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I Advice - Canadian Physicians on Slippery Slope of Burnout
Your belly fat might not be coming from the food you eat. Not all fat is the same because certain body shapes come from different sources. When hormones get stressed a person can start to accumulate fat in the midsection as described in Dr. Berg’s new book called, The 7 Principles of Fat Burning.Dr. Berg states the main reason why the body accumulates fat (or potential energy) in the stomach has to do with the body’s survival mechanism reacting to stress.This is how it works;Under stress the body doesn’t burn fat. Instead it burns sugar explaining why cravings to carbohydrates are so common. After sugar gets used up, the body burns its protein reserves – muscles, not fat. This is the adrenal glands at work, forcing the body to break down muscle protein; first in the legs (thigh muscles) and next in the buttocks. Hormones are re-directing the muscles into fat in the belly. This why so many people with sagging bellies have weak knees and legs while climbing stairs. The body is attempting to survive by storing fat around the vital organs, which just happen to be in your stomach. Dr. Berg describes one of the body types as the adrenal (pendulous “hanging” abdomen) in his book. Anyone can receive a free body type quiz on his web site.Because any and all stress
Our approach, which we call the Mind Resonance Process(TM), entails looking at the paradox which arises when we look at two questions pertaining to a given maladaptive conditioned response:
1) What is this conditioned response doing to my life? and
2) What is the purpose of this conditioned response for my life?
The paradox often elicits an unconsciously held "faulty logic" or "lie" about the purpose of the conditioned response. Often the individual accepts this "lie" without question and thereby succumbs to the conditioned response in a reflex manner. This sends them out of alignment with their core values and into a state of stressful self-compromise. Once an individual acknowledges the "lie", they have begun the process of releasing it, as well as the maladaptive conditioned response, from their lives.
What follows is a spontaneous realignment of the mind and body of that individual with important core values. This shift is immediate, palpable and is experienced as a return of vital energy to the body and mind, a feeling of inner peace, joy, buoyancy, energy, clarity, focus fulfillment, and a sense of wholeness.
<A Home Equity Loan can be structured in a number of different ways to fit your particular financial needs. With most home equity lenders offering home loans with variable percentage rates, low or no closing costs, and a variable repayment length, it's no wonder that many homeowners in need of money seek out home equity loans as a source of cash. However, the main thing to keep in mind is that your home is the collateral for this loan, so repaying the debt is of the utmost importance.Although a home equity loan is a powerful financial cash source that allows you to borrow against a percentage of your home's value for just about anything that you need cash for including home improvements, debt consolidation, a new car purchase, funding an education or maybe even financing a wedding, before you sign, you should know the important guidelines for repaying the mortgage debt and avoid becoming overextended, and in greater debt.Home Equity Loan Repayment TipsThe first home equity loan repayment tips is to borrow wisely. Just because you qualify to borrow up to 85% or more of the value of your home does not mean that you should. Really, you should only borrow what you need and can afford to pay back without being in a bind to do so. Setting li
Our approach to physician empowerment and wellbeing considers the following issues:
a) Increasing expectations on physicians from their environment (both external and internal)
b) Physicians' conditioned responses to expectations posed by their environment
c) How these conditioned responses severely limit choices that physicians feel they have and the consequences of these limitations
d) A new definition of empowerment
e) A means by which empowerment can be achieved
f) The benefits of this approach for physicians, their families, their patients, and the health of the healthcare system as a whole.
We start by addressing the Medical Environment. This includes both the external as well as internal expectations impacting on physicians' stress levels.
The external expectations are self evident:
a) dealing with an aging population with unremitting chronic conditions taxing resources, energy and time
b) enduring an increasingly litigious environment
c) treating an increasing patient load due to higher physician turnover, lower medical school enrollment and physician exodus,
d) making due with aging equipment
e) enduring serious public illnesses which impede normal operating practices
f) addressing needs for stricter recording practices and evidence based procedures
g) adapting to rapidly changing technological advances
h) keeping up with the research and internet driven information overflow
i) enduring the threat of record audits that often entail the return of large sums of money
j) an increasing strain on personal and family relationships, either to be more available or to keep working in order to remain an adequate provider
k) to take less personal time out for oneself to revitalize themselves
and many others that are not mentioned here.
