Sunday, July 19, 2009

Abdominal Exercises, Shepherding A Child's Heart, Recipe of Month/Know Produce

I am happy to write in the middle of Summer, enjoying God's beautiful world and creations! This blog article will stress the importance of maintaining your core abdominal strength, review the great faith-based parenting book "Shepherding A Child's Heart", and healthy nutrition with a great fish recipe and knowing raspberries (written by Judy,a great and knowledgeable friend of my Mom). Enjoy the education, motivation, and all God's glory!

Abdominal Exercises
By
Eric Walden

Abdominal (Ab) exercise is one the most important exercises a person can do. The main reason they are so important is not to slim down belly fat, but to strengthen the core. You want to strengthen your core because the core is used for everything: standing, sitting, walking, and bending over. So many people hurt their backs so easily because the ab and low back muscles are not strong. We’ll cover low back exercises next time.
There are so many infomercials out there saying, “Use this product to get lean abs.” or, “Do this many repetitions to get a flat stomach.” Most of them are not true. The main way to get a flat stomach is to watch what you eat. Seventy-five percent of they way you look is what you put in your mouth. As I have said before, you can go the gym for 3 hours a day, busting your butt, but if you go home and eat terrible you just wasted 3 hours of your time. So eating is the most important part of your exercising routine.
When it comes to doing an ab routine there are a couple of different approaches that can be taken. You can incorporate abs into the entire routine or you can do them all at the end. A big question I get as a personal trainer is “Should I do abs every day or only once or twice a week?” It doesn’t matter which you do. When doing abs everyday, I typically won’t do as many repetitions as I would if I was only doing them once or twice a week. If I’m doing abs once or twice a week, I really pound them. I take about 30 minutes and just do different types of ab exercises.
When training my clients I typically will incorporate abs into our routine. Then at the end of the workout I’ll add some ab exercise to totally fatigue the ab muscles. Because the ab muscles are used for just about everything in life they can take a little more punishment than other muscles. I do not have a set routine that I use, but I do try to work all four of the different quadrants of the ab muscle. There are the uppers, lowers, and both sides. I make sure that my clients do the same number in each quadrant.
An example of this is doing 25 regular crunches, 25 leg raises, and oblique twists 25 on each right and left side.

Exercise Ball Crunch

Tips: Sit on top of an exercise ball with your feet placed firmly on the floor. Roll the bottom half of your glutes off the ball by sliding forward. Your lower back should be centered on top of the ball. Place your hands on the sides of your head, but don't use your hands to pull. Crunch your upper body forward and roll your shoulders towards your hips. Squeeze at the top! Then lower back to the starting position and repeat. You can hold a weight to increase the difficulty.





Oblique Twist


Sitting on the floor with your feet flat, slightly lean back. Keeping your abs tight, slowly twist from side to side, try touching the floor with your hands on each side.


















Bent-Knee Hip Raise


Tips: This is like the Reverse Crunch but with a longer range of motion. Outstretch your hands to your sides with your knees bent at a 60 degree angle and your feet just off the floor. Using your lower abs, roll your pelvis backward to raise your hips off of the floor. Your knees will be over your chest. Squeeze your abs and then return to the starting position slowly. You can straighten your legs to make it harder or wear ankle weights.




These are just a couple of exercise that work the ab muscle. I like having my clients do sets of 25. For beginners, try doing closer to 10 and working your way up to a larger number. I’ll have clients do 2-3 sets. When doing any new exercise make sure to take it slow and keep under control. Doing these four ab exercises will fatigue your ab muscles. Remember to take it easy the first time. You’ll feel it in the morning if done properly. You might have a hard time sitting up in bed the next morning, which isn’t a bad thing. It is a good soreness.
Please feel free to contact me if you have questions on the mechanics of the exercise. I can describe it better for you. I would even be willing to come show you how to do the exercises in person as well. You can contact me through email at eric_walden@waldospersonaltraining.com or you call me at 765-404-7343.

Eric Walden has been my personal trainer for the past 9 months. I had trained with a personal trainer for 2 years a decade ago, but since then weight lifted about twice weekly by myself. Last year I decided to hire Eric to train my son Brendan twice weekly for football. He has done a tremendous job with his strength and conditioning/speed. When Brendan had football practices every weekday last Fall, I decided to train with Eric because I was very impressed with Eric’s hard work and excellent results with Brendan. I wanted to challenge my body and muscles by varying my usual routine. Since working with Eric ½ hour twice weekly, my strength and tone all over have tremendously increased. I really enjoy being stronger for my posture, feeling about my body, and all my activities. Eric is so talented in utilizing varied methods of exercise to achieve results in overall strength, tone, core, and weight loss.
Eric is available to train clients in their homes (and can bring needed weights, exercise ball, bose ball, elastic bands) or in his gym at his home in the Fishers area. He has packages for 30 or 60 minute sessions, or 30 or 60 minute buddy sessions. Eric also will do an individual assessment and provide 4 days of written exercises for $75.00. Please contact him by email (see above) or phone (765-404-7343) to significantly improve your health!
Dr. Lisa

Shepherding A Child’s Heart” by Tripp

“Above all else, guard your heart, for it is the wellsping of life.” Proverbs 4:23

This is the basis of this great book on parenting, which also helps you examine and work on your own heart. It teaches you how communication and discipline work together when parents love and guide (shepherd) wisely. Mr. Tripp states that if you only focus on behavior, you miss the heart. Straying behavior displays a straying heart. “Our kids are always serving something, either God or a substitute for God – an idol of the heart.” If the problem is the overflow of the heart, then the need for grace and Jesus is established. If we miss the heart, then we miss the glory of God. “One of the most important callings God has given parents is to display the greatness, goodness, and glory of the God for whom they are made.” Mr. Tripps’ prayer for us is expressed in King David’s Psalm 78, “that not only would you teach and model these truths for your children, but that even generations unborn would arise and teach them to their children, so they might put their hope in God.”

Introduction – Parents exercise their authority as God’s agents to direct their child on God’s behalf for their good, being true servants/authorities that lay down our lives – to empower our children to be self-controlled people living freely under the authority of God. “The central focus of parenting is the gospel, and our children need to understand not only “what” they did wrong but also the internal “why” they did it.” We can help our children see that God works from the inside out, and help them understand why they sin and how to recognize internal change.

Getting to the Heart of the Behavior – “The behavior a person exhibits is an expression of the overflow of his heart – the basic issue is always what is going on in the heart. A change in behavior that does not stem from a change in heart is not commendable. We must require proper behavior and help our children ask the questions that will expose the attitude of heart that has resulted in wrong behavior (for example, children fighting over a toy are both exhibiting a hardness of heart toward each other and selfishness). Unmasking your child’s sin/improper behavior, helps him understand his straying heart - leading to the cross and his/our need for forgiveness and our Savior.

Your Child’s Development: Shaping Influences – Shaping influences are the events and circumstances in a child’s developmental years that are catalysts for making him the person he is (structure of family life, family values, family roles, family response to failure, family history, family conflict resolution). Then the person he becomes is a product of his life experience and how he interacts with that experience.

Your Child’s Development: Godward Orientation – “Whatever the shaping influences of life, it is the child’s Godward orientation that determines his response to those shaping influences. The child is either worshiping and serving and growing in the understanding of the implications of who God is, or he is seeking to make sense of life without a relationship to God and worshiping idols.”

You’re in Charge – “Teach your children that God loves them so much that He gave them parents to be kind authorities to teach and lead them. It is God who is not being obeyed/honored when we as parents are disobeyed/not honored. We must insist that our children obey God, because obeying God is good and right.” We require obedience because God says we must. God has given us a duty to perform, so endorsement of our children is not necessary. Discipline is an expression of love – and are issues of character development and honoring God. We are God’s agent to show the need for God’s grace and forgiveness, and look to God for strength and wisdom in this task.
Mr Tripp recalls many conversations that went like this
Father: You didn’t obey Daddy, did you?
Child: No.
Father: Do you remember what God says Daddy must do if you disobey?
Child: Spank me?
Father: That’s right. I must spank you. If I don’t, then I would be disobeying God. You and I would both be wrong. That would not be good for you or me, would it?
Child: No. (a reluctant reply)
We must be humble and apologize and ask forgiveness when we sin against our children. Mr. Tripp states, “On many occasions I have had to seek forgiveness of my children for my anger or sinful response. I have had to say, ‘Son, I sinned against you. I spoke in unholy anger. I said thing I should not have said. I was wrong. God has given me a sacred task, and I have brought my unholy anger into this sacred mission. Please forgive me.’”

Examining Your Goals – Our goal is to lead our child to God (and not to his own resources) and to obey and perform for God’s approval (not for approval from the parent or others) – to glorify God and enjoy Him forever. If you teach your child to use their abilities and talents to make their lives better without reference to God, we will turn him away from God.

Reworking Your Goals – “It is our task to faithfully teach our children the ways of God. It is the Holy Spirit’s task to work through the word of God to change their hearts.” Mr. Tripp states that reading the Proverbs (book of wisdom and encouragement) daily is of great benefit to children and adults. His practice was to read 1/3 of a chapter of Proverbs before school each day (and he would often act out passages in the Old Testament when his children were little). Encourage your children to see and help/minister in the needs of those around them and seek to make peace (Romans 12:17-21 teaches us that the only weapon strong enough to overcome evil is good, and to leave vengeance to God).

