Category: Eat, Drink, and Move That Body!

Strange Epidemic

In the last week, I’ve read two completely unrelated stories about two women who came down with one very rare but very serious medical condition while participating in the same activity. That’s the kind of coincidence I don’t like hearing about.

The condition: Rhabdomyolysis. I’ll let WebMD tell you more about it, emphasis mine:

Rhabdomyolysis is a serious syndrome due to a direct or indirect muscle injury. It results from a breakdown of muscle fibers and release of their contents into the bloodstream. This can lead to complications such as kidney (renal) failure. This occurs when the kidneys cannot remove waste and concentrated urine. In rare cases, rhabdomyolysis can even cause death. However, prompt treatment often brings a good outcome.

They go on to say that among the more common causes are “Extreme muscle strain, especially in someone who is an untrained athlete.” Think on that for a moment.

The activity is CrossFit. Here’s the story that started me thinking, and for balance here’s a rebuttal. While I was still digesting this bit, another article on CrossFit induced Rhabdo came across my RSS reader! What a horrible coincidence. For pity sake, they’ve nicknamed this potentially fatal syndrome Uncle Rhabdo! An excerpt from the original item:

A quick search of the Interwebs [sic] reveals copious amounts of information about rhabdo purveyed by none other than CrossFit trainers. Scouring the scientific literature in mainstream medical journals, however, reveals a only a few peer-reviewed papers. The science confirms that exertional rhabdomyolysis, as this form is sometimes referred to, is uncommon and normally reserved for the elite military trainee, ultra-endurance monsters, and for victims of the occasional psychotic football coach. Rhabdomyolysis isn’t a common condition, yet it’s so commonly encountered in CrossFit that they have a cartoon about it, nonchalantly casting humor on something that should never happen.

As you may have guessed from the rebuttal to article one, CrossFit people are passionate about it. I would love to link you to, say, a nice balanced Wikipedia page about CrossFit, but it “has been identified as posing a potential copyright issue….” Here’s some of their WODs, or Workout Of the Day. These are the ones Men’s Health considers the “most brutal.”

Yes, they do this stuff pretty much every day. Yes, they encourage beginners to join them, and the quality of training those beginners receive varies wildly according to the skills of the trainer. I’ve thought about doing it myself, but then I keep running into Youtube videos that convince me I want nothing to do with it, and not just this blooper reel — notice that some of these people are doing it in the gym where somebody should have corrected form. Do you really think these people received adequate training before trying to lift that? Maybe we should work on basic presses and lunges before trying a clean and jerk?? Look at these women being encouraged to“kipp” — cheat! — at pull ups. I’d rather do 5 pull ups Tony’s way, Mark’s way, or Scooby’s way than 50 CrossFit’s way; healthier for my shoulders and back, and more honest too. I don’t have room in my life for “Uncle Rhabdo.”

So yeah, “untrained athlete” plus extreme workouts every day equals a high chance of injury.

Alert the media.

Back to School Time is Back to the Vaccine Debate Time

So my local CBS affiliate is trying real hard to do the fair-and-balanced two-sides-of-every-issue thing.

In one corner, we have a highly respected local pediatrician who works in a local hospital pointing out that he’s seen 4 cases of whooping cough in the last 2 months, adding “Vaccines are one of the most important advances in the field of pediatrics in the last fifty years….”

In the other corner, we have a “Holistic Physician” — whose degree, source of expertise, and workplace are undisclosed — saying whoa, just hold on a minute, there are “factors to take into consideration as to if you should vaccinate, when you should vaccinate and what are the alternatives to vaccination.” Apparently “holistic physicians” believe you can prevent measles and other diseases with a proper diet. Seriously.

A little research shows that this “doctor” is a chiropractor, with online reviews that range from good, up to “sounds like it might have been written by a staffer”, down to abysmal. As nearly as I can tell, the scope of practice for chiropractors in Nevada does not include prescribing rights or the ability to perform injections. That would of course include administration of vaccines. At least he’s not a “Naturopathic Physician.” Remember kids, ND means Not a Doctor.

At least nobody brought up that discredited “research” showing vaccines “cause” autism.

Look folks, here’s the alternative to vaccines: your kid could get sick and possibly die from a completely preventable disease. Vaccination doesn’t take long to do, the complication rate is very low, and your kid’s school probably requires it anyway. In this day and age of protecting kids from the imaginary predator around every corner, what excuse is there for not getting it done?

So what’s next, local news? What topic can you pretend there are two sides to present and take up a few minutes of airtime? Here’s an idea for you: Murder! Police and safety experts say it’s bad, but killers say some people just gotta get whacked. You decide!

