Setting an Intention

I am writing today about what it means to set an intention. 

What is an intention? I was introduced to the idea many years ago by my friend and yogi Mel who is full of heart, full of smarts, and, yes, full of intention. She said that it’s good to “set an intention” for your yoga practice each time you get started. I had heard other people say that, too, but I had no idea what it meant, so I ignored them. But you ignore Mel at your own peril. So I smiled, nodded blankly, and tried to act like I knew what she was talking about. Oh yes, an intention, good idea. Yes, definitely. Smile. Continue reading


Be Here Now

“Be here now” is what the Buddhist monk Thich Nhat Hanh used to say. I think about that sentence a lot. It grounds me in the present and keeps me here, no matter what I’m doing, No matter when and where I’m doing it. Not there, not then, but here and now. For a long time I thought of “Be Here Now” as “be HERE now.” Sometimes “be here NOW.” But then I heard myself think “BE here now.”

Thich Nhat Hanh said BE here now, not DO here now. Continue reading


Moments to be Mindful

This week I would like to share a few examples of mindfulness. Goodness knows we can all use a few more.

Some of the these ideas are mine, and others come from friends, co-workers, and family members. One was contributed by our chocolate Labrador retriever (may her memory be a blessing), though it was honestly more of a demonstration.

Nourishing oneself comes in many different forms and flavors. Food is what I usually think of first when it comes to being nourished, but the truth is that we also nourish ourselves with peace and quiet, regrouping, putting away cellphones, taking our brains off the rail, being kind to ourselves, spending time alone and with people we love. Here are some of the examples I came up with, but please add your own below in the comments section.  Continue reading


Gratitude 2026

This week I am thinking about gratitude. That’s not hard for me. I was born an optimist; I always see the glass half-full. I always make lemonade from lemons — what else would you do with them? While it is certainly true that I have had my share of bad days, I’ll be the first to tell you that they have made me a better person. And they made me a better doctor, too. See what I mean? Glass half full. It’s a given.  Continue reading


Mindfulness for All

A few words today on the “rest and relaxation” pillar, encouraging you to be mindful, to care for yourself, to be kind to yourself, and to help yourself remain centered, especially in the spinning vortex of ceaseless activity that continues to characterize recent weeks of change and chaos.

My word of the year is mindfulness. It’s the exact opposite of multi-tasking, which is not at all what it sounds like. To multi-task is not to get a whole bunch of different things done all at once, but rather to switch your attention incessantly from one project to another, giving none your full consideration. To multi-task is to invest heavily in attention-switching at the expense of your focus and goals. All told, it is a supreme waste of your precious energy.  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


Old-Fashioned Gratitude

Many years ago, when I was eleven years old, my parents bought a Corning Cooktop stove, a fancy new appliance whose coils remained white even when they were hot. You simply had to take it on faith — or not. No matter how long I stared at that new stovetop, I could not convince myself that the white coils were hot. And that is why I still remember so clearly, this many years later, the perfectly oval burn on the tip of my right index finger. I touched it only once, but that was enough. It was all it took. I couldn’t take anyone else’s word for it.  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


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


Mindfulness

Mindfulness is my own personal word-of-the-decade. Mindfulness is the polar opposite of multitasking, which is not at all what it sounds like. Despite popular opinion, multitasking does not enable you to get a whole bunch of different things done all at once. When you multitask, what you are actually doing is switching your attention incessantly from one focus to another, and giving none your full consideration. To multitask is to invest heavily in attention-switching at the expense of learning. A waste of your precious energy, multitasking frazzles your nerves and impairs your ability to focus. 

The antidote to multitasking is mindfulness. Continue reading