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The Surprising Power of Small, Stupid Goals

The Surprising Power of Small, Stupid Goals | Fit for life and work | Scoop.it
Think one pushup a day can't change your life? Think again.

Via Barb Jemmott
Marianne Cloeren's insight:

Here is my small stupid goal: Breathing meditation for one minute per day.  I know that meditation would be so good for me as a regular practice, but I can't seem to make myself carve out the time.  But I should be able to afford one minute!

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Fit for life and work
Sharing stories to help people become positioned for success in roles that are appropriate to their unique talents, professional skill sets, and abilities.
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Patient Non-adherence – A Rational Reaction To Sub-Optimal Physician-Patient Communication

Patient Non-adherence – A Rational Reaction To Sub-Optimal Physician-Patient Communication | Fit for life and work | Scoop.it
Patient non-adherence is a “gigantic” problem for the health care industry … and not just for pharma. Patients outcomes suffer & healthcare costs sky rocket as nonadherent patients fill ERs & hospitals across the U.S.
Marianne Cloeren's insight:

Seems to me that physicians who have learned to communicate well with patients (BTW listening is at least as important as talking) will have both higher patient satisfaction scores and better clinical outcomes.

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Don’t mistake patient satisfaction for patient-centeredness

Don’t mistake patient satisfaction for patient-centeredness | Fit for life and work | Scoop.it
As a new physician, I find myself besieged by data about how happy patients are with the care we deliver. Press Ganey, HCAPS, Consumer Reports, US News and World Report were merely the beginning.
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This Is The Most Inspiring Yet Depressing Yet Hilarious Yet Horrifying Yet Heartwarming Grad Speech

This Is The Most Inspiring Yet Depressing Yet Hilarious Yet Horrifying Yet Heartwarming Grad Speech | Fit for life and work | Scoop.it
A university said this guy was "unabashedly offensive." Then they gave him a doctorate. Well played.
Marianne Cloeren's insight:

There is some really great and poignant advice in this very well-written and delivered graduation speech by a performer I was not familiar with - worth sharing.  (Warning - a bit of profanity.)

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Out of the many he has seen, he will do his best to help just this one

Out of the many he has seen, he will do his best to help just this one | Fit for life and work | Scoop.it
She looked like a whipped puppy that had had a garden hose turned on it and slunk off to a far corner of the yard to dry out in the sun.
Marianne Cloeren's insight:

Wow!  This shrink can write.

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When approaching a child with a disability, the best policy is 'Smile, Don't ... - Washington Post

When approaching a child with a disability, the best policy is 'Smile, Don't ... - Washington Post | Fit for life and work | Scoop.it
When approaching a child with a disability, the best policy is 'Smile, Don't ...
Marianne Cloeren's insight:

This seems like good advice in many situations - hard to think of a situation when a smile is the wrong choice.  I have a beautiful young niece in a wheelchair and this made me think about her, and how isolated she feels sometimes in high school.

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Drugs and work comp – top issues are…

Opioids, ACOEM’s new guidelines, compounds, and, alas, physician dispensing.
Here’s a quick guide to the top issues and sources for additional info.
Marianne Cloeren's insight:

A shout out to ACOEM for updated opioid guidelines (disclaimer: I am on the ACOEM BOD)!

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The hidden power of smiling

The hidden power of smiling | Fit for life and work | Scoop.it
Ron Gutman reviews a raft of studies about smiling, and reveals some surprising results. Did you know your smile can be a predictor of how long you'll live -- and that a simple smile has a measurable effect on your overall well-being? Prepare to flex a few facial muscles as you learn more about this evolutionarily contagious behavior.

Via Barb Jemmott
Marianne Cloeren's insight:

I have used such research to counsel patients in pain (whether physical, emotional or spiritual) about incorporating things to make them laugh, like comedy and laugh yoga, into their day.  There is value in "smiling through the pain".  It helps to be able to explain there is a neurologic basis for such advice.

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What Expressing Gratitude Can Do To Our Happiness Will Amaze You

What Expressing Gratitude Can Do To Our Happiness Will Amaze You | Fit for life and work | Scoop.it
Take a look at this experiment, participants are asked to write a letter to whom they want to thank for. Then the participants are made to call them and this is what happen.

Via Barb Jemmott
Marianne Cloeren's insight:

I wonder if this simple intervention might help people with chronic pain cope better.  I bet it relates to right to left neocortex shifting.

