Sunday, March 31, 2024

Nutrition: The Role of A Diet Rich Fruit and Vegetable in Osteoporosis


The Role of Fruits and Vegetables in the Management of Osteoporosis:


Osteoporosis is defined as a generalized skeletal disorder characterized by compromised skeletal bone strength, which predisposes individuals to an increased risk of fracture. Osteoporosis is a significant cause of pain, disability, and death throughout the world. Integrative medicine makes use of a range of strategies to reduce the risk of osteoporosis, including an anti-inflammatory diet, supplements, stress reduction, and lifelong exercise lifestyle.


Osteoporosis is a multifactorial disease arising from genetic, hormonal, metabolic, mechanical, and immunological factors. Bones provide the support structure for our bodies, protect the vital organs, and play a central role in mineral and acid-base balance. The two main types of bone cells are osteoblasts (which synthesize the organic bone matrix and mediate calcification) and osteoclasts (which resorb bone to allow for metabolic requirements and for repair and remodelling). 

Bone mass reaches its peak by around 30 years of age, but repair and renewal of the bone continue throughout adult life, with approximately 15 % of the bone mass turning over each year. Bone is dynamic and constantly responding to a range of hormonal, metabolic, neurological, and mechanical signals. Bone loss usually begins in the fourth decade in both men and women. Women typically lose 0.5 % to 0.9 % of the bone density per year during the perimenopause, 1 % to 3 % during menopause years, and 1 % per year into old age. On the average, women lose 35 % of the cortical bone and 50 % of their trabecular bone over their lifetimes. Men are half as likely as women to experience a fracture as they reach higher peak bone mass, have a larger cortical thickness, and have better preservation of bone microstructure. 

 

The Role of Inflammation:

 

Chronic inflammation is implicated in the process of aging. 1, 2 and posited to play a role in the development of a wide range of diseases, including cardiovascular diseases, Alzheimer's disease, diabetes and cancer. 3, 4 Growing evidence indicates that osteoporosis is also, in part, a result of chronic low-grade inflammation 5, 6 Proinflammatory cytokines, such as interleukin -6 (IL-6), interleukin-1 (IL-1), and tumour necrosis factor-alpha (TNF-alpha), promotes accelerated bone loss by the activation of osteoclasts, and enhanced breakdown of the extracellular matrix. 7 Furthermore, suppression of proinflammatory cytokines appears to support the growth of new bone. For instance, TNF-alpha inhibitors, such as etanercept, have been found to improve BMD (bone mineral density) in patients with spondyloarthropathy. 8 It is widely recognized that patients with systemic inflammatory conditions, such as rheumatoid arthritis, inflammatory bowel disease, multiple sclerosis, and SLE (systemic lupus erythematosus), are at increased risk of bone loss. 9

 

The Role of Nutrition:

 

Fruits and vegetables are a rich source of anti-inflammatory and antioxidant compounds, and diets rich in fruits and vegetables are associated with both increased peak bone mass and improved bone health in older populations. 10-13 The bone-building effects of fruits and vegetables may result from several factors including: anti-inflammatory and antioxidant phytonutrients; alkalinizing effects; the provision of nutrient such as potassium, vitamin K, and vitamin C; and the presence of other unknown compounds and synergistic effects. Thus, an anti-inflammatory diet that includes abundant fruits and vegetables, whole grains, legumes, and healthy fats is recommended as the foundation of an integrated bone health plan.

 

Acid-Base Issue:

 

The skeleton plays a key role in acid-base homeostasis. 14 In bone, minute reductions in the local pH can stimulate osteoclast activity while also impairing the activity of osteoblast. 15 A diet high in animal protein and low in fruits and vegetables tends to produce a chronic low-grade metabolic acidosis that may be harmful to the skeleton. 16-20 Fruits and vegetable generate bicarbonate that can buffer the acidifying effects of animal protein, alkalinize the urine, and significantly lower urinary calcium excretion. 21 In a study by Buclin et al., acid-forming diets increased calcium excretion by 74 % as compared to base-forming diets. 22 Balanced diets with adequate protein along with abundant fruits and vegetables are therefore recommended. 23, 24 

In addition to effects on acid-base balance, the benefits of plant foods also appear to be related to pharmacologically active components, including specific monoterpenes, 25 flavonoids, and phenol 26 that may be responsible for the observed beneficial effects on bone. 

Muhlbauer described 25 plant foods as " bone resorption inhibitory items" (BRIFT). These include garlic, rosemary, Italian parsley, sage, thyme, parsley, dill, onion, arugula, prune, fennel, orange, leek, yellow boletus, wild garlic, field agaric, red cabbage, celeriac, red wine, and lettuce. 

 

Microbiome and Bone Health:

 

There is emerging evidence that the human microbiome plays a significant role in many dimensions of health, including brain function, immune response, levels of inflammation, body weight, and cancer risk. 27 - 28 The gut microbiome has also been shown to influence bone health. In animal studies, prebiotic feeding aimed at enhancing production of short chain fatty acids by intestinal bacteria resulted in increased fractional calcium absorption and increased bone density and strength. 29

A study by Ohlsson et al. found that treatment with probiotics can diminish bone loss related to sex-steroid deficiency in mice. 30 Several human trials in adolescent girls and boys have found that prebiotic supplementation can increase the numbers of bifidobacteria, enhance calcium absorption, and increase bone mineralization 31, 32

 In general, a healthy, diverse microbiome can be supported by including cultured and fermented foods in the diet, eating a diet rich in "microbiota-accessible carbohydrates" (MACs) 33 and avoiding unnecessary antibiotics. Ongoing research may clarify how the health of the microbiome can be supported and enhanced in order to sustain bone health. 

 

Vegetarian and Vegan Diets:

 

Plant-based diets area associated with a lower risk of chronic disease and reduced overall mortality. 34 In 2009, the American Dietetic Association issued a position statement stating: "...appropriately planned vegetarian diets, including total vegetarian or vegan diets are healthful, nutritionally adequate, and may provide health benefits in the prevention and treatment of certain diseases". 35   In practice, vegetarians and vegans are more likely to have low intakes of vitamin D 36, calcium, vitamin B12, and omega-3 fatty acids. In tropical countries like Malaysia where sunlight is plenty, vitamin D deficiency is less likely even though in my experience I have seen quite a number of cases of rickets both in poor communities in rural areas of the country, and also in the paediatric wards at the Kuala Lumpur Hospital 

Vegetarian and vegan source of zinc are also less bioavailable although this can be supplemented by 15 mg of elemental zinc daily. On the other hand, healthy vegetarian or vegan diets contain plentiful amounts of magnesium, potassium, vitamin K, and antioxidant and anti-inflammatory phytonutrients. A number of studies have shown that vegetarian, especially vegan, diets may increase the risk of osteoporosis and bone fractures. 37 In a meta-analysis by Ho-Pham et al. BMD was, on average, 4 % lower in vegetarians (all types) and 6 % lower in vegans. 38 The EPIC-Oxford study examined fracture risk in more than 34,000 meat eaters, fish eaters, vegetarians, and vegans, and reported fracture risk was highest in vegans. However, when only subjects with adequate calcium intake were included, no statistical difference was shown in fracture risk among any of the groups.  39   A longitudinal study of Asian vegans and omnivores reported a higher rate of bone loss in the omnivore group, with fracture risk found to be the same in both groups. Lower body weight, higher intake of animal protein and fats, and corticosteroid use were all associated with a greater rate of bone loss. 40

 If vegans and vegetarians follow the principles of an anti-inflammatory diet and ensure adequate intake of calcium and vitamin D, they should be able the benefits of a plant-based diet without increasing their risk of osteoporosis and bone fractures. 

