‘Alternative’ Medicine Is Mainstream

The evidence is mounting that diet and lifestyle are the best cures for our worst afflictions.

In mid-February, the Institute of Medicine of the National Academy of Sciences and the Bravewell Collaborative are convening a “Summit on Integrative Medicine and the Health of the Public.” This is a watershed in the evolution of integrative medicine, a holistic approach to health care that uses the best of conventional and alternative therapies such as meditation, yoga, acupuncture and herbal remedies. Many of these therapies are now scientifically documented to be not only medically effective but also cost effective.

[Commentary] Martin Kozlowski

President-elect Barack Obama and former Sen. Tom Daschle (the nominee for Secretary of Health and Human Services) understand that if we want to make affordable health care available to the 45 million Americans who do not have health insurance, then we need to address the fundamental causes of health and illness, and provide incentives for healthy ways of living rather than reimbursing only drugs and surgery.

Heart disease, diabetes, prostate cancer, breast cancer and obesity account for 75% of health-care costs, and yet these are largely preventable and even reversible by changing diet and lifestyle. As Mr. Obama states in his health plan, unveiled during his campaign: “This nation is facing a true epidemic of chronic disease. An increasing number of Americans are suffering and dying needlessly from diseases such as obesity, diabetes, heart disease, asthma and HIV/AIDS, all of which can be delayed in onset if not prevented entirely.”

The latest scientific studies show that our bodies have a remarkable capacity to begin healing, and much more quickly than we had once realized, if we address the lifestyle factors that often cause these chronic diseases. These studies show that integrative medicine can make a powerful difference in our health and well-being, how quickly these changes may occur, and how dynamic these mechanisms can be.

Many people tend to think of breakthroughs in medicine as a new drug, laser or high-tech surgical procedure. They often have a hard time believing that the simple choices that we make in our lifestyle — what we eat, how we respond to stress, whether or not we smoke cigarettes, how much exercise we get, and the quality of our relationships and social support — can be as powerful as drugs and surgery. But they often are. And in many instances, they’re even more powerful.

These studies often used high-tech, state-of-the-art measures to prove the power of simple, low-tech, and low-cost interventions. Integrative medicine approaches such as plant-based diets, yoga, meditation and psychosocial support may stop or even reverse the progression of coronary heart disease, diabetes, hypertension, prostate cancer, obesity, hypercholesterolemia and other chronic conditions.

A recent study published in the Proceedings of the National Academy of Sciences found that these approaches may even change gene expression in hundreds of genes in only a few months. Genes associated with cancer, heart disease and inflammation were downregulated or “turned off” whereas protective genes were upregulated or “turned on.” A study published in The Lancet Oncology reported that these changes increase telomerase, the enzyme that lengthens telomeres, the ends of our chromosomes that control how long we live. Even drugs have not been shown to do this.

Our “health-care system” is primarily a disease-care system. Last year, $2.1 trillion was spent in the U.S. on medical care, or 16.5% of the gross national product. Of these trillions, 95 cents of every dollar was spent to treat disease after it had already occurred. At least 75% of these costs were spent on treating chronic diseases, such as heart disease and diabetes, that are preventable or even reversible.

The choices are especially clear in cardiology. In 2006, for example, according to data provided by the American Heart Association, 1.3 million coronary angioplasty procedures were performed at an average cost of $48,399 each, or more than $60 billion; and 448,000 coronary bypass operations were performed at a cost of $99,743 each, or more than $44 billion. In other words, Americans spent more than $100 billion in 2006 for these two procedures alone.

Despite these costs, a randomized controlled trial published in April 2007 in The New England Journal of Medicine found that angioplasties and stents do not prolong life or even prevent heart attacks in stable patients (i.e., 95% of those who receive them). Coronary bypass surgery prolongs life in less than 3% of patients who receive it. So, Medicare and other insurers and individuals pay billions for surgical procedures like angioplasty and bypass surgery that are usually dangerous, invasive, expensive and largely ineffective. Yet they pay very little — if any money at all — for integrative medicine approaches that have been proven to reverse and prevent most chronic diseases that account for at least 75% of health-care costs. The INTERHEART study, published in September 2004 in The Lancet, followed 30,000 men and women on six continents and found that changing lifestyle could prevent at least 90% of all heart disease.

COMMENTARY

That bears repeating: The disease that accounts for more premature deaths and costs Americans more than any other illness is almost completely preventable simply by changing diet and lifestyle. And the same lifestyle changes that can prevent or even reverse heart disease also help prevent or reverse many other chronic diseases as well. Chronic pain is one of the major sources of worker’s compensation claims costs, yet studies show that it is often susceptible to acupuncture and Qi Gong. Herbs usually have far fewer side effects than pharmaceuticals.

