Healthy Change

THE YEAR OF YES: MUSINGS - INTENDED ACTION

On this AUTUMNAL EQUINOX - I looked in the mirror and noticed a furrowed brow. On this day when day/night, light/dark are in relative balance, I have been pondering the deep IMBALANCES of our current state of affairs in the U.S. & our planet as a whole.

My meditation & contemplative practice keep reminding me that intention is the seed of our actions. When we begin noticing our presence (read: how we are showing up) in the present moment, we then have choice - we can DECIDE how to act RATHER THAN REACTING to the external circumstance at hand.

In this way, what we think can lead to chosen, intended action. Each action, large or small, is powerful. The ripples created by each one of us can change the sea. May I ask, how are you showing up in your own life in this very moment? 

The Year of Yes is a weekly photo-and-word installment by Dr. Shah written with the purpose of evoking hope, resilience, and a gentle movement toward healthy change in all of us.

THE YEAR OF YES, EP. 17: YES TO MAKING SPACE FOR TRANSITION

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SEASON OF CHANGE

Spring is finally here in NYC, season of transition. An impassioned full moon just passed this Sunday, also bringing to light things that need to be shed so new seeds have room to bud and bloom. Transitions are a wonderful time to evaluate your priorities and how you spend your time.

 

PRACTICE

My private practice, which I opened in January, is growing! While this is a truly thrilling change, the 1,440 minutes in the day that each and every one of us have aren’t expanding any time soon. As my focus shifts more steadily to patient care and cultivating my practice, I am evaluating my time and finding ways to use it more wisely (time audit!). I am also working on folding more intentional learning into my life. 

Starting with my next post, only a small blurb of the weekly Year of Yes blog post will be found on my Instagram page (to pique your curiosity!). The full posting, links and all, will always be here. You can also follow my doctor page on Facebook, where this blog updates weekly!

 

AWAY

There will be no post next week - I’ll be at the national Academic Consortium for Integrative Medicine & Health Member's Meeting and International Congress in Baltimore, Maryland. 

 

FRIDAY

Upon returning, THE YEAR OF YES is switching to FRIDAYS (beginning 5/18).

 

YOU

During this season of change, I urge you to take stock of your life as well. What are your values and priorities? What is essential to you? What are some things you need to let go? How do you plan to do that? The more we learn what is meaningful to us, and find ways to make space for these activities (or non-activities), the richer and more vibrant our lives become. 

Comment below and let me know if you are in the process of any changes, transitions or transformations and how it is going for you! 💚🌺 

The Year of Yes is a weekly photo-and-word installment by Dr. Shah written with the purpose of evoking hope, resilience, and a gentle movement toward healthy change in all of us.  

THE YEAR OF YES, EP. 14: YES TO THE CLEAN 15

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and NO to the DIRTY DOZEN (think: high toxin burden) . . .

Excellent resource, the EWG

If you’re familiar with the Environmental Working Group, great! If you’re not, the EWG is a non-profit, non-partisan organization dedicated to protecting human health and the environment. Definitely check out their website if you’re not familiar with them - they have lots of great information on everything from safer foods, the health of our tap water, and the harmful contents of beauty products (ewg.org).

Do keep in mind, however, that organic foods and farming, like anything else in life, is a complex issue, and never a black or white affair. Many factory "organic" farms are not as wholesome as they'd like to appear to be. When possible, I still choose locally grown organic foods for the reasons outlined below.

Why choose organic? Non-organic foods are often laden with endocrine disrupting toxins and have been linked to such issues as cancer, autism, ADHD, neurological issues, and pulmonary disease. There are also many other health issues that may be linked to pesticides, herbicides, and fungicides that science is only starting to uncover. For example, there are studies exposing the burden of pesticide residue in breast milk.

Take a look at the two lists above. Since purchasing organic is usually more expensive than conventional produce, the CLEAN FIFTEEN and the DIRTY DOZEN are exceptionally helpful resources to help you decide which produce to purchase organic. 

 

Why organic farming? Rachel Carson's book Silent Spring comes to mind when I think about the current state of farming affairs in the U.S. and in many parts of the world today. Organic farming is usually better than current conventional agri-business farming for a number of reasons other than your own health. When done correctly, organic agriculture promotes long-term land and soil sustainability, minimizes water pollution, decreases climate change (by decreasing the use of petrochemical fertilizers & agricides and increasing the sequestration of carbon in the soil), and improves biodiversity (why those summer heirloom tomatoes are so darn tasty.) It’s also safer for those who are working to cultivate the food that gets to your local grocery and onto your plate every day.

What else can you do? Other ways you can help your health and the environment: purchase and eat produce that’s in season, eat less animal-foods and eat more plants, purchase what you can at your local farmer’s market, and join a CSA (community-supported agriculture). You can also take a look here for some safer alternatives to pesticides for insect control. Choosing these options help to remind us that we are all deeply interconnected - with the Earth, seasons, waterways and each other - and that your choices on a day-to-day basis matter.

 

Safe, healthy food for all

It deeply saddens me that toxin-laden foods are the norm and it seems completely inhumane that safer foods cost more that “conventional” foods. It’s another way in which socio-economic stratification develops in our communities and culture, where those who cannot afford healthier foods are left behind. We can speak with our dollars when we thoughtfully purchase organic foods, regularizing safer food for all. 💚

 

The Year of Yes is a weekly photo-and-word installment by Dr. Shah written with the purpose of evoking hope, resilience, and a gentle movement toward healthy change in all of us.

