Category Archives: Health Tips in mind body and spirit

Dr. Topol Prescribes Smart Apps

by Harriet Jansen

We at Healthy Crowdfunder believe in the Health Manifesto that emphasizes three things: Predictive, Preventive and Personalized health solutions. The more these three areas are emphasized and focused on, the less likely it will be for people to develop fatal and costly illnesses. Each individual on this planet is unique in his or her ways, appearance as well as beliefs, and the same goes for our bodies. No body is alike which means that in order to get optimal care, health solutions should focus on treatment before the fact rather than after.

Watch this ten minute interview with Dr. Eric Topol on the technological advances we are currently experiencing in the health industry, advances that not only save time and money, but have the ability to predict and prevent possible illnesses or act as personalized treatment to people with chronic ailments.

The new gadgets that Dr. Topol is introducing fit right into our three main priorities. They are exactly what we want to support so that people all over the world get the best medical treatment possible.

In order for these new inventions to become standardized medical tools, their reliability still has to be proven. I find it hard to get my head around the fact that such a small device that is attached to my mobile phone could potentially save my life. What if the device is carried in my purse and gets dirty, will it still give me accurate results? It is a challenge to mainstream medical devices but if they are applied successfully, the outcome could be astronomical.

The health industry is evolving in a way that it is improving existing systems and developing amazing technology. Who would have imagined holding a device attached to your phone that can read your blood pressure? These new innovations are reducing prices and making medical care more accessible to people, something that should be made a priority. If what Dr. Topol is saying is true, then the next few decades will revolutionize the way we view and interact with healthcare.

I think Dr. Topol is completely right, we would all like to know more about our body’s health condition, knowledge that could predict a heart attack or prevent us from becoming seriously ill. Let’s support innovators who have the know-how yet lack the means to develop technology that will only benefit us all!

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March 19, 2013 · 12:07 am

Yoga With Vesna Bliss by Harriet Jansen

Vesna Bliss

These past few winter months have left some or even most of us feeling tired and lifeless. The Vancouver rain makes one want to stay at home rather than go out. Additionally, one prefers to take the car or public transportation instead of walking. This lack of fresh air and movement creates stiffness and disables the flow of energy in our body. I had been feeling this way for a few weeks and knew I had to find some form of exercise to get me out of my current state of hibernation!

Therefore last weekend, in an attempt to boost my energy levels and increase my level of awareness, I attended a Kundalini Yoga class with Vesna Bliss. Fortunately it was a sunny day and in the spirit of adding exercise to my day whenever and wherever I can, I decided to walk the twenty minutes to where the class was being held rather than taking the bus. This walk alone helped me get into the mood of doing something good for my body and brought joy to my mind.

The room was filled with light and with the support of Vesna’s relaxing tunes I was in the right mindset to start this one hour journey to awaken vitality, increasing awareness and reducing fatigue. The class started with a brief mantra to loosen up our face and throat and getting us centered. After that, she took us through a set of poses that aimed at letting our natural energy flow steadily throughout our bodies by intense breathing and concentration. A few poses were aimed at strengthening our core muscles as well as increasing our flexibility and balance.

The session ended with what seemed like a half hour meditation although it was only eleven minutes. This was my first meditation experience and it was great. In order to help us keep our minds clear, we sang a three word mantra “Sat Kar Tar” which means “Doer of the Truth” and should invite love into your heart.

This practice made me feel relaxed, light and ready to embrace the day. It truly awoke both my body and mind and I can only recommend it to all of you out there who need to be kicked out of their state of hibernation!

Harriet and FabianAbout Harriet Jansen:

As a student of International Business in Germany, I started volunteering as an Intern at Healthy Crowdfunder Corp. During my exchange semester at BCIT here in Vancouver I was acquainted with the concept of crowdfunding and with a little bit of luck introduced to Tony Arias who was kind enough to offer me this exciting opportunity. Being an advocate for healthy living as well as highly interested in finance and marketing, I could not have found a better fit.

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Invest in Healing Healthcare

Dr Lisa Rankin explains we can all be part of the health solution. We need a healthy mind. Watch about the things that make us live longer. We need more doctors like her. Tell us about your experience. We can all make a difference by sharing this video to our doctors or healthcare providers.

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Do You Know of Women on Estrogen Overload?

Find out causes and health solutions. Watch Lorna Vanderhaegue, MSc. Please share this video with all the other women you care about including yourself.

