================================================================= -=] THE OLDE CROHN [=- ================================================================= EX NIHILO NIHIL FIT "There is no effect without a cause" Volume 2 - October 1995 Dedicated to the concept that no one should suffer from any inflammatory bowel disease ================================================================= THIS ISSUE DIGESTION * ENZYMES * NEW DEVELOPMENTS FOCUS ON GOOD DIET ================================================================= NEWS FLASH !!! THE OLDE CROHN now has her own WWW page. Thanks to a generous donation of time and online service by kathy@netline.net, our readers can access issues with any graphical or non-graphical web browser. While you can still get THE OLDE CROHN by ftp, check out the web page at URL: http://www.netline.net/~kathy/crohn/index.html The Olde Crohn website will allow you to send us email and to ftp a copy of any issue automatically. Ain't technology a gas! If you like the web page, why not send Kathy some email and let her know. Thanks to you Kathy, from all of us. ============================================================== ----] THE EDITOR'S SOAPBOX [---- WELCOME back to THE OLDE CROHN. On behalf of all the volunteers who contributed to the first issue in August, we would like to thank all of our readers who sent us the kind comments, advice, letters and encouragement. Your enthusiasm has given us that special energy that makes it all worth while. Before we get on with the new issue, we also want to express our sincerest thanks to Carol Sveilich and Ellen Nilhoff who for the last 2 1/2 years have faithfully published IBDetails. We especially thank you Carol for all of your advice and help and we will work diligently to make THE OLDE CROHN come up to the standard that IBDetails has set. We would also like to make special note of Chris Holmes who was responsible until recently for posting the Crohn's/Colitis FAQ to alt.support.crohns-colitis. Thank you Chris, your service to all of us did not go unnoticed or unappreciated. There are some significant changes since last issue in our funding and policy. We think that they are for the benefit of all. 1. DON'T ORDER ANY MORE NOVUS REPORTS! We have since come to agreement with the copyright owners to make them available free of charge. Watch alt.support.crohns-colitis for a posting of where and how to ftp report copies. 2. Email Delivery of The Olde Crohn: If you are having problems or do not have ftp or www access (and you are not just being lazy about it), send us an email request with EMAIL DELIVERY in the subject header. This service is limited by our available online and volunteer time but we will try to get copies out to anyone who asks. 3. Hard copy by Snail Mail: We have received quite a few requests from members of support groups and other individuals who do not have regular computer access but want copies of THE OLDE CROHN. Our policy on hard copy is based on the concept that this is an ELECTRONIC journal. We set up a hard copy subscription rate that we thought would help discourage snail mail subscribers. It did not and we are not really equipped to do mass mailing. So, to that end, we are offering a hard copy subscription (free of charge) to any one member from any support group. The catch is that you have to distribute the hard copy to your members. If you agree and want a copy, send us a post card or email. 4. Advertising: Thanks to the generous and beneficent nature of the Internal Revenue Service we can derive some of our funding from "commercial advertising" in The Olde Crohn, however what percentage that constitutes is still unknown. [If you notice that my personal email address changes to a mail site in Switzerland or the Bahamas you will know that we exceeded that percentage]. So, we are now accepting advertising as a funding source. We are also being told to disclaim any claim made by any advertiser. If you have any comments or critiques (beware, I am very, very, very sensitive) to pass on to me as editor, email at rmalloy@squeaky.free.org and put EDITOR in the subject header. Here, deep in the bowels of the Novus Research facility, the best excuse for not getting any real work done is, "I'm reading my email". Thanks again to all of our readers and contributors. Keep those emails coming. ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| ================================================================= -:] THE OLDE CROHN SPEAKS [:- [This column is devoted to answering questions of significance about Crohn's and Colitis related topics. It is NOT intended to be medical or treatment advice, but rather to stimulate discussion on the many aspects of inflammatory bowel disease -ED] Q: My friend wants me to try colon cleansing for IBD that I have had for eleven years. She claims that my problems come from an impacted bowel. Is colon cleansing safe? A: If you are talking about "cleansing" by inserting a speculum into the anus and filling the entire colon with water and herbal mixtures that is administered by a "colon therapist", DON'T DO IT! Most legitimate medical sources contain warnings that Crohns and colitis are contraindications for this therapy. If you are talking about dietary regimes that cleanse by herbal or fiber action, see your physician before you choose a therapy. The problem with inflammatory and ulcerative bowel disorders are the severe structural and absorption defects that the diseases create. Avoid colonic irrigation as it has the potential to severely damage the intestine through hydraulic pressure and spasms. Also, any abcesses, tumors or fistulas can be ruptured by the process no matter how gentle or gradual the therapist claims the process is. As far as diet and fiber is concerned, you should always be aware of the inherent problems that come with an inflamed bowel. That is, poor absorption of nutrients. Any diet should be evaluated for its effect on your nutrition, and then weighted against the potential benefit. With that warning made, it is very possible that impacted fecal matter and poor absorption can be alleviated by dietary cleansing and thus relieving some inflammatory bowel symptoms. We have not found any anecdotal or scientific evidence that it will "cure" inflammatory bowel disease. But it may be an important ingredient in an overall approach. ------------------------------------------ Q: I read that fasting can have a positive effect on Crohns by helping my body to eliminate built up toxins, but I need to know how long and how often I should fast? A: Fasting for religious purpose has been extolled in the Bible for Christians, and the Holy Quran requires that Muslims fast for one month every year. However, even the Quran gives an exemption to those who are ill. If you are under weight, or have inflammatory bowel disease you should not fast unless you are under strict medical supervision. Hospitalized patients undergoing severe abdominal pain are often placed on IV and have solid foods withheld to allow intestinal spasms to stop. The key here is the IV which will supply needed nutrients and electrolytes that you must have to stay among the living. It is hard to weigh the potential dangers of fasting against the benefits and come up on the side of a fast. If you want to fast because you feel you need to eliminate toxins or impacted matter, try dietary changes instead. The result may take longer, but the long term benefits are greater. What you should never do is to fast to relieve acute symptomology. The dangers of increasing the problems are far greater than any potential benefit. The time to experiment with a new approach is not during a flare. Q: What is Ayurvedic Medicine? Is it some new fad? A: Ayurvedic Medicine has been practiced in India for over five thousand years so it does not qualify as a fad. The name is hindu for "science of life" and it combines natural therapies with a highly personalized therapy regime. Ayurvedic places equal emphasis on body, mind, and spirit and strives to restore the innate harmony of the individual. The FULL participation of the patient is essential as the therapies are "self-directed". Diet, exercise, hygiene, yoga, meditation, and breathing exercises are significant parts of the personal health program. The World Health Organization recognizes Ayurvedic and supports research and the integration of this medical discipline into modern health care. With that as an endorsement, Ayurvedic is definitely something to look into for IBD patients. However, as in all nonstandard medical systems there are a number of scams and charlatans out plying the trade. Research the medical literature first and become familiar with Ayurvedic before you seek out a practitioner. Then, like you would check out a contractor to build your dream house, check out the Ayurvedic practitioner THOROUGHLY before you agree to treatment. Q: Can you tell me about an herb called Cat's Claw. I heard it is good for the intestinal tract and aids in healing gastrointestinal disorders? A: Cat's Claw (uncaria tomentosa) is a woody vine which grows up to 100 feet in length on trees in the highlands of the Peruvian rainforest. It's inner bark and root are decocted into a traditional medicinal tea that the Ashania natives of Peru have used for hundreds of years to treat serious diseases. It is just recently (the past 5-7 years) been introduced to the U.S. herbal medicine scene. Dr. Brent Davis has been working with Uncaria tomentosa since 1988 and calls it a "world class herb" and the "opener of the way" because of his claim of its remarkable ability to cleanse the entire intestinal tract. He says, "Cat's Claw helps patients suffering from stomach and bowel disorders." Cat's Claw appears to have many therapeutic applications. Studies conducted in Peru, Austria, Germany, England, Hungary and Italy suggest it may be benficial in the treatment of AIDS and HIV virus, allergies, arthritis, bursitis, cancer, systemic candidiasis, chronic fatigue syndrome, organic depression, diabetes, herpes, lupus, PMS, and bowel disorders including Crohn's disease, diverticulitis, leaky bowel syndrome, colitis, hemorroids, fistulas, gastritis, ulcers, parasites, and intestinal flora imbalance. In an article written by Phillip N. Steinberg, he mentions that he found more than 20 different references and articles about Uncaria tomentosa through a Med-line database search. He also publishes a newsletter about Cat's Claw. A major supplier is Peruvian Imports Unlimited in North Palm Beach, Florida. It is available in herbal tea or capsule form. According to research three to six grams per day is considered therapeutic if using capsules or three to four strong cups of tea per day. As much as twenty grams per day might be used in advanced stages of pathology. Dr. Richard Gerber of Germany says German studies have determined that Cat's Claw has very low toxicity even when taken in large amounts. Since the use of Cat's Claw is new in the U.S. we would welcome any additional information any of our readers may have. Enough said. [ If you have questions, comments, suggestions or criticisms for The Olde Crohn Speaks send an email to rmalloy@squeaky.free.org and put SPEAKS in the subject header - ED ] +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ I CONQUERED CROHNS +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ [ This is the second in a series of articles written by individuals who have conquered Crohn's disease and Colitis through personal perseverance, research, and dedication. These articles are not intended to be an exhaustive account or a medical course of therapy. We do not suggest that anything espoused in any article is a sure cure for Crohn's or Colitis, nor is it meant to contradict another course of treatment. These articles are intended as a source of new