5/27/20
Introduction:
My goal for this blog is to consolidate my thoughts in a newsletter format. My goal is to write down weekly thoughts from my readings and try to summarize the major lessons learned.
Obesity Course:
Lesson: The same behaviors that lead to obesity also likely lead to T2DM.
It’s interesting listening to the lecture as they talk about the prevalence of obesity and the economic implication of this disease state. They talk about diabetes as well and they talk about which one caused which – does diabetes cause obesity or does obesity cause diabetes. I would state that the answer is it’s likely similar habits and behaviors that lead to both – inactivity, increased consumption of processed foods, chronic stress and inadequate quality sleep. This was the major theme that was also taught in the ACLM core competencies. I’m excited to go through this conference and these lecture series are overall enjoyable. I’m considering watching these videos when I’m doing low intensity cardio just to multitask over the next couple weeks.
ACLM Core Competencies.
Lesson: We need to do a better job matching our treatment recommendations with the patient’s readiness to change.
I thought this course was wonderful. I think the concept of motivation interviewing is becoming more attractive overall. Initially I was turned off by the questioning style as it seemed disingenuous. I do think the underlying concept of determining where in the change process the patient is at will make for a better overall provider-patient relationship. Instead of reinforcing the guilt-blame cycle associated with patients failing tasks, the focus will shift to providing the correct kind of treatment based on the patient’s readiness to change. The fact that almost all marketing is focused at action items and the fact that so few people are actually motivated for change makes me feel like the whole system of diagnosis and providing a treatment is more flawed than I previously thought. I keep thinking about the imPACT study and its implications on if we are able to increase the number of people doing the basic health behaviors – eating 8 veggies per day, drinking I water, exercising 30 min per day, getting 7 hours of sleep per night, telling a person that you love them. These things are the basics and there’s such a small percent of people completing these tasks.
Martin Rooney’s – Coach to Coach
Lesson: Coaching is about caring about the other person
I’ve found this book to be wonderful. It’s a quick read, but per usually Mr. Rooney tells a tale with a lot of pearls of wisdom. His prior work Train to Win was great when I read it the first time and this work is making me consider going back through this book. Other insights – walk the walk. Keep notes. Enthusiasm breeds success. Find your passion. Between the health coaching sessions of the ACLM course, this book, the Precision Nutrition Level 2 course, the coaching course in the MBA, and in working with the residents I’m hopeful that the tenets of coaching find a way into primary care. We need to find a better way to talk to our patients. I think if we are able to adopt some of these techniques we will be better providers.
My time with Dr. Nasser at Lincoln
Lesson: The Lincoln Spirit, “don’t go home until you do what you’re supposed to do.”
Working with Dr. Nasser was a treat. He was a master teacher. He has a practice of improvement in his teaching. He is consistently learning from his mistakes and growing. His enthusiasm was wonderful and he recognized the limitations of learning. The biggest limitation I see is that people have a very limited attention span and ability to focus. As a result we need to give less lecture per day and spread it out over time. As Dan John preaches – little and often over the long haul. The Lincoln Spirit was contagious. A Mother Teresa quote I heard in the book 50 Spiritual Classics was “A life gone wrong is still important. There is still a soul.” This quote has been going through my head consistently. This in combination of Dan John’s teaching on the preferential consideration of the poor. Enough to keep me thinking for this week.
Quote: Let your boat of life be light, packed with only what you need – a homely home and simple pleasures, one or two friends, worth the name, someone to love and someone to love you, a cat, a dog, and a pipe or two, enough to eat and enough to wear, and a little more than enough to drink; for thirst is a dangerous thing. (Three Men in a Boat (1889))”
Band of the Week: King Buffalo
Mantra: I practice the presence of God. I am filled with and express peace, love and joy. Your will be done.
Stay strong and God bless,
Dan
Seeking Progress 