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Is there a Doctor in the house?

This week all the Spaniards were Doctors, which I was a little apprehensive about given the profession. As it turned it out it was a great group of people and personalities.

It was good to see the formula working as it should. I have to say I think everyone gave 100% this week which helps enormously. I found myself getting quite tired though too, which is unusual, and on Thursday I had such a bad headache (no, alcohol wasn't the cause)!?

We got up to all sorts of things and the competitive edge came out like a Samurai sword when we played Scattergories, hehe (it didn't help I messed up the scores on the last round, oops) but I did learn that rust is a colour and houses do fly! So it was educational too.

The karaoke went very well and the party I thought may never end, and for some I dont think it did!! Dylan made his debut of the year and everyone seemed to like him which was nice, but then he let himself down by getting drunk at dinner time!

So I guess I'm looking forward to my next Doctors program, they have a lot to live up to!
Keep up the good work guys, its nice to know were in safe hands.

To see the time we shared simply click the folder below

Vaughan Town - Gredos - Program 81

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Gluten Sensitivity

I'd like to point out an interesting post from Peter at Hyperlipid. He discusses a paper that uses a novel technique to look for immune activation in the gut in response to wheat gluten. For the nerds: they challenged patient gut biopsies with gliadin fragments (gliadin is one of the proteins that make up gluten) and looked for expression of interleukin-15 (IL-15), a marker of activation of the innate immune system. The innate immune system is an old system (evolutionarily speaking) that predates the antibody-producing "adaptive immune system" and nonspecifically defends against pathogens.

Biopsies from 5 out of 6 patients showed an IL-15 response to at least one gliadin fragment. The implication is that the majority of people have an immune response to wheat, even if they don't have Celiac disease. The reason they aren't diagnosed as Celiac patients is they don't have circulating anti-gliadin antibodies (and they presumably don't yet have severe structural damage to their intestinal tract as judged by biopsy or endoscopy), but as the paper shows, people can react to gluten without producing antibodies via the innate immune system.

As someone who regularly does Western blots, I can say I'm not impressed by the quality of their data, but if this is confirmed more solidly and on a larger scale it would be HUGE. As you know if you've been following the blog, the small intestine has a lot of important functions: besides absorbing nutrients and secreting enzymes, it also plays an important role in regulating satiety and insulin secretion by the pancreas and overall insulin sensitivity. It's not an organ you want to damage.

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Sugar Daddy

Like many other Apprentice-watchers I am somewhat mystified by the continued presence of Michael Sophocles. But on a recent visit to the BBC I found the following transcript from the final show, which I think reveals everything.


INT. BOARDROOM – DAY.

    Sir Alan, Nick and Margaret are on one side of the table. Michael Sophocles and [NAME DELETED] are on the other side.
        SIR ALAN
      Michael – why should I hire you?

        SOPHOCLES
      Sir Alan, I’m a good Jewish boy.

        SIR ALAN
      Are you?!

        SOPHOCLES
      Well, half-Jewish. I never knew my gentile father though. My mother said that he was driven to suicide in the 1980s when his range of cheap personal computers was ruthlessly undercut by Amstrad. Amstrads had crappy 3” disk drives for fuck’s sake, yet everyone bought them instead. You killed my father. Well now you’re “fired”.
    Sophocles points a gun at Sir Alan.

    Margaret looks shocked.
        SIR ALAN
      You’re not half-Jewish.

        SOPHOCLES
      I am! I am! I’m half-Jewish!

        SIR ALAN
      You’re not half-Jewish. You’re 100% Jewish.

        SOPHOCLES
      You killed my father!

        SIR ALAN
      No Michael. I am your father.
    Margaret looks shocked.
        SIR ALAN
      That’s right – you’re sired. Sired by me.

        SOPHOCLES
      COME ON!
    Sophocles bangs the table then vaults over it and embraces Sir Alan.

    Margaret looks shocked.
        [NAME DELETED]
      Um, is it even worth mentioning that I won this task? No? OK, I'll just fire myself. Frances - could you call me a cab please?

