Thursday, October 2, 2014

Beaver building dam!

http://www.peoplepets.com/people/pets/article/0,,20858370,00.html

This has me a bit outraged as I am a firm believer that everything in nature has an order and its place and trapping and killing this poor creature is inhumane. Please don't kill this cute beaver! They have families and an entire ecosystem that depends on them.

Tuesday, September 30, 2014

Sunday, September 21, 2014

Musings: On Empathy

I'm not going to dive into the definition since I believe most people have an understanding of what the word itself means; however, I want to discuss some aspects of empathy and how I've tried to cultivate it.

The New Yorker explores empathy from its many standpoints, but what struck me the most was that "empathy is what makes us human." What an interesting ontological phenomenon; we need to empathize in order to be human. The Guardian published a piece on Friday noting a difference between empathy and compassion.

Empathy is a prime component of the medical profession. Without acknowledging how a patient's symptoms affect their quality of life or why a patient is struggling adds an extra layer of complexity to diagnosing and treating a patient. In my Lifestyles of Medicine course, I am learning that part of being a physician is being mindful before you even enter a patient's exam room: reminding yourself again and again that you are here for them; it's your job to connect and understand the complexities of both the disease and the symptoms that brought the patient into your clinic on this day. I found this interesting blog from a medical actor (an actor that plays a patient for med students to examine and get scored on). She digs into how, at different periods during the interaction between a patient and their physician, empathy plays a pivotal role in helping the patient both clinically and personally.

I've always been hyper-aware of the feelings of other people. When I was 8 my fourth grade teacher was recently widowed and I scolded a classmate for obliviously asking her about her husband. As a kid, my parents worked so I grew up outside of the house mostly in school (I was put in school very very young). Thus, I had to use my ability to relate to others in order to compile a social circle for myself and make sure I didn't purposely alienate someone. This taught me many things, but I think the greatest gift it has bequeathed upon me is my ability to recognize potential suffering.

One time in high school, during lunch I noticed that a middle school girl (our girls middle school shared a cafeteria with half of the upper school) with bright red hair was sitting on a makeshift table by herself because her friends did not make room for her at the table. I told my friend Rachel that I wanted to invite this girl to sit at our table. Her name was Leisel (I remember it still because the only other time I had heard that name was from the Sound of Music) and I told her that who cares that her friends won't make room for her and that there's always room at our cool high schooler table for her any time.

So why is it that some can muster empathy quite naturally whereas for others it's an emotional mountain to climb? I think as adults it becomes a choice to exercise empathy or ignore it and it's a case-by-case situation. We all have our empathetic moments and some where we wished we had been more present to someone else's feelings. One can definitely cultivate empathy, but our society is not conducive to empathizing with others as easily it used to be. I do not participate in Facebook. I had one of the first accounts in college when only a select number of universities were granted accounts, but I've since realized that I'm better off without it. Primarily because I realize that having friends requires care, time, and effort and I'm glad to invest that in others. I have also noticed that this philosophy has positively impacted my friends as well. To be my friend you have to interact with me. There's no way around that. Phone or in-person communication allows each of us to realize when boundaries are being crossed and when to back off. The act of expressing words is not only therapeutic, but also adds the element of human-ness that is so lacking through technological communication. Talking allows us to release energy and read someone else's energy. You listen to inflection, tone, feeling of another person and that is how you relate to them. (I learned in class that the term is called 'affective listening' and an attribute that physicians should incorporate into their practice as well.)

So concrete ideas and practices of mine:
(1) I don't have facebook--like I stated before, if you want to be my friend and know things about me you have to interact with me. Sorry to be old-fashioned, but there's no way around that. I also would like to note that facebook has its place in society--my cousins in India use it and if I were on it I would perhaps get to follow up with them more than our frequent emails. I think things like social media becomes an issue when it's the prime medium through which we connect with others. In my opinion: in person>phone>email/text>social media relates to happiest>happier>happy>not so happy. There's actual studies about this (refer to 'How facebook makes us unhappy' from the New Yorker).
(2) I write emails, letters, and have phone calls with my friends followed up with in person-contact.
(3) I don't use my phone when I'm having a conversation with someone in front of me.
(4) I never talk or text while driving. Aside from being dangerous, I want whoever is talking to me to get my full attention.
(5) I try to stay off Gchat: Thanks to rescuetime.com I've noticed that it's a giant time soak. It does allow me to keep in touch with my friends from different states, but it's tough because even after a long conversation I somehow walk away unfulfilled; we don't react expressively in the same as we do in actual physical good company.
(6) I meditate!
(7) I always question my approach. I think science dictates that we must question our beliefs in order to progress.
(8) Do something. I like to write, but I also like to play piano and tennis and do yoga. It's quite difficult to be on the phone when you're actually doing a real activity; but, what I have also found is that these activities allow me to express myself in many other ways. In tennis, I have to understand and predict my opponent's next move. With piano, I try to go beyond the notes on a page and really see how I can make a piece emotive by the way I play it. This allows me to play a piece of music that can perhaps resonate with someone else that has the same feelings. Writing is pretty therapeutic and important because the ability to express oneself through the written word allows us to engrave on to paper an experience that is engrained in our hearts.
(9) When working, I try to keep my phone on 'do not disturb' mode. This allows me to control my phone, not the other way around. Thus, when I want to call or text someone or respond it is a deliberate act instead of an impulsive reaction.
(10) Here are some things from the Times on teaching children empathy
*I have more tactics. This is just a start!

