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Why Tuesday?

The Girlfriend's Guide to Health will be updated every Tuesday.... Stay tuned dear readers and let me rock your world.

Tuesday, January 24, 2012

7 of 9


Pet peeve my cyber sisters. I officially hate people (yes, hate is perhaps too strong a word) who keep their blue tooth devices in their ears while they are doing anything BUT driving.

Let’s be clear about the blue tooth device- it was invented so that you could talk on the phone while driving, shopping, running and have your arms free for loftier pursuits. It was NOT meant to stay in your ear from dawn until dusk.

My colleague (you know who you are) keeps his in his ear all day long at work AND on weekends. He says it gives him a sense of comfort that he’ll never miss a call. WTF? Is this not what voicemail is for?

Are you really that important that you CAN NOT miss a call? Shit, I’m a doctor and I have voicemail.

I’ve seen photos of Barack Obama at work and play and he’s not wearing a fucking blue tooth. (sorry to my mother for the profanity- but I’m in a bit of a rage)

I understand if you are driving or moving about that holding a cell phone to your ear is neither safe nor practical. Hell, I have a blue tooth for my bike rides to work. In fact I often schedule conference calls during my rides to work. I do warn those on the end of the line that my heavy breathing is due to the ride up the Stanley Park Causeway and not to my excitement over taking their call. But the moment I reach my destination- the blue tooth comes out of my ear and the world is a new.

At this very moment I am at my usual café enjoying the best Americano Vancouver has to offer and sure enough some guy is sitting at the table next to me involved in a technological three way- with two other women AND a blue tooth in his ear.

Let’s be clear my girlfriends- I am writing this blog in order to distract myself from pulling the little piece of technology out this cyborg’s ear right now and yelling “shame on you, dude!”

About six months ago I met a man who did not have a cell phone. Yes they do exist and walk among us- it really was a trip. When I sarcastically asked him why he refused to join the new millennium, he looked down at the floor and said, “when I was younger I had a brain tumor removed and I’ve always been scared of the radiation”.

Yah. My cybersisters- I am officially an asshole. I apologized profusely there and then (and in two follow up emails) but I’m still an asshole- damage done.

In addition to making me wonder how I could possibly be such a wiener, I also took a moment to ponder his concern. What exactly is the radiation risk of a cell phone? Moreover, what is the radiation risk of a blue tooth device? Is it possible I should be a little more sensitive to the cyborg sitting next to me at the café as he will soon be stricken with a brain tumor in addition to his rude manners and need to take a call from his radiation oncologist at a moment’s notice?

Turns out- the cyborg has a lower risk of brain tumors than those of us who hold the phone at our ear moving about, holding it up the sky, yelling, “Can you hear me now?... Now? Can you hear me? What about now? “

In May, 2011, the World Health Organization announced officially that cell phones cause cancer. The judgment did not stem from new research, however. It turns out the WHO convened a panel of 31 scientists from 14 countries to review the scientific literature. The panel was put forth to itemize items on what I will call the “WHO Cancer list”. This is a list of items that have been deemed by the WHO to be carcinogenic. The list essentially classifies everything from coconut oil to DDT to HPV in terms of its ability to cause cancer. The list is graded according to the risk of the exposure and its ability to give you the “Big C”. Sure enough cell phone have now made it onto the list.

Where on the list you might ask? There are gradation of cancer risk, as I mentioned- and the grading system looks something like this:

Unlikely
Perhaps
Possibly
Probably
Certainly

Cell phones fell into the “possibly” category.

The evidence on cell phone use is sketchy at best.

A 13 country INTERPHONE study is the largest case-control trial done to date on cell phone use and cancer risk. It looked at 5000 people with gliomas and meningiomas (brain tumors) in the developing world and compared their behaviour with healthy age matched controls who did not have brain tumors. Overall the study found no link between frequency of calls or use of phones in the brain tumor group versus the non-brain tumor group. A large long term study followed 420,000 people in Denmark between 1982 and 2002 found similar results. There was an exception in both studies in that the group with the highest amount of cell phone use (greater than an hour a day) did have an increased risk of meningiomas.

According to an article published in JAMA in February, 2011 cell phone use of 30 minutes daily increases the risk of developing a glioma (a brain tumor) by 40% over 10 years. Now understand that gliomas are pretty rare to begin with. However when you are talking about a technology that 5 billion people are now using, the question of numbers becomes a little bit more important.

My conspiracy side of me thinks that there is no way we’ll see a randomized trial on cell phone use and brain tumors given the amount of money and technology at risk here.

Even if we do- I suspect none of us will care. I have an IPhone. I love my IPhone. I think I’m invincible on the best of days. Will I stop using my IPhone just to reduce my risk of getting a cancer that is pretty rare to begin with?

Here’s where a headset does come into play. The WHO has recommended head set and Bluetooth use to reduce the risk of radiation to the head. It turns out that a Bluetooth device emits 800 times less radiation than a cell phone. How does that translate into a reduced risk, science has yet to do the leg work….

In the meantime- here’s what I propose:

You know those lovely ear phones that allow you to listen to music AND take a call? Cyborg of the world- wire up. On the fashion front- you would look like just a dude listening to tunes as oppose to “7 OF 9” trying to get a message from the mother ship. On the cancer front- you may be reducing your risk of brain tumors.

Not a bad exchange if I do say so myself. My message for the week my cybersisters…. You don’t have to look ridiculous to lower your risk of a brain tumor- you heard it here first. Now go forth my girlfriends and spread the word.

Tuesday, January 17, 2012

What Lies Beneath


On January 12, 2012 I wore my very best underwear. This was a very good thing. For on that very date while travelling from Toronto to Vancouver, I was body scanned. Some perfect stranger was paid $45 an hour plus benefits to see me naked in order to ensure airport safety.

I am getting scanned a lot lately given the amount I travel and therefore have made it a rule to always travel in my very Sunday best and ensure that my bra matches my panties. If you are presently giggling at the mention of the word “panties” – grow up my girlfriends- I can’t help using it- I am afterall, old school.

