Tuesday, September 30, 2008

Pain Promotes Disease State

If you understand that any condition ending is "itis" means inflammation, this report is reasonable. Arthritis means inflammation of the joints.

It doesn't go far enough in terms of identifying what creates the state and degree of pain.

Pain is interpreted individually based on socialization, culture, education and many other variables.

Some researchers have identified emotional states associated with arthritis and other health issues. Perhaps this is a step beyond the physical and mental components of health and moving forward toward the recognition of emotional and spiritual factors in today's industrialized medicine.
Study: Pain causes osteoarthritis
Sept. 30, 2008 ROCHESTER, N.Y., (UPI) -- Pain is not just a symptom of osteoarthritis, it causes the disease, say researchers at the University of Rochester Medical Center.

A study, published in the journal Arthritis and Rheumatism, revealed that pain signals originating in arthritic joints -- and the biochemical processing of the signals as they reach the spinal cord -- worsen and expand arthritis, causing disease at both ends.

In addition, the researchers found that nerve pathways carrying pain signals transfer inflammation from arthritic joints to the spine and back again.

"Until relatively recently, osteoarthritis was believed to be due solely to wear and tear, an inevitable part of aging," said Stephanos Kyrkanides, an associate professor of dentistry at the University of Rochester Medical Center.

"Recent studies have revealed, however, that specific biochemical changes contribute to the disease, changes that might be reversed by precision-designed drugs. Our study provides the first solid proof that some of those changes are related to pain processing, and suggests the mechanisms behind the effect."

Furthermore, if joint arthritis can cause neuro-inflammation, it could have a role in conditions like Alzheimer's disease, dementia and multiple sclerosis, the researchers suggest.

City Kitchen Chronicles: An Omelette

City Kitchen Chronicles is a bi-weekly column about living frugally in Manhattan. It's penned by the lovely Jaime.

Today I bring you a recipe – which didn’t start out as a recipe or an attempt at anything other than a quick, healthy breakfast – that was so good that when I got up to take my plate to the sink I said, out loud, in my empty apartment, “Holy crap that was good!”

But to backtrack a bit... I think I’ve written before of my love and appreciation for beet greens. Love because they’re tasty. Appreciation because they’re healthy and, if you’re lucky, free.

Beet greens are my very own urban foraging. No, I’m not picking them wild in the park and growing from cracks in the sidewalk. I’m foraging them, discarded, from the refuse crates under the tables at the farmers market. When people buy beets at the market, nine times out of ten they take them without the tops, which are chucked along with radish and carrot greens into crates that eventually go to be composted. If you ask nicely (I mean, if you ask at all, but why not ask nicely), the folks working at the farm stand will happily give you a bagful of the discarded greens, or let you take your own.

It’s like freegan-lite – it’s not a garbage pile, only freshly cut off plant tops. But it’s still excitingly free.

You can cook beet greens like spinach or any similar green. Because beets aren’t cultivated for their tops, the leaves are sometimes spotty or a bit bug-bitten, but as long as they’re not wilted or slimy, they’re still totally good, and they can keep in the fridge for almost a week.

I usually sautee them with garlic and oil, to be added to other veggies and protein. But getting a little bored with that, I started thinking of other ways I use spinach that would work for these greens. They’re a little more bitter than spinach, and I don’t love them raw, but this morning I stumbled into this “Holy crap that was good” preparation that takes advantage of the extra punch they pack, and is super healthy and, yay! – dirt cheap.

It was, after all, breakfast time, so I chopped up some already-sauteed greens to use as omelette filling. The accidental magic, though, was in the spices I added to the greens. I was reheating them with some nutritional yeast, and started reaching for spices. There's something about the combination I ended up with (cinnamon??) that feels Moroccan to me. I'm not sure why. It’s a flavor combination I don’t usually end up with, but daaaaaaaamn. Enjoy.

(A note on the price of this recipe: I buy local, free-range, happy-chicken eggs from the farmers market. Local, free-range, happy-chicken eggs are also expensive eggs. Supermarket eggs, obviously, will make this a much cheaper recipe.)

Vaguely Moroccan (or something) Beet Green Omelette
(serves 1)

2 eggs
½ cup cooked beet greens (about 3 cups raw)
½ t oil
2 T nutritional yeast (nooch)
½ t cumin
1/4 t cinnamon
½ t dried minced garlic (or fresh)
¼ t dried minced onion (or fresh)
generous pinch salt & pepper

(A note on spice quantities - I didn't measure anything when I made this... unless you count the eggs. The nooch was a few generous shakes, the cumin was a generous dash, the cinnamon was a small dash. Do what feels right, taste, change as needed.)

1) Chop the cooked (cooled) beet greens. Sautee with a smidge of oil. Add nooch, cumin, cinnamon, garlic, onion, salt, and pepper. Sautee until hot, set aside.

2) Separate eggs.

3) Beat egg whites until bubbly. Reincorporate yolks. (An extra bit of time to spend on weekend mornings for an extra fluffy omelette. Regular unseparated egg-beating also works fine.)

4) Make an omelette,* with the beet green mixture as filling.

*Omelette technique is really a trial-by-error sort of thing, and lots of people have different methods. Mine is pretty hands off: Pour the beaten eggs into a medium-hot pan; when the edges are set-ish, pour the filling into the middle; when the whole thing is close to set but not dry, fold the omelette into thirds over the filling; cover, and keep cooking until you think it's done; learn over time how long it takes; enjoy.

Approximate Calories, Fat, and Price Per Serving
168 calories, 11 g fat, $1.03

Calculations
2 eggs - 125 calories, 8g fat, $.58
½ cup cooked beet greens (about 3 cups raw) - 35 calories, 2g fat, free!
1/2 t oil - 20 calories, 2g fat, $.05
2 T (nooch) - 31 calories, 0 fat, $.70
½ t cumin - negligible calories and fat, $.02
1/4 t cinnamon - negligible calories and fat, $.02
½ t dried minced garlic (or fresh) - negligible calories and fat, $.01
¼ t dried minced onion (or fresh) - negligible calories and fat, $.01
generous pinch salt & pepper - negligible calories and fat, $.02
TOTAL PER SERVING: 211 calories, 12 g fat, $1.41

Health Privacy: You Have None

There has been a push to place your health records in electronic form for several decades. Our organization has always spoken against this plan and HIPAA. It is an important issue at this time, once again, because candidates for presidential office are in favor of electronic health records as a cost control action.

And you might ponder why Microsoft and Google are at odds with each other to get you to (hastily) post your medical records on their servers.

There is money to be made!
"A federal agency, not Congress, took away your right to control your health information. Your right to control the use and disclosure of your personal health information was eliminated in 2003 by regulatory changes made to HIPAA, the Health Insurance Portability and Accountability Act. HIPAA is a complex 1,500 page set of rules covering things such as the transfer of health insurance when you change jobs. (Read more about HIPAA and the Elimination of Consent)."
Become educated and just like the current bailout nightmare, vote against this type of legislation.
CHILLING NEWS ABOUT HEALTH PRIVACY: You Have None.

Is there anything in your health record that you would not want to share with others? Prescriptions for anti-depressants, anxiety, cancer, long-ago abortions, AIDS or HIV, testing for the Alzheimer gene, your child’s Autism or ADD, sexual impotency prescriptions, hospital admissions, or anything else?

You assume your most personal health information is private, right? It's not.

Like most Americans, you probably believe:

* What you tell your doctor is totally private
* If you sign "privacy notices" at a doctor's office, a pharmacy, a hospital or a lab, you health records will not be used or disclosed without your permission
* No one can look at your sensitive health records, prescriptions or tests without your permission

NONE of these assumptions are true. Your right to decide who can see and use your sensitive, personal health information was eliminated in 2003. See how.

Who Can See and Use your Health Records?

Over 4 million businesses, employers, government agencies, insurance companies, billing firms, and all their business associates that may include pharmacy benefits managers, and pharmaceutical companies as well as marketing firms and data miners. See a sample chart here.

Patient consent is no longer required to share health records, no matter how embarrassing or intensely personal the contents may be. While your doctor may wish to protect your information, once the records are sent out of their offices, they can no longer control who cna see or use your information.

Whose Health Records are Vulnerable?

Employees: Today, laws governing access to health records expose employees to the possibility of employment discrimination. Thirty-five percent of Fortune 500 companies admitted to looking at employee’s health records before making hiring and promotion decisions (65 Fed. Reg. 82,467). As employers seek to reduce health insurance costs, little prevents them from viewing employees’—and employee’s families—health records to get rid of capable employees with costly health conditions. Employment should be based on who can do the job—not what's in our health files.

Women: Women are particularly vulnerable to discrimination in employment, insurance and in the financial and credit arena. Women have specific, sensitive health issues that have nothing to do with what kind of job they can perform or whether or not they should get credit or insurance.

Children: In the age of genetic testing, how will information about our children’s health affect their futures? Should they be denied entry to college because they tested positive for a cancer gene or were treated for depression as a teenager? Should they be turned down for a job because they have a grandparent who had Alzheimers? Without privacy, our children’s health records could deny them the future they deserve.

