Archive for February, 2010

Don’t Shoot the Messenger

Monday, February 22nd, 2010

As a cancer survivor who turned down chemotherapy 21 years ago, I’m always interested to hear about others who advocate natural medicine.  Suzanne Somers is at the top of my list and I was thrilled to hear she was asked to be a guest on the O’Reilly Factor.  Of course, she too, is unhappy about the McCain Supplement Safety Bill, and probably equally unhappy about Mr. O’Reilly’s response. Mr. O’Reilly feels the government should at least monitor what is in the supplements and require warning labels.  That makes sense, but do we really believe government control would stop there?

So here is what bothers me the most about Mr. O’Reilly’s argument and it is so typical of why we are all falling prey to degenerative diseases.  Apparently, rather than succumb to a pharmaceutical drug to lower his cholesterol, he tried another “quick fix” which he considered to be a natural alternative – red yeast.  After a few months of taking the red yeast, his doctor discovered his liver enzymes were spiking and Mr. O’Reilly was angry that he had not been warned there would be any side effects.  So what is wrong with this picture?  Did his doctor make an exhaustive effort to find out why Mr. O’Reilly had high cholesterol in the first place? Was his high cholesterol an indicator of inflammation?  If there was damage or weakening of the arterial walls, cholesterol would do what it could to repair the damage.  Why would we think a pill of any kind could fix the problem . . in other words, why would we just “shoot the messenger?” It is the reason tests for inflammation indicators, e.g. homosysteine and c-reactive protein have gained favor as indicators for potential heart disease.  Prior to taking any kind of cholesterol suppressant we all need to fully understand why we have cholesterol, how the pills work and what happens when levels are too low?  (It is the base of our sex hormones, if that tells you anything!)

My heart goes out to those well-meaning patrons of the supplement stores who wander in and are at the mercy of the clerk behind the counter.  Without a comprehensive education in nutrition and a sound understanding of our own bodies, how would be know what to ask for?  Balancing hormone levels, tracking adrenal and thyroid function, sugar regulation and colon health are all essential to our making intelligent choices. Finding a doctor or nutritionist who can guide us in this area of natural medicine, however, is a challenge all its own.  So you can get this into better perspective, may I suggest you read Jack Challem’s book,  “The Inflammation Syndrome.” (I noticed Amazon is offering a special on it today.)

If you have read any of Ms. Somers books or just taken a good look at her, it’s obvious this lady has done her homework.  To me she is one of the real heroes. Until we start educating ourselves on the long-range side effects of many of the pharmaceutical drugs, insist on accurate diagnosis rather than symptom management, and acknowledge the benefits of natural supplementation in supporting the body during times of stress, we will likely continue to be the unhealthiest industrialized nation in the world.

Dietary Supplement Safety Act

Thursday, February 18th, 2010

One of the discussions at last Saturday’s NWLC Self-Care class centered around Senator McCain’s Dietary Supplement Safety Act (DSSA) of 2010, which would undermine or possibly eliminate consumer access to valuable dietary supplements.  As a cancer survivor and nutritionist myself, I was outraged by this bill.  A healthy diet, combined with a wide range of natural supplements, is the pathway to optimal health.  At a time when our legislators are trying to minimize health care costs, they should be looking at those people who are buying supplements.  These are the people who are taking responsibility for their own health and doing whatever they can to minimize their chances of developing a costly degenerative disease or a re-occurrence of their cancer.

The counter argument to my concerns was the fact there are a lot of supplements on the market that are poor quality.  Some are even toxic to the human body; and who is setting the standards?  I have to agree with that, which is part of my concern about low-cost synthetic vitamins that are often doing more harm than good.  Hopefully, patients can find doctors who have a sound understanding of nutrition and can guide them on the appropriateness of supplements in their regimen.  These doctors are rare, however, as nutrition is not taught in medical schools . . . . . kind of like lymphedema!   In the meantime lets all do what we can to educate ourselves and each other.  I encourage you to go to http://www.citizens.org/ and share your feelings about this bill with your legislators.

