STURGIS WAS A MISTAKE
https://thehill.com/homenews/state-watch/515453-sturgis-motorcycle-rally-was-superspreading-event-that-cost-public
I understand that riding motorcycles is all about freedom.  We all want freedom.  But freedom involves being alive.  The people who traveled to Sturgis made a mistake.  The people who didn't wear masks when they were going to bars and concerts made a mistake.  The mistake causes innocent people to die.  I've been in Flagstaff AZ where a spike is happening, like many places, due to the mixing of college students.  One young man visited his father without realizing that he had the virus, and his father died.  This really does happen and it is a tragedy every time.

AGE IS STILL THE BIGGEST RISK FACTOR FOR COVID DEATH
https://www.nature.com/articles/d41586-020-02483-2
Of course there are the 100 year olds that survive the virus but they are outliers.  Basically the risk of mortality is near zero until age 50 and then it skyrockets.  This has been shown in lots of different human populations.  Protect your elders.

One thing that has become increasingly apparent is that this pandemic virus is deadly to those who are already weakened by life, and harmless to many who are young and strong.  There are many possible explanations to this phenomenon, and I want to share with you my thoughts on why.

Very young children for the most part don't get the infection at all.  This is likely because their mucosal immunity is strong.  Mucosal immunity is the defenses that live in our noses, throats, and intestine, specifically defensin, cryptidin, and secretory IgA.  There are antibodies called IgA in our saliva.  These things are capable of disposing of a virus before it even gets started infecting our cells.  Most American adults don't have strong mucosal immunity, but in children it is highly effective.  "Secretory IgA can be measured directly in stool, saliva, and breast milk to assess the degree of mucosal immunity," but in modern medicine this parameter is rarely if ever measured.  It is however possible to make it stronger in adults, by the way that we live.

Older children and young adults can be infected and carry the virus but they are less likely to get badly sick.  This is at least in part because the T-cells of their immune system are strong and active and can find the virus and kill it, and because they have lower levels of inflammation so they don't go into cytokine storm.

Middle aged adults are starting to have more chronic health problems, and this is what makes a person susceptible to a very bad case of the virus.  Being obese is one of the worst risk factors.  In the news they talk a lot about heart conditions and diabetes, but these things are strongly linked to obesity.  Obese people have higher levels of inflammation throughout the body, including in the liver which clogged with fat, and the brain which responds by getting depressed. Obesity also impairs the immune system, reducing mucosal immunity as well as the T-cell response and letting the virus get a foothold and grow.

Older adults most often have an assortment of health conditions.  The ones who've gotten overweight or obese are unlikely to survive when they get the virus.  The ones that are lean and active might survive, like the 100 year old veteran in Portland who got it and came out topside.

The lesson from these patterns is clear.  If you are declining into the diseases of abundance which are so common in America, you are at risk.  Being medicated for your high blood pressure and excessive blood sugar will not save you.  If you maintain a healthy body weight and exercise vigorously you are less at risk.  Covid-19 is a lifestyle disease, it is sorting us out by our most basic level of health.

If you would like to work on your basic health, nobody is better suited to help you than a naturopathic doctor.  Conventional physicians are too busy fulfilling the requirements of their network and insurances to really study on diet and lifestyle.  They want to do what we do, but they can't, not in a 15 minute visit.  Changing your diet and lifestyle and increasing your base health, is a gradual process.  You can start today by cutting out some sugar and moving your body just a little bit more.  Good luck!! 

If you'd like a health assessment and tips on how to improve your particular situation, feel free to touch base with me.  I'll ask you to do a diet diary (you can download the form on the bring page in this website) first so I know what you eat.  I'll want a full list of the medications you take, and the supplements.  Then we can talk on the old fashioned telephone.

Walking.  We figure out how to do it after crawling for a while.  We do it for decades without a second thought.  We skip and run, we carry loads and climb ladders and live life on two feet.  Walking is effortless.  

When an injury happens, suddenly walking isn't so easy.  We must learn how to walk again, step by wobbly step, using crutches, rails and the strong arm of a friend. Over the years our injuries accumulate.  It isn't many few decades after we stop crawling that we begin to stiffen up and slow down.  Arthritis brings persistent pain into our paces.  

Healing is spontaneous most of the time, and sometimes we get knees repaired or joints replaced.  When walking isn't so easy, we appreciate just how important it is.  Our ability to walk is part and parcel with our lives.

Walking speed correlates directly with life expectancy in our later years.  Fast walkers live longer.  Overall, not in every specific case.  When congestive heart failure (CHF) strikes and we are confined to our beds, walking can save us or kill us.  Research has shown that most people with CHF get better when they begin a program of walking.  A few individuals have worse outcomes, early, the rest of have better outcomes, period.

Walking is a test and if you pass, you live.

The irony is rich. The term "snake oil" has come to mean everything that is fraudulent. The reference is to the infamous "snake oil salesman" who pitched and sold his wares out of the back of a wagon to the unsuspecting villagers of the American west.

Snake oil has real medicinal value. It was used as medicine before the North American continent was on the map. Centuries ago the Chinese used an oil made from a cold water snake called Enhydris chinensis to treat joint pain and bursitis. It was introduced to the US by Chinese laborers who worked on the Transcontinental Railroad in the mid 1800's. There's evidence that the ancient Egyptians used it too. In the early 1700's the English had a patent medicine made from snake oil. Snake oil was sold here as a panacea in the early 1900's, but the products sold were probably more filler and adulterant than they were actual snake oil.

