Category Archives: Habits & Behavior Change

Healthier Together Series: Cycle 7C. Relaxation & Sleep – Allow Sleep with Sleep Training

Bud Winter was one of the greatest Track and Field coaches who developed world class sprinters who competed globally and broke world records. How does a coach produce 37 world record holders, 27 Olympians, facilitate 3 NCAA championships and produce 49 NCAA records? Among with his athletic coaching skills, he helped his athletes master meaningful relaxation and sleep.

It all started in World War II, when he developed a relaxation and sleep training technique that allowed naval pilot cadets to be able to fall asleep within 2 minutes, in broad daylight, sitting upright wherever they landed, surrounded by the sounds of war. After 6 weeks of training, the relaxation and sleep training program demonstrated success in 96% of the cadets.

For those who have heard me speak or who are patients of mine, you know about this and you may have already begun your training. Here’s what you need to know.

  • Every human has the ability to learn how to completely relax the mind and body. However, you may find it takes regular practice before you can appreciate how effective this is.
  • True barriers to sleep:
    • If you believe you can’t or won’t sleep, you won’t.
    • If you move or think about activities or negative thoughts, you will need to settle down to sleep.
    • Certain medications, supplements, drugs, and alcohol can interfere with your mind’s ability to get restful sleep.
    • Untreated sleep apnea.
  • When you can completely relax your body and then clear your mind for 10 seconds, you will automatically drift off to sleep if you need it.
  • Steps to learning to completely relax your body:
    1. Get in a comfortable position, seated or laying down and begin deep belly breathing. Slow down your breathing.
    2. Begin progressive relaxation from your forehead and scalp. Begin by relaxing the muscles so that all the forehead wrinkles release. Breathe slow and steady.
    3. Move down to releasing your jaw muscles, the muscles around your eyebrows and eyes. Let your eyes get limp.
    4. Continue releasing the face, lips and mouth muscles.
    5. Breathe slow and steady as you work your way down your body, progressively relaxing each part of your body until you have relaxed down to your toes.
  • If you want to sleep, after you are completely relaxed, you will then train your mind to be blank for 10 seconds. Bud winter recommends multiple ways to do this like visualizing laying in a canoe on a still lake, staring up at the sky or repeating simple words.

What’s so wonderful about this is, to know what’s possible. It’s possible for almost anyone to learn to completely relax the body AND to be able to fall asleep within a few minutes, no matter how stressful the awake hours might be.

We know the importance of relaxation and sleep on overall health and well-being, but also on performance. The world’s best athletes have learned how to relax completely between moments of competitive, intense focus, and they know how to get restful sleep. In the past, this training was available only to some. Now, we can all learn and benefit. Anyone who wants to, who practices, can and will be able to master this. I have seen the this work for children, adolescents and adults of all ages, for those who are already high achievers, those who are struggling and those who are just looking to acquire more tools for self care.

Allow yourself time for rest and sleep. Then, use that opportunity to master the ability to completely relax your body and be able to drift off to sleep whenever you need it. After you have mastered relaxation and sleep, you can tap into your best self. Think about the possibilities.

3 Questions for a More Joyful Life

assorted flowers in shallow focus lens

As a physician, I hear so many stories and witness so many ways to live life. Here is what I have observed and learned from those who live joyful lives. It’s so simple. We can all learn to live joyfully. At the start of each day, focus on being able to answer YES to these 3 questions:

  1. Did I genuinely laugh today?
  2. Did I experience love today?
  3. Do I have 3 “things” I am grateful for today? (for example: experiences, people, animals, privileges, surprises, gifts, blessings, etc.)

At the end of each day, answer the 3 questions. If you do not answer “yes” to one or more of these questions, reflect on your day and think about how to spend tomorrow, so that you can add another “yes” to the end of your day tomorrow.

person holding lighted sparklers

If you can genuinely answer “yes” to each of these, you were present for joy in your day and you had a perfect day. You may want to write a note to remind you about the details for each answer. Over time, you will have a personal journal of moments of joy in your life. How fun that will be to read.

The universal power of laughter, love and gratitude are immense…and contagious. They connect us to each other and to our universe. The more you practice this, the more joyful your life will be and it will spread to those around you.

***If you’d like to share your joy, add it to the comments below.***

Healthier Together Series: 6D. Putting it all together – Organizing Your Day For Productivity & Success

hannah-olinger-NXiIVnzBwZ8-unsplashToday, we are finishing up our 6th series. You have all the tools and knowledge to make the choices to optimize your health. How do you make it all happen? Here’s how to set yourself up for success. Make adaptations to make it your own. Here’s the basics.

