Category Archives: Health

On Fasting

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NaBloPoMo 2016, Letters to Patients, Day 15

To Patients Who Are Fed Up:

Try fasting.

That pun really was unintended!

I asked a colleague about fasting once—what are the benefits, why does he do it?  He asked, “Don’t you ever feel like it’d be a good thing, every once in a while, to stop eating for a day?”  Ummm… No, are you kidding me?  That would never and still has never occurred to me, I love food too much!

Tonight, however, I think I may understand a little better.  Maybe fasting is about counteracting overconsumption.   Certainly we have a problem with food glut here in the US.  I have heard the word ‘detox’ associated with fasting, too…  Maybe I just refuse to admit how poisoned I am by the food I eat to consider this remedy—I am pre-contemplative here.

I am finally ready to concede, however, that I overconsume Facebook.  Sure, it provides plenty of material for this blog, and I really do interact meaningfully with a lot of people (but wait, do I, really?).  And, I have let it overtake my consciousness too often.  The time suck is interfering with other tasks and yes, relationships, I must admit.  I rationalize that I am ‘reading,’ that it’s a source of so much interesting information and idea exchange.  That may be partially true, and still, it costs too much.

So I commit to a Facebook fast this day, November 15, 2016.  It’s been a long time since my last fast—actually a year, come to think of it—yup, almost exactly!  How funny…

Is there something you need to take a break from?  Something you do habitually, that’s not all bad, but that may be excessive, a little out of control?  Maybe you don’t need to quit it altogether, necessarily.  But maybe taking a little time away will help put it into perspective?  A little break—a pause.  Test your ability to resist, challenge yourself to notice where the habit shows up, what drives it, what you might substitute for it, and how the withdrawl sensations may evolve…

Now I’m wondering if I could actually apply this to my eating.  No, not fasting from all food (again, are you kidding??), but maybe something a little more manageable:  Fast from dessert for a week—substitute fruit.  From sweetened condensed milk on weekdays (“That’s like dessert!” one of my patients exclaimed once)—substitute soy milk.  This looks more like actual behavior change than just fasting… huh.

I will be back on Facebook tomorrow.  It will likely look very similar to my usual pattern, maybe even a rebound effect—a more intense fix after the sudden withdrawl.  Well, we’ll see.  I feel a lightness to trial and error lately, and this is worth a try.  I shall report back, so stay tuned!

 

On Lifelong Learning

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dsc_0522NaBloPoMo 2016, Letters to Patients, Day 13

To My Patients Who Continue to Teach Me:

I’m a better doctor, a better parent, and a better person for knowing you.  Thank you.

To the middle-aged father of five who told me about my tween son, “Just be present.  Wait for it.  He won’t use many words.  When he starts talking, put down whatever you’re doing and listen.”

To the gifted daycare director and mom of two who advised me to ‘come alongside’ the kids rather than ‘coming at’ them.

To the auntie who reassured me that all will be well if I can hang on and ride the tides of marriage.

To the psychologist who taught me mindfulness in the exam room.

To the creative who showed me that left- and right-brainers overlap more than I realized.

To every patient who loves, hates, adores, vexes, uplifts, frustrates, admires and dismisses me, you each teach me a unique and valuable lesson.

Medicine is not about knowing.  It’s about listening, watching, being, waiting, doing, and holding.

Thank you all for the privilege to learn.

May I serve you well in return.

 

 

On What You Can Do

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img_4564NaBloPoMo 2016, Letters to Patients, Day 12

To Patients Wondering What to Do:

Take this Wise Lady’s advice.

I had an inspiring conversation this week, one that lifted me up, which I sorely needed.

This incredible woman grew up in the era before women could have credit cards in their own names, before women could play organized sports, and before spousal rape was finally outlawed.  She survived brain tumor surgery and the death of her son.  She has attained advanced education, acquired innovative skills, built and sold a business.  Throughout it all she seems to have thrived.

I queried her response to adversity.  Was she born wired for resilience?  Did she acquire such effective coping skills simply by experience?  She referenced the teachings of her father.  Through her childhood, she said, he taught her to how to face difficulties.  Before she went off to college her dad had a specific talk with her:  “Here’s how you deal with problems,” he said.  “When faced with a problem, first ask yourself, ‘what can I do?’”  Not what should I do, what do others expect me to do, what would s/he/they do.  “What can I do?”  “If you can’t figure it out right away, stop.  Go outside, take a walk.  Come back and ask again, ‘What can I do?’”

Wise Lady said this one strategy got her through myriad struggles and crises in life, and she taught it to her kids the way her dad taught her.  But life flung faster, sharper arrows her way, and she had to develop additional coping tactics.  Seeking a path to clarity through the mires of crisis, she began asking herself, “What do I need to get rid of?”  And that has made all the difference since.

I will tell you, Wise Lady has a serenity about her countenance that I meet only occasionally anymore.  She has racked miles on her soul, yet I sense no cynicism or regret.  I so want to be like her!

From now on I will ask myself more often,

“What can I do?” and

“What do I need to get rid of?”