 There are also other benefits using nutrition and nutrition supplements using calcium, vitamin D, essential fatty acids, protein, vitamin K, magnesium, trace minerals, vitamin C, soybeans, botanical medicines, tea (Camellia sinensis), exercise, and harmless substances such as sodium, caffein, smoking, alcohol, pharmaceuticals, steroids, bisphosphonates, selective oestrogen receptor modulators, calcitonin, teriparatide, denosumab, and even vitamin A. But to discuss all of them even as brief as possible would run into an estimated 30 - 40 more pages which would tire me out, and I would not want that for the sake of my health.

Even all the citations and references from research papers mentioned here, I must leave them out from typing as this is only meant to be a short article meant for doctors and interested readers.

Perhaps it would be far more useful for me to write an article on cancer on how to manage them using integrated approaches rather than using a standalone treatment such as chemotherapy, radiation, surgery, immunotherapy, etc, etc.., as used in conventional allopathic medicine that does not work at all with high incidences of relapses. Even that is an immensely huge subject to write on as there are so many types of cancers requiring different integrated approaches. But I shall try.

Maybe I shall start off with lung cancer first, then on colorectal cancer, then on liver diseases for my next few articles since lung cancer is the third most common cancer after breast, colorectal cancers in Malaysia, with lung cancer on the rise in recent years even among women who hardly smoke. I shall try but give me time to rest first if we continue on this subject on osteoporosis.  


Friday, March 29, 2024

Conventional Allopathic Medicine vs Naturopathic Medicine: Which Would Be the Medical System of Choice?


On Monday, March 18, 2024, I wrote an article entitled:

“Which Area in Health Care is Most Important: Nutrition or Medicine” here in this link:

https://scientificlogic.blogspot.com/2024/03/which-area-in-health-care-is-most.html

Today, we shall have a brief comparison between conventional allopathic medicine and naturopathic medicine. Which would be the better system of medicine?

  Let’s have a very brief run through.  

I think both systems have their strengths and weaknesses. Conventional allopathic medicine that depends heavily on drug-based treatment and surgeries fare very poorly for chronic disorders such as diabetes, cardiovascular, metabolic, renal, stroke, etc. But there are very good in managing acute diseases such as heavy infections where the use of a wide range of antibiotics, antiviral drugs are very lifesaving or in emergency medicine where powerful, short-acting drugs and other immediate interventions such as the establishment of hemodynamic, airways, circulations including surgery in trauma cases are very crucial. But conventional drug-based fare extremely badly for disorders due to lifestyles such as overeating and excessive nutrition, overweight and obesity, smoking, stress-related disorders such as unnecessary anger, chronic exposure to a harmless environment, occupational diseases that finally lead to chronic disorders. No chemical-based drug can cure all these lifestyle diseases, and hospitals are crowded with all these patients for follow-up for the same medication that never cured them but just to control the disease. They will be given the same drugs over and over again with each follow till the maximum dosage is reached, before augmenting them with similar agents, or given an alternative drug to achieve better therapeutic outcome. This leads to other linked diseases for which other drugs would be needed till more and more drugs are added till the patient finally dies of chronic drug poisoning, of the multiple-link diseases itself because the root causes were never treated except the patients relies just on medication. I think for these chronic disorders natural or naturopathic medicine where the root causes of t diseases are addressed through lifestyle and dietary modification is the medicine of choice definitely because the body is programmed to heal itself when insulted or injured.

Conventional allopathic medicine, also known simply as allopathic medicine or Western medicine, is the mainstream medical system practiced by medical doctors (MDs) and Doctor of Osteopathic Medicine (DOs). It relies heavily on evidence-based practices, pharmaceutical interventions, surgeries, and other conventional medical treatments to diagnose, treat, and manage diseases and health conditions. Allopathic medicine is grounded in scientific research, clinical trials, and the principles of biomedical science.

Naturopathic medicine, on the other hand, is a holistic approach to healthcare that emphasizes the body's inherent ability to heal itself through natural therapies and preventive care. Naturopathic doctors (NDs) integrate traditional healing practices with modern medical science, focusing on treating the root cause of illness rather than just managing symptoms. Naturopathic treatments may include dietary and lifestyle changes, herbal medicine, acupuncture, homeopathy, physical medicine, and other natural therapies.

As for which system of medicine is "better," it largely depends on the individual's perspective, health needs, and preferences. Allopathic medicine is often preferred for acute and emergency care, as well as for conditions that require advanced medical interventions such as surgeries and pharmaceutical drugs. Naturopathic medicine is favoured by those seeking a more holistic and natural approach to health and wellness, emphasizing prevention and lifestyle modifications.

In terms of recognition and licensure, allopathic medicine is widely recognized and regulated in most countries, and medical doctors must obtain a license to practice. Naturopathic medicine is also gaining recognition in many regions, and in some places, naturopathic doctors are required to be licensed to practice. However, the licensure requirements for naturopathic doctors vary significantly depending on the jurisdiction.

The subjects taught in allopathic medical schools typically include anatomy, physiology, pathology, pharmacology, biochemistry, microbiology, clinical medicine, and various specialties such as surgery, paediatrics, obstetrics/gynaecology, etc. The length of study in allopathic medical schools varies by country but typically ranges from four to six years.

Naturopathic medical education too covers all the same foundational medical sciences as allopathic medicine but also includes coursework in holistic modalities such as nutrition, botanical medicine, homeopathy, acupuncture, counselling, and lifestyle counselling. Naturopathic medical programs usually require four to five years of study, similar to allopathic medical schools. Both are at par with each other except in conventional allopathic medicine uses drug-based pharmaceuticals, whereas in naturopathic medicine more natural therapeutic modalities are utilized similar to the ancient Greek physician Hippocrates used.

Some reputable universities or colleges where naturopathic medicine is taught include:

  1. Bastyr University (Seattle, Washington, USA)
  2. National University of Natural Medicine (Portland, Oregon, USA)
  3. Canadian College of Naturopathic Medicine (Toronto, Ontario, Canada)
  4. Southwest College of Naturopathic Medicine & Health Sciences (Tempe, Arizona, USA)
  5. Boucher Institute of Naturopathic Medicine (New Westminster, British Columbia, Canada)

These institutions offer accredited naturopathic medical programs that prepare students for licensure and practice as naturopathic doctors.

