Archive for April, 2011

FOLDERS

 

My husband, Brent, and I recently visited my mother in Canada. During our stay, after some rigorous shopping, I politely offered to drop the two passengers off at the door to my mother’s condo complex. I went on to park my vehicle. I located a suitable spot about two blocks away. I parallel parked, which I am proud to say I am exceptionally proficient at, and hopped out, slammed the door, and sprinted back to the condo to rejoin my husband and mother for a late afternoon siesta. Siesta led to dinner, DVD and an early bedtime. The following morning, we packed up and I started on the first of several trips to the car to deposit our bags before departure. Once outside, I was approaching the vehicle thinking about the long trip home when I noticed a police officer parked along side my car. I then noticed an odd substance coming from my exhaust pipe…exhaust. This was one of those moments where you hear an audible click as all synapses collide to an irrefutable conclusion. I understood what had happened. I had left the car on for the last nineteen hours.

Before I had the opportunity to imagine the many possible outcomes of my oversight from the day before I was approached by the twelve year old Kelowna Police officer. He inquired if I was the owner of the vehicle. I replied in the affirmative and then he asked if I was Heather Denniston. (Synapses clicking fervently). How could he know who I was unless he had done an extensive national data base search? He had done an extensive national data base search. He stared at me, actually all over me looking for signs of car jacking, abduction, kidnapping, domestic dispute and I am sure several other unspeakable differential diagnosis he learned during his recent matriculation from cop school that might possibly explain why a car would be left running for an entire night with no driver inside. The officer fired a litany of questions regarding where I was staying, who I was staying with, did I know where I was, what was four times four and who is the prime minister of Canada? (The final fact I am sad to report to my countrymen I did not know.) Despite my failure to answer final jeopardy I apparently passed the examination because the adolescent, after more staring, got in his cop vehicle and drove away. The expression displayed on his face through the windshield of his cruiser was somewhere between bewilderment and disgust. I stood for a long time, my car quietly purring behind me, trying to compute how a sane woman could walk away from a car that is running.

After regaling this story to a very good friend she just looked at me with a knowing look of friendship and she patted my arm and said “folders” I said “pardon me?” she said, “Folders Heather, you have too many open at one time.”

 As I sat across from her over lattes, listening to her wisdom, one of those foggy questions of deep personal character suddenly become clear. Almost every goofy, absent minded thing I have done in my life, and my family has a long litany of examples they could provide, has to do with too many folders open in my brain resulting in a lack of focus on the present moment.

After my good friend brought the folder problem to my attention I have been making a concerted effort to maintain a present moment consciousness. I realized I might not be alone in trying to overcome this issue so I thought I would put together a small local list of “folder-clearing” options on the Eastside.

1) BREATH: An amazingly overrated physiologic phenomena. I recommend practicing deep breathing techniques in the following breathing-friendly locations in Issaquah.

Resources:  

1) On top of “Poo-Poo” Point onTiger Mountain

 2) Beaver Lake Trail

3) East Side Meditation Group: www.meditation.meetup.com   

 2) STRETCH: Movement has the amazing ability to stimulate your nervous system and dramatically improve focus and brain function. Check out the following best spots to stretch.

Resources:  

 1) Yoga Barn:  www.yogabarn.com 

2) Village Green Yoga: www.villagegreenyoga.com

3) Active Body Pilates: www.activebodypilates.com

4) Shakti Yoga www.shaktivinyasa.com

 

3) ORGANIZE: Many of us have too many folders open because we have not organized our external environment. It is essential to establish practices that simplify our immediate surroundings so we don’t constantly think we have to be working on everything at one time.

Resources:  

1) Debbie Rosemont: www.itssimplyplaced.com

2)Robin Stephens www.yourlifeinorder.com

3) Mission: Organization Strategies & Solutions to Clear Your Clutter. Author: Amy Tincher-Durik www.amazon.com

 

4) HELP!: If you find yourself unable to control the busyness of business in your head you may need a professional coach/counselor to help you work through all the things you are trying to manage in this season of your life.