Seniors: After a lifetime of health treatment, seniors’ health records contain a wealth of information that could harm them, their children and their grandchildren. Should a grandmother’s Alzheimer’s disease keep her grandchildren from getting a job? Should a widower’s depression over the death of a spouse keep him from getting auto insurance? Should a diagnosis expose a senior to drug company marketing disguised as "education"?

Consumers: As health records are spread over electronic networks, banks, insurance corporations, and lenders can access our most personal health records. Should homeowners pay higher interest rates because they are cancer survivors? Should drivers be denied automobile insurance because they have a medical condition? Without privacy, consumers’ health histories expose them to real financial risks and threaten their livelihoods.

How Did This Happen?

A federal agency, not Congress, took away your right to control your health information. Your right to control the use and disclosure of your personal health information was eliminated in 2003 by regulatory changes made to HIPAA, the Health Insurance Portability and Accountability Act. HIPAA is a complex 1,500 page set of rules covering things such as the transfer of health insurance when you change jobs. (Read more about HIPAA and the Elimination of Consent).

The changes mean that millions of strangers, as well as employers, can use your health records for reasons that have nothing to do with your treatment or improving your health care. In an era of Electronic Health Records (EHRs) and Personal Health Records (PHRs), the problem gets much worse.

Electronic health records are supposed to save lives and money -- how can you be against progress?

We're not. In fact, privacy is the key to progress with Health Information Technology (HIT). The potential benefits of electronic health systems cannot be realized unless Americans have confidence that ironclad privacy protections are in place for online health records, databases, and networks. As Americans realize how open their records actually are, they will avoid treatment and be much more selective about important information they share with their doctors. Patient Privacy Rights applauds the smart use of technology in medicine and the healthcare industry.

Bottom line: No one should have to choose between privacy and health.

The Who, What & Why’s of Dietary Supplements

09/25/2008

WASHINGTON—The Council for Responsible Nutrition (CRN) and the Natural Products Association (NPA) hosted the Dietary Supplement Caucus this week on Capitol Hill for a briefing on the "The Who, What & Why’s of Dietary Supplements." More than 50 members of the Senate and House of Representatives, as well as various congressional committees attended the briefing, which featured presentations by CRN, NPA and Nutrition Business Journal (NBJ).

Among the highlights were:

Data presented from the 2007 CRN Consumer Confidence Survey and the 2007“Life...supplemented” Healthcare Professionals (HCP) Impact Study, showing 150 million American take dietary supplements annually, including 68 percent of adults.
Further, 72 percent of physicians and 89 percent of nurses take supplements, with roughly 80 percent of each group recommending them to patients. Other data included geographical supplement usage and lifestyle trends among users.

The dietary supplement industry posted its best growth in 2007, 5.9 percent, since 1998, according to NBJ, which indicated omega-3, probiotic and superfruit supplements were the primary drivers; ranked in terms of sheer volume, not growth rate, multivitamins and sports formulas reigned supreme. NBJ further noted the important influence of two key regulatory milestones, the final good manufacturing practice (GMP) rules and the implementation of the serious adverse event reporting (SAER), as well as the monumental acquisition in 2007 of the faltering Leiner Health Products by NBTY.

Rep. Frank Pallone (D-NJ), chairman of the Subcommittee on Health within the Energy and Commerce Committee and co-chair of the Dietary Supplement Caucus, discussed the importance of dietary supplements as key components of prevention and wellness. He also said dietary supplements and prevention would play important roles in the policy discussion during healthcare debates in Congress next year.

Rep. Chris Cannon (R-UT), co-chair of the Dietary Supplement Caucus, noted, “The reason the supplement market has grown is due to supplement consumers using the products. And [what we see in this industry is] a terrific movement toward people taking care of their own health.”

The results from the Lewin Group studies, performed on behalf of the Dietary Supplement Education Alliance (DSEA), were presented by Joan Davanzo, Davanzo & Dobson, who was affiliated with Lewin Group at the time of the studies. She reiterated the cost savings potential found for omega-3s ($3.2 billion), calcium/vitamin D ($16.2 billion), folic acid ($1.4 billion), and lutein/zeaxanthin ($3.6 billion), adding in stats for reduced hospitalizations for each ingredient/pair.

Tuesday Megalinks: The Day After Edition

Ask Metafilter: How can I update my menu without breaking the bank?
FireStyle is really, really good at staying within a tightly-defined monthly food budget, but he (or she) is bored to tears with the dinner lineups. Here, he (or she) asks for menu help and gets it in spades. Tons of good suggestions from AskMeta readers.

Ask Metafilter: What’s Your Secret Tip for Saving Money at the Grocery Store?
Call me crazy, but this thread seemed especially relevant today. It’s a compendium of all the tricks floating around the web, plus a few you might not have heard of. (Thanks to Get Rich Slowly for the link.)

Baltimore Sun: 'Ace of Cakes' fans have a thing for bakery artist Geof Manthorne
Duff’s 2nd banana has become Charm City’s First Stud. What I love best about this article, besides that it’s about my favorite Gen X bakery, is this quote from Geof, which so totally sums his personality on the show, I can’t even explain: “I'm flattered that people are, I dunno, interested.” (Thanks to Slashfood for the link.)

Chow: Cooking with Fall Ingredients
Quince and pomegranates and Cardoon, oh m…wait a second. What the hell is a cardoon?

Culinate: The Vegetable Challenge
Neat series about … well, this: “Kim Carlson, Culinate’s editorial director, is monitoring her diet over the next four weeks to be sure she’s eating five servings of vegetables each day, every day.” Turns out, it’s pretty tough, but there are a ton of wonderful links to be viewed.

Delish.com: Grocery Shopping on a Budget
Ladies and gentlemen, it was inevitable: Oprah has entered the food blogging building. I think it might be awhile before everything’s up to speed, but the site seems like its gotten off to a good start. Recipes, shopping strategies, prep tips: it’s all here, and if I know Miss W., it’ll only get more gigantic, eventually consuming every other food blog in its path.

Epi-Log: A Traitor to Trader Joe's
Brooklynites – take heed! The Cobble Hill Trader Joe’s is open! Proceed as you will.

Value for Your Life: Festival of Frugality #145
This week’s festival includes Coupon of the 31st Century at The Q Family Adventure, Save Money by Cooking Even When You’re Not at Home by MoneyNing, and Leigh’s excellent Tofu post from CHG last week. Sweet.

FitBuff: Total Mind and Body Fitness Blog Carnival #69
Hee. 69.

Get Fit Slowly: A 12-Year-Old Burger
That sound you hear? Is my non-stop shuddering. You need to click on this, especially if there’s a McDonald’s dollar meal in your future.

Lifehacker: Top 10 Ways to Stay Energized
Everyday, right around 3pm, my office computer lulls me into a coma-like state that can only be broken by A) actual work, B) copious amounts of coffee, or C) a whack in the head. Hopefully, this excellent post will alleviate those mental lapses.

The Kitchn: Cooking Beyond the Recipe - Change the Size of the Dice!
Man, I never thought of this, and it’s such a great idea: by simply altering the way you chop, you can transform a dish into something else entirely. Stellar way to save money and throw your dinner for a loop.

The Kitchn: Could You Eat on $25 a Week?
Yes. For others, no. Read, find out why, and add your own input.

Nursing Degree Guide: 100 Awesome Web Tools and Resources for Nutritionists
While this monster list of nutrition and cooking resources is geared toward a certain profession, it’s useful for anyone concerned about food. Seriously, check it out.

Personal Finance Advice: 28 Gift Ideas That Save Money for The Recipient
I’ve seen these kinds of lists before, but this is by far the most thorough and well thought-out. My sister will be receiving at least 27 of Jennifer’s suggestions. (Okay, 26.)

Serious Eats: Ed Levine's Serious Diet Week 35: Eating Meat Sparingly Is Alright
In which SE head honcho Levine finds that pork, beef, and other animal products are healthier – and occasionally, incredibly satisfying – in small doses.

Serious Eats: Alice Waters on Honest Family Food Values: Is It Up to All of Us?
Slow food champion Waters advocates making meals a family affair again, after decades – no, GENERATIONS – of togetherness sacrificed for convenience. Key pull quote: “Children are hungry for food, but they are also hungry for care. This food comes with care. That’s the magic of it.”

Toronto Star: Waste not, want not
CSA guilt! Turns out, some folks can’t quite make it through all their fruits and veggies, and they don’t feel good about it. This is one woman’s story. Neat-looking recipe for Spinach and Chickpea Stew included within. (Thanks to Slashfood for the link.)

(Photos courtesy of My Recipes, Tivo Faces, Get Fit Slowly, and Journalist on the Runway.)

Energy Drinks

Five years ago I released one of my long used herbal formulas on two college campuses to try to provide help to reduce college binge drinking. My formula makes it so you just don't drink too much, and certainly not enough to get drunk.

Learning that many people mix energy drinks with alcohol is also a concern to me.

In addition to the herbs to help stem the tide of drinking, and in relation to developing my sports enhancement formula (ADVENTURX), I revived the sports drink herbal blend I used to mix up for my kids and others years ago.

