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Monday, 25 April 2016

Princess Health and April 25th, 2016 Beautiful Harmony. Princessiccia

Princess Health and April 25th, 2016 Beautiful Harmony. Princessiccia

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April 25th, 2016 Beautiful Harmony

It was the last ten minutes of my radio show when I noticed guests making their way into our studio lobby. Did I miss a scheduled interview? I didn't think so-- and what's this? They're carrying boxes! Just then, I realized--it was the Perkins Restaurant and Bakery crew, a good client of ours, bringing edible gifts!! And they brought them directly into the KPNC studio, loading the counter with pies and muffins until the thick smell of sugar filled the room.

Years ago, I would have quietly grabbed one of the pies and put it aside for a private rendezvous, later--away from any possible witnesses, when I could devour until pleasure transformed into discomfort.

I didn't do that today. The peace, clarity, balance and stability my plan, with its abstinence from refined sugar, provides--is worth more to me than any expertly crafted pie or muffin, or several.

And these were seriously works of art (check out the Live-Tweet Photos below). And I can appreciate that part of it--and I can joyously decline partaking while feeling happy for the others who excitedly scooped up the bakery compliments.

I'm so grateful that I've reached a point in my abstinence where a situation like this isn't much of a threat. BUT--that doesn't mean I don't take precautions.

One of the things I embrace each day is this: My continued success is NEVER a guaranteed thing. I do not use the word "never" when I talk about my continued abstinence from refined sugar. I simply say, I hope and pray I never go back there. Okay, so maybe I do use the word "never," but in a very different way. There's no question about how refined sugar affects me. I'm fully aware--yet, I'm never beyond relapse. So, I do what might seem to be little things that bring big support. 

I share the situation. The below tweets concerning this kind circumstance (and it was a very kind and generous gesture--and it was well received) might seem like simple, somewhat casual, slightly serious--slightly humorous, tweets--but on a deeper level, it was my way of sharing the situation. I also texted a support buddy--not to say, "I'm in trouble," because I didn't feel that way--it was to simply share the situation. And those acts of sharing create an even stronger resolve, in beautiful harmony with my plan.

Within fifteen minutes the studio was clear of the bakery items. A couple of pies were immediately delivered to clients in close proximity, the rest were claimed by colleagues planning to surprise their families with an amazing dessert.

I made my way upstairs for a mid-morning coffee and a banana with 16g natural peanut butter. I love the coffee even more when it's coupled with peanut butter!
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After a full day at the studio, I made my way to the store to grab a few ingredients for tonight's dinner plans. I made it home in time to seize a very controlled forty-five minute nap before jumping up and getting on the Monday night teleconference support group I co-facilitate with Life Coach Gerri and Kathleen Miles.

Then, it was time to try another recipe from Joy Bauer's newest book!

I decided on the fettuccine alfredo!  

The picture in the below dinner Tweet doesn't do it justice! Every bite was cheesy delicious. Oh my-- easy-easy-easy, and incredibly delicious.

I live alone, so, most of the time I cook for just me. I cut the recipe into fourths and it was more than enough for one. I also added 4.4oz of chicken and 2oz sliced mushrooms.

I allowed the sauce to thicken a little too much-- I think the picture would have had more color otherwise. I didn't completely "nail it," but still, the flavors were alive with every bite!

The calorie count of the dish without the chicken and mushrooms added was 452, 88 calories over the recipe nutrition information. I attribute this to using 3oz pasta--remembering that I quartered the recipe--instead of one fifth, per the recipe breakdown.

Adding the chicken and mushrooms brought the entire meal in at just under 600 calories--fitting nicely in my weight maintenance calorie budget.

I chose this recipe for a reason. If you're a regular reader of this blog and/or you follow the Tweet stream, you know I occasionally prepare a similar dish using whole grain pasta, mixed veggies, mushrooms and sometimes chicken, other times just vegetables. Every time I've prepared it, I've always used the heavily processed jar of reduced calorie alfredo. Of course I scan the ingredients list for "sugar" or any synonyms of refined sugar--but still, I'm never really satisfied with the long list of things I can't pronounce in the ingredients list.

