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Friday, February 1, 2013


 I'm still hungry!

Day 14 - post surgery
Only 2 half Codeine pill yesterday, a good 25 minutes of walking, and a two-hour mid-day nap…Motor and sensory reactions in hands and feet improved (about normal), and dizziness going away.  I am reading a lot but get quickly bored with most TV shows.  

One book I have been reading is called “Fat Chance- Beating the Odds Against Sugar, Processed Food, Obesity, and Diseasehttp://www.amazon.com/Fat-Chance-Beating-Against-Processed/dp/159463100X

Roast Goat - Tanzania - 
disguises
I am not badly overweight but like many people today I have to consciously be on guard against weight gain.  Obesity in America is epidemic! Take a minute to examine the data: http://www.businessinsider.com/shocking-facts-obesity-america-2010-12?op=1 Obese people often make a joke of their weight – but the evidence points to a shorter life with less mobility and more disease.

Delaware - Soft shell crab dinner
Its almost funny how many different diet plans and theories have been offered in the last 20 years–Most all have been formulated from reasonable scientific  facts and observations.  A few that you will recall:  “all food calories are the same – if you want to lose weight just eat less”, “ eat only meat “, “avoid animal fat”, “avoid sugar and fat”, "eat eggs"- "dont eat eggs", "eat beef" - "dont eat beef". … If you find the current theory doesn’t strike your fancy just wait for the next one… “Fat Chance” delves into the history and reasoning of each theory and why each was purported to work… and then explains where each theory went awry. 

Thanksgiving dinner -Berkeley CA
Basically it comes down to a question of the endocrine system. Calories from different sources are processed by different metabolic routes!   The normal human pancreas produces insulin in response to the presence of sugar in the body. Thus a diabetic person who can not produce normal insulin may have glucose in their blood stream but be unable to take it into the body cells.   Table Sugar (sucrose) is made up of a molecule of glucose joined with a molecule of fructose.  These sugars were rare in nature before the advent of modern processing methods; and our bodies evolved over thousands of years to recognize sugar as an indicator of energy rich good food.  Insulin acts as a chemical signal to direct food directly into fat cells.  The presence of insoluble fiber in some foods (like fruit) slows down the action of the insulin to store food in the fat cells. 

Insulin has one more trick up its sleeve.  Excess Insulin leads to a perceived sense of hunger and a need to eat more.  Thus that piece of chocolate cake soon leads you to seeking something more to snack on...Sugar begets insulin which begets a sense of wanting more to eat!

 I highly recommend this brief video: http://www.youtube.com/watch?v=dBnniua6-oM


Back yard political fund raiser event

Our bodies have balancing mechanisms- and our fat cells also produce a chemical called Leptin that acts to counter the action of the Insulin. Leptin lets us know we have had enough to eat and it directs food into metabolic pathways that release energy for immediate cell use.    Fat cells – Leptin released - leptin signals that the body has enough stored energy in the fat cells.  Most modern humans, having strayed far from the diets under which we evolved, have altered normal leptin pathways....that may no longer recognize "normal" hormonal cues to stop eating.  This is largely due to a glut of fructose in our diet. 

Sashimi and sushi
Some of our human ancestors were hunters;  their food was primarily meat and animal fat.  Combined with their active life style, they developed a metabolism that could take in and store energy when it was available, to carry them over times when food was scarce. (Like the Atkins diet.) Other humans were gatherers that collected plant products from nature as the foods became seasonally available. (Much like Vegans today) Their foods were carbohydrate and plant proteins.

Czech kolache with dried fruit fillings combine fats and carbohydrates

Neither of these groups combined fats and carbohydrates naturally together because such combinations were not naturally found in any wild food.   Major health problems developed when it became possible to combine fat and carbs. into a daily diet…  This combination  is called the “Omnivore’s Dilemma”.  Our poor bodies are trying to do the best they can with a diet of food for which we have not evolved natural chemical pathways over millennia of time. Surplus fat is stored as subcutaneous fat or surplus colesterol is deposited within the arteries.

Carved fruit and vegetables - Thai banquet
The primary offender is processed sugar, added under many different disguises to many of our foods.  Read more about the disguises of sugar:   http://lowcarbdiets.about.com/od/whattoeat/a/sugars.htm.

