Injuring yourself by a cut or a burn can be painful.  One of the things we sometimes seek after an injury is to be soothed to help soften the pain.  Sure spreading some anti-biotic ointment and slapping a bandage on the wound might be a practical solution, but here’s a scientifically proven trick to make it even sweeter.  Use honey instead of the anti-biotic ointment.

Honey has been recognized in its healing effectiveness for thousands of years.  Yet only recently have we understood how honey works in its healing.  Honey is a sweet food produced by honey bees from the nectar of flowers.  Bees make honey for themselves to feed the colony in cold weather and during food shortages.  What bee keepers have learned to do is to encourage bee colonies to produce more honey than is needed, so a portion of the honey can be harvested and eaten by us – or in this case, spread onto a bandage to cover a wound.

But first, I need to possibly disgust you a bit in explaining how bees make honey, because it’s in this process that honey gets it’s special healing ability.   When the honey bee finds a flower, it drinks the nectar produced by the flower.  Then the bee returns to the hive and regurgitates the nectar.   Then the bees then work together to ingest and regurgitate the regurgitated nectar not just once, but several times until the partially digested nectar reaches the highest quality.  Yum!   It’s in this digestion process that the bees add an enzyme that, for their purposes, preserves the honey – but for our purposes helps in healing wounds.  More on that in a moment.

Skin wounds heal best when kept moist by covering it with a bandage, however this moist environment is perfect breeding ground for microbes that cause infection.  The University of Waikato in New Zealand has studied  honey and has documented its ability to kill the seven most common bacteria that are know to infect wounds, including E-Coli, Staphylococcus and Salmonella.  They found that the chemistry behind this is multi-fold.  First, honey is a super saturated solution of sugars leaving very low water content.  Bacteria needs water to grow and multiply.  So honey by default is a poor breeding ground for bacteria.  Second, honey is very acidic having a pH below the levels bacteria need to grow.

This is all fine, if the honey remains undiluted.  If you add water to the honey, the water content naturally increases and the pH rises effectively eliminating its use as in wound healing.  This is a problem as most wounds will naturally seep body fluids and this moisture will dilute the honey on the bandage.  Well, here come the bees to save the day.  Remember that enzyme that the bees put into the honey as they digested it?  Well, as the water content in the honey rises, this enzyme becomes activated and creates a chemical reaction that produces hydrogen peroxide which then kills any bacteria that might grow in the diluted honey!

But that’s not all.  Not only does honey kill microbes, it is also anti-inflammatory, helps  promote the removal of dead skin cells as the wound heals, and has also been shown to help the growth of new blood capillaries.  As an added bonus, using honey on a bandage allows for fewer changes to the wound dressing and doesn’t irritate the skin the way anti-bacterial ointments can.

According to Waikato, the amount of honey needed for a dressing depends on the amount of fluid the wound is likely to produce – the more fluid the more honey.  They recommend about 1 ounce of honey per 4×4 inch bandage spread evenly across it.  The bandage should be large enough to completely cover the wound and any surrounding inflammation.   A second layer of either absorbent or waterproof dressing is needed to help keep the honey from oozing out.    Using this method, Waikato states that several days can elapse before the dressing might need to be changed.

Now, depending on the severity of the injury, seek medical attention if the wound is severe enough or conditions don’t improve in a few days.  Also, honey should never be eaten by infants and young children because their digestive tracts are not fully developed and serious complications can result.

For more information, check out these sources:

The University of Waikato

How to Heal a Wound with Honey

Science Daily

Greenliving Ideas

Wikipedia

It can be hard to find something to be thankful for during this current economic recession.  Perhaps you or someone you know is struggling to stay employed or worse, the job you had is no longer there.   Some Thanksgiving celebration it’ll be.  Or will it?  I guess it depends on your perspective.  It reminds me of a short story I wrote several years ago that might help put some perspective on the employment uncertainties we are all facing and maybe help you find some additional things to be thankful for this week.  Happy Thanksgiving!

 

It’s What We Do – A Short Story by Paul Kulpinski

Little Girl Helping Father with His TieThe town of Billet Falls has always been this way for as long as anyone can remember.  It’s a town, not unlike many others.  It’s full of people who are all busy doing the things they do in the places they do them.  There’s the banker who works at the bank.  The butcher who works at the market.  The nurse who works at the hospital and of course the Mayor who works at City Hall all working to keep things running along smoothly and without disruption, because that’s the way it’s always been done.  The people of Billet Falls liked living life that way and no one ever dared to try living life any differently.

