WHY YOUR PLUMBER
MIGHT KNOW SOME THINGS ABOUT HIGH BLOOD PRESSURE THAT YOUR
DOCTOR NEVER LEARNED
by Narayan deVera, M.D.
December 2005
There are
three conditions in which high blood pressure is a significant
concern where the basic knowledge to understand
cause-and-effect is readily appreciated by plumbers but very
perplexing to medical doctors. Two of these conditions are
serious disorders that are life threatening, and the other is
so commonplace that it affects nearly everyone.
Simple
Hydrodynamic Forces and Principles
Your
plumber can understand what your doctor never learned because
the forces and principles that are acting within the body are
simple hydrodynamic forces and principles. Most of the time,
the blood flow through arteries is really no different than
water flowing through piping materials. This is especially
true in arteries that are at higher pressure.
The
example of renal artery stenosis has some complex anatomy and
vocabulary but the hydrodynamics are simple to explain.
Stenosis (narrowing) of the artery leading to either one of
the kidneys (renal artery) causes certain specialized tissues
(called “juxtaglomerular apparatus”), which are situated next
to (i.e., “juxta-“) each of the kidney's filters (glomeruli),
to release renin, a hormone named after the Latin name for the
kidney. Renin is then converted to angiotensin, which itself
is an unstoppable agent to elevate the body's blood pressure.
Wow!
Understanding that one sentence is equivalent to almost two
units of medical-school education. We will use the
abbreviation “jga” and content ourselves with the assurance
that the renin-angiotensin system for elevating the blood
pressure has been well researched for scores of years. It is
the basic hormonal system for regulating blood pressure.
One
medical-school experiment, called the Goldblatt kidney, was an
unforgettable experience. A rat's kidney is covered with a
fast-drying layer of liquid plastic in order to induce high
blood pressure. As a pathology experiment, we were supposed
to watch the effects of hypertension develop over a period of
four weeks; but, being a good artist, I must have painted a
lot of liquid plastic around the kidney, and my animal died
after only two weeks.
Renal
artery stenosis is the condition which is mimicked by the
Goldblatt kidney. It occurs relatively rarely, but it leads
to an expression of high blood pressure that does not respond
to medications and where the pressure increases are so serious
that a stroke or heart attack is destined to occur, sooner or
later, unless a surgical intervention reverses the stenosis.
Hydrodynamic Turbulence
A plumber
knows that turbulence occurs in a pipe system whenever a
branch comes off of the main line at a right angle. Our human
bodies are fortunate in that nearly all of the larger arterial
branches are at more gradual angles, much less than ninety
degrees; but the renal arteries exit from the aorta at a
ninety-degree angle.
When
allergic particles of food irritate the skin lining of the
renal artery (see “Seven Secrets of Metabolism,” HFN,
Vol. 22, No. 4, p.10), the combination of irritated and more
fragile skin and increased hydrodynamic turbulence (the
plumber’s knowledge) produces microscopic areas of erosion in
the outer surface of these skin cells. In order to prevent
the erosion from penetrating into the center of the skin cell,
cholesterol is attracted to the lipid layer of the cell
membrane when the erosion has gone halfway through, exposing
the internal lipid’s of the cell’s membrane. Eventually, this
leads to permanent, macroscopic deposits of cholesterol, which
themselves contribute to more turbulence, to more erosion, and
to higher and higher blood pressures. Ultimately, the artery
develops a stenosis; and if it is not diagnosed accurately,
the person will die. Proper diagnosis usually comes from the
clinician’s experience that the hypertension is not responding
to ordinary or advanced medications, even in higher dosages.
When additional tests are requested, the correct diagnosis
should be made.
The
process of irritation caused by allergic particles of food,
turbulence, erosion, and deposition of cholesterol is the
basic pathophysiology of artery disease everywhere. Plumbers,
not being doctors, are of course unaware of this disease
connection. But, then, doctors are also unaware of this
process. Doctors have been manipulated to be “unaware”
because a common diagnosis of food allergy for common diseases
is politically and economically not in the best interests of
the medical profession.
Serious
artery stenosis also occurs in the carotid arteries, diagnosed
with a stethoscope, and in the coronary arteries, diagnosed
with special x-rays; but these do not lead to hypertension
because the jga is not stimulated to release renin. The
kidney releases the rennin implicitly whenever blood flow to
the kidney is reduced because the kidney must always be
filtering the blood at a constant rate and not a rate that
fluctuates with the pressure of the blood.
The Causes
for Blood-Pressure Fluctuations and Increases
The next
condition that relates to plumbing concerns the main cause for
daily fluctuations of blood pressure. This affects everyone,
but it is still a secret from the medical profession.
Customers using blood-pressure machines found as a free
service in many pharmacies will read on the machine’s
instructions that blood pressure will normally fluctuate up to
30 millimeters of Mercury during the course of a day, due to
different levels of stress and exercise. However, a very
significant factor is always missing; and your plumber knows
exactly how significant this other factor can be.
