Doctors should inspire.

One of the best things I've read lately!

From Jay Parkinson's blog: the FutureWell

"As doctors, we have pills to treat infections and high cholesterol. We have scalpels to replace hips and open clogged arteries. But beyond pills and scalpels, what tools do we have? Walking out of the doctor’s office without a prescription is a rare occurrence these days. And the famous surgeon tagline has always been “a chance to cut is a chance to cure.” We see people when they’re sick and we’re trained and expected to do something. But do we want more than one of every five kids and nine of ten older Americans taking prescription drugs? Do we really think that more heart stents are the secret to longevity? Of course they are if we believe our job as physicians is to treat the symptoms rather than the cause.

I’m trained in Preventive Medicine, one of the twenty four specialties recognized by the American Board of Medical Specialties. Out of the nearly 16,000 medical students that graduate every year, only about 120 choose Preventive Medicine. Does that really mean that less than one percent of doctors think preventing disease is more important than treating it? I’m afraid so. Maybe it’s because our medical culture hasn’t figured out how to profit off health, rather than sickness? Or maybe it’s because our doctors simply aren’t creative enough to think beyond pills and scalpels? Of course it’s a mixture of both and many more, but I think the main reason is we’re absolutely clueless how to treat bad lifestyle from the confines of the 8 minute office visit. It’s a horribly outdated tool for the problem at hand.

Health happens in your home and in your neighborhood, not in the exam room. Health is all the little routines you have in your life, some of them good and some of them bad. But in order to lead a wonderfully fulfilling life, we have to look at health as being the optimal mix of good food; fun movement; real relationships with people you love; financial success; a job that leverages your best skills; a neighborhood that makes health easy; and the wild card– sex, drugs, and rock & roll. I threw that last one in because health has traditionally been so burdensome and black and white. But in real life, health is grey and life is fun. And being a good doctor is much more than writing prescriptions and doing procedures, it’s about knowing your patients and inspiring them.

My first practice was strictly a house call practice where I’d see patients in their apartments here in Brooklyn and follow up with them via email or Skype. It was lean and cost $1500 to launch. I was profitable in the first month because my overhead was only about 10%. My patients paid me via PayPal and my visits were typically less than $100. I couldn’t have done any of this without my iPhone and my MacBook. I used today’s technology to practice yesteryear’s medicine. It enabled me to be real-time traveling somewhere in my neighborhood awaiting my iPhone to alert me of my next appointment. Granted, I couldn’t see 40 patients a day like other doctors. But I wanted quality, not quantity. I wanted a real relationship with good, respectful communication. And 6 to 8 house calls a day in your neighborhood gives you way more information about people than 40 harried visits in some faraway institution. But that’s just the business side of things.

Most importantly, I saw how people lived. I could see the chubby person’s potato chips on the counter, the mice droppings in the asthmatic’s ultra-cool Williamsburg loft, or the depressed person’s evidence they spent a lot of lonely time by themselves staring at glowing rectangles. My neighbors were my patients and I couldn’t walk more than two blocks without someone saying “Hey Doc!” I liked to think that every time someone said that, they were reminded about living healthier. They saw me at the farmer’s market on Saturdays, going to the gym, having barbecues in the backyard with friends, and drinking at the corner bar. I became a regular fixture in their neighborhood. Hopefully, I was this occasional little familiar nudge that inspired them to chase the good life. And if you ask me, that’s what we as doctors need to be asking ourselves the next time we write a prescription– am I inspiring or am I perpetuating a broken system?"

How biking can save $3.8 BILLION per year in avoided mortality and health care costs!

Here's an interesting article reported by Scope blog:

"Convincing Americans to ride their bikes instead of driving when traveling short distances during the warmest six months of the year could yield significant health and economic benefits, according to findings published today in Environmental Health Perspectives.


In the study, researchers at the University of Wisconsin-Madison examined the largest 11 metropolitan areas in the upper Midwest and calculated the effects on air pollution and health costs if short car trips, five miles or less round-trip, were replaced with bicycle trips. According to a university release:

The biggest health benefit was due to replacing half of the short trips with bicycle trips during the warmest six months of the year, saving about $3.8 billion per year from avoided mortality and reduced health care costs for conditions like obesity and heart disease.

[Additionally, the] report calculated that these measures would save an estimated $7 billion, including 1,100 lives each year from improved air quality and increased physical fitness.

Researchers say they hope the study serves as motivation for city planners to make communities more bike friendly and invest in separate paths or lanes for cyclists, storage racks and public transit."

Need some inspiration? I loved this presentation!! Give it a try!