I'll conclude this post with a clip that basically summarizes my sentiments on this front from comedian Louis CK. "You need to build an ability to just be with yourself."

Tuesday, September 16, 2014

Air show!

Swimming enjoyed an airshow this past Labor Day weekend. Here are some Navy planes c/o the Navy Blue Angels!  It just so happens that they are Michigan colors, go maize and blue!



Monday, September 8, 2014

Food for thought: Food Safety

In honor of my 1-year anniversary of learning to cook chicken properly, I'll be posting some food safety tips:

(1) Did you know that you shouldn't leave freshly cooked food out for more than 2 hours or bacteria begins to grow?
http://www.foodsafety.gov/keep/basics/chill/index.html

(2) Did you know that you shouldn't wash poultry before cooking?  Who knew?!
http://www.foodsafety.gov/keep/basics/mistakes/

(3) Here are the minimum safety cooking temps of certain meats:
 http://www.foodsafety.gov/keep/charts/mintemp.html

(4) Here are food storage days. Who knew you're only supposed to keep cooked chicken 3-4 days?
http://www.foodsafety.gov/keep/charts/storagetimes.html 

(5) Here's something for fun. A quick lesson of what's the difference between certain foods/spices. Ever wonder what's the difference between Scallions adn green onions? or Paprika and Cayenne? Find out here:
http://www.all-food-considered.com/2012/09/culinary-lesson-9-whats-difference.html

(6) Here's a nice recipe I've been using lately. These avocado egg boats are delicious! You can dress them up with sauces and spices too!
http://www.theironyou.com/2014/04/eggs-baked-in-avocado-boats.html
http://thehealthyfoodie.com/eggs-avocado-boat/

(7) Here's some info on nuts: http://greatist.com/health/types-of-nut-infographic 

(8) For good measure, here's a nice Q&A on the low carb/fat diet that's been recently debated:
http://well.blogs.nytimes.com/2014/09/05/new-answers-about-carbs-and-fat/?action=click&contentCollection=Science&module=MostEmailed&version=Full&region=Marginalia&src=me&pgtype=article 

(9) Here are 26 ways to use apple cider vinegar: http://greatist.com/grow/ways-use-apple-cider-vinegar

Saturday, September 6, 2014

Tuesday, August 26, 2014

Depressed Rhino Befriends Donkey at zoo

How wonderful is this? I love it when animals make friends.

Also, posted this before, but I can't get enough of Mr. G and Jellybean. I can't believe how happy that goat is to see his long-lost buddy.

Friday, August 22, 2014

Swimming's Climate Series: Floods a-comin'

Lorde-Buzzcut Season

In light of last week's horrific flooding in Detroit and Swimming's sister having to save babies from car tops in the midst of a washed out roadway I am going to address increased flooding.

First off, this is another gruesome effect of climate change (along with the excess heat I discussed in the previous post in this series). Unfortunately, we can expect more of these events to come in the future too. How are the two related? At the most basic level, heavier rainfall and rising sea levels. Per the Times: "scientists have expected this effect for decades because more water is evaporating from a warming ocean surface, and the warmer atmosphere is able to hold the excess vapor, which then falls as rain or snow."