Once a week:

  1. Review what happened last week. Make notes about what you learned, what you need to do, what has to be carried over from last week. Are you making decisions that align with your mission statement and your values?
  2. Brain Dump. Make a list of everything on your mind, everything you need to do, everything you are worried about, anything that is taking up mental space. Empty the brain of distracting thoughts.
  3. Prioritize your goals for the week. What do you need to accomplish this week? Include your goals for nutrition, physical activity, sleep and relaxation as well as any social goals.
  4. Develop action items, or next steps towards achieving those goals. Prioritize them or mark the most important ones so you work on those first. Also, it helps to have  a list of action items that are take less than 10 minutes to complete so that you can easily complete those tasks when you have sudden open moments like when a meeting ends early or you find yourself waiting for an appointment.
  5. Next to each action item, it helps make some notation or color code it to indicate a location. For example, some actions require you to be at your computer (sending an email or creating a powerpoint or editing a document) or at home (pack for trip).
  6. Review your calendar for the week ahead and fill in any of the necessary appointments or usual activities and block out those times. Account for every hour of every day. Remember to include your commute times, food prep, eating, shower, workouts, relaxation times, sleep times, etc. There are 24 hours in a day and remember that you cannot be in 2 places at the same time.
  7. Now you see how much of your week is open for discretionary time. Find the largest blocks of time and block those for your most important projects or creative activities so you can do a dive deep into them. Fill in the smaller chunks of time with errands and To Do’s that don’t require much thought or creativity but take up some of your time.

At this time, you likely have a brain dump list, a prioritized list of goals, a prioritized list of action items with locations and a prioritized list of “10 minutes or less” tasks.

Daily:

  1. At the end of your day, review your day (see #10 below) and then review the weekly calendar for tomorrow. Make sure you have carved out enough time for a bedtime routine and sleep and personal hygiene. Review your list of remaining action items and “10 minutes or less” tasks. Determine which of those items and tasks need to make it onto your calendar- pick the most important ones first. Print out or write your schedule for the day with action items and tasks.
  2. Figure out your foods and drinks for tomorrow and prepare or plan for optimal nutrition. If you are going to eat out, make a plan for what you will have. If you are monitoring or logging your foods, you could enter in what you plan to eat or drink and review the nutrients and macros of your planned foods and drinks. This allows you to make modifications.
  3. Confirm your physical activity plan for tomorrow based on your body state, your schedule and time available. If you drank alcohol, your body will benefit by some exercise tomorrow morning.
  4. Identify a pocket of time for self care and self reflection – whatever will be best for you. Some days, your physical activity plan may also include self care and self reflection.
  5. In the morning, follow your healthy morning routine and check in with your personal mission statement, your goals and your day calendar. Avoid checking email or social media when you wake up. This is to prevent other people or outside demands from taking control of your mind and mood so early in the morning.
  6. Start your day in control and do what’s best for you.
  7. Use your calendar and lists to help you maximize your accomplishments during the day. This will save you from spending time trying to figure out what to do with your time.
  8. If you happen to have an unexpected time that’s open, make a choice to move around, listen to music, draw, sit in nature, meditate or work on your “10 minutes or less” tasks.
  9. Cross off the items or tasks as you accomplish them throughout the day. It feels so good to do that! Write in anything extra you complete or any alterations to your schedule so that you have a log of how you spent your time.
  10. At the end of the day, review your day. Look for patterns and learn from your day. Over time, you may identify patterns of your best, most productive times of the day, or that some things take longer than others, or that other items on your calendar are constantly skipped and may not be a true priority for you.

***Share your wisdom in the comments below.***

Photo by Hannah Olinger on Unsplash

The Secret to Successfully Starting Something New: Develop Your Self Compassion

simon-matzinger-UqCnDyc_3vA-unsplashDo you find that your good intentions to walk every day, plan & prepare healthy foods, incorporate new healthy habits into your life, start out well, but fizzle out too soon, before they become ingrained into your routine? You know what you need to do or what you want to do, you realize you can probably fit it into your day (instead of playing that mindless game on your smartphone) but do you find yourself eventually “blowing it off” or giving up & quitting? Does it feel like a failure? Well, I hear you. Been there, done that. But let’s take a step back before you feel bad about “yet another failed attempt.”

Life is about trial and error and success. Let’s recognize it’s about intentions, learning, forgiving and then adapting. Practice self-compassion. When you develop your capacity for self-compassion, you will have the courage to try something new, to work at it, reflect on the feedback and ultimately to adapt and grow. You develop your capacity for success in the area of your new focus – whether it is a new project, new hobby, new healthy lifestyle habit, new company, new goal. Here are the 4 steps to using reflection to develop your self compassion.