Joy, pleasure and freedom are sustainable, deprivation and austerity are not. When you eat a healthier diet, quit smoking, exercise, meditate and have more love in your life, then your brain receives more blood and oxygen, so you think more clearly, have more energy, need less sleep. Your brain may grow so many new neurons that it could get measurably bigger in only a few months. Your face gets more blood flow, so your skin glows more and wrinkles less. Your heart gets more blood flow, so you have more stamina and can even begin to reverse heart disease. Your sexual organs receive more blood flow, so you may become more potent — similar to the way that circulation-increasing drugs like Viagra work. For many people, these are choices worth making — not just to live longer, but also to live better.

It’s time to move past the debate of alternative medicine versus traditional medicine, and to focus on what works, what doesn’t, for whom, and under which circumstances. It will take serious government funding to find out, but these findings may help reduce costs and increase health.

Integrative medicine approaches bring together those in red states and blue states, liberals and conservatives, Democrats and Republicans, because these are human issues. They are both medically effective and, important in our current economic climate, cost effective. These approaches emphasize both personal responsibility and the opportunity to make affordable, quality health care available to those who most need it. Mr. Obama should make them an integral part of his health plan as soon as possible.

Dr. Chopra, the author of more than 50 books on the mind, body and spirit, is guest faculty at Beth Israel Hospital/Harvard Medical School. Dr. Ornish is clinical professor of medicine at the University of California, San Francisco. Mr. Roy is professor emeritus of materials science at Pennsylvania State University. Dr. Weil is director of the University of Arizona Center for Integrative Medicine.

Mammoth discovery beneath Grand Traverse Bay?

Mammoth discovery beneath Grand Traverse Bay?


Holga: Grand Traverse Bay by Matt Callow

Interlochen Public Radio’s Tom Kramer has a fascinating interview with underwater archaeologist Dr. Mark Holley. While surveying shipwrecks, Holley may have stumbled upon one of the most significant finds in recent Michigan memory – a discovery that could shed light on a time period known as “the black hole of Michigan archaeology”. On one rock in a circular pattern of rocks on the bay’s floor, he found an etching that appears to be a mastodon with a spear in it.

Listen to Rare Find in GT Bay from IPR News Radio because it’s really, really cool. IPR has an update to the story with John Bailey of the Grand River Band of Ottawa Indians who thinks that the ancient rock carving in Grand Traverse Bay could bolster his view of the span that Native Americans have been living in the Great Lakes.

By the way, Dr. Holley was surveying shipwrecks for the Grand Traverse Bay Underwater Preserve, and you can check that link to learn more about that organization and their efforts.

Underwater images from a Lake Michigan Stonehenge

Lake Michigan Stones

Lake Michigan Stones, photo by bldgblog.

In Stonehenge Beneath the Waters of Lake Michigan, Geoff Manaugh of BLDGBLOG writes:

In a surprisingly under-reported story from 2007, Mark Holley, a professor of underwater archaeology at Northwestern Michigan University College, discovered a series of stones – some of them arranged in a circle and one of which seemed to show carvings of a mastodon – 40-feet beneath the surface waters of Lake Michigan. If verified, the carvings could be as much as 10,000 years old – coincident with the post-Ice Age presence of both humans and mastodons in the upper midwest.

Regarding the slightly repurposed “sector scan sonar” device that Northwestern Michigan University professor and underwater archaeologist Dr. Mark Holley & Brian Abbott were using to survey some old wrecks when they made their discovery, Geoff writes:

The circular images this thing produces are unreal; like some strange new art-historical branch of landscape representation, they form cryptic dioramas of long-lost wreckage on the lakebed. Shipwrecks (like the Tramp, which went down in 1974); a “junk pile” of old boats and cars; a Civil War-era pier; and even an old buggy are just some of the topographic features the divers discovered.

You’ll definitely want to click through to read the rest and see more pictures!

You can read a detailed feature about this in U.S. archeologists find possible mastodon carving on Lake Michigan rock at NowPublic and listen to some radio reports from the time of the discovery in August of 2007 that include an interview with Dr. Holley and another with Grand Traverse Bay Ottawa Indian tribal member and historian John Bailey in Mammoth discovery beneath Grand Traverse Bay? on Absolute Michigan.

Marijuana’s Memory Paradox

Are pot smokers less likely to get Alzheimer’s? A compound similar to the active ingredient in cannabis shows promise as a potential memory protector.

