Blog RSS https://www.vumc.org/health-wellness/ en Psychological Flexibility: Go with the Ebb and Flow https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/psychological-flexibility-go-ebb-and-flow <span class="field field--name-title field--type-string field--label-hidden">Psychological Flexibility: Go with the Ebb and Flow</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a>, <a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 01/14/2022 - 12:33</span> <a href="/health-wellness/blog-post-rss/3411" class="feed-icon" title="Subscribe to Psychological Flexibility: Go with the Ebb and Flow"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW538.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW538.mp3">Download </a> the file to your computer.</audio></p> <p>​Stepping into a new year can feel exciting and overwhelming. Join Dr. Jim Jackson as he introduces us to psychological flexibility, which he calls the super power of super powers for mental wellbeing. He teaches us how to develop this type of flexibility and why it can help us go with the ebb and flow of life more easily.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness Wellcast.  I am Bridgette Butler with Health Plus.  Today, our guest is Dr. Jim Jackson, Psychologist with the VUMC Critical Illness, Brain Injury, and Survivorship Center.  Welcome Dr. Jackson and thank you for joining us again today.</p> <p>Jim Jackson, M.D.:  Thank you, Bridgette.  It is really lovely, as usual, to be with you today, so thanks for the opportunity.  </p> <p>Bridgette Butler:  Absolutely.  Now, Dr. Jackson, we have heard quite a bit in the last year about topics like resilience, coping with stress and navigating change and today we are going to take a new approach towards mental wellbeing by talking about psychological flexibility.  Can you tell us what psychological flexibility is and how it is different from the topics that we have been hearing about?</p> <p>Jim Jackson, M.D.:  I have been thinking about psychological flexibility a lot of late Bridgette.  We grapple a lot with what techniques and what characteristics are useful during this hard season we are in, and many psychologists believe that psychological flexibility is the super power.  It is the superpower or superpowers.  People with that trait, with psychological flexibility, what they are really good at doing is they are really good at being confronted with hard situations and finding novel and creative ways to cope with them.  So, they do not let those situations define them.  They are not overwhelmed by them.  They maybe daunted by them, but they find innovative ways to deal.  They find effective ways to cope.  They are flexible.  </p> <p>Bridgette Butler:  How can psychological flexibility benefit us as we start this new year?  </p> <p>Jim Jackson, M.D.:  If this new year is like the last two New Years, it is going to be a bit of a doozy.  You know, we are in the throws perhaps of a third wave of COVID.  People are worn down and discouraged and depleted.  I am hopeful about 2022, but I am worried that it will be hard.  So, psychological flexibility can benefit us tremendously because if we rely on it, if we nurture it and cultivate it, it is going to help us cope more effectively with the hard challenges we are facing.  Here is an example.  You have two trees in your yard.  We have many more than that.  You have got a big oak and you have a slender willow.  That big oak is rigid, right?  The wind comes, it breaks the tree in half.  The tree falls on your house.  It is a disaster, unpleasant, all of that.  That tree is rigid.  The willow is the sapling.  The wind comes.  That sapling bends in one direction, bends in another and it survives that.  So, that is not that different necessarily than how we are as people.  There are people that you know, and I know, people we have observed, people in our neighborhoods, our churches, whatever who have really hard things happen to them and they find a way to cope, right?  They find a creative way to make sense of things.  They find a way to reframe things.  They find novel ways to take the challenge on.  Those are flexible people.  They do better.  Their quality of life is better.  Their functional outcomes are better and that is what we want to foster, that flexibility.  We want people, simple stated, to be more flexible.  We equally want people to be less rigid.  Rigidity is not your friend, right?  We need to let go of rigidity.  </p> <p>Bridgette Butler:  You mentioned that psychological flexibility is something that we can cultivate.  What are some simple practices that might help us develop psychological flexibility in our work lives and in our personal lives?  </p> <p>Jim Jackson, M.D.:  One of the underappreciated traits that psychologist is increasingly talking about, but only really recently is curiosity, right?  We have a lot of negative connotations associated with curiosity.  Curiosity, it killed the cat, right?  Well, curiosity does a lot of really good things, right?  Curiosity, being puzzled, wondering, that often helps us arrive at new strategies, different ways of engaging problem.  So, one thing I would say is when people are faced with big challenges, maybe even immovable ones, let's start by getting curious, right?  Let's not start by making assumptions.  Let's not start by panicking which really reduces your cognitive feel.  Let's step back and be curious.  That would be one thing.  Let's engage things with humility.  Second idea, right.  Let's not assume that we know everything there is to know about this.  Let's imagine that there could be ways out of it, right, that could workable.  Let's recognize too that we can tolerate more distress perhaps than we think we can.  Distress tolerance, another concept that no one really wants to talk much about, but it is really important, right?  We are strong, right?  We have been steeled by the pandemic over the last couple of years.  We have been made gritty.  We can do hard things, right?  So that is all under the rubric of psychological flexibility.  The other thing I would say is let's surround ourselves with people with similar values, right?  Let's surround ourselves by flexible people.  Let's follow their example as they can follow ours.  </p> <p>Bridgette Butler:  Those are great examples of ways that we might be able to grow our own psychological flexibility which is so necessary during this time.  Thank you so much Dr. Jackson for joining us today and giving all of us all of these very helpful insights on psychological flexibility.  </p> <p>Jim Jackson, M.D.:  Yes, so great to be here with you.  Let's stay flexible.  </p> <p>Bridgette Butler:  Thanks for listening.  If you have a story suggestion, use the Contact Us page on our website at <a href="http://www.vumc.org/health-wellness">www.vumc.org/health-wellness</a>.</p> <p> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 14 Jan 2022 18:33:49 +0000 harnessg 3411 at https://www.vumc.org/health-wellness 5 Tools for Meaningful Connection https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/5-tools-meaningful-connection <span class="field field--name-title field--type-string field--label-hidden">5 Tools for Meaningful Connection</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 11/12/2021 - 08:49</span> <a href="/health-wellness/blog-post-rss/3410" class="feed-icon" title="Subscribe to 5 Tools for Meaningful Connection"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW503.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW503.mp3">Download </a> the file to your computer.</audio> ​</p> <p>Have you noticed changes in your social experiences and how you connect with others during these tough times? Listen in as Dr. Shari Barkin discusses what social reintegration is, why it’s so important, and how we can do it successfully with 5 Tools to Create Meaningful Connections!</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness Wellcast.  I am Bridgette Butler with Health Plus.  Today, our guest is Dr. Shari Barkin with the William K. Warren Endowed Professor and Chief of General Pediatrics at Vanderbilt Medical Center.  Welcome Dr. Barkin and thank you for joining us today.  </p> <p>Shari Barkin, M.D.:  Thank you.  So happy to be here.</p> <p>Bridgette Butler:  Dr. Barkin, you have said before that we are designed to be a social species and that we survive because we are connected to each other.  I think we have all realized at this point how to true that is and it is also easy to notice that our social experiences and how we connect with each other has changed.  We are finding ourselves exploring what it looks like and what it feels like to interact with one another again.  Can you explain what social reintegration means and now this personally affects us?</p> <p>Shari Barkin, M.D.:  Well, you said it really well that we are designed to be a social species.  That means it is actually in our DNA, it is in our anatomy, how our brains function, it is in our physiology and what it means to be healthy in terms of our mental health and physical health and we were then thrust into the pandemic and social unrest and these things together created a disruption to our social connection.  It is so important what it is to be human is what we mean to each other and that is about connecting to people and really connecting to them in real life.  So, when we talk about this notion of social reintegration, we are in a much better place now, not perfect, but better.  This allows us, because of so many medical advancements such as the vaccine and other things, to actually now begin to reintegrate in real life with real people and that process sounds like it is simple.  It sounds like it is just a simple flip of a switch, but it is not, and it is not because all of these elements have created a disruption in our sociology and physiology.  So, reintegration is the notion that it is time for us to learn or relearn how to connect in deep ways in real life with each other.  </p> <p>Bridgette Butler:  It sounds like we are going to be experiencing it just a little bit differently now.  As adults, what challenges do we experience with social situations at this point?</p> <p>Shari Barkin, M.D.:  Well, I think the first one is again sort of wired in our brain is, is this a safe situation?  The first thing that happens and it might not even be slow and intentional, it might be automatic at this point is, do I feel safe?  Is this the right environment to be in?  If I were to put myself in that environment, am I affecting my health, my family's health, people that I work with, the people in my community?  I think because that is our knee-jerk reaction it creates cortisol cascade, creates a lot of stress and anxiety.  So, that is a big challenge, is slowing it down that automaticity in saying, all right, wait a minute, am I safe?  The answer might be different now than it was a year ago.  In fact, it should be depending on context.  I think the other piece about that is, how do I do this?  Now, some people, if you are an extrovert, and I am a big extravert, I am so excited that I might enter into a conversation and just completely overwhelm you with all of my deep interests and questions for you.  So, my reintegration approach is being mindful to turn that down so that it is slow and steady.  Whereas if you are wired more than introvert, your first reaction might be, I do not know if I want to do this.  It is going to take a lot of energy, or I would like to reintegrate, but I am not exactly sure even how in a social situation where I am going to get started with conversation.  We are kind of out of practice with that on all amps of that spectrum and in between.</p> <p>Bridgette Butler:  How about children and families collectively?  What are children and families experiencing?</p> <p>Shari Barkin, M.D.:  I see this a lot in our clinic.  It depends on the age.  It depends on whether you are a COVID baby or not.  So, I am actually going to start with our littlest people that are COVID babies.  In fact, when I meet people in the clinic they will say, this is my COVID baby, and they are not a baby anymore they are a toddler.  This toddler's experience is really uniquely different than the toddlers that were pre-COVID.  They have not interacted with a lot of other children.  They are not really sure how to interact.  That is something really critical that your are learning how to do in infancy, toddlerhood, preschool period is that social/emotional learning.  It does not end after that.  We are all still involved in our own social/emotional learning throughout our lives, but it is really exceptionally important because it builds a foundation of how you interact with people and expectations of what social norms are and communication and behaviors are.  