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Dr. J will see you now (Category Archive)

Seeing Ourselves Clearly: How Our Perception of Weight Affects Our Life and the Life of Those Around Us

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

(CC) Jo Christian Oterhals/Flickr

A joke I once learned goes, “When a woman is depressed, she thinks she is fat. When a man is depressed, he thinks his woman is fat.” It looks like we can rewrite that joke, because according to a new study, a woman thinks she is fat whether she is depressed or not, and a man never thinks he is fat — and still thinks his woman is fat — even when he is not depressed. Now that is depressing!

The Danish Institute of Governmental Research surveyed over 1,000 people about their height and weight. These individuals were then asked to place themselves into one of the following weight categories: underweight, normal, slightly overweight, obese or severely obese. Taking it one step farther, the study subjects were then also asked to supply their partner’s height and weight and place their partner into one of these weight categories.

The results were that men underestimate their weight and women overestimate theirs. This was not a surprise to head researcher and sociologist Vibeke Tornhøj Christensen, but what was surprising was that the men also overestimate the weight of the woman in their life. “This shows us that it’s not only us women who have unrealistic perceptions of our weight, but that the perceptions tend to transfer between the sexes, leaving both sexes with this perception,” explained Christensen.

It gets even more convoluted because previous studies have shown that people tend to say they weigh a bit less than they actually do. That could mean that the men actually underestimate their own weight even more than the study suggests, and that perhaps the women don’t overestimate their own weight quite as much as suggested. Continued: Differences in how men and women view themselves

The Hardest Conversation: Talking to Your Partner About Losing Weight

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

ostrich

No one likes to stir up trouble in their close relationships; like it or not, there are conversations about areas that, for everyone’s best interests, need to be addressed, however delicately. One such area — not surprising, considering the current statistics of two-thirds of us being either overweight or obese — is that of the need to make healthy lifestyle changes and lose weight.

“Suggesting to someone that they should consider losing a few pounds may not be a comfortable conversation to have, but if someone close to you has a large waistline, then as long as you do it in a sensitive manner, discussing it with them now could help them avoid critical health risks later down the line and could even save their life,” says professor David Haslam, the chair of the National Obesity Forum. This approach is reminiscent of poet Alexander Pope’s 18th-century line, “Fools rush in where angels fear to tread.”

Perhaps feeling that there may be protection in numbers, a second brave voice on the subject — Dr. Jean-Pierre Despres, the scientific director of the International Chair on Cardiometabolic Risk — also spoke up: “This is about health, not vanity. Start by encouraging someone close to you (who would benefit) to make simple lifestyle changes such as becoming more active, making small alterations to their eating habits, and replacing sugary drinks with water.”

The motivation behind these men suggesting that spouses stir up a hornet’s nest is the result of a poll of more than 2,000 people commissioned by the International Chair on Cardiometabolic Risk (ICCR). The study demonstrated the risks of being overweight and in particular, overweight around the waist, as excess abdominal fat has been proven to increase the risk of Type 2 diabetes, coronary heart disease and stroke.

The poll, supported by the National Obesity Forum, found that 59 percent of people were concerned that a loved one would develop serious health problems due to his or her large waistline.

This seems simple enough, except for a minor problem in the communication of this issue.

It is apparent, according to this research, that men are three times more likely than women to struggle with telling their partner that they need to lose weight. The usual reasons these men gave for this hesitancy was the fear of hurting their partner’s feelings or provoking a significant emotional reaction from them when this subject was broached.

Well, yeah! I mean, men know that she looks fine in those jeans — at least, men had better say so!

As for doing it in a kind, sensitive way, I think a woman might be more successful in doing that, but in my opinion, a man telling a woman that she needs to lose weight and kindness are a societal oxymoron.

The poll found that almost one-third of men (31 percent) do not want to confront their partner about losing weight, compared with only 10 percent of women who would not want to tell their man to do so. Not surprisingly, 23 percent of women are also much more likely to find it difficult to tell a close female friend to go on a diet compared with 8 percent of the men. That’s because women are smart!

