Ишемическая болезнь сердца-Ischemic heart disease

The stress phobic must snap out of his or her depression before progress can be made in dealing with fears of confrontation, rejection and failure. All the affirmations, especially those for happiness, success and self-respect, should be repeated over and over again every day. This affirmation, too, should be a part of the stress phobic’s daily regimen:

All things are now working together for health, happiness, success and love in my life. Each morning is the start of an exciting new day, a fresh new look at the world. Every day brings more opportunities for me to assert myself and make my world a wonderful place to be.

To help build confidence in their ability to deal with the stresses of everyday life, I often give this affirmation to my stress-phobic patients:

I am a confident and extremely capable person. People really respect and like me. I have interesting, worthwhile and challenging goals. I am a success!

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The Walking President

President Harry Truman had a regimen of brisk walking. He walked at the Army pace: 110 steps per minute. Reporters would often follow, throwing questions at him as they huffed and puffed along. They used to complain that he was walking too fast for them, even though they were younger than he was. When he came back to Washington for a visit he was in his 70′s: the reporters who were following him on his walk still had difficulty keeping up with him.

The Formula for Success

Twenty five minutes of nonstop, brisk walking, four days a week, will boost your immune system, strengthen your heart and lungs, lower cholesterol levels, raise your HDL (good) cholesterol, tone your leg muscles, help control your weight and fight high blood pressure.

But 25 minutes a day, four days a week, isn’t enough brisk walking to burn 2,000 calories a week. That’s why it’s very important to combine your regular brisk-walking sessions with lots of spontaneous brisk walks to the store, around the neighborhood, up and down stairs, visiting your nearby friends and so on. Look for ways to add steps each day.

Walking Relieves Back Pain

Walking is actually good for your lower back. Standing up or walking is easier on your back than sitting down; the mechanical load is less. Most of my patients with lower-back pain report that regular walking helps relieve the pain. Furthermore, it helps reduce the distress and frustration that is caused by the pain.

Sometimes I have my lower-back-problem patients begin by walking slowly and gently, or walking only on soft, grassy surfaces. But soon, most of them are able and eager to walk briskly and get all the other benefits of this simple but very effective aerobic exercise.

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Is the deficit of a vitamin or two all that harmful? After all, you never hear of anyone in this country dying from a lack of vitamin C or iron. Death certificates rarely state that the cause of death was nutrient deficiency. But as a physician I can tell you that many illnesses and deaths are caused by, or related to, nutrient imbalances. It may be lack of certain vitamins and minerals, or it may be excess fat, cholesterol or sugar that’s the culprit. A shortage or excess of even one nutrient can knock your immune system off balance. While your immune system totters, you’re more susceptible to disease. I’ve treated thousands of patients whose problems were related to a nutrient-starved immune system.

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Our «doctor within» is also forced to deal with the multitude of environmental pollutants that abound in our chemical world. When I taught a class in Physical Diagnosis to a group of medical students, I used to paraphrase Hippocrates: «When you go to patients’ houses, you should ask them what sort of pains they have, what brought them on, how many days they have been ill, are their bowels working and what sort of food do they eat?» Today we have to ask an additional question: What toxins (poisons) are you exposed to in your home and workplace? We live in an environment saturated with man-made chemicals, many of them very dangerous to our health. They’re in our food, our air, our water, our homes, our clothes, our cars, our offices.

I see more and more people who are complaining of vague symptoms and recurrent illnesses that can be traced to the chemical poisoning of our immune system. Laboratory test results often show high levels of pesticides, solvents and other toxic chemicals in patients. Lead, mercury, chloroform, DDT, DDE and many other substances have a depressing effect upon the «doctor within.» Quite often the symptoms—fatigue, loss of energy, forgetfulness, personality changes, depression—give us only general clues as to the identity of the culprit.

How much is too much? When it comes to chemical poisoning of the body, we just don’t know. New chemical compounds are being introduced at a fast and furious pace. If scientists were to start conducting the rigorous tests they should have been doing all along, they would probably never catch up with all the new chemicals.

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Medical science is never exact, for a variety of reasons. For a start everyone is different, both in the genes that make them what they are, and in the environmental conditions that shape them from birth. Those environmental conditions include childhood and adult illnesses, standard of nutrition, type of work, nature of relationships with other people, past medical treatments and present living conditions. A collection of patients also differ in their age and sex, two very important factors in health and illness. Their response to treatment is bound to differ for these reasons alone.

A second major factor is the imprecise nature of diagnosis. Names may be given to diseases – ‘rheumatoid arthritis’, for example, or ‘migraine’ – but this does not mean that they are single, .clearly defined conditions, in the way that infectious diseases such as measles or cholera are. Doctors suspect that, although the symptoms look similar, there are a multitude of different disorders sheltering under such umbrella terms. One of the ways in which medicine advances is by-recognizing different subgroups within such diseases, and giving new names to the symptoms shown by those subgroups – ‘classical migraine’ and ‘common migraine’, for example. But in many diseases, there are no obvious subgroups, even though it is clear that the patients are not all the same. This is particularly true in food intolerance.

To overcome these problems in medical trials, it is important to study as large a group of patients as possible. Because the patients suffering from a disease can be so diverse, a new treatment may only be effective for, say, 10 percent of them. A study that only includes 20 patients should, in a perfect world, include two patients who will respond. But when numbers are this small, die laws of chance dictate that there could easily be no patients of this type in the group. So a group of 100 patients may be needed to give a convincing result -but such large-scale trials are costly and difficult to organize.

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