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Sedentary lifestyle not only can kill you, it ups disability - UPI.com

Sedentary lifestyle not only can kill you, it ups disability - UPI.com | Fit for life and work | Scoop.it
UPI.com Sedentary lifestyle not only can kill you, it ups disability UPI.com Lead author Dorothy Dunlop, a professor of medicine at Northwestern University's Feinberg School of Medicine, said the study is the first to show sedentary behavior is its...
Marianne Cloeren's insight:

This study has personal implications, as my job is very sedentary, and am approaching "senior" status (yikes!). Time for a treadmill desk?

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Nancy Gowan's curator insight, February 27, 7:22 AM

TIme to get moving.... We need to get off our butts and MOVE!!! for our health.  How can we change the way we work to incorporate movement and activity?

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Striking a Nerve: TBI Survivors 'Need an Advocate' - MedPage Today

Striking a Nerve: TBI Survivors 'Need an Advocate' - MedPage Today | Fit for life and work | Scoop.it
Striking a Nerve: TBI Survivors 'Need an Advocate'
MedPage Today
The following is a guest blog written by Martin "Tony" Zink III, MD, PhD, a cardiologist at St.
Marianne Cloeren's insight:

What do you think of the rehab team pushing this patient, at the time a medical resident with a severe brain injury, to return to work full time early in his rehab?  This is not the norm.  The norm is lots of time to recover, with a gradual return to work, when/if you can do the job again.  The approach used in this case (very successfully!) would require some additional resources in the workplace, for extra supervision while the injured person relearns the job.  Might such extra resources applied early in the workplace shorten the rehab time, create better outcomes and decrease overall costs?

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Parents' attitude linked to kids' chronic pain - Reuters

Parents' attitude linked to kids' chronic pain - Reuters | Fit for life and work | Scoop.it
Parents' attitude linked to kids' chronic pain Reuters About one-fourth of adolescents and two-thirds of parents in the study reported having chronic pain, and parental pain was significantly linked to the likelihood of that parent's child having...
Marianne Cloeren's insight:

Nature or nurture?

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Pain In The Back? Exercise May Help You Learn Not To Feel It - NPR (blog)

Pain In The Back? Exercise May Help You Learn Not To Feel It - NPR (blog) | Fit for life and work | Scoop.it
NPR (blog)
Pain In The Back? Exercise May Help You Learn Not To Feel It
NPR (blog)
He thinks this chronic back pain is often due to persistent hypersensitivity of the nervous system.
Marianne Cloeren's insight:

No groundbreaking research reported here, but a well-written and well-reasoned story worth sharing with peopl. With back pain.

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Coping: neither good, nor bad, but “it depends”

Coping: neither good, nor bad, but “it depends” | Fit for life and work | Scoop.it
Coping is a concept we often use in chronic pain management.
Our aim as clinicians is to help people with chronic pain cope with their pain so they can do more of what is important to them.
Marianne Cloeren's insight:

I learned a new term: functional contextualism.  There are also links to some useful tools for measuring coping toward the end.

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Nancy Gowan's curator insight, January 7, 8:20 AM

Good article on chronic pain management

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How physical therapy gave an elderly patient hope

How physical therapy gave an elderly patient hope | Fit for life and work | Scoop.it
Mr. Katz sat on the edge of his chair in my clinic room, teetering as if he might fall at any moment. He was 86-years-old, and his thin body had become weak and tired. But his angry eyes, like a petulant child, stared at me.
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Autism Poem: Welcome to Holland

Welcome to Holland is a classic, adopted autism poem written by Emily Perl Kingsley, a mother of a child with special needs. (have a child with a disability. It's called Welcome To Hollland.
Marianne Cloeren's insight:

Although written from the perspective of a parent of a child with autism, this story is a good metaphor for any situation in which we find ourselves having to permanently adjust our plans and dreams.

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Thinking About How to Think

Thinking About How to Think | Fit for life and work | Scoop.it
Have you ever taken a course on how to manage your mind? Have you ever read a book on how to think? I doubt it.
Most of us believe we’ve learned how to think by going to school and learning about the world.
Marianne Cloeren's insight:

This one will make you think - about thinking!  Seriously though, there are some good tips for those of us whose ruminations can become counter-productive.

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Physician suicide etiquette: What to do when your doctor dies suddenly

Physician suicide etiquette: What to do when your doctor dies suddenly | Fit for life and work | Scoop.it
An obstetrician is found dead in his bathtub. Gunshot wound to the head. An anesthesiologist dies of an overdose in a hospital closet. A family doctor is hit by a train. He’s decapitated.
Marianne Cloeren's insight:

Many of those reading this are doctors...does this ring true?  I must be in the right specialty - I am lucky to say it I hard for me to relate to this misery.  The suggestions, especially the one at the very end, seem sound.

