samedi 31 août 2019

WHAT MAY CAUSE YOUR DEATH IN THE USA APART FROM GUNS AND TRAFFIC ? FOOD OF COURSE

One of the first moments of consternation when trying to understand the philosophy of the Native Indians happened with the People of the Red Earth when my teacher said to me:
The food is killing us .
I remember asking myself the question: How can FOOD kill you.. as usual the Indians were right, FOOD in the USA is the major killer, much more than Guns or Cars or Accidents..this I believe.
A calorie-centric, carbohydrate-protein-fat model of thinking became and still is predominant but not paying attention to the QUALITY of FOOD.. if you are on a low carbohydrate diet with bad Quality of the ingredients, it is still is BAD FOOD.. not a good nutrition.
the reason why food restriction works reasonably well is because with restriction comes the restriction of chemicals, preservatives and all those other things that harm the bodies of human being and not to mention the animals and trees..

From the Literature 2017

Key Points
Question  What is the estimated mortality due to heart disease, stroke, or type 2 diabetes (cardiometabolic deaths) associated with suboptimal intakes of 10 dietary factors in the United States?
Findings  In 2012, suboptimal intake of dietary factors was associated with an estimated 318 656 cardiometabolic deaths, representing 45.4% of cardiometabolic deaths. The highest proportions of cardiometabolic deaths were estimated to be related to excess sodium intake, insufficient intake of nuts/seeds, high intake of processed meats, and low intake of seafood omega-3 fats.


Meaning  Suboptimal intake of specific foods and nutrients was associated with a substantial proportion of deaths due to heart disease, stroke, or type 2 diabetes.
highly processed food which also may contain more sodium and Pizza Hut or McDo does not give you Omega-3 fats which has to arrive in the form of food rather than GNC merchant tablets..
The same teacher who told me about Food killing the Indians also said to me:
We know the answers but the Americans are too arrogant to ask us!

vendredi 30 août 2019

SARAH COHEN OF JEW STREET, JEW TOWN, MATTANCHERRY, COCHIN, KERALA INIDA 30AUG2019

our beloved SARAH is no more!
I received three emails from Cochin today 30.08.2019 informing me that she had passed away.
So many images passed through my mind.

Jew Town will not be the same again. With her coffin, the Paradesi Jewish Community of Cochin is also dead, while the synagogue from 1468 CE will continue to be visited, there would be no actual PRESENCE of Jews along that street visible and accessible as easily as was Sarah.

I had met her on my first visit to the Jew Town area in 1995 with my then travelling companion. He husband Jacob Cohen was still alive and I still have the copy of the newspaper with an interview with him, that he gave to me. Her brother Shalom was with them.

Over the course of years, William passed away and then Shalom. the Jewish presence began disappearing, concreted with the death of Sammy Hallegua, before then the death of Itzhak Hallegua. Kashmiri merchants moved in and began selling irrelevant, incongruous handcrafts from other parts of India and at one time, Jew Town was one of the most visited parts of Kerala. Mrs Salem died soon followed by her husband. The last of the elderly jews migrated to join their families in Israel. It leaves now just two Paradesi Jews (jews of Foreign origin in the local language), an elderly widow whose son is a doctor in LA and a daughter who is a sociologist in NY as well as a reclusive bachelor whom I have met only once. 
Now the street becomes a discotheque of the fake Kashmiri merchants selling fake goods.
Sara always sat by her window, a siddur (prayer book) in her hands and a home made kippah of her design on her head. Many years ago she was lucky to have the presence of a local Muslim family, Taha is the name of the man, in her house and they truly looked after Sarah. May the gratitude be abundantly placed on Taha and his family.
Today is Shabbat and I have been a witness when she lit the shabbat candles in her house, more than once. 
It can be truly said that the shabbat candles have died along with Sarah. May your lights brighten all those of us who had the pleasure of knowing you.
this is the front of her house, as it was today, the day of her death.
RN a good friend of mine, a devout christian and a long term friendly of the family wrote to me expressing his sadness at Sarah's passing.
So this grand old dame of Jew Street symbolised the harmony with which Jews were treated for 500 years(Paradesi Jews arrived at the port of Saudi south of Cochin in early 1600s , 500 years ago) by the local populations: the native Hindus, the oldest christian community east of Israel and also the converted Muslims 

let us be grateful for Sarah's life.
The local newspaper carried her obituary
https://english.manoramaonline.com/news/kerala/2019/08/30/sarah-cohen-oldest-jew-india.html

HOW TO READ A MEDICAL ARTICLE WITH A CRITICAL ANTHROPOLOGICAL EYE?



