Tuesday, October 23, 2007

Newsletter October 2007

Maybe it is the time of the year, maybe it is the post-world cup euphoria trying to get back to some level of normal, but I detect a certain amount of emotional fatigue in the people I meet on a daily basis. Fatigue deeper that could be explained by just the lack of sleep due to a bit of world cup celebrations.

And celebrate we did. The nation sang the praises of the heroes in green and even while we were doing that, our brave and able minister of sports, Makhenkesi Stofile, said that the Boks squandered the opportunity after their first title triumph in 1995 to make the game truly representative of the country's racial mix and a repeat failure was unacceptable.
Am I suddenly feeling even more fatigue creeping in? Or is it a severe bout of nausea?

These characters in politics are trying their utmost to topple the cart. They stand on their soap boxes and whinge because rugby is an easy target, but they don't ever develop fields in townships, underwrite coaching classes or supply the nutrition needed to turn 75kg weaklings into 115kg tighthead props. It is just another attack on an established part of a forbidden culture.

Somewhere during the last week somebody filled my pothole. Thank you. It lasted all of two days. Nice gesture. Next time please try bitumen.

Another possible reason for emotional fatigue is the realisation that we are being lied to in a massive way. The state of the economy is but one that comes to mind. Is it really as strong as we are led to believe?

From the retailers out there I hear a different story. From the hospitality industry even worse reports. "Business is very quiet", is a common answer these days.
We are also kept in the dark about the level of crime. One can only ascertain that the statistics are totally warped. I mean, if the chief of police needs protection from his ultimate boss, how much control is out there?

All right. Time for positive thoughts. This coming Saturday, the 27th of October 2007, it will be exactly ten years since we took over from Eddie and Anne Pyle. Unbelievable. To all our loyal customers and patients who helped us achieve this milestone, a BIG Thank You! Please keep on supporting us and all our new endeavors so that we can make it through another ten years!

Report back:
We recently ran a very successful campaign called "State of you Health Week". Well in the end it ran for much more than a week and I must say it was hugely successful. A whole lot of people are now more aware of the dreaded Metabolic Syndrome; a lot are on treatment already, another batch are subscribing to a new lifestyle; one that creates healthy habits and stave off the warning signs.

The success of this round has led us to believe (and we are already planning) that we can do more. We are in the process of starting a Cholesterol Treatment Program, followed soon by more conditions. It will take the form of a treatment regime running over a period of weeks with medication, tests, eating plans, information sessions, feedback, education and more tests.
After completion the individual will have a healthier lifestyle, a better prognosis, and enough accumulated knowledge to make informed decisions where it comes to diet and habit. Watch this space. Or better still, contact us if you think we can help you with your particular problem. We will look at it and if within our field of expertise, we will device a program accordingly.

Treatment of emotional fatigue is excluded though. Try the guys in the top office. The ones with the Pierre Cardin Suits. The ones planning the next rugby world cup team selection.

Weight loss: When it's unexpected....
For most people, dropping a few kilogram without meaning to is a welcome surprise. But do you know when unexpected weight loss is a cause for concern?

Causes are varied:
There are many possible reasons for unintentional weight loss, including:

Changes in diet or activity level. Skipping meals, eating on the run, eating less fat or preparing food in new ways may contribute to unexpected weight loss. A particularly hectic schedule may cause you to drop a few kilo’s as well. Change your lifestyle. Eat healthy.

Mood changes.
Anxiety, stress and depression can affect your weight. Beware.

Medication.
Some over-the-counter and prescription drugs may cause weight loss. Ask.

Difficulty chewing or swallowing.
Dental problems can make it difficult to chew, and many conditions can interfere with swallowing. With esophageal dysphagia, food feels as if it sticks or gets hung up in the base of your throat or chest. Certain neuromuscular problems can weaken your throat muscles, making it difficult to move food from your mouth into your throat and esophagus. Get immediate diagnostic confirmation and treatment.

