mercredi 17 février 2016

PHYSICIAN ANTHROPOLOGIST AND THE ARTIST: YOU MEET THOSE YOU NEED TO MEET

DOCTOR AND THE ARTIST
YOU MEET THOSE YOU NEED TO MEET
Stop looking for them! admonished my Meskwakia teacher,
“dr” Brown. You don’t need to search, they will cross your path.
One such encounter happened today at the Children’s park in Fort Cochin, a city steeped in memories of the past colonial empires and flimsy futuristic ambitions of the fluttering imitators of the west.
That memory is now being kept alive by just a few individuals, most of whom I have met, and was waiting to meet the star of the show, a sous chef who had gone to Taj Hotel Dubai from his native soil of Fort Cochin
Mr. Thoufeek Zakariya
I had arrived at the same morning after an exhaustive trip at the Cochin International Airport to the tumult of the dizzying colours of expectant family members for their dear ones to arrive from their Gulf Destinations. There was an eerie silence which I later realized was due to the general strike, forcing all transports off the roads and all enterprises shut. I was fortunate enough to get one of the few taxis at the airport and was happy to plonk myself on bed at the Hotel an hour or two later.


As the evening set in, and the atmosphere of this once prominent trading town now buoyant with the chirping voices of the family reunions on the beach, I walked along the familiar streets, retracing some steps, greeting some old acquaintances along the tourist street, full of things tourist streets have all over the world.

I was in front of the children’s park, facing Koder House on the other side, when someone came up to me and said, Dr Yehuda? Yes and he said: I am Thoufeek
Casualidad no es tan casual we say in Cuba and the Indians would say things happen for a reason.  Grateful for this coincidence, he is here in town for a weeks respite from his work in Dubai to attend to family matters and was on his way to inspect some building of which he had seen an old photograph from 1889, It so happened we were standing right in front of the site where the ancient church once stood and the landmarks from the photograph from which the main building is missing can still be elucidated.

You couldn’t imagine how delighted I was at this encounter and the next few hours were filled with various topics, mostly dealing with history, to clear some of the doubts we had been entertaining, such as the Yemeni rather than European origin of the fair skinned Jews of Cochin, most of whom are dead and gone; the origin of racism among the Jews of Cochin against their darker skinned coreligionists, among others. Our mutual friend Taha who is single handedly responsible for the welfare of the last elderly Jew of Jew Town, Sarah Cohen, joined us and we were like excited school children discovering a tasty dessert as we sat at Kashi Café looking and comparing various pictures of the erstwhile church which was moved and later to become Santa Cruz Basilica.

 We talked not only about the Jewish history but also the illustrious history of Islam along these shores, the wonderful book of Patricia Fels on Cochin Mosques and went off to look for the interesting tome of the history of the Dutch in Cochin. Perusing through ancient maps in the book, we were able to solve the mystery, much to the excitement of all of us that the building erroneously assigned to be the lighthouse was actually the remnants of the church. As usual in such discussions, the situation in the Gulf Countries, their imported labour and their glorious historical past as traders and merchants all came for a review. Not to mention a favourable mention of my favourite country in the Gulf, Oman. How can we talk if we didn’t talk about Zheng He/Cheng Ho?
Thoufeek Zakariya is an erudite historian, almost entirely self-taught and has no equals in Fort Cochin. Lately to accommodate the rising tourist trade, there has been self-appointed guardians of local history who are way off mark (with notable exceptions of course) and also a plethora of extremely self-interested foreign journalists who see who see in Fort Cochin a ripe fruit to pick up without doing much background studies or work, thus on their first or third day of visit, they begin sprouting articles and blogs to misinform the world and undo the good work of the few illustrious historians such as Thoufeek.
He is a humble man, a pious Moslem but not a pedantic one, as he would say, anti-Semitism among Moslems arise out of ignorance about Jews. You realize when you talk to him that here is a man who has done his research in a methodical, analytical fashion, not easily given to conjectures and propositions

