Drowning in Social Media

It seems like a good concept. Get seen faster and to a larger population of humans and you will be "guaranteed" more new patients. Instead of paying 1000.00 for an ad in the local paper, just go internet and you can reach thousands. Getting plugged into someone else's database of contacts will insure a higher percentage of "clicks" on your profile/ad which translates to higher recognition/awareness of your name. But no one spoke of the side effects. Even in the pharmacy now, there are so many listed side effects to medicines you pick up that they print it on a sheet and ask you to read, understand what you read and sign that you were informed.....all in efforts to get you in and out fast with your "brand new bottle of prescription medicine". This thirst for speed, volume, public recognition.....to reach the masses, be in the masses, be the best of the mass and make a lot of money. No one tells you that you have to update your profiles, regularly observe how many people clicked on you, how long they stayed on your link, if they came back, if there was a phone call generated from the click, if they scheduled for a visit, how to change the profile so it takes advantage of the trending for that week, what people are trending about for the month, who else is generating high volume following (likes). Then when you get status....you wonder what happened the next time you do the same thing and don't have the same reaction. Did I do something wrong? Why aren't people following? Am I not valuable anymore? Who else is getting my followers? What do people think of me now that I am a failure? What crazy "hollywood" stunt should I do to get attention back-it seems to work on cable TV. Like Al Pacino in the Godfather: "Just when I thought I was out, they pull me back in". If you buy into the fervor of virtual presence, you should first be grounded in what your dharma is. (Dharma comes from Sanskrit and stands for your purpose in life) If you are unsure of your original intention before the journey, the challenges you will face on the journey will shape and manipulate the way you live your life. Could be a good thing, could also turn out terribly wrong with a resultant twisted, altered package of what formerly was a compassionate idea. Growing up in mainstream America, we are taught how to succeed, that only the best will make it to success and that anything other than blood, sweat and tears will result in a lifetime of suffering and poverty. So we become very good at getting to the top by stepping on others that don't deserve your spot. I remember in Catholic school we are all part of God's creation and should love one another like we would want to be loved. This was taught to me by a tall, shadowy lady in a nun outfit that used to carry a ruler with the threat of a swift whip from the wooden instrument end onto knuckles if you didn't recite the phrases. The only time I was taught to calm the mind was in sports. When it was my time to belt test in front of the class for martial arts, or when getting ready for the state finals in a sprint and performing the ritualistic steps to slow down time and wait for the gun to go off and unleash the fury of concentrated human speed. So when do most people learn the trade of meditation and grounding.......usually at the lowest point of life. Some people don't touch on spiritual access until the last breath, some get it and move onto a higher way of living (seemingly igniting life into everyone they meet) and some are lucky to learn from parents/friends.
This virtual chat room with the rest of human kind is a great thing but if you have no substance or only have an intention of joining in because everyone else is doing it, you are just postponing the inevitable. You will find yourself with no time to relax, no true friends to share adventures with, withdrawn from nature, caught up with always having to check for new responses and update status. Sooner or later, you will ask yourself the question of why do I do this, it there something better, who am I and what is my purpose. May as well start now before you are too deeply infected by the man-made "mind virus" of virtual living.

Remorse

With primitive brain function, pain and pleasure can be burned into pathways that are easily accessed again and again. For example, if seeing fire is associated with painful heat, the animal will induce an immediate response to smoke or fire by turning on the fight or flight reaction and avoid the encounter. The more the association with pain, the more nerve paths/brain maps are created to elicit faster/powerful reaction. When the stimulus of fire is not experienced for a while, the learned paths are not erased.....they are just over taken by day-to-day experiences/paths. In 10-20 years, if the painful experience comes up again, out of the depths of the brain, the path/brain map is called on again to elicit the same learned reaction in efforts to keep the animal alive. Sports medicine docs/trainers refer to this as "engrams" that an athlete learns during practice to reproduce during competition. Mind body medicine docs like Richie Davidson out of University of Wisconsin/Madison refer to developing brain paths as "neuroplasticity". Dr Davidson has studied people like the Dali Lama and gone on to state the brain will actually make neurons/brain cells if a new activity is practiced/brain path is created.

