Wednesday, 18 November 2015

Princess Health and HOW TO HELP YOUR CHILDREN HAVE A POSITIVE BODY IMAGE. Princessiccia

The link between body image and depression, low self-esteem, social anxiety, and eating disorders has been studied as a personal psychological problem for well over fifty years. Because the prevalence of eating disorders and body image based problems have skyrocketed over the last 20 years, the discussion of body image is now being looked at not strictly as a personal psychological problem, but rather an indication of a social problem. This is great news for us parents! As the body image epidemic grows culturally, we can recognize the problem and prevent it from spreading to our own children. But first, we need to recognize it in ourselves, and we need to understand what body image is.
What is body image?
Body image is defined as a person using his or her body to construct a sense of self. The image of who she is becomes psychologically constructed by how she looks, her attractiveness, her sexuality, how her body performs (athletically), or if her body is healthy. In short, body image is used as a gold standard of worth for people who are able-bodied. Are you attractive enough, thin enough, sexy enough, athletic enough, or healthy enough? I like to refer to these as sacred body-righteous standards. They are sacred because they are believed as unquestionable truths, and righteous because the body is used to define the individual morally. If, however, an individual has the misfortune of a disease, a disfigurement, or an accident that leaves her disabled, none of the body image rules apply and the person is free to be and to love herself without condition. But if you are able-bodied, you are held to an incredibly high standard in order to feel good about your body and for it to be approved.
Once an individual internalizes and believes a body-righteous standard is important and required, he is held to the ideal and compared to it in order to define and prove his worth. When he compares himself to the able-bodied gold-standard, the difference between what he believes is ideal and his actual body creates feelings of dissatisfaction and discontent. But if his body matches the ideal he can feel proud, a sense of power, accomplishment, and safety. Either way, someone who uses body image to define his value, sense of worth, or to construct his sense of identity is at high risk for eating disorders, as well as exercise addiction. But again, for all of this to take hold, an image of what the ideal body is must be recognized, understood, and internalized as an unquestionable �sacred� requirement.
The role of media
Corporate-driven media has been a huge contributing factor to the definition of the idealized body image. They use perfected and airbrushed pictures as examples of what should be aspired to. The diet, beauty, and health industries use perfected body images as their main selling point and motivation behind what they are selling. These businesses send a powerful message that beauty, health, fitness, and thinness are the most important measures of life, worth, happiness, control, and success, and the media they use captures the perfected body-righteous standard in such a way that has stigmatized anything other than the ideal. But corporate media only has power if the consumer actually believes the message behind the body image symbol, and that�s where parents have a key role in either contributing to or preventing the problem.
Positive and negative parenting examples
Parents and family can play an important contributing factor when they, too, have internalized, believed, and encouraged these sacred body-righteous standard
s. Most people are aware that making your teen�s weight and diet a focus is an obvious contributor to negative body image and eating disorders. But, they don�t necessarily understand that how parents feel about themselves and how they treat their own bodies can be just as influential.
Parents who openly discuss their �battle with weight,� who openly judge and criticize parts of their body, who publicly talk about their diets, who describe food as �bad/good� or �clean/dirty,� who feel the need to excuse eating, who have to justify what they eat, or who negotiate for food�all of these positively teach moral importance and values of body-righteousness.
Conversely, powerful contributors to poor body image are the parents and people who believe they actually have the power and righteousness of the ideal body that others aspire to have. Many of these people are in the diet, nutrition, health, and fitness industry and they use themselves as the example. They tend to use their ideal body as a measure of their success and have a higher, more righteous standard for themselves and their children.
Children of these �ideal body� parents are often held to a stricter body-righteous standard, have food restricted needlessly, are forced to exercise for fitness, and they often hear their parents criticize, judge, and even shame other people who are fat, unhealthy, or who don�t believe or prioritize the same body-righteousness. The internal family perfectionism without grace inevitably results in their children�s fear of shame and disapproval if their body doesn�t match the family standard. Essentially, these children are held captive by the strict requirement of their parent�s egotistic standard of righteousness.
These parents are more likely to over-criticize their children�s bodies and make them diet out of their own projected fear of being judged for having an overweight child. These children tend to resent their parents, feel bad about who they are, hide food, over-criticize themselves and their body, and, unfortunately, are at a high risk for eating disorders. But this type of body image captivity and fear mongering doesn�t have to come from a parent. It can come from a spouse, friend, significant other, or society.
While parents and families can certainly contribute to the body image problem, they are just as powerful in preventing it as well. When you find a sense of worth that forgives and eliminates body image, you will have more power to teach your children how to do it for themselves.

