Page 60 of 198

My Oldest Patient

drstaceynaito 1 Comment

Shortly after I completed my residency training in family medicine in 2004, I worked briefly for a company which offered mobile physician home visits. Though I soon realized that driving to patients wasn’t my thing, I definitely met some very interesting people during that time.

My favorite and most memorable patient from my mobile medicine days was an elderly woman, aged 105. During my hospital days, I had seen and treated a number of centenarians, but this woman was the oldest. I was called upon to visit this woman’s home (I’ll call her Mary) to perform a blood pressure check and manage her hypertension. She lived in a charming duplex which was erected circa 1905. I knocked on the door and when the door opened, a friendly middle-aged man greeted me and introduced me as Mary’s caregiver (let’s name him Tim).

The interior of the duplex was a time capsule. I honestly felt like I had stepped into the 1920’s, because everything in the place was from that era: lamps, paintings, coffee cups, pens, furniture, curtains, pillows, etc. As my eyes scanned the room, I saw Mary sitting in a large chair with a walker in front of her. Mary’s face certainly was old and her body was frail, but she possessed fire in her eyes and a sassy attitude to match. I thought of how this woman, born in 1899, was witness to three different centuries, as a result of the year she was born as well as the longevity which extended her time on planet Earth far beyond that of the average person.

Mary smiled at me and motioned for me to come over.
MARY: “Well you’re a pretty young lady…what’s your name?”
ME: “Hello Mary, I’m Dr. Naito.”
MARY: “DOCTOR??? DOCTOR??? Tim, what have you tricked me into? Why do we have a doctor here?” Mary’s brow was furrowed.
TIM: “Well Mary, since you refused to take your blood pressure medicine, and since your blood pressure reading was very high today, I had to call the mobile doctor service to come see you. Now be nice to the doctor, will you please?”

20161206_161832

At this point I asked Mary if I could take her blood pressure again, and she consented. I took her blood pressure reading: 175/95. I began to ask Mary questions: was she in pain anywhere, did she have a headache, was she dizzy, was she nauseous, was her heart racing, was her vision blurry? I took her pulse: 78 and steady. Mary had no complaints. I then conducted a physical exam on her, which was completely normal. I then asked Mary if she would please take her blood pressure medication immediately, to which she also consented. Once Mary took the medication, I informed her that we would wait about 30 minutes to assess her response to it. She responded by saying, “Well I like you, young doctor! We’re going to have a nice chat!”

The next 30 minutes were incredibly fascinating and funny as Mary settled into a stream of vignettes about her life, focusing mostly on her days as a true flapper, wild and carefree, wearing short dresses, “necking” with handsome young men, hanging out in jazz clubs, and being a general troublemaker. One of those young men managed to steal her heart, and they married in 1922. She spoke about how she became an actress quite by accident when her husband, who was a Hollywood film producer, began to cast her in his films. Mary and her husband were more interested in traveling the world and investing their money than buying an expensive home, so they lived in their modest duplex from 1922 until his death almost 60 years later, and Mary refused to move into an assisted living facility when she became an invalid. It was the same duplex I was visiting that day.

After thirty minutes of hearing the most engaging stories about Mary’s life, I didn’t want to interrupt her. But I was working, after all, so I told her I needed to re-take her blood pressure. This time it was 138/72 and Mary was still completely asymptomatic. I told Mary that it was time for me to go and began gathering my supplies.
MARY: “Oh no you don’t! You’re going to drink a martini with me. It’s my nightly ritual. Been doing it since I was 20 years old.”
ME: “Every night since 20?”
MARY: “Yes indeed. It’s kept me sane all these years, and I enjoy it.”
ME: “But I need to drive over the hill, and it’s rush hour.”
MARY: “Oh please! Now stop complaining and just sit. Tim, make my usual times two.”

