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Politics of Well-Being Research

Here we go again: No quick fixes

Does this sound familiar? A wonder medical drug treatment protocol sweeps through the medical establishment, is imposed on millions of people, becomes the “go to” method for preventing major diseases and encourages the belief that by simply taking a pill and individual can significantly improve their health. Then, years later, after actual longitudinal (extended over time) research is conducted, the protocol is declared null and void for general use. This time the drug is aspirin and the protocol is the use of an aspirin a day to prevent cardio-vascular disease and stroke.

Anyone who has visited their primary care physician over the last few decades has been asked if they have been taking their aspirin every day (to which, thankfully, I have answered “no”). This aspirin-a-day was supposed to lower our odds of experiencing cardiovascular disease. Now, it turns out, it doesn’t lower our odds, and, in fact, it may be harmful.  

It’s not just “a bottle of aspirin” anymore.

The history and efficacy of aspirin is reviewed in an interesting piece in The Lancet (May 2019) which concludes, “in 2018, three large randomized clinical trials of aspirin for the primary prevention of cardiovascular disease showed little or no benefit and have even suggested net harm.”

Sowing distrust of health care

I find the cavalier attitude towards pharmaceutical research and public pronouncements to be maddening. Time and time again, from Thalidomide in the 1950s and 60s to Oxycodone in the 2010s, public health is compromised to the short-term interests of an establishment that has little interest in the actual health and well-being of the public. This attitude sows distrust of all health and well-being modalities, including conventional medicine, and feeds the cynical “oh well, we’re all going to die so who cares” attitude so prevalent today. It also casts dangerous shadows of doubt on the safety of well-proven and tested, public health initiatives.

And it affects people’s lives

My first experience with this phenomenon began in the early 1990s and concluded in the early 2000s. I was told I absolutely needed to take estrogen to counteract my risk for heart disease (after the debacle I described last week). I didn’t think I had a choice so I took it faithfully for about ten years, despite the miserable and debilitating side effects I experienced. One day, on the car radio, I heard a news report that said new studies showed estrogen replacement therapy not only didn’t improve a woman’s risk for heart disease, but it INCREASED her risk. I remember saying out loud: “Oh #$%^!” I went home and disposed of the hormones and, surprise, over a short period, after ten years, I started feeling happy and healthy again.

This happens how?

This cycle has deep roots and can be traced to our economic system, which dictates the parameters of our health care and pharmaceutical systems, which directs the behavior of individual practitioners, which influences the behavior of individual patients and clients, which then effects the broader public. The system under which we live is optimized for short-term results and short-term gain. Unfortunately, well-being, healing, and public health don’t work that way. Healing takes time and health and well-being develop over a lifetime. The problem also lies in the research establishment. The same economic system incentivizes publication of research that shows narrow short-term results but ignores the bigger picture.

Since changing the economic system that underlies the problem is difficult for any one individual, I suggest we each wage a guerrilla war against the narrow perspective that enables these practices.

Again, with the universal body

First, we can individually widen our perspective, remember the universal body, and engage with it on an ongoing basis. By engaging with the world at large, the big-picture view becomes clearer and the silliness of believing any single pill or food will solve our problems becomes obvious.

Educate

Second, we can educate ourselves, be more thoughtful, and stop worshiping the holy grail of clinical research: the randomized control trial. Randomized control trials, while sometimes helpful, are not the only approach to research. They are especially touted by, and are useful for, the pharmaceutical companies and large research institutions that have the financial resources to perform this style of research. And, often these trials are a snapshot of a very short period of time of a very small sample of participants. They become expensive and cumbersome when carried out over a significant length of time. And, today, we are beginning to understand that information that doesn’t conform to the research funder’s required results is often suppressed.

To this end, I suggest we start paying more attention to case reports. This approach has a long, insightful, history in the annals of medicine. No single case report explains everything or even anything. But collections of well indexed case reports can illuminate patterns and trends over time and enlighten our research.

Pay attention

And, of course, it’s essential to pay attention to our own experience and learn to trust our insights and when necessary to speak them out loud. This knowledge can be invaluable when communicating with our selves and our practitioners, providing information that will never be reveled in clinical control studies.

Trust your experience and share it with your well-being practitioners.

Finally, we can remember that research reports are human constructs, created and written by human beings, and subject to human error. No one study is last word on anything. It is simply a tiny piece of a giant puzzle–not unlike life. It is the collection of all sorts of investigations and experiences that best forms the basis of our well-being choices.

Any given research study is simply a piece of a very large puzzle.

Epilogue

As I was working on this post, I saw a NEW STUDY!!!! announcement on Facebook. It indicated that supplementation of several vitamins/minerals are helpful in the management of anxiety. They very well be helpful in the management of anxiety, I don’t know. But I’m not running out to purchase them any time soon.

Categories
Ayurveda Mindfulness Self-care Social Connection

An Anniversary

Twenty-eight years ago, this week, I thought I had six months left to live.

I learned the startling news on a grueling hot day, not unlike today. I was told by physicians that I had a serious health condition that was probably terminal and that I’d “be awfully lucky” if it was a different condition (as I suggested to the physician it might be). My most vivid memory of that time is riding the clinic elevator, alone, in semi-hysterical tears, medical records in hand, heading out to have my various body parts scanned and prodded. People in the elevator looked at me, sobbing uncontrollably, like they just wished they weren’t there.  I can’t blame them for that.