Poor absorption of nutrients.
This may be a problem with malabsorption disorders such as celiac disease, a digestive condition triggered by consumption of the protein gluten. This protein is found in bread, pasta, cookies, pizza crust and other foods containing wheat, barley, rye and some oats. Some people might also suffer from food intolerances like Fructose. Fructose is a sugar found in fruit. It's also a basic component in table sugar (sucrose). In addition, sorbitol — a sugar alcohol — is converted to fructose during normal digestion. So if you have fructose intolerance, you should avoid foods that contain fructose and sucrose as well as sorbitol. There are tests available. Do it.

Nausea.
If you're feeling queasy, you may eat less and lose weight. Many conditions can trigger nausea.
Viral and bacterial infections, hormonal changes and various digestive disorders can all make you nauseated. If nausea persists have it checked out.

Inflammatory bowel disease.
Ulcerative colitis and Crohn's disease are the two most common forms of inflammatory bowel disease. These often painful and debilitating conditions cause chronic inflammation of the digestive tract, which may prevent you from digesting or absorbing much of what you eat. These are serious.

Pancreatitis.
Pancreatitis is a condition in which digestive enzymes attack the pancreas rather than break down food in the small intestine. Chronic pancreatitis may cause weight loss, even when your appetite and eating habits are normal.

Lack of blood supply to the bowel.
If the blood flow to your small intestine is reduced, you may develop a condition called intestinal ischemia. Signs may include unintentional weight loss.

Hyperthyroidism.
The thyroid hormones regulate every aspect of your metabolism, from your heart rate to how quickly you burn calories. When your thyroid gland produces too much of the hormone thyroxine, you develop hyperthyroidism. This condition causes weight loss, even when your appetite is bigger than normal. There are diagnostic tests - ask your doctor.

Diabetes.
Diabetes affects the way your body uses blood sugar. Even when you eat as much as usual, you may lose weight if your muscle tissues don't get enough glucose to generate growth and energy. This is especially true with type 1 diabetes, in which very little sugar gets into your cells. With uncontrolled diabetes, sugar lost in the urine may also contribute to weight loss.

Cancer.
Many types of cancer cause unintentional weight loss, including cancers of the pancreas, gallbladder, colon and stomach. Cancer treatment may have the same effect.

S.O.S:
If you plan to trim down, by all means, do it in a controlled manner through a recognised eating plan. If you however are not on any conscious diet and suddenly start to drop weight, take note and take action. It may be your only wake-up call.

Hartsiektes neem toe.
Elke jaar kry meer as 47 000 Suid-Afrikaners ’n hartaanval. Ja, jy het reg gelees.
’n Kwart van hulle – sowat 12 000sterf onmiddellik! Daar word gereken dat voortydige sterftes weens hart- en bloedvatsiektes gaan tussen nou en 2030 met 40 persent toeneem.

As jy een van die nagenoeg 40 persent van die bevolking is wat met slegte hartgene gebore is, kan jy werklik keer dat dit – soos ’n lig – aangeskakel word. En as jy met goeie hartgene gebore is, kan jy ook jou hartvate teen skade beskerm deur sekere van jou gewoontes te verander.
Baie van die faktore lei tot ’n lae vlak van inflammasie in die bloedvatwande, en hierdie rooi en geswelde binnewande is dan uiters vatbaar vir verdere skade deur die ander faktore.

Hier is jou negepuntplan om jou risiko te beperk, saamgestel uit inligting deur Harvard-navorsers, hartspesialiste van die Mayo-kliniek en Suid-Afrikaanse navorsers:

