Saturday, November 9, 2013

The Affordable Care Act Does Not Equal Good Health


If I hear or read one more comment about the Affordable Care Act –a.k.a.“Obamacare”- I’m going to scream. With our relentless obsession over this political hot potato, we have now become a society that believes that to have some assurances of health, you must have health insurance. We are focusing on “sick” care versus “health” care. I wonder what would happen if just a quarter of the energy being used to fight over this issue was put into creating environments that promote health and well being? 

 Yes, we do need some form of universal health care. Yes, it is a big change and a lot of confusion should be expected, much as it's been for the launch of many other major initiatives. My concern is that the intense and seemingly never ending battle about it is helping to erode our understanding of what we as individuals and community can and should be doing to maximize health.

The basics of a healthy diet, exercise and stress reduction, which could significantly reduce the impact of many chronic conditions, most often are categorized as Complementary and Alternative Medicine (CAM) and not part of the main stream. Yet, if we adopted this as a way to live our lives, the need for health insurance and health care could be significantly reduced.

Whenever I interject these comments into discussions about Obamacare, I’m always asked, “so how do you fix it?” The solution rests in individuals and communities recognizing their importance and responsibility in promoting and leading healthy lives.

The best example for how to go about this is Blue Zones. Initially started by National Geographic to identify those places in the world where people live the longest, the project has continued to expand into new directions. Having identified the characteristics of communities and people where longevity is high, these Power 9  are being introducing  into communities where there is a desire to improve health and well-being. Blue Zones Project by Healthways 

The newly developing Blue Zones communities are being tracked by the Gallup-Healthways Well-Being Index, measure of U.S. residents’ daily heath and well-being. Unless I missed it, having life insurance isn’t on this index, though there are a lot of health insurers interested in this research as initial results indicate this is a good way to reduce costs. 

Interestingly, when I talk about the Blue Zones to health professionals I encounter, I would say at least  8 out of 10 have never heard of it. Why is that? If I were to guess, it's because they are so focused on a particular condition or aspect of health care that they aren't looking at root issues and the bigger picture. Also, because many of the Power 9 (stress reduction, diet, movement, spirituality etc.) fall into the CAM camp, it's easily dismissed as not being "hard science."

Health reform is desperately needed. Where do we put our time and effort? In health insurance? In creating communities where the healthy choice is the easy one? Can we invest in more than one approach or a more balanced approach?

For all of you who are weary of the debate, below are resources to help you and your communities lead healthier lives:

Healing the Whole Person: Ways to Increase Well-Being  While designed for those affected by chronic and/or life-threatening conditions, it’s relevant for all.



• The Power 9 from Blue Zones: The common factors found in places around the world where people live the longest. 



Do What You Can, With What You Have, Where you are No matter how healthy we are, we all will develop something as our final outcome is predetermined. These are ways that individuals, community and hospitals can help when that happens. 


• Are Zombie Doctors Taking Over America? Zubin Damania’s talk at Ted Med. He is the Director of Healthcare Development for Downtown Project Las Vegas. He is working on a health care model that does not revolve around insurance. 


Wednesday, November 6, 2013

Take a Break Archives 8/09-10/13




It’s hard to believe but I’m up to four years of “take a breaks.” Enjoy.


NOVEMBER 2012


DECEMBER 2012
5 Ten Things to do with Candy Canes 
12 Make something with Christmas Tree Balls/Virtual NYC atChristmas 
19 Make something with sugar other than cookies/snow globe 

JANUARY 2013

FEBRUARY 2013

MARCH 2013

APRIL 2013



MAY 2013

1Make Poppies and Learn about the WWII Vets in Your Community 

8 Take a Break:Arrange Flowers/Unique vases 

22 Take a Break:Make a Red, White and Blue Wreath 


JUNE 2013

JULY 2013

AUGUST 2013

SEPTEMBER 13

OCTOBER 2013








Saturday, November 2, 2013

Increase Energy/Reduce Fatigue


For people with chronic conditions, feeling tired is very common. Contrary to “as seen on TV,” drinking a Red Bull, or a Five Hour Energy drink is not what you need to do and in fact can be dangerous. Since continuing fatigue can decrease immune function, and lead to other illnesses and depression, getting a handle on it is important.

