Just Walk
ÜberValk viz a Dok Newsletter
14/11/11
ÜberValk

Greetings!

Guten Morgen! One week ago, I didn't even know what that meant. But now?! Heck - I can even buckle my britches in German and here's how it all went down. (What the he-- does that mean?)

Those close to the walk know that we basically take the month off in celebration of Oktoberfest. There isn't a German in the bunch, but do have many a lover of beer...and lederhosen. Leave it to the Law of Attraction to explain what happened next.

Last Friday, we had just finished a marathon game of Sorry and many of us were changing into our yoga gear for the 2:30 class. We could almost tell by the ring of the phone that something was up. Birgit and I (we change names for the month) went running into Katarina's office.

Caller ID reads +49-110374922659120038

I start freaking out. I'm stuttering. "Grab...grab...grab Das Telefonbuch!"

"What are you talking about?!", says Katharina. 

 

"That #. 49. It's Germany's country code! I just saw it on The Müppets go to Münich. But, we don't have a walk in Germany...yet?" I reply.

 

"The Muppets go to what? Oh forget it. Would you clowns get out of my office!", Katharina exclaims.

 

We pretend to return to yoga but we stay right outside her door in the hallway. We can't afford to miss a word. 

 

Katharina returns to her desk, smiles, and regains her sense of calm.

 

"Good morning! It's a beautiful day in the Land of Walkwithadoc. How may I help you?"

 

"Vy yes. Guten Abend! Vat time is ze Valk tomorrow?"

 

"Yes ma'am. I would love to help you. Which walk are you referring to?"

 

"Vy, ze Ültra Zecret ÜberValkvitadok, of course! No?!."

 

Katharina nervously giggles, "Why, Of Course! Could you please hold for just one second?"  

 

It goes without saying that for centuries we've all heard the legendary tales passed down surrounding The ÜberValk. But, to this day, even the brightest of history's scholars had never gathered a morsel of objective evidence. Therefore, we all believed this to be lumped in with the Loch Ness Monster, Big Foot, and The Great Wall of China, etc. - absolutely captivating stories sure, but nothing that truly existed. 

 

Katharina dropped the phone and ran to hallway, rapidly motioning for us to return to the room.

 

Soon, all three heads were somewhat uncomfortably stacked on top of each other, straining for a small piece of headset real estate. It was a scene right out of The Three Stooges (it wasn't until later that we remembered our speakerphone).  

 

"I'm sorry ma'am, I'm back. Could you please describe the walk for me?" Katharina asked. 

 

"But, zer is one valk, no? Anyvay, at Ze ÜberValk ve drive our Porsche's deep into ze Bavarian Black Forest under ze cover of darkness. Ven we arrive we enjoy biers courtesy of ze Høfbraü Haüs, pretzels und very, very fancy mustards."

 

The three of us stared at each other - our mouths agape. The ÜberValk was NOT a myth! Dozens of generations had passed down the ÜberValkian legends without verification, and now we find they are true? Are you kidding me?!?!   

 

She continued.

 

"Ven ve know zat no one ist watching - ve drink from ze Fountain of Youth und ve listen to ze Doktor. Ze Doktor teach valkers ancient secrets zat transform our bodies 25 year younger. Ve check blood pressure, no? All valkers are 120/80 and strong like bull - totally normal. All from very much valking, yes? Zen ze musicians perform ze hümmelchen vile ve take in ze mythical, forbidden beauty of ze forest"  

 

Meanwhile, Katharina is frantically taking notes, well aware that the history books and the knowledge of future generations hinges on this very call. Hinges on how well she questions this miracle subject, thousands of miles away. As the historical scope of the conversation sinks in, Birgit and I have difficulty breathing. 

 

"What exactly does the doctor look like?" Katharina inquires.


"Ze ÜberDoktor ist greater zan 2 metre tall und 120 kilos (6'4", 245 lbs.) viz 4% body fat (4% body fat), sculpted like ze Adonis. Ze namen del ÜberDoktor es Dr. Hans Schmidt. I see on za vorld vide veb...it's ironical - he look absolutely identical in stature to ze Koluumbus Doktor...how do you say...Zabgir? Zen ve drink in ze über clean Bavarian air und stretch vit ze Olympic coaches by ze dark zecret river"  

 

"I'm sorry, could you please tell me your name?"

 

The ensuing pause lasted a lifetime.

One could sense the caller becoming increasingly anxious.

"Vait!  Who are you?!? ARE YOU VIZ ZE ÜBERVALK?!...dialtone"

 

And just like that, the call had ended.

 

The three of us found ourselves staring at each other in sheer bewilderment. This was our Titanic, our Sasquatch, our Hanging Gardens of Babylon all rolled into one. No one would ever believe we had just been listening to an actual member of The ÜberValk. No one would ever believe!

 

(As curtain falls, quickly exit Stage Right

Don't Take Vitamin E
 
We've known since 2000 that Vitamin E did nothing for the heart. We've known since around 2004 that Vitamin E is actually harmful, not "not helpful", but harmful. Now we may have a little more insight into why. Also, if you are a woman - still, do not take this supplement.
 

