My Addictions

The drive behind my addictions:

1) Ego-Stroking
2) Competitiveness
3) Sloth
4) Self-Importance
5) Delusions of Grandeur, Superiority Complex

A common thread:
Impulsive drive with self-derived reassurance. 

That little bit in us all

At the wake of a trying day, at the moment where you feel no longer able to keep up appearances, you succumb, as all of us do inevitably, to our own basest drives. Are we inherently good, yes absolutely. We are born for good. We are molded by good things and even the 'worst' of us if a choice was presented to us would choose an inherently good world.
    Plato believed that the entire city can be internalized and analyzed by the individual. I think when we should stop talking about 'faith' in the abstract and realize that belief, no matter how impervious we may feel towards such a sense, is wholly more outside the realm of religion than it is within it. Plato was a man of faith that with simple reflection chose to bet on us when sometimes in my own strongest moments I have felt to deny 'man' that same sentiment.
     To know the darkest actions of man and to still believe in the purity of the individual is real wisdom. It is just so easy to blame instead of forgive, to judge instead of understand. To this moment I have seen myself as an ENTJ but I strive to be an INTP. Just because someone can speak doesn't mean someone should stop listening. Just because someone is in power means they should see themselves as wholly separate from the whole of mankind.
     It's that little bit in us all that holds us back, that at times may feel like a strength but is our ultimate weakness. We much choose to stand above it all and to simply exist with the most open of hearts.

Day 8

After the first week, I've had 3 days of bad eating early on when I went home for Spring break followed by eating by Intermittent Fasting between 12-7 almost every day (most days only til 6 followed by a coffee late in the evening). I added George St. Pierre's workout routine and have finished 2 of the Kris Gethin 12 week trainer days. My legs were too sore to do more than the first day of GSP but I hope to start the second workout tomorrow. My velocity on the app is 250 and dropping right now. My meals have been mostly whole foods and fruits with snow peas for snacks. I also swapped Gold Standard whey protein for a plant based protein and my preworkout to N.O. explode without Caffeine and I've stopped the Star Bucks venti mocha lite runs to cut out the sugar. Yesterday I weighed 173.4 lbs and today I was 175.6 which is under my goal of 2 lbs per week. I'm going to continue IF as one really nice side effect is that it has normalized me a little bit. I have noticed the greatest weight loss after drinking about 2-3 glasses of water every hour in the evening. Will update again soon! PS the bodybuilding.com app is a little buggy but the website is great for tracking!

Day 2

Stayed on track with the noms between 12-6 even though we saw a lot of houses and I really didn't get to eat as much as I wanted. Mostly junk but nothing after 6. Went to the gym but it was pretty brief and not that intense. Feeling pretty worn down from a full day today.

Day 1

In brief -
I ate only between 12 and 6, went to go workout with the rents - 5 mins of elliptical followed by a half hour lift. Most just shoulders and chest but still lifted with good form.

Weight today was lowest at 178 and highest at 181. 

The Workout Plan

A new nutrition and fitness plan and guide for the next 3 months with a pledge to update everyday for 1 month starting today until July 18th

Signed in honor.


Currently:
Weight: 180 lbs
Body Fat % - 20%
Lean - 144
Fat - 36 lbs
You have a BMR of 1932.7.
*1.2 for sedentary = 2319.24 cals/day to maintain

Water intake - <1 gallon/ day
Sweets - intermittently but I've recently cut out cookies, sugary snacks


My goals are as follows:

1) Aesthetics - I've always carried a lot of excess fat and I'd love to have a well defined 6 pack.
2) Abilities - 15 pullups, 20 diamond pushups, run at 7 mph for 20 mins, run 1 mile at 8 mph
Timeline - 90 days

Weight goal - 160 lbs (drop of 20 lbs)
BF % - 8%
Lean - 147.2 (gain of 3-4 lbs) not the main focus
Fat - 12.8 lbs (drop of 23.2 lbs) main focus here




Nutrition:

First off, I will be enacting intermittent fasting with a decreased eating window and 1 long fast/ week on Saturdays (starting after this Saturday due to me being home with family). The eating window is 12-5pm only.

Second to that, I will consume my macros in a way to maximize the burn off of the fat.

