


Reverse Aging
By Sang Whang
Here
is the simple process of aging.
Every
living cell within our body creates waste products. The nutrients
from our food are delivered to each cell and they burn with
oxygen to provide energy for us to live. The burned nutrients
are the waste products. Whether you eat gourmet or junk food,
all food generates waste products. The food that is either good
or bad for you is determined by the amount and quality of the
wastes produced: toxic, acid, alkaline, etc. Most of our cells
go through metabolism and old dead cells become waste products.
These waste products must be discharged from our body. In fact,
our body tries its best to dispose of them through urine and
perspiration. Virtually all waste products are acidic; that
is why urine is acidic and skin surface is also acidic.
The problem is that, due to several reasons, our body cannot
get rid of 100% of the waste products it produces.
The
main reason for this is our life style. We stay up late and
get up early. We do not take time to rest; some of us work more
than one job. We, therefore, spend more time producing waste
products than processing and discharging them.
The
second reason is food. Most of the food we like is mainly acidic.
Acidic food does not necessarily mean that it tastes acidic,
but that the wastes it produces are acidic. Grains and meats
are mainly acidic; fruits and vegetables are alkaline. Citric
fruits may taste acidic but they are considered to be alkaline
because they contain alkaline minerals.
The third reason is our environment. More healthy cells are
killed by air, water and soil pollution than the natural death
of cells caused by normal metabolism. Thus, more waste products
are created. The question is: "What happens to those non-disposed
acidic waste products?" The answer is simple. These waste
products become solid wastes, such as, cholesterol, fatty acid,
uric acid, kidney stones, urates, phosphates, sulfates, etc.,
and, unknown to us, they accumulate and build-up somewhere within
our body. This accumulation of non-disposed acidic wastes within
our body is the aging process.
Alkaline neutralizes acid. Drinking alkaline water helps our
body dissolve acid wastes and make it easier for the body to
dispose of them safely. Since the accumulation of acid wastes
is aging, the reduction of acid wastes is reverse aging. Alkaline
water is not a medicine to cure any disease. However, if consumed
regularly, alkaline water gradually reduces the accumulated
acid wastes. As a result of acid reduction, there are many reports
of natural health improvement in Japan. We use alkaline soap
to wash acidic dirt accumulated on our skin; we must wash the
acidic dirt accumulated within our body by using alkaline water.
Alkaline water has been available in Asia for over 30 years.
Water ionizers to produce alkaline water have been approved
by Japanese government agencies as medical devices.
In future publications more detailed scientific explanations
will be discussed on the subjects of water, acidity and alkalinity,
effects of acidic wastes on the human body, causes of some adult
diseases, effects of alkaline water, and simple methods of making
alkaline water. Find your true age here.
--
From
Yogi Bhajan

"No
matter how good the diet is, we tend to
exceed the self cleaning capacity of our bodies.
Uric acid (a biproduct of
meat consumption),
calcium crystals, and many other wastes and
poisons get stored in tissues and joints.
They make us stiff and may cause many diseases.
In Kundalini Yoga,
muscle stretching and internal
massage bring waste back into circulation so that the
lungs, intestines, kidneys, and skin are able to remove it."
Yogi Bhajan

Is
The Preservative
Benzoate of Soda
(Sodium Benzoate)
Bad For You?
Diet
Coke will drop additive in DNA damage fear.
By
Colin Fernandez
May
26th - Diet Coke to drop additive in DNA damage fear. May be
linked to hyperactivity and DNA damage.
Coca-Cola is phasing out a controversial additive that has been
linked to damage to DNA and hyperactivity in children.
Sodium benzoate, also known as E211, is used to stop fizzy drinks
going moldy.
Coca-Cola said it had begun withdrawing the additive from Diet
Coke in January in response to consumer demand for more natural
products.

By the end of the year no can or bottle will contain E211.
The company plans to remove it from its other products as soon
as possible, but said that at present it had not found a satisfactory
alternative to replace the additive in some soft drinks with
a higher juice content, including Fanta, Dr Pepper, Sprite and
Oasis. The chemical is not used in regular Coke.
While sodium benzoate occurs naturally in some fruits, it is
used in greater strengths by the soft drinks industry.
