TAKING CARE By Leslie Girmscheid September 2011 The secret of staying young is to live honestly, eat slowly, and lie about your age. --Lucille Ball WEIGHT MANAGEMENT SECRETS: CHANGING HABITS Many of you know how much I like to talk food, grow food, cook food and best of all, eat food. Yet how do I keep my weight down, many of you ask? I should come up with a gimmick, write my book, make my millions and retire. But I like what I do, so I will share my “secrets”, and keep on working. Many of these ideas are simple, but not necessarily easy to accomplish. The first premise is to change habits, and the second is to make different choices. Just changing the habits alone can sometimes “tip the scales in your favor.” Basically, eating 3500 extra calories adds up to a pound and one loses weight by either consuming less than you need in a day or burning more. 1. GET ENOUGH SLEEP. I would venture that lack of sleep is the basis of much of what ails this country, kids and adults alike, but that is another topic. Having experienced extreme fatigue during my residency and after having babies, I can tell you that I ate to stay awake or to give me a little bit more energy during the day. If you are tired, go to bed. Give up late night TV, or if you cannot live without a show, record it. 2. DRINK ENOUGH WATER (6 to 8-8oz. glasses a day) or other low sugar, low caffeine beverages. Many people drink high calorie fluids when they are thirsty because they don’t like water. I think that the body learns to send a hunger signal to those who ignore a thirst signal and consistently don’t drink enough. Keep a water glass or bottle at your desk and you will drink it because it is there (and you will get more exercise running to the restroom!) 3. FOCUS on what you are eating. First off, are you really hungry? DO NOT eat in front of the TV, while reading, driving, talking on the phone or working at the computer. You will eat more, enjoy it less, and probably get gas from eating too fast. 4. EAT MORE SLOWLY. Again, you will enjoy it more, and have a lot less bloating. People that eat slowly often consume less food. (I have found that Americans are trained from youth to eat quickly as students only have 30 minutes or less to obtain and eat their lunch. Now it is the same for workers. Who gets an hour for lunch anymore?) 5. DON’T BUY JUNK FOODS AT YOUR REGULAR GROCERY TRIP. If you really must have a snack food, make a special trip (? walk or bike there?) or make it yourself. 6. BRING YOUR LUNCH. Most of you don’t get time for lunch and bring what the cafeteria or snack machine has to offer back to your desk. Most likely this meal will be of larger than normal portions and/or be of high caloric content. Instead, put your dinner leftovers into those take-away plastic containers with nice lids for lunch at work the next day. After packing your lunch, put your car keys in the fridge next to the bag or on a hook on the fridge so you don’t forget it. If you don’t have time to heat something or wish to avoid the “ubiquitous wrap sandwich” at the lunchtime meeting, bring some fruit, cheese sticks, yogurt cups or yogurt smoothies to stash in the community fridge. Hide them in a paper bag with your name though, because they will disappear. 7. NO EATING AFTER SUPPER. If I just stick to this one, I actually start to lose weight after a few weeks, especially if I skip desserts. 8. DON’T SKIP MEALS. But you can substitute a yogurt or a bowl of soup or cereal for one of them, preferably supper. Having something high in protein for breakfast is best and may curb your appetite later. Hard boiled eggs (still in the shell) keep well in the fridge and are a great way to start the day even if you don’t eat the yolk due to cholesterol concerns. 9. CHANGE YOUR SUPPER MEAL PLAN. There is no rule that states that supper is meat, starch, veggie, bread. Substitute the starch or bread with another vegetable. Eat seconds of the veggies, not the meat or starch if you are still hungry. Try a stew, stir fry or casserole with less meat and more veggies as the main dish. This is much easier in the summer when fresh vegetables are more accessible. 10. NO SUPERSIZING. Buy what you need, not more because it is a better deal. 11. USE SMALLER PLATES for your meals. It will seem like more food. Eat your cereal out of a smaller bowl. 12. If the food is served on the table, it is tempting to take seconds, so SERVE FOOD IN THE KITCHEN rather than family style or serve buffet style from the kitchen. 