Thursday, February 26, 2009

Dietary Fiber and Mineral Availability

Health authorities tell us to eat more fiber for health, particularly whole grains, fruit and vegetables. Yet the Diet and Reinfarction Trial, which determined the effect of eating a high-fiber diet on overall risk of death, came up with this graph:

Oops!  At two years, the group that doubled its fiber intake had a 27% greater chance of dying and a 23% greater chance of having a heart attack. The extra fiber was coming from whole grains. The difference wasn't statistically significant, so we can't make too much out of this. But at the very least, it doesn't support the idea that increasing grain fiber will extend your life. 

Why might fiber be problematic? I read a paper recently that gave a pretty convincing answer to that question: "Dietary Fibre and Mineral Bioavailability", by Dr. Barbara F. Hartland. By definition, fiber is indigestible. We can divide it into two categories: soluble and insoluble. Insoluble fiber is mostly cellulose and it's relatively inert, besides getting fermented a bit by the gut flora. Soluble fiber is anything that can be dissolved in water but not digested by the human digestive tract. It includes a variety of molecules, some of which are quite effective at keeping you from absorbing minerals. Chief among these is phytic acid, with smaller contributions from tannins (polyphenols) and oxalates. The paper makes a strong case that phytic acid is the main reason fiber prevents mineral absorption, rather than the insoluble fiber fraction. This notion was confirmed here.

Whole grains would be a good source of minerals, if it weren't for their very high phytic acid content. Even though whole grains are full of minerals, replacing refined grains with whole grains in the diet (and especially adding extra bran) actually reduces the overall absorption of a number of minerals (free text, check out table 4). This has been confirmed repeatedly for iron, zinc, calcium, magnesium and phosphorus. 

Refining grains gets rid of the vitamins and minerals, but at least refined grains don't prevent you from absorbing the minerals in the rest of your food. Here's a comparison of a few of the nutrients in one cup of cooked brown vs. unenriched white rice (218 vs. 242 calories):

Brown rice would be quite nutritious if we could absorb all those minerals. There are a few ways to increase mineral absorption from whole grains. One way is to soak them in slightly acidic, warm water, which allows their own phytase enzyme to break down phytic acid. This doesn't seem to do much for brown rice, which doesn't contain much phytase.

A more effective method is to grind grains and soak them before cooking, which helps the phytase function more effectively, especially in gluten grains and buckwheat. The most effective method by far, and the method of choice among healthy traditional cultures around the world, is to soak, grind and ferment whole grains. This breaks down nearly all the phytic acid, making whole grains a good source of both minerals and vitamins.

The paper "Dietary Fibre and Mineral Bioavailability" listed another method of increasing mineral absorption from whole grains. Certain foods can increase the absorption of minerals from whole grains high in phytic acid. These include: foods rich in vitamin C such as fruit or potatoes; meat including fish; and dairy.

Another point the paper made was that the phytic acid content of vegetarian diets is often very high, potentially leading to mineral deficiencies. The typical modern vegetarian diet containing brown rice and unfermented soy products is very high in phytic acid, and therefore it may make sense to ensure plentiful sources of easily absorbed minerals in the diet, such as dairy. The more your diet depends on plant sources for minerals, the more careful you have to be about how you prepare your food.

Tuesday, February 24, 2009

A few thoughts on Minerals, Milling, Grains and Tubers

One of the things I've been noticing in my readings on grain processing and mineral bioavailability is that it's difficult to make whole grains into a good source of minerals. Whole grains naturally contain more minerals that milled grains where the bran and germ are removed, but most of the minerals are bound up in ways that prevent their absorption.