Tips to encourage a positive body image
What can we do as parents to raise children to have positive relationships with their bodies? Here are a few suggestions that might help.
1. Find a sense of human-worth that is not defined by body image, physical attractiveness, or any cultural ideology.
2. Love and appreciate your body without condition.
3. If the body you are in is alive, it is perfect.
4. Expose the extreme perfectionism used in the media to manipulate our concepts of body image.
5. Expose the body-righteousness and health-righteousness used in the diet industry and body image culture.
6. Recognize that as an able-bodied human, you don�t actually have a problem.
7. Give yourself the freedom to live life as if the ideal body isn�t possible, as if it doesn�t exist and it never will.
8. Exercise for pleasure, not for an image or an illusion of health.
9. Eat a variety of food and eat pleasurably.
10. Do not diet, and do not encourage your children to diet.
11. Do not weigh yourself or measure yourself in front of your children.
12. Do not body-shame others or body-praise others.
13. Do not discuss your judgment of yourself or others in front of your children.
14. Do not make your children�s looks important or worthy of praise/criticism.
15. Eat when you are hungry and avoid excessive fullness, and encourage your family to do the same.
16. Do not judge food morally.
17. Do not food-shame.
18. Give your children the breathing room to express and dress themselves.
19. Take the seriousness out of your own dress code.
20. Get professional help if you believe you or your child struggles with disordered eating or an eating disorder.
By following these tips, you can improve your own healthy body image and serve as a powerful role model to your child.
* * * * * *

Tuesday, 17 November 2015

Princess Health and Health Care Renewal Bloggers in Print on Conflicts of Interest and Health Care Corruption. Princessiccia

Princess Health and Health Care Renewal Bloggers in Print on Conflicts of Interest and Health Care Corruption. Princessiccia

Not to toot our own horn too loudly, but in the last week, Health Care Renewal bloggers have appeared in print three times.

Prevalence of Board Level Conflicts of Interest

We recently posted on a British Medical Journal article on the prevalence of what we originally termed "a new species of conflicts of interest," that is, conflicts of interest involving membership in boards of directors of for-profit health care corporations.  A shortened version of this just appeared as a (not very) "rapid response" in the BMJ here.  (Note though that the official date of the response was October 3.)

The New England Journal Series Calling for Rethinking the Problem of Conflicts of Interest

After the New England Journal of Medicine published an editorial and three commentaries earlier this year suggesting that concerns about conflicts of interest in health care may have been overblown, we pointed out that many of their arguments were supported by logical fallacies.  The Canadian Medical Association Journal has been publishing a series of news articles about the issue.  The latest one, published on November 17, 2015, ended by quoting HCR blogger Roy M Poses MD.

Health Care Corruption

On November 16, 2015, the Corporate Crime Reporter published a front page interview, "Roy Poses on Corruption in American Healthcare,"  The interview is listed here,  and summarized here but the full transcript apparently is not available online, but only in print and via subscription.  (Link to interview updated on 19 November, 2015).  

Monday, 16 November 2015

Princess Health and Carbohydrate, Sugar, and Obesity in America. Princessiccia

Princess Health and Carbohydrate, Sugar, and Obesity in America. Princessiccia

We like explanations that are simple, easy to understand, and explain everything. One example of this is the idea that eating carbohydrate, or sugar, is the primary cause of obesity. This lets us point our finger at something concrete and change our behavior accordingly. And it's true enough that it has practical value. But the world around us often turns out to be more complex than we'd like it to be.