The bottom line is that sugar, corn syrup all stimulate the release of insulin – and insulin directs food directly into fat cell storage.  Reduce insulin and food is directed to cells for immediate release of energy.  Reduce insulin and the sense of "fullness" clicks in after a good meal.   Eating natural fiber (not additives) also slows the action of the insulin.

Government health conscious programs in the mid twentieth century called for a reduction in the amount of fat that we eat – and so to make food tasty and more profitable, food processors increased the amount of sugar and corn sweetener in their products.   Fiber has also been removed from processed foods - the sale of food would decrease if the customer  experiences normal  "fullness" after eating.  Combine this with "super sizing" orders and you go a long ways toward explaining our national obesity problem.

Fresh apricots
In addition processed starch, white flour, other carbs that have had fiber removed quickly break down in the body to form more sugars…  Natural fiber in grains and fruit slow the process and allows more of the food to be routed into energy release rather than fat cell development.  Six carbon fructose sugar does not directly stimulate insulin, but has the effect of removing the bodies ability to respond to Leptin, which means that the awareness of "enough to eat" is cancelled.

Best diet: Eat "real" food  - not processed food.  Avoid sugars in their various forms, select foods with high natural fiber.  

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Friday, January 25, 2013


Post Surgery 1.25.13

I have nothing but praise for my surgeon, the nursing staff, and the follow up support after my surgery last Friday.  (I had a “disc” issue in my neck – and had two vertebrae fused, along with the removal of a laminae).  Kaiser Hospital Redwood City is the Kaiser regional center for all NW regions Kaiser neurosurgery – and they certainly have their ducks in a row.   But, oh my goodness, it feels good to be home again.  My dear sweet wife if taking very good care of me, under the watchful eyes of our three Jack Russell pups who cant quite figure out why I am not am active playful self.  From start to finish my hospital stay was about 40 hours.   Now I am trying to wean myself from codeine, but pain levels have been low throughout the recovery procedure.  I fear that my biggest challenge is going to be keeping a lid on my activities as I start to feel better…  I want to do this recovery thing right and not do anything to jeopardize the healing process.  The progress forward varies from day to day - but I am on the mend.  After teaching anatomy and physiology for years there is part of me that is looking at this whole process as a fascinating science experiment - a case history - and its a bit odd to be on the inside of it!  Part of my response is emotional - I'm not sure how much of that is induced by the many chemicals and drugs to which I have been exposed and how much is my own internal life/world.

Counting down from the top I had Cervical 3 and 4 fused

It is amazing how an incident like this focuses my mind on all that I am thankful for.  Like most folks I get involved in “ideas” and “attitudes” and “opinions” and think that they are the real “me”…  At the moment I feel most aware of being thankful for the healing process, for the return of arm and leg functions that had slipped with my disc issues… Thankful for the support of friends and family that have let me know their concern for me through the process…(I had about equal responses from people who held me in their prayers and those who promised to ‘hold a good thought for me’ – I cherish them both)… Thankful for the medical knowledge and skill on my medical team…and thankful for insurance that made the process affordable within my reach.  

This was one of those times when it has been possible to peek outside my daily routine to see the broader scope of things
 We have been stockpiling TV programs and documentaries for just such a time – I look forward to getting caught up on “Downton Abby” and PBS specials … also I have my Kindle loaded with good books to read.  But wouldn’t you know that my desktop computer choose this exact moment to have a hard drive problem – Judy is taking it in today for a “fix”.  I am writing on my laptop, which is not a bad alternative.  I am certainly wired electronically in ways that would have been unknown a few years ago.

I really miss my daily encounters with interns and student teachers – Both the staff at Loyola Marymount U. and Mills College have both been very understanding and supportive.  I have good colleagues and friends who are covering for me in my absence – but I miss the stimulation of my visits.  I am anxious to return to full activity.













Thursday, January 17, 2013


Billbow and spinal surgery

Bilbow Baggins, a ficticious character in the latest Hobbit movie, becomes drawn into an "unexpected adventure."  Hobbits are gentle folk that  seek to live their lives with predictibilty and calm.  They enjoy a comfortable life in well furnished underground homes, maintain their gardens, enjoy company and shared food, and don't welcome anything that interrupts their lives.  The movie, “Unexpected Adventure”, was a great disappointment because it had very little of the characer and plot development found in the imaginative books. The bulk of the movie focused on elaborate computer generated battle scenes against all kinds of evil beings, and we never got to "know" the  characters in the detail that the author intended.