information, perspectives, and a stimulus for discussion and debate.] ================================================================= [Normally we edit articles for grammar, content, and we sometimes rewrite for style. This one we left exactly as submitted. We hope you will agree. - ED] ------ My name is Dayl Demio. I have a daughter who was diagnosed with Crohn's Disease six years ago. She was fourteen at the time. I want you to know that chronic illness like CD not only effects the person who is diagnosed, but that the suffering is spread across the entire family. My daughter's pain has been my pain and while I have never felt it in the way that she does, I feel it deep inside of me. I felt it deep in the pit of my stomach as I listened on the other side of the bathroom door to her crying from cramps and diarrhea. I felt it split my heart open when she refused to go out on dates because she was terrified of "accidents" and ashamed of constantly going to the bathroom. My eyes still fill with tears when I recall the forever lost adventures of her young womanhood. While her friends went camping and to the beaches, and on overnight trips, she stayed home watching videos. I may not have felt her physical pain but it seemed like a hot knife went through me when she refused all suitors to go to her senior prom. And I felt more than pain. I felt anger. Violent, hot rage that I directed at myself and everyone around. Why can't the doctors do something? Why don't they know what the cause or the cure is? Why doesn't the medication work, why doesn't the medical diet work, why doesn't she get better? Why! Then comes the blame. Self blame. Maybe I did something wrong or ate something bad while she was in my womb. Maybe I fed her something wrong as a baby. Maybe I've been too strict, maybe I've put her under too much stress. Maybe, I'm a bad person and I'm being punished through my daughter. Then comes despair. Nothing is going to work, nothing is going to cure her, no one is going to help. The despair breeds hopelessness and complacency. You simply give up and stop questioning. You allow the disease to shape your life and your interaction with the medical world. You become sheep-like. So we, my daughter and I, went through the many prescribed treatment regimes. Prednisone, Flagel, Asulfaldine, immune suppressors, mood elevators. None provided any real benefit, most made her sicker from side effects. As her treatment progressed, so did the deterioration of her lovely features as she bloated and acne ravaged her once smooth cheeks. As my daughter lost interest in anything outside of our house, she also became more distant, more unresponsive, and more moody. She succeed in completely alienating her father and her brother as their patience and understanding of her condition wore away from the constant abrasion by her attitude. I thought that this was the lowest our family could go. I was wrong. On February 4, 1992 I got a call from the school nurse. My daughter had been taken to the hospital doubled over with intestinal pain and vomiting. The diagnosis was a partial blockage. I learned that she could have died. She was hospitalized for seven days and her medications were increased. When she was sent home her doctor prescribed Zantac and Imuran which is an anti-cancer drug along with her regular medication. After spending seven days on the living room couch in her bathrobe she began having more pain and vomiting. I convinced her doctor to see her right away and on his first glimpse of her in his office he immediately ordered her hospitalized. Unknown to us, she had become dehydrated and it was now feared that she may have an intestinal abscess and infection. She spent the next ten days on a tube feeder and IV and endured a horrible series of xrays and tests. When she was sent home, she arrived weak, depressed, and with the horrifying news that she would probably need a section of her bowel removed. Her doctor increased her dosages again and said that surgery would be needed if she did not respond. This is where the panic comes in. I went out into the backyard and I screamed. I screamed until I my throat burned and I did not care what the neighbors thought. I screamed so that God would listen to me. I wanted God to take me in trade for my daughter's health, for my daughter to have a whole bowel. Then I sat in the grass and cried. For how long I don't know. Maybe only a few minutes, maybe for a really long time. I did not know that I had so many tears inside of me. There was a gentle hand on my hair. My elderly neighbor, a widow in her seventies was standing next to me. She said that she knew and felt and understood. I cried some more. Later, at her kitchen table, between sobs and a cup of tea I became aware that I was not alone. That I had not been singled out for punishment, that my daughter had not been singled out for pain. She did not talk to me about God or religion or medicine. Only about her husband who was gone some ten years now. She never talked of loss, or of his fight with cancer, or of her loneliness without him. She talked about time together, of sharing, of loving, of living. She talked about how they knew when he was diagnosed, that his chances were slim and his time limited. She told me that they had decided that they would fight his cancer regardless of the medical prognosis or dire predictions from her doctor. I learned how they sought out alternative treatments and took an active role in working with his physicians. I learned that they researched and explored together, even though they fully expected that he would indeed die. But more than anything else, she talked about how they and their friends grew closer together. And as they grew closer together in common cause they began to form an active community. A community composed of other cancer patients, enlightened doctors, university researchers, friends, relatives and family. All interested and active, supportive and concerned. Even though her husband knew what the expected result was, he lived vibrantly in this community. And drew solace and strength from the combined love and support of people that were known to him as friends. Friends, even though a good number had only met her husband over the phone or by letters. When he finally died, she grew great support and comfort from the group. Even the letters to others telling of his passing helped to ease the pain and loss. She survived and she told me that I would survive. I believed. It is now 1995. My daughter still has Crohns. She still has occasional problems, but she is alive and has all of her bowels. She and I are active in our support group. We experiment, we research, we trade ideas. In my daughter's case, macrobiotics helped to turn the downward trend around. No, it did not cure her. It did stabilize her. She eliminated most but not all medication and she only needs prednisone a few days out of the year and I suspect it happens when she strays far from her diet. Last week she made Dean's List for the third time. She is active socially and is now seldom home. My husband and I know that she is making up for lost adventures, and we don't mind. This comes straight from my heart to you. You cannot deal with nor do you need to deal with Crohns by yourself. There are many, many people who suffer from this. There are many, many who treat this. Together you can get through. Together you can find a full and active life, free from fear, despair, anger, and pain. Together we conquered Crohns. We conquered that part of the disease that imprisons us in hopelessness, that mires us in misery, and robs us of our lives. Together those who suffer from and those who suffer with conquered Crohns. We did this. You can do this too. [Dayl Demio is an office manager who lives in Washington state with her family and three dogs. She says that she would enjoy hearing from you and loves to write letters. We have promised to forward all email and snail mail to her. If you would like to comment by email, address it to rmalloy@squeaky.free.org and put DAYL in the subject header, or send her some snail mail c/o The Olde Crohn. - ED] +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ================================================================= -:::] HEALTH NOTES FROM THE WAITING ROOM [:::- ================================================================= It appears that all inflammatory bowel disease sufferers have several serious "secondary" symptoms in common. Aside from the pain and fever associated with Crohn's and Colitis, these common symptoms prove to be the most taxing on individuals, often affecting their ability to function normally even when the pain and fever are suppressed. This column is devoted to discussing and understanding the often overlooked parts of a full treatment regime. -- INTESTINAL GAS -- One of the most frustrating and embarrassing symptoms of bowel disease and digestive disorders are gas and odor. The typical crohns patient will produce up to three quarts of gas per day. The majority of this gas is created as food naturally breaks down during the digestive process. Fermenting foods in the intestines produce hydrogen and methane as well as carbon dioxide and oxygen which of themselves are odorless. The foul odor of hydrogen sulfide, indole, and skatole are produced when improperly digested foods decompose in the colon. If the digestive process is working properly, the matter entering the colon should be composed primarily of water and indigestible material. However, for the IBD patient, the incomplete digestion caused by inflammation or damaged intestinal lining allows food that is still fermenting to enter the colon. Here the matter putrefies and releases the offending odor. But the problem of gas is more of pressure than of odor. As the gas builds so does pressure and that pressure can aggravate inflamed tissue or diverticular pouches. As gas forms in pockets between blocks of fermenting food matter passing through the small intestine, the internal pressures on small regions of the intestine can be very high. As the expanding gas can not move forward or backward it expands and distends the surrounding intestinal wall causing sharp pain. If that area also contains weakness due to stricture, diverticular disease or abscess, a pouch (or in extreme cases a rupture) can be created in the wall. As the colon becomes filled with putrefied matter, gas production can increase and have a significant impact on fistulas or rectal abscess. The overall effect is one of irritation and potentially chronic damage. So the problem of gas in IBD sufferers is not something to be regarded lightly. Fortunately there are several treatment regimes from both traditional and alternative medicine that have proven to be effective. Over the counter medications that contain Simethicone (tm) have some effect on gas production, while activated charcoal may act as an absorbent. However, the root problem is one of digestion in the IBD patient and not the "gulping of air" while eating. It is doubtful that over the counter anti-gas preparations will work for most people with IBD. Digestive enzymes, such as the lactose supplement lactase(tm) are often prescribed for patients that show signs of lactose intolerance. In those cases lactose supplements work wonders as dairy products are a major component of our western diet. The addition of lactobacillus to the diet can have beneficial effects as well. Asafoetida is a powerful digestive agent that dispels intestinal gas production and is effective on beans and legumes which can be problematic for even a healthy bowel. Small doses of psyllium powder two or three times per day will also reduce gas production. However, the most important tool in reducing intestinal gas production is a healthy diet. Adding numerous digestive aids and supplements