Acute Corner

Interpreting the News

I was a bit surprised to read a recent front-page Oregonian headline proclaiming “Vitamins do nothing for disease prevention”. “Does that make sense?” I asked myself. After all, many of the vitamins were originally identified when it was realized that populations without sufficient supplies of vitamin-rich foods were high in particular diseases absent in populations whose diets included such foods. The classic example is the high rate of scurvy among English sailors in the 18th and 19th centuries, due to months at sea without access to vitamin C-rich foods. Once limes were provided to sailing ships, the scurvy disappeared; hence the nickname “limeys” for British sailors.

 
But back to our shores…it seems that a recent study concluded that women taking purchased multivitamins had the same rates of death from cancer and heart disease than women who didn’t take purchased multivitamins. Well, maybe so…but did we really expect that a single purchased item of unknown quality would prevent the development of complex conditions such as heart disease or cancer? Further, the study as described in the article didn’t address the following questions, all of which would affect whether vitamins are effective in disease prevention:
 
·         Was there any difference in the doses of multivitamins taken by different women in the study? If so, was there an effect on disease prevention once certain dose thresholds were exceeded?
·         Was there any difference in the quality of the multivitamins taken by the various women studied? 
·         How do we account for differences in the way various people absorb the nutrients they consume? Does degree of absorption make a difference?
·         What was the actual total amount of vitamins consumed by these women, considering dietary vitamin content plus the purchased supplements? Wouldn’t that total amount ultimately determine whether vitamins affect risk of disease?
 
No matter how well the study was designed or what the answers to the above questions are, naturopathic physicians have never been primarily concerned with whether a single type of purchased supplement works for everyone. Our fundamental philosophy holds that “nature cures”, and our mission is to treat you as the unique being you are. Thus we carefully assess your health status before prescribing, and target our treatments to what we believe will work for you…which may not be at all what works for your neighbor. When we treat, we seek the safest effective natural remedies, maximizing the benefits of diet and lifestyle before we recommend purchased supplements. When we recommend supplements we carefully select them for quality, frequently testing them on ourselves before recommending them for you.  And we don’t forget to look at whether you’re absorbing your food and/or supplements well; after all, why spend for supplements if they’re not going to be well absorbed?
 

The greatest wisdom in that Oregonian article was this quote from one of the researchers: “Get nutrients from food. Whole foods are better than dietary supplements.” Now that makes sense…and hopefully Oregonian readers are reading beyond the headlines.

Acute Corner: November


Ear Infection

4 year old boy with ear pain was evaluated at ITH and diagnosed with a double ear infection.  The pain was disrupting his (and his parents’) sleep.  Instead of antibiotics, which are no longer the American Academy of Pediatrics recommendation for otitis media, he was given a homeopathic remedy prescribed specifically for his individual symptoms by mouth and some garlic/mullein oil in each ear with  warming compresses to the exterior of the ears. The pain subsided immediately; his ears (and thus the infection) cleared completely within 36 hours.  The child and the parents were very happy with the outcome!

 

 

Health To Wealth: Decision-Making and Blood Sugar

You've heard the saying, "Don't make important decisions on an empty stomach?"  A recent study shows this to be very important advice, particularly for long-term decisions. When people were given a choice between short-term but small gain versus long-term large gain, the people on empty stomachs consistently chose immediate gain instead of the long-term large gain, while people who had higher blood sugar levels did the opposite.
 
These results point out that having appropriate blood sugar levels is imperative to success of any business. But for some people that is easier said than done. For example, many people really don’t pay attention to their hunger and other bodily queues on a regular basis. They eat foods that do not foster optimal blood sugar levels.  Or they do not take the time to eat prior to meetings, conferences or even going to work.  They have been taught over the years to ignore the simple warning queues that healthy people take for granted. Rediscovering those bodily signals is something that we help our patients with, whether the message is to eat nourishing food, slow down, take some deep breaths, drink water, or get some exercise.
 