There are many other universities and colleges in other parts of the world such as those in Europe, UK, Germany, Australia, etc that offers structured 4 – 5 years courses in naturopathic medicine

Naturopathy practice is based on the recognition that the body possesses an inherent ability to heal itself. Cuts or wounds that heal, fractured bonds mend, invasive microorganisms are overcome, and so, naturopathic doctors believe, the healthily functioning body is capable of maintaining a harmonious existence with its environment. This state of equilibrium is subject to certain natural laws, the deviation from which result in disease, and the methods used by naturopathic doctors to overcome disease are those designed to restore and promote the body’s own functional ability. Yet, in spite of a practical approach which has made it one of the principal ‘alternative’ systems of medical care, naturopathic medicine has a great deal in common with conventional allopathic medicine and it would be misleading to suggest that they are mutually antagonistic simply because their views of health and disease do not coincide precisely.

Many naturopathic recommendations of the past have received scientific verification, or at least have become more acceptable in recent years. The use of fasting and other forms of dietary control, the inclusion of fibre, the avoidance of refined carbohydrates, the teaching of relaxation and meditation techniques, are all part of traditional naturopathic practice which has more recently attracted greater interest among the medical profession.

Naturopathic medicine, according to the manifesto of the British Naturopathic and Osteopathic Association, is ‘a system of treatment which recognizes the existence of a vital curative force within the body.’ This means not simply the action of, for example, prothrombin and blood platelets in healing a wound, or of the leukocytes in fighting infection, but a less tangible quality unique to each individual and to some extent depending on hereditary factors, constitution, and acquired characteristics. It is often referred to as the ‘vital force’ although biologists have not yet succeeded in defining it.

The concept of vitalism underlies all natural therapies and implies that the ability to withstand disease is directly proportional to the capacity for function of the organism. The healthy body will have greater resistance to disease, or at least the ability to restore itself to normality if it does become unwell. But the manifestation of disease is also regarded as an indication of the body ‘s vital response and not simply the inevitable outcome of infection by pathogenic bacteria or viruses. Furthermore, the ability to undergo an acute illness is a characteristic of the healthy individual - one in whom the vital defensive mechanisms can operate effectively. Measles, mumps, chickenpox, and other common childhood fevers are generally regarded as normal necessities to the development of immunity for adult life. Naturopathic doctors also regard cold, influenza, or occasional diarrhoea, as serving a normalizing process - the response of a fundamentally healthy body, if they do not occur with undue frequency.

Health is, therefore, more than the absence of disease. It is not, as our modern culture has come to suppose, synonymous with hygiene; on the contrary, sterility and the negation of life and health implies the more positive attributes of a biological dynamism. The World Health Organization (WHO), in drafting its constitution, sought a definition which would convey the need of every person to enjoy the ability to take advantage of their potential for vigour and happiness. Health, according to WHO 'is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.' its declared goal of 'health for all by the year 2000 is, perhaps, unrealistic in terms of that definition. We are already at the time of this writing in April 2024 and health for all is far from real even before or after the Covid-19 pandemic. We can hardly expect to eradicate all disease and infirmity. In fact, their incidence is increasing due to our lifestyles and aging population. 

Naturopathy is based on the recognition that the body possesses not only a natural ability to resist disease but inherent mechanisms of recovery and self-regulation. the Canadian physiologist, W.B. Cannon coined the term 'homeostasis’ (Gr. Omoios, like and stasis, standing) to describe the state of equilibrium which living systems maintain when in normal health, and explained some of the mechanisms by which the body responds to agents which threaten its normally steady state. 

In practice naturopathic doctors employ various physical and biological stimuli to activate and potentiate homoeostatic mechanisms. they will generally use those modalities which are compatible with the vital curative activities of the body. This means using only agents upon which life depends, and more or less as they are found in nature, such as fresh air, water, sunlight, relaxation, exercise, and dietetic modification. Many naturopathic doctors use other techniques, such as herbalism, and acupuncture, but these may properly be regarded as supplementary. 

Most of the basic applications act in a very general way on the whole body and this is an important distinction from the therapeutic techniques of conventional medicine. Modern medicine uses a specific and analytical approach to disease. the elements of an illness, such as fever, pain, its location, the blood changes, are categorized to arrive at a specific diagnosis for which there will often be a specific treatment normally with drugs. The disorder will usually be localized to one system or part of the body. It endeavours to reduce the components of disturbed physiology to a definable and quantitative level called the reductionist approach. The biochemical changes in the membranes of an arthritic joint for example, are closely studied, and treatment may be based on some chemical or mechanical intervention to modify the inflammatory process. In other words, a disease, or its symptoms, is confronted by therapeutic action. 

Naturopathic medicine attaches importance to the examination of systems and relies, to some extent, on the same understanding of the disease, but its therapeutic action is not confined to the part or function which is disturbed. A broader spectrum of the bodily is treated in almost every case. the objective of the treatment is to bring the diseased part of the body into harmony with the whole. This is attempted by promoting the body's own defensive processes and employing measures which are catalytic or constructive. This dichotomy between the reductionist (analytic) approach of medicine and the more general, often intuitive, approach of natural therapy may seem a major obstacle to an integrated health care system. Taken to their extremes both conventional medicine and natural therapy have potential disadvantages, if not dangers, to the patient who is dependent on their care. The analytical approach of conventional allopathic medicine may become so preoccupied with the intricacies of disease ads to lose a view of the whole person.

The disadvantages of this are seen in the growth of specialization within medicine so that the dermatologist (example) may be inclined to disregard the underlying nutritional and emotional factors of the skin condition with which he is faced. On the other hand, the general approach of some natural therapists may become so bound in philosophical dogma as to risk losing their comprehension of reality. Fortunately, in the UK there are moves on both sides towards the middle road. For instance, the Royal College of General Practitioners are actively encouraging the revival of the "whole person" holistic approach in medicine., and modern naturopathic medicine has already a more firmly physiological orientation in managing disease conditions. Naturopathic medicine endeavours to integrate the analytical and qualitative approach towards an understanding of health and disease.

Vis Medicatrix Naturae is the belief in the healing power of nature, and is the core belief of naturopathic medicine, and indeed, all natural therapies unlike conventional allopathic medicine that depends heavily on chemical drugs and pharmaceuticals that conventional medical doctors believe can "cure and heal”. 

Dr Hans Selye of Montreal who postulated that the body responds to stress by a three-phase sequence which he termed the General Adaptation Syndrome:

1. Alarm Stage: Pain inflammation 

2.   Stage of Resistance: symptom free3

3.   Stage of Exhaustion: collapse and degeneration

We shall not go into all these any further else this short article comparing allopathic drug-based with naturopathic, or body's own natural medicine would run into hundreds of pages. 