The phytic acid content of whole grains is the main reason for their low mineral bioavailability. Brown rice, simply cooked, provides very little iron and essentially no zinc due to its high concentration of phytic acid. Milling brown rice, which turns it into white rice, removes most of the minerals but also most of the phytic acid, leaving mineral bioavailability similar to or perhaps even better than brown rice (the ratio of phytic acid to iron and zinc actually decreases after milling rice). If you're going to throw rice into the rice cooker without preparing it first, white rice may actually deliver an overall higher level of certain minerals than brown rice, though brown rice may have other advantages such as a higher feeling of fullness per calorie. Either way, the mineral availability of rice is low. Here's how Dr. Robert Hamer's group put it when they evaluated the mineral content of 56 varieties of Chinese rice:
This study shows that the mineral bio-availability of Chinese rice varieties will be [less than] 4%. Despite the variation in mineral contents, in all cases the [phytic acid] present is expected to render most mineral present unavailable. We conclude that there is scope for optimisation of mineral contents of rice by matching suitable varieties and growing regions, and that rice products require processing that retains minerals but results in thorough dephytinisation.
It's important to note that milling removes most of the vitamin content of the brown rice, and most of the fiber, both of which could be disadvantageous depending on what your overall diet looks like.

Potatoes and other tubers contain much less phytic acid than whole grains, which may be one reason why they're a common feature of extremely healthy cultures such as the Kitavans. I went on NutritionData to see if potatoes have a better mineral-to-phytic acid ratio than grains. They do have a better ratio than whole grains, although whole grains contain more total minerals.

Soaking grains reduces their phytic acid content, but the extent depends on the grain. Gluten grain flours digest their own phytic acid very quickly when soaked, due to the presence of the enzyme phytase. Because of this, bread is fairly low in phytic acid, although whole grain yeast breads contain more than sourdough breads. Buckwheat flour also has a high phytase activity. The more intact the grain, the slower it breaks down its own phytic acid upon soaking. Some grains, like rice, don't have much phytase activity so they degrade phytic acid slowly. Other grains, like oats and kasha, are toasted before you buy them, which kills the phytase.

Whole grains generally contain so much phytic acid that modest reductions don't free up much of the mineral content for absorption. Many of the studies I've read, including this one, show that soaking brown rice doesn't really free up its zinc or iron content. But I like brown rice, so I want to find a way to prepare it well. It's actually quite rich in vitamins and minerals if you can absorb them.

One of the things many of these studies overlook is the effect of pH on phytic acid degradation. Grain phytase is maximally active around pH 4.5-5.5. That's slightly acidic. Most of the studies I've read soaked rice in water with a neutral pH, including the one above. Adding a tablespoon of whey, yogurt, vinegar or lemon juice per cup of grains to your soaking medium will lower the pH and increase phytase activity. Temperature is also an important factor, with approximately 50 C (122 F) being the optimum. I like to put my soaking grains and beans on the heating vent in my kitchen.

I don't know exactly how much adding acid and soaking at a warm temperature will increase the mineral availability of brown rice (if at all), because I haven't found it in the literature. The bacteria present if you soak it in whey, unfiltered vinegar or yogurt could potentially aid the digestion of phytic acid. Another strategy is to add the flour of a high-phytase grain like buckwheat to the soaking medium. This works for soaking flours, perhaps it would help with whole grains as well?

So now we come to the next problem. Phytic acid is a medium-sized molecule. If you break it down and it lets go of the minerals it's chelating, the minerals are more likely to diffuse out of the grain into your soaking medium, which you then discard because it also contains the tannins, saponins and other anti-nutrients that you want to get rid of. That seems to be exactly what happens, at least in the case of brown rice.

So what's the best solution for maximal mineral and vitamin content? Do what traditional cultures have been doing for millenia: soak, grind and ferment whole grains. This eliminates nearly all the phytic acid, dramatically increasing mineral bioavailiability. Fermenting batter doesn't lose minerals because there's nowhere for them to go. In the West, we use this process to make bread. In Africa, they do it to make ogi, injera, and a number of other fermented grain dishes. In India, they grind rice and beans to make idli and dosas. In the Phillipines, they ferment ground rice to make puto. Fermenting ground whole grains is the most reliable way to improve their mineral bioavailability and nutritional value in general.

But isn't having a rice cooker full of steaming brown rice so nice? I'm still working on finding a reliable way to increase its nutritional value.

Sunday, February 22, 2009

Simple Pleasures

I am blessed with the things I have in my life. I have my health, home, great friends, family and a dog that loves me. I am fortunate that I can do just about anything I want to do. Sometimes I forget how much I love living by the water. Today was a day to get out, ride my bike and enjoy the surroundings. Funny thing is...everyone was in a great mood! How could you not be? Being by the water does wonders for me. It was a perfect day.