to a poor diet is a waste of money and can lure a patient into a false sense of accomplishment. Avoid low fiber meals and highly processed foods but be aware that the initial change to high fiber diets will at first increase the level of intestinal gas. Clinicians who work with high fiber diets relate that the increase is caused by the loosening of impacted material that initially adds to the volume of gas producing putrefied matter. The increased production of gas is reversed after the impacted matter is cleared. And finally, avoid overeating. Filling the stomach and the resultant filling of the intestines speeds digestive matter through the system. A significant amount of undigested matter is then dumped into the colon to putrefy. It is generally preferable for any IBD sufferer to eat several small meals per day rather than three large ones. With a little common sense and a strong commitment to proper diet, gas and odor does not need to be a factor in your symptomology and in the quality of your life. NEXT ISSUE: FISTULAS [ If you would like to respond to Health Notes From The Waiting Room send us an email at rmalloy@squeaky.free.org and put NOTES in the subject header. ] ################################## ================================================================ -:|] RESEARCH REPORT [|:- ================================================================ [ Since those of us who suffer from inflammatory bowel diseases have what it generally known as a "digestive system disorder", The Olde Crohn thought it would be a good idea to present a basic primer on digestion. With all the new talk of broad spectrum antibiotic therapy for Crohns and for stomach ulcers, we thought that all of us should at least be informed as to how "the long, squiggly tube" really works. Some of this may be difficult to get through, but it behooves us all to acquire the basic understanding that it takes to make informed decisions and develop productive treatment regimes. This is part one of a two part series (Novus Report #21-3312). TOWARDS AN UNDERSTANDING OF DIGESTION #21-3312 PART I: DIGESTION - BACK TO THE BASICS Digestion: Essential to Health The digestive system is the "golden door" to the maintenance and health of the entire body. The digestive system is made up of the organs, accessory digestive glands, their secretions, probiotic bacteria and mechanical and chemical processes that act on ingested food substances so that essential nutrients can be absorbed and metabolized to create energy to sustain life. Proper functioning of the digestive system is essential to the production of hormones, enzymes, vitamins and for the repair of body tissue and for all processes of energy and cellular metabolism. Simply, digestion is the process which allows us to create energy to fuel bodily functions from the ingestion of food substances. It is a combination of muscular movements and chemical transactions which break down food substances, absorb essential nutrients into the circulatory fluids to fuel metabolic processes and eliminate any waste or residue from the process. Looking more closely we will discover, the digestive system is a complex process involving numerous digestive enzymes, a sensitive pH acid-alkaline balancing act combined with specialized muscular actions and billions of "friendly" bacteria, all designed to promote and maintain metabolic harmony. Proper functioning of the whole digestive system, both mechanical and chemical is essential to the health and well being of the human body. The human body depends on good digestion to absorb the nutrients in the food we eat and proper elimination as a foundation of optimal health. Alimentary Canal Digestion takes place in the alimentary canal. The alimentary canal is composed of the mouth, the pharynx, the esophagus, the stomach, the small intestine and the large intestine. The alimentary canal or digestive tract is essentially one long open tube in which food passes through, it enters at one end, the mouth, and exits at the other end, the rectum, acted on and transformed in the process. The process of digestion takes place in the alimentary canal, the digestive tract, which in some ways is essentially outside of the body. The innermost layer of the alimentary canal, the mucosa, is lined with epithelial tissue from mouth to anus. This epithelial mucosa is similar to that which covers the outside surfaces of the body. Throughout the intestinal tract this tissue is capable of regenerating and replacing cells lost due to functional activity, like the epithelial tissue that make up skin. The digestive tract is separated from the body's immune system. The immune system relies on the circulatory system for transportation. Blood vessels are absent in the epithelial tissue that lines the alimentary canal. The digestive system therefore must provide and house its own defense system against harmful parasitic invaders, as well do its part in keeping disease causing bacteria from entering the bloodstream. Accessory Glands Another important part of the digestive system is the accessory glands. The accessory glands are the salivary glands, the gastric glands, the liver and the pancreas. These digestive glands arise from epithelial tissues as well and manufacture and secrete a specific substance that does not become a part of the body tissues but is used to effect a chemical process. These secretions contain enzymes. Enzymes provide the stimulus for every chemical reaction that occurs within the body. Specifically there are twenty-two specialized digestive enzymes. Enzymes While a complete discussion of digestion is impossible without the inclusion of enzymes we do not go into detail in this report. A future report will take a more detailed look at digestive enzymes and enzyme therapy. Enzymes are substances that make life possible. They are complex catalytic agents produced only by living cells. Their presence accelerates the speed of chemical reactions. They are colloids and they are capable of acting independently in inducing changes in other substances without being changed in the process themselves. Enzymes are responsive to temperature changes, each enzyme having an optimum temperature of activity. Each enzyme is influenced by the reaction of the medium in which it acts, there being an optimum pH level, either acidic, alkaline or neutral. Enzymes are specific in their actions, one enzyme will act only on one type of chemical substance or one group of chemically related substances. Enzymes activity can be inhibited in a number of ways. Excessive heat, unfavorable changes in pH, and the addition of substances that compete with the enzyme and thereby inhibit its activity are a few. Some antibiotic drugs work by inhibiting enzyme activity. Most foods taken into the body are in the form of large complex molecules that cannot be absorbed by the interior lining of the intestine. Enzymes are responsible for breaking down food into its component parts so that essential nutrients can be taken up by the intestine. Twenty two different enzymes are found in digestive juices, acting upon food substances causing them to break down into simpler more absorbable compounds. The reactions affected by the digestive enzymes are primarily decomposition, but enzymes are equally important in the synthetic reactions of assimilation. No mineral, vitamin, or hormone can be used to build body tissue without enzymes. Food is digested at each stage of the digestive process with specific enzymes that break down different types of foods at specific pH levels. An enzyme specific to protein has no effect on carbohydrates and an enzyme active in the mouth will eventually be deactivated by the increased levels of acid found in the stomach. The digestive process is balanced through acidity levels at each site along the digestive tract. Each site has a different pH level that allows certain enzymes to function while inhibiting others. Basic categories of digestive enzymes are protease, which acts to digest proteins, amylase, which acts to digest carbohydrates, lipase acts on fats, disaccharases act on double sugars and cellulase acts to digest fiber. Plants are the only source of cellulase. The human body is unable to produce it. Because of the enzymes they can provide it is important to include organic raw fruits and vegetables in our diet. Enzymes from raw plant sources are sensitive to heat above 118 degrees Fahrenheit. They are deactivated or destroyed by the cooking process, pasteurizing, canning and microwaving. While a total raw food diet is not necessary, a diet rich in whole, raw, unprocessed organic foods helps to ensure ingesting additional amounts of helpful plant enzymes. This also eases the body's workload in having to produce less of its own enzymes. Many supermarket vegetables are missing cellulase because they have been sprayed with sulfites which can destroy these enzymes. Low levels of enzymes can contribute to organ and system toxicity and glandular exhaustion. Toxicity can be caused by incomplete digestion of food and glandular exhaustion by a gland trying to produce enough secretions. Plant enzymes have long been approved by the FDA as food supplements and may offer help for certain digestive conditions. Certainly adding organic raw foods to the diet would be one way to increase the ingestion of these beneficial enzymes. The Mouth Digestion begins in the mouth with chewing and mixing of food with saliva. In the mouth food is ground by the teeth and moistened by saliva. While chewing, saliva is secreted by salivary glands and released into the mouth. Saliva helps to form food into a ball and makes it slippery, thus facilitating its passage through the pharynx and esophagus. Salivary digestion is limited by the amount of time food remains in the mouth, but enzyme activity continues in the stomach until the salivary enzymes, ptyalin (salivary amylase) and maltase, which require a alkaline medium, are inactivated by the acidity of gastric secretions. Saliva is secreted by numerous salivary glands many of which are located in the mucosa or submucosa of the mouth cavity, but the major portion is produced by salivary glands located outside the mouth cavity. The pH of saliva is normally slightly alkaline (pH 7.2) when exposed to air, when loss of carbon dioxide is prevented it is slightly acid (pH 6.6). Saliva moistens and lubricates mucous surfaces, making speech and swallowing possible, moistens and lubricates food, making swallowing easier, acts as a solvent whereby food particles go into solution which activates enzymes, helps food particles stick together and form a ball so that they can be swallowed together, initiates the process of digestion through the action of enzymes, acts as a cleansing agent for the mouth and a neutralizing agent that tends to counteract tooth decay, and aids in the elimination of foreign substances from the blood. Saliva is ninety-nine percent water, the balance being mucin, inorganic salts, enzymes and other organic compounds. Mucin is a complex glycoprotein which gives saliva its sticky consistency, which helps food particles to stick together. It also lubricates the mouth. Inorganic salts are evidenced by the formation of tartar on teeth. Enzymes include ptyalin, an amylase that converts starches to dextrins and maltose; and maltase, which converts maltose to dextrose. Another enzyme in saliva is lysozyme (muramidase) which has an antibacterial action on various pathogenic organisms. Pharynx and Esophagus The pharynx is a muscular tube that serves as a common passageway for food and air. The pathways for these substances cross but automatically controlled mechanisms operate to prevent the passage of food into the windpipe. The esophagus is a muscular canal about nine to ten inches in length extending from the pharynx to the