Resources:  

1) Susan Sterling: (425) 369-8224 or  www.susansterlingphd.com 

2) Diane Burgert: (206) 540-8007

3) Nancy Logan: (425) 646-8932

 

5) NATURE: Hike, put your bare feet in the grass, garden, swim. Do something that reconnects you with nature. Have you ever noticed that your brain sorts things out much more effectively when you are outside communing?

Resources:  

1)Foghorn Pacific NorthwestHiking Authors: Scott Leonard & Megan McMorris  (Available at Barnes and Noble)

2) Beginners Hiker Club: www.meetup.com/easygoing-hikers/

3) Issaquah Alps Trails Club: www.issaquahalps.com

 After the juvenile police office drove away with his “I can’t wait to tell this back at the station” smirk I made my way back to the condo and sheepishly explained to my mother and husband what had happened. It was odd; they both looked vaguely like the cop before he drove off.

Once Brent and I headed off down the highway, save a quick trip to the gas station to refill my depleted reserves, I spent some time thinking about folder management. I fear I will always be a trite absent minded but I am pleased to say with some of the above mentioned simple solutions there have been no further vehicle endangering incidents.

Heather Denniston DC

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Two Minutes and the Brown Rice Tortilla

 

I enjoy a brown rice tortilla spread thick with cashew butter and a perfectly ripened squishable banana. I spread the cashew butter from one end to the other and then “mushspread” the banana to match the dimensions of the cashew butter.  I slowly roll it up burrito style, approximately ¾ of an inch thickness, and then eat from one end to the other, no plate, wiping any excess on my jeans, standing over the sink in my kitchen. Pure joy. Total elapsed time, one minute and 14 seconds.

 I was watching the news online the other day and I was assaulted with intense negative messaging on many topics from politics, the environment and world economy all the way to Hollywood starlets. That was just the MSN homepage! Pondering the world news I realized that after fifteen years of practice current world conditions are resulting in a consistent elevation of overall tension in my patients. Intense heightened muscle tension throughout the whole spine. Tightness and spasming that vibrates off a patient at such an unusual intensity it seems to flow up my arms as I place my hands on them. Extending beyond this global tension I have of late, had an inordinate amount of tears in my office. Men and women crying spontaneously while lying on my table. Tears for struggling marriages, loved ones dying, job losses, financial failure and generalized fear. No question, people are hurting.

At that moment while MSN was scrolling newsbytes one after the other I thought of tortillas. Brown rice tortillas to be exact. I thought we are in a time where taking two minutes to enjoy something simple with your whole entire being could be it. It could be the one thing that makes or breaks the hour, the day, maybe more. It could change the next moment from turning away from our kids to tickling them. It could change an outcome of yelling at someone on the road to waving a thank you for them letting you in. It could turn a wave of despair into a moment of peace. On a bigger scale it could even save us from a compromised immune system, illness, fatigue or depression. I thought, I am going to eat more brown rice tortillas with cashew butter and a squishy banana. I am going to do it real time, not thinking about what’s next, with my mind clear and my feet firmly planted on the hardwood for two full minutes. What happens after that I don’t know or care. Right now it is just the tortilla and me.

What is your two minute treasure that places you back in the now focusing on the beauty of the moment? Is it sitting on your deck with your feet up on the rail, drinking your favorite coffee? Do you find a song on your IPOD, turn it up to an unreasonable level and close your eyes? Do you take the long way home and drive 3 miles under the speed limit?

I would love to hear your Two Minute Treasure. Next time you are on the table, if you are so inclined, spontaneously share your way of grounding yourself, getting back to the present and focusing on the simple things that bring you pleasure.

Heather Denniston

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Spine Saving Recommendations for Road Trips

I love a good road trip. Sitting behind the wheel can be a liberating and mind-clearing experience. Everyone loves the proverbial “wind in their hair” and the road-worthy musical selections.  The reflection of one’s relaxed, handsome, smiley self in the side mirror makes road-tripping a most pleasurable experience. Whether you are on your way to a out of town business engagement or a family trip to the beach house, those miles linking  point A to point B can be a wonderful break from busy life.

Unfortunately, if you suffer back or neck pain, these road trips can be torture. Undoubtedly back and neck pain tend to worsen with long drives. The factors contributing to car rides being catastrophic on a “bad back” are as follows: poorly manufactured seats, chronic contraction of leg and back muscles (pedal management), and immobilization of the spine in the seated position.