For
example, when a drain gets plugged up from accumulated debris,
a person might use a plunger before actually calling the
plumber. Pushing down on the plunger over and over again
sometimes forces the plug to go downline to a place where the
pipe is wider. Isn't it easy to see that the repetition of a
slightly increased hydrodynamic force, caused by pushing down
on the plunger, is the same as a slight increase in blood
pressure delivered by each beat of the heart? Since the "downline"
never gets any wider in the body, the increase in blood
pressure becomes permanent.
Concerning
daily fluctuations of blood pressure, however, there is no
"plug" in any part of the system; but there is an obstacle
that prevents the complete drainage of the system. This
obstacle is the bladder; or, more accurately, it is the
bladder's sphincter muscle. As the bladder gradually fills
with urine, a "back pressure" is formed. If the pressure in
the bladder is ten millimeters of Mercury, then the blood
pressure must increase by ten millimeters in order to
compensate for the pressure in the bladder. Otherwise, the
rate of formation of urine will decline due to the back
pressure; and toxins will accumulate in the blood. The body
will not readily accept the situation of increasing toxicity
and prefers to elevate the blood pressure, using all means
possible.
During the
course of a day, the pressure of urine in the bladder can
easily go up by thirty millimeters; and, specifically when one
experiences a sense of urgency, the pressure can increase by
sixty or ninety millimeters. What one feels as a
progressively increasing sense of urgency upon failure to void
the bladder correlates perfectly to an increase in blood
pressure. This is a far more meaningful cause of
"fluctuation" than is stress or exercise because the doctor's
nurse always checks the blood pressure before asking the
patient to give a urine specimen to the laboratory for
analysis. Thus, a falsely elevated measurement of blood
pressure is more likely to occur during an expensive trip to
the doctor's office than it is during a trip to the pharmacy
to use one of their free machines.
Eclampsia
The third
condition is really a variation of this everyday circumstance
in the special case of a woman who is in the latter stage of
pregnancy. It is called high blood pressure of pregnancy or
eclampsia, or toxemia of pregnancy. This condition is
experienced worldwide and threatens not only the health of the
expectant mother but also the health and life of the unborn
child. Mortality rates for both the mother and child are high
everywhere, especially in developing countries.
It should
be clear and easy to understand after the previous discussion
that the enlarging uterus also causes an increase in
intra-abdominal pressure, and this pressure must be a factor
that “adds on” to the total pressure experienced in the
glomeruli and sensed by the jga. However, since eclampsia
does not occur in every pregnancy, there is obviously another
key factor, and this is likely to be a point specific area
where one of the ureters (the main conduit that collects the
urine from all of the glomeruli and conducts it into the
bladder) is directly pressed upon by the uterus. This
compression of the ureter acts like the Goldblatt experiment
and causes the jga to sense an extremely high back pressure,
resulting in an elevated blood pressure that is very serious
and life threatening.
Even many
plumbers might not understand this last example, so there is
no doubt in my mind why it is not a part of every doctor's
medical education. However, there is a condition regularly
seen in emergency rooms that alludes to the doctor’s potential
to learn this knowledge. Unconscious patients with full
bladders are known to have back pressures on admission that
are very high; and a catheter inserted into the bladder to
relieve the back pressure automatically lowers the blood
pressure at the same time!
Therefore,
the therapeutic response to eclampsia should not be “bed rest
in the supine position,” which tends to put more pressure from
the uterus on to the bladder. Rather, the proper advice
should be to “ambulate on the hands and knees,” which diverts
the the pressure from the enlarging uterus away from the
bladder.
Considering the maternal risks of eclampsia, if all the
readers of Health Freedom News could convince their
doctors about the importance of "back pressure" in the bladder
as a cause of elevated blood pressure and eclampsia, then many
lives could be saved; and there will be many more happy
parents and grandparents.
Dr.
Narayan deVera is a medical doctor, age 61, who has been an
accomplished artist for almost 30 years. He has specialized
in the prevention of disease since 1976. Extensive
cardio-pulmonary stress testing at age 50 showed that his body
did not age appreciably after 18 years on a low-allergy diet.
His most recent health book is You Be The Judge. He
has also written Discovered Defense, a book about the
game of chess and one about particle physics and religion,
called Einstein's Dream. Currently, he is very active
in the Civil Society Movement and has made four trips to
Africa to help solve the problems of poverty and chronic
hunger. While in Nairobi recently, Narayan met the mother of
“Kenya’s tiniest baby,” who had already lost three pregnancies
due to eclampsia. A friendship was formed with the mother and
her husband to test Narayan’s theory about how to bring a
pregnancy to full term when eclampsia develops. Progress will
be reported on his website:
www.heartofhumanity.org.