Archive for April, 2008

Drinking and passing out

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What should you do if your friend or relative passes out from over-drinking? What should you do if you have had a bit too much to drink yourself?

A client of mine told me this story about a friend of hers that needlessly passed away, and I thought that there was a lesson here that we could all benefit from. There is a lot of publicity around the idea of not drinking and driving, but I haven’t seen anything in the media about the potential dangers of drinking and passing out.

If you have taken first aid, you know that when someone is unconscious, that person needs to be placed in the recovery position, or on their side with their head tilted back slightly, but the face pointing towards the floor. The reason for this is to drain any vomit.

My client’s friend responsibly took himself home after drinking too much, laid on his back on his bed, passed out, then suffocated to death on his own vomit. Probably if he had been lying on his side, he would be alive today. So, the moral of the story is, if your friend passes out, place him on his side, face angled towards the floor slightly. You may just be saving a life. And if you think you have had a bit too much to drink, lie yourself down on your side when you go to sleep, just to be safe.

Perhaps this info should be taught in the schools? What do you think?

Related tips
Our toxic body burden

Copyright 2008 Vreni Gurd

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The World According to Monsanto

Take the opportunity now while you still can, to view this documentary on Monsanto.

I am taking a wee holiday, so for this week's tip, I invite you to watch this documentary that aired on French television (ARTE – French-German cultural TV channel) by French journalist and film maker Marie-Monique Robin, called The World According to Monsanto – A documentary that Americans won’t ever see.

Perhaps not a bad idea to watch it now before Monsanto has it removed.

If you like to garden, perhaps you can consider looking into planting some heritage seeds, or varieties of vegetables and fruit that are not easily found in the supermarket, and help protect some of the biodiversity that Monsanto is trying to take away.

Related tips
GMO – Crossing the species barrier
Food brands that contain genetically modified ingredients
Worm composting to eat your garbage and feed your garden

Copyright 2008 Vreni Gurd

www.wellnesstips.ca

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A cardiac theme Grand Rounds

Check out this week’s addition of Grand Rounds at Dr. Wes, an interesting and varied collection of posts ranging the scary – a health blogger being harassed by a big-shot lawyer who does not like her posts about mercury in vaccines, to the hilarious – a TV commercial exposing how physical activity is simply not in our mindset – and everything in between. Well worth the read!

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Green and black tea – healthy or not?

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Green and black tea are full of anti-oxidants and polyphenols which are good for us, but they also contain very high amounts of fluoride, which is highly toxic to the body.

Okay, enough is enough. Over the last few years, I've said that we shouldn't eat sugar, baked goods and pasta, omega 6 vegetable oils, boxed cereals and crackers, store-bought salad dressings, processed foods, soy, low-fat or no-fat milk, (pasteurized dairy or pasteurized anything including fruit juice for that matter), grain-fed factory-farmed meat, poultry and eggs, and well, I can handle that most of the time. But tea??? I love my cup of tea. Is NOTHING sacred? Heavy sigh.

Tea leaves seem to accumulate more fluoride from the soil and from the air than any other plant that we eat, and because pollution has increased over the last decades, fluoride in tea is increasing as well.

Green tea in particular is heavily promoted as being a very healthy beverage because of the anti-oxidants it contains. But it turns out that the fluoride levels in tea are higher than the Maximum Contaminant Level (MCL)set for fluoride in drinking water, which is 1mg/L.

Double-blind studies exist proving the adverse health affects of fluoride at the level of 1ppm in water, and there are no studies documenting safety of ingesting fluoride at any level. No studies seem to exist investigating the effects of fluorides on the anti-oxidants in green tea, although other studies involving antioxidants show that they are adversely affected by fluoride.

A 6oz cup of green or black tea seems to contain between 1.3 and 7.8mg/L of fluoride, so possibly as much as 8 times the suggested safe dose, and I’m sure I’m not the only one that has more than one cup of tea per day.

