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Lismore, Co Waterford.
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Alzheimer’s Disease

A recent study has found that unnecessary use of iron supplements and consumption of too much red meat can increase the risk of Alzheimer’s disease in later life. The study was carried out by researchers at the University of California, and hit the headlines last week.
Practitioners of natural medicine have long associated Alzheimer’s disease with high levels of various metals such as aluminium, copper and iron. Although iron in particular is essential for health, consuming too much can lead to toxic levels accumulating in various organs of the body, including the brain.

Many Irish people in particular are prone to absorbing high levels of iron from their food. This is thought to be due to famine times, when people evolved to maximise their iron absorption when food was in short supply. However, these days people are inclined to eat far too much red meat. In addition, many people take iron supplements when they feel tired or run down, without having blood tests to establish whether they are iron deficient. In many cases the tiredness is due to stress, overwork, lack of sleep, or another medical condition, rather than iron deficiency.

Alzheimer’s disease destroys nerve cells, and disrupts the neurotransmitters that carry messages in the brain. This leads to loss of memory, difficulty in finding the right words for everyday objects, mood swings and personality changes. As the disease progresses, the person may become confused, have difficulty performing familiar tasks, or display unsettling or inappropriate behaviour.

As with most serious health problems, prevention is definitely better than cure.  Alzheimer’s disease may be predominantly a problem of old age, but it is certainly not an inevitable one. You can reduce your exposure to aluminium by avoiding aluminium-containing antiperspirants, antacids, table salt, processed foods and food cooked in aluminium trays or saucepans, and filter your water to avoid excessive consumption of copper from copper pipes. Avoid eating too much red meat, and try to eat more fish and vegetarian dishes containing beans and pulses. Finally, avoid taking nutritional supplements containing iron or copper unless you are advised to do so by a healthcare professional.

Unfortunately there is currently no cure for Alzheimer’s disease.  However, some of the associated problems, such as restlessness and depression, can be treated. In the early stages it may also be possible to slow down the progression of the disease. Vitamin B complex, Vitamin E and Vitamin C have all been shown to help slow the progression of Alzheimer’s.  Oily fish (such as sardines, tuna, mackerel, salmon and trout) beans and pulses, and Lecithin granules help to maintain the myelin sheath that surrounds and protects nerve cells, and they are also rich in Choline, which is used to make neurotransmitters in the brain.

The best herb for preventing and slowing the progress of dementia is Ginkgo biloba, a powerful antioxidant and circulatory stimulant, which is available on prescription from Medical Herbalists.  Other herbs that are particularly useful in this condition are rosemary and turmeric.  There are also many other herbs available that can help with the associated problems such as restlessness and depression.

Growing and Foraging for Herbs at Dromana House

The next workshop will take place next Sunday, 4th May 2014 from 2-5pm at Dromana House. Admission is €10, and children under 12 are free. Tea and light refreshments are included. For further information or to book your place, please contact Dromana House on 024 96144.

That time of the month

For many women, the few days before a period is due are the worst days of the month.  For some this time means little more than being slightly more irritable than usual, but for others it can signal a whole array of devastating emotional and physical changes.
Pre-menstrual syndrome, or PMS is caused by the hormone changes that occur during the second half of the menstrual cycle, after ovulation and before start of the next menstrual period.  For many women, symptoms only last for three or four days, but for others the ordeal can drag on for up to two weeks.  Given that the period itself may last a week, this leaves only one week or less during which the woman feels any sense of normality.

The emotional symptoms of PMS have received the most attention, and for this reason the condition is sometimes referred to as pre-menstrual tension or PMT.  Many women feel emotionally vulnerable at this time and may find themselves in tears over events which would not normally cause such distress.  However, what most sufferers seem to find particularly distressing is the tendency to become extremely irritable, angry or even violent.  These outbursts are usually disproportionately severe in terms of the events that trigger them, and sufferers often worry about the intense hatred they can feel towards their partner at this time of the month.  They may also be concerned about angry outbursts, which can often be directed towards their children.

