Intermittent Fasting

Now is the time of year to make those resolutions. As a follow-up to #1, the best ways of keeping yourself healthy for life are avoiding tobacco, drinking alcohol only in moderation, aiming for 30 minutes a day of moderate to rigorous exercise, maintaining a healthy weight and diet (mostly plant based), and controlling your stress levels.

I think the thing I talk with most people about from those is weight and diet control. There are billions of opinions on this and nothing works for everybody, but something I've become more interested in lately has been the idea of intermittent fasting. I don't believe in it's power to directly lead to weight loss, but I do feel like it helps reset your expectations of your body and how it should function throughout the day with or without food. It's been shown to be about as effective as reducing your calories and probably a little less monotonous.

I'll say that the rule of 3's from wilderness medicine is that you can survive 3 minutes without air, 3 hours without shelter, 3 days without water, and 3 weeks without food. It's a generalization, but telling that food is so low down on the list.

This is a good challenge to give yourself.

Here is a good short article talking about how intermittent fasting improves diabetes and heart health.

And here is a longer one about how it gives you super powers - I like this one better.

Let me know if you have any questions about whether this would be right for you

NSAIDs

Advil and Motrin are ibuprofen, then you have Aleve (naproxen). Those are the over-the-counter ones. Prescriptions are Mobic (meloxicam), nabumetone, indomethacin, Toradol (ketorolac), diclofenac, Lodine, and the list goes on. All of these medications are in a class called non-steroidal anti-inflammatory drugs (NSAIDs). I'm giving you this list because there is mounting evidence that these medications a) don't work as well as we'd thought and b) have some very serious long term side effects we're finding out more about. NSAID's act by reducing the amount of prostaglandins you make in order to reduce inflammation. However, prostaglandins have a ton of other effects and are involved in the maintenance of just about AIDs and also stronger if they are taken every day and/or around-the-clock. every other organ system that you have. The effect is stronger with higher doses of NS NSAID's work best and are best indicated for times when something is r...

Kidney Stones

I've written about this previously , but it's often hard to explain to people what a 10 is on the "1-10" pain scale if they haven't been in that spot before. For women who have had children, they generally know what a 10 is, but for men it's a little harder. When I was a medical student on my psychiatry rotation, we had a patient calmly sitting there saying his pain level was at a 10 and our resident, who was an ex-military sniper with a large skull tattoo on his forearm and a crosshair through the eye, calmly leaned forward and asked, "so if I lit you on fire and ran you over with my truck, you could not be in more pain than you are now, correct?" The patient changed his answer. Getting to the point, a kidney stone is about the close I can come to describing a 10/10 pain to people who haven't gone through childbirth. The fundamental issue is similar - your body is trying to move a big solid thing through an opening that was not really desig...

Pain

Sorry to be a pain I would say about 90% of the comments I hear from people about their pain threshold is that they think they have a high pain tolerance. Which is statistically impossible unless I just attract people who have a high pain tolerance. We traditionally ask people to rate their pain on a 1-10/10 scale and while we hear a lot of 9's and 10's, I would say that, having been present for a number of them, a 10/10 would be giving birth to a first child. For those who haven't experienced that, my old psychiatry resident described it as "so if I lit you on fire and ran you over with my truck, you would not be in any more pain than you are now" (he was also a former Marine sniper which might explain that). But this is pretty pervasive throughout the medical system and got me wondering as to how people's understanding of what their pain threshold was matched up to what it really was. Fortunately, there were researchers who had a yen to poke peopl...

Hey Doctor Scott ...

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