But what is needed to know is all diseases go into the 3 stages where in the first stage symptoms normally are presented as warning bells by the body itself that something injurious is attacking the body. If that is not removed, the body will try to adapt and tolerate the pathogenic agent whatever it is. If it persists, the body goes into exhaustion trying to accommodate and then goes into the chronic stage of the disease which is irreversible and incurable.

For instance, if a person who does not smoke is given a cigarette to smoke for the first time. He will instantly cough as the lungs are trying to get rid of the smoke. But if he persists, he loses that cough reflex (State 2) and he loses those symptoms of coughing. If he continues with cigarette smoking, he enters into the chronic stage of the disease with COPD (chronic obstructive pulmonary disease) and lung cancer. Conventional allopathic medicine seldom addresses the root causes but prescribes chemical drugs to suppress the symptoms till the patient goes into the chronic 3rd stage of the disease. 

In contrast a naturopathic doctor will go into the root causes of the disease and try to remove the root causes so that the disease can reverse from Stage 2 to Stage 1 and if possible, reverse it from the chronic Stage 3 to normalcy and health once again. There are hundreds of examples I would like to explain and share, including sharing them with doctors in conventional drug-based medicine, but it is far beyond the scope of this very brief article to go into them. 

Even for diabetes mellitus of both types – Type 1 and Type2 there are specific foods that have shown to produce positive results on blood sugar control. These foods include olives, soybeans, and other legumes, nuts, artichoke, bitter gourd, garlic, Jerusalem artichokes, onions and mangoes. These foods all have a low glycemic index and glycemic load and are high in fiber. High chromium brewer’s yeast is also useful as it contains chromium in the organic form of glucose tolerance factor (GTF) and together with niacin (nicotinamide, is a form of vitamin B3) which is richly found in yeast has been shown to cure diabetes permanently. There are at least over one dozen herbs and botanical medicines that have the same permanent effect on diabetic patients. Due to space and time-consuming to explain, I shall give just one example – ivy gourd scientifically-called Coccina cordifolia. This is a perennial herb of the cucumber family. This herb is used in Ayurvedic medicine by the Indians to treat diabetes with additional choleretic, laxative, anti-inflammatory, and demulcent properties. The leaves appear to have insulin-mimetic effects on lipoprotein lipase, glucose-6-phosphatase, and other glycolytic enzymes. A double-blind, placebo controlled RCT (randomised clinical trial) of 60 diabetics aged 35-60 years was studied with a treatment arm consisting of 1 g ivy gourd extract for 90 days. The result demonstrated a statistically significant decrease in fasting, postprandial blood glucose, and HbA1c levels compared to placebo. Likewise, the same result was shown in bitter gourd where patients were permanently cured of diabetes. All these are nutritional and herbal medicines.

Unfortunately, medical doctors' mind-set are influenced by the very powerful pharmaceutical companies only to use their drug-based products. Other therapeutic modalities are never taught to medical students during their training.  Their mind-set has been firmly glued and imprisoned by Big Pharma companies who taught them to use anti-diabetic drugs like sulfonylureas (glipizide, glyburide, gliclazide, glimepiride), meglitinides (repaglinide and nateglinide), biguanides (metformin), thiazolidinediones (rosiglitazone, pioglitazone), and α-Glucosidase inhibitors (acarbose, miglitol, voglibose), the most popular one used in Malaysia is Metformin, a biguanide ‘to control’ the diabetes but not to cure it so that the profit between the allopathic doctor and the pharmaceutical companies continued to be reaped till the patient dies of complications, such as cardiovascular, renal, stroke, amputation of the legs due to sepsis and gangrene or other linked diseases.

Disease is manifested by signs and symptoms; we clinicians normally call them as ‘presentations.’  A fever, say due to an infection, is a symptom, and is not a disease. If you understand physiology, a fever has a purpose, put there by the body to fight the infection by mobilising the phagocytes, part of WBC where a blood count showed it is raised, speed up the immunoglobulins, create a heated-up environment not conductive to the infective agents…etc. It is purposely put there by Nature so that the body can fight much faster and more efficiently towards recovery as shown by numerous studies. It is hence not wise or ethical to suppress the fever by using an antipyretic (anti-fever) drug like paracetamol unless it extremely high, and for this a naturopathic doctor would prescribe sponging the body with cool water instead of suppressing the fever with an antipyretic agent. That is just one of the big differences between an allopathic and a naturopathic system of medicine. Which system of medicine would you prefer?

There is a therapeutic modality called “fever therapy”, “malaria-therapy” or “malarialization” once used in allopathic medicine, but “fever therapy” is still used in natural therapy to treat a number of conditions. But this term “fever therapy” is now replaced by the term “hyperthermal therapy” and is used for treatment of cancers by current conventional doctors alongside with other cancer treatments.

The same scenario for managing hypertension, cancers, neurological disorders and all other chronic and degenerative disorders where only chemical drugs are used – far, far too lengthy and far too time-consuming for me to write and explain here.  

As I already explained, disease is in the three stages as explained by Dr Hans Seyle the very famous Canadian physician. The first is the alarm stage where the body may ring the alarm bell known as symptoms if the patient is lucky. Some diseases like diabetes, hypertension and cancers do not show any signs or symptoms in the initial stage.

 If the root cause is not addressed immediately, but instead suppressed by all these drugs, then the body goes into the silent asymptomatic stage where the body continues to tolerate the insult or injury. If this 2nd stage continues by silencing the body with more or additional chemical drugs for other linked-disease or diseases, the body just sinks irreversibly into the chronic stage of the disorder(s).  The patient never got cured but died together with the disease and other linked diseases and all those drugs he was taking during all those doctor’s ‘follow-up’ every 3 -6 months. We can clearly see the hospitals are crowded by the same patients for follow-up being prescribed the same or additional medicine because the case became worse as the root causes were never addressed, but just given ‘medicines.’  

When I was working, two medical doctor colleagues of mine during our usual morning chat told me and other medical colleagues that if they were sick, they never take all those drugs and medicines. They will find other alternative ways of treating themselves. They told us they only prescribe drugs for their patients, but not for themselves.  

 

                                                                                        


Dr Kenneth Walker, a surgeon and philosopher wrote:

“The partnership between the doctor and the chemist (drug manufacturer and pharmacist) is proving to be one of the most profitable partnerships in the whole history of medicine”.

