If you eliminate wheat from your diet, you're no longer hungry between meals because you've cut out the appetite stimulant, and consequently you lose weight very quickly. I've seen this with thousands of patients.
Reputation is what you have when you come to a new community; character is what you have when you go away.
Eating wheat, like ice climbing, mountain boarding, and bungee jumping, is an extreme sport. It is the only common food that carries its own long-term mortality rate.
In fact, two slices of whole wheat bread increase blood sugar to a higher level than a candy bar does. And then, after about two hours, your blood sugar plunges and you get shaky, your brain feels foggy, you're hungry.
A wheat belly represents the accumulation of fat that results from years of consuming foods that trigger insulin, the hormone of fat storage.
Therefore, wheat products elevate blood sugar levels more than virtually any other carbohydrate, from beans to candy bars.
When it comes to wheat, my main goal is to inform people, including farmers, that the prevailing notion that cutting fat and eating whole grains will make you healthy is not only wrong, it's destructive.
Anytime you adopt a new system you change work flow and so people have to change, to some degree change the way in which they do things.
Tobacco farmers would say, "Look, I'm just trying to make a living and feed my family." Nevertheless, tobacco is incredibly harmful and kills people.
Aside from some extra fiber, eating two slices of whole wheat bread is really little different, and often worse, than drinking a can of sugar-sweetened soda or eating a sugary candy bar.
It's very easy to not know the stuff that you should know about the patient when you're seeing them. It's much easier with an electronic system to find them, because it's all right there and it should be current.
How many people, how many of us want to get on an airplane where you know only, only 20% of the pilots use the checklist? Why would you do that? I think we should be outraged because the technology is there, it's totally available. We're just not using it yet.
To be Canadian is to live in relative calm and with great dignity.
The main thing is that people see constant reports of break-ins on, on record systems and stolen financial data and social security records and so they'd think about you know what's going to prevent that happening with my medical records. And interestingly enough, patients are less worried about that than their doctors are.
If you have 15 minutes per visit, and you spend the first 9 minutes just collecting information from them, before you do anything else, you know half of your visit is gone already. So if you have an automated system that has most of that and, and in some cases I actually have patients complete questionnaires before they come in, so I'd gotten most of the information I need to ask about, already recorded, instead of having 9 minutes I can take 3 minutes to review all this information.
In many offices it could take several days to find a paper chart and some we'll never find. Ten percent of the paper records are never found. So you have this huge delay in time.
When you have a paper based system, you are relying on your memory to a large extent about the patient. Now the paper records can have various kinds of ticklers.
A lot of patients you know if you haven't seen them for 6 months or a year, you won't remember what medicines they're on or what kind of problems they have. And you know I'd feel much better if I know a little bit about the patient before I walk in the room, so I won't be too surprised.
In the days when we had paper charts, typically the paper chart would be in the door outside of the patient's room. Well now when you walk up to the door there's nothing there. Except maybe a folder with their name on it so you know who's in the room.
If I am used to looking at a paper chart and finding information that I know approximately where I'm going to look at that and now I have to go to a computer and find it a different way.
If someone accidentally ingests sodium azide, you shouldn't try to resuscitate the person because you could die, too, giving CPR. This is a highly toxic chemical.
There are two basic rules which should never be broken. Be subtle. And don't, for God's sake, try to do business with anyone who's having a bad game.
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