1. Intentions. Reflect on your intentions and appreciate your good intentions. It’s really a good thing…you want to be healthier. You want to incorporate new healthy habits. These are good things. Celebrate that you have good intentions for yourself! You may do a little research, figure out what you will improve, make plans, organize your schedule & your life to make it happen & you start out eager to get going with it.

BUT, life happens. That means there is change. Many changes. Whether it is the season, your routine, your body, the people around you, your surroundings. Here is how this looks…

It’s a new school year for the kids, summer is over. Everyone’s getting back on a “routine.” I am going to wake up earlier 30 minutes, 5 days a week so that I can introduce some gentle exercises before I hop in the shower & get the kids off to school & then head off to work. GREAT!

The first 2 weeks go great. I’m waking up earlier like I planned & I’m working out. Great. I’m into week 3 & my schedule changes…I have a school open house, team sports have picked up & clubs have started…they keep my kids & me busy & adjusting to a new schedule. It takes effort to keep it all straight.

To top it off, the kids can’t seem to get much done before I get home from work, and I’m running late. I am trying to get my kids to do their homework & at least get them into bed at a reasonable hour, but it somehow ends up close to 11 or 12 at night before they are in bed. I have some work that needs to be attended to & those regular monthly bills & the school forms that the kids have brought home that require signing & sending in more money…I’m just trying to catch up & it’s already midnight.

As I crawl into bed, WIPED out, I set my alarm for the “planned time” that will allow me to exercise for 30 minutes in the morning. I have the best intentions, but alas, when the alarm blares, my semi-conscious mind starts making irrational suggestions that sound good – “I will have a better day if I hit snooze 5 times & skip the workout. I will do my “make up” day on one of the days I was NOT planning to work out…” And there it goes.

Do I feel better after 30 minutes with the alarm going off every 6 minutes, pretending I am sleeping? NO. I know this…and yet that knowledge is missing so early in the morning after a 4 hour night of sleep. OR, someone gets sick OR there is a day I have to go into work earlier OR my week’s schedule is somehow altered & my entire “newly created healthy schedule” is thrown off.

Sometimes, my day has just been so hectic, I have to find a mindless activity that allows me to stop getting new input into my brain…I need “time off.” Getting back into the previously planned healthy “early morning” schedule no longer seems to be appealing. The momentum is gone. Now, it feels like another failure.

BUT, here’s the good news! It’s ok. You get to revise & improve your goals and plans. You have shown yourself that you have good intentions to get healthier & have  just provided yourself with a new experience to learn from & you can always get a fresh start.

2. Learning. Reflect on what works (that you can control) & what could be improved (that you can control). This is where to put your focus. These are valuable learning opportunities. Learn various contingency plans. Reconsider what happened & create the back up plan for similar future events. Each time you create a new “health kick plan” you are learning new ways to be healthy – maybe a new workout plan, maybe some new foods, maybe some new ways to be healthy like meditating. In fact, you are constantly learning. You are fine tuning your resiliency to things that act to push you away from your healthy intention. You are strengthening your drive to be healthy.

Life is constantly changing & we are constantly learning how to respond to what is happening in our lives. The act of responding takes extra activation energy and can cause some chaos with our plans to be healthy.  In other words, the energy that you need to respond to changes in your environment might at times in your life, make it hard to ALSO be creating new habits or may require extra time in our day to process, so taking time away from our planned healthy activity. However, we CAN respond to those changes & we can at any time, reintroduce more or different healthy habits into our life. This is learning.

In the above example, it would be helpful to have a back up exercise routine for the afternoon on days that the morning workout didn’t happen. For example, walking outside after dinner or doing the 7 minute workout. If you find you can’t get yourself to do that, it means your mind is on overload & you will need to give yourself 10 minutes of just being with yourself processing your day. This is the “default plan.” This can be as meditation, journalling, talking to someone or just playing a mindless solitaire game. Some people find it helps to organize & plan the areas of our life that we have more control over. Clearing off your desk top, organizing all the things you are carrying in you head, etc. This COUNTS as a healthy activity also. It can recharge you so that you are ready to get going again tomorrow.

3. Forgiveness. Remind yourself, “I am doing the best that I can, right now.” Because life is constantly changing & we are human, we can forgive ourselves when we are not being “perfect.” So you miss your workout today or you ate that food you didn’t want to eat…if it is now in the past, you can forgive & move on. Later, identify what caused the problem & think of ways to prevent or respond to a similar challenge in the future. That is the learning. Allow yourself to be human and accept yourself. Often, this again, means that you need to sit with yourself & process your day, your recent events, your experiences. But you can let go of your disappointment and instead, show yourself self- compassion. Nobody is perfect. Our goal is to learn and keep moving forward.