It was the first warm day after a particularly long cold winter when Mr. Lincoln and his family moved to Billet Falls.  Their home, while new to them, had previously been occupied by the dry cleaner who ran the laundry near city hall.  It was a beautiful house, located right in the heart of town.  So it was that after unpacking their belongings, Mr. Lincoln decided to conduct some business and establish themselves as the town’s newest residents.  His first chore was to open a bank account, so he went to the bank and met the banker.

“It’s a pleasure to meet you, Mr. Lincoln”, said the banker.  What do you do?”

Mr. Lincoln noticed the family pictures on the banker’s desk and replied, “I do the same things you do.”

“Oh, you’re a banker too?” asked the banker with a tone of concern.

“Not at all.  I rear two beautiful children with the help of my lovely wife,” said Mr. Lincoln.

This puzzled the banker who replied, “Oh, that’s nice, I guess.”


The next morning, Mr. Lincoln decided to buy some fresh bread and pastries for his family’s breakfast.  So he ventured out early to the bakery where he met the baker.

“Welcome to Billet Falls Mr. Lincoln”, said the baker.  What do you do?”

“I am a father.” replied Mr. Lincoln.

The baker chuckled, “I see, and do you do any work?”

“Oh, there is a lot of work to do rearing two beautiful children.  Without the help of my lovely wife, I don’t know that I could get all of the work done!”  exclaimed Mr. Lincoln.

This confused the baker who was left to wonder as Mr. Lincoln walked back to his home in the heart of town with his fresh bread and pastries whistling a happy tune in the morning sunlight.


By the third day, Mr. Lincoln began preparing for a far-away trip he had scheduled so he stopped by the barber shop where he met the barber.

“Have a seat, Mr. Lincoln” said the barber inviting him into the chair by the front window.  “I’ve heard all about you.” As indeed word was spreading about the strange ways of Mr. Lincoln and his family.

“Oh, that’s wonderful,” said Mr. Lincoln.  “Then you know about what I do.”

“Well, no not exactly.  What is it that you do?”  asked the barber as his scissors began snipping away around Mr. Lincoln’s head.

“I’m the husband of a beautiful lady who has the deepest green eyes and who embodies that joyful feeling of a cool summer breeze,” said Mr. Lincoln with admiration.

“That doesn’t sound like a lot of work,” commented the barber as his scissors snipped on around Mr. Lincoln’s right ear.

“We’re quite busy actually, what with our two little one’s there’s barely a moment where we’re not doing something new and amazing!”

This wasn’t quite good enough for the barber so he pressed on.   “That’s nice, but what’s your real job,” he asked.

“I can’t think of any more important job than that!”  Mr. Lincoln thought for a moment then said, “Perhaps after the children are grown, I’ll find one.”

After Mr. Lincoln left with his fresh haircut, the barber turned the sign on his door to “CLOSED” and collapsed into his barber chair, stunned by what he had just heard.  If what Mr. Lincoln had said was true, this wasn’t good for Billet Falls.  For as long as anyone could remember, the people of Billet Falls knew each other by what they did and the very important titles they held because of it, like the banker, the baker and of course the barber.  What could it mean to be just a father?  The barber thought long and hard and it could only mean one thing.  So he went to the police station where the police officer worked and after talking for a moment, they went to the hospital where the doctor worked and after a while they went to the accountant’s office where the CPA worked and soon a large crowd of the people of Billet Falls, not knowing what to do about this new threat to their way of life went to City Hall where the Mayor worked.

The Mayor was outraged to learn that there could even be one citizen of Billet Falls who was not working at doing something productive.  So the Mayor marched off to Mr. Lincoln’s house in the heart of town followed by the banker, the baker, the barber, the policeman, the doctor, the accountant and the large mob of the other townspeople of Billet Falls which had become quite agitated.

The Mayor pounded on the door of Mr. Lincoln’s home.  When the door opened he demanded to know what Mr. Lincoln did.

Once again, Mr. Lincoln calmly replied,  “I am rearing two beautiful children with the help of my lovely wife.”

“What does it mean to rear two beautiful children with the help of your lovely wife?” blurted the Mayor.

“It means that I build model rockets with my son.  It means that I have tea parties with my daughter.  It means that my two beautiful children, my lovely wife and I take regular picnics in the parks around Billet Falls.  It’s that simple,”  said Mr. Lincoln.

“Ah, ha.  So you are unemployed!” the Mayor said accusingly.

“No, not at all!  I fly airplanes for the airline at the airport.” declared Mr. Lincoln.

The townspeople gasp in unison and then shouted in relief, “Oh, you’re a pilot!”