Discarding Unbiblical Methods – “I didn’t turn out so bad” (just repeating your parent’s good and bad parenting), pop psychology (motivating for money or things, contracts with parents), behavior modification (heart is trained to greedy self-interest and obtaining rewards), emotionalism (shaming, fear of being left alone or isolated – child may develop lifelong desire to please parents or rebellious), punitive correction (hitting, yelling, grounding – to keep child under control through the negative experience of punishment and does not require ongoing interaction or discussion), erratic eclecticism (no consistency and just skips around to different methods of parenting). For example, it is not productive long term to respond to siblings yelling by yelling at them to stop yelling. Rather you need to address the heart issues of anger and bitterness in their hearts. When “experts” tell you that you must find what works with each child, they are saying you must find the idols of the heart that will move each child – we do not want to drive our children to idols, but to the gospel message and Christ! The gospel speaks to people as broken, fallen sinners who are in need of a new heart. God has given us his Son to make us new creatures - gives us open-heart surgery to produce change from the inside out, not a face lift.

Embracing Biblical Methods: Communication – Rich full communication takes time and is a dialogue focused on understanding, not a monologue. Communication is the expression of ideas with words, and we must be good listeners first to be able to draw out our children’s ideas and help them understand themselves, the world, and who God intends them to be. So if/when there is bad behavior, we can draw out the heart and lead them to Christ’s grace and redemption (for example in seeking to draw out the internal conflict of hitting a sibling – ask what were they thinking? What feeling? How did hitting make it better or worse? What else could they have done? How did it trust in or not trust in God?).

Embracing Biblical Methods: The Many Types of Communication – Encouragement (find courage, hope, and inspiration from God), Correction (insight into what was done wrong and what may be done to correct the problem), Rebuke (censures behavior), Entreaty (earnest pleading for his child to act in wisdom and faith), Instruction (providing a lesson to understand their world and the ways of God), Warning (alerts us to danger while there is still time to escape unharmed), Teaching (actively imparting knowledge), Prayer (hearing our children praying and us praying communicates our faith in God to our children)

Embracing Biblical Methods: A Life of Communication – “The wise parent talks when the kids are ready to talk, and is first a good listener. Insightful and penetrating conversations take time, and you must regard parenting as one of your most important tasks while you have children at home. Admit when you are wrong/have sinned/weaknesses, and be prepared to seek forgiveness for sinning against your children. Acknowledge your joys and fears and how you find comfort in God. Live a life of repentance and thankfulness.”

Embracing Biblical Methods: The Rod – Proverbs 22:15 “Folly is bound up in the heart of a child, but the rod of discipline will drive it far from him.” The fool is one who will not submit to authority or God, but is driven by his wants and passions. Proverbs 23:14 “Punish a child with the rod (spanking) and save his soul from death.” The rod = spanking is to be done by parents, an act of faith in God’s wisdom, an act of faithfulness toward a child, is a responsibility by parents obeying God, is a careful and controlled use of physical punishment, and is a rescue mission (failure to obey Mom or Dad is a failure to obey God and to persist in this disobedience to God places the child at great risk). Hebrews 12:11 “No discipline seems pleasant at the time, but painful. Later on, however, it produces a harvest of righteousness and peace for those who have been trained by it.” The rod(spanking) returns the child to a place of blessing. Parents need both the communication and the rod methods given by God to work together for childrearing.

Embracing Biblical Methods: Appeal to the Conscience – “Your child has a God-given conscience which is our ally in discipline and correction. The child’s conscience must be instructed with the truth of God and His ways. The central focus of childrearing is to bring children to a sober assessment of themselves as sinners and understand the mercy of God, who offered Christ as a sacrifice for sinners. You accomplish this by addressing the heart as the fountain of behavior, and the conscience as the God-given judge of right and wrong. Jesus’ redemptive work entails forgiveness, internal transformation, and empowerment to live new lives.”

Infancy to Childhood: Training Objectives – A child must learn that he is an individual under authority. He has been made by and for God and has responsibility to honor and obey God in all things. Ephesians 6:1 “Honor your father and mother that it may go well with you and that you may enjoy long life on the earth.” Children must be taught that they can stay within God’s circle of blessing and safety by honoring and obeying and submitting to their parents, and the function of communication and the rod is to rescue them from their disobedience back into God’s blessing. Obedience is willing submission of one person to the authority of another (and often means doing something that we do not want to do). A child must be taught to do what he is told – without challenge, without excuse, and without delay. You can teach them to make an appeal, but only when they – begin to obey immediately (not after an appeal), be prepared to obey either way, appeal in a respectful manner, and accept the result of the appeal with a gracious spirit. Knowing our native resistance to authority (selfishness) and inability to always do what God has commanded, we are confronted with our need for the grace and power of Jesus Christ. Training our children to do what they ought, regardless of how they feel, prepares them to be a person who lives by principle rather than mood or impulse. Genuine submission to Godly authority bears good fruit.

Infancy to Childhood: Training Procedures – Consistency is mandated if our children are to learn that God requires obedience (we cannot become lax). “The ‘when’ of spanking is so simple that parents miss it. If your child has not obeyed, he needs to be spanked. If he has failed to respond to your direction, he has moved out of the circle of safety. If you accept challenge, delay, or excuses, you are not training in submission. You are, rather, training your children how to manipulate authorities and live on the ragged edge of disobedience. Your children must understand that when you speak for the first time, you have spoken for the last time.”






The How of Spanking – take your child to a private place, tell him specifically what he has done wrong, get him to acknowledge what he has done wrong, remind him of the function of spanking (to restore him to God’s blessing), tell him how many swats he will receive, remove his pants so the spanking is not lost in the padding of his pants, after you have spanked him take him up onto your lap and hug him (and tell him how much you love him, it grieves you to spank him, and you hope it will not be necessary again = restoration and no carryover), pray with him (Christ’s forgiveness, and Christ can empower and enable him to obey in the future)
The Why of Spanking – Discipline addresses the heart, which is the battleground. The spanking comes only because it is God’s method of driving foolishness far from your child’s heart. Read the book to find out the answers to – what is a spanking issue? When is my child old enough? When is my child an I use time-out instead of spanking? (Mr. Tripp states we do not have the right to substitute what God has commanded with the popular ideas of culture.) What if my child says he did not hear me? Will I be spanking all the time? What if I am too mad? What if we are not at home? What if I know my child is lying? What if I am not sure what happened? What if it is too late?

Childhood: Training Objectives (ages 5-12) – The big issue during these middle years is developing Godly character. You want your child to learn dependability, honesty, kindness, consideration, helpfulness, diligence, loyalty, humility, self-control, moral purity, thankfulness, and a host of other character qualities. You need to review and help your child and his relationship with God, with himself, and with others. “The alternative to addressing character issues in your children is to structure things around rules. You the produce children who learn to keep rules, and become smug and self-righteous. They become modern Pharisees whose cup is washed and clean on the outside, but is filthy on the inside.”

Childhood: Training Procedures – addressing the heart (the when, what, and why), appealing to the conscience (what is right and get to the root issues and sinfulness), developing character (living consistently with who God is and who I am – if you don’t call him to be what God has called him to be, you end up giving him a standard of performance that is within the realm of his native abilities apart from grace and then you reduce his need for God), interpreting behavior in character terms (daily proverb reading helps with this), and a long range life-time vision

Teenagers: Training Objectives – The teen years are years of monumental insecurity and often years of rebellion. While his need for direction has never been greater, the teen will resist overt attempts to corral him. Proverbs 1 provides us with the three foundations for life we need to teach and model for our children – fear of the Lord (rather than the fear of man – true freedom is found in a holy indifference to the opinion of others/peer pressure and instead being God-centered), adherence to parental instruction (as trusted guides and people of integrity who are living daily life in the rich truth of the word of God, and family worship addressing the interests and need of the teens), and dissociation from the wicked (the most powerful way to keep your children from being attracted by the offers of camaraderie from the wicked is to make home an attractive place to be)

Teenagers:Training Procedures – Internalization of the gospel (the process of your children embracing the things of God as their own living faith and developing autonomous identities as persons under God – requires the work of the Holy Spirit in your child), Shepherding the Internalization of the Gospel (appealing to the conscience, focusing on character issues in correction and discipline, addressing the heart as the spring of life, and refusing to give them a keepable standard that would eliminate their need for Christ), Developing a Shepherding Relationship With Teens (authority vs. influence, shepherding through doubt, positive interaction, developing an adult relationship, waiting for the right time, deal with broad themes, allowing room for disagreement, beyond internalization, entrusting your children to God)


ORANGE GLAZED SALMON , by Judy

I am not a fan of salmon but as I usually do, I test my recipes before they are printed. As it was simple to prepare for my dinner guests, one of whom was a salmon aficionado, I finally tasted this dish and was won over. Hope you enjoy it.

Ingredients

2 boneless, skinless, fresh salmon fillets(6 oz)

4 tbsp McCormick's Salmon seasoning

2 teaspoons brown sugar

Pinch of Kosher salt

1 tablespoon oil (or more if needed)

1 12 oz jar orange marmalade

2 tsp lime juice

Combine:Salmon spice, brown sugar and salt in a small bowl. Rub mixture over salmon fillets and marinate in refrigerator for 2 hours, covered. Wash hands thoroughly. Saute fillets in oil in a large non-stick pan over medium high heat for 3-4 minutes. Carefully turn fish and saute another 2-3 minutes. Meanwhile, in a small pan blend marmalade and lime juice in a pan on medium heat until marmalade is melted. Carefully spoon glaze over fish on all sides. Fish is done when it begins to flake when tested with a fork. Serve immediately. Enjoy

RASPBERRIES

Raspberries are available year round with some producing areas including California, Oregon, Washington, Canada and Chile.