stomach. Swallowing occurs in three stages and, with the exception of the first stage, is a reflex action. In the first stage food passes from the mouth to the pharynx. In the second stage the food passes from the pharynx to the esophagus. In the third stage food passes from the esophagus into the stomach. The time required for swallowing varies. Fluids reach the opening to the stomach in one second, but they remain there for four or five seconds until a peristaltic wave relaxes the cardiac sphincter. For most solid substances, the average time is six seconds, although it may be longer. Gastrointestinal Tract The gastrointestinal tract consists of the stomach, small intestine and large intestine. All muscles in the gastrointestinal tract are of the smooth type and are controlled by the autonomic nervous system, therefore they are involuntary in action. Smooth muscles are functionally different from striated muscles. Smooth muscles exhibit slow contraction and relaxation repeated rhythmically at regular intervals. Also, smooth muscle tissue tone is not dependant on impulses from the central nervous system, thus when the stomach or intestines are empty their cavities are practically non-existent. In general, the muscles of the alimentary canal are under nervous and hormonal control. The smooth muscles of the intestine are capable of spontaneous rhythmic contractions independent of nervous or hormonal input. Gastrointestinal motility is effected by emotional state because of the connection to the autonomic nervous system. Grief, sadness and depression generally decrease motility while excitement, anger and fear tend to increase it. Stomach The stomach is an expanded saclike portion of the alimentary canal located in the upper left portion of the abdominal cavity, and is roughly J-shaped. It has three parts and two openings. The muscles of the stomach differ from those of the other parts of the digestive tract by having an additional third layer in which the fibers run obliquely. The gastric glands are confined entirely to the mucosa. They are simple and branched tubular glands each with a narrow neck that opens into a gastric pit. It is estimated that there are three to four million pits and fifteen to twenty million glands in an average stomach. Gastric glands occur in separate regions of the stomach and are named according to where they occur, cardiac glands, fundic glands and pyloric glands. There is no sharp demarcation between glands of one region and those of another. The glands of one type mix freely with glands of another type at the borders. There are four types of cells found in gastric glands. Pre-digestion of food happens during an interim period before enough hydrochloric acid (HCl) accumulates in the stomach to begin the next stage of digestion. When food enters the stomach it first fills the peripheral portion of the stomach and as food continues to enter the stomach it assumes a central position and is almost completely enclosed by the food that preceded it. In this way the continuation of digestion by salivary enzymes and ingested enzymes is facilitated. It takes almost an hour before enough HCl accumulates in the stomach to initiate this next stage of the digestive process. HCl does not destroy but merely inactivates the salivary, gastric, and plant enzymes by making the environment more acidic. Enzymes in the stomach are capable of digesting thirty to forty percent of the starches we eat. The gastric glands of the stomach secrete gastric juice. It contains hydrochloric acid which is produced by parietal cells. Proteins are converted into peptones by pepsin, which is produced by the chief cells which are also the source of gastric lipase and an intrinsic anti-pernicious anemia factor essential for the absorption of B-12. Pepsin hydrolyses proteins through the successive stages into metaproteins, proteoses, and peptones. Gastric juice also acts on the protein of cow's milk. The milk is curdled in this process and therefore is prevented from passing directly into the intestine and is held in the stomach long enough for pepsin to act on its protein contents. Pepsin requires the presence of hydrochloric acid for its action. The action of gastric lipase is limited because only traces of it are present. It acts on finely emulsified fats, such as egg yolks, butter, and cream hydrolyzing them into fatty acids and glycerol. In addition, gastric juice contains water, mucin, mucin-like proteins and inorganic salts. Gastric juice is very acidic and has a pH of .9-1.5. Its acid kills a large portion of the microbes present in most food and is important in maintaining the acid-base equilibrium of the body. The volume secreted varies with the content of a meal, the most abundant secretion occurring after the ingestion of meat. In an empty stomach there is little to no cavity space, except maybe in the fundus, the upper most portion of the stomach, which may be distended with gas. As food enters and fills the stomach the muscles relax, and the volume of the cavity is adjusted to its contents. Stomach contractions are initiated at a rate of about three per minute when the stomach is empty. After filling the stomach contractions first weaken for twenty to thirty minutes and then peristaltic waves are initiated and increase in intensity and continue until the contents are emulsified and expelled. The muscles in the upper half of the stomach maintain a steady tonic contraction and show little movement, but at the middle of the stomach active peristaltic contractions occur every ten to twenty seconds. It takes another twenty to thirty seconds for the peristaltic action to pass down to the bottom of the stomach. Near the bottom of the stomach, in the antrum, the peristaltic waves then increase in strength and serve to mix up the contents of the bottom of the stomach. Through muscular and enzymatic action the food in the stomach is reduced to chyme, a semiliquid substance in which all food substances are in a emulsified state. Chyme is distinctly acid. Chyme begins to leave the stomach a few minutes after ingestion, The time required for gastric digestion of an average meal is three to five hours. Water leaves the stomach almost immediately after it has been swallowed. The first of the organic foods to leave are carbohydrates, they are followed by the proteins and their derivatives and finally by the fats. Absorption in the stomach is extremely limited. There is some evidence that water, some salts and glucose may be absorbed in small amounts but the quantity absorbed is minor. Small Intestine The small intestine measures approximately twenty four feet in length and contains the duodenum, jejunum and the ileum. It is a coiled tube that extends from the stomach to the large intestine. The greatest amount of absorption of nutrients occurs in the small intestine. The four layers of lining are folded to allow for a greater surface area for secretion of glandular juices and absorption of nutritional food substances. The folds are covered in villi, a velvety fingerlike lining of the intestinal tract through which essential nutrients into the circulatory fluids. The total surface of the inside of the intestine is approximately 100 times greater than the surface of the body. If the entire surface of the small intestine were layed out end to end, including the villi and microvilli, it would cover an area the size of a tennis court. Both digestion and absorption are accelerated by a continual mixing and moving of the intestinal contents. Two movements occur in the small intestine, rhythmic segmentation and diastalsis (peristalsis). Rhythmic segmentation is a contraction of the circular intestinal musculature which produces a churning motion that thoroughly mixes the chyme with glandular secretions and facilitates absorption by bringing the intestinal contents into contact with the villi. It also stimulates the flow of blood and lymph in the intestinal wall. Peristaltic waves come when the small intestine is stimulated by the presence of a mass of food. These peristaltic waves are slow, but in addition there are peristaltic rushes that travel much faster. Peristaltic waves propel food forward through the small intestine. It takes two to four hours for chyme to traverse the first portion of the small intestine. Villi of the small intestine are almost constantly in motion, constricting, shortening, elongating, and swaying from side to side. Such movements are due to the contractions of smooth muscle fibers with each villus. The intestinal contents that bathe the villi are stirred and the chyme is forced against the lining of the intestinal wall to produce maximum absorption through the villi and the larger lymph vessels. Three glandular secretions are important to small intestine digestion. Bile from the liver, pancreatic juice from the pancreas and intestinal juice from the intestine. There are two types of intestinal glands, the crypts of Lieberkuhn and the duodenal (Brunner's) glands. The crypts of Lieberkuhn produce intestinal enzymes and also serve as a source of cells for the continual renewal of the intestinal epithelium lining. Every three to four days the entire lining of the small intestine is replaced. Discharged cells disintegrate into the intestine releasing important intestinal enzymes. Duodenal glands secrete a mucus with a high bicarbonate content. Secretion is induced by mechanical stimulation of the intestinal mucosa. A chemical substance secretin, produced by the intestinal mucosa also induces secretion of water and bicarbonate. Intestinal juice varies in composition and consistency. It is usually cloudy due the presence of cells and mucus. Its reaction is alkaline (pH 7.0-8.5) due to the presence of sodium bicarbonate. It contains the following enzymes, erepsin, (an enzyme complex consisting of many peptidases), maltase, sucrase, lactase and a weak lipase. Liver and Gallbladder The liver is the largest gland of the body. The principal functions of the liver are the secretion of bile, formation of blood constituents, metabolic functions like carbohydrate, fat protein, mineral, vitamin, hormone, and drug metabolism, and other miscellaneous functions. The duct system of the liver transports bile from the liver cells to the duodenum or the gallbladder. The gallbladder is a reservoir for concentrating and storing bile. It is pear shaped and lies in the inferior surface of the right lobe of the liver. Bile is secreted continuously by the liver throughout the day. It is golden brown in color and alkaline in reaction. Bile passes from the liver through the hepatic ducts into the common bile duct which enters the duodenum. When the duodenum is empty the bile duct does not secrete bile. This causes the bile to back up into the gallbladder where it is stored and concentrated. The organic constituents of bile are five to ten times more concentrated in gallbladder bile. The principal components of bile are bile salts, bile pigments, cholesterol and lecithin. Bile reduces the acidity of chyme in the upper portion of the small intestine. It emulsifies fats, ensuring more complete digestion and absorption. It acts as a vehicle for excretion of waste substances like those resulting from destruction of hemoglobin in the liver. Bile lessens fermentation and putrefecation in the intestine by aiding in more complete utilization of proteins and carbohydrates. It also favors the absorption of vitamins, especially the fat soluble vitamins, A, D, and K and bile stimulates intestinal motility. Pancreas The pancreas is a finely lobed compound gland lying below the liver and the stomach. The pancreas consists of two types of secreting tissue. An exocrine portion which secretes pancreatic juice containing enzymes and sodium bicarbonate which is discharged through the pancreatic ducts into