Marijuana isn’t known for being a friend to memory; its short-term effects notoriously impair recall. And although the data is conflicting, some studies link cannabis with memory deficits in those who use excessive doses for long periods of time

But new research suggests that one of the active ingredients in marijuana—THC—and similar compounds could possibly prevent or even reverse one of the most devastating memory disorders of all: Alzheimer’s disease.

In a paper published in the December 2008 issue of the journal Neurobiology of Aging, researchers found that a compound that affects the same brain receptors as THC reduced brain inflammation and improved memory in older rats. (The rodents were the human equivalent of age 65 to 70.) Although there’s debate over the role played by inflammation in Alzheimer’s, many researchers believe it’s an important part of the process that causes dementia.

“We were shocked and surprised that it worked,” says Gary Wenk, Ph.D., one of the study’s authors and a professor of psychology and neuroscience at Ohio State University.

Wenk and his colleagues traced the anti-inflammatory effect of the compound (which has the awkward name “WIN-55,212-2”) to its activation of cannabinoid receptors on brain cells—the same receptors activated by THC.

Other anti-inflammatory compounds studied in rats and humans like NSAID drugs (ibuprofen, etc.) showed effects on young brains, but unlike WIN-55,212-2 did not improve aged brains.

Wenk has also found in these older rats that the  WIN-55,212-2 compound promotes the growth of new brain cells—a process that declines and may even stop in older animals. “The most amazing thing we saw was that it re-initiates neurogenesis—usually, the only drugs that do that are the SSRI antidepressants [selective serotonin re-uptake inhibitors, the class of drugs that includes Prozac].”

Timing is everything

How could a drug that clearly impairs memory while people are under its influence function to protect users’ recall in the long term? Wenk theorizes that this could be due to differences in the way young and old brains learn.

Research shows that the neurotransmitter glutamate is involved in storing memory in a process that involves growing both new cells and connections between them, and destroying old ones. Some current Alzheimer’s drugs like memantine affect glutamate—as does THC.

Early in life, this process is in balance, and so interfering with either the growth or the “pruning back” of brain cells and connections—as might occur from using marijuana—might impair memory. But, says Wenk, “The same systems involved in pruning neurons at the beginning of life could be killing them at the end.” Therefore, interfering with the pruning process later in life might actually help, rather than harm.

No need for a high

Rest assured, Wenk and his colleagues aren’t advocating a stoner lifestyle.

Because WIN-55,212-2, like THC, produces a high, the researchers looked for the lowest effective dose. They estimate that that dose is the equivalent to just one toke of marijuana. “A puff is enough,” Wenk says.

Though that dose wouldn’t get someone high, it could, admittedly, have some psychoactive effect. But this wouldn’t necessarily rule out medical use. The drug could be taken before bedtime, for example. And with long-term use, tolerance to these psychoactive effects can develop, so impairment might be minimal with a steady dose anyway.

Cannabis research is controversial

To find out if THC has a protective effect on humans, scientists could study marijuana smokers as they age. If the theory holds, such users might be expected to develop Alzheimer’s disease at lower rates than non-users—although the timing and extent of use would almost certainly also matter.

Given the controversy that would likely arise if a protective effect were to be discovered, however, no one has funded the epidemiological studies that would be needed to show this.

It’s even hard to get experimental research published, according to Kim Janda, Professor of Chemistry at the Scripps Research Institute in California. In 2006, he published a paper demonstrating that THC interfered with another process implicated in the pathology of Alzheimer’s disease: the formation of amyloid-beta plaques and fibrils.

Janda’s THC research was rejected by several big-name journals and eventually published in the journal Molecular Pharmacology; it’s now one of his most frequently cited articles by fellow scientists. Unfortunately, the article was also denounced in the press by the likes of Rush Limbaugh as an example of politicized science by hidden supporters of legalization—despite the fact that Janda also works on anti-cocaine addiction vaccines.

Although Janda would like to investigate further, he currently does not have grants to enable him to do so.

Why further marijuana studies should be funded

Bill Thies, Ph.D., chief medical and scientific Officer of the Alzheimer’s Association, says of Wenk’s research, “The authors of the paper make the case that one way to modulate the inflammatory reaction is to activate cannabinoid receptors. I think that’s perfectly reasonable basic science.”

Thies notes, however, that it’s a long way from basic science to a usable drug, and pleads for a rational discussion. “The issue of marijuana is highly emotional and political and the minute it’s put in context of legalizing marijuana, the discussion loses all sensible aspects.”

