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I am a plant based Cardiologist and endurance athlete passionate about promoting health and wellness to all ages.
Episodes
Friday Jul 15, 2022
Friday Jul 15, 2022
Welcome! and Thank you for listening.
When it comes to your health, I have always asked the question; will it make you live longer, or will it make you live better? Another translation might be, will your quality of life be better and or longer? If you are sick and feel bad, the question is a lot easier perhaps than if you are feeling well. Physicians sometimes confuse quality of life with objective progression free survival. Translated roughly if the disease has not gotten worse, you must be better. Even though it seems reasonable, it has never been proven to be an equivalent measurement. For example, a tumor could shrink but the person has long lasting side effects from the medication. Quality of life is also a personal decision and there is not a universal definition.
What about the things we accept for truth such as sun causes cancer? What about our source for vitamin D? Should we even wear sunglasses? Why do some melanomas occur where there is very little sun exposure? How about rest? Should we move if we are injured?
One thing we have lost as health care providers is taking time. Time to speak with patients and understand their concerns. Time to explain our thoughts for their treatment and discuss risks and alternatives. Time to have the hard talks about what quality of life means to a particular person. Time to think about where the information we base our protocol driven decisions comes from and question if it is valid?
I hope you enjoy the podcast. Thanks for listening.
Email me at jami@doctordulaney.com
Website:doctordulaney.com
https://www.sciencedirect.com/science/article/abs/pii/S0091743583710108
https://academic.oup.com/endo/article/159/5/1992/4931051
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2671032/
Friday Jul 08, 2022
Friday Jul 08, 2022
Welcome! and Thank you for listening.
I am joined by Addie Dulaney Majnaric, RDN today to discuss childhood obesity. This week is National Childhood Obesity Week.
In contrast to adults, weight is assessed by percentiles of the ratio, weight to height, by age and sex. Greater than the 95th% percentile is considered obese and greater than 85th% is considered overweight.
It is a very important to address childhood obesity in a healthy way in order to decrease the risk of lifestyle diseases associated with being overweight such as diabetes, hypertension, cardiovascular disease, orthopedic complications, and cancer.
Unlike adults, children are still growing and developing. Caloric restriction can be dangerous for growth and development if proper macronutrients and micronutrients are not obtained. Care must also be taken so as to not make a child self-conscious or to develop an abnormal relationship with food.
Addie and I will address healthy positive ways to obtain healthy weights for children.
It is important to set a good example as adults for our children for long term good eating habits and relationships around food and nutrition.
Addie Majnaric, RND works with families through our practice to meet the nutrition goals for all stages of growth and development. You can email her at Addie@doctordulaney.com with questions.
Email me at jami@doctordulaney.com to find out more about our wellness practice.
Website: doctordulaney.com
https://www.mayoclinic.org/healthy-lifestyle/fitness/expert-answers/kids-and-exercise/faq-20058336
https://www.cdc.gov/obesity/basics/childhood-defining.html
https://health.clevelandclinic.org/figuring-dietary-fiber-child-need/
Friday Jul 01, 2022
Friday Jul 01, 2022
Welcome! and thank you for listening.
Happy 4th of July.
I will give you a simple guaranteed solution to reverse lifestyle diseases including heart disease, diabetes, and vascular diseases. All you have to do is eat vegetables, fruit, grains, potatoes and exercise. There it is. Easy. So easy that it is hard to believe the whole world is doing it.
Sorry, it is not that easy to do when the world seems to be going in the opposite direction. Perhaps if everyone had a device to tell them their heart rate, glucose, and metabolism, and there were meals delivered to fit the above readings. Wait those are available too, and we still have disease.
Perhaps if others changed first, and you were sure it would work and not be too difficult. I do not think that is going to happen any time soon.
Change starts within. Observing what is going on. Questioning if the changes you are making are resulting in progress. Redirecting.
What is health worth to you? Your health is more valuable to you than anyone else. No one will put more effort into your health than you do.
What are you waiting for? Let’s get healthy. It starts with you.
Here is a link to some healthy tips and recipes for the 4th of July https://mailchi.mp/fb8162119917/happy-summer-from-dr-dulaney
Email me at jami@doctordulaney.com with questions.
