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Archive for November, 2007

I know, you might be a bit underwhelmed by this news, but scientists have found that

found that the baby’s intellectual development is influenced by both genes and environment or, more specifically, by the interaction of its genes with its environment.

Apparently, nine out of ten children have a particular gene. When this gene is present breastfeeding increases their intelligence. When it’s not present (one child in ten, the breastfeeding doesn’t make a difference)

The thing that really grabbed my attention however was in the conclusion –

“We’re more interested in proving to the psychiatric community that genes usually have a physiological effect,” Moffitt said. “When looking at depression or intelligence, the key bit that’s often left out here is the environmental effects.”

Surely this is where the future discoveries will lie – in understanding the way in which genes and the environment (and I include nutrition here) interact to affect mental functioning.

Here’s to more joined up thinking!

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One of the main themes of this blog is that we are all different and when it comes to health a one-size-fits-all approach fails to address that reality.

This is certainly true of diet where the old adage “one man’s meat is another man’s poison” is so right. But here’s an interesting piece of research into the role of exercise in weight loss.

“This study is the first evidence-based study that shows despite people doing the same amount of supervised exercise people lose different amounts of weight.”

Turns out peoples’ bodies respond differently to the same amount and type of exercise. It really is the case that you need to find what works best for YOU.

You can become the expert in your own body by observing carefully and becoming aware of how different foods and different activities affect you.

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About me (updated)

My fellow blogger, sugarmouse in the rain, suggested I update my about me page to include a photo and something about why I blog. So, I’ve taken his advice.

Click on the “me” tab at the top of the blog to go and read it.

By the way, I really am open to suggestions, love to get creative feedback and am happy to respond to requests if I can.  Let me know if there’s an issue you’d particularly like me to cover (for example, damewiggy recently asked for a post on nutrition and mental health)

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red

red, originally uploaded by bobsee.

What can I say?
Just glorious red!
Took this the other day there in the garden of Glasgow Homeopathic Hospital where I work

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I know, this is going to sound odd, but did you know that just because you have a symptom doesn’t mean that you have anything wrong? It’s odd because most of us only go to see a doctor because we have symptoms – pain, or dizziness, or lack of energy, or whatever. Kurt Kroenke and others have done a lot of interesting work on this phenomenon, showing that if you take the top 10 symptoms patients complain of to their doctors, over 80% of them never turn out to be related to any pathology or disease.

Charlie Vivian, an Occupational Health Consultant in Gloucester, wrote an excellent letter to the BMJ about this. Here’s a quote –

Western medicine is based on the biomedical model. This model is reductionist—all symptoms can be explained by underlying pathology—and dualist—if there is no pathology, it’s all in your head. This model was drilled into us at medical school and is the principal model for the National Health Service. Society largely accepts the model too.

But it’s wrong. For up to 90% of people presenting to their general practitioner with genuine physical symptoms, the symptoms are not explained by pathology. It is also not appropriate to label most of these patients as anxious or depressed. I now explain this to patients, and tell them that the problem lies with the model, not with them. It is normal to have genuine physical symptoms that cannot be explained through radiographs or blood tests.

You know, a lot of doctors don’t know this! There’s a general assumption two ways – that if someone has symptoms they have a disease, and that if a disease is treated then the symptoms will get less. Neither is actually true. For many people their symptoms are only indirectly related to their diseases. He also nicely summarises some of the psychological impediments to recovery from disease –

catastrophising (fearing the worst), low mood, avoidance behaviour, and having an external locus of control (for example, make me better doctor)

I like that latter summary. It gives us things to work with.

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sugar with that?, originally uploaded by bobsee.

We all have different rhythms, and different ways of getting going, or keeping going.
Popped into Tinderbox (the Byres Road one) recently for breakfast and saw this cup lying on the next table.
Can you imagine taking this much sugar in your coffee to get going every morning?

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forest sky

forest sky, originally uploaded by bobsee.