So, for our youngest children, this is an incredibly challenging place and families are asking us, how can I socialize my kids who really have not ever experienced "normal" social contacts?  As children are older, if they have experienced being in a school setting or being on a sports team which maybe they did not go out for because of the COVID context, they are really craving that connection and craving that structure.  So, for them, there is an infinity to be back in that space.  They too need to sort of reintegrate and understand what are social norms and behaviors that are acceptable in a variety of situations.  Then, you move to adults and families and families have had to be everything to their children.  So, not only a parent, but in many cases a teacher and maybe even a mental counselor and the parents are the classic multihyphenate in coming out of COVID.  That means that they are, depending on how you feel and sort of your natural inclination about how you are interacting, you might as a parent feel like I am not sure how to get back into this world and what is available to me.  It is experienced, I think, differently at all different ages depending on your prior experience and what your expectations of today are.  </p> <p>Bridgette Butler:  Excellent points.  What is important to consider that may help us feel motivated and comfortable to reintegrate?  </p> <p>Shari Barkin, M.D.:  Well, I want to reemphasize something you started with Bridgette and that is the valve of social connection.  So, social connection improves depending on the people that you are connecting with.  So, a big caveat here.  Imagine your favorite people you are connecting with it improves your mood, it reduces depression and anxiety turning the volume down.  It improves your memory.  It improves your ability to learn.  If you look at the level of your functioning, it improves your immune functioning as well as many other metabolic health pathways.  So, in so many ways, strong positive social connection is the best treatment around for a lot of the things that are ailing us right now.  </p> <p>Bridgette Butler:  That is very motivating.  What actionable steps can we take while deciding when and how to reintegrate with our different social circles?  </p> <p>Shari Barkin, M.D.:  Great.  So, I am just going to throw these things into the tool kit recognizing that it is different for everybody.  So, here are just some tools and you all decide how to use them and what is meaningful to you.  The first tool is deciding what you are comfortable with and that means paying attention to context and the latest information and evidence.  We live in a world that is uncertain.  It is not that it was certain before, it just felt more certain than it does now, and so paying attention and deciding what you and your family are comfortable with recognizing that the context is shifting and changing.  The second thing is to be intentional.  By being intentional, you can identify something that is motivating to you and your family or the people that you love.  So, for some people that might be setting up a play date or it might be going on a picnic with one neighborhood family.  It might be gathering up, if you have musicians in your life or brining along your guitar or harmonica or kazoo and sitting outside but being intentional and playful and creative were you feel like you are controlling the environment a bit, but inviting at least one other person, family, into that circle.  The third thing is to be proactive.  So, I encourage you, I challenge all of us to just reach out to one person that we have not seen for a while that we really enjoy in making that connection.  I know we feel like people should reach out to us and that is true.  On the other end of that, we need to do the reaching out.  So, even if we can reach out to one person that we have not spoken with for a while and find an opportunity maybe to go hiking or biking or have a conversation on a rocking chair outside or in the grass that intentionality plus proactivity, you will see that you will get an immediate boost from that.  The fourth thing is to stay flexible.  We know that everyone's lives are chaotic right now and unpredictable, so you might plan something, it might fall through, don't worry about it.  Let it go.  Try again.  The fifth thing that I recommend is practicing random acts of kindness.  So, a random act of kindness that connects you to somebody.  It might be somebody that you know or somebody that you do not know, but it really highlights and underscores what it is to be truly human, what we mean to each other and bringing out the best of humanity.  So, that can look like a lot of things.  If you are on campus, it might be going to a Susie's and getting a gift card and giving it to somebody randomly to make their day.  It might be bringing food to a sick colleague.  It could be volunteering.  Some of my favorite places to volunteer are the Nashville Food Project, Second Harvest, Faith Farms where you are outside and your actually, I am not a farmer, but I do like that kind of connection to the earth and maybe even reading to young children.  I recently became a Book 'em volunteer.  So, things that allow you to connect with other people, people that you do not even know where you are able to see really the best of humanity and bring that out in yourself recognizing who we are to each other is what makes us truly human.</p> <p>Bridgette Butler:  That is wonderful.  Thank you so much for outlining some very actionable steps that we can take to motivate and to begin to socially reintegrate.  We really appreciate you joining us today, Dr. Barkin.</p> <p>Shari Barkin, M.D.:  Thank you so much for this opportunity.  </p> <p>Bridgette Butler:  Thanks for listening.  If you have a story suggestion, use the Contact Us page on our website at <a href="http://www.vumc.org/health-wellness.&amp;nbsp">www.vumc.org/health-wellness.&amp;nbsp</a>;  </p> <p> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 12 Nov 2021 14:49:53 +0000 harnessg 3410 at https://www.vumc.org/health-wellness Facing the Facts of Fad Diets https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/facing-facts-fad-diets <span class="field field--name-title field--type-string field--label-hidden">Facing the Facts of Fad Diets</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 06/11/2021 - 14:44</span> <a href="/health-wellness/blog-post-rss/3368" class="feed-icon" title="Subscribe to Facing the Facts of Fad Diets"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW553.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW553.mp3">Download </a> the file to your computer.</audio></p> <p>​​Join Marilyn Holmes, Registered Dietitian, as she shares the truth about fad diets and how to make healthy, lasting changes to your nutrition. </p> <p>Listen to this WellCast above, or you can <a href="https://redcap.link/ilkcx3h3" target="_blank" title="watch">watch</a> a video version of it.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Hello, and welcome to this edition of the Vanderbilt Health and Wellness Wellcast.  I'm Bridgette Butler with Health Plus.  Today our guest is Marilyn Holmes, Registered Dietitian and Associate Director of the Vanderbilt Recreation and Wellness Center.  We will be discussing the truth about fad diets and what to consider when deciding how to make lasting changes to your health and nutrition.  Welcome, Marilyn and thank you for joining us today.</p> <p>Marilyn Holmes:  Thank you, Bridgette.  </p> <p>Bridgette Butler:  So glad that you are here.  Well, Marilyn there are several diets that have gained popularity recently and let's start with the facts.  What is considered a fad diet and what makes them so appealing?  </p> <p>Marilyn Holmes:  Well, the first thing I would say that makes them so appearing or makes them fad diets is the fact that they are making claims that seem too good to be true and there is not a lot of research behind them to really prove that what they are making the claim on is actually the truth.  So, there is not enough evidence about them.  They are a lot of times trying to sell you a book or a supplement at the same time that they are trying to tell you that you are going to have this fast weight off and that's what we want if we are trying to lose weight is to get that weight off and get it off fact even though it may have taken us a long time to get it on.  And then, a lot of times, folks who are making the claims about this diet have no nutrition background.  They have research in the background of it or education in the background of it as well.</p> <p>Bridgette Butler:  Can you describe a few of the most popular fad diets that are out there today?  </p> <p>Marilyn Holmes:  I can.  Some of those that you may have heard a whole lot about are Paleo, Intermittent, and we will come back and talk about these, the keto, the ketogenic diet.  Also, ketogenic lite which is a little more palatable for some, it's a newer one out, and then the gluten free are some of the ones that we hear most commonly.  If you are talking about Paleo, there is some good evidence that it can help you with weight off and the reason it is doing is because you are using lots of fruits and vegetables.  You are trying to use a lot of unprocessed food.  Sugary kinds of foods are restricted on this kind of diet.  You are using foods that are traditionally thought of as the caveman or the hunter gather, prior to the time that we had a lot of the cultivated crops.  So, the good thing about this is that it is a lot of unprocessed foods, but the bad thing about it is it is restricting.  It is also restricting some of the good plant-based things that we are knowing at this time that are really healthy for us.  Legumes are some of the things.  Whole grain bread is some.  Dairy is another.  So, you may get into some nutrient problems as well.  So, there are some bad things about it, but more research is really needed for us to know the long-term effects of it as well.  The Intermittent Diet can be a variety of things.  You may eat one day all that you want, the next day you may have maybe 500 or 600 calories which is very, very low, and then the next day eat.  Some folks do lose some weight on it, but what we do see with it is the fact that long term people are not keeping that weight off.  We know that fasting is something that goes back eons as well.  We also known that there does not seem to be any physical or mental problems from using this kind of diet, but, again, there does not seem to be any advantage of it over just generally eating a healthy food plan that does not have a lot of extra calories in it as well.  Some people like it just because of the fact that they can eat whatever they want to one day and then starve the next day and then the next day... so, it is not as hard to follow as some of the others.  The gluten free is definitely needed for people who have gluten-induced enteropathy or gluten sensitivity, but there is no advantage to restricting, which is the rye, the barely, the grains, the wheat that we know are good sources of food for us as well.  It is good sources of nutrients.  There is also the claim of it of using the gluten-free diet for reducing inflammation, but we have not seen that long term for folks.  So, again, if you are trying to use it in the weight off arena, we are not seeing that it has been very helpful, but it is definitely needed for people who have gluten sensitivity or gluten-induced enteropathy.  </p> <p>Bridgette Butler:  As you said, there is so much conflicting information about fad diets like the ones that you described.  So, in your expertise, what should we understand about nutrition and fad diets?       </p> <p>Marilyn Holmes:  Some of the things that we need to really think about is the harm that they can cause long term.  What we have seen in the research is that people who gets the weight off and gets it off really fast, first of all maybe losing a lot of muscle mass and you don't want to lose muscle mass.  You want to conserve muscle mass because that is the most efficient burning of calories that we can have and it may not over time help us to keep that weight off and when we go back to eating the old way, because it is so restrictive and can be so harmful to us in many ways, when we go back to eating the way that we were eating, we have not made change, then we can gain that weight and more.  Over time, we can have ended up having more weight on us than we started out in the very beginning.  So, a lot of times we see from them that they are just hard to follow.  They may be very expensive.  They can be harmful to us, especially if you are taking some of the supplements that can cause some problems later one as well.</p> <p>Bridgette Butler:  What are better alternatives to fad diets for someone who wants to make changes to their nutrition and their health and is perhaps understanding that fad diets are not the best choice?