Pretty simple, huh?

http://tinyurl.com/6a2baeh

The Telegraph today may be showing pretty pictures of bacteria but they display OLD-STYLE  microbiology when we know at a molecular level now that these matters are far more complex than pinpointing the great big "bruisers" of microbes like E coli and helicobacter pylori.


This study "provokes reexamination of the traditional view of killing strategies against bacteria" and contains some far more challenging actual shots of bacteria. And this paper points out the seriousness of microbiologists ignoring the need to research cell-wall-deficient bacteria.

The ridiculousness of showing the public computerised pictures of the fearsome "bogeyman" pathogens that can be easily named is particularly evidenced by recent papers on nanobacteria and others that have long shown a link between these incredibly tiny  microbes and calcifying human conditions, like artery or kidney disease.

All this research (which does not receive media coverage) indicates it is this increased depth of knowledge we need to seek if we are ever going to get to grips with chronic illness.

Working in harmony

I have so missed singing in a choir! I finally got to a community choir rehearsal this week and loved it, despite my tiredness afterwards.
Voices training up and down the scales with fun exercises, learning new musical parts and words, having a laugh with friends and people I hadn't met before.
It involved a lot of concentration for me but, oh, when our choir leader's hand counted us in and our voices wove together - the beauty of that connected sound thrilled me.


So much in our society today separates.
And there is a lot in scientific practice that separates everyone out to their specialisms. Often the system, or social norms, keep us firmly apart from others with a scientific perspective that comes from a slightly different discipline.
But I have found that some barriers have been brought down gradually over the last few years, for those who seek out connections. 


Now hear some encouraging words for patients from distinguished professor emeritus of microbiology and immunology, University of Michegan Medical School Fred Neidhardt:"Not uncommonly, investigations of infectious disease proceeded largely in medical school departments of internal medicine or pediatrics, while explorations of the intricacies of microbial growth processes were pursued at the same schools in basic science microbiology departments. 
"That situation has been changing in the past couple of decades, and finally the frontiers of bacterial physiology and of virulence (molecular pathogenesis) have virtually fused."


In a post-antibiotic age where microbes are the focus of close attention in acute and chronic medical processes, that is a good thing to know - the scientists, whose combined knowledge may understand the problem better together, are now talking to each other!
Prof Neidhardt says the science has undergone a "seachange" because their differently wise voices are now "intertwined".


To all of my friends and acquaintances with more know-how than I: please, share the knowledge you have across professional boundaries, listen to people you haven't listened to before, join your wisdom to others' wisdom. The rising chorus will produce something connected and more wonderful that will benefit us all.

The unbearable present

Last night I enjoyed being with about thirty five others in an evening of contemplation and meditation.
Many people present had never tried this approach to life - which is quite counter-cultural for Britain - and some helpful suggestions were offered for people who want to start.
One point made was that we have to try it for just a few minutes to begin with - we may very quickly struggle with things like pins-and-needles distracting us, or our mind being bombarded with thoughts, or we may simply be unable to sit still like that without feeling emotionally or physically uncomfortable with the situation.

The advice was to practice (in a way we individually find suitable) and persist, slowly increasing the amount of time we stay in contemplation.
We were advised to surrender to the difficult things that arise and then let them float past, allowing ourselves to be who we have been created to be, not who our hyperactive minds often tell us we must be.

Surrendering to the present moment, and persisting in spite of the surrounding thoughts and circumstances are two important principles to consider when you have a chronic illness. This is something I have learned spiritually and physically over the last few years.

We all have certain levels of long term pain that we feel we can (or can't) deal with - our memories of pain from the past can be one factor in how we respond. And sometimes it is the associated mental or emotional pain involved in living with chronic conditions that can be the hardest.
I have found that accepting the present moment, through meditation, can help me more than if I mentally fight back or try to cover over the physical pain (don't get me wrong; I do need some painkillers!).
Unfortunately in Europe and America we often have a very modern Westernised Christian approach to pain as soon as it appears - O God, please take it away! While there will always need to be some medications for serious pain, our heart's desire seems to be to rid ourselves of all painful aspects of life.

Well - in the famous opening words of M. Scott Peck's book The Road Less Travelled: "Life is difficult". Surrendering to that fact is hard, especially when the pain is really bad. But surrendering is necessary. It may make it a tiny bit easier if we believe we are surrendering to a loving creator (but not always. The individual will is strong!).

Whether we are dealing with a sudden overwhelming cough or itch in the middle of meditating, or with severe pain levels in a bad flare up of our condition, persistence is also necessary. We have to choose to continue.

My experience is that things can become totally unbearable, worsening to a point we feel we simply cannot live with. But when that moment has passed, without intervening, then a time follows fairly soon afterwards. Our spirit breathes a sigh of relief. We are still alive. We have passed through it. And if we have persisted once, then we realise the gracious possibility that we could do so again.

These are only a few words on a tough issue - I don't believe that dealing with pain involves some trite thoughts popularised as "mind over matter". On the contrary, this is just the "tip of the iceberg" of our being - our whole bodies, mental, emotional, spiritual, and physical, in all their wonderfully complex physiological detail.

