2014/07/22

Suture Self

An episode of the cartoon series "Rocky and His Friends" is titled You've Got Me In Stitches - or - Suture Self.  The comic Frank and Earnest also used the joke:

Rocky and Bullwinkle and Frank and Earnest may be funny, but for Momo the Wonder Dog stitches are no longer a joking matter.

Last week it was hot and humid in Japan and Momo was having a tough time staying cool.  She started going on shorter walks and not eating as much.   We thought it was the heat.   Wednesday she stopped eating altogether and  walked slowly.  So slowly that I tried to get her to turn around and go home early on, even thought of carrying her, but she kept on going.   K and I decided to take her to the vet the next morning, but then it turned out the vet was closed.  We should have called him anyway, but we waited another day.  When we took her in first thing Friday a stand-in vet was there.  She took x-rays and did a blood work-up.   Momo's trouble was not the hot weather.

Her blood numbers were all fine except for one - a very high white blood cell count.  She had a bad infection in the uterus which even showed on the x-ray.  She was given a shot of antibiotics, a suppository as well, and sent home.  She responded very quickly to the anitbiotics and was soon wagging her tail and smiling.  But she still would not eat.

Saturday morning her regular vet called and told us to bring her in again.  We had planned to do that anyway, but it was nice that he was so on top of of Momo's health.   She's had the same doctor since 2006, so he knows her well.  He performed an ultrasound while we were there and it showed a lot of inflammation from either infection or perhaps cancer.  He advised removing her uterus. (Interestingly, her doctor had discussed this operation a month ago as her birth control implant had expired and she needed the surgery before getting too old to be able to recover from it.)   He would open her and see what it was then if it was cancer he would stitch her back up and we would have to decided what was best for Momo from there.  If he found it was an infection, he would remove it. 

The Day After Surgery
Fortunately it was the latter.  The operation took an hour and then Momo spent the night at the pet hospital.   She was very groggy when we saw her that evening.  Next day we brought her home.  She was much more responsive.  She had received some nutrition via IV in the hospital and we tried to feed her.  We used a chicken breast doggy treat as she really likes that.    (Unlike humans, dogs are omnivores and have a digestive system evolved to do fine on either plants or animal flesh.)    She ate the treat eagerly.

Yesterday she had another check up and doctor said she didn't need the "cone of silence" as we called it around her neck.  She could return to her usual routine.

Today she is almost back to normal!   She'll have stitches for perhaps several more days, but she's eating well, walking normally, and shows no signs of the infection.   This morning she even went on her usual walk and walked along at sprightly pace.   She's well on the road to a full recovery.



 We'll keep a closer eye on her in the future, to be sure, and not be shy about consulting her doctor if something seems even a little amiss.


  


2014/07/16

Seduction


I was pleasantly surprised to find other folks at my daughter's wedding last month who were turning to a low fat, 100% plant based diet to improve their health just as I have done.  Over breakfast one morning we discussed how some foods seem harder to "give up" than others, and that those foods tend to be the same ones for most of us.   Why is that? 

Most of us can change our eating habits in a few weeks - the time it takes our bodies to recalibrate our tastes.  But getting through those few weeks can be difficult if we do not understand why some foods seem to keep calling to us.  Perhaps if we understood the mechanisms involved we could develop a strategy to counter it and move on to a healthier, happier, lifestyle.

Well, there is help.  Neal Barnard, MD is President of PCRM (Physicians Committee for Responsible Medicine) and uses a low fat plant based diet to treat and usually cure patients with type 2 diabetes.  That is his specialty, but the benefits of this way of eating and the number of health problems it can solve are numerous.   He has researched the issue of why some foods are so darned seductive and some of what he has discovered may surprise you.

Here is Dr. Bernard's 40 minute talk on "Breaking The Food Seduction" - Enjoy! Then go out and play. :)




Neal D. Barnard, M.D., is a nutrition researcher, author, and health advocate. As an adjunct associate professor of medicine at the George Washington University School of Medicine, Dr. Barnard conducts studies on the role of nutrition in diabetes, obesity, and lipid management, among other health issues. His blog is here: Dr. Barnard's Blog.

2014/07/15

Transpacific Then and Now

Regular readers (if there are such) may recall that last year we visited Misawa up in Aomori Prefecture and saw the place where Clyde Pangborn and his partner Herdon took off for Washington State (Sabishiro Beach) in their plane Miss Veedol to become the first to cross the Pacific from Japan to the USA non stop in October of 1931.

