Showing posts with label wellness. Show all posts
Showing posts with label wellness. Show all posts

Friday, June 28, 2013

Eleven Steps: HOW TO FEEL BETTER MORE OF THE TIME AND REDUCE YOUR CHANCES OF A MAJOR ILLNESS

The Daily Apple™© Volume 2, Number 7

Friday, June 28, 2013

PGY #40  Day #363

Take The Best Care™© of Yourself

From Dr. Mike and Infinity Health Solutions

HOW TO FEEL BETTER MORE OF THE TIME AND REDUCE YOUR CHANCES OF A MAJOR ILLNESS 

From The Stress Management Workbook: An action plan for taking control of your life and health

Pages 156 and 157

The last blog post made reference to these pages, so here they are.  These 11 rules will help you get healthy and stay healthy.

Dr. Mike

HOW TO FEEL BETTER MORE OF THE
TIME AND REDUCE YOUR CHANCES
OF A MAJOR ILLNESS

The following list of rules gives you a general summary of what we
think is reasonable health behavior. Review them and keep the list
for future reference.
1.  Awareness of Behaviors You Can Change:

You have control over many factors that may significantly affect your health. Take advantage of the opportunity to learn how your own behavior
affects your health. Strive to change your behavior in such a way
as to promote your health. Learn to differentiate between those
things you can change and those you must accept.

2.  Preparation for Conditioning:

Establish a relationship with a physician whom you can trust. Make sure .you are able to communicatewith your personal physician. Visit your physician annually in order to continually assess your health status. Do not
start an exercise program without a health evaluation and advice
from your physician.

3.  Immunizations:

Be sure you are fully immunized. Diphtheria/tetanus
should be received at least every 10 years. Other immunizations
may be necessary under certain circumstances.

4.  Exposure:

Avoid physical, chemical, and biological hazards in the
environment. This is the essence of risk reduction. Some things
are obviously more hazardous than others depending on your age.
The major health hazards for the 30- to 40-year-old individual
are the automobile, alcohol, smoking, and weapons. There are
other significant factors such as drugs, air and water pollution,
and food additives that have adverse health effects, although they
may be difficult to quantify.

5. Diet:


Learn what you are eating and what you should not be
eating. Food additives, such as flavor enhancers, artificial flavors,
artificial colors, artificial sweeteners, and preservatives, as well
as hormones and antibiotics, are chemicals. Some are known to
be hazardous and others are suspect. These should be avoided. In
addition, excess sweets, starches, and fats should be avoided.
Your diet should contain fresh fruits and vegetables, lean meats,
fish, and low-fat dairy products. Excess salt can be a problem.
Obesity or overweight is a major health hazard.

6. Drugs:

Avoid the use of drugs unless absolutely necessary. All
drugs are potentially hazardous. Their benefit must be carefully
weighed against their danger. Discuss this with your physician.

7.  Exercise:

Develop a regular exercise program and go through
your daily activities in a way that promotes fitness. Exercise, if
done regularly and under supervision, reduces the risk of hypertension
and heart disease.

8.  Recreation and Relaxation:


These two are critical to your sense of well-being. They probably also prolong your life.

9.  Sleep:

When you are tired, go to sleep. Distractions such as television
that keep you awake during your period of greatest evening
fatigue are the single greatest cause of insomnia.

10. Goals and Expectations:

Examine your personal expectations and
the expectations which you have of others very carefully. Make
sure that they are reasonable. If unreasonable, they should be
changed. If you are unable to examine or change them on your
own, seek help.

11.  When and How To Seek Aid:

A serious, or persistent problem deserves prompt evaluation by your personal physician, or, if necessary, the physician who is on call.

The Daily Apple™©: Take The Best Care™© of Yourself

The Daily Apple™© Volume 2, Number 6

Friday, June 28, 2013

PGY #40  Day #363

Take The Best Care™© of Yourself

From Dr. Mike and Infinity Health Solutions


 
For our final blast of PGY 40 I take you back to The Stress Management Workbook.  In fact, I take you to the end of the book, page 162, which I have reproduced here.  There is ONE critical point to make with regard to altering your life and lifestyle to promote optimal health and well being.  It takes time to do it right.  

This is true for many reasons, not the least of which is this: we are programmed to behave in a certain way.  Not completely hard wired, humans have the capacity to change and to change themselves, but the biology of change involves reprogramming the brain and nervous system and that does take about two years.  This is about a mix of genetics and biology that amounts to "plasticity" of the nervous system.  If you eat well, sleep well, and get proper exercise, your body will enable the necessary changes in the nervous system that facilitate your ongoing path to health. I will not dwell on the science of this phenomenon now, but ask if you have questions about it.