Treadmill and compression garments

Thursday, February 11th, 2010

I received an email from someone who knows me very well saying, “Do you wear your compression sleeve when you are exercising on your treadmill?”  They knew the answer was “no” and I think it is important that I explain my answer. Before I really understood my limitations, and before I knew what I could get away with, you bet, I wore garments — around the clock.  A combination of daily self-massage , loosing 30 lbs, and having a benign lipoma surgically removed from my affected forearm,  have brought me to the point where I need not worry about my lymphedema.  I don’t even wear my sleeve when I’m flying.  (Not to say I don’t keep it in my purse just in case!)  So . . .to answer the question. . . .No, I don’t wear a compression garment when I’m exercising on the treadmill, but my arms are either at waist level, or alternately up in the air doing stretch exercises.  If I had lower extremity lymphedema, however, I’m sure I would be wearing a compression stocking.

It’s all about what you can get away with and your measurements are your indicator. If your wrist is 16 centimeters before you exercise and 18 centimeters after you exercise, it is time to reconsider how you exercise and what you wear when you do.   My Australian instructors, the Drs. Casley-Smith, said that with daily manual-lymph drainage (self-massage) it takes approximately a year for the body to remodel, or adapt to the new pathways.  From my own experience as a therapist and as a lymphedema patient myself, I believe this is true.  Many, including my doctor,  thought I was crazy to have elective surgery on my affected arm, but I had done my homework and was confident it would not be a problem.  If I did have some post-surgical swelling, I knew how to fix it, which is my hope for everyone struggling with lymphedema. The removal of the lipoma has made it easier for me to manage my lymphedema and I no longer have to be self-consious about the large lump in my arm!  (We video taped the surgery and for anyone who is interested, we can add it to our self-care streaming videos.) I also wanted to prove there is light at the end of the tunnel, and if we understand lymphedema well enough and master the self-massage techniques we can get away with a lot!

Compression garments and exercise

Monday, February 8th, 2010

In my last blog I talked about my concerns regarding the rebounder article.  I would be remiss if I didn’t mention that whatever exercise program you choose, if you have lymphedema, you must wear a compression garment during exercise.  Let me explain, but first, remember that one of the main components of resorption of fluids back into the circulatory and the lymphatic systems is TISSUE PRESSURE.   Have you noticed how as we age we lose skin tone  and are more likely to develop varicosities in our legs, particularly if we are overweight or spend a lot of time on our feet?  As we lose  elasticity in our skin, we lose tissue pressure and it becomes increasingly difficult to maintain the integrity of the valves in our lymph vessels and our veins.  Support stockings, or compression garments, are an effective way to restore this deminishing  pressure.  Once a valve fails, it increases the load on the valve beneath it.  If that one fails, there is an even greater load on the valve beneath it.  . . and so on down the line.

As you exercise, you are increasing filtration or the amount of blood rushing down the arteries and being filtered into the tissue.  Since a portion of that filtrate adds to the lymphatic load, and if your lymphatic transport system has already been comprised for any reason, you can surely understand why a supportive garment is an essential part of successful lymphedema management.

Consider another benefit of wearing compression garments during exercise.  As your muscles contract, they push against the garment (or bandage). As long as the garment has a gradient compression, you will be helping the body in its effort to push tissue fluids upstream and back into the circulatory system and  into the  lymphatic transport system.

For those of you I confused regarding the LeBed Method exercise program:  For years it was called the LeBed Method and their DVD was called Focus on Healing.  Sherry LeBed Davis recently changed the name of her program to Healthy Steps.   I am such a strong believer in the benefits of participating in her program, I want to make sure you can  get to her website: www.lebedmethod.com or www.gohealthysteps.net.  If you go to the Northwest Lymphedema Center website:  www.nwlymphedemacenter.org and click on the self-care streaming videos, you can see two of Sherry’s class presentations.

Stay tuned, as I received a great comment regarding acid reflux and we MUST talk about that at some length.  I know this may sound crazy, but poor digestion can have a profound effect on your ability to effectively manage your lymphedema!