Any comments from readers, especially from medical doctors and patients. I would be glad to hear your viewsTop of Form

Recommended for further reading:

1.   Alternative Therapy

Naturopathic Medicine

by Dr Roger Newman Turner

 

2.   Holistic Health

How to Understand and Use the Revolution in Medicine

by Dr Lawerence LeShan with a Forward by Carl Simonton MD

 

3.   Body Power

The Secret of Self-Healing

by Dr Vernon Coleman MD

 

4.   The Body Natural Instinct

Understanding Your Body’s Healing Ability

by Professor Dr Chang Jia Rui, MD

 

5.   Teach Yourself Nutrition

by Professor John Yudkin MA MD PhD FRCP FRIC FIBiol

Emeritus Professor of Nutrition

University of London


Drugs Do Not Cure Disease

by Dr Yukie Niwa MD PhD

Director of Niwa Institute for Immunology

Tokyo 


The Encyclopedia of Natural Medicine, 3rd Edition

by Dr Michael T. Murray, and Dr Joseph Pizzorno ND 


The Encylopedia of Healing Foods 

by Dr. Michael Murray ND, Dr Joseph Pizzorno and Lara Pizzorno 


Integrative Medicine, Fourth Edition 

Edited by Dr David Rakel MD with 130 Medical Specialists contributors with MDs, ND, DC, DO, MPH, and PhDs


The Meaning of True Health

by Prof Dr Chang Jia Rui. Edited and Translated by Dr Shu Shu Lu 

  Article written by

lim ju boo 

 

Monday, March 25, 2024

Number of Acids Like Sands on A Seashore

 

On Sunday, March 24, 2024, I wrote an article entitled:

“My Childhood & Teenage Journey into My Golden Years in Life” in this link below:

https://scientificlogic.blogspot.com/2024/

There, if you follow the story of my teenage years, I jokingly asked my sister who was two years older than me how many acids there are. I was then in Form 1 in school, and she was in Form 3 from a separate school. I challenged her over this question. I cheekily told her there were 6, but she insisted there were only 3, namely, nitric, sulphuric and hydrochloric acids.

In that article I promised I would be more truthful, and that I shall write another article where there are actually untold millions of acids, mainly organic acids with just about ten mineral or inorganic acids as example below.

 Here is the list of 10 inorganic acids matching 10 organic acids.

 

Inorganic acids:

  1. Hydrochloric acid (HCl)
  2. Sulfuric acid (H2SO4)
  3. Nitric acid (HNO3)
  4. Phosphoric acid (H3PO4)
  5. Carbonic acid (H2CO3)
  6. Hydrofluoric acid (HF)
  7. Hydrobromic acid (HBr)
  8. Perchloric acid (HClO4)
  9. Sulfurous acid (H2SO3)
  10. Boric acid (H3BO3)

Organic acids:

  1. Acetic acid (CH3COOH)
  2. Citric acid (C6H8O7)
  3. Lactic acid (C3H6O3)
  4. Formic acid (HCOOH)
  5. Oxalic acid (H2C2O4)
  6. Tartaric acid (C4H6O6)
  7. Malic acid (C4H6O5)
  8. Succinic acid (C4H6O4)
  9. Benzoic acid (C6H5COOH)
  10. Ascorbic acid (Vitamin C) (C6H8O6)

These lists are not exhaustive, and there are many other inorganic and organic acids with various properties and applications. Additionally, within organic acids, there are countless derivatives and variations depending on the organic compound they are derived from.

Any organic compound with acidic properties can be classified as an organic acid. The most common organic acids are the carboxylic acids, whose acidity is associated with their carboxyl group –COOH. Sulfonic acids, containing the group –SO2OH, are relatively stronger acids. Alcohols, with –OH, can act as acids but they are usually very weak. The relative stability of the conjugate base of the acid determines its acidity.

Other groups can also confer acidity, usually weakly: the thiol group –SH, the enol group, and the phenol group. In biological systems, organic compounds containing these groups are generally referred to as organic acids. A few common examples include lactic acid, acetic acid, formic acid, citric acid, oxalic acid, uric acid. malic acid, tartaric acid, butyric acid, folic acid.

There also other carboxylic acids such as glycolic, propionic, acrylic, propiolic, lactic, 3-hydropropionic, glyceric, pyruvic, 3-oxopropanoic, malonic, tartronic, 2,2-dihydroxpropanedioic, mesoxalic, glycidic, butanoic. (E)-but-2-enoic, (Z)-but-2enoic, 2-methylpropenoic, but-3-enoic, but-2-ynoic, 2-3-4-hydroxybutanoic, 2-3-4 oxobutanoic, … etc, etc and hundreds more of these more organic acids far too long to name them all. This is because organic compounds run into hundreds of millions due to 4 carbon chains that can link to hydrogen or other elements in any configurations or structures such as into benzene ring compounds or in straight aliphatic chains or repeats as polymers.

Organic acids encompass a vast array of compounds, far more than the limited list I provided. Carboxylic acids constitute a significant portion of organic acids, but there are indeed many other groups and compounds that exhibit acidic properties within the realm of organic chemistry.

The diversity of organic compounds, including their various functional groups and structural configurations, leads to an immense variety of organic acids. These can range from simple monocarboxylic acids like acetic acid to more complex molecules such as folic acid or various derivatives of carboxylic acids with different substituents or functional groups.

It underscores the richness and complexity of organic chemistry, where the potential for discovering new organic acids and understanding their properties is practically limitless.

Once again, any organic compound with acidic properties can be classified as an organic acid. The most common organic acids are the carboxylic acids, whose acidity is associated with their carboxyl group –COOH. Sulfonic acids, containing the group –SO2OH, are relatively stronger acids. Alcohols, with –OH, can act as acids but they are usually very weak. The relative stability of the conjugate base of the acid determines its acidity. Other groups can also confer acidity, usually weakly: the thiol group –SH, the enol group, and the phenol group. In biological systems, organic compounds containing these groups are generally referred to as organic acids.

A few common examples include lactic acid, acetic acid, formic acid, citric acid, oxalic acid, uric acid. malic acid, tartaric acid, butyric acid, folic acid. There also other carboxylic acids such as glycolic, propionic, acrylic, propiolic, lactic, 3-hydropropionic, glyceric, pyruvic, 3-oxopropanoic, malonic, tartronic, 2,2-dihydroxpropanedioic, mesoxalic, glycidic, butanoic. (E)-but-2-enoic, (Z)-but-2enoic, 2-methylpropenoic, but-3-enoic, but-2-ynoic, 2-3-4-hydroxybutanoic, 2-3-4 oxobutanoic, … etc, etc and hundreds more of these more organic acids far too long to name them all.  This is because organic compounds run into hundreds of millions due to 4 carbon chains that can link to hydrogen or other elements in any configurations or structures such as into benzene ring compounds or in straight aliphatic chains or repeats as polymers.

The above are just examples of the vast, vast amounts of organic acids in particular that can run into tens of million different kinds, and not just 3 or 6 we learn in school when we were only 17 to 19 years old in Form 3 to Form 5

I promised I shall write on this subject later so that my gentle readers here are not confused to think there are only 3 types of acids. I was just joking to tease my older sister then. We were only kids then.