But research by Peter Piper, a professor of molecular biology
at Sheffield University, found that the additive could switch
off parts of DNA, the genetic code in the cells of living creatures,
that could be linked to cirrhosis of the liver and Parkinson's
disease.
However, the Government-backed Committee on Mutagenicity has
dismissed the research.
It argues that while sodium benzoate has been shown to be harmful
to yeast cells, human cells are stronger.
Research by Southampton University found that sodium benzoate
was one of seven additives - the six others are food colors
- that can lead to hyperactivity in children.
The Food Standards Agency has called for the six colors to be
withdrawn from products but not sodium benzoate.
The Daily Mail has campaigned for a ban on harmful additives.
A Coca-Cola spokesman said: "We are continuously listening
to our consumers' thoughts about ingredients."
The firm stressed that E211 was approved as an additive by many
bodies around the world including the European Food Standards
Agency.
BUTTER
IS BETTER
FOR YOUR HEALTH

DO YOU KNOW?
The differences between Margarine and Butter.
Margarine
was originally manufactured to fatten turkeys. When it killed
the turkeys, the people who had put all the money into the research
wanted a payback so they put their heads together to figure
out what to do with this product. It was a white substance with
no food appeal, so they added some yellow coloring and sold
it to people to use in place of butter. Then, they came out
with some clever and different flavorings.
Read
on ... it gets interesting!
Both margarine and butter have the same amount of calories.
Butter is slightly higher in saturated fats at 8 grams compared
to 5 grams.
But eating margarine can increase heart disease in women by
50% over eating the same amount of butter, according to a recent
Harvard medical study.
But eating butter increases the absorption of many other nutrients
in other foods.
Butter has many nutritional benefits, whereas margarine has
only a few, but only because they are added!
Butter tastes much better than margarine, and it can enhance
the flavors of other foods.
Butter has been around for centuries, whereas margarine has
been around for less than 100 years.
MORE ABOUT MARGARINE
Margarine is very high in trans fatty acids.
Margarine triples the risk of coronary heart disease.
Margarine increases total cholesterol and LDL, the bad cholesterol,
and lowers HDL cholesterol, the good cholesterol.
Margarine increases the risk of cancers up to five fold.
Margarine lowers the quality of breast milk.
Margarine decreases the immune system response.
Margarine decreases insulin response.
WHAT‘S REALLY DISTURBING
Margarine is only ONE MOLECULE away from being all PLASTIC.
This fact alone is enough to make anybody avoid margarine for
life and anything else that is hydrogenated (this means hydrogen
is added, changing the molecular structure of the substance).
Try this:
Purchase a tub of margarine and leave it in your garage or shaded
area. Within a couple of days you will note a couple of things:
No flies, not even those pesky fruit flies will go near margarine
(this should tell us something).
Margarine does not rot or smell differently because it has no
nutritional value; nothing will grow on it. Even those teeny
weenie microorganisms will not a find a home to grow in margarine.
Why, because it is plastic.
Would
you melt some Tupperware and spread it on your toast? --
The
History of Butter How
To Make Ghee (Clarified Butter)
Health
Facts About
Honey And Cinnamon

It's
been found that a mixture of Honey and Cinnamon cures many diseases.
Honey is produced in most of the countries of the world. Scientists
today also accept honey as a very effective medicine for all
kinds of diseases. Honey can be used without any side effects
for any kind of diseases.
Today's scientists say that even though honey is sweet, if taken
in correct dosage as a medicine, it does not harm diabetic patients.
Weekly World News, a magazine in Canada, on its issue dated
January 17, 1995 has given the following list of diseases that
can be cured by Honey and Cinnamon as researched by some scientists:
HEART DISEASES:
Make a paste of honey and cinnamon powder, apply on bread, instead
of jelly or jam, and eat it regularly for breakfast. It reduces
the cholesterol in the arteries and saves the patient from heart
attack. Also, those who have previously had an attack, if done
daily, will prevent future heart attack.
Regular use of this combination relieves shortness of breath
and strengthens heartbeat. In America and Canada, some nursing
homes have treated patients successfully with honey and cinnamon,
having found that it revitalizes the arteries and veins.