HOW TO READ A MEDICAL ARTICLE WITH A CRITICAL ANTHROPOLOGICAL EYE?
A total of 41 studies published between 1963 and 2018 were included, of which 40 were classified as safe and effective for inclusion in the primary analysis. Thirteen studies (13/40) were on very-low-CHO diets (<50 13="" 14="" 18="" 26="" a="" according="" ad="" adapted="" amount="" and="" d="" dietary="" diets="" encouraged="" energy="" fat="" g="" high-fat="" included="" intakes.="" libitum="" low-cho="" of="" or="" participant="" prescribed="" prescription="" progress.="" reported="" studies="" tei="" thirty-one="" to="" total="" twenty="" unrestricted="" were="" which="">35% TEI). Twenty-six studies reported a prescribed dietary pro<50 13="" 14="" 18="" 26="" a="" according="" ad="" adapted="" amount="" and="" d="" dietary="" diets="" encouraged="" energy="" fat="" g="" high-fat="" included="" intakes.="" libitum="" low-cho="" of="" or="" participant="" prescribed="" prescription="" progress.="" reported="" studies="" tei="" thirty-one="" to="" total="" twenty="" unrestricted="" were="" which="">tein amount, of which 22 were unrestricted or were high-protein (>25% TEI).  The types of dietary CHO, fat and protein recommended were predominantly whole foods. Common delivery methods reported were dietician and/or physician involvement, moderate to high frequency of contact (=1 session/month) and use of participant self-monitoring.
CONCLUSIONS: Multiple approaches for developing and delivering a low-CHO diet intervention for T2D management are safe and effective. A comprehensive set of core dietary components to consider in the formulation of low-CHO diet protocols were identified for use in clinical practice and to inform evidence-based guidelines for T2D management.
The authors looked at many studied about the effects of Low Carbohydrate Diets along with the composition of other ingredients in the food  FAT PROTEIN . They found out that it did not matter whether it was high or low Fat or Protein but the results were equally good. And their conclusion from these observations was a typical quantitative one: they identified a core dietary components for consideration in a low Carbohydrate diet.
Most medically oriented readers would have stopped there and not paid any further attention. An anthropologist would like to know WHY is that despite various fractions of Fats and Proteins along with low Carbohydrate diet did not make much difference in the outcome ?
You can see it staring at you at the summary:
The types of dietary CHO, fat and protein recommended were predominantly whole foods. Common delivery methods reported were dietician and/or physician involvement, moderate to high frequency of contact (=1 session/month) and use of participant self-monitoring.
All these INGREDIENTS had nothing to do with proportion or size but
DIETICIAN OR PHYSICIAN INVOLVEMENT
HIGHER FREQUENCY OF CONTACT
ENCOURAGING PARTICIPATNS TO SELF MONITOR
WHOLE FOODS RATHER THAN FRAGMENTED PROCESSED AMERICAN DIET
Remember, whatever a patient complains of, Arthritis or Diabetes, if the above qualitative humanistic factors are taken into account, they would get better.
That has been my experience as a Physician Anthropologist.
Get yourself a doctor that you get along with
Eat Food and not fabricated substitute
Have friends and spend time with them.

mercredi 28 août 2019

A lovely trip to Europe

I have just returned to Miami after a 10 day trip to Europe in which I discovered a lovely part of Austria and also ventured into the mountainous parts of Slovenia.
I will go back to Havana soon enough.
Havana to Miami and then to London via Atlanta.
Atlanta airport and Lounge experience was one of the worst in recent memory
BA flight to London with efficient service, a cut above the service you expect from USA based airlines.
Train ride from Amsterdam to Paris CDG and then on to Bretagne. 
Paris CDG to Vienna on Austrian airlines, and I have become fond of this airline for their genuine friendliness and service orientation.
Two exciting days exploring Carinthia Karnten, a surprisingly beautiful mountainous region. Visited Bled in Slovenia as well as Tarvisio in Italy.
Nice flight from London to Miami on a lovely 747-400 upstairs very quiet and good attention from the newly recruited FAs.