99% of my patients had been taking it just because they thought it was supposed to be good for you. If you are in the rare minority, where your opthalmologist or neurologist feels it might help you, please confirm with them that they still want you on this. Here's the story our WWAD Science & Quality Division pulled from the wire (I underlined one of my favorite parts)

 

US researchers warned Tuesday of an alarming link between vitamin E supplements and a 17 percent increased risk of prostate cancer, describing the findings as an "important public health concern."

Ten years after the start of a randomized trial of more than 35,000 men, researchers discovered the spike in prostate cancer among those assigned to take vitamin E rather than selenium or a placebo.

"Dietary supplementation with vitamin E significantly increased the risk of prostate cancer among healthy men," said the study in the Journal of the American Medical Association.

Selenium, a trace mineral found in foods like Brazil nuts, tuna and beef, is often deficient in areas such as China and Russia where it is lacking in the soil.

The study was launched based on previous research that had suggested that selenium or vitamin E might reduce the risk of developing prostate cancer.

The latest data emerged three years after a preliminary study of the findings, published in 2008, showed a slightly higher but statistically insignificant risk of prostate cancer among those taking vitamin E.

However, since the risk was approaching statistical significance, a safety committee called for a halt to the randomized Selenium and Vitamin E Cancer Prevention Trial (SELECT) in the United States, Canada and Puerto Rico in 2008.

A longer-term follow up, concluded in July of this year, has revealed the higher cancer incidence in men assigned to the vitamin E portion of the trial.

"Based on these results and the results of large cardiovascular studies using vitamin E, there is no reason for men in the general population to take the dose of vitamin E used in SELECT as the supplements have shown no benefit and some very real risks," said Eric Klein, a study co-chair for SELECT, and a physician at the Cleveland Clinic.

"For now, men who were part of SELECT should continue to see their primary care physician or urologist and bring these results to their attention for further consideration."

The study began in 2001 and broke participants into four groups: one would receive selenium, another would get 400 international units of daily vitamin E, another group would take both, and the fourth was prescribed a placebo.

A total of 620 men in the vitamin E group developed prostate cancer, as did 555 in the combined selenium and vitamin E group.

Those taking selenium only saw 575 develop prostate cancer, compared to 529 on the sugar pill.

"The observed 17 percent increase in prostate cancer incidence demonstrates the potential for seemingly innocuous yet biologically active substances such as vitamins to cause harm," said the study.

Men entering the trial had no signs of prostate cancer and were considered to exhibit average risk of developing the disease, which is the second most common cancer among US men, after skin cancer.

According to the American Cancer Society, 240,890 new cases of prostate cancer will be diagnosed in 2011 and 33,720 men will die of prostate cancer in the United States.

The study found no biological explanation for why vitamin E was driving the risk higher, but warned that the effects of the pills may continue even after the patient stops taking them.

"The fact that the increased risk of prostate cancer in the vitamin E group of participants in SELECT was only apparent after extended follow-up... suggests that health effects from these agents may continue even after the intervention is stopped," it said.

The findings also "underscore the need for consumers to be skeptical of health claims for unregulated over-the-counter products in the absence of strong evidence of benefit demonstrated in clinical trials," it said.

The trial was funded by the National Cancer Institute, the National Center for Complementary and Alternative Medicine, the National Heart, Lung, and Blood Institute, the National Institute of Aging and the National Eye Institute.

Walking with (or without) a Doc Helps prevent...Migraines! 

Yet another health problem significantly improved with regular activity. What if migraine patients exercised, did meditation, and took topirimate? 
 

Although exercise is often prescribed as a treatment for migraine, there has not previously been sufficient scientific evidence that it really works. However, research from the Sahlgrenska Academy at the University of Gothenburg, Sweden, has now shown that exercise is just as good as drugs at preventing migraines.

Doctors use a variety of different methods to prevent migraines these days: on the pharmaceutical side a drug based on the substance topiramate has proved effective, while non-medical treatments with well-documented effects include relaxation exercises.

No previous evidence

Exercise is also frequently recommended as a treatment, though there has not been sufficient scientific evidence that it really has any effect on migraine patients. In a randomized controlled study researchers from the University of Gothenburg's Sahlgrenska Academy have now analyzed how well exercise works as a preventative treatment for migraines relative to relaxation exercises and topiramate.

40 minutes of exercise

Published in the journal Cephalalgia, the study involved 91 migraine patients, a third of whom were asked to exercise for 40 minutes three times a week under the supervision of a physiotherapist, with another third doing relaxation exercises, and the final third given topiramate. The study lasted for a total of three months, during which the patients' migraine status, quality of life, aerobic capacity and level of physical activity were evaluated before, during and after their treatment. Follow-ups were then carried out after three and six months.

Exercise just as effective

The results show that the number of migraines fell in all three groups. Interestingly, there was no difference in the preventative effect between the three treatments.

-Our conclusion is that exercise can act as an alternative to relaxations and topiramate when it comes to preventing migraines, and is particularly appropriate for patients who are unwilling or unable to take preventative medicines, says Emma Varkey, the physiotherapist and doctoral student at the Sahlgrenska Academy who carried out the study.

 

We love you guys. We love you because you believe in
exercising 150 minutes a week and helping your family members and friends do the same.
If you are on your way to 150/week, but not quite there yet, we love you even more.
Personally, I'm especially grateful for you putting up with these asinine newsletters. 

Sincerely,
 
David 

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In This Issue
Don't take Vit E
Walking prevents migraines
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