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If you want to take care of your health, you have to take control of your life

The other day a man called the office to thank me for writing Issue 98’s page 7 editorial, in which I urged readers to get a stress test if they have symptoms or a lifestyle that could lead to a heart attack. The editorial, the caller said, saved his life because he took my advice and was now on his way into surgery to get a life-saving operation to relieve coronary artery blockage.

But that was the only call we got. That means that there are at least several hundred other readers out there who are continuing to play Russian Roulette with their lives. None of my business, I suppose; people can take whatever risks they want with their lives.

Since I had my own bypass surgery to relieve my own life-threatening coronary artery blockage, I have been eating healthier and exercising, thanks to all the health information I’ve learned since my surgery. In fact, I underwent six weeks of “coronary rehab exercise,” which is essentially exercise monitored by an EKG machine and supervised by an instructor who also imparts information about how to take care of your heart and arteries. What surprised me during the cardiac rehab sessions was that most of my fellow exercisers, all of whom had gone through some sort of heart intervention such as bypass surgery, had very little knowledge about what to do to maintain a healthy heart. They neither understood the role of exercise nor grasped the importance of diet. And they didn’t seem particularly concerned about learning. Most of them were there, as far as I could tell, because their insurance was paying for the sessions.

This issue we’re trying to save at least one more life by presenting articles about maintaining or improving your health, especially by eating healthy foods that are low in bad fats and sugar, high in good fats and fiber, etc. Food is your body’s fuel. Eat poorly and your body won’t run well, especially as you get older and the years of poor eating catch up with you in the form of clogged arteries and cancers. Eat healthy and you’ll run like a Ferrari long into your 80s, unless you get unlucky.I don’t get it! Why aren’t more people interested in information that could save their lives, or at least make them live healthier? I can understand the general readership of BHM, at least those who haven’t been whacked between the eyes yet with a heart attack or other serious illness. But what about the people who have, such as many of my fellow rehab exercisers? Why aren’t they acting decisively when it comes to their own health? I sure am! I’m on a quest not only to stay alive, but to live to a healthy 90 or so. But the only way you can do that, short of being born lucky with a set of indestructible genes, is to learn about health and act on your own behalf.

Of course, there’s a catch! Not only do you have to eat healthy, but you have to eat healthy portions, i.e., not too much. You don’t have to be a scientist to figure out the consequences of being fat; just look around to see who is living longer and healthier. It isn’t fat people. Americans live in the land of plenty of food where restaurants often compete with each other by offering supersized portions. That makes it difficult to keep a healthy weight unless you are disciplined with how much you eat. If you do eat out often, better get in the habit of asking for a doggie bag if you don’t want to leave half your food on the plate. Continue reading If you want to take care of your health, you have to take control of your life

Managing Your Own Health

DrRich doesn’t want to slip into an “every man for himself” frame of mind, but it’s still true that no one cares about your health more than you do. To become a truly effective patient, you’ve got to be deeply invested in promoting your own health.

By “promoting your own health,” we mean doing four things: become as knowledgeable as possible about your own health conditions; take good care of yourself; make the most of your encounters with your doctor; and keep careful records.

Become as knowledgeable as possible

Learning as much as possible about your heart condition is a simple matter of self-preservation. Even under an ideal health care system (which, most assuredly, we don’t have,) doctors won’t always have the time or the inclination to discuss every important aspect of all your medical conditions. The more you teach yourself about those conditions, the better off you’ll be. You’ll be better able to interpret what your doctor is saying, and you’ll even be able to steer your discussions into the areas that are most pertinent to you. You’ll have a better understanding of what your doctor thinks should be accomplished, and a better grasp of what you can do to help accomplish it. Knowledge allows you to become an active participant, rather that a passive one, in managing your health care.

As an added bonus, by becoming highly educated about your health – and perhaps more importantly, by seeming to be highly educated – you will automatically make yourself ineligible for rationing by omission. Nobody would dare try to withhold information from you if they thought you were probably already aware of all the options. Educating yourself is the best defense you can use in our increasingly hostile health care system.

There are many ways to become more knowledgeable about your health care. Start with this web site, which has hundreds of pages of information on heart conditions, as well as serving as a gateway to other Internet resources. Then check your public library. Your librarian can point you to helpful books and articles about cardiovascular disorders.