Saturday, February 21, 2009

How to Eat Grains

Our story begins in East Africa in 1935, with two Bantu tribes called the Kikuyu and the Wakamba. Their traditional diets were mostly vegetarian and consisted of sweet potatoes, corn, beans, plantains, millet, sorghum, wild mushrooms and small amounts of dairy, small animals and insects. Their food was agricultural, high in carbohydrate and low in fat.

Dr. Weston Price found them in good health, with well-formed faces and dental arches, and a dental cavity rate of roughly 6% of teeth. Although not as robust or as resistant to tooth decay as their more carnivorous neighbors, the "diseases of civilization" such as cardiovascular disease and obesity were nevertheless rare among them. South African Bantu eating a similar diet have a low prevalence of atherosclerosis, and a measurable but low incidence of death from coronary heart disease, even in old age.

How do we reconcile this with the archaeological data showing a general decline in human health upon the adoption of agriculture? Humans did not evolve to tolerate the toxins, anti-nutrients and large amounts of fiber in grains and legumes. Our digestive system is designed to handle a high-quality omnivorous diet. By high-quality, I mean one that has a high ratio of calories to indigestible material (fiber). Our species is very good at skimming off the highest quality food in nearly any ecological niche. Animals that are accustomed to high-fiber diets, such as cows and gorillas, have much larger, more robust and more fermentative digestive systems.

One factor that reconciles the Bantu data with the archaeological data is that much of the Kikuyu and Wakamba diet came from non-grain sources. Sweet potatoes and plantains are similar to the starchy wild plants our ancestors have been eating for nearly two million years, since the invention of fire (the time frame is debated but I think everyone agrees it's been a long time). Root vegetables and starchy fruit ted to have a higher nutrient bioavailibility than grains and legumes due to their lower content of anti-nutrients.

The second factor that's often overlooked is food preparation techniques. These tribes did not eat their grains and legumes haphazardly! This is a factor that was overlooked by Dr. Price himself, but has been emphasized by Sally Fallon. Healthy grain-based African cultures often soaked, ground and fermented their grains before cooking, creating a porridge that's nutritionally superior to unfermented grains. The bran was removed from corn and millet during processing, if possible. Legumes were always soaked prior to cooking.

These traditional food processing techniques have a very important effect on grains and legumes that brings them closer in line with the "paleolithic" foods our bodies are designed to digest. They reduce or eliminate toxins such as lectins and tannins, greatly reduce anti-nutrients such as phytic acid and protease inhibitors, and improve vitamin content and amino acid profile. Fermentation is particularly effective in this regard. One has to wonder how long it took the first agriculturalists to discover fermentation, and whether poor food preparation techniques or the exclusion of animal foods could account for their poor health.

I recently discovered a paper that illustrates these principles: "Influence of Germination and Fermentation on Bioaccessibility of Zinc and Iron from Food Grains". It's published by Indian researchers who wanted to study the nutritional qualities of traditional fermented foods. One of the foods they studied was idli, a South Indian steamed "muffin" made from rice and beans. 

The amount of minerals your digestive system can extract from a food depends in part on the food's phytic acid content. Phytic acid is a molecule that traps certain minerals (iron, zinc, magnesium, calcium), preventing their absorption. Raw grains and legumes contain a lot of it, meaning you can only absorb a fraction of the minerals present in them.

In this study, soaking had a modest effect on the phytic acid content of the grains and legumes examined. Fermentation, on the other hand, completely broke down the phytic acid in the idli batter, resulting in 71% more bioavailable zinc and 277% more bioavailable iron. It's safe to assume that fermentation also increased the bioavailability of magnesium, calcium and other phytic acid-bound minerals.

Fermenting the idli batter also completely eliminated its tannin content. Tannins are a class of molecules found in many plants that are sometimes toxins and anti-nutrients. In sufficient quantity, they reduce feed efficiency and growth rate in a variety of species.