LosAngeles/CreativeMornings - Sharon Ann Lee from LosAngeles/CreativeMornings on Vimeo.

Collaberative Consumption

Hi, all!  I know it's been forever since I've posted here!!  I've been super busy writing for Borgess Athletic Performance and still keeping up on the Eating Coach blog.  Not as much time for reading wonderful things (or at least the non-athletic/fitness related wonderful things).  But...today's a brand new day and I just found a great video to get you thinking about how you interact with the world -- or more to the point, how you could interact with the world.

I found this at the Good Gym website and they are featured in the first part of the video -- they are fantastic!  and if you're looking for an exercise model that makes you feel great about taking time for your health, this might be just what you need.  I hope you find this as inspiring as I did!!


Collaborative Consumption from NESTA UK on Vimeo.

Laughter has similar health benefits to aerobic exercise and statin use!!!!

How cool is this!  From the Scope blog at Stanford University:

How laughter, anger may influence heart health


Lia Steakley on August 29th, 2011 1 Comment

Anger and the inability to manage stress can harm your heart, while laughter can be an effective stress-reliever and improve cardiovascular function, according to a pair of studies presented yesterday at the European Society of Cardiology (ESC) meeting.

In the first study, Italian researchers recruited 228 survivors of an acute myocardial infarction, 200 of whom were men, conducted psychological evaluations of individuals and followed them for 10 years to evaluate how negative emotions such as anger, depression and anxiety might affect prognosis in cardiology. During this time, researchers recorded 51 cardiac events. According to an ESC release:

To understand which factors were able to predict these events the authors used a statistical analysis known as the Cox model. Examining factors such as the age of patient, gender, psychological variables, clinical data (traditional risk factors, peak cardiac necrosis enzymes, left ventricular wall motion score index and heart rate variability), the results show that the only factors able to predict cardiac events in patients are the Anger and Stress-related disturbances, with a relative risk of 2.30 and 1.90 respectively. Patients who had reported a high score on the Anger scale had a higher risk of experiencing a new event, 2.30 times superior in comparison with those who had reported a low score on the same scale.

These study results were particularly interesting in light of additional findings presented at the ESC meeting by University of Maryland researcher Michael Miller, MD, who has been exploring the role of laughter and humor in reducing the risk of heart disease for the past decade.

Miller’s early work suggested mental stress caused blood vessels to constrict so he decided to examine if positive emotions, such as laughter, had the opposite effect. In his latest study, participants were instructed to watch either a comedy or intense drama and were monitored for carotid artery activity during the films. According to an ESC release:

When study volunteers watched the stressful movie, their blood vessel lining developed a potentially unhealthy response called vasoconstriction, reducing blood flow. This finding confirms previous studies, which suggested there was a link between mental stress and the narrowing of blood vessels. However, after watching the funny movie, the blood vessel lining expanded.

Overall, more than 300 measurements were made with a 30-50% difference in blood vessel diameter between the laughter (blood vessel expansion) and mental stress (blood vessel constriction) phases. “The magnitude of change we saw in the endothelium after laughing was consistent and similar to the benefit we might see with aerobic exercise or statin use” says Dr. Miller.

Can practicing yoga help women suffering from Fibromyalgia?

Good news!  A new study published in the Journal of Pain Research suggests it can!  Thanks to the Scope blog for passing along the following news:

Women suffering from fibromyalgia may find some welcome relief in yoga. A new study from York University in Toronto shows that practicing yoga boosts levels of the stress hormone cortisol, helping ease some of the symptoms, which include pain, fatigue, muscle stiffness and depression. Low cortisol has been tied to fibromyalgia, and this study is the first to look at the effect of yoga on levels of this hormone.



For the study, which appears in the Journal of Pain Research, the researchers followed a group of women who practiced 75 minutes of hatha yoga twice a week. After eight weeks, saliva samples revealed elevated levels of cortisol. Women also reported significant reductions in both physical and psychological symptoms. Kathryn Curtis, the study’s lead author, explains more in a release:


“We saw their levels of mindfulness increase – they were better able to detach from their psychological experience of pain,” Curtis says. Mindfulness is a form of active mental awareness rooted in Buddhist traditions; it is achieved by paying total attention to the present moment with a non-judgmental awareness of inner and outer experiences.


“Yoga promotes this concept – that we are not our bodies, our experiences, or our pain. This is extremely useful in the management of pain,” she says. “Moreover, our findings strongly suggest that psychological changes in turn affect our experience of physical pain.”

Making a PSA about handwashing fun