Take good care of yourself

It goes without saying that you will enjoy better health if you do all those things you know you should be doing, things like giving up tobacco, maintaining an ideal body weight, cutting down on saturated fats, and getting plenty of exercise. If your doctor has you on a particular medical regimen (such as taking prescription drugs), make sure you follow that regimen religiously.

You gain direct health benefits from doing these things, as you well know. What you may not have realized, however, is the secondary gain you receive. By taking a genuine interest in trying to keep yourself healthy, you also endear yourself to your physician. You enlist him to your cause. Doctors should be engaged in the care of each of their patients, of course. That’s what it is supposed to mean to be a doctor. But, you know by now, they can’t. They’re under steady, unrelenting and overwhelming pressure to make the interests of their patients secondary to the interests of the HMO, of the government, and ultimately, of society at large. They simply cannot go to bat for all their patients. Some (the ones HMOs like the best, and the ones you have tried to avoid) won’t go to bat for any of their patients.

The many doctors who still maintain a strong sense of professional pride (the recalcitrants, the ones you have tried to choose for yourself) will still try to advocate for their patients, at least as circumstances allow. These, however, need to marshal their energies carefully. When they do go out on a limb for their patients, they are much more likely to do so for patients who are assiduously trying to help themselves. If the patient won’t accept responsibility for his own health, it’s not realistic to expect the doctor to jeopardize her career for the patient’s health. Continue reading Managing Your Own Health

Where’s the health in health care reform?

In the months and years ahead, you’re going to hear a whole lot of talk about health care reform, but most of what you’re going to hear is about reform, not health. You see, there’s this great lie out there, this huge misconception, this big shell game, where all these politicians and power-hungry people think they can convince the public that health care reform is just about shifting paper around and deciding who pays.

But I say that you cannot talk about health care reform with any degree of honesty or credibility until you talk about health. None of the discussion I have seen from anybody out there – not the press, not the health care authorities, not the American Medical Association, not the politicians who are going to ride this issue all the way into public office – covers substantial ideas about actually making people healthier. So I ask: Where’s the health in health care reform?

You can’t reform your way out of chronic disease by changing who pays for it. You can’t take away a nation of degenerative brain disorder sufferers and a whole generation of children who have been born with malfunctioning nervous systems because of the malnutrition the mothers have been experiencing. You can’t take that away by changing who’s writing the check. You can’t solve obesity and diabetes by insuring all the uninsured. This is not a paperwork problem, yet that’s the solution we hear out there. It’s all about paperwork. Continue reading Where’s the health in health care reform?

Diet Tips for Business Travelers

Frequent travel can pack on the pounds, but road warriors can maintain a healthy diet with these tips

Toothbrush? Check. Dress shoes? Check. Your diet? That’s all too easy to forget. For those whose jobs require frequent travel, a balanced diet all too often goes right out the window along with a balanced work-home life. A study published last year in the Journal of Occupational and Environmental Medicine found that frequent travel not only expands the waistlines of businesspeople, it can also lead to weight-related medical conditions such as high blood pressure and cholesterol levels, especially in those who spend at least 21 nights away from home each month. You’re hardly to blame: A hectic schedule coupled with limited dining options on the road are enough to derail the most determined dieter.

But even with the odds stacked against you, there are ways to maintain a healthy lifestyle while on the go, says Elisabetta Politi, nutrition director at the Duke Diet and Fitness Center. Planning ahead can go a long way. “If you have a plan, you’re likely to do better because you’re not letting your environment control you,” she says. Here are a few tips to keep your regimen on track while you’re on the road.

Pack some snacks

When packing your bags, make sure to throw in some healthy munchies. “We approach the food environment passively, and we don’t do that with any other aspect of the environment,” says David Katz, founding director of the Yale-Griffin Prevention Research Center. “If it’s cold, we pack warm clothes, and if it’s raining, we don’t just hope to stay dry. We deal with environmental changes all the time when we travel, and food is no different.” Katz recommends that alongside your dress shoes and tie, you throw in some wholesome snacks—like granola or fruit—to help you curb hunger pangs while you’re in transit. This will help you stay in control of what you eat. “If I get hungry, the person who’s in control of my dietary destiny is me,” Katz says. “Not some nincompoop who stocks the vending machine.”