So there I was standing with my arms above my head in a vertical CAT scan machine waiting to be told if the “eye in the sky” was satisfied that I was not in fact carrying any explosive on my person.

First of all my girlfriends, I should say that I am of course a fan of a good and safe flight. No one wants their plane highjacked mid-air. This is not to make light of the atrocities performed in the name of terror of course. It is a given that when someone wishes you a “safe Flight” it really is implied that your flight should not be subjected to an explosion of any kind.

I am not sure however if a random CAT scan on the odd passenger is really going to make the skies any friendlier for us all. I do know this whole fancy pants process of seeing me naked in the name of airport security certainly does a good number for job creation.

Think about it- There is the man/woman who ushers me into the machine- of course he/she must first give me the option of being patted down first or having a little radiation in lieu of human contact.

Then there is the two or three people that need to stand around the CAT scanning machine to make it seem like a rather important piece of machinery. Nothing says TAKE ME SERIOUSLY like 3 dudes in uniform standing at its gates…. Look at Buckingham Palace. Nuff said. (yes I know I have switched to Gangsta rap- in my defense I’ve been watching a lot of HBO lately and it has caused my vernacular to take on a street induced edge. Yo.

On December 25, 2009 a passenger was stopped at the airport and apprehended while he was trying to smuggle explosives onto a Detroit bound plane.

The Transportation Security Administration (TSA) and Homeland Security immediately began pushing forward a plan to place full-body scanners in all American Airports.

With the Olympics coming to Canada in 2010- my home and native land also joined suit. It is estimated that there are 1000 scanners in airports across the US and at least 50 in Canada.

There are 2 types of full-body scanners in use. Each generates a detailed out- line of the human body for the purpose of identifying contraband hidden under clothing. The millimeter-wave scanners emit extremely low-energy waves—each scan delivers a small fraction of the energy of a cell phone—and the scanners capture the reflected energy.

Naturally occurring radiation is higher at the altitudes of commercial air flights because of the greater proximity to the sun. The radiation associated with a flight will vary with altitude and latitude, but overall, air travel is associated with an expo- sure of approximately 0.04 μSv/min of flight time. This is the equivalent to a chest x-ray.

Airport x-ray scans deliver the radiation equivalent to around 1 to 3 minutes of flight time. Put into context of the entire flight, if a woman embarks on a 6-hour flight, she will be exposed to approximately 14.3 μSv of radiation from the flight and 0.03 to 0.1 μSv from passing through the scanner at the airport. The scanner increases exposure to radiation by about 1%.

According to an article published in the Annals of Internal medicine in 2009, it has been estimated that amoung the 1 million frequent flyers who take 10 trips per week for 1 year, each lasting longer than 6 hours (60 hours of flying per week) 600 cancers occur in the lifetime of those 1 million people. There is estimated to be an additional 4 excess cancers as a result of the CT backscatter scans. Furthermore, remember that these 1 million people will get 400,000 cancers in their lifetime anyways….

Look at me doing cancer math! Such fun… in any case the issue here is that the CT scan at the airport is not going to kill me. That being said, I insist on wearing my best underwear for travel at all times.

Tuesday, January 10, 2012

Then A Hero Comes Along


As I write this my dear girlfriends I am “hanging out” at the Canadian Broadcast Corporation. Listen to me sounding all casual about it…. Truth be told- I am a giddy schoolgirl.

I grew up watching this network- it is as much a part of my cultural identity as the pages of Vogue magazine are a part of my closet.

As a kid it was Mr. Dressup, the Friendly Giant and Fraggle Rock. Nights were spent snuggled up on the couch next to my Dad watching the National with Nolton Nash or the news with Barbara Frum. Years passes and then came Mr. Peter Mansbridge or as we called him in my house- the Wizard of Oz.

From the Nature of things, with David Suzuki to the Fifth Estate the CBC was my national network and a part of who I was.

My parents watched Air Farce and I became hooked on This Hour Has 22 Minutes.

Now Rick Mercer makes me laugh out loud and George Strombolopolous, Canada’s boyfriend is my boyfriend too..

So here I sit at the CBC for two days of News reporting as their “resident health expert”. Make no mistake, I’ve done the research and this really is one of those days where I do know what I am talking about. I am trying not to take things too seriously and I have of course brought enough footwear to get me through the stories.

But here I am a little schoolgirl giddy at it all. Nerves are a given but on top of it all is the excitement and the shear fun at being with my network heros.

WE all need someone to look up to in this ever uncertain world don’t we? Whether it’s our fellow girlfriend, our iconic television heroes past and present or my personal favourite- Manolo Blahnik- we all need an idol that inspires something better in us.

Last week my girlfriends I had the chance to spend a little time up close with a few of my heroes and I came out the other side a little more inspired and of course a little more enthused to be a part of the good in the world- whatever that may be.

A paper published in 1997 in the Journal of Personality and Social Psychology, entitled, "Superstars and me: Predicting the impact of role models on the self", shows there is something to my little experience last week.

The authors propose that superstars are most likely to affect self-views when they are considered relevant. Relevant superstars provoke self-enhancement and inspiration when their success seems attainable but self-deflation when it seems unattainable. Participants' self-views were affected only when the star's domain of excellence was self-relevant. Relevant stars provoked self-enhancement and inspiration when their success seemed attainable in that participants either still had enough time to achieve comparable success or believed their own abilities could improve over time.

I other words... I identify with Steven and Chris- those are MY boys and as such- they make me want to be better. Rick Mercer doesn't just makes me laugh, he makes me think- about MY country and MY actions.

A star's greatness affects our beliefs when we identify with them- when they speak TO us. Huh. Sounds good to me...

As for Peter Mansbridge? He Peter Freakin Mansbridge. He IS the wizard and the voice of this nation- I'm not being dramatic- I'm keeping it real. The Psychological science shows he really does help us identify and improve.