The physician's internal environment is an area that has received much less attention, yet we believe to be the main source of most of the problems contributing to physician burnout. This internal environment largely consists of unconscious conditioned responses that many physicians become imprinted with throughout their lives and which contribute to maladaptive responses later in life.
By maladaptive, we mean any behavioural choices made which are not fully aligned with and support the core values of that individual. Core values here refers to deeply held values that each of us holds dear. Some of these include a desire for: integrity, inner peace, health, love, joy, fulfillment, self esteem, self worth, self confidence, contentment, energy, freedom, abundance etc.
The conditioned responses of physicians often include such internal beliefs and/or emotions as:
1. I can't say no when I want to.
2. Trying to be in control of my life takes too much work.
3. I fear the college.
4. I fear I may be sued.
5. My feelings are just a nuisance that get in my way.
6. I have to accept unbearable working conditions.
7. I'm a failure if I make a mistake.
8. My patient's needs are more important than mine.
9. My family's needs are more important than mine.
10. I'm letting my colleagues down if I put my needs first.
11. Being a good physician means being self-sacrificing.
12. My needs are not important.
13. I'm not important.
Such a set of unconscious conditioned responses can make physicians feel trapped, helpless and totally disempowered. This disempowerment is evident at several levels. At the individual level we observe burnout, high suicide rates, substance abuse and dependence, sexual acting out, unethical behaviour, etc. More hidden are feelings of inadequacy, low self worth, low self esteem, low self image, guilt, shame, an inability to trust others with their feelings, fear of appearing weak, fear of letting others down, and worst of all, a fear of being found out.
Systemically, from medical school to practicing specialist, this disempowerment breeds a culture promoting a sense of paranoia, alienation, isolation, fear of failure, tendency for high self sacrifice, low self respect, cynicism, fear of reprimand, denial of personal feelings and ultimately denial of self.
In summary this yields a fragile and ailing healthcare system. Hoping to rectify this problem we focus on empowering physicians; that is, helping them replace maladaptive unconscious conditioned responses to external challenges with choices that are motivated by the internal wisdom of their core values.
To effect this it becomes necessary to recall first the purpose of Core Values in our lives. Core Values are those internal feeling experiences that we value most, which we know instinctively and which act as "set points" telling us whether or not we are on course towards our success. In other words we don't have to be told what is good for us, we already know.
Of course some of us seem to forget, why? Well, because we have chosen to live our lives directed by the maladaptive conditioned responses mentioned earlier, which became imprinted largely out of fear. For instance, can you remember having sacrificed one or more of your core values as a result of some fearful, or traumatic, experience? How has that experience affected your ability to reassert those core values following that event? As you may recognize, once a core value has been de-valued by fear based imprinting it seems to go underground, only to re-emerge as an experience of feeling emotionally or physically stressed. That is, your body reminding you that you are compromising a core value, which ultimately means you're compromising yourself and everything you've been trying to accomplish in your life. So how do we move back into alignment with our entire core values and become empowered?
Our approach, which we call the Mind Resonance Process(TM), entails looking at the paradox which arises when we look at two questions pertaining to a given maladaptive conditioned response:
1) What is this conditioned response doing to my life? and
2) What is the purpose of this conditioned response for my life?
The paradox often elicits an unconsciously held "faulty logic" or "lie" about the purpose of the conditioned response. Often the individual accepts this "lie" without question and thereby succumbs to the conditioned response in a reflex manner. This sends them out of alignment with their core values and into a state of stressful self-compromise. Once an individual acknowledges the "lie", they have begun the process of releasing it, as well as the maladaptive conditioned response, from their lives.
What follows is a spontaneous realignment of the mind and body of that individual with important core values. This shift is immediate, palpable and is experienced as a return of vital energy to the body and mind, a feeling of inner peace, joy, buoyancy, energy, clarity, focus fulfillment, and a sense of wholeness.
