Time Zones, Reasonable Hours And The People Who Ignore Them

World TimeZones (analog)

I appreciate being able to meet people from other parts of the United States and the globe because they broaden my perspective and remind me that the world is much larger than what I am aware of as I navigate through a typical day in Southern California. As a result of my travels, I communicate relatively regularly with people who live in time zones that are 3 to 19 hours ahead of me. Whenever I attempt to communicate with them, I try to remain acutely aware of what time it is for them in their corner of the world. That is why I become very irritated when I get text messages and messages on Facebook Messenger in the middle of the night from people who are on the other side of the globe and think it’s a good time to initiate a chat with me. Some people are so clueless that when I respond to a message stating that I am trying to sleep, they KEEP MESSAGING me, causing my phone to clang repeatedly like a bell. I realize that I can (and DO) turn off my ringer, turn off my phone or ignore the messages, but there are two reasons why I respond to such communication attempts:

1. If I don’t respond immediately, I must deal with and endless stream of lengthy messages the next morning, scolding me for not responding.
2. I feel strongly compelled to inform the person that it’s late and that I must put an abrupt end to the conversation stream.

To be honest, I know that I test people when I tell them that it is late and that I am going back to sleep. The way to pass my test is to register a quick apology and allow me to rest, but some individuals seem to lack the sense to drop the conversation. One person who was an acquaintance I knew through Facebook contacted me last night past midnight and kept sending messages and images which woke me up repeatedly, so I told him to please stop. Instead of stopping, he explained to me that it was 12 noon where he was. Okay, that’s fine, but why did he keep messaging me, trying to engage me in a conversation I wanted no part of? I told him to please stop sending messages so that I could go back to sleep. His reaction was to KEEP MESSAGING ME. I have been in situations where I had miscalculated the time zone where a friend was, but as soon as I realized my mistake, I sent a quick apology and then stopped communicating with them. Unfortunately, this guy didn’t have the sense to realize how much of a pest he was, so my reward for his persistence was to block him.
doctorisout
I deal with people who think that because I am in the public eye and a physician, I must be on call 24/7. Not so, ESPECIALLY if someone pressures me to take care of their needs immediately when I have no professional responsibility toward them. The sense of entitlement some people have just blows me away! So-called “quick questions” become long, drawn-out consultation requests, and when I don’t have answers, some individuals cop an attitude after I have taken time out of my busy day to be cordial and helpful. It’s enough for me to consider telling everyone that they must submit questions to me during normal business hours, otherwise leave me alone. I must draw a line in the sand because I tend to sacrifice a great deal of my time and resources to help others, and run myself into the ground as a result.

Corsets And Waist Training

https://www.yahoo.com/style/whats-the-deal-with-the-corset-training-101355906803.html

I am posting an article which I found the other day on Yahoo! Style which made me chuckle. Here is the original link as well. I will reserve comments until the end of the article.
X-Rays-Show-that-Women-Would-Destroy-their-Rib-Cages-due-to-Corsets-2
To the ways you can attempt to whittle your waist — Slim-Fast, side planks — add one more: Corset training.

The method, which requires you to cinch yourself into a corset for four to six hours a day, is popular with celebrities and has been intriguing many other women seeking hourglass shapes.

Both Kim and Khole Kardashian have tried it. Kim posted a picture of herself yesterday in her mom’s foyer wearing a corset — hers is from a company called “What A Waist” — with the caption “I’m really obsessed with waist training!”

Jessica Alba is a fan, too. She actually wore two at the same time to help her lose weight after both of her pregnancies. “It was brutal; it’s not for everyone,” she told Net-A-Porter. “I wore a double corset day and night for three months. It was sweaty, but worth it.”

Self-described “corset fetishist” Kelly Lee Dekay, 27, has been doing corset training for seven years, and claims she has a 16-inch waist because of it. “I loved how Batman’s outfit let him channel a different side of himself,” she told the Sun. “That’s what the corset does.”

Women have worn corsets for ages. In the 1500s, they smashed down their entire torso. Later, in the late 1800s or Victorian era, they were used to help define the waist. It’s thought that the reason ladies back then were always fainting was because their corsets were squeezing their internal organs and restricting their breathing.

In these modern times, however, women now think that wearing a corset can actually help you lose weight. The Cincher by AMIA claims, “[It can] sculpt inches from your midsection and enhance your curves while increasing thermal activity in your core.”

According to TheCorsetDiet.com, you can shed up to six pounds a week by wearing one of their custom-made waist shapers. The UK-based company describes the pressure from its corsets as “gentle hugging feeling.”

But when writer Rebecca Harrington tried wearing one, albeit from a different brand, she wrote on NYMag.com, “My breathing is slightly impaired, but I can still breathe; I just have to take short, staccato breaths. I try to drink coffee, and it’s very difficult. After four hours, I whip off the corset and throw it across the room. My waist has red welts on it.”

In reality, doctors say that the corset is not — I repeat not — helping you reshape your body with simple pressure. It’s simply so tight around your stomach that you won’t — or can’t — eat too much, and doctors roundly decry any kind of corset diet or waist training as a viable long-term weight loss method.