Forgive me, my girlfriends, if I abandon the science for just a few moments. In medical trials we have a saying when there is a single case study to show a certain benefit for a treatment- we call it our “N” (as in the letter N) of ONE.

This week I don’t have a randomized controlled trial on the evidence of heroes in our every day life. This week I have my N of ONE…. Me.

As for my clinical trial- it was truly fabulous. We live in a cynical world- much of what we see and do never really makes sense and most things don’t happen for a reason.

But hey- we all still get out of bed and put on the day’s finest and dwell in the fact that good clothes do open all doors. And every once in a while to quote Miss Mariah Carey, “a hero comes along” and the shoes and stars collide and yes my dear girlfriends life has one of its great moments where you just sit back and smile.

Tuesday, January 3, 2012

Solitary Woman


I should say it plain my dear girlfriends…. I enjoy spending time alone.

In fact some of my favourite moments are those spent at a café or a museum with only my thoughts (and my neuroses) t keep me company. Although I do happily participate in the company of others I will admit that I am, I guess a bit of a loner.

I realize this is a bit of a shock, given my overwhelming extroverted nature. Most extroverts need to be around other people. I too enjoy spending time with others.

That being said- I do like playing it solo. Make no mistake- I am not one of those people who wants to sit in a silent room alone with their thoughts. That is JUST NOT ME. No, I like to sit in a rather noisy café or march along a rather crowded street or play it solo in a fabulous shopping experience. I like to be what I would call… NOISEY ALONE. Alone in concept but not in actual fact. It is heaven.

Let’s take today for instance… no not Tuesday, the day this blog will be read, but rather New Year’s Eve- the day this blog was written. Here I sit in a café having just had a lovely soup and reading my newspaper. I am by myself at a table and can feel myself relax as the moments tick by.

Make no mistake my girlfriends, I do love enjoy the company of others. I find people to be really interesting and stimulating most of the time…. Except those who aren’t and I try not to spend time with them…. You know how you are…. It’s not your fault your boring- I’m sure you are good at other things.
I am the only one in this café who is flying solo… but I do know that a table for one is more and more common nowadays than one would think.

What is that? Is there a science to solitude? Don’t human beings function better in packs?

According to an article published in The History of Social Behaviour in 2003, there is a benefit to SOLITUDE.

The authors of the article, “ Solitude: An exploration of the Benefits of Being Alone” (yeh, they state their bias up front) make a clear distinction between solitude and loneliness. Solitude in contrast to loneliness is a positive state- one that has been chose by the individual. IN that it s already empowering because someone had a choice in who they were going to spend their time with.

Solitude is sought out actively, rather than avoided (as is often the case with loneliness). Furthermore the authors are quite clear in stating that solitude is a state of being whereas loneliness is more of a feeling as result of being alone.

The authors point out that time spent alone is different across a lifespan. People who actively seek times of solitude have been shown in two specific examples in the article to be more productive and more creative.

For example two studies highlighted in the article out of Harvard University show that students study better by themselves than they do in groups. Retention of information and test scores were higher among groups of students who study independently than those who engage in group study. Now, girlfriends- this could be selection bias…. If you have to study in a group- you might not be able to do as well on a test than if you have to study by yourself…. Think on it. Get back to me.

Another area where solitude has been shown to be beneficial is in the creative arts arena- writers, painters, artists- all do better with their craft on a solitary basis.

There you have it. I’m not suggesting the whole “we live alone, we die alone” theory. But isn’t it nice once in a while to shut the world away and be in the company of perfect strangers- no commentary necessary, no one there to ask you what you are thinking or how was your day?

Me? I get it. Fuelled by this new scientific data I will continue my solitary habits. Sure, no woman is an island but as for me? I shop alone.

Tuesday, December 27, 2011

Be it Resolved...


What a year it has been my girlfriends… so much to reflect upon and so much to be grateful for. 2011 was filled with fabulous highs and definite adventure both in and out of my closet.

On the fashion front- I dropped a dress size and found that yes, fabulous dose really come in all shapes and sizes.

On the shoe my Brian Atwood appreciation society really did reach monumental status. The man knows how to make a pump and I am a card carrying/heel-wearing fan. I found a good pair of platform pumps really can make a good day better and a day at the office in a great pair of Atwoods really is the best medicine.

Speaking of medicine it really was a healthy year. I turned 40 on a mountaintop in Africa and spent the summer riding my bike across Canada. I got bangs in lieu of Botox and have embraced the small fortune that I spend on my moisturizer like it is a necessary mortgage beauty payment if you will.

I discovered kindness and a little hope in the unlikely of places this year and found cybersisters far and wide who celebrated themselves and their unique voice in the world.

Yes, it has been a wonderful year.

This week marks one of my favourite times of 2011.

Now my girlfriends, when it comes to days of the year I really don’t like to play favorites. Like the shoes in my closet, the days on my calendar are each special in their own way.

But like the shoes in my closet, I have been know to have a few days that stand above the others… days that hold sentimental value more so than others….

This next seven days are my calendar equivalent of Louboutins.

Yesterday of course was the holy of holies… boxing day. Let’s be honest- when signs everywhere read “70% off” it really is the BEST DAY EVER.

I’ve spent the last few weeks reflecting on the year and its gifts both fashionable and spiritual.

I spent the holiday weekend on call in the ICU in Lethbridge, Alberta. It was a rough one- not much sleep and not enough cheer but that is all behind us. Ahead is a full week off where I will spend my time riding my bike, cleaning my closet and catching up life in general.

I have last week’s New York Times to read and several blogs to write and amidst it all…. I realize that I have no resolutions.


Make no mistake I’m a chic who really plans ahead. Hell, I have been picking up out my clothes to wear “the night before” since I was 10 years old. I make lists and I check them twice.

As for change- I make it everyday- from outfit s to outlooks, from food trends to shoe trends.