There are many simple things that you can do to help improve blood sugar regulation, but learning them may require breaking some habits. In the next month's newsletter, we will discuss what you can do to help regulate your blood sugar. When there's enough blood sugar, your brain can relax and focus on long-range planning. With this change, you can become more future-oriented, and thus make better long-term decisions for your business!

 

Marji's Magic Beans

While on vacation in California, we visited Dr. Christie's sister Marji, who introduced us to her pressure cooker. Marji made the most amazing black beans in about 20 minutes without pre-soaking the dried beans! We thought that it was so amazing that we would share the recipe. This recipe requires a pressure cooker, which we highly recommend. Pressure cookers allow people to prepare wholesome and healthy meals quickly that they would otherwise be too busy to prepare. Enjoy!

Quick Soak of Beans 

1.5 cups of black beans

6-8 cups of water

Cook at full pressure for 1 minute then cold water release and rinse beans and pot thoroughly. 

Cooking

Black beans from above

1/4 onion finely chopped

1 teaspoon epazote (can be found in Mexican food supply store)

6-8 cups of water

Cook all of the above at full pressure for 8 minutes. Take pot off heat and allow pressure to release naturally. Drain beans and reserve 1 cup of broth to moisten when reheating

Topping

1/2 bunch cilantro (excellent for heavy metal detox!)

1 chopped tomato (can be left out for people on anti-inflammatory diet)

1/4 onion chopped

Olive oil

Salt to taste

 

Saute the topping ingredients together and then add to finished beans. Serve with corn tortillas or brown rice, guacamole, and a green leafy vegetable.

 

 

The Not-so Mild Knock on the Head

 At a recent American Association for the Advancement of Science meeting Douglas Smith, MD a professor of Neurology at the University of Pennsylvania basically said there is not such thing as a mild head injury. Mild traumatic brain injury (mTBI) affects over 1 million Americans every year. While the usually treatment is observation and release, we are now learning that these injuries are not so mild. Patient's persists in neurological and cognitive deficits and may also experience anxiety, insomnia, depression, headaches and gastrointestinal problems.  Even more disturbing is that one does not have to hit one's head to have a head injury!

What can be done about it? Noticing there is a problem is the most important thing. If you or someone you know has been in an accident or diagnosed with a mild concussion, pay attention. Notice if there have been changes in the person (or yourself). If you aren't sure, get to a clinician who is adequately trained to assess the situation. If you have any of the above problems see your doctor even if the incident was many years ago.   Neurofeedback, vitamin D, homeopathy, and fish oil are amazing at not only reducing brain injury but helping the brain recover from the injury. In particular, LENS or Low Energy Neurofeedback System is showing great promise in improving symptoms of 80% of patients with TBI!

No Head Shots!

March is Brain Injury Awareness month. There are over 3.8 million new brain injuries in the US every year. In fact, these injuries have increased 21% since 2004, due in part to greater sports involvement in the young and falls in the elderly. Head injury may or may not involve a concussion or loss of consciousness. According to a new report, the groups at highest risk for brain injuries are children from birth to 4 years of age, adolescents aged 15 to 19 years, and adults 65 years and older. Falls were the leading cause of brain injury (35.2%), and rates were highest for children from birth to 4 years and for adults 75 years and older. At a recent American Association for the Advancement of Science meeting Douglas Smith, MD, a professor of Neurology at the University of Pennsylvania stated that there is not such thing as a mild head injury. While the treatment up until recently has been observation and release, we are now learning that there are often health problems directly related to the injury, be it whiplash, a fall, or a sports injury. Some of the symptoms that may present 6 or more months after the injury are: cognitive deficits, anxiety, insomnia, depression, infertility, headaches, sleep apnea, and gastrointestinal problems.  
 
