Breakfast in Winter

I really love snow, and last weekend Northeast Ohio got more than a foot of snow, a real snowstorm. My neighbors reported that their dachshunds’ morning walk was extremely challenging, and the roads weren’t passable until mid-morning. I myself spent a lot of time shoveling snow, so I needed to eat a breakfast that provided more fuel than usual. Today we’re talking about breakfast. Continue reading



Self Care is Being Kind to Yourself, plus Lentil-Vegetable Soup

I spent my days as a practicing physician teaching people to be kinder to themselves, and that kindness manifested itself in three spheres: 1) eating patterns, 2) activity patterns, and 3) rest & relaxation patterns. The goal is to make small, incremental changes that result in nourishing your heart and soul with better food, more movement, and quality rest and relaxation.  Continue reading


Your Health is in Your Heart

Good morning, and happy Sunday. Today I am sharing a conversation I had with a patient once some years ago. She was someone I had never met before, and was, like many before her, completely flummoxed about what to try next. With a personal goal of weight loss, she had already done everything she could think of, and then some. I know you know this story. I myself have told it many times before. There is a good chance you may even have experienced it yourself. Maybe you have experimented with practically every diet, including the dreaded cabbage soup diet, denied yourself your favorite foods, carved out time you didn’t really have to get more exercise than was comfortable at the time. Of course none of this is sustainable. You can’t eat cabbage soup for breakfast forever. So what comes next?  Continue reading


There Is So Much You Can Do To Make It Better

Sometimes I think this blog should have a category called “It’s worse than you think” or “I’m really not exaggerating,” or maybe just “More scary news.” Sometimes I even get the feeling that people think I may be overstating the urgency of the diabetes epidemic. So I gathered together a few statistics for you. Continue reading


Learning to Keep Your Blood Sugars Normal

As a doctor, it’s easy enough for me to think I understand a disease state, and then to know how to manage it with medication to be taken two or three times daily. I spent hours and hours studying that problem. I talked with patients who were diagnosed with that illness, and learned how it changed their lives. But it’s still not the same as having someone close to you diagnosed with it. Continue reading


Strategies for Improving Your Blood Sugars

This week I’d like to talk about the concept of diet-controlled diabetes. Sometimes, when a patient’s most recent bloodwork demonstrates a mild elevation in their blood sugars, their doctor offers them an opportunity to try to improve their sugars without medication. If the patient is able to bring their blood sugars into the normal range through changes in the way they eat, perhaps along with increasing their activity levels to some extent, the doctor diagnoses this patient with what they term “diet-controlled diabetes.”  Continue reading


Slow Living & Horseradish

A few years ago I received a message from a friend asking if I knew where she could find some fresh horseradish. Now, as it happened, I had planted a horseradish root, a left over from our Seder plate, a few years prior. Then I had forgotten about it completely until I got her message. So I happened to know the answer to her question. Continue reading


Walking With Wellness

Some time ago, I received my first pedometer with which to track my daily steps, and I could not have been more thrilled. Attached unobtrusively to an elastic wrist band, it ventured forth with me every day as I plotted my path, set my course, stepped up, or took a hike. Continue reading


The Effects of Lifestyle on Function

Recently I wrote about a patient I met many years ago. Like most people, he spent a fair amount of time thinking about medical expenses. That was understandable, as his elevated blood pressure required treatment with four medications.

I explained to him that if he could make a couple of lifestyle changes, there was a good chance that he would be able to reduce the number of blood pressure medications he took. Could he take a short walk when possible? Could he cut back on ultraprocessed food items, like Ritz crackers and cheese whiz, and substitute homemade popcorn and a slice of Jarlsberg or cheddar on wasa crackers? What about more fresh fruit and vegetables? Maybe, but he was worried about the cost. Continue reading