And yet, I do not make resolutions. On a personal note- this stopped about 10 years ago when I decided to really change my life and all of the sudden the resolutions became and every day thing and were no longer confined to one day a year.

There is actually a study called the New Year’s Resolution experiment done in 2007 on 3000 people in the UK. This research shows that while 52% of participants in a resolution study were confident of success with their goals, only 12% actually achieved their goals. Men achieved their goal 22% more often when they engaged in goal setting, a system where small measurable goals are used (lose a pound a week, instead of saying "lose weight"), while women succeeded 10% more when they made their goals public and got support from their friends

Professor of psychology at Deakin University, Bob Cummins, says making New Year's resolutions helps us feel better about ourselves.

"One of the fundamental features of human beings is that we need to feel good about ourselves. It's a very, very strong need that we have," he said.

In fact, Professor Cummins says making a New Year's resolution is our way of seeking forgiveness and clearing our guilty consciences.

"The end of the year constitutes a kind of secular absolution that people earnestly say to themselves and their friends and their dear ones, 'I'm going to change'," he said.

"This turns them into not only a good person because they've got these good ideas, but it also makes them feel very good because they're absolved of their sins during the past year and they're not going to do these things any more.

"So in a way it's like an addiction in itself. People just must make these very ambitious personal claims of absolution at the end of each year."

SO that me- one year later…. Declaring my hopes and dreams and plan and challenges every day in my life and every week in this space.

Maybe a resolution would clear my conscience and make me happy? Yah… I’ll leave that task to the fabulous coat I bought on Boxing Day at 80% off. It makes me happy as hell and I don’t have to change a thing for it.

A big love to my cybersisters this holiday seasons… buckle up- I know 2012 is going to be one hell of a ride.

Tuesday, December 20, 2011

Happy Freaking Holidays


Merry and happy dear girlfriends and welcome to the most stressful time of the year. Make no mistake, my cybersisters… I do love me a good retail festival but even I lately have found myself avoiding the shops as if they were a small screaming child. (sorry, I don’t like screaming children- on further thought- I don’t like screaming anything- unless there is a PRADA sale and then- well who can’t help themselves.)

The past few weeks have gotten me asking myself, who but bitchy in the water? No one holds doors open for anyone any more. Walking down Robson street lately is like playing a real life version of retail WHACK A MOLE where people come at you with parcels and packages and you have to avoid being hit by them regularly.

Yes, I know Christmas is an emotional hardship of a holiday. Shopping is polarizing sport. People love it or hate it. That coupled with the judgments of families and friends. It’s a challenging time. Who wants to defend their life choices at a table full of family members for hours on end?

I’m not being a Grinch when I say that perhaps we could tone down the nasty for the next few days? I know we live in a materialistic society- and I’m not suggesting we turn it around- hell I love my closet; but can’t we all, I don’t now… just get along?

Do you remember when we were little and times were so much simpler? Your handbag HAD to match your shoes and your nail polish HAD to match your lipstick. “Please” and “Thank-You” were a given and people were always happy around the holidays. Life was simpler, air was cleaner, and people were nicer, no?

Maybe I just remember it that way. I remember being mesmerized by Charlie Brown Christmas Specials and big trees in malls. I remember how the days always had a little bit more sparkle around their edges. We never celebrated Christmas (and no Hanukah really is not the same) but as an outsider looking in I always thought December was a special time where people seemed more hopeful, and quite frankly… nicer.

Was I just a victim of the marketing ads? Was there really no PEACE ON EARTH, no GOOD WILL TOWARDS MEN? I never paused to ask my parents if the times in fact have changed. Maybe it’s just that I’ve grown up and grown a bit cynical. Maybe times in deed were as stressful back then as they are now it is just that I no longer have Charlie Brown to keep me hopeful?

Magazines everywhere talk about the “Christmas Depression” and how the holidays are more stressful and people more likely to have mood disorders and even suicides around this time of year. My VOGUE magazine had always been a source of knowledge but could it finally be speaking my medical language as well? Was CHRISTMAS DEPRESSION in fact a true disease? I wondered....

If in fact this were true than perhaps I was being too hard on my fellow shoppers. They were bitchy for a reason! They had Christmas depression? Mankind was in peril trying to find the perfect sweater set/iPod/perfume gift set for their loved one.

And then I went in search of a real scientific answer.

According to an article published in the JAMA in 1982- this idea of CHRISTMAS DEPRESSION is scientific bullshit. Although anecdotal notions are all about us suggesting that the stress of the holidays impacts peoples' mental well being, the science just does not back it up. There is no such thing in the medical literature as CHRISTMAS DEPRESSION. There is in fact a CHRISTMAS DISEASE but this is a form of hemophilia that has nothing to do with the holiday itself.

Several meta-analysis show that hospital admissions and suicides around this time of year are actually down. Less people visit Emergency rooms and doctors offices around this time of year. Sure you could say that they are all too busy but in my experience as a physician diseases don’t usually wait for you to get your “to do” lists in order before they rear their ugly heads.

Interestingly hospital admissions dramatically climb AFTER the holidays either suggesting that all the self indulgence over Christmas eventually catches up with us or in fact that people now have “the time” to be sick. Not really sure how to navigate that one my girlfriends but I will leave it to you to ponder.

Make no mistake- I do love me a good festive time. But medically speaking there’s no reason to be bitchy especially when gifts are involved. So on this holiday of holidays I say let's just all take it down a notch my sisters… pour yourselves a glass of mulled wine, settle down and let the joy begin.

Tuesday, December 13, 2011

Sleeping Beauty


Girlfriends… it’s really light in my bedroom. I don’t say that to elicit a giggle. Get your minds out of the gutter.

We have southern exposure and no blackout blinds. I live in downtown Vancouver. As such, I can almost read a book…. At 2 am with the lights out in my bedroom… full moon or not.

Sure we have a great apartment but unfortunately it comes with those shitty white bottom of the barrel blinds. These are the crappy white lever blinds that come with most standard apartments in the downtown.

