4 Things To Help Prevent Most Disease

White House Garden Goes Organic For Healthy LifestyleBy: Dr. Michael Greger, Director of Public Health and Animal Agriculture at the Humane Society of the United States.

Though I was trained as a general practitioner, my chosen specialty is lifestyle medicine. Most of the reasons we go see our doctors are for diseases that could have been prevented. But lifestyle medicine is not just about preventing chronic disease—it’s also about treating it. And not just treating the disease, but treating the causes of disease.

If people just did four simple things
Stop Smoking For Your Health

#1 No Smoking

The Obama Family Exercising

#2 Exercise A Half Hour A Day

Michelle Obama Shopping At A Farmers Market For Fruits & Vegetables

#3 Eat a Diet That Emphasizes Whole Plant Foods

Eat Diet That Emphasizes Whole Plant Foods

#4 And Not Become Obese

they may prevent most cases of diabetes and heart attacks, half of strokes, and a third of cancers. Even modest changes may be more effective in reducing cardiovascular disease, high blood pressure, heart failure, stroke, cancer, diabetes, and all-cause mortality than almost any other medical intervention.

The key difference between conventional medicine and lifestyle medicine is instead of just treating risk factors, we treat the underlying causes of disease, as Drs. Hyman, Ornish, and Roizen describe in their landmark editorial Lifestyle medicine: treating the causes of disease. Doctors typically treat “risk factors” for disease by giving a lifetime’s worth of medications to lower high blood pressure, elevated blood sugar, and high cholesterol. But think about it: high blood pressure is just a symptom of diseased and dysfunctional arteries. We can artificially lower blood pressure with drugs, but that’s not treating the underlying cause. To treat the underlying cause, we need things like diet and exercise, the “penicillin” of lifestyle medicine (See Lifestyle Medicine: Treating the Causes of Disease).

As Dr. Dean Ornish is fond of saying, disregarding the underlying causes and treating only risk factors is somewhat like mopping up the floor around an over-flowing sink instead of just turning off the faucet, which is why medications usually have to be taken for a lifetime. As Dr. Denis Burkitt described, “if a floor is flooded as a result of a dripping tap, it is of little use to mop up the floor unless the tap is turned off. The water from the tap represents the cost of disease, and the flooded floor represents the diseases filling our hospital beds. Medical students learn far more about methods of floor mopping than about turning off taps, and doctors who are specialists in mops and brushes can earn infinitely more money than those dedicated to shutting off taps.” And the drug companies are more than happy to sell rolls of paper towels so patients can buy a new roll every day for the rest of their lives. Paraphrasing poet, Ogden Nash, modern medicine is making great progress, but is headed in the wrong direction.

When the underlying lifestyle causes are addressed, patients often are able to stop taking medication or avoid surgery. We spend billions cracking patients’ chests open, but only rarely does it actually prolong anyone’s life. Instead of surgery, why not instead wipe out at least 90% of heart disease through prevention? Heart disease accounts for more premature deaths than any other illness and is almost completely preventable simply by changing diet and lifestyle, and the same dietary changes required can prevent or reverse many other chronic diseases as well.

So why don’t more doctors do it?

One reason is doctors don’t get paid to do it. No one profits from lifestyle medicine, so it is not part of medical education or practice. Presently, physicians lack training and financial incentives, so they continue to do what they know how to do: prescribe medication and perform surgery.

After Dean Ornish proved you could open up arteries and reverse our number one cause of death, heart disease, with just a plant-based diet and other healthy lifestyle changes (see Resuscitating Medicare and Our Number One Killer Can Be Stopped), he thought that his studies would have a meaningful effect on the practice of mainstream cardiology. After all, he had found a cure for our #1 killer! But, he admits, he was mistaken. “Physician reimbursement,” he realized, “is a much more powerful determinant of medical practice than research.”

Reimbursement over research. Salary over science. Wealth over health. Not a very flattering portrayal of the healing profession. But if doctors won’t do it without getting paid, let’s get them paid.

So Dr. Ornish went to Washington. He argued that if we train and pay for doctors to learn how to help patients address the real causes of disease with lifestyle medicine and not just treat disease risk factors we could save trillions of dollars. And that’s considering only heart disease, diabetes, prostate and breast cancer. The Take Back Your Health Act was introduced in the U.S. Senate to induce doctors to learn and practice lifestyle medicine, not only because it works better, but because they will be paid to do it. Sadly, the bill died, just like millions of Americans will continue to do with reversible chronic diseases.

By treating the root causes of diseases with plants not pills, we can also avoid the adverse side effects of prescription drugs that kill more than 100,000 Americans every year, effectively making doctors a leading cause of death in the United States. See One in a Thousand: Ending the Heart Disease Epidemic and my live presentation Uprooting the Leading Causes of Death.

For those surprised that policy makers wouldn’t support such a common sense notion as preventive health, check out my video The McGovern Report. What about medical associations? Medical Associations Oppose Bill to Mandate Nutrition Training.

There is another reason that may explain why the medical profession remains so entrenched. See my video The Tomato Effect.

-Michael Greger, M.D.

PS: If you haven’t yet, you can subscribe to my free videos here and watch my live year-in-review presentations More Than an Apple a Day and From Table to Able.