4. Adapting. Self compassion allows us to appreciate that change requires adaptation and adaptation takes time and may require some trial and error. Unless we practice self compassion, we can become rigid, stuck in negative self-talk when we make a mistake, become unable to tolerate change. This  lack of self compassion limits our ability to fully adapt. With self compassion, fear of failure diminishes. This allows us to try something new, take on a challenge. Then, this whole process results in allowing our natural adaptive process to develop and get better with time. This is personal growth. This is how we get better with age, incorporate new healthy habits into our lives. We continue to strive towards improving our health, trying new things, fine-tuning and reworking previous things we liked until eventually, something sticks and becomes routine.

Here’s an example:

Intention: You want to consistently include exercise as part of your healthy lifestyle. You may try 10 different workout routines over several years, but the new workout routine falls off around week 3-4. Write out your intention as a specific statement and as if it is already true. “Exercise 5 days per week is consistently part of my healthy lifestyle.”

Learning: Figure out what exactly is happening so you can identify the problem. What isn’t true about your intention statement right now and why?

You start strong, working out 5 days per week for 2 weeks, then work gets busy  or you travel or you drink coffee before bedtime one evening and end up unable to sleep that night or you have some change to your desired routine and you stay up late and miss out on your sleep. By the 3rd week, you may exercise 1-2 times and then being disappointed for not sticking to the plan, you stop working out. What isn’t true: you aren’t working out 5 days per week consistently.

  • What is meant by “consistently”? What happens if you exercise 5 days weekly every 2 out of 3 weeks? What if some weeks you don’t exercise 5 days? Could you be ok with that? Would missing a day “ruin” your healthy lifestyle? During your busiest times, would it be better to know you will exercise when you can and you will be ok if you miss a day?
  • What you do mean by “exercise”? What counts as exercise? If you perform 15 lunges, 15 squats, 10 push ups, 50 crunches and a minute of plank pose, would those 5 minutes count? Can you squeeze that in when you first wake up or before bedtime on days you missed your planned workout?
  • Do you recognize any patterns when you deviate from your plan? For example, you start falling off your plan around 3-4 weeks into any workout plan, or if your sleep schedule gets disrupted and you feel sleep deprived? Can you plan for those times? Maybe you need a new workout routine every 2 weeks so you stay interested or you can find a “back up” workout plan for when you need more time for catching up on sleep. This might be alternative body weight exercise that can be completed in a shorter time period without going to the gym or taking the stairs at work instead of the elevator?

The good stuff: you also notice you really like doing crunches and you feel like it really helps your body.

Forgiveness: Remind yourself that you are only human and practice self compassion.

Each time, something happens that derails your good intentions to exercise 5 days weekly and you are disappointed in yourself. You may even tell yourself, “I always fail, I just can’t stick to anything.” This is not helpful. In fact, if you wanted to start up again, you might hear yourself saying, “I will start next month when I can really focus. Right now, I can’t exercise 5 days weekly.” This is negative self-talk. This makes it harder to commit to exercise because there is the fear of (maybe even a belief of) failure…again.

When you take practice self compassion, you take this opportunity to forgive yourself and remind yourself you are only human. Life happens. You are getting wiser. You can continually learn from your experiences and be better prepared next time. Tell yourself, “I am doing the best that I can, right now. This is the best I can do right now.” Repeat it until you phase out the negative self-talk.

Adapting: Each time you reintroduce exercise into your life, you add crunches and walking into your routine. You decide that you will even do crunches at some down times even when you didn’t fit in your workout for the day. You like crunches, you feel good after doing it, & it becomes easier to continue to do it. This is adaptation & those healthy efforts that stick, are valuable & add up over a lifetime.

Over time,  you may find yourself choosing additional workouts that include crunches because you enjoy them.  You may have more flexible options for working out so it is easier to complete 5 exercise sessions per week. You may recognize that skipping a day or two or even a week, may happen from time to time but the key is to do the best you can, right now. You can always jump back in. You are free of the fear of failure and negative self talk.

Without the fear of failure, you will continue to add new workout activities you like. This will give you variety and also allow you to cross train. You will develop a larger pool of options to move you forward towards better health. It may be crunches and walking on the treadmill and working out to a favorite workout video. It could be kickboxing. It could be a new app for body weight exercises.