The CDC recently released its latest data on the prevalence of obesity in the US, spanning the years 2013-2014 (1). These data come from its periodic National Health and Nutrition Examination Surveys (NHANES). Contrary to what many of us had hoped for after a slight decline in obesity in the last survey, the prevalence has once again increased. Today, roughly 38 percent of US adults have obesity. As a nation, we're continuing to gain fat, which is extremely concerning.

I decided to examine the relationship between obesity prevalence and our intake of carbohydrate and sugar over the years. The food intake data come from the USDA's Economic Research Service (2). For some reason, the data on carbohydrate don't extend beyond 2010. This probably relates to funding cuts at the USDA*.

Let's have a look at the data for carbohydrate:

Read more �

Thursday, 12 November 2015

Princess Health and "Dreaming On" - The Illusions of the Leaders of Large Health Organizations, as Illustrated by Medtronic's Founder. Princessiccia

Princess Health and "Dreaming On" - The Illusions of the Leaders of Large Health Organizations, as Illustrated by Medtronic's Founder. Princessiccia


On Health Care Renewal, we have posted story after story about amazingly well paid leaders of big organizations presiding over amazingly bad organizational behavior (including subversion of mission, conflicts of interest, deception, fraud, kickbacks, various other crimes and outright corruption).  Yet the leaders often seem curiously disconnected from what occurs on their watches, while they are sometimes hailed as "visionaries," and at times exude messianic confidence.

Medtronic's Founder on its Sacred Mission

A recent article appearing in an unexpected place provides an example of leaders' excess confidence in their own righteousness.  In the IEEE (Institute of Electrical and Electronics Engineers) Institute was a commentary by Earl Bakken, the founder of medical device/ biotechnology giant Medtronic, modestly proclaiming the "secrets of corporate success."

Keep in mind that while Mr Bakken founded the company, at age 91, while no longer its leader, he proclaimed, " I stay involved with my company."  As such, he remains proud of its mission statement,

In 1960, when corporate mission statements were rare, I wrote one that has never changed. It remains the company�s guiding principle. There are six tenets, but the first one is the most important: To contribute to human welfare by application of biomedical engineering in the research, design, manufacture, and sale of instruments or appliances that alleviate pain, restore health, and extend life.

Starting in the 1970s, I met with all new employees, explained our history and mission, and in each of their hands I placed a medallion imprinted with the mission statement. I encouraged them to live by it�at work and at home.
Note that the official mission also includes,

To strive without reserve for the greatest possible reliability and quality in our products; to be the unsurpassed standard of comparison and to be recognized as a company of dedication, honesty, integrity, and service. [ital added]

Apparently, he believes that under the "visionary leadership" and "astute direction" of the current, this mission remains central to the organization.

At Medtronic, we live our mission. It�s the basis for how we behave in relationship to our stakeholders, each other, our communities, and the world. But it also guides our relationships with ourselves. We live the Medtronic Mission every day in truly genuine ways by serving others. I am proud to have a mission that is so deeply woven into the fabric of this company that improves millions of lives throughout the world.

Here�s to dreaming on.

Honesty? Integrity? - the Company's 10 Year Track Record 

I hate to disillusion a 91-year old, but in light of the company's last 10 year track record, as discussed on Health Care Renewal, he does appear to be in a dream world.


Medtronic has provided our blog with lots of material, including some amazing stories about conflicts of interest (starting in 2006, here, here, here, here, here, here, here, here, nad here,) and revolving doors  (here, here, here, and here). 

The company has also made a series of legal settlements of various allegations of infamous behavior, in chronological order...
 
2006

- We discussed detailed and vivid allegations that Medtronic had been paying off doctors starting in 2003.
 - Medtronic subsidiary Sofamor Danek settled for $40 million allegations that it gave kickbacks to doctors in the form of sham consulting fees and lavish trips (look here).