The physical symptoms of pre-menstrual syndrome are less well known but may be equally distressing.  The most common is fluid retention, which may lead to abdominal bloating, swollen hands and feet, and breast pain or tenderness.  In some cases abdominal cramps or lower back pain can occur before the period starts, and cravings for carbohydrates (especially chocolate) are also common.  In the most severe cases symptoms can include fatigue, constipation, muscle or joint pain, recurrent vaginal thrush, acne, swollen glands and migraines.

Pre-menstrual syndrome is usually caused by a relative deficiency of the hormone progesterone in relation to the other hormones that govern the menstrual cycle.  There is often an additional sensitivity to the hormone prolactin which is produced at this time of the month.

The most useful herb for treating pre-menstrual syndrome is chaste tree (Vitex agnus castus).  This herb works on the pituitary gland to normalise hormone production and generally leads to increased levels of progesterone and decreased levels of prolactin. It is extremely effective in reducing pre-menstrual symptoms when taken over the course of a few months.  Of course this depends on the quality of the product and the dose taken.

A combination of herbs may be used to provide relief from stubborn symptoms.  For example, herbal diuretics such as dandelion leaf can help to reduce fluid retention and bloating.  Numerous herbs are also available which can treat other symptoms such as breast tenderness, abdominal cramps, fatigue, constipation, recurrent vaginal thrush, and migraines.  For symptoms which are numerous or severe it may be beneficial to consult a qualified practitioner of herbal medicine who can prescribe an individually tailored blend of herbs.

In addition there are a number of supplements available, which can support herbal treatment and help to reduce symptoms.  Vitamin B complex supports the nervous system and preparations containing high levels of vitamin B6 are particularly useful for pre-menstrual syndrome.  Essential fatty acids are also helpful for this condition, particularly brands that combine Evening primrose and fish oils. It is also important to eat a healthy diet including plenty of fresh vegetables, nuts and seeds, and reduce consumption of red meat and dairy products.

One Medicine

The other day, I was introduced to someone who smiled, shook my hand and said: “Hello, I’m the enemy…” It’s an introduction I receive on a surprisingly regular basis, usually from people who work in the pharmaceutical industry or orthodox medicine. However, it always surprises me… If we’re both interested in people’s health, how can we be enemies?
Herbal medicine is often described as ‘alternative’ medicine.  However, what most people don’t realise is that many of the modern pharmaceutical drugs used today were originally found in plants.  Even now, the plant world is often the first place the scientific community turns to when seeking new drugs to treat medical conditions.Pharmaceutical companies aim to identify a single chemical within a plant that is responsible for its medicinal action.  This component is then chemically extracted and usually synthesised artificially to create the drug. This generally results in a product which has an extremely powerful effect on the body, and which can be very useful, even essential, in the treatment of many serious conditions.  However, it can also lead to imbalances of the body’s normal functions and an increased risk of side effects.

In some cases, using orthodox medicine can be likened to using a sledgehammer to crack a nut. But what happens if a sledgehammer is all you have? This is where herbal medicine comes in. If orthodox medicine is like a sledgehammer, and herbal medicine is like a nutcracker, a responsible practitioner will decide if what they are dealing with is a nut, or a rock, and choose the appropriate tool.

Herbal medicine makes use of the plant in its natural form.  Extracts of flowers, leaves, roots, bark or seeds are usually prepared by soaking the plant material in water, alcohol or glycerine.  This extracts a much wider range of the plant’s complex profile of chemical constituents. The so-called ‘active’ constituents that are used by the pharmaceutical companies are still present.  However other components are also present which support the action of the active constituent or help to reduce its side effects.  The result is a powerful, yet gentler, more balanced action on the body.

