How many of you know how to change the oil in your car? How many could change your tire, if need be on the side of the interstate? These seem like basic questions and hopefully, the majority of the readers have said "yes, I can" to both of those questions. Now, we move on to something more complicated...
How many of you know the impact of various foods and our diet on overall health? Do you think it is a fad? Do you truly believe that diet and nutrition can improve health? How many of you know basic anatomy of your own body? How your heart and lungs work? The importance of the kidneys and liver? How about cholesterol and the truth behind it? How about the high sugar content to our foods and drinks and how it impacts health?
I don't know how many would respond positively to those questions, but to me they are important. Why? Because without this basic knowledge we become prone to being at the mercy of others with no knowledge to help assist us in decision making.
For instance, if your car was difficult to start and you took it to the repair shop, without knowledge you might end up paying for an new alternator instead of just having the battery replaced. Without knowledge of tires and tread wear, one might end up paying $500 for four new tires, instead of maybe just rotating them for another 10,000 miles of use.
The same applies to our health and to that of our pets and equine companions. I realize that most people would remark that there is not enough time in the day to learn about health and this is why they rely on others to guide them, which is a valid comment. However, the question comes as to which information you are being supplied with is truly 100% accurate?
As a veterinarian, I always made it a point to explain to my clients what was going on with their pet or their horse. It was important to me that they understood as it helped them to make a decision. I never made decisions for them, as that was not my job, but my job was to inform and give options. In some cases, the clients drank in the information, wanting more details, while in others, I could barely maintain the client's interest for more than 30 seconds. In the end, it was up to them to either choose to understand or choose not to understand, but their level of knowledge would dictate the end result no matter what they thought.
Knowledge is a powerful thing and should not be contained within one individual or group of people, it should be shared and explored. This is true for everything, but most importantly, it is true of medicine and surgery. What I observe is that people either just don't care to know about their own health or that of their pets or horses, OR they are just not given the information that they need to become informed. Even if they are not, I think it is important that they still explore and discover information on their own to come to better conclusions and decisions. Point being...don't just rely on information provided to you, check it out, investigate and discover the validity to the claims.
When I practiced actively, we would have elderly clients come into the office with their pets, not so much due to a health problem with the animal, but they would often pull out a sheet of paper with a list of their own personal medications, asking for our help in letting them know what all those pills were for. They had no idea and often, they just took the pills because their doctor told them to. In some cases, they were on the right medications. In others, there were blatant or obvious interactions between medications going on, which is unfortunate and goes unnoticed for various reasons. Often this is because there are several doctors involved and confliction of health goals. In the end, the patient suffers because of a lack of knowledge.
My goal is to help others and to educate. There is much to be said and much to explore. In many cases, there is not a 'fix' or 'cure' for most situations or conditions, but I do believe that with knowledge, many conditions can be better controlled or managed. The end goal with medicine and surgery, no matter the species, is to improve quality of life for what ever period of time that may be. What I see is that even with the current therapy options for most patients, quality of life is actually lowered, more so than improved.
I think this can be changed, but in order to do this, we have to step outside of the box and begin to open our minds in order to learn and understand. If one is willing to do this, then the possibilities are endless!
All my best,
Tom Schell, D.V.M.
Wednesday, June 18, 2014
Monday, January 27, 2014
Handi-Capp Equine Rehabilitation: The Impact of Nutrition
I have practiced veterinary medicine focusing on horses for the past 19 years, but for the past 8, I have seen things differently in respects to preventing, controlling and managing many health conditions in our patients. I have seen the impact of proper nutrition on performance, overall health and recovery. This wasn't always apparent to me and to be honest, I admit that I was blind sided for much of my career falling prey to marketing from nutritional feed companies and pressure from my peers to use pharmaceuticals. The truth always comes out and we have seen this in the countless horses we have helped to recover over the past decade. As a side hobby, we have taken in horses either via rescue or donation, often with injuries that have left their owners financially strapped, but have helped them turn the corner using our formulas along with nutrition. Seeing these results, we wanted to do more.