After several minutes Tim emerged from the kitchen with two double gin martinis. I don’t like gin, but I wasn’t about to complain or refuse to drink the martini. Mary and I (actually, she talked and I listened) continued to talk for another 30 minutes while sipping on our cocktails. The martini was STRONG but well made, so I continued sipping. Mary polished off her entire martini like the martini drinking expert she was, and motioned to me when she took her last sip. “Well, dear? You’ve got some left in there.” I had to finish the last couple of sips of my martini while Mary watched me, making sure I did so. Once I did, she smiled warmly. “That’s my girl!”, she beamed.

I gathered my belongings and said goodbye to her, and when she motioned for a hug, I walked over to her and wrapped my arms around her. She hugged me and patted my back with her hand.

I never saw her after that.

I Can’t Eat That! – Balancing Healthy Eating and Normal Life

drstaceynaito Leave a comment

Original post can be found at: https://www.p28foods.com/i-cant-eat-balancing-healthy-eating-and-normal-life

Fast_Food hottie

There are countless challenges and roadblocks which can derail us from our efforts to follow a healthy meal plan, especially when we are faced with the indulgent foods that emerge during the holidays. Whether you are a seasoned competitor who is accustomed to following a strict meal plan, someone who wants to adopt healthier eating habits, or battling excess body weight, it can be very difficult to pass up regular restaurant meals, fast foods, and holiday treats. However, it IS possible to stay on track even in the face of such temptations.

The first and most important thing is to remember your GOAL, whether it is improved health, weight loss, or getting into contest shape for an upcoming event. Your goal should serve as a tangible mark which you are aiming for. I always tell my patients and weight management clients to post images of people who possess the type of physique they covet in a prominent place (such as a refrigerator) so that they can be reminded of their specific goal.

Here are other effective strategies to help you follow a healthy meal plan:

Keep forbidden foods out of the kitchen so that the temptation to eat something unhealthy is removed. This means that you need to avoid purchasing chips, crackers, cookies, ice cream, packaged pasta dinners and whatever other unhealthy foods you tend to gravitate towards. If unhealthy foods are not in your kitchen cupboards, you won’t be tempted to grab them and indulge.

Prep your meals at home beforehand. Meal prep can be tedious but it is well worth it when you consider the control you will have over what goes into your body. You can control ingredients, cooking method and portion sizes and maximize your chances of maintaining healthy eating habits. Once you have prepared your food, you can store single serving sizes in individual storage containers which are easy to pack when you need them.

Invest in a great food cooler bag. Trust me, you NEED one of these!

Make sure your meal plan is balanced. The best meal plans have lean protein, healthy fats and slow digesting carbohydrates. Do not fall into the trap of thinking that all fat is bad! You need certain healthy fats to maintain normal cellular function.

Avoid fast food restaurants. Fast food restaurants (and most restaurants for that matter) feature extremely unhealthy options which can completely destroy your efforts at reaching your health and fitness goals. You will also save a ton of money by avoiding the calorie and saturated fat laden options found at such establishments.

Don’t cave in to peer pressure. I don’t know what it is about friends and family, but it seems like they get some twisted thrill out of convincing others to eat forbidden foods. If you find yourself in such a situation, you need to ask yourself if it is worth unraveling your healthy eating habits in order to appease a relative or buddy. I have heard, “Awww, come on, a couple of bites won’t hurt ya!” from people who usually mean well but who are unaware of the psychological torture they might be putting me through. I honestly don’t want to be pressured into consuming something that will make me feel guilty or will not digest well . It isn’t worth it!

Work Out Like You Mean It!

drstaceynaito Leave a comment

Are you one of those people who has had an active gym membership for a while, but just can’t motivate yourself to avail yourself of the services which your gym offers? Perhaps you are new to a gym environment, and though you are interested in transforming your body and your lifestyle, you are intimidated by all the weights and machines. If that’s the case, a knowledgeable certified fitness trainer with whom you have a good rapport will familiarize you with the equipment and how to use it, while also motivating you to show up and move towards your fitness goals.