Lectins are another toxin that's frequently mentioned in the paleolithic diet community. They are blamed for everything from digestive problems to autoimmune disease. One of the things people like to overlook in this community is that traditional processing techniques such as soaking, sprouting, fermentation and cooking, greatly reduce or eliminate lectins from grains and legumes. One notable exception is gluten, which survives all but the longest fermentation and is not broken down by cooking.

Soaking, sprouting, fermenting, grinding and cooking are the techniques by which traditional cultures have been making the most of grain and legume-based diets for thousands of years. We ignore these time-honored traditions at our own peril.

Part of the Family

I grew up with animals. I had a dog (Taz in picture, Barkley, Ruffles), two cats (Colors and Sunshine), several Koi fish, turtles (pokey, speedy) and my Guinea pig, squeaky. No, I didn't live on a farm.

I can't imagine my life without a pet. Before I took Maggie with me across the country, my dog, Sushi was my companion for 12 years. I even took her to college with me. She would tolerate the chickens I also adopted in college, parties, long road trips, several moves, and my basketball schedule. She was my baby.

One of the most difficult things I have ever had to do was to make the decision to put Sushi down. She had GDV and was in the hospital for 3 days before she made a turn for the worst. I went alone. I said goodbye. I had NO IDEA how hard it would be on me.

Here we are on one of many trips to the coast in my college years.

I have known Andrea and Daisy for 11 years. This picture was one of the first after I adopted Maggie.

Andrea was with me when I finally came to terms with the loss of Sushi and decided that another dog was in my future. Every morning I would stop by the Santa Monica Animal Shelter to look at the dogs. I did this for about a month and one day, there was this small yellow dog leaning up against the chain to greet me. All of the other dogs in the cages were barking and making a scene, but not this one. She just sat there, welcoming my pets through the gate. I decided to take her out of the cage to see how we got along. As the pit bulls and larger dogs yelled at her as she passed, she didn't pay any attention. Wow, perfect! I think this is the one!

I went to work that day and told Andrea about the new dog I saw. We decided to go back at lunch to see if she was still available. She was. I adopted her. Meanwhile, Andrea was taken back by a black lab puppy in another cage. As an attendant came to her to help, she burst in tears. She was thinking of her dog Daisy at home. It's emotional to go to the pound and look at all of the animals asking you to take them home. But this time I did. As we were leaving and filling out all of the paperwork, the woman across the counter slided a piece of paper that said, "Thank you for adopting me. I Love you" Ok, we lost it. Both of us started crying... this needed to stop. We left and composed ourselves.

2 Days ago, Andrea had to say good bye to Daisy. I spent the day with her yesterday. As usual, it's a cry chain reaction with us. Daisy was her baby for 16 years of her life. Sometimes losing a pet can be the hardest to take.

I have come to realize that Maggie was a faker the day I adopted her.

She seemed to get along so well with others. Ummm, not so much. Daisy is about the only dog that puts up with Maggie's bossiness.

Here are pictures of her visit with us last year. Maggie let her sleep in her bed and lie on her chaise.

Rest in peace, Daisy.

We love you and miss you always.

Tuesday, February 17, 2009

Saying Yes

Sunday was a good day. I rested. Walked Maggie. Took a long bath. Connected with friends. Easy.

In September, I wrote a blog about saying yes to opportunities. I love it when people say yes. Sometimes it's so much easier to say no. No is safe. There isn't risk involved. There is no opportunity, either.

My friends Dian and Erin said yes to meet me later in the day for an adult beverage and a chat. I am so glad they did. We had a nice talk by the fire in the backyard about life and all of its subjects. The big yes in their life right now is home ownership and all of the delightful things that come out of that.

Congratulations Dian and Erin!

What if you said yes to an invitation or an opportunity instead of no?
What would be different in your life today, if anything? I think it’s amazing what the universe brings you, once you are open to what happens and you release the fear of the unknown by saying yes.

I would challenge you to say yes to something that you would normally say no to. I would love to hear how “yes” has changed your life.

Sunday, February 15, 2009

Paleolithic Diet Clinical Trials Part III

I'm happy to say, it's time for a new installment of the "Paleolithic Diet Clinical Trials" series. The latest study was recently published in the European Journal of Clinical Nutrition by Dr. Anthony Sebastian's group. Dr. Sebastian has collaborated with Drs. Loren Cordain and Boyd Eaton in the past.