2007

As Bloomberg summarized in 2014,
Medtronic agreed in 2007 to pay about $130 million to settle consumer suits accusing the device maker of hiding defects in its defibrillators.
 2008

- Medtronic subsidiary Kyphon settled a suit for $75 million and signed a corporate integrity agreement for allegations that it defrauded Medicare through a scheme that lead to excessive hospitalization for patients who received the company's spine surgery device (link here)

2010

Per the Bloomberg 2014 summary again,
The company agreed to a $268 million settlement of suits in 2010 over allegations that fractured wires in another line of defibrillators caused at least 13 patient deaths.


2011

-  Medtroinic settled for $23.5 million two other federal lawsuits alleging it paid kickbacks to encourage physicians to implant its devices (look here).

2014  

In June, we discussed a settlement Medtronic made of allegations that  Medtronic gave kickbacks (that is, bribes) to doctors to get them to use its cardiac devices.

2015

In April, 2015 we discussed three settlements made by Medtronic:
- Its subsidiary EV3 settled old allegations that it coached hospitals how to overbill the US government for procedures using its products
- The company settled allegations it gave kickbacks to physicians to induce them to use its neuromodulation devices.
- The company settled allegations it lied to the US military about US origins of its devices.

(And by the way, we will not belabor the contrast between the statement's committment to "recognize the personal worth of employees," and the gargantuan payments made to certain employees, that is, the top managers, all who got over $3.5 million in 2014, and the "visionary" CEO, who got over $12 million, look here. )

Summary

Someone needs to wake up Mr Bakken.  He may still believe in the mission statement, and wish that it is central to his company.  However, the track record seems to suggest that the mission statement has been honored often in the breach.

Perhaps the problem is that Mr Bakken is really much more detached from the company he founded than he now admits.  However, I worry that this immensely positive spin suggests that he, like many other health care oragnizational leaders, live in some sort of bubble into which no negative karma is allowed to penetrate.  Thus convinced of their own innate goodness, they can provide no check on continuing manifestations of corporate greed, most likely with the solace of the own fortunes they build up. 

IMHO, we need to break up these huge health care organizations which have become so big that those who run them cannot be in touch with what really goes on.  We need to reestablish the accountablity of leaders, and no longer allow them to get credit for all the good that happens, and dodge responsibility for all the bad.  True health care reform would entirely transform health care leadership, so that it can become well-informed, supportive of the mission, unconflicted, less self-interested, honest, and certainly law abiding. 

Sunday, 8 November 2015

Princess Health and Remember Run and BOW3.Princessiccia

Despite being a mere one week removed from Road2Hope, and many runners already settling into their offseason recovery mode, the team still had a large contingent tackling the 2015 WRS RememberRun which also acted as the final stage of the BOW 3.  We had a number of surprise results, including OA wins in both the 5K and 11K for men, an OA win for women in the 11K, and OA wins in the BOW III for men and women.  Here are our full results:

5K- Individual
Team Rankings

Coach Sean won in 16:49.

Lucas Shwed had a strong first 5K of his life, running 19:32, placing 2nd on our team and 8th OA and 2nd in his AG.

Martin was in next for the team with a very strong 19:39, good for 11th OA and 4th in his AG.

Gillian was in 4th for the team, 3rd OA for females and 1st in AG with a solid 19:57 finish.

Evin came in 5th out of H+Pers with a great first 5K ever of 19:50 chip time!

Brian ran another good 5K, finishing in 22:38.

Ed had a very strong race, finishing in 24:12 and 7th in his AG.

Mike Hewitson continues to come back from injury with success as he ran a great 24:41.

Candice won her AG yet again with an excellent 25:11 finish time.

Cari managed to take the final stage in the #CariVsLaura challenge, coming in just over 26 minutes and a mere 10seconds ahead of Laura who ran 26:16!

Maria Dyce had a great return from injury, finishing just over 30 minutes.

Jen Merrett ran an excellent new PB of 30:55!

5K- Team
Full Results
H+P's team was able to take the win with the top 5 runners averaging 19:14.  The team consisted of: Sean, Lucas, Martin, Gillian and Evin.

