For most if not all of human history, people have recognized the importance of nutrition in healthy living. What we put into our bodies has a clear effect on how feel, how we look, and ultimately how healthy we are. However, while this has always been apparent, we face unique challenges today. We’ve developed and created so many different foods, drinks, supplements, etc. that in ways it’s more difficult than ever before to figure out what’s truly healthy.
Fortunately, along with a more complicated diet, the modern era has introduced social tools that help those spreading strong nutritional strategies and values to reach wider audiences. For this reason, even though nutrition has long been emphasized among the health-conscious, the 21st century has begun to feel like the most nutritionally focused era in history.
Some of this is because of the prevalence of independent nutrition blogs and fad diets across the Internet, some of which make it big for a short time. But for the most part, it’s due to the rise of professional health and nutrition coaches, which is something the Intent Blog covered a few years ago in the article The Coming of the Health Coach Revolution.
In this article I wanted to take a more in-depth look at what it means to be a professional health coach, and what a thorough nutritional education can allow such a person to accomplish. In doing some research, I came across the success story of Jil Larsen, a paralegal-turned-small business owner who opened the Magic Mix Juicery in New York City.Continue reading →
My lifestyle is all about clean eating; enjoying fresh, whole and organic foods – not processed foods with ingredients you can’t pronounce. It’s about eating what makes you feel good. It’s not about eating bowls of kale every day because you’ve heard it’s good for you. And it’s not about being skinny. That’s not what being healthy is about. Being healthy IS about balance and happiness. I don’t put a label on myself; I’m not vegan or vegetarian or paleo. I eat what my body wants and what feels good, obviously steering clear of processed foods and incorporating lots of healthy fats in every meal along with protein and fiber. I eat clean because of my chronic health story and because my body reacts severely if I accidentally eat foods that don’t agree with me such as gluten, dairy, sugar and soy. When I removed these foods and starting eating organic, I felt amazing. It’s incredible what happens and how your perspective on life changes when you go through such a traumatic health experience alone. Eating clean can be very simple and it can be done with just a few minor changes. Continue reading →
It takes some time, I know, but you can do it. You may need to re-adjust your stance, back up, inch forward, bend your antenna, slide the exposure a little, twirl the focus, even change the camera, but you will get there, eventually and at last, and finally see it. Continue reading →
Yesterday we shared the trailer for an amazing new documentary called “Resistance” which uncovers the way the misuse of antibiotics may actually be hurting more than helping.
Today we have creator Michael Graziano’s interview with our Intent staff and he’s sharing the things he learned about the surprising future of antibiotics, his favorite Swedish singer and taking big risks for the sake of following your gut.
On July 23, gravely ill Liberian-American diplomat Patrick Sawyer flew into Murtala Mohammed Airport. He died at a Lagos hospital four days later, after exposing scores of airline passengers and medical personnel to the Ebola virus.
Ebola had arrived in Nigeria. It has since spread to other areas of the country.
I live in Lagos but on the day Patrick Sawyer delivered his terrible gift, I was an ocean away. My three children and I were on vacation at my parents’ house in suburban Massachusetts.
It was disconcerting to be far from Lagos when it was in crisis. I read articles about Ebola in the newspaper, watched reports on CNN, and tried to ignore the panicked emails from expat women I know.
My parents urged us not to return to Nigeria. They suggested I enroll the kids in the elementary school down the road, which I attended as a child.
It was tempting. The children could walk to school along the same forest path I had used. My mother would cook delicious Indian meals and my father’s wine cellar would allow me to remain in a continuous state of inebriation. At 41, I would have no responsibilities and could spend my days in the basement hula hooping and taking naps.
My children, however, were sick of America. They missed their father, their friends, and their toys. They were desperate to return. My husband, John, assured us we would stay safe in Lagos, that Ebola in Nigeria could be contained. But it is very unnatural to willingly travel into danger. It takes courage, which I lack.
I couldn’t decide whether to stay or go. And then one day my husband phoned me from Lagos to complain about our housekeeper. He had broached the subject of Ebola with Marie and was annoyed by her response.