Make no mistake, I love it that these blinds are my key to privacy. I close the blinds and my neighbour can’t see me when I walk around my bedroom in my underwear. Yes, I understand that all things come at a cost but is it so much to ask that I get a set of drapes that black out the light and prevent me from having my very own underwear based You-Tube video?

Me and my shitty blinds have pretty much reached the end of our relationship. I need me some black out blinds.

I am tired (excuse the pun) of sleeping in a room that is lit up like Times Square.
I am tired of sleeping with a sleep mask on my face at all times.
I am tired of walking to the washroom in BROAD DAYLIGHT at 3 in the morning.

This really has become a problem.

You see, I really like to sleep in a cave. I like to get out of bed in the middle of the night and fumble to find the bathroom. I like to trip over things and want for a night light because it is so dark in the room.

My time spent travelling and staying in hotels allows me to see how the darker half lives. On the down side of course is bed bugs…. On the up side is the black-out blinds.

Yes my cybersisters I will risk the threat of vermin for the sake of not having to wear another one of those “sleepytime masks” with the word “Princess” scrolled across the front in glued on rhinestones.

Most people don’t sleep well in hotels. They talk about how the room is foreign to them and how they miss their own bed, their own room and their own pillow.

Me? Sure, I miss the familiarity of it all, but I welcome the dark.

You see our brains are pretty specific when it comes to being influenced by light.

We all have a biological clock in our brains that help to regulate our sleep and wake cycles and other key physiological systems that allow us to live in harmony with our natural surroundings such as day and night and the changing of the seasons.

This is same system that helps to tell us when we are sleepy or awake. It is the same system that gets “off kilter” when we travel and suffer from jet lag for example.

The most important function of a biological clock is to regulate certain biological rhythms like the sleep/wake cycle. The biological clock is also involved in controlling seasonal reproductive cycles in some animals through its ability to track information about the changing lengths of daylight and darkness during a year.

There are two types of biological rhytms. Exogenous rhythms are directly produced by an external influence, such as an environmental cue. (think time of day). These are not generated internally by the organism itself, and if the environmental cues are removed, the rhythm ceases. For example put someone in a dark room for days on end and they will eventually lose their usual day/night cycle.

Endogenous rhythms, by contrast, are driven by an internal, self-sustaining biological clock rather than by anything external to us. Biological rhythms like changes in core body temperature, are endogenous. They are maintained even if environmental cues are removed.

Humans have a circadian rhythm that has a natural day length of just over 24 hours. This “clock” needs to be reset to match the length of day for what is called the “environmental photoperiod”.

This is the amount of daylight in a 24 hour period. As you can imagine the body’s internal clock goes haywire in times where day and night are prolonged. For example- move to the arctic in the summer where the daylight last for 20 or so hours and you have a problem with your internal clock.

The cue that synchronizes the internal biological clock to the environmental cycle is light. Photoreceptors in the retina (the back of the eye) transmit light-dependent signals to a blace in the brain called the suprachiasmatic nucleus. This is an area that sits right on top of the optic nerve behind the eye. Drill a hole between your eye and your ear straight into the brain and you are there. I don’t mean to be gross or dramatic but it’s the visual I’m after.

Interestingly, our usual visual system receptors, the rods and cones, are apparently not required for this photoreception.9This mean that even some blind people still have a sense of a biological clock.

Special types of retinal ganglion cells are photoreceptive and project directly to the suprachiasmatic nucleus, and appear to have all the properties required to provide the light signals for synchronizing the biological clock.3 At the suprachiasmatic nucleus the signal interacts with several genes that serve as “pacemakers.”

A study published in Neuroscience Letters in 1986 exposed 8 healthy controls to bright light starting at 6 am and ending at 9am. These people were monitored for their sleep patterns for 10 days at first and in rooms where the light gradually became lighter at around 6am and progressed until 9 am. This had little effect on their day/night cycle.

The study then went on and exposed the same subjects to a bright light at 6am. Within 7 days the day/night cycle of these subjects was significantly altered. All subjects would now wake up at just before 6am almost as if they had anticipated the “light wake up call”.

Girlfriends- I’m a shitty sleeper at the best of times but I will bet my suprachiasmatic nucleus that my lack of black out blinds has something to do with it.

Now if you will excuse me, I must go… Barry from Levalor Blinds is coming over today to fit my bedroom window with some serious hardware and a blackout blind for the ages.

Look out my girlfriends… I feel a serious nap coming on.

Tuesday, December 6, 2011

Exit Strategy


Last week I was on a little plane. When I say little- I mean 16 people, a captain and a copilot. I don’t even think you could consider the captain a real captain. First of all he looked like he was old enough to be my kid. I realize my girlfriends that this is a bit ageist but really- dude looked like he would have trouble mastering facial hair, let alone a Cessna.

Here’s my thing about the “little plane”. I am not particularly afraid to fly. My beloved as some of you will know from previous posts… is the perfect gentleman on the ground and the prefect psychopath at 30,000 feet. I hoverer, do travel so much that I have learned to accept that man really was meant to fly. If not and I have a moment of panic- I take 1 mg of Ativan and try my best to align my Chakras as the metal beast takes flight.

But I HATE little planes.

Here’s the thing… I never worry that a 747 is going to fall from the heavens. How often does that happen? Once every 3-4 years? Really? When’s the last time we heard about a REALLY big plane crashing into a farmer’s field? It’s just not commonplace.

Little planes- another story. You don’t hear about little plane crashing very often either. WHY? Because they are little.

If I’m going to die in a plane crash I want it to make CNN. I want a four-page nation newspaper spread. I’m not going down in some bullshit tin can that makes the 6 o’clock local news ONCE and is forgotten until an inquiry appears 8 months later on page 6 of the local newspaper.

No, my girlfriends… I am a plane crash snob. If I must… I am going down in a blaze of glory and Anderson Cooper will mourn my loss- personally. Bring flowers Anderson- I like white ones.