Now--I'll never need to buy another jar of heavily processed reduced calorie alfredo sauce, ever again! Thank you, Joy!

And seriously, this super-simple recipe using real ingredients tastes much better than any jar stuff I've tried! It's a keeper--and now I've added another item to the variety of my available choices!

The parmesan, the creaminess and flavor of the cream cheese/milk base, and the sea salt/back pepper---oh my...it made for a fantastic dinner experience!
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I'm caught up with shipping outstanding orders of Transformation Road and mp3 unabridged audio editions. If you've been patiently waiting for yours, thank you! All three of you will be receiving your copies within two days! :)

I sincerely appreciate everyone who has ordered copies of my book lately in various e-reader formats, the Audible.com audio version and in paperback via various booksellers, and mostly Amazon.com. I've always offered a way for you to order directly from me instead of these options--but now, temporarily, that direct option via my website is unavailable while transformationroad.com undergoes a total reconstruction. In the meantime, you can still order a copy directly from me by simply emailing your request to transformation.road@gmail.com. When you do, I'll email you an invoice and ship your copy! And by the way--the unabridged audio version mp3 disc with free shipping anywhere in the world, is still available as a complimentary gift with your donation of at least $20 to the DDWL! You can find the donation link in the upper left hand corner on the web version of this blog.

I finished up tonight by staying in with an excellent body weight strength training routine in my living room. It took all of twelve minutes to get in a very nice, focused workout. It's getting more and more difficult to justify not doing this--when it takes so little time.

Today's Live-Tweet Stream:










































Thank you for reading and your continued support,
Strength,
Sean
Princess Health and Levels of suspected 'hormone disruptors' in teen girls dropped after they switched to products that didn't contain them . Princessiccia

Princess Health and Levels of suspected 'hormone disruptors' in teen girls dropped after they switched to products that didn't contain them . Princessiccia

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A recent study found that after three days of not using personal-care products that contain "problematic substances," the levels of chemicals that potentially disrupt hormones in the bodies of teenage girls dropped, Environmental Working Group Vice Preisdent Alex Formuzis writes for its Enviroblog.

The study, led by Kim Harley of the Center for Environmental Research and Children�s Health at the University of California-Berkeley, asked 100 Latina girls between 14 and 18 years old to not use personal-care products such as cosmetics, shampoos and soaps, for three days and instead to only use products free of the suspected hormone disruptors: phthalates, parabens and triclosan. The girls, all volunteers, were given products that did not contain these chemicals.

After three days, the teens' urine tests showed a 44 percent decrease in the levels of methyl and propyl parapen, preservatives widely used in cosmetics, shampoos and skin lotions; a 35 percent decrease in triclosan, a commonly used antibacterial chemical that has been linked to the disruption of thyroid and reproductive hormones; and a 27 percent decrease in mono-ethyl phthalates, a common industrial plasticizer found in some nail polishes and fragrances.

�Techniques available to consumers, such as choosing personal care products that are labeled to be free of phthalates, parabens, triclosan, and oxybenzone, can reduce personal exposure to endocrine-disrupting chemicals,� the study authors wrote. �Our study did not test for the presence of these chemicals, but simply used techniques available to the average consumer: reading labels and investigating product safety through web-based databases.�

The study, published in Environmental Health Perspectives, notes that the study shows that "consumers may be able to reduce exposures to these chemicals by seeking out commercially available products with lower levels of these chemicals."

However, Formuzis pointed out that the federal Food and Drug Administration has "virtually no authority" over this industry and notes that this study helps to, "underscores the need to regulate the personal care products industry."

Legislation by U.S. Sens. Dianne Feinstein (D-Calif.) and Susan Collins (R-Maine), proposes to do just that.

"The Feinstein-Collins Personal Care Products Safety Act would give the FDA tools for ensuring the safety of personal care products as strong as those that regulate food and drugs," Formuzis writes. The bill would require the FDA to investigate the safety of five cosmetics ingredients and contaminants yearly; cosmetic makers would have to register their manufacturing facilities,disclose their ingredients, report health incidents related to their products, and label their products with disclosures and warnings as needed; and it would allow the FDA the authority to recall dangerous products.

