Why I Call Myself a “Belief System Doctor”

Every single thing you do in life is based on a set of beliefs.  Some decisions are deep, important, and based on belief systems instilled in you at a young age maybe through parenting, religion, or early schooling.  Some decisions are made on less significant belief systems that often dictate preferences and things formed by direct experience. From the moment you wake up to the moment you go to bed, you make hundreds of decisions a day.  You wake up because you believe it’s important to get up and tend to your morning responsibilities.  Maybe you believe it’s extremely important to be early.  When you decide to eat breakfast, you probably have a belief about whether this is a healthy behavior or necessary.  You also make decisions about what you should eat.  These decisions are based on taste, how the food will make you feel, whether you believe it to be good/bad for you.  This decision making process is fairly subconscious because we would be exhausted if we felt as though every tiny decision needed a huge weighing of the pros and cons.  We have all met people like that, and most likely you were exhausted after an hour!  In order to bypass this, our brain forms belief systems to help that decision-making process effortless and energy efficient.

When it comes to health, nutrition, and food, where did you get your belief system?  It starts pretty early with taste preferences based on what your parents fed you.  If you grew up in another country and only had exposure to ethnic foods, you would likely have preference for those.  If you grew up on processed foods, you likely believe these foods to be what people eat.  This is one reason why I encourage parents to keep whole, nutritious foods in the house.  The more your kids expect to find these foods, the more they believe those foods are what they should eat.

You then get information from other homes based on what other parents feed you, babysitters, school, etc.  In school, we take it one step further and teach you the basics in health class.  Health class will often have some version of the food pyramid available for your viewing pleasure.  This is when you go home telling your mom and dad about all the foods you should be eating on a daily basis.

In later years of school, you have peers that will influence your food decisions just like they influence everything else.  Maybe someone makes fun of the food you eat at lunch and you then believe those foods are weird, not cool, or things no one else eats.  Maybe you share foods at lunch, and develop beliefs about foods based on the people who bring them.

Then you graduate and go off on your own.  Now you are making real decisions about what you will spend hard earned dollars on.  Now there is input from media, commercials, billboards, celebrities, athletes, and so on.  If your prior beliefs prioritized whole foods, you will likely continue to buy them and not think twice.  If your beliefs up to this point were steeped in convenience, marketing, expense as ways to prioritize, you will likely follow the fast food frenzy with a side of packaged treats.

At some point you decide you aren’t invincible and maybe you should try to be healthier because you have gained weight or watched Dr. Oz.  This is where confusion hits the fan because up to this point, you brain had no problem choosing foods it enjoyed, prioritized, and could afford.  But now, you may be trying to force yourself to eat things that you don’t enjoy, think are too expensive, or are completely too much work.  This contradiction in beliefs and behaviors will end in failure every single time.  Most people will revert back to the same old habits because they haven’t changed their belief system.

My job, as a doctor, is to help recreate the belief system that accurately depicts the consequences of food choices, the knowledge around nutrient density, debunk the lies that have been fed to you over the years.  Once someone truly learns what certain foods do to their body, what health consequences they see as a result, the truths revealed about why certain foods are so cheap and convenient, they no longer have the same belief system.  They now believe eating packaged foods is going to result in sickness, possibly weight gain, toxicity in the body for generations to come, and is slowly hindering the functioning of every cell in the body. They understand where real nutrients come from, how important those nutrients are for healthy bodily functions, and how every penny spent on prevention saves hundreds in treatment.  If you can change someone’s belief system, then you change their behavior by default.  This is why every patient leaves appointments with me with HOMEWORK.  The real work happens with the belief system.

One of my favorite questions to ask is “What is your favorite food?  What if I were to serve you that food but I placed arsenic in it?  They look at you like you’re crazy and say they would never eat it if you put arsenic in it.  But let me ask you why because arsenic has no flavor, no texture, no smell.  It won’t change the experience or enjoyment of eating your favorite food.  All I did was change the perception of what that food would do to you.  Boom.  Instant change in belief system and you just said “No way, Jose “to your favorite food.  I didn’t change that food. I didn’t take that food away or say you can’t have it.  But I did change your belief system.  Now you have a different perception from which you decide to make that choice.  If you have tried to eat better, exercise more, and make healthier decisions in general and found yourself reverting right back to your old ways, it is because you didn’t change the belief system.  You were working on willpower and that will only last for so long.  Knowledge is power because it develops belief systems.