Perhaps looking to women for how to address this touchy subject might be useful, or not:

  • Don’t criticize, says Amy Gorin, a University of Connecticut behavioral psychologist specializing in weight loss and weight control. She recommends using praise for any exercising or healthy eating your partner does. She adds, “Most important, shape up yourself. If you’re living healthily, it’ll be easier for your partner to do the same.”
  • Don’t nag. Continual berating only causes conflict and resentment, says Maye Musk, a New York nutritionist and couples counselor.
  • Don’t judge. Sugary, fatty foods are very tempting, and it doesn’t help to be critical when somebody gives in, says Gorin.
  • Don’t sabotage. Bringing junk food into the house only fuels a partner’s weight problem, says Musk.
  • Don’t play cop. Most people don’t like being told what they should and shouldn’t eat, says Gorin. “Nobody likes to feel like they’re losing control,” she says. “If you push something on them, they’ll rebel.”
  • Be loving, says Jennifer Blair, who largely credits her husband’s tender ways for helping her drop 33 pounds.
  • Be helpful by problem-solving with your partner. Offer strategies to resist temptation. Look for ways to do it differently the next time.
  • Be careful about what you eat in front of your partner, and do not use food as a reward.
  • Be a role model. If one partner starts exercising and eating better, the other partner also tends to lose weight, says Gorin.
  • Be a team and do it together. Suggest joint healthy lifestyle changes such as taking walks, trying new low-calorie recipes and going grocery-shopping together, adds Gorin.

Although we don’t want to stir up trouble communicating in our close relationships, we always do, so we might as well say something that might actually be helpful this time, and nothing says “helpful” like living a healthier life! Acquiring a medical condition that could have been prevented by preemptive lifestyle changes is not what we want to happen.

If you are truly concerned about a loved one and perhaps feel the need for a more objective opinion, suggest that they ask their doctor or another knowledgeable health care provider about whether they would benefit from making healthy, life-saving changes. Then they can have the emotional outburst at their office.

We don’t want to be like the myth about ostriches and bury our heads in the sand. It is so much better to risk having our heads taken off when we are only trying to be helpful.

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Staying Out of Harm’s Way: Avoiding Unhealthy Lifestyle Behaviors That Will Shorten Your Life

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

(CC) United States Marine Corps


It wasn’t the most beautiful day to fly. There was a high overcast and low scattered clouds with deteriorating conditions in the forecast. I wanted to get in a short flight before the full brunt of the approaching front shut down the area for the next few days.

Climbing out in the Arrow, I was tossed about in the gusty conditions, but nothing I hadn’t been in before — after all, a bad day in the sky was better than a good day at work! I did a long, wide circle to the south then east, north and then finally turned west back towards home, feeling glad that I had accomplished my goal. After landing, I requested ground control’s permission to taxi.

Their reply:

“Dr J One, taxi to the ramp. Oh, and when you get a chance, call the tower.”

“Dr J One, will comply.”

You know that feeling when you get home as a kid after playing with your friends and your mother sadly tells you that your dad needs to talk to you about something?

Calling the tower, I asked what was up, as in, “Mom, what did I do?” Continued: Dr. J’s brush with the FAA and staying out of harm’s way

Baby Knows Best: Baby-Led Versus Parental-Led (Spoon-Fed) Weaning

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

baby-led weaning

When it comes to babies, I’ve long been a believer in the concept of there being a tabula rasa, or a blank slate. Babies are born, and the world starts writing their destiny upon them. Well, perhaps I was a little too fast in reaching that opinion, because when it comes to baby choosing his or her own food, that tablet comes with a menu written on it, and it seems that baby already knows best!

A study just published in the BMJ Open demonstrated that infants tend to both eat a healthier diet and be a healthy weight as they get older if they are allowed to feed themselves with finger foods from the start of weaning, termed baby-led weaning, compared to infants who are weaned with the more traditional method of spoon-feeding. Continued: The research for baby-led weaning

The Crazy World of Hospitals

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

I don’t talk about being a surgeon in a hospital very often — I guess that would be a busman’s holiday for me — but I thought that today I would talk about some of my experiences with the crazy world of hospitals.

I was born in a very small hospital in a very small town. When the town built a larger hospital, it converted the old one into a house of worship. Years later, I toured a storied old hospital which had been founded in 1669: The Kings Hospital in Dublin, Ireland. Walking through those dingy stone staircases and dark narrow hallways felt more like being in an old cathedral than in a hospital.

As a teenager, my dad, who is a doctor, used to take me to Cook County Hospital in Chicago. I still remember how the nurses in the operating rooms would carry flyswatters in the summer because of all the flies that came in through the open windows with the warm breezes.

That iconic hospital certainly wasn’t a place of worship yet, but I suppose I did have a type of worship for the daring people that worked there, performing, in front of my wide-eyed wonder, miracles.

