My Five Favorite Medical Myths

My Five Favorite Medical Myths

When you leave med school and residency, you are pretty sure you’re all that and a bag of tater chips. I did. Then, practicing medicine became a long and humbling journey. I’ve learned a lot, and I thought I’d share some falsehoods from my training, just in case these rumors are still circulating.

1. The body does things randomly. 

This is a common misconception in medicine. The doctor will say, “Oh, you have high blood pressure, well this pill will help lower it.” It may be true the pill will help, but high blood pressure is a reaction to a problem. It doesn’t just pop up.  You do not have a “pill” deficiency.  The question should be, “What is the body trying to tell us?” If we take the high blood pressure example, it may point to issues like nutrient deficiency like magnesium, or sleep apnea, or generalized inflammation, which leads to more diagnoses than just hypertension. The body is always talking to us. Functional Medicine helps us interpret what it’s saying.  

 

2. Nuts cause diverticulitis. 

This was passed down with relative authority in my training and was accepted as the truth by the medical community. We told patients to avoid nuts, popcorn, and fruit with small seeds. Diverticula are small pockets that form in the colon walls due to tissue weakness caused by increased pressure due to a lack of fiber. The assumption of nuts and seeds causing diverticulitis seems reasonable at first because small things fit in small pockets. The truth is, taking away the above foods takes away a great source of fiber for our good bacteria, which are essential for low pressure in the colon, and may increase your risk for diverticulitis. The research supports that these foods don’t cause diverticulitis.  

 

3. A calorie is a calorie.  

If I could get this belief to die, I would be a happy provider. “If you want to lose weight, eat less the 1400 calories a day” was the mantra they taught me. It didn’t matter where those calories came from. No one seemed to understand different foods cause totally different hormonal responses. For example, 100 calories from vegetables/ protein cause leptin release, curbing hunger and decreasing fat deposition. Sugar does just the opposite. You release ghrelin, which increases appetite, and fat deposition because of the insulin spike. Also, your genetics are a factor in determining which calories are best for you. For some people, monounsaturated fats like avocado cause weight loss, whereas saturated fat like coconut oil causes weight gain. You need to understand your genetics if you are going to understand why a calorie is just not a calorie. Even without your genetics, you can make your calories go a lot further by choosing to eat whole foods.

 

4. What you eat is irrelevant to your health. 

When I left med school, the knowledge about the GI tract’s role in our immunity was in its infancy. That it is associated with diseases like arthritis, depression, anxiety, asthma, allergies, and so on was not being taught. Our diet has everything to do with our body’s “random” actions. If you have a medical issue, the diet is the first thing to change.  Over 90% of our immune system activation occurs in the small intestine, and an overactive immune system drives all the diseases listed above and many more. It makes sense to start here. You’ll usually see amazing results if you remove the most inflammatory foods like sugar, gluten, and dairy.

 

 5. Vitamins make expensive urine. 

This is a saying in medicine that is as old as the hills. I still hear it often, and the literature doesn’t support it. Here is an example of why this is not true-90% of us are deficient in choline and need supplementation. 

Here is a list of things choline does for us: 

  • Unborn children have improved stress resiliency and improved cognition 
  • It prevents fatty liver disease
  • improves mentation and helps fight memory loss. 

Surprise! It’s not expensive at all and definitely does not go into your urine. There are countless minerals like magnesium, vitamins like zinc and vitamin D3, and supplements like curcumin, resveratrol, and omega 3’s, to name a few where research shows supplementation makes a huge difference. Now absorption matters here, and the quality of the supplements determines bioavailability, but this is complete crap that “vitamins make expensive urine.” 

I’m glad for all these myths now. Having believed them and then finding out they weren’t true, I assume nothing and research everything now. 

The Long Hard Ride

The Long Hard Ride

I was cleaning out my house for the last time (it took me three trips from Ohio to Colorado to get completely moved) when I found a gift from my wife from years ago. It was a wedding gift: a leather-covered flask and on the front was the quote “For the long hard ride.” When she gave me this, we were riding horses in Kentucky every weekend, sometimes 25 miles a day. And when in Kentucky, do as the Kentuckians do and drink your Vitamin B (Bourbon). Life took us away from riding, 4 kids tend to do that, but this memento from my wife reminds me of some lessons from those days of horseback riding.

 

Lesson 1: No fear. 

The worst thing you could be on a horse is fearful. Because they know it, as they are very intuitive animals, and take their cues from the rider. This is counterproductive, as you lose control, and then bad things happen. It is a self-fulfilling prophecy. The same goes for now. When we are full of fear, we do not see the opportunities available to us, and we miss that which can improve our lives. Living in fear creates the sense of “not enough,” and there goes happiness. Meditation, yoga, and prayer are wonderful ways to center ourselves and live in abundance, where we are right now, at this moment. Give it up, let it go, and let in all the amazing great things that want to come into your life. The ride will go much smoother.

 

Lesson 2: A little goes a long way. 

I had occasionally overindulged with the aforementioned Vitamin “B” while riding. I went from enjoying myself to a miserable time, pretty damn quick. As we are at home the question “why not?” is often asked when it comes to things that are mood-altering. Harmless enough, right? Well, here and there, sure, it can be enjoyable and relaxing in small doses. The problem is large doses disrupt your sleep, you may become depressed, and you create a cycle involving said substances. To get out of the weirdness we are living in, the cycle may leave you constantly trying to crawl out of your self-induced mood changes. I encourage you to enjoy the long ride by not overdoing it early on, as it can make a long trip much longer.

 

Lesson 3: Be prepared. 

Early on, I bought saddlebags for all the things that can go wrong on the trail. I packed them with about everything I might need when I was going to be 10-15 miles from camp. Well, folks, we are a long way from camp right now. We need to be prepared. Whether it’s getting enough sleep, supplements to support immune responses, or eating right, these things will get us through like nothing else in our “saddlebags.” You can see my blog here on these things, but it’s important to realize that this has to be a lifestyle choice for the long term.    

 

Lesson 4: Get in a rhythm. 

This will be a long hard ride indeed if you don’t get into a rhythm. We rode gaited horses, if we were not in sync with the gait, man, it hurt the next day. Well, daily life is the same way. I decided after 2 weeks of flopping around like a fish and seeing how long it took till my body funk drove me to the shower, that I had to create normalcy in my life again. Now, it’s get up, meditate, drink my coffee, get a shower, answer emails, do things like writing my e-book that is halfway finished, or other projects I never got around to, like straightening the garage, go for a walk help make supper and have a family dinner. This has done wonders for my mood and outlook. A schedule helps. Going to sleep at night is much easier when you feel like you didn’t Netflix your way through the day.

 

Lesson 5: Maintenance for your horse. 

A lame horse is not good for a long ride, of course. They require maintenance. If you just thought you could pull it out of the stall and go, it’s probably not going to go well. When we get hit with this virus, we need to be prepared and all the things mentioned in Lesson 3 apply here. We can’t take Zinc and Vitamin D for a month or two and expect it to do the trick. The same goes for diet, sleep, and stress reduction. It is a long-term commitment, just like I made to my animal so that he could do what I asked of him. Your body is the same way.

 

I wish it wasn’t going to be a long hard ride, but until we get enough testing and tracking of people who are infected, this virus may be around longer than we like. This is not to discourage you, but to encourage you to not be a sprinter in this race, but to create abundance so that you find joy and contentment, no matter the circumstances. It helps on the “long hard ride.”