A Big Fan of Small Change

Maybe you know, or maybe you don’t, but I like to imagine that there’s a big sign on my office wall that says “Perfection is the enemy of progress.” It isn’t actually there, but I like to pretend it is, and I quote it all the time. It’s not important to hit the track like you’re training for the Olympics. It’s not reasonable to think you should be able to lose 20 lbs. by next month. And it’s definitely not in the cards for you to become the next meditation guru. But it’s not necessary either. Continue reading


Let’s Go For a Walk

This is a good week to talk about taking a walk. When it comes to health care, I consider mobility a goal of the highest priority. The one other goal about which i feel this way is blood sugars; I’ll pay any price to keep patients’ blood sugars normal. And I’ll pay any price to keep a person mobile. When my kids were growing up, and they were feeling crummy (I’m cranky; I don’t feel well; I’m bored; I have too much homework), I would always say, “Go for a walk!” It got to be a joke in our house. They took it to the next level. Fever? Go for a walk! Migraine? Take a hike!  Broken leg? Walk it off! Appendicitis? “Very funny,” I said. Continue reading