ARTHRITIS:
Arthritis patients may take daily, morning and night, one cup
of hot water with two spoons of honey and one spoon of cinnamon
powder. This can cure even chronic arthritis. In research conducted
at the Copenhagen University, it was found that when patients
were treated with a mixture of one Tablespoon honey and half
a teaspoon of cinnamon powder before breakfast, out of the 200
people so treated, 73 patients were relieved of pain within
a week, and within a month, most patients who could not walk
or move around because of arthritis, were walking without pain.
BLADDER INFECTIONS:
Take two Tablespoons of cinnamon powder and one teaspoon of
honey in a glass of lukewarm water and drink it. This destroys
the organisms in the bladder.
TOOTHACHE:
Make a paste of one teaspoon of cinnamon powder and five teaspoons
of honey and apply on the aching tooth. This may be applied
3 times a day till the tooth stops aching.
CHOLESTEROL:
Two Tablespoons of honey and three teaspoons of cinnamon powder
mixed in 16 ounces of tea water, given to a cholesterol patient,
is found to reduce the level of cholesterol in the blood by
10% within 2 hours. As mentioned for arthritic patients, if
taken 3 times a day, any chronic cholesterol is cured. Pure
honey taken daily with food relieves elevated cholesterol.
COLDS:
Those suffering from common cold symptoms should take one Tablespoon
lukewarm honey and water with 1/4 spoon cinnamon powder daily
for 3 days. This process will cure most chronic cold symptoms,
and clear the sinuses.
UPSET STOMACH:
Honey taken with cinnamon powder cures stomach ache and also
clears stomach ulcers.
GAS:
According to studies done in India and Japan, if honey is taken
with cinnamon powder the stomach gas is relieved.
IMMUNE SYSTEM:
Daily use of honey and cinnamon powder strengthens the immune
system and protects the body from bacterial and viral attacks.
Scientists have found that honey has various vitamins and iron
in large amounts. Constant use of honey strengthens the white
blood corpuscles to fight bacterial and viral diseases.
INDIGESTION:
Cinnamon powder sprinkled on two Tablespoons of honey taken
before food, relieves acidity and helps digest the heaviest
of meals.
INFLUENZA:
A scientist in Spain has found that honey contains a natural
ingredient which kills the influenza germs and prevents the
flu.
LONGEVITY:
Tea made with honey and cinnamon powder, when taken regularly,
arrests the ravages of old age. Take 4 spoons of honey, 1 spoon
of cinnamon powder and 3 cups of water and boil to make like
tea. Drink 1/4 cup, 3 to 4 times a day. It keeps the skin fresh
and soft.
PIMPLES:
Three Tablespoons of honey and one teaspoon of cinnamon powder
paste. Apply this paste on the pimples before sleeping and remove
it next morning with warm water. If done daily for two weeks,
it removes the pimples.
SKIN INFECTIONS:
Regular application of honey and cinnamon powder in equal parts
to the affected parts cures eczema, ringworm, and all types
of skin infections.
WEIGHT LOSS:
Daily in the morning 1/2 hour before breakfast on an empty stomach
and at night before sleeping, drink honey and cinnamon powder
boiled in one-cup water. If taken regularly it curbs the appetite
and reduces the weight of even the most obese person. Also,
the frequent drinking of this mixture does not allow fat to
accumulate in the body even though the person may eat a high
calorie diet.
CANCER:
Recent research in Japan and Australia has revealed that advanced
cancer of the stomach and bones have been cured successfully.
Patients suffering from these kinds of cancer should take one
Tablespoon of honey with one teaspoon of cinnamon powder daily
3 times a day for 40 days.
FATIGUE:
Recent studies have shown that the sugar content of honey is
more helpful rather than being detrimental to the strength of
the body. Senior citizens, who take honey and cinnamon powder
in equal parts, are more alert and flexible. One researcher
says that half a Tablespoon of honey in a glass of water and
sprinkled with cinnamon powder, taken twice daily, increases
the vitality of the body within a week. --
The
Miracle of Hydrogen Peroxide
These
are the benefits of that plain little ole bottle of 3% hydrogen
peroxide you can get for under $1.00 at any drug store.
Most
doctors don't tell you about hydrogen peroxide. Have you ever
smelled bleach in a doctor's office? Why? Because it smells,
it's toxic, it is not healthy! Ask the nurses who work in the
doctor's offices about it.
