No One Knows You Better Than You

During a recent appointment, a patient told me, “The goddess flows to that which is nurturing.”

At the time, we were discussing something in the patient’s life that was going smoothly. The statement was her way of describing that when you listen to your body and your intuition, and act accordingly, things just seem to work.

Her phrase stuck with me, and the more I thought about it, the more I realized just how much it captured our philosophy of health care.

You Versus Science

The human body is a complicated place. The reductionist approach of modern research science wants your body to be like a machine, but it really isn’t. One person will respond to a drug, when another won’t. One person will develop lung cancer from smoking, where another will live to 100 smoking a pack a day. One person will gain weight just looking at chocolate and then other can eat all they want and never gain an ounce.

Our patients consistently look for advice on what is the best thing for their health. What is the best diet? How much exercise should I do? How much sleep should I get? How much water should I drink? There are guidelines in the research for almost all of these things, but the real answer is that it’s likely different for everyone.

To our patients, we say this: You are a beautiful little snowflake. Each and every one of you has your own individual biochemical beauty. And that means that each and every one of you may need different things to find your best level of health. For example:

  • Some people do great on a paleo diet, others feel sluggish and bloated.
  • Some people’s lives change on a gluten-free diet, where others feel no difference at all.
  • Some people feel amazing doing intense exercise, while others only feel good with yoga.
  • Some people can roll with the punches and process stress like a champ, while others need more time and space to weather life’s changes.

Only YOU know what is the best for you. You’re the world’s leading expert in you. Think of a time when you felt the best. You had energy, you were happy, your sleep was restful and your digestion worked perfectly. What you were doing at that time is a clue to what is best for you. It’s a signpost on the path to great health. If it was eating low carb, sleeping 9 hours, running or meditating, this is what is nurturing to your body.

North American lifestyle can definitely get in the way of what is nurturing to your body. But so can not trusting your inner goddess (or god, gentlemen). If you find you spend a lot of time worrying about what the media says is the new super food, ideal exercise, or fad diet, perhaps it’s time to sit quietly and tune in to a new source of health news: your own inner wisdom.

Lyme Disease FAQ

Hardly a day passes where we don’t see a story about Lyme disease posted on Google Health News. From the latest celebrity afflicted, to increased prevalence, the disease is getting increasing attention. We’ve been getting a lot of questions lately and our patients are wondering if the risks are real, and what they should do.

What is lyme disease?

Lyme disease is caused by borrelia burgdorferi, a parasite that lives in deer and is spread to humans by ticks. A tick can bite an infected deer, and pass the infection to humans.

What are the symptoms?

The most common symptoms of Lyme disease are fever, chills, extreme fatigue, headahces and/or a rash (often resembling a bull’s eye or circular rash). This rash is seen in 60 to 70 per cent of cases. Click here for some examples of the rash.

What do I do if I’ve been bitten by a tick?

If you have been bitten by a tick, remove it carefully and bring it to your doctor or local health unit. If you experience any of the above symptoms go immediately to the doctor to be tested and treated with antibiotics. In most cases, the tick needs to be attached for 36-48 hours to spread the disease.

How do I get tested?

The trouble with Lyme disease is that current testing through the ELISA method here in Ontario is not 100% reliable and can lead false negatives. That means people with Lyme can often go undiagnosed for months. More accurate testing is available through private labs in the US if this is suspected.

What should I do about it?

Although the incidence of Lyme disease in Ontario is still very low, it is rising. You can read the official numbers tracked by the government here. But that shouldn’t stop you from continuing to enjoy the beautiful outdoors and our awesome natural spaces. Just inspect your body for any ticks, remove them properly and shower.

For more detailed information about Lyme disease check out The Canadian Lyme Disease Foundation.

The Critical Importance of Play

It’s summer! School is out, and from the last bell kids have ten whole weeks of active summer fun ahead of them!

Or do they? In the 2015 ParticipACTION report, Canadian kids received a D- for the third year in a row. This means that most kids do not meet the healthy requirement for physical activity.

According to the report, the biggest reason is that parents are hesitant to allow kids to partake in “free play”.

Free play is what psychologist Dr. Peter Grey, a researcher on the evolutionary function of play, calls play that is completely self-directed by the child, usually outdoors. You can find his TED talk here, and while what follows is taken from his presentation, I highly recommend you watch it.