You can use my organic, herbal 'sportZtea' blend as the basis for your sports drinks while saving money and avoiding stimulants and caffeine. Using the 'tea' with ADVENTURX makes a lot more sense.

Energy drinks: What you need to know
By David Liu, Ph.D.
Sep 28, 2008
Editor's note: Please note that the statement "Energy drinks are soft drinks (meaning with alcohol) that ---" is incorrect. The author meant to say "Energy drinks are soft drinks (meaning without alcohol) that ---." By definition, soft drinks are non-alcoholic beverages! We apologize for the error.
Common Questions and Answers about energy drinks

What are energy drinks?

Energy drinks are soft drinks (meaning without alcohol) that contain caffeine and other stimulants such as ephedrine, guarana, and ginseng. The beverages may not contain more calories than normal soft drinks, but they are often believed to help enhance performance and boost alertness as some studies showed. Energy drinks are often marketed to people under 30, particularly to college students.

Is it true that energy drinks boost alertness and enhance performance?

At least two studies showed significantly improvements in mental and cognitive performance and increase subjective alertness in those who drank an energy drink. In repeated cycling tests in young healthy adults, an energy drink drastically increased upper body muscle endurance.

Are there any dangers to drinking energy drinks?

High doses of caffeine are known to pose a range of short-term side effects. The problem with energy drinks is probably that there is no regulation in the US about caffeine, which is a natural stimulant. Energy drinks may contain caffeine at a level anywhere between from 50 mg to 505 mg per can or bottle, according to a recent Johns Hopkins study. Without paying attention, people may over-ingest caffeine leading to unintentional caffeine intoxication. Normal adverse reactions induced by high doses of caffeine, particularly in those who are sensitive to the compound, include increased heart rate and blood pressure, in severe cases dehydration, and inability of falling into sleep.

One study showed side effects associated with caffeine in energy drinks include insomnia, nervousness, headache, and tachycardia. Four caffeine-related deaths and four seizures have been reported.

When should energy drinks not be used?

Energy drinks should not be used when exercising as fluid loss from sweating and the diuretic activity of caffeine can cause severe dehydration. Energy drinks should not be used in an attempt to offset the effect of alcohol on one's capability of operating a vehicle.

What would happen when energy drinks are combined with alcoholic drinks?

The real danger of caffeine to someone who is drinking is that caffeine could mislead him to believe that he is drinking the right amount of alcohol without realizing that actually he could have been drinking too much.

It is true that caffeine provide alertness. But it does not change the level of alcohol in the blood. Once the stimulant disappears, the depressant effect of the blood alcohol at high concentration would manifest leading to vomiting in one's sleep or respiratory depression.

Both energy drinks and alcohol can be very dehydrating and thus inhibiting the body's ability to metabolize alcohol and boosting the toxicity of alcohol and the hangover.

How safe is it to use energy drinks?

Energy drinks in itself are relatively safe. Most ingredients including ginseng, maltodextrin, inositol, carnitine, creatine, ginkgo biloba, taurine, vitamins and herbs appear to be safe. The only concern is probably caffeine, which varies in its content greatly from brand to brand.

A recent report authored by Reissig CJ, Strain EC, and Griffiths RR at the Johns Hopkins University School of Medicine and published in the Sep 20, 2008 issue of Drug and Alcohol Dependence calls for warning labels for energy drinks.

Beware! Flu Shot Propaganda Now on Fast Track

"It is now 30 years since I have been confining myself to the treatment of chronic diseases. During those 30 years I have run against so many histories of little children who had never seen a sick day until they were vaccinated and who, in the several years that have followed, have never seen a well day since. I couldn't put my finger on the disease they have. They just weren't strong. Their resistance was gone. They were perfectly well before they were vaccinated. They have never been well since. "---Dr. William Howard Hay

There are quite a few articles located on Natural Health News addressing vaccine issues. Should you have a greater interest, use the search function to locate them.

As one homeopathic MD I knew some years ago stated, "It's always the kids that get the vaccines that always seem to be sick."

“There is no evidence that any influenza vaccine thus far developed is effective in preventing or mitigating any attack of influenza. The producers of these vaccines know that they are worthless, but they go on selling them anyway.”
- Dr. J. Anthony Morris (former Chief Vaccine Control Officer of FDA)

Yes, there are risks to flu shots. Ask your health care provider exactly what they are beyond soreness at the injection site.

In the northern hemisphere we are moving into the colder fall and winter months, the time of year when you are bombarded with pressure to get a flu shot.

This campaign targets pregnant women, babies, children and adults, people with selected health issues and others.

This year, according to the FDA, six vaccines are available to protect against influenza virus types A and B including

* Afluria, for adults 18 years of age and older
* Fluarix, for adults 18 years of age and older
* FluLaval, for adults 18 years of age and older
* Fluvirin, for people 4 years of age and older
* Fluzone, for people 6 months of age and older
* FluMist, for people ages 2 to 49

Of the 146 million doses for this flu season, and in all years, efficacy of flu vaccine is always low. Often the efficacy is no more than 45 percent.

Vaccines for this year contain the following strains:

* an A/Brisbane/59/2007 (H1N1)-like virus
* an A/Brisbane/10/2007 (H3N2)-like virus
* a B/Florida/4/2006-like virus

Critics state that the death toll from flu may be inflated and the majority of deaths result actually from pneumonia, which causes symptoms similar to that of flu. In many cases people who have received the jabs are the ones who are getting ill. Other concerns about the nasal spray like FluMist is that is makes you contagious for several weeks.

The pneumonia shot isn't one I'd take either. Using vitamin A (cod liver oil is best as is a product blending vitamin A with beta-carotene) helps protect your respiratory system. Vitamin C and garlic are also antibacterial and antiviral. Adequate hydration is critical as is sound nutritional practice.

Vaccine ingredients

For more information on prevention, see Cold & Flu.

Remember, anyone providing flu shots or other vaccines is required by law to explain to you the risks and benefits of the treatment, including, but not limited to, what the ingredients are and what they do and what problems they can cause.

And some additional information for you to consider from Herbal Legacy -
The CDC has a goal to vaccinate an astonishing 261 million people this year!

Why the push? The CDC claims that 36,000 people die each year from the flu, and that getting the vaccine will prevent you from getting the flu, therefore saving your life.

How much of this is true? Do you need the vaccine? Is it safe or effective?

Let's take a look at the numbers first - do 36,000 people die from the flu each year?

According to the Centers for Disease Controls own Vital Statistics (the exact same website that claims that 36,000 people die from the flu each year), 1100 people died from the flu in 2004, 1812 in 2005 and 860 people died in 2006 from the flu. This has actually spiked dramatically - deaths in 2001 were only 257. Of those deaths attributed to the flu, very few are actually determined for sure that they are tied to influenza.

So why does the CDC claim that 36,000 people die from the flu each year? Apparently researchers with the British Medical Journal wondered the same thing when they asked, "Are US flu death figures more PR than science?" They concluded that the numbers are inflated to scare the public and sell more of the vaccine (3).

Consequently - they come up with the 36,000 based on two things - 1) a flu epidemic in Hong Kong that killed about 34,000 people, and 2) by combining flu deaths with pneumonia deaths (which is completely different from the flu and even if the flu vaccine did provide immunity against the flu it would not provide immunity against pneumonia).

Despite the outright false data and the numbers, if the flu shot is effective then you want to get the shot, right? Let's take a look at that question: Is the flu shot safe or effective?

If it were effective then certainly health care workers (HCWs), who are exposed to the flu and other diseases every day, would line up to get their vaccine. According to the Journal of Internal Medicine, that isn't the case. The overall vaccination rate among HCWs is just 38%. The study concluded that "The overall influenza vaccination rate among HCWs in the United States is low. Interventions seeking to improve HCW vaccination rates may need to target these specific subgroups" (4).

Regarding the effectiveness of the shot, it is important to know how the manufacturers determine what strains of flu to put in that year. They travel to Asia early in the year and collect data, then guess as to which three flu strains will work their way across the ocean for the beginning of the flu season.

According to the Think Twice Institute:

"Flu 'experts' often guess wrong. For example, in 1994 they predicted that Shangdong, Texas, and Panama strains would be prevalent that year, thus millions of people were vaccinated with a flu shot that contained these viruses. However, when winter arrived, the Johannesburg and Beijing strains of influenza circulated through society. The vaccine was ineffective. This happened again in 1996, and again in 1997. More recently, the vaccine created for the 2003-2004 flu season contained flu strains that did not circulate through society that year. Officials were once again forced to admit that millions of people were vaccinated with an ineffective vaccine."

But what if they guess right for the year and the flu vaccine does contain the correct strains? We'll answer that with a question: Do you know what is in your flu vaccine? You may not want one even if they do guess right, simply because of the ingredients.

Here are some of the ingredients:
· Chick embryos
· Three flu viruses that were collected in Asia in last January or February
· Formaldehyde (that's right - the stuff they embalm humans with and classified as a known cancer-causing substance by the International Agency for Research on Cancer)
· Thimerosal - a mercury based preservative which can lead to brain injury, autoimmune diseases and autism, and frequently aluminum substances that may contribute to Alzheimer's
· Sodium Phosphate or Sodium Chloride
· Gelatin

While we are not offering medical advice of any kind, we believe it is your right to know all of the above information and then make an informed decision about getting a flu shot.