In 2014, we have officially started our Handi-Capp Equine Rehabilitation & Relocation program, in which we take on horses that have sustained what were originally perceived as career ending injuries. Many of these horses come to us fresh off of the track with tendon problems, joint degeneration and even fractures as a result of the increased stress they have sustained. Our hope is to change their level of nutrition and use targeted herbal therapy to combat many cellular pathways that are involved. Our program is quite simple, steering clear of processed equine feeds and focusing on whole grains and high quality hay, in addition to herbal formulas to manage inflammation and provide natural sources of vital nutrients. We are not a rescue but offer help to those horses that are in need or to assist other equine rescues with the recovery of their residents with hopes of finding them new homes. There are so many injured horses out there that deserve a fighting chance, but are often overlooked. The way I see it is that we all have injuries, the question is whether or not they hold us back. Most horses will not pass a pre-purchase examination, but visibly are doing well under saddle, actually better than before, but are pushed to the side as lacking potential. If we think about it, one prime example of potential is Peyton Manning, whom was sidelined from the Colts for recurrent injuries. He'd never pass a pre-purchase exam, but yet, the Broncos gave him a chance. Does he have injuries or damage? Yes, but look at the potential that he clearly demonstrates. The same can be said for these horses.
It is incredible to me, as a veterinarian, to see the daily changes in these horses. In the past, I have only had the luxury of seeing them maybe at monthly intervals for re-checks, but now I see them daily. In some cases, the changes can be almost overnight. Tendon problems seem more manageable and chronic pain more controlled. In many instances, these horses are often back under saddle within 1-2 weeks and on their way to a new career, when in the past they were pasture retired due to injury. It is neat to see for sure, but it goes to show that we have much to learn in terms of disease prevention and condition management not only for horses, but us as well.
Hopefully, in the end, we can help some horses recover and bring some new management techniques to the world of prevention so that just maybe we can keep these conditions from occurring in the first place. There are many options and possibilities out there, we just have to acknowledge and implement them.
Tom Schell, D.V.M.
In 2014, we have officially started our Handi-Capp Equine Rehabilitation & Relocation program, in which we take on horses that have sustained what were originally perceived as career ending injuries. Many of these horses come to us fresh off of the track with tendon problems, joint degeneration and even fractures as a result of the increased stress they have sustained. Our hope is to change their level of nutrition and use targeted herbal therapy to combat many cellular pathways that are involved. Our program is quite simple, steering clear of processed equine feeds and focusing on whole grains and high quality hay, in addition to herbal formulas to manage inflammation and provide natural sources of vital nutrients. We are not a rescue but offer help to those horses that are in need or to assist other equine rescues with the recovery of their residents with hopes of finding them new homes. There are so many injured horses out there that deserve a fighting chance, but are often overlooked. The way I see it is that we all have injuries, the question is whether or not they hold us back. Most horses will not pass a pre-purchase examination, but visibly are doing well under saddle, actually better than before, but are pushed to the side as lacking potential. If we think about it, one prime example of potential is Peyton Manning, whom was sidelined from the Colts for recurrent injuries. He'd never pass a pre-purchase exam, but yet, the Broncos gave him a chance. Does he have injuries or damage? Yes, but look at the potential that he clearly demonstrates. The same can be said for these horses.
It is incredible to me, as a veterinarian, to see the daily changes in these horses. In the past, I have only had the luxury of seeing them maybe at monthly intervals for re-checks, but now I see them daily. In some cases, the changes can be almost overnight. Tendon problems seem more manageable and chronic pain more controlled. In many instances, these horses are often back under saddle within 1-2 weeks and on their way to a new career, when in the past they were pasture retired due to injury. It is neat to see for sure, but it goes to show that we have much to learn in terms of disease prevention and condition management not only for horses, but us as well.
Hopefully, in the end, we can help some horses recover and bring some new management techniques to the world of prevention so that just maybe we can keep these conditions from occurring in the first place. There are many options and possibilities out there, we just have to acknowledge and implement them.
Tom Schell, D.V.M.
Monday, January 20, 2014
Curcumin and Cancer
For years, I have researched and utilized Curcumin for my veterinary patients, taking advantage of the herb's tremendous ability to reduce inflammation and likewise pain. Truth be told, I became interested originally in Curcumin to aid in my own personal recovery from cancer, targeting the inflammation in my condition. I wasn't always into so called 'alternative therapies' but had practiced traditional veterinary medicine for over 15 years as a western minded individual. Funny, though, that when faced with your own mortality or illness who one's mindset can change.
