Wednesday, February 21, 2018

Why Some People Die From the Flu

According to the Centers for Disease Control and Prevention (CDC), the 2017-2018 flu season appears particularly virulent. Influenza activity increased significantly in December, with influenza A(H3N2) viruses predominating, and in a December 27 notice, the agency noted that “In the past, A(H3N2) virus-predominant influenza seasons have been associated with more hospitalizations and deaths in persons aged 65 years and older and young children …” While influenza can indeed be deadly in rare cases, what most health experts fail to tell you is that these deaths are typically the result of secondary infections, not the flu virus itself. Importantly, research has highlighted the link between influenza and severe sepsis — a progressive disease process initiated by an aggressive, dysfunctional immune response to an infection in the bloodstream (which is why it's sometimes referred to as blood poisoning). Symptoms of sepsis are often overlooked, even by health professionals, and without prompt treatment, the condition can be deadly. Unfortunately, conventional treatments often fail, and most hospitals have yet to embrace the use of intravenous (IV) vitamin C, hydrocortisone and thiamine, which has been shown to reduce sepsis mortality from 40 to a mere 8.5 percent. How Influenza May Cause Lethal Sepsis According to researchers, “Severe sepsis is traditionally associated with bacterial diseases … However, viruses are becoming a growing cause of severe sepsis worldwide.” Some sepsis symptoms also resemble influenza, which can lead to tragedy. Sepsis, without doubt, requires immediate medical attention, whereas most people will successfully recover from the flu with a few days to a week of bedrest and fluids. Just how influenza can lead to sepsis is a somewhat complex affair, described as follows: “Regardless of the etiologic agent, the inflammatory response is highly interconnected with infection. In the initial response to an infection, severe sepsis is characterized by a pro-inflammatory state, while a progression to an anti-inflammatory state develops and favors secondary infections … In the predominant pro-inflammatory state, Th1 cells activated by microorganisms increase transcription of pro-inflammatory cytokines such as tumor necrosis factor (TNF-α), interferon-γ (INF-γ), and interleukin-2 (IL-2). [C]ytokines … released from endothelial cells and subsequently from macrophages can induce lymphocyte activation and infiltration at the sites of infection and will exert direct antiviral effects. Subsequently, with the shift toward an anti-inflammatory state, activated Th2 cells secrete interleukin-4 (IL-4) and interleukin-10 (IL-10). In certain situations, T cells can become anergic, failing to proliferate and produce cytokines. Type I IFN has a potent anti-influenza virus activity; it induces transcription of several interferon stimulated genes, which in turn restrict viral replication. However, influenza virus developed several mechanisms to evade IFN response … Viral infections such as the influenza virus can also trigger deregulation of the innate immune system with excessive cytokines release and potential harmful consequences. An abnormal immune response to influenza can lead to endothelial damage … deregulation of coagulation, and the consequent alteration of microvascular permeability, tissue edema, and shock.” Signs and Symptoms of Sepsis Common signs and symptoms of sepsis to watch out for include: • A high fever • Inability to keep fluids down • Rapid heartbeat; rapid, shallow breathing and/or shortness of breath • Lethargy and/or confusion • Slurred speech, often resembling intoxication Should a few or all of these be present, seek immediate medical attention to rule out sepsis. Also inform the medical staff that you suspect sepsis, as time is of the essence when it comes to treatment. Hydration is of utmost importance, as much of the damage caused by sepsis begins with fluid loss. Strategies That Can Reduce Your Chances of Influenza, Sepsis and Other Infections Your immune system is your first-line defense against all types of infections, be they bacterial or viral, so the most effective way to avoid coming down with the flu is to bolster your immune function. While conventional health authorities claim getting an annual flu shot is the best way to ward off influenza, the medical literature actually suggests vitamin D optimization may be a far more effective strategy, and the evidence for this goes back at least a decade. Dr. John