For commentary on vaccines and children, please see this long but worthwhile letter from a mother.

And more here -

Monday, September 29, 2008

Parmesan Crisps: Good Things

As I write this, the economy is collapsing, our presidential hopefuls are becoming increasingly venomous, the 2008 New York Mets are embarking on a not-entirely unexpected early vacation, and Earth is getting used to the absence of one Mr. Paul Newman, who will henceforth be lighting up the Great Beyond with those beautiful baby blues.

How was everyone else’s weekend?

In all seriousness, mine was good, but it’s getting a little tougher to remain optimistic in the face of bigger, badder issues. Between 24-hour news channels and the internet’s constant flow of depressing information, catastrophes are being hurtled at us more frequently, and the accompanying commentary is louder and nastier than ever before. Good times.

Howevah, sweet readers, to quote Martha, there’re bunches of good things out there, too. Like:
  • Fall!
  • Apples!
  • Sweet Potatoes!
  • The Office is back, with no writers’ strike looming.
  • Between Brady/Vicky’s thoroughly unlikeable brown team and Jerry/Coleen’s there-are-lives-at-stake-here yellow team, The Biggest Loser has suddenly become strangely compelling.
  • Football has returned, and in a stunning turn of events, the Bills are 4-0.
  • For the first time in a century, the Cubs have an honest-to-god shot at winning the World Series.
  • You’re pretty!
  • Americans have united over money: we don’t want Wall Street to get any more.
  • The Comics Curmudgeon!
  • Money origami animals!
  • The Pope likes the environment!
  • Hilariously, 27-year-old Christina Aguilera is releasing a “Greatest Hits” CD.
  • Ludicrously, 15-year-old Miley Cyrus is publishing an autobiography.
  • Nick and Norah’s Infinite Playlist actually looks pretty good.
  • Tina Fey is sparking SNL to their best-rated season in years.
  • Facebook’s new layout is growing on me.
  • Everyone I know is pregnant. (You should check, just to make sure.)
  • Polar bears remain awesome.
  • Parmesan Crisps!
About that last one: if you’re making soup (particularly a tomato-based one), you’re gonna wanna eat these. The recipe is ridiculously simple, and the results are akin to a giant, all-natural parmesan cracker. Plus, for a measly 22 calories a shot, they’ll sate your cheese craving without you having to resort to gobs of cheddar.

One note: for this particular recipe, I used mid-range pre-grated cheese. Freshly-grated will probably cook differently, because of its density and thickness. If you go that route, I might start at a lower temperature and check the crisps’ progress every few minutes.

In the meantime – enjoy. In times like these, you gotta somehow.

Parmesan Crisps
Makes 1 parmesan crisp

1 tablespoon parmesan cheese

1) Preheat oven to 350°F.

2) Line a cookie sheet with parchment paper. Empty the parmesan on the paper in a small mound. Then, flatten the cheese until it forms a disc about ¼” thick. Place in oven and cook for 10-12 minutes, checking once at 8 minutes (just in case).

3) Remove from oven and let cool. Serve with soup, or eat on its own.

Approximate Calories, Fat, and Price Per Serving
22 calories, 1.4 g fat, $0.17

Calculations
1 tablespoon parmesan cheese: 22 calories, 1.4 g fat, $0.17

Pain Relief Short Changes Women

I am not surprised that this type of bias still exists after so many years and so many more women in health care.

It tells me that we really need a greater overhaul of medical education and the medical industry that people are willing to address.

And I am sure that it isn't an issue just for people with cancer.

There are many natural options for people experiencing pain that are as, if not more, effective that pharmaceuticals that may also promote addiction. The key to this, however, remains making the relief of pain tailored to the person's needs and also to include properly addressing the emotional component of what they are facing and living with every day.
Sex bias seen in control of cancer pain Fri Sep 26, 2008

How well pain is managed in people with cancer apparently differs between men and women, new research hints.

Dr. Kristine A. Donovan, of the H. Lee Moffitt Cancer Center and Research Institute in Tampa, Florida, and colleagues examined pain severity and the adequacy of pain management in 131 cancer patients newly referred to a multidisciplinary cancer pain clinic.

Men and women did not differ significantly in terms of worst pain scores, least pain scores, or pain interference. However, average pain in the last week and pain right now were significantly higher in women.

In addition, the average total daily dose of pain-killers was significantly greater for men (130 versus 66 milligrams morphine equivalent value).

Women were also significantly less likely than men to receive prescriptions for high potency opioids (33 percent versus 51 percent).

Women were also significantly more likely than men to report inadequate pain control, as indicated by scores on a standard pain management scale.

These findings, Donovan and colleagues conclude, highlight the need to improve the treatment of pain in cancer patients and to "more closely examine physician and patient-related factors that may hinder adequate pain management."

SOURCE: The Journal of Pain and Symptom Management, August 2008.

Copyright © 2008 Reuters Limited.

Statins Anti-Aging?

Reducing the effects of aging are simple and effective through the use of supplements and foods. A very expensive drug known to have extremely dangerous side effects is not one I would include on my list.

Historically there was very little atherosclerosis and arteriosclerosis when people were still able to purchase raw milk, and especially milk that had not been homogenized. Once homogenization began the incidence if "clogged arteries" rose quickly.

I suppose this is one reason why I oppose any legislation making USDA cloned dieticians the resource for nutrition information.

Simply one might make an effort to increase the amount of vitamin C they take daily, The benefits of this vitamin alone could never be matched for health benefit by a statin drug.

Another helper is to mix unsweetened applesauce with yoghurt and enjoy a small serving daily. This combination makes your arteries more flexible and offers the benefit of improving gut health and providing some potassium and fiber.

Cod liver oil, olive oil, coconut oil and yes! even butter will help too by providing essential fatty acids that promote utilization of necessary fat soluble vitamins A, D, E, and K.

Just make it a point to avoid highly processed foods and those loaded with preservatives and artificial sweeteners.
Statins 'prevent artery ageing'
Drugs given to heart patients to lower cholesterol may have an additional benefit - keeping their blood vessels feeling younger.

Advanced heart disease patients have arteries which have effectively aged faster than the rest of their bodies.

University of Cambridge scientists, writing in the journal Circulation Research, say statins may be able to hold back this process.

They hinted the same drugs might also prevent damage elsewhere in the body.

Statins are seen as a key tool in the fight against heart disease, and in low doses have been made available "over-the-counter" at pharmacies.

While it has been known for some time that they can lower cholesterol levels, this did not fully account for the benefits experienced by some patients, and evidence is growing that they can boost the function of the cells lining the heart arteries.

The Cambridge study adds to this evidence, and may shed light on how statins do this.

Cells in the body can only divide a limited number of times, and in patients with heart disease, the rate of division in these arterial cells is greatly accelerated - dividing between seven and 13 times more often than normal.

As the cells "run out of " divisions, they can suffer DNA damage, and do not work as well.

One of the important roles of these cells is to keep the artery clear of fatty "plaques" which can expand and block them, causing angina or heart attack.

Cancer clue

The research found that statins appear to increase levels of a protein called NBS-1, which is involved in the repair of DNA within cells. This means they may be able to hold off the effects of old age in the artery wall for a little longer.

Professor Martin Bennett, who led the research, said: "It's an exciting breakthrough to find that statins not only lower cholesterol but also rev up the cells' own DNA repair kit, slowing the ageing process of the diseased artery.

"If statins can do this to other cells, they may protect normal tissues from DNA damage that occurs as part of chemotherapy and radiotherapy for cancer, potentially reducing the side-effects."

Professor Peter Weissberg, the British Heart Foundation's medical director, added: "Too much cholesterol in the blood induces a repeated cycle of damage and repair in the blood vessel wall which results in a heart attack if the repair mechanism is inadequate.

"Statins protect against heart attacks by reducing cholesterol levels and subsequent damage to the vessel wall - this research has shown they may also enhance the blood vessels' natural repair mechanisms."

Story from BBC NEWS:http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/7637937.stm
Published: 2008/09/28 23:13:23 GMT
© BBC MMVIII

Sunday, September 28, 2008

SPLENDA Effects Update

If you don't know the history of Sucralose or Splenda, it was originally developed as a pesticide. Information withheld from the manufacturer include shrinkage of the thmus (part of your immune system), liver swelling and calcification of the kidneys.
New Study of Splenda and Sucralose Reveals Shocking New Information About Potential Harmful Effect on Humans
MINNEAPOLIS, Sept. 22, 2008 (GLOBE NEWSWIRE) -- James Turner, chairman of the national consumer education group Citizens for Health expressed shock and outrage after reading a new report from scientists at Duke University. "The report makes it clear that the artificial sweetener Splenda and its key component sucralose pose a threat to the people who consume the product. Hundreds of consumers have complained to us about side effects from using Splenda and this study, published this past week in the Journal of Toxicology and Environmental Health Part A, confirms that the chemicals in the little yellow package should carry a big red warning label," said Turner.