Play is More Than You Think

Play isn’t just messing around. It’s not just being frivolous or irresponsible. Play is present in the young of all mammals, and the bigger the brain in a species, the more that species will play. We big-brained humans play the most.

But our play has been declining for decades. School in the 1950’s was five weeks shorter than it is now, and we had two thirty minute recesses and a full hour lunch. Homework in elementary school was almost non-existent, and there was little in high school. Summers were far more “free-range” with less organized sports and camps. Play was self-directed with minimal adult intervention.

Not so now, and that’s a problem. According to Dr. Grey, play is necessary to maintain fit bodies, and learn physical and social skills. Riskier play helps children learn to face fear and be brave, and perhaps more importantly, allows them to learn to assess risk properly.

Play is where children learn that they are in control of their own lives. It’s where they experience joy, learn to get along with others, and develop creativity and innovation. It’s how we, as a species, learn the critical skills of working together. Play, in other words, is serious business.

School is Not Play

Over the years, we’ve adopted an increasingly “schoolish” view of human development, assuming that an adult-delivered, structured education is the best, and all that’s required. To make things worse, we’ve become irrationally afraid of the dangers in the outside world. And the more we keep our kids indoors, the less “fun” the outdoors becomes—for the kid who does venture outside, there is simple less play to be had.

The result? Over the last 50-60 years, as play has been declining, problems have been rising. Depression and anxiety in kids have risen, as has suicide. Narcissism has increased, while the sense of control kids have in their life has declined.

To drive that home, here are a couple of compelling examples: Kids are more depressed today than they were during the Great Depression, and more anxious than they were during the Cold War. 

Is that all because of play? No one knows for sure, but Grey argues that the problems we’re seeing in kids are exactly what we’d expect, based on lab studies of other mammals, if you take away play.

What can you do?

Summer’s here, and it’s prime play time. So what do you do? Here are a few tips.

  • Recognize it the value of play, and make it a daily priority.
  • Get to know your neighbors so that can feel your neighborhood is a safe place.
  • Force your kids off screens and outdoors.
  • Be brave enough to stand up against more school. Kids might need better school, but they don’t need more.

Summer goes so fast. Don’t forget the value of play for your kids!

What 100 Years Old Can Look Like

We simply love this news clip about Dr. Ellsworth-Wareham. The 100-year-old retired heart surgeon still drives, mows the long and actually did surgery until he was 95!

What does he owe his longevity too?

According to the doctor, it’s eating plant-based diet, letting go of undo stress and making a contribution. What he didn’t mention but also does is exercise daily and maintain great relationships with others.

Can living a long and healthy life really be that simple? Dr. Ellsworth-Wareham is only one story, but research into other centenarians seems to point to the same things.

The problem, of course, is that as we age, many of these things fall by the wayside.  We eat lousy food on the run because we are too busy. We drink coffee or wine instead of water. We forgo exercise because we’re too tired from working at a job that we’re desperately trying to retire from. We spend too much time at the office, too little time with our loved ones and too much time in front of a TV.

It’s no wonder we fear aging—under those circumstances, our old age isn’t going to look like his.

So what do you do now to follow in his footsteps?

  1. Eat lots of plants. Build your meals around vegetables first.
  2. Continue to contribute for your whole life – work, volunteer, create.
  3. Take it easy. If you plan to contribute until you are 95, you don’t need to make all your money now. Take your time, take your holidays and breathe.
  4. Move your body everyday, outside. Everyone has 30 minutes and you can get your 10,000 steps.

Does Meditation Grow Your Brain?

“You should sit in meditation for 20 mins everyday, unless you’re too busy; then you should sit for an hour.”

            -Zen proverb

When Sara Lazar developed running injuries while training for the Boston Marathon, she, like many people,  went to a physical therapist for help. She was told to stop running and stretch, so she took up yoga.

Unlike most people, however, Lazar was also doing a PHd in molecular biology. When she began to notice that she was calmer, able to handle more stress and was more open-hearted as a result of the yoga, she began to wonder why.

That why took her in a new direction, and Sara is now a neuroscientist at Massachusetts General Hospital and Harvard Medical School, where she studies the impact of meditation and yoga on the brain and body. And the impact is pretty amazing.