Due to varietal differences, the appearance of red raspberries can vary from dull and dark to bright and shiny. Good quality raspberries should be dry, plump and firm. Avoid moldy, soft and leaky berries or berries that break apart easily. Berries may leak or begin to deteriorate if they are mishandled. so handle with care. Raspberries may decay if they are allowed to stand at room temperature. Keep raspberries properly refrigerated until ready to use. They are highly sensitive to freezing and will break down if exposed to even light freezing. They should be bought for immediate use only.

If raspberries are mashed, sugared and brought to a boil the resulting sauce keeps well. They are excellent to eat as is or added to ice cream, in cakes, tarts or as syrup for pancakes.Raspberry Salad Dressing: Puree 1/2 cup fresh raspberries in blender, strain through sieve and discard seeds. Whisk puree with 1/4 cup raspberry vinegar and 1/2 cup olive oil, season to taste with garlic salt , salt and pepper.

NUTRITIONAL VALUES

Serving size 1 cup full, calories 50, calories from fat 0.

Total fat 0 g, Cholesterol 0 g, Sodium 0 mg, Total Carbs 17 g, Dietary Fiber 8 g, Sugars 12 g, Protein 1 g, Vitamin A 0 %, Vitamin C 40%, Calcium 2%, Iron 2%.

With my hugs and prayers,
Dr. Lisa

Tuesday, June 30, 2009

Common Cold/Sinusitis, Eric's Tips, Shepherding A Child's Heart, Weekend to Remember




Happy 80th birthday to my very special Dad, Don Wolf! We had a great surprise birthday party for him this month in Fort Wayne. God has blessed him with a wonderful life, even starting with the very difficult early life of losing both of his parents in middle school to sickness (working full time through high school and eating mostly cheese sandwiches every day), then marrying my wonderful Mom and four children (I am youngest), working his way up to CEO of HWI/Do It Best Corp, and all his life and now even in his 80’s working hard for especially children’s charities (starting and continuing work with Big Brothers/Big Sisters in Fort Wayne and nationally, his church, and many programs in the school system there for underpriviledged children). A great Dad and example, and he now gives cards with the advice below to people because so many have asked him.

Keys to a Happy and Productive Life: (by Don Wolf)
-Treat Others as You Would Like to be Treated (he always told me to walk a mile in others shoes)
-Be Happy and Have and Optimistic Attitude
-Think for Yourself – Don’t be a Follower
-Finish the Job (and I would add to always look to God and the cross)

In this blog article I am excited to write a summary of a terrific Family Life marriage retreat my husband and I attended this month, a summary of a very good and insightful parenting book I have read for my woman’s bible study group, cold and sinusitis treatment, and especially to write about my great fitness and workout trainer Eric (and his Fitness Tips).

Common Cold and Sinusitis Evaluation and Treatment Summary
The average occurrence of the common cold in preschool children is 5-7 episodes/year and decreases to 2-3/year in adulthood and last about 7-10 days. They are caused by viruses transmitted mostly by hand contact (and can live on hands for up to 2 hours) – we all need to be very cautious to wash our hands frequently (or apply antibacterial hand gel), especially if we have any symptoms of a cold (and persistently train our children)!
Antibiotics are not used to treat the common cold, because they cannot kill viruses and taken early do not prevent bacterial infections which occasionally result from the common cold. They are occasionally needed after about 10 days if persistent signs of yellow or green drainage, if symptoms worsen within 10 days of initial improvement, or develop into painful ear infections. (Certainly strep throat is bacterial and requires antibiotics right away. Strep throats usually present with only a sore throat and fever, and often fatigue and gland swelling. Rarely is it accompanied by any nasal or chest symptoms.)

Treatment-symptomatic treatment is the mainstay for common colds

Nasal Saline Irrigations (such as Neil Med products which I use daily, and available in our office and at drugstores) – Washing the nasal cavities with saline often gives immediate great relief and reduces nasal drainage/congestion/pressure, removes secretions, and rinses away allergens and irritants and can be used daily (as I do because of recurrent sinus infections in the past and allergies) or as needed and multiple times daily. They can be used immediately prior to using other nasal medicines so the nose is freshly cleaned before using the medicines. I feel the bottle washes give the best pressure to relieve symptoms, followed by the nettipots and lastly sprays. Even my 8 year old requests this first line for significant nasal cold symptoms!

Antihistamines – These can alleviate runny nose and sneezing, but also can cause dryness and sometimes sedation. OTC medicines are Claritin (nonsedating), zyrtec (occasionally sedating), and benedryl (always sedating but good at bedtime!). Rx ones are allegra (available generic), clarinex, and xyzall.

Decongestants – pseudoephedrine (Sudafed) and phenyephrine can decrease nasal congestion. Topical nasal spray Afrincan be very effectively used for several days (but not longer than 1 week at a time or nasal dependence can happen).

Expectorants – Mucinex (guafenesin) can in some people thin secretions and decrease cough.
Antitussives - Cough suppressants with dextromethorphan (Delsym, Robitussin DM) or codeine/hydrocodone are of variable help for coughs.

Nasal Sprays
Intal – can improve cold symptoms
Atrovent - can help runny nose and sneezing
Steroid nose sprays (generic Flonase, brands Nasacort, Nasonex, Veramyst, Omnaris, Rhinocort) – these have more proven benefit for allergic rhinitis as does sinuglair pills.
Zinc sprays or lozenges – have minor benefits for cold symptoms, and rarely the nosesprays can make a person lose their sense of smell.
Echinacea – has minor benefits in treating common colds in most people.

Prevention of Common Colds

Exercise – moderate intensity exercise over one year has been shown to decrease colds, so as I say “Just do it!”

Vitamin C – 500 – 1000mg daily can help in preventing colds for some people.

Vitamin D – 1000-2000iu/day or doubling your usual dose can boost your immune system to help prevent colds for 1-2 weeks around exposures, and more studies will likely come out soon showing maybe even higher doses for about a week around cold exposure can help.

Vitamin E – 200iu/day has been shown to help in some people.

Echinacea – may help in decreasing colds.

Antibiotics for Sinusitis and Ear Infections
Amoxicillin
Bactrim – trimethoprim/sulfamethoxisole
Macrolides – zpac, e-mycin, biaxin
Cephalosporins – Keflex, Ceftin, Omnicef and others
Doxycycline
Augmentin – amoxicillin and clavulinic acid
Avelox or Levaquin

Fitness Tips by Eric

Types of Lifting

There are different ways to lift to achieve different goals. Many people get confused on the different types of lifting or they get stuck doing one type and do not vary their workouts.
As I mentioned in the first blog that I take new clients through a basic workout I also will vary their workouts up every few weeks. Like I said before I typically will do 2 sets of 12 repetitions with a beginner. After that I will have them do 3 sets of 12 repetitions. This is typically for a weight loss regiment. To add some muscle tone I have a client do 3 sets of 8-10 repetitions. Then to add on muscle mass I have clients do 3 sets of 4-6 repetitions.

Seventy-five percent of my clients are for weight loss. Because of this I also make sure that I have them do a lot of cardio work. But I also will take them through the 3 different types of strength training. When a client starts with me I tell them that I will have them do all types of lifting to help them reach their goals. One aspect of weight loss that most people forget is that the more muscle that a person has the more fat they can burn. The more muscle a person has it increases their metabolism, which is how our body burn energy. One area where most people fail in lifting is by not mixing their workout. Typically a routine is good for about 4 weeks before it should be changed. What I mean by this is changing the repetitions. The first 4 weeks I use the 3x12, then the next 4 weeks I use the 3x8-10 and next 4 weeks is the 3x4-6.

With this routine I am able to transforms a person’s body. Typically I can help a person loose weight and make them stronger and get toned. This isn’t a fool proof plan. It takes a lot of work and dedication by the client. I make it very clear to my clients that they will have to work to make their changes. It takes time to change a body especially if you haven’t been active for a long time.

Use these different ways of lifting to help spur you past any plateaus. Remember to change our workout up about every 4 weeks. If you have any questions or need clarification please let me know. You can email me at eric_walden@waldospersonaltraining.com

Eric Walden has been my personal trainer for the past 9 months. I had trained with a personal trainer for 2 years a decade ago, but since then weight lifted about twice weekly by myself. Last year I decided to hire Eric to train my son Brendan twice weekly for football. He has done a tremendous job with his strength and conditioning/speed. When Brendan had football practices every weekday last Fall, I decided to train with Eric because I was very impressed with Eric’s hard work and excellent results with Brendan. I wanted to challenge my body and muscles by varying my usual routine. Since working with Eric ½ hour twice weekly, my strength and tone all over have tremendously increased. I really enjoy being stronger for my posture, feeling about my body, and all my activities. Eric is so talented in utilizing varied methods of exercise to achieve results in overall strength, tone, core, and weight loss.
Eric is available to train clients in their homes (and can bring needed weights, exercise ball, bose ball, elastic bands) or in his gym at his home in the Fishers area. He has packages for 30 or 60 minute sessions, or 30 or 60 minute buddy sessions. Eric also will do an individual assessment and provide 4 days of written exercises for $75.00. Please contact him by email (see above) or phone (765-404-7343) to significantly improve your health!
Dr. Lisa

Family and Faith


“A Weekend to Remember” Marriage Retreat (http://www.familylife.com/)

This is a marriage, life, and family changing terrific Christian marriage retreat. My husband Bruce and I so learned, discovered, enjoyed, and were renewed by attending this conference! It is tremendous and life/marriage changing to take the time to focus on each other and learn to love your spouse better the way they want to be loved.
I strongly encourage you to spend the time and effort on each your marriage and family legacy to attend this or a similar marriage enrichment conference. Your spouse is your gift from God!
The topics covered were

