I certainly hope you do the h pilori tests where appropriate. I happen to know a well-known Uechika of young age who got ulcers (in her 20s) and turned out to have h pilori. That was the cause of the ulcers, and not the proton pump. Curing the h pilori infection made acid blockage (H2 antagonists or proton pump inhibitors) totally irrelevant and unnecessary. Before, such patients were a cash cow for the drug companies who had these people on their meds for the rest of their lives. It wasn't a cure; it was treating the symptoms.
That's my point, Ian.
One should not keep those patients with h pilori infections on their acid meds after they are cured unless they have other issues. It's a waste of money - kind of like keeping someone on a decongestant after a sinus
infection goes away or is cured. Trust me - I see the mega dollars in the healthcare data.
And frankly I think a lot of people who take antacids could do much better with a little bit of simethicone (anti gas). But that's a totally different issue...
Ian wrote:
Are you seriously saying that because a recommendation for aerobic exercise (generally ignored by most americans, basically made as a last ditch effort to retain some activity in their lives other than the exercise of their jaw muscles) failed to reverse the momentum of the worst eating and inactivity ever, in a totally uncontrolled environment, that this indicts aerobics??
Not exactly. I am saying that "aerobics" is the new kid on the block, and not the other way around.
I think we have a little bit of a problem with the definition of aerobics here. To some, it is heart-rate related. I doubt many people get their heart-rate in an "aerobic" range by walking. But walking certainly works.
What I am saying is that "aerobics" as classically defined in the gyms and by trainers isn't a good substitute for the loss of daily activity (largely either sub-aerobic or anaerobic) and the NEW inclusion of convenient, high calorie density, low fiber food. It's like telling a smoker to eat sushi because it'll help him live longer. It's better to get at the cause (smoking) rather than add something in to make up for crappy behavior.
I am also saying that we have lost a lot of anaerobic activity, and that partially is the problem. Ever worked on a farm? We used to be largely an agricultural or hunter/gatherer species. And these guys never had the prevalence of "Syndrome X" like we see today.
Furthermore... I am doing my karateka a disservice by telling them they need to spend X days a week doing half an hour on the treadmill or stairmaster or eliptical trainer, or an hour in an "aerobics" or "tae bo" class. What ends up happening is a loss in the percentage of fast twitch muscle fibers. These people will run a great mile, but they'll losing some of their explosiveness and speed. That's not good. Why not have them do something that will retain and maybe even enhance their speed and explosiveness, and burn just as many calories (if not more)? And can you possibly indict this kind of activity with the little bit of research on aerobics conducted in a controlled setting? I don't see the aerobics revolution when I go to the amusement parks. As a friend of mine used to say in my industry, "Great dog food, but the canines won't eat the stuff!"
By the way, have you ever watched a tae bo or karate aerobics class? Do you fear those techniques? Do you realize how much you would need to undo (reverse program) if any of these people actually came to you asking to learn how to fight?
- Bill