Archive for March 12th, 2009
DISFIGUREMENTS OF THE FACE AND BODY
For many reasons, I urge you to discuss all problems involving disfigurement with your family doctor. He will evaluate the situation, and if an operation is indicated, he will know how to find a good plastic and reconstructive surgeon. Be sure to consult your doctor about wens, fatty tumours, and other growths, even if their appearance does not particularly trouble you, as it may be necessary to remove them to prevent later difficulty. Never consult a self-styled ‘beauty expert’ in these cases. Your doctor will know who can be trusted in matters such as the removal of unsightly hair.
Squint (strabismus)
Although a squint can be corrected late in life, it is most important to consult a doctor early for this condition. If it is not attended to in time, the vision may be badly impaired.
The eyes of infants tend to waver and turn inwards, but this usually corrects itself by the time the baby is three to six months old. If it does not, or if the eyes are continually crossed in the same way even before the baby reaches six months, consult your doctor. He may be able to start correcting the condition quite early. For example, he may put a patch over the baby’s good eye, forcing him to use the weaker one, instead of letting it get worse from lack of use. He may recommend glasses or exercises or both, making it possible to avoid an operation, or to keep the condition from doing any damage to the vision until the suitable time for an operation.
Artificial eyes and other prosthetic devices
A person who has lost an eye, or who has one that is sightless and disfiguring, can now be fitted with a glass or plastic eye that is indistinguishable from a real one. These prosthetic devices have been improved so tremendously that not only is such an eye absolutely identical with the natural one, but it moves in unison with it, since it is attached to the eye muscles. Even a child can be fitted with one, and a new eye provided as he grows.
Other prosthetic devices such as hands, ears, feet, arms, and legs have been so greatly improved in recent years that they look and function as though they were real. No one, child or adult, need be disfigured today because of an accident or a congenital condition requiring the use of an artificial limb.
These two conditions are similar, resulting from the failure of the two sides of the face to unite properly before the baby is born. This disunity may involve only the superficial tissues, or may extend to the uvula or the hard and soft palates.
The extent of difficulty in sucking, and later in speaking, caused by this condition varies according to its degree. But even if it does not cause much difficulty, it should be corrected by an operation or series of operations as early as your doctor recommends. These operations are performed so skilfully today that it is almost impossible to detect any disfigurement. It is important to start speech therapy as soon as possible after an operation has united the tissues.
Cauliflower and other types of unsightly ears
A cauliflower ear, which we associate with prizefighters, is caused by bleeding beneath the skin of the ear, usually as the result of a blow. The blood eventually becomes a hard substance, but this need not happen. The blood can be drawn off by a physician with a needle before the blood hardens and alters the shape of the ear. Even after the hardening occurs, cauliflower ears can be corrected by surgery.
Large, protruding, or mis-shapen ears can be operated upon with excellent results. There is no reason for being embarrassed by them, or letting your child run the risk of becoming shy and anxious because of constant teasing about his ears.
Mis-shapen nose
Most people have heard about the truly remarkable results that are obtained by plastic surgery to correct the size and shape of the nose. It is even possible to rebuild crushed and destroyed noses by means of implants of tissue from other parts of the body, or replace them with substances such as silver and latex. However, I do want to caution you against having your nose, or that of your child, operated upon by anyone but a really competent plastic surgeon.
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ADVICE TO THE UNDEREATER
Take your time
It takes time to eat proper meals and learn to enjoy them instead of swallowing your food as quickly as possible. A relaxed atmosphere or pleasant surroundings may help to prolong your mealtime so you can eat more without feeling stuffed. As a rule, people eat more at meals where the food is all placed on the table and they help themselves, than they do when food is passed to them formally. It takes thought and attention for you to find out what is best for you.
Substitute high calorie for low calorie foods
Concentrate on fattening foods such as cream soups, mayonnaise, cereals with heavy cream, sauces made with butter or margarine or thickened with flour, and desserts to which hard sauce or whipped cream has been added. Substitute high calorie vegetables such as peas, potatoes, and lima beans for bulky, low calorie ones until your stomach has grown accustomed to handling larger quantities.
Add high calorie foods
Get in the habit of putting a little more butter or margarine on your bread; add an extra pat of butter—which most restaurants will provide—to your vegetables and soups. Add cream to your milk.
Eat more
You can do it. Another piece of bread and butter or a second helping soon becomes a matter of habit.
Snacks
You can learn to enjoy snacks, especially before bedtime. Rich milk or cocoa or an eggnog with some biscuits can add plenty of calories and may even make you sleep better. Try it. If insomnia or restless sleep results, you may be able to add snacks between meals.
Sweets
These present a ticklish problem. They may satiate the hunger for more valuable foods. If they do not interfere with your appetite and do help you to gain weight, be sure to have frequent dental check-ups.
Smoking
There is no doubt that smoking tends to keep people from eating and interferes with the enjoyment of good food. As I have mentioned, heavy smoking is such a health hazard in so many ways that your weight problem is one more good reason for cutting down.