Aspirin is a very well known and widely used pharmaceutical drug.  It is composed of a chemical called salicylic acid, which was originally discovered in the plant known as meadowsweet. Aspirin has the unfortunate side effect of causing damage to the lining of the stomach.  However, the active constituent of meadowsweet is present in a much gentler form and is only converted to salicylic acid after absorption into the bloodstream.  Therefore, it does not have a damaging effect on the digestive system.  In addition, meadowsweet contains tannins and mucilage, which actively protect the stomach lining.

Another example is orthodox antibiotics, which have revolutionized the treatment of infectious diseases, and saved many lives. However, used inappropriately or to excess, they can lead to imbalances in microbial flora and the development of antibiotic resistant bacteria.  Herbal antimicrobials such as thyme and myrrh are very effective in the treatment of a wide range of infective illnesses but do not upset the normal microbial balance of the body.  In addition, the complex range of constituents they contain makes it very difficult for bacteria to develop resistance to them.

While orthodox medicine tends to focus on treating specific diseases, Herbal medicine is a holistic form of healthcare, which places a significant focus on nutrition and other measures to improve the overall health of an individual. In my view, this makes them ideal companions, not enemies.

For people suffering from complex or chronic illnesses (such as allergic conditions, recurrent infections, digestive problems, poor circulation, arthritis, hormone imbalance, depression and migraines) herbal medicine is often the most effective approach in the long term. However, orthodox medicines such as painkillers can still be used for acute symptoms. Similarly, an individual with a serious illness such as cancer, or a severe or life-threatening infection, will benefit most from the combination of a powerful orthodox drug to target the disease directly, plus herbs and nutrition to support the immune system, rebalance the body, and reduce the side effects of the drug.

I look forward to a time when (hopefully) all those who are involved in healing the sick will stop seeing those practicing different forms of medicine as ‘the enemy’, and learn to work together for the good of their patients.

First Aid

Last week my 2 year old daughter whacked her head on the sharp edge of a radiator while running at top speed across the landing. She had a gaping wound, pouring blood, and was in hysterics. Luckily I had only recently updated my first aid training with the “Lismore Community First Response Programme” so I knew exactly what to do. I stopped the bleeding, dressed the wound, and little Holly was calm again in no time. No parent wants to think about their child getting seriously hurt, but it’s better to be prepared. If it was your child, would you know what to do?
Thankfully children rarely get seriously hurt. Their bones are a little more flexible than ours, so they often seem to bounce in situations where an adult would surely suffer a painful fracture. Most parents are also very aware of the various potential dangers around the home, and do their best to keep their little ones safe. However, accidents happen, and at these times it can make all the difference if you know what to do.

The Irish Red Cross provides training in first aid, which includes treatment for a variety of medical emergencies including choking, breathing difficulties, seizures, wounds, burns, broken bones, and other injuries. The training also covers emergency situations which more commonly affect adults, such as heart attacks and strokes.

In these situations, early intervetion is vital, but depending on where you live and whether there are other emergencies being dealt with at the time, it could take an hour or more for an ambulance to arrive. Therefore a knowledge of first aid is a very valuable skill for any parent, or indeed for anyone.

I did my training with the “Lismore Community First Response Programme”, and a second group of first responders completed their training in Lismore last weekend. These volunteers will be contacted by ambulance control to to attend medical emergencies in their local area. A community first responder will be able to reach the patient within a few minutes, and provide first aid, perfom CPR (cardio-pulmonary resuscitation), and use a defibrillator where necessary. This will help to start and maintain the chain of survival during the crucial early stages, until a fully equipped ambulance arrives.

If you are interested in training in first aid, or would like to volunteer for the Lismore Community First Response Programme, please check out the “Lismore Community Response Programme” Facebook Page. If you don’t feel that being a first responder is right for you, volunteers are also needed to help with administration, PR and fundraising.

The Irish Red Cross is also hoping to establish a branch and Cardiac First Responder (CFR) scheme within the town of Dungarvan, and a public meeting about this will be held in the Park Hotel at 8pm on the 8th November. Everyone is welcome to attend.