Among the results in the study by Drs. Mohamed B. Abou-Donia, Eman M. El-Masry, Ali A. Abdel-Rahman, Roger E. McLendon and Susan S. Schiffman is evidence that, in the animals studied, Splenda reduces the amount of good bacteria in the intestines by 50%, increases the pH level in the intestines, contributes to increases in body weight and affects the P-glycoprotein (P-gp) in the body in such a way that crucial health-related drugs could be rejected. Turner noted that the P-gp effect "could result in crucial medications used in chemotherapy for cancer patients, AIDS treatment and drugs for heart conditions being shunted back into the intestines rather than being absorbed by the body as intended."

The study was conducted using male rats over a period of twelve weeks. The manufacturers of Splenda also used a rat study when they applied for and received approval to market the product from the U.S. Food and Drug Administration. At the time, the findings from their rat studies were extrapolated as to possible effects on humans. This is standard FDA practice and this study is consistent with that practice.

Turner said, "This report followed accepted policies and procedures and the results make clear the potential for disturbing side effects from the ingestion of Splenda. It is like putting a pesticide in your body. And this is at levels of intake erroneously approved by the Food and Drug Administration. A person eating two slices of cake and drinking two cups of coffee containing Splenda would ingest enough sucralose to affect the P-glycoprotein, while consuming just seven little Splenda packages reduces good bacteria." Although the effect of consuming Splenda does not result from a one time use, the side effects do occur after accumulated use. Turner also noted unmistakable evidence that Splenda is absorbed by fat, contrary to the claims of Johnson & Johnson.

Turner announced, "We are calling today on the FDA to immediately accept our petition filed over a year ago and initiate a review of its approval of sucralose and to require a warning label on Splenda packaging cautioning that people who take medications and/or have gastrointestinal problems avoid using Splenda. The new study makes it clear that Splenda can cause you to gain weight and lose the benefits of medications designed to improve and protect your health. The FDA should not continue to turn a blind eye to this health threat."

Citizens for Health will testify in Sacramento, CA, on October 3, 2008, before the California Assembly Committee on Health which is examining the use of deceptive advertising to promote sales of potentially unhealthy food additives, particularly artificial sweeteners.

Saturday, September 27, 2008

NCI Blunder Exposes Truth

If you are ill-informed on the microwave and health risks, EMF, cell phones/towers, WIFI, et al, perhaps you best start delving more into the issues.

After all, DTV is on the way in just a few more months.

See Also WEEP News and The WEEP Initiative
Robert Hoover, the director of the Epidemiology and Biostatistics Program in NCI's Division of Cancer Epidemiology and Genetics, will testify tomorrow before a House subcommittee chaired by Rep. Dennis Kucinich, the former Democratic Presidential candidate, on "Tumors and Cell Phone Use: What the Science Says."

Yesterday, the NCI Cancer Bulletin presented a preview of the NCI position. It is similar to that of the American Cancer Society and is based primarily on what has been learned about short-term risks (less than ten years of use).

Read the full story at: http://www.microwavenews.com

Louis Slesin, PhD
Editor, Microwave News
A Report on Non-Ionizing Radiation
Phone: +1 (212) 517-2800; Fax: +1 (212) 734-0316
E-mail:
Internet:
Mail: 155 East 77th Street, Suite 3D
New York, NY 10075, U.S.A.


September 23… The latest issue of the NCI Cancer Bulletin, released today, presents the National Cancer Institute's outlook on the cancer risks associated with cell phones. It is based largely on the views of NCI's Peter Inskip.

Here is NCI's bottom line: "The suggestion that using a cell phone may increase a person's risk of developing brain cancer [is] not supported by a growing body of research on the subject." And Inskip adds this: Of all the potential health risks associated with cell phones that have been examined so far, the most convincing evidence concerns the risk of motor vehicle accidents among people distracted by using their cell phone while driving.

Inskip was scheduled to testify at Thursday's Congressional hearing (see September 17 & 18, below), but, at the last minute, he was replaced by Robert Hoover, the director of the Epidemiology and Biostatistics Program in NCI's Division of Cancer Epidemiology and Genetics.

As we have reported now many times, the primary concerns about tumor risks are over what happens in the long-term, that is, usually after at least ten years. This is based on both the work of Lennart Hardell and the Interphone teams from five Northern European countries. Like Hardell, the pooled data from these five countries show an increased risk of risk of glioma and acoustic neuroma (two types of tumors) on the same side of the head the phone was used, but only after ten years. Instead, Inskip and the NCI focus on what has been reported for exposures of ten years or less. As Inskip states and the NCI highlights in large type: "We now have studies covering up to ten years of cell phone usage, and we're still not seeing any convincing evidence of an increased brain cancer risk." With respect to Interphone, the NCI skips over the key findings on long-term risks in the two five-country meta-analyses, noting only: "[S]ome of the 13 participating countries have pooled their data and reported little or no effect on the risk of brain tumors."

To support the contention that there is nothing to worry about, the NCI cites two epidemiological studies: one on Motorola workers by a group at Exponent, a consulting firm, and one on Navy radar technicians during the Korean War. Both are vitiated by lousy exposure assessment. As was pointed out in a commentary accompanying the Exponent study: "A more notable limitation … is the absence of information on mobile telephone use or RF exposures." This means that no one knows whether the Motorola employees were actually exposed to any electromagnetic radiation (see MWN, M/A00, p.7).

In the process, the NCI makes a telling error: Instead of citing the Navy radar study, it links to a 1995 review by John Goldsmith, the noted environmental epidemiologist. In this paper, Goldsmith concluded that there was —even then— enough evidence pointing to microwave-induced health effects, including cancer, to warrant a precautionary policy of limiting exposures. Goldsmith closed with these prescient words:

"There are strong political and economic reasons for wanting there to be no health effect of RF/MW exposure, just as there are strong public health reasons for more accurately portraying the risks. Those of us who intend to speak for public health must be ready for opposition that is nominally but not truly scientific."

Maybe the NCI cited the right paper after all.

Friday, September 26, 2008

Grape and Feta Salad with Rosemary: Salad for Salad Haters

I am not a salad girl.

Sure, I’ll order a side salad on occasion. And in days gone by, I frequented a local deli for their thoroughly filling version of Caesar’s greenery. Yet, I never, ever seek out salads at restaurants, and will only rarely throw one together as part of dinner. In general, I believe for a salad to be really good, it has to be drenched with pecans, cranberries, cheese, and dressing, OR located on top of a burger.

Don’t ask, then, why Serious Eats/Cook Illustrated’s Grape and Feta Salad with Rosemary salad appealed to me. I have no idea. As a beleaguered Mets fan (who was at last night’s game and almost froze to death but does not regret it ONE SINGLE BIT), I’ve been making a lot of strange, emotional decisions lately. Like this morning? At work? I almost cried watching highlights of Oregon State beating USC in college football. I’ve never watched a full Pac-10 game in my life, and the sight of happy Beavers dancing (which sounds lewder than it is) almost launched me into apoplexy.

But back to the salad. It looked pretty dang appetizing, and there were grapes and feta close to expiration in the fridge, so there you go. Assembly took about 10 seconds, and the result was truly impressive – the perfect halfway point between the Boring Naked Garden salad and the Overloaded Cholesterol Bomb salad.

What’s more, The Boyfriend was overjoyed. Because, despite his glorious manliness and profusion of muscles – man loves him some salad. (Don’t ask why we’re together. I think it’s because he lets me borrow his t-shirts.)

If you decide to go forth, some things to know:

1) I used reduced-fat feta instead of full-fat, and reduced it from 1/3rd of a pound to 1/4th. Most mass-market block feta seems to come in four-ounce blocks, and the dressing was still delicious, so it didn’t do any harm.

2) Raspberry vinegar is just about the only vinegar I don’t have on-hand, so I substituted white wine vinegar. It worked perfectly.

3) Field greens are often costly, and iceberg lettuce bores the everloving crud out of me, so I compromised and used Boston lettuce. Wicked good, I say.

As I’m a drooling knucklehead, there was no picture taken for this meal. So I’m subbing in Serious Eats’ photo, with the hope that they’ll forgive me and/or I can bribe them with chocolate, pizza, or a serving of their own salad. Enjoy!

Grape and Feta Salad with Rosemary
Serves 4
Adapted from Serious Eats/Cook's Illustrated.
NOTE: This is Nick Kindelsperger's picture. You can tell by the good lighting and appealing appearance of the food. I apologize for using it, but my pic was ... traumatic.

¼ pound feta cheese, crumbled
1/2 pound grapes, halved, and seeded if necessary
2 teaspoons fresh rosemary, minced
2 tablespoons olive oil
Salad greens (about 1 1/2 quarts)
1 tablespoon raspberry vinegar (I used white wine vinegar. – Kris)
Salt and pepper

1) In a small bowl, combine cheese, grapes, rosemary, and olive oil. Grind a little on pepper on top.

2) In a large bowl, combine greens and vinegar, tossing gently. Salt to taste.

3) Serve greens topped with cheese mixture. Enjoy!