But I digress….

There I was on the little bullshit plane. Ativan safely under my tongue when the co-pilot walked down the isle to give the woman behind me a safety briefing on the use of the emergency exit.

Here’s what I want to know…. How many people sitting in those exits on any given plane could really operate the damn thing?

Me? I work out. I can bench press with the best of them. My cardio is impressive. Never mind the mountain or the cross-country bike ride… I can carry three boxes of shoes and countless Barneys bags 18 blocks in NYC in a snowstorm. I can handle throwing a door out of a plane when my adrenaline is at full tilt.

At least I think I can…

But I can’t help but size up the woman sitting behind me and wonder what her upper body strength is? Could she rise to the occasion? Will we all help her out in the event she can’t “throw the door towards the rear of the plane and exit safely off the wing”? Will it rally matter at that point considering we will in fact be plummeting towards earth with gravity laughing her ass off?

Here’s the evidence…. According to the TSA website, the average emergency exit door weights between 30 and 40 pounds. My estimation is this is the same weight as a medium size suitcase fully packed. That is to say if the suitcase is German engineered carbon fibre and you don’t have more than 3 pairs of shoes in it. Yes, my girlfriends, I do travel with a Rimowa (fabulous line of luggage, light as a feather) but needless to say Mama likes her Manolos. So easily my suitcase can weigh 40 pounds without a thought.

Now here’s the test…. Step 1- pack your suitcase and make sure it weighs 30-40 pounds. Step 2- lift dais suitcase to shoulder height. Step 3- throw it 30 feet. Can you do it? If so… feel free to sit at my emergency exit.

Now I realize that in the event of said emergency maybe others on the plane will help out. However, lately I’ve noticed people don’t even open regular doors for me so why should I expect them to open emergency ones?

Fear not dear sisters…

According to airlinesafety.com (which my sources tell me is THE place to go for airline safety info) there are two kinds of over wing emergency exits. This excludes the full size door found on a Boeing 747 or airplane of that size.

The first is called a DISPOSABLE HATCH type exit. This is the most common. This is the very 40 pounds door that you must “lift and separate” from the plane.

The second is on Boeing 737 airplanes and next generation planes and is a SELF DISPOSING HATCH. You simply pull down on a handle and this initiates the exit’s self- opening mechanism whereby the door rotates up and out all on its own. If it does not work during an emergency? Yes, you are fucked.

So back to my situation where Grandma Mary Francis all 80 pounds of her must be trusted to lift a door/suitcase half her weight?

A study conducted by the Department of Human Factors and Air Transport, Cranfield University, Bedfordshire, showed that in depth visual and personal briefing on use of an emergency exit improved reaction times of passengers operating an ext strategy on a Boeing 737. The study, conducted in 2001 surveyed 7 groups of passengers traveling on Boeing 737’s. The study examined their reaction times (on the ground) operating the emergency exits after having No Briefing, a brief explanation (a written pamphlet) and a detailed 3-minute explanation along with a visual demonstration. After having no briefing the average reaction time of the passengers was 7.7 seconds. After having a detailed briefing it was 2.9 seconds. This was the time it took passengers to get to the exits…. NOT OPEN THEM.

Further research funded by Transport Canada involved running a series of large group evacuation trials using the Boeing 737 cabin simulator. Groups of up to 48 participants were recruited to evacuate the cabin through the Type III exit. In all trials, a member of cabin crew was located at each end of the cabin. In half of these trials, a third member of cabin crew was located in the seat behind the Type III exit operator. In these conditions, the additional cabin crewmember provided instruction to the exit operator on the call to evacuate. This instruction included a command to open the exit, and commands on how to open the exit and dispose of the hatch. All of the trials were filmed on video.

In the studies where there were two cabin crewmembers at the door, more than 90% of passengers opened the door correctly. In the studies where there was just one cabin crewmember present? Only 50% of passengers opened the door correctly.

As for the ability of passengers to open the door correctly? The study makes no mention….


Back to me on my tiny plane with no cabin crew for supervision and a woman with no upper body strength? Yes dear girlfriends… I am, shall we say, screwed.

Hey, I’m all for the kindness of stranger…. However, should the situation arise where I must rely on the upper body strength of strangers? What will I do in the face of this riddle? I will do what any good girlfriend does when she wants something done properly… I will do it myself.

Tuesday, November 29, 2011

Leaving Normal


Here’s the thing my girlfriends…. I think neuroses gets diffused in every generation… just a little bit. Yes, perhaps I might be just a bit neurotic. Those of you reading this who do in fact KNOW me have now just spit out your morning coffee all over your computer screen and are now chocking quietly while you mop up the mess.

Yes I know this is no real shocker… the fact that I feel the need to WRITE about this in fact confirms my diagnosis. I really do believe that 40 is the decade for self-awareness so, hey, bring on the knowledge….

But here’s the interesting thing about MY neuroses. I’m WAAAAY less neurotic than my ancestors. Hah!

Allow me to explain….

My grandmother (may she rest) grew up in an age where you kept three currencies in your wallet along with your passport at all times. You stocked your freezer with enough food to last at least 1 month solid. You bought pickled and canned goods by the case. WHY? Well in case there was another war for God’s sake! There was a level of social, political and economic fear that purveyed her generation so much so that I do believe it gave birth to what we now know to be modern day neuroses.

Fast forward one generation and you have my mother…. A beautiful woman who kept mints, a sewing kit, an unending supply of Kleenex and a small pharmacy in her handbag. My mother’s generation considered their pocket books to be the embodiment of “In Case of Emergency” in a leather handbag. My mother keeps a full set of the yellow pages in the glove compartment of her car. I kid you not. She has a case of water in her trunk at all times. Her car breaks down and she can rehydrate for months AND order take-out from anywhere.