First Response Team for Lismore

Did you know that it takes a minimum of 27 minutes for an ambulance to reach Lismore in response to an emergency? And that’s just if the ambulance is in Dungarvan ready to go. If the ambulance has been called to another situation, it could take up to 2 hours. In the case of medical emergencies such as heart attacks, strokes and choking episodes, where the heart has stopped pumping or the patient has stopped breathing, a person’s chance of survival decreases by 10% for every minute that passes without basic life support and defibrillation. Therefore it is crucial that help is provided within the first 10 minutes.
In order to adress this very serious problem, the Lismore Community First Response Programme is recruiting volunteers from the local community to train as ‘Community First Responders’. These volunteers will be contacted by ambulance control to to attend medical emergencies in their local area. A community first responder will be able to reach the patient within a few minutes, and provide first aid, perfom CPR (cardio-pulmonary resuscitation), and use a defibrillator where necessary. This will help to start and maintain the chain of survival during the crucial early stages, until a fully equipped ambulance arrives.

The scheme is being organised by local GP, Dr. Noelle Quann and David Kiely from the Irish Red Cross, both of whom have contributed a great deal of time and hard work on a completely voluntary basis to get the scheme up and running. According to Dr. Quann, “The Lismore Community First Response Programme has the support of the HSE, The Irish Red Cross, local doctors and all emergency services. It is designed to supplement their services, not to replace them.”

I was privileged to be among the first 11 volunteers to qualify as a community responder last weekend, having completed the 3 day intensive course which included training in responding to accidents and injuries, and various other medical emergencies in both adults and children. The course includes training in first aid for a wide variety of situation, CPR and use of a defibrillator.

The training is delivered jointly by Dr. Noelle Quann and David Kiely, and is both interesting and enjoyable. They both have a real talent for making a serious subject really come to life in an often humorous way. It is also a wonderful experience to work as part of a team with other local people, knowing that some day that teamwork may help to save someone’s life.

A second training programme is being organised for Saturday and Sunday 3rd and 4th November, and the Lismore Community First Response programme is looking for more volunteers to train as Community First Responders. The training is suitable for anyone who wishes to take part, and may be especially useful for anyone working in an environment where first aid training could be useful, such as schools and sports clubs. However, if you don’t feel that being a first responder is right for you, volunteers are also needed to help with administration and fundraising.

For further information or to volunteer, please contact Dr Noelle Quann, 086-403 4593 or David Kiely on 087-251 4893, or check out the Lismore Community Response Programme Facebook Page.

The Spice of Life

Hippocrates, the father of modern medicine once said, “Let food be your medicine and medicine be your food”, and it is certainly true that some of the most powerful medicines are often found in the food we eat.  A prime example of this is Turmeric, the spice which is used to flavour Indian dishes and to give curries their characteristic yellow colour.
Turmeric has been used in Ayurveda, the traditional medicine of India for over 2000 years.  It is known to increase the ‘Agni’ or ‘digestive fire’ which is responsible for healthy digestion.  Turmeric therefore relieves symptoms of indigestion such as nausea, bloating and flatulence.  It is also a powerful antiseptic and anti-inflammatory which is useful for problems such as IBS, gallbladder inflammation and colic, and a wide range of other inflammatory diseases such as arthritis.

The active constituent of turmeric is curcumin, which has been shown to have a wide range of therapeutic effects. It is a powerful antioxidant which prevents the damage to body cells that can be caused by a wide range of environmental factors.  In particular, it protects the liver against the damage caused by excessive alcohol consumption or long-term use of prescription drugs.

The antioxidant effect also protects the blood vessels, and studies have shown that turmeric can help to reduce cholesterol levels and to prevent the blood clots which cause heart attacks and strokes. Recent research  has also shown that curcumin can enter the brain and prevent  changes to the brain tissue that lead to the development of Alzheimer’s disease. Finally, the combined antioxidant, anti-inflammatory and anti-tumour effects of turmeric are beneficial in various forms of cancer, particularly those affecting the skin and gastrointestinal tract.

