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


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


Musings on Obesity & Malnutrition

In sharp contrast to the common perception of obesity as an overindulged state, I have come, over many years, to understand obesity as a manifestation of a malnourished state. It was partly through the act of fasting on Yom Kippur that my thoughts on obesity began to evolve in this direction. I wrote an earlier version of today’s post many years ago, as I was beginning to formulate my thoughts on this issue.

Once a year, on Yom Kippur, the Day of Atonement, Jews around the entire world fast from sundown to sundown. This year, Yom Kippur begins tonight, on Sunday the 24th of September, and continues through tomorrow night. Putting aside for now the reasons why we do this, I’d like to talk about the results of such an endeavor, the what happens when you fast. Continue reading


Small Steps

Some time ago, Gene the computer guy showed up at my office for the first time in a while. Right away, I knew something had changed. I said, “Gene, how are you? You’re looking very well!” He responded with an uncharacteristic grin, and answered by telling me one thing all of us know, but few believe (despite numerous confirmatory personal experiences!). I sat up fast when he said, “Diets don’t work.” Continue reading


Baby Steps

This week i had a conversation with a patient, a math tutor, about the difficulty she was having measuring up to her impossibly difficult personal standard. Why “impossibly” difficult? Because I’m sure that she was doing the best she could. And to ask more of herself, at least right now, was impossible. Continue reading


Every Little Bit Means Progress

This is a post about how perfection is the enemy of progress. The thing is, this is true all the time, but I feel like it’s especially important to remind ourselves now, when we’ve been through so much, and it isn’t over yet, and we still need to be extra kind to ourselves, not to mention our family and friends and co-workers, who are also trying very hard to keep putting one foot in front of the other. So here’s the story: A while ago, it was time for us to replace our 300-foot-long driveway, so we contracted with some very competent, able-bodied cement guys. They put a date on the calendar for the following spring, and we waited (patiently) until May came around. Then they came one day and ripped out the old driveway, fully intending, of course, to replace it later that same week. Alas, as my grandmother used to say, “Menschen tracht unt Gott lacht.” That means people plan and God laughs. Ha-ha. Continue reading



One Step At a Time

Some time ago, Gene [not his real name] the computer guy showed up at my office for the first time in a while. Right away, I knew something had changed. I said, “You’re looking very well! How are you doing, Gene?” He responded with an uncharacteristic grin, and answered with an observation that all of us know, but few believe (despite numerous confirmatory personal experiences!). I sat up fast when he said, “Diets don’t work.” Continue reading


Practice Makes Progress: Do the Math

I sometimes imagine that I have a sign in my office, just above the door, that says “Perfection is the enemy of progress.” I am drawn to this idea a lot, especially when I talk with people who are hard on themselves, who discount their own small but sincere efforts as insufficient, or who, sometimes, describe themselves as lazy, incompetent, or unfocused. They are, of course, none of these. If anything, in fact, they are usually exactly the opposite. Hard-working, goal-directed and applied, they tend toward the belief that if they can’t give it their all, there’s no sense even trying. The thing is, that’s not true, not even slightly. Continue reading