Bilbow Baggins - Star Hobbitt in "An Unexpected Adventure"
The tale brings to mind the nature of ‘adventures’ – I have been drawn to challenges all my life – it is part of my nature. But how do I define adventure?  An adventure calls me out of what is familiar to deal with the unexpected.  A good adventure always involves learning something new in the process and and having to develop problem solutions.   Adventures generally have an element of  discomfortable. There is a perceived sense of risk and excitement.  But, Oh!, there is such elation in success.  There is a joy of accomplishment. I think my first encounters with adventure came to me as a young teen ager when I was introduced to the joys of mountain travel with my Uncle John - he also was a fount of his own adventure stories.  With a drivers license and the close proximity of the Sierra mountains my friends and I attempted adventures that gave meaning and identify to me as a kid.

Adventures come in all sizes and flavors.  Going to Tanzania and visiting village projects qualifies, challenging myself to learn to do Science Education presentations to adults scared the heck out of me at first - but in the long run was a major growth experience and a fine adventure.  Having the courage to go back into the classroom every day my first green year of teaching was a powerful formative adventure....as much as climbing a frozen waterfall with crampons and ice ax certainly is.  

The trail to the Conness Lakes
With a bit of maturity I have developed a better ability to distinguish what level of adventure I want to tackle.  When I was a young pup I had little sense of my own mortaility and attempted things that I would never consider today...(That, and sometimes not being smart enough to know that I needed to worry...) Some of my early adventures seem quite fool-hardy in retrospect.  I have come close to drowning twice because of foolish endeavers... I have committed myself to mountain activities beyond my skill level.  I have started activities for which I could not anticipate the outcome.

Oaxaca Mexico during a police action to control a strike 
My latest adventure is coming up.  I am scheduled to have two of my cervical vertebrae fused together to relieve pressure on my spinal cord.  It is like a freeway experiencing lane blockage at one point – information from the lower body is not able to reach the brain with normal efficiency.  This point in my neck receives incoming nerves from both legs and arms.

The proceeded explained by the surgeon all sounds very straight forward – and the odds are that I can come home in a day or two... and certainly the benefits of the operation far out-pace the risks... But while I have a healthy knowledge of why its necessary, I still have an approach/ avoidance about it... more approach than avoidance but enough to give me pause.  But I have the easy part i just show up and get put to sleep and the surgeon has to do all the work.

My bulge is very similar to this image - and the treatment is to remove the disc and  fuse the two vertebra
Here is a similar MRI image that identified my blockage...The real advantage of the MRI is the clear visibility of the spinal cord.   I gather that such things are quite common.  MRI imagining  doesnt use radiation to form pictures but radio frequency magnetic fields–that interact with the water molecules in the cell nuclei to form the image –

X ray image of a healthy neck -
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Friday, January 11, 2013


Midwinter Visitors: 

I am not what you call a “bird person” – However I enjoy paying attention to the natural world that I encounter. This week I want to share with you the most common birds that visit our home in the Niles part of Fremont Ca. this time of year.  I have written about those that I see, and I have included some of my own photos...

Belted Kingfisher - famous for aerial diving for small fish

1.     If I step into my back yard in the dark of night I frequently hear the grebes calling and arguing in the Quarry Lakes Park... They are unrestrained because they think they are all alone in the night...   I would go spy on them – but for that I would need a light – and if I shown a light they would become quiet.  What are they doing ... is it part of a mating ritual or are they simply being in touch with each other..?  Listen to the call of the grebe: http://www.allaboutbirds.org/guide/Clarks_Grebe/sounds

Great White Heron - Standing motionless waiting for food to pass by
2.     In  the early morning as I walk out to collect my newspaper,  I hear pairs of timid Brown Towhees calling to each other.  Seldom do I see or hear one alone. As they hunt on the ground they call back and forth to keep in touch"with their mate.  Their calling song is easily recognized:    http://www.allaboutbirds.org/guide/California_Towhee/sounds

Red tail Hawk - Major predator of mice and ground squirrels in the spring

3.     My old friend the Scrub Jay has not moved on for these coldest months. I see him searching for food and warming in the morning sun.  For several years I have seen one particular jay come and perch right next to where I am working in the garden... He is very tame and I talk to him in a gentle voice.  I don’t know why I am so nice to him – he eats my fruit and makes rude squawks!  By April they will meet up with their mate and will spiff up the old nest in the thorny lemon tree.