This new trial has some major problems, but I believe it nevertheless adds to the weight of the evidence on "paleolithic"-type diets. The first problem is the lack of a control group. Participants were compared to themselves, before eating a paleolithic diet and after having eaten it for 10 days. Ideally, the paleolithic group would be compared to another group eating their typical diet during the same time period. This would control for effects due to getting poked and prodded in the hospital, weather, etc. The second major problem is the small sample size, only 9 participants. I suspect the investigators had a hard time finding enough funding to conduct a larger study, since the paleolithic approach is still on the fringe of nutrition science.

I think this study is best viewed as something intermediate between a clinical trial and 9 individual anecdotes.

Here's the study design: they recruited 9 sedentary, non-obese people with no known health problems. They were 6 males and 3 females, and they represented people of African, European and Asian descent. Participants ate their typical diets for three days while investigators collected baseline data. Then, they were put on a seven-day "ramp-up" diet higher in potassium and fiber, to prepare their digestive systems for the final phase. In the "paleolithic" phase, participants ate a diet of:
Meat, fish, poultry, eggs, fruits, vegetables, tree nuts, canola oil, mayonnaise, and honey... We excluded dairy products, legumes, cereals, grains, potatoes and products containing potassium chloride...
Mmm yes, canola oil and mayo were universally relished by hunter-gatherers. They liked to feed their animal fat and organs to the vultures, and slather mayo onto their lean muscle meats. Anyway, the paleo diet was higher in calories, protein and polyunsaturated fat (I assume with a better n-6 : n-3 ratio) than the participants' normal diet. It contained about the same amount of carbohydrate and less saturated fat.

There are a couple of twists to this study that make it more interesting. One is that the diets were completely controlled. The only food participants ate came from the experimental kitchen, so investigators knew the exact calorie intake and nutrient composition of what everyone was eating.

The other twist is that the investigators wanted to take weight loss out of the picture. They wanted to know if a paleolithic-style diet is capable of improving health independent of weight loss. So they adjusted participants' calorie intake to make sure they didn't lose weight. This is an interesting point. Investigators had to increase the participants' calorie intake by an average of 329 calories a day just to get them to maintain their weight on the paleo diet. Their bodies naturally wanted to shed fat on the new diet, so they had to be overfed to maintain weight.

On to the results. Participants, on average, saw large improvements in nearly every meaningful measure of health in just 10 days on the "paleolithic" diet. Remember, these people were supposedly healthy to begin with. Total cholesterol and LDL dropped. Triglycerides decreased by 35%. Fasting insulin plummeted by 68%. HOMA-IR, a measure of insulin resistance, decreased by 72%. Blood pressure decreased and blood vessel distensibility (a measure of vessel elasticity) increased. It's interesting to note that measures of glucose metabolism improved dramatically despite no change in carbohydrate intake. Some of these results were statistically significant, but not all of them. However, the authors note that:
In all these measured variables, either eight or all nine participants had identical directional responses when switched to paleolithic type diet, that is, near consistently improved status of circulatory, carbohydrate and lipid metabolism/physiology.
Translation: everyone improved. That's a very meaningful point, because even if the average improves, in many studies a certain percentage of people get worse. This study adds to the evidence that no matter what your gender or genetic background, a diet roughly consistent with our evolutionary past can bring major health benefits. Here's another way to say it: ditching certain modern foods can be immensely beneficial to health, even in people who already appear healthy. This is true regardless of whether or not one loses weight.

There's one last critical point I'll make about this study. In figure 2, the investigators graphed baseline insulin resistance vs. the change in insulin resistance during the course of the study for each participant. Participants who started with the most insulin resistance saw the largest improvements, while those with little insulin resistance to begin with changed less. There was a linear relationship between baseline IR and the change in IR, with a correlation of R=0.98, p less than 0.0001. In other words, to a highly significant degree, participants who needed the most improvement, saw the most improvement. Every participant with insulin resistance at the beginning of the study ended up with basically normal insulin sensitivity after 10 days. At the end of the study, all participants had a similar degree of insulin sensitivity. This is best illustrated by the standard deviation of the fasting insulin measurement, which decreased 9-fold over the course of the experiment.