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How do doctors think? You might not want to know

Courtesy of Raw Food Rehab

My intention is to encourage our Healthimized fans to take control of their health. Placing our health responsibility on to our doctors and health practitioners is not fair and poses dire consequences. Help us with our mission and support our entrepreneurs offering health solutions. Stay tuned to our forthcoming Healthy Crowdfunder platform.

The following is a reproduction from this link.
http://www.repertoiremag.com/Article.asp?Id=2761
Edition: September 2007 – Vol 15 Number 09
Article#: 2761
Author: Mark Thill

This book is titled How Doctors Think, but unfortunately, it won’t tell you how your physician customers think about med/surg products and equipment. However, it will tell you how doctors think about medical problems and the patients who have them. And it isn’t pretty. In fact, you might not want to know how doctors think, particularly if you’re the one with the medical problem.

This might be a book you’ll want to share on a very selective basis with your physician customers. That’s because the author, Jerome Groopman — himself a physician — works hard to shatter the myth of physician invincibility. Most doctors might not want the news to get out — that is, that they’re human, like the rest of us, and hence are subject to lapses in reasoning, to fear, to habitual thinking and to simple close-mindedness. But others do, and they’ll appreciate the insights this book contains.

What’s more, How Doctors Think makes a clear case for the potential power of a physician’s mind, instincts, curiosity and compassion, rather than blind adherence to best practices, algorithms and evidence-based medicine. And that’s something many doctors might want to hear. Repertoire readers might want to carefully read this book before using it as a conversation-opener with their customers.

The author, Jerome Groopman, M.D., is professor of medicine at Harvard Medical School and chief of experimental medicine at Beth Israel Deaconess Medical Center. He is also a researcher in cancer and AIDS, and author of several books as well as magazine articles. (He is a staff writer for The New Yorker.)

Uncertain science

To be sure, it’s not easy being a doctor, says Groopman. Patients expect miracles; most fear signs of indecision. Doctors themselves are sometimes caught between clinical uncertainty and the need to take a clinical leap — and act.

What’s more, doctors — like the policymakers who try to regulate them — are caught in the age-old struggle between medicine as art and medicine as science. In Groopman’s words, medicine is an “uncertain science.” Most doctors know this, but are unwilling to admit it to themselves, let alone their patients.

One thing is for sure: Doctors are subject to mental and emotional lapses that can impede their medical judgment, and the consequences can be severe. Some of these lapses are of their own making; others are not.

In their haste to see patients and prescribe treatment, for example, doctors sometimes fail to take the time to truly listen to their patients for important clues about their medical problems, says Groopman. They can fall into ruts in their thinking and take shortcuts. Most of the time, they get it right — their initial diagnosis or treatment plan leads to a cure (or control of chronic disease). But sometimes they don’t … and patients suffer. In fact, if this book is about anything, it’s about how to be a better patient. In most cases, that means being more aggressive and attentive, insisting on a meaningful dialogue with your doctor, gauging his “emotional temperature,” and seeking help elsewhere if you’re not getting what you need.

Face value
Groopman is a good story-teller, a fact that improves the readability of this book. He begins with the story of Anne Dodge, a woman in her mid-30s who has been unable to hold down a meal since the age of 20. She has chased a cure for 15 years, visiting endocrinologists, orthopedists, hematologists, infectious disease specialists and psychiatrists. She has been told repeatedly that there was nothing physically wrong with her, and was treated for eating disorders — anorexia nervosa and bulimia. Her irritable bowel syndrome was diagnosed as further proof of her deteriorating mental health. Dodge visited dozens of doctors over the years, but none correctly diagnosed her. In fact — and this could be modern medicine’s greatest sin — each doctor tended to simply take at face value the diagnosis of the last one she saw. Over time, the prevailing diagnosis — that Dodge was suffering from emotional or mental illness — took on a life of its own. No doctor really saw her any more or took the time to listen to her story. In effect, they wrote her off.

To be sure, doctors aren’t the only professionals who fly on automatic pilot. Med/surg reps have, from time to time, been known to pull out the same products from their bags simply because they’re most familiar with them. And what rep hasn’t told his boss, co-workers or trainees that “This customer is a pain in the neck and not worth spending more than five minutes on”? For the rep, that can mean a lost sale or, worse, a lost customer. But for the doctor, it could mean needless suffering or worse on the part of his patients.

Anne Dodge’s case finally gets resolved, but not until a conscientious doctor closes the thick sheaf of past doctors’ notes and listens to her story — from start to finish, looking for the clues that might tell him what’s really going on. (Turns out she isn’t a nut after all, but that her illness does indeed have a physiological basis.)

