Set a small goal, and achieve it. Then immediately set another small goal, and achieve that.
Occasionally
you'll have the opportunity to make big, sudden improvements. Yet
always, in every moment, you are able to make small improvements.
There's great power in doing so. Because those small improvements add to each other, and build on one another.
The
long and inexorable march of progress is not, by and large, a history
of quick advances. It is a story of small improvements, and improvements
on the improvements, made again and again.
Today you can continue that beneficial story. Right now, several small improvements await your attention, your action.
You
don't have to wait one more moment for the chance to make a meaningful
positive difference. Where you are, with what you have, make a small
improvement, and set the process in motion.
#ralphmarstonquotes
Welcome to my blog! Ask questions. Share your successes. Move forward toward your health care goals!
Wednesday, May 27, 2020
Tuesday, April 21, 2020
11 Tips to Stop Stress Eating During Shelter-in-Place
By Zoe Davis, MA, LMHC, MS, CNC
While
this is a stressful time for many, it is also an opportunity to practice mindfulness
and deep compassion for ourselves and our community. Food choices may be more
emotional at this time as people look to food for comfort to lower anxiety and
mitigate feelings of a loss of control. I hope some of these ideas for managing
stress eating will be helpful to you and will provide their own source of
comfort.
Find out more about Amen Clinics, which offers comprehensive clinical evaluations and remote therapy sessions as well as in-clinic brain scanning, by speaking to a specialist today at 866-319-2743. If all our specialists are busy helping others, you can also schedule a time to talk.
1. Try the H.A.L.T. method for emotional eating.
When going to get something to eat, simply check in to gauge what your real need is by asking yourself: “Am I Hungry, Angry, Lonely, Tired?” If you’re hungry, eat some nourishing food. If you’re angry (or stressed or anxious), do something to attend to that emotion, such as journaling, meditation, diaphragmatic breathing, drawing, or coloring (even adults can do this!). If you’re lonely, reach out to a friend or family member, and make regular social engagements a priority (virtually for now). If you’re tired, rest, drink some water, do some mild stretching, or get some fresh air with a walk to replenish your energy. When we create more space between the thought of eating something to soothe our emotions and the actual consumption, we create awareness of our true need and increase the likelihood of doing something to attend to that actual need.2. Feed yourself well, and regularly.
Low blood sugar exacerbates feelings of stress and anxiety. Make sure you’re consuming regular meals that include adequate protein, healthy fat, plenty of vegetables, and some low-sugar fruit. Don’t go too long between meals, especially if you’re prone to feeling anxious or stressed. Your brain and body need nutrients regularly throughout the day, and when we are missing key B vitamins, fiber, minerals (like magnesium), and probiotics, we can feel more amped up and have a harder time relaxing.3. Slow down your meals/snacks.
Take a few deep breaths before eating and chew your food thoroughly. Eating this way engages the parasympathetic nervous system and allows for better digestion and greater benefit from the foods you eat. This practice also naturally moderates the amount and types of food your body actually needs, drastically reducing the need for willpower.4. Keep non-nutritive “comfort” foods out of your home.
Now is a great time to focus on the essentials and avoid foods that fill you up but don’t actually nourish you. Try making warm broth-based soups, roasted root vegetables, baked pear or apple with cinnamon, and gluten-free whole grains or pseudo-grains like wild rice, quinoa, and buckwheat as part of your comfort foods instead of white flour-based foods or sugary desserts.5. Avoid stimulants.
Stimulants—such as refined sugars, too much caffeine, dyes, additives, and artificial sweeteners—can irritate or over-activate the nervous system and exacerbate anxiety, making it more difficult to experience a sense of calm.6. Make time with family or friends to enjoy meals together.
If you live with others, take turns cooking and prepare the table where you will eat as a part of the meal to be enjoyed. Light candles, play relaxing music, and have positive conversations as part of the meal. Avoid stressful conversations with meals, and if you live alone, invite friends to a virtual dinner party via computer or phone. You can enjoy each other’s company even when not in the same space.7. Practice gratitude.
Consider the work that went into growing or raising your food, the incredible abundance of our planet, and the many people along the way from planting to delivery that work hard every day to keep you nourished. Gratitude keeps us focused on appreciation, which is a boost to our immune system and can significantly lower stress levels.8. Include intentional movement in some form on a daily basis.
When we move, we’re more in touch with our physical body and tend to choose healthier food options and drink more water. Additionally, exercise is immensely beneficial for lowering anxiety, improving our immune resistance, reducing stress, and encouraging sound sleep. While much of our lives may be more confined than we would like, we can still move every day. Some ideas include going for brisk walks/hikes in our neighborhood, taking dance classes online, doing weight resistant exercises with an app, or completing a regimen of yoga poses from books or instructional videos.9. Tap into your creative self or learn something new.
Try a virtual class online, get out your paintbrushes and paper, do collage, sing, dance, write poetry or stories, learn a language (or re-learn one), play a musical instrument if you have one, sew, knit, or anything else you’d like to try. Creativity is a great way to express yourself and de-stress. When we are creative and feel ourselves expressed, we are using energy in a positive way and tend to feel less restless. Decreasing feelings of restlessness can keep us from eating out of boredom.10. If you have the capacity and aren’t doing too much already, offer to help someone else.