Me? My purse is my accessory- for my outfit AND for my life. My handbag changes daily depending on the mood or the movement. I don’t own a car and therefore I don’t own a glove-compartment (or a set of yellow pages for that matter). I can’t keep mints in my bag without eating them all in a single sitting and as for extra currency? I am the woman who spends all her money at the duty-free before departing whatever country I am in order to “use up the extra cash”.

But lately I have noticed the odd occasion where I am worrying more than usual. Such experiences have made me wonder if I’m becoming a bit more neurotic…. I had always thought myself to be relatively care free in this department.

Of course if your foremothers were the kind of people who would make boy scout troop leader look completely disorganized- you undoubtedly come off looking like you are as neurotic as Gandhi. (Hint- Gandhi? Not neurotic. Gandhi = Prince of Peace)

I remember the joke in medical school…. In your first year of medical school you are convinced you have all of the diseases you are studying. By the time you graduate you are still suffering from these same diseases, but you no longer care that you have them.

I suppose as a doctor- seeing all that life can offer in its unexpected ways- I have to be a little neurotic. That and I had some pretty good neurotic role models in my life.

So I thought …. How neurotic am I? Is the fact that I’m worrying about such a thing automatically put in the running? Is there a test I can take, (perhaps Cosmo has one) that would help quantify such concerns? If so…. What would such a test look like…?

1. Do you have an earthquake kit?
2. Are there mints in your purse?
3. Do you carry a supply of band-aids with you at all times?
4. Do you have a phone book in your glove compartment?
5. Is Woody Allen your cinematic hero?
6. Do you make airline reservations at least 3 weeks in advance?
7. Are you aware at all times of you bank balance?
8. How many AIRMILES do you have? Quick… right now…. Off the top of your head?
9. Do you use a credit card specifically to collect the points?


Full disclosure? I have an earthquake kit in my house and two band aids in my purse. I live on a fault line and my husband who is IMPOSSIBLE to buy gifts for wanted one- it became a very sweet joke/birthday gift. It is also a fabulous and funny story to tell at parties. The band-aids? I wear four inch heals at all times and on occasion they have been known to chafe. I keep these band-aids in a lovely Prada pouchette in my bag and so it makes them less anxious.

As for Woody Allen? I confess… LOVE his movies. What’s not to love? Paris, New York and the quirky/crazy girl is the star of the show. “Bullets over Broadway” and the “Manhattan Murder Mystery” are regularly quoted in my home. “Don’t Speak”. Nuff said.

I can’t (or rather I chose not to) plan my life more than 4-5 days in advance. My bank balance is like the number on my bathroom scale- subject to change at a moment’s notice. As for AIRMILE? I have a bunch. I fly a lot. Credit cards should be used to collect joy first and foremost… the points are a happy side-effect to the spending.

There… I score 2.5/9 on the scale. My mother? She’s a solid 8/9 or a clear sweep if you only count “Annie Hall” and “The Purple Rose of Cairo”.

It turns out that there are in fact REAL scales to measure and diagnose neuroticism. There are three main questionnaires officially used to diagnose neuroticism. I have not officially taken any of them…. Ignorance is bliss.

Furthermore a study published in 1996 in Science magazine found an association between neuroses and a specific gene regulating serotonin production (a neurotransmitter) in the brain.

Further studies since then have confirmed a genetic association between neuroses and have also shown variation in PET scans and MRI’s in patients with neuroses.

So there… it’s not just a learned behaviour necessarily. Then why is it that my so called neuroses is being watered down across the generations? Could this be a genetic effect like with so many other traits…. The family gene pools shuffles the dice and the numbers come up differently? Or could this be that environmentally my generation needs less mints in their purse to cope with the world.

My formothers gave me a lot of their good gifts in the world… a sense of self and the knowledge that a woman could do whatever she wanted if she had the right brains a little bit of moxy. From them I learned the power of a woman who’s not afraid to speak her mind, and even less afraid to have her own opinion.

As for the power of a good pencil skirt and pumps to go with it? I picked that little lesson up all on my own….

And here I sit neurotic or not or maybe just a bit and postulate and all the while the world turns on. I will continue to look forward to Woody Allen’s next project and hope that I never need the earthquake kit in my front hall closet. 2.5/9 is not bad…. And so the world turns on.

Tuesday, November 22, 2011

Getting in the Game


When I was a kid- I watched alot of football.

I know my girlfriends- I don't seem the type.... but never judge an outfit based on accessories alone.

We had season's tickets to the Winnipeg Blue Bombers (Go Blue!) and I was a fan. No not the type of fan who paints shit on their face and stands in some ridiculous outfit waiting for the camera to pan on you so you can fist pump for all the country to see.... but I was a fan who sat in the stands (or on my couch in front of the TV) and cheered my beloved team on.

I remember those days all too clearly. you see the CFL play off season is in November in Winnipeg. November in Winnipeg is when mother nature loses all sense of sisterhood. November in Winnipeg (or anywhere on the prairies for that matter) is minus 30 and sunny. (yes, fellow Winnipegers.... we know- it's a dry cold- tell yourselves what you need to just to go outside)

So there I was in the stands one sunny day in November circa 1982 watching the Blue Bombers play. There I was cheering for my team dressed in.... a sleeping bag. Dear papa was not the most fashionable man but he was a freakin genius. I was warm as toast. That and he had a thermos of hot chocolate with Kahlua. You can see why the man was my hero.

Back then, the Bomberettes (the cheerleaders) wore snow suits in bright blue and gold (think 1970's snow bunny). Back then you could buy popcorn and beer and coke and hot dogs at the game, if you dared to take off your mittens and eat the damn things in the first place.

Fast forward 30 years to the Western Canadian Final of the Canadian Football league at BC stadium in Vancouver.

BC is playing Edmonton for a place in the Grey Cup and there I sit 20 rows up on the 45 yard line.