While a lot of articles about reducing fatigue and increasing energy will mention having your thyroid tested-which is important-one of the areas where less attention is paid is sleep quality. I’m particularly sensitive to this topic as a friend died this summer because of it, which I wrote about at the time-Take Sleep Disorders Seriously:  They can be Lethal to Your Health  Following Alan’s death, one of his good friends mentioned about the incredible fatigue he had experienced in the afternoon, particularly if he ate lunch. He eventually was diagnosed and successfully treated for sleep apnea and his energy levels skyrocketed. 

Certain types of treatments, such as chemotherapy, can cause extreme fatigue. Talk to your care team for tips. How to Fight Cancer-Related Fatigue is another resource. Many of the ways they suggest for increasing energy appear below.

 Consider the following options:
• Drink water: Stay hydrated. Unless you have had your water tested and found a problem, drinking water from your tap is fine. Avoid bottled water if you can because it’s expensive, bad for the environment and the quality could actually be worse than what’s coming out of your tap. Vitamin water and sports drinks add extra calories that most people do not need. Diet sodas, while calorie free, are just bad news for the body, so skip them as well. If you want to spruce up your water, add slices of lemons, limes, oranges or even cucumbers. The latter is very refreshing in the heat of the summer. Avoid alcohol.

• You are what you eat: If you skip breakfast, eat a heavy lunch with lots of starches, such as a burger and fries, have an afternoon snack of a candy
bar, by dinner time you are dragging. Instead, try the following;
-       
    Eat Breakfast: Mom was right; it’s the most important meal of the day. Eat a high carb-high fiber breakfast for short term and long term energy boosts. Good choices include whole grain cereals and breads, fruit and lean protein. An egg on whole wheat toast is good. My favorite is an apple with natural peanut butter. Avoid the doughnuts, pancakes, pop tarts and the sugary breakfast treats.

-    Don’t skip the Protein: Providing the body with energy needed to repair and build tissue, it’s not surprising that many athletes work out and then down a protein shake. Depending on condition, some people do well having a protein shake or two throughout the day. Protein is available in a variety of foods including: chicken, turkey, dairy products (cheese, milk, yogurt), tofu, nuts, and lean red meat.
-       
     Complex carbs offer a good boost: Use whole grains and avoid the white pastas, sugars etc.
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     Snacking is good: So Mom wasn’t right on this score. It wont spoil your dinner, and in fact may help you to eat smarter at dinner. Snacking helps to keep a steady blood sugar level, thereby avoiding the energy highs and lows. Plan snacks in advance and consider snacks that combine protein and a complex carb. Some tasty snacks to consider-fruit with a nut butter (almond butter is very tasty); veggies with humus dip
-      
        Magnesium: This mineral serves to keep your body working, and even if it’s a little low, it can contribute to fatigue. The recommended daily intake is 300 milligrams for women and 350 for men. Natural sources include: almonds, hazelnuts or cashews (a handful should do it); whole grains, particularly brain; and fish, especially halibut

• Take Breaks: Multitasking isn’t an option for anyone (see Multitasking in the Health Care Setting: How to protect yourself http://healingwhole.blogspot.com/2013/10/multitasking-in-health-care-setting-how.html) but as you go about your day, take breaks. A short break of just 5 to 10 minutes, where you do nothing, meditate, power nap, or a five minute yoga stretch,  can increase your energy and your accomplishments. One of my favorite daily breaks is Seven Minute Qigong. 

• Move: Even if it’s walking around the office or the house for 10 minutes, it can help to energize you. Whenever possible, go outside and walk in the sunshine, be in nature, walk on the beach etc. Regular exercise does wonderful things for body, mind and spirit so try to do 30 minutes a day. It doesn’t have to be all at once.

• Hang out with positive people: You are the company that you keep. If you spend time with people who are negative, it can cause you to become stressed and depleted. In short, try to eliminate the energy vampires in your life.

• Reduce Stress: Use relaxation methods to help you stay mindful and minimize the stress in your life. To help reduce stress, every Wednesday a different “take a break” activity is posted on this blog.

• Sleep: Too little or too much can drag you down.

• Talk to your medical provider: Sometime you do everything right and you still are fighting fatigue. Discuss this with your medical provider, as it might be a matter of adjusting meds, prescribing medication for thyroid or ordering some sleep studies.