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-   -   Got a medical question? Let me stretch my brain. (http://www.cigarasylum.com/vb/showthread.php?t=24646)

sikk50 11-18-2009 11:23 PM

Re: Got a medical question? Let me stretch my bra
 
What does it mean if in the last year you went from drinking like a camel to getting hang overs that last several days after moderate drinking?

Not me, my girlfriend. It's quite curious, shes been thinking of going to the doctor, but she decided it was easier to just become my all time designated driver :)

mosesbotbol 11-19-2009 08:01 AM

Re: Got a medical question? Let me stretch my bra
 
Cy:

What are your thoughts on human growth hormone and testosterone treatment on people over 35 years of age?

Cyanide 11-19-2009 09:32 AM

Re: Got a medical question? Let me stretch my bra
 
Quote:

Originally Posted by sikk50 (Post 650449)
What does it mean if in the last year you went from drinking like a camel to getting hang overs that last several days after moderate drinking?

Not me, my girlfriend. It's quite curious, shes been thinking of going to the doctor, but she decided it was easier to just become my all time designated driver :)

This is another creative answer that should be taken as only a hypothesis only.

If indeed this is a rational correlation (eg alcohol is always sufficient to cause the "hang over" and also required to attain this "hangover"), then my initial thoughts would be:

for some reason, this person has had a significant decrease in their ability to clear/metabolize alcohol or its metabolic by-products. Alternatively, it could represent a decreased tolerance in the effects of alcohol.

Maybe new/changed medications (assume caffiene in here, or other physiologically active substances)? Decreased liver/kidney functions, decreased hydration (due to long standing behavioural change?), maybe a there is a possible deficiency? It would be reasonable to consider vit B12 (females need lots but typically have lots, due to menstrual reasons, but this also has an effect on nerve/brain function....run a little anemic, use up some more B12, run into changes in nerve function).

I am speculating wildly here.

Cyanide 11-19-2009 09:58 AM

Re: Got a medical question? Let me stretch my bra
 
Quote:

Originally Posted by mosesbotbol (Post 650685)
Cy:

What are your thoughts on human growth hormone and testosterone treatment on people over 35 years of age?

That one deserves some research. I will get back to you on this one in a couple of days (right now I am "on duty" for walk-ins for my whole base, and then I work a clinic for rest of night....and then the Friday shift starts)

kgoings 11-19-2009 01:45 PM

Re: Got a medical question? Let me stretch my bra
 
Quote:

Originally Posted by Cyanide (Post 649840)
Well, I had never formally heard of "the hunter-gatherer diet" AKA "paleolithic diet" until you mentioned it here.

And, I can't say that 15 minutes later I am an expert on the topic.

But, it seems to push a high meat content, followed by wild grains, foraged plant materials etc. The big push regarding this diet is the proposed lack of signs/symptoms of cardiovascular disease, with some bandwagoning in "diabetes, ... cancer, auto-immune diseases, obesity".

From what I see so far there isn't any smoking gun. Unfortunately, some of the websites I have perused do seem to take on a fervor that makes me concerned for what lays beyond.

The claims regarding ridding yourself of these disease really does not have much foundation on which to stand. I would doubt that the studies could really control for enough variables to determine what the causation was. Hunter-gathering leads traditionally to expending lots of energy to obtain the food and probably not gathering an abundance of food. Its the agriculture evolution that probably was one of the first steps to allowing humans to start advancing in population and technology, as food became easy. I think the evidence is really pooling in that a calorie restricted diet may be one of the most effective ways to live as long as possible, at least in animal models. But that leads to emaciation, lethargy and generally a "not fun" life. Your metabolism probably slows down so much that you live longer, wishing you were having fun. Animals don't mind much as they are really just worried about surviving one second to the next. So, lack of food availability probably takes care of obesity, diabetes and by extension cardiovascular disease. I was not able to find any relavent sources, but I do imagine the life expectancy was pretty low in hunter-gatherer eras. Trauma, starvation, infection probably killed most humans then. Only once food was easy to get did we live long enough to die from cancers. Auto-immune diseases? I think that is a red herring. While they are interesting and shocking, they are relatively rare. Including them would only be for the shock value and probably a complete fiction.