An impressive person, a Ft Cochin personality in the making, good friend and a reliable academically oriented historian, we can expect a lot from him, to unearth various treasures of this forgotten corner of a historic port.

jeudi 11 février 2016

MICROBIOME TELLS YOU WHAT YOU ARE AND EAT ACCORDINGLY

Microbiome as a word had not been coined, when I became aware of something mysterious in the workings of our food and body. Being a student at that time, my interest was from a cultural and quotidian point of view. I even coined the word, Genetic food, even though I am sure people had used it before.
When we moved to Australia from Asia, the food consumed was the general fare of Australia; and being in an Eastern European Jewish milieu, a lot of food of the Ashkenazi Jews. I began noticing that certain food gave my body pleasure but many others didn’t please it. I was not sure about my ancestral diet but Greek food was freely available and my body seemed to like it. All these long before Mediterranean Diet became popular.
MICROBIOME

I felt that people must eat or imitate their ancestral diet to the best of their abilities, as Australia and USA were my background countries I was familiar with. When I completed my Endocrinology studies, I was immensely dissatisfied to learn that just medical knowledge alone was not going to help people in the greater scheme of things I envisioned. Further education in Anthropology was an eye opener as the vista enlarged of the human condition. Anthropology taught me to question, ask the question WHY rather than accept the common wisdom of WHAT so prevalent in Medical Practice.
Even as a medical student I had questioned WHY that is the British immigrants to New Zealand had a higher rate of Peptic Ulcer Disease than the native NZ population?
Before Interleukin-6 measurements, my thoughts were in the direction of Inflammation in the body, rather than the epidemiological, things which can be measured, explanation of the association. Also I realized that epidemiology cannot explain the individual’s susceptibility using what makes a group sick. The probability of an overweight patient developing diabetes, had less to do with the commonly accepted epidemiological roots, but rather than the individuality of something in his body. On the third day after the drastic surgery of Gastric Bypass in obese patients, even before a loss of weight could occur, Diabetes may disappear altogether. (Now touted as the cure for type 2 Diabetes). If you accepted that the disease of DM type 2 was due to pancreatic exhaustion and thus irreversible, how come in a very large proportion of patients with type 2 DM, the disease does disappear, with reinstitution of Insulin secretion?
I remember my colleagues making fun of me about 10 years ago when I mentioned to them that the High Cholesterol so prevalent in the population is due to inflammation in the body, rather than enzymatic mal-wiring.
It now seems that Microbiome, the 100 trillion strong mostly bacterial inhabitants of our body, is very important in deciding what disease we may become susceptible to, and in some cases, as our understanding increases, will even help heal the disease.
Rob Knight’s recently published talk on TED, is good to whet your appetite about this fascinating field
This is my understanding of why there is so much cholesterol elevation and treated, why the rate of obesity has risen to catastrophic proportions..
Our microbiomes define who we are metabolically. You look like the way you do because your mother and father. In the same way the microbiomes decide what you are, metabolically. The grand difference is that Microbial DNA has only about 10 % similarity with another, whereas the human genome may have 99% similarity.
That is why the diet does not work, because 90 per cent of the people prescribed the diet, are rejecting or unsuitable for the diet. The Israeli scientists have come up with a personalized diet which takes into account YOUR microbiome and not what the food does to someone else, but how the food will react with the microbiome of someone else.
(My sister cooks the best Genetic Food
Even though I have lived the major portion of my life in Australia and USA (plus four European, two Caribbean), the microbial origins are none of the above. I prefer Bananas to Apples; Hamburger is not an appealing food, I am always drawn to Asian food (including what I consider to be my Genetic Food). You may try to explain this as cultural or natural (Jack Goody might have explained Cultural and Natural are not the same). Ayurvedic physicians prescribe food according to the Dosha, the physiognomy and other characteristics, much closer to the truth that the allopathic physicians who unfortunately have only “broad spectrum” medications and dietary recommendations. As one of my teachers remarked, it is like using a Machine Gun to kill a fly!
Any day I prefer to eat Hummus/Baba Ganoush/foul madames/kibbe/chanklish/meshe/ with whole grain pita bread with olive oil and zatar on it.
(eating in Bangkok with Pak Joe and Pak Lim)
I like Roti Canai and Teh tahrek
Bun Ga xao in Vietnam or Bun Bo Hue
Sundanese food agrees with me, Thai cooking is appealing.
I am sure I am pleasing my microbiota, so that they are happy and not angry and producing inflammatory molecules, that may give me insulin resistance even if I am not overweight, some form of heart disease to boot. Now we also know that the microbiota can combine with certain physical disorders such as chronic kidney failure to affect cognition.
 (Padang Food, Bogor in Indonesia)
(Food in Cambodia)
Michael Pollan is a well-respected advisor to the American Public and has written many easily readable books about Nutrition in America (or shall we say Bad Food in America, No one would criticize a nice pasta from Prima Pasta in North Miami Beach? Would they?) Map of his microbiota is available on line and you can see that he is practicing what he preaches to the welfare of his microbiome.