Website:doctordulaney.com
https://www.medscape.com/viewarticle/976400
https://www.nature.com/articles/s41586-022-04875-y
Thursday Jun 23, 2022
Thursday Jun 23, 2022
Welcome! and Thank you for listening.
This episode is a recap of the Leadville Trail Marathon located at Leadville, Colorado. It is the highest elevation marathon in the United States at 10,000 ft climbing to Mosquito pass at 13.186 ft.
Finish time: 8:41:46
Distance 26.4 miles covered
552 people completed the marathon. 43 Did not finish.
133 finishers over the age of 50.
1 70 year old man finished as oldest finisher.
Predictors of slower time: Not living at altitude and over 50.
Lessons learned:
Hill training important
Rock training equally important
Plans to improve:
Hill training
Strength training for foot speed
Balance and mobility training for uneven terrain
Nutrition discussion: Herbs and spices to improve immune function.
Email me at jami@doctordulaney.com with questions
Website: doctordulaney.com
https://www.leadvilleraceseries.com/run/trailmarathonheavyhalf/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841576/
Friday Jun 10, 2022
Friday Jun 10, 2022
Welcome! and Thank you for listening.
June is Alzheimers awareness month. I think a better name would be Alzheimers prevention month. Alzheimers is one of many subtypes of dementia. It is mainly a pathologic diagnosis described as abnormal amyloid plaques and protein tangles in the neurons. Symptoms are usually progressive but the onset and course of progression is variable. The diagnosis is devastating and frightening because of the lack of curative therapies and loss of the ability to care for ones self. An early diagnosis often leaves the patient and family alone to fear for the future and grab at any potential therapy available.
As a cardiologist, I have treated many patients with dementia. More importantly, I experience caring for a patient with dementia, my father. Watching a loved one fade away mentally while their body is still there is very difficult. The best treatment we have to date is prevention.
The risk factors for dementia are not unlike other lifestyle diseases. Good news is that prevention is similar. Waiting until the diagnosis in the case of dementia is not the time to make lifestyle changes. It is too late for significant reversal once the diagnosis is made. Slowing of progression can occur with diet and exercise but the time to act is while you are still healthy. How you live your 40s and 50s may ultimately determine your dementia in later years.
I will offer some suggestions for diagnosis, prevention and nutritional and physical therapies. Most of all, I offer hope to prevent and to cope with whatever challenges you may face.
Thanks for listening. Email me at jami@doctordulaney.com with questions.
website:doctordulaney.comhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2850944/
https://www.alzheimers.org.uk/about-dementia/risk-factors-and-prevention/physical-exercise
https://www.advisory.com/daily-briefing/2021/11/29/aduhelm-side-effects
Friday Jun 03, 2022
Friday Jun 03, 2022
Welcome! and Thank you for listening.
Why do bad things happen to good people? Some say there is always something good that comes out of bad situations, but it can be hard to appreciate them early on. How does this apply to nutrition? We would like to think that we are bullet proof with regards to illness if we eat a plant-based diet. But there are many other factors that can result in illness as well as diet. We tend to put a lot of extra pressure on ourselves defending our dietary choices. Afterall, we gave up junk food to be healthy, right? The world is watching our sacrifices.
So, if we are not guaranteed perfect health, should we even bother to do all of this cooking and sacrificing? A study of one is hardly scientific, and we really only have one shot at this life. The choice is yours, but I would ask one additional question? Do you believe that fruits, vegetables, and whole grains cause disease?
If the answer is no, then perhaps they may still be helping your body to heal from the illness.
In this podcast I will discuss health promoting benefits when it comes to cancer from various foods such as beans, grains, and other vegetables. I believe that added to a healthy lifestyle these, foods will promote healing alone and in the presence of traditional therapies. Who knows, you may be preventing another illness with the same foods used to treat the current illness.
As always, thanks for listening. Email me at jami@doctordulaney.com with questions.
Website:doctordulaney.com
https://pubmed.ncbi.nlm.nih.gov/19774556/
https://pubmed.ncbi.nlm.nih.gov/17044765/
https://pubmed.ncbi.nlm.nih.gov/2998440/
https://pubmed.ncbi.nlm.nih.gov/9786231/
Thursday May 26, 2022
Thursday May 26, 2022
Welcome! and Thank you for listening.