Formuzis reports that "some of the corporations backing the Feinstein-Collins bill include Revlon, Johnson & Johnson, Proctor & Gamble, Unilever, L�Oreal, California Baby and the industry trade organization, the Personal Care Products Council."

Sunday, 24 April 2016

Princess Health and April 24th, 2016 Fantastic Experience. Princessiccia

Princess Health and April 24th, 2016 Fantastic Experience. Princessiccia

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April 24th, 2016 Fantastic Experience

Today started early for travel a little over an hour away. I met a good friend of mine, Dave May, for our dual speaking engagement. This was a concept presentation where we weaved our stories together, focusing on the spiritual, mental and emotional elements of transformation. We incorporated sketch comedy, stand-up comedy, Dave's ventriloquism and I think it's safe to say, some improvisation! This was our first time to do anything like this together. It was a fantastic experience! We plan on refining the program and doing more of these type events. A big thank you to Bartlesville First Church for having us!
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We developed the program together mostly via phone, with one in person run through yesterday.

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I was determined to spend some time with Noah this weekend--even if just dinner and a trip to the park, and that's exactly what we did tonight. We invited Irene (aka Nana) and Allen along for the adventure! It was a wonderful way to wrap up an amazing day.

I maintained the integrity of my calorie budget, I remained abstinent from refined sugar, I exceeded my water goal by 32oz. I had a decent calorie burn simply from my activity level, so I made the call to make today a rest day from a workout--except of course, for the #morningdeal.

I'm hitting the pillow exceptionally early for me. And that's a great thing. I'm super-tired.

Today's Live-Tweet Stream:
































Thank you for reading and your continued support,
Strength,
Sean

Princess Health and Zika update: Local anti-mosquito action needed; McConnell, Rogers at center of debate over Obama's request for more funds. Princessiccia

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Mosquitoes can carry Zika. (NPR photo)
By Melissa Patrick
Kentucky Health News

While all 388 Zika virus cases confirmed in the continental U.S., including six in Kentucky, have been in people who were infected abroad and then returned to the states, a health official said on "Fox News Sunday" that it is likely the U.S. will have its own outbreak.

"It is likely we will have what is called a local outbreak," said Dr. Anthony Fauci, director of the U.S. National Institute of Allergy and Infectious Diseases, Diane Bartz reports for Reuters.

Fauci said he did not expect a large number of people to become ill: "We're talking about scores of cases, dozens of cases, at most."

Dr. Ardis Hoven, infectious disease specialist for the Kentucky Department for Public Health, agreed and said the potential exists for Kentucky to have a local outbreak.

"I think it would be unreasonable for us to assume that we would not be at risk," she said in a telephone interview. "So therefore, we have to plan accordingly."

Hoven said mosquito control in the state is a "top priority," but said the bulk of this will have to happen at a local level.

She encouraged Kentuckians to talk about mosquito prevention with their friends and family and ask themselves, "What can I do in my community, in my yard, on my street to prevent mosquitoes from hatching and infecting those around me?"

Zika virus prevention strategy: Dress, Defend and Drain
The state has adopted a "3 D" approach to decrease the risk of infection by mosquitoes: Dress in light-colored long sleeved shirts and pants; Defend against mosquitoes with approved insect repellents; and Drain all standing water.

"If we can control mosquitoes in our region, we will go a long way to minimize the potential risk from infected mosquitoes," Hoven said.

The World Health Organization declared Zika a global health emergency in February. Those who have traveled to affected areas, such as Central and South America, are at the highest risk of contracting the virus, which is spread primarily by infected Aedes aegypti mosquito. It can also be spread through sexual intercourse. Aedes aegypti can be found in about 30 U.S. states, including Kentucky.

Zika virus is especially dangerous to pregnant women because it has been linked to thousands of cases of microcephaly, a condition where the infants head is smaller than normal, as well as other severe fetal brain defects, according to the federal Centers for Disease Control and Prevention. The state health department has reported that one of the confirmed Zika cases in the state is a pregnant woman.