“No, I’m a father,” insisted Mr. Lincoln.  “It just so happens that I fly airplanes to earn money.”

A low murmer arose from the crowd as they grew uneasy again.  “I am no different from any of you,” Mr. Lincoln added.

But this did nothing to calm the crowd, until the fireman spoke up, slowly.  “So, you’re saying that because I am rearing my son that I am a father, who happens to put out fires for money”?

“Exactly,” said Mr. Lincoln.

Then the nurse spoke up, “I don’t have any children, Mr. Lincoln.  Does this mean that I am no body?”  There was a great commotion, as the crowd now believed that Mr. Lincoln had been defeated and maybe life could return to normal.

“Not at all,” said Mr. Lincoln.  “You’re someone’s daughter and perhaps even someone’s friend, correct?”

“Yes” she said.

“Then you are a daughter of two people who love you very much, who happens to take care of sick people for money,” said Mr. Lincoln.

The Mayor, still frantic about maintaining order in his town shouted, “How can we have a town full of fathers, mothers, sons, daughters, friends and neighbors?  We will never get anything done!  The town will collapse!”

But Mr. Lincoln knew that would never happen.  “Mr. Mayor” he said, “jobs come and go but the relationships you have with your family, friends and neighbors will outlast them all.”  Then Mr. Lincoln extended his hand to the Mayor, “my name’s Tom.  Tom Lincoln.”

The Mayor stammered slightly, then with a laugh he shook Mr. Lincoln’s hand firmly and replied, “my name’s Robert James Turner.  My friends call me R.J.”

“It’s a pleasure to meet you, R.J.,” said Mr. Lincoln.

And with that handshake, the matter was settled.  Before long, the people of Billet Falls began to think of themselves as fathers, mothers, sons and daughters; friends and neighbors all of whom did this or that for money.  Did the town collapse?  On the contrary.  It thrived as an amazing thing happened – some people actually decided to swap the jobs they did for money, because the banker really didn’t like banking and the plumber hated water.  What would have been the scandal of all scandals in the history of Billet Falls in the past, was now a minor event because Susan was a better banker than she ever was a plumber and Henry became the best plumber the town of Billet Falls had ever known.

© 1999, 2009  Paul Kulpinski

 

Some like it hot, but new research bolsters the evidence that cancer cells do not – at least in the diet.   It is well documented that people who eat a diet high in turmeric (the bright yellow spice found in most curry dishes from India) have a lower incidence of breast, prostate, lung and colon cancers.   Research with mice back in 2005 identified curcumin, as the component in turmeric with the cancer fighting properties.   It’s no wonder.  Cancer is an inflammatory disease and curcumin is a powerful anti-inflammatory with anti-tumor, anti-oxidant and anti-arthritic properties.

Curcumin has been and is currently being studied in the treatment of a number of diseases including cervical cancer, pancreatic cancer, malaria, HIV infection, Herpes simplex infection and Alzheimer’s disease.

The latest research out of Brittain shows curcumin’s effectiveness in killing cancer cells in the esophagus.  The study, published in the British Journal of Cancer, found that curcumin started to kill the cancer cells in as little as 24 hours after exposure and once the cancer cells were altered by the spice, they began to “digest themselves” according to a BBC News report.

Turmeric, the spice that contains curcumin, is a member of the ginger family and while being mild in flavor, can taste bitter.  This combined with turmeric’s connection with spicy Indian food can lead many Americans to avoid using it in cooking.   While there are commercially available curcumin supplements available, Dr. Andrew Weil recommends consuming the whole turmeric because of the potential synergy between all of the compounds found in the spice.   Dr. Weil recommends brewing the turmeric into a tea and drinking it cold and unsweetened.

While I certainly like ginger tea, I’ve never tried turmeric tea.  We do use it occasionally in cooking and we are always looking to more ways to use it in recipes.  So maybe some tea might be worth a try, especially now that there’s a fall chill in the air.

But either way, for improved cancer prevention, add a little spice to your diet.

- Paul Kulpinski, LMT

Sources:

BBC News

Dr. Weil.com

Wikipedia

There’s been so much fear circulating around these days, from the economy to terrorism to the Iraq and Afghanistan wars that I’m feeling a bit overdosed with it. Now comes Halloween, one of those holidays that strikes fear into the hearts of most parents as their little one’s go out into the night taking candy from strangers! Well, let’s put this into perspective and see what there really is to fear this Halloween.

First, I hope that most of your neighbors are not strangers. I hope that you at least know their names and could recognize them at the grocery store. If not you have something to be concerned about not only at Halloween, but also on the other 364 days of the year. If this is the case for you, start by getting to know your neighbors.

