How Fit Feels

On the wall of a crowded nurses station was posted a photocopied phrase, "Nothing tastes as good as skinny feels". I want to change that to "nothing tastes as good as Fit feels". When I am at my best training for a marathon is the month before. I've usually gotten down to my low weight for the year and run 26 miles a week. I'm fit and it feels good. When I think about over eating, I realize the gross feeling from eating will envelope the temporary taste.
Debbie and I lost weight and exercised regularly in anticipation of our cruise this past winter. We have continued to try to eat healthy and exercise not just to reach a goal weight or be "The Biggest Loser", but to be healthy and fit.
This is a common refrain from my patients. After trying a crash diet for the past week and a half, they lament that they can't lose weight. For most, dieting is about losing weight. Lost for most is the idea of eating, exercising and living healthy. Fitness is a word learned and left in our PE 101 class in university. My advice for weight loss challenged dieters is thus: exercise and eat right for the next year then tell me how you feel. Deb and I have been doing our best to encourage each other for the last 9 months. I know, fit feels good.

Jon and Kate Separate?

Tonight, four million viewers will be invited to listen to Jon and Kate's anticipated conversation about their marriage. Amidst rumors of marital infidelity on both sides, Jon and Kate in a People magazine interview both separately declared their dedication to their children. "No matter what's happening between Jon and Kate, they are clearly going to rally around the kids," says a source close to the family in the People article. "I will not fail my kids," Kate said. "I will do anything to protect my family," said Jon.
I was recently talking to a 19 year old friend about parenting. He was telling me some thoughts and worries about being a father. He is very thoughtful and dreams of someday being that father that loves, cares and is there. He's studying me and others. My young friend watches how I handle my three kids and likes what he sees. I encourage him to learn from what I and others do well and from our mistakes.
But, I advised, first carefully consider the mother of the children and how you can be a good husband. Learn how to love your future wife and build a marriage that will last a lifetime. That is the best thing you can do for your children. Give them a happy home with a mother and father that love each other and love them.
Every parent will make the "I will do anything for my kids," endorsement. Problem is that many parents lack the foresight and ability to do that. Take for example the dozens of single mother's in my practice who every other weekend hand their precious little ones over to the care of someone for whom they have only contempt. I hear the stories of apathy and poor care by father's who are marginally involved in the children's lives because they have "moved on" or have another woman in their lives. The mother at this point is helpless to protect her child. He has the kids for the weekend. Would you like to have a beautiful baby someday and have that child spend half of her life in the care of your worst enemy. No one ever wants that. But, that is exactly the situation of so many men and women I see in the office. If you have a child and separate from the other parent, you will have to share that child. Talk all you want, but if that person is a nutjob, you are helpless. You may find yourself powerless to make good on your promise to protect your kids because they are out of your care and you are not there.
Thus, I get tired of adults who are getting ready to divorce and rip their children's lives in two, saying, "I will do anything for my children." We have normalized divorce in this country. Many have minimized the effect that a divided home has on kids. Yes, I know the reality that half of all marriages will fail. Yes, I understand that when two people can't live together it may be better to part. People currently going through divorce or separation have to do the best they can. It's a tough situation and I feel for those people. What I am pointing out to all the young adults dreaming about a family is this: if you will do anything for your children, start now. Choose the mother or father of your children carefully, be the best spouse you can be. I'm happy my friend is planning and dreaming. He is working today to build a family tomorrow.
I don't know what will happen with Jon and Kate. I don't even watch the show. I do know that if they separate, they will have a tough time fulfilling their dreams with their children.

Bristol Palin's Graduation by Fire

Bristol Palin has discovered that being a Mom is a lot harder than being a teenager. She's discovered that diapers and formula are expensive. The daughter of Alaska govenor, Sarah Palin, spent prom night at home taking care of her 5 month old son. She did however, make her graduation and now spends the summer days pushing a stroller and evenings working babysitting to pay for baby stuff.
I know this teen has had quite a ride during her Senior year. She spent the summer and Fall in the national spotlight as her mother rode the Republican ticket as the Vice Presidential nominee. Her pregnancy and relationship with the father of the baby have been publicized and scrutinized. Bristol deserves a reprive from public conjecture of her personal life. So why am I going on about her? Because she wants to be a lesson to other girls, "Girls need to imagine and picture their life with a screaming newborn baby and then think before they have sex. Think about the consequences", Bristol said in People magazine June 1, 2009. "If girls realized the consequences of sex, nobody would be having sex. Trust me. Nobody." Bristol now uses her experience to talk to other teens about sex. She does a mainly abstinence message but also discusses and encourages birth control. "I don't think anyone realizes that it really can happen to you, like, in an instant", she told a People reporter.
Bristol is showing the resiliency of a Mom. She has come through the struggles of the past year and is using her experience to grow personally and reach out to others. This is true virtue, true character. I applaud her for working to pay the babies expenses, staying home to care for her baby and still finding a way to help teens. Thank you Bristol for sharing your story and reminding kids that abstinence is the best option. Now my hope and prayer for you is that you can raise your baby, pursue a career and live your life in the privacy you deserve.