Homemade Cherry Tomato Sauce

If you have a cherry tomato plant overflowing and don’t know what to do with all those maters, this is an awesome options to use them up!  It’s easy, but does require a food processor.
Cherry Tomato Sauce
Ingredients:
cherry tomatoes (enough to fill a sheet pan)
onion, any kind rough chopped
3 cloves garlic, peeled
6 basil leaves (and any herbs you feel like adding)
salt and pepper to taste
Cooking oil of choice
Directions:
Preheat oven to 350F.  Throw your tomatoes, onion, garlic, salt, and oil on a sheet pan and roast until the tomatoes shrivel, which should be about 35 minutes.  In the food processor, add the basil, and add the pan contents once cooled slightly.  Process until smooth.  Add salt and pepper to taste.  Store in the fridge, freeze, or can!

Autoimmunity and Exercise (Part VII)

At this point in the autoimmune series, you can understand why I was reluctant to write an article in the first place! It is so complex, complicated, and multifaceted. So, if I were going to touch on another lifestyle change someone can easily implement, it would be exercise. Unfortunately, exercise is one category where you can have too much of a good thing, especially if you suffer from autoimmunity. There is a point where movement is healthy, beneficial, and will IMPROVE your immune system. On the flip side, if someone’s system is under extreme demand, their adrenals are shot, and they are often stressed, you can easily overdo it. Then the question becomes, what types of exercise are best, and how much.
Exercise is very closely related to your adrenals and the production of cortisol. Cortisol is a steroidal hormone that helps you keep up with stress and is important in the fight or flight response. These spikes in cortisol production should be short-lived and not chronic by any means. However, many of us live stressful, hectic lives and some add tons of exercise on top of it. This is a recipe for adrenal fatigue, and if you want to read more on that, click here.  The more intense you exercise, the more cortisol you release.  This disrupts something we call the HPA axis, which is important in regulating hormones and the immune system.   The types of exercise that stimulate the HPA Axis disruption the most are chronic cardio and and high intensity exercise.  That means that if you have an autoimmune disease, you may be doing more damage than good if you try to run marathons (or any long distance) or Crossfit.  It doesn’t mean you can’t participate in these workouts, but it does mean you need to be smart about it!  Resistance training does not have the same effect on cortisol if it is practiced alone.  This means that weight lifting or body weight movements at lower intensities may be a great option for those with autoimmunity or adrenal fatigue! If you decide to participate in physical activity that is too strenuous for your body to keep up with the cortisol production, guess what, you can CAUSE LEAKY GUT.  We talked about how leaky gut is how this whole thing got started in the first place!  It’s a classic case of too much of a good thing.  Balance is key and more doesn’t always mean better.

As far as how exercise affects the immune system, it can cause a huge inflammatory response.  Any exercise someone does at more intensity that usual for longer than usual, is mobilizing neutrophils and natural killer cells.  This type of exercise also stimulates phagocytosis and increases the production of inflammatory compounds.  In studies, we see that following acute exercise,  the number of T and B cells (immune cells) drop below the levels they were BEFORE every working out.  This quickly recovers if someone has adequate recovery time.  However, if there isn’t sufficient days between these types of workouts, then it is common for athletes to get sick!