Did you also know bleach was invented in the late 40's? It's
chlorine! And it was used to kill many people.
Peroxide
was invented during WWI in the 20's. It was used to save lives
and help cleanse troops and hospitals.
Try
these:
Take one capful (the little
white cap that comes with the bottle) and hold in your mouth
for 10 minutes daily, then expel it. (Do it when you bathe.)
No more canker sores, and your teeth will be whiter without
expensive pastes. Use it instead of mouthwash.
Let toothbrushes soak in a
cup of peroxide to keep them free of germs.
Clean counters and table tops
with peroxide to kill germs and leave a fresh smell. Simply
put a little on your dishrag when you wipe, or spray it on the
counters.
Pour peroxide on your wooden
cutting board after rinsing it off to kill salmonella and other
bacteria.
Spray a 50/50 mixture of peroxide
and water on any foot fungus (especially the toes) every night
and let dry.
Soak any infections or cuts
in 3% peroxide for five to ten minutes several times a day.
Combat troops have seen gangrene that would not heal with any
medicine, but was healed by soaking in peroxide.
Fill a spray bottle with a
50/50 mixture of peroxide and water and keep it in every bathroom
to disinfect without harming your septic system like bleach
and many other disinfectants will.
Tilt your head back and spray
this 50/50 mixture into your nostrils whenever you have a cold
or plugged sinuses. It will bubble and help to kill the bacteria.
Hold for a few minutes, and then blow your nose into a tissue.
If you cannot get to a dentist
right away with a toothache, put a capful of 3% peroxide into
your mouth and hold it for ten minutes several times a day.
The pain will lessen greatly.
Spray the 50/50 solution on
your wet hair after a shower and comb it through. You will not
have the peroxide-burnt blonde hair like the hair dye packages
but more natural highlights if your hair is a light brown, faddish,
or dirty blonde. It also lightens gradually, so it's not a drastic
change.
Put half a bottle of peroxide
in your bath to help rid boils, fungus, or other skin infections.
Add a cup of peroxide instead
of bleach to a load of whites in your laundry to whiten them.
If there is blood on clothing, pour it directly on the soiled
spot. Let it sit for a minute, then rub it and rinse with cold
water. Repeat if necessary.
Use peroxide to clean mirrors.
There is no smearing. --
Operating
Blind
Courtesy
of Prevention Magazine
Every
year, nearly 2.5 million people go under the knife unnecessarily,
often with devastating consequences. Make sure you're not one
of them.
Two years ago, when Leah Coppersmith went in for back surgery,
she expected to be lacing up her running shoes within days.
She's been in pain ever since.
A car accident in 1991 left this mother of four with nagging
lower-back pain -- annoying, but not bad enough to keep her
from running 5-Ks. But in 2005, the nag grew to a scream.
An MRI revealed that two disks -- the gel-filled cushions between
the vertebrae -- were badly worn. Coppersmith expected the doctor
to recommend a diskectomy, in which part of a troublesome disk
is removed to relieve pressure on the nerve; the low-risk surgery
had helped her once before. But this time, the surgeon wanted
to replace a disk with an artificial one. The procedure was
getting great results, he said. Coppersmith was skeptical until
he told her she'd be back running 5-Ks again in no time. She
laughs bitterly at the memory.
Pain is now the defining feature of her life. She can't sit
down to family dinners. She quit her job because she can't work
at a desk. Her misery has company: While looking for help online,
she found a study showing that 64% of people who received the
disk, called the Charité, still needed narcotic painkillers
2 years after surgery.
Every year, upward of 15 million Americans go under the knife
-- and for most of them, surgery provides relief or a new lease
on life. Joints are replaced, organs are transplanted, lives
are saved. But Congress has estimated that surgeons perform
2.4 million unnecessary surgeries a year in the United States,
with a cost of roughly $3.9 billion -- and a toll of about 11,900
deaths. The reason isn't simple.
"The majority of surgeons who perform these procedures
are actually very enthusiastic about their benefits," says
Mark Chassin, MD, chair of the department of health policy at
Mount Sinai School of Medicine. "It's not like they get
up in the morning and ask themselves, How many unnecessary procedures
can I do today? But there's a lot of financial incentive to
do surgery that may not benefit the patient, and very little
oversight."
