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Advices about diet to reduce inflammatory reactions and rheumatism

Inflammation is a major component in most Rheumatic pain conditions or rheumatic diseases, therefore it is adviceable to eat a good amount of food that reduces inflammation and reduce  the consumption of food that contains  inflammatory agents. Here are some simple dietary advices that may help reduce rheumatic conditions:

Recommended food to reduce inflammation and rheumatism: Fish, espesially fat fish, fish oil, olive oil, walnut oil and raps oil should be a part of your diet. The fat in these types of food, omega-3-poly-unsaturated fat or omega-9-poly-unsaturated fat,  reduces inflammation. However, if you add these type of oils to your diet, you should reduce the intake of other types of fat, so that you do not get too much fat.

You should also eat much vegetables, since also these make a body chemistry that reduce inflammation.

Things you should not eat too much of: Do not consume much soya oil and corn oil, since these types of fat increase inflammation. Most food you buy that is ready to eat from the factory or restaurant contain these types of fat. You should therefore reduce the consumption of food you do not cook yourself.

Bread, cereals and products  made of corn or cereals also increase the inflammation responce, especially if they contain wheat. Wheat causes a special type of inflammation in the intestines called celiac disease in some individuals, but may also trigger inflammation  of non-celiac type. However, full-corn cereals and full-corn bread are valuable types of food, so you should not stop eating them. But if you eat bread or corn products at every meal, you should reduce your intake of these and eat more potatos, beans and peas.

Things you should idealy avoid totally: You should absolutely not consume fat that has been chemically altered to give it another consistence. This type of fat has a very negative effect on the health and may be very potent inflamatory agents. Margarine, snacks, fast food and ready made cakes or cookies often contain this kind of fat. Unfortunately this type of fat is also often added to bread. A good idea could be to bake your bread yourself.

About doctors and health care worker's goals and attitudes against their patients and their interactions to fulfill these goals

The primary goal of the doctors's work is to help their patients as best as possible. This goal is probably a main drive for the interaction netween the doctor and other health workers and their patients. Nevertheless, an overt or hidden conflict between the goals of the patient and the doctor may still exist in many cases. The psychological and social drive for this conflct are of different kinds.

Sometimes doctors have a morally legitimate reason for having other objectives than their patients, and sometimes not. In either case the doctors or other health care workers use a large set of psychological, administrative and social manipulations and modes of interactions to fulfill their goals.

What will be said about "doctors" in the following also holds for other health care workers. Here are some of these conflict motives listed:

- The doctor wants to earn as much money as possible in the possibly shortest time.

- The doctor has echonomical goals imposed from his employer or from the society.

- The society has given the doctor a task of being an instance for surveillance of the population, and that mean of the patiant and his family.

- Authorities has given the doctor a concrete task of controlling a patients behaviour or dispositions.

- Authorities has given the doctor a concrete task of hindering a patient in spreading contagious diseases.

- The doctor believe the patient has other motives that those he explicitly explain. Sometimes this suspicion is right, sometimes not. Sometimes the patient have a moral right to have hidden motives, sometimes his hidden motives are not good.

- The doctor is tired or sick himself and therefore seeks to have as ligh work burden as possible.

- The doctor has to hinder being overloaded with work from one patient in orter to have time for other patients or in order to get tired out himself.

- The doctor is allready stressed or over-loaded and unable to to his work properly.

- The doctor believs that the patient hide symptoms to avoid a diagnosis and thereby avoid unpleacent treatment or restrictions on his life style.

- The doctor has other, and possible less ambitous goals with the treatment than the patient.

- The patient is unsatisfied with the treatment or other aspects of the patient handling, and the doctor seek to remend this situation.

- The patient is about to break the treatment or the relationship with the doctor, and the doctor seks to avoid this.

- The doctor wants to give up treatment when the patient want to continue.

- The doctor wants to hinder the patient seeking althernative treatment.

- The doctor simply dislike the patient.

Manipulations and interactions for fulfilling goals other than those of the patients, are of various kinds. The methods listed in the following may be legitimate to use in some cases, and in other cases used without a morally or legitimate reason.

- Being polite and using a friendly tone is actually the most used method. Even though this is basically something good, it nevertheless creates an athmosphere of positive attitude and trust that brings down healthy scheptisism by the patient, and that the doctor can use to fulfill goals other than those explicitly asked for by the patient.

- Having an authoritative tone is another way of manipulation. Some kind of abrupt authoritative speech combined with the same kind of gestures simply make many people lame and afraid of opposing anything.

- Some health care workers are very skilled in showing a friendly tone together with an authoritative attitude, a combination that is very effective towards some patients.

- Using sedatives or general anesthesia are sometimes used to make a patient cooperative and to hide things from the patient. Usually the doctor will give pain relief and comfort as the motive for using anesthesia, and these motives usually are a part of the reason. But having a pationt that is easy to manipulate is often a covert goal, and often heavy anesthesia is used for this reason where simpler form of anesthesia would be better.

- Using word magic, that is using words with a positive sense in cases where the doctor intend to do something the patient will tend not to axept in the first place, is so common that healt care workers do it nearly constantly during the whole day.

- Health care workers often do something so quickly that it is nearly finished before the patient is able to react or even understands what is going on.

- In order to come their way with a scheptical patient, doctors often try to make alliances with the patient's fanily or friends.

- Sometime the doctor have the patient or their family to  sign on contracts that give the doctor permission to take important decicions on their own, for example when the patient is under sedation or general anesthesia.

- Direct physical constraint and force is sometimes used, not only in psychiatric wards, but also sometimes in somatic ones. When the doctor have exhausted other means, and still do not get their way with the patient, some doctors are not able to axcept the decicion of the patient, and take to direct physical constraints and force. The use of physical force and constraints is actually a regular method thought in nursing curricula and there are actually specific routines for this method in most hospitals.

- Sometimes the doctor seek to classify the patient as psychologically unstable, unable to understand his own needs, dangerous for himself and others or dementic, and this way get the allowance to use constraints or physical forse to treat the patient as they wish. This classification may in some cases be right, in other cases such clasifications are misused.

In the medical litterature and the medical education, ways of interaction with the patient, so that the doctor can fulfill his goals with the patient, is given a considerable weight. There are tons of litterature about psychological and administrative manipulation of the patient, and about avoiding the patient manipulating the doctor. Here is a table with bibliographical data about medical litterature dealing with such topics, just to show the ways the medical community think about doctor-patient interaction and patient handling.