Approximate Calories, Fat, and Price Per Serving
168 calories, 11 g fat, $1.03

Calculations
¼ pound feta cheese, crumbled: 234 calories, 15 g fat, $1.60
1/2 pound grapes, halved, and seeded if necessary: 157 calories, 0.4 g fat, $0.48
2 teaspoons fresh rosemary, minced: 2 calories, 0.1 g fat, $0.20
2 tablespoons olive oil: 237 calories, 26.8 g fat, $0.24
Salad greens (about 1 1/2 quarts): 43 calories, 0.7 g fat, $1.49
1 tablespoon raspberry (or white wine) vinegar: negligible calories and fat, $0.08
Salt and pepper: negligible calories and fat, $0.02
TOTAL: 673 calories, 43 g fat, $4.11
PER SERVING (TOTAL/4): 168 calories, 11 g fat, $1.03

Thursday, September 25, 2008

New Kennedy Health Plan in the Works for 2009

This information doesn't tell me much that I'd get excited about in terms of a really effective health care plan.

Generally speaking, the people called in by Kennedy's staff seem to be the same industry fat cats with tunnel vision, all waiting for new insurance and better care, but not for less money.

I certainly don't read anything about the 'plan' being applied equally across the board, meaning that even members of Congress will get the same plan as the people they are elected to serve instead of the premium carte blanche system they vote in for themselves.

I'm not for IT inclusion in health care. It's been proven that it is just not a safe thing to do. Much too high of a risk considering all the hacking that's going on these days, and the proof that the felonious Real ID RFID chips are without any strategic safety and protection measures, like the new passports.

I am a bit taken aback by what appears to be exclusion of PREVENTION. There seems to be a focus on "disease management" but then the horse is already out of the gate. Not much for my public health hat on this one!

Cost control is good, but then there's that "private insurance" issue lurking in these words, which of course just drives up costs more all the time. Why do we need to give more to Big Insurance? It is sort of like this ridiculous financial bailout of the Wall Street dunces.

Big Pharma seems to get a little bit of a hit but not enough to make an impact. How about taking them out of the equation on the bogus "Senior Drug Plan" and see just how much is saved. Lives might be saved too if the numbers of Seniors "in the hole" without coverage for their drugs was a thing of the past.

And since not everyone is 'employed', what's the deal? What are you doing for self-employed and the retired that struggle just trying to find a doctor that will accept Medicare or those with Medicaid that can't find medical or dental providers.

Employers are taking more and more from the workers that make their businesses profitable. The CEOs aren't giving in on benefits when they want workers to pay more out of pocket.

What I don't see here is CHOICE. And I don't see anything for the hundreds of thousands of our people who want natural health care options, including coverage for supplements.

Wake up Teddy, or did too much anti-cholesterol drugging of your body give you brain cancer - along with your cell phone, added with the radiation and chemo, maybe it's BRAIN FOG.

It doesn't seem to me that any of your staff has a clear mind of what the people want either.

Maybe the new thing might be gathering a groups of every day people for their input instead of industry hacks who parrot the propaganda.

Back to the drawing board you all. I just don't think you are even asking the right questions. And I bet many others agree.
Kennedy Working Now for January Health Care Push
The ailing senator and his staff are moving quickly on a proposal likely to build on the existing concept of employer-based coverage.

By Martha Lynn Craver, September 25, 2008

Congress will lead the way on health care reform next year, not waiting for the next president, whoever he turns out to be. And key backers of a move toward universal coverage don't plan to waste any time either. Among the lessons learned from the last major attempt at health care reform in 1993 is that it needs to be tackled in the first year of the new Congress during the "honeymoon period" -- just after the election and before everyone starts focusing on the next campaign.

Sen. Ted Kennedy, the Massachusetts Democrat who has long championed health issues, plans to be ready in January, and he's determined not to let his own health issues keep him from being at the forefront of what will be difficult negotiations. Kennedy, who is chairman of the Senate Health, Education, Labor and Pensions Committee, is a man in a hurry. He wants to hit the ground running, introducing a plan soon after the new Congress convenes in January.

His goal: affordable and accessible health care for all. Kennedy is well liked on Capitol Hill, and there's a big emotional push to get this done "for Ted." Kennedy and his staff have already held meetings with his Republican counterpart on the Committee, Sen. Mike Enzi (R-WY), in hopes of crafting a bipartisan bill that will win broad support. Kennedy has a reputation for reaching across the aisle, and he and Enzi have partnered a number of times on other health care issues. But if the talks fall through, expect Kennedy to introduce a bill on his own and try to win bipartisan backing later.

Kennedy is also working with other committees in finance and budget jurisdictions committees, to ensure their cooperation so that the bill isn't bogged down by jurisdictional issues -- another lesson learned from the '93 battle. Major stakeholders are being called in as well -- business, labor, medical, insurance and consumer groups -- to sound them out on potential approaches. Also, Kennedy has added John McDonough to his staff -- he was in charge of implementing Massachusetts' groundbreaking universal health care law.

What will the proposal look like? Talks so far are just preliminary, with the more serious work to be done after the November election. But the betting is that it will seek to build on the employer-based system that now provides coverage for 177 million people. Universal coverage will be the goal, although it may have to be phased in, thanks to federal deficits likely to rise due to the financial crisis. The idea will be to make health care coverage available to all who want it, but not mandatory.

Getting coverage for the 46 million uninsured will focus on strengthening public programs such as Medicaid as well as providing more affordable options to people through the private insurance market.

Cost containment will be a big part of reform. Examples where there's great potential for agreement include:

Health care IT to cut down on medical errors and duplicative tests.
Comparable health effectiveness research to determine which treatments deliver the most bang for the buck.

Generic versions of biotech drugs as an alternative for costly brand-name biotech pharmaceuticals.

Pay-for-performance initiatives, to reward the best and most efficient caregivers.
Wellness programs and disease management to better control chronic diseases, such as diabetes and asthma.

How to finance the plan will be the biggest challenge. The tax treatment of health insurance will be on the table, but it's unclear if it will be in Kennedy's bill. Big revisions to the tax code are unlikely, and there may be a cap on the health insurance tax exemption for high earners.
--------------------------------------------------------------------------------
This page printed from: http://www.kiplinger.com/businessresource/forecast/archive/Kennedy_Working_For_Health_Care_Push_080925.html
All contents © 2008 The Kiplinger Washington Editors

Veggie Might: Don’t Fear the Bean Curd (Tofu!)

Penned by the effervescent Leigh, Veggie Might is a weekly Thursday column about the wide world of Vegetarianism.

With the popularity of shock-cuisine shows like No Reservations and Bizarre Foods, eating insects, entrails, and genitalia is all the rage. Not that it’s anything new. My family has been eating livermush for years, but no one is signing my dad up for sixteen episodes on TLC. My mom just regaled me with a delightful story of her first haggis experience, and well, I doubt Bourdain is interested in a sidekick who also enjoys canned olives.

But I don’t get it. Why is feasting on guts and bugs considered adventurous, but no one on Top Chef would dare cook a vegetarian entrée even when given an all vegetable menu? Is tofu really that disgusting? I mean, come on. Zimmern will eat tuna sperm.

I realize our nation is historically dependent on a meat-based diet, and there is no end to the pleasure in discovering what crazy stuff other people eat, but there has also been a trend in the last couple of years to scale back and eat more healthily.

Well, I’m going to do my part to encourage the move to more plant-based deliciosity for the veg and omni alike. My first, shocking look into what vegetarians eat is a breakdown of that mystery block of supreme ridicule: tofu.

Tofu is soybean curd, [cue mild groaning sounds] the gunk that comes from coagulating soymilk [cue louder groans], a process that originates in China. Similar to cheese in process and consistency, tofu is pretty bland. But what makes it so great is its versatility.

Tofu comes in three varieties: soft, silken, and firm. Soft and silken (the Japanese variety) are great for blending into soups, sauces, or if you just like soft food. Firm is better for sautéing, baking, frying, grilling, broiling, and so forth.

I’ve found that just tossing tofu into your favorite meat-based recipes and expecting it to adapt is like trying to emulsify oil and vinegar with a spoon. Harharsnorksplarzz! Can’t be done!

Most people have a tofu horror story. They were served a dish with bland, soft, slimy tofu that squished through their teeth and slithered down their throats (if it made it that far), and they vowed to never eat the stuff again. But, Dear Reader, this is not the fault of tofu but an unfortunate case of mismanaged expectations.

In our culture, we think of tofu as a meat substitute, a protein proxy to replace all that divine flesh we were brought up on. In others, tofu is its own thing, just tofu: a super-healthy, soy-derived delicacy.

In Chinese and Japanese cuisine, the smooth, creamy texture Westerners blanch at is commonplace. Most people either like it or don’t. Bean curd skins, however, are chewy and have a nice bite. Try that if you like your nonmeat protein a little more meat-like.

I do like mine chewy and savory, with what Mark Bittman calls The Umami Factor. “Just as people have sweet teeth, or people adore salty food, there are those of us who can’t get enough of umami, a word used to describe the flavor one might otherwise call ‘savory-ness’ [sic].” (Confidential to MB and his editors, “savoriness” is a real word, despite what MS Word spell check says. See Merriam-Webster and American Heritage, 4th Ed.)

Here are a few tricks and tips for working with tofu that will rock your socks off the way testicles and fried bugs do it for the “bad boys” of food TV.