So jump in & enjoy each time you make an effort to start a new healthy habit, no matter how long it lasts.  With self compassion, you are free to explore, try something new or try again. Each experience can be an opportunity to learn and fine tune your process until you succeed in achieving your goal. Practice self compassion regularly. Be the best you, right now.

Photo by Simon Matzinger on Unsplash

Healthier Together Series: Cycle 6B. Physical Activity – 3 Steps to Developing a Daily Exercise Habit

You know you should exercise. You want to exercise. You have a gym membership. You have cute workout clothes. But…You haven’t slept well, so you need to get that extra half hour of sleep in the morning, so your workout doesn’t happen in the morning…You plan to work out later that day but then traffic was bad/work was brutal and you are exhausted/you still have work to do at home/you are tired/your kids need your help with homework/you have a million errands you want to do/you are hungry and have to cook dinner/you just blow it off…You will catch up tomorrow…

Does this sound familiar? Here are 3 steps to improving the odds that daily exercise will become a routine.

  1. Link one part of your exercise prep to something you do every day. For example, you always brush your teeth every day (I hope so). You always wear a sports bra to exercise or you always wear a certain pair of shoes when you exercise. Then link the two activities. Put on your sports bra or shoes when you brush your teeth. Do that every day. You don’t have to work out if you don’t want to, but just link the 2 activities together.
  2. Have a variety of methods of achieving your goal of daily exercise. Have them different enough that they fit different scenarios. For example, if you are tired or have not time, you need an effective workout you can do at home – try body weight high intensity interval training (HIIT) where you don’t even need any equipment and you can complete the workout in under 5 minutes. If it is a lovely day out and you want to spend time with a friend or loved one, have a walking route that allows you to enjoy each other’s company while walking. Take a bike ride. Dance to music. You can use an app like 8Fit or Sworkit. If you want to take a class, you can go to an exercise class or follow an exercise YouTube or DVD or app. You can always go to the gym if you have time and want to get a complete workout with weights or cardio equipment or take a class or with the help of a personal trainer.
  3. Log what you do and keep track of your progress. My bullet journal is where I write out the plan for my workout 2 weeks in advance. Then, as I complete my workouts, I jot down notes about my day and always end with a positive note to myself, “Feeling great! Went up on the number of crunches! Yeah!” I use my apple watch to monitor my overall activity and aim to close my activity rings every day. Then, I see how many days in a row I can complete all of my rings and I check it out on my phone. This is tremendously motivating since I love the 3 colors of the rings. image1

Basically, you want to lower barriers and make it easy to get started on any single day. Have various options on how you can achieve your goal to work out daily. Track it and celebrate each day’s success. Aim to do something physical every day and it will become a habit much faster. Then watch. Other areas of your life improve too. Sleep gets better, mood improves, eating improves, confidence improves, work improves…you get it. With the inevitable ripple effect of daily workouts, you may find that the rest of your life starts to fall into place and you become more and more successful in more and more areas of your life. Try it.

Healthier Together Series: Cycle 6A. Nutrition – If Food is Medicine, “What should I eat?”

lily-banse--YHSwy6uqvk-unsplashKeep it simple.

INCLUDE  What Your Body NEEDS:

  1. Water
  2. Protein
  3. Colorful and non-starchy Vegetables
  4. Fats

Whole grains and whole fruit may be beneficial in specific doses depending on your weight, exercise routine and other health conditions.

AVOID  What May HARM Your Body:

  1. Sugars of any kind including high fructose corn syrup, agave, natural sugar, etc.
  2. Processed foods including enriched wheat flour, white flour, corn meal, etc.
  3. Sweet beverages & Juice including 100% fruit juice.

 

Photo by Lily Banse on Unsplash

Healthier Together Series: Cycle 5D. Putting It All Together – Words Matter: 7 Steps to Self-Compassion.

tim-mossholder-SR8ByN6xY3k-unsplashWords are powerful. I can see this when I am talking with patients, my children, my spouse and my friends and colleagues. In this post, I am thinking about how powerful words can be to someone who is scared, feeling out of control, or uncertain of what is going on. This situation is common in a doctor’s office and in the hospital where people seek help when something unpleasant is happening that seems to be out of the control of the individual seeking care.

Studies have shown that patient outcomes are often impacted by what they hear from healthcare providers even when they hear something indirectly- if they believe it is about them. Consider this: What happens to a patient in the ER, frightened and waiting for a test result, hearing someone outside of the room saying, “Yeah…he’s a train wreck. It’s not looking good. There’s not much we will be able to do. He will have to follow up with his primary care doctor…”? Later (feels like HOURS to the patient), the provider comes into the patient’s room and says, “Thank you for waiting. Your labs were unremarkable and your chest x-ray came back and you do not have pneumonia. It’s probably just a viral upper respiratory infection. We recommend you follow up with your primary care provider…” Might this person be reassured by this visit?

