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The
Power of Weekends--A Resource for Life Transformation
In this brief essay, Dr Vasquez shares
a few ideas about how patients can leverage their weekends into
health-promoting and life-transforming events. Weekends give us the
time away from our work obligations to explore new ways of living, eating,
exercising.
1) Make a
fresh start.
2) Determine
your goals and write them down.
3) Commit to
daily and hourly action to reach your goals.
I've been
working with patients for almost 20 years now, and in that time I've seen
some amazing transformations occur; I've also heard nearly every excuse in
the book as to why people say they "can't" take effective action to reach
their health goals--goals which are themselves often undefined.
1) Make a Fresh Start.
First, I generally try to start from the position of no
fault, no blame, and no judgment. While I do believe that we have personal responsibilities to ourselves, to our families, and to
our communities, I also realize that not everyone shares these values.
Within a healthcare setting, I try to keep the focus on health and
on identifying and implementing the steps required to overcome the obstacles
that block the manifestation of improved health (at least) and vibrant
health (at best).
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Some experts
suggest that we as a society
have been somewhat "dumbed down"
by our educational systems (no fault of the teachers), by television, and by
corporate interests that keeps us addicted to quick fixes--whether we call
this fast food or the effortless solution of treating lifestyle diseases
with once-a-day drugs. Americans who receive the typical dose of
television are not only subjected to a huge amount of worthless trivia (the
intellectual equivalent of devitalized sugar) but they are also subjected to
a huge barrage of (mis)information from the drug industry.
“Direct-to-consumer drug ads
appeared most frequently during news programs and soap operas
and during the middle-afternoon and early-evening hours. Overall, we
found that direct-to-consumer drug advertisements occupy a large
percentage of network television commercial advertising and, based
on time and program placement, many ads may be targeted
specifically at women and older viewers.
Our findings suggest that Americans who watch average amounts of
television may be exposed to more than 30 hours of
direct-to-consumer drug advertisements each year, far surpassing
their exposure to other forms of health communication.”
Brownfield ED, Bernhardt JM, Phan JL, Williams MV,
Parker RM. Direct-to-consumer drug advertisements on network
television: an exploration of quantity, frequency, and placement. J
Health Commun. 2004 Nov-Dec;9(6):491-7
So let's
start from the perspective that a person is not at fault for for his/her
state of poor health, even if it is obvious that the poor health (or simple
lack of vitality and energy) is a result of poor choices in diet, lifestyle,
nutrition, work, and/or relationships. Perhaps the problem is caused
by or contributed to by alcohol, addictive eating, smoking or unawareness of issues related to mental,
emotional, and physical health.
If we're
not where we are (in relation to our desired health status), the most
important questions to ask are those that are related to helping us get back
on track--on the "right path." In order to get on what we consider
to be the right path, we have to determine and preferably write down on
paper what matters to us. While these are all unique to the
individual, we can also note some generalizations that are pretty much
universal across generations, religions, and societies. I'll leave the
religious parts out of this discussion for the most part, although I might
make some mention of spirituality or such.
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2) Write down your life goals, your
standards, and your health goals.
I meet a lot
of people who seem to have no goals: no goals related to their health, none
for their education, none for their spiritual development, none for their
families, ...their community, ...their country, ...the environment. We
must all have health goals, even if health per se is not our primary
focus in life. No matter what your life and personal and family and
financial goals are the one thing we can be sure of is that they will be
more difficult to attain, maintain, and enjoy if your health disintegrates
to a condition of chronic pain, disability, and drug side-effects.
Believe me--I see people every day whose lives are ruined--by their
standards and anyone else's standards--because of poor choices or simple
neglect. I've seen patients crippled by stroke and liver disease
by the time they are in their early 40's because of smoking and excess
drinking, respectively. For these patients, the opportunities for
personal success and enjoyment in life are severely limited.
A very
simple but very powerful statement that I heard when I was about 20 years
old was from
Denis Waitley's program "The Psychology of Winning", in which he
said, "You've got to have a dream if
you're ever going to make a dream come true." From his words
and from the lectures by his contemporary Earl Nightingale who admonished
goal setting and the writing down of one's personal goals, I had learned
from a relatively early age to be organized in my thinking and in my
planning to be successful in achieving my goals.
The first
step in goal achievement is a)
taking your own inventory of internal interests and goals and the "external
needs" of the world around you: determine what you like, what you
want, what holds your interest, and what is important for you and your
family and community. From this constellation of influences, you
will be able to gravitate toward what external and internal forces can merge
into a concrete goal that satisfies your personal-inner interests with the
needs of the external world.