Now we understand that we may need to back off the intensity, how often should we be working out if we have an autoimmune condition?  I like to say High Intensity work should not be done more than 2 times a week.  That would include intervals, Crossfit, intense cardio.  You should leave at least 2 days between those sessions for proper cellular repair and recovery.  In between, yoga, walking, leisurely biking are all amazing, repairing options.  You can also add some resistance training  like weight lifting or body weight movements like squats, push ups, pull ups, etc to the mix.  The key here is to keep your heart rate down when you are avoiding high intensity.  This may mean doing less initially which seems counter-intuitive because we all want to look good naked. However, chronic cardio and too much high intensity activity are driving your adrenals into the ground.  Once that happens, your body will begin taking building blocks from hormone production in order to try to keep up with cortisol production.  It doesn’t care how fertile you are, heavy your periods are, or how horny you are if it is trying to survive a flight or flight experience! As far as our genetics are concerned, stressful situations are life and death.  That is why de-stressing is so important.

If you have cut out gluten, upped your fat soluble vitamins, addressed you stomach acid, and quit taking miscellaneous medications, this could be your next step in the equation.  Exercise should be a positive challenge to the body.  If overdone, it most definitely acts in the opposite direction.  Choose something FUN.  I like group classes because community makes every second fun for me.  I really enjoy sports. Join a sports club.  Take family walks.  Movement does not have to be a dreaded to-do on the endless list.  It should and could be something you ENJOY and LOOK FORWARD TO!  If you haven’t found that type of movement yet, then keep searching.  Different strokes for different folks.  The more you can do outside, the better, too.


Want a Glimpse? I Will Share One With You….

As I wake up every morning, I decide what inspires me, I post something about it, and I get up to start the morning coffee. The first moment that coffee hits my lips, may be one of the moments I look forward to the most. It is part of my perfect day, and I savor it, I enjoy it, and it’s simple enough to have every day for the rest of my life. That certainly makes for a lot of perfect moments. Then I check my emails, texts, messages, which can equate to a good hour sometimes. I never have any idea what sorts of things are going to pop up in those updates, questions, or inquiries. I am blessed to say that 90 % of the time, I get to have good news flood my technology for the first hour of every day. This past week, I have been cracking up, smiling, tearing up at some of the things so let’s just visit some of those. Let me give you a glimpse…

A patient that we have been working with her adrenals and anxiety:
“No anxiety. No depression. No anger. No eyes watering. No headaches. I feel empowered.”

A patient that has Hashimotos:
“This may be TMI, but I had sex 3 times and actually wanted it.”

A patient that has anxiety and apathy:
“You are turning me into a nerd! I am sitting here reading a cookbook! What have you done to me!?”

A patient with anxiety, thyroid issues, and high blood pressure:
A pic of a pill on the counter and the text “I had that in my back pocket and didn’t have to use it!!! Thank you!”

A Hashimoto’s patient with kids:
“I made your chicken strips…holy delicious!”

An anxiety patient:
I feel so much more even and steady if that makes sense. ;)”

A consult with a patient that has MS:
“I feel healthier now than when I was diagnosed with MS!”

A consult with a patient that has Ulcerative Colitis:
Tears….many tears. Because she’s exhausted from trying to do the right thing all the time. I’m grateful she called me for help.

A consult with a patient who has anxiety, some bowel issues, and knows something isn’t right since having her child:
“I don’t know why I didn’t just do this sooner. I’ve been meaning to call you for over a year.”

A meeting with a colleague:
“I hear you’re a really good adjuster from patients that have seen you at the other office.” (Well that just made me blush.)

I really could keep going on and on. Every day I could share a story of inspiration, strength, exhaustion, renewed hope, relief, health, struggles, and triumph. This is my life. My life everyday before 10am. I live a pretty great purpose. I have so much to share sometimes that I am paralyzed by which one I should put out there?! I have so much information to get to you, that I sometimes I focus very heavily on the science articles. Sometimes I just want to give you guys tips, things to do TODAY. Sometimes I just want to sit and drink my coffee with a smile because I am blessed with a gift and amazing people to help me fulfill it. Not very often, but sometimes I am speechless. When that happens, I just soak it in. Feel every good feeling there is to absorb. I will need it to help the next patient through an obstacle, a hard moment in the journey, a setback. They may have met me at the beginning of their journey, but I will find a way to let them fly and meet them at the finish line. I am overwhelmed with pride when it comes to each and every person I work with. No one can see me right now, and I’m not an overly emotional person, but I will take every tear welling up in my eyes right now knowing what they stand for. What they have been fighting for. What joy they represent. I hope every single person reading this finds that in their life. Don’t lose the pursuit. Listen to your heart, no matter how crazy it may sound at times. Entertain the dream.
Maybe next time I can get through all the amazing that happens AFTER 10am. ;)