Many parents today were trick-or-treaters themselves during the 70’s and early 80’s during the candy tampering scare that panicked the country. As a result, many of today’s parents believe that this is still something to fear. The reality is that there has never been a case of a child becoming ill or dying from tampered candy obtained during trick-or-treating at Halloween – or any other holiday for that matter. So what started the candy scare in the 70’s? While the exact origin is uncertain, there seems to be a watershed event that happened in Pasadena, Texas in 1974. A father, who recently had taken out a life insurance policy on his 8-year-old son, put a cyanide laced Pixy Stix in his son’s candy bag.  The boy died and the father was quickly caught, tried and in 1984, executed for murder.  If you’d like a complete history of the candy scare, read more about it in this Wikipedia article.

Another Halloween fear stems from the perception that child molesters are more likely to use trick-or-treating as a lure for unsuspecting children.   While this seems plausible, the truth is that there is no increase in sex crimes around Halloween.  In fact, sex crimes against children are at their highest during the summer months.  Researchers at Lynn University in Boca Raton, Florida studied crime statistics over a 9 year period found that the number of sexual related crimes against children remained unchanged  during the Halloween season.

The real reason to fear Halloween is in the increase of auto accidents with pedestrians.  According to the Centers for Disease Control and Prevention, the number of child aged pedestrian deaths increases four times on Halloween compared to the same time period (4pm – 10pm) on any other day of the year.   The reasons for this according to the CDC includes the small physical size of children making them difficult to see, compounded with dark costumes that further decrease their visibility.  Additionally, children trick-or-treating during Halloween will tend to cross streets at the shortest route rather than at the safest route.  Likewise, the costume itself can reduce a child’s peripheral vision making hazards like moving vehicles unnoticeable – not to mention uneven walking surfaces that might cause a stumble and fall.  Finally, Halloween can invoke a kind of “magical thinking” that can create feelings of protection and invincibility that can cloud decision-making.

So to be safe this Halloween, make sure your younger children are supervised by an adult during their outings.  For your older trick-or-treaters, make sure they have flashlights, review traffic safety rules and your expectations of their behavior.  Ensure that there are not potential costume problems like long drapes that might cause them to trip, or masks that block their vision while walking.    Finally, let them be scary.  Research has shown that when children are able to pretend to be scary, they can develop an improved sense of confidence in confronting their own fears during the rest of the year.

Maybe some of us adults could use a little of that confidence for ourselves this Halloween.   I’m thinking I’ll dress up as Frankenstein this year.  How about you?

- Paul Kulpinski, LMT

Sources:

Wikipedia

Halloween Safety Myths

Free-Range Kids

The Palm Beach Post

The Centers for Disease Control and Prevention

October is widely associated not only with the orange of Halloween, but also the pink of National Breast Cancer Awareness.    National Breast Cancer Awareness Month was first founded in 1985 by the international pharmaceutical company AstraZenica, the manufacturer of breast cancer drugs Arimidex and Tamoxifen, to promote mammography  as the most effective weapon in the fight against breast cancer.    Over the past 25 years the breast cancer awareness movement has gained support from such influential groups as the American Cancer Society, the National Cancer Institute and the Centers for Disease Control and Prevention in promoting annual mammograms for all women over the age of 40.

A new analysis, published today in the Journal of the American Medical Association, is sure to bolster the critics of this shotgun screening for all approach marketed through National Breast Cancer Awareness Month.   In the analysis, researchers from the University of California, San Francisco and the University of Texas, San Antonio found that after 20 years of breast and prostate cancer screening, there has been a 40% increase in diagnoses of these cancers, but only a 10% reduction in the effective treatment of the late-stage cancers of the breast and prostate that are most often fatal.   The researchers point out that if the screenings were being effective, there should be a corresponding decrease in the percentage of deaths, but that’s not what their finding show.

The analysis points to the fact that the increase in the number of diagnosed cases of breast and prostate cancers are tumors that would never had spread or caused significant health risks if left untreated.  The ensuing attention on these inocuous tumors, researchers say, siphons off attention and resources needed to treat the faster growing and deadly tumors that are not being impacted by our current thinking in breast and prostate cancer treatment.

The publishing of these findings, according to the New York Times, is causing the American Cancer Society to rethink its position and recommendations about breast cancer screening.   In the October 20, 2009 Times article, Dr. Otis Brawley, chief medical officer for the cancer society says, “I’m admitting that American medicine has overpromised when it comes to screening.  The advantages to screening have been exaggerated.”