When patients tell me about an upcoming extended drive I pass on a few easy rules they can apply to road-tripping that will grossly decrease pain complaints by the time they reach their destination.  

1)      LAPS: Pull over once an hour and walk or jog five laps around the vehicle. This can be completed in less then three minutes. If traveling with family or a competitive business colleague, make it a race!

2)      BUTT SQUEEZES: Squeeze the buttocks together for counts of ten. Do this frequently. Butt squeezes force blood through the low back and fire key core musculature. As an added benefit butt squeezes prevent road-tripping “numb-butt”.

3)      WALLET: Remove the wallet out of your back pocket. If a wallet remains constantly on one side of the body it can cause pelvic unleveling that can lead to, or aggravate lower back pain.

4)      LEANERS: People have a tendency to lean toward one side or the other while driving. This can wear your car seat unevenly and also create asymmetry and muscle imbalance in the spine and hips. Always sit evenly weighted on both your “sit bones”.

5)      MARCH: Set the cruise control for a few minutes and mini-march the feet up and down. This action re-establishes blood flow up the backs of the legs and helps engage the core musculature.

6)      LUMBAR SUPPORT: Most people only set their adjustable lumbar support in their vehicle one time. Your back does not approve of staying in one position! Every 20 minutes change the support level significantly. It is essential to provide different positions for the lumbar spine so it is not immobilized while driving. (If you are the proud owner of a classic vehicle such as a Pinto or  Pacer that happen not to possess built-in lumbar support you can improvise with the use of a wallet or sweatshirt.)

7)      CHIN TUCKS: Tuck your chin as though you are holding an imaginary grapefruit under it. Press the head back against the headrest for a count of ten. Use only enough pressure to “squash” a pretend grape with the back of your head.  (Fruit analogies, love them.) Perform these chin tucks regularly to stretch your neck and to remind you that it is best for your neck if  your chin remain aligned with  your shoulders, not resting on the top of the steering wheel.

8)      FOUR STRETCH: Prior to getting in your car as well as when you reach your destination it is important to perform the following stretches: quadriceps stretch, hamstring stretch, butt stretch, and hip flexor stretch (If you are not currently a patient and have not received these stretches come see us for a handout.) If your road trip is more then two hours you should make and effort to perform these same stretches periodically along your travel route.

9)      STOMACH PUNCH: Imagine someone is about to punch you in the stomach. Concentrate on the natural way that you would tighten your abdominals. This is an excellent way to trigger your core musculature. Hold that contraction for ten seconds and repeat 10 times. Perform this exercise one time every hour.

10)  TRANSITITIONS: Getting in and out of the car can be difficult for those with spinal issues. When getting into your vehicle open the door and sit your butt down first. Then while holding the steering wheel, tighten the core and bring both feet in together. You want to avoid the “one foot in, butt down and then drag the other foot in” as it unduly stresses the lower spine. Upon exiting the car swing both legs out and put them on the running board or ground, tighten the core and then with the support of your hand on the door handle, stand.

11)  CHOCOLATE SHAKE; I had a buddy in college named Paul McDonald. Paul could potentially be nominated for the “funniest person on the planet” award.  I can always remember him saying “Heath, do you want a chocolate….” he would then jump and wiggle and shake around.” Get it? A chocolate shake? Newsflash, driving is SEDENTARY, significantly more sedentary then sitting at a desk. You must move around. Practice the “Chocolate Shake” in your car seat. Take 30 seconds periodically to wiggle, squirm and move as dramatically as you can with a seatbelt on. This “wiggly” movement increases blood flow, relaxes muscles, and stimulates alertness.

Be aware that pain from a long car ride often results after the ride is over. Issues can arise   hours or days later. Don’t wait for symptoms to trigger you into performing some of the above exercises. Be proactive and you will significantly reduce those road-tripping complaints.

As you ride the dotted line to wherever your life takes you, windows down, head bobbing to your specially selected road-tripping play list, remember your body needs attention during those many miles.  Keep your spine flexible and happy with the tips above and drive safely. Vroom Vroom.

