For some time, I have been interested in the different approaches to the personal safety by airlines and the medical profession. If you travel by air, you can be confident that safety is paramount, especially when using reputable companies. They are controlled by tight regulations but more importantly, it is totally recognised that if there is the slightest doubt about the commitment to passenger safety, people simply will not use that particular airline. By contrast, the attitude to patient safety in hospitals is positively cavalier. Some years ago it was estimated that in the USA, the number of people exposed to unnecessary hospitalization annually is 8.9 million. Even more revealing is that the total number of iatrogenic deaths was 783,936 (1). I have just discovered that a detailed comparison has been done by Thomas J Moore in his book entitled “Heart Failure: A Critical Inquiry into American Medicine and the Revolution in Heart Care”. Remarkably, this was first published in 1989 (2). I am finding it absolutely fascinating and it provides great insight. Although it is based on his experience in the USA, many of the elements are also applicable to many other countries, including the UK. This is because similar attitudes prevail, especially in the English-speaking world. Operating an airline like an operating theatre This blog is based on the chapter “No Way to Run an Airline”, which...Read More
An essential nutrient? CoQ10 (Ubiquinone) is a coenzyme, which is a vital substance in the body that has many important functions. It plays a key role in the generation of energy in the mitochondria, which are the “powerhouses” of the cells. It also acts as one of the few fat-soluble antioxidants for mopping up Reactive Oxygen Species (ROS) that are released during energy production. If they are not removed, they cause damage to the cells. This applies especially to the muscles, which includes the heart. Because of its importance in the body, some workers in the field recommend that it should be regarded as a vitamin. It has been shown that with certain genetic conditions there is a deficiency in the amount of CoQ10 that can be produced, which includes: Encephalomyopathy; Severe infantile multisystemic disease; Cerebellar ataxia; Isolated myopathy; Nephrotic syndrome (1). It has also been established that the ability to produce adequate supplies falls off as people grow old. Patients with various types of heart disease often have a deficiency of CoQ10 and can be treated successfully by taking a supplement. CoQ10 is fat soluble and is naturally present in small amounts in a wide variety of foods but is particularly high in organ meats such as heart, liver and kidney, as well as beef, soy oil, sardines, mackerel, and peanuts. Deficiencies of CoQ10 A detailed explanation of...Read More
The case for the widespread use of statins is extremely flimsy. The trials that provide the justification have been subject to detailed criticisms (1). In any event most of them were conducted before effective regulatory controls were introduced. As most of the work has been with men, the case for using statins with women is based on the very dubious assumption that the impact will be exactly the same as in men. Clearly this is fallacious, not only because of biological differences but also because at any given age, the risks of developing heart disease are much smaller in women than in men. A detailed critique of the evidence was published in 2004 (2). Here are the main points: Many of the clinical trials of lipid lowering treatments did not include women and others did not include adequate numbers of women to allow sex-specific analyses. Some of the trials that did report results in women reported aggregate events (eg. major coronary events), but did not report specific outcomes such as CHD death or nonfatal myocardial infarction (MI) separately. In the investigation, although over 1,000 were considered initially only 13 studies (represented by 23 articles) were found to be both eligible and to contain data stratified by sex for inclusion in the systematic review. The total number of women included in the trials was 17891, but almost two thirds were...Read More
When the dietary guidelines were first introduced about 40 years, one of the key recommendations was the population intake of sodium should be reduced. Effectively sodium was identified as a “baddy” and that efforts should be made to keep the amount consumed as low as possible. This remains the official position here in the UK today. Based on the report of the Scientific Advisory Committee on Nutrition (SACN) of 2003 (1), the UK Government has recommended is that the maximum intake of salt for adults and children over 11 years should be 6g per day. The food industry has been encouraged by the Government to reformulate processed food products in order to reduce the salt content. This programme has certainly had an impact. The results of surveys show that the mean intake for adults aged 19 to 64 years has fallen from 8.0g per day in 2005/6 to 7.1g per day in 2014 (2). The doubts emerge So while the authorities continue to push for a reduction in salt intake, there evidence appearing, which suggests that some people may not be consuming adequate amounts. One of the problems in determining the recommendations on the maximum (and minimum) amounts of any nutrient to be consumed is that the information available can be very limited. Hence assumptions are made that turnout to be faulty. The most effective way to check if...Read More
Diabetes gets worse One of the greatest scandals of modern times is the advice offered by the mainstream medical and healthcare professionals to those who are diagnosed with both Type 1 Diabetes (T1D) and Type 2 (T2D). With respect to diet, they are encouraged to reduce their intake of fat and to increase complex carbohydrates. The inevitable result is that there is no improvement in the condition: Invariably it gets worse. On top of all this, the incidence continues to increase as do the costs to the NHS. The issue is not restricted to the UK: there is a similar pattern in many other countries. The extent of debilitation and suffering experienced by those affected can realistically be compared with other large scale disasters such as war or famine. Excess sugar and carbs The unique aspect of diabetes is that it is comparatively easy to resolve. It has been established that the cause of T2D is excessive consumption of sugar and carbohydrates. There is compelling evidence and numerous case histories, which demonstrate conclusively that the disease can be controlled successfully by switching to a diet low in carbohydrates and high in healthy fats (LCHF). This is in direct conflict with the standard advice from the mainstream sources. Despite repeated submissions and requests for a thorough review of the current national policies, politicians and leaders of the professionals remain in...Read More
- Reduce the carbs if you wish to improve health and lose weight. Now Harvard gets the message.
about 36 mins ago
- The stories of how
@PatriciaDaly_ and @DominiKemp both recovered from cancers by using a ketogenic diet.
about 56 mins ago
- Dr John Briffa @drbriffa: patient successfully treats T2D with low carb diet. Consultant not impressed.
about 1 hour ago
- Does it make sense to devise a policy on statins for women based predominantly on studies with men?
about 2 hours ago
- #LCHF success with T2D. Thanks to David Unwin
@lowcarbGP, Trudi Deakin@XPERTHealth and Marika Sboros
about 2 hours ago