Meditation=More Brain?

Lazar’s research shows that meditators have more grey matter in several areas of the brain, which are involved in functions ranging from focus and learning to memory, empathy and neurotransmitter production.

“We also found they had more gray matter in the frontal cortex, which is associated with working memory and executive decision making.

It’s well-documented that our cortex shrinks as we get older – it’s harder to figure things out and remember things. But in this one region of the prefrontal cortex, 50-year-old meditators had the same amount of gray matter as 25-year-olds.” <1>

In other words, it looks like meditating literally changes your brain. For the better.

Exercise Your Brain

Who doesn’t want the same grey matter they had at 25? Count us in. Perhaps the best part of this, though, is that you don’t need to be monk to get benefit from meditation. Lazar’s study participants showed changes in the brain in just after eight weeks.

How much do you need to do to see a benefit? Lazar isn’t sure, but when it comes to meditation, what do you have to lose? It’s free, and you can start anytime.

If you’re new to meditation, there are resources everywhere—try Headspace for a great, newbie-friendly resource, that includes an app for your phone or tablet.

Can Healthy Eating Go Too Far?

Eating healthy is pretty important to the gang at StoneTree Clinic. If you come into our staff room at any given lunch time, you’ll find big bowls of organic salad greens, vegetarian curries, beautiful pieces of fish, or big jars of fresh pressed juices.

It makes sense–after all, food is medicine. What we eat is a big part of being healthy…and it’s also important that we practice what we preach.

But we’re also real people. In our staff room you’ll also see some chocolate, the odd bag of popcorn, and a sweet treat for a staff birthday. We enjoy these little treats with an afternoon cup of coffee and a couple of good laughs.

It’s a balance – 90% healthy, 10% life, and none of us worry about it.

Orthorexia: Healthy Eating at Unhealthy Levels

Orthorexia, a term originally coined by Dr. Steven Bratman in 1997, is healthy eating taken to potentially unhealthy levels. It generally shows up as the restriction of foods that are perceived as insufficiently clean, healthy, or wholesome. The problem usually starts from a good place–the intention of eating better–but then turns into an obsession about everything that enters the person’s mouth. Is it the right type of food? Are the ingredients healthy enough? Am I eating the right amount at the right time?

Modern media coverage of food and diets has made the whole idea of healthy eating seem overwhelming. Should I eat low fat or low carb? Should I eat six meals a day or three? Should I eat gluten or avoid it? Should I be vegan? Paleo? Is it local, or organic, or “natural”? There are thousands of different books that seem to say a thousand different things, and all of them saying it with confidence that they have the right answer.

What is the right answer? We’ve said it before and we’ll say it again: Eat foods that nature makes, mostly plants.

Do this 80-90% of the time and in that 10% of the time that you don’t, don’t sweat it. Enjoy it, and move on.

Trust your body to use the 90% good to deal with the 10%’s potential harm. That’s what our biochemistry was made to do.

Understanding Your Heart Attack and Stroke Risk

After cancer, heart disease and stroke are the leading causes of death in Canada. Every 8 or 9 minutes, give or take, someone dies from one of the two.

Certainly, many of those deaths are in older populations. After all, there’s no such thing as ZERO risk. All of us have a risk of having a heart attack or stroke just by being alive, and as we age that risk rises simply because we are growing older.

But age is far from the the only factor.

Calculating Your Risk

There’s been a lot of research into the risk factors for heart disease and stroke. The Framingham Risk Calculator was developed to give you a very good idea of what your risk of having a heart attack or stroke is based on what your risk factors are. If you know your blood pressure and cholesterol numbers, you can calculate your own 10-year risk in 30 seconds right here. (And if you don’t know those numbers, we can help–just ask.)

The Impact of Risk Factors

The information the Calculator asks for are risk factors. High cholesterol, high blood pressure, and high blood sugar increase your risk of a heart attack or stroke over time. To see the impact, let’s check out an example using the Risk Calculator.

  • If you are a 59 year old male, with normal blood pressure, normal cholesterol, were a non–smoker and didn’t have diabetes – basically a pretty healthy guy by those measures–your 10-year risk of having a heart attack or stroke is 4.25%.

Now let’s add some risk factors.