Here's what this suggests: different people have different degrees of susceptibility to the damaging effects of the modern Western diet. This depends on genetic background, age, activity level and many other factors. When you remove damaging foods, peoples' metabolisms normalize, and most of the differences in health that were apparent under adverse conditions disappear. I believe our genetic differences apply more to how we react to adverse conditions than how we function optimally. The fundamental workings of our metabolisms are very similar, having been forged mostly in hunter-gatherer times. We're all the same species after all.

This study adds to the evidence that modern industrial food is behind our poor health, and that a return to time-honored foodways can have immense benefits for nearly anyone. A paleolithic-style diet may be an effective way to claim your genetic birthright to good health. 

Paleolithic Diet Clinical Trials
Paleolithic Diet Clinical Trials Part II
One Last Thought

Beach Walk

Valentine's Day with me.

It was a beautiful day in So Cal.
Since most of my friends are coupled up, I decided to do something I enjoy. I live walking distance from the beach, but I have to say that I don't appreciate it as much as I should.

This past week, I have a new affinity towards walks on the beach. So, there I went. It was nice.

I am still healing. Of course, it's not healing as quickly as I had hoped it would.
I always think things will be different. Perhaps I am not the only one in this thinking. It's why we play the lottery I guess. Even when I read about "what to expect" after the surgery, I think..."naaa..., not possible!" I will be fine...will recover fast. Maybe it's because I am afraid I will miss something if I lay around and heal. There are a lot of things I am missing right now.

So as of now, I am walking. Waiting. Trying to stay positive. Dreaming of an end to this.

Friday, February 13, 2009

You Like It, You Really Like it!

Thank you for your kind words about American Life Today. It's a bonus for me because I am really enjoying it! I read about you when you send in your answers, then I read again each day as they post. I would like to give special kudos to the folks that told their friends about it...

Rachel met me online through another blogger and wrote a little blog on her site about American life today. If you are not a subscriber to her blog, I would recommend it. She's hilarious, interesting, and makes killer hair pins.

When I was on my journey last year, I reconnected with my friend Jim in Northampton for a few days. He let me and Maggs invade his apartment for days of music, bbq, sushi, drinks, touring, music and more music. Everywhere we walked, I heard "hey jim! Over here." If he is not now, he should be given some sort of award for being a town icon. I now have a new appreciation for Sam Phillips and Southern Culture on the Skids. I am looking forward to my return. I encourage you to read his blog.

About a year ago, I became online friends with John. He didn't say much...was a quiet friend. I started to read his blogs. What a treat! Someone who is not afraid to speak their mind? Tells the world that he might have a slight problem with drinking and/or marijuana use? How refreshing. Beyond that, he lives his life as I want to live mine. Doesn't care much about possessions or time. He enjoys the things life brings him. At least, that is what I take away. Here is one of my favorite blogs of his, his recap of 2008.

I started to write about my life a year ago. I opened up to you. I shared my fears, thoughts, hopes, etc. It's was scary...vulnerable. But I did it, nevertheless. Something good became of it. I wrote about my myomectomy and I met a new friend, Dian. She had a friend going through the same thing so I was able to share my story to perhaps ease their mind. It all turned out well. She is writing a book about her life. I would encourage you to read her blog. She also has a blog about coming out stories. If you have one to share, she would love to hear from you.

My new friend, Ernie. What a riot he is. He found me through my love of Elvis Costello and Star Wars figures. He has a great blog with many followers around the world. I have to say that his profile was one of the funniest. Taller? Really?

So, thanks to all of you! I am so grateful that you are spreading the word about American Life Today. I look forward to learning more about you and sharing more stories about the human experience.

3rd Day

Well, the pain is still here...the puffiness the same. Sigh. I know this is an extreme example, but I feel a little like dizzy today.

I like "now." I don't like to wait for things. If I want something, I go and get it. Patience is not my best friend. Could be the reason golf drives me insane. If I try a new sport/skill...I want to get it right away. If I don't...well...the game just sucks anyway.

So, here I am. Waiting. Hoping. Being Frustrated. What was that? I need to surrender? Who thought of that anyway? Losers?