The current argument is with contemplative science, if compassion/meditation is practiced daily for years, can the brain make nerves/paths/maps that can be re-accessed in a fraction of a second to elicit an animal response just as powerful as fight or flight. YES! His work as documented with multimillion dollar biomedical machines the same postulates that Herb Benson assumed in the 70's about relaxation bringing on some healthy response in the body. All this controversy and high-end research is being documented just to say to doctors and patients: "relaxation and meditative practice on a daily basis is associated with healthier lives and less need for pharmaceutical treatment". Duuhhhaa! It is a shame we have to prove this with expensive testing/randomized controlled trials but when a pharmaceutical company comes up with 100 pages of documentation by "their scientists" that this drug will help control symptoms of your disease, an equal and opposite force must be utilized to show doctors and patients on the fence that spending 10-30 minutes once to twice a day in mindfulness will extend your life and reverse symptoms of disease.
http://www.slideshare.net/DrSaguil/meditation-for-stress-slide-share
With direct to consumer advertising, a lot of people are placed "on the fence" with deciding what is good for health. The internet is a great vehicle to get information but it is likewise a great vehicle for spreading bad information. I empower my patients to be their own advocates for living long but always discuss the information they learn with a reliable person to sort out what should be applied and what should be avoided. Spending 1000.00$ on a slew of vitamins can be cut down so the extra money can be utilized to spend on massage, healing touch, a great anti-inflammatory meal, a vacation....all that will be just as impacting to health/feeling healthy.
Americans are not taught in school how to get in touch with nature or relax. It is usually assumed that alcohol, tobacco, marijuana or buying a big house/fast car/new purse is relaxing. These things may bring on an immediate sense of happiness but it only lasts until the next day when remorse sets in. As Herb Benson and Richie Davidson both point out, cultivating the relaxation response with regular meditative practice can help "neutralize" all the stress responses we go through in 24 hours.....emotion on the highway, emotion watching the news, emotion paying bills, emotion doing someone elses work, emotion watching Jersey Shore.

