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Xref: cantaloupe.srv.cs.cmu.edu sci.med:59183 alt.psychology.personality:943Newsgroups: sci.med,alt.psychology.personalityPath: cantaloupe.srv.cs.cmu.edu!rochester!udel!gatech!howland.reston.ans.net!agate!ames!pacbell.com!uop!csus.edu!netcom.com!noringFrom: noring@netcom.com (Jon Noring)Subject: Great Post! (was Re: Candida (yeast) Bloom...) (VERY LONG)Message-ID: <noringC5wzM4.41n@netcom.com>Followup-To: sci.medSummary: Warning, lots of words in typical Phlegmatic fashionOrganization: Netcom Online Communications Services (408-241-9760 login: guest)Date: Fri, 23 Apr 1993 02:15:39 GMTLines: 447GREAT post Martin. Very informative, well-balanced, and humanitarianwithout neglecting the need for scientific rigor.(Cross-posted to alt.psychology.personality since some personality typingwill be discussed at the beginning - Note: I've set all followups to sci.medsince most of my comments are more sci.med oriented and I'm sure most of thereplies, if any, will be med-related.)In article banschbach@vms.ocom.okstate.edu writes:>I can not believe the way this thread on candida(yeast) has progressed.>Steve Dyer and I have been exchanging words over the same topic in Sci. >Med. Nutrition when he displayed his typical reserve and attacked a woman >poster for being treated by a licenced physician for a disease that did >not exist. Calling this physician a quack was reprehensible, Steve, and I >see that you and some of the others are doing it here as well. They are just responding in their natural way: Hyper-Choleric Syndrome (HCS).Oops, that is not a recognized "illness" in the psychological community,better not say that since it therefore must not, and never will, exist. :^)Actually, it is fascinating that a disproportionate number of physicianswill type out as NT (for those not familiar with the Myers-Briggs system,just e-mail me and I'll send a summary file to you). In the generalpopulation, NT's comprise only about 12% of the population, but amongphysicians it is much much higher (I don't know the exact percentage -any help here a.p.p.er's?)One driving characteristic of an NT, especially an NTJ, is their obviouscholeric behavior (driver, type A, etc.) - the extreme emotional need tocontrol, to lead, and/or to be the best or the most competent. If they arealso extroverted, they are best described as "Field Marshalls". This traitis very valuable and essential in our society - we need people who want tolead, to strive to overcome the elements, to seek and thirst for knowledge,to raise the level of competency, etc. The great successes in science andtechnology are in large part due to the vision (an N trait) and scientifically-minded approach (T trait) of the NT personality (of course, the other typesand temperaments have their own positive contributions as well). However,when the NT person has self-image challenges, the "dark-side" of thispersonality type usually comes out, which should be obvious to all.A physician who is a strong NT and who has not learned to temper theirtemperament will be extremely business-like (lack of empathy or feeling),and is very compelled to have total control over their patient (the patientmust be obedient to their diagnosis and prescription without question). I'veknown many M.D.'s of this temperament and suffice to say I don't oblige themwith a followup visit, no matter how competent I think they are (and theyusually are very competent from a knowledge viewpoint since that is anextreme drive of theirs - to know the most, to know it all).Maybe we need more NF doctor's. :^)Enough on this subject - let's move on to candida bloom.>Let me tell you who the quacks really are, these are the physicans who have >no idea how the human body interacts with it's environment and how that >balance can be altered by diet and antibiotics... Could it just be>professional jealousy? I couldn't help Elaine or Jon but somebody else did.You've helped me already by your post. Of course, I believe that I havebeen misdiagnosed on the net as suffering from 'anal retentivitis', but beingthe phlegmatic I am, maybe I was just a little too harsh on a few peoplemyself in past posts. Let's all try to raise the level of this discussionabove the level of anal effluent.>...Humans have all >kinds of different organisms living in the GI system (mouth, stomach, small >and large intestine), sinuses, vagina and on the skin. These are >nonpathogenic because they do not cause disease in people unless the immune >system is compromised. They are also called nonpathogens because unlike >the pathogenic organisms that cause human disease, they do not produce >toxins as they live out their merry existence in and on our body. But any of >these organisms will be considered pathogenic if it manages to take up >residence within the body. A poor mucus membrane barrier can let this >happen and vitamin A is mainly responsible for setting up this barrier.In my well-described situation (in prior posts), I definitely was immunestressed. Blood tests showed my vitamin A levels were very low. My sinuseswere a mess - no doubt the mucosal lining and the cilia were heavily damaged.I also was on antibiotics 15 times in 4 years! In the end, even two weeksof Ceftin did not work and I had confirmed diagnoses of a chronic bacterialinfection of the sinuses via cat-scans, mucus color (won't get into thedetails), and other symptoms. Three very traditional ENT's made thisdiagnosis (I did not have any cultures done, however, because of thedifficulty of doing this right and because my other symptoms clearly showeda bacterial infection). Enough of this background (provided to help youunderstand where I was when I make comments about my Sporanox anti-fungaltherapy below).The first question I have is this. Can fungus penetrate a little way into poormucus membrane tissue, maybe via hyphae, thus causing symptoms, without beingconsidered 'systemic' in the classic sense? It is sort of an inbetweeninfection.