Archive for the ‘Fitness’Category

BQ365 Weeks 3-5: The Science of Sleep

by Brian Kim, MD, MS


“… Sufficient sleep is not a luxury—it is a necessity—and should be thought of as a vital sign of good health.”
– Wayne H. Giles, MD, Centers for Disease Control

“I think sleeping was my problem in school. If school had started at four in the afternoon, I’d be a college graduate today.”
– George Foreman

A few months ago, while rounding the floor of the medicine wards, I stepped into the room of a patient who had been admitted the previous night. A successful businesswoman in her 30’s, she had managed to ascend the corporate ladder with ease, despite being, to the surprise of her close friends and family, a high-functioning alcoholic. That is until, one day, she (and her liver) stopped functioning. She had a laundry list of medical problems, a number of which could have taken her life in a matter of weeks to months. And, yet, the only issue that seemed to be on her agenda that morning (or at least the only one she wanted to talk about) was how poorly she had slept last night and wanted to know what I could do about it. We talked about her sleep every morning for the next 30 days, until she was finally discharged from the hospital.

It seemed incongruous, maybe even absurd, to have spent so much time discussing an issue that ranked #11 on my list of 13 problems for this patient. But, as I have seen with countless patients, both in and out of the hospital, there are few concerns (other than pain and constipation) that are voiced as consistently as poor sleep. Read the rest of this entry →

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04 2013

BQ365 Week 2: The Power of Placebo

by Brian Kim, MD, MS


“Preservation of sound judgment both in the laboratory and in the clinic requires the use of the “double blind” technique, where neither the subject nor the observer is aware of what agent was used or indeed when it was used. This latter requirement is made possible by the insertion of a placebo…into the plan of study.”

The world took notice in 1955 when Henry Beecher published his influential paper “The Powerful Placebo,” in which he reported that, on average, 35% of patients respond favorably to nothing more than a placebo, or “sugar pill.” For decades thereafter, it was widely assumed (erroneously) that a similar proportion of people, whatever the circumstance, could expect to have their fortunes changed with the help of a placebo. Read the rest of this entry →

05

03 2013

BQ365: Week 1


by Brian Kim, MD | kim@myhousecallmd.com

BQ – two letters that have become the ultimate goal in racing; an obsession that weighs in the minds of countless runners, but is realized by few. For some, it’s a check box on a lifetime bucket list. For others, it’s a tangible benchmark between the anonymity of “marathon finisher” and the impossibility of Olympic gold. Whatever the motive, the Boston Qualifier (the time standard to qualify for the Boston Marathon) has become lore during the decades long boom that has democratized marathon running to welcome (whether you like it or not) finishers like Oprah (4:29:20), P. Diddy (4:14:54), Lance Armstrong (an EPO-boosted 2:59:36), Paul Ryan (also “two hour and fifty-something,” or actually, 4:01:25), and probably even your mom or weird uncle. Read the rest of this entry →

17

02 2013

TRAINER: The June Program

Courtney Walberg, RD, NASM-CPT | CW Nutrition for Body & Mind

The weather is heating up and you’re feeling the pressure to get “bathing suit ready.”  The June Trainer Column, full of explosive exercises, resistance and stability techniques can get you there.  Four weeks from now, you’ll be ready to hit the sand in killer form.

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06

06 2011

TRAINER: The April Program

Courtney Walberg, RD, NASM-CPT | CW Nutrition for Body & Mind

It’s time to get “beach ready” as the temperature starts to heat up this spring. If you feel that you are really pushing yourself with each workout but aren’t seeing any results, you need to change the speed, duration or intensity of your workout. All of these components are key to training different muscle groups and increasing your stamina.

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04

04 2011

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