So, this afternoon, I shall have a spanakopita and Chai!
Bon apetite, mes amis Les Microbiomes!

There is one particular type of cuisine, not a generic one but a varied one which I am not sure pleases my MicroBiome
It is the food served on Airlines and their Lounges




mercredi 10 février 2016

MY LIFE OF FEAST AND FAMINE.. HAVANA IS THE MOVABLE FEAST..MIAMI INDIAN COUNTRY COCHIN FOR VARIOUS REASONS

I always look forward to going back to La Havana. Unbridled affections the chance to be yourself and spontaneous. I understand fully when a friend of mine, on his visit from America said to me: In Cuba, I feel free. For Intellectuals and Emotional people, Cuba is a paradise and the feast?  the friends. I am convinced that nowhere in the world one can make friends as easily as one can in Cuba. Love,affections and respect all flow. My life in Cuba is divided into Academic, where I try to impart some knowledge about the Anthropological view that I have about Life and Health; the second is the chance to spend time (my friends also have the time, the greatest gift) with my good friends of many years.

My life has followed a pattern of feast and famine; the feast of Havana is usually followed by a famine of affections, lack of intellectual stimulation; then the pattern is back, more feast, this time it would be Cochin; another time it would be Kuala Lumpur.
Academically this has been a good year so far; Spiritually I am lucky to have Indians and their counsel; I am never depressed in Miami (friends make sure the food is delicate and excellent). I was hoping to do some explorations in Colombia and Brasil, but till the situation with Zika virus becomes clear, that has to be on hold.
as the day of friendship approaches, my thoughts are with my dear friends in Cuba.
Cuba, I count the days until I can return and Europe, I count the days until I can leave. I wont be going to the Indians this month as my body will not adjust to the cold weather, instead warm climes beckon.
and there is always Qatar airways to lift your spirits: I have four flights coming up with them!

dimanche 17 janvier 2016

CONTENT TO BE WITH AMERICAN INDIANS.. DESPITE THE SNOW AND THE COLD... CUBA IS WAITING

After leaving France and Belgium, it was so good to spend a few days in Miami, my American home. Miami always reminds me of the variety of food and the people, some of whom I have known for a long time.
It was time to go to the Indians. 
I can never get over the friendliness of the people who inhabit the middle of this country and the reception they give me, each and everytime, considering that they see at least once a month consistently, except perhaps the month of February when only the brave souls venture out here to visit the Natives.
While it was not snowing or raining or windy, the temperatures were in the single digits (minus C).
I had braced my self for it. The employees at Sleep Inn where I spend the night of my arrival and at AVIS where I rent my car, are so overtly welcoming. I thought it not incongruous that the car they offered me had plates that said TSH, very appropriate for an Endocrinologist.
The rituals continue, and the next stop was Trader Joe's to stock up for the stay, as the village of my destination has nothing in the way of supermarket or cafe. At Trader Joe I was greeted very warmly by the same faces and I was happy to hear that the lady with two children was getting married and hoping for good weather at the end of April for her outdoor ceremony.
The drive north through the sparsely populated countryside makes you appreciate our earth, barren under the snow, blindingly white snow.

