Loving and Caring for Yourself

In honor of Valentine’s Day, let’s talk about self-love and self-care.  Some feel this is an indulgent waste of time, but it’s not all spa-days and bubble baths.  In reality, self-care is about taking care of yourself, investing in your physical and mental health, so that you can show up as your best self.  It is actually very similar to the way we care for our children.  It’s about setting strict boundaries, scheduling, and planning ahead.  It’s about eating all your vegetables and going easy on the sweets.  It’s about brushing, flossing, and seeing the dentist.  It’s about getting plenty of sleep and exercise and not too much screen time.  It’s about learning to say “no” to the things that we want in the moment so that our future selves will thank us later.  Sometimes, we may tell ourselves that love means saying “yes” because we want to make ourselves and our loved ones happy.  Yes to fast food, yes to dessert, yes to a late-night Netflix binge when you have to get up early tomorrow.  But as parents, we know that sometimes the best way to show our love is to say “no”.  Are you setting rules for your children and then breaking them for yourself?  Are you always putting your own health at the bottom of your list of priorities?  This Valentine’s Day, don’t forget to show yourself some love by making those healthy choices and maybe even investing in a Direct Primary Care membership for yourself and your family.  Self-care: it’s a lot of hard work, and it’s not always fun, but it’s the best way to keep your mind and body healthy.

Use Your Brain To Transform Your Body

Last year, about half of my patients and I engaged in a 12 week wellness challenge for improving both physical and mental health.  Those who remained committed lost weight and lowered their blood pressures, blood sugars and cholesterol.  They were excited about increased energy, fewer medications, and the ability to tuck in their shirts.  In this program, I taught about the science behind weight gain and loss and the psychological principles behind motivation and habit formation, which are necessary for both weight loss and weight maintenance.  The key to weight loss is lowering insulin, and this can be achieved with a low-carb / high-fat diet, intermittent fasting, more sleep, and reduced stress.  This is easier said than done of course.  The real work is in figuring out why you’re currently engaging in unhealthy habits and avoiding the healthy ones.  The secret lies within your thoughts.  Everything that we do or don’t do starts with a thought.  Identify and practice those thoughts which lead to better choices, and you will create amazing results for yourself.  This month, we will be starting a new 12 week wellness challenge.  The challenge is open to everyone, but my patients will get a huge discount.  This is a great time to become a member of Fountain Direct Primary Care and invest in your health.

The Season of Gratitude

Thanksgiving is coming, and it’s supposed to be a day focused on gratitude.  However, your first thoughts may have instead filled you with anxiety and overwhelm.  The planning, the cleaning, the cooking, the in-laws, the travel, the overeating.  Our brains are wired for negative thinking, and this helped our ancestors survive in an unpredictable world.  Currently, most of us are fortunate enough to live in a safe environment where our daily survival is not a concern.  Instead, these patterns of negative thinking create an unpleasant reality and make us more susceptible to depression, anxiety, chronic pain, and even chronic disease.

Did you know that you can reprogram your brain with a daily gratitude practice? Gratitude makes you feel happier, improves your relationships, and makes you more productive.  It also decreases your blood pressure and your cortisol levels and improves immune function.  A 2008 UCLA fMRI study of gratitude showed increased levels of serotonin and dopamine as well as increased activity in the hypothalamus, which regulates sleep, appetite, temperature, and mood regulation.  Low levels of serotonin are associated with depression and anxiety, and low levels of dopamine are associated with obesity and addiction.  Those who practice gratitude on a regular basis, have better sleep, improved metabolism, more energy, less pain, less stress, and improved overall physical and mental health.

Choose a time each day to sit down and write out five things that you are grateful for.  These don’t have to be big things like family and health, which you might mention around the Thanksgiving table.  You can write down little things that bring you joy.  The process of searching for things that you’re grateful for, changes your brain and becomes habitual.  Do this every day during the month of November, and you will truly have something to be grateful for on Thanksgiving.

Do I Need an Antibiotic?


It’s cold and flu season, and both are caused by viruses.  Viruses cause the majority of illnesses, most of which make us feel absolutely miserable from head to toe, often with fever, body aches, weakness and fatigue.  Some of them cause vomiting and diarrhea.  Others cause runny nose, headache, sore throat, and cough.  These infections can drag on for weeks, especially if we don’t allow our bodies to rest and recover.  Unless it’s influenza, your symptoms will come on gradually over a few days and will start improving after a week.  Sometimes, after a week or two of a viral infection, a secondary bacterial infection develops, such as a sinus infection, ear infection or pneumonia.  If you have been sick for over a week, and instead of feeling gradually better, you suddenly get worse, with fever and severe pain in one ear or on one side of your face, you should see a doctor to see if you need antibiotics.  If you have a bad cough, especially if it’s difficult to breath, you should see a doctor.  If your symptoms are severe on the very first day with high fever and severe sore throat, you should see a doctor.  For cold symptoms, I recommend a cold medication containing a decongestant, such as Mucinex-D, a nasal steroid spray twice daily, such as Nasacort, and a nasal vasoconstrictor, such as Afrin, for two days only (after that, it can make your congestion worse).  I also recommend Elderberry to help your immune system fight the viral infection; even for influenza, Elderberry works as well as Tamiflu.  And don’t forget to get your annual flu shot!  Even if you still get the flu, it will not be as severe if you’ve had the flu shot.



It’s Back-to-School time, the season of busy.  Following the summer vacations, relaxation, and time home with family, we catapult ourselves into after-school activities, athletic practices and games, school projects, PTA, scouting, etc.  We wear our busy like a badge of honor.  When acquaintances ask how we are, we exclaim, “BUSY!”  We believe that this sense of overwhelm is the inevitable result of the items on our to-do lists, but is it really?  The truth is that we create a lot of unnecessary anxiety with our thoughts: “I have a MILLION things to do!”  “There’s NEVER enough time!”  “We’re gonna be late!”  The first step is realizing that you don’t actually have to DO anything.  Sure, you might not like the consequences if you stopped showing up to work, feeding your children, or paying your taxes, but it is ultimately your choice.  Once you admit that you actually WANT to do everything on your list (or at least delegate it out), you take back your power, and your stress level will fall.  And it doesn’t have to be perfect.  It’s okay to be late, to bring store-bought cookies to the PTA Bake Sale, or to throw a frozen pizza in the oven instead of cooking.  But why the heck does a doctor care if you’re busy?  When you are busy, overwhelmed, anxious and stressed, your stress hormone, cortisol, increases.  When your cortisol level is high, your blood pressure, blood sugar, and weight all increase, which puts you at increased risk of heart disease, heart attacks, strokes, and stomach ulcers.  Also, your immune function drops, making you more susceptible to infections and even to cancer.  You can still do all the things, but the frenzy is optional.  For your mental and physical health, give up the busy, doctor’s orders.