Heather Denniston, DC

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Nutritional Math II

 

 

A few months ago in our blog  I addressed some of the basic starting points for excellent nutrition. I mentioned that nutritional change should begin with adding things, not taking them away. The likelihood for compliance is greater when you don’t immediately deprive a person of something. In this installment we are going to talk about subtraction. At some point along your quest for health you are going to have to take a hard look at what has to go.

 

I had a somewhat misspent youth. I was not hustling pool or whiling my hours in taverns but I experienced a lot of time unsupervised. I found companionship in candy. Let’s just say I developed a lot of dear friendships; Snickers, Twix, and Twizzlers were among my closest. For many years, ignorant to the damage that was being caused with regard to metabolism, insulin resistance, and immune function; I happily consumed what I had become addicted to oblivious, of the consequences. Years later I found myself in college approaching 225 pounds and diagnosed with an inflammatory arthritic condition that was progressive and irreversible. I was fatigued, anemic and in chronic pain. I am completely convinced that my diet had the largest role to play in landing me in a state of gross ill-health.

 

When I discuss nutrition with patients I often hear flippant remarks regarding eating consciously. “It is too hard” or “too time consuming” they complain. I am often defeated because I know the dramatic effects nutritional choices can make on the human condition. Many do not believe there is truly a deep connection between what they eat and any resulting health issues they may suffer. The science is concrete and unequivocal. Nutrition plays the greatest role in our physical wellbeing. So where does one start when presented with their disappointing state of diet and nutrition? We start with baby steps. Here are a few suggestions.

 

Ingredients

I love the four ingredient rule. When shopping, challenge yourself to keep your cart filled with items containing four ingredients or less. The reality is most foods with four ingredients or less are less processed and closer to whole nutrition then higher ingredient food items. Here is a simple trick. Stick to the outside lap of the grocery store. Start in fruit and veggies, then around to lean grass-fed-organic meats and fish, then to the dairy and then around to breads. What did I avoid? All processed canned, boxed and bagged items that have enough ingredients to provide serious points on the scrabble board.

 

Emotions

Give up emotional eating. Somewhere along the line food became “friend” instead of fuel. Proteins, carbohydrates and fats are essential for the optimal functioning of our body. We are wired to enjoy food but not to love it. If you are in a “love relationship” with food there may be a problem. Do you crave certain food items? Do you eat to feel sedated? Do you cover emotions with food? And finally, do you knowingly eat or overeat because of boredom sadness, loneliness or anger?  These behaviors are common and require attention.  There are groups like Overeaters Anonymous www.oa.org  and The National Center for Overcoming Overeating www.overcomingovereating.com  that can help address inappropriate emotional ties to food. Do not dismiss emotional eating as a serious hindrance to weight management and healthy eating. Examine your behaviors over the next few days and look critically to determine if you have a tendency toward eating emotionally.

 

Allergies/ Food Sensitivities

For a long time it was thought sneezing, coughing, and hives were the primary indicators of food allergies. Did you know that weight gain, fatigue, depression, arthritis, bronchitis, anxiety, itchy skin, dark circles under eyes are just a few of the many manifestations of lesser food allergies known as food sensitivities? Historically our diets consisted of seasonal foods that we rotated regularly. We ate less and consumed much more variety.  Our food was not mass produced, genetically modified or chemically treated. These changes over the last several decades have resulted in the development of widespread food allergies and sensitivities. You should be aware of the most common food allergies: dairy products, eggs, shellfish, soybeans, tree nuts, wheat, corn, citrus and peanuts. In the book “The Paleo Diet” by Loren Cordain he references several “uncivilized” hunter/gatherer tribes that are untouched by cancer, menopause, diabetes, chronic fatigue, allergies and many other common ailments. Because these tribesmen’s diets consist of only grass fed meat, fish, fruits and vegetables and nuts and seeds the theory is that these people are subsequently immune to suffering all the detrimental effects of the Western diet. Consider lowering your intake of the above common allergens. Try to fill your plate with an abundance of organic fruits and vegetables, then add 2-4 ounces of lean grass fed organic meat or unfarmed fish and finally, only if necessary, a complex carbohydrate.