The CDC is investigating the link between Guillain-Barre syndrome, a rare disorder in which the body's immune system attacks its nerves. And Fauci said there could be other neurological conditions caused by Zika that affect adults, Bartz reports.

"There are only individual case reports of significant neurological damage to people, not just the fetuses, but an adult that would get infected. Things that they call meningoencephalitis, which is an inflammation of the brain and the covering around the brain, spinal cord damage due to what we call myelitis," Fauci said. "So far they look unusual, but at least we've seen them and that's concerning."

Common symptoms of the virus are fever, rash, joint pain and red eyes, with symptoms lasting for about a week, though many with the virus have no symptoms. Currently there is no vaccine for Zika.

Funding to fight Zika held up in Congress

In February, President Obama asked Congress for an additional $1.9 billion in emergency funds to fight the Zika virus, including funds to develop a vaccine. This is in addition to $589 million in previously appropriated funds that have already been transferred to the effort.

That money should last through Sept. 30, the end of the federal fiscal year, but "There's going to need to be additional money, I don't think there's any doubt about that," Rep. Tom Cole, R-Okla., who chairs the House health appropriations subcommittee, told Susan Cornwell of Reuters April 13.

Top senators from both parties said "they are getting close to a deal to provide at least some emergency funding to fight the Zika virus, making it likely that the Senate will move ahead on the issue without waiting for the House," David Nather writes for STAT, an online health journal.

Senate Majority Leader Mitch McConnell, R-Ky., said at a news conference April 19 that congressional Republicans were working with the administration on the funding details, Peter Sullivan reports for The Hill.

�We're working with them on it to figure out exactly the right amount of money,� McConnell said at a press conference. �You know, how is it going to be spent? And I don't think, in the end, there will be any opposition to addressing what we think is going to be a fairly significant public health crisis."

Nevertheless, House Republicans kept saying they don't have enough information to approve the request.

On April 20, House Appropriations Committee Chairman Hal Rogers, R-Ky., said the Obama administration �continues to delay response efforts by refusing to provide basic budgetary information to Congress on their Zika funding request. This includes not answering our most basic question: �What is needed, right now, over the next 5 months in fiscal year 2016, to fight this disease?� In the absence of this information, the House Appropriations Committee will work with our colleagues in the House and the Senate to make our own determinations on what is needed and when, and to provide the funding that we believe is necessary and responsible.�

Five days earlier, White House Press Secretary Josh Earnest said Republicans have all the information they need to move forward, ABC reports. He said, �They've had ample opportunity to collect information, to ask questions of senior administration officials, to read letters, to read the legislative proposal that was put forward by the administration.� 

Saturday, 23 April 2016

Princess Health and April 23rd, 2016 We're Not Alone. Princessiccia

Princess Health and April 23rd, 2016 We're Not Alone. Princessiccia

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April 23rd, 2016 We're Not Alone

I've spent a lot of time today preparing for tomorrow's speaking event. If you're near Bartlesville, Oklahoma tomorrow, join us at Bartlesville First Church-4715 Price Road at 1pm! It's not a church service, it's a special event--and of course, it's free. This speaking engagement is very different from any other I've done. I've teamed up with a good friend of mine who has nearly thirty years recovery/sobriety from drugs and alcohol. We share the stage almost the entire time, weaving our stories together piece by piece--finding parallels, highlighting epiphanies and sharing a powerful story of hope that transcends weight or sobriety issues. We also share practical ways anyone can apply these transformative perspectives in their own lives. I can't wait to see how this unfolds in front of an audience.

I'm keeping tonight's edition short. The alarm is set alarmingly early!! But before I go...

Big thank yous to a few people who emailed me about the last few blog posts and how those perspectives resonated deeply. You know who you are. Thank you for sharing with me. I'm honored. I write what I write, explore what I explore and share what I share, to help me better understand, me. And when someone expresses how these explorations helped them better understand themselves--wow, it's a huge bonus and seriously, I can't even articulate the level of fulfillment--the absolute joy that comes with feeling, in some way, this very real--open and honest thing is helping someone else...it's simply the greatest feeling.