The point is this: You can change.  Don't give up.  Take the time necessary to make the change stick.  If you screw up, fall down, make a mistake, go out of line, fall off the track ... get back on track ASAP.  The more time you spend on track, the easier it will be to stay there.  Do not give up ... do not surrender.

Below is the relevant page from The Stress Management Workbook.

Enjoy!

Dr. Mike

162 THE STRESS MANAGEMENT WORKBOOK
PITFALLS ON THE PATH TO HEALTH,
OR WHY CHANGE IS DIFFICULT
Change is not always easy to implement. There are several reasons
for this. You have been practicing your present style of thinking and
behaving for many years. Much of your behavior and attitude has
become habit. You will have trouble realizing you have engaged in
the habit until after the fact. 
Do not make your goal the immediate
and total elimination of the old behavior or the addition of new ones:
You will set yourself up for failure and add to your stress. A realistic
goal would be to reduce the frequency of the behavior(s) or increase
the frequency ofnew behaviors over time so that one or two years from
this date you can recognize substantial change. 
You can change habits
faster by  
(1) asking friends to tell you when you are engaged in the
old behavior; 
(2) deliberately engaging in the habit in an exaggerated
manner several times a day so that you become supersensitized to it;
and 
(3) keeping a log with you and writing down each time you or a
friend notice the habit-reward yourself for specified reductions in the
frequency of the behavior.
Often people will not change even if the present situation is not
satisfactory because the discomfort of the known is not as great as
their fear of the. consequences of unknown behavior. If you become
more assertive, for example, you will have to deal with the reactions
ofthose around you, some ofwhom may prefer that you stay meek and
docile. If you discover that you seem reluctant to change even though
intellectually you believe you would be better off altering your lifestyle,
then list all the consequences you can think of that would occur
if you did make the specified changes. Which of these would present
new problems for you? How can you decrease your fear of being different?
If this problem seems to have you stymied, seek professional
counseling or medical care.
Refer back to your Action Plan for Change (page 158). Ifthe number
of changes you believe you have to make is substantial, where to start
and how to achieve so much may seem overwhelming. This may give
you the excuse you need to avoid beginning. Do not be upset if you
have found yourself with a long list of changes to make as a result of
reading this workbook. Look at it as a long-range plan. Make a list of
the priorities and work away at it over the next couple of years, rewarding
yourself at each step. Gradual change is better for you than
sudden major shifts in thought, behavior, job situations, etc.
Do not give up. You may review the material and revise your plans
repeatedly without harm. Take your time and remember to enjoy yourself
along the way to your goals.









Friday, April 12, 2013

How Does Red Meat Cause Atherosclerosis: New Science

The Daily Apple™© Volume 2, Number 6: The Red Meat, Blood Vessel & Heart Disease Connection

The Daily Apple™© Volume 2, Number 6
Friday, April 12, 2013, PGY 40 Day #262

The Stress Management Workbook covers Diet and Nutrition in Chapter 4, Increasing Stress Tolerance.  Why are we jumping ahead?  There is new scientific evidence to support tight limits on red meat consumption.  This evidence is compelling enough to remind you again to limit red meat.  Don't eat it more than twice weekly.  For some with known atherosclerosis ... don't eat red meat at all and use a form of the "Mediterranean Diet".  We will explain why in this blog.

Proper diet  is essential to optimal health and well being.  In The Stress Management Workbook, we advocate a diet that is "high-protein, low-fat, low-carbohydrate".  That still works for healthy people and folks with no organ dysfunction (such as renal failure), or congenital metabolic defects.  But, the question is this; exactly what should you eat to optimize benefit and minimize the risk?  For otherwise healthy individuals and people with no special needs, here are the key words: Balanced and Fresh! Fruits, Vegetables, Nuts, Seeds, Vegetable oils, Lean meats, Fish, Eggs, Milk, Cheese.  Avoid more than 2 servings of red meat per week and cut red meat out, if you have heart or blood vessel disease.  RED MEAT and lower your l-carnitine consumption and this is why.

We have assumed that the FAT in red meat was the agent that causes disease.  However, new evidence suggests otherwise.  Under proper conditions, certain bacteria in the intestines produce a chemical that is absorbed into the bloodstream and promotes atherosclerosis.  Here is the link to the article for those who are so inclined to study it.

http://www.nature.com/nm/journal/vaop/ncurrent/full/nm.3145.html

This study results by Robert A. Koeth et al, published in Nature Medicine on April 7, 2013 showed that these gut bacteria make trimethylamine-N-oxide (TMAO) from l-carnitine, which is abundant in red meat.  High TMAO levels are associated wtih atherosclerosis in humans and mice.  Cut out the red meat and/or the bacteria and TMAO blood levels drop.