  • Add high blood pressure (a systolic blood pressure of 150), and your risk goes up to 6.47%.
  • Add a high cholesterol to that (total of of 6.2, a good cholesterol of 0.9) and the risk rises to 15.13%.
  • Add smoking to that it goes up to 27.07%.
  • Add diabetes to that it goes up again to a whopping 42.90%!

So if you are a 59 yo male with slightly elevated blood pressure, who smokes, has high cholesterol and diabetes, your risk of having a heart attack or a stroke in the next 10 years is 42.9%. That is a big difference from the 4. 25% of your healthy age match.

That is some scary stuff. But hey–we have great drugs to treat blood pressure and cholesterol and diabetes…don’t we? That will bring the risk down, right?

Well let’s add a blood pressure medication:

Let’s use the example of our 59 year old smoking, diabetic with high blood pressure and high cholesterol. That person’s risk of having a heart attack or stroke in the next 10 years is 42.9%.

  • If he takes a blood pressure medication, his absolute risk reduction of having a heart attack is 0.7% so his risk goes from 42.9 to 42.2%.
  • The same blood pressure medication gives him a 1.3% absolute risk reduction for stroke. So that 42.9% risk turns into a 41.6% risk.

What about the statin drugs?

  • Well our fictitious patient will have a 1.3% risk reduction for heart attack and the 0.4% for stroke. Again, 42.9% risk turns into 41.6% or 42.5% risk respectively.

What about the baby aspirin everyone is taking to stave off heart attacks and strokes?

  • You get an absolute reduction in risk of just 0.06% for heart attack and no reduction for stroke.

Those reductions in risk are pitifully small. And they come at a cost.

To put it in perspecitve, 1666 people need to be treated with aspirin for 1 person not have a heart attack.

And of those same 1666 people, 16 of them will have a gastrointestinal bleed within one year of taking the drug.

(Information taken from Compendium of Therapeutic Choices)

So what is our poor 59 year old, smoking, diabetic with high blood pressure and high cholesterol to do?

First, understand the real risk reduction. If you have a high risk of heart attack or stroke, medication is, on average, barely helping.

Second, don’t let medication stop you from making lifestyle change. If you can take control of your blood sugar and smoking, you can have a huge impact.

  1. Stop smoking
  2. Start eating whole foods and stop eating processed foods.
  3. Exercise daily.

Don’t settle for just the bottle of pills. You can do much better by making lifestyle changes that will ultimately change your overall risk.

International Day of Happiness

The first day of spring always makes me very happy, so I was thrilled to discover that March 20th is also the official “International Day of Happiness”. It was established by the United Nations General Assembly in 2012 to recognize that the pursuit of happiness is a fundamental human goal.

I love the idea. But how do you create more happiness in your life? And not just tomorrow, March 20th, but on an ongoing basis?

Once our basic needs are met, there seems to be little correlation between your bank account and how happy you are. We’ve seen this over and over again in our travels around the world–people with very little often seem to be much happier then their North American counterparts who have so much more.

Why? To be honest, I’m not sure. But I think there are a few lessons we can steal from the happy people here and around the word.

  • Connections. The happiest people in the world feel well connected to other people. They have strong families and strong community networks, whether it’s through their work, church or neighborhood. Want to be happier? Choose to engage in a group activity. Call up a friend. Organize dinner. Want more ideas? Check out the “International Day of Happiness” website.
  • Purpose. Humans are goal driven organisms. You need a reason to get out of bed in the morning. We need to feel like we are contributing to the greater good. In his book, Healthy at 100, John Robbins discusses how people in cultures who live long, healthy and happy lives, have a function in their communities. They had purpose – things like child care, carrying water, and mentoring the young. There was a reason for them to get out of bed in the am.
  • Gratitude. There is no better balm to the soul then being grateful for all that is going right in your life. In fact, daily gratitude is one of the things that happened in my year of choosing to be happier.

So this Friday, on the first day of spring, during this sunny and warm March break, grab a buddy, give them a hug, and have a good chat about what you are grateful for.

Preventing Allergies Before They Happen

Three cheers for saying good-bye to dark days and cold temperatures! The sweetest days of winter are upon us and spring is just around the corner.

Naturopathic doctors are big on prevention–in fact, it’s one of our core values. Preventing a problem or symptom is always so much easier that treating it. So, as we enjoy these few weeks of great spring skiing, we’d like to turn your attention to the upcoming allergy season…before it happens!