 at the end of the drive, passing through small town such as Hermann, Blair, Tekemah, Decatur, Macy, one reaches Walthill, a town within the Omaha Indian Reservation.
The sight of the Blue House is always welcome!
The house is warm and very clean (thanks to a patient of mine) and I get about settling down for the next ten days. Enough Food and some nice sauvignon blanc from New Zealand..

I have surrounded my self in this refuge with symbols of my cultural identity and affiliation.
Cuba is present everywhere in this house. I even have Coffee and Sugar from Cuba. Chocolates are from Belgium, Sardines from Quiberon in Brittany.
Brown sugar from the eastern part of Cuba, the bottle is the cuban brand of water.
Once I am here, my mind switches off the rest of the world, I am fully conscious where I am, with the Indians, to be with them, I have travelled from other continents, and I am content. No attachment to my other "lives" but concentrate on the goal at hand and enjoy the people I have come to serve.
And there are always unexpected pleasures. Students come to the Clinic and they spend the day with me, during which time I regale them with stories about Indians, philosophy of Life and travels. I enjoy their curiosity and the innocence with which they look at the world. This time I was lucky in that the two who spent time at the clinic with me were a cut above.
Very curious, interested in the welfare of the patients she would serve in the future, not only interested in self but mostly in others, knowledgeable in her field and very helpful to me during the day to an extent that I trusted her medical judgement, I wish her well in her career. She made me realize that some students look for jobs and some look for a career, she belongs to the latter.
I have the luxury of long interactions with patients as I request a light schedule (one hour per patient whether I know them or not), and it is such a pleasure when traditional Indians come in. It is incredible that even after 300 or so years of contact, many Indians think just like their ancestors did and have such unpolluted minds. It is a pleasure to take care of them, physically, emotionally and occasionally spiritually, and be a part of their world.
The days pass swiftly and each day I wonder how the hours passed so swiftly! 
The weekends are a bit difficult, especially during the winter. Indians are busy with their lives and unless there are ceremonies that I want to attend, the weekend (I am very seldom here for more than one) is a solitary one, completely immersed in books and article, reading and writing and as such very productive. I think about the pure loves in my life and innocent interactions that I had enjoyed in the days prior. I enjoy the solitude, as in my next destination, Cuba, being alone is almost impossible!
On Friday night, while the night outside is cold and biting, it is so good to light Shabbat Candles and wish friends and mischpochah Shabbat Shalom...

lundi 11 janvier 2016

SWOON OVER MIAMI MY LOVE AFFAIR WITH TROPICAL LANGUOR

SWOON OVER MIAMI: LOVE AFFAIR WITH TROPICAL TORPOR CONTINUES. 2016
Just a few days ago, I said a symbolic good bye to Europe. It is symbolic rather than pedantic, as I have said good-byes to Europe previously, Sweden, France, and England. I still long for London but to others I have no attachment.
American Airlines Flight 39 took me from London to Miami. On arrival, Global Entry machines demand your fingerprints and then cautiously questions, in print, were you on flight 39? I answer yes and that is it, you are welcome to the USA and within minutes I am waiting for my café cortado ..On the other side.. The Cuban Miami.
Miami was love at first sight when I arrived here as a Graduate Student and then again as a full-fledged doctor to study Endocrinology.
More importantly this is where my love for Cuba was born! To be able to live on “ambos lados del rayo” on both sides of the line has been a privilege.
Coming to Miami before going off to other destinations has the advantage of integrating yourself into American Culture and environment. My sister lives here and I am always relaxed at her house, the fact that she can make the best Baba Ganoush, Taboule and Hummus is an added incentive of course . Years ago while enjoying this common Mediterranean foods, I was able to formulate the concept of Genetic Food, that you must eat your ancestors food, which in my case , resembles what my sister cooks for me.