Scrub Blue Jay
4.     Every year our neighborhood population of crows seems to grow.  At time I see 20 or more in our street or roosting in a tree... All talking at once, strutting around with confidence, just like a happy family with everyone stating his or her opinions without hesitation!  I have changed my feelings toward crows from thinking of them as a nuisance to thinking of them as amazingly smart and adaptive birds.  I love their behaviors... I talk to them too... trying to imitate the number and tone pattern of their “caws”  - sometimes we carry on a conversation back and forth for several minutes.  I wonder what I are saying to him or her?  http://www.allaboutbirds.org/guide/American_Crow/id

Crow
5.  In my back yard Anna’s Humming Birds can find nectar all winter long. I have planted a variety of native California and Mediterranean plants that produce just the kind of flowers that humming birds and butterflies are attracted to.  I often see the hummingbird  perched on the top most twig on a tree soaking in the sunlight. In the cold of night they enter a torpor state like short term hibernation  - but when the sun shines again they are up and active.   Part of their “song” is caused by rapid movement of air past their tail feathers! http://www.allaboutbirds.org/guide/Annas_Hummingbird/sounds

Sea gulls often travel far from the sea in search of anything tasty
6.     Not a daily winter visitor but common are the White Crown Sparrows- their plaintive cry has a special attraction for me... They often forage in small groups, calling to each other as they move along to keep everyone together.  Note the two white marks on the head.  They are omnivores and enjoy both seeds and insects...Listen to their distinctive call:  http://www.allaboutbirds.org/guide/White-crowned_Sparrow/sounds

Avocet probing the sand in the surf zone
7.     I am startled each January to hear first a few then a mass of Cedar Waxwings.  I love dearly their clown like antics and their bobbing top notch head feathers. But its their cry that first alert me  to their presence. A whole gang of them will fly rapidly past in a great flurry of speed and feathers. The down side of Cedar Waxwings is their poop contains plant seeds in huge numbers that will grow into plants that I have to dig out for the next year. http://www.allaboutbirds.org/guide/Cedar_Waxwing/sounds

Cedar Waxwings often travel in a flock!
8.     Robins love soil just soaked with rain – they stand alone or a small distance apart from their colleagues with their heads slightly turned (the better to hear movement of critters in the soil below). They are common for us but we once saw in a large inner zoo in Cracow Poland, a large fenced cage  with one  “North American Robin on the sign  Anything becomes rare, exotic, and wonderful when it is carried when carried away from  its natural setting. You are sure to recognize this call:  .http://www.allaboutbirds.org/guide/American_Robin/sounds

Grey pelicans have taken over this boat in Monterrey Bay!

9.  My robin sized black headed Junko friends keep us company in the Bay Area in the mid winter - but them we see them again in the High Sierra meadows in the summer.  As with other birds migration is all about going to where the food source is rich and easily available. They are easily recognized with their dark head and their song is distinctive.  http://www.allaboutbirds.org/guide/Dark-eyed_Junco/sounds
Canada Goose has many reptilian qualities...
10.     The bird everyone loves to hate is the Canada Goose – they are beautiful birds. When I look at them, I can easily believe that all birds evolved from dinosaurs.. when I consider how reptilian are the birds skin, bones, and foot print. A few years ago Canada Geese were rare in my area. Our protective laws, available food and habitat, removal of natural predators all contribute to their current success.   http://www.allaboutbirds.org/guide/canada_goose/sounds

Turkey Vulture - they get 'bad press' but they are a vital part of the food chain
11.     OK – one rare bird that I seldom see and this one I have now see three times within the last two weeks - almost in my back yard!  A burrowing owl!  The natural habitat of burrowing owls has been greatly reduced when native land is plowed, digging up their burrows.  Each time, this little girl flew up onto a fence wire and watched me with tilted head as I walked past.(I also talked to her but she didn’t respond.) I hope she moves in to stay.


Link of the week:  Dont miss!!:  "Life and work aboard the international space station..."     ....sent by my cousin Laverne Zlatnik

http://www.wimp.com/orbitaltour
Be sure to view 'full-screen'.

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Mixed group of White Pelicans, Cormorants, Ducks, and Egrets