Fluoride may be a big culprit in hypothyroid (sluggish thyroid), as fluoride has a bigger affinity to the iodine receptor than iodine does, and the thyroid needs iodine to function properly. Fluoride was in fact used in several countries to treat an overactive thyroid because it was so good at reducing thyroid function.

With so many people suffering from problems of hypothyroid, many being undiagnosed, one can wonder how much of the problem can be related to tea and fluoridated water consumption. Fluoride’s affect on the thyroid go way beyond blocking iodine, and are far too numerous to account for here. If dental fluorosis is present, hypothyroid is a given. Yikes! This is serious stuff!!

Dean Burk, who was Chief Chemist at the National Cancer Institute for several decades, said that “no chemical causes as much cancer, and faster, than fluorides”, and fluoride is particularly problematic in uterine and bone cancers.

Fluoride also tends to soften bones and make them brittle, playing a role in osteoporosis. Dental fluorosis or a mottling of the teeth is the first obvious sign of fluoride poisoning, and if there is dental fluorosis, there are hypothyroid problems, and probably skeletal fluorosis as well.

Tea also frequently contains aluminum, and fluoride and aluminum together are even more problematic, creating renal and neurological problems, including possibly Alzheimers (aluminum fluoride which turns into aluminum oxide).

Chinese teas seem to have more fluoride in them than Indian, oolong and Ceylon teas, decaf teas have much higher levels of fluoride than caffeinated teas, and instant teas are full of fluoride too.

Black teas have more fluoride than green, and longer brewing times increase the fluoride content.

The higher the grade of tea, the less the fluoride, so in other words the expensive stuff really is better. In fact one study suggested that measuring fluoride content would be a good way to evaluate the quality of the tea.

If you want more detailed information on this topic, I recommend the book by Christopher Bryson is also a good read.

Non-organic teas are frequently riddled with pesticides, and do read labels to check for soy lecithin or corn starch, which are most certainly genetically modified. Many herbal teas contain colourings and flavourings also, which are not healthy.

Furthermore, I strongly suggest buying organic or non-GMO-certified LOOSE tea instead of tea in bags, as the bags can be a problem too. Paper tea-bags frequently contain the chemical “epichlorohydrin”, which is a carcinogen, and plastic tea-bags can leach endocrine disrupting phthalates.

I want to thank Sue Bond, who helped me considerably with the research for this post.

Related tips
Fluoridated water – boon or bane?
Choosing a water filtration system
Our toxic body burden
Thyroid function and dysfunction
The three keys to preventing osteoporosis

Malinowska E et al. Assessment of fluoride concentration and daily intake by human from tea and herbal infusions. Food Chem Toxicol. 2008 Mar; 46(3): 1055-61. Epub 2007 Nov 5.

Cao J et al. Fluoride levels in various black tea commodities: measurement and safety evaluation. Food Chem Toxicol. 2006 Jul;44(7):1131-7. Epub 2006 Feb 28.

Lu Y et al. Fluoride content in tea and its relationship with tea quality. J. Agric Food Chem. 2004 July 14; 52(14): 4472-6.

Whyte MP et al. Skeletal Fluorosis from instant tea.J Bone Miner Res.2008 Jan 7 [Epub ahead of print

Hayem G, Ballard M, Palazzo E, Somogyi N, Roux F, Meyer O. Insufficiency bone fractures due to fluorosis in heavy tea drinkers. Annals of the Rheumatic Diseases 63(Suppl 1): 488, 2004

Shu WS et al. Fluoride and aluminium concentrations of tea plants and tea products from Sichuan Province, PR China. Chemosphere 2003 Sep; 52(9): 1475-82.

Cao J et al. Brick tea fluoride as a main source of adult fluorosis. Food Chem Toxicol. 2003 Apr;41(4):535-42.