This study demonstrates a few things and suggests a few more to be examined:

1.  Red Meat changes bacterial composition in the gut and promotes atherosclerosis

2.  The presence of "specific bacteria" in the gut promotes high blood levels of TMAO if red meat is consumed

3.  High levels of TMAO are associated with atherosclerosis

4.  Certain diets (without red meat) may suppress the "specific bacteria" implicated in this study

5.  Antimicrobial properties of certain foods may prevent proliferation of "specific bacteria"?

This table will help you understand why red meat is the BIG dietary source of L-Carnitine.

L-Carnitine Content of Selected Foods
FoodServingL-Carnitine (mg)
Beef steak3 ounces*81
Ground beef3 ounces80 
Pork3 ounces 24 
Canadian bacon3 ounces 20 
Milk (whole)8 fluid ounces (1 cup) 
Fish (cod)3 ounces 
Chicken breast3 ounces 
Ice cream4 ounces (1/2 cup) 
Avocado1 medium 
American cheese1 ounce 
Whole-wheat bread2 slices 0.2 
Asparagus6 spears (1/2 cup)0.2
*A 3-ounce serving of meat is about the size of a deck of cards.
From the Linus Pauling Institute at Oregon State University on L-Carnitine

"An apple a day keeps the Doctor away."  Did you know that, among other things, apples contain natural antimicrobial chemicals?  This study has me wondering how our diets have changed over the last century.  Is our red meat different from the red meat of 1913?  Are we eating antibiotics that change our intestinal bacteria?  Hmmm ... keep on wondering with me.  We will keep you updated as the information rolls on.  In the meantime RED MEAT.

StepWisely®™© and GO TO HEALTH(TM) with us @ihealsolutions.

Have fun and be careful out there.

Dr. Mike
Michael F. Mascia, MD, MPH

Monday, February 11, 2013

The Daily Apple™© Volume 2, Number 3


The Daily Apple™© Volume 2, Number 3

Monday, February 11, 2013 PGY 40 Day #226


The Daily Apple™© Volume 2, Number 3
From Dr. Mike & Infinity Health Solutions
www.ihealsolutions.com  


RELAXATION

Relaxation is part of the Comprehensive Health Care, Self Care, Best Care, Health and Wellness programs we advocate.

Go to Health™ (@Dr_Mike_IHS) tweeted at 9:10 p.m. Sun, Feb 10:

Good reminder. Learn to relax with us @ihealsolutions >>>>>>>>>>>>>>>>>>>>>> Relax! You’ll Be More Productive 

http://nyti.ms/128fPYu

Click on the link above to find a useful review and reminder regarding the VALUE of RELAXATION in the Sunday, February 10, 2013 New York Times.  Join us ... we will help you "learn" to relax.  If you have not yet done so, please review blog pages labeled, "stress management", "The Stress Management Workbook and The Daily Apple™© to get up to speed.

Today, I will post a few more pages from The ORIGINAL Stress Management Workbook ...

Please email or comment on the blog if you have questions and let us know if you have any formatting suggestions.

Thanks,

Dr. Mike

 

Signs and
Symptoms of
Stress
––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––

SYMPTOMS OF PSYCHOSOCIAL STRESS

Symptoms:Unpleasant subjective feelings that correspond to physiological or bodily changes.


LIST OF SYMPTOMS
Palpitations
Decreased interest in sex
Thoughts or fears of failure
Chest pain
Insomnia
Irritability
Unexplained sweats
Loss of appetite
Jaw pain
Headache
Neck pain
Tooth pain
Abdominal pain
Back pain
Worry about being sick
Diarrhea
Fatigue
Tension
Constipation
Confusion
Repetitive thoughts
Aches and pains
Agitation
Trouble breathing
Increased interest in sex
Anxiety
Other

            Symptoms are subjective feelings that correspond to physiological or bodily changes.  Stressors may produce bodily responses that are not noticeable to the individual.  In other words, a person may be under stress without symptoms.  Also, a person may be under stress and be experiencing pleasure.  That is, stress may be associated with no feelings, with unpleasant body sensations (symptoms), or with feelings of well-being (pleasure).  Excess stress, however, is almost universally associated with unpleasant bodily sensations, that is, symptoms.  Symptoms may also represent bodily changes corresponding to pathology or disease.  The untrained individual is usually unable to differentiate between symptoms from stress and symptoms from disease.
            Scale 1 which follows is a listing of symptoms that are commonly seen with psychosocial stress.  Filling it out will accomplish two goals: Goal 1 is to allow you to identify symptoms that you usually experience when under psychosocial stress (column headed “Past Stressful Times”).  This will enable you to build your individual profile.  When you notice one of your stress symptoms, you can then recognize what is happening and work to change the situation.  Goal 2 is to allow you to explore the extent to which you are currently under stress (column headed “Past Two Weeks”).