Research indicates that Emotional Intelligence (E.I.) – how we handle ourselves and our relationships – can determine success more than I.Q. In fact, E.I. may determine as much as 80% of a person's life success. Cognitive ability or what we call I.Q. is only about 20%. Quality leadership training is a combination of E.I. and cognitive ability.More specifically, Daniel Goleman (along with two E.I. researchers: Richard Boyatzis and Annie McKee) explains the role of E.I. in leadership in Primal Leadership, Realizing the Power of Emotional Intelligence (2002). They found the most effective leadership and management styles work through emotions which evolve from the limbic system in the brain.The limbic system is responsible for sending information to the prefrontal lobes for analysis and decisions. This system is an open-loop design which means other people can and do change our physiology by altering our hormone levels, cardiovascular function, sleep rhythms and immune function. A leader's primary task is to drive emotions in a direction which has positive impact on motivation, strategy and productivity.Since emotions are at the heart of effective leadership, the key to being an effective leader lies in learning to handle yourself and your relationships in a posi
c) treating an increasing patient load due to higher physician turnover, lower medical school enrollment and physician exodus,
d) making due with aging equipment
e) enduring serious public illnesses which impede normal operating practices
f) addressing needs for stricter recording practices and evidence based procedures
g) adapting to rapidly changing technological advances
h) keeping up with the research and internet driven information overflow
i) enduring the threat of record audits that often entail the return of large sums of money
j) an increasing strain on personal and family relationships, either to be more available or to keep working in order to remain an adequate provider
k) to take less personal time out for oneself to revitalize themselves
and many others that are not mentioned here.
The physician's internal environment is an area that has received much less attention, yet we believe to be the main source of most of the problems contributing to physician burnout. This internal environment largely consists of unconscious conditioned responses that many physicians become imprinted with throughout their lives and which contribute to maladaptive responses later in life.
By maladaptive, we mean any behavioural choices made which are not fully aligned with and support the core values of that individual. Core values here refers to deeply held values that each of us holds dear. Some of these include a desire for: integrity, inner peace, health, love, joy, fulfillment, self esteem, self worth, self confidence, contentment, energy, freedom, abundance etc.
The conditioned responses of physicians often include such internal beliefs and/or emotions as:
1. I can't say no when I want to.
2. Trying to be in control of my life takes too much work.
3. I fear the college.
4. I fear I may be sued.
5. My feelings are just a nuisance that get in my way.
6. I have to accept unbearable working conditions.
7. I'm a failure if I make a mistake.
8. My patient's needs are more important than mine.
9. My family's needs are more important than mine.
10. I'm letting my colleagues down if I put my needs first.
11. Being a good physician means being self-sacrificing.
12. My needs are not important.
13. I'm not important.
Such a set of unconscious conditioned responses can make physicians feel trapped, helpless and totally disempowered. This disempowerment is evident at several levels. At the individual level we observe burnout, high suicide rates, substance abuse and dependence, sexual acting out, unethical behaviour, etc. More hidden are feelings of inadequacy, low self worth, low self esteem, low self image, guilt, shame, an inability to trust others with their feelings, fear of appearing weak, fear of letting others down, and worst of all, a fear of being found out.
Systemically, from medical school to practicing specialist, this disempowerment breeds a culture promoting a sense of paranoia, alienation, isolation, fear of failure, tendency for high self sacrifice, low self respect, cynicism, fear of reprimand, denial of personal feelings and ultimately denial of self.
In summary this yields a fragile and ailing healthcare system. Hoping to rectify this problem we focus on empowering physicians; that is, helping them replace maladaptive unconscious conditioned responses to external challenges with choices that are motivated by the internal wisdom of their core values.
To effect this it becomes necessary to recall first the purpose of Core Values in our lives. Core Values are those internal feeling experiences that we value most, which we know instinctively and which act as "set points" telling us whether or not we are on course towards our success. In other words we don't have to be told what is good for us, we already know.
Of course some of us seem to forget, why? Well, because we have chosen to live our lives directed by the maladaptive conditioned responses mentioned earlier, which became imprinted largely out of fear. For instance, can you remember having sacrificed one or more of your core values as a result of some fearful, or traumatic, experience? How has that experience affected your ability to reassert those core values following that event? As you may recognize, once a core value has been de-valued by fear based imprinting it seems to go underground, only to re-emerge as an experience of feeling emotionally or physically stressed. That is, your body reminding you that you are compromising a core value, which ultimately means you're compromising yourself and everything you've been trying to accomplish in your life. So how do we move back into alignment with our entire core values and become empowered?