Anuradha CD, Kanno S, Hirano S.
Fluoride induces apoptosis by caspase-3 activation in human leukemia HL-60 cells. Arch Toxicol 2000 Jul;74(4-5):226-30

NTEU – “Why EPA’s Headquarters Union of Scientists Opposes Fluoridation” Prepared on behalf of the National Treasury Employees Union Chapter 280 by Chapter Senior Vice-President J. William Hirzy, Ph.D.

Zhao, L.B., Liang, G.H., Zhang, D.N., and Wu, X.R. – “Effect of high fluoride water supply on children’s intelligence” Fluoride 29; 190-192 1996

Chan J.T.; Koh, S.H. -“Fluoride content in caffeinated, decaffeinated and herbal teasCaries Res 30(1):88-92 (1996)

Tohyama, E. et al. “Relationship between fluoride concentration in drinking water mortality rate from uterine cancer in Okinawa prefectureJapan. J Epidemiol (CL8); 6 (4): 184-91 1996

Gulati P et al. "Studies on the leaching of fluoride in tea infusionsSci Total Environ. 138(1-3):213-21 1993

Opinya GN et al. “Intake of fluoride and excretion in mothers’ milk in a high fluoride (9ppm) area in KenyaEur J Clin Nutr 45(1):37-41 (1991)

Wei, S.H.; Hattab, F.N., Mellberg, J.R. – “Concentration of fluoride and selected other elements in teasNutrition 5(4):237-40 (1989)

Sergio Gomez S, Weber A, Torres C – “Fluoride content of tea and amount ingested by childrenOdontol Chil 37(2):251-5 1989

C.A. Jones, et al.Sodium Fluoride Promotes Morphological Transformation of Syrian Hamster Embryo Cells, Carcinogenesis Volume 9, pp.2279-2284 (1988)

Copyright 2008 Vreni Gurd

www.wellnesstips.ca

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Shoulder-blade position and neck, arm and upper back pain

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The resting position of the shoulder-blade is important to the health and comfort of the muscles of the neck shoulder and upper back, and also to the nerves that run from the neck into the arm.

I recently taught a shoulder course, and so neck, upper back pain and nerve pain into the arm have been on my mind a lot. These are very common problems that many people suffer from, and although they can have many different causes, improving overall posture as well as the resting position of the shoulder-blade are frequently overlooked as potential solutions.

The shoulder blade or scapula is the triangular bone that sits on the back of our upper ribcage, which houses the arm socket. But unlike the hip socket which really is a cup that the leg bone (femur) sits in, the arm socket is shaped more like a tiny plate. Furthermore, the ball that forms the top of the arm bone (humerus) is a lot larger than the plate of the socket, so it is a bit analguous to a golf ball on a tee rather than in a cereal bowl. Except of course, when we talk about the shoulder joint, the plate is sitting on its rim. It becomes immediately obvious that the joint itself is inherently unstable, and it must largely rely on the ligaments, tendons and muscles that surround it to “strap” the arm to the body.

However, the angle of the plate can make a big difference to the strain the muscles are placed under. If the plate of the socket is angled up a slight bit, the humeral head (arm ball) can rest on the rim, whereas if the plate of the socket is angled down, the humeral head is essentially falling out of the socket, and the muscles have to work much harder to hold the arm in place.

Also, if the glenohumeral joint is pointing down as can be seen in the upper left diagram, usually the shoulder-blade will not rotate far enough when the arm is moved up overhead, and the arm bone (humerus) will bang up against the bony protuberance of the shoulder-blade called the acromion, creating an impingement problem, which may in time damage the supraspinatus (rotator cuff) tendon.

Furthermore, if the glenohumeral joint (arm socket) is angled down, the nerves that leave the cervical spine to go into the arm have a very long way to go – much further than if the glenohumeral joint were angled up. Nerves don’t like being stretched, and stretched nerves tend to be painful. I find that when I see someone that has a shoulder socket pointing down with radiating arm pain or sore neck/shoulder muscles , I tell them to relax, and I pick up their armpit (actually the upper arm near the armpit) and hold it up for a few minutes. Frequently their pain goes away, and then I know that providing an exercise program that improves the position of the shoulder socket will probably work.