13. READ ALL FOOD LABELS and not just the side of the cereal box in the morning. Note the serving size and number of servings provided as well as the caloric content. See what types of fats are present and how much sugar is in the foods. If you avoid overprocessed “foods” with ingredients that are sweeteners other than sugar, thickeners, stabilizers, colouring agents, and preservatives, you may loose weight on that choice alone. 14. “MERCHANDISE” YOUR FRIDGE. Have fruit or cut veggies and other healthy foods in plain view in your fridge and on your counters. I find that produce kept in the crisper drawer is often forgotten so try placing the fruit/veggies in a brightly coloured bowl with a clear cover on a visible shelf. 15. NO FOOD AT YOUR DESK. Do not have a candy dish on your desk or snacks in your desk drawers. Try to avoid eating meals at your desk. Preferably, the only consumable allowed on your desk should be a low calorie beverage. OFFICE NOTES: **** GIFT CERTIFICATES are available. They are perfect for holidays, birthdays, anniversaries, and as a thank-you for a job well done. ****REFERRAL CREDIT Many of you have asked if it’s OK to give my name out to friends, relatives, co-workers, and your doctors, chiropractors, PTs, and sports trainers. The answer is definitely yes. The majority of my business is by word of mouth, and you are my greatest supporters. In fact, you earn $10 off a 1 hour massage for yourself for each referral who books an app’t. ****We are entering the cold and flu season so I would like to remind you to call (or email) me ASAP if you have any questions regarding symptoms and to discuss whether you need to be rescheduled. If you wake up ill, please call (after 7:30 a.m.) or email me as early as you can. I do not charge the cancellation fee if you are ill. LAUGH OF THE MONTH George Carlin Strikes Again... There are three religious truths: 1. Jews do not recognize Jesus as the Messiah. 2. Protestants do not recognize the Pope as the leader of the Christian faith. 3. Baptists do not recognize each other in the liquor store or at Hooters. If a pig loses its voice, is it disgruntled? Why is the man who invests all your money called a broker? Why are a wise man and a wise guy opposites? "I am" is reportedly the shortest sentence in the English language. Could it be that "I do" is the longest sentence? If lawyers are disbarred and clergymen defrocked, doesn't it follow that electricians can be delighted, musicians denoted, cowboys deranged, models deposed, tree surgeons debarked, and dry cleaners depressed? If Fed Ex and UPS were to merge, would they call it Fed UP? Do Lipton Tea employees take coffee breaks? What hair color do they put on the driver's licenses of bald men? I was thinking about how people seem to read the Bible a whole lot more as they get older; then it dawned on me... they're cramming for their final exam. You never really learn to swear until you learn to drive. (Especially in Boston!) CONTEMPLATION: The Trouble Tree Author Unknown The carpenter I hired to help me restore an old farmhouse had just finished a rough first day on the job. A flat tire made him lose an hour of work, his electric saw quit, and now his ancient pickup truck refused to start. While I drove him home, he sat in stony silence. On arriving, he invited me in to meet his family. As we walked toward the front door, he paused briefly at a small tree, touching the tips of the branches with both hands. When opening the door he underwent an amazing transformation. His tanned face was wreathed in smiles and he hugged his two small children and gave his wife a kiss. Afterward he walked me to the car. We passed the tree and my curiosity got the better of me. I asked him about what I had seen him do earlier. "Oh, that's my trouble tree," he replied." I know I can't help having troubles on the job, but one thing's for sure, troubles don't belong in the house with my wife and the children. So I just hang them on the tree every night when I come home. Then in the morning I pick them up again." He paused. "Funny thing is," he smiled, "when I come out in the morning to pick 'em up, there ain't nearly as many as I remember hanging up the night before." Take care! Leslie Leslie Girmscheid, MD, NCTMB Licensed Muscular Therapist 3 Apple Tree Lane Cape Elizabeth, ME 04107 207-272-6027 www.takingcarewellness.com ***If you no longer wish to receive this newsletter, just e-mail me and I will remove your name from the distribution list. (I do not sell my lists of names.) If you have any suggestions (topics, a clean joke), I welcome them. Let me know if there are formatting problems.