The
Sydney-based Malayali Dr Jacqueline Michael is on a mission to
highlight the need for lifestyle medicine in Kerala, which
is affected by high levels of obesity, diabetes, hypertension,
and coronary heart disease
By
Shevlin Sebastian
On
Good Friday, 2007, Dr Jacqueline Michael suffered a miscarriage. At
that time, Jacqueline was working in the National Health Service in
the United Kingdom. Soon, she slipped into a depression.
Thereafter,
she began to suffer from several physical ailments. “Initially, it
started with hormonal dysfunction,” she says. “Then I had
fibromyalgia, followed by vitiligo and started turning white.” She
consulted a rheumatologist, an endocrinologist and a dermatologist.
“Thereafter, I realised that there has to something which causes
these diseases to flare up,” she says. “I wondered whether there
was a way to cure myself.”
Jacqueline
decided to do some research. And that was how she stumbled onto
lifestyle medicine.
“The
aim of lifestyle medicine is to prevent illnesses from taking place,
by making the right choices,” says Jacqueline. “Nowadays
treatment is done, only when a person falls sick. It is like a
fire-response unit. Mainstream medicine does not go to the source and
get rid of the problem.”
She
says that it is urgent to have a lifestyle medicine system in Kerala,
because, thanks to a high standard of living, the people suffer from
the lifestyle diseases of the West, like obesity, diabetes,
hypertension, and coronary heart disease.
Jacqueline
suggests three methods of prevention. The first is to have a high
fibre diet. These include green vegetables, flax seeds, carrots,
grams, boiled elephant foot yam, rice with bran, oats, and fruits
like apple, pear, and oranges.
The
second is regular physical exercise. “When you do physical
activity, a lot of good chemicals, like endorphins, are produced in
the body,” says Jacqueline. “These are required for a person’s
well-being. However, very few people do enough exercise in Kerala.”
She
also suggests the avoidance of toxins like tobacco, excess alcohol,
and substance abuse. Unfortunately, there are toxins in our
environment. “As an example, we use a lot of chemicals in our
personal-care products,” says Jacqueline. “And when you dye your
hair, you are using hydrogen peroxide, which is an oxidising agent.
So there is a level of oxidative damage happening inside the body as
well." This may result in cancer and other chronic diseases.
In
Kerala, too many people suffer from Vitamin D deficiency. That is
because they are reluctant to expose themselves to the sun. “There
is a phobia for sunlight in God's Own Country,” says Jacqueline.
“Lack of Vitamin D can be a catalyst for high blood pressure, heart
disease, diabetes and even cancer. We need sun exposure for at least
half an hour every day.”
The
right amount of sleep, about seven to eight hours, is very important.
A lot of things happen during our nocturnal rest. “When we sleep
the brain shrinks by six percent. This allows for the free flow of
the cerebrospinal fluid, which allows for the cleaning of the toxins
that are formed in the brain. During sleep, there is a memory
consolidation. Restorative processes take place. I know of a case
where a person suffered a stroke because he was chronically
sleep-deprived.”
Jacqueline,
a mother of three, who is now based in Sydney, has come to her home
state, Kerala, with a mission. “I want to create an awareness of
lifestyle medicine,” she says. “But it has to be citizen-driven.
In fact, I was surprised to note that there is not a single lifestyle
medicine centre anywhere. I am planning to start the first centre in
my home-town of Kollam and encourage young doctors to take up
Lifestyle Medicine as a career.”
(The
New Indian Express, Kochi, Thiruvananthapuram and Kozhikode)