In closing: “Hey, calm down!”

 

 

Too Late

Great. Swell news. Twinkies will theoretically be back on the shelves next month.

Whatever, nobody cares anymore.

Go ahead. Visit a grocery store or a quickie mart. That shelf that used to have Hostess products is full of knock-off baked goods: Little Debbie; TastyKake, Mrs. Freshly’s; Bimbo Bakeries; even Krispy Kreme. Some of it even tastes better than what it replaced. That space is gone, taken over probably forever. That means no more room for Twinkies.

Stick a fork in Twinkie the Kid, he’s done.

In Closing: Paula Deen; a couple items on climate change; malicious prosecution; and falling wages.

Angelina

Alright, by now everybody and his or her dog has heard the latest about Angelina Jolie, right?

Only a fraction of breast cancers result from an inherited gene mutation. Those with a defect in BRCA1 have a 65 percent risk of getting it, on average.

Once I knew that this was my reality, I decided to be proactive and to minimize the risk as much I could. I made a decision to have a preventive double mastectomy. I started with the breasts, as my risk of breast cancer is higher than my risk of ovarian cancer, and the surgery is more complex.

On April 27, I finished the three months of medical procedures that the mastectomies involved.

Needless to say, this has sparked much online discussion. Here’s a featured item on BlogHer by a woman considering the same decision. Here’s one from a Professor of Pediatrics (is he also a doctor of medicine? probably?) who points out that this sort of surgery comes with risks and without promises of a cancer free life.

And do you know what I don’t see mentioned much? Time and money.

Most of us don’t have the ability to be in and out of surgery and recovery for three months — more if there are any sort of complications. Heck, many of us can’t really afford to take 2 days off from work (or school, or taking care of family…). Ms. Jolie is truly blessed that not only could she free up her busy schedule to do this, but also that her loving husband Mr. Pitt was able to be there by her side, and further that they were able to arrange adequate childcare for their six children — ranging in age from 5 to 12 — during this stressful time.

Another area where Ms. Jolie is truly blessed is money. Many women can’t justify spending the “approximately $3000” to see if she has the 1 in 100 chance of ridiculously higher breast cancer risk. In a time and country where it can be difficult to figure out exactly how much any given hospital service is going to cost, she didn’t have to worry about it. She knew that the money was in the bank. Perhaps she did get her insurance company to pay for it; after all, this has to be cheaper than cancer treatments followed by reconstructive surgery!

Some people simply have more options than others.

In Closing: transparency and accountability, and why big brother won’t work; it wouldn’t be a bad idea to retire these; austerity, unemployment, and job creation (for the record, I am currently not in the workforce and not officially “unemployed,” more on that later in the week); mobility; interesting point; the law of supply and demand (and why we desperately need a public option).

Well, that tears it.

I like bourbon.

I’m not a particular fan of Jim Beam, unless it’s the hard-to-get Green Label. Under normal circumstances, one of my favorites has been Maker’s Mark. However, I rarely have it at home. To be blunt, it costs twice as much as Evan Williams and just isn’t twice as good.  That’s why Evan is the house bourbon around here: adequate quality at a good price.

However, on those occasions in the future when I have extra money to spend on a higher quality bourbon, The Mark is unlikely to be my bottle of choice anymore. It seems that due to “shortages,” they will be watering the stuff down. Oh rest assured, they say, it will taste the same. Right.

Congratulations guys, I do believe you’ve lost a customer. In the words of Matt Bors:

Maker’s Mark is dead to me.

So maybe there is some Knob Creek or Woodford Reserve or even Bulleit in my future. And don’t think I’ve forgotten that Evan Williams has a very nice single barrel offering….

In Closing: probably a good idea; sequester inbound.

Now see, this is what I was talking about

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Just the other day, I was mentioning that a weight loss diet should include avoiding most food that comes out of a box. I did not yet know that this abomination of a product existed. Now, pay special attention to the fact that this “Beef Stroganoff” includes a “creamy cheese sauce” that is “made with real cheese.” Let’s just leave aside for the moment the potential nastiness of cheese that doesn’t require refrigeration.