When used as a medicine, turmeric needs to be taken on a daily basis, and a teaspoon of the powder can be mixed into water and taken once a day.  However, in order to get the maximum benefit it is best to mix the turmeric powder with a little ground black pepper (about one part black pepper to nine parts turmeric) as this greatly increases the rate of absorption.

Turmeric is extremely safe and can be used in large quantities as a food, with no adverse reactions. However, anyone suffering from hyperacidity, stomach ulcers or obstructive jaundice should consult a qualified medical herbalist before taking this or any other medicinal product.

Save Our Wild Places

The Owenashad River Walk in Lismore, Co. Waterford was once a beautiful, natural, meandering path, which has been regularly used by local people for many years. However, at the beginning of last week, the bulldozers moved in, and in just one or two short days, this breathtaking area was completely destroyed. As a herbalist, I value the opportunity to spend time in unspoilt areas such as this, to experience nature as the seasons progress, and to see which plants are emerging or flowering. But as I walked along beside the Owenashad River at the beginning of last week, I was appalled to see the devastation that had taken place.
Waterford County Council, acting in collaboration with the Lismore Tidy Towns Committee, and with no public consultation whatsoever, had completely destroyed the river walk beyond the area known locally as “the Strand”.  The once unspoilt path by the river, which was completely safe, never waterlogged, and edged with all sorts of wild flowers, ferns and sedges, had been torn up and covered with a 6-7 foot wide path of rubble and waste tarmac. Many of the wildflowers which grew there are gone, including the rare blue wood anemone, which is known as the “Lismore Blue”, since this was one of the only places it grew wild in this country.

The work has also desecrated the habitat of many wild birds that are nesting in the bushes beside the path at this time of year, despite the fact that it is not permitted to cut hedges during the nesting season, which occurs between 1st March and 31st August. In fact, due to the abundance of wildlife surrounding the River Blackwater (of which the Owenashad is a tributary) this area has been designated as a Special Area of Conservation. However, this fact seems to have been completely overlooked by those responsible for this atrocity.

The Tidy Towns Committee have claimed the destruction of the river walk is due to “insurance reasons”, however, the path was not dangerous in any way, and local people regularly dive into the river a few feet away with no concern for insurance.   Of course it is also important that there are accessible areas available so that people with impaired mobility can enjoy the outside environment, and fortunately we have numerous areas locally, such as the Millennium Park, Ballyrafter Woods, and Glenshelane, as well as countless quiet, tree-lined boreens, all of which are accessible to those with impaired mobility. However, we cannot tarmac or concrete over every wild place due to the damage that would be caused to wild flora and natural habitats. Local people are utterly outraged and saddened by the loss of such a beautiful, natural environment.

The tidy towns committee generally do an excellent job of keeping the town and surrounding urban areas looking good. They work extremely hard to remove litter from the streets, and to maintain urban flowerbeds and signage. However the nature of the tidy towns initiative is competitive – when everything that can be done to improve the town has been done, other ways have to be found to get one up on the competition. This has lead to the tidy towns turning their attention to the natural areas outside the centre of town.

Although the National Parks and Wildlife Service gave consent for this project before the work began, this was on the basis that there was a pre-existing path and that no woodland clearance was involved. They have stated that: “they would not have recommended that the path be changed”, however, the path has in fact been widened to at least twice its original width, and although no trees were felled, extensive clearance of woodland has taken place on either side.

If I wanted to make any alterations to my house, I would have to apply for permission, and local people would have an opportunity to voice their opinions and objections. However, this project did not go through the usual planning process, and no signs were erected to warn of the plans for the area, which meant that local people were given no opportunity to make submissions or objections.