I saw some major positive changes in myself and my recovery, enough to make me pursue the use of Curcumin in our patients, specifically horses. My original mindset was that if inflammation was the main target of this herb, why not use it in cases of joint damage or injury in my patients. In the end, we did some small research trials which proved valuable and demonstrated tremendous benefit for the patient, helping to reduce pain, slow progression in some cases and reduce the need for some prescription medications. It was all very interesting as now we had a new option for our patients. However, as time went by, we began to realize that the potential for this herb had yet to be discovered. In many of our equine patients, we began to notice a decrease or reduction in various skin tumors that were present in some of these animals. What was the connection?
That connection is the inflammatory process, which has been demonstrated in human research to be strongly connected not only with cancer development but disease progression as well. Curcumin has been studied for decades noting tremendous potential in cancer management either as a sole therapy itself or in combination with current chemotherapy and radiation protocols. Despite many oncologists refuting the use of herbs and antioxidants during treatment regimens, current research clearly demonstrates the ability of Curcumin to actually sensitize neoplastic or cancerous cells to chemotherapy or radiation. What that means is that Curcumin actually improves the effects of these therapies, enhancing the outcomes, minimizing damage to normal tissue and potentially allowing the use of lowered or less toxic doses of those medications. In some studies, it was suggested that concurrent use of Curcumin in cancer patients could actually extend life and the quality of it for some patients.
One article that I recently became aware of demonstrated the ability of Curcumin to actually work well in conjunction with a chemotherapy agent called 5-FU in cases of resistant colon cancer. The combined use actually improved the cancerous cell death rate or apoptosis, even in highly chemo resistant cell lines, demonstrating the ability to even impact cancer stem cell lines which are often to blame for cancer recurrence. (Shakibaei, 2014)
The reality here is that there is much potential for Curcumin. In my equine world, I often run into the situation where horse owners question the ability of the herb to produce results, thinking that it is a gimmick on some level, despite our research and the research that has been done to date in the human field. When we really begin to look at the logic here, we realize that most herbs such as Curcumin are actually foods, which have medicinal like activity. In fact, most pharmaceutical medications are produced as a direct result of mimicking plant activity on cell lines. If we realize this, we begin to see the impact of diet and nutrition on overall health. We begin to understand that foods not only provide our bodies with various nutrients, vitamins and minerals, but that they can directly impact various processes in the body. Curcumin is just one of many in this category, but appears to be one of the most heavily researched.
So, the question comes as to why Curcumin is not more readily used and recommended, especially in the cancer world? I don't have the answer for this and often, it really frustrates me as I see and read the research that is available. I see the potential to help people and animals, but yet, the research is just tossed aside as if they are hoping for something better. It is my understanding that they (the pharmaceutical industry) have attempted to synthetically copy and enhance Curcumin's activity, but have failed to produce the same level of results that the simple herb yields. There has always been a question regarding Curcumin's absorption and bioavailability, which deters some individuals, but in my eyes with over 7 years worth of clinical experience, this is not a problem. In our equine patients, we have demonstrated very low blood levels of Curcumin, even just 2 hours post ingestion, but somehow, we still have clinical benefits with reduction of inflammatory proteins in the arthritic joints. So, what is going on? I don't know but I have my opinions.
Despite all of this, I am strongly in favor of bringing this knowledge to the public and to those individuals seeking treatment options. We should know about this information as it benefits all of us on one level or another. There are no side effects in any published studies, nor have we encountered any in our patient use. There appears to only be benefits.
We, as the medical and veterinary community, are quick to accept pharmaceuticals that have only been through quick research phases or limited testing as we tend to trust the sources too much. It seems that many of these trusted medications only end up biting us in the rear end a few years down the road due to side effects in our patients. So, if we can accept this information, often blindly, and use it in our patients, then why do we have such as hard time accepting more natural therapies that demonstrate marked potential but no side effects?
Everyone is going to have a reason for this ranging from proven efficacy to lack of substantiated research or concerns over possible side effects. There is always going to be a reason, but the fact is that last time I checked, we became medical professionals to serve the welfare of our patients, which to me includes all options with informed consent. Nutrition and diet includes herbs as they are foods. We shouldn't fear them, but begin to understand the impact that the correct nutritional plane can have on the body in its ability to recover. After all, the body is a machine and requires nutrients to keep it functioning. It just seems to be blind ignorance, in my opinion, to ignore this fact.
Just my opinion.
Tom Schell, D.V.M.