Pizza Crust

I have a few pizza recipes on the blog now and have kept all of them for various reasons.  However, this particular crust is my favorite because it’s crispy, you can pick it up without it falling apart, it doesn’t use almond flour, and I have found a way to up it’s nutrition by adding bone broth!  You can’t go wrong with any of them posted, but this just happens to be my go-to. The pizza pictured is a combo of basil, cherry tomatoes, shallots, and squash blossoms!  You can easily switch it to whatever is in season that your heart desires.
Pizza Crust
Ingredients:
2 cups tapioca flour
1/2 cup bone broth (or other liquid)
1 egg
2 Tbsp olive oil (or other fat melted)
1/2 tsp salt
1 tsp Italian seasoning
1 Tbsp nutritional yeast (optional) -this adds a slight cheesy flavor
Directions:
Preheat oven to 500F.  In a bowl, add all the ingredients together until you get a slightly moist, mold-able dough.  Press that dough into the bottom of a cast iron skillet and poke tons of holes in the bottom with a fork.  Bake for 20 minutes until the top is hard and you can “tap” on it with your finger nails.  It will also begin to pull away from the sides.  Rub the crust with the cut edge of garlic if you want a garlicy flavor.  Add your sauce and toppings before cooking again for another 15 minutes!  Enjoy!

The “Yes” That Changed My Life

I probably think about life too much, ponder issues in the world excessively, and spend too many hours nose deep in research; however, I make no apologies because that is who I am.  When you know who you are, your actions are very distinguishable as yours.  You are driven by forces that keep you from conforming.  If there were no money or recognition in the world, you would still be the same you, doing the same things. This makes success fulfilling.  When we look at people who are successful in whatever sense of the word “wealthy, accomplished or happy, fulfilled,” you will notice that they have a couple things in common: 1. they failed over and over 2. they often had one “yes” or “ah-ha moment” that changed their trajectory.

I have thought about this for myself.  I have gotten so many messages since opening up my practice to social media about how I inspire people, how I’ve helped people, how people are jealous because I have their dream job.  When I think about how I got here, it’s not like there was magic, or a template of how to do it, etc but I do fit the two criteria that I spoke about previously: I failed over and over, and I had a “yes” that while small, was probably the one that changed my trajectory.

When I started college, I had been “following the rules of accomplishment” my entire life.  Any award you can think of, I earned it.  Highest grade you could get, I got it.  Any degree or letters available, I was in the running.  Why?  Because I thought that’s what made you successful in life!  Accomplish all this stuff and you will make good money, have nice things, have little to worry about, and live happily ever after.  Then I got to college where someone asked me what I wanted to do.  Insert blank stare. I don’t know what I said but I thought to myself how I know I could do extremely well in any degree, just tell me the most difficult and that’s the one I will pursue.  Good thing for me, pursuing a medical degree also had components that I found myself extremely interested in.

In college, I always had a job, if not 2 to help pay for tuition.  I took notes for disabled, I worked at the Finish Line, I was even a Bacardi girl.  Yes, hanging out passing out free drinks after getting off my first job. In addition to working, I applied for every scholarship under the sun.  Let’s just say that I spent more hours trying to prove why I was worthy of a donation than I care to admit.  I failed over and over.  I’m not exaggerating when I say OVER AND OVER. It may have been my first real sense of rejection.  The kind that sort of says “You were great in your small town, but you’re in the big leagues now, and you aren’t good enough this time.” Ouch. I was terrified about the debt I would be graduating with and often contemplated leaving. (If I’m being honest, my mom forced me to take the SATs and apply to ONE college or else I wasn’t even going to go! That’s how much I was afraid of student loans!) Then one day I applied for something different.  I applied to be accepted into a 400 level biology course that allowed you to study in Costa Rica.  I specifically remember filling out the application asking myself why I was doing so.  They had NEVER accepted anyone as a sophomore and I had barely even declared a major.  Oh well, the worst they can say is “no, thanks.” As if I hadn’t heard that enough lately.