A few weeks later, after extensive surgery, I discovered I was, in fact, “awfully lucky.” I wasn’t dead, nor was I intact, but I was alive. I was shaken to my core, but I was alive.

Thinking I was going to die, only to discover that, oops, I was right about the “different condition” and I would live on, was a surreal experience. I felt a combination of terror and relief at the idea that I had diagnosed myself more accurately than had those with years of medical training. Later, as I was struggling with what this all meant, I felt guilty that, after being given a death sentence, I didn’t suddenly have a revelation that all things in life were wonderful, nor was I inclined to run down the street proclaiming “I’m alive”, like in the movies. Despite the kindness of friends and loved ones, all I felt for a long time was alone in a confusing trauma. And, I was pissed-off …all the time.

I was confused, alone, conflicted and pissed.

Recovery from that experience took at least a decade and required a great deal of self-examination and reflection. I ruminated over how I ended up in such a difficult situation. I reviewed my past and I how I had approached my health. As I struggled to feel better, I found little support from the conventional medical system. But I persisted—I felt I had no choice. Over time, several key observations became apparent:

Buck Up!

  • I’d been raised in the “buck up” school of health.
  • This “buck up” attitude taught me to not pay attention to my body, mind, or spirit (whatever that was), and, it taught me to not talk about my health with anyone–these things were private matters.
  • The conventional western approach to health did of good job of eliminating the physical manifestation of my issue, once it was out of control,  but had hindered any chance I may have had of dealing with the situation years earlier, when it was not life threatening.
I’d been raised in the “buck up” school of health.

A difficult journey

Since then, I’ve embarked on a journey of discovery that has taken many wild twists and turns and seen setbacks and advances. When I look around now, I feel like I have ascended from the depths and am living a full, exciting, and happy life.  For this life, I can thank traditional Chinese medicine, conventional western medicine, ayurvedic medicine, energy work, body work, Pilates, yoga, reiki, music, painting, many other practices, friends, colleagues, family, strangers, and my own internal resources for supporting me in this turnaround. 

Ascent from the underworld

I haven’t thought about this anniversary in quite a few years and have never acknowledged it out loud (or in print) before. But like all anniversaries, it deserves to be acknowledged and named. And so, I’ll name it Persephone, in celebration of my descent to the underworld and return to the world of the living.

I’ll name it Persephone, in celebration of my descent to the underworld and return to the world of the living.

Categories
Mindfulness Self-care The Spirit

Taking time

This morning I discovered that my lavender plant was blooming – just a few little blooms, but blooming nonetheless. Witnessing this filled me with joy: joy of accomplishment, joy of beauty, and joy of the recognition that things take time.

So, why the big deal about two tiny little flowers on a lavender plant? Well, first, lavender is a plant that seems to thrive in all gardens but mine. I’ve been trying to grow lavender since the inception of my current gardens—that would be fourteen years, which feels like a long time.

When I first planted lavender in the ground,  I had visions of the fields of French lavender we see in photos on the web.  Most years I would put a plant in the ground and it would just sit there in the garden; if I was lucky, getting green, if unlucky, turning brown and wasting away. One year, when I was not particularly aware of the lavender, I accidentally dug it out, thinking it was a weed.  So, I was about to give up my dreams of fields of French lavender.

Pretty, but NOT my garden.

Last year I tried growing lavender in a container, where the soil was warmer. I tried it, just, because. To my amazement it survived the summer, but with no blooms. That was ok. I took what I could get.  I brought the pot indoors to my porch over the winter where it was the sole survivor of a suite of plants that couldn’t manage the rather “cool” winter we experienced. I put it back outside in the spring, watered it, fed it, and generally delighted in its mere existence. At one point, I absent-mindedly clipped out some of the lavender leaves for my rosemary potatoes—only to discover I’d clipped the wrong plant!  (I don’t think lavender potatoes are actually a thing).

Just two little bloom on a fourteen year lavender quest.

Then, this morning, after fourteen years of  hitting and missing, I saw two tiny lavender blooms! I nearly fell over. I thought of my mother who loved flowers and reluctantly acknowledged that maybe she was right (yet again) when she suggested I “be patient.”

These days I find patience to be a difficult quality to cultivate. Living in a world that rewards instantaneous results and dismisses patient resolve as “old school” can make me feel like a square peg in a round hole. It can be frustrating to be treated like a relic by simply suggesting  that we “wait and see” what happens.




Brilliant Mind of Edison Lee by John Hambrock, Minneapolis Star Tribune, 6/9/19



But, for a brief moment, the pretty purple flowers reaffirmed my belief in the value to myself and the world of staying present and living in and loving the moment.

In the end, when I look at the lavender,  I understand that we human beings live in a world of which we are a very small piece. And anyone who takes the time to observe this world knows that destruction can happen quickly but growth takes time. And with this observation I can choose to be part of the destruction or part of the growth. For now, I am choosing growth, one tiny bloom at a time.


Anyone who takes the time to observe this world knows that destruction can happen quickly but growth takes time. And with this observation I can choose to be part of the destruction or part of the growth. For now, I am choosing growth, one tiny bloom at a time.

Healing Ground Health Coaching