I've said it/written it time and time again--our methods of weight loss might be different, our life history might be worlds apart, our circumstances couldn't be more different--- and still, we can relate on the the deepest, most transformative levels, like you wouldn't believe. I think that speaks to the universal truth of it all. Because truth is truth, it doesn't change, everything around it can change--but the truth stands strong right in the middle. And in this we find community and we discover, these feelings, these struggles--they're not unique to any one of us. And in this, we realize, we're not alone, ever. 

I did get to see my little Noah briefly this afternoon. I plan on seeing him more tomorrow evening. He got a haircut today and by golly, I didn't think it was possible, but that kiddo is even more adorable with his new cut!

Letting the Tweets take it the rest of the way...

Today's Live-Tweet Stream:


































Thank you for reading and your continued support,
Strength,
Sean

Princess Health and John Stossel Discovers Health Care Dysfunction, Blames it on "Socialists" - Like Maurice Greenberg (AIG), John Thain (Merrill Lynch), Sanford Weill (Citigroup), and David H Koch? . Princessiccia

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We have been ranting for a while about the dysfunctionality of the US health care system.  Unfortunately, many people only realize how bad things are when they become patients, when they have bigger things to worry about than complaining.   Furthermore, even if they complain, many patients may not feel they understand enough about what has gone wrong to suggest solutions.

Bad Customer Service at New York Presbyterian

This may not apply when media pundits, especially those with strong ideological views, become patients.  So this week Fox News commentator and well known libertarian John Stossel disclosed his new illness, and vented his opinions about his hospital stay.   Mr Stossel unfortunately developed lung cancer, although he was optimistic about his prognosis: "My doctors tell me my growth was caught early and I'll be fine. Soon I will barely notice that a fifth of my lung is gone."

However, he was not happy about his hospital's customer service:

But as a consumer reporter, I have to say, the hospital's customer service stinks. Doctors keep me waiting for hours, and no one bothers to call or email to say, 'I'm running late.' Few doctors give out their email address. Patients can't communicate using modern technology.

I get X-rays, EKG tests, echocardiograms, blood tests. Are all needed? I doubt it. But no one discusses that with me or mentions the cost.

Also,

I fill out long medical history forms by hand and, in the next office, do it again. Same wording: name, address, insurance, etc.

And,

In the intensive care unit, night after night, machines beep, but often no one responds. Nurses say things like 'old machines,' 'bad batteries,' 'we know it's not an emergency.'

Finally,

Some of my nurses were great -- concerned about my comfort and stress -- but other hospital workers were indifferent.
Unfortunately, long wait times, poor communications, excess paperwork, and misapplied technology are all too familiar problems to those in the health care system.

Moreover, this all was happening at one of the most highly rated US hospitals, 

After all, I'm at New York-Presbyterian Hospital. U.S. News & World Report ranked it No. 1 in New York.

Were "Socialist Bureaucracies" Responsible?


Mr Stossel had his own ideas about the causes of these problems. 

Customer service is sclerotic because hospitals are largely socialist bureaucracies. Instead of answering to consumers, which forces businesses to be nimble, hospitals report to government, lawyers and insurance companies.

Whenever there's a mistake, politicians impose new rules: the Health Insurance Portability and Accountability Act paperwork, patient rights regulations, new layers of bureaucracy...

Also,

Leftists say the solution to such problems is government health care. But did they not notice what happened at Veterans Affairs? Bureaucrats let veterans die, waiting for care. When the scandal was exposed, they didn't stop. USA Today reports that the abuse continues. Sometimes the VA's suicide hotline goes to voicemail.

Patients will have a better experience only when more of us spend our own money for care. That's what makes markets work.
A "Socialist Bureaucracy" with a VIP Penthouse?

I am sorry to hear Mr Stossel has lung cancer, and hope that his prognosis is indeed good.  I am a bit surprised that a media celebrity who became a patient found big issues with "customer service" at such a prestigious hospital.  After all, many big hospitals have programs to give special treatment to VIPs (for example, see these posts from 2007 and 2011).