the duodenum. There is also an endocrine portion which secretes the hormones insulin and glucagon which are absorbed into the bloodstream. The secretion of pancreatic juice is brought about by two hormones, secretin and pancreozymin which are secreted by the duodenal mucosa. Pancreatic juice is produced by the cells of acini. The secretion of pancreatic juice involves three phases. The intestinal phase begins when the acid chyme passes out of the stomach and pancreatic juice passes through the pancreatic ducts into the duodenum. It is a clear viscid alkaline fluid (pH 8.4-8.9) resembling saliva in consistency. It neutralizes the acidity of the acidic chyme from the stomach. It contains water, protein, inorganic salts and enzymes. Among the enzymes secreted are trypsinogen, which is converted to trypsin, chymotrypsin, and carboxypeptidase which act on proteins. The lipase, steapsin acts on fats and amylopsin (pancreatic amylase) and a maltase which act on starches. Starches and sugars are reduced to monosaccharides by the enzymes provided by the pancreatic and intestinal juices. Fats are emulsified by the bile from the liver and then hydrolyzed by the action of the lipase (steapsin) in the pancreatic juice. The digestion of proteins, begun in the stomach by pepsin, is carried on by trypsin in pancreatic juice and by erepsin (a mixture of enzymes) found in the intestinal juice. The result is a semifluid mixture of food and secretions, stained with bile. The products of the chemical actions are actively absorbed during the churning process. The small intestine is the organ in which major absorption of nutrients takes place. Absorption is facilitated by the villi which greatly increase the absorptive surface. Large Intestine The large intestine extends from the ileum to the anus. It is about five feet in length. It consists of the cecum, colon, rectum and anal canal. The mucous membranes lining the large intestine is not thrown into folds like the small intestine except in the rectum. The mucosa is relatively smooth and villi are lacking. The epithelium contains many goblet cells that secrete mucus. In the large intestine segmentation and weak peristaltic movements serve principally to mix the intestinal contents. The main propulsive movement is a strong wave of contraction that sweeps along the colon a considerable distance moving the bowel contents ahead of it into the rectum. The wave is frequently initiated by the entrance of food into the stomach or small intestine which provides the stimulus for this gastrocolic reflex. This accounts for the desire for defecation often experienced after a meal, especially breakfast. Mass movements occur three or four times a day. If defecation does not occur the intestinal contents, now called feces, are withdrawn back into the sigmoid colon to await the next wave. The fluid secreted by the large intestine is thick and alkaline (pH 8.4) and contains much mucus but no enzymes. A large amount of water is absorbed by the large intestine. Fluid chyme that arrives in the cecum from the small intestine is about the same consistency as the chyme that leaves the stomach to enter the small intestine. A considerable amount of water, with substances in solution, is absorbed by the small intestine but an equivalent amount is added into the chyme by secretions from mucosa and various digestive glands. The principal processes that take place in the large intestine are the absorption of water, the elimination of waste products, and the synthetic activities of the formation of vitamins accomplished through the action of symbiotic organisms, principally friendly bacteria that inhabit the large intestine. Because most of the food has been digested and absorbed before reaching the large intestine the principle task remaining is the absorption of water. Water, some amino acids, vitamins, especially those synthesized by flora, minerals and some phosphates and carbonates are absorbed by the colon. The large intestine receives the fluid by products of digestion from the ileum and slowly converts them through the absorption of water into the more solid feces preparing them for elimination. In the process the large intestine serves as the avenue of excretion for certain minerals (iron, calcium, potassium) It also serves as a breeding place for bacteria which through their ability to synthesize vitamins contribute to the well being of the entire human body. Bacterial action also results in the production of intestinal gases. Foreign substances like mercury are also eliminated by the large intestine. The large intestine receives all the waste and residue from the digestive process, plus foods that have putrefied, fermented or are not completely digested. If this waste is not eliminated quickly it can stagnate and autointoxicate the colon chamber. if this happens, harmful disease causing bacteria can feed on toxic waste material and multiply in huge numbers, overtaking the health giving activities of friendly bacteria. Probiotics: Friendly Bacteria Large numbers of bacteria are usually consumed along with food. Most of theses are destroyed by the acid contents of the stomach though some acid resistant bacteria may pass through unaffected. The contents of the first part of the small intestine are nearly sterile. Bile has a mild antiseptic effect. Further down the intestinal tract the flora content increases both in number and in species. Inside each of us live several thousand billion bacteria without which we could not remain in good health, nor could life exist without bacteria. There are many bacteria that cause disease but there is an equal amount that balance and prevent disease. These are necessary for maintaining vitality, health and longevity. Friendly bacteria are not parasitic but live in symbiosis in our intestinal tract. They are essential for the care and maintenance of the intestinal wall and chamber atmosphere. They are required for proper digestion, assimilation and elimination of the foods we eat. All together they weigh three to four pounds and about a third of fecal matter consists of dead or viable bacteria. Intestinal bacteria or flora synthesis or manufacture some of the B vitamins from the food we eat, this includes niacin (b-3), folic acid, biotin, pyridoxine (b-6). Because probiotics can transform one B vitamin to another nearly all the B vitamins can be synthesized from the food we eat when probiotics are present. They also encourage production of Vitamin K, necessary for blood clotting. Probiotics manufacture the milk digesting enzyme lactase. They produce lactic acid, acidophilus and antibiotics which sterilize and prevent overgrowths of most negative organisms. They maintain proper acid-alkaline balance in the intestines which is absolutely essential for chemical assimilation of nutrients and mechanical absorption of food substances. They actively produce antibacterial substances which kill or deactivate harmful disease causing bacteria. They create a slight acid condition for their own survival which causes local levels of acidity to increase in the intestine, and this acts as a natural antiseptic. By depriving pathogenic bacteria of nutrients and by producing their own antibiotic substances they kill invading bacteria, viruses and yeasts. Some bacteria have powerful anticarcinogenic characteristics which are active against certain tumors. They improve the efficiency of the digestive tract, when they are weakened, bowel function is reduced. They effectively help to reduce high cholesterol levels. They help protect against radiation damage and deactivate many toxic pollutants. They help to recycle estrogen (a female hormone) which reduces the likelihood of menopausal symptoms and osteoporosis. Therapeutically they have been shown to be useful in treatment of acne, psoriasis, eczema, allergies, migraine, gout (by reducing uric acid levels), rheumatic and arthritic conditions, cystitis, candidiasis, colitis, irritable bowel syndrome, and some forms of cancer. They play an important part in the development of a baby's digestive function and immune system. Bifidobacteria infantis is acquired from breast milk. When it is in poor supply allergies and malabsorption problems are more common. Of the friendly bacteria which help the human body most are residents while others are transient visitors staying your digestive tract for a few weeks before passing on. These bacteria are a primary defense preventing negative bacteria, yeasts, parasites and viruses from entering our bloodstream through the digestive tract. Lactobacillus Acidophilus This is the main inhabitant of the small intestine in humans and in animals. It is also found in the mouth and vagina. Acidophilus manufactures lactase to digest milk sugar and produces lactic acid which suppresses undesirable bacteria and yeasts. Some strains produce natural antibiotics. They also lower cholesterol levels and kill candida yeasts. Probiotics are easily damaged by poor diet, stressful conditions, pollution and antibiotics like penicillin. Lactobacillus Bulgaricus This is a transient but friendly bacteria. Together with Streptococcus thermophilus it makes yogurt. Some strains of bulgaricus and thermophilus also produce antibiotics which kill harmful bacteria. By manufacturing lactic acid these bacteria encourage a good environment for the resident bacteria such as acidophilus and the bifidobacteria. Bifidobacterium bifidum and Bifidobacteriumlongum These are the main inhabitants of the large intestine. Bifidobacterium bifidum is also found in the vagina and the lower part of the small intestine. In breastfed infants and adolescents these make up ninety nine percent of the entire flora of the bowel. There is strong evidence that the numbers and efficient working of these bacteria decline as a person ages and with any decline in general health. The bacteria produce a number of special acids and use these to prevent colonization of the large intestine by invading bacteria, yeasts and some viruses. They also prevent potential toxicity from nitrates in food and manufacture B vitamins as well. They also detoxify bile from which they recycle estrogen in women. FOS (frutooligosaccharides) nourish and promote the growth of healthy Bifidobacterium. Damages to Friendly Bacteria Many factors influence just how prolific intestinal flora are. The level of local acidity has a major influence on the function of intestinal flora and this is influenced by diet, digestive function and stress. Another important influence is the speed of peristalsis which moves food along the digestive tract. If it is too rapid, as with diarrhea, this severely reduces the efficiency of flora. If it is too slow, as with constipation, this too alters their ability to function effectively. The type of diet consumed has a major influence on probiotic health. The bacteria are healthier on a diet rich in complex carbohydrates, vegetables, whole grains, legumes, and some fruits. and a diet low in animal fats, fatty meat, sugars and cultured dairy products. Intestinal flora are also influenced by infection, yeast and negative bacteria to which the bowel is routinely subjected. Certain drugs, especially wide spectrum antibiotics and corticosteroids can severely disrupt the delicate balance probiotics maintain in the intestine. Penicillin kills friendly bacteria along with disease causing bacteria. Steroids, hormonal drugs like cortisone, ACTH, prednisone, and birth control pills also cause great damage to intestinal flora and upset proper digestive function. Foods containing antibiotic and steroid residue, as well chlorinated drinking water, significantly reduce the quantity of friendly bacteria. Intestinal flora can regain health and potency by correcting and balancing diet, lowering stress levels and reducing drug intake. A good