Validated

Back in the 90's, I used to acquire titles to be someone. Can't be a good sports medicine doc it you don't work with a team, can't be a good family doc if you don't see 30 patients a day, can't be a successful physician without driving a Porsche. Did it all to validate me as being a good doc amongst my colleagues. Patients were praising me but administration said I still was not competitive with how the average doctor in the US bills in a day (MGMA standards). So when I didn't agree with the direction the hospital was going (insurance business model) I left private practice and worked for emergency room/immediate care centers. I didn't have to worry about finding a true cause of suffering, I just treated acute symptoms, gave medicines and told everyone to follow-up with your doctor ("Treat and Street"). Just have to follow acute care "cook books"" and not worry about bonding with humans-(takes too much time). Ha!, but little did I know, when I started to show compassion and listen, my "numbers" went down compared to how many patients were seen per hour by other docs. Then when I followed orders and moved through charts like a Jewel Grocery cashier scanning cans, then patients complained they felt rushed. I just can't win in this insurance reimbursed model. I had to figure, how do I empower patients to help themselves while at the same time, be profitable as a small business owner. I needed to find an answer and was always taught the answer is in the wisdom of other docs who have the biggest buildings, fastest cars and biggest staff. But.....I found there was a message inside, a knowledge within each cell of me that knew the exact way to problem solve and come up with the correct choice in every decision. My epiphany came when Deepak Chopra came to Chicago and I thought maybe if I heal the inner turmoil between compassion to serve and the hollywood picture of success I can be better at applying my textbook knowledge and problem solve. I listened, learned, met other non-health professionals that were healing (also met some docs that were going through the same thing as me but they seemed very angry.....complaining about the medical system and missing the event of something beautiful morphing during the lectures that allowed for an inner message to be heard.) I began to interpret feelings my heart generated and allowed these to effect my decision-making/problem solving. I didn't recklessly abandon medical protocols but I allowed for feeling comfortable with using "feeling" to help guide patients to better health. Something called me to learn acupuncture, something called me to observe an herbalist using aroma therapy, something called me to give more "free lectures" to the community, something called me to start following Andrew Weil, something called me to start teaching yoga. I would have never done any of this in the eyes of my doctor friends because it would seem "quackery practice" and I can't get reimbursed for it. Fast forward to earlier today, I am supposed to be preparing a lecture for Cancer patients but the new Hospital Wellness Center that just hired me for yoga instruction, still had to have me go through the painful administrative paperwork of credentialing, verification of training, drug testing.....I dont have time for this! In my mind, the question of why am I even teaching yoga? as my first class was filled with 20 people who had no training, and I probably will be paid just enough to take care of gas....I should just stick at filling my office hours and promoting myself using the "usual marketing companies". Well as I was being told I needed another picture ID (I live 25 miles away!) and about to stick it to the manager of HR saying, this paper-chase is sooooo frustrating and worthless and just get some "minimum wage non-MD" to teach it! A lady walked up and excused herself but had to interrupt and say; she attended the meditative yoga class I gave yesterday and in the 10 years of suffering from Fibromyalgia, had an entire day of feeling no pain: she told me it was "transforming and has been telling everyone she can't wait for next week and wanted to see me as a patient". Like a switch, all the anger left, I suddenly was speaking to an HR manager that appeared to look different and this calm was injected into my blood stream. To imagine I was seconds away from allowing self doubt to control my heart/mind, ruin another human's day and probably get on the highway at dangerous speeds taking frustration out on innocent motorists. Although it was reassuring to be validated, I feel more empowered to follow the innate wisdom that was always there but sequestered by the ego. As Deepak's Law of Karma says; My Actions are Aligned with the Universe

Extremes of Age

A great Marine Corps motto (popularized in Heart Break Ridge) is applicable to daily life. Most would speak of this as being used in physical situations like those seen on Dual Survival or Man vs Wild. My belief is one can apply this to milestones of life. Our first day at school, first public speech, first kiss, first house, first funeral, first bully, first job loss, first financial setback....the list goes on. In psychology it can be referred to as coping skills. We accumulate coping skill from small life challenges and hopefully rely on previous experience to deal with larger ones we take on in later years. That's if we are lucky enough to have the big challenges saved until the very end. With the current financial climate, the existing health status of the US, and the 24/7 internet tsunami of yellow journalism media related stress.....our tweens and "millennial's" are being tested before standard defenses are learned. I think of the ending scene in Platoon where Charlie Sheen is coming back from a slaughter, exhausted about to fly home and he looks over the line of young soldiers coming off the plane with uniforms freshly ironed, rifles unfired, clean-shaven with "deer in the headlights" looks of bewilderment. It is my hope that has young people learn their coping skills, the wing of a parent will be around to secure a soft landing from the experience and add insight to why an outcome occurred.

How can we expect this with 50% of all families end in separation, the new parents of today have more psychological diagnoses and reliance on prescription medicine than ever before and our elderly are separated from the nucleus of the dinner table. In fact, those "banks of wisdom" (before they turn senile) held as a big focus in American Indian society are so de-valued today. Even if the information is considered ancient by our tweens, the interaction of story telling and experience passed from grandparent to grandchild (without having to be interrupted with -"I have to get this phone call; I must have a drink; I can't take you since my work starts early tomorrow") plays such a valuable role in the young adult experiencing events that lead to grandpa's own coping skill. Whether or not the grandchild adapts that particular coping skill is not important, it is the experience that is being lived in the story.

Richard Davidson in his new book The Emotional Life of you Brain, speaks of his studies where a person watching a sport being practiced will stimulate the same brain pathway as actually playing the sport. The best athletes in the world have long known if you visualize the "basketball free throw" enough, you will increase the chance of sinking the ball in the real life situation.