In particular, back in 2012 we posted about the contrast between the VIP services specifically at New York - Presbyterian Hospital and how poor patients are treated there.  Then we quoted from a 21 January, 2012 article from the New York Times focused on the ritzy comforts now provided for wealthy (but perhaps not very sick) patients at the renowned New York Presbyterian/ Weill Cornell Hospital.  It opened,

The feverish patient had spent hours in a crowded emergency room. When she opened her eyes in her Manhattan hospital room last winter, she recalled later, she wondered if she could be hallucinating: 'This is like the Four Seasons � where am I?'

The bed linens were by Frette, Italian purveyors of high-thread-count sheets to popes and princes. The bathroom gleamed with polished marble. Huge windows displayed panoramic East River views. And in the hush of her $2,400 suite, a man in a black vest and tie proffered an elaborate menu and told her, 'I�ll be your butler.'

It was Greenberg 14 South, the elite wing on the new penthouse floor of NewYork-Presbyterian/Weill Cornell hospital. Pampering and d�cor to rival a grand hotel, if not a Downton Abbey, have long been the hallmark of such 'amenities units,' often hidden behind closed doors at New York�s premier hospitals. But the phenomenon is escalating here and around the country, health care design specialists say, part of an international competition for wealthy patients willing to pay extra, even as the federal government cuts back hospital reimbursement in pursuit of a more universal and affordable American medical system.

Additional amenities include:
A waterfall, a grand piano and the image of a giant orchid grace the soaring ninth floor atrium....

Also,
the visitors� lounge seems to hang over the East River in a glass prow and Ciao Bella gelato is available on demand....

An architect who specializes in designing such luxury facilities for hospitals noted:
'These kinds of patients, they�re paying cash � they�re the best kind of patient to have,' she added. 'Theoretically, it trickles down.'
It appears that someone failed to book Mr Stossel into the penthouse.  Instead, he found out what service was like for the masses.

Perhaps this was why Mr Stossel railed at the "socialist bureaucracies" he perceived as running New York - Presbyterian Hospital.  However, calling the hospital management "socialist" seems - not to put too fine a point on it - wrong.

A "Socialist Bureaucracy" Paying Millions to its CEOs?


First of all, New York Presbyterian is hardly a government agency.  It is a private, non-profit corporation.  Every year as such it files a form 990 with the dread US Internal Revenue Service. (The latest publicly available version is from 2013, here.)  Obviously, US government agencies do not file with the IRS.


In fact, the New York Presbyterian system seems about as far from a federal government agency as one can imagine.

First, its top managers are paid like for-profit corporate executives.  In 2014, we posted about the humongous compensation given to its previous, long-serving CEO, Dr Herbert Pardes, who received multi-million dollar compensation every year through his 2011 retirement, and then continued to receive several million a year from the system in his retirement.  His successor, current CEO Dr Steven Corwin, received $3.6 million in 2012.  (More recent compensation figures are not yet available.)

A "Socialist Bureaucracy" Dominated by Managers, with Stewardship by Top Financial Executives, and one of the Koch Brothers?

The current leadership of New York Presbyterian is dominated by businesspeople, not physicians, nurses, or other health care professionals.  Only 10 of 33 listed senior leaders are health care professionals.  The rest have administrative/ management or legal backgrounds and training.  Many appear to be generic managers, that is, people with background and experience primarily in administration or management, but not in medicine, health care, public health, etc.


The hospital system's board of trustees was and is filled with some of the top business executives in the US, including some finance executives who have been cited as responsible for the global financial collapse/ great recession.

For example, we wrote about Mr Dick Fuld, a trustee until recently.  Mr Fuld was the CEO who presided over the bankruptcy of Lehman Brothers, which heralded the beginning of the great financial crisis/ great recession of 2008 onward.  Mr Fuld seemed to lack the sort of compassionate approach one might expect from someone charged with the stewardship of a big hospital system.  He had once publicly said about those who sold Lehman Brother stock short: "what I really want to do is I want to reach in, rip out their heart, and eat it before they die."