Here’s the ingredient list to Paula Deen’s Stroganoff recipe:

  • 1 1/2 pounds cubed round steak, cut into thin strips
  • House Seasoning, recipe follows
  • All-purpose flour
  • 2 tablespoons olive oil
  • 2 tablespoons butter
  • 1 medium onion, sliced
  • 8 ounces fresh mushrooms, sliced
  • 1 (10 3/4-ounce) can beef broth
  • 1 (10 3/4-ounce) can cream of mushroom soup
  • Salt and black pepper
  • 1 cup sour cream
  • Cooked egg noodles

Notice something? No cheese. The can of soup is suboptimal but alas almost standard in American casserole cooking. Oh look, here’s a similar recipe from the Campbell’s Soup Company!

Here’s what Betty Crocker thinks goes into Stroganoff:

1 1/2 pounds beef sirloin steak, 1/2 inch thick
8 ounces fresh mushrooms, sliced (2 1/2 cups)
2 medium onions, thinly sliced
1 garlic clove, finely chopped
1/4 cup butter or margarine
1 1/2 cups Progresso® beef flavored broth (from 32-ounce carton)
1/2 teaspoon salt
1 teaspoon Worcestershire sauce
1/4 cup Gold Medal® all-purpose flour
1 1/2 cups sour cream
3 cups hot cooked egg noodles

Hmm, no cheese there either. Points to Betty for using broth as the base for the sauce.

Ok, what about Epicurious:
  • 1 2 1/2-pound piece beef tenderloin, well trimmed, meat cut into 2x1x1/2 inch strips
  • 2 tablespoons vegetable oil
  • 6 tablespoons (3/4 stick) butter
  • 1/4 cup finely chopped shallots
  • 1 pound small button mushrooms, thickly sliced
  • 1 cup canned beef broth
  • 2 tablespoons Cognac
  • 3/4 cup crème fraîche or whipping cream
  • 1 tablespoon Dijon mustard
  • 1 tablespoon chopped fresh dill
  • 12 ounces wide egg noodles
  • 1 tablespoon paprika

Ok, crème fraîche instead of sour cream. Still, no cheese.

And just to round out the entries, a less Americanized version:

  • 1 1/2 pounds beef tenderloin, sliced into thin 2-inch-long strips
  • 2 finely chopped onions
  • 4 ounces butter
  • 4 ounces sliced button mushrooms
  • 1 tablespoon all-purpose flour
  • 1/2 cup beef stock
  • Pinch dry mustard
  • 1 tablespoon tomato paste
  • 1/2 cup sour cream
  • 6 ounces white wine (optional)
  • Salt and pepper

Hey, you know what’s missing from that recipe?? Paprika! Ok, just kidding the answer is cheese.

In fact, if you look at the Wikipedia article on Stroganoff, you’ll find sour cream mentioned 5 times and cheese mentioned zero times. Anybody who eats this boxed concoction and then orders the real thing in a restaurant is going to have a big surprise! Whatever this stuff in the box might be, the one thing I am sure it won’t be is Beef Stroganoff. Heck, I’m not really sure it’s food.

In Closing: assassination; special; chicken; payrolls; and FUNCTIONAL STRENGTH!

Diet Research? It must be January.

Yes indeed, it’s the first week of the year, and that means millions of Americans are trying to shed between 5 and 500 pounds. Some scientists were even willing to stick their necks out there and say fructose is a culprit in weight gain (a culprit not the culprit). Check the archives and you will find me many times saying that every weight loss diet that works requires drastically reducing if not altogether eliminating added sugars.

So Loyola University wants to help you out. They’ve got what they think are the top 4 reasons diets fail. Let me save you some reading:

  1. Underestimating calorie intake (e.g. eating too damn much)
  2. Overestimating activity and calories burned (e.g. imagining that an amble around the mall is just like a 5 mile run)
  3. Poor timing of meals (the dreaded “starvation mode“)
  4. Inadequate sleep (having a job and other responsibilities)

Really? I’m on board with reasons 1 and 2, although I see them as two sides of one coin. But do they really think that sleep is a bigger issue than unrealistic expectations in the first place, or diet plans that are for whatever reason unsustainable? Do they think that eating at the wrong time is truly a bigger issue than unsupportive friends and family who –subtly or openly — undermine the dieter’s efforts?

Want to lose weight without torturing yourself? Try eating reasonable portions of real food: plenty of veggies; adequate protein; no sweets, no crap that comes out of a box, no food-like chemistry sets. Hey, it’s no dumber than the other diets you’ve tried over the years.

In Closing: free classes; Downtown Vegas and F15; maybe now somebody will ask banks to follow the law pretty please?; Onna–bugeisha; ha!; conform or be called a terrorist; Malala; why oh why did Texas give him a second term?; more employment data than you probably want; somebody inform Scalia that 24 is not a documentary; the estate tax is not a wealth tax, it’s a wealth moving into the hands of someone who didn’t actually earn it tax; it turns out you need facts before you can figure out what to think about them; well that’s gonna have conservative panties in a wad; the Romney Loophole; is anybody surprised by this?; and I think Brent may have been playing Black Ops 2.