So....do we abruptly throw our chicks out of the nest and hope they fly right after hatching.....no! Nature allows animals to provide parental shelter, teach life lessons then teach not to need sheltering. Wayne Dyer in his book The Shift spoke of parents making "leaning" unnecessary. It seems irresponsible to allow children to experience the world "on their own"....but in the true family nucleus; they will never be alone. The challenge I see is how to impart these values to our kids in problem solving life if the family nucleus is devolving. Probably goes back to respecting wisdom, tradition and our heritage.

The legacy of humanity is not only in the young generation but also in our elders.

Ecotherapy

Usually when I ask a patient about exposure to nature, they say I live near a wooded area. When I ask further how often they venture into the wooded area, most just pass by. Even with people who have a backyard facing trees, the idea about experiencing nature is to be in it. Usually means at least 10-30 minutes of no technology, little to no mechanical noise and the intention to not react, just be. This last part usually is the deal breaker with people I speak to. In fact, most of my lectures are preceded by a slide showing a doctor's prescription pad where instead of writing a drug, I write orders for 1- nutrition; 2-movement; 3-grounding. I can usually make people feel better with the power of temporary drugs AND a plan for lifestyle change. Both are equally important but in my former life of 15 minute visits (please see The Fatal Fifteen blog), I didn't have time for teaching lifestyle change (or come up with an individualized, intricate plan). I have found if I stick to the 1,2,3 way of formulating a plan, makes it easy for me and my patients. Experiencing (witnessing) nature can easily take care of # 2 and #3. Takes physical movement to get into the forest or wooded area and once you are in, if you let go of technology and are willing to "slow down to the speed of nature", nature's speed will consume you. Example; going to the beach, (even if you are not a beach person), will usually capture you just with the powerful sound of the waves hitting the shoreline. Hypnotic, mesmerizing, relaxing if you stay long enough. There is usually an inherent "need" to check internet, email or text but when you start to realize the web will still be there later, the emails can wait, the texts aren't important information anyway.....then you allow nature to take over. That is when you realize, the breeze is cooling, the shade is refreshing, the surf is inviting. In fact, the surf is continuous, powerful and you don't have to power it on to access joy. Eva Selhub in her book Your Brain in Nature, speaks of Japanese Forest Bathing. Around the late 80's to 90's, there was research started about the effects of nature on city dwellers. For the medical community to make recommendations, doctors have to see studies. (Randomized Control Trials) Good for making drug companies spend on research and development (really just marketing); not good when simple suggestions like diet and exercise that have to be studied and tested before being recommended. Who is going to pay for expensive studies on the Mediterranean Diet being heart protective or a regular walk in nature being a treatment for high blood pressure. Truthfully, since the American public keeps on asking, your tax dollars are being used to pay for fancy double blind studies on diet and exercise. As I mentioned, Japan did precede us by testing whether health is effected by hanging out in the forest. They found that the blood and urine hormones for stress were less in those who spent regular time in the forest. They also found hormones for relaxation were higher in the forest group. Imagine if I wrote a script for high blood pressure that said go to a forest preserve 5 times a week and just sit there for 10-30 minutes 3-5 days a week. (or imagine if medical insurance paid for it!!!!) Well they will never do that, in fact, most medical insurance won't pay for anything preventive: exercise, weight loss, good nutrition, good sleep. What they will pay for is your disease-management after you have been diagnosed with the illness. My suggestion is don't wait for the disease to pop up in one of the annual physicals, start listening to your inner voice, start acting on what you see in the mirror, start taking extra time to sleep or wind down at bedtime. Spend on "Healthy". Even if it costs more in the short run, it will save you so much in copays, sick leave, prescription deductibles (and I am sure you won't miss the side-effects to the one or two pills used to "control" the disease you are labelled with). Eva's book is due out 13th of June 2012-well worth it if you want to make a pre-emptive strike on health and personal healing.