Yet, until this new position on breast cancer screening is published – sometime early next year – the current literature and promotion on the ACS website still advocates for annual mammograms for all women over the age of 40.

In regards to prostate cancer screening, both the American Cancer Society and the Prostate Cancer Foundation have dropped their recommendation for screening of all men for some time now.  The Prostate Cancer Foundation says on its website:  “Because a decision of whether to be screened for prostate cancer is a personal decision, it’s important that each man talk with his doctor about whether prostate cancer screening is right for him.”

In light of this new report, this advice now seems appropriate for the ladies as well.

- Paul Kulpinski, LMT

Sources:

Journal of the American Medical Association

The New York Times

San Jose Mercury News

Health Beat

Breast Cancer Action

Prostate Cancer Foundation

American Cancer Society

Breast Cancer Advocate

The current buzz in the media and around the water cooler is about the upcoming flu season, especially the H1N1 strain of influenza – or the “Swine Flu”.   While the main focus of the discussion centers around getting immunized, there are some simple habits around good personal hygiene that are key to keeping the spread of virus in check.

First it’s important to remember that viruses, like all flu strains, are transmitted in airborne water particles usually launched by a cough or a sneeze from the person with the infection.  Being in the vicinity of that cough or sneeze, you might inhale those water particles, or get some on your clothing or hands then touch your mouth, nose or eyes.  Any of which will easily accept the water particle carrying the virus.  Now, let’s get real.  “Water Particles” is a nice way of saying mucus or saliva.  That’s what you’re really breathing in or putting into your mouth from the other person, along with that flu virus.  Yuck!

You don’t even need to be all that close to the person sneezing or coughing.  The sneeze or cough can launch those mucus particles several feet and many of the micro-droplets will stay airborne for some time.   Typically, these droplets are so fine that we don’t even see them, so we don’t have an awareness of their impact, until it’s too late and we’ve come down with the flu.  Here’s a good video to explain an experiment by Ruth Carrico of the University of Louisville, designed to teach health care workers about the impact of a cough or sneeze from a patient.  Watch it here.

The first thing that the Centers for Disease Control and Prevention (CDC) recommends is to stay home when you are sick to avoid spreading the virus.  Secondly, they teach the practice of “covering your cough”.   This is done by covering your cough or sneeze with a tissue.  If a tissue is not available, they recommend using the crook of your arm (elbow) to block the cough or sneeze.  This is different from when we were taught to cover your cough with your hand.  The reason is (and the video shows this clearly) that all of the mucus particles and the virus are now on your hands when you cover your sneeze with your hand.  When you then touch something, like a doorknob, a computer keyboard, or someone’s hand in a handshake, you’ve just transmitted that virus.  You are less likely to transmit the mucus droplets via your elbow.  Finally, if you do use a tissue, throw it away.  Don’t reuse it.  Then wash your hands.  More on that later.

For those of us who use a handkerchief, while the CDC doesn’t specifically address them, handkerchiefs are reused through out the day and are more likely to spread virus as those moisture laiden “snot rags” are fermenting away in your pocket.   While I always carry one, it’s probably a better idea to use a disposable tissue during flu season.

The CDC also recommends washing your hands regularly during the day, especially after coughing or sneezing, after using the restroom, before preparing and/or eating food, the list goes on.  The see the complete list, click here. When washing your hands, use warm water to wet your hands.  Then lather with soap and rub all of the surfaces of your hands:  the palms, back of your hands, and especially the fingernails.  Continue rubbing for at least 20 seconds.  Then rinse with warm water and dry your hands with a paper towel.

If soap and water are not available, the CDC recommends using an alcohol based hand sanitizer by applying it to one hand then rubbing both hands together covering the surfaces of both hands and fingers with the product.  Continue rubbing until your hands are dry.

Finally, keep your immune system supported with plenty of sleep, regular physical exercise, nutritious foods, plenty of water and manage your stress with regular massage therapy, meditation, yoga or tai chi.

Sure go ahead and get the flu shot, but you’ll still need to practice these simple personal hygiene techniques to keep yourself and those around you protected.

Sources:

CDC:  Seasonal Influenza

CDC:  Clean Hands Saves Lives

How Far Can A Cough Spread Germs?

University of Louisville Cough Simulation Video

Discovery Channel News:  Coughing Robot Spews Flu Germs

A friend recently commented that she resumed her workout routine of running but found that every time she exercised, her nose began to run and she sneezed constantly for hours afterward.   I explained that the problem might be that she was dehydrated.   This created a paradox for her.   Why would a body that was dehydrated eliminate more water?  The answer lies in the body’s water management system.