My younger brother who would travel a hundred miles for a good foul madames, must be green with envy as I feasted on foul, hummus and other delights of our ancestors.

The languorous  days were broken only by visits to Carlito’s Café where the seasoned Cuban waitresses extended their effusive welcome, and I realized that in Cuba, Starbucks would only be popular among the tourists. We already have the champagne of coffees there...
Harvard scientists following the original class of 1938, had made the startling but fresh discovery that in the end relationships is all what that matters. Not being a member of Facebook, and knowing the significance of Dunbar number which caps our capacities for good friendships at far below 15, visits to Miami on top of the tattooed in your heart friendships in Cuba, I have my 15 already!!
In Europe it seems that relationships are measured in terms of blood ties on which is based what one can do for another or give and take. In Miami and Cuba, my aim in my relationships have always been to appreciate the other to such a degree that it would bring them closer to their dreams
                 (Brickell Bay and memories of student days in Miami)
This visit was especially good. A good friend was visiting from Cayman Islands. My dear friends M and G were as usual the gracious hosts with whom I had the luck of sharing a very nice meal at Prima Pasta.


This emotionally satisfying visit, congruous with what I believe happiness derives from, was capped by an invitation received from TED MED to be a Research Scholar for 2016 with a possibility to attend the meeting in November 2016. It is truly an honour.
Now in the days to come, I play the medical anthropologist to the Indians of America, and return to the dear ISLA RICA south of here to give two conferences, one to a group of Family Physicians and the other to Endocrinologists of Havana

The second topic would be looking at Obesity and Diabetes from the socio cultural point of view, rather than physiologic or biomedical. The first talk is the one I am looking forward to giving: 100 different thing you can do to make you and your patients happy and healthy, which would be an amalgam of scientific studies, yogic philosophy, Buddhist thinking and the teachings of American Indians.

jeudi 7 janvier 2016

REMEMBERING CHARLIE HEBDO JANUARY 7TH IN MIAMI SENTIMENTS OF A JEWISH TRAVELER


During the years I lived in Europe, I had to tragically witness three terrorist attacks, two of them involving mainly Jews and the last one in November 2015 of the indiscriminate assassination of innocents in Paris.
The first one, involving Jewish teachers and Jewish children hardly evoked comments. Charlie Hebdo drew widespread attention and sympathy, not only from France but from around the world. (the majority of the victims were Jewish). 
But the government responses from France and Belgium were less than adequate
I thought of the French philosopher who commented? First they came for the Jews, I did not comment...etc and when they came for me, there was no one left to comment.
As a Jewish Traveller, I feel very safe in most countries in the world I travel to, I felt completely safe on a recent trip to Marrakesh, Morocco. In Israel, you know that your brothers and sisters are looking out for you and it is much safer for a Jew to be in Israel than in France or Belgium, even though a recent stay in Brittany, it was as if Charlie Hebdo had not happened. The largest proportion of migrants to Israel last year was from France, if that serves as a social commentary.
On the taxi ride to the Brussels airport, the Brussels born taxi driver and I talked about the problems facing children of North African immigrants. In the USA, you would never even think of him as an outsider, but his question was poignant: it is difficult to integrate when the society points out to you that you are not Belgian? Israel is the prime example of a country which has integrated over 140 different nationalities into its national fibre, USA is fantastic when it comes to integration of nationalities while allowing them to maintain cultural characteristics, it being the home of the largest number of languages spoken in the Developed World!
One year later  I AM STILL  CHARLIE   JE SUIS CHARLIE and refuse to fall into the shallowness of Islamophobia and looking at a person, such as the Brussels born Moroccan origin taxi driver as an OTHER.
Bernard Lewish, the British Born Jewish Historian who is nearly 100 years old, is a beacon when it comes to explain the middle eastern history. We now use the world Assassins irreverently, but Bernard Lewis traces the history of an Ismaili sect of Muslims who used assassinations for political goals and thus the origin of the the sect, which has since died out and the origin of the word in common parlance.