Stay on schedule

One of the most challenging feats is sticking to a regular meal schedule while traveling. Flights can get delayed or canceled, stranding you in the airport terminal with nothing but a greasy something to wolf down. Long car trips can provide no option but a rest stop. That’s why having healthy snacks with you is so vital. Frequent travelers also face time changes and jet lag, which can quickly derail an otherwise perfectly timed eating schedule. According to Katz—who says this problem also plagues shift workers like nurses and security guards—it doesn’t matter when you eat as long as you do so regularly. “Getting used to a new schedule is difficult, and everyone adjusts differently,” he says. “If it turns out that 3 a.m. is your time for dinner, then do it. A routine really helps regulate what and how much you eat.”

Stay hydrated

People often mistake thirst for hunger, says Politi. Hydrating often can help prevent overeating. The Mayo Clinic recommends that men drink roughly 13 glasses of liquids each day, while women should aim for around nine glasses. But just like your diet, your drink choices can negatively affect your weight. When the drink cart makes its way down the airplane aisle, opt for flat water instead of soda to avoid empty calories (and the tummy growls often caused by carbonation).

Ditch the menu

When you’re relying on restaurants at transportation hubs for frequent meals, you can save yourself the extra calories by simply ignoring the menu. “When we go out to restaurants, we want to eat what we won’t eat at home,” which often translates into sodium-packed dishes, says Politi. “If you don’t look at the menu, you won’t be tempted.” Salad is the obvious choice, and most restaurants are willing to make modifications, such as putting the dressing on the side or swapping out included toppings (like fatty cheeses and meats) for healthier items, like black beans. Many eateries are becoming increasingly sensitive to your dietary needs. “Any fast-food or chain restaurant will have healthy options,” says Politi. “It’s up to you to make a good decision.”

Politi also recommends checking out airline meal options before your trip, as some of the more specialized options—like meals made specifically for diabetic passengers—are often healthier than the standard choices. You can usually find menus on airline websites and request special meals when booking your ticket.

Order first

Wining and dining clients and colleagues is a major part of business travel. In order to make a good impression, you may feel the need to make reservations at lavish restaurants that serve decadent food. To avoid disrupting your diet, Politi recommends taking charge of the situation. “One of the things that I think works very well is being the first to order,” she says. If you allow someone else to take the lead, you may feel obligated to order a meal that’s similar to theirs, causing you to fill your belly with calories, fat, and salt. “Ordering first sets the tone of the meal,” says Politi. “So when you feel like you may be peer-pressured into ordering something that’s not good for you, just have the waiter start with you.”

Don’t forget to exercise

Just because you’re on the move doesn’t mean you should leave your exercise routine behind. Katz recommends making sure to stay in hotels with in-house fitness centers and do as you would if you were at home. You can also use any down time while you’re in transit to burn calories. Simple exercises like neck and shoulder rolls and ab-strengthening tummy suctions (exhaling all the air out of your lungs and then sucking your tummy back toward your rib cage and holding for a few seconds before inhaling) can help pass the time on long plane or train rides. Katz also recommends taking advantage of long layovers. “Rather than hunkering down at the gate, I go for a walk,” he says. “Airports are great places for walking,” and provide an opportunity for much-needed exercise.

Balanced vegetarian diet without beans and legumes? Can beans and legumes be bad for some people?

Ask:

Lately, every time I eat beans or lentils, I end up feeling like sh!t afterward. Is there a balanced vegetarian diet I can follow that provides me with all the essential nutrients without having to resort to beans and lentils?

Answer:

Please do not get discouraged!

I have been on my veg journey for almost 17 years so, I understand your frustration. Most world diets are NOT meat based. Western culture is the only one that eats a meat-based diet (US, Canada, EU…). Over the last decade, we have truly begun to witness exactly just how devastating it really is to consume animal “products”… our eating habits are not only cruelly killing BILLIONS of animals, it is slowly killing us as well.

*Animal/livestock agriculture pollutes Earths air, water and soil. Numerous toxic run-off from factories, farms & slaughter house), leeching and run-off from herbicides & pesticides for feed, CO2 pollution (fossil fuel) from transporting animals (both dead and still alive) and the numerous polluting toxins released into the environment when feed is processed and transported (not 2 forget GMO!). Corn is the worst…

There is a lot of food out there! More recipes (globally) are made more so “vegetarian friendly” than not. Animal derived food products are a luxury in most parts of the world and our world is poor. Continue reading Balanced vegetarian diet without beans and legumes? Can beans and legumes be bad for some people?