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Month November 2014
Replace That Mattress

The Better Sleep Council states that mattresses should be replaced every 5 to 7 years, and that the springs in most mattresses will lose their function in that span of time. What is interesting, though, is that other tests on mattresses which are conducted by independent companies have found that many mattresses hold up 8, 9 even 10 years after purchase. So what is the rule of thumb with mattress replacement?
The main factor in determining when to replace a mattress is sleep quality. Since we spend (or should spend) one-third of our lives sleeping, it is imperative to have a mattress which imparts comfortable sleep. So if you have a mattress which is 5 or more years old, you might want to assess whether the quality of your sleep has diminished recently, if you awaken with back pain, or if you are tossing and turning to get comfortable in bed.
My personal story is that I have been sleeping on the same mattress for almost 9 years now, and though it has a 3 inch pillowtop and used to feel like a cloud, I am noticing that I cannot find a comfortable spot on my mattress. As a result, I have decided to ring in the new year with a new mattress, provided I can scrape up the money to buy one. The other tricky thing will be to find one which I love, and which I can afford. Some mattresses go for several thousand dollars, which is far beyond what I can even hope to afford.
Keep in mind that many mattress stores have no interest financing so that you can make your purchase without paying anything for months on end. It may be time to schedule a visit with your spouse or significant other to a mattress store to find a mattress which will improve the quality of your slumber.
Another Image In The Window By Zoltan Vegh Photography
My TV Is More Like A Radio

Though I usually have the living room television turned on while I am at home, I rarely glance at the screen, so it functions more like a radio, providing background noise while I work. One of my roommates likes to turn the channel to the Cartoon Network, so the audio is usually quite lively when he is home. He has the same habit I do, in which he turns on the TV for background noise but doesn’t actively watch it. Before you assume that it is a crappy old TV, let me clarify that it is a 47 inch LED TV, the screen size of which I lamented for no good reason since I rarely actually watch programs or movies on TV. I recently stated that with the rather large living room we have, it would make more sense to have a 65 or 70 inch TV (which I am nowhere near being able to afford), but I seriously doubt that a larger set would inspire more active viewing. That would be a pretty massive and expensive radio!
Even right now as I sit on the living room floor with my laptop on the coffee table (this is what I normally do despite the fact that I have a huge and very comfortable leather sectional sofa), the TV is on, dialed into the Cartoon Network, with American Dad airing and the sounds of cartoon voices at a low volume. Every ten minutes or so, I look at the screen briefly, to rest my eyes from staring at the computer. When my roommate isn’t home and I turn on the television, I usually do a bit of channel surfing to find something that isn’t too loud or annoying. I have been more drawn to tattoo shows lately for some weird reason, maybe because the bleeped out profanity captures my attention while I am writing. There is a certain comfort I get from sitting in the living room with the TV on as opposed to sitting in complete silence, which explains why I almost automatically turn on the TV before I begin working.
Does anyone else have this habit?
No Excuses Calisthenics Training Video Series On RxGirl: Butt Kickers
No Excuses Calisthenics Training Video Series On RxGirl: Jumping Jacks
I Need An Oil Can
Lately I have been in CONSTANT pain from inflammation in my neck, shoulders, elbows, wrists, hips and ankles which has me creaking like the Tin Man from the Wizard of Oz. I wouldn’t mind it so much if the pain patterns were completely predictable, but there have been days when the pain has shifted from one side to another. No amount of massage or adjustment seems to calm things down either. Granted, I have not been as diligent about taking my daily supplements due to almost two weeks of international travel which threw my daily routine off track in a big way. Now that I am back in the States for a while now, I plan to get back into my daily rhythm which will hopefully cause most of my aches to abate.

As a result of the pain I was enduring, I had a massage last week while in Bali. It was an amazing deal at 120,000 rupiah (about $10 U.S.) for a full hour of shiatsu massage, so I jumped on it. What I had forgotten was that shiatsu massage can hurt like a mother^%#@$* due to its focus on trigger points and deep pressure. I was writhing in pain for the entire hour, but figured I needed the torture. Usually if my patients experience deep massage, I will tell them to take arnica or ibuprofen for the next 24 hours to address inflammation, but since I am a doctor (and doctors really DO make the worst patients), and also since I had no access to anti-inflammatory agents, I tolerated the pummeling I got and simply hydrated as much as I could. The next morning, I was in so much pain that I could barely walk, and I couldn’t turn my head at all. Stretching was almost impossible because my range of motion was terrible. Thankfully, my range of motion increased gradually as the day progressed and my muscles warmed up.
After dealing with such intense discomfort for a while now, I think I will take my own advice and resume my daily intake of antioxidants, glucosamine, and turmeric. For those of you who may also be feeling like a poorly oiled tin man, you might want to follow suit.
It All Adds Up

When you add the label of “forbidden” to a food, it suddenly becomes quite irresistible, revealing the human tendency to become lured by temptation. Of course it doesn’t help that these so-called forbidden foods are full of sugar and other substances which trigger more cravings. You may be the type of person who occasionally nibbles on a food which is ordinarily on the do-not-eat list, or you may find yourself in a pattern in which you rationalize your dietary transgressions and cannot stop the behavior. If your indulgences are frequent, you have probably noticed the evidence accumulating around your waistline.
While competitors must follow rigid meal plans which discourage the consumption of any fat-laden or sugary treats, those of you who do not compete can follow a clean diet 90% with the occasional treat and suffer minimal consequences, However, individuals who do not follow rigid meal plans may be consuming nutrient-poor foods laden with saturated fat and sugar far more often than they realize. They may also be tricked into ordering a meal which seems to be clean, such as a chicken caesar salad, only to find out that the salad dressing alone can obliterate any possibility of consuming a healthy meal. The temptations continue when people are trying to keep up with busy schedules and ordering less than foods out of hunger and exhaustion. More temptations may also be lying in wait at home. Perhaps you have rationalized a nightly glass of wine or a Pop Tart as a treat for a busy day at work, but when this is practiced on a daily basis, it will surely trap you in a “one step forward, two steps back” pattern which will prevent you from achieving your fitness goals. Suddenly the clean and healthy diet is followed only about 40%, meals are random, and the risk of malnutrition also emerges as a result of erratic and unhealthy eating practices.
The key is to follow nutritional guidelines which will ensure that you get the nutrients and calories which your body requires. If it is too difficult to determine what it is that you need to consume on a daily basis for optimal nutrition, hire a nutrition coach to give you structure and consistency. You will still be able to enjoy the occasional treat, as long as you remember that moderation is the key. Another valuable habit to implement is the daily intake of a multivitamin, preferably one which is taken several times a day to optimize absorption. What I love about SWAT Fuel’s .40 Caliber Multivitamin is that it has high bioavailability of nutrients along with a three time per day dosing recommendation. This is my personal choice of multivitamin, and yes, I do take it three times daily. This formulation is very clean and doesn’t cause the intestinal upset that some multivitamins can cause. I can tell that I actually feel more energized when I take this particular multivitamin as opposed to other brands.
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