A lovely trip
Six Airports
American Arlines British Airways Austrian Airlines
Lounges at Miami Atlanta London Vienna Paris
Train Trips from Amsterdam to Roissy Paris to Quiberon back to Roissy Paris 
Klagenfort to Vienna by train 
USA UK Holland France Austria 

Thanks to friends in Quiberon, Bretagne  and Sankt Mikael in Austria 

where would the winds take me next ?

dimanche 11 août 2019

WHERE IN THE BRAIN ARE THE LONGINGS STORED?

The morning was rather tender, the sun never shone so horridly that one takes refuge, and the day slipped into the afternoon, the tropics which are like hammocks for lovers (Nin) sets forth its languorous afternoon tune, from somewhere or other arrives the downpour, the blue of the sky turned grey.
My first day in Miami and as always thinking of things tender, usually far away
these moments mind turns to longings, not for a person but something much bigger, a sensation, I wonder where in the brain are these sensations stored.
and of course there are triggers
like listening to the music that I have selected and stored in my phone.
What beautiful music (thank you Internet, thank you Youtube and thank you, Iran)
Listening to the above song, I began to think about Iran, a country that I deeply admire, but only from afar as it is a destination prohibited for me as long as the current theocratic regime is in place. It is my choice but it is too risky to travel to Iran at this moment in time.
I thought of all the beautiful iranian people that I had written to, that I have met and especially to NM who had introduced me to Ahmad Shamloo, Jafar Panahi and Nafisi..

why are these wonderful people destined to suffer like this? the most educated and sophisticated of all Islamic peoples, perhaps throughout its history since dispersion from Spain or the ancient Mesopotamia, why these people have to suffer.

I think of you, my dear friends, and as helpless as I am to be any assistance, my heart and mind is with you.

The afternoon is slowly progressing, the trees have put on new green clean clothes and the sky is beginning to be bright again.

I look forward to a nice dinner tonight with my closest friends in Miami.
In homage to my Iranian friends, I would try to dress as much Iranian as possible, and eschew all western clothes and of course wear the silk scarf sewn together by the indigenous people of India..a country that carry a considerable legacy of IRAN.

samedi 10 août 2019

I AM LISTENING TO FARAMARZ ASLANI HAVING JUST ARRIVED IN MIAMI FROM HAVANA


Here I am in my sisters home in Miami , the evening is mild and I am listening to a new Iranian Singer to me, Faramarz Aslani and enjoying it tremendously with the soulful guitar in the background and his longing voice, lyrics which i am told are wonderful but I do not understand them but that does not matter.
But it does compliment well for the longing for my Little island just south of here. The desire to go back is so strong (I left at just early this afternoon) that I will do all the chores with pleasure and efficiency.
Dinner with my closest Friends in Miami
spend time with the Indigenous people nearby and enjoy time with colleagues
Ah well
I am not longing with attachment but enjoying the pleasure of having spent such lovely days in Havana, that is all.
Time for a glass of wine


jeudi 1 août 2019

LOYALTY PAYS OFF.. IT IS. CONNOR. AGAIN AT HILTON

I have always felt that LOYALTY to a brand matters, when you are on the road constantly. Today I had a flight from Colombo to London Heathrow, a 11 hour flight and when you arrive in London, especially in the morning the place is crowded with flights coming in from all over the world. Fortunately this flight was to arrive at 7 pm. 
I have a connecting flight to Miami tomorrow on BA, and I wanted to rest the night at a hotel at the airport. 
I have status at both HILTON and MARRIOTT hotels. I do not check hotel booking agencies if one of these hotels are aplenty on site. Hilton alone has five or six properties near Heathrow airport and this is a fairly new hotel, and the only one attached to the terminal 2
Most of the workers at the airport had no idea how to get to Hilton Garden Inn as it is fairly new. In the end after much trial and error I found my way to the hotel entrance without having to take HOPPA buses
As I approached the Hilton Honours desk, i had the vague feeling that I had seen the agent before. He looking up from his task, greeted me very warmly and remembered the last time, when I had stayed one night at Hilton Gatwick and we had chance to chat. He gave me a nice room with a view and I was grateful.
Loyalty does pays off, from a convenience point of view but being an anthropologist, the human point of view is so precious to me. What are the chances of meeting a Hilton Employee that you met at another hotel one year ago, at another hotel.. chance here is due to the time we spent talking together the last time. Since then he must have checked in thousands of guests..

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