Why is the fundamental question when it comes to finding a solution. My heart goes out to the families in Uvalde, Texas. How do we end these recurrent acts of violence in our communities. We argue about more police or less guns as a quick fix or deterrent. While these things may help, we need to address the fundamental question of why? Why is there so much anger in young men that they would repeatedly take the lives of innocent strangers? The most recent shooter purchased weapons and massive amounts of ammunition without anyone raising concern. He posted messages announcing his plans and they were ignored. Most likely he had been ignored for a long time as well. Our communities have been isolated and separated. We turn a blind eye towards neighbors in need until tragedy occurs.
We turn a blind eye as health providers and consumers as well. We ignore signs and symptoms of underlying illness and then patch with pills and procedures. Let's treat the why and quit patching symptoms. What is the root cause of most life style diseases? It is the food we eat and how we move. Mental toughness, mental fortitude or simple mindfulness allows us to assess the changes we need to make. We are not helpless. Consistency is the key to success whether training for a marathon or regaining health.
Get a calendar and keep score of the days you exercise and what you did. Plan your meals and shop accordingly. Stand your ground with the your choices and keep your why clearly visible. You will not hurt anyone by eating healthy, and you might just help someone when you are not looking. It is time we ask why.
Email me at jami@doctordulaney.com
website: doctordulaney.com
Friday May 20, 2022
Friday May 20, 2022
Welcome! and Thank you for listening.
We all agree that a normal BMI decreases cancer risk and recurrence as well as cardiovascular disease. But how that is achieved results in a continuous stream of advice and hacks on how to accomplish most easily and quickly.
I do not believe it is as much when we eat as it is what we eat. Intermittent fasting is another word for intermittent eating which is another word for time restricted feeding.
What we do need some rules or accountability. We all have circadian rhythms that guide our wake and sleep times as well as hormonal outputs and our hunger.
My takeaway thoughts:
Mindful eating is better achieved on a schedule that is congruent with your lifestyle. What is your work schedule? Travel schedule? Family schedule?
It you eat on a schedule; you are more likely to be mindful of what you are consuming.
Do you think Doctors need more nutritional education? You might be surprised who is against it.
If you would like more accountability in achieving optimal health and performance, check out our website at doctordulaney.com
Email me with questions at jami@doctordulaney.com
https://www.jacc.org/doi/10.1016/j.jaccao.2022.03.002
Thursday May 12, 2022
Thursday May 12, 2022
Welcome! and Thank you for listening. Happy 89th Birthday Diva!
Longevity vs health span? What are some observations that I have made following my mom’s health span?
Being social and interacting with others is something the Diva has excelled at.
Positive mental attitude or even more a “can do” attitude has been her approach to life.
Plant based nutrition of course. More importantly avoiding toxic metabolites.
Move your body. Saving it will not prolong it. The Diva gets her steps in, does yoga, golfs and takes care of her house.
Maintaining strength is perhaps more important than muscle mass for longevity. Get a grip on it and lift it!
Soy is a good thing and need not be avoided. In fact, there are essentially no side effects and it might beat tamoxifen in some breast cancers. How do you get your soy? I drink soy milk, use miso, eat tofu and tempeh and use low sodium soy sauce.
Thanks for listening. Email me at Jami@doctordulaney.com with questions
Website: doctordulaney.com
https://jamanetwork.com/journals/jama/fullarticle/185034
https://academic.oup.com/biomedgerontology/article/61/1/72/549632
Friday May 06, 2022
Friday May 06, 2022
Welcome! and Thank you for listening.
What percentage of improvement would you need to have before choosing a medication or procedure? Would it matter if it was a relative risk reduction or absolute risk reduction? How do side effects factor in?
Is decreasing a particular disease the same as all cause mortality reduction. How do you become your own health advocate?
First of all, you have a right to know and fully understand. You are your best advocate, and you may or may not be like the other people in the study. I will try to tease some of these topics out during this episode. The water is deep and muddy so hang on!
Thanks for listening. Email me at jami@doctordulaney.com and visit the website at doctordulaney.com