</p> <p>Marilyn Holmes:  You kind of want to first of all get the facts and you want to get evidence-based facts for another thing.  One of the things that our faculty and staff have available for them here at Vanderbilt is you all.  You are health coaches, and you are a registered dietitian and can help people with their questions and help them get started.  So, finding a reliable source or person of information is one thing that can be very helpful.  There are other things out there.  We know that there is evidence that some of the diets such as the Mediterranean Diet that we have seen a lot of publicity about recently and the dietary approach is to stop hypertension are both very well documented as far as being evidence-based plans with lots of fruits and vegetables.  That is a cornerstone for helping us be able to make healthy food choices that can support our weight maintenance or loss as well and helping us be sustainable in what we are trying to do.  So, looking for reliable sources.  Now, other things that are out.  There is MyPlate.gov is a great source for people to look at and see, get some recommendations that can help them get started on eating a healthy food plan.  Eating a variety of foods is another good way and then, again, seeking out reliable sources to help us set our short-term and long-term goals that are achievable and that can help us make change that will sustain our change over time.  </p> <p>Bridgette Butler:  Wonderful.  Thank you so much.  It is a lot of great information about fad diets and healthy alternatives to fad diets and also some wonderful information about resources where you can begin if you do want to stick with a healthy eating approach as opposed to continuing to diet.  Marilyn, thank you so much for joining us today.</p> <p>Marilyn Holmes:  You are welcome and thank you for inviting me.  </p> <p>Bridgette Butler:  Thanks for listening.  If you have a story suggestion, use the Contact Us page on our website at <a href="http://www.vumc.org/health-wellness.&amp;nbsp">www.vumc.org/health-wellness.&amp;nbsp</a>;</p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 11 Jun 2021 19:44:56 +0000 harnessg 3368 at https://www.vumc.org/health-wellness Build a Balanced Fitness Plan https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/build-balanced-fitness-plan <span class="field field--name-title field--type-string field--label-hidden">Build a Balanced Fitness Plan</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 05/14/2021 - 14:39</span> <a href="/health-wellness/blog-post-rss/3367" class="feed-icon" title="Subscribe to Build a Balanced Fitness Plan"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW550.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW550.mp3">Download </a> the file to your computer.</audio></p> <p>​Join Derek Buss, Physical Therapist, as he shares how to balance your workout to create an ideal fitness plan. Along with his expert tips, you will find extra resources that will help you get active today!  </p> <p>Listen to this WellCast above, or you can <a href="https://redcap.vanderbilt.edu/surveys/?s=JWN87WEWDCEWKELT" target="_blank" title="watch">watch</a> a video version of it.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness Wellcast.  I am Bridgett Butler with Health Plus.  Today our guest is Derek Buss, physical therapist, in the Vanderbilt University Hospital In-Patient Physical Therapy Department.  We will be talking about how to balance your workout to create and ideal fitness plan.  Welcome, Derek, and thank you for joining us today.       </p> <p>Derek Buss:  Thank you for having me today.</p> <p>Bridgette Butler:  We are so glad that you are here.  So, the COVID-19 pandemic pretty much brought this fast-paced world to a standstill over the past year or so and that had a big impact on work, home life, mental health and physical health.  Most people had to change what they do to stay healthy, especially when it comes to being active.  Now that the vaccinations are available and restrictions are lifting, we are experiencing yet another transition.  So, people are considering a return to the gym while others are planning to get more active outdoors or perhaps continue with home workouts.  In your expertise, what are some important considerations when creating an ideal exercise plan in 2021?</p> <p>Derek Buss:  I think that depends on your comfort level.  You want to think about engaging in physical activity in different forms, so you can work on the outside, you can go to a gym, you can work on walking, running, so just trying to think of ways to increase activity throughout the day.  </p> <p>Bridgette Butler:   I like that and based on comfort level absolutely.  We know that a balanced fitness plan will include both muscle strengthening exercises and cardiovascular exercises like walking or biking.  Why are these both important and how do they work together?</p> <p>Derek Buss:  Well, when engaging in cardiovascular exercise you move large muscle groups in your body and your body responds.  You start breathing faster and taking deep breaths which maximize your oxygen in your blood.  The heart will beat faster and increase blood flow to your lungs and muscles.  Cardio is an excellent way to lose weight and maintain a healthy body weight.  If your heart is beating faster, you will be a stronger heart.  It helps decrease your heart rate with more cardiac output.</p> <p>Bridgette Butler:  What is an example of a simple routine that includes the cardio and strength exercises?  </p> <p>Derek Buss:  There are many different types of routines you can set up.  The most common, interval training, circuit training, just trying to incorporate multiple exercises into your workout program.  Such an example would be setting up maybe jogging in place for one minute and then move to the next exercise with the compound movements of maybe a squat movement and then setting up another exercise that you are going to be doing resistance training or adding a little bit more weight during that exercise movement.  So, just trying to set up a variation of different types of exercises to work on strength and cardio together.  </p> <p>Bridgette Butler:  Strengthening exercises, they can be intimidating for anyone who has not had previous experience with it.  What are some of the dos and don'ts of strength training when you apply it at home or at the gym?</p> <p>Derek Buss:  Well, you want to lift your appropriate weight.  A lot of people go to the gym, and they try to lift too heavy or they don't add enough resistance.  You need to lift so you can do 12 to 15 repetitions.  You want to make sure you are not putting too much stress on your body if you are just starting out.  You don't want to become too sore, achy, painful, cause too much of an inflammatory repose to your body, you want to make sure to practice safety, you want to make sure you use a spotter if you are using heavy resistance or heavy weights.  You just want to make sure you are protecting your body.  You want to make sure you are using all your larger muscle groups, if possible, during your workouts.  You want to make sure you are also breathing and just controlling your breath as you breathe in and breathe out during the exercises.  I did a lot of the dos there.  Some of the don'ts, you don't want to rush your form.  A lot of people move really quickly during their exercises, so you want to make sure you are doing the proper technique and proper form.  So, a personal trainer or someone like an exercise specialists can help develop a program for you.  You don't want to ignore any kind of pain.  So, if you have pain, you want to kind of detour away from that and give your body time to rest if you are causing your body too much stress.  </p> <p>Bridgette Butler:  Now, tell us a little bit about flexibility.  How can flexibility be an important piece to a balanced exercise plan?</p> <p>Derek Buss:  We use flexibility in our daily routines.  We are always reaching and bending and trying to pick up objects throughout the day, so we want to incorporate flexibility throughout our workout program and also our daily routine of stretching and prior to doing any kind of heavy lifting.  So, you usually want to stretch your muscle group after it is warmed up.  A lot of people try to static stretch, holding a stretch prior to working out.  A good example is getting on an elliptical machine or jogging in place and doing some range of motion movements prior to doing a static stretch.</p> <p>Bridgette Butler:  Thank you for outlining a safe and effective exercise plan.  Do you have any final advise to share when it comes to our mindset about COVID-19 and how we can adapt our physical activity routines going forward?  </p> <p>Derek Buss:  Well, I feel like it is a big mind shift.  I feel like we need to try to develop using our older routines and tie them into our new routines and find different ways to get out and be physically active.  A lot of people had to work from home, so they are not able to walk into work.  They are not able to establish a daily routine setup around fitness.  They are not engaging.  A lot of people go to the gym to have communication and networking of friends, so a lot of people lost that during COVID.  So, I think developing a program that works best for you in your comfort levels during this challenging time, but also moving forward with people's fitness to better suite their nutrition and have a healthier lifestyle.</p> <p>Bridgette Butler:   Thank you, Derek, for joining us today and for sharing this important information on how to stay physically active at the moment and how to stay active going forward and the ideal balanced exercise plan.  We appreciate it.  </p> <p>Derek Buss:  You are welcome.  Thank you for having me.  </p> <p>Bridgette Butler:  Thanks for listening.  If you have a story suggestion, use the Contact Us page on our website at <a href="http://www.vumc.org/health-wellness.&amp;nbsp">www.vumc.org/health-wellness.&amp;nbsp</a>;</p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 14 May 2021 19:39:39 +0000 harnessg 3367 at https://www.vumc.org/health-wellness Exercise Your Way https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/exercise-your-way <span class="field field--name-title field--type-string field--label-hidden">Exercise Your Way</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 04/09/2021 - 14:15</span> <a href="/health-wellness/blog-post-rss/3351" class="feed-icon" title="Subscribe to Exercise Your Way"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>​Join Sarah Hendricks, Athletic Trainer at the Vanderbilt Orthopedic Institute, as she shares a timely reminder to exercise your way and how goal setting can help you stay motivated. You’ll find 3 simple ways to help you start exercising today!  </p> <p><a href="https://redcap.vanderbilt.edu/surveys/?s=ELPLCCT4DC" target="_blank"><strong>View Wellcast</strong></a></p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 09 Apr 2021 19:15:51 +0000 harnessg 3351 at https://www.vumc.org/health-wellness Small Changes, Better Sleep https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/small-changes-better-sleep <span class="field field--name-title field--type-string field--label-hidden">Small Changes, Better Sleep</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 03/12/2021 - 14:13</span> <a href="/health-wellness/blog-post-rss/3350" class="feed-icon" title="Subscribe to Small Changes, Better Sleep"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>​Join Madeleine Hallum, Registered Dietitian and Clinical Nutrition Coordinator, as she shares a key to better health that might surprise you coming from a dietitian. Learn small, practical changes you can make to get a better night’s sleep. </p> <p><a href="https://redcap.vanderbilt.edu/surveys/?s=4RH9EM3RNP" target="_blank"><strong>View Wellcast</strong></a></p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 12 Mar 2021 20:13:56 +0000 harnessg 3350 at https://www.vumc.org/health-wellness Follow Your Heart https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/follow-your-heart <span class="field field--name-title field--type-string field--label-hidden">Follow Your Heart</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 02/12/2021 - 14:11</span> <a href="/health-wellness/blog-post-rss/3349" class="feed-icon" title="Subscribe to Follow Your Heart"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>​Join Dr. Daniel Muñoz, Executive Medical Director of the Vanderbilt Heart &amp; Vascular Institute, as he shares why heart health is so important right now and actions you can take to Follow Your Heart. </p> <p><a href="https://redcap.vanderbilt.edu/surveys/?s=4YXWLPYHYE" target="_blank"><strong>View Wellcast</strong></a></p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 12 Feb 2021 20:11:12 +0000 harnessg 3349 at https://www.vumc.org/health-wellness Having Compassion Amidst Holiday Stress https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/having-compassion-amidst-holiday-stress <span class="field field--name-title field--type-string field--label-hidden">Having Compassion Amidst Holiday Stress</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 12/11/2020 - 08:25</span> <a href="/health-wellness/blog-post-rss/3324" class="feed-icon" title="Subscribe to Having Compassion Amidst Holiday Stress"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>​Can holiday stress occasionally get the better of you? Join Stephanie Dean, Assistant Manager of Work/Life Connections-EAP, as she shares how to have compassion with ourselves and others during these unusual, divisive, and stressful times.