So how do you know when someone is suggesting surgery you don't
need -- and what can you do to prevent it? Your first line of
defense is to become your own advocate. One study showed that
when patients and doctors share the decision making, rates of
surgery drop by as much as 44%. Here, we explain what's behind
four of the procedures most often done unnecessarily and give
you expert advice on the best alternatives.
BE SKEPTICAL: SPINAL SURGERY
The waiting room of Charles Rosen, MD, a spinal surgeon and
an associate professor of orthopedic surgery at the University
of California, Irvine, was filled with patients who, like Coppersmith,
had failed disk implants. "In my 20 years of orthopedics,
I'd never seen so many people in such a severe state of constant
pain," he says. So Rosen examined the evidence backing
the Charité disk. He was shocked to see that the researchers
had compared patients who got the disk with those who received
a type of fusion surgery with a particularly high failure rate
-- 60%. (Even before the study's publication, that procedure
had been largely abandoned.) Then he discovered that researchers
on other Chariti studies were paid consultants for the device
maker. Outraged, Rosen founded the Association of Ethical Spine
Surgeons. Members agree not to take money from device makers
or form partnerships with the companies.
The spine is ground zero for unnecessary surgeries partly because
back pain is incredibly common and notoriously tough to treat.
More than 1 million sufferers opt for surgery each year, and
spinal fusion -- the use of bone grafts, screws, and other devices
to secure one or more vertebrae -- is one of the most popular
choices. Between 1996 and 2001, the number of spinal fusions
skyrocketed 113%, while the number of knee- and hip-replacement
surgeries rose just 15% and 13%, respectively. But unlike those
procedures, spinal surgeries often fail -- instead of relieving
pain, they can turn it into agony. According to Aaron Filler,
MD, PhD, director of the Peripheral Nerve Surgery Program, Institute
for Spinal Disorders, at Cedars-Sinai Medical Center in Los
Angeles, there are tremendous rewards for spinal surgeons who
do aggressive procedures: Because of the hardware involved,
an operation on the spine can pay a surgeon 10 times as much
as one on the brain. Yet the moneymaking back surgeries help
in only a small proportion of cases. What's more, back surgeons
are rarely held accountable if the operation fails. "The
referring doctor has low expectations," Filler says. "So
does the patient, because everyone thinks of back problems as
so difficult to treat."
Protect Yourself
Pinpoint the pain: If your doctor labels your back pain as "nonspecific,"
it means he doesn't know the cause; if he suggests surgery,
alarm bells should go off, says Filler. Spinal fusion is most
beneficial when vertebrae slip out of place and press on the
ones below, which is easily detected on an x-ray. "When
properly done for the right reasons, spinal surgery can be extremely
effective," says Filler.
Make lifestyle adjustments: A 2003 study compared spinal fusion
surgery with a lifestyle approach to back pain: Docs taught
patients how to protect their backs, by bending at the knees
when lifting, for instance. They also encouraged exercise, like
water aerobics. A year later, the nonsurgical approach reduced
pain and increased mobility just as much as surgery did. Alternative
treatments such as chiropractic and acupuncture can also pay
off, studies show. For more info on finding alternative treatments,
go to prevention.com/links.
Consider a helpful shot: A nerve-blocking injection called an
epidural, given by a surgeon or a rehab specialist like a physiatrist,
may quiet the pain for up to a year; it helps in about 50% of
patients.
Skip the hardware: If surgery seems like the right approach,
get the simplest procedure possible. There's a much smaller
chance of complications if you have a diskectomy, for example,
than if you have an artificial disk implanted.
BE SKEPTICAL: HYSTERECTOMY
Lori Jo Vest was 36 when three doctors told her a hysterectomy
was the only fix for her heavy bleeding caused by uterine fibroids.
Terrified that she'd be thrust into early menopause -- in half
of all hysterectomies, surgeons end up removing the ovaries,
too -- Vest went online and discovered myomectomy, in which
the surgeon cuts out the fibroids, sparing the uterus. But her
doctors nixed the idea; after all, they said, Vest, who had
a toddler, didn't want more children. Then Vest called the nearby
University of Michigan, Ann Arbor -- and nearly leaped through
the phone when she heard they had a clinic for women seeking
alternatives to hysterectomy.