Later after I left school, I studied Chemistry as one of my Bachelor’s degrees, and went on to study Food Quality Control for my Master of Science degree that involved specialized Analytical Chemistry among many other scientific disciplines such as food microbiology, food chemistry, food science, food technology, etc.

Lim ju boo

 

Sunday, March 24, 2024

My Childhood & Teenage Journey into My Golden Years in Life

 

Last evening, Saturday, 23 March. 2024 my family members, my wife’s younger brother, his wife and their two sons, together with just 4 family friends and myself went to Port Klang to “celebrate” my 85th birthday that actually fell on March 20, and not on March 23. There was a delay of three days because I chose Saturday, a weekend evening when everyone was free from work. I also made it on March 25 as I did not want friends to know it was my birthday dinner.

After the much ado given by my youngest brother Lim Yew Cheng, a Senior Consultant Cardiothoracic Surgeon, and a Professor of Surgery who led us in thanksgiving and grace for the  food we were to partake, and the cutting of the birthday cake, blowing off the candle and all those normal fuss, and the usual sing of “Happy Birthday to You” both in English and in Mandarin, it was my turn to give thanks to all my family members were so supportive and gracious to me by their presence.

 

I began talking about my life, and the journey I took to reach the golden years at 85.

I was born on the 20th of March 1939 on a very stormy moonless night in very heavy rain in my small hometown called Batu Pahat in the State of Johore in Malaya in a small hotel room. I never had the luxury of being delivered by a qualified obstetrician in a posh and rich hospital.

Instead, I was delivered into the world by a small-town midwife who stayed about 100 meters away from my father’s hotel-cum-restaurant and coffee shop. I am glad I had a very humble birth.

 

My journey started during the Japanese occupation of Malaya when I was born. My earliest memory was when I was a baby, sleeping in a sarong (a piece of cloth used by Malays to wrap round the body as a trousers). The sarong used as a cradle where I slept was hung over a drainpipe in another Cold Storage shop also owned by my father in the main road called Jalan Rahmat. This Cold Storage shop, the only one in Batu Pahat, is directly opposite where my midwife stayed upstairs in a shop lot. My first memory was being pushed up and down inside my sarong cradle hung on a rain pipe in this shop. Then further memory was blank after just one or two months old. The next memory was about 4 or 5 years old when one of my bachelor’s uncles used to ride me on his bicycle to my father's rubber estate some 20 km away to hide me from the Japanese soldiers. There I stayed in that rubber estate where there were lots of monkeys and wild bores by day, and tigers roaming outside our fenced wooden village house at night. We could hear the tigers roaring outside at night. I used to swim and bathe naked together with sibling brothers and sisters in a very clear and clean stream down a small valley below. It was so quiet and peaceful in the jungle surroundings below where the small river about 3 metres wide flowed at the corner.  I could hear the rush of flowing waters round the bend.

 

There was no radio, television or telephone then. So, at night the only ‘entertainment’ I could get was to watch for hours and hours at the un-flickering flame of our oil lamp sucking up oil through the wick as it burned. There was no electricity then.  I suppose the flame of the oil lamp was the humble beginning of my interest in science, where in the still of the night I was very fascinated how an un-flickering flame was able to suck up oil through a wick for its own 'survival' so that it shall not be extinguished into darkness just like our and all lives. 

I owed that un-flickering flame burning in the darkness of the night in that village house of mine that it will lead me to be a scientist one day. That gave me light. After all, I was born on a very dark, stormy night in heavy rains as I said earlier.

  

We used to kill monkeys, wild boars, squirrels or small jungle animals, tapioca or sweet potatoes for food. There was hardly any rice then as our staple food, and so we ate tapioca and sweet potatoes we planted.   We made our own soap for washing and bathing by boiling caustic soda (potassium hydroxide) with animal fats to turn into soap (potassium stearate).

 

So life went on till I was about 6 when the Japanese surrendered and the British occupied Malaya once again. I was then put into Ai Chun Chinese school for about a year for my primary education after we went back to town from our rubber estate house in Yong Peng. After just a year in a Chinese school, my father decided there would not be any future for me if I were put into a Chinese school. So, he put me out of the primary Chinese school in the Government English School (later called Batu Pahat High School).

 

I studied in the primary section of that school till I was in Primary Six. It was a row of some six classrooms under rubber trees. I remember I used to collect the rubber seeds beside my primary school classroom, remove the outer coat of the seeds, invert the two seeds half sections opposite each other so that they look like a turbine of an engine, and with a sharp 'spine' attached on each half so that the spikes were at the top and bottom. I would hold the seed spikes with my thumb and index finger and blow into the concave section of the seed to let it spin and spin. That was the only natural toy turbine engine I had. Else, I would make my own kites to fly, or catch fighting spiders from the bushes, keep them inside match boxes with some leaves to fight with other spiders of my friends and classmates. Sometimes I would catch small fish in the drain to keep as hobbies, else I would play with the tops with other children. Sometimes I would play hopscotch hoping from square to square drawn on the back lane of my father’s Cold Storage shop. Sometimes I would use two milk cans joined together by a long, long string in a hole at the bottom of each can hold the string inside.

 

Once the ‘telephone’ was made, I could speak inside, and at the other end other children would put the milk can over his ears to hear like a toy telephone. When I am tired playing with some of these many hobbies, I would play ‘fire brigade’ by taking my mother's clothes sprayer, remove the spray head that sprayed out fine mists meant for her to iron clothes and threw away her water head sprayer so that the water in the bottle will spray out straight out like a fire hose. Then I would burn some paper boxes behind my house, ring the bell like a fire engine on its way and spray at the burning boxes. I was extremely mischievous then just for fun.

Else I would play with skipping ropes or play ‘snake and ladder’ with my sister, and cunningly make her lose all the time by my playful cheating.

 

In fact I was one of the most notorious “school criminals” who was always sent to the Saturday detention class to pull the heavy steam rollers wheels to and fro across the school field to level the grass, or asked to clean the school toilets or classrooms along with other school ‘criminals’ almost every Saturday morning, or asked to write 500 lines such as “I must not imitate my teacher”  or “I must not talk or laugh in class when my teacher was teaching”.

I also remember my mathematics teacher who had goofy teeth. So, when he laughed, he would put the maths text book to cover his teeth. So, when he left the class, I would go to the front of the class to imitate him laughing. But he knew I was very notorious for this. So, he would come back and hide behind the doors at the back, peeped through the hinges of the tall doors and the wall to look at who was laughing at him. I was always there imitating him laughing and stretching out the math textbook at a distance to read what's in there as he was long-sighted.

 

He would bounce out from behind the doors, and came straight at me to hit my head and back, and asked me to write 500 lines this "I must not imitate and laugh at my teacher"

 

Often, I would also imitate my science teacher with my hands pouring this chemical and that chemical and suddenly there was an "explosion".  Often my science teachers would make me stand on my chair at the back of the classroom with my hands across my chest pulling my ears till class was over. I was a very notorious "school criminal" then, always asked to write 200 - 500 lines or often sent to detention class on Saturdays as a "school cleaner" But it was fun for me. 