Why Marriages Fail - due to difficult adjustments (differing backgrounds, motivations, expectations), culture's pattern of 50/50 (vs God's encouraging oneness, giving 100%, looking at self), inevitable difficulties (need plan so will not drive apart), extramarital "affairs" (work, kids, activities/business, materialism, fantasy/porn, infidelity, isolation), and selfishness

Can We Talk – helping communication w a project - how can we understand our spouse (and NOT how we can get them to dowhat we want), LISTEN/repeat back/ask more questions

Unlocking the Mystery of Marriage - Our spouse is our gift from God
God's purpose for oneness -- to mirror God's image, mutually complete one another, multiply a Godly legacy with your children, keep away Satan (no secrets, work on yourself /strugglesand be willing to hear feedback about yourself, be more dependent upon God)

From How to Wow - God's plan for oneness and a project (writing each other a love letter) -- Leave (establish independence from parents), Cleave (establish commitment to one another), Become ond flesh (establish intimacy with one another) - this can be very difficult due to our differences, weaknesses, and self-centeredness
-we need to celebrate differences and help in each other's weaknesses

What Every Marriage Needs - God's power for oneness -- establish a relationship with God, experience an ongoing relationship with God together (read bible, pray together and individually, church home, time w other Christians/small group)

We Fight Too – with a project -- Conflict (and opportunity to know each other better) and to avoid conflict is to avoid reality
--resolving conflict requires loving confrontation (slow down and check your role, motives and heart, and choose your owords carefully)
--resolving conflict requires choosing forgiveness (admit you are wrong, humbly seek forgiveness, release your spouse free from seeking revenge, build trust by consistent behavior over time)
--we minimize conflict when we choose to actively bless one another in marriage - refrain your tongue from speaking evil, turn away fro evil, do good, bee a peacemaker (anger shows that I care more about how we look than God) - I love you and your are not my enemy!

Marriage After Dark (with a project) - sex was created by God and designed for our good (the freedom to enjoy each other's body), sex is a thermomter that can measure your individual well-being, sex can be enhanced by understanding the differences between man and woman, and a great sex life is built on - Companionship (communication, tenderness, spending time together), Commitment (faithfulness, respect, forgiveness), Passion (planning and creativity), and Spiritual Intimacy (prayer and the Bible)

Woman to Woman - Priorities (#1 grow in her relationship w God, #2 respect and support her husband, #3 teach/train her children w wisdom from the Bible, #4 everything else ordered after the 1st 3!), God's design (equals w different roles/responsibilities/purposes - husband as leader and each other complete through marriage and mutual submission/selflessness), Respect and support her husband (unconditional respect which empowers her husband, thankfulness, praise, listening, sexuality, encouraging words/attitude/actions, never criticize husband in public or in front of children), Depend on God
Man to Man - Follow and obey Christ and his leader, Role as leader in marriage - sacrificially loving his wife (cherishes, trustworthy, listening, helping, praying, putting her needs ahead of his own, nourishes her gifts/dreams/love/romance), courageously leading his wife (finances, 1st taking care if wife and children, protecting his family emotionally/spiritually/physically), Responsibility as father (each child a unique gift from God, loves and cares willingly/eagerly/consistently/not domineering, spends time listening/hugging/things they enjoy/praying, leads by example and with God/loves their mother/teaches biblical wisdom)

How Marriages Thrive for Oneness in Marriage and a revolutionary relationship
-the habit of extravagant love is a choice and leads to genuine intimacy (Exclusive- one person having your heart for a lifetime, Expressed by repeating often through words and actions, Extraordinary-placing spouse's needs above your own)
-the habit of generous forgiveness leads to true security (with humility and without bitterness)
-the habit of enthusiastic encouragement leads to unity and team together for life (believe in and motivate your spouse, openly affirm/praise, maintain positive attitude, avoid critical words)

Leaving a Legacy - for our the next generations
-by doing the constant work of strengthening our marriage and family and relationship with God, and always looking to serve God and others
Lisa's things to remember from the conference
-work hard to love God and Bruce - to mirror God and complete each other
-work hard to avoid "extramarital affairs" such as work or business or selfishness
-celebrate each other's differences and help each other in our weaknesses
-take the time to raise Godly children - teach, train, talk
Lisa's top 3 priorities from the conference experience
-be my husband Bruce's cheerleader
-listen, repeat back, ask more questions
-work together to avoid "extramarital affairs" for each other and our family

“Shepherding A Child’s Heart”, by Tedd Trip

This is a terrific book and very insightful help to parenting that I have never really heard before. Most books on parenting give you advice on how to shape and constrain your child’s behavior. However this book gives you something very different – it teaches you how to engage your children about what really matters – how to address your child’s heart by your words and actions. It teaches you how communication and discipline work together when parents love wisely. To the extent that our focus is only on behavior, we miss the true heart and real life change

Proverbs 4:23 “Above all else, guard your heart, for it is the wellspring of life.”
I will summarize this book and ideas in more detail later this week.

With Hugs,
Dr. Lisa

Saturday, June 6, 2009

Slowing Your Pace of Life, Bariatric Advice, Eric's Stretching







Welcome Everyone! I hope and pray you are enjoying the beautiful weather and feeling peace and love. I am including a couple pictures from my family's special moments today with my son Nathan's graduation from Zionsville High School.
I am praising God that my husband Bruce, former husband Jim, and myself are going to start to meet monthly right after church, working hard to forgive and grow from the past and Christianly co-parent our four treasures from God (Christina, Nathan, Brendan, Annika). I mentioned last month that we met with a Christian counselor to help us work on that, but it really looked like it would never happen. I was prepared to write that we failed again, but instead I can sing praises that we are starting these meetings today. I know we will all work hard to have good boundaries and good hearts to make this work (for our children and for God). I encourage all of you to look at your relationships and see what needs to be worked upon. Then with God’s help and directive make the challenging effort to love not only the “Joys” (those easy to love)in your life, but your “Testies” (people who test and irritate you), “Foes” (your enemies), and “Fars” (people you do not know, like the poor and suffering… these titles are from Beth Moore’s “Loving Well” bible study). It is easy for everyone to love the “Joys”, but takes real intention, work, faith, and maturity to love the others. For myself Lisa, as I learn from my continued failures, God forgives and will keep helping me love those difficult to love even better, giving me that inner peace and love, and really all the fruit of His Spirit.

Ideas for Simplyfying Your Pace of Life

Slowing
Deliberately drive in the slow lane for a day.
Chew your food slowly, putting down the utensil after each bite.
Focus for a day on listening much more than speaking.
Pause for several breaks during the day.
Leave you watch off for a day.

Saying "no"
Skip lunch for one day - say no to a meal and devote that time to prayer or journaling about you pace of life.
Keep a log of how you spend your time during a typical week. Ask someone to review it with you, looking for activities to eliminate.
Look in the mirror in the morning and watch yourself say "no", politely but firmly ten times. Then say no to something that day.
What is an activity or involvement you might stop doing eventually? Could you stop doing it now? Discuss with your spouse and or a friend.
Cancel a magazine subscription, knowing you can start it up again in a few month sif you really miss it.

More tips next blog this month about De-cluttering, Using leisure time in life-giving ways, and Keeping the Sabbath. Adapted from the excellent book, "An Ordinary Day With Jesus", by Ortberg.

Bariatric Advice
My name is Julia and recently Doctor Miller has asked me to share some of what I learned with you.If you are considering weight loss surgery my first advice is to consultNorthside Family Care and check if you have actively pursued all your other weight loss options first. Then if you really have done this, pray for the wisdom to choose the procedureand surgeon that is best at the procedure you feel would be best suited for you. Ask many questions and go to a couple of the support group meetings to learn what many of the patients who have gone through this have to say and ask as many questions as you can think of. All the"Bariatric Centers of Excellence" designated Centers have support group meetings and welcome visitors. Believe me, most of us who have gone through bariatric surgery feel very passionate about helping and being there for others about to embark on this journey! Take your family or friends with you! You will need a strong support system along with your faith in GOD to help. The more your support system knows the better they will be able to be there for you both emotionally and physically.If you are reading this then most likely you are a patient of NorthsideFamily Care and you already have an amazing support team to add to your family and friends!

One of the most important things following bariatric surgery is your vitamin regimen. This is not optional! It is very important that you take your vitamins and I have learned quite a bit through trial and error.Vitamins, just as most things range in quality and effectiveness. I started out buying the bargain brands and struggled getting my levels where they were supposed to be. I especially had issues with my Calcium, Iron and my Vitamin D levels. Understanding that I was taking all of these supplements and still falling below acceptable levels was very frustrating. I learned again from Northside Family Care and reading that there are several kinds and quality sources of all different vitamins and the effectiveness is dependent on the quality and the ability for your body to absorb them. I also learned that afterbariatric surgery your body can not absorb nearly as effectively as before so the absorption ability of your vitamins is CRITICAL! I tried all different brands and dosages before finally finding the right combination. Once I did I can honestly tell you that I feel so much better. My lab work also now shows that I am getting the necessary nutrients needed to be well. I get most of my vitamins from Northside Family Care as the quality and absorption are far higher than any I havefound on the market. I also learned that when it comes to Calcium there is generally two kinds - Calcium Carbonate and Calcium Citrate. The Calcium Citrate is much more effective than Calcium Carbonate so spend a little extra and purchase the most effective kind. Iron has a similar problem. I purchased many kinds which were too strong for my new sensitive stomach so I started purchasing the reactive iron. I could tell it was much easier on my stomach within just a couple of days. Ialso have learned that vitamin D is critical for the proper absorption of your calcium among other things and I take it daily too. I hope some of this information might save someone some time and eliminate some ofthe trial and error I went through before learning all this. The bottom line really is that no matter where you choose to purchase your vitamins, do some research on the quality and the absorption ease of the vitamins. Remember that your body doesn't have the ability to absorb as it didprior to the surgery therefore the better quality vitamins you take thebetter you will feel. I wish I could share everything I have learned but then I would need to write a book! I would however be available through Northside Family Care to answer any additional questions that I can. I will honestly tell anyone who asks that it was not an easy journey. In the beginning there were times when I was truly scared but I prayed. I did my best to keep a positive attitude, and I knew that each day would get better and it did! I feel great! I enjoy life, and I feel blessed to be healthy and feel good about myself. Instead of living to eat I now eat to live. I am rarely hungry and I now eat 5 to 6 small meals and I feel amazing!