People can be scared, feeling out of control, or uncertain of what is going on outside of the doctor’s office or hospital.  There are times when our senses hyper-sensitized, when we are on high alert, and what we hear, enters deep into our subconscious mind and begins to influence our feelings, thinking and behaviors. This hyper-alert state is usually when we are feeling strong emotions, when our mind is “wide open.” Words at these times are very powerful. They may be accurate and rational, but they may not be. Sometimes, we are aware of these influences and many times we are not.

In my practice, I see that there is much suffering related to the hostile and negative words we have absorbed at various vulnerable times in our lives. Maybe a parent, family member, teacher, partner, close friend, colleague said something hostile or we misinterpreted some comments which were deeply painful and our brain absorbed it and was altered by it. When I hear hostile and negative words being used against oneself, “I was bad,” “I failed,” “I have no discipline,” “I just can’t do it,” “I’m not strong enough,” “I’m hopeless,” “I’m no good,” “I’m stupid,” “I can’t help it,” “I’m just out of control,” I recognize one of the keys to healing and success will be to develop a capacity for self-compassion.

We have mentioned self-compassion before. When we develop the capacity for self-compassion, healing begins. When we practice self-compassion, success follows. If you use hostile and negative words to describe yourself or your character, stop now. It seeps in unexpectedly and it has no purpose. It blocks your ability to progress and limits your success. Good news! This negative self talk can be phased out and left behind. Replace it with a healthy practice of self-compassion. Here’s how:

  1. Become aware of it if you hear yourself saying something judgmental and negative about yourself. “I was bad (this implies a character flaw), I ate that cake even though I knew I shouldn’t. (a routine character flaw)
  2. Identify it and label it. “That was my negative self talk and it’s not true.”
  3. Reframe it.I feel bad (this implies a temporary feeling). I ate that cake even though I knew it would interfere with my weight loss goals. (a simple mistake)
  4. Reflect. “I have been very stressed and bought the cake to “treat” myself. I don’t actually feel better after eating the cake. My stress is not improved after eating the cake.”
  5. Learn. “Taking a walk outside, listening to music, dancing, calling a friend, drawing, or journaling DOES relieve my stress and also would be distracting me from the desire to eat cake.”
  6. Empower yourself. “Next time, I can try some or all of my other stress relieving activities. If I still want the cake, then I can still choose to eat a smaller piece of cake, but maybe I won’t have it. If I do, I will own it and move on. I will know that I am doing the best that I can, at that moment.”
  7. Reaffirm. “I am doing the best that I can, right now.” If you then hear yourself responding, “Well…actually, I COULD do better…” then smile to yourself and say, “I know you can… And, you will when you are ready.”

Given the power of words, imagine what might happen if you protected yourself from negative self talk. Imagine what your day would be like if you heard warm, loving, supportive comments all day and accepted you are human and humans make mistakes and allowed yourself to regularly reflect and learn how to get better and better. Can you appreciate how much you’d flourish and achieve? When you practice self-compassion, you open yourself to your incredible capacity for success and joyful living.

Let me know how you have conquered negative self-talk or how you practice self-compassion.

Photo by Tim Mossholder on Unsplash

 

Healthier Together Series: Cycle 5B. Physical Activity – Exercise and Fitness and Sedentary Jobs

arek-adeoye-ljoCgjs63SM-unsplashRecently, after presenting at Grand Rounds about exercise, it became clear that there are many physicians who appreciate the value of exercise and recommend it to their patients. It is impressive- the number of very busy physicians who are fitting exercise into their own lives, on a daily basis. We see what many people don’t see, the variety of ways we can get older and the consequences of our lifestyle choices. It is with this wisdom that they are living what they preach- “Exercise- however you can fit it in.” Physicians who regularly see patients aging, prioritize exercise.

Exercise and physical fitness is one thing that has the greatest impact on all areas of health and cannot be replaced by pills or medical procedures. Yet, according to CDC, only 20 % of adults get “enough” aerobic and muscle strengthening exercise. This amounts to 150 total minutes of moderate intensity activity (or 75 minutes of vigorous activity) divided throughout the week plus 2 days per week of muscle-strengthening activities per week.