Another recently retired board member was Sanford I Weill, architect of the mergers that created the now federally bailed out Citigroup.  In 2014, we posted about how Mr Weill, contemplating retirement from the board of trustees of Weill Cornell Medical School, one of the two medical schools with primary affiliations with New York Presbyterian, managed to bequeath his board seat to his daughter, Ms Jessica Bibliowicz, also the CEO of a finance firm, National Financial Partners.  Ms Bibliowicz now also seems to have Mr Weill's seat on the New York Presbyterian board. 

Also, still on the board are two top finance CEOs who have been blamed for the global financial collapse.  These are  Maurice R Greenberg of the federally bailed out AIG, and John A Thain, CEO of the nearly collapsed Merrill Lynch (merged into Bank of America).  See this post for more information about their roles in the global financial collapse.

Finally, one other board member is David H Koch, described by Wikipedia

Koch is an influential libertarian. He was the 1980 candidate for Vice President of the United States from the United States Libertarian Party and helped finance the campaign. He founded Citizens for a Sound Economy. He and his brother Charles have donated to political advocacy groups and to political campaigns, almost entirely Republican
With socialists like these ...?   

Summary

I do not doubt that John Stossel found the customer service at New York Presbyterian not up to his expectations.  And I actually have no doubt that New York Presbyterian has to operate within a complex health care system in which government bureaucracy plays a large role, and sometimes a counter-productive one.  Furthermore, I have no doubt that the management of New York Presbyterian is very bureaucratic, and this may in part may be a reason for poor customer service, and other failings.

However, to say that the management and governance of the hospital system is "socialist" is dead wrong.  In fact, like many other large health care organizations, the New York Presbyterian system appears to be run largely by "managerialists," that is generic managers who have little experience or background in health care, may have little understanding or sympathy for its values, and approach health care with the same management techniques that might be applied to selling soap powder.  Furthermore, the stewardship of this particular hospital system seems to be largely up to some of the biggest, and loudest "capitalists," and one of the most prominent "libertarians" in the US.

But to someone with a hammer, most problems look like nails.

Maybe Mr Stossel needs to complain to Mr Koch.

In conclusion, I am glad that some of the problems in the dysfunctional US health care system are getting more public attention.  However, now we need to calmly and rationally consider what is causing them and what to do about them without the blinders of ideology or vested interests. 

IMHO, true US health care reform would put the operation of US health care organizations more in the hands of people who have knowledge and experience in health care, and are willing to be accountable to support health care professionals' values.  Furthermore, oversight and stewardship of these organizations should represent the patients and public which the organizations are supposed to serve. 

Friday, 22 April 2016

Princess Health and April 22nd, 2016 When The Rain Starts Pouring. Princessiccia

Princess Health and April 22nd, 2016 When The Rain Starts Pouring. Princessiccia

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April 22nd, 2016 When The Rain Starts Pouring

If I had kept this diary prior to September 15th, 2008, it would have revealed someone desperate for some kind of life saving solution.

One of the biggest and scariest thoughts I had back then centered around the idea that life will always contain stressful and emotional situations. They may change in shape and size and with consequences big and small, but they will always be a part of a balanced and normal life.

It was a scary revelation because I had decided, concretely, that I couldn't in any way, shape or form--lose weight successfully unless everything was smooth sailing, every day, every week and so on.

I accepted, as fact: When the rain starts pouring, I start eating.

This perspective afforded me an endless supply of excellent excuses for why "now isn't a good time." 

A "perfect time" is a myth. If I had waited for the perfect time, there's a good chance I wouldn't be alive today.

When someone asks me, what clicked on September 15th, 2008? It was truly the realization that if I was going to survive, I had to remain consistent come what may. I had to walk in the rain and not be afraid. I had to make an iron-clad decision that this time was going to be different from any other previous attempt.

No longer could I allow my resolve to be hard wired into the ups and downs of life. My resolve required a separate power source.