Battle of Waterloo III
Full Results
Remember Run was the 3rd and final of 3 5K Stages in the BOW III.  Here's how H+P did:

Coach Sean won in 49:57.

Martin Chmiel had an amazing performance, finishing just off the podium in 4th place with a time of 58:18.

Gillian Willard was one of only 5 runners to break 1 hour of the event, winning OA for females with a time of 58:41.

Brian managed a very solid 1:09, making him the 4th H+Per in the top 10.

Ed came in 11th OA but won his AG with a great 1:12 OA time.

Candice was in just behind Ed with a time of 1:15, also winning her AG!

Cari came in next for the team with a time of 1:17, placing her 4th in her AG and less than 1 minute ahead of her frenemy- Laura Hewitson.  Laura was right behind with a solid 1:18:15.

New H+P member- Jon Krys was in next for the team with a solid 1:19:13 placing second in his AG.

11K
Rankings

Coach Dyce showed his recovery from STWM went well, pulling off the OA win with a time of
40:50.

Nick ran a strong 41:28 just one week removed from his half marathon PB, placing 2nd OA in 41:23.

Eric Hunsberger was next for the team, running exactly 4:00mins/K, finishing 6th OA and 2nd in his AG with a time of 44:00.

Andrea Sweny continues to put in an amazing year, winning the 11K in 46:21!

Vicki came in 5th for H+P, winning her AG in 51:18.

Heidi had another great results, completing the 11K in 1:01:39 and placing 2nd in her AG.

The Heijs were in next for the team, running and finishing together in 1:22 as they start their build for 2016.

11K- Team
Results

While there were no other teams in the event, our top 5 (consisting of 1st OA- Greg, 2nd OA- Nick, 6th OA- Eric, 1st OA female- Andrea and AG winner Vicki) had a great average pace of 44:52.





That's it for the 2015 Remember Run.  Did we miss your result?  Let us know!

#cantowontstop



Princess Health and 2015 Hamilton Road2Hope.Princessiccia

One of our final big goals for the 2015 season was the Hamilton Road2Hope marathon and half marathon.  While the temperature was perfect, winds were very challenging, especially at the top of the escarpment.  The team powered through and still produced a collection of solid performances.

Full Marathon:
Our rankings

The winds were brutal for these guys, forcing some of our runners to fall of their pace and drop out.  There were 5 H+Pers who fought hard and finished with great results:

Just two weeks removed from his PB at STWM, RunnerRob ran very strong 2:38:18, good for 2nd OA and his second fastest marathon to date.

Luke, on little pure marathon training relied on his massive IM base to carry him to a very successful 3:06:38.

In her fist marathon ever, Emily Hunter ran an outstanding 3:21:04.

Howie and Manny treated this as a fun run, coming in with finishing times of 4:21 and 4:52 respectively






Half Marathon
Our Rankings

With a recent course change, this route was measured by officials to be 21.34 in the week following
the race.  While it's something that rarely happens at a race of this size, we sill had a great time and some solid results:

Coach Sean finished 7th OA with a time of 1:17:21.

Nick Burt, despite the extra distance ran an outstanding half marathon PB of 1:22:13.

Kailey Haddock had a strong run, and like Nick was able to finish with a strong 1:30:47 PB.

Holger ran his usual consistent pace, coming in with a 1:30:50 final time.

Gillian came in just behind Holger, running 1:31:23.

Dave was the 1:40 pace bunny for the race, and ran the perfect pace to finish the job, coming in just over 1:41 (which would have been 1:40 at 21.1).

Dragan was in next just behind Dave with his second best half ever: 1:44.



10K
Team Rankings

Schuyler Schmidt had an outstanding last-minute race, finishing in 42:35 and second OA!

Danny Nakluski continues to improve, running a very strong 46:06 for a new PB.

Kirstin Marks posted yet another PB, coming in just behind Dan with a time of 46:38!













Onward to RememberRun!

#cantwontstop