Many people state that they have no time (such as “small children and childcare concerns” or “long work day” or “care-taking/traveling sports duties” or “homework”) and/or that they have a “very sedentary job.” They sit for much of the day and it’s hard to find the chunk of time to prepare for exercise (clothing, determine appropriate and effective exercise plan for the day), work out, and then deal with the sweat (shower, change clothes, makeup/hair), never mind the time to get to and from the gym if that’s the exercise zone. It is easy to get discouraged.

However, the great news is that 15 minutes a day of walking UNIVERSALLY improved health in a study of over 400,000 male and female adults of all ages despite other lifestyle choices. The study demonstrated that a minimum of 15 minutes of walking a day, decreased all cause deaths by 14% and extended lifespan by 3 years compared to people who were sedentary. Every additional 15 minutes daily decreased death from any cause another 4% and from cancer another 1%. In fact, the researchers noted that 1 in 9 cancer deaths may be avoided with that 15 minute walk. Maybe 15 minutes of walking daily is possible for an added 3 years of life or a chance to avoid a death from cancer.

And about that sedentary job, many people would choose to be more active at their otherwise sedentary job if given a choice. Sometimes, we might not recognize some of the options. See if you can get up from your chair at regular intervals or consider moving the printer or trash farther from your desk so you have to get up for access. Take the long way to the restroom or the stairs. Many people appreciate the reminders and step tracking from various fitness trackers.

What helps me? It is the stand up desk that I am a fan of. My stand up desk keeps me moving more throughout the day. Treadmill desks (cons: higher risk of serious injury and difficult to use a keyboard or write due to the movement) and cycling desks (cons: non-weight-bearing) are also available but are more expensive, take up more space and often go unused. It is the stand up desk that I am a fan of. And when colleagues see my at my stand up desk, they often end up getting one and using it too.

Find ways to incorporate that 15 minute walk every day. See if you can set up your sedentary job to be less sedentary. Please share your methods of increasing your physical fitness even when you have a sedentary job.

 

Photo by Arek Adeoye on Unsplash

Healthier Together Series: Cycle 5A. Nutrition – How To Manage Your Hunger – 10 Things to Know

melissa-walker-horn-lo_udD1o_lk-unsplashHunger can be a natural physiologic signal from the body requesting more fluids or nutrients or it can be cravings (learned habitual behaviors) and pathologic symptoms of a mismanaged metabolism. We sometimes forget to check in and determine why we might be hungry.

NATURAL & HEALTHY HUNGER SIGNS:
1. Dehydration. In most cases, this can be managed by drinking water.

2. Need to replenish nutrient supply.  For most people, eating a variety of colors of vegetables and supplementing with protein, will meet all the body’s nutritional needs. Make a list of easy naturally nutrient rich snacks that you can have readily available – then you can make healthy choices when you are hungry and need to replenish.

HUNGER SIGNS TO BEWARE OF:
3. Insulin resistance. If your waist line has grown since after highschool and you are not pregnant, you are developing or have developed insulin resistance. As we age, we also naturally become more insulin resistant. This means that our body over-reacts to sugars and carbohydrates in the diet which leads to a roller coaster ride of high and low blood sugar levels which lead to fatigue, mental fog & “the munchies.” Solution: Drink water, Eat protein or leafy vegetables when hungry and avoid sweetened or carbohydrate heavy foods.

4. Poor food choices earlier (ie. starting your day with sugar or processed carbs). Eating sugar will cause you to crave more sugar later in the day. Sugar can trigger the same area in the brain as heroin. It IS addictive. Solution: Avoiding it is the best way to manage being losing control. Make smart food choices. Start your day with protein instead of sugars or starchy processed carbohydrates. Choose whole foods.

5. Some medication and illicit substances (ie. marijuana). Some medications and illicit substances make people hungry and eat more, usually poor quality foods like most fast food. Solution: If your meds are making you want more broccoli, that’s great, but if it makes you get “the munchies” or you notice weight gain, have that important discussion with your doctor to see if you can find a way to manage it. Also, when you get “the munchies” or are hungry, drink water, eat veggies, nuts, or a cheese stick or have a light soup.

6. Boredom. Solution: Find something to do that is NOT related to food. Do something physical – take a walk, stretch, dance, move. Connect with family or a friend. Journal, garden, read, play solitaire, play a musical instrument, work on a hobby or create something artistic, etc.

7. Emotional unrest. Solution: If you are an emotional eater, it will be important to find new ways to soothe yourself. Consider finding a counsellor to help you process and learn better ways to cope. Find other healthy outlets – take a walk, spend time in nature, contact a friend or family member who nourishes you, spend time with you pet, listen to soothing music, learn meditation, go to a religious/spiritual place.