I don't think that grains and carbs are the route of dietary evil. I do think that they are cheap and easy to produce and thus are highly utilized in food products. Combine that with overeating and you are almost guaranteed to be eating too many carbs. But that will probably be true for fats as well, not so much protein. For some reason protein doesn't factor high into a poor (which commonly coincides with cheap) diet.

I like to stay active, otherwise I would seriously consider the calorie-restriction thing (isn't the Bernstein diet like this?). But, then, a week in, I would probably hunt down a kid in my neighbourhood and eat them. So, reasonable diet is for me.

If one wanted to be a full thinker in designing a diet, they would first start with what their calorie requirement is. I think mine is about 2400 a day just to live (I am a big guy) then add my exercise expenditures (probably 1200-1500 a day, 10km+ a day). If I wanted to loose weight I would come in under that sum. Otherwise, aim for that sum.

Then decide what the required protein is. I believe the researched requirement per day is approx 0.76 gram/kg body weight for grams of protein a day. Alot of people round that up to 1gram/kg. This is the type of numbers when the dieticians calculate out diets for hospital patients with dietary components to their treatments. It is based on various rigorous studies that I trust (but don't have references to anymore). Then subtract out the calories from that protein (4 cal/gram protein approx). Then calculate the fat. I think its 30% calories from fat, no more than 30% of your fat being saturateds. Fat is 9cal/gram. Then the rest can be carbs. Include at least 30gram fibre into your carbs every day.

Include an exercise program that involves 40 minutes cardio/aerobic (pace that leaves you breathless if you try to converse while doing it) 3 times a week. With that, you are probably sitting on about as healthy a diet as need be.

All the micro-nutrients (vitamins/minerals) will probably be easily satisfied with any balanced food sources you choose (BALANCED, no excluding groups) and you won't have to worry about deficiencies (despite the absolute non-truths spread onto the public) except maybe vitamin D if you don't get enough sun, folate for fertile females, iron for females with heavy cycles.

No nutritional therapies will "boost the immunity" (unless you are actually correcting a true vitamin deficiency). You cannot boost the immunity. The only thing that "boosts the immunity" is inflammation and infection....and that's more a case of stimulating the immune system you already had. You may develop immunity from a particular pathogen that attacked you, but you will not have a "stronger/more potent" immune system. The only diseases that can realistically be treated with dietary therapies are those that involve dietary abnormalities (obesity, diabetes, cholesterol). Cancer will laugh at your dietary changes. If anything, better nutrition will strengthen a cancer, by strengthening you maybe, and thus freeing up more resources the cancer can use up. That being said, don't kill a cancer by killing the host.

I have kind of gone all over the place with this post, and in turn, only touched very briefly on many topics. Hopefully I have hit some of the important ones at a useful level of detail.

Cheers

John


My interest in the palio diet is more from just living healthier, not so much trying to get rid of disease like you mention.
I am reading a book “The Palio Diet” and in the introduction it talks a little bit about some points you talked about. In the small amount of studies that have been done on indigenous populations, aka hunter-gathers they all seem lean, muscular, and fit. Some of that can be attributed to having to fight for their food, but some has to be accounted for in diet don’t you think? In all of the few studies they found almost no heart disease and High Blood Pressure was unheard of. Two of the studies mentioned were of the Yanomamo Indians of northern Brazil and southern Venezuela, and the Greenland Eskimos.
It talks about commercially grown meat being much fattier than the meat of the animals hunted down by the hunter-gatherer. About the hundreds of percentage increase in the amount of grain that we consume since the Agricultural Revolution. And how maybe, our bodies were not designed to process that much grain and carbohydrates.

I am not sold yet, but it does ‘make sense’ when you start thinking about it and how the body works. I heard a trainer talking about the diet to someone else about it and decided to take a look. Since I have found several of my co-workers who have been living this lifestyle for several years. None of them are super workout freaks (or even work out at all) and they all are very fit and trim. One of my co-workers said that since he switched his diet, his high-blood pressure and high cholesterol are gone, 4 years now he has been on the diet and he had cholesterol in the high 200’s before. He says he Palio’s during the week and then will kind of carb load on the weekend, or at least one day a week.