Cannell, founder of the Vitamin D Council, was one of the first to introduce the idea that vitamin D deficiency may actually be a causative factor in influenza. His hypothesis was initially published in the journal Epidemiology and Infection in 2006. It was subsequently followed up with another study published in the Virology Journal in 2008. The following year, a large, nationally representative study confirmed that people with the lowest vitamin D levels indeed reported having significantly more colds or cases of the flu. Since then, a number of studies have come to similar conclusions. Most recently, a scientific review published last year concluded that vitamin D supplementation boosts immunity and cuts rates of cold and flu. In all, 25 randomized controlled trials were included in the review, involving nearly 11,000 individuals from more than a dozen countries. People with significant vitamin D deficiency (blood levels below 10 ng/mL), taking a vitamin D supplement reduced their risk of respiratory infections such as influenza by 50 percent. People with higher vitamin D levels also benefited, although not as greatly. Overall, they reduced their risk by about 10 percent, which the researchers stated was about equal to the effect of flu vaccines. Coincidentally, 10 percent is the effectiveness rate of this year’s flu vaccine. The take-home message here is that vitamin D supplementation far exceeds the flu vaccine in terms of effectiveness, and the more deficient you are, the greater its protective effects. Aside from vitamin D, loading up on vitamins B1 and C may go a long way toward keeping you healthy through the flu season and beyond. Influenza has also been successfully treated with high-dose vitamin C. Taking zinc lozenges at the first sign of a cold or flu can also be helpful. Zinc boosts immune function and plays a vital role in activating your body’s T cells (white blood cells tasked with destroying infected cells). If you fall victim to frequent bacterial infections or colds, your body might be trying to tell you it needs more zinc. This Year’s Flu Vaccine Is a Poor Match to Circulating Strains Sadly, flu deaths are inevitably used to incite fear, and the recommended remedy is annual flu vaccination. As recently reported by lohud.com, an affiliate of the USA Today Network: “Doctors urged New Yorkers to get flu shots as pediatric deaths surfaced recently while a potentially record influenza season approached its peak cycle. The public-health warning comes after authorities in New York and Connecticut reported their first flu-related deaths took the lives of two children … ‘Influenza is a significant threat to public health, and we are strongly encouraging anyone who has not already gotten the flu vaccine to get one immediately,’ said Health Commissioner Dr. Howard Zucker.” Considering the many studies showing flu vaccines have a dismal success rate even when well-matched to circulating viral strains, the fact that vaccination continues to be touted as your first line of defense against influenza suggests this annual campaign is more about generating conformity for profit, opposed to actually improving and protecting public health. In January 2015, U.S. government officials admitted that, in most years, flu shots are — at best — 50 to 60 percent effective at preventing lab confirmed type A or B influenza requiring medical care. At the end of that same year, a CDC analysis revealed that, between 2005 and 2015, the influenza vaccine was actually less than 50 percent effective more than half of the time. As mentioned, the 2017-2018 flu vaccine has an effectiveness rating of just 10 percent, due to it being poorly matched, yet the call for flu vaccination remains, while strategies that are 10 times more effective, such as vitamin D3 supplementation, are completely ignored! Many also gloss over the fact that flu deaths also occur in those who have been vaccinated. Such was the case with this 8-year-old boy in Arkansas, featured in a recent CNN report. The take-home message here is to do your homework, and not blindly follow public health recommendations. Also avoid falling prey to unreasonable fears. All deaths are tragic, but people die from influenza with and without flu vaccines. People also die without certain drugs, and from drugs. Remember, optimizing your vitamin D to a level of 60 to 80 ng/mL may be one of the most effective flu prevention strategies out there. Also familiarize yourself with the signs and symptoms of sepsis. It just might save your life. Source: mercola.com, 2/20/18.