"The doctor said I was a perfect candidate for myomectomy,"
Vest says. She also told Vest that many surgeons dislike the
surgery because it's more difficult than a hysterectomy. Now
44, Vest no longer is troubled by heavy bleeding, but she still
has her uterus and ovaries. *"I don't want to go through
menopause until my body is ready," she says.
Hysterectomy is second only to C-section as the most common
surgery performed on women in the United States. Each year more
than 600,000 Americans have the procedure --
twice the rate as in England. A 2000 study found that 70% of
the hysterectomies performed in nine Southern California managed-care
organizations were recommended inappropriately. "The most
common mistake we saw was that doctors didn't try safer, less-invasive
approaches first," says lead author Michael Broder, MD,
an assistant professor of obstetrics and gynecology at UCLA's
David Geffen School of Medicine.
Hysterectomy can be warranted if a woman has cancer, and it
can be the right choice in other cases, too -- for instance,
if medical treatment didn't get your bleeding under adequate
control, and you don't want to try a surgery like myomectomy
because of the risk of recurrence. But unless you have cancer,
"having a doctor say, 'You absolutely need a hysterectomy,'
is akin to a waiter at a restaurant saying, 'You've got to have
the steak,'" says Malcolm G. Munro, MD, a professor of
obstetrics and gynecology at UCLA. "A good doctor should
give you a menu of choices."
Protect Yourself
Try hormones or drugs first: Most hysterectomies are done on
women under age 45, but if you can manage symptoms of fibroids
with medication until menopause, symptoms usually ease naturally.
Birth control pills or other drugs help control irregular bleeding.
Also check into getting a progestin-releasing IUD (Mirena):
It can dramatically decrease bleeding caused by fibroids.
Consider a less drastic procedure: Like myomectomy, uterine
fibroid embolization (UFE) preserves the uterus: An "interventional"
radiologist carefully closes off blood vessels feeding the fibroids,
starving them. A woman may need more treatment after either
procedure if the fibroids come back, and both cause a fair amount
of discomfort. (UFE can require serious pain meds, although
recovery is quicker than after a hysterectomy, and the risks
are lower.) For more info on hysterectomy alternatives, go to
prevention.com/links.
BE SKEPTICAL: ANGIOPLASTY
When Irwin Melnicoff, a forensic engineer in Boynton Beach,
FL, felt a stabbing chest pain at age 45, he went straight to
the cardiologist. The diagnosis? A narrowed artery. The answer?
Angioplasty. But Melnicoff was scared of surgery; even when
the doctor told him he'd die without the artery-opening procedure,
he chose drug therapy instead. (He also chose a new doctor.)
That was 25 years ago. With the help of daily heart medications,
his chest pain vanished. He walks 30 minutes a day, 7 days a
week, and feels great.
He made the right choice. Though angioplasty has been hailed
by some as a wonder fix for decades, it now turns out that most
of the time, the procedure doesn't help. Angioplasty can save
your life if it's done during or right after a heart attack.
But in other circumstances, it may not do you much good.
"Doctors used to think of heart disease as a plumbing problem
-- that arteries were like drainpipes gradually being clogged
by plaque made up mostly of cholesterol," says Arthur Agatston,
MD, a preventive cardiologist and author of The South Beach
Heart Program. So it seemed to make sense to use angioplasty,
in which a small balloon is inflated in the artery, to get that
gunk out of the way by squashing it against the vessel wall.
However, research has since shown that problematic plaque actually
forms within the delicate inner lining of artery walls.
What does cause a heart attack? If the plaque within the wall
ruptures, it injures the artery, producing a blood clot as part
of the healing process. Unfortunately, the clot can close off
the entire artery -- that's a heart attack, and you need angioplasty
or bypass surgery immediately. If you have angioplasty, the
doctor may also insert a stent, a mesh scaffolding, to hold
open the artery.
But if you're not having a heart attack, angioplasty (with or
without a stent) won't help and may even do some harm. That's
the news from a large trial published in April in the New England
Journal of Medicine. People with "stable" heart disease
-- they weren't having a heart attack, but a vessel was at least
70% closed -- fared no worse if they received medical therapy,
such as aspirin, blood thinners, and cholesterol-lowering drugs,
than if they got angioplasty. During the next 4 1/2 years, neither
group was more likely to have a heart attack or stroke or die.