Online calorie intake to reach goals:
option - # cals/ day

#5

1800 calories-1850 (lightly active)

July 27, 2013

Fat: 1 gram = 9 calories 
Protein: 1 gram = 4 calories 
Carbohydrates: 1 gram = 4 calories

<50 g carbs/ day = 200 cals
1.2 g protein per lb lean body mass = 147 * 1.2 = 180 g/ day * 4 cals = 720 cals

920 cals total, rest from fat

Total burn/ week = 2400cals * 7 days = 16800 cals

Total intake = 1800*6 days = 10800 cals

16800 - 10800 = 6000 cals or ~ 2 lbs/ week

Goals:

Monday April 29th - 177 lbs

Monday May 6th - 175 lbs

Monday May 13th - 173 lbs

Monday May 20th - 170 lbs

Interpersonal Team Training

As a first year medical student, I was asked to make a few remarks about a video on medical errors. If you have 5 minutes, I highly recommend http://www.ahrq.gov/video/teamsteppstools/ts_Sue_Sheridan/Sue_Sheridan-400-300.html


Afterwards, they asked us to comment on medical errors and their frequency as preparation for a mandatory training they had set up the following week called Interpersonal Team Training. We took a survey that asked us our opinions in the fluffiest of ways of how we perceived our colleagues in the hospital setting ranging from nurses to PA's to other physicians. I personally believe many of the questions were designed to accuse the physician (or physician in training) of being overly haughty and egotistic. First of all, that's insulting. Are there physicians who think they're the center of the universe, yes. Should some physicians get off their high horse, yes. Do physicians have years of specific training that make them much more capable of handling specific situations, yes. Do nurses and other healthcare providers have years of specific training that make them much more capable of handling specific situations, yes. OBVIOUSLY. Shame on any person in healthcare who doesn't realize this facet of medicine. Maybe I just don't want to go to training...

Now, I don't mind giving up a few hours to do some training where they'll tell me to respect one another and to get closer to my feelings and to see others as human beings as if I saw everyone else as a slave until you miraculously opened my eyes... BUT I took this opportunity to tell "them" about a program I do want to see - hospital management and I mean REAL hospital management. After watching the video, it's obvious. The wrong people are doing it. Here's my review of the movie which turned out to be a scathing review of a hospital I briefly had the opportunity to work in:

 It seems as if talk of medical errors is forbidden and cliche in the modern medical setting. What Sheridan has gone through shows how even a single medical error, a single mis-communication can mean pain and suffering for a lifetime. It's this idea that because the establishment of healthcare is present to do good and that the intentions of all of the practitioners are for the betterment of the sick that healthcare should be immune to criticism, immune to change. People should not be dying because we can't get our paperwork in order. Patients shouldn't have to change their teenagers diapers because we waited to act and hushed a "new mother" of her concerns. That is NOT what medicine is about. Even as a student, I have seen GROSS inefficiencies in the hospital system with my limited exposure and I have watched my supervisors and seniors simply throw up their arms without making any real change. It is not because they don't want to change how healthcare is carried out, on the contrary, there is nothing more they yearn for than efficiency, to make their lives and the lives of the patients better. The real question is WHO do we turn to to make these changes? Seriously, think about it. At HOSPITAL X (won't publicly badmouth a hospital), I shadowed a 3rd year medical student on his rotations and his attending. Just getting a simple form was the biggest chore in the world. The attending asked the 3rd year to go to the nurse's station to get the form. At the nurse's station, the 3rd year had to wait for the head nurse to show up from caring for a patient because none of the other 3 nurses there knew how to get the form. When she returned 10 minutes later, we found out that the sheet wasn't available on the computers in this floor (for god knows why) and they had to call the nurses station a few floors up. After 2 tries on the phone a few minutes apart the nurses from the upper floors told them they were sending the form down through the tubes. About 7 minutes later, a tube containing the form arrived via the air pressurized mailing ducts that flow through the hospital and was transferred to the 3rd year. Total loss by the hospital, about 22 minutes TO PRINT 1 FORM. How many people got sick waiting for this form? How many surgeries could this 3rd year and attending been focused on? Why weren't the forms available electronically on the computers immediately? Why is there is only 1 person on the ENTIRE floor who knows how to get forms and that too from another floor? Where could this process have broken down and someone not gotten something signed off fast enough? Most importantly, WHO IS RESPONSIBLE FOR RUNNING THE HOSPITAL EFFICIENTLY? I am all for interpersonal conduct, I get it, teamwork is important and is the hallmark of wonderful care for the patient and respect between colleagues. What I don't see, however, is anyone walking around the wards asking questions about how to make the hospital more efficient. Where are they? I have never seen a single person listening to a nurse, a PA, a doctor, a medical student and trying to make their lives easier. Why? Fire them. I understand that respect for one another's roles in the hospital is important and is the basis for this whole mandatory meeting but in my opinion, if a physician is rude to a nurse (just an example) it's because he's an ass of a human being who has an ego problem. One thing we need to discuss is how to actively work together to report changes we need in the hospital system and problems that are present and know WHO is in charge of those changes and WHY  it's taking them so long to fix the most basic problems of the hospital. I don't care if it's complicated, medicine is hard, taking care of patients is hard, filing is NOT HARD.