Cognitive traps

Anne Dodge’s story brings to light a sobering fact, says Groopman: Even as healthcare providers and policymakers focus on the human and financial toll of medical mistakes, they might be missing the boat on a much larger, but subtler and more intractable issue. “Experts studying misguided care have recently concluded that the majority of errors are due to flaws in physician thinking, not technical mistakes,” he says. In one study of missed diagnoses, researchers found that mistakes were not caused by ignorance of clinical facts, but rather, by flaws in the thinking process, or what Groopman calls “cognitive traps.” And these traps have deep roots. Medical students are trained to make “differential diagnoses,” essentially, “trees” of potential diagnoses. “Does the patient exhibit X? If so, then X.” These diagnoses rest upon pattern recognition. Most times, they work in favor of the patient and the doctor. But not all patients fall neatly into one of the branches on that decision tree.

Another cognitive trap is the one that Anne Dodge fell victim to. According to Groopman, “Doctors frame patients all the time using shorthand: ‘I’m sending you a case of diabetes and renal failure,’ or ‘I have a drug addict here in the ER with fever and a cough from pneumonia’” Often a doctor chooses the correct frame, and all the clinical data fit neatly within it. “But a self-aware physician knows that accepting the frame can be a serious error,” he says.

Emotional beings
Doctors — like all of us — can let their emotions get in the way of performing their best work. “Physicians who dislike their patients regularly cut them off during the recitation of symptoms and fix on a convenient diagnosis and treatment,” writes Groopman. “The doctor becomes increasingly convinced of the truth of his misjudgment, developing a psychological commitment to it. He becomes wedded to his distorted conclusion.”

Many times, patients are unaware or unwilling to accept the fact that their doctor doesn’t like them. If they do, they tend to blame themselves, saying “I’m not a good patient.” Beware, says Groopman. If your doctor is giving you negative vibes, get out — quickly. See someone else. Give yourself a chance, even if your doctor won’t. Conscientious doctors, of course, monitor their emotions and inquire about negative feelings they have toward a patient. Truly compassionate and self-aware ones may even refer a patient to another doctor who might be more open to him.

Conversely, a doctor might take a liking to a patient, and that emotion can cloud his judgment. The doctor might let the patient “off easy” and let him take a pass on painful but necessary tests — with severe and unintended consequences.

Pity the poor doctor. He is trapped between the need to shut off emotion and stick with the facts, and the need to acknowledge his emotions in order to truly hear and see the patient. And seeing and hearing are the doctor’s most important tools. The fact is, when they tell their story, patients are feeding the correct diagnosis to their doctor, if the doctor is willing to take the time and energy to listen.

Another cognitive trap is that of “availability.” Example: In the midst of a viral outbreak, the doctor mistakenly diagnoses a patient with viral pneumonia. It makes sense — after all, pneumonia is going around. But had he stopped to consider the evidence, he might see that the patient before him is displaying classic symptoms of aspirin toxicity. Take away the viral outbreak and it’s a relatively simple diagnosis. Groopman calls such lapses “cognitive cherry-picking,” or “confirming what you expect to find by selectively accepting, or ignoring information.”

Even radiologists looking at film or CT images can fall victim to lapses of cognition. Radiologists, like all doctors, are trained to read images quickly and make instantaneous observations. Often, these observations are correct. But radiologists misread X-rays 20 to 30 percent of the time, says Groopman. What’s more, haste leads to what he calls “search satisfaction,” that is, “a natural cognitive tendency to stop searching, and therefore stop thinking, when one makes a major finding.”

Overmedication, overtreatment

All of this isn’t to mention the cognitive traps that can be reinforced in part by heavy marketing by pharmaceutical and medical device vendors, says Groopman. “Drug companies … can drive doctors’ thinking about what constitutes a malady and how to remedy it,” he says. Normal biological processes, such as drops in testosterone levels among aging men, are “medicalized” by drug firms, leading to overmedication, he says. Given the power of suggestion (and of marketing), consumers want to believe that drugs will produce certain effects, even if studies show they won’t. And physicians often respond by prescribing them. “There is a powerful temptation felt by patients and doctors alike to have a simple answer to complicated problems,” he quotes one internist and endocrinologist as saying.

Indeed, medical device makers are not immune to overstatement, he says. “Spinal fusion may be the radical mastectomy of our time,” writes Groopman, pointing to the growing incidence of spinal fusion and comparing it to radical mastectomies for breast cancer in years past. The problem with spinal fusion is that there is little correlation between damaged or degenerated disks and low back pain, he says, adding that more than 80 percent of people with back pain will recover through more conservative treatment, such as anti-inflammatory medication. But caught up in marketing and media hype, doctors and patients are often powerless or unwilling to take any route but the most severe — surgery.