The human body contains on average about 70% of it’s weight in water.  For the average adult, that’s about 10 – 12 gallons.   Water is the medium through which all of the functions of your body’s systems operate.  Water transports nutrients, hormones and enzymes through out your body.  It conducts the electrical currents that run through your nervous system.  It lubricates joints, moistens the respiratory system and regulates body temperature.   Water is so essential to life that we can’t survive without it for much more than three to six days.  That’s because we lose about 3-4 quarts a day through the normal process of sweating, elimination through urine and bowel movement as well as normal breathing.  All of that water needs to be replaced each day.

Most people expect the water loss through sweating and urinating, but breathing is often overlooked.  We lose about 1-2 quarts of water a day just from breathing!  If you doubt this, think of the cloud your breath produces on a winter day.  Or the fog that you create on a cold mirror when you breathe on it.  That’s water vapor from your body!   As the body becomes dehydrated (after about 2% of your water content has been lost), the body begins to activate its water management system:  kidneys begin to slow the elimination of waste products, thereby conserving water in the blood stream, digestion slows, body temperature rises and the nose will begin to run.

This leads us to the paradox.  If the body is trying to horde water, why would the nose begin to run?  Remember we lose at least a quart of water during the day just from exhaling.  That water is transferred out of the body through the lining of the nose, bronchial tubes and alveoli of the lungs as vapor.  If the body covers the respiratory tract with a mucus coating, which is thicker and more viscus than the water vapor, it can reduce much of the water lost during respiration.  The water lost by the dripping nose is inconsequential to the potential loss through vapor during exhalation.  It’s a trade off that is worth it in the long run.    So that’s why my friend’s nose begins to run.  But what about the sneezing?

The primary mechanism of the body’s water management system during dehydration is the neurotransmitter histamine.  Histamine is integral to the body’s immune system and triggers inflammatory responses when needed.  Inflammation is basically the re-distribution of the body’s water to a localized area to create swelling.  This might sound familiar, since many people routinely take anti-histamines to suppress the inflammatory responses to pollens and dust that create an allergic reaction.

When the body is dehydrated, more histamine starts circulating in the blood stream trying to manage the remaining supply of water.  This sets up the body to become hyper-sensitive to any trigger (like a grain of pollen or spec of dust) that would cause an allergic over-reaction – like the continuous sneezing that my friend mentioned she experiences.

So my recommendation to her is to increase her daily water intake to 1/2 of her body weight in ounces per day.  This is a good rule of thumb for the average person at an average activity level.  Someone who exercises more or lives in a dryer climate (like Flagstaff) might require even more daily water.  But this is a good place to start.  If the symptoms persist after a day or two at this increased level of water intake, then dehydration as a source has been eliminated and other sources need to be explored.  But there’s not harm in ruling out dehydration first.  Best of all, water is free!

Sources:

Digital Naturopath

Pure Inside Out

Natural News

PeterFox.com

Water Cure

Wikipedia

dentalflossI’ve always had good teeth.  So much so that when I was about 16, my dentist told me that I’d never have to worry about flossing.  Well, those words were like a license to kill!   Since then, I’ve rarely flossed.  Oh yeah, in my recent years there were the fleeting attempts of developing a new habit after visiting the hygienist who would scold me about not flossing, even while admitting that I had great teeth.  Of course, I’d brush twice a day, but flossing for me never caught on.  I’d hear my old dentist say “you’ll never need to floss” and I’d lull myself back into complacency.  Over the years, what I’ve come to learn is that flossing is not about your teeth, but rather it’s about your gums.  No matter how good your teeth are, if your gums are unhealthy say good-by to those great teeth.

Here’s why.  There are over 600 types of bacteria in your mouth.  If left alone, they form a film on your teeth called plaque.  The bacteria produce acids and other toxins that eat away the enamel on your teeth causing cavities and irritate the gums causing gingivitis.  Over time, the bacteria that is irritating your gums migrates further and degrades the bone that hold your teeth in place (periodontis).   Even worse, the same bacteria has also been linked to heart disease, heart attack and stroke.   So not only can you lose your teeth by poor oral hygiene, but you can also lose your life!

Earlier this month I once again found myself in the hygenist’s chair for my 6 month cleaning having the same conversation about flossing and why I don’t.   I got to thinking about short cuts around the flossing issue while still preserving my gums, teeth and life.  Eureka!  The solution was mouthwash!  After all, if all I need to do was kill the bacteria, there’s nothing better than some Listerine to flow into all those hard to reach places even places that floss can’t get!  I was saved!