</p> <p><a href="https://redcap.vanderbilt.edu/surveys/?s=KYDDRC4LK9" target="_blank"><strong>View Wellcast</strong></a></p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 11 Dec 2020 14:25:11 +0000 harnessg 3324 at https://www.vumc.org/health-wellness Save Your Sleep - Tips for Better ZZZs https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/save-your-sleep-tips-better-zzzs <span class="field field--name-title field--type-string field--label-hidden">Save Your Sleep - Tips for Better ZZZs</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 11/13/2020 - 01:18</span> <a href="/health-wellness/blog-post-rss/3307" class="feed-icon" title="Subscribe to Save Your Sleep - Tips for Better ZZZs"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Are you feeling tired from poor sleep? Sleep challenges because of the global pandemic are more common than ever before. Dr. Beth Malow shares her sleep expertise on why this is happening and what we can do to promote good sleep.</p> <p><a href="https://redcap.vanderbilt.edu/surveys/?s=7RWY4WW8TY" target="_blank">Watch Now!</a></p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=246" hreflang="en">Sleep</a>, <a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 13 Nov 2020 07:18:49 +0000 harnessg 3307 at https://www.vumc.org/health-wellness Coping with Quarantine Fatigue https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/coping-quarantine-fatigue <span class="field field--name-title field--type-string field--label-hidden">Coping with Quarantine Fatigue</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 08/14/2020 - 13:41</span> <a href="/health-wellness/blog-post-rss/3281" class="feed-icon" title="Subscribe to Coping with Quarantine Fatigue"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>​Jim Kendall, Manager of Work-Life Connections/EAP, offers strategies for long-term coping and tips to navigate feelings of uncertainty and anxiety related to the pandemic.</p> <p><a href="https://redcap.vanderbilt.edu/surveys/?s=4D93XNF4R8" target="_blank">Watch</a> this WellCast.</p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 14 Aug 2020 18:41:45 +0000 harnessg 3281 at https://www.vumc.org/health-wellness What, Why, & How of Telemedicine Visits https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/what-why-how-telemedicine-visits <span class="field field--name-title field--type-string field--label-hidden">What, Why, &amp; How of Telemedicine Visits</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 07/10/2020 - 00:01</span> <a href="/health-wellness/blog-post-rss/3270" class="feed-icon" title="Subscribe to What, Why, &amp; How of Telemedicine Visits"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>​Dr. Daniel Cotrell describes Telemedicine visits, why they are helpful, when they should be used, and how to arrange and prepare for a Telemedicine visit.</p> <p><a href="https://redcap.vanderbilt.edu/surveys/?s=ATJAJ3HL4W" target="_blank" title="Watch">Watch</a> this video Wellcast now.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Hello, and welcome to this Health Plus "Healthier Than You" wellcast.  Today, we are talking about telemedicine.  It's a good option to easily interact with your healthcare provider.  And here to speak with us today about telemedicine is Dr. Daniel Cottrell, Assistant Professor of Clinical Internal Medicine.  Welcome, Dr. Cottrell.</p> <p>Dr. Daniel Cottrell:  Thank you.</p> <p>Bridgette Butler:  We are glad you are here today.  And to begin, what exactly is a telemedicine visit?</p> <p>Dr. Daniel Cottrell:  It's a great question.  Thank you for asking.  So, a telehealth or telemedicine visit is a visit with your regular provider, but it's done virtually through the Internet.  It's going to be using a camera, like a videochat you might do with a friend or a family member.</p> <p>Bridgette Butler:  Great, and what are the advantages of a telemedicine visit?</p> <p>Dr. Daniel Cottrell:  So, the biggest advantage is in our current situation with the coronavirus, this allows us to keep our patients at home, yet still reach out to them to provide them a health assessment.  In particular, for patients who may think they are sick with this virus, this allows them to stay home and yet us evaluate them through history and observing them to decide if they should be tested at any of the many facilities in the state.  But telehealth is also for patients who don't have coronavirus concerns.  It's a way for us to reach out to patients and talk about their chronic health conditions.  And the biggest advantage is, they get to stay home, they don't have to put up with driving in, parking, dealing with elevators and waiting rooms where there might be social distancing concerns, but also just saving the time on the commute in general.</p> <p>Bridgette Butler:  And what types of visits work well for telemedicine?</p> <p>Dr. Daniel Cottrell:  Here at Vanderbilt, we are currently doing telemedicine visits for all regular office followups as well as our Medicare annual wellness exams.  For patients who have our Vanderbilt Aetna insurance, you may be able to do your regular annual exam through telehealth as well, but other insurance companies have to ... the patient will have to check with their insurance company to see if it's allowed.  We can do just about anything over telehealth (you'd be surprised), since a lot of what we do as providers is through our history gathering, asking questions to figure out what we think is going on with a patient, and then we can do some exam features by asking you to get up, move around, show us various things, palpate things or push on things on your own body and tell us how it feels.  We can get a good sense of what you might be dealing with.</p> <p>Bridgette Butler:  Wonderful.  And does a telemedicine visit cost more than an on-site visit?  Is it something insurance would cover?</p> <p>Dr. Daniel Cottrell:  Also a great question.  In the current situation with the coronavirus, the President has declared that telehealth visits are available to all patients.  There is no extra fee for this service.  The co-pay and co-insurance and deductibles that you would have paid for a normal office visit are all the same.  There are no extra fees.</p> <p>Bridgette Butler:  That's fantastic.  And how do I set up a telemedicine visit with my doctor?</p> <p>Dr. Daniel Cottrell:  So, you would request a visit with your doctor the same way you would always do.  You would either be calling or sending a message through your My Health at Vanderbilt.  That last part is key.  All patients must have a My Health at Vanderbilt account because the platform that we are using, the computer technology, goes through that My Health.  If you need help setting that up, you can also call us and we are happy to help in that way, too.  If you believe that there is a concern you are having that would better-served in the office, we are happy to see you at this time, too.  We are seeing a limited number of patients in the office with protocols in place to ensure everyone's safety.  But if you call us and tell us why you want to come, we might be able to review your chart and have your provider look at your request, and we might actually still be able to do that over telehealth.  You would be surprised.</p> <p>Bridgette Butler:  That's great.  Thank you so much for the information today.  It sounds like a really great, wonderful option for seeing our doctors, particularly at this time, but even in the future.</p> <p>Dr. Daniel Cottrell:  Thank you.</p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 10 Jul 2020 05:01:53 +0000 harnessg 3270 at https://www.vumc.org/health-wellness Coronavirus: Parenting in an Uncertain World https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/coronavirus-parenting-uncertain-world <span class="field field--name-title field--type-string field--label-hidden">Coronavirus: Parenting in an Uncertain World</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 05/29/2020 - 08:30</span> <a href="/health-wellness/blog-post-rss/3265" class="feed-icon" title="Subscribe to Coronavirus: Parenting in an Uncertain World"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW518.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW518.mp3">Download </a> the file to your computer.</audio></p> <p>​Dr. Catherine Fuchs, Professor of Psychiatry &amp; Behavioral Science and Pediatrics, talks about the Coronavirus: Parenting in an Uncertain World psychoeducational parenting group at Vanderbilt for faculty and staff who are parents.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness wellcast.  I'm Bridgette Butler with Health Plus.  Today, we are going to be learning about "Coronavirus:  Parenting in an Uncertain World," a new parenting group that has been created at Vanderbilt in response to the challenges of parenting during coronavirus.  Joining me to talk about this new psychoeducational group for parents is one of the group's creators, Dr. Catherine Fuchs, Professor of Psychiatry and Behavioral Sciences and Pediatrics.  Welcome, Dr. Fuchs!<br />  <br /> Dr. Catherine Fuchs:  Thank you.  Good to be here.</p> <p>Bridgette Butler:  Well, we are happy to have you here and to learn about this amazing new resource that you created.  So, the group was developed as a psychoeducational group.  What is a psychoeducational group?</p> <p>Dr. Catherine Fuchs:  Psychoeducation really refers to education around information related to psychological issues.  So, we created the concept of the group that would help parents have the information that could be useful in responding to the stress of coronavirus, and how that impacts their kids, themselves as parents, and just daily life.</p> <p>Bridgette Butler:  This particular psychoeducation group for parents, why was this developed at this time?</p> <p>Dr. Catherine Fuchs:  In terms of just recognizing the impact of a pandemic on the general population and seeing what we see clinically, it's important to think about prevention and support for families.  So, if you look at the pandemic, it's almost like there are all these concentric circles.  You've got the acute worries about illness and then you have the worries about illness in your loved ones and then you have the impact of kids being home from school, and for some kids, that's a good thing; for others, it's maybe not as good a thing, but for parents, it's certainly a huge change in the structure of the day.  You've got parents juggling, trying to maintain a job, and they are working from home, or some parents who have lost a job and trying to deal with the economic impacts.  So, there are so many areas that this pandemic is affecting people that, I think it becomes really important to look at - what does that do in terms of just the family and your kids and managing your own response.  Social distancing is the other factor that creates major challenges.</p> <p>Bridgette Butler:  Who is going to be leading this group and what is the group format like?</p> <p>Dr. Catherine Fuchs:  We are offering two separate groups, one on Tuesdays and the other on Thursdays, and each group will be led by one of our clinical psychology interns.  So, these are individuals who have completed their undergraduate degree, have completed their Masters work in psychology and almost completed their Ph.D. in psychology and they are doing a clinical internship with us.  We have a Tuesday group and that's going to be at 8:00 a.m.  Then, Thursdays, we are offering an afternoon group, so that will be at 4 o'clock,</p> <p>Bridgette Butler:  What sort of discussions can parents look forward to having as part of this group?</p> <p>Dr. Catherine Fuchs:  We will provide a didactic section where, providing information about different topics, and I will mention some of the topics in a minute, but then also make sure there's time for questions and answers and discussion by the participants who are there.  So, we have several topics.  