Volunteer in any way that is safe for you. Volunteer Match has thousands of opportunities, and you can do many of them virtually, or you can come up with your own way to help in your neighborhood. When we feel a sense of contribution and connection with our community, we tend to feel more in control and more grounded. This feeling is empowering and often leads us to take better care of ourselves (with food, movement, sleep, and more), as we feel more important to those around us.11. Practice good sleep hygiene.
Try to go to bed at the same time each night and limit foods at least 2 hours prior to sleep. Use blue-light filters on computers, phones, or tablets if you need to use them in the hour prior to bedtime. Getting at least 7 hours of sleep regularly helps to regulate hunger hormones, improve energy, and increase our stress tolerance.About the Author: Zoe Davis, MA, LMHC, MS, CNC, Amen Clinics Northern California
Zoe Davis, MA, LMHC, MS, CNC is a nutrition therapist, integrative health coach, and certified Irlen screener at Amen Clinics, where she has been honored to work with patients over the last four years. Zoe has Master’s degrees in human nutrition and functional medicine, is a licensed mental health counselor, and has a post-graduate certificate in nutritional psychology. This unique combination of education in both nutrition and psychology allows her to use a mind-body approach in a deeply integrated way.Find out more about Amen Clinics, which offers comprehensive clinical evaluations and remote therapy sessions as well as in-clinic brain scanning, by speaking to a specialist today at 866-319-2743. If all our specialists are busy helping others, you can also schedule a time to talk.
Tuesday, April 7, 2020
8 Ways To Stay Busy While Sheltering In Place
8 Ways To Stay Busy While Sheltering In Place
Online courses.
If you’re looking to brush up on a skill, now’s your chance. Tons of companies offer free or paid online courses that can help you advance your career, learn a new skill, or just satisfy your curiosity itch. Harvard University offers free courses in in a variety of areas from computer programing to 18th-Century Opera. Courseara offers free courses that can be completed in as little as a day, and Yale is currently offering it’s super popular Happiness course online for free. It’s never been a better time to pick up a new skill.
Reading.
Love a good book? It’s a great time to dig into that thriller you’ve been waiting to indulge in. Or why not take on the list of classics you’ve always been wanting to try but “never have the time to tackle”. Of course you know you can order books online from Amazon (hardcopy or for your kindle), but you can also rent ebooks for free if you have a library card, without ever needing to leave home. Just plug your library card into the Libby app and access thousands of free library rentals that can be delivered straight to your kindle, or read within your smart phone!
Stay in touch online.
Now, more than ever, we need to stay in touch with those we love, even if we can’t see them face to face. Thankfully, technology helps make that possible. Facetime, Skype, What’sApp and Zoom are all video chat apps that can help you keep in touch. So host a family happy hour, or an afternoon tea, and keep your (virtual) social life going strong, even if you’re the only one sitting in your living room.
Get your arts and crafts on.
Are you an avid knitter? Always wanted to try your hand at painting or drawing? Maybe you’ve wanted to learn calligraphy. Use this time to get creative and relieve some of the stress that you might be feeling from all that’s going on. Even if you think you’re not creative, give it a go. Getting lost in a project can help pass the time and give you something else to focus on. Not sure where to start? Try an adult coloring book (or download and print some coloring sheets from online). You might be surprised at how relaxing it is.
Practice a new language.
Let me guess – you took Spanish in high school and have always regretted not sticking with it? Take this time to learn a new language! Lots of apps and programs exist that can help you master a new language in no time. Try Rosetta Stone, Babbel, or Duolingo to get started. Then start thinking about the awesome trip abroad you can take to show off your skills once all this is over.
Get better at your musical instruments.
Have you always tinkered at the guitar? Plucked at the piano? Use the time now to practice or learn how to play a musical instrument. Music can be incredibly soothing and meditative, especially during times of stress. And like art, it can really help relax you to get caught up in learning a new piece or to learn how to play a new instrument.
Master 3 new meals!
How many of you are always scrambling when it comes to cooking dinner? Or you never know what to make for a dinner party? If you like cooking, pick three meals you’d like to master over the next month. Then practice them until they’re perfect. You’ll be able to draw on them for years to come (and your family will likely thank you!)
Don’t forget to workout!
Don’t make the mistake of using the shelter in place as an excuse to skip your workouts. There are tons of options to work out from home. And even with stay at home orders, most cities are allowing people to get out for some exercise and sunshine. So download an app, or take a stroll around the block, go for a hike, or take a bike ride. Just get moving. Every day. Your body, and your mind, will thank you.
From https://www.nafc.org
Monday, February 17, 2020
2020 Year Of The Nurse

If you haven't heard already 2020 is the year of the Nurse!! This is your time to celebrate YOU and all you do! ANA has some great ideas on how you can Excel, Lead, and Innovate! Take a look at these suggestions for Celebrating and Elevating Nursing.
Click Here For More!
Tuesday, February 11, 2020
Ideas for Cheap Dates
I just recently did this course and I love these ideas!
