It’s all in your head

images (2)It was strep throat – again. I’m 38 years old and I still get strep throat. Apparently my immune system hasn’t matured either. This time was bad and I was bed bound for 48 hours. Ever the doctor, while I was lying in bed shivering with fever I had an interesting thought. I have absolutely no desire to eat. I handn’t eaten anything meangful in 48 hours and I had absolutely no desire for any food or drink. Why am I not hungry if I haven’t eaten? If I wasn’t sick, I would be famished.   Continue reading “It’s all in your head”

In Response to the Voice

the voice in your head is a liar

You know that voice in your head, the annoying one, that stands in the way of all your successes.  It’s the one that tells you all the reasons you can’t, won’t, or shouldn’t.  We all have it so I’m sure you know what I’m talking about.  I’ve been thinking a lot about this voice recently and have noticed some important things.   The voice does not work by overpowering you.  Its success comes from its endless needling at you until you give in without even realizing you have succumbed.   It’s small but relentless.  It never fatigues.  This is the voice that is preventing you from succesffully losing weight.  But you already knew that, its your voice after all.

Continue reading “In Response to the Voice”

The Secret of Change

change 7I was sitting in my office with a patient of mine the other day having a conversation I find myself having frequently.  She was a long time smoker who I had diagnosed with severe COPD (the lung disease caused by damage from smoking).  She had been hospitalized and was close to needing oxygen.  Yet, in spite of my warnings and castigations, she had broken her brief period of abstinence and was back up to “only a half pack a day”.  She was staring at the floor unable to look me in the eye like a child caught misbehaving by their parents. Continue reading “The Secret of Change”

Not losing weight with exercise?

You can't out exercise a bad dietHopefully, many of you have embarked on my 4×4 fitness challenge as many at my work have (shout out to Erika D.  for being the Carroll Hospital leader so far!).  If you haven’t , it’s not too late – click here.  People have already started to see improvements in their fitness levels.  Many can now pound out pushups and burpees in week 3 which they couldn’t do so well in week 1.  In spite of their hard work there is a recurring issue that people bring up to me all the time with respect to exercise and weight loss.  People often complain that, in spite of exercising regularly, they are unable to lose weight.  The root of this problem lies in the way that exercise affects appetite. Continue reading “Not losing weight with exercise?”

Mediterranean Tuna Salad

Mediterranean tuna salad

My ongoing and epic saga to to cut carbs and increase protein continues of late.  I have previously discussed why low carb diets are effective (Maybe A Calorie Isnt. Just a Calorie) and why getting enough protein is so difficult and important (Pro Protein).  Check out those posts to get the dish on those topics.  Speaking of a dish, I have decided to substitute salad with tuna and feta for my lunch.  This is a great option for many reasons.   Continue reading “Mediterranean Tuna Salad”

Weight Loss Success Stories

success3I am sometimes asked by younger folks interested in a career in medicine for advice on how they can make it through the long and grueling process needed to become a doctor.  I have a few experiences from the process and made it through my self so I suppose I (or any other doctor) am a good person to ask.  I think this sheds light on a very important principal in achieiving success in any field.  Get guidance from people who are where you want to be.  Do what they did.   Continue reading “Weight Loss Success Stories”

The ‘Magic’ of Whole Grains

smoke-mirrors-coverAn interesting fact of life is that when you’re eating a bowl of cereal, the nonsense on the box becomes some of the most interesting reading material you can find.  I’m not sure why this is.  The other day I was engrossed in a colorful maze on the back of my kids cereal box when I noticed a banner touting the fact that this very box contained oodles of whole grains.  Isn’t that fantastic!  This instantly inspired images in my brain of golden wheat blowing in the breeze.   Continue reading “The ‘Magic’ of Whole Grains”

Myths and Facts About Obesity

myths_6

I tend to receive my weekly copy of the New England Journal of Medicine with more than a muted enthusiasm.  Generally the articles are complex and related to other specialties of medicine that are not relevant to my daily practice.  So you can imagine my excitement when I saw an article entitled “Myths, Presumptions, and Facts about Obesity”. NEJM I, of course, snatched the up the journal before it mistakenly hit the recycle bin and fired up the blog machine to bring you the very latest info on weight loss. Continue reading “Myths and Facts About Obesity”

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