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Got Chronic Pain? It’s Time to Think Differently

Got Chronic Pain? It’s Time to Think Differently | Fit for life and work | Scoop.it
I’m not here to say that your pain is all in your head… but it is literally, 100%, with no embellishment, all in your head. There’s no way around it. Everything is “just in your head.” That incredible three dimensional landscape in front of you? Constructed entirely in your head based upon the input of […]
Marianne Cloeren's insight:

Don't read this if cuss words bug you.  Otherwise please do read this - nicely written explanation of chronic pain, appropriate (in my opinion) for educating patients (as long as they are ok with cuss words!)

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Health: It’s Not Just About Healthcare

Health:  It’s Not Just About Healthcare | Fit for life and work | Scoop.it
What's a documentary about teaching pre-teens to ballroom dance got to do with health? More than you may think.
Marianne Cloeren's insight:

"The tie back to health is that health is not just about the things we doctors have been taught to prescribe – all too often pharmaceuticals – but health is also about happiness, friendships, team sports (including rooting for your favorite dance team), and bonding with teammates and teachers."

 
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The Surprising Power of Small, Stupid Goals

The Surprising Power of Small, Stupid Goals | Fit for life and work | Scoop.it
Think one pushup a day can't change your life? Think again.

Via Barb Jemmott
Marianne Cloeren's insight:

Here is my small stupid goal: Breathing meditation for one minute per day.  I know that meditation would be so good for me as a regular practice, but I can't seem to make myself carve out the time.  But I should be able to afford one minute!

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Exercise, surgically removing belly fat improves cognition in obese, diabetic mice

Exercise, surgically removing belly fat improves cognition in obese, diabetic mice | Fit for life and work | Scoop.it
Cognitive decline that often accompanies obesity and diabetes can be reversed with regular exercise or surgical removal of belly fat, scientists report.
Marianne Cloeren's insight:

Really interesting animal study, supporting the connections between bad fat, inflammation and cognitive decline...

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What is the main cause of the primary care crisis?

What is the main cause of the primary care crisis? | Fit for life and work | Scoop.it
Next in a series. Primary care physicians (PCPs) have too little time per patient which means too many referrals to specialists, too little time listening and thinking, no time to delve into the stress or emotional causes of many symptoms and...
Marianne Cloeren's insight:

The low reimbursement for cognitive work (thinking tasks) by physicians and high compensation for procedures is a major cause of  work disability, as patients who need a good listening to are treated instead with needles and knives.

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Mat Fraser's museum piece challenges us all to bring disability out of the box - The Guardian (blog)

Mat Fraser's museum piece challenges us all to bring disability out of the box - The Guardian (blog) | Fit for life and work | Scoop.it
The Guardian (blog) Mat Fraser's museum piece challenges us all to bring disability out of the box The Guardian (blog) It's the first performance of The Cabinet of Curiosities: How Disability Was Kept in a Box, part of a research project called...
Marianne Cloeren's insight:

I remember visiting the Mutter Museum in Philadelphia, a medical museum of oddities, and feeling somewhat ashamed, knowing at some level that gawking at abnormal skeletons, preserved remains of deformed babies, etc., was not excusable just because I am a doctor.  We medical students and doctors were not looking at these with a goal of  prevention or cure.  There was an element of voyeurism, akin to circus sideshows.   I would be interested in seeing how Mat Fraser addresses this history.  

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Why Me? Perceptions of Justice Influence Pain Experiences - Association for Psychological Science

Why Me? Perceptions of Justice Influence Pain Experiences - Association for Psychological Science | Fit for life and work | Scoop.it
Do you live with chronic #pain? What beliefs do you hold about #justice & fairness? http://t.co/BL4K8qGq31 #CBT #compassion
Marianne Cloeren's insight:

I realized in reading this that I have a similar reaction - "It's not fair!" - when my commute takes longer due to traffic.  This reaction of resentment is what makes me suffer on days when my drive is long, not the long commute itself.  How do we help patients with pain see this and let go of the feeling of injustice?  Can they be helped to let go of anger without necessarily accepting that this is part of the problem?

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Returning Joy & Meaning to Healthcare Work in 2014

Returning Joy & Meaning to Healthcare Work in 2014 | Fit for life and work | Scoop.it
By Dr. David Mayer First Posted on Educate the Young on 1/6/2014 David Mayer MD, Vice President of Quality and Safety for MedStar Health The success of our Telluride Roundtables and Summer Camps over the last ten years can be credited, in large...
Marianne Cloeren's insight:

I was intrigued to see that this story referenced Alcoa leader Paul O’Neill’s premise that every employee should be:

RespectedSupportedAppreciated
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