If you already know how to navigate around a gym, but just can’t seem to lock down a consistent regimen, the best motivation is to establish a specific fitness goal and develop a strategy to reach it. If you then pursue that goal with intention, you’ve already won half the battle. Hitting the gym with no real plan of attack is like trying to drive a race car when you haven’t even learned to drive yet. I firmly believe in the power of specificity, structure and accountability, because all of those elements provide a blueprint for you to follow.

Here is a step by step guide to developing a successful fitness overhaul.

1. Convince yourself that you WILL reach your fitness goals.
2. Print out images of people who have the kind of body you want and put them on your fridge or another prominent place you will see daily.
3. Give yourself a deadline.
4. Make your goals REASONABLE. Don’t put down, “I will lose 60 pounds in 30 days”, but pick a more reasonable goal, like losing 3 pounds per week.
5. Develop a workout schedule and stick to it.
6. If you don’t have a clue what to do while at the gym, hire a personal trainer.
7. Take progress pictures every week to monitor your progress.
8. Follow a specific meal plan to keep you on track.
9. If you have a setback, pick up where you left off. We are all human and have “off” days.
10. Don’t be intimidated by seasoned gym members. Most people are willing to help you if you have a question about how to operate machines.
11. Learn gym etiquette. The pace of a gym is rapid, especially during peak hours, so you need to be aware of concepts like “working in” (people will ask you if they can take turns with you on a machine or station). Don’t sit on benches unless you are actually exercising on them. Wipe down equipment if you sweat on it.

Now get off your computer and get serious about your goals!blue-and-black-leaning-001

Bridezillas

drstaceynaito Leave a comment

mjaxmy1inzdknzi4zdq2ogi1njmw

Just about every young girl dreams about her wedding day, so it’s no surprise that the wedding industry strives to make wedding dreams of every kind come true. Everyone who has ever fantasized about walking down the aisle has constructed an image of that special day, and women are especially prone to envisioning all the details, from the perfect gown, to the perfect venue, flowers, cake, etc.

Some women become so obsessed with ensuring that their wedding day is so magical and so perfect that they transform into what are better known as bridezillas. They often proclaim, “It’s MY day”, and their behavior will follow suit, as if the groom, the families, and the bridal party had nothing whatsoever to do with their wedding ceremony. Though wedding planning can be incredibly stressful (I speak from personal experience), there is absolutely NO excuse for the bride to suddenly turn into Queen Bitch during the planning stages. Yet this occurs often enough that the term “bridezilla” is pretty well known.

Perhaps the bride is stressed out about money, but the brattiest of brides often comes from money, and her parents are footing the bill. These ladies will often also choose the most expensive bridal gowns, the most elaborate floral arrangements, and a plethora of lavish accessories for the big day. In some cultures, there is tremendous pressure to spend an extravagant amount of money on a wedding, and the bride is treated like a centerpiece, which further feeds her delusional and narcissistic behavior.

If a couple hasn’t worked out their relationship issues, and the bride turns into a witch, the wedding will become a desperate measure to repair a faltering relationship. All couples should regard their wedding as a true celebration of what they have achieved together, instead of as a band-aid or a means of appeasing relatives who are pressuring them to wed. If communication is poor and multiple issues threaten the fabric of a relationship, the stress of planning a wedding will only fan the flames of discord. Add tension between families, financial pressure, and fussing over the thousand details which go into wedding planning, and the wedding ceremony can easily become a threat and a burden, instead of the joyous celebration it is supposed to be.

No relationship is perfect, but a wedding should be a celebration of what already IS and not what a couple WANTS it to be. And for you bridezillas out there, I implore you to remember that your big day should be about the fantastic relationship you have with your Prince Charming, and NOT about whether you get your way with every little thing.