A study published late last year helps pinpoint exactly when
it's worth getting angioplasty. That trial showed that if the
procedure was done 3 or more days after a heart attack, it didn't
help. "We were very surprised -- we thought angioplasty
would be beneficial even if it was done later," says lead
author Judith Hochman, MD, director of the cardiovascular clinical
research center at New York University School of Medicine. "But
that's why we do studies: to see if the patient really does
benefit."
Protect Yourself
Insist on being convinced: If your doctor says you need a non-emergency
angioplasty, ask if it will prolong your life. "That question
puts a cardiologist on the spot," says Agatston. If the
procedure isn't needed to save your life, it still may make
sense if angina (bouts of chest discomfort caused by a lack
of blood flow to the heart) interferes with daily activities.
But get a second opinion -- from a preventive cardiologist,
not a cardiac surgeon.
Eat right, exercise, and lose weight if necessary: You needn't
avoid fats and carbs to keep your heart healthy -- just choose
wisely. A diet high in omega-3-rich canola and olive oils can
actually protect your heart. High-fiber carbs in whole grains,
fruits, and veggies also help get fats out of your blood.
Use the meds known to save lives: Many people with high cholesterol
aren't on statins, though the drugs slash the risk of heart
attack by more than 30%. Similarly, most people with high blood
pressure don't get adequate treatment, studies show. Lifestyle
changes can bring down both cholesterol and BP, but if they're
not enough, medication can be lifesaving. Your doctor may also
put you on daily aspirin or another drug to lower the risk of
a blood clot.
BE SKEPTICAL: KNEE ARTHROSCOPY
Soon after Diana Aceti turned 50, the ache in her knee began
to keep her from walking and playing tennis, two activities
she loved. An orthopedist said that she had a small tear in
her cartilage and recommended arthroscopic surgery. "He
said I'd back on my feet in a few weeks," says the public
relations director from Bridgehampton, NY.
But afterward, Aceti's knee hurt worse than ever. So she got
a second opinion -- and the news wasn't good. In a rare complication,
her cartilage was damaged beyond repair, and she needed a partial
knee replacement. "Doctors talk about surgery like it's
getting your teeth cleaned," says Aceti. "If he'd
told me this was a possibility, I never would have done it."
Knee arthroscopy is most often used for people, like Aceti,
who have osteoarthritis -- cartilage damaged by wear and tear.
A surgeon makes small incisions and inserts instruments to remove
tissue fragments and wash out the joint in the hopes of reducing
pain. Yet in 2002, when knee arthroscopy was put to the test
in a randomized, controlled trial, it failed royally. Osteoarthritis
patients given arthroscopy reported no more improvement than
those who got sham surgery -- incisions were made but no arthroscope
was inserted. Still, 5 years later, the procedure remains among
the top 10 outpatient surgeries: More than 650,000 knee arthroscopies
are performed annually.
Critics say that almost everyone has small tears in their knee
cartilage visible on MRI's, providing a never-fail excuse for
surgery. "Patients have arthroscopy for what is clearly
the result of a bruise or a bump," says Ronald Grelsamer,
MD, an associate professor of orthopedic surgery at Mount Sinai
Medical Center in New York City. "For many orthopedists
it's the only way left to make a half-decent living. Does that
justify it? No."
The procedure can help in certain situations, Grelsamer says:
If a piece of cartilage is catching, like a hangnail, clipping
it can make you feel better. And some doctors still believe
that for some osteoarthritis patients, flushing the interior
of the knee during arthroscopy can ease pain, perhaps by getting
rid of irritating chemicals. Researchers can't predict who will
benefit from a washout, though -- and surgeon Bruce J. Moseley,
MD, who led the sham surgery comparison, argues that any improvement
in arthritis patients is due to the placebo effect.
Protect Yourself
Wait a while: Arthroscopy is most frequently done after a twist
or fall, but those injuries often get better within a few months
with physical therapy, anti-inflammatory meds, a cortisone injection
-- or just the passage of time.
Be skeptical of MRI results: Arthroscopy is most apt to help
if there's a detached fragment of cartilage or a severe tear
-- a 3 on a 1-to-3 scale, as rated by a radiologist. But even
a bad tear may not cause pain, so ask whether it matches up
with the area that hurts. --

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