way to help probiotics recover is through a diet high in complex carbohydrates, free of additives and antibiotics and by implanting supplemental friendly bacteria. Acidophilus has been proven effective in the treatment and control of herpes, vaginal yeast, monilia vaginitis, trichomonas vaginitis, salmonella, shigella infections. The acidophilin antibiotic produced by Lactobacillus acisophilus will kill fifty percent of twenty-seven different disease causing bacteria. Bifidobacterium bifidum effectively kills or controls, E.coli, Staphylococcus aureus , (causes toxic shock syndrome) and shigella. A Digestion Digest Digestion is a complicated process over which we seemingly have little control. We can see how proper digestion is essential to our health, and we already know how distressing and debilitating a digestive disorder can be. Restoring digestive balance and function is a major building block on the road to optimal health. Proper digestive system functioning is the foundation on which all bodily organs and systems depend. The digestive system requires the food we take in be composed of usable components, nutrients that can be used to rebuild body tissue. It requires a certain atmosphere or environment be maintained in appropriate places in order to ensure complete digestion and assimilation of essential nutrients. The stomach acidic, the intestine alkaline with acid producing bacteria. And it requires the proper digestive enzymes in order to completely break down foods into usable components. The input and control we have is simple but critically important. Ultimately, we are what we eat, our diet is the essential element we have control over that will support our digestive system in creating and maintaining metabolic harmony and vital health. [Upcoming Issues: Digestive Enzymes and Digestive System Disorders] ================================================================= ...---...---...---...---...---...---...---...---...---... NEWS FROM THE NET ...---...---...---...---...---...---...---...---...---... News From the Net is a compilation of public domain news articles and quotes from our clipping service. Bethesda MD - A SWEET DEAL: The American Academy of Pediatrics has accepted a joint $120,00.00 grant from the National Livestock and Meat Board and the Sugar Association to produce a nutrition video aimed at children aged 8 to 12. [Can glazed, deep-fried doughnut burgers be far behind?] Albany, NY - LEGAL CHALLENGE: The Foundation for the Advancement of Innovative Medicine (FAIM) is attempting to use the 1994 New York State Alternative Medicine Practice Act to force insurance carriers to reimburse clients for alternative medical treatments. Insurance spokesmen claim that patients will use both traditional and alternative therapies and drive up the cost to insurers by over 14 billion dollars. The insurance company challenge to the legislation is still in arbitration. In related news, the American Bar Association reported that physicians who haven't offered alternative solutions to patients undergoing drug therapy complications "are starting to be sued for negligence". Framingham, MA - B-12 ALERT: University researchers report that the vast majority of B12 deficiency and the resultant fatigue syndrome is due to digestive disorders. Over 50% of the individuals with B12 deficiency tested were unable to digest the food-bound vitamin. Vegetarian diets were also cited as being "virtually devoid of B12". The study suggests that B12 levels in blood serum should not fall below 350 pg/ml and that patients with digestive disorders like IBD should have their serum levels checked at least one each year. New York, NY - DRUG PRICE SURVEY: According to the "Citizens for Health Newsletter", the top prices paid for prescription drugs in the United States has risen 127% in two years and drugs represent 64% of out-of-pocket expenses from Medicare. Washington, DC - WHOLE GRAIN VS WHOLE WHEAT: The FDA in response to complaints against Roman Meal Whole Grain Bread, which is made from mostly bleached white flour, has ruled that all flour in bread labeled "whole wheat" must be 100% whole wheat, however, bread products labeled "whole grain" have no such requirement. [Our tax dollars at work, thanks FDA for clearing that one up for us.] Memphis, TN - HUNK O' BURNIN' LOVE: After a long public access battle, the Knight Newswire has released excerpts from the autopsy and medical records of Elvis Presley. According to medical records, Presley had been hospitalized on August 30, 1977 for over a month with an "impacted colon." Less than one year later on August 28, 1978 the autopsy investigation revealed that "The subject [Presley] was found dead at 2:30 PM 08/28/78, green pajama bottoms around his ankles, face down on the red shag rug in front of the toilet." The report goes on to say that Presley had apparently died "straining at the stool", which is the contributing cause of death in 1 of 20 heart attack victims. [Gives a new perspective on the King being "dethroned"] Boston, MA - SMOKING AND CROHNS: Harvard Medical School Researchers have reconfirmed that smoking increases symptomology of Crohns Disease patients while no direct link between smoking and Ulcerative Colitis has been established. A second study from Harvard also notes that coffee and drinks with caffeine heighten the symptoms of nicotine withdrawal. San Diego, CA - MICROBIAL INFECTION AND IBD: Papers from the AGA (American Gastroenterology Association) point to growing research that certain microorganisms are directly related to bowel disorders. H. Pylori and M. Paratuberculosis have been identified as potential culprits. Results of broad spectrum antibiotic therapy have been mixed. London, England - A QUESTION OF BALANCE: The British Journal of Sports Medicine reports that too much exercise in any 48 hour period results in an impaired immune system, altered hormone levels and fatigue. The weakened immune system can persist beyond a five day recovery period. On the other hand, lack of regular activity is responsible for 250,000 deaths each year in the United States. Boston, MA - APPLES AND DIVERTICULOSIS: The Harvard School of Public Health reports that low fiber diets along with large amounts of red meat are directly responsible for diverticular disease. Men who ate low fiber/high meat diets were 3x as likely to develop colon pouches. The study also noted that grain fibers were inferior to fruit and vegetable fiber and that "cereal type grain fiber [processed fiber]" had no perceivable benefit. The study noted that commencing and adhering to a high fiber diet will remove the colon pouches over a period of time. [But Wilfred Brimley wouldn't lie to us, would he?] [ If you find any noteworthy news (or newsworthy notes), send us an email clipping and put NEWS in the subject header. Be sure to quote your source and publication date. ] ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ <<<<<<< THE ORACLE >>>>>>> ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ [ The Oracle is intended to be a source of alternative thought, philosophy, and perspective on health and healing. As always, the disclaimer about this not being a source of medical advice is in effect. We hope that you will find the following information thought provoking and a stimulus to further discussion and research. - ED ] This issue's Oracle is a verbatim article written by Annette Thornhill about the unusual relationship that U.S. patients have with insurance companies and was published in the December 1994 ECO Report. Each Oracle article represents the opinion of the author and, while we do not endorse in any way the opinion of the author, The Olde Crohn welcomes your comment, agreement or rebuttal. To those offering a contrasting view, we will make available space for well written and researched responses. I. INSURANCE COMPANIES - OUR DECISION MAKERS by Annette Thornhill There are over a hundred prominent insurance companies in the U.S. which are presently making decisions about who will live and who will die, by deciding who will get treatments that the patient cannot afford to pay for out of pocket. We don't even know the qualifications of the individuals who decide: No they won't cover this treatment: it is "experimental" - meaning too costly. Yes they will cover that one, but they don't give any clue to why one answer was yes and the other no. In a recent study that involved 533 women diagnosed with breast cancer, 121 were denied coverage for treatment. The therapy was to be bone marrow transplants, and the insurance companies that covered these women insisted that form of treatment was "experimental". The cost of the treatment was $121,000.00. Thirty nine of the 121 women who had been denied coverage decided to consult an attorney. Suddenly they found that their therapy was acceptable for coverage after all. A recent decision of the courts awarded a patient $77,000.00 in punitive damages and 12 million dollars in compensatory damages in a similar situation. The decisions being made for coverage or noncoverage, or a more insidious practice -- that of delaying again and again the settlement of accounts, in hopes that patients will die or their families will finally tire of pursuing the matter -- are being made by insurance company employees who never see any of the individuals over whom they are making rulings that will effect their lives and the lives of their families. [The insurance company employee] might recognize the medical issues involved, even have read up on the subject, and yet is not necessarily well enough informed to claim a medical background. And yet, each and every one of these decision makers claims to be totally unbiased at making these decisions. How can they be unbiased when their job is dependent on protecting the bottom line of their employer? Rejecting claims because of technicalities in whole or in part because of supposedly unnecessary or dubious procedures, or making decisions on the basis of increasingly complex reporting requirements has driven more and more patients into the courts. It is the insurance companies that are pushing for legislation which would hamper malpractice suits and put caps on awards. They [insurance companies] have much to gain, but the losers are the individuals who will suffer, some of them for their entire lifetimes, under the burden of immense debts they had thought that they had covered themselves for when they had chosen to purchase insurance. Investigation by Senator Sam Nunn (D-GA) and his staff uncovered misconduct by four BLue Cross - Blue Shield plans, where they hid reports of huge profits and flat, outright embezzlement, and awarded themselves large perquisites. In addition, public relations departments in the offending insurance carrier had been ordered to divert the attention of state inspectors to prevent inquiry or probing. In addition to resistance to paying claims, insurance companies have developed techniques for weeding out individuals who might cost them money, even if those people have been paying their premiums for years. In other cost saving plans, they have been excluding whole groups of workers, industries and occupations. In addition, extended waiting periods have been required of people applying for insurance, as well as the practice of writing policies anew each year so that waiting periods must be met over and over again. Many people have complained that there have been a continual rise in deductibles, increased co-payments and the redesigning of insurance packets whose language does not reveal that coverages have been reduced. You pay your money, but get less and less in return year after year. It is assumed that these practices will stop with "managed care" programs or with insurance reform. What a blast! These people we are trusting with our lives and the lives