“What do you know of Ebola?” John had asked her, intending to discuss precautions to prevent the spread of disease.
“I don’t know him,” Marie replied. “Is he Yoruba?”
“Can you imagine,” John told me, “she thought E. Bola was a man’s name! Has she been living under a rock?”
And that was how I decided it would be safe for us to return to Lagos. If Marie—my barometer for all matters West African—had never heard of Ebola, it must not be a big deal.
The kids and I arrived in Nigeria in mid-August. As we taxied to the gate, the newlyweds beside us slipped on latex gloves.
After deplaning, the passengers queued up in neat lines for body temperature scans. This was the first time I had ever seen thermometers used at an airport or anyone in Nigeria stand in a line without trying to cut to the front.
The ordinarily bustling terminal was silent. It was as unsettling as in the weeks following 9/11 when New Yorkers stopped honking their horns and giving each other the finger. I felt like a cold hand was squeezing my heart. This wasn’t the Lagos I remembered. Was coming back a mistake?
I noticed a number of people pulling out bottles of hand sanitizer and squirting their palms as we cleared customs. Suddenly every surface seemed to be writhing with toxic germs. I wished there was a giant barrel of sanitizer I could dip my children into by the ankles, Achilles-style.
We exited the airport, dropped the suitcases at home then drove around looking for a place to eat. It was 10:00 p.m. on a Saturday night and Lagos was dead. We tried three restaurants but they were all closed.
We ended up at The Radisson, a shiny hotel perched on the lagoon.
I took a seat by the water and waited for my family to join me outside. From my table I had a view of the lobby. I saw a man near the bar lurching back and forth, vomiting. Then his face tipped up and I saw white discharge covering his mouth. At that moment, John and the kids walked by him.
John was stoic. As I saw my husband and children become infected with the Ebola virus, my eyes filled with tears. We had just become a cautionary tale.
My 4 decades on the planet, my 22 year romance with my husband, and my 3 beautiful children were about to be reduced to a handful of hysterical Facebook posts and a few mistakenly pressed thumbs ups.
Then the man straightened and I saw a shiny vacuum in his hand. His back was bucking because he was cleaning. What I had thought was white vomit was a surgical mask over his mouth.
John and the kids joined me at the table. They appeared to be Ebola-free.
Our first week back in Lagos was tense. I considered offering Marie an immediate early retirement because she coughed twice in an afternoon.
Despite my anxiety, we settled back into Nigerian life. My daughter got her hair twisted at the salon. I went grocery shopping. The children spent a happy day at the pool splashing with friends.
My fear began to dissipate. The number of Ebola cases in Nigeria, meanwhile, began dropping.
Aside from the strategically placed dispensers of hand sanitizer that had materialized around Lagos, it was business as usual.
I had no way to know how severely the Ebola virus would impact our lives when we returned. My decision was a bit impulsive, perhaps, but was borne from a desire to reunite my husband with his children. And I am certain I made the right choice. This is home.
It is in moments of adversity that we see the true worth of a people. Against all odds it seems that this awful virus has been contained here. Nigeria has been tested and I’m proud to say that she has come through with flying colors.
In the end, all I suffered was anxiety, nightmares and sleepless nights. Compared to thousands of our fellow Africans, we got off easy.
The Europeans have it all figured out. At the first sign of any aches they don’t take to bed with a bottle of Aleve. No, they head for the thermae of Italy, the baden of Germany, the baths of England, and station thermales of France The treatments at these detox meccas include water (fresh and sea) and mud therapies that promise freedom from pain — not to mention a cleaner liver. And the concept goes back millennia. After all, Spa is not an acronym for Super Place for Aerobics. Rather, it is named after the town in Belgium favored by Peter the Great. (Yes, that Peter the Great!). They are based, instead, on the restorative and healing powers of thermal and mineral springs and imbibing waters that come directly from those sources.
Alas, we in America may be hard pressed to find these types of cures closer to home as there are only a handful of natural hot springs indigenous to this country. And, truth be told, most people don’t even know they exist. Just ask someone in your office to name a liquid that makes you feel really good. I doubt hot, bubbling water would be the first thing that comes to mind. In fact, make mine a kale and celery smoothie — and a Dirty Margarita for The Lawyer.