The plane flew past Seattle, which was socked in with weather, and landed in Wenatchee, Washington, where the airport now bears the name "Pangborn Memorial".   

Fast forward to 1992 and Pandabonium was working on his instrument flying rating.  The first big glitch came when, after flying all the way from Maui to California, and driving 80 miles (through a lighting storm!) to Ontario airport to take the written test, said test was cancelled due to illness of the guy presenting it!   Subsequently, an instructor came to Hawaii with a simulator to teach me instrument flying.  Then my own airplane had a failure of a crucial instrument and I was unable to finish.

So, my instructor graciously offered to put me up at his house which happened to be near Pangborn Memorial Airport.   I flew to Seattle, took the written test the next day (passed of course!) and then my instructor Paul drove me out to Wenatchee.  There, we flew around in REAL instrument weather conditions (unlike anything I might experience in Hawaii) and scheduled me for a final check ride.

As luck would have it, the FAA check ride pilot (I am not making this up) came down with appendicitis(!) and so once again I was denied my instrument rating, in spite of flying to California to take the test, paying an instructor to fly to Hawaii, and flying to Seattle and going to Wenatchee!  Ouch.

So imagine the irony when the younger of my two daughters who moved to Seattle last year decided to get married in Washington State.  And beyond that, she and her now husband chose a resort in the mountains outside of Leavenworth, Washington to be the site of their wedding.

My flight from Japan - the first in nearly ten years- was on a Boeing 787.  My daughter is an engineer for Boeing.   The wedding was in a town - Leavenworth - which I passed when my instructor drove me to Wenatchee in 1992.   And Wenatchee is the nearest airport for Leavenworth, which Pangborn and Herdon flew over in the final hour of their flight from Japan!   Coincidences?   Maybe.

In any case, I had the most amazing week in a very long while.

For the first time in nearly a decade, I had boarded a plane that took me outside of Japan. What you may ask could pry this old transplanted opihi (Hawaiian limpet) off his Japanese rock?

Hawaiian opihi, looking like a miniature Mt. Fuji,  clinging to a rock.
The trigger as I said was the wedding of my second daughter and the chance to see her, meet her groom and his extended family, and see my own extended family - most especially my two precious granddaughters.

The trip began ominously. I was given the wrong gate number at Narita. Bad weather slowed the traffic and my flight information got buried behind the many delayed flights, such that (even though I asked for help and verification) my only warning of a problem came with a final boarding announcement to a gate two football fields away from where I had been directed - cue Pink Floyd's "On the Run".

I just made it to the gate by the 6 pm deadline. The door was closed after me, I settled into my seat, and waited. Twenty minutes later one of the guys up in the pointy end of the plane came over the PA to let us know that due to a THUNDER STORM sitting right on top of Narita Airport, our clearance was delayed. Perhaps we could get under way in ten minutes or so. Uh huh. Similar announcements followed every so often as outside lightning flashed, thunder rumbled and rivers of water cascaded over the aircraft; and inside, cabin attendants smiled, poured orange juice, apple juice, and passed out rice crackers. A few passengers got edgy wanting to know why we couldn't just take off.  I was thinking, "trust me, you are really a whole lot better off right here on the ground than flying through this storm.  You REALLY don't want to be up there."

At 8 pm we pushed back from the gate and got in line behind many other delayed flights. After 45 minutes of taxiing in cue we took to the air. It was 8:45 PM. Poor cabin crew. How do they do it? I lost track of time, but something like eight hours thirty minutes later, we landed at Seattle-Tacoma. The flight was smooth. The aircraft experience itself was awesome, for I was aboard one of ANA's new Boeing 787 Dreamliner (many parts of which were made in Japan by Mitsubishi Heavy Industries).

Ain't she purdy?
Spacious cabin with ceilings lighted to match the time of day; extra large windows made possible by composite fuselage construction with touch control electronic shades; and a cabin altitude of about 5,000 feet instead of the usual 8,000 feet with more filtered air circulation. You get much more oxygen and cleaner air which means you feel less fatigued upon arrival.  All the while, she burns 20% less fuel than other aircraft of her size.

Yes, the plane has had its teething problems, but the final product is outstanding and ANA's low density seating arrangement offers plenty of shoulder and leg room even in economy class.  (Also, the washlet toilet feature in the lav is not lost on those of us living in Japan who have become spoiled by such things.)