The dangers of haste
Pediatrics offers plenty of opportunities for lapses in judgment, says Groopman. That’s because most kids are, fundamentally, pretty healthy. After awhile, the pediatrician can shrug off just about anything. That’s why the diligent doctor must prepare himself mentally before each patient visit, in order to guard against being lulled into complacency. Add the dilemma of low reimbursement — which drives doctors to try to see more patients in shorter periods of time — and one can see how the likelihood of cognitive errors increases.

Haste can also impede doctor/patient communication about the most basic things, such as how to properly take prescribed medication. Even worse, a physician in a hurry can discourage patients from communicating their deepest fears about what’s truly bothering them. That’s because patients often push from their minds the concern that is most frightening to them. “[T]he pediatrician should budget time to allow the concern to come to the surface, drawn out through a dialogue,” says Groopman.

Thoughtful dialogue doesn’t exactly square with one of modern medicine’s sexiest ideas, namely, that algorithms or critical pathways can help doctors improve the quality of care. Says Groopman, “Lists are useful, and like algorithms, can make care more efficient in certain circumstances, yet they also pose the same risks, that the doctor will not ask the kinds of open-ended questions” that they should. Electronic medical records, while useful for many things, might end up being a crutch for the doctor to hide behind, making it easy for him to avoid asking open-ended questions, he adds.

Quality measures pose the same dilemma. On one hand, they promote good, complete medicine. On the other hand, they can cause the doctor to totally miss the boat. “Currently, the bean counters are generating metrics to judge a physician’s ‘quality,’ but many of these are trivial, simply scorecards to ensure that the blood sugar was measured and a flu shot given,” says Groopman. “‘Quality’ in primary care means much more. It means thinking broadly, because any and every problem of human biology can present itself; it means making judicious decisions with limited data about children and adults, neither overreacting nor being blasé; it means wielding one’s words with precision and with a profound appreciation of the social context of the patients.”

The wisdom of uncertainty
The reason some doctors might not take to Groopman’s book is because it is, in the end, a plea for humility on their part. One cardiologist tells him, “What we know is based on only a modest level of understanding. If you carry that truth around with you, you are instantaneously ready to challenge what you think you know the minute you see anything that suggests it might not be right.” One doctor he knows — and admires — keeps a list of all the mistakes he has ever made, and refers to it now and again to remind him, and to learn anew from them.

For many doctors, the enemy is uncertainty. Not only are they unwilling to accept their own uncertainty about a case, but they’re unwilling to share that with their patients. But to Groopman, such doctors are missing an opportunity to get better. “Does acknowledging uncertainty undermine a patient’s sense of hope and confidence in his physician and the proposed therapy?” he asks. “Paradoxically, taking uncertainty into account can enhance a physician’s therapeutic effectiveness, because it demonstrates his honesty, his willingness to be more engaged with his patients, his commitment to the reality of the situation rather than resorting to evasion, half-truth and even lies. And it makes it easier for the doctor to change course if the first strategy fails, to keep trying. Uncertainty sometimes is essential for success.”

To be sure, patients don’t always like indecision. It makes them nervous. And physicians often err on the side of action rather than inaction, despite the fact —and sometimes because of the fact — that they’re not quite sure what to do. But Groopman recalls a mentor saying to him, “Don’t just do something, stand there,” when the author was unsure of a diagnosis. In other words, sometimes inaction is the best course.

Of course, inaction shouldn’t be confused with paralysis. Sometimes, faced with a patient who is not responding to treatment, the doctor may lapse into what Groopman calls “anchoring.” Unsure of a course of treatment, he throws down his anchor and refuses to budge from a certain (and ineffective) course of action. For heaven’s sake, as a patient, be worried — be very worried — if your doctor says something like, “We see this sometimes.” That means he has no clue about what’s going on, and has thrown the matter of your health and well-being to chance, God, or whoever else will take responsibility for it.

Groopman does not set out to damn those in his profession, nor does he appear to set himself apart from “the masses.” Rather, he makes a case for intelligent, compassionate healthcare. “As years pass, physicians derive gratification not only from the challenge of solving difficult cases, but also from trying to decipher the character of their patients.” That we as patients should be so lucky to come across such doctors.

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Sunday is Gratitude Day for the Healthy Crowdfunder

Every Sunday I go through my list of people to be grateful about. Here’s why I am grateful to them.