It all seems very interesting.

mosesbotbol 11-19-2009 01:53 PM

Re: Got a medical question? Let me stretch my bra
 
If you want to make dietary change that is really going to make a difference in your life, check out Food Combining. A few colonics and adjusting to this style of eating will turn you around in no time! Between Food Combining and not eating like you have two arses, you'll see changes very quick.

There's a ton of free stuff on the web that will get you eating "correct".

Food combining
'Food combining' refers to the combination of foods which are compatible with each other in terms of digestive chemistry. Food combining is a basic component of optimal nutrition because it allows the body to digest and utilize the nutrients in our foods to their full extent.

The discomforts of indigestion are so common in today’s society that indigestion is almost considered normal. The fact that over 2 billion dollars are spent each year on antacids is proof of this.

Cyanide 11-19-2009 02:04 PM

Re: Got a medical question? Let me stretch my bra
 
To be honest, any "diet" that is balanced (meets the requirements to sustain life) and is itself not excessive, is probably a good diet. This would be no exception. I just wanted to caution against some of the claims I had read being propogated about this diet as well as offer some rationale towards deciding on what one's "diet" (dietary habits) should be.

Over time I have cut out alot of refined products, first as an attempt to "get more healthy" and now its just because the taste is more satisfying (for instance, white bread just tastes gross now) and I feel more satieted in general.

If the paleo diet is implemented as a balanced option, it looks rather interesting (from the little I know about it).

bonjing 12-02-2009 12:24 PM

Re: Got a medical question? Let me stretch my bra
 
got a question for you, other than the obvious answers (fire alarm or intruder), is it dangerous or harmful to sleep with earplugs on?

Rabidsquirrel 12-02-2009 02:31 PM

Re: Got a medical question? Let me stretch my bra
 
I can't answer from a doctors standpoint, but from a construction workers standpoint having earplugs in for long periods of time tends to let wax build up in the ear.

Cyanide 12-02-2009 04:58 PM

Re: Got a medical question? Let me stretch my bra
 
That's the stance I would go on as well. Also realize that long-standing presence of earplugs may compromise the integrity of the skin in there and lead to infection. I have seen plenty of "benign"-ish looking foriegn bodies in ears causing ulcerations in the canal that subsequently get infected.

Cyanide 12-02-2009 05:15 PM

Re: Got a medical question? Let me stretch my bra
 
As for growth hormone and testosterone therapies....sorry I have been delayed on putting this up....paste excuse here....

The whole issue of hormone supplementation is fairly muddled and has not been yielding many strong answers.

I was at a talk by an endocrinologist last week and he flattly denied that "andropause" existed in any great capacity.

He admitted that the hormones decreased in concentration, he confirmed that some men do experience a syndrome of pathologically decreased hormone levels that manifest itself with concrete symptoms and consequences that should be treated. But he stated that the large scale supplementation of the aging male population with testosterone was probably a distaster in the making.

For the most part I would agree with him, but include the the evidence isn't strong one way or the other. Testosterone therapies do not increase the cholesterol (for a while it was presumed the opposite), do increase endurance, bone density, mental performance etc etc. But, there could be a whole slough of bad side-effects that we may not have the experience to see them clearly yet (liver failure, cancers, heart disease [though this may swing either way]) etc.

The situation at this point, to the extent of my knowledge, is similar for HGH. It really sounds intriguing. There is established conditions that are thought to be the result of low levels of HGH, of course. And, there is a tendency for it to drop with age. But a distinct condition due to this gradual "natural" decrease has been hard to characterize, and the treatment of it may have hidden dangers we are not fully aware of yet. Some consequences that are currently understood include liver dysfunctions, arthitis-like joint problems, diabetes, sleep disturbances, nerve and eye problems.