What can be done about it? Noticing there is a problem is most important. If you or someone you know has been in a car accident (no matter how mild), had a sports injury or fall, or been diagnosed with a mild concussion, do following:
 
  • ·      Never ignore a bump on the head. The degree of outer injury to the cranium has little to do with the actual injury to the brain, since it is a sensitive and complex organ.
  • ·      Tell your coach or teammates and ask to be taken out of the game (if playing sports)
  • ·      Watch for problems with cognitive ability or memory
  • ·      Monitor for changes in energy, digestion or menses
  • ·      Notice if you have changes in the sense of taste or smell
  • ·      Monitor your mood for depression or anxiety
  • ·      Keep track of any experiences with insomnia
  • ·      Get plenty of rest
  • ·      Come see us if problems persist
 

There are many things that we can do to help the brain heal. Neurofeedback, vitamin D, homeopathy, and fish oil are just a few of the effective treatments that can be beneficial. The sooner treatment begins, the sooner recovery can occur, and the sooner you can be at your best again!  

Infant Food Introduction Comments from the AAP

We wanted to share an article that further validates the advice we have been giving to parents at Insights to Health for years.  Although the article does not mention this aspect, an child does not produce the enzymes to best digest grains until 22 months of age.  AT ITH, we counsel parents on which foods to introduce at which stages of development in order to create optimal health and well-being and to decrease the risk of allergies and asthma.

 

Rice Cereal Can Wait, Let Them Eat Meat First: AAP committee has changes in mind

Pediatric News Volume 43, Issue 11 (November 2009)

 

There is no good reason not to introduce meats, vegetables, and fruits as the first complementary foods, according to Dr. Frank R. Greer, a member of the American Academy of Pediatrics's Committee on Nutrition.

Introducing these foods early and often promotes healthy eating habits and preferences for these naturally nutrient-rich foods, said Dr. Greer, who is a professor of pediatrics at the University of Wisconsin in Madison.

Rice cereal has traditionally been the first complementary food given to American infants, but “Complementary foods introduced to infants should be based on their nutrient requirements and the nutrient density of foods, not on traditional practices that have no scientific basis,” Dr. Greer said in an interview.

In fact, the AAP's Committee on Nutrition is working on a statement that will include these new ideas, Dr. Greer said in an interview. Currently, there are no official AAP recommendations for introduction of complementary foods. “There are suggestions of what complementary foods to introduce in various AAP-sponsored publications, which are based on the traditional introduction of solid foods starting with infant iron-fortified cereals and progressing through vegetables and then fruits.”

Complementary foods are any nutrient-containing solid or liquid foods other than breast milk or formula given to infants, excluding vitamin and mineral supplements. By 6 months of age, human milk becomes insufficient to meet the requirements of an infant for energy, protein, iron, zinc, and some fat-soluble vitamins (J. Pediatr. Gastroenterol. Nutr. 2008;46:99–110).

Rice cereal has been the first complementary food given to infants in the United States for many reasons, including cultural tradition. By the 1960s, most U.S. infants (70%–80%) were fed cereal by 1 month of age. By 1980, rice cereal predominated, as it was considered to be well tolerated and “hypoallergenic”—given growing concerns about food allergies, he said. (See box.)

However, newer thinking is that the emphasis for complementary foods should be on naturally nutrient-rich foods. This includes protein and fiber, along with vitamins A, C, D, and E and the B vitamins. In addition, saturated and trans fats should be limited, as should sugar, said Dr. Greer.

In light of this thinking, rice cereal is a less than perfect choice for the first complementary food given to infants, he said. Rice cereal is low in protein and high in carbohydrates. It is often mixed with varying amounts of breast milk or formula. Although most brands of formula now have added iron, zinc, and vitamins, iron is poorly absorbed—only about 7.8% of intake is incorporated into red blood cells.

In contrast, meat is a rich source of iron, zinc, and arachidonic acid. Consumption of meat, fish, or poultry provides iron in the form of heme and promotes absorption of nonheme iron, noted Dr. Greer. Red meat and dark poultry meat have the greatest concentration of heme iron. Heme iron is absorbed intact into intestinal mucosal cells and is not affected by inhibitors of nonheme iron from the intestinal tract. Iron salts present in infant cereal are generally insoluble and poorly absorbed.