I can only speak secondhand as I don't live in Detroit, but my very close friends and family live there and I have heard their accounts. What irks me (and has irked me since I was at the United Nations and heard the accounts of countries across the world disclose how their citizens and communities are affected by climate change) is the gross injustice of inequality. It haunts me to think that without much warning and without much help afterwards a good deal of Southeast Detroit flooded. Unlike the storms out east last year or the Colorado/California wildfires nearly every year, there was no forewarning for the inhabitants. In the midst of disaster, the law enforcement/government aid was virtually absent leaving most of the citizens of Detroit to fend for themselves. What I want to bring to attention is the fact that climate change is affecting everyone; however, the help and the ability of cities and communities to deal with it is starkly different. Wealthy areas (like both coasts) have the city funding to send police and aid to help people and businesses even before disasters strike. What about the people in the midwest? They are also being affected, but how do those citizens that make up the heart of America get aid when places like Detroit can barely afford police to take care of homicides? Let's not forget about Katrina. These places house some of the poorest communities and these citizens cannot afford to simply uproot their lives. Some people have lost everything--what can be done? A lot in my opinion. Below are some links. I think first educating the masses on the science and the cause is a must. Secondly, preparing communities to deal with weather-related issues and illnesses. Lastly, I think it's time that prominent members of the community (politicians, lawyers, physicians, business people) band together to address this issue with local governments. 

(1) Here is excellent overview
-Explains how the US has already changed--temperature and precipitation-wise. (Apparently the East Coast is sinking...bummer.)

(2) A gorgeous website on Climate change in the US
-Please go here and interactively explore how climate change is occurring 

(3)Specific Info on Flooding via NRDC

(4)What to do during a flood-Be Prepared!
(Copied from website)
Prepare before a flood:
During a flood:
  • Listen to the radio or television for information.
  • Be aware that flash flooding can occur. If there is any possibility of a flash flood, move immediately to higher ground. Do not wait for instructions to move.
  • Be aware of stream, drainage channels, canyons and other areas known to flood suddenly. Flash floods can occur in these areas with or without typical warnings such as rain clouds or heavy rain.
During flood evacuation:
  • Secure your home. If you have time, bring in outdoor furniture. Move essential items to an upper floor.
  • Turn off utilities at the main switches or valves if instructed to do so. Disconnect electrical appliances. Do not touch electrical equipment if you are wet or standing in water.
When heading into flood weather (although avoid doing this at all costs):
  • Do not walk through moving water. Six inches of moving water can make you fall. If you have to walk in water, walk where the water is not moving. Use a stick to check the firmness of the ground in front of you.
  • Do not drive into flooded areas.
(5) Know the Nations Weather Flood terms (Copied from ready.gov website):

Flood Watch - Flooding is possible. Tune in to NOAA Weather Radio, commercial radio or television for information.
Flash Flood Watch - Flash flooding is possible. Be prepared to move to higher ground; listen to NOAA Weather Radio, commercial radio or television for information.
Flood Warning - Flooding is occurring or will occur soon; if advised to evacuate, do so immediately.
Flash Flood Warning - A flash flood is occurring; seek higher ground immediately.

(6) The dangers of driving during floods: (Copied from ready.gov website)
  • Do not drive into flooded areas. If floodwaters rise around your car, abandon the car and move to higher ground, when water is not moving or not more than a few inches deep. You and the vehicle can be swept away quickly.  If your vehicle is trapped in rapidly moving water, stay in the vehicle. If the water is rising inside the vehicle, seek refuge on the roof.
  • Do not camp or park your vehicle along streams, rivers or creeks, particularly during threatening conditions. 
  • Six inches of water will reach the bottom of most passenger cars causing loss of control and possible stalling.
  • A foot of water will float many vehicles
  • Two feet of rushing water can carry away most vehicles including sport utility vehicles (SUV’s) and pick-ups.
  • Do not attempt to drive through a flooded road. The depth of water is not always obvious. The road bed may be washed out under the water, and you could be stranded or trapped.
  • Do not drive around a barricade. Barricades are there for your protection. Turn around and go the other way.
  • Do not try to take short cuts. They may be blocked. Stick to designated evacuation routes.
  • Be especially cautious driving at night when it is harder to recognize flood dangers.