But, this is not really an adequate review of this topic. When you get into the "meat of the issue" much of it seems to be lead by specialist conjecture, opposing interpretations and lack of consensus. That is usually a good sign that we don't really know enough about it to make reliable practice decisions at this time.

Hope that isn't to "limp" of an answer....its the best I have at this time.

Cheers

J

bonjing 12-02-2009 07:14 PM

Re: Got a medical question? Let me stretch my bra
 
Thanks for the answers John and Rabid :) not the answer I was hoping to hear :(, but better than me screwing up or getting an infection in my ear :tu. Back to the pillow over the head method. :sleep:

Tenor CS 02-04-2010 10:54 AM

Re: Got a medical question? Let me stretch my brain.
 
Here's a question for Dr. John:

I went to the emergency room on Monday morning.

My symptoms: dizziness, pounding heart, nausea (vomited twice), weakness, especially in the legs - felt like I was going to pass out.

I have a history of high blood pressure (take 20mg Lisinopril per day) and hypothyroidism (take .75 mg levothyroxine per day). No diabetes.

I was admitted. They ran 4 EKG's over 48 hours, all normal. Blood tests were mostly normal, high WBC count (14-ish). Head CT scan showed no abnormalities. Chest X-ray was normal.

The on-call doc's diagnosis was labyrinthitis. They gave me 4 doses of methylprednisolone, 6 hours apart. Also, given an rx for meclizine, every 8 hours for the dizziness.

Questions:

1. The next day, my blood tests showed a much higher WBC count, in the 21-22 range. Could that be caused by the steroids? I have always had high WBC counts, and no one can seem to figure out why. About a year ago, a hemotologist ran all kinds of tests on me, including C-Reactive Protein, Sedimentation Rate, and some others, and nothing screamed "cancer" at her.

2. I have been getting EXTREMELY short of breath and heart pounding after the mildest exertion. Sometimes just even standing up causes it. Walking up a flight of stairs is murder right now. It's a little better this morning, but still worrisome. I was in school yesterday and was late to classes because I literally could not make it across campus in 15 minutes without stopping. Full disclosure: I am morbidly obese, 5'8" and about 380 lbs. But this shortness of breath and heart pounding is 10 times worse than anything I've gotten used to just being a fat guy. Could the shortness of breath and heart pounding also be caused by the steroids? How dangerous is it? At what point should I seek medical attention for it?

Thank you

Cyanide 02-11-2010 07:43 PM

Re: Got a medical question? Let me stretch my brain.
 
Sorry for not seeing this earlier, I have been away with the military alot over the last month and a half.

First off, the steroids could be responsible for the leukocytosis (elevated WBC) and this could be a relatively quick response (as it is believed that the steroids affect the adherence of the WBC to the blood vessel walls, making it look like they have suddenly increased). However, I would expect this to subside quickly and thus should not be present in further blood work.

I would have a hard time excluding cardiac syndromes in the face of your story, without "casting eyes upon you" myself. Mind you, it is completely in keeping with a viral syndrome (run of the mill virus) that resulted in a labrynthitis. I would expect the shortness of breath on exertion and palpitations to be in support of this (as well as a million more dangerous things).

The yard-stick I would use to determine whether to seek further care would be that a) it isn't resolved already, considering this was over a week ago when you wrote this or b) if it continued to get worse (decreasing levels of activity resulting in similar symptoms, or symptoms getting worse at a standard activity level.

Beyond that, providing they did a reasonably-full cardiac work up, considered clots in the lungs, clots in the brain, narrowings of the carotid arteries, pneumonia and aortic artery conditions (and it seems like they probably did, considering these conditions doesn't necessarilly mean throwing every study imaginable at them....maybe just being reasonably certain you don't fit the MO of such things), I would say they would likely catch all the dangerous stuff.

I hope this helps, but considering this was a week ago you posted, I imagine you aren't in need of my help anymore. ;)

Tenor CS 02-11-2010 08:28 PM

Re: Got a medical question? Let me stretch my brain.
 
Thanks for your reply, Dr. John. I feel fine now :)

My BIL is an ER doc and he told me pretty much what you said.


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