So, how do you tell if your arm socket is pointing up or down? Tough to do on your own, but if you have very long, sloped shoulders you can be suspicious. If the outer end of your collarbone is lower than its attachment at the sternum, your glenohumeral joint is pointing down. Most of you will need to ask a friend or partner to look at your shoulder blades from the back. If the bottom corner of the shoulder blade is closer to the spine than the top part of that inner border as shown in the left upper diagram, then your shoulder joint is pointing down.

If you are in pain and you discover that your socket is pointing down, you need to find a good physiotherapist , CHEK Practitioner or an extremely knowledgeable personal trainer that can teach you how to build muscle endurance in serratus anterior, low traps, and upper traps without overusing levator scapula, rhomboids, and lats, and even more importantly, teach you how to move your arm and shoulder-blade so that you recruit the right muscles in the right order to keep your shoulder, upper back and neck happy.

Related tips
Are you a chest gripper?
Reduce neck strain
Walking, sacroiliac dysfunction and hip pain
Take your space and improve your posture
Respiration, the BIG boss

Sahrmann, Shirley Diagnosis and Treatment of Movement Impairment Syndromes Mosby Inc., St. Louis, Missouri, 2002.

Kendall and Kendall Muscles: Testing and Function, with Posture and Pain (Kendall, Muscles) Williams and Wilkins, Baltimore Maryland, 2005.

Donatelli, Robert A. Physical Therapy of the Shoulder (Clinics in Physical Therapy) Churchill Livingstone, St. Louis, Missouri, 2004.

Porterfield, James and DeRosa, Carl Mechanical Shoulder Disorders: Perspectives in Functional Anatomy with DVD Saunders, 2003.

Cailliet, Rene Shoulder Pain (Pain Series) 1991.

Chek, Paul C.H.E.K. Practitioner Level 3 Certification Manual – The Upper Quarter The Chek Institute, 2000

Copyright 2008 Vreni Gurd

www.wellnesstips.ca

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April Fools Grand Rounds

Okay, I’m feeling a bit the fool. You see, on Tuesday April 1, Grand Rounds came out, and my post that I had submitted was not included, or so I thought.

Now just to explain, Grand Rounds is published every week on a host’s blog, and it highlights the best posts of the medical blogosphere each week. Now I have submitted many posts to Grand Rounds, and most of the time my posts don’t make the grade, and I’m not included. Once I made it when HealthBlawg was hosting, when I submitted my post on cholesterol, mortality and cholesterol-lowering drugs, and that made my day. 🙂 Since that time I have not been so lucky, so this week, when once again my post wasn’t included, I decided to ask for feedback so I could learn what the criteria are for inclusion. So, on April 1 first thing in the morning, I popped off an email question to GruntDoc, who was hosting this week’s edition of Grand Rounds, and then immediately headed off for a 3-day mini ski vacation to Whistler.

When I got home, I noticed that the baton of Grand Rounds was passed around amongst 7 different hosts this week, and my post showed up on the MedGadget segment. Yeah! I also found an email in my inbox from GruntDoc, explaining to me what had happened with this week’s edition, so, I guess it was April Fools on me! I simply wasn’t patient enough.

So, check out this week’s fun edition of the Roving Grand Rounds, starting at GruntDoc, then to “dregs” Grand Rounds at Dr. Val’s, then to “masterpieces” Grand Rounds at David E Williams Health Business Blog, then to “well conducted research” Grand Rounds at medgadget, and then onto “video” Grand Rounds at Dr. Anonymous, then to Dr. Rob and “Mutant” Grand Rounds at Musings of a Distractible Mind, and we finish up with “Valley Girl” Grand Rounds at Emergiblog.

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