Once you
know in what general direction you're heading toward,
b) make the plan more concrete
and real by putting it in writing. Writing our ideas on
paper is the initial means by which we take abstract concepts, random ideas,
and feelings and transform them into something real, something palpable,
something we can touch and see and show to others for their support or
feedback. Having ideas and feelings is one thing, making them more
precise by brining them into physical world by putting them in writing is
the first step toward making them real.
I think the
most important concept to gain from this exercise with goals and interests
is that of their interconnectedness. Your goals are not separate
from each other; ideally, they should be appreciated for being
interconnected and interdependent. The achievement of your
financial goals impacts your family and community goals; obviously, being
financially solvent (i.e., not dependent on friends and relatives, and being
able to live independently) and perhaps having some extra money to
contribute to a scholarship or a community project shows how financial goals
merge with family and social goals. I might also hope that optimal
health is on your list, since it is only with an active daily plan of health
optimization that you'll be closer functioning at your best.
Functioning at your best means
that you can feel better, enjoy more, work harder, and think more clearly;
all of these qualities help you be more successful at home, at work, at
school and/or in your community and in your spiritual practice or program of
personal development. Optimal
health also means fewer (if any) sick days, less pain, and the avoidance of
the daily fatigue that most people only wish they could escape from.
These benefits are extended long-term with reduced risks for cancer, heart
attack, depression, osteoporosis, and various other diseases.
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Denis Waitley's program "The Psychology of Winning" is a
bit outdated but is still an excellent program
overall.
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"A metabolic tune-up is likely to
have enormous health benefits, particularly for those with inadequate
diets such as many of the poor and the elderly who need improvement the
most, although it is currently not being addressed adequately by the
medical community. The issues discussed here highlight the need to
educate the public about the crucial importance of
optimal nutrition
and the potential health benefits of something as simple and
affordable as a daily multivitamin/multimineral supplement.
Tuning up metabolism to maximize the human health span
will require scientists, clinicians and educators to abandon outdated
paradigms of micronutrients merely preventing deficiency disease and
explore more meaningful ways to prevent chronic disease and
achieve optimal health
through optimal nutrition."
Ames BN. The metabolic
tune-up: metabolic harmony and disease prevention. J Nutr. 2003
May;133(5 Suppl 1):1544S-8S
Health goals are commonly related to the
following:
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Disease prevention:
Avoiding preventable diseases such as lung cancer (smoking, asbestos)
and colon cancer (high fat diet, low fiber diet,
vitamin D deficiency).
Diabetes and obesity are clearly and most obviously linked directly and
irrefutably to insufficient exercise and excess calorie (mostly sugar)
consumption.
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Avoidance of pain and disability:
Optimal diet = optimal weight = less risk for degenerative joint
diseases. Obese patients have more joint destruction and suffer
from more pain. Deficiency of
vitamin D is very common in patients with chronic pain.
-
Ability to perform at a higher level--physically, emotionally,
intellectually, and spiritually: A clear mind depends upon proper
nutrition and a digestive tract that is not burdened with excess
bacteria; when people overeat carbohydrates and junk foods this
commonly results in "bacterial overgrowth in the small intestine" which
can result in headache, fatigue, dizziness and confusion. At
its most extreme, intestinal bacterial overgrowth (a condition called
short bowel syndrome or arthritis-dermatitis syndrome) can actually
cause coma and death.
-
Ability to provide for and contribute to family and community:
We can support our families and communities best when we are
fully healthy and when we can bring all of our best spontaneity,
resourcefulness, and intelligence to each minute of each hour, and to
each solution for each problem. Imagine two identical twins: one
ate poorly and developed obesity, diabetes, and renal failure (requiring
mechanical dialysis every other day for 6 hours) while the other took
the time to learn about and then maintain his health--which of these
twins with the same genes will be happier and a more productive member
of the community, workforce, and family.
-
Optimal health and vitality to allow fulfillment of educational,
recreational, and occupational goals: People who are healthier
physically are able to circumvent the avoidable pain, depression, social
isolation, and shame associated with obesity, diabetes, mental problems,
multiple surgeries and "visits to the hospital" and the "need" for
multiple drugs. The
choice to exercise and eat well is the choice to be fit enough to go
hiking and enjoy the view from the top of the mountain; the
choice to overeat and become obese is the choice to have joint
replacement surgery and/or have to depend on pain drugs, crutches, and
wheelchairs. The choice
to become knowledgeable about health and diet is to become empowered and
to direct one's own destiny; the choice to remain
unknowledgeable is to put oneself on a downwardly spiraling track toward
otherwise avoidable disease, medicalization, and hospitalization.