Certainly, other topics may come up as parents ask questions, but in general, how do I talk to my child about this virus, and those of us who work with children are very developmentally-focused and recognize that talking with a five-year-old is very different than talking with a 15-year-old.  So, they will address some of the developmental aspects of that dialogue and try to help parents, especially if you have a five-year-old and a 15-year-old, to think through how to manage that balance.  We will be talking about how do you help your child cope with uncertainty during this time of pandemic, and to help a child cope with uncertainty, we will also need to talk about how, you as a parent, cope with uncertainty, because I think we all, before this pandemic, at least, thought we had some control over our daily lives and whatever level of control that we thought we had has been shaken by this pandemic, and that sense of uncertainty can generate anxiety in people.  We will talk about helpful tips for social distancing.  There are a lot of teenagers who are saying, "I just want to be with my friends," and how do you help your teenager factor in the importance of social distancing and actually implement it, or how do you help a young child who doesn't really understand the need for social distancing?  And then, just acknowledging the parental worries and stresses that they have, so the parents who have to keep the household going, and either single parent or not - how do you get groceries and worries about exposure and managing exposure? How do you manage your worries about your aging parent or parents if they are in the picture?  How do you manage home-schooling?  So, there are all kinds of stressors that parents are dealing with right now, and just some guidance and ideas on how to manage that.  So, this is not a therapy group.  This is really an educational group about - how can I get some tools and strategies for managing these questions and worries that I might have?  How do you talk with your kids about loss or grief, because some families are going to be impacted by loss during this time. How do you talk about emotions in a way that is protective and supportive for your child and for yourself?  And further, just how, as an individual, can I strengthen my own resilience?</p> <p>Bridgette Butler:  These are very important topics, very important questions that people have, and I know that everyone will really appreciate being able to have a forum to discuss them and especially with the professional guidance.  Who can participate in this group and how can you participate?</p> <p>Dr. Catherine Fuchs:  So, it's designed for faculty and staff here at Vanderbilt who are parents, and we have had one individual who referred a faculty or staff member whose adult daughter is a parent and that individual signed up.  So, we are really trying to support the families of our faculty and staff.  And how to participate?  Signing up with the REDCap link You will join in on Zoom.  There will be the educational component that the leader will provide and then there will be opportunity for question and answer.  The REDCap link is redcap.link\covidcoping.</p> <p>Bridgette Butler:  Great.  That's a good one ... easy to remember.  We'll make sure to include that link, not only in the transcript of the interview but also on the web page with the wellcast.</p> <p><br /> Bridgette Butler:  Dr. Catherine Fuchs, thank you so much for joining us today.</p> <p>Dr. Catherine Fuchs:  Thank you.  It's good to be here.<br />  <br /> Bridgette Butler:  Thanks for listening.  If you have a story suggestion, use the "Contact Us" page on our website at <a href="http://www.vumc.org/health-wellness">www.vumc.org/health-wellness</a>.</p> <p> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 29 May 2020 13:30:38 +0000 harnessg 3265 at https://www.vumc.org/health-wellness Coping with Stress During COVID-19 https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/coping-stress-during-covid-19 <span class="field field--name-title field--type-string field--label-hidden">Coping with Stress During COVID-19</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 05/08/2020 - 00:01</span> <a href="/health-wellness/blog-post-rss/3269" class="feed-icon" title="Subscribe to Coping with Stress During COVID-19"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Dr. Jim Jackson, Psychologist with VUMC Critical Illness, Brain Injury, and Survivorship Center, discusses the stressors of  COVID-19, lesser known symptoms of stress, and effective methods of coping with stress.</p> <p><a href="https://redcap.vanderbilt.edu/surveys/?s=4THXJ48HCM" target="_blank">Watch</a> this video Wellcast now.</p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 08 May 2020 05:01:10 +0000 harnessg 3269 at https://www.vumc.org/health-wellness The Best Way to Get Information From Health & Wellness https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/best-way-get-information-health-wellness <span class="field field--name-title field--type-string field--label-hidden">The Best Way to Get Information From Health &amp; Wellness</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 04/10/2020 - 01:00</span> <a href="/health-wellness/blog-post-rss/3257" class="feed-icon" title="Subscribe to The Best Way to Get Information From Health &amp; Wellness"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW514.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW514.mp3">Download </a> the file to your computer.</audio></p> <p>​Bridgette Butler, Health Promotion Coordinator of Health <em>Plus, </em>shares the best way for faculty and staff to learn about helpful information and important services from Health &amp; Wellness - including Health <em>Plus</em>, Occupational Health, and Work/Life Connections-EAP.</p> <h3>Begin Transcript</h3> <p paraid="636239871">Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness Wellcast.  I am Bridgette Butler with Health Plus.   </p> <p paraid="916910351">Vanderbilt Health and Wellness, the department that provides support for the health and productivity of all Vanderbilt faculty and staff, is here for you providing helpful information and important services to support you during the many changes we’re experiencing in our worlds during this current health climate. All three departments that make up Health and Wellness – Health Plus, Occupational Health, and Work/Life Connections-EAP – are currently available to all employees, and there are a couple of excellent ways to access these resources and get the information from Health and Wellness you need! </p> <p paraid="746878262">First up, read MyVU or MyVUMC when you receive them to your email inbox. Each of these contain important information from these institutions on the Covid-19 response. Health and Wellness will also be posting information in these publications. Such as service updates, Wellcasts like this one, and helpful articles on managing your well-being during this time. </p> <p paraid="1361797775">To get information almost immediately from Health and Wellness follow us on social media. You can follow Health and Wellness on Twitter and Instagram at @WellVanderbilt. If you don’t use social media, don’t worry! Believe it or not, the Health and Wellness twitter feed has its very own webpage. You can view all current and former Health and Wellness tweets by going to <a href="https://www.vumc.org/health-wellness/health-wellness-twitter-feed">vumc.org/health-wellness/health-wellness-twitter-feed</a>. Don’t worry if you didn’t get all that, you can find this written in the transcript below! Follow us now on twitter or visit the Health and Wellness twitter feed webpage to stay up to date with our many helpful offerings such as: </p> <ul><li> <p paraid="1051978769">Work/Life Connections ConnectCare teleconsulting sessions </p> </li> <li> <p paraid="421905827">The Health Plus Tip of the Day – healthy tips that can be put into action anywhere…at work, at home, or working from home! </p> </li> <li> <p paraid="567039394">And the latest Occupational Health Wellcast: Covid-19, What Vanderbilt Employees Need to Know </p> </li> </ul><p paraid="1075537636">So watch for Health and Wellness (and Health Plus, Occupational Health, and Work/Life Connections) in MyVU and MyVUMC and follow us on twitter or on our twitter feed webpage and you will never miss the great information for employees from Health and Wellness! </p> <p paraid="2130261309">Thanks for listening.  If you have a story suggestion, use the "Contact Us" page on our website at <a href="http://www.vumc.org/health-wellness.&amp;nbsp">www.vumc.org/health-wellness.&amp;nbsp</a>;</p> <p paraid="1597067416"> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 10 Apr 2020 06:00:00 +0000 harnessg 3257 at https://www.vumc.org/health-wellness VWell Connect - Connect with Others at Vanderbilt Who Share Your Interests! https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/vwell-connect-connect-others-vanderbilt-who-share-your-interests <span class="field field--name-title field--type-string field--label-hidden">VWell Connect - Connect with Others at Vanderbilt Who Share Your Interests!</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 02/21/2020 - 00:01</span> <a href="/health-wellness/blog-post-rss/3242" class="feed-icon" title="Subscribe to VWell Connect - Connect with Others at Vanderbilt Who Share Your Interests!"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW512.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW512.mp3">Download </a> the file to your computer.</audio></p> <p>​Brad Awalt, Manager of Health Plus, and Amy Thomas, Senior Program Manager for VWell, talk about VWell Connect, the exciting new tool available at Vanderbilt to create opportunity to connect with others in the Vanderbilt community over shared activity interests.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness wellcast.  I am Bridgette Butler with Health Plus.  At Vanderbilt, it's important to create new opportunities for faculty and staff to create connections with one another.  Here today, to tell us about one of these opportunities, the new VWell Connect, is Brad Awalt, Manager of Health Plus, and Amy Thomas, Senior Program Manager for V-Well.  Welcome, Brad and Amy.<br />  <br /> Brad Awalt:  Thank you!  </p> <p>Amy Thomas:  Thanks.</p> <p>Bridgette Butler:  Brad, what is VWell Connect?</p> <p>Brad Awalt:  VWell Connect is an online tool that allows the Vanderbilt community to connect in shared interests, and the way we set it up, it's more recreational activities.  So, the six activities that we have set up today are walking, hiking, running, biking, golf and tennis, and there's basically three easy steps to get started.  First, you would want to go to the VWell Connect website and we have a short link to get you there.  It's bit.ly/vwellconnect. .Then, once you log in, you are going to complete an activity profile, and that's going to be your name, your email address, age (if that's something that you want to provide), maybe what area of town you live in, and then, you are going to select those preferred interests that you might be interested in connecting with someone, and then once you do that, you will go to a webpage where you will see people that share those same interests as you do, and from there, you will be able to reach out to them and set up a time to connect, maybe to go for a walk or play a round of golf or play some tennis.  So, that's basically what VWell Connect is.</p> <p>Bridgette Butler:  Amy, how was the idea of VWell Connect generated?</p> <p>Amy Thomas:  Well, really, we took our inspiration from some of our colleagues in the Emergency Department.  So, there is a group in the Department of Emergency Medicine who is really spending some intentional focus on promoting and supporting well-being throughout the department for all of the faculty and staff there, and they had an idea that they wanted to put together a group that could come together to play tennis, and as they were kind of flushing out that idea, figuring out how to make it work, our VWell team was talking with them to be supportive and find out how we could help them get that started, and it really kind of inspired the VWell team to think about - how can we actually find a platform where we can help the greater Vanderbilt community connect over shared interests, and that's kind of where the idea took root, and now we have our VWell Connect tool that we are so excited about, which brings people throughout the whole community together over their shared interests.</p> <p>Bridgette Butler:  This sounds like a wonderful opportunity to bring people together, and at the moment, it sounds like they have the opportunity to do some physical activity interests together.  What has been the most popular activity thus far?</p> <p>Brad Awalt:  Thus far, the two most popular activities are walking and hiking.  