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    teaching and learning about persistence


    Part One (in which running is harder than walking)


    Yesterday, my oldest son and I went running.

    He is a couch potato and I want him to get fit and get moving.

    I used to be a runner but stopped shortly before my surgery in 2006 and have not run since.

    S. balked at this proposal at first but I stood firm. Then we saw Run Fatboy Run and he came around (he adores Simon Pegg. And the 'slacker turns long distance runner and gets the girl' theme really appealed to him. Whatever works, I figure).

    We did Week One of a beginner's run/walk programme. We ran for one minute and walked for two minutes for a total of twenty minutes (we also did ten minutes of walking to warm up and cool down on each end). Even though I walk almost every day (and sometimes quite briskly), I really felt it (I was also running in a pair of really crappy old shoes which I threw in the garbage when I got home). It's hard to imagine that there was a point in my life when I was able to run for more than an hour and that I once finished a half-marathon.

    And S., who had started by saying that he can walk faster than I run (which is true), was panting pretty hard at the end and asking "are we done yet?" Every few seconds.

    Still, we both agreed that it was hard work but not overwhelmingly so (I even think that S. was a little proud of himself) and that we would keep at it. I told S. that I expect him to finish the programme with me (in ten weeks we will be running for twenty minutes in two ten-minute increments) and then he will be off the hook.

    By then, I am hoping that we will both be addicted.

    He was asking yesterday about running a marathon. I think it would be fun to do a 5k together.

    We'll see.

    On Friday, we will go out and do it again.

    Part Two (in which I am pretty)

    It was well past D.'s bedtime last night when he asked if he could 'do' my hair. I couldn't resist.

    Ever since I was a little girl, I have loved having my hair brushed. This hadn't happened for a very long time. My hair hasn't really been long enough for years and when it was, there wasn't anyone in my life who was interested in brushing it.

    D. set to gently brushing (he was standing on the bed as I sat on it). As he worked, he would make comments:

    "Tell me if I hurt you."

    "S's hair tangles because it is curly."

    "Your hair is like mine and S.'s is like Papa's."

    "In the light, your hair looks golden."

    and

    "I like your hair, Mama."

    After brushing, it was time to add some adornments. We both loved the end result:


    I have been growing out my hair since it started growing back after the Adriamycin. What you see is the result of almost two years of persistence (I am sure that the current treatment regimen has slowed progress, too).

    Recently, I have been thinking of giving up. I had very short hair in the months before my diagnosis and I keep coming across photos of myself with short hair in which I think I look pretty good.

    But after last night I don't want to cut it any more.

    And I've invested in all these cute little clips. Who knew I could wear them all at the same time?


    Update on my heart situation: I just got off the phone with my oncologist. He's not really worried about the drop in my ejection fraction. We're going to proceed with next week's treatment as planned and he is going to book an echo cardiogram for me and see if it gives the same results.

    People who would know have been advising me that such tests can produce inconsistent results and it seems that my oncologist agrees.

    Cross-posted to Mommybloggers.

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    It's Like Boot Camp

    Man. Aerobics was tough this morning. One of the other girls in the class asked the aerobics instructor: "What? Are trying to train us for the police academy?" Full sit ups. Jumping squats.I thought I was going to die. But it was one of those workouts that you end up being glad you made it through. I know if I could workout like that everyday, I would really get somewhere in my fitness goals.


    I am noticing that I am firming up quite a bit—especially my butt and legs. Hey, I'm an apple. I wish my waist would whittle down a lot quicker, but that's really going to require some work. And my arms too. They need a lot work. I hate my arms. I wish I had enough money for plastic surgery.

    Well, life remains good. And it's another busy day. So until tomorrow.

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    Back From Da'Burgh

    Sorry I've been incommunicado this week. My son-in-law was out of town and so I was in Pittsburgh with my daughter and granddaughter, doing Grammy Lynn stuff - you know, buying Claire lime green sandals and orange sandals and pink sandals and dresses to match. We also bought a new bath book, "Caps For Sale," and few books for a friend's new baby. Claire recommended her favorite Sandra Boynton books.