I remember another English essay teacher who was always mad at me about whatever I wrote in my essay book. After reading my essay, he would fly into a rage at me and also a few of my classmates too. He would violently throw away my essay book outside the classroom out into the veranda, and if violent enough, past the veranda into the drain outside and shouting at me and a few of my classmates too his favourite sentence:

 "How in the world you come to this class" 

 

 I remember when I was just in Form One after finishing Primary Six, I used to go back to High School Batu Pahat in the afternoon when my morning school was dismissed at about 1 pm when all the boys went home. It was a boys’ school then, no girls allowed. I was the only boy still in my school uniform who went back to school in the afternoon to listen to science being taught to girls’ students from another school for girls called Temenggong Ibrahim Girls School (TIGS). As I was only in Form One, I was not eligible to study science yet, not until I could go to Form Three till Form Five. But my older sister from TIGS was eligible to study science. But TIGS has no science lab as yet. So there was some arrangement between High School Batu Pahat (HSBP) and TIGS to allow girls from TIGS to come to HSBP where we have science labs and science teachers to allow students from TIGS to learn science in the afternoon after the morning session for boys were dismissed. So, I was the only boy still in my school uniform and school badge to cycle back to my HSBP and sit on the veranda outside the science laboratory to listen to science classes being taught to the girl students from TIGS where my older sister was learning science for the first time.  The science class was taught by a senior science teacher called Mr. Charly. As I was only in Form 1, and not eligible to learn science yet, I could not enter the science lab where the girls including my sister from TIGS were sitting comfortably. So, I could only sit outside on the verandah or lean against the door outside the lab to listen and watch the science experiments being conducted. I was always a regular figure there leaning against the door or sitting on the verandah. But Mr. Charly must have taken pity on me, so eager to learn science though not eligible yet. So, he never chased me away. 

 

I remember learning about acids and alkali, oxygen and carbon dioxide, about air, plants and photosynthesis…and all those things. I used to get very fascinated when they started to heat potassium chlorate mixed with manganese dioxide as a catalyst inside a test tube to produce oxygen which was collected inside a gas jar under water in a trough. Then Mr. Charly, the senior science teacher who taught my elder sister and other girls from TIGS would put a glowing wooden splinter inside the jar of pure oxygen, and it burst into bright flames inside the jar to prove it was pure oxygen inside. That excited me tremendously, wondering how a glowing wooden splinter, or burning sulphur, phosphorus, or magnesium strips could suddenly burst into such bright flame, so much so I went home to buy test tubes, potassium chlorate and magnesium dioxide from the Chinese medicine shop to conduct my own experiments at home. After that I started to conduct my own ‘fantastic and dangerous’ science experiments at home. I started to make gunpowder taught in the science class by mixing potassium chlorate, with powdered charcoal and sulphur.

 

 I would then go home to buy a clinical thermometer from a Chinese medicine shop nearby my father’s Cold Storage. I would throw away the thermometer and use only the metal casing to fill it up with gunpowder. Then in the evening when the entire school field was so quiet a doctor from Batu Pahat Hospital and his wife would come to have a quiet stroll in our school field.  I would then use alcohol inside a small cup to heat up one end of the thermometer with gunpowder inside, run to hide behind a tree and wait for the gunpowder to ignite to cause a loud bang to frighten the doctor and his wife away. The doctor and his wife would turn round to find out what caused the bang but seeing no one around in such a quiet school field they were puzzled I suppose.  I would do this evening till the doctor and his wife were so frightened that they never went back to the field anymore. I was very naughty then as a small boy hardly in Form 1 to play pranks. But that was fun for me learning science from Mr Charly meant only for my sister and other girls from TIGS.

  

I remember the 3 acids Mr. Charly taught to my sister and other girls – concentrated nitric acid, concentrated sulphuric acid, and concentrated hydrochloric acid. Then Mr Charly taught my sister who was in Form 3 eligible to go inside the lab to study, and myself only in Form 1 left outside in the cold, and not eligible to enter, that when you add water into these 3 acids, they become dilute nitric acid, dilute sulphuric acid, and dilute hydrochloric acid.

 

 I then went home from my "veranda science classroom “to challenge my sister, asking her how many types of acids there are. She will reply 3. I would reply with six types. Then she looked very puzzled, and asked how come? So, I would name all the six different types of acids, rattling away concentrated nitric acids, dilute nitric acids, concentrated sulphuric acid, dilute sulphuric acid, concentrated hydrochloric acid, and dilute hydrochloric acid. Then she looked even more puzzled. 

After some time, she replied but they were the same three acids, except you add water into each of them to dilute them. But I told her concentrated and dilute acids are not the same because when you put them into separate bottles you have to give them separate names as concentrated and dilute acids according to the acids. 

I then told her if there were the same 3 acids, then they should only be put into 3 bottles and name them as:

 

1. Concentrate nitric + dilute nitric acid, 

2. Concentrated sulphuric acid + dilute sulpuric acids.

3. Concentrated hydrochloric + dilute hydrochloric acid. 

 

Why must they put them into 6 separate bottles if they are only 3 types of acids?  

 

 She was stunned and looked even more confused. After some time, she called me a cheat as she insisted, they were the same three types of acids except you add water inside to dilute them. She called me a cheat and refused to speak to me for more than a week. I was very naughty then. 

 

(Actually, there are millions of different types of acids, both inorganic or mineral acids, and especially for organic acids they run into thousands of millions in numbers. I shall write on this separately later).

I have just done that here:

“Number of Acids Like Sands on A Seashore”

https://scientificlogic.blogspot.com/2024/

 

There were a lot more ‘fantastic and dangerous science experiments’ I conducted. I managed to learn on my own from my ‘verandah classroom’ that would be too long to relate here. It would run into dozens of pages. But it was fun for me to learn science on my own for the first time.

 

When I reached Form Five it was the last year in school. I then proceeded to English College in Johor Bahru then to the Singapore Polytechnic for my Higher School Certificate and General Certificate of Education (GCE) Advanced (A) Levels to prepare me for entry into the university.

 

To describe my mid teenage journey in life would need several chapters and I shall not bore you into this. This is because I attended not one, but different universities taking unrelated courses.  

Briefly, I read various courses for my graduate degrees in mathematics and physics, medical physiology, chemistry, zoology and medicine all separately. 

But for my Master's degree, I read food quality control, analytical chemistry (an extension of my BSc in chemistry), microbiology among many disciplines.

 

My Bachelor’s degrees were from India, my Post Graduate Diploma in Nutrition was from the University of London, my  Master of Science degree from the University of Reading in England, up to my PhD back in London again, besides my Fellowship into the Royal Society of Medicine, and also my Fellowship into the Royal Society of Public Health both in London, plus membership into several professional scientific societies in Malaysia.