1 As jy rook, hou op met rook.
Hetsy dit sigare, sigarette, lae-teer of "ligte" sigarette is.
Rook is een van die belangrikste faktore wat alle hoërisiko-hartgene aanskakel.
Dit beskadig verder die binnewande van bloedvate so erg dat die vate verstop kan raak.
As jy ophou rook, daal jou risiko vir ’n hartaanval binne drie jaar. Rokers wat ouer as sestig is, kan vyf tot sewe jaar by hul lewe voeg deur op te hou rook. Passiewe rook is ook ’n belangrike risikofaktor.
2 Doen oefening. Dit hou minstens twintig verskillende gesondheidsvoordele in.
Oefening maak die hartvate sterker en meer oop, dien as stresontlaaier en bekamp oorgewig. Fiksheid kan jou risiko vir hartsiektes met ’n derde verminder. Onfiksheid is selfs ’n groter gevaar vir jou hart as om oorgewig te wees. Probeer om minstens twee uur per week te oefen.
3 Beheer jou gewig.
Hoe vetter jy is, hoe dikker is die vetlaag om jou hart en ander organe. Mense met ’n appelvormige lyf – die manne met die boepe – het ’n groter risiko vir hartsiektes as iemand met ’n peervormige lyf.
4 Vette in die kos.
Eet van jongs af kos wat min versadigde en transvette bevat.
Dit keer dat ’n spesifieke hartgeen aangeskakel word.
5 Vetsure.
Eet minstens drie keer per week vis en ander kos wat baie omega- 3-vetsure bevat.
Kies haring, makriel, tuna, sardyne, forel, salm en ander olierige vis. Hierdie "goeie’" vette kan jou risiko vir bloedstolling en diep veneuse trombose verminder. Boonop laat dié vette jou gouer versadig voel.
6 Voedsel keuses.
Eet meer vars groente en vrugte, veral sitrusvrugte, spinasie en ander groen, blaarryke groente, want hulle bevat baie vitamien B en foliensuur wat mense met hoë cholesterolvlakke se hart kan beskerm.
7 Vesel.
Eet meer veselkos soos hawermoutpap.
Tien gram ru-vesel per dag kan jou risiko vir ’n hartaanval met 20 persent verlaag. Soek veral na die sogenaamde "Oat Bran"; dit het ‘n geweldige goeie effek op cholesterol.
8 Ken jou tellings en hou dit in toom.
As jy jou bloeddruk van 140/90 mm Hg kan verlaag tot 120/80 mm Hg, kan jy jou risiko van ’n beroerte halveer. Met elke breuk wat jou slegte LDL-cholesterolvlak daal, daal jou risiko vir ’n hartaanval ook. As een bloeddrukmiddel se newe effekte jou pla, gesels met jou dokter sodat jy ’n ander een kan probeer. Moenie net jou middels staak omdat jy lus het nie. Inteendeel moenie ooit enige voorskrif medisyne uit eie besluit staak nie.
9 Leer om stres te verwerk.
Dit lyk ál meer of langdurige stres ook die bloedvatwande vatbaarder maak vir skade. Leer om te ontspan. Begin met vyf minute per dag en verdubbel die tyd elke dag totdat jy effektief en doelbewus ontspan vir ten minste 2 uur voor slaaptyd. Om te gaan slaap soos ‘n opgewende horlosie-veer is net moeilikheid soek.

911 !!!
As ’n mens benoud voel, skielik moeg is of ’n sooibrandgevoel oor jou maag en bors het, veral ná oefening, kan dit ’n angina of ’n hartaanval wees. Jy moet beslis nie eers wag en kyk of die sooibrand ’n hartaanval is of nie. Toediening van ’n stolsel-oplosser binne drie tot vier uur kan ’n lewe red en die kans vergroot dat die pasiënt sonder hartskade herstel.
Wees ingelig

New in stock: A more feminine Shower Gel with seductive Jasmin. From the colour to the lingering fragrance of Gardenia Jasminoides, this will drag you back to the shower every time!
To be launched soon:
A more masculine Shaving Cream for the manne. But equally as effective for ‘em long legged ladies if the men do not hide their own creme permanently!

Thursday, October 11, 2007

Newsletter September 2007

Just another day in paradise....Phil Collins wrote this song many years ago and tonight the meaning is lost to me but the title explains my feelings... I have my son Christiaan home for the week, my parents arriving tomorrow, my sister and my daughter Lize and soon-to-be son in law Dirk arriving in 3 days for the weekend. Plus most of my friends are here or arriving soon. Why? Little party for little birthday.
‘Nough said.

Oh yes, my wife is still here as well. (She made me say this).