Have you ever stood in a forest, looked right up above you and turned around?
The tall trees spin the sky above your head.
It’s a bit like when you look up at clear night sky out in the country and you feel very, very small.

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Patterns, originally uploaded by bobsee.

Our brains are really good for spotting patterns. In fact, pattern-spotting is one of our core skills.
Maybe that’s why this view from Skye really struck me while I was clambering over the rocky beach.
I just found it amazing how the angles matched up here, weaving together the foreground and the background

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I’m a Lord of the Rings fan – both the book and the movies. One of my favourite scenes is this one –

I find this inspiring. I think this is what we can do. If you have passion for life, you light a beacon. That beacon spreads light that changes lives. If I had to write down one tip for a better life it would be this – be passionate. Passion is flow. The Chinese have a concept of Chi – a kind of energy. Csikszentmihalyi espoused the concept of “flow“. In modern, Western terms, we are able to be very aware of energy. I often ask medical students to take a score from 1 to 10 where 1 is the worst possible energy they can imagine and 10 is the best possible and to tell me what figure they’d apply right now to describe their own energy state. They can all easily state a number. Then I ask them to do the same thing for their mental energy and they find that equally easy. Then I ask them how they came up with the numbers they picked. What did they assess, and how did they do that? What criteria did they use? Which parameters did they pick? They don’t know. We assess our own energy levels holistically and intuitively. We don’t have to break it down into components, and the strange thing is that the energy we are measuring is not measurable by either instruments or others. Only we are capable of assessing and experiencing our own energy levels.

I think this “energy” idea is related to flow. Flow can be thought of as the Western equivalent of Chi. When the flow is strong, and we are “in the flow” then we feel well, our energy feels good and we alive and healthy. When our flow is weak, we’re unwell. Passion is both a product and a cause of this flow. When we are passionate about life, our energies flow, our creative abilities surge, our resilience is strong and we touch, and are touched by, others. Passion is contagious.

Pass it on.

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Research by Danny Dorling at Sheffield University has shown clear links between inequality and death rates.

Sure, there’s a kind of intuitive logic to the fact that poorer people suffer poorer health, but a slightly less intuitive finding is that the amount of social inequality (as indicated by the differences in income between the poorest and the richest) impacts on death rates in all countries, rich or poor. So, within any one country, when social inequality gets greater, mortality rates rise. Danny Dorling’s research has shown that this is an age dependent factor – he’s shown that the larger the inequalities in a society, the greater the mortality in people from 15 – 65 ie. people of working age.

there is an age related mechanism that results in higher mortality being experienced in societies where there is greater social competition, all else being equal. Higher rates of income inequality tend to reflect more competitive rather than more cooperative societies. Whatever the mechanism that results in harm from competition (or protection from cooperation), it has its strongest effects in early to middle adulthood.

One of his conclusions particularly struck me –

social inequalities as reflected through unequal incomes are damaging to health for those living in both rich and poor nations, and the direct mechanisms for such damage are likely to vary by area. Psychosocial stress is unlikely to be the only route by which income inequality damages health. However, the underlying mechanism may be similar—that, because humans are social animals, human health is best protected when people cooperate.

It’s that last phrase that really interests me. “…..because humans are social animals, human health is best protected when people cooperate”

It’s always been the case that the big impacts on the health of populations doesn’t come from the skills of doctors, or the power of drugs, but from the changes in the contexts of peoples’ lives. Education, housing, sanitation, food and water, and income are still the most powerful levers of power in the creation of health.

Yes, of course, there’s lots we can do as individuals. We can make choices about our own lives. And when we are sick individual treatments can make a difference, but if we want more people to have more health, if we want to reduce suffering from cancer, heart disease, mental illness and a host of other diseases, the big gains come from changes in these areas. How we behave towards others, whether or not we value competition or cooperation more highly, impacts on the prevalence of disease and on death rates in people under the age of 65.

One of the things I love about the net, is how it gives us a chance to build our links, to share ideas and thoughts, to encourage and inform each other. In short, to cooperate. And, well, who would have thought it, turns out that’s good for you!

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