of our loved ones are the very ones who have been lying, cheating, embezzling, refusing to live up to their contracts, denying payments, pulling the plug on people at a time when they are most vulnerable. There doesn't appear to be any accountability, any need to explain any of this blatant deceit to anyone, anywhere, at any time. What is the function of the insurance company in health care? The U.S. is the only industrialized country in which there is a massive intrusion between healthcare and the people who are paying the premiums. In more than 20 years questions have gone unanswered as reporters, companies and individuals have probed to find justification for [insurance companies] continuing to intrude [between patient and treatment]. On the surface, and until we can dig deeper, [insurance companies] sole function seems to be to collect as much money as they can bilk the public out of, and to pay as little as possible back again to those of us who have trusted them to mean what they said in their ads and their statements. The scandal in the case of Prudential Insurance Company, which is accused of defrauding several hundred million dollars from funds that their trusting insureds have deposited with them, does not inspire confidence in their ability to manage healthcare programs for the benefit of people whose money they are more than glad to collect. Immense funds have been expended by insurance companies to protect themselves from investigation or alteration of their predatory practices, both at the federal and state levels. It is becoming evident that only an awakened citizenry will be able to get this situation in hand- one state at a time, by demanding access to the statistics that reveal which medical therapies work and which do not. The data is available but not to us common folk. It would cut into profits. In principle, insurance companies aren't needed at all, between the individual in need of care, and the medical therapies he or his family needs. Decisions about what medical needs are covered and which are not entitled coverage should be made on a more rational and equitable basis, and should be subject to public probing and questioning. Other countries in Europe and in Canada are covering the health costs of their citizens at a fraction of the cost we, here in the U.S. are paying. There is no justification for the continuing fraud that we are amply taken care of by the present system, or by any of the proposed systems that plan to continue the presence of insurance companies. The people of each state should take the initiative and establish some kind of monitoring system, responsible to the people - not the too easily corrupted legislatures - that will deal with the mounting problems of health care. ===================================================== ********************************************** ----} BOOK REVIEWS {---- ********************************************** Books, books, books, so many books so little time. The solution is to read ones that someone recommends and save the rest for when you are supposed to be working. "A New Model of Health and Disease" George Vitoulkas, M.D. North Atlantic Books, 2800 Woosley Street, Berekely, CA 94705 There has been a lot of talk lately that a primary cause of inflammatory bowel disease may be attributed to microbes in the gut lining. There has also been a lot of news reports and activity in the medical community about delayed hypersensitivity caused by popularly prescribed antibiotics like tetracycline. Add to the mix reports of mutant and resistive microbes and the resultant swing to broad spectrum antibiotic therapy as a treatment for Crohns has caused some of us at The Olde Crohn to pause and take stock of where this is heading. As a result we have read numerous reports, articles and books concerning the problems with generalized antibiotic use. Quite frankly we have found many authors to be quite shrill about their anti-antibiotic stance and in their believe of some great "drug conspiracy". However, "A New Model of Health" is written in a clear and concise style free from that sort of excessive hyperbole. The following is a quote from the book: "In my opinion, antibiotics that could have been life saving and a blessing in really dangerous cases are prescribed in such a way as that they will prove to be one of the greatest curses of our modern civilization. ... Only during the past decade have we begun to recognize the magnitude, severity and complexity of the problem. Dr. Vithoulkas goes on to show that we should not be shocked by the onslaught of new plagues and the resurgence of previously vanquished microbe enemies. As far back as the late sixties, medical researchers have predicted quite accurately these resurgences and how the misuse and overprescribing of antibiotics have been the primary factor. So the next time you think about heading to the doctor's office for some antibiotics for your sniffles, and definitely before you submit to a broad spectrum antibiotic therapy for IBD, read this book. An informed patient is an empowered patient. -------------------------------------------- "The Power of the Mind to Heal" Joan Borysenko, Ph.D. Hay House Books, 1994 "Rituals of Healing: Using Imagery for Health and Wellness" - Jeane Achterberb, Ph.D, Barabara Dossey, R.N., Leslie Kolkmeier R.N., M.Ed. - Bantam Books 1994 A large part of these books' strength comes from making clear that the weight of scientific evidence is leaning heavily in favor of the mind's power to do uncanny things. The books moved us past the dry science into stories of healing, imagination, and group support. It is clear to these authors that even surgery and drugs have a more positive effect when taken with trust instead of fear. In addition to the anecdotes, both books devoted significant space to exercises in meditation and imagery which those of us who tried them found to be settling and relaxing at very least. The nice thing about using your mind to heal is the cost, your time. The benefit is that there is significant data that says it can and does work. It can only add a positive effect to your current outlook and your current medical regime. ----------------------------------------------------/ "Take Charge of Your Hospital Stay" - Karen Keating McCann Insight Books/ Plenum Press 1994 A stay in the hospital can often require medical, technical, and ethical decisions beyond most of our experiences to make. To keep from having unnecessary and unwelcome treatments thrust on us requires that we ask many questions. But knowing what to ask and then how to interpret the answers that are often cloaked in medical jargon is extremely frustrating. That was until we read "Take Charge". Written by a health expert, editor and founder of a company that provides communications services for hospitals nationwide, Ms. McCann walks us through gaining access to and understanding the resources of the medical community. Her tips on asserting personal needs, posing questions, and venting fears should help you to cultivate a more proactive role in your treatment. Don't leave home without it. [ If you've read a good book about a health related issue that would be of interest to those of us with bowel disease, write it up and send it by email to rmalloy@squeaky.free.org and put BOOKS in the subject header. Be sure to list the publisher or ISBN number in your report. ] ------------------------------------------------- LETTERS - LETTERS - LETTERS - LETTERS - LETTERS ------------------------------------------------- These are unedited excerpts from letters sent to us. OK, we did snip out or ignore some negative comments, but hey, it's our ejournal. ................................................................. Congratulations on your maiden issue, a report like The Olde Crohn was long overdue. This is the best journal on the topic. Keep up the good work. -- M.M. Connecticut [ Thanks Mom, and I'll see you for dinner Sunday. -ED ] ............................................................. I want to comment on your magazine and tell you how much I enjoyed reading it. It is difficult to find a source of information that is not radically one side or the other and I liked the balanced approach...-- C.R. New South Wales AU .............................................................. ...Your contention that candida is the primary cause of crohns and colitis is without sound medical basis and it is a disservice to your readers to make such claims. -- W.L., M.D. Ottawa Canada [ Thanks for your opinion. We spent over six months researching articles and interviewing traditional medical doctors and alternative medical sources about candida albicans. They all agreed. The results were overwhelming that c. albicans does play a "major" role in inflammatory bowel disease. We were also clear that IBD is multifactorial in cause and no single culprit can be identified. If you have information to the contrary we would invite you to submit an article for publication. - ED] ............................................................ The Olde Crohn was a welcome breath of fresh air in the stale debates that have been raging around here lately. I hope you will keep up your commitment to keep publishing. -- I.H. Pittsburgh PA ............................................................... [ If you want to comment to the editor send email to rmalloy@squeaky.free.org and put LETTERS in the subject header] XOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOX -:] DOCTOR QUACK'S BLACK BAG [:- XOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOXOX In the never ending struggle to separate fact from fiction, cure from fraud, and sound from stupid, The Olde Crohn would like to bring to the attention of our readers some potential areas of concern. [Our liability attorney made us say that]. Those of us who suffer from chronic illness or life threatening disease are often targets of snake oil salesman and baseless claims made not only by the alternative medical community, but also by traditional medicine. Stories of doctored [pardon the pun] clinical results from major drug and pharmaceutical companies abound, as do claims of electro-stimulators, copper bracelets, solar cell necklaces, and herbal miracle cures. It may all boil down to who is calling who a fraud. We suggest that you keep that in mind when you consider the following stories that have come to us from readers, news articles, and clipping services. [Yep, he made us say that also] Consider also that even the FDA can make mistakes when it comes to calling a fraud a fraud as the first two stories relate. 1. The FDA has removed boxes of Sleepytime Tea(tm) from health food stores in Texas. FDA officials in a press release about the seizure said that the product's name was an "unsubstantiated and fraudulent health claim." 2. In other actions, FDA agents along with SWAT officers raided the home of Kenneth Scott M.D. because the doctor had given copies of an "Omni Magazine" article that claimed that B vitamins had potential beneficial effects in cardiovascular disease. The reprints were seized as evidence of "unsubstantiated claims." 