That's good to hear, so maybe we'll see some people out on campus walking together, and maybe they were connected by VWell Connect.</p> <p>Bridgette Butler:  We do have a beautiful campus for walking and a lovely area for hiking.  What will be additional activity interests added to VWell Connect in the future?</p> <p>Brad Awalt:  Yes, so, when you do the enrollment process, you are going to see a link where you can click on, and that will allow you to make suggestions for maybe some future activities that can be added.  So, periodically, we will review those and possibly add those based on popularity.  So, yes, definitely we will see more in the horizon.</p> <p>Bridgette Butler:  Thank you so much for sharing this great information about VWell Connect.  I appreciate you all being here today.</p> <p>Brad Awalt:  You're welcome.</p> <p>Amy Thomas:  You're welcome.  Thank you.<br />  <br /> Bridgette Butler:  Thanks for listening.  If you have a story suggestion, use the "Contact Us" page on our website at <a href="http://www.vumc.org/health-wellness">www.vumc.org/health-wellness</a>.</p> <p> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 21 Feb 2020 06:01:02 +0000 harnessg 3242 at https://www.vumc.org/health-wellness Get Active! It's the Kicker for Your Ticker https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/get-active-its-kicker-your-ticker <span class="field field--name-title field--type-string field--label-hidden">Get Active! It&#039;s the Kicker for Your Ticker</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 02/14/2020 - 00:00</span> <a href="/health-wellness/blog-post-rss/3235" class="feed-icon" title="Subscribe to Get Active! It&#039;s the Kicker for Your Ticker"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW509.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW509.mp3">Download </a> the file to your computer.</audio></p> <p>​February is Heart Health Month, and a good time to check in to see how our lifestyle is supporting our cardiovascular health. Dr. Raphael See, Cardiologist with the Vanderbilt Heart and Vascular Institute discusses the role of physical activity in the prevention of cardiovascular disease.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness Wellcast.  I am Bridgette Butler with Health Plus.  February is Heart Health Month and a good time to check in to see how our lifestyle is supporting our cardiovascular health.  Here to speak with us today about the role of physical activity in the prevention of cardiovascular disease is Dr. Raphael See, cardiologist with the Vanderbilt Heart and Vascular Institute.  So, Dr. See, how does physical activity promote cardiovascular health?</p> <p>Dr. Raphael See:  Physical activity is very important to promote cardiovascular health, both in the treatment of cardiovascular disease and also to prevent cardiovascular disease in the first place.  It reduces a variety of risk factors that are known to lead to cardiovascular disease, such as high blood pressure, high cholesterol, overweight status, even diabetes.  In fact, we have a variety of medications that treat all of these risk factors, but none of these have been as reliably beneficial in the prevention of cardiac disease than regular exercise.  In fact, if I am ever seeing an individual in the office, and they have a choice between taking some of these medications or promising me that that person will exercise regularly, I would, without any hesitation, pick that they would regularly exercise every single time.</p> <p>Bridgette Butler:  So, now, what does regular exercise look like?  What are the recommendations for physical activity in the prevention of cardiovascular disease?</p> <p>Dr. Raphael See:  So, the American Heart Association came out with a single guideline recommendation for what they thought would be the ideal amount of exercise for everybody to participate in, and that would be a cumulative amount of 150 minutes per week of moderate-level physical activity.  So, while some people could try to do all 150 minutes per week in a single go, that's really not recommended and probably not really realistic for most people.  So, 150 minutes for many people would translate into about five days per week of about half an hour of physical activity, which is doable with a fair bit of discipline and effort.</p> <p>Bridgette Butler:  It does sound doable.  Now, I have been hearing this new adage of "move more, sit less."  Is it true that just getting moving, no matter what it looks like, is better than no activity at all?</p> <p>Dr. Raphael See:  That is absolutely true.  You know, we used to have this idea that there was some minimum threshold of physical activity below which you may as well not bother.  That is that, if you didn't have time to get in a 20-minute workout or 25-minute workout or half an hour, then you may as well not try, and we've seen now, very consistently across the board, that this is not true.  So, there is no minimum amount, no minimum threshold below which you don't get any benefit, and in fact, there is no single person that doesn't stand to benefit either.  This has been shown to apply to the very young, the much older, and everyone in between.  So, this really does apply to every single person that can move.</p> <p>Bridgette Butler:  So, how might someone get started being more physically active?  How do we get moving?</p> <p>Dr. Raphael See:  Well, that is challenging.  I mean, so many of us are very busy, and it can be really difficult to get in a regular exercise routine, especially if you are not accustomed to doing that.  So, a few pointers that I usually tell people, who find the prospect of getting into a regular exercise pretty daunting is, first of all, to commit to a specific time that you can work into your schedule.  That is, if you try to wait until it becomes convenient or you have extra time lying around to start your workout, most people will never really want to do that.  So, coming up with a plan, a plan that you can write down and a plan you can check yourself against, will help, and I think the other thing that helps a lot is to find somebody else to do it with.  It's much easier to decide that you just don't feel up to it if you are just accountable to yourself rather than if you have to tell your exercise partner that you are just not feeling it today and you'd rather just sit out.  So, having somebody else, that accountability, is really key to getting started.</p> <p>Bridgette Butler:  So, what kinds of physical activity do you enjoy, and what keeps you motivated to continue doing it?</p> <p>Dr. Raphael See:  Well, that's a good question.  You know, there are a number of individuals who are fortunate, in that physical activity and exercise and athletics have always come naturally to them, and I admire that, but I have just never been one of those individuals.  Now, that being said, I decided at one point that I did want to become more intentional and regular with physical activity, so I got onto a regular routine with an exercise machine, an elliptical machine, and one of the ways that I made that more tolerable is that I decided to watch a T.V. show that I really enjoyed but only allowed myself to watch that when I was on the machine.  So, I had something to look forward to.  It would reliably end on a cliffhanger and I would not permit myself to watch it except that I was on the machine, and after a while, staying with that consistently, I didn't necessarily even need the T.V. show to be able to be motivated to exercise.  Now, I still would prefer to be able to watch an interesting show while going on the machine.  So, that's really helped with consistency, but above and beyond that, the nice thing about exercise is that every little bit helps.  You can do so many things with your family that are enjoyable, and we, as a family, enjoy bicycling.  We like to chase each other around the yard and the house with nerf guns and an impromptu wrestling match.  I have four young boys, so it's never a challenge to find an opportunity to be physically active, and that is a rewarding thing and it's a healthy thing, too.</p> <p>Bridgette Butler:  Wonderful.  Thank you so much!<br />  <br /> Thanks for listening.  If you have a story suggestion, please use the "Contact Us" page on our website at <a href="http://www.vumc.org/health-wellness">www.vumc.org/health-wellness</a>.</p> <p> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 14 Feb 2020 06:00:01 +0000 harnessg 3235 at https://www.vumc.org/health-wellness The Gift of Giving https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/gift-giving <span class="field field--name-title field--type-string field--label-hidden">The Gift of Giving </span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 11/08/2019 - 00:01</span> <a href="/health-wellness/blog-post-rss/3225" class="feed-icon" title="Subscribe to The Gift of Giving "> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW500.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW500.mp3">Download </a> the file to your computer.</audio></p> <p>Graham Reside, ​Executive Director, Cal Turner Program in Moral Leadership for the Professions, and Assistant Professor, Vanderbilt University Divinity, talks about how the tradition of holiday gift-giving can create meaning and connection for both the gift-giver and receiver.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness Wellcast.  I'm Bridgette Butler with Health Plus.  The winter holidays are full of wonderful traditions.  One common tradition over the holidays is gift giving.  Here to talk with us today about it really is better to give than receive is Graham Reside, Executive Director of the Cal Turner Program for Moral Leadership in the Professions and Assistant Professor at Vanderbilt Divinity.  Welcome, Graham.</p> <p>Mr. Graham Reside:  Thank you.  It's good to be here.</p> <p>Bridgette Butler:  How does giving contribute to our well-being?</p> <p>Mr. Graham Reside:  Every society has forms of gift giving.  The first thing that comes to mind for me is it's a way of creating human connection, or at least feeding human connection.  Then, when I think more practically about my own life, I think when it comes time to give a gift or think about giving a gift, I have to actually attend to the person that I am thinking about or the people I am thinking about, and when we "attend" to people, we care for them.  I think in a busy world, we sometimes forget to care for the people that we love.  So, gift giving is a way of caring.  It's a way of attending.  And we have to "pay" attention, they say.  You pay attention.  "Pay attention," I tell my kids, because it costs us something emotionally, and when it comes to gift giving, sometimes it costs us something financially, but that cost that we pay of attending to another, I think, is a way of caring, and it's the cost of human relationship.  So, it's one of the ways, for me, in which I can care for the people that I love, is to pay attention.  What do they want?  What do they need?  What might give them joy?  The opportunity to stop and think about for the people that are close to us, I think, is a lovely opportunity.  I think the holidays and special occasions ask us to do that, to stop, to pay attention, to care for those that we love.  I don't think it has to be an expensive gift, an extravagant gift, for the person to feel like they have been cared for.  I have felt best about the gifts that I have received, for example, when my kids have put in an effort.  They get me with the gift.  So, that's what I am trying to learn from my own children - how to "get" the person, not what to give them, but how to get them and give them a gift that gets them.</p> <p>Bridgette Butler:  What are some meaningful ways that we can give of ourselves this holiday season?</p> <p>Mr. Graham Reside:  Well, again, I think in the modern world, and for many of us, particularly around the holidays, time is a scarce commodity, and being present may be the best present that we give, right?  Sorry to be corny there, but being present, spending time with people that we care about, or want to care about, or want to include in our community ... I began by saying every society has moments of giving gifts, exchanging gifts, as a way of building and creating a sense of solidarity, a sense of community, a sense of oneness with each other.  I like to use holidays, and I think other people do, too, to model for my children that we are part of a larger world than simply our family or simply our friends, but we want to be present for others that we might not know as well, maybe people who are down on their luck, people who are suffering, people who are lonely, people who are sick.  And so, this is a time that I think we can be particularly mindful, because holidays can also be difficult for people who are lonely, or people who are unwell, or people who have suffered a loss, people who are grieving.  