Don Abrams, M.D., chief of hematology/oncology at San Francisco General Hospital, has studied medical marijuana use in people with HIV for more than a decade. He says, “I think the safety profile of marijuana compares very favorably to many other prescribed drugs,” noting that there have not been any reported overdoses, and that most research does not support a link between smoking the drug and lung cancer (which may be because marijuana users  tend to not smoke nearly as much as cigarette smokers).

“Cannabis is anti-inflammatory and it is also an antioxidant, and those are two things that we seek in treating neurodegenerative disorders,” he says, “It’s there, it’s in nature, if the research does find that it has these benefits, why not take advantage of it?”

With five million Americans currently living with Alzheimer’s and no highly effective treatment or prevention method known, any promising lead—even one as politically fraught as marijuana and related synthetics—could be worth following.

No Woman No Cry ‘songwriter’ dies

Bob Marley performs on Top of The Pops in the 1970s

No Woman No Cry was based on the ghetto where both men lived

Vincent Ford, the songwriter credited with composing the Bob Marley reggae classic No Woman, No Cry has died in Jamaica. He was 68.

Ford lost both his legs to diabetes and died in hospital from complications caused by the disease, said a spokesman for the Bob Marley Foundation.

His smash hit appeared on Marley’s 1974 Natty Dread album.

It was inspired by the Trench Town ghetto in Kingston where both men lived in the 1960s.

Some claim Marley wrote it himself but gave Ford the credit to help his friend support himself with the royalties.

Ford is also credited with three songs on Marley’s 1976 album Rastaman Vibration.

Marley remains the most widely known and revered performer of reggae music, and is credited for helping spread Jamaican music to the worldwide audience.

He died of cancer in Miami in 1981, aged 36.

YOU DON’T NEED GIZMOS TO BUILD GREEN

Save the planet. Kill yourself.

No you don’t, but there’s a shit load of money to be made in promoting, in a coded fashion, just that idea. Just look at publications such as the disgustingly elitist ‘green home’ magazine Dwell (which purports to be aimed at ordinary people, but invariably prints articles about trendy Yup families in their ‘green’ homes who are clearly in the high five-to-six-figure-a-year income bracket, and builders who sneer that their eco-friendly small prefab houses aren’t for “people who live in trailer parks”, and whose ads and promotional pieces are all for companies who sell supposedly ‘earth-friendly’ luxury products that are needless consumer goods just the same), and you’ll quickly come to realize that much of the whole ‘green’ idea is little more than a passing fad aimed at the wannabe hip twenty percent of the economy who can afford to indulge their fantasies of being responsible stewards of the earth while continuing on in the binge-spend-consume lifestyle that they have been led to believe they are eminently entitled to pursue.

-Right Democrat

DIAGNOSIS ON GUPTA NOT GOOD

Brian Clark, Daily Green – Gupta is a skilled surgeon who even distinguished himself saving lives in Iraq, while embedded with a Navy unit. But not everyone is bully on the choice. A number of people, including prominent New York Times columnist Paul Krugman, are uncomfortable with the fact that Gupta harshly criticized Michael Moore for his muckraking Sicko, when most observers believe Moore’s work holds up better than the “fudging” Gupta accused him of.

For his part, pundit Keith Olbermann had this quip about the possible nomination: “Isn’t this like making Judge Judy the Attorney General?” Olbermann argued that Gupta is “transparently TV,” and wonders if the media connection is an evolution of the Surgeon General’s role. Others have wondered if Gupta has enough public health experience.

Gupta once told Wolf Blizter, “We spend so much of our health care budget towards taking care of people after they’ve already become sick, instead of preventing some of those diseases in the first place. Medically and morally, it makes a lot of sense to keep people from getting sick in the first place, and I think that has got to be a big component of fixing the health care system overall.”

That’s a very commendable position, and one we at TDG absolutely support. However, we question whether Dr. Gupta’s record — while including many examples of commendable journalism — really lives up to such ideals on balance. Now, we take a look back at Gupta’s most disturbing positions:

– Chris Mooney blasted Gupta in Columbia Journalism Review for giving wide-eyed coverage of the Raelian cult’s highly dubious claims of having cloned a human being back in 2002. Mooney faults Gupta for saying the Raelian-connected Clonaid group had “the capacity to clone,” and, “We are certainly going to be anxiously awaiting to see some of the proof from these independent scientists next week.” Despite the fact that Clonaid was providing no evidence of the purported “Eve” whatsoever, not even a photo.

– Despite the widespread evidence of harm from phthalates, Gupta soft pedals and downplays the risks:

“As we’ve been talking about, it’s really hard to quantify just how much of a risk these phthalates are. Most of the studies have been done on animals. There’s not human trials that actually show that they might be harmful, but a lot of people worried about it nonetheless.”