Our approach, which we call the Mind Resonance Process(TM), entails looking at the paradox which arises when we look at two questions pertaining to a given maladaptive conditioned response:
1) What is this conditioned response doing to my life? and
2) What is the purpose of this conditioned response for my life?
The paradox often elicits an unconsciously held "faulty logic" or "lie" about the purpose of the conditioned response. Often the individual accepts this "lie" without question and thereby succumbs to the conditioned response in a reflex manner. This sends them out of alignment with their core values and into a state of stressful self-compromise. Once an individual acknowledges the "lie", they have begun the process of releasing it, as well as the maladaptive conditioned response, from their lives.
What follows is a spontaneous realignment of the mind and body of that individual with important core values. This shift is immediate, palpable and is experienced as a return of vital energy to the body and mind, a feeling of inner peace, joy, buoyancy, energy, clarity, focus fulfillment, and a sense of wholeness.
<Many Americans had watched the illegal alien and illegal immigration marches, protests and boycott in disbelief, as people from another country felt it their right to come here and protest in our streets? Do you know another nation on the Planet that would allow foreign nationals to illegally enter their country and then have demonstration marches?Indeed there is not such a nation, yet we allowed it here? Why? Because our media was politically correct on the issue? Because we are told these people are just trying to build a better life? What is the deal and why did we put up with this in the first place?Well some folks are talking and stand and they are planning on “Protesting the Protestors” and you knew it was only a matter of time until the silent majority made a stand on this issue. They are being organized by the; US Citizen Day Group, a non-profit organization and they are planning several million American Citizens to hold a “Nationwide Rally to Stop Illegal Immigration” and this means that apparently all those protests marches and rallies we saw has awaken the silent majority to take a stand and some of these folks are pretty upset and well, let’s just say that they are not going to take it anymore. Consider this in 2006.
The conditioned responses of physicians often include such internal beliefs and/or emotions as:
1. I can't say no when I want to.
2. Trying to be in control of my life takes too much work.
3. I fear the college.
4. I fear I may be sued.
5. My feelings are just a nuisance that get in my way.
6. I have to accept unbearable working conditions.
7. I'm a failure if I make a mistake.
8. My patient's needs are more important than mine.
9. My family's needs are more important than mine.
10. I'm letting my colleagues down if I put my needs first.
11. Being a good physician means being self-sacrificing.
12. My needs are not important.
13. I'm not important.
Such a set of unconscious conditioned responses can make physicians feel trapped, helpless and totally disempowered. This disempowerment is evident at several levels. At the individual level we observe burnout, high suicide rates, substance abuse and dependence, sexual acting out, unethical behaviour, etc. More hidden are feelings of inadequacy, low self worth, low self esteem, low self image, guilt, shame, an inability to trust others with their feelings, fear of appearing weak, fear of letting others down, and worst of all, a fear of being found out.
Systemically, from medical school to practicing specialist, this disempowerment breeds a culture promoting a sense of paranoia, alienation, isolation, fear of failure, tendency for high self sacrifice, low self respect, cynicism, fear of reprimand, denial of personal feelings and ultimately denial of self.
In summary this yields a fragile and ailing healthcare system. Hoping to rectify this problem we focus on empowering physicians; that is, helping them replace maladaptive unconscious conditioned responses to external challenges with choices that are motivated by the internal wisdom of their core values.
To effect this it becomes necessary to recall first the purpose of Core Values in our lives. Core Values are those internal feeling experiences that we value most, which we know instinctively and which act as "set points" telling us whether or not we are on course towards our success. In other words we don't have to be told what is good for us, we already know.