So, spending time, I think, with people might be the greatest gift and expanding that sense of community in that way.</p> <p>Bridgette Butler:  You did allude to this - how can we involve children in this experience, to teach them the value of giving?</p> <p>Mr. Graham Reside:  I might want to start with what we can learn from kids.  There is something precious about the joy that they get in receiving a gift but also in giving a gift.  So, to be reminded of the joy of gift giving, I think, is important, and also modeling for children that it is not the value, the monetary value of a gift that matters but kind of the "intention" and "attention" that a gift can indicate.  I like to encourage my kids to pick out gifts themselves for relatives, for friends, and also for neighbors and people in the community, and I think it is important, as I said, to get the whole family, children and others, extended members of the family, to participate in some act of giving in the holiday season.  As a religion professor, holidays are holy days, and they are reminders of the gifts that we receive from our Gods, from our ancestors, from strangers, and they remind us of the holiness of our lives that, again, can easily get lost if we don't pay attention, if we don't notice the gift of this life, the gift of our communities, the gifts of our friends and family.  So, having the opportunity to remind children that gifting is a part of the human experience ... it is not just about getting something but it's about noticing that life itself is a gift, that not everyone experiences it that way all the time, and that we should be careful to remember that life is a precious gift, and giving of gifts is a way of both recognizing that fact and perhaps redressing, for some who aren't feeling life as a gift, reminding them.  And I do think, you know, getting a gift from my kid or a child is a particular delight.  Some of my favorite gifts were inexpensive gifts from my kids when they were younger.</p> <p>Bridgette Butler:  It's just a beautiful way to look at the act of gift giving, that we are also getting a gift ourselves.  Well, thank you so much for speaking with us today and sharing your insights and your experiences.</p> <p>Mr. Graham Reside:  Yeah, my pleasure.  <br />  <br /> Thanks for listening.  If you have a story suggestion, please email it to us at <a href="mailto:health.wellness@vumc.org">health.wellness@vumc.org</a> or you can use the "Contact Us" page on our website at <a href="http://www.vumc.org/health-wellness">www.vumc.org/health-wellness</a>.</p> <p> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 08 Nov 2019 06:01:56 +0000 harnessg 3225 at https://www.vumc.org/health-wellness Take Your Best Shot! Occupational Health Answers Your Vaccine and Testing Questions https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/take-your-best-shot-occupational-health-answers-your-vaccine-and <span class="field field--name-title field--type-string field--label-hidden">Take Your Best Shot! Occupational Health Answers Your Vaccine and Testing Questions </span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 10/11/2019 - 00:01</span> <a href="/health-wellness/blog-post-rss/3210" class="feed-icon" title="Subscribe to Take Your Best Shot! Occupational Health Answers Your Vaccine and Testing Questions "> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW497.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW497.mp3">Download </a> the file to your computer.</audio> ​</p> <p>Dr. Lori Rolando, Medical Director of the Occupational Health Clinic, answers your most pressing questions about vaccines and testing, and the role the Occupational Health Clinic plays in meeting your vaccination and testing needs.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness Wellcast.  I am Bridgette Butler with Health Plus.  The Occupational Health Clinic offers all Vanderbilt faculty and staff many important services, two of which are vaccinations and testing.  Here to answer your questions about vaccinations and testing is Dr. Lori Rolando, Medical Director of the Occupational Health Clinic.  Welcome, Dr. Rolando.<br />  <br /> Dr. Lori Rolando:  Hi!  Thank you for having me.<br />  <br /> Bridgette Butler:  We are glad you are here.  We have received a couple of questions about the Occupational Health Clinic and what it offers employees, the first of which is:  I have been reading about measles outbreaks in certain areas of the country.  Who should receive the MMR vaccine?<br />  <br /> Dr. Lori Rolando:  The MMR vaccine should be given to everybody who doesn't have a medical reason that they can't receive it, that would make it dangerous for them to receive it.  Typically, it's given to children.  On or after their first birthday, they get their first dose, and then, they need to get their second dose at least 28 days later.  Usually, it is given around the time they start school.  But for adults, if they haven't been vaccinated, or don't have that documentation, or are not sure if they've been vaccinated, typically adults who aren't at increased risk should receive one MMR, but there are certain folks who would need to get two MMR vaccines, and those are individuals who work in a healthcare setting, individuals who are in post-high school educational settings like college students, that sort of thing, and folks who are traveling internationally, because we are seeing a lot of the measles cases are coming in as a result of international travel.  So, making sure that you are protected with two MMR vaccines if you are going to be traveling internationally is important as well.</p> <p>Bridgette Butler:  Okay.  And does OHC, the Occupational Health Clinic, provide the MMR vaccine?</p> <p>Dr. Lori Rolando:  We do.  So, for Medical Center employees, we need to make sure that everyone is immune.  So, if they don't have other evidence of immunity, if they don't already have documentation of two vaccines or they don't have blood work that shows that they are immune to measles, if they were born 1957 or after, then we require two MMRs for them, and we provide that vaccine.  People who were born before 1957 are presumed to be immune because it is likely that they had the infection when they were a child because measles cases were common back then.  For Medical Center employees, we provide it because it is a requirement, and so it is provided at no cost.  For others who may want it or need it for personal health reasons, we certainly will provide that as well, and we would just bill their insurance just like any other provider would.</p> <p>Bridgette Butler:  The next question:  I couldn't make it to Flulapalooza this year.  Does OHC offer flu vaccine to employees outside of this event?</p> <p>Dr. Lori Rolando:  Absolutely.  We offer the flu vaccine to Medical Center and University employees at any time.  During clinic hours, they can come to the Occupational Health Clinic.  We are open from 7:00 in the morning until 5:30 in the evening Monday through Friday.  So, they can come anytime and get the flu vaccine here.  It is provided to employees at no cost to them.  We also have onsite events throughout flu season.  So, you can come to any onsite event and get the flu vaccine.  You can check our website for the flu calendar to see where we are going to be to come and get the vaccine.  If you would like to request an onsite, if you've got a group of employees who would like to get the vaccine and need us to come to you, please contact us and request that.  And for the Medical Center folks, we also have what's called a "Peer Vaccination Program," so managers of inpatient units and clinics can go to our website to get more information about how to sign up members of your nursing staff to be able to provide vaccines to their co-workers and get that information back to us at Occupational Health.</p> <p>Bridgette Butler:  Great.  Lots of opportunities.</p> <p>Dr. Lori Rolando:  We also do what's called a "Late Night Cart," so those folks who are working the overnight shift and things like that, we will go out to the units in the hospitals and sort of take our cart around.  I know Health Plus comes with us to do your numbers at the same time.  So, that's another good opportunity to get your flu shot if you need it.</p> <p>Bridgette Butler:  And who does need to get the flu shot?</p> <p>Dr. Lori Rolando:  Everybody age six months and older needs to get their flu shot every year, again, unless they have a medical contraindication to getting it.  It is the most important thing you can do to help prevent the flu in yourself and those around you.  So, the CDC recommends everybody six months of age and older get the flu shot every year.  And for Vanderbilt Medical Center folks, it is a required vaccine each year.</p> <p>Bridgette Butler:  And we have a third question:  As an employee, is there any reason to get a PPD or tuberculosis skin test?</p> <p>Dr. Lori Rolando:  Well, Medical Center employees all get TB testing on hire as part of their new employee screening, and that is per CDC recommendations as well.  Typically, it is done with what we would call a two-step skin test, but in certain circumstances, we could potentially do a blood test as well to screen for TB.  Annual TB testing used to be required for Medical Center employees as well, but the CDC recommendations for that have recently changed.  So, our program has changed with the CDC's recommendations.  So, routine annual TB testing isn't required for employees anymore.  We do continue to do testing for employees in the event of an exposure and there are certain research or animal care-related circumstances where individuals may need to continue to get routine skin testing, and we communicate with those folks on an as-needed basis to identify them and let them know about that.  But in general, it's not broadly required for employees.  And then, of course, also, there may be, from an individual health standpoint, individuals with certain medical conditions or who are immunosuppressed, for example, might need to get TB skin tested or TB tested in some way, and that would be a discussion that you would have with your provider.</p> <p>Bridgette Butler:  Well, thank you so much for answering our questions today and updating us on Occupational Health Clinic's Vaccination and Skin Testing Programs.</p> <p>Dr. Lori Rolando:  Oh, thank you for very much.  Thanks for the opportunity.<br />  <br /> Bridgette Butler:  Thanks for listening.  If you have a story suggestion, please email it to us at <a href="mailto:health.wellness@vanderbilt.edu">health.wellness@vanderbilt.edu</a> or you can use the "Contact Us" page on our website at <a href="http://www.vumc.org/health-wellness">www.vumc.org/health-wellness</a>.</p> <p> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 11 Oct 2019 05:01:00 +0000 harnessg 3210 at https://www.vumc.org/health-wellness New Diabetes Treatment Technology is Super Cool https://www.vumc.org/health-wellness/wellcasts-wellcasts-health-plus/new-diabetes-treatment-technology-super-cool <span class="field field--name-title field--type-string field--label-hidden">New Diabetes Treatment Technology is Super Cool </span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 09/13/2019 - 00:00</span> <a href="/health-wellness/blog-post-rss/3207" class="feed-icon" title="Subscribe to New Diabetes Treatment Technology is Super Cool "> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW495.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW495.mp3">Download </a> the file to your computer.</audio></p> <p>​Dr. Shichun Bao, Associate Professor of Medicine and Diabetes Technology Program Leader in the Endocrinology Divison of the Eskind Diabetes Clinic, shares information on the amazing technological advances in diabetes treatment and blood sugar management.</p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness wellcast.  I am Bridgette Butler with Health Plus.  Diabetes technology is a rapidly expanding area.  Here to speak with us about the exciting technological advances in diabetes treatment and blood sugar management is Dr. Shichun Bao, Associate Professor of Medicine and Diabetes Technology Program Leader in the Vanderbilt Endocrinology Division in the Eskind Diabetes Clinic.  Welcome, Dr. Bao.<br />  <br /> Dr. Shichun Bao:  Thanks for having me.<br />  <br /> Bridgette Butler:  Dr. Bao, to start, what is diabetes?<br />  <br /> Dr. Shichun Bao:  Diabetes is a disease in which our body's ability to produce or respond to insulin is impaired, resulting in abnormal carbohydrate metabolism, therefore leading to elevated glucose in our blood and urine, and there are two main categories of diabetes, as you know - type 1 and type 2.  