Have a wonderful day and please let Northside Family Care know if you would like to speak to me. I am not a medical professional but I am apatient who has been blessed with the ability to share my experiences. Iam open and feel very compelled to be there for others going through this. If GOD blesses me enough to let me help one person have a little easier time through this then I will feel even more blessed!
Julia

Fitness Tips by Eric

Stretching:
There are 4 different types of stretching. Dynamic, Static, Active, and Passive stretching. Dynamic stretching involves moving parts of your body and gradually increasing reach, speed of movement, or both. Active stretching is where you assume a position and then hold it there with no assistance other than using the strength of your agonist muscles. Passive stretching is where you assume a position and hold it with some other part of your body, or with the assistance of a partner, or some other apparatus. Static stretching involves holding position. That is, you stretch to the fartherest point and hold the stretch.

For our purposes Static stretching is going to be the main stretching that you will want to use. Static stretching is for the basic exerciser. This type of stretching allows the person to loosen up the muscles and help the joints have a greater range of motion. During exercise it is good to do some pre-stretching and post stretching. Pre-stretching covers the major muscle groups that you plan on working. I typically hold my pre-stretching for 10 seconds. After I work out, I then go back and stretch. This time I hold my stretches for 15-20 seconds. I will also do the same stretch multiple times, especially a muscle I know later will be sore. Muscle soreness after weight training is a natural thing. Typically you will get sore a day or two later. This is called Delayed Onset Muscle Soreness (DOMS). DOMS is just your body’s way of telling you that you worked that muscle hard. Lactic acid gets stuck inside the muscles causing them to get sore. When you stretch, this releases the lactic acid out of the muscles thus relieving the soreness. Stretching helps but does not entirely relieve this symptom. I personally like to work out until I am sore to better build and strengthen muscle, although that is not a requirement. I recommend beginners take it easy for the first couple of times out. When I first start with a new client, I work to get to know them and stop them before they get sore.

When I get done with a full body exercise routine, I will stretch my hamstrings, quadriceps, glutes, lat’s, pec’s, and low back. I will provide a link to a picture for you to be able to see each of these stretches. This will be easier than placing the picture in this article. The website is http://www.bodybuilding.com/ for those of you interested.

Hamstring- http://bodybuilding.com/fun/stretches.php?Name=Hamstring+Stretch
Quads- http://bodybuilding.com/fun/stretches.php?Name=On+Your+Side+Quad+Stretch
Glutes- http://bodybuilding.com/fun/stretches.php?Name=Glute+Stretch
Lat’s- http://bodybuilding.com/fun/stretches.php?Name=Seated+Torso+Reach
Pec’s- http://bodybuilding.com/fun/stretches.php?Name=Chair+Upper+Body+Stretch
Low Back- http://bodybuilding.com/fun/stretches.php?Name=Seated+Or+Standing+Twist

There are a lot more stretches that can be done. I’m just trying to give you an idea of what can be done and should be done. I recommend stretching daily. It will never hurt to stretch. Again, I do pre and post stretch exercises holding each stretch between 10-20 seconds.
If you have more questions, please feel free to email me at eric_walden@waldospersonaltraining.com.

General Tips:
Grandma Els Organic cream is great for diaper rash (definitely available at Target.com), from Mom Deanne (with her baby Meredith) and her friends.

Family and Faith

Parenting Tip
Babies
1. Work hard to make your baby a good sleeper and fall asleep on her/his own, because if you do not, they may not be good sleepers until they are a teenager!
-start soon after birth to most times put your baby down to sleep while still awake but you know she is sleepy
-if she cries, let her cry for 5 minutes and then go in and camly talk with her, saying that she is sleepy and it is time for her to go to sleep and at most just pat her back (try not to pick her up), and next time wait 10 minutes then do the same thing until she falls asleep
-I know it is hard to hear your baby cry, but remind yourself that you are relly helping them grow and begin to learn limits, boundaries, and self control (and you are helping your marriage!)

2. Talk all the time to your newborn and baby! We often to forget to converse/talk to our babies when we are doing all our regular activities and explain what we are doing and what is going on in the world, like while shopping, cooking, cleaning, driving, etc.

Babies/Toddlers/Preschool
1.Make God and your marriage the priority! -us moms especially need this reminder, because we can easily let our maternal side make our children the priority beginning at birth.
-Kiss and hug your spouse before the kids as soon as you get home. Even if they run to you, gently tell them they need to wait until you kiss your spouse first. This sends a powerful learning and internalizing message to them for their future marriage and family - that you prioritize your spouse and deserve to be treated special by your spouse.
-Get the kids to bed and make date/couple time together most nights to reconnect and enjoy each other.
-Make regular date nights, and if you are lucky enough to have family/friends/parents who will take your kids overnight at their home, do it once a month! Even though you may miss your kids a little especially if you work full time, this pays huge benefits for your marriage and fun together (then big benefits to your children!).

2. When disciplining, talk about "good choices versus bad choices" and not that they are bad versus good children. You can say, "You made a bad choice to do this so you will have this consequence. I know next time you will make a good choice."

3. Be intentional to keep your child's nap and bedtime schedules most days, because a rested child is happier and healthier (and so are you)!



Enjoy all your moments!

With my hugs, prayers, and love for you all,
Dr. Lisa




Tuesday, May 26, 2009

DASH Diet, Allergy/Sinus Tips, Family&Faith

I hope you had a wonderful Holiday weekend! The Bleeke-Miller's did with the beautiful summer weather and pool time, family dinners,church and small group,and the 500 (my husband Bruce grew up by the Speedway). We are now busy with our son Nathan graduating from Zionsville (will be going to Purdue to major in Math and Environmental Science), Brendan starting 9th grade football pratice, Annika finishing soccer, and Christina starting a summer internship. Bruce and I thank God for all His blessings of Him, each other, children, and work, and daily strive to keep all in balance with intention, direction, values and regular priority evaluation!

The next time you are in our office, check out our added excellent books! (Some insights from the 1st two are included under then Faith and Family section of my blog.)
"For Parents Only - getting inside the head of your kid", by Feldhahn & Rice
"Red-Hot Monogamy - making your marriage sizzle", by Farrel & Farrel
"Midlife Manual For Men", by Arterburn (my husband Bruce really liked it)
"The DASH Diet for Hypertension", by Moore, et al

The DASH Diet

This diet has been around for years, but does not get much press anymore. DASH stands for Dietary Approaches to Stop Hypertension. It was known as the Low Salt Diet when it first came out. But there is a lot more to this diet than counting refined sodium, and it is a great general health and diet plan for everyone.

We all seem to know that refined salt can increase blood pressure, and therefore many people don't use the salt shaker at the table anymore. However, more and more people are eating out and eating convenience and processed foods that have more refined salt AND more sugar and fat than simple foods. We can't really know how much salt is in the restaurant foods, but odds are that there is alot more than is healthy for us.

The DASH diet has been studied for many years and claims to lower blood pressure in 2 weeks. It is also great to lower cholesterol and help you lose weight. The meal plan is high in fiber and nutrients and has whole foods that will help keep you satisfied during the day. You also can find more information at the website: http://diashdiet.org.

To put the DASH diet into action, you need to calculate your calorie target, learn the number of food servings from each food group for your calorie target, and learn what counts as a serving.

Calorie Target
1. Maintain your weight - eat 12 x your weight in calories/day (for a person weighing 150 pounds, that would be 1800calories/day)
2. Loose one pund per week - eat 8 x your weight in calories/day (for a person weighing 150 pounds, than would be 1200 calories/day)

Servings per day from each food group
-Grains(G), Vegetables(V), Fruits(F), Dairy foods(D), Meats/Poultry/Fish(M), Nuts/seeds/legumes(N), Added fats/oils(fat), Sweets(S)

1000-1400 Calorie - 4(G), 3(V), 3(F), 1 1/2(D), 1(M), 1/4(N), 1/2(fat), 1/4(S)

1400-1800 Calorie - 6, 4, 4, 2, 1 1/2, 1/4, 1, 1/2

1800-2200 Calorie - 7, 4, 4, 2 1/2, 1 1/2, 1/2, 2, 1/2

2200-2600 Calorie - 6, 5, 5, 3, 2, 1/2, 3, 1

2600-3000 Calorie - 11, 6, 6, 3 1/2, 2 1/2, 1/2, 4, 2

Serving Sizes
Grains and grain products - 1 slice bread or 1/2 cup dry cereal or 1/2 cup cooked rice
Vegetables - 1 cup leafy veggie, or 1/2 cup cooked veggie
Fruits - 1 medium fruit, or 1/4 cup dried fruit,or 1/2 cup frozen or fresh or canned fruit
Low -fat dairy foods - 8 ounce milk, or 1 cup yogert, or 1 1/2 ounces cheese
Meats/poultry/fish - 3 ounces cooked meat/poultry/fish
Nuts/seeds/legumes (beans) - 1 1/2 ounces or 1/3 cup nuts, 2 tablespoons seeds, 1/2cup cooked legumes
Fats and oils - 1 teaspoon butter or margerine, 1 tablespoon low fat mayonnaise or regular salad dressing, 2 tablespoons light salad dressing
Sweets - 1 teaspoon sugar, 1 tablespoon maple syrup, 1 tablespoon jelly or jam, 1/2 cup Jello, 8 ounces sugared drink3 pieces hard candy, 1/2 cup sherbet, 1 popsicle, 1/2 cup low-fat frozen yogurt

Susan Harris, NP
& Dr. Lisa

Fitness Tips by Eric - will return next blog! Eric is in Thailand attending his brother's high school graduation ( Eric's parents are missionaries in Thailand).

