeling good every moment of every day. If this describes the two of you within your marriage, you are unique, for most of us have transitional minor health problems throughout our lives. Many of us have major health problems with which we must cope. This chapter is a home health guide for maintaining intimacy at times of illness, for people who fall into any one of the following four categories.
Feeling good and having no health problems now. All people get sick sometimes. There would be no wellness without illness, for illness is as natural a part of living as health. Sickness comes with being human and can directly affect your sexuality. Sexual intimacy can also help in your recovery from illness. Understanding the impact of illness on sex and sex on illness before we are ill can be effective preventive medicine, so even if you have no noticeable health problems now, the material to follow can be of help to you and perhaps to someone you know if óoö share this knowledge.
*258\97\8*
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Now, let us go back to the list of alternative medical treatments, given earlier in this book. When we read the list for the first time, the various healing methods appeared to have nothing in common.
In the process of reading this book we found that the key to perfect health is detoxification of the body and purification of the mind.
Looking at the list of alternative medical treatments once again, it is quite easy to notice, that the various methods of detoxification of the body and/or purification of the mind (our thoughts) are actually essential elements of them all.
They form the missing link, that unifies all successful healing methods, possibly including also those which have not yet been discovered.
*48\96\8*
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Recently, the Journal of the American Medical Association reported an experiment where a panel of three iridologists and three eye doctors were shown a series of colored photographs of the irises of healthy people and those suffering from kidney disease.
When the results were analysed, JAMA reported “. . .no value in iridology as a screening technique for detecting or diagnosing kidney disease.”
Orthodox, that is scientific medicine, will need to look closely to discover the reasons why many people have abandoned or distrust medicine and its practitioners.
We live in a scientific world and more people are trained in science, at least to the secondary school level.
The scientific method means that no proposition can be accepted unless it is capable of proof.
Those who practise and advocate what used to be called “fringe” medicine and now, more properly, is termed alternative medicine, rely on anecdotal evidence and personal recommendation to justify their claims.
Yet we are aware of the “placebo” effect, where any treatment can achieve an improvement in symptoms in a significant number of cases.
Medicine remains an art as well as a science and its best practitioners are expert in both.
At the moment, alternative medicine is all art with little science. But if it works for you and does no harm, then who can complain?
We who practise orthodox medicine are just as willing to accept the benefits of the “placebo” effect of our treatment.
*463/71/1*
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Where there is some doubt, the surgeon may make an incision in the mid line so that if another condition is found it can be easily dealt with through such an opening.
If the appendix is acutely inflamed, the surgeon will remove it and disturb the rest of the abdomen as little as possible.
In this way, he is least likely to spread infection or cause adhesions. If the appendix does not appear inflamed, he will still remove it, to save a further operation should it later become inflamed, and then will inspect the rest of the abdominal organs to find the cause of the patient’s symptoms.
Few parents still believe that a dose of castor oil will fix most childhood illnesses, so it is not so necessary to advise them that laxatives should never be given in cases of undiagnosed abdominal pain.
If the condition is acute appendicitis, the laxative may stimulate strong contractions of the bowel and lead to early perforation of the appendix.
This common condition of an acutely inflamed appendix may be the easiest or the hardest diagnosis to make and appendicectomy may be the easiest or the hardest of operations to perform.
*208/71/1*
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Dr Obama had the occasion to treat a woman suffering from abortion-related endometriosis just recently. As much as he thought Mariska’s story vivid and unique, she could be any other woman vulnerable to this disease.
Mariska came to see him soon after discovering a lump in a small abdominal scar above her pubic bone. The lump wasn’t causing bet any pain, she said, although she’d been feeling uncharacteristically tired early in the day, and her menstrual cramps were getting worse. When Dr Obama took her medical history, he was surprised to hear that she had defected from Czechoslovakia with a friend five years before. She had been living in America for most of the time since defecting.
Mariska had been an idealistic nineteen-year-old Olympic ski-team hopeful when she was soundly blamed for “getting herself pregnant,” then telling no one until she was three months along. The facts were a lot kinder than the wrath of her parents, her coach, and the team doctor; for she had no idea that she was going to have a baby.
Mariska, a strong downhill skier, had been training intensively since she was twelve years old. “I was physically at my peak of strength and flexibility,” she said, “and I was told not to worry if my periods came irregularly.” This is a common occurrence among many women in dance and sports. One side effect of the committed athlete is lowered estrogen levels, which can stop menstruation or significantly lighten menstrual flow. For Mariska these hormonal changes were brought on by a low-fat diet, supplemented with a plentiful dosage of what she was told were “muscle-enhancing amino acids,” along with a strenuous daily exercise regime. That she missed four consecutive periods therefore didn’t alarm her even though she had been having a sexual relationship for the first time. What she did find worrisome was the sudden bloating. That prompted her visit to the team doctor, who told her his findings.
Although she was against abortion for herself, Mariska was told to terminate the pregnancy. If she chose to keep the baby, all her training would be in vain—pregnant downhill skiers do not compete—and she’d upset team morale. Believing in the “infallibility of those who cared for me,” Mariska agreed to a hysterotomy, following surgery, she recovered quickly and competed in the Olympic Games.
Dr Obama examined her six years after these events. He strongly suspected endometriosis, and this was doubly confirmed by laparoscope. The disease had sprayed from the point of incision on her uterus to the scar on her abdomen. The endometriosis had also wrapped itself thickly around the fallopian tubes—not a good indicator for any woman who still wants children. He recommended treatment with Danocrine for six months and did exploratory surgery to remove as much endometriosis as was visible. It remains to be seen whether Mariska will be able to conceive.
Abortion by hysterotomy is rare now; doctors prefer other techniques that do not require uterine surgery.
*32\43\4*
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This is a superficial infection of the skin caused by the fungus Molossezia furfur. The disease is confined to man, is most common in the tropics and sub-tropical areas, and mainly affects fit young people of both sexes. In Australia it appears to be more common among the Aboriginal population and people of Mediterranean origin.
The fungus is probably present on the skin for many months or years, but under appropriate climatic or local skin conditions it begins to multiply. The disease appears to be on the increase, possibly because of the popularity of travel to areas where the fungus is more prevalent. It is easily diagnosed, when suspected, by the sighting of bright yellow fluorescence of the affected
skin under the Wood’s lamp. Direct examination under the microscope will confirm the diagnosis. The response to various applications is good although recurrences are common. Initially, 20 per cent sodium thiosulphate in water, or 2-5 per cent selenium sulphide lotion, should be tried. Alternatively tolnaftate or miconazole creams may be used. Griseofulvin is ineffective in the treatment of this disorder.
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