intuitive wellness

How Regularly Are You Exercising? 2014 May Be The Time To Start

To stay up to date on the latest information I listen to the Massachusetts Medical Society Journal Watch.  They say medical knowledge doubles every 9 months these days so it is important to stay on it! 

I thought you might enjoy this summary on exercise;

Robust midlife cardiovascular fitness is associated with lower heart related disease, but what about death? To answer that question, researchers evaluated the associations between fitness and several chronic conditions (namely, ischemic heart disease, congestive heart failure, stroke, diabetes, chronic obstructive pulmonary disease, chronic kidney disease, Alzheimer disease, and lung or colon cancer) in older patients by linking a preventive medicine registry to Medicare data. Nearly 20,000 patients got full baseline fitness and medical evaluations and were stratified into five groups based on their fitness level (the patients’ average age at study entry was 49; most were men). A good number of the patients had relatively favorable cardiovascular risk profiles at study entry. Findings appear in the September 24 Archives of Internal Medicine (http://viajwat.ch/WhxcCO).

During a median follow-up of 26 years, the patients who were most physically fit had about half of the prevalence of chronic conditions than did those who were least physically fit. In adjusted analyses, each Met (metabolic equivalent) increase in baseline fitness was associated with a roughly 6% reduction in risk for developing a chronic condition.

Although these results on midlife cardiovascular fitness being a predictor of healthy aging are not surprising, they add another motivation for encouraging midlife fitness: This approach can lower the risk for frailty and comorbidities while improving quality of life for older people. 

Here is to aerobic exercise at least every 48 hours in 2014!  Happy New Year.  SC

It’s time to rethink the way we eat

One of the joys of my life is teaching Weight Loss The Jabez Way at local churches. The first line of the Prayer of Jabez is “And Jabez Cried out to the God of Israel” 1 Chronicles verse 4:10. Note, he didn’t ask, request, suggest or inquire – he CRIED OUT! When have you cried out in your life? When you are desperate, frustrated beyond belief, or hopeless? What are you willing to do at this point? To try something new?

With our weight if we knew how to fix it we would.. So the fact we are struggling means we need to be open to a new way, we don’t know what to do, and it is time to change and be a learner (as opposed to a knower).

Here is a must read article that suggests that what we have taught in the past may not work for everyone, and in fact may be harmful. Please take a moment to read it at: http://io9.com/5979523/why-you-should-starve-yourself-a-little-bit-each-day ” Starve Yourself!>

Special Medical Provider(s) Wanted

GOH Medical is growing.  Over the next several months we will need to add a new medical provider: a doctor, nurse practitioner, or a physician’s assistant.  Do you know the right person for this job?  Here are some thoughts to consider;

  1. “Not on our watch”  The Institute of Medicine has boldly declared that we “know what to do, but are not doing what we know” and this must stop.  What would a clinic look like if the commitment was to proactive, preventive health care first; illness management and reactive care second?  We are looking for a provider that wants to review each patient for possible future issues to address them before they develop symptoms.
  2. “Committed to curing the ‘I Feel Fine’ Syndrome”  There is a big difference between “I feel fine” and “I am healthy.”  Patient engagement before symptoms occur is vital to preventing diabetes and heart disease, and diagnosing cancer in stage 1.  Using The Seven Numbers as a teaching tool and foundation we empower each patient to learn and live the Seven Numbers that Can Save their Life,
  3. “Only the best” When problems do appear what does it take to find the best solution? A large part of GOH Clinic is making sure that each person gets what they need when they need it at the right place for the right price – whatever it takes.  Coordination of care, transitions of care, communicating and getting records sent out, and following up are vital commitments,
  4. “Technology leverage” Text, email, blogs, electronic health and medical records, the latest equipment.  We are looking for a technology geek/nerd with a personality,
  5. “Part of a team”  Each teammate at GOH Medical is a link on a chain that includes everyone from the maintenance crew to the super-specialist at the hospital.  All important for a successful healthcare, over-communication and a commitment to six sigma/lean processes ensure success,
  6. “A teacher committed to delegation and empowerment”  Medical knowledge doubles every 18 months.  The best we can do for patients is to understand their challenge, educate them, suggest a course, and encourage them to learn as much as they can to play an active, vital role in their health; GOH Medical understands that there is more that we know that we do not know, than there is that we know, about any particular topic.  Even if we read 24/7/365 we will fall hopelessly behind.  There is no place for arrogance, coercion or convincing; only sharing what we know, sharing what we expect to occur, and then closely communicating if this does not occur over time.  We are a member of a team, we empower, encourage and give 110% effort.
  7. “Focusing first on lifestyle” Food is the strongest drug we put in our bodies every day, exercise the best medicine; but that is not all, there are The Seven Healers we need to pull into our lives each day.  It is from this foundation that we encourage our patients to win the Game of Health.
  8. “An open minded healer” Allopathic medicine has changed the worldEvidence based, informed, outcomes oriented… and it is incomplete and often fails to provide complete healing.  Weak in mind:body medicine, lifestyle intervention, natural healing, myofascial manipulation, meridian management/acupuncture, supplements and other disciplines that may be less rigorous or researched in their body of knowledge, these other disciplines  must be recruited for whole person, successful healing.  Focusing on the patient, not the dogma of one discipline, is required,
  9. “Courageous” we do not believe in codependency or enabling – this means supporting patients to support themselves through The Empowerment Dynamic – TED, not rushing in to “save” or “cure” our patients.  Our patients are not powerless victims of situations; they are powerful creators of a great life and we are a vital member of their team.  Healthcare workers want to help, but this can digress into a one up: one down dependency – one we are committed to avoid.  Sometimes it takes more time and effort to promote, but ultimately it is the road to health,
  10. “Serving all”  With our innovative GOH4Health, GOH4Wellness, and GOH4Breakthroughs we serve people with and without insurance, insured patients and corporations.  Our population based, proactive approach minimizes the waste and redundancy creating very high Value {= (quality + safety)/cost} care.
  11. “Loving” we are followers of Jesus Christ.  This is not to say we discriminate, convince, coerce or force our beliefs on others – quite the opposite.  We see each patient as a gift, tremendous potential, and our commitment is to make sure they know we are Christians by our actions; the loving, non-judgemental care they receive from us.  At GOH Medical, all are welcome, all are served.