JUNE 2012 Schedule




We're on! Been a while since last post. To get up to speed, last posting was fall 2011. Went "dark" for 1/2 a year re-emphasizing local community advertising. Now that I have established some good footholds in the the community, back to blogging. I will keep posting adventures with patients on my Wordpress blog and use this to post local appearances.

Summer break brings vacation time so I have limited engagements.

1. June 9th (Saturday) Whole Foods Market Schaumburg at 3:00pm Detoxing Deconstructed
Please call (847) 585-5800 to reserve a place.
http://wholefoodsmarket.com/stores/schaumburg/store-calendar/

2. June 14th (Thursday) REI Oak Brook Terrace at 7:00pm Knee Pain in the Outdoor Athlete
Please call (630) 574-7700 to reserve a place.

3. June 23rd (Saturday) Northwest Community Hospital Wellness Center at 11:00am Healthy Community Project: Yoga?
Please call (847) 618-3500 to reserve a place for program #05-4104 (small fee/lunch included)

Have a great summer, see you in the classroom!

Moving Meditation and Gene Expression

A few years ago I listened to Herb Benson lecture about how he discovered the Relaxation Response in the 70's-

http://abcnews.go.com/video/playerIndex?id=7392433

and Jeff Dusek at Harvard is now finding a coorelation in the DNA of meditators. If I was to develop a pill that promised to turn on genes that fight cancer, heart disease and depression, and then advertise on TV, everyone would be coming into the office asking to try the "new medicine". What if the label said no side effects, and what if insurance paid 100% with no copay. What if the therapeutic effects would extend to all body systems and not just help the heart, or improve mood or give and erection for more than 4 hours. This is what I feel yoga does to people. Its more than just bending over and wrapping your leg around into a pretzel. We sell it to the public as a way to get flexible just because marketing says the majority are hesitant to listen or do things that involve spirituality but they will click and read on things that improve physical fitness. Its ashame but life long practitioners usually are the ones that started with taking a class out of curiosity then became engulfed by the positive effects on every aspect of daily life.....who cares if I can touch my toes when I now feel better and more aware of existence and happiness than any other time in my life!!! Everyone I teach knows my story, I used to add a few poses to my "pre-workout routine" to get warm and wake up muscle. Now my old work out routine is used as a "pre-yoga warm up".



Truth in practice is that yoga, a moving meditation has the ability to lower the blood pressure, improve core strength, take the mind out of the onslaught of ideas and thoughts that bombard it every second, change metabolism, maximize digestion, and enhance killer attack white blood cells that fight cancer. Its like a smart bomb that can be set off in a crowd but only kill select badguys, leaving women and children unharmed. One of the most profound effects I have experienced with this is that if applied at the beginning of the day....after class I feel a great sense of wellbeing (I can get that with a workout-endorphine rush for an hour) but then its effects are pervasive. I think clearer so traffic is not a bother. I am more productive at work so efficiency is maximized and projects are finished in a shorter time span. Lunchtime comes without a rabid hunt for carbs/ meat/ salt/ volume so I dont get saturated in post gastric sleepiness. Since satiety is there without being drowsy, no need for the big starbucks venti. Without caffeine, sex is magnificent and sleep is immediate and continuous. Then the next morning, wake up bright and alive looking for more yoga and meditation. You can see this pervasive improvement from one aspect of life to the next. Its like a logirithmic improvement in feeling and functioning at a true maximum without a drug. Just think of anabolic steroids, ritalin, viagra, prozac, marijuana, HCG, and vicodin without any side effects! (Aahh....now you understand!!) There was a recent movie "Limitless" that was about a drug that opened mental awareness, but it didnt stop there, every system in the body functioned at a level that was superhuman, all because the mind was unlocked.



So when a yogi exclaims "I feel better at 50 than I did in my twenties" its not just that the mind has been dupped into thinking pleasant thoughts....its because cholesterol is lower than ever, sleep is without a pill or a beer, food is digested without heartburn or bloating, muscle repair is faster than varsity highschool years, the morning is fine without coffee......and oh yeah...... I can also touch my toes.