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Weight optimization: You can easily calculate your body mass index
(BMI) by clicking on the printable sheet below. The chart does not
lie. No excuses for big bones, a big frame, a heavy family, or
"I've always been big."
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Optimal BMI is 18-24.
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Use
the chart to determine where you are now and then circle that box
and draw a line to the box that has your optimal BMI.
-
Use
simple math to determine how much weight you need to lose (assuming
you might be among the
obese and overweight Americans depicted in the chart of US obesity
prevalence).
-
People who are serious about their weight loss programs typically
lose 8 lbs per month; that's only 2 lbs per week.
-
Use
your weight loss goal (how many lbs need to be shed) and the average
loss of 8 lbs per month to give your goal a timeframe. If you
need to lose 40 lbs, then you can expect to have this achieved in 5
months if you stay committed and reasonably diligent.
Remember, people who achieve a loss of 8 lbs per month are not
superheroes; they are normal people who decided to get out of their
own casket and start living, enjoying life, eating healthier, and
exercising more. As a result, these people lost weight,
learned new skills like kayaking and running and dance, met new
friends, and regained the lost self-esteem that they did not even
know was missing because it had been gone for so long.
"Although some patients can
achieve highly significant improvements in various parameters
such as glycemic [blood sugar] control and blood pressure
without significant weight loss, the fact remains that
obesity is a risk factor and often the primary determinant for
heart disease as well as osteoarthritis, many types of cancer,
and significant but immeasurable (and generally unspoken)
suffering associated with low self esteem, inefficacy, social
isolation, and depression."
Vasquez A.
Chiropractic Management of Chronic
Hypertension. 2010
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See Dr Vasquez's video for
more details about achieving optimal health through optimal
nutrition.

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3)
Use integrity and persistence to fuel yourself toward the achievement of
your goals through action on a daily and hourly basis.
Once you've
determined your life goals, your standards, and your health goals then the
next step is to make them real by writing them down. To make them even
more real, share them with your spouse or partner or best friends; this is
an act of trust, emotional intimacy, and community-building.
Integrity
simply means that we honor our word and we honor our commitment to what we
state is important. I once attended a weekend personal growth seminar
and the speaker said, "If you are a runner and you go running on a beautiful
sunny day...that is not an example of integrity. You prove that you
have integrity when its cold and raining and you still go running."
For people
with exercise goals, integrity means having a plan on a daily basis that
includes their exercise regimen. Current exercise guidelines from the
US CDC state that Americans should be aiming for 1 hour of exercise per day:
that is 5 hours of aerobic exercise per week (such as running, jogging,
swimming, kayaking, hiking,... [see our list of
exercise options]) and 2 hours per week of resistance training, namely
calisthenics or weight lifting.
For people
with diet goals, integrity means having a plan to eat responsibly.
Generally this means planning ahead, taking a few extra minutes to prepare a
lunch (you'll save time later by not having to wait in line at the cafeteria
or fast food restaurant, and by not having to wait at the doctor's office),
or having the integrity to say "No, thank you" when the high-fat and
high-sugar foods are being offered. You can enjoy many great deserts
and many of our recipes; the more you exercise and the more strict your diet
is on a regular basis, the more you'll be able to splurge and cheat for
special occasions and to reward yourself for achieving your goals.
Personally,
I love food. And I love to exercise. Sometimes I think that I
love food more than exercise. But I've chosen to tame my love of
delicious food for the sake of maintaining my target body weight (and body
fat percentage of <10%) and some other fitness goals. As a result of
dietary discipline and exercise enthusiasm, I get to feel good throughout
the day--not just during an over indulgent lunch or other meal. I love
the healthy foods that we eat and offer to our friends and customers.
I fully believe--based on what I've seen clinically and in my own life and
the lives of friends and family members--that the union of my 5-part
nutrition protocol along with a regular program of vigorous exercise is the
best plan for disease prevention and health optimization. And the
scientific world agrees with me. My textbooks, articles, seminars, and
patient care protocols are backed by thousands of scientific research
articles from the medical literature. Often times, the biggest
obstacle to a person's improvement or optimization of their own health
status is the fact that they won't get out of their own way; some patients
won't give themselves permission to have personal time, to exercise, or to
feed themselves with a healthy diet that conveys respect for who they are.
It can take time, effort, refection, and therapy to help a person to unleash
their true potential and to feel worthy of the healthy self-love that
self-care requires, creates, and reinforces. But people who surmount
these external and internal obstacles generally go on to feel that it was
worth the effort, and they enjoy greater health, greater physical strength
and flexibility, and a higher level of happiness than people who do not take
the necessary action. In the words of Johann von Goethe (1749-1832),
“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
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