General Tips/Info on Allergies:
Work to identify and avoid your allergens (like not having your window open at night if you have seasonal outdoor alleries).
Use saline irrigation with a nettipot or squirt bottle. This is what I use daily to irrigate my sinuses (made by Neil Med), and at any sign of increased congestion or infection I use it two or more times a day.
Antihistamines: -help with the sneezing, itching, runny nose (& can add sudafed to make the "D" to any of these - but use sudafed with careful caution if you have high blood pressure)
Usually nonsedating
-Clariten (Alavert) & Zyrtec - available over the counter
-Allegra - available generic - only by presciption
-Clarinex - by prescription
-XYZall - by prescription
Sedating
-benedryl (best used at night)
Decongestants
-Sudafed (see above)
-Mucinex
Rx Nosesprays
Cortisone-take several days and need to continue to see best effect
-Flonase - abailable generic
-Nasacort
-Nasonex
-Veramyst
-Omnaris
-Rhinocort
Antihistamine-quick acting, and can use as needed
-Astelin
-Astepro
OTC Nosespray
-types like Afrin you can only use for short periods of time (no more than 1 week)
Eyedrops
OTC - Naphcon A or generic brand (my husband Bruce's favorite)
RX - Patenol, Optivar
If signifcant symptoms despite medicines - see us to discuss possibility or allergy testing and immune therapy (weekly to every other week injections)
If recurrent infections - see us to consider a sinus CT scan

Family and Faith

Parenting Tip:

Why your child secretly hopes you will stand your ground (and the good things about being the "bad guy")
-teens and children see you taking charge as a form of love and security (and if you do not, they will lose respect for you)
-even good kids need watchful attention and discipline (we must be involved with our children's lives and not be oblivious)
-kids appreciate rules more when they understand the reasons behind them (or else they can feel we are trying to control them for no reason)
How to stand your ground
-understand and be purposeful in taking charge/authority in ways that build our kids up and nuture responibility (make a plan ahead of time rather than putting our fires)
-establish clear rules and help kids "own" them - teach wrong vs wise (not wrong vs right)
-forget one size fits all - each child is different and learn who they are
-expect emotionalism and testing - REMAIN CALM!
-be their watchdogs and don't get drawn into debates (such as, "You don't trust me"...) - remember you are the adult
Adapted from "For Parents Only", by Feldhahn

Marriage Tip:

Schedule sex with your spouse AT LEAST one night or time per week!
This will develop a high sexual comfort level since you know you will have sex at least once a week.
-scheduling sex eliminates "The Ask" (and potential rejection from the spouse with the higher desire)
-scheduling sex increases desire (it engages the brain because it is the largest sex organ in the human body)
-scheduling sex increases anticipation (can anticipate and prepare for your marital recreation!)
-scheduling sex allows for prime time planning (put it in the best time for each of you)
-scheduling sex helps couples prepare physically (hot bath or shower or freshly shaved body)
-scheduling sex builds trust and intimacy in a marriage (if we commit to this, we must honor our word and agreement)
Spontaneous sex can have its place in life, but scheduling sex always has its place on our calendar!
Adapted from "Red-Hot Monogamy" by Farrel
Next blog - traits of a red-hot lover!

With my prayers for all our marriages and families,
Dr. Lisa

Saturday, May 16, 2009

Eric's Beginning Routine, Risks of Weight Gain, Faith and Family

Welcome! I hope you all have been enjoying the Spring and all God's beautiful handiwork! I am happy to lead off with my trainer Eric's Fitness Tips to work to motivate us all, and our new and very experienced Nurse Practitioner Susan Harris writing about the risks of weight gain. In future blogs I hope to add articles from chiropractor Dr. Ed Zimmer, Custom Med Apothecary pharmacist Jeff Jackson, and family counseling specialists. We want to educate and motivate!

Eric's Fitness Tips: Beginning an Exercise Routine
By Eric Walden

In the beginning of any exercise routine the thoughts KISS comes to mind. Keep It Simple Silly. The routine does not have to be this big elaborate ordeal. It doesn't even have to be very long. When starting a routine with a new client, I take them through a basic format. It is a full body workout. It hits every major muscle group this helps me have a better understanding of what my client can and can't do - what their weakness are and what they like and don't like. The format is biggest muscle groups to smallest, with core at the end. I typically will do 2 sets of 12 repetitions. The workout is as follows:
Leg Press 2x12
Chest Press 2x12
Seated Row 2x12
Leg Extension 2x12
Leg Curl 2x12
Shoulder Press 2x12
Bicep Curl 2x12
Triceps Extension 2x12
Low Back Extension 2x12
Crunches 2x12

This is my basic starting routine, with starting weights for each set depending upon your individual starting strength. As I said before, the routine is simple and gives me an idea of what my client can and can't do. All the gyms have these machines too. You can do all but 2 of the exercise at home as well. The leg extensions and leg curl are the two that can't be done at home without bands or a machine. The leg press can be converted into a squat or a chair stand at home. Using bands or even light hand weights will help you accomplish your goals.
This routine should only take about 20 minutes to complete. I suggest doing 3-5 minutes of a warm up on a bike or walking at a moderate pace. This will help the blood start flowing and warm your body up for exercise. When you are done with the routine, do a cool down as well. This should be 3-5 minutes of slow paced biking or walking. Finish up by doing some basic stretches. Most gyms have posters with some basic stretches. I'll cover stretching more in detail in another article.
I hope this helps get you started with your exercise routine! If you have questions please feel free to contact me. My email is eric_walden@waldospersonaltraining.com

Explanation of Lifts
Select a weight that can be completed 12 or more times
Use slow steady movements to move through the range of motion (ROM)
Breathe out on exertion and inhale during recovery (in through nose, out through mouth)


Leg Press-
Place feet shoulder width apart. Start with knees bent to 90 degrees, straighten legs, but do not lock out, return to start
At Home- Squat- place feet shoulder width apart and squat down to 90 degrees. Chair Stand- stand in front of a chair with feet shoulder width apart. Sit down slowly, stand up without using your hands.

Chest Press-
Sit with handles on your nipple line- Start with elbows bent at 90 degrees, keep elbows slightly lower than your hands, extend arms straight but do not lock out elbows, return to start
At Home- Push is the easiest substitute- modify by putting your knees on the ground or by placing your hands on a wall- bend elbows to 90 degrees

Seated Row- Sit up right, keeping back straight at all times. Pull handles towards your body squeezing your shoulder blades as you do so, return to start
At Home- Using a band- wrap band around a door knob and close door securely, with palms down pull hands towards body

Leg Extension-
Start with pad just above the tongue of your shoes, extend legs straight, return to start
At Home- Stationary Lunge- in a staggered stance bend at knees, knees should be at 90 degrees in the front and in the back

Leg Curl-
Start with pad just above shoe line, curl heals to your butt, return to start
At Home- tie band to a secure place low to the ground and tie band to your ankle, while standing curl your heel to your butt

Shoulder Press-
Start with handles at ears, extend arms up making sure to not lock out your elbows, return to start
At Home- Standing or sitting- use a band or hand weights start at ears and extend arms up

Bicep Curls-
keep elbows tight to your body; curl hands up towards chest, keeping elbows stationary, return to start
At Home- using bands or hand weights- follow regular instructions

Triceps Extension- keep elbows tight to you body; press hands down towards your waist, keeping your elbows stationary, return to start
At Home- Secure a band to top of a door jam, close the door securely- keeping elbows tight to your body extend your arms down

Low Back Extension-
This can be done a variety of ways. I would suggest a machine first. Place pad across your shoulder blades, press back stopping your body just at parallel, and slowly return to start
At Home- Lying on the ground elevate your torso off the ground without using your hands, return to floor and repeat

Crunches-
lay flat on your back with knees bent and feet flat on the floor, cross arms over chest, raise shoulder blades off of the ground as far as possible, contracting your abdominals in (ie. Suck your belly button in)


Risks of Gaining Weight as You Get Older

Is it OK to put on a little weight every 5-10 years? That weight just seems to creep up sometimes, doesn’t it? Extra weight can ultimately cause new medical problems as you get older. Here are some reasons why and what you can do to help keep yourself healthy, strong, and active for a long time.

While people tend to gain weight as they get older, the total pounds gained is not as much a concern as the composition of the body. An older adult has more fat tissue than lean muscle compared to a younger adult. The extra fat can act as an active organ in the body, secreting hormones that influence appetite control, energy balance, and insulin levels. It can also release inflammatory substances that can lead to the metabolic syndrome, diabetes, and atherosclerosis(plaque build-up in the arteries).