They didn’t say “no, thanks.”  They said “congratulations on being accepted as the youngest person to get into this program.”  I was PUMPED!  I was going to study in the rain forest.  Peace out!  What I didn’t anticipate, but was how that one “yes,” would snowball.  Not only did I make huge decisions about what I wanted after that trip, I met the people that I would then take my medical mission trips to Honduras with.  I would then sit on the board of that organization.  I would then have several experiences that primed me for the Peace Corps.  I would then use those moments to get accepted to my doctoral program where I would teach anatomy and physiology labs.  I used that degree to become the doctor I am today and the teaching experience to become a professor at our local college.  I know who I am because the qualities that make me, me, drove me to the “yes” that changed my life.  If they had said “no, thanks” I have no clue what might have happened.  Would I have applied again? (probably), would I have given up?, would I have changed career directions? would I have quit college because of money?, would I have ever met the same people that led down the same path?  I don’t know.  But I do know that when you are being you, doing the things that make you, you, it all happens the way it’s supposed to.  Those things may lead to perceived failure; however, the beauty of “doing you” is that you aren’t doing it to please others.  You would’ve done the same thing if no one was watching. I have heard “no thanks” and failed many more times since then, I assure you. Those moments may matter just as much as the one “yes.”  They open the door for that “yes.” Do you want to be successful?  Be you, fail over and over, and be aware of the moment you may need to grab a hold.  It could be the catalyst for everything to come.


Medications and Autoimmune Healing (Part VI)

Before we get started, let me say that I am not rendering advice on what to do with your medications in this article!  I am simply going to explore how some common medications may be obstacles in your healing process.  If you have followed this journey, we started with how an autoimmune disease happens, touched on the involvement of heartburn, gluten, nutrient deficiency, and discussed how leaky gut is involved.  Most of the medications I talk about, I will place in the category of things you can control.   That means I will not be talking about immunosuppressants or other common autoimmune meds; I will be talking about drugs like: antacids, antibiotics, birth control, steroids, and pain relievers. Let’s get started with heartburn meds because we talking about heartburn and stomach acid one of the first articles.

PPIs (aka Nexium or Prevacid) and H2 blockers (aka Pepcid and Zantac):

If you would like a reminder of how important stomach acid production is, feel free to re-read the heartburn article.  If we consider that any disease healing process requires adequate nutrients, we also must consider if we are able to get those nutrients based on the health and performance of our digestive system.  Stomach acid is a major component for the beginning of our digestion and without adequate amounts, we develop issues such as GERD, heartburn, H. pylori, and intestinal dysbiosis.  If you are taking a stomach acid reducer, you are hindering the first step in food breakdown.  This sets you up for impaired digestion, decreased nutrient absorption, possible infection, and leaky gut.  That’s a very basic understanding.  If we get more technical, PPIs have been shown to interfere with antigen presentation mechanisms by affecting lysosomes.  They also obstruct the work of cytotoxic C cells. These are IMPORTANT for immune function, so you can imagine if you have created the perfect environment for leaky gut, which can trigger an autoimmune disease, then impaired digestion setting you up for infection which can trigger an autoimmune disease, then took a medication for the heartburn that interferes with appropriate immune system functions…insert cry emoji here.

Birth Control Pills

I have spoken before in brief posts about hormone health and how taking the pill to correct hormone imbalance may be doing more harm than good.  I have also been vocal about the pill and it’s ability to significantly increase clotting risks in women that can result in strokes or pulmonary embolisms!  This is not a medication to be taken lightly, and from first-hand experience, I know these risks are not brought up.  I was speaking to a nurse the other day about how interesting pregnancy can be in autoimmune conditions and how that speaks to hormone involvement.  I have had autoimmune patients tell me their autoimmune condition completely goes into remission while they are pregnant, and they wish they could trick their body into believing it’s pregnant all the time!  Sex hormones play a role in immune system function, so the decision to artificially alter them, may be causing an immune system issue.  In addition to directly changing hormones, they cause disturbance in the gut flora resulting in dysbiosis and many times leaky gut.  Remember leaky gut being how autoimmune issues start?!