My first experience as a graduate student in a hospital was on a rotation watching my school’s surgical residents at work. I became friends with several of them and eventually one of them became my boss at Florida. Continued: Dr. J recalls his hospital history

It is Better to Live the Dream You Can Than to Dream the Dream You Can’t: On Finding Our Best Path in Life

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

Finding our way in life can be a daunting task. There are many voices in our heads. Some are from our parents or other authority figures from our childhoods telling us what we should and shouldn’t do with our lives. Some are from ourselves, but they are more that rebellious voice left over from those formative years, always saying the opposite to all the “shoulds” we’ve heard. Finding your true path amid the many voices may not be as easy a task as we might imagine when we first begin our voyage. Continued: The trouble with doing what you love, and what holds us back and propels us forward

Psychological Defense Mechanisms 101: The Dysfunctional Patterns of Our Lives

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

illustration doctor handA psychological defense mechanism is a mental process — usually unconscious — that protects the person from shame, anxiety, conflict, loss of self-esteem, or other unacceptable feelings or thoughts.

Many of these defense mechanisms are learned behaviors from our vulnerable childhood, when, because of our perception of various, often-difficult experiences, we needed to protect our innocent, developing selves.

When these emotions became too overwhelming for us, we sought safety by employing psychological defense mechanisms.

A defense mechanism becomes pathological when using it causes the physical or mental health of the individual to be adversely affected. This should not be confused with healthy, conscious coping strategies or skills, which can minimize or tolerate stress or conflict while functioning to solve personal and interpersonal problems.

When we are attempting to make a change in our lives, it can often be useful to look back at our past behavior patterns. This can offer us significant clues as to why we have failed and why we have succeeded.

Patterns that lead to success are usually easier to identify, and for most of us, working to improve them will not be as useful as identifying and overhauling patterns that continually cause our failures.

Individuals tend to fail in the same ways, for the same reasons, over and over again, while at the same time being unaware of that pattern of behavior that results in that failure. Continued: Rationalization, Denial and Paula Deen

An Open Letter to Paula Deen

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

paula deen

(CC) lifescript/Flickr


Having lived in the South most of my life, I have long been aware of our legend in the world of Southern cooking, the iconic Paula Deen. An international ambassador of the turnip greens, fried okra, cheese grits and sweet potato pie, so to speak! Recently she has, unfortunately, been diagnosed with Type 2 diabetes.

Her History

Ms. Deen came a long way from her simple Southern roots as a small-town Georgia girl. Her voyage has not been an easy one. After moving to historic Savannah with $200 and two teenage sons in 1989, she went on, through hard work and determination, to overcome agoraphobia, raise her children and publish four cookbooks, the first being self-published. She eventually reached both national and international recognition and appreciation for both her cooking and wonderful persona. Continued: Dr. J’s open letter to Paula Deen

Mom, Why am I Fat? Georgia Campaigns Against Childhood Obesity With the Strong for Life Initiative

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

The state of Georgia recently started a campaign called Strong for Life to educate their populace about the prevalence and problems of childhood obesity.

Stop sugarcoating it, Georgia!

The campaign features billboards, commercials, and print ads presenting a strong message to a state with nearly one million overweight or obese children. Continued: Pros, cons and implications of the Strong for Life initiative

Eating Under the Influence (EUI): 7 Dietary Dangers of Drinking Alcohol

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.
alcohol bottles

(CC) davidgsteadman/Flickr

With the joys of the holidays and the recent New Year’s celebration, have you by chance found yourself caught by that speed-binging trap for that shameful behavior of Eating Under the Influence (EUI)? If so, you are not alone in being issued a citation for that risky transgression of EUI!

Sure, you may have great, or not so great, memories from your former wild and crazy days when your EUI-stimulated creativity allowed you to invent some memorable, early-morning meals like cookie soup or Twinkies in chocolate syrup, followed by a round of Tortilla chips covered with cinnamon, dunked in the melted ice cream du noir.

Of course, we were all indestructible back then, but now we are adults, and there are many health, wellness, and fitness reasons to avoid EUI. Continued: Detrimental effects of drinking alcohol

How to Keep From Shooting Ourselves in the Foot (or Leg): Hard Advice for Hard Problems

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

Plaxico Burress is an outstanding player in the National Football League. After a successful college and early promising professional career, everything looked rosy for the now multi-millionaire. Then on that fateful evening of Nov. 28, 2008 at a New York nightclub, he shot himself in the leg trying to stop his concealed gun from sliding down his pants. In addition to his self-inflicted damage, he also received a two-year prison term for the error of his ways.

The expression, “To shoot oneself in the foot,” may have a soldier or cowboy origin, but it usually refers to doing something that damages one’s ambition or career, or acting against one’s own interests and behaving self-destructively and stopping one’s own progress.