    I did well with holding her and getting her in and out of her stroller. My wrists held up well and I made sure to not tax them to the point of pain. It’s not easy when I want to hold that kid all the time and kiss her cheeks. She’s just so addicting!

    I went to Trader Joe's with my friend Carol yesterday morning. I haven't been there in at least two months. I have a new food find. It’s the Food For Life Ezekiel 4:9 Organic Cinnamon Raisin bread. It’s whole grain, 80 calories, no fat, 2 grams of fiber and a nice amount of potassium. Low sodium, too. Toasted, it’s the only way I’ll eat raisins. I tried a slice this morning with a little Land ‘O Lakes light butter (1/2 teaspoon at the most) and it was the perfect pre-workout food! Very yummy.

    I feel a bit off this week in terms of exercise. I haven’t done a cardio workout in three days. Today I hit the elliptical for at least 30 minutes, but I’m trying to not feel guilty or regret that I missed the chance for a cardio workout on Tuesday. I made the choice to stay in the house with my daughter and granddaughter in case they needed me instead of go to the gym for an hour. I know I made the right decision, but I still, after all these months in maintenance, go into a sort of panic mode, that “Oh my god I’ll gain 170 pounds TOMORROW if I don’t work out TODAY!”

    Irrational, yes, but very real and something I have to deal with, think about, work out in my head. Staying present, being mindful…

    How do you talk yourself down from those high places? What are your coping mechanisms?

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    A high protein, low carbohydrate diet is most effective

    A high protein, low carbohydrate diet is most effective at reducing hunger and promoting weight loss, at least in the short term. Healthy, obese men were given two different diets during their stay in the Rowett’s specialised Human Nutrition Unit. Both diets had a high protein content (30% of total energy value of the diet) but they differed in the amount of carbohydrate: One diet was low in carbohydrate (4%) and the other contained a moderate amount of carbohydrate (35% total energy value).

    “Our volunteers found both diets to be equally palatable, but they felt less hungry on the high-protein low-carbohydrate diet compared with the diet which contained high-protein but moderate amounts of carbohydrate,” said Dr Alex Johnstone, the Rowett’s weight-loss expert who led the study.

    “Weight loss during the two four week study periods was greater on the high-protein low-carbohydrate diet, averaging 6.3 kg per person, compared with 4.3 kg on the moderate carbohydrate diet,” said Dr Johnstone.

    An important part of this study was to unravel the physiological mechanisms behind this type of diet. It is known that when people eat low carbohydrate diets, within a relatively short time their body has to switch from using glucose as a fuel to using something different called ketone bodies. Ketone bodies are appetite-suppressing and they may have an effect on the appetite centres in the brain. It’s also well known that protein itself is very good at making people feel full-up.

    “In this study, we showed that on the high-protein low-carbohydrate diet the volunteers became ketogenic within 1-2 days of starting this diet and so it may be that high-protein, low-carbohydrate diets are particularly effective because of the combined effect of the protein and the ketone bodies,” said Dr Johnstone.

    “We showed that the volunteers on the ketogenic diet reduced their energy intake without increasing their hunger and this was a very important factor in their ability to stick to the diet.”

    Dr Johnstone sounds a note of caution about her findings: “A paper published last year from the same study showed that low carbohydrate diets may have consequences for the health of the gut by dramatically reducing the numbers of particular types of bacteria. So we will be looking in more detail at the complex way in which we respond to changes in our diet before we can say whether low-carbohydrate ketogenic diets are a suitable tool for everyone who wants to lose weight.”

    When the phase of the study which involved the volunteers finished in October 2004, it attracted considerable interest because of its celebrity volunteer, Cameron Stout, who lost just over 12 kg during his nine week stay at the Rowett Institute. At the time, Cameron mentioned his surprise at not feeling hungry during the study and said he had adjusted to eating smaller portions.

    Source: ScienceDaily

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