As the new fat infiltrates muscle and collects around the belly the body’s metabolic rate (or basic energy usage) will decrease, strength will be reduced, and risk for diabetes will increase. As you slow down, feel fatigued, and gain weight the body will lose muscle strength from lack of use. Bones can lose strength from less exercise and activity. Your total weight on the scale may stay the same but you might find your measurements have changed. Your belt might be too tight! Waist measurements have been found to be a risk factor for developing complications of obesity. Men should have a “true” waist circumference (the widest part) of <40>

General Tip:
-Loreal without sulfate and conditioner is great for dandruff, and itchy/flaky scalp, per my patient Joyce (she tried my recommendation of Neutragena Tgel which helped, but has had great success with this Loreal product)

Faith and Family

My minister, Aaron Brockett, has just started a sermon series entitled, "Families Under the Influence". Last week he asked and discussed biblical based answers to the question, "What is influencing and affecting our family?". Aaron also discussed Psalm 127:1, "Unless the Lord builds the house, its builders labor in vain". This Sunday May 17, he discussed why your family is your very most important organization (which means a cooridinated group of people) - as opposed to excessive focus upon your workplace. You must build your family organization upon firm ground/rock foundation with purposeful action and intention. This foundation must start with the core values and teaching of God and Jesus. When you have built your family on a strong foundation and when the storms come (as they will), your family can withstand them and rebuild again upon that strong foundation! It is never too late to start laying a solid foundation!

You can access his sermons for free (on a link to itunes) on our church website, http://www.tpcc.org/ (Traders Pont Christian Church). "Grace for There" (discussing marriage infidelity) and the series "Character Assassins" and others share great bible based life and faith building lessons.

Parenting Tip
We as parents need to make sure the 4 P's generally agree and on the same page - Parents, Pastor, Principal, and Police. Healthy kids are wondering what their parents are up to, because they parent as a team with love and healthy value driven limits, boundaries, and expectations. We do not want the unhealthy situation of being parents wondering what our kids are up to. I encourage you to meet today or next week to discuss with your spouse or if applicable former spouse to discuss how your parenting and children are doing. My former husband Jim, my husband Bruce, and I are doing this with the help at first of a very insightful and excellent experienced Christian counselor Jim Craig, PhD, LMFT at our church (and he just taught us about the 4 P's, and my comment above about healthy vs unhealthy). We are formulating together a list of values and expectations consistent at both homes. Then we hope to meet monthly for a few minutes communicating about our children and schedules right after church on a continuing basis. This will enable us to co-parent even better with God's help and direction to powerfully influence and affect our family. We want our children to wonder what we are up to!
Jim Craig, PhD, LMFT - 471-0500, or 769-5557

Marriage Tip:
Please work in a weekly active date with your spouse (at least start with a monthly one and work into a weekly one by putting each other the priority, right behind God and before our children). When was the last time you and your spouse:
-Flew a kite
-Ballroom danced
-Danced under the stars
-Took a walk in your neighborhood
-Hiked a trail
-Canoed or kayaked
-Boated, water-skied, or sailed
-Bicycled
-Walked the beach
-Walked around a lake
-Skated, snowboarded, or snow-skied
-Snowmobiled
-Motorcycled or off-roaded in a four-wheel-drive
-Rode a horse
-Rode in a carriage, sleigh, or on a hayride
-Snow-sledded or tobogganed
-Inner-tubed down a river or in the snow down a hill
-Ran or jogged
-Worked out at a gym at the same time
-Lifted weights while you spotted each other
-Jumped on a trampoline
-Jumped out of an airplane
-Took an aerobics class together
-Took a Pilates or stretch or yoga class together
-Took a hula class together
-Snorkeled or scuba dived
-Windsurfed (or surfed or boogie boarded)
-Rock climbed
-Jumped rope
-Played hopscotch or sidewalk chalk
-Twirled a baton or spun a hula hoop around your hips
-Played basketball, touch football, soccer, tennis, kickball, golf, or tennis
-Did a cartwheel or stood on your head
When you are physically active you build teamwork and your body produces more endorphins. These endorphins can tremendously impact our emotional wellness and happiness and sex lives. This spring or summer try to plan an active get-a-way weekend or longer vacation, and today plan an active date with your spouse!
Adapted from "Red Hot Monogamy, Making Your Marriage Sizzle", by Bill and Pam Farrel

With my hugs and prayers,
Dr. Lisa

Thursday, April 30, 2009

Influenza Control PLUS Fitness Tips by Eric!

Greetings and Blessings to ALL!

Prevention and Control of Influenza

Swine and other flu is transmitted through coughing, sneezing, or by touching something with flu viruses on it and then touching your mouth or nose. The symptoms include fever, body aches, cough, fatigue, headache, chills, and sore throat. Per government direction we cannot write prescriptions for tamiflu to be kept on hand just in case, because we could run out of the medicine for people infected or in close contact with someone with influenza. The following are tips and actions to prevent the spread of germs that cause flu and other respiratory illesses (and there is no vaccine now available to prevent swine flu).

1. Healthy Living (all of these help build your immune system)
-get plenty of sleep (at least 7 or more hours a night)
-eat a healthy diet (at least 5-10 servings of healthy veggies and fruits/day)
-exercise regularly (at least 1/2 hour a day 5 days/week of aerobic exercise)
-drink plenty of water (at least 64 ounces a day)
-take your Vitamin D!!! - A large study is to come out the end of the year showing significant help to avoid viral infections in people who take high doses of vitamin D taken for several weeks around viral outbreaks. Vitamin D is a steroid hormone that has profound efects on our immune system, and has been shown already that Vitamin D deficiencies predispose children to respiratory infections. Please read my earlier March blog for more about the vital importance of Vitamin D. During this several week time of the swine flu pandemic, I recommend taking for most teenagers and adults 5000iu/day (unless you feel you have a special condition/multiple problems that you want to consult us for your own dose). We carry a well absorbed and very inexpensive Vitamin D 5000iu capsule, and if we are not close to you or are currently out of stock (we have been going through a lot), please go to your local good health food store. Once the flu pandemic is over, then return to 1000-2000iu/day, unless we advise you differently. At your yearly physical and well child exams, please ask us to check your Vitamin D level to assess your individual ongoing need.
-take your other vitamins, especially a good multivitamin (in my For Your Health information sheet accessed on our website tabs see an article written by chiropractor and nutritionist Dr. Zimmer about how to pick out good vitamins and supplements), Vitamin C, and omega fish/flaxseed oil

2. Prevention Steps
-avoid close contact with sick people
-wash your hands with soap and water often (or alcohol based hand cleaners), especially after a cough or sneeze
-avoid touching your eyes, nose, or mouth (germs spread this way)
-cover your nose and mouth when you sneeze with a tissue
-if you get sick with influenza, stay home from work or school and limit contact with others
-if you are in close contact with a person diagnosed with influenza, please see us for evaluation and tamiflu prevention

Fitness Tips by Eric
My name is Eric Walden and Dr. Miller asked me to write for her blog to bring a different side of exercise. I am a fitness supervisor at Westview Healhtplex Sports Club. I have my BA from Purdue in Health and Fitness and I am a Certified Personal Trainer through American College of Sports Medicine.

The first part of what I want to share about exercise involves behavior. A lot of us are currently exercising, but there are also a lot of us that do not. I can give you a 10 minute or 20 minute routine to do, but the reality is most of you won’t do it because you are not ready to change. Your behavior is what makes you who you are and do the things you like to do. Below is the Transtheoretical Behavior Change Model.
Pre-contemplation - "people are not intending to take action in the foreseeable future, usually measured as the next 6 months"
Contemplation - "people are intending to change in the next 6 months"
Preparation - "people are intending to take action in the immediate future, usually measured as the next month"[nb 1]
Action - "people have made specific overt modifications in their life styles within the past 6 months"
Maintenance - "people are working to prevent relapse," a stage which is estimated to last "from 6 months to about 5 years"
Termination - "individuals have zero temptation and 100% self-efficacy... they are sure they will not return to their old unhealthy habit as a way of coping"[nb 2]

Where do you fall? Which stage best defines where are you at with your exercise? Once you figure this out you can start working towards your exercise routine. At first keep your routine simple. It doesn’t need to last long. Next time I’ll get more into the meat and potatoes of exercising. Change doesn’t come easy. It takes time, but once you do change you have to set your self up for success. Remember “KISS” Keep It Simple Silly.


Parenting Tips for Teens (taken from "For Parents Only", by Feldhahn and Rice)
1. Remember your teen has a desparate quest for freedom and fear of losing it. Get to know you teen. Set specific expectations, especially regarding driving, internet and cell phone use, informing you where they are/when they will be home, never lying (and the worst consequences for this). Choose discipline with their fear triggers in mind.
2. Who are you? Your teen is finding out who they are, and expect them questioning your values to be able understand and become their own individual. As parents, we need first to lead by example, and affirm who they are becoming (and spend the time to get to know them!). Say something like, "I love and value you and want to understand who you are becoming."
-more to come in my next blog

Remember, work to not worry or be anxious, even with the flu outbreak- carry one stick at a time!

"I compare the troubles which we have to undergo in the course of the year to a great bundle of sticks, far too large for us to lift. But God does not require us to carry the whole at once. He mercifully unties the bundle, and gives us first one stick, which we are to carry today, and the another, which we are to carry tomorrow, and so on. This we might easily manage, if we would only take the burden appointed for each day; but we choose to increase our troubles by carrying yesterdays stick over again today, and adding tomorrow's burden to the load, before we are required to bear it." by John Newton

Two antidotes to anxiety
Prayer - "Pray and let God worry." by Martin Luther
Trust - "Oh, how great peace and quietness he would possess who should cut off all vain anxiety and place all his confidence in God." by Thomas a' Kempis
"If we worry, we are not trusting God." by Dr. Lisa

"The Lord himself goes before you and will be with you, He will never leave or fosake you. Do not be afraid; do not be discouraged." Deut. 31:8

My prayers for all of us and our families and the world for health, safety, and to be filled to overflowing with the fruit of His Spirit - love, peace, joy, patience, kindness, goodness, gentleness, faithfulness, and self control!
Dr Lisa

Sunday, April 19, 2009

Natural Hormones Men&Women, Job Search Tips, Money Saving Medical Tips, PSA Screening Blood Tests

Happy Easter & Happy Spring! – Natural Hormones for Men and Women, Job Search Tips, Money Saving Medical Tips, PSA Screening Tests, and More!