I’d Rather Have Genuine Followers…

drstaceynaito 1 Comment

keep-calm-and-stop-buying-followers-2

It is astounding to me how many people will try to cheat the social media system in place these days by buying followers. A few of my friends have jumped on the follower-purchasing bandwagon, and though I understand to some extent why such a practice is appealing to them, I honestly believe it is cheating. I have seen Instagram profiles grow literally overnight (examples are: from 12k followers to 26k, or from 2,700 to 88k), and the number of likes on images grow (more examples: from 45 to 1,200, from 300 to 8,000). Sorry, but I call bullshit on every single individual whose profile has a sudden surge without any valid reason for it. It’s all so obvious!

Furthermore, followers who are purchased are typically not interested in what a person has to sell, and are only interested in a follow-for-follow, like-for-like benefit. For those of you who are guilty of purchasing followers, I will be blunt and tell you that your group of fair-weather followers is as ephemeral as the Sahara wind. So if you insist on building a phony world for yourself, by all means, have fun with that. But you will lose genuine followers in a heartbeat. I just won’t play into that game of illusion.

Cards Against Humanity

drstaceynaito Leave a comment

cards-ah

If you haven’t played Cards Against Humanity, and you are relatively resilient when to extremely un-politically correct, bawdy humor, then you really should check out this game! Here’s the description of the game from their website:

Cards Against Humanity is a party game for horrible people. Unlike most of the party games you’ve played before, Cards Against Humanity is as despicable and awkward as you and your friends.

The game is simple. Each round, one player asks a question from a black card, and everyone else answers with their funniest white card.

cards-ah2

I am sharing some of the cleaner cards here so you can see examples of the silliness which always ensues when this game is played.

You can purchase Cards Against Humanity either directly through them (https://store.cardsagainsthumanity.com/) or through Amazon.

WARNING: If you can’t poke fun at yourself and others, and you take everything personally, Cards Against Humanity is NOT for you.

Orphan Thanksgiving…My Tradition

drstaceynaito Leave a comment

For many years I have hosted what I refer to as Orphan Thanksgiving, and it has become a tradition in my home. I realize the nomenclature has a lonely connotation, but it is a wonderful event and I enjoy it thoroughly, as do the people who share in this wonderful celebration. I invite friends who don’t have a place to go for the holiday, usually because their relatives live far away.

Though there is a considerable amount of food prep involved, I get a kick out of making each dish and roasting and carving the turkey. You might think that this desire to cook huge holiday meals and have people over is something that was handed down to me from my mother, but my mom never entertained guests in our home, and she never considered herself a cook. My mother’s idea of cooking was to heat up Stouffer’s entrees or throw a piece of meat on the broiler, and when the holidays arrived, she made restaurant reservations instead of spending time in the kitchen. Somehow I had a natural affinity for cooking and baking, and I also quickly discovered how much I enjoyed hosting events. I am certain that my desire to host parties evolved from my tendency to nurture others.

Thanksgiving-Dinner-New-York-CityThis year I will continue the Orphan Thanksgiving tradition and make my secret recipe for stuffing, throw a turkey and a spiral ham in the oven, make mashed potatoes, and tempt my guests with homemade fudge, pumpkin pie and other tasty treats. Some selections are relatively clean, while others are fully decadent and challenge any fitness-minded meal plan. Since I fully believe in enjoying “normal” foods during the holidays, provided they are enjoyed in moderation, I have no problem featuring a few “forbidden” foods on the holiday table.

This year I am throwing something new into the mix. I recently had a networking mixer/barbecue, and one of my guests brought Cards Against Humanity, which quickly turned the party into a rollicking good time. We all had a blast allowing ourselves to indulge in the game, which utterly and completely flies in the face of political correctness. I enjoyed the game so much that I bought ALL the expansion sets, along with the original game set, for Thanksgiving and beyond.

It is incredibly satisfying to know that my good friends will be in my home, celebrating life and enjoying good food.