Our systems are in place, our team is becoming more competent and proactive.  By this fall we will be running smoothly and ready to serve a larger group of patients with a population based, whole person orientation.  We are looking for a provider(s) who shares our beliefs and philosophy to add years to the life and life to the years by empowering breakthroughs in the lives of those we serve.

Please contact us if you are interested or if you know someone who is.

Understanding Intuitive Well-Being™

Imagine a life that just flows with spontaneous energy and joy.  Leaving the “should, would, could” world behind.  Existing as unrestrained creativity and energy;

  • surrounded by people you enjoy,
  • experiencing you occupational pursuits as an expression of your life’s meaning,
  • navigating the challenges of life, recognizing that the process of overcoming them provides your guidance in reaching higher levels of joy and influence.

That is Intuitive Well-Being.  Living a life where physical, social, emotional, financial, and spiritual success flows as an expression of your life.  The state of being whole and complete in all areas without the distraction of that “inner conversation” wearing you out and holding you down.

Once you have achieved a spontaneous, ongoing success you have achieved tiena, a term derived from an Eritrean word meaning “whole and complete physically, emotionally, socially, financially and spiritually.”

How do you get there?  The path is as individual as you are, but often it includes;

  1. Unconscious incompetence (I didn’t even know it was possible), through
  2. Conscious incompetence (I know it is possible, but I don’t know how to get there yet), to
  3. Conscious competence (Success occurs with significant effort, to be lost if not contemplated upon), to
  4. Unconscious competence or intuitive well-being (the state of Tiena) – I am competent and no longer have to think, it just flows in my life).

Would you consider working towards higher levels of mastery of intuitive well-being in your life?

If the answer is yes then post on this blog and consider reading The Seven Healers. Being committed and aware – contemplative in the effort will result in continual joy and tiena in your life.   I look forward to the journey together.

Dr Scott

Free at Last, Free At Last, Thank God I am Free At Last. Time to head home (the Medical Home)

I am overjoyed (and greatly relieved) that I can now report that I am a “free agent.” I met with Dr Stoltz last Thursday and, at this point, I am no longer associated with Medical Edge or Texas Health Physician Group and will not be opening an office with them.

So it is time to get down to brass tacks and figure out what we are going to do.  As all of you who know me well appreciate I am absolutely committed to

“Adding years to the life and life to the years of individuals, corporations, systems and nations to empower intuitive wellness.”

There will be two aspects of this pursuit for me – clinical practice and creating an Accountable Care System that empowers the Accountable (or Activated) Patient.

In the clinical practice I am committed to finding and growing old with a group of patients who too are committed to living a great life – reaching 100 years of age with vitality and joy.

What does not work for me in the practice is running in and out of rooms 15 minutes at a time until I am exhausted.  This model does not work – the American Healthcare System has proven this without a doubt.  So here are some basic to consider;

  1. One on one, face to face visits will be necessary for part of the time.  But guiding, directing, supporting, and coordinating the effort is as or more important to the process of attaining intuitive wellness.
  2. Creating a medical home with opportunities like group visits, on line visits, telephonic care, and having other members of the team like dietitians, exercise specialists, social workers, pharmacists available to us are also vital.
  3. Working with a great physicians assistant and/or nurse practitioner (and at some point additional doctors) as a part of the team will add tremendous value to the practice.
  4. Finally, the freedom to speak with the specialist or go to the visit when it could/would contribute greatly to your health cannot happen when I am running room to room but may be vital at times to your health.

So now we start building a new model.  The first thing is building the team to get the logistics of starting a practice accomplished.  Not glamorous but necessary.  let’s start with one foundational person; an organized, capable, motivated individual with some healthcare background (possibly an MA or nurse) who would like to run with the ball and create this enterprise.   Do you know this person?  If so, asap please send me their contact information to drscott@scottconard.com

Secondly, this individual will need some help.  Would anyone be willing to volunteer to help with basic tasks ranging from filling out forms to running errands?  It will take a village to create the ideal medical practice for our community, but and now we have the green light for go and we can proceed!

I miss you and look forward to seeing you soon in our new facility.

Dr Scott