Welcome back to our blog!

Natural (Bioidentical) Hormones for Women and Men

Natural or bioidentical hormones are the same hormones naturally found in our bodies. The postmenopausal hormone replacements we used most commonly in the past were synthetic hormones without the exact chemical structure as hormones naturally occurring in our bodies. Large studies 5 to 10 years ago showed mild increases in cancer and cardiovascular risks with these synthetic hormones. We therefore stopped recommending them routinely for postmenopausal women (commonly for bone health and menopause symptoms). There have been no large studies on natural hormones and risks, because they do not have the funding of large drug companies because they are generic. When searching whether women should or should not be routinely on postmenopausal natural hormones, you can find experts solidly on either side. While I continually review literature and my experience with patients, I feel the decision of whether to be on natural hormones needs to be on an individual basis in consultation with your own knowledgeable physician. If your physician does not know about natural hormones, then seek a consult with a reputable physician who does (and even a nutritional specialist like pharmacist Jeff Jackson, chiropractor Dr. Ed Zimmer, and more). We are not taught about natural hormones in medical school, so this has to be acquired by Family Physicians, Gynecologists, Urologists, and Internists and others.

Women and Men both go through menopause – where our natural hormones decrease enough to cause symptoms. This hormonal decrease begins for each sex in their thirties. For most women, symptoms do not start until their forties and are a result from decreasing progesterone, testosterone, and estrogen. There are many possible symptoms for women, including hot flashes, night sweats, fatigue, sleep disorders, mood changes, inability to concentrate/fuzzy thinking, vaginal dryness, decreased libido, dry skin, weight gain, joint aches, decreased muscle and more. For most men, symptoms do not start until their fifties or even sixties and are a result from decreasing testosterone. The symptoms in men are low energy/fatigue, decreased libido, erectile dysfunction/weaker and fewer erections, mood changes and poor concentration, reduced muscle mass/strength, and increased body fat.

I suggest trying natural hormones for my female and male patients if they are having some of the above symptoms which bother and impact their lives. They can always stop the hormones if they do not like them enough for their effects, expense, and time. I first check blood hormone levels, and then discuss the hormone preparation options. Once they decide to try hormones, then I recheck levels after a couple months and see them in follow-up. If their symptoms and their hormone levels are in a good range, I just check them again at their yearly physicals. (Some specialists check saliva tests or fingertip blood tests, and each have their benefits.)

The costs of natural hormones vary, depending if your insurance plan covers them and what type you choose. For Men, they only usually need testosterone replacement, and this can be by a topical gel, patch, or injection. Testosterone cannot be well absorbed by our GI system, because the liver rapidly metabolizes it before it can get into our blood stream. This is why testosterone requires topical absorption or injection. Most men choose topical testosterone (usually 50mg/day) because we can get more consistent testosterone levels with topical absorption. There are drug company branded testosterone gels Testim and Androgel and patch Testoderm. These cost well over $100/month, but are often paid for by insurance companies with branded co-payments (you need to check with your own plan). You can also purchase quality testosterone gels from custom pharmacies like Custom Med Apothecary, and a month supply costs a little over $50. The gels are applied in the morning to the chest and upper arms, and usually significantly help with the male menopause symptoms.

Women commonly need all three hormones, estrogen, and progesterone, and testosterone (especially if libido issues or low bone density) once they are in full menopause. Prior to this, many women can benefit from only progesterone the last ½ of their cycles to help with PMS symptoms and pain with their periods. Testosterone (usually 0.5mg/day) for women is not made by any drug company, so it must be acquired from a custom pharmacy and is about $20-25/month. This can be applied in the morning to the arm or even to the clitoral area. Natural estrogen can be purchased in pill form, or as cream applied to skin or troches dissolved between gums or vaginally. The pill form, estradiole (1-2mg/day), is less expensive, but only has one of the body’s natural estrogens. The tri-estrogen troches (.125 - .25mg bid) or creams have all three of the body’s natural estrogens and help more for symptoms including vaginal dryness. These are only from custom pharmacies and cost about $15-25/month. Natural progesterone taken nightly (helps with sleep and other symptoms), comes in a brand name pill form, prometrium, and custom cream. Prometrium (100mg/night) is expensive unless your insurance company pays well for it. Progesterone cream (usually 30mg/day) is about $20-25/month from a custom pharmacy.

Money Saving Medical Tips

Check out several pharmacy discount programs especially for 3 month quantities, like Community's Wellspring Pharmacy, Kroger, Target, Walmart, and others. Remember, you do not have to be a member to get your prescriptions filled at Costco or Sams clubs. They often have the lowest prices on prescriptions. When you walk in the door, just let the greeter know you are going to the pharmacy to fill a prescription.
Many brand name medicines have coupons to significantly cut your co-payments available online or at the pharmacy (and often we have them in our office to be able to give to you). Another place you can check for discounts is a website http://www.medisave.ca/. A patient of mine gets generic Singulair there.
If your insurance does not pay for your lab tests or you do not have insurance, PA Labs (with several draw sites around the city) has a Health Fair Profile for $15. This consists of a metabolic profile (checks your blood sugar, kidney and liver enzymes, calcium, and more) and a full lipid profile. PA Labs prices for other labs are consistently good. Mid America Labs offers discounts on labs to patients with no insurance as long as the doctor notes it on your lab requisition,
If you have no insurance, our office offers 20% off your office visit charge if you pay at the time of service.
If you have a medical savings account, we can write you a note to be able to approve vitamins and other alternative medicine when appropriate (such as acupuncture, chiropractic, and even massages if we have seen you for neck/back/muscle pain) as medically necessary.

Job Search Tips

A patient of mine this week, Kelly, gave me some great information for those of you searching for jobs. First, the city libraries (especially the downtown library) offer classes to help you look for employment, and at one class that Kelly attended, they gave everyone a free flash drive. Librarians are trained to help you write your resume and search for jobs, so just ask them!
There is a book of 1500 key words which are what employers look for in their online job applications. You need to make sure that your first few lines in your application will grab their attention, because employers use this to weed out the many applications. So if in their job description they want someone who can “think quickly on their feet” or “multitask” and you can do that thing, make sure to say it at the very first!
Remember most jobs are obtained from networking. So let everyone you can know what you are looking for, and remind them when appropriate (like your hairdressers, friends, old coworkers, family, church family, schools, banker, etc.). Many churches (like College Park Church, http://www.yourchurch.com/) offer job search bulletins, bible studies, and classes.
Finally, once you get an interview, make sure to send a handwritten thank you card. Keep a file of who you have applied to and call or email again. Be organized and nicely persistent. I pray we all have/get jobs that we enjoy and can best utilize our God-given talents and abilities to their best!
And thank your Kelly for all your information!

New questions about the PSA screening prostate blood tests
A recent study in the news questions the merits of screening for prostate cancer. I have been discussing this with my patients when needed. I feel the PSA blood test should be drawn yearly, so we have the information to decide if the patient wants to do something if it is elevated. For elevations, I strongly recommend seeing a Urologist for consult and likely biopsy. If the biopsy is positive for cancer, then the Pathologist who interprets the biopsy and the Urologist can discover if it is an agressive fast growing type that should be agressively treated. Indianapolis Star copy editor, Carl Sygiel, wrote an excellent article about this in Thursday's, April 16th Indianapolis Star. He had surgery that day for agressive prostate cancer that he only found out about through a screening PSA test. My prayers and thanks are with him!

Faith and Family

Finally, celebrate we are among the living! My minister Aaron Brockett finished his sermon series, “One Month to Live”, and gave us many insights and thought provoking questions. (His sermons can be downloaded on itunes for free through Trader’s Point Christian Church’s website, http://www.tpcc.org/.)
Am I living passionately? (Am I living intentionally with clarity on the brevity of life, and what do I need to let go to move forward?)…
Am I loving completely? (Love is a decision, not a feeling. If I die today, would I be at peace in my relationships or is there a person I need to love more completely?)…
Am I living boldy? (Am I living in confidence with no regrets, and where and how well am I in this race?)…
Am I living humbly? (Do I have a teachable spirit and am I operating in wisdom – rather than asking if something is OK, ask if something is WISE. Am I a follower of Jesus or just a fan?)

Parenting Tip (from Milan and Kay)
Deliver your instructions in the positive whenever possible!
Instead of: "You get in and clean that room now and do not come out until you do!"
Try: "Feel free to join us for lunch after you have cleaned your room."
Instead of: "If you chew with your mouth open again I am going to send you to your room!"
Try: People at the table with good manners will get a special treatment tonight. I hope you can remember to chew with your mouth closed."

Marriage/Relationship Tip (observed from the Obama's and other great marriages)
Be persistent and intentional to have a lot on nonsexual intimacy - holding hands, hugging, touching each other when close, arm in arm at church while singing or other events. When you first get home after work, seek each other first before the kids and kiss, hug, and hold hands! Smile and laugh together daily!


With my thanks, hugs, and prayers,
Dr. Lisa