Type 1 is due to impaired insulin production from our pancreas, which usually has juvenile onset and the treatment is insulin, versus type 2, the main type of diabetes, usually adult onset, which accounts for about 80% to 90% of diabetes is due to the body's utilizing insulin capability being impaired.  It is the terminology called "insulin resistance," and it can be treated with oral medication.  Of course, late stage may also need to be treated with insulin.<br />  <br /> Bridgette Butler:  How can technology be used to help patients and providers manage diabetes?<br />  <br /> Dr. Shichun Bao:  Diabetes technology is a really expanding arena, and over the past two to three years, the FDA has approved multiple new diabetes technology devices that can help patients track their sugar easier without a finger stick and track their insulin administration and also help regulate the insulin administration much better as well as the data sharing.  All that is just very exciting.<br />  <br /> Bridgette Butler:  Is that technology used more for type 1 diabetes or type 2 diabetes, or both?<br />  <br /> Dr. Shichun Bao:  Perhaps more in type 1 diabetes.  We are talking about those new insulin pumps, what we call a "hybrid closed-loop system," or artificial pancreas, that uses a sensor or continuous glucose monitoring and augmented pump that the sugar can be monitored every five minutes throughout the day and night without the needle fingerstick and the pump can use the data and automatically adjust insulin delivery.  So, that is more for type 1, but the continuous glucose monitoring can definitely be used both in type 1 and type 2 or any type of diabetes, although some insurances will require the patient be on insulin to approve it because of the cost, I guess.  There are also smart insulin pens and, you know those apps, and Bluetooth glucose meters.  Every aspect of technology is really just booming.<br />  <br /> Bridgette Butler:  What are some of the newest technologies being used to manage diabetes?<br />  <br /> Dr. Shichun Bao:  The main newest technologies are new insulin pumps, as we just mentioned those sensory-augmented pumps that auto regulate insulin delivery as your glucose level changes.  When sugar is high, it will automatically deliver more insulin.  When your sugar is lower, it will automatically slow down insulin delivery or even shut off insulin when your sugar is very low.  So, the benefit of using this to really minimize the super high or super low glucose by auto regulation, and these are the insulin pumps.  There is also continuous glucose monitoring without the fingerstick.  Your sugar can be monitored every five minutes throughout the day and the night, and the data can be shared with your provider, with your family, friends, at your preference, and then the next category would be the smart insulin pen, which can also track your sugar, track your insulin delivery, and kind of alert you - oh, it's time to change your insulin cartridge, and kind of like that, and then of course, these apps and the software can help all the data connect together and share with the provider and the family and loved ones.<br />  <br /> Bridgette Butler:  That is incredible.  So, it is not only managing the blood sugar but it is also alerting you and sharing information where you want it to be shared and coordinating a lot of important information.<br />  <br /> Dr. Shichun Bao:  Exactly, exactly, yeah.<br />  <br /> Bridgette Butler:  That's great.  Which types of technology require a prescription order from, say, my healthcare provider in order to use them?<br />  <br /> Dr. Shichun Bao:  The majority of technology does require a prescription.  We are talking about insulin pumps, continuous glucose monitoring, smart insulin pens ... those all require a prescription, mainly for safety and education purpose.  There are some devices, like those Bluetooth-enabled-enabled glucose meters, that you can purchase without a prescription, available at Amazon and others, you know, WalMart, but the majority of those do require a prescription, and we have a technology clinic at our Eskind Diabetes Center that can help a patient to choose what is the best device for them and then we help, you know, educate them, train them, and help them monitor the data and do a lot of things.<br />  <br /> Bridgette Butler:  That's a wonderful service.<br />  <br /> Dr. Shichun Bao:  Yes.<br />  <br /> Bridgette Butler:  Thank you so much for speaking with us today about what are some very exciting technology advancements in diabetes and blood sugar management.<br />  <br /> Dr. Shichun Bao:  My pleasure.  Thanks so much.<br />  <br /> Bridgette Butler:  Thanks for listening.  If you have a story suggestion, please email it to us at <a href="mailto:health.wellness@vanderbilt.edu">health.wellness@vanderbilt.edu</a> or you can use the "Contact Us" page on our website at <a href="http://www.vumc.org/health-wellness">www.vumc.org/health-wellness</a>.</p> <p> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 13 Sep 2019 05:00:01 +0000 harnessg 3207 at https://www.vumc.org/health-wellness Look Ma, No Hands! Freeing Yourself from Distracted Driving https://www.vumc.org/health-wellness/wellcasts-health-plus/look-ma-no-hands-freeing-yourself-distracted-driving <span class="field field--name-title field--type-string field--label-hidden">Look Ma, No Hands! Freeing Yourself from Distracted Driving</span> <div class="field field--name-field-barista-posts-category field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/health-wellness/wellcasts-health-plus?cat=154" hreflang="en">Wellcasts</a>, <a href="/health-wellness/wellcasts-health-plus?cat=274" hreflang="en">Wellcasts - Health Plus</a>, <a href="/health-wellness/wellcasts-health-plus?cat=137" hreflang="en">Health Plus</a></div> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-wellness/users/harnessg-0" typeof="schema:Person" property="schema:name" datatype="">harnessg</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 08/09/2019 - 00:01</span> <a href="/health-wellness/blog-post-rss/3191" class="feed-icon" title="Subscribe to Look Ma, No Hands! Freeing Yourself from Distracted Driving"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Health Plus</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p> <audio controls="" style="height: 54px;"><source src="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW494.mp3" type="audio/mpeg"></source> Your browser does not support the audio element. <a href="https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/Wellcasts/HW494.mp3">Download </a> the file to your computer.</audio></p> <p>​Captain Leshaun Oliver of VUPD Public Safety shares information on distracted driving and what the new Hands-Free Tennessee Law means for drivers.</p> <p><a href="https://www.handsfreetn.com/" target="_blank">www.handsfreetn.com</a></p> <h3>Begin Transcript</h3> <p>Bridgette Butler:  Welcome to this edition of the Vanderbilt Health and Wellness Wellcast.  I am Bridgette Butler with Health Plus.  Distracted driving is a major safety concern for Tennesseans.  Recently, the new hands-free law was passed to address this issue.  Here to speak with us today about distracted driving and what the new hands-free law means for drivers, is Captain Leshaun Oliver with Public Safety for the Vanderbilt University Police Department.  Welcome, Leshaun.</p> <p>Captain Leshaun Oliver:  Hey, thank you for having me.</p> <p>Bridgette Butler:  What is distracted driving?</p> <p>Captain Leshaun Oliver:  It's anything that takes your attention off the road.  When you're driving, you want to make sure your attention is on the task at hand, and so, whether that's texting or fumbling with something in the seat, if your eyes leave the road for even a moment of time, you are distracted and you are not paying attention to the task at hand.</p> <p>Bridgette Butler:  And how large of a concern is distracted driving for our community?</p> <p>Captain Leshaun Oliver:  Well, it is a large concern, and in particular, because of numbers that's reported, in the State of Tennessee, alone, for example, in 2018, there was over 25 crashes related to distracted driving, and then if you remember, when you are driving, one of the things we do in Tennessee over the electronic bulletin boards, is we document how many deaths are related.  So, you are looking in the hundreds a year of people that die related directly to fatalities, and so, if we could reduce that in any way, we want to be proactive.</p> <p>Bridgette Butler:  And how does this new hands-free law address the issue of distracted driving?</p> <p>Captain Leshaun Oliver:  What it does is it tries to get people to self-comply, to regulate their phone uses, and actually do what they are intended to do when they get behind the wheel in the first place, and that is get to their destination - so, safely, undistracted, and focused on the road.</p> <p>Bridgette Butler:  What are some of the elements and aspects of the new law that we might want to be aware of?</p> <p>Captain Leshaun Oliver:  First and foremost, the new law pretty much takes what the law, when it came to texting while driving, to the next level in the sense that now we are not just focused on texting.  We are focused on the phone altogether.  So, it's hands-free.  You can't even use your phone to touch it in any way when the vehicle is in motion, and so, the law pretty much sets up to where if you are observed by law enforcement personnel, they are going to enforce the law, so you can be fined, for first offense $50, second and third offense could be up to $100, and for example, if you are in a construction zone, it can go all the way up to $200, and that is just the state citation.  But what other jurisdictions could do is also add local fines, and so it could become very costly after time, and in the state of Tennessee, we are on a point system, 12 points.  So, for each infraction within a 12-month period, you can lose three points ... 12 points and your license becomes suspended.</p> <p>Bridgette Butler:  Under the new hands-free law, I understand that you are not able to hold your phone.  Are you able to actually touch your phone if you are not actively holding it, if you have, say, a device that holds your phone for you?</p> <p>Captain Leshaun Oliver:  Yeah.  If you have a mounted device that you put on your windshield or in your cup holder beside the car, you could utilize it.  As long as like, for GPS purposes, is one example in which you could do that - you could touch to swipe and get direction or locations, answer a phone call if you are using, say, a Bluetooth.  As long as your hands are both on the wheel, it allows you to maintain your focus and drive.  Those are examples of where, yes, you could use it, but it needs to be within a mounted device.  You can't be watching videos and be observed doing that, but you could use it for a GPS or take a call or end a call.</p> <p>Bridgette Butler:  Do you have any additional tips for preventing distracted driving?</p> <p>Captain Leshaun Oliver:  Yes, the big thing is to, if at all possible, turn your phone off, but if not, make sure you are aware of what you are in the car to get to point A to point B, or you can use technology, such as Bluetooth.  Some cars are made to where you can take the call and have it on a speaker and what not, so there are so many other alternatives, but one of the things, like I said, to move us beyond just the texting and driving, but distracted driving altogether, is we want to remember that we are here to be safe and to get from point A to point B, and not to focus on anything other than what we are in the car to do, and that is to drive to our destination safely.</p> <p>Bridgette Butler:  That's a wonderful message, that the new law reminds us not only to try to keep our hands off our phones, but really to focus entirely on the task at hand, driving, to arrive safely.</p> <p>Captain Leshaun Oliver:  Absolutely.</p> <p>Bridgette Butler:  Okay, wonderful.  Thank you so much for giving us such great information about the new law and how to prevent distracted driving.</p> <p>Captain Leshaun Oliver:  You're welcome.<br />  <br /> Bridgette Butler:  Thanks for listening.  If you have a story suggestion, please email it to us at <a href="mailto:health.wellness@vanderbilt.edu">health.wellness@vanderbilt.edu</a> or you can use the "Contact Us" page on our website at <a href="http://www.vumc.org/health-wellness">www.vumc.org/health-wellness</a>.</p> <p> </p> </div> <div> <strong>Tags</strong> <div> <div><a href="/health-wellness/wellcasts-health-plus?tag=260" hreflang="en">VU</a>, <a href="/health-wellness/wellcasts-health-plus?tag=261" hreflang="en">VUMC</a></div> </div> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 09 Aug 2019 05:01:32 +0000 harnessg 3191 at https://www.vumc.org/health-wellness