Well not so fast.  Here’s what my hygienist explained to me.   It’s not only about killing the bacteria.  It’s more about removing the rough surfaces that the bacteria like to hide in.  You see, the bacteria create the film that creates the plaque that the bacteria like to hide in.  It’s kind of like a coral reef, where  the organisms create some calcium that starts the reef that attracts more organisms that lays down more calcium and so the coral reef grows.  That’s kind of like what plaque is:  a coral reef growing on your teeth and gums.  Mouthwash might wipe out some of the fish and plants growing on the coral, but it doesn’t remove the coral.  So by morning you have a fresh colony of plants and new schools of fish swimming across the plaque reef in your mouth.  When it comes to your mouth, you’ve got to knock down the coral so there are fewer places for the bacteria to hide and grow – then you can kill them with mouthwash!  That’s what brushing and flossing does.

Brushing gets the plaque that has built up on the surface of your teeth.  But these bacteria are tiny and live in between your teeth and also below your gum line.  That’s where the floss come in.  It really doesn’t take a whole lot of effort either.  In fact too much effort with a toothbrush or floss can be as bad as too little.   The goal with flossing is to simply break the bond between your teeth and gums that was created by the plaque.  This brings in oxygen and allows the mouthwash to penetrate and kill the bacteria.  With a little practice, this can be done very quickly.

So from that conversation at the dentist’s office, I decided to try a little experiment.  I’ve changed my daily oral hygiene process to incorporate not only my usual brushing, but also some new brushing techniques, some mouth wash and yes, some floss.  Here’s my method.

Morning:

1.  Floss between all teeth starting below the gum line and up toward the top of the teeth.

2. Dry brush the surface of my teeth with firm but gentle pressure using a soft bristle toothbrush.   This removes the plaque on the surface of the teeth.  I check for its effectiveness by running my finger over my teeth and listen for a squeak.  If the squeak is weak, I’ll brush that area a little longer.

3. A gentle application of toothpaste (only about the size of a small pea) on the toothbrush.   The goal here is not vigorous brushing, but rather applying the toothpaste onto the tooth as kind of a polish to protect the surface of the teeth.

4.  Apply a little bit of mouthwash to the toothbrush and gently brush along the gum line.  I’ll also include the surface of my tongue because most of the bacteria that causes bad breath lives on the tongue.

5.  Finally a quick rinse with the remaining mouthwash and I’m finished for the morning.

Evening:

1.  Brush with a pea sized amount of toothpaste as normal.

Actually, the morning routine doesn’t take as long as you might think.  It lasts only about 2-3 minutes which is just the right amount of time for good oral hygiene, according to dentists.  So far, I’ve noticed that my mouth feels fresher longer into the day, even when I eat breakfast after I’ve done the ritual.  I think that’s a good sign.  But the final test will be in six months when I go back to the dentist for my next cleaning and see if there has been noticeably less plaque buildup for the hygienist to scrape off and if she notices that my great teeth also have equally great gums!  I’ll let you know in March.

Sources:

WebMD

WikiAnswers

Dentist.net

Wikipedia

About.com Video:  How to Floss Properly

eyesIt was one of those rare days earlier this week when I sat down to watch a bit of television.  I was amazed at how pharmaceutical companies now dominate advertising for the evening news.   After a few minutes, I came to accept this observation as the new cultural norm, much the same way in watching a football game you expect to see commercials for beer and trucks.  But then I was blown away by a commercial for Latisse featuring Brooke Shields.

In case you don’t know, Latisse is a product manufactured by Allergan – the same company that brought you not only contact lens solution but also Botox, Juvederm and the Lap-Band surgical weight loss system.   So what does Latisse do?  Well, it treats the debilitating disease of having short eyelashes!    In fact in the commercial Allergan even reinforces this condition as a disease in calling it by name:  hypotrichosis.  If we can give a condition a name, we can prescribe a drug to solve it.  I don’t know about you, but to me that seems to be the modus operandi of the medical/pharmaceutical industry these days.   So what is hypotrichosis?

According to the American Hair Loss Association, hypotrichosis “is the term dermatologists use to describe a condition of no hair growth“.  The emphasis on no hair growth is mine, because that’s the important piece.    Their description of hypotrichosis make a distinction between hair loss – which is a condition called alopecia – and the condition where there wasn’t any hair growth to begin with or hypotrichosis.   Hypotrichosis is the result of one of hundreds of potential genetic defects that affect people from birth and is usually associated with more severe physical or mental problems beyond a lack of hair.  It’s not having thin hair.  It’s no hair.