Whether it is that diet that got off to a great start, our new health and wellness program that we have embarked on, or a multitude of other self-improvement issues — perhaps involving budgeting money, looking for employment, continuing our education and so forth — shooting ourselves in the foot is an all-too-common occurrence.

Usually the origins of pulling that trigger and shooting ourselves are rooted in fear. These fears or leftover issues from when we are younger are not always obvious ones. Many people have a fear of failure often based on their past experiences, which can lead to a negative spiral of hesitation and self-doubt. The result becomes that we tend to feel inadequate and look for ways to sabotage ourselves. Facing these fears with positive actions is paramount to changing these entrenched behaviors.

Remember, hard issues require these personally challenging hard solutions. If it was an easy issue for you to resolve in the first place, you would have already done it! Continued: How to move forward and tackle tough problems

Peace on Earth: A Holiday Poem From Dr. J

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

Peace on earth is rarer than an oyster’s pearl
As conflict around us continues to swirl.
When nature is allowed to have her way,
one in ten thousand is the value, they say.
I never remember peace in my time
Though I thought it possible when the bells of Berlin did chime.
It seems that war, famine and greed
Are the forever reaping of our planted seed
Yet within all that neverending grief
We can still as family, stay the thief
For even amongst the continuing strife
I truly wish you all will find peace in your life!

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You Have To Want To: A Free eBook on Weight Loss

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

weight loss ebook

(CC) bark/Flickr


I once joked with my buddy Bob at the gym, who was always talking to me about wanting to lose weight and how to do it, that if I ever wrote a diet book, my first one would be blank except for this paragraph on the first page:

“When you really want to, come back and I’ll give you the real book!”

Of course I’m sure anyone reading this has or does really want to, so here’s the real book. Continued: Dr. J’s free eBook on weight loss

‘Tis a Gift to Be Simple

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.

(CC) Kevin Dooley/Flickr

“Genius simplifies complexity and stupid complicates simplicity” is a personal saying of mine. When it comes to living our lives, ’tis a gift to be simple.

As humans we have evolved our large brains, multifaceted and complicated, yet when we finally created computers as our thinking progeny, we made them as simple binary devices.

Health and fitness at its essence is also quite simple and binary. Calories in and calories out. Lift the weight up and put the weight down. Move one foot and then the other. I didn’t say easy, I said simple, yet easy is also simple except for one slight problem. Somewhere between having that simple thought — to lose weight, for example — and the simple actions that are required to accomplish that task, many of us tend to need to complicate it.

We ruminate about our emotions, habits, beliefs, recovery, self-worth, self-abuse, self-hatred, subconscious thoughts, conscious thoughts, weaknesses, fears, being ridiculed, shamed, embarrassed, our core values, inner conflicts, inadequacies, failures, clinging nature, trying and so forth.

On the other side of the scale of action is doing. No thinking, no trying — doing.

So many times in our lives we are faced with challenges. These struggles are enough as they are without us making them even harder.

Simplicity is a gift you can give to yourself: Stop thinking, start doing!

It doesn’t get any simpler than that.

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Just Do It and It Will Do You: How Exercise Will Change Our Brains for the Better

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.
exercise running outside

(CC) Lululemon Athletica

Whether it affects that child with ADHD who has difficulty sitting quietly in a classroom or an adult who can’t keep from eating that 770-calorie Cinnabon that they see and smell in the mall food court, too-frequent impulsive behaviors can be a consistent source of creating problems in our life.

Now a simple, effective and readily available treatment for this impulsivity may have been discovered, and we won’t have to wait for laboratory testing or FDA approval to use it in our lives: exercise! Yes, researchers from Spain and the United States have demonstrated that exercise may encourage healthy eating by actually changing the parts of the brain that influence impulsive behavior. Continued: Exercise and brain function

The Importance of Momentum

Contributor: “Dr. J”
Dr. J offers his irreverent, slightly irrelevant, but possibly useful opinions on health and fitness. A Florida surgeon and fitness freak with a black belt in karate, he runs 50 miles a week and flies a Cherokee Arrow 200.
pendulum

(CC) Ben Ostrowsky/Flickr

“That’s huge to get that momentum going,” said Tim Tebow of the Denver Broncos. “I talk about it, but I really believe it and it’s huge — once you get the momentum on your side, I think it’s a huge advantage. No matter who you are, I think it’s much tougher to be stopped when you’ve got that mo going for you.”

Tebow made that statement in a postgame interview shortly after his team won their third game of the season under his fledgling leadership. Continued: Momentum and goals