Another issue is when to begin introducing complementary foods, said Dr. Greer. This varies by nationality. In Germany for example, complementary foods are introduced to 16% of infants by 3 months. A third (34%) of infants in Italy and half (51%) of infants in the United Kingdom are introduced to complementary foods by 4 months. In the United States, 18% of infants are introduced to complementary foods—cereal—by 3 months, 40% by 4 months, 71% by 5 months, and 81% by 6 months.

Those complementary food choices for infants aren't always the most nutritious either. By 6 months, roughly a third of U.S. infants have been introduced to fruit (71%) and vegetables (73%), but only 21% have been introduced to meat. In a 2008 study in Pediatrics, researchers reported that 15% of infants have less than one serving of fruit or vegetable per day by 8 months of age (Pediatrics 2008;122[suppl. 2]:S91–7). In contrast, half of 10-month-old infants had eaten at a fast food restaurant, 22% had eaten carryout food, and 28% had eaten restaurant or carryout food at least twice in the previous week.

Early experiences promote healthy eating patterns, said Dr. Greer. It's known that food flavors are transmitted to breast milk; infants whose mothers eat fruits and vegetables during lactation will have greater consumption of fruits and vegetables during childhood (Public Health Nutr. 2004;7:295–302). It's also been shown that infants are more accepting of food after repeated exposure (Am. J. Clin. Nutr. 2001;73:1080–5).

Dr. Greer reported that he has no relevant financial conflicts of interest.

 

 

 

Reconnecting with yourself: Autumn as a time of healing

As we prepare to leave the fun, expansive energy of summer, and look forward to the contemplative regrouping that Fall often brings, we invite you to take stock of what will nourish you in this coming season. Fall is a time of organization and new beginnings; it is a time when the growth of summer turns to the contraction toward winter. Fall is a wonderful cleansing and healing time—a superb time to start new routines, lose weight (as opposed to the winter, where the cold tends to make us want to hold onto weight), and a superb time for healing. Fall is an ideal time to balance the immune system before winter is here, address fatigue or depression, and to heal endocrine imbalances (female and thyroid hormone problems) as well as concentration or memory deficiencies. 
 

If you (or someone you care about) have been waiting to improve your physical or emotional health, this Fall is the perfect time to take charge and try a new approach. Why are we mentioning Fall when it is August? Because we are now booking new patients for the second week of September! We have experienced huge growth and are planning ahead ourselves.   Turn to September on your calendar and give us a call to schedule your first appointment, which will include a full health evaluation, physical exam, and customized treatment plan to get you started on your individual goals toward health and wellness.    You’ll be glad you did! 

Gearing up for Back to School

August is a great time to regroup and assess what might make the next school year more fulfilling for your child. Common reasons people call to make appointments are the following:
 
1) Help with adjustment to new school or daycare situation. 
Children do better when we address these changes proactively to keep them balanced through the change. Any observations you have on how your child has handled change/stress in the past will help us treat them holistically. For example, does your child tend to have trouble sleeping or act out with tantrums during times of change? If so, we can help balance the nervous system ahead of time to minimize these problems in September. Families that stay ahead of the curve are happy families!
2) Lingering health problems such as ADHD, asthma, allergies, stomachaches, or eczema. August is a perfect time to start treatment for these issues, and get into a new routine before school starts.  
3) Sleep problems. Nothing brings out sleep difficulties like a Portland summer. If your child is up until 10 pm and groggy in the morning, we can help shift those patterns so that schoolnights are spent in valuable sleep instead of power struggles. Proper sleep enhances learning, mood, and optimizes music and sports performance (not to mention quality of life!). 
 

Dr. Gil Winkelman still has a few openings for new neurofeedback patients in August (ADHD and insomnia respond very well to neurofeedback).