THE YEAR OF YES, EP. 12: YES TO COMBATING SUPERORGANISMS

Superorganisms are not funny, though the band Superorganism (poster above) surely is a good time.

The spread of deadly drug-resistant infections (“superbugs” / "superorganisms") is growing exponentially globally, and it is posing a huge threat. Avoiding taking antibiotics except when absolutely necessary is a big step that you can take to help combat this major problem.

Working in an urgent care facility a while back, I was privy to the rampant use of antibiotics to treat infections that are usually not bacterial or don’t necessarily require antibiotics, i.e. bronchitis, many sore throats, colds, flus, sinusitis, ear infections, pink eye …

Patients were requesting them at breakneck speed, and urgent care physicians, eager to please, rarely said no. On the other end of the spectrum, all of my time at Columbia University Medical Center / New York-Presbyterian Hospital has been hopeful, where fostering “antibiotic stewardship” is the norm - a set of coordinated strategies to improve the use of antimicrobial medications with the goal of enhancing patient health outcomes and reducing resistance to antibiotics (and preventing superfluous health care spending).

When you use antibiotics unnecessarily, in addition to promoting bacterial infections that can’t be treated in the future for both you but also millions of others, you are also completely altering your microbiome, both in your gut and otherwise. That is, you’re killing off good bacteria in your intestines that are necessary for all sorts of important functions as well as in other parts of your body (ahem, think about such distressing things as yeast infections).

I have seen some horrific infections in the hospital in my day, and still commonly do when I'm working on the hospital wards. These are infections where patients may be required to stay in healthcare facilities for months at a time. Physicians like me have to don impervious spacesuit-like gowns, hoping to avoid being colonized by scary bacteria such as resistant Staph aureus, Enterococcus, and C. diff. Then there are things like resistant strains of gonorrhea... enough said.

So the next time you’re sick, if you and your physician or health care provider decide together that you require antibiotics, make sure you’re taking them for a very specific reason. Educate yourself. Ask questions. Check out the CDC's website to find some great patient information to learn more about the basics.

And, if you’d like to go more in depth, take a look at this great New York Times article, this Telegraph UK article, and this interesting Consumer Reports article

Not to fear monger, but this is no joke...

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The Year of Yes is a weekly photo-and-word installment by Dr. Shah written with the purpose of evoking hope, resilience, and a gentle movement toward healthy change in all of us.

THE YEAR OF YES, EP. 7: YES, SPICE IT UP!

At home with my Indian spice box. 

At home with my Indian spice box.

It’s Valentine's Day tomorrow after all… so let’s get spicy!

Name a spice!

Tumeric, cumin, coriander, cayenne, caraway seeds, chili powder, black pepper, clove, star anise, mustard seeds, ginger, paprika, chili flake, garlic, nutmeg, cinnamon, cardamon, asafoetida, chipotle... shall I go on?

Why are spices so amazing? For thousands upon thousands of years, spices have been used in food preparation and preservation as well as for their medicinal properties. At one time they were the hottest commodity out there (no pun intended), more valuable than gold, think spice trade, spice routes, and the accidental run-in with the Americas. As authors from Oxford Academic BioScience journal write, “Spices taste good, because they are good for us.

1. Beauty, Flavor & Joy - Spices add gorgeous color and exquisite flavor to foods making them a joy to cook with and eat.

2. Health - Many spices have potent antimicrobial, anti-fungal, antioxidant, anti-inflammatory and/or anti-cancer properties making them a healthy addition to your meals. A BMJ population based prospective cohort study showed that compared with those who ate spicy foods less than once a week, those who consumed spicy foods 6 or 7 days a week showed a 14% relative risk reduction in total mortality. Furthermore, unhealthy pre-packaged and processed foods are full of added fats, salt, sugar and additives like MSG (monosodium glutamate) to entice our palates, mainly because they have stepped away from using spices for flavor.

3Variety - They’re readily available, take up little room in your kitchen, and can be blended in nearly endless combinations, often working synergistically with one another or with other foods making them even more healthy (example: the active compound curcumin found in tumeric + piperine found in black pepper). Cooking with spices is a great way to keep things interesting while also keeping your body, mind, heart, and soul healthy. 

It’s no lie: variety is the spice of life. Look at all of the options you have! Comment below and let me know what your top three favorite spices are and why. 

Happy Valentine's Day! 💋 XOXO

The Year of Yes is a weekly photo-and-word installment by Dr. Shah written with the purpose of evoking hope, resilience, and a gentle movement toward healthy change in all of us.

THE YEAR OF YES, EPISODE 1: SAYING YES TO ALIVENESS BY NOTICING THE SMALL THINGS

Saying YES to aliveness by noticing the small things. We all have so many blessings in our lives, but our mind’s primal bias toward negativity makes it easy to forget this.

By focusing on a single object for even just a minute or two, such a this beautiful #desertrose, you are noticing and breathing in mindful awareness. You’re also re-wiring your brain to be more alive in the present moment.

Doing this over and again - just a few minutes a day - can transform your brain to appreciate what’s right in front of you, the big and the small.

Now that’s true freedom.