Long-term fasting and its potential health benefits

In "Starving Your Way to Vigor," an article in the March 2012 issue of Harper's Magazine (available on-line only to subscribers), Steve Hendricks discusses the possibility and the potential therapeutic effects of long-term fasting. How long is it possible for a human to refrain from eating any food (drinking only water)? It was once thought that one would be dead within 10 days. That was a theory that conflicts with the real world. For instance, Hendricks tells the story of a despondent doctor named Henry Tanner (his wife had left him), who tried to starve himself to death. During his long fast, his hunger pangs diminished and various ailments disappeared--he got better.

On the fortieth morning, the collegians weighed him at 121.5 pounds, thirty-six fewer than when he had begun. His other vitals were interesting only for being uninteresting: normal pulse, normal respiration. At noon, he ate a peach, which went down without trauma. He followed with two goblets of milk, which the collegians thought imprudent on a stomach so long inactive. But the milk not troubling him either, he ate most of a Georgia watermelon, to his colleagues’ horror. In succeeding hours he added a modest half-pound of broiled beefsteak, a like amount of sirloin, and four apples.
Hendricks reports that in 1965, a 27-year old Scotsman fasted for more than a year (eating only vitamins), dropping from 465 pounds to 180. His case was reported in the Postgraduate Medical Journal in 1973 and in the Guiness Book of World Records. Hendricks himself decided to fast, to experience the lack of food first hand. At the beginning, he weighed 160 pounds. He proceeded to lose 25 pounds in 20 days, regaining only 5 pounds in the two years since completing the fast. Much of Hendrick's article is a detailed description of his experience. Here's a taste of his article:
I continued to dwindle. By Wednesday, the seventeenth day of my fast, the report from the bathroom was 138, three pounds from home. So near, I considered for the first time whether I might care to fast longer—a month, say, or the Christly forty days, or even a few days more to out-Tanner Tanner. I wasn’t long deciding no. Endurance, even with my ugly swings of mood and energy, was not the problem. The problem was that I missed eating. I wanted the sensation of food in my mouth again—the textures, the flavors, the hots and colds, the surprises, even the disappointments. I also wanted the fellowship of eating. Sitting to meals with family and friends had been sociable enough at first, but in the end it had proved an inadequate substitute for companionship, a word whose roots com (with) and pan (bread) reveal its true meaning: breaking bread with others. Not breaking bread with my intimates, I was an outsider in their rite.
Hendricks relates anecdotes that intense long-term fasting improves or even cures such maladies as hypertension, epilepsy and cancer. He laments the lack of serious scientific research to determine the extent to which the claims regarding these benefits are true. I was amazed to learn of the possibility and potential health benefits of long-term fasting. Last week, on the morning I read Hendrick's article, I decided to see what it would be like to not eat for two days. I only lasted 9 hours. I found myself at work, working on a legal brief and needing lots of mental focus. Not eating was not at all painful, but it made me light-headed and unfocused. I understand that these symptoms would pass if I gave them time, but I pulled the plug and decided that I would try a fast when I didn't need to be at work. I'll let you know if and when I carry through with this experiment.

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On the outrageous cost of American healthcare

In France, an MRI costs $280, while in the U.S., an MRI costs $1080. At the Washington Post, Ezra Klein discusses this huge discrepancy:

There is a simple reason health care in the United States costs more than it does anywhere else: The prices are higher. That may sound obvious. But it is, in fact, key to understanding one of the most pressing problems facing our economy. In 2009, Americans spent $7,960 per person on health care. Our neighbors in Canada spent $4,808. The Germans spent $4,218. The French, $3,978. If we had the per-person costs of any of those countries, America’s deficits would vanish. Workers would have much more money in their pockets. Our economy would grow more quickly, as our exports would be more competitive. . . . In America, Medicare and Medicaid negotiate prices on behalf of their tens of millions of members and, not coincidentally, purchase care at a substantial markdown from the commercial average. But outside that, it’s a free-for-all. Providers largely charge what they can get away with, often offering different prices to different insurers, and an even higher price to the uninsured.
What about the new health care reform law? Klein offers the bad news: "The 2010 health-reform law does little to directly address prices." This is a stunning conclusion, given that Barack Obama's opening sales pitch for health care reform is that we need to do rein in the high cost of health care.
On October 15, 2008, then-Sen. Barack Obama (D-IL) promised the American people: “The only thing we’re going to try to do is lower costs so that those cost savings are passed onto you. And we estimate we can cut the average family’s premium by about $2,500 per year.

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More on the Catholic bishops and the HHS rule

The Catholic bishops' caterwauling over the proposed HHS rule on employees’ benefits is just more of the same type of anti-Obama shark hunting on the Mississippi that the bishops engaged in even before Obama was sworn as President. The issue then was the Freedom of Choice Act (FOCA) and it was "religious freedom" and "freedom of conscience" then too. All the same far right wing quasi-Catholics, pundits like George Weigel, decried the Obama administration then as now. Too bad there wasn't even any such bill before the Congress at the time. Congress wasn't even in session but, we Catholics heard it from the pulpits and pews and bishops all across the nation about the evils of Obama. Thousands, maybe millions, of anti-FOCA postcards were sent to Washington. I sent one but, modified the text because I thought the bill would unconstitutionally usurp some states’ rights to regulate abortion under Roe v. Wade. Then, I found out there was no bill. Imagine my surprise as an Obama supporter. Now, the Catholic bishops and their piling-on sycophants decry a "mandate" where no such thing exists at all. There is a proposed rule, which isn't even in effect, that says that if an employer offers health insurance as a benefit to its employees, the insurance must cover contraceptive services. Strictly religious institutions are exempt from the proposed rule. No mandate, law, rule or regulation exists now or will exist that absolutely requires any Catholic employer to do anything against its conscience. [More . . . ]

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Baked kale as substitute for potato chips

Over the past year, baked kale has become a favorite snack for my family. It recently occurred to me that we now eat baked kale much like many families eat bags of potato chips. If you bake kale, it becomes light and a bit crispy. Our children enjoy it as much as the adults. Here's the recipe we use. Wash your kale, then pull off the leaves into bite sized pieces. Spin the kale in a salad spinner to get rid of all the moisture (or else the kale will get soggy when you bake it). Drizzle a bit of oil on the kale (we use canola) and toss the kale to evenly coat it with a very thin coat. Spread the pieces of kale on a baking pan, and lightly salt it. Bake at about 350 degrees for about 8 minutes. The kale is ready when the tips start to brown. Enjoy.

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Depression as an adaptation?

For anyone who has been depressed, it is difficult to conceive of depression as something ever useful. Depression immobilizes people, and the core symptom is anhedonia, the inability to feel pleasure. From the perspective of depressed people, these add up to a living hell. The World Health Organization estimates that depression is the fourth leading cause of disability in the world, and that it is projected to become the second leading cause of disability. I recently finished watching a "Great Courses" video lecture series called "Stress and Your Body," featuring Robert Sapolsky, who described the strong correlation between stress and depression. He indicated that lack of outlets, lack of social support and the perception that things are worsening are precursors to depression. In an article titled "Is Depression an Adaptation?" psychiatrist Randolf Nesse terms depression "one of humanity’s most serious medial problems." Nesse also argues, however, that many instances of depression are actually adaptive. How could this possibly be? Nesse explains: [More . . . ]

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