Let’s get back to the pothole issue (been dragging on in this newsletter for two months):
I am so proud to announce that the not-so-subtle hints directed at the local authorities finally paid off. Yes. They finally addressed the pothole issue with purpose. They took one of the potholes in Mitchell street and relocated it to Douglas street!

I am now the proud owner of my own pothole. They stole it from somebody else and installed it right in front of my driveway. I am so sorry for the personal loss someone in Mitchell drive suffered because of this but I am proud to announce (and to comfort them) that this, my own new pothole, is alive and well, living in Douglas road (acknowledgement to Jacques Brell).
In fact, it is so alive, it is growing at an almost exponential rate! Every morning it is just so much bigger. It multiplies overnight... I am sure Steven Spielberg can make something out of this...but thank you, Mr Local Authority, I will nurture it and see that it grows to (your) standard proportions. If, one day soon, I do not arrive for work, let it be known that I went into the hole and never resurfaced...

Quote of the week: Mr I.M. Patient, waiting patiently for his repeat prescription was prompted about the recent slip of our (beloved) national cricket team in the 20twenty Wcup: "The biggest tragedy is that they didn’t play abroad....then we could have made the buggers swim home". In retrospect, what a tournament! Such class! The old Leather-on-Willow will never be the same.
Let me in the same breath state that (so far) our rugby is outplaying my (and many other’s) hopes. Such national confidence!?
Why do we even doubt them? Sisssssss! Let us all unite and wish them well. Go John! (And Go Bobby! {for Dr Skinstad’s sake})

So now we have covered the (spooky) local phenomenon of migrating potholes, the (sorry) state of our cricket, the (brave) state of our rugby, the (....watch this space .....) coming health week..(in fact, see bottom part of page 2 for details)..

Did we do something that you thought might be worth discussing? Please phone 0393150040, email pcn@venturenet.co.za or jut stop me on the road cycling......
As they say, Spring has sprung and we are on our way to a lovely summer with long days and lots of opportunities to panelbeat our winter-softened bodies. In line with our coming health week in October, let us look at exercise.

Exercise away your blues
Regular exercise may work as well as medication in improving symptoms of major depression, researchers have found.
In a study of 202 depressed adults, investigators found that those who went through group-based exercise therapy did as well as those treated with an antidepressant drug. A third group that performed home-based exercise also improved, though to a lesser degree.
Importantly, the researchers found, all three groups did better than a fourth group given a placebo -- an inactive pill identical to the antidepressant.
Doctors may not start widely prescribing exercise as a depression treatment just yet. But for patients who are motivated to try exercise, it could be a reasonable option, the study authors say.
By the end of the study, it was found that 47 percent of patients on the antidepressant no longer met the criteria for major depression. The same was true of 45 percent of those in the supervised exercise group. In the home-based exercise group, 40 percent had their symptoms go into remission. That compared with 31 percent of the placebo group.
How it may work
There are several theories on why exercise might improve depression. For example, physical activity seems to affect some key nervous system chemicals -- norepinephrine and serotonin -- that are targets of antidepressant drugs, as well as brain neurotrophins, which help protect nerve cells from injury and transmit signals in brain regions related to mood.
Exercise may also boost people's feelings of self-efficacy and promote positive thinking. Some experts speculate that group exercise, with its social aspect, may have added benefits.
Though the home exercise group in this study did better than the placebo group, it's not clear whether it's as good as supervised classes. Home exercise may be more convenient, but patients possibly do not push themselves as hard on their own.
So get off that couch, switch off the TV, put away the stress-ball and get ready to join some exercise program. It will, as a side effect, trim the body into a mean shape and last but not least, it might just save you from another lifestyle scourge, namely Metabolic Syndrome.

This is something that we want to address in all seriousness next month during our "State of your Health" week.
During this period (October 1-5) we will do the following to bolster awareness of this syndrome:
Full Lipogram (Total Cholesterol, HDL, LDL, Triglycerides)
Blood sugar
Blood pressure
Cardiac Risk Profile
BMI (Body mass index)
Waist circumference (waist to hip ratio)
Results while you wait
Free information pack on conditions featured namely Hypertension, Obesity, Cholesterol, Insulin resistance, Diabetes II, Lack of exercise.
We will supply information on diets, precautions and all the do’s and don’t’s.
Price?
Only R150.
But please phone for an appointment. We are getting full already so do not delay. Your may not be as healthy as you think.

