December 9, 2013
Two years ago, I wrote the following article. Over that year, nothing has changed. I continue to see depressed and unhappy patients, stressed over what they don’t have and what the “need” as opposed to feeling blessed for what they have. The drive for “excess” continues to overshadow everything. I hope by re-posting “EXCESS” I will lessen the chance that 2012 will be a repeat of 2010 and 2011!
One of my readers asked me to write an article on the problem of “excess” and its effect on our health and happiness. I have alluded to our excess in past articles (refer to November 15 and December 7, 2010, “Four Letter Word” and “Suicide by Food”). Excesses in food, stressors, nutraceuticals, medications, drugs, electronics, communications and possessions have become the norm in our society. Those excesses have taken a toll on my patients and their families.<< MORE >>
December 7, 2013
My 92 year old mother loves to email me her joke/cartoon of the day. Internet jokes and cartoons put a smile on her face and she likes sharing that smile with me and her friends. Today’s cartoon pictured a doctor and his patient and the caption read, “What fits your busy schedule better, exercising one hour a day or being dead 24 hours a day?” I thought that was an excellent question, worthy of further comment.
I have addressed the value of exercise in previous articles and will probably address it in the future as well. Exercise is critical to good health and your wellbeing. Most of my patients know something about cardiovascular fitness but don’t truly understand its significance. Ever hear of a person undergoing bypass surgery? When a critical blood vessel narrows or clots, the surgeon harvests a vessel from the patient’s leg or chest wall and uses it to bypass the blockage. The surgeon must first open the chest wall, place the heart ...<< MORE >>
December 6, 2013
I was talking to one of my most successful patients a few days ago about how much work is involved in maintaining one's health. Mr. X has lost significant weight over the last few years leading to a marked decrease in his medication burden and a dramatic improvement in his overall health. He works out on a regular basis at The Exercise Coach, and, up until recently, was doing excellent at eliminating unhealthy fats and sugar.
Recently, Mr. X has started to backslide into old, unhealthy eating habits. He has gained 6-7 pounds and seen an increase in his blood sugars and a decrease in his own self esteem. In common terms, Mr. X has hit a wall, better known in the healthcare field as he's reached a plateau.
Unfortunately, most of my patients succeed at getting healthy only to fail. Failure comes when they reach a long plateau and, despite herculean ...<< MORE >>
December 5, 2013
During the next few weeks, many of us will be busy preparing for the holidays, excited to be with family and friends, looking forward to the New Year. The New Year brings many things, starting with the New Year’s resolutions. While most of us look forward to a new beginning, hopeful that things will be better, many spend time pondering about the past and saying “what if?” and “if only I had”.
Thirty years in practice has taught me that ruminating on the past and the “what if” question and the “if only I had” reply, is detrimental to your health. After all, you cannot change the past. While you are busy regretting past errors, you may be missing future opportunity. Once, a friend told me that one of the most important moments in her life was when I helped her through a moment of self doubt and self recrimination. She had made a decision many years ago that had long term consequences for her child’s ...<< MORE >>
December 3, 2013
It’s that time of year again. Yes, every year Medicare announces deep cuts in physician reimbursement and each year I proclaim, “The sky is falling, the sky is falling.” Fortunately, Congress steps in at the last minute and saves the day by enacting a temporary stay of execution.
According to an article published by Jordan Grumet entitled “Once Again, The Pound Of fat Comes From The Primary Care Physician, the sky really is falling in 2014. The 1200 page document that Dr. Grumet refers to in his article appears to be real. The effects of the flat visit fee proposed by Medicare would be apocalyptic! As is, I have trouble making ends meet when seeing Medicare patients.
If you are on Medicare, call your Congressman/woman and yell, “The sky is falling, the sky is falling!” Don’t wait! If Medicare really enacts the proposed policy, NO physician will be able to adequately care for you!... << MORE >>
December 2, 2013
Mr. Wonderful dropped off a list of his favorite sayings. Here are a few:
December 1, 2013
Have you missed me? I took 4 days off from writing to stay home with my family and enjoy the start of the holiday season. Every year I post the following article and this year I decided to follow my own advice. This year, I've updated it:
I don’t get it. Black Friday madness is in full gear. It’s just not healthy! Door Busters, long lines, and buying fever abound this time of year. As the need to sell and the desire to buy rise to a feverish pitch, the beauty of Thanksgiving is lost. A holiday designed for families to come together and give thanks is tainted by early sales requiring mothers and fathers to leave their families and go to work. What a shame! Here’s a Black Friday Special I would like to see:
Black Friday Special – Today only between 6 am – 6 pm, free good health for the ...<< MORE >>
November 27, 2013
In November of 2010, I published "Try." Over the years, not much has changed. Many of my patients are still "trying" to get healthy
and failing. The following article is being re-published in its entirety in hopes of convincing people to stop "trying" and go to work at being healthy and "Wellthy."
Sometimes I wish my patients would stop trying. They try to stop smoking. They try to lose weight. They try to take charge of their medical issues and get healthier. The problem is that something always stops them from succeeding. Today’s patients were stymied by work stresses, college weekend with the children, an anniversary celebration and depression over a lost marriage. The problem lies in the fact that today’s patients got sicker despite being warned about the consequences of not taking care of themselves.
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The remarkable thing about today’s patients is that they are all hard working, successful ...
November 26, 2013
"Terrible, it's terrible, she's terrible, my kids are terrible," are just some of the things I hear every day. Dr. Emily Gibson's article, "We have lost all perspective about what is truly terrible," sheds light on the overuse of the word terrible.
After you read her article, read "Blessings List" and this Thanksgiving, be sure to count your blessings!... << MORE >>