Updated on Jun 30, 2022 | Diet and Nutrition, Exercise, Men's Health, Women's Health
Picture it: The holidays have come and gone. A brand new year is here, and you’re feeling both positive and optimistic about 2013. Such optimism is reflected in your New Year’s resolutions, such as “buy a gym membership” or “lose weight.” This year, you’re actually going to follow through with your resolutions—right?
Well…maybe. A study published by the psychology department of the University of Scranton reported that of participants who made New Year’s resolutions, 31% planned to lose weight and 15% planned to join a fitness program. After following participants for 6 months, the study found that less than 50% of people who made resolutions were successful. This makes us wonder, what is the key to a successful resolution? Here are some tips to help you achieve your goals this year:
1. Be Specific – Goals should be measurable and have a time frame. For example, “buy a gym membership” is general whereas “work out for 60 minutes 3 or more days of the week through February” clearly defines the goal.
2. Be Realistic – Set an achievable goal for yourself. Instead of planning to “lose 50 pounds,” aim for a more realistic goal, such as “lose 1 to 2 pounds a week.” This weight loss is considered “healthy” for most people and allows you to have a weekly “success.”
3. Be Creative – There are many changes you can make in your life to become healthier. If you have a medical condition, you can also incorporate a goal this year to help you achieve better control. Examples include:
• Don’t skip meals – I will eat 3 meals a day.
• Get more sleep – I will go to bed 30 minutes earlier on weeknights.
• Eat more fruits and vegetables – I will have at least one serving of fruit or vegetables with every meal.
• Eat out less during the week – I will bring lunch from home 4+ days a week.
• For my high cholesterol – I will switch to low-fat dairy products (e.g., 1% or non-fat milk, low-fat yogurt).
• For my diabetes – I will eat a piece of fruit in the morning instead of drinking juice (e.g., have a small orange or banana)
• Drink more water (and fewer sweetened beverages) – I will drink 8 glasses of water a day.
Remember, these are only suggestions. Think about what works best with your lifestyle, and what is realistic for you to change. Spending the time to really think about your resolution will ensure that you’ve picked something meaningful and achievable.
Good luck in 2013!
References:
Norcross JC, et al. Success predictors, change processes, and self-reported outcomes of New Year’s resolvers and nonresolvers. Journal of Clinical Psychology. 2002; 58(4) 397–405.
Updated on Jun 30, 2022 | Diabetes, Diet and Nutrition, Exercise, Health Tips, Men's Health, Popular, Women's Health
Every year at the end of December, I reflect on the past year’s highs and lows, and the goals I set and didn’t achieve along with those I did. Most of them involve going to the gym and eating better, and 90% of the time I haven’t come close to meeting them. As inconceivable as it sounds, I find myself again making the exact same New Year’s resolutions I wasn’t able to accomplish last year! Sound familiar?
Resolutions Need a Reason
Many people get stuck in this same loop, making the same New Year’s resolutions year after year: “I will work out at least three times a week,” “I will lose 10 pounds,” “I will go to sleep by midnight,” etc. Most of us enter the new year determined to achieve our goals, but the changes never last to March. Why? Because most New Year’s resolutions are emotionless and without any motivating or driving force behind them.
To change a behavior or daily habit for a week or two is easy, but it is incredibly difficult to sustain that change over a long period or for the rest of your life if you don’t have a good reason to do it (and knowing you should do it isn’t a good enough reason for most of us). We all know we should exercise and eat better, but most of us don’t do it. So, how do you make a New Year’s resolution that sticks? Make it personal and important.
How to Make and Keep Yours
If you want to change your behavior or lifestyle, here are some steps that can help you start 2013 on the right track.
1. Think of a New Year’s resolution and write it down.
Example: I want to have better blood sugar control.
2. Look at the resolution and ask yourself why it is important to you. List your reasons.
Example: I want to live a long time and watch my son graduate high school; I don’t want to lose my toes or feet; I watched my mother die from the disease and I don’t want to go through the same thing.
3. Rate your reasons (1 being the most important, 10 the least).
Example: 1) My son’s graduation; 2) Don’t want my Mom’s end of life; 3) I want to keep my toes.
4. Now that you have solid and important reasons to change your behavior and achieve your goal, think about how you can go about it.
Write down what you will have to change on a daily or weekly basis to make the goal work. Be very detailed.
Example: I will put out my finger sticks by the bedside table so I can test my blood sugar as soon as I wake up. I will make an appointment with a dietitian to make a meal plan. I will keep a log of my sugars every day. I will switch from juice to diet soda.
5. Set-up some mini milestones and rewards (not food related) for when you meet them.
This will help your motivation continue through the year until it becomes routine.
Example: If my blood sugar stays below 200 for one month I will take my family ice-skating. If I keep my blood sugar below 180 for three months, I get to book my summer vacation.