Antibiotics

Antibiotics save lives.  Period.  However, they are way over-prescribed and many people take them multiple times a year.  If you are doing everything right, it can still takes months for the assault of antibiotics on your gut flora to fulling repair.  If we KNOW that the bacteria in your gut account for the majority of your immune system, then how could you not be worried to take a medication that would wipe them all out?!  Antibiotics are often broad spectrum and will have no issues wiping things clean, good and bad.  Imagine having to rebuild your house every time it got messy.  That is the task you ask of your body when you take antibiotics for every sniffle, sneeze and infection.  It is often common for antibiotics to be prescribed without a culture which means your infection could be viral.  Viral infections are not killed by antibiotics.  Antibiotics kill bacteria.  Oops.  In a nutshell, antibiotic need may be more scarce than you think, it has a dramatic effect on the bacteria balance in your intestines, and they should be avoided if possible.

NSAIDS (aspirin, advil, aleve)

These anti-inflammatory drugs are non-steroidal but they are used widely to control pain and inflammation.  So widely, that you probably have bottles in your purse, your bathroom, your desk drawer, etc.  I can say that I don’t even have a single bottle of these around and if I needed one on some off chance, I would have to go purchase them.  Most people know the dangers of taking too much because your doctor will warn you about how bad it damages your gut, which can result in ulcers.  I hope this connection is screaming at you before I tell you….wait for it….if they damage the gut, and your gut houses your immune system, then it can’t be good for conditions concerning the immune system! A SINGLE DOSE OF NSAIDs damages the intestine of even a healthy person.  It does this by inhibiting an enzyme called cyclooxygenase which is essential for maintaining the gut mucosal barrier. They also inhibit the formation of the proteins that keep tight junctions together (remember that cell lining gate being damaged).  These drugs are popped like candy because most people see them as harmless when you can buy them in the store.

Well, those are the major ones I wanted to hit because so many people are unaware of the negative side effects.  If these are part of your “health” routine, you may be causing more damage than good.  If you have an autoimmune disease, these may be a part of your routine that you can control.  There are tons of natural compounds that fight infection and decrease inflammation.  These can be found widely in foods and many supplements now exist.  Try cooking with turmeric, adding garlic to everything, using onions abundantly, and fresh herbs are crazy good in the medicinal department.  Funny how all this complex material always lands us back at basic lifestyle changes.  Nature is so smart.

 


French Onion Dip (primal, gluten-free)

With football on the horizon, party food for snacking is a must. I like to find a balance between real food ingredients and catering to the tastes that everyone likes to enjoy.  That may mean I include some non-glutinous grains like organic corn chips with guacamole. That may also mean I include real, grassfed cheese or other dairy to a dish.  I’m fine eating those things on occasion, and I know it will help open the options for guests to eat all the things they love (even if I made a healthier, homemade version!).  This dip tugs at a special place in my heart because if I could pinpoint one junk food I remember being obsessed with when I was younger, it was ruffles with french onion dip.  Since I avoid rancid oils and don’t eat dairy or preservatives, it has been years since this flavor hit my tongue.  I attempted my first homemade version for a party, and I got the thumbs up from healthy and non-healthy eaters alike.  It’s a keeper and is easy to whip up if you are having a party.  I served it with a bunch of veggies, but you could easily grab a few bags of Jackon’s honest potato chips from Whole Foods for the classic chip and dip combo!

Don’t be afraid by caramelizing onions.  It sounds complicated and time consuming, but it’s really just about low and slow.  You can have them working while you are getting other dishes together.

