A physician's commentary on current issues in medicine, clinical research, health and wellness.
The French biologist Claude Bernard provided the classical observation of this effect when he found that changing the diet of rabbits from an herbivore mainly plant diet to a carnivore mainly meat diet changed the urine from more alkaline to more acid. In a nutshell, I eat eat way more vegetables on keto than I ever did on Atkins. Practicing medicine for the benefit of the sick precludes any personal, political, or moral judgment as to the worthiness of the patient to be healed, and is therefore timelessly relevant. Nevada high court says execution doctor's name stays secret Nevada high court says doctor picked to attend an execution can remain anonymous. Doctors providing opioids without proper documentation:
Pros and Cons of an Atkins Diet
In modern times this seems socially awkward and sad. I doubt most physicians would give money to their mentors if asked, although within one year of graduating medical school the alumni association was already calling me for a donation.
The legacy system of teaching medicine to any offspring of said teachers also lingers, as many private institutions give precedence in their admissions process to the family of former graduates. While good for fund raising and fraternal tribalism, it undermines what I believe should be a strict meritocracy. Translated into , this section might best implore physicians to be lifelong learners themselves, and to be teachers as well as clinicians for their patients.
I can barely protect myself. First do no harm. Opponents of euthanasia cite it as a moral foundation prohibiting physician-assisted suicide. Other scholars point out that the physician of those times was often approached as a political assassin, and was asked for poisons. Euthanasia can also be seen in a compassionate light, especially by those who have witnessed a loved one suffering from terminal illness. The abortion thing is a royal mess, but some have argued this part is a mistranslation of the Greek text , and that Hippocrates forbid the use of certain abortion-causing pessaries because of the high rate of maternal infection they caused.
Perhaps he would look favorably upon the Roe v. Wade decision which has made the lethal back alley abortion rare. I doubt the abortion issue can be satisfactorily codified in current times, but in ancient Greece abortion was legal. Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice, of all mischief and in particular of sexual relations with both female and male persons, be they free or slaves.
Practicing medicine for the benefit of the sick precludes any personal, political, or moral judgment as to the worthiness of the patient to be healed, and is therefore timelessly relevant.
What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about. It speaks to the fundamental importance of patient confidentiality, most recently codified in the HIPAA regulations and patient bills of rights. While the exchange of information, stories, vignettes, and medical knowledge is crucial to the betterment of medical practice, avoiding the disclosure of identifiable details has never changed.
If I fulfill this oath and do not violate it, may it be granted to me to enjoy life and art, being honored with fame among all men for all time to come; if I transgress it and swear falsely, may the opposite of all this be my lot. We are all human and imperfect, and forgiveness and redemption are as important for physicians as for anyone else. At least one half of us break our marriage vows.
Here is the opposite statement as I see it: From The Hippocratic Oath: The "dietary ash hypothesis" proposed that these foods, when metabolized , would leave a similar "acid ash" or "alkaline ash" in the body as those oxidized in combustion. Nutrition scientists began to refine this hypothesis in the early 20th century, emphasizing the role of negatively charged particles anions and positively charged particles cations in food.
Diets high in chloride , phosphate and sulfate all of which are anions were presumed to be acid forming, while diets high in potassium , calcium and magnesium all of which are cations were presumed to be alkaline forming. Other investigations showed specific foods, such as cranberries , prunes and plums had unusual effects on urine pH. While these foods provided an alkaline ash in the laboratory, they contain a weak organic acid, hippuric acid , which caused the urine to become more acidic instead.
Historically, the medical application of this diet has largely focused on preventing recurrence of kidney stones as well as the prevention of recurrent urinary tract infections , by relying on the recognized ability of this diet to affect urinary pH. Years ago, this diet was used to adjust the acidity of the urinary environment that the stones formed in, and could hypothetically help prevent stones from forming or the development of UTIs.
However, the analytical methods that attempted to precisely calculate the effects of food on urinary pH were not precise except in very general terms, making effective use of this diet difficult. Therefore, medications , which can more reliably alter the urine pH, rather than diet modification, have been the treatment of choice when trying to alter the pH of the urine.
Precise calculations require very detailed knowledge of the nutritional components of every meal as well as the rate of absorption of nutrients, which can vary substantially from individual to individual, making effective estimation of urine pH still not currently feasible.
From Wikipedia, the free encyclopedia. Alkaline diet Alkaline ash diet, alkaline acid diet, acid ash diet, acid alkaline diet An alkaline diet encourages the consumption of most fruits and vegetables and omits foods such as meat, cheese, eggs and grains. Archived from the original on 27 March Retrieved 5 February J Environ Public Health Review. Journal of Clinical Densitometry published 2 October Principles and Practice of Gastrointestinal Oncology. Retrieved 10 August Academy of Nutrition and Dietetics.
American Institute for Cancer Research. Retrieved 30 November J Am Diet Assoc. Human nutritions and healthy diets. Omnivore Entomophagy Pescetarian Plant-based.