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FOOD FADS: MISCELLANEOUS FOOD FACTS
Do not worry about mixing foods. There is no truth to the old superstition that something terrible will happen when acid and alkaline foods get together in your stomach, or that you will get sick if you eat lobster and milk, or ice cream and cherries, at the same meal.
You may react violently to certain foods because you are allergic to them. (See the entry on allergy in the encyclopaedia section.) However, some foods may disagree with you because of an association; for example, one patient of mine says he is always nauseated by orange juice because his parents used to give him foul-tasting castor oil in it. You yourself know best whether to try to overcome the aversion or to avoid the food.
There is no basis for such superstitions as that eating oysters will increase virility or that fish is brain food. Garlic will not purify the blood, and carrots will never make your hair curl.
You do not need to cut down on the quantity of food you eat in the summer, unless, of course, you cut down on your activity and do not want to gain weight. But foods will not thicken or heat the blood, no matter what the weather.
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GENERAL CARE OF THE BODY: EATING AND WEIGHT CONTROL
There is more to food than the simple matter of satisfying one’s hunger pangs. Some people enjoy food so much that they practically live in order to eat. Others care little about it and simply eat in order to live. I have seen patients from both these groups whose diets are inadequate, sometimes even incompatible with good health. This chapter gives information about good diets and eating habits for everyone.
When to eat
Doctors advise three square meals a day, with or without additional snacks. The latter depend on you—your weight, whether or not they spoil your appetite for the food you should have, and how much you want them. Some people are miserable when deprived of their coffee break or afternoon tea or a bedtime raid on the refrigerator. On the other hand, some people are undernourished because they drink countless cups of tea or coffee instead of eating regular meals, or they spend restless nights because they indulge in sandwiches or snacks before going to bed.
Why three meals? Why not just eat when you feel like it? Mainly because it is more practical in our present civilization. (And, incidentally, some primitive people eat a morning, noon, and late evening meal.) Energy-producing foods can be spaced better when you have three meals a day; if you eat one huge meal, you are apt to feel like a hibernating python when you have finished! Three meals a day make it easier to plan an adequate diet and to make sure you are getting it.
The relative size, of the midday and evening meals is up to you. The only point I stress is: if you have your dinner at noon, allow enough time for it. The average lunch hour is not long enough for the trip to your home or a good restaurant, with a few stops on the way to attend to errands, and a hearty dinner. Doctors no longer advise people to chew each mouthful a specific number of times; but I do urge you not to bolt your food. Chewing mixes it with saliva and gets your digestion off to a good start; having enough time to relax encourages the whole digestive process considerably. Besides, many women might be better cooks if their families did not gulp down their best efforts like seals swallowing a piece of fish—as a housewife complained to me recently.
When I write about three meals a day, I am thinking of a man or woman in reasonably good health. Persons with certain illnesses, like coronary artery disease or high blood pressure, may be better off eating four or five smaller meals a day.
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GENERAL CARE OF THE BODY: YOUR POSTURE
Good posture is usually an expression of good health rather than a major factor in producing good health. As a rule, a healthy person will automatically find a comfortable, attractive posture.
There are a few posture rules worth putting into practice every day. At work, at school, or at home, your chair should feel comfortable and should give sufficient support so that your back rests against its back. The chair should be strong and solid enough to take your weight comfortably and should not sag or rock when you sit in it. The choice of a well-designed chair is especially important for people who sit for long periods during their working hours—for example, typists and office workers. They should sit squarely, with their feet placed on the floor a short distance in front of their chairs as shown on page 19, avoiding such bad habits as wrapping one leg around the leg of the chair.
A patient of mine, a six-footer who travels a great deal by car, told me that he always pulls the seat as far forward as possible when he is driving. In this way he sits quite straight, his back is supported, and he is able to press down on the accelerator instead of having to stretch out his leg to reach it at an angle. This driving posture is far easier on the muscles of the back as well as of the leg, but be sure that your control over the steering wheel is not affected by the change of position.
Posture for the standing position is important if your work requires that you be on your feet for long hours at a time. Study the illustrations on page 20, which show good and bad posture. When correcting your posture, find a relaxed, attractive stance that feels restful. Do not try to stand as erect as a soldier at a military parade.
If your posture does not satisfy you, try to improve it by a period of exercises. Also, be sure your weight is correct as judged by the information I give in Chapter 2. Develop skill in one of the sports I have suggested, or take long walks. If after several months you are still troubled by problems with your posture, see your doctor for a check-up and advice.
Posture during and after pregnancy
Many women lose their fine carriage and figure during pregnancy and never regain their former good posture and muscle tone. There is no need for this. During pregnancy, the pull on the abdominal and back muscles can be reduced by the use of maternity corsets that your doctor will prescribe if they are necessary.
After the baby has been born, the mother should carry through the series of exercises given on pages 219-220. These will help to bring back the strength of the abdominal muscles. Many women have borne a half-dozen children and have retained trim body outlines.
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