It's forcing me to slow down but it's frustrating. So I wait...

Thursday, February 12, 2009

The Day After

Well, after much thought, I am NOT going to post a pre-op pic. If you want to know what I am looking like these days, this is about right. Or, you can scroll down to see the "before" shot. Either way...not so flattering. :) We'll see what tomorrow brings.

Wednesday, February 11, 2009

Frankenstein Gums

The day of surgery is the worst. The anticipation of what is going to happen to you always ensures that you won't sleep the night before. I didn't.

I arrived on time. They were quick to collect my full payment in cash upfront. Of course my nervous energy responded with, "yes, of course you need your money before I were to die in the chair..." Just a smile and an "you'll be fine" response from the woman behind the counter.

I was escorted to a room by a man coughing up a storm in his face mask. Great. My mouth is going to be wide open for that. I need to stop thinking like will be fine. So, he pulls up my dental xrays and prepares the room for the doctor. Of course I have to observe every single detail, those aren't the xrays of my teeth.... Good thing I know what my teeth look in an xray. I immediately said something, "um, those aren't my teeth and my name isn't alicia." Nice start to the day.

As he said something like, oh, um tension level began to peak. The doctor came in...heard me and tried to break the ice by saying, "of course those weren't your teeth. If they were, you wouldn't need to be here!" Was that supposed to be funny? Comforting? Um, I think neither.

They didn't mess around. Right away it was time to lean back...time to get busy on this! Even though I had an ipod in my ears, he wanted to chit chat with me. First it was..."what do you do?" Well, he knows I don't have insurance so...duh... Next was, "what did you do?" So, I said, "advertising sales." Which really sounded like.. "mafetttipphin mmaelsss" with all of the crap inserted in my mouth. Really, I have no idea why he decided to chat with was all so frustrating.

He admitted that he wanted to calm me down by talking to me so he thought it would be best to talk about the economy next. Really? Seriously? He asked me if I thought it was on purpose...the fall of the economy. First of all, I have no insurance and no income. Second of all..shut the hell up!

I turned the ipod up. My hands are white from gripping them.

Drills, pressure, coughing from assistant, pain, shots, more shots, taste of blood, seeing blood on his hands, more drilling, pain, assistant coughing, more shots...ah, strike gold..he found a cyst. Going to get it checked. He was pretty vague about it, but said the infection was larger than he thought.

So, I have been sleeping all day. My gums look like Frankenstein. I took pics but way too graphic to Of course I looked in my mouth...pushing my cheek around looking at the damage and after picked up my one sheet to read the "what not to do" directions for me.

(1. Don't look in your mouth and move things around.


Recovery time now with Maggie.

Happy Birthday Mom. I'm sorry we couldn't play today.

Tuesday, February 10, 2009

Birthday Surgery

Tomorrow is my mother's birthday. Happy Birthday Mom! It's also the fun day I get to go to the dentist to have my gums ripped open, hoping that this "D.D.S., MMSc., etc." played a mean game of operation as a kid. I know I did. But, don't try to get me to play after my morning coffee.

Come to think of it...the operation is in the morning and he MAY be a coffee drinker. Didn't think about that. Ugh. I am trying not to think about it.

So, after telling you to look at the utube video of my surgery (which I didn't watch, by the way), I had my friend Dan watch it as I was sitting next to him. I couldn't get myself to look at it so I told him to narrate what they were doing..."Then what? What's next? Now what's about now?" All I had to do was look at his face. Oh yeah, and the several "Holy Shit's" coming out of his mouth with the look of panic.

So, Happy Birthday Mom!

I have been thinking of why I have a hard time asking for help. I am so fortunate to have wonderful friends that offer to take care of me if I needed it. I hate to put people out. I have always been independent and never wanted to depend on anyone for anything. My mom came to help me with my myomectomy last year, but my first thought was.."it's ok, I will be fine..." I know she wanted to help, and I am glad that she did. Thanks Mom!

I am sure that it will go well tomorrow. I hope it will go better go well tomorrow. OK...I need to stop thinking of it. I wonder if the dental assistant would mind documenting the surgery for a blog. Maybe too creepy.