French Onion Dip
Ingredients:
2 Tbsp butter or bacon grease
1 large sweet onion, chopped
1/4 tsp salt
1 1/2 cup full fat or 2% Greek Yogurt, plain
1/2 cup paleo mayo (Whole Foods as Primal Kitchen version)
1/2 tsp garlic powder
1/4 tsp celery salt
handful fresh dill, chopped
1 green onion, green part chopped
Directions:
Heat butter over medium heat and add the sweet onion and salt.  Put on low/medium and allow the onions to cook slowly over low heat until browned and caramelized.  This should take about 30 minutes.  Stir regularly to prevent burning.  While those are cooking, Mix the other ingredients together and put aside. Once the onions are cooked to a nice brown, puree in the food processor and add to the remaining dip mixture.  Serve with some chopped green onion on top for garnish.

Wednesday: The Day Anything (stressful) Can Happen

I totally got schooled Wednesday morning by a patient about Wednesday being the day anything can happen.  Apparently that’s from the Mickey Mouse Club?!  I’ll take his word for it!  What he didn’t know was that even though it was first thing in the morning, many “anythings” had already happened!  Since the toll road is having issues, I have been taking an alternate route to the office I am filling in for, which extends the drive a little bit, but is worth it if I can avoid sitting in standstill traffic.  Monday: fine.  Tuesday: raining but fine.  Wednesday: accident that shut down 94!  Ok, I left myself time.  Just take the detour maps gives you.  Detour route…closed.  Umm…now I am DEFINITELY going to be late.

In my younger years, this would’ve been disaster.   I had an agenda, planned ahead, thought of all the possible issues and accounted for them.  I would’ve freaked out for two reasons: 1. I am going to be late!  How bad does that make me look?! 2. I’m being detoured off the highway into some random place in Gary!  How am I supposed to know where I’m going?!  In my older age, none of this even bothered me.  It was sort of life’s metaphor for having a path, but not being stressed about detours.  You’ll get to where you’re going eventually.  I planned ahead, I was doing everything I could, and it DOES NO GOOD TO STRESS ABOUT THINGS YOU CAN’T CONTROL.  Getting worked up, upset, stressed, worried would not get me or anyone else anywhere faster!  How many times a day do things not go as planned?!  A lot!  Do you find yourself stressing about the circumstances out of your control?  That unneeded stress is killing you.  Well, maybe not you yet, but your adrenals.  They can’t keep up with the constant barrage of stress!  Give them a break!  They already have to keep up with stress over things you CAN control, vigorous exercise, caffeine, and all that wine you are drinking.  Quit demanding more from them or you will find yourself in a heap of hormone hell, eventually.

I wanted to tell you this story because this is an everyday situation like many that my anxiety patients would get into a tizzy about.  Always evaluate a situation calmly.  Things don’t get done faster because you are yelling, or crying, or complaining about how it didn’t go as planned.  Ask yourself one simple question: Is this something I can control?  If not, relax.  Do your best.  It is what it is.  Silly human.  To think you could control things in the world, sort of makes the universe laugh.  In my case, I used the extra time to turn up the radio and sing to my jams.  Not because I didn’t care that I would be late, but because I couldn’t control an accident that shuts down the highway and puts me an extra hour and a half behind!  When I showed up, I was more than ready to give 100% to my patients, good vibes for days, and it all worked out in the end.  I would’ve made my biochemistry a mess by worrying, and what kind of doctor could I be to my patients if my mind is stuck in panic mode over something  I can’t control.  Breathe.  You’re a tiny speck on a spinning planet in the middle of the universe.  It’s going to be ok.  I promise.


Sugared Figs and Feta

Figs aren’t around all the time around here!  This could be a perfect appetitzer or dessert for any foodie.  Sweet and salty is my jam, and this fits the bill!
Figs and Feta
Ingredients:
fresh figs, halved lengthwise
feta crumbles
coconut sugar
Directions:
Place the figs, inside up in a pan, and sprinkle with a little coconut sugar.  Broil in the oven for 4 minutes and remove.  Sprinkle with feta and enjoy!