This realization that if I attached my consistency to the ups and downs of life, I might forever be stuck on a merry go round of yo-yo dieting, was profound.

Allowing myself to become the victim of life's circumstances time and time again, was super convenient. It didn't require me to get real or take responsibility for my extraordinary care because I was placing that responsibility on the randomness of life. I had to change my perspective or die young at over 500 pounds.

I decided to choose change before change chose me. Because one way or another, change was coming...and quickly.

This realization gave birth to my parallel streams philosophy.

For me, Day 1 was the start of my parallel streams philosophy, I just didn't know what to call it back then.

The "Life Stream" is everything happening in our day to day lives. The Life Stream includes the ups and downs, the challenges, the victories, the disappointments, The hectic schedules, the family dynamics, the workplace dynamics, the bills, the stress, the joys, the blessings, the expected and the unexpected, the good, the bad...It's life.

The "Fundamental Elements Stream" are comprised of the elements of my personal plan. I say "my" because our plans might be very different. Mine is customized to fit my personality, likes, dislikes, strengths, weaknesses and sensitivities.

My fundamental elements stream includes my personal/spiritual morning "me time," the most peaceful five minutes of my entire day. My fundamental elements stream also includes maintaining the integrity of my calorie budget, remaining abstinent from refined sugar, logging everything in MyFitnessPal, photographing and tweeting, with description and calorie counts of everything I consume, every day, getting regular workouts and staying connected with one on one and group support interactions and of course, writing and publishing this blog, nightly--right before bed.

I've also referred to my fundamental elements as my "rails of support." I've set my accountability and support measures on high. When someone makes a comment in the direction of, "you're so strong" or "you must have amazing will power," I typically thank them and smile, but I know, truly, I'm not that strong and I don't have giant amounts of will power. What I have are solid rails of accountability and support--and I'm holding onto those rails, each day. They guide me, step by step. 

The fundamental elements stream runs parallel, just below the life stream. The life stream is running in the foreground and the fundamental elements stream is running in the background--like a computer's anti-virus program. 

I've written countless paragraphs within the archives of this blog all about the "life stream" and the "fundamental elements stream" and how they must run parallel to one another without crossing.

If we allow life and all of the energy it takes to maneuver, to negatively affect our ability to maintain consistency in the daily elements of our extraordinary care, then it always will. The frustration of inconsistency will be a common theme if the life stream is allowed to dip down into the fundamental elements stream on a regular basis.

And if we get too carried away, making the fundamental elements all consuming, then we run the risk of it crossing up into our life stream. And that's when it isn't any fun and we dread what we're doing every day.

I've had several challenges of late where I really had to remember the power of this "parallel streams" philosophy. I've discovered, when life demands more attention, we don't have to let go of the elements giving us our success, but we can scale back the amount of energy it uses to operate.

We don't sacrifice the integrity of the elements, we just do what we can do. For me--on super busy days, I have three non-negotiable requirements: 1. Stay within my calorie budget  2. Hold my abstinence from sugar sacred 3. Send the accountability tweets and write this blog--even if it's just the tweets of the day.
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Today was super-crazy busy. I left the house before 6am and returned after 6pm. A long workday and a few late afternoon errands, filled the day, completely. I tried to not take a nap (even grabbed a late afternoon coffee for caffeinated support)--but instead, relented--and surprisingly limited the snooze to just over an hour.

I prepared a delicious dinner, worked on some material for a big speaking engagement scheduled for Sunday in Bartlesville, Oklahoma, an hour away--then took a break and watched some of the CNN documentary series "The Seventies" on Netflix before jumping into tonight's edition of this daily record.

I have a location broadcast tomorrow from 10am to 2pm from a huge downtown block party followed by more preparing for Sunday's speaking engagement.

And at some point this weekend, I must spend some time with my little grandson Noah. I miss him horribly. I must make that happen. He has the magical ability to instantly fill my heart with the most awesome kind of joy. It's been more than two weeks since we spent time together. That's way too long.

Today's Live-Tweet Stream:






































Thank you for reading and your continued support,
Strength,
Sean
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