Buying Tofu and Storage
1. Water Pack
It’s the most common packaging that everyone recognizes. Brands like Nasoya and House are the most popular, at least here in the Big City. Check the expiration date before buying, so you know how long you have to use it. Tofu will spoil, generally speaking, within a few days.

2. Aseptic (Vacuum) Pack
This is the most practical packaging if you’re not sure when you’re concerned about shelf life. The most common brand is Mori-Nu. The vacuum pack will last seemingly forever. Or at least a few months if the package remains sealed. Check the expiration date.

3. Fresh
Just like finding a good butcher, vegetarians know where to get good fresh tofu. The Korean grocery in my neighborhood sells excellent, firm, fresh tofu that is much cheaper than the supermarket packaged varieties. Two blocks, which is about 14 oz., go for a dollar. The same amount at the supermarket can cost between $2.59 and $3.99 depending on the store.

4. Storage
  • Keep tofu in water; it’ll last longer
  • Change water daily to extend fridge life
  • Once package is open, you’ve got three–four days before it goes bad.
  • You’ll know it’s bad when it smells sour or starts turning orange.
Prep Methods
1. Freeze & Squeeze
  • Start with firm tofu. Drain water from package.
  • Wrap tofu in plastic wrap or freezer paper.
  • Freeze for 8 hours or overnight
  • Thaw completely
  • Squeeze out water from thawed tofu cake
This method results in a super chewy, meaty texture that lends itself to crumbling. It’s great for chili, pasta sauce, and eggless salad—anything in which you would use ground meat.

2. Press & Go
  • Start with firm tofu. Drain water from package.
  • Place tofu cake between two dinner plates
  • On the top plate, place a couple of canned goods, cast iron skillet, or heavy cookbook.
  • Leave for 20–45 minutes.
  • Occasionally drain water from bottom plate.
This method squeezes out the excess water from the tofu, but preserves the consistency, allowing it to be sliced or cubed neatly. The texture is firmer and chewier than the straight out of the container, but not as much as the freeze & squeeze method. Pressed tofu is great for stir-fry, sautéing, and baking.

3. Flavor Save(u)r
Tofu is a flavor sponge. It will soak up any spice, marinade, or sauce that comes near it. Plus, its porous texture makes marinating a snap. Soak your tofu in your jus du jour for just a few minutes and you’re good to go.

Cooking Methods
1. Pan Frying
Who doesn’t love fried food? Fried tofu is no different. Slice some pressed tofu, dredge in a little seasoned cornmeal, and dunk into a smidge of olive oil. Just like Dad’s fried catfish but without the bones. I make this all the time when I’m craving something umami.

2. Stir Fry
This is what most people think of when they think tofu: Asian-style stir fry with bland, slimy tofu chunks. No more! Toss your tofu cubes in a baggie with a little bit of cornstarch—just enough to lightly coat all the pieces. That will hold your tofu together, keep it from sticking to the pan, and keep your marinade from peeling off. Hey, it happens.

3. Sauté
In a similar category as stir fry, sautéing tofu with veggies and combing with a grain or pasta makes a terrific, tasty meal. But you don’t have to limit yourself to the Asian flavor palette. A favorite of mine is a basic olive oil, garlic, tofu, and kale sautéed and combined with quinoa. Mmm…mmm…Now I’m hungry.

4. Scramble
Tofu scramble is THE staple of a vegan breakfast. It uses silken or soft tofu, great spices, onions, and makes the house smell fantastic. And you can’t go wrong Post Punk Kitchen’s recipe.

5. Baking
Baking is a great way to keep fat and calories low and imbed delicious marinades and rubs. You can pretty much prepare tofu for baking the way you would meat: season, put it on a baking sheet, pop it in the oven, and voila! Here’s a great recipe from one of my favorite veg food blogs, VeganYumYum, for Smokey Miso Tofu. It makes a yummy sandwich or salad topper.

Now you’re read to face the tofu without hesitation. Get out there and whip up some killer soy-based meals that you and your friends will actually eat. And remember, just because some chefs are afraid of the curd, you don’t have to be.

SOURCES
  • Vegetarian Times Cookbook, The Editors of Vegetarian Times, Collier Books, New York, 1984
  • How to Cook Everything Vegetarian, Mark Bittman, Wiley Publishing, Inc., New Jersey, 2007
  • “What the Heck Is Tofu Anyway?” Veg-World.com/articles/tofu.htm
  • “Tofu” Wikipedia.org
  • Vegetarian Resource Group, vrg.org
  • Post Punk Kitchen, theppk.com
(Photos courtesy of Flickr members Wm Jas and galoshes.)

CHG Favorites of the Week

Food Blog of the Week
In the Kitchen and On the Road With Dorie
While she only updates it a few times a month, this lovely blog from cookbook author/baking expert Greenspan is a relaxing, worthwhile escape from the frenzy of the usual web browsing. Also, there’s Bacon-Cheddar Quickbread with Dried Pears. To quote the bard, “NOM NOM NOM.”

Food Comedy of the Week
Creative Food Sculptures
The things people can do with a head of lettuce will amaze you and wow your surrounding office workers. My favorite – the pic on the right. Oh, the humanity!

Food Quote of the Week
"Too few people understand a really good sandwich." –James Beard

Food Quote of the Week #2
"I am not a glutton. I am an explorer of food." – Erma Bombeck

Food Quote of the Week #3
"Could we have some more virgin olive oil? This one's kind of trampy." – Ellen DeGeneres

Food Video of the Week
“C is for Cookie” by Cookie Monster
And that’s good enough for me.



Unrelated Extra Special Bonus of the Week
Japanese Flash Mob
Best. Prank. Ever. (Good stuff starts at :30)

Wednesday, September 24, 2008

15 Reasons I Gain(ed) Weight (And Two Reasons I Didn’t)

Get Fit Slowly posted a great piece last week called "A Dinner Conversation," wherein blogger Macdaddy described exactly how and why he put on the pounds. Essentially, he recalled a pattern of poor eating habits and sedentary lifestyle choices established at an early age. Today, it’s taking all his resources and know-how to correct those learned behaviors, but he’s doing it. (Viva la him!)

Macdaddy’s story inspired me to think of my own reasons for gaining weight. Because, make no mistake – eating is a physical action, but the motivations behind overeating are largely emotional. (Or at least, that’s what Oprah says.) Those mental hangups made this a difficult post to write, because it forced me to confront some of my shortcomings, like carelessness, laziness, and a big one: using food for comfort.

As I created my list, I noticed something, though. With one monster exception (eating out), my reasons for gaining weight during and directly after college were vastly different than my reasons today. Whether that’s maturity or a result of lifestyle changes is up in the air, but at least I feel like I’m learning. So, without further ado…

I GAINED weight (past-tense) …

…because I didn’t know about portion control. My idea of a normal meal was 50% starch, 30% meat, and 20% more starch. Fruits and vegetables figured into the equation only when I ran out of rice.

…because I wasn’t educated about food. Nutrition labels meant nothing to me back in the day, and I lacked the motivation to research. The internet makes it much easier now, though I didn’t catch on until a few years ago.

…because I didn’t think about what I was eating. I wasn’t THAT much of a moron: I knew fried foods were bad, and an excess of cheese would clog my heart valves with its delicious, brie-infested buildup. Uh, here’s the thing: I didn’t care. More fries? Bring ‘em on! Another piece of pie? Why, thank you! The WHOLE box of mac and cheese? Why didn’t you say so in the first place?

…because I trusted in my metabolism over my brain. When you’re 17, you can eat an entire herd of cattle (horns included) without blinking. The fury and pace of your day-to-day movements will make up for it. When you’re 23, those same slabs of beef adhere directly to your ass, making it tough to sit down in normal-sized chairs.

…because my parents didn’t teach me how to cook. It wasn’t one of Ma’s priorities, and Pa didn’t really know himself until later in my childhood. I don’t fault them at all, because instead, I could solve an equation, write a paper, and clean a dang bathroom like nobody’s business.

…because I never showed any interest in learning to cook. Growing up, food preparation took a backseat to schoolwork, sports, extracurricular activities, friends, sleeping, drooling, listening to Britpop, staring dreamily into the distance, and a billion other things. I figured as long I could boil water, I’d be fine.

…because I assumed it was my genetic destiny. With notable exceptions, much of my extended family is not thin or athletically inclined. They’re mostly a pretty wonderful bunch, though, and I accepted this as my fate.

…because I was in love. I feel doofy enough writing that, but it’s true. Because, seriously – I can match my biggest weight gains almost exactly to the beginning of my happiest relationships. I don’t recall us just sitting around, feeding each other egg rolls with contented looks in our eyes, but maybe we did. Barf.

…because I’m an occasional emotional eater. On the flip side, there are these things called “breakups.” And when they happen, it becomes very, very easy to drown your sorrows in tubs of Ben and Jerry’s Oatmeal Cookie Ice Cream. Those pints absorb pain, and redeposit it as cellulite in your thighs (but you don’t notice until later).

…because I ate out too much. The big one. The HUGE one. It still dogs me. (See below.)