Remember, you can make goals and revise goals throughout the year and use the same method to meet them. What are you waiting for? Get started on your New Year’s resolutions now and have the faith and belief that this time you are knocking them out of the ballpark!
Updated on Jun 30, 2022 | Physical Therapy, Safety
Every winter, unfortunately, the hospital sees patients that have had a weather-related accident. Here are some winter safety tips, taking it from the top down: (more…)
Updated on Jun 30, 2022 | Research, Your Health
When yet another team sets off from the Department of Obstetrics, Gynecology and Reproductive Science for some remote location in Africa or Central America, its thoughts are on how to provide the superior standard of care, considered to be the routine at home, to women in drastically resource poor settings. Upon returning, what our teams often realize is that the tremendous expertise they develop in these countries is the very thing that makes them the experts in their own fields at home. Fistula repair is the perfect example of this.
“Obstetric fistula is a tremendous problem in sub-Saharan Africa,” says Charles Ascher-Walsh MD, Assistant Professor, Director of Gynecology and Urogynecology, Department of Obstetrics, Gynecology and Reproductive Science. “In many countries there is very little maternal health care and, as a result, maternal mortality rates top 1% in some of these countries. These rates are unfathomable in the United States.” If a woman is lucky enough to survive childbirth, the rates of developing some type of post-partum fistula vary between 2 to 5 per thousand births. This equates to between 50,000 and 100,000 new cases of vesico-vaginal fistula in West Africa alone every year. These women, constantly drenched in their own urine, become social outcasts and live a life of physical and social misery. This problem, however, often has a surgical cure that can reinstitute these women into society.
(more…)
Updated on Jun 30, 2022 | Allergy, Dermatology, Ear Nose Throat, Primary Care, Pulmonary Disease
Nasal allergy symptoms (rhinitis) and asthma caused by allergens that are inhaled usually have seasonal patterns. While symptoms from various pollens occur in the spring, summer or late summer/fall, nasal allergy symptoms in fall and winter are due mainly to indoor inhalants and also usually seasonal. But in the case of indoor allergens, this seasonal pattern is the result of spending more time indoors in these months, with the windows closed and heat on, leading to both increased exposure times and increased levels of indoor allergens.
Dust mites—microscopic insect critters that live in our bedding—are the most important culprit among the indoor allergens causing allergic disease. Our pillows and mattresses are loaded with them. When you buy a new mattress that weighs, say, 100 pounds, it will weigh 102 pounds within a couple of years. That extra 2 pounds are from the accumulation of living and dead dust mites and their droppings. Fortunately, dust mites do not bite, though in addition to their role in causing nasal allergy and asthma, they probably also contribute to flares of eczema in certain patients.
Why Dust Mites Love Us
The diet of a mite consists mainly of human skin scales, of which we shed a lot in the course of a day. This is why they love our bedding.
The life cycle of dust mites is related to humidity. They love the humid days of summer and proliferate wildly. Then, when the heat goes on indoors in autumn, the humidity falls and they die off, leaving additional particulate matter to breath in.
If you want to read some of the scientific research on dust mites, Google the name “Thomas Platts-Mills,” who is a world expert on mites and gives very entertaining lectures on the subject.
Diagnosis
There is no way to know if one is allergic to dust mites without being tested. If you tested positive to “house dust” years ago (a test most allergists don’t do anymore), you should be tested again. Since house dust is a mixture of dust mites, animal dander, insect material and other dusts, allergy to any of these components would have resulted in a positive house dust test. Today, we test for the individual components of house dust.
Treatment
1. The treatment for dust mite allergy is, first and foremost, avoidance.
Bedding – Various companies market breathable covers that seal the bedding. Mite covers have even been shown to reduce the risk of developing asthma for children born into families with a history of allergic disease.
Humidity – The use of humidifiers in most houses in winter is not recommended, as it encourages mite growth. Optimal humidity in the home of someone with respiratory illness is in the 30% to 40% range; most homes are within that range or higher in winter. If you are not sure, you can measure it with a hygrometer.
2. The second line of treatment is medication for the symptoms of rhinitis, asthma or eczema. These include various combinations of prescription and over-the-counter medications, including pills, nasal sprays, eye drops and, in the case of eczema, creams and ointments. Antihistamines (ocular and oral) are the only medications for rhinitis that are available over the counter without a prescription. Any over-the-counter medications for asthma should be avoided, particularly Primatene, which is not very safe.
3. For patients who do not respond sufficiently to the above measures, or those wishing to reduce their use of medications, immunotherapy (allergy injections) might be in order.
I hope your holiday season is happy, and that you can avoid the sneezin’ and wheezin’!
To find an allergist who is right for you, please call the Physician Referral Service at 1 (866) 804-1007 Monday through Friday, 9 am to 5 pm.