Here is the website for even more ideas: More Ideas
When you’re trying to stick to a budget but also want to treat your special someone to a date, you might feel stuck. After all, date nights can be expensive. Even if you don’t have anything more than dinner and a movie planned, you could end up paying close to $100! But don’t worry—there are plenty of ways to spend one-on-one time together in a budget-friendly way. Here are 40 cheap date ideas to get you started.
Here is the website for even more ideas: More Ideas
When you’re trying to stick to a budget but also want to treat your special someone to a date, you might feel stuck. After all, date nights can be expensive. Even if you don’t have anything more than dinner and a movie planned, you could end up paying close to $100! But don’t worry—there are plenty of ways to spend one-on-one time together in a budget-friendly way. Here are 40 cheap date ideas to get you started.
10 Cheap Date Ideas to Get Started
Let’s get one thing straight: Cheap doesn’t equal boring. If anything, it means you get to be a little more creative with how you plan the date. Plus, you get to think up exciting, out-of-the-box ideas and put in that extra effort. Here are 10 cheap date ideas to try out any day of the week.- Browse at a bookstore. If you find books you both like, put them on hold for pickup at your local library.
- Listen to your throwback records, vintage tapes or mix CDs. Pick the ones that were important to you while you two were dating. Or if you’re still dating, share music that was important to each of you earlier in life.
- Go out to breakfast. It’s the most important meal of the day, and it’s a much cheaper date than going out to dinner. There’s no rule out there saying you can’t have a date in the morning. So go ahead! Plus, who can pass up the chance to eat pancakes, eggs and bacon? Simple answer: No one—no one worth dating anyway . . .
- Watch the sunset or sunrise. C’mon—it doesn’t get more romantic than that!
- Celebrate the year you met, got married or started dating. Watch a popular movie or listen to music from that year and try to recreate the style of the time. If the year was 1983, we’re sorry for the fashion options. But take heart—you’ll have some of the most iconic movies and music to choose from!
- Take a dance lesson. There are tons of dance studios that offer a casual dance instruction with a time afterward to practice your moves. This is a great way to perfect your salsa, ballroom or disco dance moves together.
- Hit up a sports game. All right, going to watch the pros play isn’t going to be cheap (unless you can score a great discount). But don’t worry. You can still be a fan in the stands! Take in a local college or high school sports game, and chat with your date about your glory days as a volleyball champ . . . at your super small school. (You can leave that part out if you want to.)
- Volunteer together. Use your time to serve at a homeless shelter or elderly ministry. It’s amazing how helping others can bring the two of you together.
- Test drive an expensive car. But don’t buy it! (Duh.)
- Go to an open mic night. You never know what kind of talent you’ll get to hear!
Wednesday, July 31, 2019
The Five Most Important Words You Can Say to a Patient
The Five Most Important Words You Can Say to a Patient
A technique for good communication
by Suneel Dhand, MDOur job as healthcare professionals is not just to diagnose our patients by applying our scientific knowledge and clinical skills, but also to be the "communicator-in-chief," "listener-in-chief," and "reassurer-in-chief."
Any doctor who doesn't fully grasp this is not doing the best job they can or being the best doctor they can be. I truly believe that over 90% of our everyday job as a physician involves being a good communicator. We've already reached a certain standard of clinical competence to be able to practice medicine and be unleashed on the general public. The rest is on us, to communicate well with patients and leave a positive impression at a low point in their lives. It's oh so easy to get into a groove where everyone becomes "just another name on our list" (and very human too, we all fall into that trap).
But the patient who is about to walk in and see us, or lying in the room we are about to enter, may have been waiting to see us for hours, days, or weeks. Imagine a family member or friend, the one you love the most, in that helpless situation where their life is turned upside down. It's important we never forget that, and remember that a large number of our patients are very anxious about the situation they are in.
The number one thing our patients want in those precious few minutes we have with them is to feel that their doctor truly cares and is there to help them. That's our job in a nutshell. There are a number of verbal and non-verbal techniques that can reinforce that sense of caring and connection.
On that note, here are five words that physicians can utilize at the end of their discussion, that can really help reassure them too. Most of the time, when discussing any potential serious issue that is going to be very treatable, any physician can simply lean in and say with a calm reassuring empathetic voice:
"It's going to be OK."
This may sound like a very basic statement, but it's a very powerful thing for a patient to hear from their medical professional! It's underutilized in healthcare, especially by doctors. I would go much further and say that this statement can be used in any situation when you are talking to an anxious person, who is offloading a problem that concerns them, onto you. Do you have a friend who is in trouble? A family member who is worried about something? Be a good listener, give them some trusted advice and just tell them that "it's going to be OK." Obviously, sometimes a problem might be so bad that it may not be OK or solvable. But I guarantee most of the time, and for most people, there are better days ahead, and things will get better.
So tell them things are going to be OK. It's one of the best things you can say to anyone who is in a tough spot in life.
Suneel Dhand, MD, is an internal medicine physician, author, and independent healthcare experience and communication consultant. He is co-founder of DocsDox.
This post originally appeared on KevinMD
Monday, December 10, 2018
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