Saturday, February 3, 2018

What You Can Learn From Other People’s Regrets

Story at a glance • While a regret can be phrased either as an action or as an inaction, regrets framed as actions tend to be more emotionally intense than regrets about inactions, but inactions tend to be longer lasting. • One of the most frequently cited regrets at the end of life is not having the courage to be true to oneself but rather doing what others expected. • Other common end-of-life regrets include: Working too much, not expressing one’s feelings, not staying in touch with friends, and taking life too seriously and allowing worries to diminish happiness. • Most men, at the end of life, say they regret missing out on family time because of excessive work. • At the end of life, many finally realize that happiness is an inside job — a choice, not a side effect of living any particular kind of life. Regrets. We all have them — things said or done; things left unsaid or undone. Paths that weren’t followed; opportunities missed due to fear or insecurity. The list is long, but one of the biggest regrets in life reported by a large number of people is not being there for someone at the end of life. In other words, being too busy with “life” to tend to those near death. Interestingly, while a regret can be either an action or an inaction (“I wish I had not quit high school,” versus “I wish I had stayed in high school”), regrets framed as actions tend to be more emotionally intense than regrets about inactions, but inactions tend to be longer lasting. The Top Five Regrets of the Dying According to Bronnie Ware, a former palliative care nurse who ended up writing a book, “The Top Five Regrets of the Dying,” based on her conversations with the dying, the biggest, most commonly cited regrets at the end of life are — beginning with the most common regret of all: 1. Not having the courage to live a life true to oneself but rather doing what was expected. 2. Working too much, thereby missing children’s youth and their partner’s companionship. 3. Not having the courage to express one’s feelings. 4. Not staying in touch with friends. 5. Taking life too seriously and allowing worries to diminish happiness. Ware goes a step further, however, in that she also delves into solutions for these regrets — ways for you to avoid falling into the same traps. The No. 1 regret is a valuable reminder to not give up too many of your dreams to please others (or conform to conventional standards). “It is very important to try and honor at least some of your dreams along the way,” Ware says. “From the moment that you lose your health, it is too late. Health brings a freedom very few realize, until they no longer have it.” Living Life on Your Own Terms Is Key to Dying Without (Too Many) Regrets Virtually every man in listed No. 2: Missing out on family time because of excessive work. “All of the men I nursed deeply regretted spending so much of their lives on work existence,” she writes: “By simplifying your lifestyle and making conscious choices along the way, it is possible to not need the income that you think you do. And by creating more space in your life, you become happier and more open to new opportunities, ones more suited to your new lifestyle.” No. 4 is a closely related topic. Oftentimes we get so busy we forget to keep in touch with old friends, and over time the relationship fizzles out. Then, in old age, loneliness creeps in. It can be difficult to build a friendship at any age, but it certainly does not get easier with advancing age, when poor health starts limiting your ability to get out and about to socialize. As noted by Ware, love and relationships are usually the only things of true, remaining importance when the end of life draws near. As for No. 3, Ware notes that many “developed illnesses relating to the bitterness and resentment they carried” as a result of holding their feelings in and opting to keep quiet just to keep the peace. If you’re in this category, consider Ware’s commonsense advice: “We cannot control the reactions of others. However, although people may initially react when you change the way you are by speaking honestly, in the end it raises the relationship to a whole new and healthier level. Either that or it releases the unhealthy relationship from your life. Either way, you win.” Last but not least, at the end of life, many finally realize that happiness is an inside job. It’s a choice, not a side effect of living any particular kind of life. “Deep within, they longed to laugh properly and have silliness in their life again,” Ware writes, wisely noting that once you’re on your deathbed, you will not be worrying about what others think of you, so why not choose happiness now, while you still have a lot of life left? The Importance of Relationships and Self-Care Longevity research strongly supports Ware’s overall findings. The same things that people report regretting are also the things centenarians “get right.” In interviews and surveys with centenarians, including the ones interviewed in “How to Live to 100,” two of the most important factors contributing to longevity are having a strong social network of family and friends, and keeping a sense of humor. The importance of social support has also been scientifically verified. A meta-analysis of published studies found strong social support is actually the No. 1 factor that determines longevity. The influence of social support on mortality is so great; it surpasses the influence of weight and even eclipses the influence of smoking. A 2012 article in Forbes Magazine listed 25 top regrets reported by people. Here — in addition to all of the regrets already listed — one of the biggest regrets was not standing up to bullies, be it in school or at work. In hindsight, many feel they should have spoken out and taken a firm stand, even at the risk of losing their job. Another regret that is pertinent for a vast majority of people these days is allowing their phone to take up too much of our time and attention. Related to that one is the regret of “not teaching my kids to do more stuff,” be it raking leaves, learning to throw a ball, cleaning their room, camping or any number of other activities. On this list of regrets you also have “not taking care of my health when I had the chance.” Indeed, many pay no attention to their health until there’s a problem. Unfortunately, by that time, you have a struggle ahead of you, as most health problems are far easier to prevent than to treat. Not to mention the emotional and financial strain a chronic health problem can cause. At the end of life, many wish they’d made self-care a priority. Hopefully, if you’re reading this, you’ve not let self-care slide off your radar. Remember, some of the simplest lifestyle strategies can have tremendous impact, such as: • Getting sufficient amounts of sleep every night • Walking daily (preferably outdoors) and getting plenty of physical movement throughout the day • Meditating or regularly engaging in some form of stress relief • Limiting exposure to electromagnetic fields • Eating real food At the End of Life, Most Wish They’d Lived More in the Moment Another common regret is not living more in the moment. As constant connectivity via technology increases, more people are bound to experience this regret at the end of their life. “Living in the now” is a major component of happiness, and a significant way to grow in gratitude, both of which have an impact on health. It’s really difficult to cultivate gratitude if you’re constantly running; always looking ahead, or, alternatively, looking to the past. Gratitude requires you to be in the moment, and appreciate what’s in front of you right now. A commonly recommended practice that can be very helpful is to keep a daily gratitude journal. This can be done in a paper journal, or you can download a Gratitude Journal app from iTunes. In one 2015 study, participants who kept a gratitude diary and reflected on what they were grateful for four times a week for three weeks reported improvements in depression, stress and happiness. A mindfulness intervention, consisting of a mindfulness diary and mindfulness meditation, led to similar improvements. Remember, you tend to get more of what you focus on, so be mindful of the kinds of thoughts you entertain. Your brain can actually become “hardwired” to feel anxiety, depression, irritability or anger the longer and the more frequent such thoughts are allowed to persist. As noted by Robert Emmons in “The Little Book of Gratitude:” “Everything we do creates connections within networks of the brain, and the more you repeat something, the stronger those connections get. The mind can change the brain in lasting ways. In other words, what flows through the mind sculpts the brain.” Your Life Is Your Own, Live It the Way You Want To The take-home message here is this: If you’re currently doing, or avoiding doing, something you know you’d regret if you only had weeks left to live, change course now. Don’t wait years or decades. Eventually, you’ll run out of time and be left holding a bag of regrets. Your life is your own — you’re the only one who can live it successfully, so follow your dreams and passions, and let go of unnecessary baggage and false limitations. At the end of your life, you’ll realize you don’t care about what other people think of you nearly as much as you believe today, and — if you’re like most — you’ll come to the realization that happiness is in fact an ever-present choice. Source: mercola.com, 2/4/18.