Actually, a number of human studies have shown harm. For example, a recent study conducted by the University of Rochester Medical Center and published in the journal Environmental Health Perspectives found that exposure to phthalates not only causes reproductive problems in men (as suggested by a previous study) but is also linked to abdominal obesity and insulin resistance in adult males.

Later, Gupta does concede: “So, you know, the likelihood of them being in combination possibly causing some detrimental effect is something that hasn’t been studied as well.”

– In a strange article for Time, Gupta criticized support of marijuana decriminalization for small possession, saying supporters of the law are just interested in getting stoned, not providing valuable medicine to those in pain. Gupta admits that marijuana can have benefits for some patients, but then he seems to fall on the favor of draconian control laws, instead of the rights of patients and doctors to best decide their own health care.

This is what he wrote: “But I’m here to tell you, as a doctor, that despite all the talk about the medical benefits of marijuana, smoking the stuff is not going to do your health any good.” But what about those in pain and with glaucoma, whom he just wrote could be helped?

– Counterpunch argues that Gupta oversold Merck’s Gardasil vaccine for young girls, starting back in 2006, before the FDA had approved the drug, but after the manufacturer had started a PR and marketing blitz, including targeting of journos. According to Counterpunch, the clinical trials of Gardasil never tested for preventing cervical cancer, despite the fact that Gupta hyped the product for that use. The site argues that Gupta failed to mention that medical experts warn that the jury is still out on what impact this vaccine might actually have on cervical cancer rates. (Gupta also did not disclose that Gardasil was not tested on young girls before being approved, who may respond differently than adult subjects).

– Then there’s Vioxx, Merck’s disgraced, canceled drug pulled off the market in 2004 after an increased risk of heart disease surfaced among users. There were thousands of lawsuits (settled for just under $5 billion), which faulted Merck for hiding dangers of the drug. But Gupta told Miles O’Brien on CNN’s “American Morning” on October 30, 2003:

“Miles O’Brien: Let’s talk about Vioxx. Some indication it might increase the risk of heart attack?

“Gupta: This stat has been around since August of 2001. They talked about the increase of heart attack with Vioxx. The numbers are very small. Perhaps a small percentage increase in the overall risk of heart attacks with Vioxx. They say 37 percent to 39 percent but that’s of a very small number. After 90 days, no increased risk.”

Bizarre words from Gupta, who later told reporters that he got that information from Merck, the drug’s maker.

Counterpunch points out that Gupta benefited from a lucrative “integrated marketing” arrangement, whereby his work with Accent Health (which makes TV programs for doctor waiting offices) received substantial support from Merck — something Gupta did not disclose in his reports.

– The most infamous report by Dr. Sanjay Gupta was his scathing attack of Sicko, in which he accused the filmmaker of “fudging” facts. However, a detailed review by Moore’s team pokes massive trauma-sized holes in the doctor’s attacks. For example, Gupta said Moore falsely claimed the U.S. spends $7,000 per person on healthcare — when the Bush administration’s own report from 2006 bore this out (Gupta based his charge on an outdated report, but did not disclose this to viewers). In contrast, Cuba spent $251 per person (not $25, as Gupta first claimed, then retracted), despite being ranked only two slots lower in overall coverage by the World Health Organization (something the movie points out, but which Gupta bizarrely implied Moore was trying to hide).

Gupta said Moore falsely claimed Cubans live longer than Americans, while the most current data available at that time demonstrated Sicko’s accuracy. The 2006 United Nations Human Development Report put U.S. life expectancy at 77.5 years, while Cuba’s was listed as 77.6 years by the United Nations Development Program in that year.

Gupta also featured Moore critic Paul Keckley, whom he identified as affiliated only with Vanderbilt University, when in actuality Keckely has deep ties to the insurance industry and private sector. The list of other factual problems with Gupta’s attack goes on and on. One would hope the Surgeon General would be more accurate on such an important issue. (To many viewers, the worst part of this wasn’t so much the quibbling over facts, but Gupta’s hostile, dismissive attitude, and his resorting to childish defense of the American system, which many Americans are very unhappy with — especially the 45 million or so with no insurance whatsoever.)

Fizzy drinks sold by Coca-Cola in Britain have been found to contain pesticides

Daily Mail, UK – Fizzy drinks sold by Coca-Cola in Britain have been found to contain pesticides at up to 300 times the level allowed in tap or bottled water. A worldwide study found pesticide levels in orange and lemon drinks sold under the Fanta brand, which is popular with children, were at their highest in the UK. . . The study uncovered pesticides in some fizzy drinks at up to 300 times the level permitted in tap water. . .