Of course some of us seem to forget, why? Well, because we have chosen to live our lives directed by the maladaptive conditioned responses mentioned earlier, which became imprinted largely out of fear. For instance, can you remember having sacrificed one or more of your core values as a result of some fearful, or traumatic, experience? How has that experience affected your ability to reassert those core values following that event? As you may recognize, once a core value has been de-valued by fear based imprinting it seems to go underground, only to re-emerge as an experience of feeling emotionally or physically stressed. That is, your body reminding you that you are compromising a core value, which ultimately means you're compromising yourself and everything you've been trying to accomplish in your life. So how do we move back into alignment with our entire core values and become empowered?
Our approach, which we call the Mind Resonance Process(TM), entails looking at the paradox which arises when we look at two questions pertaining to a given maladaptive conditioned response:
1) What is this conditioned response doing to my life? and
2) What is the purpose of this conditioned response for my life?
The paradox often elicits an unconsciously held "faulty logic" or "lie" about the purpose of the conditioned response. Often the individual accepts this "lie" without question and thereby succumbs to the conditioned response in a reflex manner. This sends them out of alignment with their core values and into a state of stressful self-compromise. Once an individual acknowledges the "lie", they have begun the process of releasing it, as well as the maladaptive conditioned response, from their lives.
What follows is a spontaneous realignment of the mind and body of that individual with important core values. This shift is immediate, palpable and is experienced as a return of vital energy to the body and mind, a feeling of inner peace, joy, buoyancy, energy, clarity, focus fulfillment, and a sense of wholeness.
<Internet marketing software is one of the most lucrative businesses online, and veteran marketers know it. It’s not unusual for the veteran marketer to see a good idea by somebody else, commission a freelance programmer to recreate it, and then sell it and promote it in a more savvy way than the competitor. When all is said and done, a new ‘must have’ piece of internet marketing software can go from scratch to market release within a couple of weeks, and the target audience is almost certainly the internet marketing newbie.The truth is that most software simply isn’t required by newcomers to internet marketing. The trouble with internet marketing is that there is a vicious cycle at work. The veteran marketers will make a copycat software product and launch it quickly. They will present it with a killer sales letter. They will market to the newbies who will see it, be magnetised, and absolutely feel they cannot be without it. The newbies buy the software and typically find they have no idea how to use it efficiently. They then ask veteran marketers how they can make money and, shockingly, they’re often patronised and swept away with the brush of a hand.Of course, this doesn’t apply to all veteran marketers. Many are helpful. But it is important to understand how the cycle w
In summary this yields a fragile and ailing healthcare system. Hoping to rectify this problem we focus on empowering physicians; that is, helping them replace maladaptive unconscious conditioned responses to external challenges with choices that are motivated by the internal wisdom of their core values.
To effect this it becomes necessary to recall first the purpose of Core Values in our lives. Core Values are those internal feeling experiences that we value most, which we know instinctively and which act as "set points" telling us whether or not we are on course towards our success. In other words we don't have to be told what is good for us, we already know.
Of course some of us seem to forget, why? Well, because we have chosen to live our lives directed by the maladaptive conditioned responses mentioned earlier, which became imprinted largely out of fear. For instance, can you remember having sacrificed one or more of your core values as a result of some fearful, or traumatic, experience? How has that experience affected your ability to reassert those core values following that event? As you may recognize, once a core value has been de-valued by fear based imprinting it seems to go underground, only to re-emerge as an experience of feeling emotionally or physically stressed. That is, your body reminding you that you are compromising a core value, which ultimately means you're compromising yourself and everything you've been trying to accomplish in your life. So how do we move back into alignment with our entire core values and become empowered?
Our approach, which we call the Mind Resonance Process(TM), entails looking at the paradox which arises when we look at two questions pertaining to a given maladaptive conditioned response:
1) What is this conditioned response doing to my life? and
2) What is the purpose of this conditioned response for my life?
The paradox often elicits an unconsciously held "faulty logic" or "lie" about the purpose of the conditioned response. Often the individual accepts this "lie" without question and thereby succumbs to the conditioned response in a reflex manner. This sends them out of alignment with their core values and into a state of stressful self-compromise. Once an individual acknowledges the "lie", they have begun the process of releasing it, as well as the maladaptive conditioned response, from their lives.
What follows is a spontaneous realignment of the mind and body of that individual with important core values. This shift is immediate, palpable and is experienced as a return of vital energy to the body and mind, a feeling of inner peace, joy, buoyancy, energy, clarity, focus fulfillment, and a sense of wholeness.