“It’s outrageous, and it just absolutely makes no medical sense whatsoever,” Keri Peterson, M.D., a physician at Lenox Hill Hospital in New York told Women’s Health.

It also could be dangerous. Wearing one could actually shift or compress your internal organs and fracture your ribs, Dr. Jyotindra Shah said. “People might put it so tight that the liver, spleen and kidneys could get bruised,” she told The Huffington Post.

Even “corset fetish” Dekay knows she has to remove hers sometimes. “It can be restrictive when climbing stairs,” she told the Sun. “You can’t carry heavy things as you could hurt yourself. I don’t go to the gym in it. That would be very dangerous as I lift weights.”

squeem-26r

Okay, here goes my commentary. I jumped on the corset bandwagon back in 2011 when I was informed that it was a very effective way to whittle the waist. During the time in which I diligently wore a corset (or two) several hours a day, every day, I noticed my waistline whittle down from 24 inches to 22-1/2 inches. So do I think it works? I KNOW it works.

I have to say I disagree with so-called doctors’comments that the corset prevents consumption of large amounts of food, thus resulting in weight loss. This just sounds like something one of my male colleagues would mutter. If caloric consumption is kept constant, women and men who engage in corset training WILL have a reduction in inches no matter what. This sounds like the typical uber conservative medical snobbery which makes other doctors the types of people I will NEVER choose to spend extensive periods of time with. I do agree that the practice of wearing a corset is outrageous, painful, and could be dangerous. But it DOES work. What price beauty?

Over the centuries, women have compressed their waistlines effectively with corsets, so it blows my mind that these narrow minded physicians have decided to toot their horns and express skepticism. As a physician who competes, I chose to give corsets a chance and had great results. I am glad that I didn’t allow the part of my brain which is trained in traditional Western medicine talk the competitor in me out of doing all that I could to make my waist smaller.

I would usually wear a neoprene wrap underneath my corset (or Squeem as it is somewhat affectionately called in the bodybuilding world due to one manufacturer brand), or one corset over a second. I would do this for at least 6 hours, sometimes as long as 14 hours. Was I uncomfortable? Yes. Did I sweat like a pig? You bet. Was it worth it? I think so.

I have dealt with the metal boning poking out as the corsets would wear out, and would glue them back into their channels, so I know all too well the sensation of metal poking into my underboob, my ribcage or my hip bone when the corsets began wearing out. I would have digestive upset, abdominal pain, and at times had difficulty breathing. During one stretch of time when I was wearing latex corsets, I developed painful lesions all over my back from the yeast overgrowth which resulted from the long hours of wear and the constant sweating. It took me over a year for my skin to heal from all those lesions, and I have a couple of permanent scars to mark my determination to sculpt a waistline that would win a Pro Card. Thankfully, I won that Pro Card in 2013 and almost immediately tossed the corsets aside.

Now I wear corsets from time to time if I feel the need to squeeze out extra water from my midsection, but I will probably never return to the days of wearing corsets for many hours, driving to work in pain because a metal boning was jabbing me in the rib, sweating profusely under nice clothing, and dealing with skin around my midsection which was constantly macerated, lighter in pigment, and showing signs of skin breakdown.

I know you ladies want to slim down the midsection, but please be careful when you wear corsets! It isn’t worth ruining your skin and compressing organs to wear these torture devices for extended periods of time. Give your skin and your torso a rest in between the sessions during which you are training your waist. I recommend wearing corsets for a 4 hour stretch.

My Education Never Stops

medical_education_-_steth_with_book
For those of you who think that physicians are done with educational pursuits once they complete the rigors of medical school and residency, think again. We must complete continuing medical education credits (aka CME’s) for the length of our medical careers. This means that we must attend conferences and seminars, take online courses, complete quizzes in medical journals and take recertification exams to retain our board certification. Such CME’s aren’t cheap either. The average cost of each credit hour is $25, so when you multiply that by the 150 hours required in each three year cycle for board certified physicians like me, $3,750 has flown out of your wallet, and that doesn’t take into account the association dues for the governing sites which offer the most desirable and relevant CME credits.

Today I decided to chisel away at my ongoing requirements and took two online CME courses. The first was on diabetic foot ulcers and was quite graphic and disgusting, but since I am required to know how to treat this condition, I tolerated the images which flashed on the computer screen. I then took a course on gastrointestinal disorders which was far less graphic but yielded valuable information which was a great review for me. At the end of my two hour review, I received two CME credit hours which will be counted toward the 150 total hours I will need to accumulate by the end of 2015. I wish I could do most of my CME credits online, but there are limits on online coursework. What that basically means is that I am forced to participate in live courses, which means that I must figure out what courses my schedule will accommodate. In addition, live courses are significantly more expensive. I was investigating medical conferences yesterday and discovered that one major conference would set me back by $1,400 just for the registration alone! Since I cannot afford that conference, I must get creative and find other options which aren’t nearly as expensive.

I research CME opportunities every few months for the most respected and accessible opportunities, so I feel confident that I will find cost-effective ways of fortifying my medical knowledge while fulfilling my CME credits before the end of the current cycle. Since I also recently obtained an NAFC Nutrition Coach Certification, I will need to keep up on CEC’s for that as well. Oh, the learning never ends!