Wednesday, March 31, 2010

What are we busy about?

“It is not enough to be busy; so are the ants. The question is: what are we busy about?”
 ~Henry David Thoreau

That is a good question, what ARE we busy about?!

Today is one of those days where almost every minute of my day is scheduled.

5:05 wake up. Make coffee, make lunch, write emails, read news/blogs. Practice (in by 6:25, out by 8:25). Home for quick shower and breakfast. On bike by 8:45. Clinic all day (scarfed down lunch of PB&J, fruit salad from fruit cart, and avocado mmm). Biostats class 4-7pm (here now… hungry again, multi-tasking, catching up on emails). Birthday taco dinner (Happy birthday, Caitlin!!) then Fanfarlo concert.

The more hectic the day, the more I need morning practice... it helps keep my mind un-busy even if my body isn't.

Tuesday, March 30, 2010

Mind-body hygiene

This month’s Yoga Journal has a nice article about Sat Bir Khalsa, a researcher and assistant professor of medicine at Harvard Medical School who has dedicated his career to researching yoga. I like how he talks about yoga as mind-body hygiene:

“I think of this as hygiene. We have dental hygiene, which is a well-accepted part of American culture. Schools teach it, doctors recommend it, parents reinforce it. Imagine if people didn’t routinely brush their teeth. That would be unheard of in this country! But what about mind-body hygiene? We have nothing for that.”

Monday, March 29, 2010

Prescriptions for the planet

I liked this week’s New England Journal of Medicine opinion piece about climate change and why medical professionals should care (the rise of infectious diseases being one reason).

The author, Emily Shuman, says, “I believe that it is also our responsibility as members of the health care community to do our part" and help reduce greenhouse gas emissions.

Yes! It’s not enough for the medical community to react to the rise in infectious diseases as a result of climate change, but also to prevent this from happening in the first place.

So what can medical providers do? The article references the EPA’s website with recommendations. Surprisingly, this site has no mention of eating less meat or more locally grown foods. I found this WikiHow site much more useful. It includes the following:
  • Eat locally
  • Bike more
  • Grow your own food 
  • Eat low on the food chain (vegetarian or vegan): “a vegan diet contributes 1.5 fewer tons of CO2 or CO2 equivalents to the atmosphere each year than the average North American diet" 
Seems like these are recommendations physicians should be giving… not only are they good for climate change, but they are also good for our health.

Sunday, March 28, 2010

Horse chow & food for thought

“Here are some factors for health and a long life which we have put into practice: positive, optimistic thinking; a good conscience; outdoor exercise and deep breathing; no smoking; no alcohol or drugs, including coffee and tea; a simple diet – vegetarian, sugar-free, salt-free, low in calories and fat and 55% raw. These will vitalize the life span. Avoid medicines, doctors, hospitals.”
~The Nearings, from Loving and Leaving the Good Life

In honor of our book club meeting today, we tried out the Nearing's horse chow (which they ate every morning). Simply mix together:
  • 4 cups oats
  • 1 juice of a lemon
  • 1 cup raisins
  • dash of sea salt
  • olive oil to moisten
Horse chow. It grows on you :)

Some more food for thought from this book…  

Have less, be more philosophy:
“It’s what you are, not what you have on that is important in life… I regard being and doing as the essential ingredients of life; merely living and having can be an obstruction and burden. It’s not what we have but what we do with what we have that constitutes the real value of life.”  

Television:
“One of the horrors of civilization. Direct experience is what we need; that’s what we’re here to get: experiential education, not through television, where we’re physically separated from doing. It separates the individual from reality; encourages passivity; implants deleterious images directly into the unconscious; dulls awareness; gives the illusion of experience; has a hypnotic addictive quality which is totally dangerous and obnoxious.”  

Fasting:
“One day a week, usually Sunday, we gave our digestive system (and whoever cooked) a rest, by eliminating our already light breakfast and lunch and fasting during the day. Having no scheduled activity except perhaps a walk or a swim, or putting up a bit of stone wall, we took the day easy. These fasting days were ended in the evening by the fire with a supper of popcorn, carrot juice or cider.”

Scott’s reaction to a doctor who told him to take vitamin B12 and get routine medical tests:
“If I did this I would be trying to prolong my life under medical supervision for the rest of my life. Thank you, but I would rather die much earlier than follow such a course… My formula is to stay well and live as long as I can, in moderate health and vigor. If I cannot stay well by a normal diet and temperate living, the sooner I did, the better for me and the society of which I am a member.”

Why be vegetarian:
“For every possible reason, but primarily ethical. George Bernard Shaw always answered the same question by another: ‘How can you justify the disgusting habit of consuming animal carcasses?’ We know of no valid reason for eating flesh. The rotting carcasses are full of diseases and poisons. Raw fruits and vegetables and nuts are vital and clean if organically grown. A vegetarian diet is simpler, more economical, and kinder.”

Friday, March 26, 2010

Research update: Month 5

We were awarded the grant and got IRB approval... so now we can really move forward with our study. This means it’s time for some self-experimentation!

So today, we drew our own blood to practice our telomere/telomerase measurement technique. Success! Our lymphocytes are currently sitting in a -80 degree freezer.

Being in the lab today was such a different experience from my pre-med lab classes in college (which I dreaded). Drawing the blood, seeing it separate into the three distinct layers (plasma, lymphocytes, red blood cells), calculating the number of my cells lying at the bottom of the test tube (which was 15 million!)… we were doing the practice behind all the theory. I’m sure it will get boring (as everything usually does), but right now I love it… and I can’t wait for our results.

“The irony is that science has served only to show how small human knowledge is…. and the scientists, no matter how much they investigate nature, no matter how far they research, they only come to realize in the end how perfect and mysterious nature really is. To believe that by research and invention humanity can create something better than nature is an illusion. I think that people are struggling for no other reason than to come to know what you might call the fact incomprehensibility of nature.”

~Masanobu Fukuoka (The One Straw Revolution)

Wednesday, March 24, 2010

Mysore-style medicine

Mysore-style yoga is self-practice of Ashtanga yoga. Each student individually learns the poses and practices them every day. In Philadelphia and in cities all across the globe, Ashtangis meet every morning for this practice (and many more practice in the privacy of their own homes).
 
Mysore-style yoga means that:
  • Each student practices at the pace that works for him or her.
  • The practice room is silent except for the words exchanged between teacher and student.
  • The teacher is educated in the theory behind the practice.
  • The teacher watches each student closely, provides guidance, and gives adjustments to each student.
  • A community is created based on the shared values of health and commitment, and the shared experiences of struggle and progress.
What if our medical system were to provide preventive medical care using the mysore-style paradigm?
  • Where patients commit to a “self-practice” of health and prevention.
  • Where doctors help teach, guide, and “adjust” each patient.
  • Where the community supports, encourages, and strengthens each individual’s self-practice.
  • Where physicians work together with patients to create health, rather than react to disease. 
Mysore-style medicine is good in theory (the 1%). How might it work in practice?

I think Dean Ornish's lifestyle program (where patients commit to a low-fat vegetarian diet, exercise, and stress reduction) is one successful example.

Tuesday, March 23, 2010

The most daring thing

"What should young people do with their lives today? 
Many things, obviously. 
But the most daring thing is to create stable communities 
in which the terrible disease of loneliness can be cured." 

~Kurt Vonnegut, Jr.