I GAIN weight (present tense) …

…because I eat out too much. I really, really like food, and New York has a lot of it. And it’s (almost) all really, really good. Restaurants and takeout make it soul-shatteringly simple to abandon all principles of portion control and good sense. It is my weakness.

…because I have easy access to bad food. My cubicle is located directly across from the office pantry. I live across the street from a KFC, a Papa John’s, and the most unsanitary (but sweet) bodega in Brooklyn. Food surrounds me all the time, and it’s difficult to deny it’s power.

…because I don’t care about portion control. When I’m feeling good, I’ll go for months at a time without considering the size of my dinner. Inevitably, this leads to problems down the road, when I haven’t paid any attention to serving size for a year. (See: 2006, beginning of.)

…because I think it will be easy to drop later. I’ve dropped significant amounts of weight twice now, and it gets into my head that it’s easy to do. (It’s not.) The problem is, I infrequently get around to the actual process, and often abandon it prematurely.

…because I’m getting older. Stupid passage of time. Tryin’ to make me all wrinkly and saggy and stuff.

…because I’m relatively sedate. Er … yeah. I walk 30 minutes a day, and am well aware that it’s not enough. Yet, attending the gym is not my choice of an exciting pastime, running blows, and organizes sports leagues are … I have no excuse there. I need to get on this.

I DON'T/DIDN’T gain weight …

…because I can’t stop myself. Self-control hasn’t been a problem so far, with a one-day-per-month exception. I think any overeating can be attributed to a lack of attention, rather than an aching need for food.

…because my family has a rich culture of cooking. I’m Irish. We boil beef. ‘Nuff said.

And that’s it. Readers, how about you? Why do you put on weight?

~~~

If you liked this article, you might also dig:

(Photos courtesy of University of Maryland Medical Center and MySpace member Seventh Heart.)

Tuesday, September 23, 2008

Clots and Cancer Care

One of the serious side effects of chemotherapy is severe nutritional depletion. This state is a factor in the 20% or more of people undergoing mainstream cancer therapy.

I would like to know how many people undergoing chemo know of this side effect, and of course I'd like to know how many of this group of people have support to promote prevention of this life-threatening risk.

Vitamin E is a preventive for colon cancer and most likely other cancers. It helps prevent hair loss from chemo, and it helps prevent throboembolic conditions.

As an anti-oxidant it is an anti-inflammatory, so one might surmise that it could/would be effective as a standard supplement for cancer treatment to reduce the side effects of the chemo drugs that must irritate the intima or lining of the blood vessels that contribute to an increased risk of developing VT.

Adding vitamin C can offer similar benefit, and it can fight the cancer as well, perhaps allowing a lower chemo dose with greater effect.
Should All Cancer Patients Receive Antithrombic Prophylaxis?

Roxanne Nelson, Medscape Medical News 2008. © 2008 Medscape

September 23, 2008 (Stockholm, Sweden) — Venous thromboembolism (VTE) is a common complication in cancer patients, and a significant cause of morbidity and mortality. It occurs in approximately 4% to 20% of cancer patients, although it is believed that these rates are underestimates. Although randomized trials have demonstrated that primary prophylaxis can reduce VTE, and professional guidelines from several associations have issued a number of recommendations, there is still considerable variation among practicing oncologists in terms of compliance.

Because the risk for VTE is so high among cancer patients, some experts believe that VTE prophylaxis should be extended to all cancer patients, including those in the outpatient setting. Conversely, others feel that there is insufficient evidence to support universal use in this population and that prophylaxis should be administered only to those with known risk factors. Both sides of the issue were presented here in a point/counterpoint discussion at the 33rd European Society of Medical Oncology (ESMO) Congress.

Hans-Martin Otten, MD, PhD, who presented the argument for the use of prophylaxis in all cancer patients, pointed out that VTE remains underdiagnosed and undertreated in cancer patients. Dr. Otten is a medical oncologist at Slotervaart Hospital, in Amsterdam, the Netherlands.

"There's a very high prevalence of VTE among cancer patients," said Dr. Otten. "In most cases, it is not recognized. There is effective prophylactic treatment. It is low in cost and low in bleeding risk, so why don't we use it?"

Use in Surgical and Hospitalized Patients

Current guidelines from the American Society of Clinical Oncologists (ASCO) recommend that cancer patients undergoing major surgery, along with hospitalized nonsurgical cancer patients, should be considered candidates for VTE prophylaxis in the absence of bleeding or other contraindications. Guidelines from the American College of Chest Physicians also recommend prophylaxis for bedridden patients with cancer.

Dr. Otten agrees: "Pulmonary embolism [PE] is a frequent cause of death in hospitalized patients, and 1 of the primary reasons for promoting antithrombic prophylaxis in high-risk patients," he said. "The in-hospital fatality rate from PE is about 12%. And not only are fatal PEs important, but symptomatic VTE is a burden for cancer patients."

Presenting the opposing viewpoint, Ajay Kakkar, MBBS, PhD, FRCS, agreed that there are a number of situations where the use of antithrombotics is warranted, especially among cancer patients undergoing surgery. Dr. Kakkar is professor and head of the Centre for Surgical Science and dean of external relations at Barts and the London School of Medicine and Dentistry, in the United Kingdom

"VTE is a very common problem for surgical cancer patients, and there are really hard data to support prophylaxis," explained Dr. Kakkar.

However, the data for other types of cancer patients are less robust. Among nonsurgical hospitalized cancer patients, there is a wide range of VTE incidence. "It is therefore inappropriate to offer all patients prophylaxis," said Dr. Kakkar. "We should identify the subsets that may be at risk and treat them."

He pointed out that the data on VTE risk in nonsurgical cancer patients are limited. Although studies have shown a clear benefit of prophylaxis over placebo, only a small number of the patients included in these trials have had cancer. "Results can be extrapolated for cancer patients," Dr. Kakkar said, "but right now we just don't have the information."

Although guidelines do recommend that nonsurgical hospitalized patients should be considered candidates for prophylaxis, Dr. Kakkar explained that physicians need to be selective in choosing who is at risk.

Ambulatory Outpatients

ASCO guidelines do not recommend routine prophylaxis in ambulatory patients receiving chemotherapy because of conflicting trial results, potential bleeding, the need for laboratory monitoring and dose adjustment, and the relatively low incidence of VTE.

However, Dr. Otten argued that prophylaxis should be extended to this population as well. VTE is poorly recognized and, in about 70% to 80% of patients who die in the hospital, a diagnosis of PE was never considered, he explained. "The majority of symptomatic PE occurs after discharge, in the outpatient setting, where doctors do not see patients very frequently."

Some reports show that the incidence of symptomatic VTE in patients with advanced metastatic disease is 9%, said Dr. Otten. "But the rate of asymptomatic VTE is more than 50%."

Conversely, Dr. Kakkar felt that routine prophylaxis is not warranted in this population, and supported current guidelines. The risk for VTE among patients undergoing outpatient chemotherapy is not well studied, and the overall risk is not high, he said. "I believe it is a question of our judgment and skills to select patients, rather than to prescribe it routinely to ambulatory patients.

Complicated Issue; Very Heterogenous Patients

"This is a complicated issue, but it is clear that cancer patients as a whole have a much higher risk than the general population," commented Alok A. Khorana, MD, FACP, assistant professor of medicine at the James P. Wilmot Cancer Center at the University of Rochester, in New York. "But this population is also very heterogenous, and the risk is not equally divided," he commented in an interview..

"Some patients are at much higher risk than others, and the main problem is that no studies have been done specifically in cancer populations," he said. Dr. Khorana did not participate in the ESMO point/counterpoint discussion; he was approached by Medscape Oncology for comment.

The exact mechanisms of VTE in cancer patients are still being defined, and the actual prevalence of tumor-induced VTE is not known, he said. There are numerous confounding risk factors, including chemotherapy with or without adjuvant therapy, immobilization, metastatic disease, surgery, tumor type, presence of certain comorbidities, and the presence of central venous catheters.

Dr. Khorana agreed that although ambulatory patients on chemotherapy are at higher risk for VTE, the risk does vary. "There are subgroups that are at higher risk because of the type of cancer and other comorbidities, and it is important to focus on the high-risk subgroups," he told Medscape Oncology.

To help identify that population among ambulatory patients, Dr. Khorana and colleagues developed a simple model for predicting chemotherapy-associated VTE, using baseline clinical and laboratory variables. A risk model was derived and validated in an independent cohort of 1365 cancer patients, and the results showed that it was able to identify patients with a nearly 7% short-term risk for symptomatic VTE. The data were published in the May 15 issue of Blood.

Prolonging Survival

An unanswered question is whether the use of antithrombotic therapy can prolong survival in cancer patients without VTE. There have been a few trials that did suggest a survival benefit, said Dr. Kakkar. Although some results have been encouraging, the results are variable and generally showed a clinical benefit only in subgroup analyses.

"More concise data are needed, and it is not possible now to make recommendations," said Dr. Kakkar.

33rd European Society for Medical Oncology (ESMO) Congress. Presented September 14, 2008.

Blood. 2008;111:4902-4907. Abstract

 
Design by Free WordPress Themes | Bloggerized by Lasantha - Premium Blogger Themes | Macys Printable Coupons