Michael Greger M.D.About Michael Greger M.D.
Michael Greger, M.D., is a physician, author, and internationally recognized professional speaker on a number of important public health issues. Dr. Greger has lectured at the Conference on World Affairs, the National Institutes of Health, and the International Bird Flu Summit, testified before Congress, appeared on The Dr. Oz Show and The Colbert Report, and was invited as an expert witness in defense of Oprah Winfrey at the infamous “meat defamation” trial. Currently Dr. Greger proudly serves as the Director of Public Health and Animal Agriculture at the Humane Society of the United States.

Video Sources

Photo Sources: Obama Eating Fruit, Michelle Obama Shopping, Obama Family Exercising

Peppermint Aromatherapy for Nausea

Peppermint Essential Oil For Nausea During Breast Cancer TreatmentBy: Michael Greger, M.D., is a physician, author, and internationally recognized professional speaker on a number of important public health issues.

One of the most common fears patients express when facing surgery is postoperative nausea and/or vomiting (PONV), which ranges from minor queasiness to protracted periods of vomiting. Feeling sick to ones stomach and throwing up after surgery is a common problem, affecting between a quarter and a half of those placed under general anesthesia, and more than half of those at high risk, meaning women who don’t smoke and have a history of motion sickness.

I’ve explored the science behind treating nausea with ginger, but if you’re too nauseous to eat, what do you do?
Well, people are often sent home with anti-nausea rectal suppositories, however surveys show that cultural and sexual attitudes may make a number of people sensitive to anything involving the rectum, but the wording of the question they asked was, are you happy to have a drug put in your back passage… And I can imagine many of the respondents thinking well, maybe I wouldn’t so much mind, but wouldn’t exactly be happy about it… especially when you’re feeling sick and throwing up.

And for women after a C-section, they might not want to take drugs regardless of the orifice if they’re breastfeeding, so researchers decided to put aromatherapy to the test.

Research has shown that essential oils of both spearmint and peppermint are effective in reducing nausea and vomiting after chemotherapy, but this was after taking them internally, swallowing them.

Would just the smell of peppermint help with nausea?
They had women take deep whiffs of peppermint extract, like you’d buy at a store, and it seemed to work. While none sniffing plain water with green food coloring—the placebo—or the control group who didn’t sniff anything felt better, 80% of the mint sniffers felt better within just a few minutes.

The study was criticized for being small, and for not using pure peppermint oil. Peppermint extract is peppermint oil plus alcohol—maybe it was the smell of alcohol that made people better! And that’s actually not much of a stretch. In 1997, researchers reported a simple, innocuous, and inexpensive treatment for postoperative nausea and vomiting—the smell of isopropyl alcohol, which is what’s found in those alcohol wipes, the little prep pads that nurses swab you with before shots.

They found out that they could just effectively tear one open and wave it under someone’s nose and relieve nausea and vomiting in more than 80% of folks after surgery. It’s been since shown to work as well as a leading anti-nausea drug, and may even work faster, cutting nausea in half within 10 to 15 minutes, rather than 20 or 25.

So was it the alcohol, the peppermint, or both?
We didn’t know, until it was put to the test. Patients were instructed to take three slow, deep breaths, inhaling through the nose and exhaling through the mouth, smelling alcohol, peppermint, or nothing. The smell of peppermint cut nausea in half within 5 minutes. And so did the alcohol. But so did smelling nothing.

So maybe it had nothing to do with the scent; maybe it was just the instruction to take slow deep breaths. That would make it a really cost-effective intervention. Maybe it shouldn’t be so surprising, given the proximity of the vomiting and breathing centers within the brain.

And indeed controlled breathing was effective with or without any scent. So next time you feel nauseous, inhale deeply through your nose to the count of three, hold your breath to the count of three, and exhale out the mouth to the count of three. And do that three times.

Ironically the researchers continued to advocate using that nasty smelling alcohol pad even though they showed it wasn’t any more effective than breathing alone.

Why? Because since isopropyl alcohol has a readily detectable odor, patients are more likely to think that their post-operation nausea and vomiting is being actively treated when they inhale alcohol vapors rather than just engaging in breathing exercises.

Doctor’s Note

What do you think of them still using the alcohol pads even though they were shown to offer no additional benefit? I have a whole video on such questions: The Lie That Heals: Should Doctors Give Placebos?

Here’s a link to my Natural Nausea Remedy Recipe. Powdered ginger may be easier though (see Dangerous Advice From Health Food Store Employees).

More on aromatherapy here:

What about actually eating the peppermint? See:

Of course the best way to avoid postsurgical nausea is to try to avoid surgery in the first place. Those that eat healthy may be less likely to go under the knife. See Say No to Drugs by Saying Yes to More Plants.

If you haven’t yet, you can subscribe to my videos for free by clicking here.

Michael Greger M.D.About Michael Greger M.D.
Michael Greger, M.D., is a physician, author, and internationally recognized professional speaker on a number of important public health issues. Dr. Greger has lectured at the Conference on World Affairs, the National Institutes of Health, and the International Bird Flu Summit, testified before Congress, appeared on The Dr. Oz Show and The Colbert Report, and was invited as an expert witness in defense of Oprah Winfrey at the infamous “meat defamation” trial. Currently Dr. Greger proudly serves as the Director of Public Health and Animal Agriculture at the Humane Society of the United States.

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