This reminded me of a girl I knew in my high school chemistry class.  She must have had hypotrichosis because she didn’t have any eyelashes from birth.  Not only that, she didn’t have any eyebrows either.  I wondered how she must feel being compared to the under performing eyelashes of Brooke Shields.   Really, I’ve never known Brooke Shields to be inadequate in the hair department – just look at the woman’s full eyebrows!   So I find it troubling that Allergan is using the condition of hypotrichosis to legitimize their marketing of what is fully intended to be a cosmetic product.

Here’s why Allergan is doing this.   The ingredient in Latisse that grows hair is a drug called bimatropost (also known by Allergan’s brand name Lumigan) which is a prostiglandin (a type of hormone) used to treat glaucoma.  The hair growth was discovered as a side effect of the drug when used by glaucoma patients.  That’s when Allergan realized the cosmetic potential for this drug.  But since it’s a drug, it’s regulated by the FDA and needs a condition to treat – hence the expanded definition of hypotrichosis to include the “cosmetically impaired”.

I bring this up not only because I have serious misgivings about the medical-pharmaceutical complex, but because in the debate over the future of health care, drug companies are a key stakeholder along with doctors and insurance companies.  Yet, this is a classic example of how the lines are increasingly blurred between health care, health insurance, wellness and now cosmetics which confuses any rational discussion on solutions to the problem.   How can we define what we want from a health care system in any form if our concept of what is disease is what is cosmetic are being blended together?  Perhaps the real disease that needs a cure is vanity.

- Paul Kulpinski

Watch the TV ad here:
LATISSE® Advertising | Pause For a Commercial Break

Sources:

Latisse

All About Vision

Wikipedia – Bimatroprost

Wikipedia – Hypotrichosis

American Hair Loss Association

WomenIt sounds like classic disease  mongering.  Some experts believe that it is.  That’s the case with the diagnosis and treatment for Osteopenia or pre-Osteoporosis.

Osteoporosis is a condition in bone tissue where the Bone Mineral Density (BMD – the amount of bone tissue per cubic centimeter) is significantly reduced.   It is the result of a major imbalance in the amount of bone that is naturally re-absorbed in the body and the bone that is naturally produced.  In other words, more bone is being re-absorbed than the body is producing to replace it.   Osteoporosis is an abnormal condition and is classified as a disease.  In 1994, the World Health Organization (WHO) with the support of the major drug manufacturers defined the disease as being present in women who have a bone mineral density of 2.5 standard deviations below the peak bone mass of a healthy 20-year old.  Previously, the Osteoporosis diagnosis had only been used in elderly patients who had broken a bone.

At the same time, the group also created the definition for Osteopenia.  They decided that Osteopenia would be the condition for women who had bone mineral density of 1.0 standard deviations below a healthy 30-year old.  However unlike Osteoporosis, the conditions defined as Osteopenia are a sign of normal aging and not every woman who displays signs of Osteopenia will develop Osteoporosis, yet doctors are prescribing Osteoporosis drugs to also treat Osteopenia.  Since 2003, the sale of Osteoporosis drugs have doubled to $8.3 billion per year.   This is cause for alarm, according to some experts.

Researchers at the Iberoamerican Cochrane Center in Barcelona, Spain, published a critique of these practices in the January 2009 British Medical Journal.   In the article, the researchers argue that proponents of the treatment of women with slightly lowered bone mineral density with Osteoporosis drugs are exaggerating the benefits and understating the risks.  They found that the treatments for Osteopenia were largely ineffective yet carried with it risks for stroke and other cardiovascular complications, neurological abnormalities, gastrointestinal complications and even Osteonecrosis of the Jaw which is a severe disease of the jaw bone.  The critique highlighted conflicts of interest in the drug trials, showing that the analysts and authors of the studies were employees or consultants of the manufacturers of the Osteoporosis drugs.

Not only are drug manufacturers making  more drugs available to treat thinning bones, they are also funding the manufacturing and installation of more bone-density measuring devices and tests in doctor’s offices, clinics and even health clubs.  It’s estimated that based on the definition of Osteopenia, about half of the world’s population of post-menopausal women would be candidates for drug treatment.  At a cost of up to $1800 per year per patient for the drugs, that’s big money for the big pharmaceutical companies.  It’s no wonder that they want more and more women to have a bone density test.

Yet, even with a slightly reduced bone mineral density and the associated label of Osteopenia, experts recommend that women educate themselves on the risks before agreeing to treatment.  After all, it is your body and you have the final say as to what you do to it or have done to it.

Sources:

The British Medical Journal

Wikipedia

WHO Fracture Risk Assessment Tool

The New York Times