I received British scholarships to read for all my postgraduate degrees in England. 

 

Once I reached universities I was already in my early and mid-twenties, and I have no chance of playing pranks anymore as by then I was more matured with heavy loads to study highly technical subjects that demanded a lot of my effort and time with lots of assignments, clinics to attend, research projects to conduct, data to analyse, and dissertation to write, besides presentations and forum discussions.

 

By the time I left all the universities I was already in my early thirties after which I worked as a nutritionist, a clinician and a research medical scientist, which are areas of my professional expertise. I would not be able to play about with dangerous experiments anymore, especially with clinical trials where I needed to lead teams of doctors and scientists.

  

I started work in 1968 till I retired from the Institute for Medical Research in 1994 – a span of 26 years into my golden second childhood years. But actually, my lifelong passion is in astronomy where I read at Oxford, evolutionary biology, and forensic science at Cambridge, all of them postdoctoral courses after my retirement. 

 

It was a lifelong study for me of course, mixed with fun. My retired life spans 30 years longer than my 26 years of working life which is God’s blessings to me. I am blessed with fairly good health without high blood pressure, diabetes, or any of those chronic health problems except an enlarged prostate and a chronic leg ulcer problem.  

 

But more importantly when I was a child, I was taught by my parents, especially my mother, who taught me to always be obedient, polite and courteous to those who were elderly than me, especially to uncles and aunties. I was always taught to greet them when they visited us. I was taught these Chinese customs and traditional values to greet my elderly relatives. 

 

I think children, whether old or young, should respect their parents and their elderly uncles and aunties all the time. This is exceedingly important because it clearly reflects their character and parental upbringing. It also reflects badly on their parents who have never taught them good mannerisms, behaviour and good character. As I said, my parents always taught me all these virtues even though they do not have any formal education like I did. My success in education and in working life is totally and entirely due to them who taught me qualities of life and behaviour.   Each time an uncle or an aunt visits us in our house, the first thing my mother would ask me to do is to politely greet and say “uncle” or “aunty” to them. 

During Chinese New Year house visits my parents especially will ask me to wish them "Happy New Year, Uncle, Aunty" and when given an ang pow by them, always, always, say "thank you, uncle / aunty" I think most respected parents teach all these mannerisms to their children, not just my parents.  

 

These virtues will also mould us to be successful in society where we need to interact with others, let alone seeking jobs later where employers will closely observe our behaviour especially during a job interview.

 

I was taught and brought up in this way as highly cherished social norms and traditional family values to respect elderly people even though they may not be our relatives. Unfortunately, some young children these days do not play those games and toys, flying kites, spinning tops, catching fighting fish and fighting spiders these days as I did in the late 1950’s, but they play with smart phones most of the time (but not all of them)  even when elderly relatives come to visit. They also have no courtesy of saying thank you or putting a smile on their relatives who gave them a present. Fortunately, as for me, I always get back the returns I gave when I was younger, irrespective of creed and race to whom I or they gave.

 

For instance, those highly respected customary values and family upbringing taught to me by my parents who were not educated, to respect the elderly has bought returns into my golden years by strangers in the streets, trains and buses who almost always addressed me as ‘uncle’, and who gave up their seats for me in buses, MRT and LRT trains, in hospitals and public places. They were all strangers to me who were always very polite to me, addressing me as ‘uncle’ irrespective of their race and creed or age. Strangers, especially Malays, followed by either Chinese or Indians will always nod their head in smiles and talk to me when they see me walk slowly, and give way to me.

 

For instance, about a year ago I was standing alone outside the terminus Light Railway Train (LRT) station, which was flooded outside the station after a very heavy rain when an early middle-aged Malay lady approached me asking “uncle may I help you”? I was taken aback. I told her I could not go to the shuttle bus parked about 30 metres away waiting for passengers. I have a bandaged-up leg due to a chronic venous ulcer and it was not possible for me to wade across the flood waters to the bus.

She immediately replied “no problem uncle” I shall go there to tell the bus driver to drive to the spot I was standing. I wanted to stop her as I did not want her to get her feet and clothes wet wading into the flood. But she insisted it was not a problem.

 She went over the flood water to the bus to ask the driver to bring the bus to me before returning to me. I thanked her profusely, asking her name. I then wrote a letter of appreciation to a local newspaper to acknowledge her kindness. She was not even a Chinese like me, but a young Malay lady who approached me standing there helplessly. These are rewards we get not through any university education, but social values and family training by our parents to be polite, respectful and helpful, especially to elderly uncles and aunties we meet in the streets or in home visits. In return I tried to help out by buying food for the homeless wherever possible.

 

All these social values are not taught in any of the universities I attended, although quite a bit of them in school. But these moral and invaluable social norms, courtesies and traditional values were all taught to me by my uneducated parents when I was a young child still in primary school. 

   

Today, at 85, I like to teach and remind all young children of these same values that would command them respect. It is not the amount of school or college education or jobs they have, or high positions and status they hold, or financial wealth they have or inherit. None of these commands any respect by anybody without good behaviour in the first place. These values are highly important to put in place for young children before they start working because prospective employers during job interviews will silently look at their appearance, how they talk, how they answer, the way they sit, stand, talk, smile and if they have that courtesy to say 'thank you' after the interview. These qualities they display will land them a chance to be employed, and not just their academic qualifications. 

Someone not long ago asked in a WhatsApp chat what we would want to do if we were to get back our childhood days. As for me, I would instantly choose to undo all those mistakes and sins I made in my younger days. Unfortunately, these past mistakes cannot be retrieved, but fortunately a loving God through Jesus is able to forgive me and erase forever all my past mistakes and sins for which I am extremely grateful and thankful. 

 How long can we live in this world? 10, 40, 60, 80. 100 or 120 years. Let’s have a look:

If the Age of the Universe determined at 20 billion years were to be telescoped into a 24-hour day, then the maximum life span of a human of 120 years will exist for only (24 x 60 x 60) seconds / 20 billion x 120 = 5.184 x 10 -4 second or 0.0005184 of a second

.       The days of our years are threescore years and ten; and if by reason of strength they be fourscore years yet is their strength labour and sorrow; for it is soon cut off, and we fly away (Psalm 90:10).

2.       Whereas you know not what shall be tomorrow. For what is your life? It is even a vapor, that appears for a little time, and then vanishes away (James 4:14).

3.       With the Lord a day is like a thousand years, and a thousand years are like a day (2 Peter 3:8).

 4.       All the world's a stage,

And all the men and women merely players:

They have their exits and their entrances 

(As You Like It: William Shakespeare)

Unto God I am and shall always be thankful for my health He gave, for the forgiveness of my sins I had unknowingly committed, and for the extended life span at 85 He has blessed me.   

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