Above is Page 7 > 8 of The Stress Management Workbook modified to enable blog posting

8________________________________THE STRESS MANAGEMENT WORKBOOK



SCALE 1-SYMPTOMS OF STRESS
For each of the listed symptoms, write in the number from 1 to 5 that approximates the extent to which you have experienced it.  Comment or give examples to clarity your answers and write in “X” if you do not know.  When in doubt, choose the higher number.
            5                      4                      3                      2                      1                      X
       Daily               Weekly           Monthly          Rarely             Never      Do Not Know
* Code: A, active relaxation methods helpful; P, passive relaxation methods helpful.  (See text for further explanation.)

PAST
TWO
WEEKS
PAST
STRESSFUL
TIMES

A*________


A ________


A ________


A ________


A ________


A ________


A ________


    ________



__________


__________


__________


__________


__________


__________


__________


__________



1. Palpitations (pounding in chest, heart skipping)
Comment: ______________________________________
_______________________________________________
2. Chest pain
Comment: ______________________________________
_______________________________________________
3. Unexplained sweats
Comment: ______________________________________
_______________________________________________
4. Headache
Comment: ______________________________________
_______________________________________________
5. Abdominal pain
Comment: ______________________________________
_______________________________________________
6. Diarrhea
Comment: ______________________________________
_______________________________________________
7. Constipation
Comment: ______________________________________
_______________________________________________
8. Increased or decreased interest in sex
Comment: ______________________________________
_______________________________________________



Page 9 of The Stress Management Workbook starts below

SIGNS AND SYMPTOMS OF STRESS___________________________________________9   


PAST
TWO
WEEKS
PAST
STRESSFUL
WEEKSTIMES

    ________


    ________


A ________


A ________


    ________


P ________


A ________


P ________


P ________



A ________


P ________

__________


__________


__________


__________


__________


__________


__________


__________


__________



__________


__________
9. Insomnia (sleeplessness)
Comment: ______________________________________
_______________________________________________
10. Loss of appetite
Comment: ______________________________________
_______________________________________________
11. Neck pain
Comment: ______________________________________
_______________________________________________
12. Back pain
Comment: ______________________________________
_______________________________________________
13. Fatigue
Comment: ______________________________________
_______________________________________________
14. Confusion
Comment: ______________________________________
_______________________________________________
15. Agitation
Comment: ______________________________________
_______________________________________________
16. Anxiety (worry)
Comment: ______________________________________
_______________________________________________
17. Keep thinking about a problem––can’t get it out of your mind
Comment: ______________________________________
_______________________________________________
18. Trouble breathing
Comment: ______________________________________
_______________________________________________
19. Thoughts or fears of failure
Comment: ______________________________________
_______________________________________________

 



















Page 10 from The Stress Management Workbook, below

10_________________________________THE STRESS MANAGEMENT WORKBOOK

            5                      4                      3                      2                      1                      X
PAST
TWO
WEEKS
PAST
STRESSFUL
TIMES


 ________


A ________


A ________


    ________


    ________


A ________


__________
__________
__________
__________
__________
__________
__________
__________
__________

__________


__________


__________


__________


__________


__________


__________
__________
__________
__________
__________
__________
__________
__________
__________

20. Irritability
Comment: ______________________________________
_______________________________________________
21. Aches and pains
Comment: ______________________________________
_______________________________________________
22. Jaw pain
Comment: ______________________________________
_______________________________________________
23. Tooth pain
Comment: ______________________________________
_______________________________________________
24. Worry about being sick
Comment: ______________________________________
_______________________________________________
25. Tension (tightness of muscles)
Comment: ______________________________________
_______________________________________________
26. Other ______________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  To be Continued ...

Contact me by email or by commenting on this blog, if you have questions, comments, or suggestions.

Dr. Mike

Michael F. Mascia, MD, MPH

dr.mike@ihealsolutions.com