Ek het aanvanklik gedink dat ‘n artikel oor aanvullings vir kinders nie goed ontvang sal word nie omrede die demografiese verspreiding wat betref ouderdom in my teiken area, maar toe besef ek dat elke persoon wat hierdie lees of self klein kindertjies het of, bevoorreg is om ‘n oupa of ouma te wees. So neem kennis en neem aksie.
Volgens die kenners het kinders deesdae redelike ernstige gebrek aan baie van die belangrike voedingstowwe soos vitamiene en minerale.

Vandag is dit bykans onmoontlik om 100% van die voedingstowwe te verkry uit die kos wat ons eet. Faktore soos ons besige skedules wat lei tot die eet van kits kosse, die manier van kos voorbereiding wat weereens baie keer gebasseer is op spoed en nie soseer kwaliteit nie, vinnige rypmakings-prosesse op plase, hormone wat toegevoeg word, voedsel bestraling om raklewe te verleng, genetiese manipulasie, preserveermiddels wat bygevoeg word, en ook begrotings kwessies wat ons somtyds laat gryp na die goedkoper opsies instede van die beter voedings-opsies, alles het tot gevolg dat die aanbevole daaglikse inname van meeste van die belangrikste voedingstowwe nie bereik word nie.

By kinders in die groei-fase van hulle lewe is ‘n gebrek aan enige van die voedingstowwe baie ernstiger as by volwassenes. Ons as groot mense kan dieet tekorte gou aanspreek en normaliseer, maar kindertjies groei baie keer op met ernstige tekortkominge in hulle dieet en dit wys eers dalk eendag as hulle self groot is, maar dan, helaas, is dit te laat om te herstel. Die kind het met die probleem opgegroei en die tekort het dan deel geword van sy lewe.
Ons moet dit nou aanspreek en seker maak dat hulle die regte stowwe, in die regte verhoudings, in die regte formaat, inkry.

Studies het gewys dat een derde van kinders ‘n tekort het aan yster, ‘n half het ‘n tekort aan sink, en soveel as negentig persent kry te min magnesium in. Meer as die helfte het ook hopeloos te min vitamien C in hul daaglikse inname en soveel as dertig persent het erge tekorte aan vitamien B-6.

Die maatskappy Bioharmony het in assosiasie met Patrick Holford getree en bring nou internasionale voedings deskundigheid na Suid Afrika. Dit verseker die hoogste standaarde van veiligheid, effektiwiteit en kwaliteit. Patrick se navorsing het gelei tot spesifieke formules wat die bou-stene is van goeie gesondheid en balans en welsyn.
Die maatskappy bemark ‘n produk wat hulle noem Optimum Nutrition for Smart Kids. Die naam behoort eintlik te wees Optimum Nutrition for Kids by Smart Parents! Hierdie is die naaste aan die volkome voedings aanvulling wat daar te verkry is.
Hierdie middel bevat 12 vitamiene en 10 minerale in bio-beskikbare vorm, dit is nutrisioneel geskik vir kinders 1 jaar en ouer.
Dit is vry van suiker, laktose, koring en glutien.
Dit word versoet met xylitol (geen aspartame of sakkarien)
Beskikbaar in natuurlike vrugte geure.
Ook beskikbaar in die reeks is Get up and Go for Smart Kids. Ek kan nie genoeg onderstreep dat kinders regmatig moet kan aanspraak maak op die regte voeding nie. Ons sit alreeds met die sogenaamde "passiewe generasie" as gevolg van TV, rekenaars, allerlei elektroniese goeters wat kinders weghou van gesonde, aktiewe, speel-speel grootword. Ons skep onaktiewe, oorgewig, ongesonde, fast-food kinders. Gee hulle ‘n kans.