Swine Flu....(PC version "H1N1 influenza") ((My apologies to pigs))

Swine flu is similar to influenza A that circulates among humans every winter. So far in the US, it's virulence is no worse than winter time flu. The worry is that this is a new virus for humans and thus we are immunologically naive. Our immune systems have seen several influenza A viruses and each Fall, most of us get a flu shot and we are ready for the inevitable spread of the contagion. With swine flu, there is no vaccine yet and this being a novel virus, we are doubly unprepared.
At first glance, the world reaction seems a bit overdone. But, consider the above and also realize that without control measures, this virus might be spreading much quicker. Public awareness and isolation of cases, along with selected closures of public facilites may just buy us time for a vaccine and prevent many illnesses. This is public health in action.
Don't panic, the virus seems fairly tame. But do wash your hands and stay home if you get sick.

How far will Ellen Goodman go to make herself readable?

Ellen Goodman, syndicated columnist, recently offered a diatribe on abstinence-only education and loving fathers, equating them philisophically to hymen restoration. Briefly, she notes that in France, gynecologists are offering hymen restoration surgery to restore the appearance of virginity. The appearance of virginity in the marriage bed is important to many cultures especially Muslim. She goes on to denigrate abstinence only education and parents teaching their children sexual purity. "And consider the father-daughter Purity Balls dotting the country. At these deeply creepy events, fathers promise "to cover my daughter as her authority and protection in the area of purity".

A couple questions for Ms. Goodman. "Would you allow your 5 year old to surf the internet for pornographic chat rooms?" Okay, let me assume you said, "No". If I am correct, you just exerted authority over your child's purity. Can you do that as a parent? Yes! You should. We all have a duty to protect our children from what we as parents believe to be harmful. Now, a 5 year old surfing the net is a far cry from a teenage girl comtemplating sexual experimentation. So, my next question, "When is it right to let your child loose to experiment sexually?" Come now, when are you going to let your daughter stay over at her boyfriends house for the night? Will you allow it at 10? I doubt it. 12? Still, I hope not. 14? 16? What is your line to drop your authority for your daughters well being? Certainly you won't allow her at 14 to go to the 21 year old boyfriends apartment? Of course not, that would be illegal...and would you add immoral? if you agree that this would be illegal and immoral, you have just again exerted your authority over your teenage daughter and pressed your own beliefs on her.

Face it, we all teach our children our beliefs and we protect them from what we think harms. That is what makes us loving, caring parents. So, tell me then what is so creepy about a father that teaches his daughter to wait for marriage to have sex? Is it really so much different from what you do? What's the difference? A couple of years in age for the daughter and a partner that will or will not commit to caring for your daughter.

Wait, I think I understand. You got "creeped out" by the idea of a father "covering" a daughter. Did you think that meant something bad? True, I wouldn't have picked that term because I know many people, like you did, would read some physical, sexual implication to the term. It's too bad actually. People can't understand the pure love of a father for a daughter. I want nothing but the best for my beautiful, amazing, brilliant 10 year old daughter. I will protect her from harm. I will teach her to wait for marriage for sex. I will allow her to make her own decisions and give her independence as she grows and learns. I will love her no matter what decision she makes about her sexuality. In a world so deficient of good fathers, why would you criticize those who truly love and care for their daughters. You are right, we need a repair for our whole culture. Why not start with repair of your column?

The Seeking Heart

Francis Fenelon a 17th century Catholic priest from France is one of my greatest mentors today. There are several people living and deceased that inspire me. Eino Kivasalu, a man that I spoke to maybe six times left this earth, but lives in my memory as a man who saw people through God's eyes. Dr. John Patrick, a physician, researcher, ethicist and theologian, shows me deeper paths of thought that lead to a fuller knowledge of God. I've never met Dr. Patrick. My dad lives out his life with generosity and a heart that only wants to do what is right.

But Fenelon, he speaks to my soul. I've read the Bible and known it since a child, Fenelon tells me what I should do to follow the Word. "The Seeking Heart", is a timeless collection of letters Fenelon wrote to many people that he was mentoring in the late 1600's. So practical and true are his teachings that they sound as they could have been written last year. He lived a live of poverty and service to others. He calls all to abandon self and worldly entangelments to give themselves fully, completely to God. Here's a paragraph from one of his letters...

"Often what you offer God is not what He wants. He usually wants that which you dread giving Him. It is Isaac, the well-beloved, that He wants you to give up. What He is after is what comes between you and Him. He will not rest, and neither will you, I might add, until you have given Him everything . If you want to prosper and enjoy God's blessing, don't hold anything back from Him. What comfort, freedom, and strength there is when nothing stands between you and God."