I saw some major positive changes in myself and my recovery, enough to make me pursue the use of Curcumin in our patients, specifically horses. My original mindset was that if inflammation was the main target of this herb, why not use it in cases of joint damage or injury in my patients. In the end, we did some small research trials which proved valuable and demonstrated tremendous benefit for the patient, helping to reduce pain, slow progression in some cases and reduce the need for some prescription medications. It was all very interesting as now we had a new option for our patients. However, as time went by, we began to realize that the potential for this herb had yet to be discovered. In many of our equine patients, we began to notice a decrease or reduction in various skin tumors that were present in some of these animals. What was the connection?
That connection is the inflammatory process, which has been demonstrated in human research to be strongly connected not only with cancer development but disease progression as well. Curcumin has been studied for decades noting tremendous potential in cancer management either as a sole therapy itself or in combination with current chemotherapy and radiation protocols. Despite many oncologists refuting the use of herbs and antioxidants during treatment regimens, current research clearly demonstrates the ability of Curcumin to actually sensitize neoplastic or cancerous cells to chemotherapy or radiation. What that means is that Curcumin actually improves the effects of these therapies, enhancing the outcomes, minimizing damage to normal tissue and potentially allowing the use of lowered or less toxic doses of those medications. In some studies, it was suggested that concurrent use of Curcumin in cancer patients could actually extend life and the quality of it for some patients.
One article that I recently became aware of demonstrated the ability of Curcumin to actually work well in conjunction with a chemotherapy agent called 5-FU in cases of resistant colon cancer. The combined use actually improved the cancerous cell death rate or apoptosis, even in highly chemo resistant cell lines, demonstrating the ability to even impact cancer stem cell lines which are often to blame for cancer recurrence. (Shakibaei, 2014)
The reality here is that there is much potential for Curcumin. In my equine world, I often run into the situation where horse owners question the ability of the herb to produce results, thinking that it is a gimmick on some level, despite our research and the research that has been done to date in the human field. When we really begin to look at the logic here, we realize that most herbs such as Curcumin are actually foods, which have medicinal like activity. In fact, most pharmaceutical medications are produced as a direct result of mimicking plant activity on cell lines. If we realize this, we begin to see the impact of diet and nutrition on overall health. We begin to understand that foods not only provide our bodies with various nutrients, vitamins and minerals, but that they can directly impact various processes in the body. Curcumin is just one of many in this category, but appears to be one of the most heavily researched.
So, the question comes as to why Curcumin is not more readily used and recommended, especially in the cancer world? I don't have the answer for this and often, it really frustrates me as I see and read the research that is available. I see the potential to help people and animals, but yet, the research is just tossed aside as if they are hoping for something better. It is my understanding that they (the pharmaceutical industry) have attempted to synthetically copy and enhance Curcumin's activity, but have failed to produce the same level of results that the simple herb yields. There has always been a question regarding Curcumin's absorption and bioavailability, which deters some individuals, but in my eyes with over 7 years worth of clinical experience, this is not a problem. In our equine patients, we have demonstrated very low blood levels of Curcumin, even just 2 hours post ingestion, but somehow, we still have clinical benefits with reduction of inflammatory proteins in the arthritic joints. So, what is going on? I don't know but I have my opinions.
Despite all of this, I am strongly in favor of bringing this knowledge to the public and to those individuals seeking treatment options. We should know about this information as it benefits all of us on one level or another. There are no side effects in any published studies, nor have we encountered any in our patient use. There appears to only be benefits.
We, as the medical and veterinary community, are quick to accept pharmaceuticals that have only been through quick research phases or limited testing as we tend to trust the sources too much. It seems that many of these trusted medications only end up biting us in the rear end a few years down the road due to side effects in our patients. So, if we can accept this information, often blindly, and use it in our patients, then why do we have such as hard time accepting more natural therapies that demonstrate marked potential but no side effects?
Everyone is going to have a reason for this ranging from proven efficacy to lack of substantiated research or concerns over possible side effects. There is always going to be a reason, but the fact is that last time I checked, we became medical professionals to serve the welfare of our patients, which to me includes all options with informed consent. Nutrition and diet includes herbs as they are foods. We shouldn't fear them, but begin to understand the impact that the correct nutritional plane can have on the body in its ability to recover. After all, the body is a machine and requires nutrients to keep it functioning. It just seems to be blind ignorance, in my opinion, to ignore this fact.
Just my opinion.
Tom Schell, D.V.M.
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