8. Habit (ie. before bedtime or while watching TV/movie). If you link certain activities or times of the day with eating/drinking, this is a habit and can be challenging. Solution: The best way to change that habit, it to create a NEW (more desirable) habit to replace the old, undesirable habit. For example, instead of having hot cocoa after being out in the cold or at bedtime, have some hot rooibos tea which is caffeine free and deliciously different. Instead of buttered popcorn with a movie at home, try berries or baby carrots. Keep healthy snack options easily available for “break time” at work- have salty, crunchy and “creamy” options available.

9. Seeing or thinking about food/drink you like. Having a variety of options to eat actually has been shown to increase the amount of food we eat. The larger the plate, the more options of different foods at any time, we eat more and sample more. Solution: Use a smaller plate. If you are sampling, think of the size of your stomach when not-too-full (the size of your fist), and look at the total volume of food you have on your (smaller) plate. STOP adding to your plate when it exceeds the size of your stomach. If you have more foods to sample, take less of each item so that you are not OVER-stuffing your stomach as it would not feel good anyways. Really, if you look at your plate and wonder how that would fit in your body, it’s too much. It’s ok to leave food on your plate. Note: Raw leafy greens shrink dramatically when chewed up, so you can be liberal with raw leafy greens!

10. Worry that later you won’t have time/opportunity to eat (ie. busy schedule). How many of you are “go-go-go” all day long and time for eating is a luxury? As a physician who may be running behind because of an earlier unexpected patient emergency, I hear you. Solution: Keep that stash of quick, healthy food/drink readily available, ALWAYS. Nuts, cheese stick, baby carrots and hummus, celery sticks and almond butter, whatever. Remember, IF you are unable to eat, as long as you are drinking, you are going to be fine for several hours. In fact, if you do not eat, but you maintain proper hydration, worse case, you will have to eat later than desired. However, your body starts to draw energy from your personal fat stores. Unless you are medically underweight, you should be ok to be burning extra fat on your body until you can eat later in the day.

Do you have other times you “hunger” triggers? How do you manage your hunger? What are some of your snacks you keep on hand?

Photo by Tim Mossholder on Unsplash

Healthier Together Series: Cycle 4D. Putting It All Together – Winter Well-Being

aaron-burden-cGW1w-qLix8-unsplashWinter in the Midwest – ice cold this year, but we don’t have the 7+ feet of snow as in Boston. The cold and darkness of winter are often used as excuses as to why someone is not exercising or eating as healthy. It’s used to explain “loss of motivation” to continue to make healthy choices. This “motivation” and “effort” may resume for a short time after the NEW year, but often dwindles away again until the days get much longer and warmer.

Here’s another option. Have “seasonal” wellness plans! Figure out what you need to include to maintain a healthy lifestyle: nutrition, physical activity and relaxation & sleep. There are many ways to incorporate those into each season. They don’t all have to be the same. In fact, the body will be optimized if you change it up periodically, so why not with the seasons? So change up your healthy lifestyle routines for the different seasons.

Here are some suggestions to get your creative juices flowing…Find what works for you.

If you workout in the mornings in the spring and summer, maybe in the winters, you meditate in the morning for a shorter duration than what your workout would have been? Maybe your workout is on the drive home from work or school or running errands- when you already are out of the house. Just DON’T go home first without the workout (as it can be hard to motivate to go out into the cold). Or maybe your workout is at home instead of at the gym. Maybe you use home workout DVD’s or smartphone exercise apps? The workout routine might be different – you may work more on strength or core training or take a different exercise class this season. If you have snow, you may choose to incorporate winter sports into you life – ice skating, skiing, snowboarding, snow shoeing, etc. A good friend introduced me to snow shoe-ing last year, and it’s wonderful! What a treat to be out in nature and having the brightness of the snow recharge me!

You may choose to rely on the crockpot more (especially if you are going to be working out after work and have less time to cook in the evening). You may get more of your veggies in a soup or stew. These also make great lunches the next day! You may cook more winter root vegetables- they last longer after purchase (less frequent grocery shopping trips).

The winter seems to have more quiet times of the day when it might be easy to stop and meditate, even if only for a brief time. There are many smartphone apps that help facilitate and time meditation sessions. You may even find incorporating meditative activities with physical activity is the answer for winter – Tai Chi and Yoga are popular ways to get both the relaxation and physical activity in one.

Sleep changes with the seasons and with stressors. Allow yourself to have a day once a week, when you can sleep in as much as you need. It will help you bring it all together and help keep your mind young and keep you upbeat throughout winter.

Please share what works for you!

 

Photo by Aaron Burden on Unsplash