So, thank you all for your kind words and offers to help. I think I will be ok. Maybe it will be good luck because it's on mom's birthday. Yeah...that's it!

Happy Birthday Mom! I love you!

Check out her beautiful sculptures on

Friday, February 6, 2009

I'm getting an Apicoectomy!

Do you have dental insurance? Get your teeth fixed now. Ahhh, if I only listened to that when I had insurance. Perhaps it's my fear of needles, or the fact that metal objects don't belong in your mouth...or the sounds of drilling with the pleasant smell of drilled down tooth enamel that turns me off. Whatever the case, I avoided it.

Now, with no insurance in hand...I can no longer wait for my tooth to fix itself.

No, I am not spending money on a new flat screen TV, or a week at Club Med...instead, I am going to get an Apicoectomy this week. Pure joy. :/

A root canal that I had done when I was 16 is completely infected so I am going to get a drill in my jaw to extract the infection. Fun! Well, anything to relieve the pain I had a week ago (see sad looking, infected cheek and mouth here)

Those of you that really want to gross out, this is what I will be going through. I couldn't watch it.

So, wish me luck. :) I am looking forward for it to be over with.

Tuesday, February 3, 2009

25 Facts About Me

This pic is me at age 4.

Yes, this 25 list has been going around the internet so I caved in. If you have nothing better to do, here are 25 random facts about my life...

1. I used to be a synchronized swimmer
2. I had stitches between my toes
3. Was an assistant college basketball coach
4. Sold a tennis racket to Chevy Chase
5. I grew up Mormon
6. I’ve never been to Europe
7. My dad died at age 55
8. I’ve been laid off twice
9. I won a coloring contest (no, not last year)
10. I slept as my neighbors house burned down
11. I have the complete Star Wars action figure collection
12. I have all albums from Elvis Costello and see him in concert every year
13. I have guns and am not afraid to use them
14. I have an original signed cabbage patch kid, beau
15. I’ve never broken a bone
16. I don’t have tonsils
17. Sat next to Arnold Schwarzenegger on an airplane
18. I would rather text than talk on a phone
19. I am NOT a morning person
20. I love to be spontaneous…I don’t plan, I do
21. I was a fencer
22. I love to make people laugh
23. I drink coffee every day (cream only)
24. I LOVE the open road and nature
25. I want YOU to answer 5 questions on

Me today...

Monday, February 2, 2009

Back On The Road

The sun is out, it's a beautiful day here in Southern California. I am feeling the urge to get back on the road. This picture is from the very first day I took trailie camping for a "trial run." What a great time I had with Maggie, Karen and Heather. So, I am writing this blog inside of "trailie" in my driveway...with Maggie, of course. Some of the toughest days I had on the road were in the first 6 weeks. It's interesting being alone, not really having a schedule and exploring America. As "difficult" as it was, I miss it so much! I am ready to go again. This time, I want to explore the Southern route.
This map is what I did last summer so I am hoping to explore all of the areas I didn't see on my 120 days on the road. Also, I am going to do things a little different this time. I want to write more. I want to meet more people and listen to who they are. Besides seeing some amazing places, I especially enjoyed meeting people and learning more about their life. As I meet them, I look forward to introducing them to you on American Life Today.

For now, she sits in my driveway. It's my glamorous writing cubbie hole/guest house. However, nobody has taken me up on staying in it so far. Maggie enjoys hanging out with me inside. The only difference between now and when we are traveling (well, there are several) is there isn't anyone coming up to us asking:

What is that?
Do you sleep in it?
Is it for your dog?
Can you stand up in it?
How much does it cost?
Is there a bathroom in it?
How big does it pop up to?
Does it have air conditioning?
Where do you get one?
What's it called?
Just you and your dog?

Seriously....look at it. Of course I am friendly and happy to answer (most of the time), but it's just a hard tent in a sense...a really cool one at that! :) So, we are beginning our plans for the next outing. Perhaps I will be in a town near you. If I am...remember these answers:

It's a teardrop trailer
Depends on who's standing
Define "bathroom"
What you see is what you get
2 Doors that open
Where they make 'em
Yes...and misc. items

Anything I'm missing?