If you don’t live in Lismore and think this doesn’t concern you, remember that this destruction could equally happen anywhere, at any time, and once the damage is done, it is often too late. If you are concerned about the damage done to the Owenashad River Walk, or any other unspoilt area, check out Save Our Wild Places, www.facebook.com/SaveOurWildPlaces a new resource for people who are concerned about the increasing urbanization of our wild and natural areas. Hopefully this will provide a useful forum for discussion, advice and support for anyone challenging the destruction of any unspoiled place.

Hospital Food is Bad for your Health

A leading consultant gastroenterologist, Dr. Anthony O’Connor, has warned that hospital food is bad for your health. Speaking after the annual general meeting of the Irish Medical Organisation, he said that being in hospital is a good time to reinforce healthy eating habits. However patients are regularly served unhealthy meals such as deep fried sausages, chips and salty bacon, even when they are suffering from serious heart problems. It is interesting to see this important issue being raised at last, but it’s really only the tip of the iceberg of a serious lack of regard for the importance of nutrition within the medical establishment.
I am frequently shocked when patients come to the clinic on all sorts of medication for various problems, yet they have never been given any advice about which foods they should eat or avoid, or even been asked about their diet. I have seen people taking statin drugs for high cholesterol (which can be associated with numerous side effects) who tell me they eat fried foods, crisps and chocolate on a daily basis, and were never asked about their diet, or advised to alter it in any way. I have seen people (including young children) with severe digestive problems, taking various medications that make little difference to their symptoms, make a complete recovery when they exclude certain foods from their diet.

The association between diet and both digestive and cardiovascular disease is well known. However, the foods we eat have a far-reaching effect on every aspect of health, and there are few if any conditions that are not affected by our diet. A great deal of research has been conducted in recent years on the effects of diet and psychology, with food intolerances and consumption of artificial additives being linked to all sorts of conditions, such as ADHD, autism, depression and even schizophrenia. It is not proposed that poor diet is the sole cause of these conditions, but that what a person eats has a huge impact on the severity of the symptoms.

Likewise, diet is extremely important in the prevention and treatment of cancer. While it is not sufficient as an alternative to conventional treatment, it can certainly make all the difference when the two are combined. Fresh organic fruit and vegetables, contain various nutrients such as antioxidants and salvestrols, which are deficient in most cancer patients; while a low fat, high fibre diet helps to clear cancer-causing substances from the body.  On the other hand, consumption of large amounts of wheat, dairy products, and meat (especially bacon and ham) tends to increase the risk of developing the disease.

Refined sugar is also likely to increase cancer growth, and this fact is well known by the medical establishment, since it is the basis for the PET scan, in which the patient is given sugar that has been radioactively labeled. Since cancer cells feed on sugar, this allows even small tumours to show up on a scan. However, I have seen advice sheets given to cancer patients by hospital-based dieticians, which instruct them to consume high sugar foods, such as ice-cream and lucozade.

There seems to be an obsession with encouraging patients with cancer to put on weight, however this is based on a misconception. People often lose weight because they have cancer: they don’t have cancer because they lose weight, and encouraging them to put on weight by eating sugary and fatty foods will not help their condition. In fact, fat cells are a major source of oestrogen in the body, which is implicated in various types of cancer.

Unfortunately much of this seems to stem from a lack of training in nutrition for doctors, and from a bizarre situation in which the only dieticians who are employed by the HSE are trained on one course, in one college in Dublin. The thousands of nutritionists in this country, many of whom have a more progressive approach to nutrition and health, are not eligible for employment in the health service. However, Mr. O’Connor’s comments show that there are indeed some enlightened individuals within the medical establishment, and hopefully awareness of the importance of nutrition will increase in the near future.

The old saying: “you are what you eat” is absolutely true. A healthy diet, which is appropriate for the individual, will allow that individual to be as healthy as they can be. On the other hand, an unhealthy diet, or one that is not suitable for the person, will invariably lead to ill-health, if not in the short term, then certainly in years to come. Of course it is not always easy to know what type of diet is most appropriate, but seeing a qualified nutritionist can help you to get your health back on track.