Does this mean, though, that we have to suffer such inflammatory ailments as arthritis in silence? After all, about 50 million Americans have been diagnosed with one of the seven common forms of Arthritis. Yes, I am one of them. But limited space will not allow me to regale you with stories about my recent hip replacement! (Call me!) Curative spas aside, it is important, therefore, for patients and care givers to understand the potential impact of the disease and how best to manage it. It can be a critical part of making the decisions to make good on your intent to live a healthier lifestyle that is Better Than Before.
Let’s start with learning a little more about the illness itself. For this I turned to Phyllis Crockett, a specialty-trained pharmacist in the Accredo Rheumatoid Arthritis and Inflammatory Disease TRC.
“Arthritis is a complex family of musculoskeletal disorders consisting of more than 100 different diseases or conditions,” she says. “Although common belief is that arthritis is a condition affecting the elderly, two-thirds of people with arthritis are under the age of 65, including 300,000 children. Also, arthritis affects people of all ethnicities.”
According to Crockett the vast majority of sufferers, about 27 million Americans, have what I have, Osteoarthritis (OA), which is characterized by a breakdown of joint cartridge. A vast majority of OA patients are elderly. (But it could be genetic, and the result of what sets in after you’ve sustained an injury! Hellooo!!)
The rest of arthritis sufferers have the more severe form: Rheumatoid arthritis. “Rheumatoid Arthritis (RA) is characterized by inflammation of the membranes lining the joint. Although it can strike at any age, women are typically diagnosed between the ages of 30 and 60, while male patients are usually older. There are about 1.5 million affected individuals in the United States. Finally, Juvenile Arthritis (JA) is a term used to describe many autoimmune and inflammatory conditions that can affect children ages 16 and younger.”
The disease takes a heavy toll. “Each year, arthritis accounts for 44 million outpatient visits and over 900,000 hospitalizations. In fact, it’s the leading cause of disability in the United States and is a more frequent cause of activity limitations than heart disease, cancer or diabetes. By some estimates, 67 million Americans will have arthritis by 2030.”
So what do we do?
“Managing the disease so that patients can continue to live normal lives is important,” Crockett continues. “Each patient is different and a physician can help determine the best treatment plan, including pain management and managing the symptoms of arthritis.”
She shared with me some tips that she offers her patients, starting with exercise. “It is a valuable tool in the fight against arthritis. OA and RA patients particularly can benefit from both endurance and resistance training.”
Maintaining a healthy weight and protecting against joint injury can help prevent OA. “Every pound of weight lost reduces the pressure on each knee by 4 pounds. Even a small weight loss can be a big help in fighting it.”
Apart from lifestyle modifications, there are also many drug therapies available for arthritis patients—and doctors and specialist pharmacists can help identify the best one for you.
For patients who already are on medication to treat the condition, adherence – taking medications as prescribed – is critical to healthier outcomes.
“But do not self-medicate!” she cautions: “Combining over-the-counter medications with prescription medications can be risky, and can cause side effects such as an increase in GI irritation or a GI bleed. And don’t adjust doses or making changes to the medication regimen without checking with your health care team.”
“Watch for drug interactions: Some common medications like acetaminophen can have a drug-drug interaction with arthritis medications. Limit intake and remember that acetaminophen is often a component in common sinus, cough/cold and pain medications.”
Opt for an anti-inflammatory regimen like the Mediterranean diet – you know the drill, easy on the acidic foods like sugar, white flours, and alcohol, and sticking with leafy greens, whole grains, and lean proteins. “But some foods and beverages can block the effects of arthritis medications,” Crockett concludes. “These include grapefruit, apple and orange juice as well as milk and yogurt. Wait at least four hours after taking medications. Exact times can vary depending on the disease and the treatment. Check with a trained clinician.”
I can assure you from very painful, personal experience that if arthritis does go too far, surgery may be the only option. So if your intent is to help avoid – or at the very least, prolong – this possible outcome, be aware that lifestyle modification and medication may be the answer.