3. Several AIDS activist groups have placed Dr. Deepak Chopra's name on their list of "TOP TEN FRAUDS of 1995". Deepak Chopra, M.D. is the Director of the Sharp Institute for Human Potential and Mind-Body Medicine. Chopra's meditation techniques and tapes have been touted as a cure for numerous ailments including AIDS, Cancer, and Intestinal Disease. [And tiger urine has been touted by others as an aphrodisiac, but we can't decide if you drink it or rub it on.] 4. Applied Kinesiology is becoming popular in the alternative medical world again. It appears that some individuals with only some self-styled book learning are setting up shop and advertising in ecology and health related publications. The following warning was published in "Alternative Medicine, a Definitive Guide": "Applied kinesiology is a highly specialized technique and should only be performed by a licensed health professional trained in differential diagnosis." As of this writing, The Olde Crohn has not been able to ascertain what constitutes a "license" to practice applied kinesiology. [ Know of a baseless claim, scurrilous service, or just some really great gossip about Michael Jackson. Send it on by email and put QUACK in the subject header. Identify the source, date and place published or indicate that it is a "personal expereince" ] +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ COMING NEXT ISSUE !!!!!!!!!! NEW COLUMNS !!!!!!! THE DIETARY OBSERVER: A day in the life of a particular diet philosophy. Each issue we will publish recipes complied by experts from various traditional and alternative diets and discuss the salient points of the diet type and their potential effects on IBD, Crohns and Colitis. THE HERBAL INFORMANT: The real scoop on herbs. Current mainstream and alternative thought, theraphy, research, and discussion from herbal researchers. =============================================================== ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| ADVERTISING - ADVERTISING - ADVERTISING |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| Okay, here's the dilema. We need to sell advertising to support The Olde Crohn. And you use your precious bandwidth to download a copy. Should the Olde Crohn be filling that bandwidth with pages of advertising? Some of us say these electronic pages should be filled with information, not advertising. Some of us have to go to the bossman each month and explain the online service time and the phone bill that has been donated to help produce the first few issues. Some of us think that commercial enterprise is what has made this country great. Some of us think that the rich proletariat commercialist pigs need to be impaled on the pitchforks of the noble worker class as they rise triumphant from the factories and the fields. So we have an impass. We will therefore delegate the task of tie breaker to you, our gentle readers. Send us your comments and official vote (Yea or Nay) on advertising in the Olde Crohn by email to rmalloy@squeaky.free.org and put VOTE in the subject header. To help you decide, we have put an ad at the end of this discertation so you can get a sense of what an ad page is all about ( and support the advertiser who placed it there ). Those of you who have www access to our home page need not worry about getting your fix of ad copy. Our www site contains mucho advertising and links to products, service and advertising and it then becomes an individual decision to read or not to read. Which brings up the next point. If you have a product or service that you would like to present to our readership, contact Kathy Kasper at the following address. She can assist in reaching our readers and can help in setting up your own www site with a link to The Olde Crohn home page. Oh yeah, and disregard that stuff about pitchforks. Kathy L. Casper Infoquest Business Services PO Box 1488 Tellevast, Florida 34270 (V) 941-358-0416 email: kathy@netline.net http://www.netline.net/~kathy/index.html *************************************************************** ADVERTISEMENT *************************************************************** FOUR FOUNDATIONS OF RADIANT HEALTH DIGESTION - Proper breakdown of food ASSIMILATION - Absorption of nutrients (food) ingested NUTRITION - Diet, Superfoods, Supplements ELIMINATION - Balancing the digestive tract Enzymes and L. Salivarius are key supplements for establishing a healthy Body Ecology and supporting the Four Foundations for Radiant Health Enzymes are involved in every metabolic process in the body Specific digestive enzymes are essential to the proper digestion of food and assimilation of nutrients as well as the elimination of wastes and toxins from the body. Unfortunately, the body's digestive enzymes are depleted over time and the metabolic enzymes that should be supporting functions such as the endocrine and immune systems or cellular functions instead are used for digestion. Quadra-Zyme Plus is a plant enzyme product designed to aid in the digestion and assimilation of food. It is a multiple enzyme formula that works at a full range of 2-12PH throughout the entire digestive process. All food enzymes are destroyed by cooking or processing thus putting the entire burden of digestion on the body's production of enzymes. Supplementing enzymes aids the body in digestion, assimilation, and frees the body's metabolic enzymes to do their specific jobs. The stress level of the modern world promotes, as well as the poor quality of air, food, and water have all contributed to the imbalances and toxic conditions of our colons. Antibiotics, chlorinated water, preservatives, radiation, chemotherapy, and alcohol use and abuse all kill the body's natural "healthy" bacteria and allow for the overgrowth of non-desirable bacteria. Probiotics, "friendly intestinal flora", are extremely effective in the quest for proper elimination of undigested putrefied food. Probiotics help to normalize bowel movements and increase vitamin and hormone production. The establishment of healthy intestinal flora is an essential step in creating a healthy body ecology and regaining our health. Lactobacillus Salivarius is a strain of bacteria that flourishes in the small intestine and offers many benefits. It is the "Mother" probiotic as it lays the foundation for other "healthy bacteria" to work in the intestine. It produces a natural antibiotic called acidophin, which helps to protect our bodies against several harmful strains of bacteria. It makes the bowel acidic which in turn destroys certain types of disease causing bacteria in the bowel. In addition, it can assist in removing toxins, be instrumental in reducing cholesterol, and assist in eliminating problems with gas. TESTIMONIAL FOR L-SALIVARIUS WITH CHRONIC DIARRHEA "I have suffered from a cramping stomach along with nausea followed by diarrhea for the past 13 years lasting for weeks at a time. I received a sample of L.Salivarius form my friend Leann Coxey. I tried out one capsule and had relief from my diarrhea and cramping within a few hours. I continue to take the L.Salivarius and find that when I take the L.Salivarius I do not have any diarrhea. With results like that I will continue to take this fantastic product regularly." Lynn Porter, Snohomish Washington Staff of Life Newsletter December, 1994 The Staff of life takes pride in offering the best of nutritional products. All formulations undergo rigorous testing and quality control. You can order wholesale, direct from the company for a one-time fee of $5.00 or for a $25.00 fee you will receive 2 books on enzymes and other educational material. For order forms or to request educational materials our Email address is candace@roadrunner.com or write to 1704B Llano, Suite 109, Santa Fe, NM 87505. BE WELL!! >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> ============================================================ <<<<<<<<<<<<<<<<<>>>>>>>>>>> ============================================================ 1. Candida Research and Information Foundation Box 2719 Castro Valley, CA 94546 (415) 582-2179 2. The Body Ecology Diet Information Update List 1266 West Paces Ferry Road Suite 505 Atlanta, GA 30327 (404) 352-8048 3. Dr. David A. Kessler Director, Food and Drug Administration 5600 Fishers Lane Rockville, MD 20852 4. National Institute of Health BBS 800-644-2271 5. Black Bag BBS (Medical Topics and many lists of related BBS # 610-454-7396 or ed&blackbag.com 6. Alternative Medicine Newsgroup misc.health.alternative 7. Virtual Hospital WWW > URL:http://vh.radiology.uiowa.edu/ 8. Virtual Medical Library WWW > URL:http://golgi.harvard.edu/biopages/medicine.html 9. Good Medicine Magazine WWW > URL:http://none.coolware.com/health/good_med/ 10. Nutritional Healing WWW > ftp://werple.apana.org.au/sumeria/health/50tips.txt 11. Herbal Caution (Cautions on specific herbs) Gopher: Virginia Cooperative Extension Address: gopher.ext.vt.edu Choose: VCE Subject Matter Horticulture|Consumer Horticulture Question Box & Press Releases Vegetable and Herb Growing Use Caution with Medicinal Herbs [This site is a MUST if you are going to experiment with herbal remedies for any reason] 12. Candida Wellness Center 4365 North Bedford Drive Provo, Utah 84604 800-869-1613 Gary Carlsen will answer Candida questions at CWC at 800-644-1612 If You have any addresses, phone numbers or locations that might be of interest to our readers, please send them with a brief description by Email to rmalloy@squeaky.free.org and put YOUR INFO in the subject header. ================================================================= -] THE OLDE CROHN [- ================================================================= The Olde Crohn is published six times per year on the even numbered months by volunteers and through the donation of computer and online access time from Novus Research. The Olde Crohn is dedicated to providing information and discussion on the topic of inflammatory bowel disorders. Opinions expressed are solely the opinions of the authors. The Olde Crohn makes no endorsement or recommendation of any product or service offered for sale by advertisers in this magazine. The Olde Crohn does not provide medical advice in any form. Data and articles provided in this publication are for information and discussion purposes only. Unsolicited articles for submission become the property of The Olde Crohn. Articles accepted for publication are edited for content, grammar, and length. Articles should not exceed 2,000 words unless approved in advance by query to the Editor. Submission shall be made on 3.5" DOS formatted diskette in ascii or WP5.1 format. Hard copy is recommended but not required. The Olde Crohn does not return any article, disk, or hard copy submitted. DO NOT SEND SUBMISSIONS BY EMAIL Submissions may be made to: The Olde Crohn Magazine Submissions Editor Novus Research 2345 Buckskin Drive Englewood, Florida USA 34223-3987 DO NOT SEND SUBMISSIONS BY EMAIL Queries, questions, and letters to the editor may be sent by Email to rmalloy@squeaky.free.org or by regular mail to the above postal address. Questions to authors of any article in "The Olde Crohn" may be sent by Email. Please put the authors surname (aka last name) in the subject header of your message. The Olde Crohn welcomes comments, discussion, letters, and criticism of this publication and its content. Please do not use this publication as a replacement for your support newsgroup, as we are limited to our response time and size. For an annual (6 issues), hard copy subscription to The Olde Crohn for those without electronic access send $25.00 (US) for domestic distribution and $35.00 (US) for international distribution to: The Olde Crohn Subscriptions Novus Research 2345 Buckskin Drive Englewood, FL 34223-3987 Online access to copies of THE OLDE CROHN is available by FTP access to: 1. ftp.etext.org log in as "ftp" go to: /pub/Zines/OldCrohn 2. ftp.cic.net log in as "anonymous go to: /pub/ejournals/alphabetical/o/oldcrohn Files are stored in pkuzip format. File name convention is Crhn***.zip where *** = month/yr of publication (ie 075 = July 95) This issue is Crhn105.zip The first issue is Crhn085.zip ================================================================= Permission is granted for all non-commercial copying or distribution of this publication. Permission is not granted to print out a hard copy of this publication and make large spit balls with it. ================================================================= The Olde Crohn (c) 1995 crhn105.doc.eof|