>Steve got real upset with Elaine's doctor because he was using anti-fungals >and vitamin A for her GI problems. If Steve really understoood what >vitamin A does in the body, he would not(or at least should not) be calling >Elaine's doctor a quack.I was concerned, too, because of the toxicity of vitamin A. My doctor, aftermy blood tests, put me on 75,000 IU of vitamin A for one week only, thendropped it down to 25,000 IU for the next couple of weeks. I also receivedzinc and other supplementation, since all of these interrelate in fairlycomplex ways as my doctor explained (he's one of those 'evil' orthomolecularspecialists). I had a blood test three weeks later and vitamin A was normal,he then stopped me on all vitamin A (except for some in a multi-vitamin)supplement), and made sure that I maintain a 50,000 IU/day of beta carotene.Call me carrot face. :^)Hopefully, Elaine's doctor will take a similar, careful approach and toall supplements. I'm even reevaluating some supplements I'm taking, forexample, niacin in fairly large dosages, 1 gram/day, which Steve Dyer hadgood information about on sci.med.nutrition. If niacin only has second-orderimprovement in symptomatic relief of my sinus allergies, then it probably isnot worth taking such a large dose long-term and risking liver damage.>survives. If it gets access to a lot of glucose, it blooms and over rides >the other organisms living with it in the sinuses, GI tract or vagina. In Though I do now believe, based on my successful therapy with Sporanox, thatI definitely had some excessive growth of fungus (unknown species) in mysinuses, I still want to ask the question: have there been any studies thatdemonstrate candida "blooms" in the sinuses with associated sinus irritation(sinusitis/rhinitis)? (My sinus irritation reduced significantly after oneweek of Sporanox and no other new treatments were implemented during thistime - I did not have any noticeable GI track problems before starting onSporanox, but some for a few days after which then went away - considerednormal).BTW, my doctor dug out one of his medical reference books (sorry, can'tremember which one), and found an obscure comment dating back into the 1950'swhich stated that people can develop contained (non-lethal or non-serious)aspergillis infestations (aspergiliosis) of the sinuses leading to sinusinflammation symptoms. I'll have to dig out that reference again since itis relevant to this discussion.>some people do really develop a bad inflammatory process at the mucus >membrane or skin bloom site. Whether this is an allergic like reaction to >the candida or not isn't certain.My doctor tested me (I believe a RAST or RAST similar test) for allergicresponse to specificially Candida albicans, and I showed a strong positive.Another question, would everybody show the same strong positive so this testis essentially useless? And, assuming it is true that Candida can growpart-way into the mucus membrane tissue, and the concentration exceeds a threshold amount, could not a person who tests as having an allergy toCandida definitely develop allergic symptoms, such as mucus membraneirritation due to the body's allergic response? As I said in an earlier post,one does not need to be a rocket scientist, or have a M.D. degree or a Ph.D. in biochemistry to see the plausibility of this hypothesis.BTW, and I'll repost this again. Dr. Ivker, in his book, "Sinus Survival",has routinely given, before anything else, Nizoral (a pre-Sporanox systemicanti-fungal, not as safe and not as good as Sporanox) to his new chronicsinusitis patients IF they have been on antibiotics four or more times inthe last two years. He claims that out of 2000 or so patients, well over90% notice some relief of sinus inflammation and other symptoms, but itdoesn't cure it by any means, implying the so-called yeast/fungus infectionis not the primary cause, but a later complication. He's also found thatnystatin, whether taken internally, or put into a sinus spray, does not help.This implies (of course assuming that excessive yeast/fungus bloom isaggravating the sinus inflammation) that the yeast/fungus has grown partwayinto the tissue since nystatin will not kill yeast/fungus other than bydirect contact - it is not absorbed into the blood stream. Again, I admit,lots of 'ifs', and 'implies', which doesn't please the hard-core NT whohas to have the double-blind study or it's a non-issue, but one has to startwith some plausible hypothesis/explanation, a strawman, if you will.>If it's internal, only symptoms can be used and these symptoms are pretty >nondescript. This brings up an interesting observation used by those who will denyand reject any and all aspects of the 'yeast hypothesis' until theappropriate studies are done. And that is if you can't observe or culturethe yeast "bloom" in the gut or sinus, then there's no way to diagnose oreven recognize the disease. And I know they realize that it is virtuallyimpossible to test for candida overbloom in any part of the body that cannotbe easily observed since candida is everywhere in the body.It's a real Catch-22.Another Catch-22: Those who totally reject the 'yeast hypothesis' say thatno studies have been done (actually studies have been done, but if it's notup to a certain standard then it is, from their perspective, a non-study whichshould not even be considered). I agree that the appropriate studies shouldbe done, and that will take big $ to do it right. However, in order toconvince the funding agencies in these austere times to open their wallets,you literally have to give them evidence, and the only acceptable evidence tocompete with other proposals is paradoxically to do almost the exact studyneeded funding. That is, you have to do 90% of the study before you even getfunding (as a scientist at a National Lab, I'm very aware of this for thesmaller funded projects). I'm afraid that even if Dr. Ivker and 100 otherdoctors got together, pooled their practice's case histories and anecdotesinto a compelling picture, and approach the funding agencies, they would getnowhere, even if they were able to publish their statistical results.It is obvious from the comments by some of the doctors here is that they have*decided* excessive yeast colonization in the gut or sinuses leading tonoticeable non-lethal symptoms does not exist, and is not even a tenablehypothesis, so any amount of case histories or compiled anecdotal evidenceto the contrary will never change their mind, and not only that, they wouldalso oppose the needed studies because in their minds it's a done issue - excessive yeast growth leading to diffuse allergic symptoms does not, willnot, and cannot exist. Period. Kind of tough to dialog with those who holdsuch a viewpoint. Kind of reminds me of Lister...
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