So what's in it that's good for you? Snake oil, depending on the snakes used to derive it, can be a rich source of an fatty acid known as EPA, eicosapentanoic acid. EPA is used by the body to synthesize series 3 prostaglandins, which are anti-inflammatory and pain relieving. You can know EPA is important because it's in human breast milk.  EPA is effective for treating depression, improving cognitive function, autoimmune diseases including rheumatism, high cholesterol, hypertension, and more. 

EPA can be derived in the body from other fatty acids, but it's much easier to eat in your food. The richest sources are fish: herring, mackerel, salmon, trout, pilchards, menhaden and sardines. Fish do not make their own EPA. They get it from eating algae like spirulina, which we also can eat. Plant foods don't contain any EPA at all.

Part of the reason it's easier to eat EPA than to make it in your body has to do with human genetics. Some people have the gene to make the enzyme which lets them convert ALA (alpha linolenic acid) into EPA. Other people have mutations in their genes that limit their ability to do the conversion. Diabetes and some allergies also limit a person's ability to convert ALA to EPA. ALA is an essential fatty acid, meaning that no humans can make it; we have to get it from the diet.

If we don't make it very well, and we don't eat much fish, we need to get our EPA some other way to keep our cell membranes happy.  Many healthcare professionals recommend that we take fish oil.  Fish oil contains 12-18% EPA.  Salmon oil tops the list at ~18%.  Chinese water snake oil contains ~ 20% EPA, whereas rattlesnake oil is said to contain 8.5%. Cod liver oil has more DHA than EPA and is best reserved for specific uses, like building baby brains or healing brain injuries.

The reason why some snakes have more EPA than others has to do with the temperatures that they live in. Snakes and fish are both cold blooded, so they have to function with their bodies at the same temperature as their environments. Omega 3 fats like EPA don't harden in cold temperatures like omega 6s do. They help keep cell membranes flexible. Flexible membranes don't get injured as easily, and are able to function better. Cold water fish, or cold water snakes, will have more EPA than those that live in warm sunshine, like rattlesnakes.

The next time someone tells you that a treatment is "snake oil", remember this. Public attitudes and language reflect our history, not our future. Science continues to give us reason to revise belief systems, erase myths, and sometimes to welcome old treatments back into the fold.

Recent post by Dr Gryder at the Madness Medicine Blog.

Macular degeneration is the #1 cause of visual loss in folks over 55, and it is #2 after cataracts in folks over 65.  Until your 40's, you might never even hear about it.  But if your own vision begins to change and worsen, you might wish you'd started to pay attention sooner.  To that end, here are a few things you can do to keep your eyes healthy.

One of the best things anyone can do for themselves is to eat foods that support health.  Any doctor who is worth her salt will tell you how to optimize your diet for your particular health needs.  The eyes in particular are sensitive to metabolic disease and systemic inflammation, which can be caused by eating bad (trans) fats, having high blood sugar, and not consuming enough antioxidants.

All antioxidants, including the ones you get from eating berries and bright colored vegetables, are fair game.  The more the merrier, in fact, because they seem to have synergistic effects.  The specific antioxidants that are protective pigments in the eye are lutein and zeaxanthin.  You can buy supplements that have these things in them, but you don't have to.  The best way to get these may be by eating good food.  Dark leafy greens are an excellent source of these and of vitamin A. Spinach salads, kale, turnip greens and collards are best, but anything green probably has some of it in there.  If you're not wild about greens, maybe you can find some other way to get a daily dose of them, such as putting them in casseroles and blending them up in a yummy fruit smoothie.  Other vegetable sources of are broccoli, pumpkin, brussel sprouts, and sweet yellow corn.  Anything that is brightly orange or yellow-colored has a chance of containing some.

One of my favorite sources is egg yolks.  Each egg yolk contains approximately 210 micrograms.  You'll notice, if you're an egg-eater, that egg yolks are not all the same color.  The ones you want are the brightest, orangiest ones you can find.  Usually organic eggs have better color, but they are so expensive that many people balk.  You can scope out the best source of eggs from your grocery store by noting the yolk color each time you break some open.  If you have two different brands, break open one from each dozen and compare.  When you go shopping again, bias your buying toward the brighter yolks.  They're good for your eyes.  Eggs also happen to contain B vitamins and choline which are good for your brain and liver and most everything else.  And in case you hadn't heard yet, eggs do not drive up your cholesterol, so if you stopped eating them for that reason, you can start up again now.

Another dietary addition that is great for the eyes is Brazil nuts.  They contain just enough selenium that eating 2/day will keep you replete for the nutrient.  If these nuts aren't your favorite, try chopping them up and mix them into your breakfast oatmeal.  You won't even notice them, but they will help your eyes and support many other body systems as well.

Aging gentlemen need to be aware that taking a lot of zinc, without also consuming plenty of antioxidants, could actually cause macular degeneration.  Zinc is great for the guys because it helps prevent BPH, so lots of men take it later in life.  Make sure you're also eating colorful fruits and berries to prevent this possible negative effect!


One last suggestion that might help you keep your vision longer is to always protect your eyes from the sun.  This means buying quality sunglasses and using them when you're in bright sun.  Never stare directly at the sun (just like your momma said), and use hats to help protect your eyes when you're out for a long time.