The unexpectedly long trip meant that I made it to my hotel with just enough time to get ready for a gathering at my daughter's house.  The yard is backed by a woodland and a curious deer came into the yard, soon escorted back to the woods by my daughter's dog Hoku.


Hoku (Hawaiian for star), was actually in the wedding and stayed in one of the resort's pet friendly cabins!

Two days later I rode with my other daughter, son-in-law and my two granddaughters through snow topped Stevens Pass along the Skykomish, Tye, and Wenatchee Rivers to the town of Leavenworth and up the valley along Icicle Creek to Sleeping Lady Resort where the wedding was to be held.  

The Sleeping Lady rests on the mountain ridge facing the sky.

An organic garden provides food for the resort's restaurant along with selected locally sourced food.  I wanted to roll up my sleeves and plant something.
The wedding and reception took place out of doors, overlooking Icicle Creek.
I went for an early hike the following morning and found two osprey soaring around their eyrie in the canyon.  A little shopping in town with my granddaughters and it was back to Seattle to pack for the return trip.

In a bid to save the town, Leavenworth reinvented itself as a Bavarian style village in the 1960s.  Apparently successful, it is now a major "TT" - (tourist trap) with wall to wall shops, restaurants, beer garten, outdoor band stand, nutcracker museum, and plenty of parking for America's oversized motor vehicles.  ;)
It took a lot to pry me off my Japanese rock, but I was richly rewarded with the family reunion, wedding, meeting new friends and family not to mention the natural beauty of Washington State.

By the way, for a host of reasons, in spite of all the training and passing the written exam,  I never get my instrument flying rating!

2014/07/07

Stopping America's No. 1 Killer

In the USA, a heart attack occurs about every 20 seconds with a heart attack death about every minute. Nearly 600,000 deaths per year. Yet the medical community mainly addresses this problem with mechanical treatments after the fact rather than prevention, even though the first symptom of cardiovascular disease is often a sudden death heart attack. But there is a lot we can to stop this killer.   In fact, in cultures where people eat a primarily plant based diet, heart attack is almost unknown.  Here is Dr. Hans Diehl addressing a group of healthcare professionals in Portland, Oregon last year.



Dr. Hans Diehl is founder and director of CHIP (Coronary Health Improvement Project). He is an epidemiologist and heart researcher with a master's degree in Public Health Nutrition and a doctorate in Health Science. He is also founder and director of the Lifestyle Medicine Institute in Loma Linda, California and is a Clinical Professor in the School of Medicine of Loma Linda University. He is also a successful author.

This video is a recording of his appearance at the 3rd annual co-sponsored Professional Conference on Enhancing Health with Plant-Based Nutrition, which took place in Portland, Oregon on September 20, 2013. Sponsorship of this event is by Northwest VEG and Adventist Medical Center. This presentation was part of an accredited educational package for health professionals, approved by the Commission on Dietetic Registration, the credentialing agency of the Academy of Nutrition and Dietetics.

Be well.

2014/05/31

Happiness is the Truth

Happiness is so fundamental that it's featured in the United States Declaration of Independence.  People everywhere pursue happiness when they can, and Japan is certainly no exception.  

When we went to NHK Hall for K's graduation ceremony, we got off the train at Harajuku.  The station is in front of Meiji Shrine and Yoyogi Park.    A part of Shibuya Ward,  Harajuku is known for its youth and fashion culture.  One is always sure to see lots of interesting people there.

Perhaps that is why Harajuku is Happy!  Full screen recommended.   Enjoy.



Be happy.

2014/03/27

Plastics?

In a famous movie that starred Dustin Hoffman, a character approaches him and says "I have just one word I want to say to you.  Plastics".   Do you remember that line?

It was in the 1968 classic "The Graduate".    

Well, that's not my advice to K, but some 'ump-ditty-ump' decades after getting her associate degree, she has - with just two years of late night studying, weekend lectures, exams, and numerous online classes (all the while working, mind you) - attained her liberal arts bachelor's degree from the University.    She is a new graduate.

It was a challenge that she gave to herself.  To prove that she could do it.   As Tim Allen's character, Jason Nesmith, said in the movie Galaxy Quest (1999), "Never give up, never surrender!".   She may kill me for posting this, but I am in total awe of her for this achievement.

Here is "the graduate" right after her graduation ceremony which was held in NHK Hall (Home to Japan National Radio and the NHK Orchestra) last week.   






My "one word" of advice for K?    It isn't "plastics".  It is "Education".     You are awe inspiring, K!