To the Lady in Workout Clothes ahead of me at the Grocery Store

Hey dear, let me tell you why you’re never going to lose that 10 to 20 pounds around your hips and waist and why your hubby is never going to lose the gut unless you change your ways.

I’m not going to put all the blame on the expensive whole wheat crap that you think is good for you, even though you should probably only eat half that at most, and even though there is a case to be made for that being your biggest problem. Many experts think that’s good stuff, but you still should put some of it back on the shelf.

I’m not going to be too hard on you for the gallon of frozen yogurt. Again, you think you’re doing the right diet thing, even though it’s still got far too much sugar in it to be truly healthy. Maybe you only eat a tablespoon a day? Maybe I wasn’t close enough to see that it was one of those fat-free or sugar-free chemistry sets masquerading as real food?

I’m not going to put all the blame on the plentiful sports drinks in your cart, even though there is simply no way you are working out hard enough for them to be beneficial to you. Have you ever looked at the nutrition panel? It’s probably replenishing every calorie you “worked” off, and many of those drinks contain corn syrup. If you seriously worked out hard enough for these to be a good idea, you would never dream of wearing your disgusting sweaty workout clothes to a grocery store — even fresh out of the wash!

I am going to rag on you just a little bit for the 3 boxes of different kinds of crackers. For pity sake, if you want to eat something that goes crunch, try an apple or a carrot! You might get some vitamins out of the deal.

I am going to rag on you just a little bit for the fact that the only protein I saw in your cart was a pound of ground beef. Come on, that’s going to last a week? If you don’t eat some protein, your body is just going to steal it from your muscles. In case you didn’t know, muscle is what keeps you from looking like a complete blob.

But the one thing that I think is your biggest problem was the stack of 6 frozen pizzas. That proves that you only give the faintest lip service to eating healthy: pizza is neither low carb nor low fat. Ever. Just, please, tell me that’s not a one week supply. Lie to me if you must. You want a pizza? Learn to make that stuff from scratch. I can guarantee you’ll eat less of it because it’s harder than stuffing that frozen crap in a hot oven, it will be better tasting because you’ll use better ingredients, and healthier. Why healthier? You’ll actually burn some calories kneeding the dough, shaping it, and putting quality stuff on top!

Want to make that gut vanish? Try eating real, minimally processed food. Sure, you’ll have to spend more than 3 minutes preparing it, but you and your husband will both be better off.

I’d like to say at least your dog eats well, but you didn’t buy any dog food.

In Closing: would you like to play a game?; playing it safe; poverty tax; ever wonder what the numbers mean?; duh; travel tips; “let’s just take these laptops with no anti-virus to a hacker’s conference! What could possibly go wrong???”; parks; make “the Pill” OTC, prevent abortions; we don’t need “administrators” with no common sense having any authority over children, ever, for any reason.

Addressing a trend

I’ve been getting more than my fair share of comment spam recently (not quite enough that I’m ready to use one of those “prove you’re human” things). Lately, one of the topics is HCG diets.

Let me make one thing perfectly crystal clear about HCG: it is the only diet drug required by the FDA to have a black box warning saying it does not work! Really, that’s the only thing you need to know about HCG. Just say no. It’s a waste of your money and potentially dangerous.

As for the new “safer” homeopathic HCG drops, they’re still sugar water. Further, even if homeopathy did work, the “Law of Similars” — “a substance that when taken in crude form causes a set of symptoms or disease in a healthy person can cure similar symptoms occurring during an illness when treated with small, often infinitesimal, potentised doses of the same substance” — would suggest that diluting a weight loss “drug” for homeopathic use would make the user gain weight, wouldn’t it?

It is at this point that I will point out that I’m not a doctor, nor a dietician. I’m only pointing out two things: HCG is FDA proven to not work for weight loss, and mixing it with a bunch of water isn’t likely to make it more effective.

While we are on the topic, here’s some tips for not letting the holidays ruin your diet.

In Closing: tricorder; oops; The Jungle returns; doing good work; what??; free markets won’t fix health care; which reality will win, not enough money to retire or not enough health to keep working?; couples and money; the near poor; I’ve always thought it would be a great idea to have a “third party debate,” and apparently there was; and who needs MacGyver when Dolph Lundgren really exists??