(7) From 'How to survive a flash-flood: In case you are trapped in a car' here are some great tips.
 Be very aware of your car's limitations. If you drive in water that's six inches deep or more, your car could stall or you could lose control of it. One foot of water is enough to float most cars, and two feet of rushing water can indeed carry away cars, SUVs and pick-ups.
  • Do not panic if your car becomes submerged by flood waters. Release your seat belt, roll down your window and get out of the car. If your windows won't open, let the car fill with water. Once that happens, you will be able to open the doors. Get out of the car immediately and swim to the surface. Do not stay in the car until it sinks.
  • If you are swept away in fast-moving water, try to make sure your feet are pointed downstream. 
  • If you are swept away, make every effort to direct your body over obstacles rather than under them.
  • If you can, try to avoid contact with any flood waters. The water may be contaminated with raw sewage, oil or gasoline, and may also be charged with electricity from down power lines. 
(8) What are the Health Risks?
Here's a few from the webiste
  • Drowning while driving
  • Waterborne diseases contaminating drinking water
  • Sewage back-up in plumbing or basements
  • Bacteria, sewage, and other contaminants in waterways:
  • Mold and dangerous indoor air quality    

Thursday, August 21, 2014

Heart Health!

Lorde-Glory and Gore

In light of Swimming's cholesterol, I'll be posting here some information on how to take control of your heart health. For ten years now, Swimming has controlled elevated LDL and overall cholesterol (genetic) through diet and exercise; each year being more active and healthier than the previous. Please note that if you have problematic H. pylori (the bacteria that is the cause of most duodenal ulcers--we all have it but certain cases it becomes out of control) can also increase LDL levels (due to inflammation that the bacteria causes in the intestines) and can also lead to  atherosclerosis. The literature is limited on this relation, however, it points to something interesting that might be occurring. As a side note: anyone dealing with GERD or ulcers that haven't subsided with short-term use of medication should also have their gastrin levels checked. 

(1) Several months ago the American Heart Association and American College of Cardiology just released new guidelines for cholesterol levels and therapeutics:
Here's the reader's digest version.
Here's the longer Times summary. 
Here is the AHA's summary of their 4 new guidelines.  
Here's their online calculator to figure out your risk of heart disease and stroke.  
Lastly, here's AHA guideline resource center which has more info on CV disease, diabetes, obesity and the guidelines.
Here are the full guidelines (NB: both these organizations have industry disclosures.) 
-Anyone dealing with this or at risk read the guidelines and if you have questions ask (myself and I'll consult with my resources or your own physician.) The new guidelines account for the multitude of side-effects the may come with the use of cholesterol-lowering drugs. (FYI all drugs are not created equal. Unfortunately I've personally seen these drugs handed out like candy after a pharm rep dropped off a bunch of samples at a Cardiologist's office.) I personally have been incredibly vigilant about modifying lifestyle as much as possible so I can delay the use of medication by keeping my overall cholesterol to <200 and my LDL to around 100 or less (my earlier discussion reg. my ulcer has totally messed this up for me.) Statins are extremely effective at lowering cholesterol but for many the use of statins come at a high price. Anyone on the border that could avoid statin use with diet and exercise should strongly consider doing everything they can to delay their start of statins therapy (esp if you're like me and are in your 20s or 30s.) Statins are powerful at lowering the risk of Cardiovascular disease and this coupled with the other advancements (Stents etc...) in cardiology have collectively decreased cardiovascular deaths in the past 30 years tremendously and have also increased the life span of humans. With that said, please please please do your part to take care of your heart! How? read further! 

(2) Cooking for lower cholesterol 
and here's some more information on a low fat diet.
-This is really just good information. I have been on a low fat, low sodium, high fiber diet for some time now and the initial transition I had to make when I was 18 was difficult but well worth it. I haven't really had fast food in a very long time, I just don't even go for anything fried (this was easy to give up since fried foods also cause acid reflux). I love steamed veggies! Letting go of cookies and ice cream is just plain hard since I love both. I'm not fully there yet but I would say now every few months I allow myself these treats (mainly seasonal.) 

(3) Good background information on fats and cholesterol. 

(4) Warning: fish oil supplements have also been known to raise LDL.  

(5) Some last links--info and debate on statins (from the evidence I've read I see that they are beneficial, but I always think the first line of defense should be diet and exercise):
http://www.bmj.com/content/338/bmj.b2376
http://www.nytimes.com/2013/11/14/opinion/dont-give-more-patients-statins.html?_r=0
http://www.bmj.com/content/347/bmj.f6123

Monday, August 11, 2014

Lessons learned


(1) to errr is human, to forgive is divine 
(2) it is my responsibility to free my mind.
(3) keep it up. Don't stop being great. 
(4) with mistakes we learn and gain 
(5) I am now finding solace in how life never remains still 
(6) “Stay away from what might have been and look at what can be.” ~Marsha Petrie Sue
(7) always remember the trichotomy of control
(8) Some things are up to us and some things are not up to us. – Epictetus
(9) when the stars align to offer something, by all means don't go against them.