1. Ruth Hedges, CEO of Funding Roadmap http://www.fundingroadmap.com/blog/ for hosting an educational, friendly, fun-filled conference in Vegas and for inviting leading edge players in crowdfunding. I finally got to meet face to face with two of our Healthy Crowdfunder’s advisors – Sara Hanks, CEO of CrowdCheck http://www.crowdcheck.com/ and Dara Albright, CEO of Now Street Media http://nowstreetjournal.com/ . It was a good excuse to meet again with Maurice Lopes, CEO of Early Shares http://www.earlyshares.com/ . Because of Ruth, I also finally met the famous Candace Klein of SoMolend http://www.somolend.com . Because of Ruth, our Healthy Crowdfunder has more deal flow prospects that it can handle at the moment. I met accelerators and entrepreneurs from Texas, Arizona, New York, and California. I was so impressed with Ruth and her guests, I proposed we do another booth camp conference either in Seattle or Vancouver this March 2013.

2. Sherwood (Woodie) Neiss, Founder of Crowdfund Capital Advisors, for sharing his words of inspirations as we recruit more volunteer lobbyists in British Columbia. I wish more British Columbian Canadian entrepreneurs would step forward. We are working for you to gain easier access to capital. You get what you give – Law of Karma – not right away but in time. Nature has a way of reciprocating. Check out our video

3. Narges Nirumvala, CEO of Executive Speech, Coach International – for being such a high energy cheerleader and inspiration for entrepreneurs, who kept her word to comment on our blog. I like people who speak and act accordingly. That makes me one of her raving fans.

4. Cindy Gordon, Chairperson of Invest Crowdfund Canada, for being a patient coach, for her well intentioned maternal instincts, and for her efforts to make things work out for us lobbyist volunteers in British Columbia.

5. Joy Case Van Hove, CEO of FunditTV and Anideanation – one of my very best friends, for the videos we have produced together. Those videos are working for us even while we sleep. A lot of our American and Canadian new friends have approached me because of them. I am forever indebted to Joy and will someday reciprocate in one way or another.

6. Yuliya Inopina, an investor relations professional in mining – for being a Healthy Crowdfunder fan. She is starting to “healthimize” her lifestyle.

7. Heidi Richter, Founder of Enlightened Decadence, a very old friend (well she’s not that old) for the fun experience. I could hardly wait to crowdfund her New York style bakery products. Surprise, surprise, I am not supposed to spill her ideas yet. Our objective is to inspire everyone to follow their bliss, to live in the NOW and to do whatever your heart pleases you. "Follow Your Bliss Now"

8. Last but not least, I am grateful to all the client prospects I have met this week and the others we are doing due diligence on. Please bear with us as we launch our Healthy Crowdfunder soon. Check out our landing page http://www.healthycrowdfunder.com for free checklists before crowdfunding or before investing or buying. For other developments, Like Us at http://www.facebook.com/healthy.crowdfunder

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Delete Fear, Think Love and Feel Love

This is an example of a two minute health tip on mind, body, and spirit. Today, I will focus on your mind. Read aloud.

Go back to age 3 or 4. Think about the first people who influenced your thoughts and emotions. You know who they are. Ask them who programmed their minds. Did you notice, they injected fear in your mind to assert their influence, and to ensure you complied? If FEAR was not added to the process, would you have obeyed? Chances are, no. Think about why you gravitate to certain people. Most of them love you, and I mean that in a universal way. They lift you up. they give you so much hope. They are always positive, rain or shine.

You are a big person now and have access to information not readily available to your parents and grandparents – global information from different cultures. Go back to your sociology books. Analyse why certain societies behaved the way they did. Who were the thought leaders that influenced them? If you go continent by continent, it is easy to understand why Europeans, Africans, Asians think in a certain way. I had friends, some very close, from Germany, Japan, China, Latin America, Africa, and of course America. I have observed how religion influenced their culture, which was primarily fear based.

Now, observe the Americans from the US. Observe why New Yorkers are different from other Americans in the field of finance. Compare them with the Londoners and Torontonians. Compare them with people from Hongkong, Singapore, Germany, or Japan.

There is no place in this world other than in the US where the freedom of speech is so highly respected and tolerated. We wonder why the Americans are always on the leading edge? They are not afraid to speak their minds. They are more open and understand each other well because they tell it the way it is, right from the heart.

The heart is symbolized by love. Think and feel Love and DELETE fear from your dictionary. Now observe the thought leaders who speak about love all the time. Don't listen to me. Try it for yourself. After all, you are in control of what you think and what you feel. When you Delete fear from your feelings, almost everything becomes possible. Think and feel LOVE NOW.

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