Why You’re Allergic…And Others Aren’t

Seasonal allergies give our patients a lot of grief. Sneezing, itchy/watery eyes and runny noses are no fun, and some folks will have reactive lungs and skin irriation as well during this time of year.

The conventional way of dealing is to use daily antihistamines to stop the immune reactions, but naturopathic doctors look at allergies a little differently. For us, an allergic response is a sign that your immune system is intolerant of, or reactive to, a harmless protein (or antigen).

A properly functioning immune system sees pollen as harmless and ignores it. In a person with an allergic response, that protein is seen as an intruder that will do harm, and the immune system shows up in force–with things like mucus and sneezing–to try to get rid of it.

The reason you’re suffering and your neighbour isn’t, then, may be that something is out of balance, and causing your immune system to not work quite right.

What’s Out of Balance?

The real question now becomes: Why is your immune system over-reacting to something it shouldn’t? Here are three reasons:

1. Your gut is a mess.

One of the biggest parts of your immune system is in your gut. It’s here that your immune system learns what it should and shouldn’t be tolerant to. All the little critters that live and work there everyday are responsible for this job. When they’re disrupted by medications like antibiotics and steroids, or by toxic chemicals in our environment, they don’t do their job properly and you become more reactive.

2. You have a food sensitivity.

Sensitivities to gluten, dairy, eggs and many other foods make your immune system react each time you eat them. Every time you eat a food you are sensitive to, it creates a little bit more inflammation, revving up your immune system even more. That reactivity makes it even easier for spring pollens to set things off.

3. You are nutrient deficient.

Many vitamins and minerals are critical for keeping the immune system working properly. Vitamin C, magnesium, essential fatty acids–they are all used up in our high stress, poor nutrition, toxic lifestyles, making our immune system less able to balance itself.

What can you do now?

Figure out what the root cause of your immune system imbalance and rebalance it. If you do it now, before the pollens show up, you can make this spring the sweetest ever. To learn how we can help assess what’s making you sensitive to pollens and other allergens, contact the clinic at 705-444-5331, or [email protected].

Breakfast Ideas for Food Intolerances

We do a lot of food intolerance testing in our office. Patients come in with symptoms of IBS, sore joints, headaches, fatigue, skin issues and all manner of other inflammatory conditions, and often the first place we look is food.

It’s not uncommon for those tests to show issues with gluten, dairy, or eggs (or all of them). Unfortunately, the typical North American diet is high in all of those things. We love cereal and toast, eggs and bacon, breakfast sandwiches, pancakes, French toast or waffles, so first question we are often asked is:

“What do you eat for breakfast?”

So, by popular demand, here’s a peek at what the StoneTree team of naturopathic doctors do.

  1. Smoothies. The entire gang at STC loves smoothies, and Dr. Kendra is always sporting a green jar of goodness. It’s such an easy way to get greens and fruits, and can be a wonderful source of protein and good fats. You can find the recipe for one of her smoothies in our February 2014 newsletter here.
  1. Fruits and nuts. One of Tara’s favourite breakfasts is apple with nut butter. Almond is delicious, but peanut butter is also great, too. Just slice the apple in half, and replace the core with your favourite spread.
  1. Oatmeal, brown rice cereal, or gluten-free granolas with milk alternatives. These high protein cereal replacements are also full of good fats that will help balance blood sugar and hormones. You can find a recipe for “blow your doors off” granola in our June issue here.
  1. Last night’s dinner. This is one of Dr. Shelby’s tricks. Why not heat up a bit of last night’s chili or a warm bowl of soup for breakfast? How about a piece of chicken with some sautéed veggies, or that leftover rice and beans with a bit of salsa and avocado? Yum.

For more ideas, or any kind of help with your nutrition needs, you can book an hour with our in-house nutritionist Barb Andrews. With over two decades of experience in helping people with healthy food choices, she is very skilled at supporting positive change.

There’s still space available for our next Well-Woman Day on Feb 23. This unique service offers a warm, caring environment for annual visits that includes a complete breast exam, self breast exam education, and full gynaecological exam with PAP test. Space is limited. To book a Well-Woman Visit with a Collingwood naturopath, call (705) 444-5331.