Don’t Bust Your Diet This Holiday Season!

drstaceynaito Leave a comment

thanksgiving-turkey-dinner

Here is a repost of an article I wrote last November. It’s that time of the year again for holiday foods, so beware!

It seems that I will continue to uphold my yearly tradition of making my incredible (and incredibly UNclean) fudge for the holidays, as well as my signature turkey stuffing. Since the holidays come only once a year, it seems reasonable to indulge a bit, right? Well, if you’re a fitness fanatic and you have competitions coming up like several of my friends do, you can’t exactly throw caution to the wind and consume whatever you want. However, you CAN still indulge in small amounts of rich foods which are not considered clean as long as your other foods are healthy and clean. This means that your abs don’t have to hibernate during the holidays!

There are a few tricks to minimize the amount of bad foods which you may be tempted to devour.  You can consume a small amount of lean protein right before you have a carb cheat.  This will slow down digestion so that the carbs aren’t stored as readily.  Another trick is to drink at least eight ounces of water before you indulge in a decadent treat.  This will help to fill you up so you consume less food afterward.  When you are aware that you will be at a function in which tempting foods will be around, make sure your meals beforehand are kept clean and that you you eat every 2-1/2 to 3 hours to ensure that you won’t be ravenous come party time.

A newer tactic which can often work wonders for some people is to practice an intermittent fast the day before in which you consume a small number of calories, say 400-500, then go to town on turkey day, consuming your maintenance calories then. This seems to work better if you ramp up the week before with a series of intermittent fasts in which you consume your food (maintenance calories +10-20% on training days, then drop to -20% of maintenance on rest days) within a 4 to 8 hour window, then fasting the rest of the time. If you do this, crank up your protein intake so that it is at least 1 gram per pound of body weight. I personally love this diet approach and my body responds well to it, plus I can enjoy all the goodies on Thanksgiving without remorse.
turkey leg
There are food choices which are cleaner than others during the holidays. Though common holiday foods are rather calorie dense, here are a few food items which are lower in calories and fat:

  • Roast turkey breast
  • Green beans without butter
  • Mashed potatoes made with whipped butter and Greek yogurt instead of milk and regular butter
  • Pumpkin Pie

I know some of you are assuming that my cats join in with holiday feasts, but I always put them in my bedroom and lock the door. There are several reasons why I keep my felines away from the holiday table:

1. People food can often be hazardous for animals
2. My cats will run underfoot and probably trip people
3. My cats will suddenly forget the rule about not jumping onto tables and will create an unsanitary environment for guests
4. My cats will turn into pesky little beggars
Holiday-treats

Some of you may also be wondering what I am planning on cooking and eating, so here is my Thanksgiving menu:

  •  16-18 pound turkey
  • my secret stuffing recipe which has lots of goodies in it, but is relatively low in fat and calories compared to other exotic stuffing recipes
  • mashed potatoes made with light butter and sour cream
  • green bean casserole
  • my homemade fudge
  • whole cranberry sauce
  • turkey gravy
  • wine
  • store-bought pumpkin pie

Obviously there are some items on my menu that fall outside of my “clean food guidelines”, but since the holidays only come once a year, I have no qualms about it.   This is the time during which we should count our blessings and spend quality time with the people we love without getting anxious about what we are eating.  However, this does not mean you have free license to go nuts on bad foods for the next month!  If you end up indulging in other foods, don’t beat yourself up.  Instead, enjoy the feast and resume healthy eating the next day. 

Happy holidays!

Halo Top Ice Cream Flavors Review

drstaceynaito Leave a comment

Please watch my YouTube video review of Halo Top Ice Cream! I kind of went overboard and got eleven different flavors to try out, and I sampled all of them in one videotaping segment. YUM YUM!

Go to http://www.halotop.com for more information on this fantastic company! They have a store locator so you can find out where to purchase this all natural, high protein, low sugar frozen treat!