The Rocket and 'Roids

I just can't help but comment on the Rocket. I've always admired his durability and wondered about his drive. You see, a guy who will postpone time with his family indefinitely makes me wonder. He doesn't need more money. Why not hang it up and spend time with your kids and wife? I'm a little biased against him after watching his actions and attitude over the Mike Piazza beaning. He seemed indifferent that he had skulled a man. Then the next time he faces Piazza, he goes inside again! This time saws off Piazza's bat which shatters. He caught the barrel with its sharp broken edges and flings it toward Piazza! Again, he acted like no big deal. The Rocket is one of the greatest living arguments for bagging the DH and letting pitchers stand in the batters box.

But that's not what I'm writing about. Lidocaine. He said the only thing that his trainer injected was B12 and lidocaine. B12? Makes no sense. Except that it's commonly given to old people. It's largely placebo unless you have pernicious anemia, a condition I doubt he has. Even then, why give it in the locker room? You can get it anytime. At home, the doctors office it's usually given once a month. I know he's gone traveling frequently, but still why go to the trouble of carrying the bottle to the locker room and have the trainer inject? Ok now lidocaine. This is a topical local anesthetic. Catch that a local anesthetic. You don't just give a guy a shot in the rump of lidocaine. In sports it would rarely be used to kill the pain of an injured joint for one or two hours to make it through a crucial game, ie Kurt Schilling of the Red Sox. Remember during the World Series when he had a painful ankle? They injected him before the game probably with marcaine (same as lidocaine but lasts longer). This would have been done by a doctor, likely an orthopedist, and injected into or around the joint. That is not something "joe trainer" is going to do. It also puts the joint at particular risk. You are numbing the joint and can't feel if you are doing more damage. You'd only do that if the WS was on the line.

Finally, the tape. You once again get a feel for the cold indifference that Rocket has for his former trainer and friend. McNamee is a man on the firing line. He's the rat telling all. But not because he wants to tell. Remember he denied knowing about steroids until he was under oath. He had to tell the truth. What did he have to gain by ratting out his former bosses? Nothing! He had everything to loose. Do you think he'll work in the Majors again? Will he ever work again? He doesn't have stockpiled millions to live on and now probably wonders how he'll take care of his family. Worse, he could land in jail. So, he finally gets to talk to his old friend, the Rocket. Is there any concern for his old trainer? Not a smidge. Just a calculated attempt to get McNamee to recant on tape and use it against him.

Steroids, Supplements and Bonds

Barry Bonds grabbed the headlines once again as his lawyers claim the indictment against him for lying to a grand jury was too vague. Bonds lawyers say that the charges are multiple and may be equivalent to double jepardy. Hmmmm. Why not object to the indictment on the grounds that you told the truth? Prosecutors claim they have positive test results for steroids and other performance enhancing drugs that Bonds used. Bonds told the grand jury that he didn't use them.

There's an easy way to find out if Bonds used human growth hormone. Ask the equipment manager. When a person produces too much hgh in their body, it produces a condition called acromegaly. The features of acromegaly are an enlarged bulbous nose, thick stout hands and increased size of the head. If someone took supplements of hgh over a prolonged time, they would have some of the same features. Now I've never seen Bonds in person, but even on TV I can tell his melon has grown a few sizes. As adults, we can still grow in many ways like a bigger gut or caboose. But, the bean is a part of our anatomy that just doesn't change much over the years. Thus, ask the Pittsburgh Pirates equipment manager from Bonds rookie year what his helmet size was and then find his current size. If it's increased.....

Our culture likes to see people get in trouble. It's like we won't have any fun if Bonds and McGwire are clean. What kind of office talk does that make? We are quick to blame and condemn. But, the steroid users are only doing what a majority of Americans do regularly, take supplements. Okay, most Americans are not lying, cheating and illegal when they take supplements, but the concept that we need something more is common.

When I go to the gym to work out, I am fascinated by the small circles of teen to twenty something men in the locker room chatting about what supplement is best to take after a workout. Many aspiring muscle men in the locker room pull a large container of powder or capsules from their gym bag and head to the water fountain after pumping iron. My patients take ginko, fish oil, rose hips, melatonin, creatine, black cohash, CoQ10, Vit C, B, A, E, kelp and garlic. I know of no solid reason to take any of the above supplements. Yet, some people think they can do better by taking something someone put in some pill.

If average Joe American is reaching for supplements to help him do better, is it such a stretch to think that World class athlete American reaches for something a little more?

I've watched medical studies for twenty years and still have not found convincing evidence that any supplement gives any significant benefit beyond a healthy diet and regular exercise. Want to reach for more? Put down the remote and the Oreos and go for a run!