<Creditor and liability problems can arise from a variety of sources, including divorce. Asset protection in divorce generally involves actions taken by spouses who want to protect their financial futures and avoid an unjust property division award.Marital property consists of all income and assets acquired by either spouse during the marriage, even if an asset is in one spouse's name. This marital property is subject to division between divorcing spouses. Distinct property, such as property owned prior to the marriage, your inheritance, and gifts are excluded from marital property; these types of property remain non-marital property and are not divided at the time of divorce.Individual property can lose its identity if mixed with marital property. For example, if you deposit your pay check into your premarital savings or investment account after marriage, then that account is considered marital property. The same may happen with inheritance property, like a joint account with your spouse. If you wish to have your partner's name on the deed and keep your entire equity or a particular portion of that equity, you should both sign an accord stating who possesses what piece of the property. Without an agreement, it will be treated as marital property and divided at the time of
Our approach, which we call the Mind Resonance Process(TM), entails looking at the paradox which arises when we look at two questions pertaining to a given maladaptive conditioned response:
1) What is this conditioned response doing to my life? and
2) What is the purpose of this conditioned response for my life?
The paradox often elicits an unconsciously held "faulty logic" or "lie" about the purpose of the conditioned response. Often the individual accepts this "lie" without question and thereby succumbs to the conditioned response in a reflex manner. This sends them out of alignment with their core values and into a state of stressful self-compromise. Once an individual acknowledges the "lie", they have begun the process of releasing it, as well as the maladaptive conditioned response, from their lives.
What follows is a spontaneous realignment of the mind and body of that individual with important core values. This shift is immediate, palpable and is experienced as a return of vital energy to the body and mind, a feeling of inner peace, joy, buoyancy, energy, clarity, focus fulfillment, and a sense of wholeness.
We describe an application of the Mind Resonance Process(TM) to the negative belief "I can't say no when I want to". We start by looking at the "purpose" of accepting this belief, and it goes something like this:
Accepting I can't say no when I want to is so that,
I can be available to my patients whenever they need me, so that,
I can do my duty as a good and caring physician, so that,
I can feel happy and good within myself, so that,
I can feel at peace and like a worthy person, so that,
I can feel fulfilled and my quality of life will improve.
We then look at what the belief actually does to the individual, and it goes something like this:
Accepting I can't say no when I want to,
Makes me feel enslaved to my patients, thereby,
It makes me feel trapped, helpless, frustrated and resentful, thereby,
It makes me dislike my patients and my work, thereby,
It makes me less attentive and conscientious, thereby,
It makes me less of a caring person and physician, thereby,
It makes me feel ingenuine, guilty, ashamed, thereby,
It makes me feel low self-esteem and low self-worth, thereby,
It makes me feel like a lousy physician and a lousy human being, thereby,
It makes me afraid of being found out, thereby,
It causes me to bury these feelings in alcohol, drugs and/or leads me to suicide.
Summarizing these two scenarios we note that we have reached two different and contradictory conclusions about the belief " I can't say no when I want to ", i.e.
1. It's purpose appears to be to enhance one's quality of life, but what it actually seems to do is,
2. Destroy one and one's life.
Clearly these contradictory results cannot be simultaneously true. As one looks at one's actual experience of holding on to the negative belief one realizes that (1) above is clearly not true even though unconsciously they have lived as if it were true. In fact one chooses to lie to them selves about the belief if they choose to go on accepting that (1) rather than (2) is the truth about the belief.
When one can come to this realization then it becomes a simple matter of going deep within the core of ones' self and requesting that the lie (i.e. conclusion (1) above) and the belief itself be "purged" from their lives forever. This is followed by a simple assertion, from that person's core self their desire to live from a place of being in full control of ones' life from then on.
What has been described is a brief example of the Mind Resonance Process™ and it is meant to give the reader an outline of the basics of the process. As each individual's situation is slightly different this often entails slight personal modifications in its elaboration.
Copyright© 2005, Arrizza Performance Coaching Inc.,
All Rights Reserved
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