Does your brain feel ill?

When we have been ill for a little while it is natural to feel "down", isn't it?
A bout of sickness, flu, or a bad flare-up of our chronic symptoms will often lead to feelings of lethargy and depression and we usually find our fellow humans' response to this is: "That's not surprising after being unable to do things normally - I would get depressed about it too!"
But this is a strange Western rationalisation of the brain as separate from the body. Obviously the brain is actually connected to the body, and the brain tissue can become ill as well.
New research has shown clearly that our brains actually respond to infection in the body to make us FEEL ill; it is not just a psychological after-effect of a physical event - the brain makes this happen.

Now some clear research studies have shown the process involved. The innate (initial defensive) immune system produces proteins called cytokines whenever they encounter a bacterial challenge.
This then signals to the brain, then the entire balance of "mini" hormones and different chemicals in the endocrine system undergoes a change. These signals run through the neurotransmitters and alter our mood and behaviour.
There is already enough evidence to show that the root of depression is in something called the subgenual cingulate of the brain.
When researchers watched the subgenual cingulate with an MRI scanner they found that patients who had mild inflammation from a typhoid injection showed activity here. And those who had the largest inflammatory cytokine response had the greatest problems with their mood and a slowing down of their normal responses.

Dr Neil Harrison of Sussex University told the World Service's Healthcheck programme that many different illnesses with a bacterial element and immune response cause this real physical action in the brain:"Cytokines can cross the blood brain barrier but can also bind to nerve endings and be signalled in the brain."

One thing he didn't touch on was why the body might want the brain to make it feel so bad. If your body feels confused, withdraws from social situations, suffers depression and slows right down, according to this research, that's because it is busy mounting an immune response to infection.
So, may I suggest, it might at times be healthy (for all concerned) to stay at home in bed and avoid others, instead of taking some tablets and making a psychological effort to get back in to the swing of things.

A modern parable for the chronically ill

A security guard is sitting at his desk, a couple of token CCTV screens in front of him. In this very quiet building the security desk is tucked to one side, away from the gaze of people passing by.
Not much happens so it is unsurprising that occasionally the bored security guard puts his feet up and nods off.
On one of these occasions some brazen robbers take advantage of his nap and creep past the desk. They invade the inner office and tie up the staff.
They steal everything they can get their hands on and get access to the valuables in the safe - but the security guard is none the wiser.

Once the robbers have stolen everything and decided to set up their own illegal business there, they are a bit hungry. They call up a pizza firm and a bakery and impersonate the office manager to order some take-aways.
The pizzas and doughnuts arrive, but the security guard doesn't think this is suspicious and lets the delivery men deliver to the inner office.
The robbers are enjoying their new crime base and the free facilities but eventually get fed up with having to fool the security guard outside in the lobby. So they devise a way of sealing up the security guard's mouth.
Once they have attacked him, he is forced to remain at his desk as if he is on guard, but all he can do is shriek and groan through his sealed mouth. Now the security guard is aware of what’s happening but unable to tell anyone.

He is a conscientious guy so he decides to risk contacting the main security centre to call for help. But at the other end of the phone line the operator is alarmed and confused to receive several calls and hear nothing but a terrible moaning sound.
The security centre operators become quite distressed when the muffled screeches are repeated over and over again as the security guard keeps phoning.
Eventually the controller of the security centre takes a decision to stop these calls that are distressing his staff so much. He sends round a telephone engineer to the nearest exchange.

Soon the telephone line to the office security guard has been cut and they are no longer troubled by the awful calls.
They assume that the office staff and valuables are safe but the security centre has in fact let the robbers get away with the crime. The business originally operating from that sleepy office is now totally wiped out.

Have you noticed how modern Western medicine is devoted to describing what your main symptoms are and then prescribing specific medication to reduce or stop each symptom?
But consider the word ‘symptom’. When we experience pain or joint aches or digestive problems, what are these symptoms of?
Our bodies are complex organisms able to send us messages to tell us that something is wrong. If we remove these messages – these symptoms – then we don’t know anything dangerous is happening.
The security guards in our body are called Vitamin D Receptors. These form the major part of the body’s innate immune system. This is different from the adaptive immune system which moves to destroy any bacterial or viral ‘robbers’.
In our nice clean society the Vitamin D Receptors get sleepy because they don’t have much danger to look out for. But there are some very clever bacterial ‘robbers’ out there who know how to get past them.
Around one hundred of them can fit inside one human cell. They also produce a ‘slime’ which eventually can coat the Vitamin D Receptors and stop them communicating.

If your body seems to be sending you alarming and painful messages – symptoms - then it may be better for your long term health to listen to them, rather than cut them off at source with medication.
For that you don’t need a specialist. You need to have a holistic view of how the body works. In the past this may have been an area left to ‘alternative’ medicine but now some scientists are beginning to uncover how the body works as a whole mesh of complex metabolisms.
Why not make some further investigations to help yourself out of chronic illness and back in to health?