mercredi 6 janvier 2016

UNEXPECTED PLEASURES OF 2016 WELCOME TO CUBA

Life is not about the regrets about the PAST nor about the anxieties of the FUTURE.
As I sit here at the Admirals Club at Heathrow Airport in London, I realize that the sad departure from my life in Europe is mingled with the excitement of unexpected pleasures to come in 2016 of which Cuba would certainly be one.
This is the fourth time I am saying Good Bye to Europe: Sweden was the first country I lived in Europe, then it was London, England on two different occasions, once as a student; for the past nine years I have made over 100 trips to France and Belgium.Saying Good Byes to countries is nothing new in my life.. Jamaica, various places in the USA, but never to Miami..the three places in Australia, one of which, Melbourne was my home!
Even my travels follow the path of renewals.. While I lived in Australia, I tried to cover the South Pacific Nations; while I lived in Miami, I tried to cover the Caribbean; and in the past few years, I have traveled extensively to Vietnam, Cambodia, Myanmar, Malaysia and Indonesia. This morning I noted with some sadness that I have not been to South East Asia since July 2014! There was a period when I was in Buenos Aires frequently enough to be mistaken for a local at Palermo stores and cafes...
Miami would always be there
CUBA is where my heart has been and where my heart is and that would always be HOME...
(my cuban colleagues)

This year I look forward to travel to 
Qatar
Cochin
Amazon River
and perhaps a return to South East Asia, Cambodia ..

Hasta Luego Amigos!

Here is thought for today from the Indian Elders, in this case, Rolling Thunder
"When we're through with this earth and all these problems, we don't have to come back. But as long as we're here we have a job to do and a purpose to fulfill, and that means dealing with the circumstances around us."
-- Rolling Thunder, CHEROKEE
We are put on the earth to participate in life. We have a beautiful mind, we have the ability to pray, we have the ability to change, we have the ability to accept, and we have choices. All things God created are constantly changing. This constant change causes our circumstances to change. Sometimes we say life is difficult. During these times we need to use our tools: the tools of prayer, and the tools of meditation. We are designed to change and live joyfully on this earth. The only requirement for living joyfully is to live according to the laws, principles, and values given to us by the Creator.

WHAT HAD JIDDU KRISHNAMURTHY  TO SAY ON THIS DAY?


Self-knowledge is not a thing to be bought in books, nor is it the outcome of a long painful practice and discipline, but it is awareness, from moment to moment, of every thought and feeling as it arises in relationship. Relationship is not on an abstract, ideological level but an actuality,the relationship with property, with people, and with ideas. Relationship implies existence and, as nothing can live in isolation, to be is to be related. Our conflict is in relationship, at all the levels of our existence and the understanding of this relationship, completely and extensively, is the only real problem that each one has. This problem cannot be postponed nor be evaded. The avoidance of it only creates further conflict and misery; the escape from it only brings about thoughtlessness, which is exploited by the crafty and the ambitious. - Krishnamurti, The Collected Works, Vol. VI",50,Choiceless Awareness

On arrival in Miami, my sister had prepared such a tasty middle eastern food which is my genetic food, we talked and laughed as we do when we are at a table
As the Harvard study had found out
In the end, what all matters are RELATIONSHIPS
Cultivate it,, sacrifice for it and enjoy it
Otherwise You have only LONELINESS to embrace in your life as it progresses..
For me a meal without laughter at the table is no Meal at all.. it would be just like animals filling their guts to satisfy their hunger. Human beings are meant to be social, to talk, laugh and chat and exchange information and knowledge..

SWAMI SIVANANDA'S 

 Message of the Day for Wednesday, January 6, 2016


 There is something good even in all seeming failures.  You are not able to see that now.  Time will reveal it.  Be patient.

A line from Pablo Neruda comes to mind

“Let us forget with generosity those who cannot love us”






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