 

The Nasty List

In the book “In Defense of food” by Michael Polan, the author writes how America has made food widely available and affordable but completely toxic and detrimental to human tissue. Dr. David Servan-Schreiber MD notes in his book “Anti-Cancer” that much of the food consumed by Americans today is “fertilizer for cancer”. He goes on to suggest the Western diet results in body wide inflammation. Inflammation is a precursor to the proliferation of cancer cells. Don’t be cavalier about your food choices. Every decision you make could result in a body that lasts without incident or a body plagued with diseases such as cancer, diabetes, chronic fatigue and many others. James Chestnut DC says that every food choice is a potential step toward a “slow suicide” Take your fuel choices seriously and accept that they will determine the status of your future health.

 

There are several “foods” that make my top ten nasty list. These foods have plenty of data to show that they are detrimental to the human condition. Food production however is politically driven and many of these toxic, dangerous ingredients may never be pulled from our foods. It is up to you to do your best to avoid them. They are in no particular order.

 

1) Natural Flavors ~ There is no governmental or FDA official definition of “natural”. Labelers can call anything “natural”. Remember that most of what is labeled “natural” is actually made from chemicals in a lab.

 

2) MSG ~ Monosodium glutamate. Often contained in Asian foods, sauces, Doritos, soups, and dipping sauces.

 

3) Nitrates/Nitrites ~ Often contained in hot dogs and cured meats like bacon.

 

4) Modified Food starch ~ Anything “modified” is bad news. Often found in luncheon meats, orange juice, cured meats, fat-free dairy products among many other products.

 

5) Tartazine (yellow #5) ~ all colors are bad but this one seems to cause more issues.

 

6) BHT/TBHQ ~ Preservatives “added for freshness”. Anything that needs something added to it to keep it fresh means what your eating is likely not, in fact, fresh at all. (These are primarily added to stop fat from spoiling.)

 

7) Aspartame and other artificial sweeteners ~ chemically produced and widely recognized as extremely detrimental to one’s health.

 

8) Maltodextrin ~ Food additive touted to be a good sugar substitute. It is chemically processed and virtually unavoidable if you are traveling down any of the commercial food aisles.  

 

9) Hydrogenated oils and partially hydrogenated oils. Just don’t!

 

10) High Fructose Corn Syrup ~ A highly refined, glycemic impacting, artificial sweetener added to a plethora of foods commonly ingested by the American public. It is now reputed to be one of the major products catalyzing the skyrocketing frequency of obesity in this country.

 

Assistance in compiling this list was provided by the great Dr. John Nowicki. Read John’s blog at nowickipedia.blogspot.com

 

                 

Looking at your diet critically is, for many, a kin to poking teeny tiny needles into their nail beds. However once a few small changes are made, and employed consistently, the results can be dramatic. We must passionately be looking for opportunities to combat the effects of the common Western diet. If you take the time to become a more conscious eater by adhering to the recommendations in Nutritional Math I and II you are likely to experience significantly improved health and wellbeing for now and for your future.

 

Suggested Reading:

Anticancer, A New Way of Life, New Edition by David Servan-Schreiber MD.

 

In Defense of Food: An Eater’s Manifesto by Michael Pollan

 

The Paleo Diet: Lose Weight and Get Healthy by Eating the Food You Were Designed to Eat by Loren Cordain

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CATCHING A COLD…

When was the last time you caught a cold? Did you run after it with a butterfly net? Did you set a mousetrap and wait around the corner? We don’t “catch” colds. We leave doors open. Our bodies are wonderfully designed with their own defence system prepared to fight many adversaries including the common cold and flu bug. We have armies of cells that rally the minute an invader breaches our boundaries. This system is foolproof unless someone leaves a door open. What type of door? Stress, lack of sleep, improper nutrition, lack of exercise and dehydration are the most common door stops. If you place thirty kids in an enclosed space and then add an additional snotty nosed, coughing hacking, sticky child in the center of them, some of those thirty children will get sick…but not all. Why, if colds are ”catching”, wouldn’t every child in the room come down with the cold? …..because of the open doors. Think back to times when you got sick, were you dehydrated, stressed, or ingesting too  much sugar and caffeine and not enough vegetables? Probably. Close the doors people. Bar the entrances. You are not a victim, an innocent bystander who had the misfortune of contracting a cold. I dare say you welcomed him in with open arms.

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