Gone is my Dad (sniff). The hot chocolate and Kahlua have been replaced by a quinoa and kale salad which I brough ina very stylish Tupperware container. And yes, in lieu of a sleeping bag- I'm wearing Helmut Lang. Full disclosure? When in doubt... that German genius dose fit a little small but does go a long way to making anyone look a bit like a rock star in his clothing.

This was a sporting event.... the fashion called for a one part "rocker chick" one part "rugged". Helmut was my guy.

But I digress....

I sat down in the stands with my foam orange "Go Lions" finger placed firmly on my right hand and p[prepared myself for 4 quarters of football nostalgia. Along with 42,000 of my closest friends I yelled at referees, cheered for my team and told complete strangers in orange tights and protective cups to "move your ass".

I spent 180 minutes strolling down memory lane, my father smiling over me as I shamelessly uttered profanities as if I was in the comfort of my own home.... and yes, my girlfriends... it was NOT frowned upon. This WAS my home and these were my peeps.

But I could not help but notice that my "peeps" were eating crap.

The man in front of me ate two servings of fries over the period of 4 hours. THere was a row in front of me who were eaitng fish and chips by the basket. To my left was the proverbial hot dog monster and to my right was a lovely young man eating what can only be called a "yard of popcorn". Yes, it was a bag the size of one's leg filled with popcorn- I do not exaggerate. THese were the items (more or less) of my childhood but their size had really exploded.

All that and above me was the club section where two platters of chicken wings and a buffet of nachos was in full swing.
And all around me was a beer garden.

It was somewhere in the middle of the second quarter that it donned on me how much a celebration of sport is conducive to the most unhealthy behaviours around.

How is it that a spectator of athletics is encouraged to worship that which is so NOT athletic. When did the sport of it all become so much about watching and so little about getting in the proverbial game?

And then it dawned on me.... Sponsorship of such events is often done by fast food chains and beer companies. The exposure that the average kid gets from the commercial advertising at a football game or a hockey game is easily 2000 calories worth of hurting.

There I was with my container of quinoa salad watching the consumption around me.

According to several studies by both the Harvard School of Public Health (2008) and the Sydney school of public health (2006), children exposed to food advertising during sporting events are significantly more likely to recognize certain products. These effectively increase consumption of such items. One perfect example is the rise in sport drink consumption among kids not engaging in sports.

Yah, I know. I WAS at a football game. Would it have killed me to keep it light and just have a corn dog? Yes, dear girlfriends it would. After all- I was wearing my skinny jeans and corn dogs are not my thing. But I hear you, dear girlfriends... keep it light. I just think sometimes we need to rage against the machine. Turns out this week's machine was a yard of popcorn and 3000 calorie tailgate party.

And so my girlfriends, here's my message.... love the football. Go team, go. At Sunday's Grey Cup.... I'll bring the PRIDE... you bring the fruit plate.

Tuesday, November 15, 2011

All My Shots


Perhaps I am grasping dramatic this week dear cybersisters, but I am currently fully vaccinated. Yes my girlfriends, it’s flu season and as a healthcare provider I do like to give my immune system every added advantage possible.

And so last week, I rolled up my sleeve and took one for the herd. Currently no significant side effects. Perhaps a little sore throat, but that could be from spending a week talking my ass off and hoping the world might listen. Other than that, my arm hurts. To be more specific, medically speaking, my left deltoid is tender.

I should state my bias (what has ever stopped me before?) in that I am a fan of vaccinations. As someone who has spent the last few decades surrounded by diseases I have always thought that preventing them was a rather happy concept.

Times were different when I was a kid. My parents were the polio generation. They had all too vivid memories of a school friend or neighbour who wound up contracting the illness. My parents came of age when Jonas Salk revolutionized the way we look at diseases.

Infections were no longer messes to clean up after. No longer did we hope and pray…. We vaccinated.

Then came Jenny McCarthy and her brilliance/bullshit and the waters were muddied once more. Make no mistake- I welcome the dialogue. I think it’s important that people know risks and benefits when it comes to diseases… but really- should Jenny McCarthy really be the voice of reason?

But I digress….

When I was a kid- you vaccinated your kids. Measles, Mumps, Rubella? You got your shot. Hell my pediatrician had to chase me under the table at his office just to give me the damn thing. Sure, I screamed like a girl. I kicked and even had a tantrum (yes, girlfriends… a true feet stomping tantrum). But I got my shot. I of course got to go out for ice cream afterward as well as payment for my shot. Incidentally, I really thank my mother for encouraging this aspect of my emotional eating and teaching me that yes, blue licorice ice cream really can dull any pain.

When I was a kid- we did not have the vaccine for Chicken Pox and as such- my mother did the next best thing. Any time she heard that a neighbour’s kid had contracted the disease- she sent us over to play with them. This was my mother’s way of ensuring we’d get exposure to the virus at a young enough age so as to protect us when we were older. You see perhaps my mother knew that chicken pox in kids is a rather benign nuisance of an illness (in the majority of cases) compared to contracting the virus as an adult when the disease can be quite severe.

This is of course only a generalization and in fact chicken pox can be a severe illness in kids- but hey- it was the seventies- parents dressed their kids in courdoroy and poleyester. They left their kids with the 14 year old neighbour as a babysitter. There were some numbers on the kitchen table and 10 dollars for pizza. Parents in the 70’s fed their kids formula you bought at the grocery store and said things like “I’ll give you something to cry about”. They really were doing their best before the Baby Bjorn generation came about and told them how shitty their parenting skills were.

And so decades later- here I am relatively unscathed. I have grown up to be a rather well adjusted adult. Should you have a different opinion on this… please feel free to post your comments and I will promptly delete them.

I will however state it plain…. I’m all for vaccinations. If there is a shot that prevents small pox (and there is) BRING IT ON. I can’t help but think that if only we had a vaccine to prevent the big guns like cancer, heart disease, bad manners and unwanted facial hair?

When it comes to the flu- it turns out that it really is a big deal. It’s estimated that 30,000 Canadians die each year as a result of Influenza. The first influenza epidemic occurred in 1580. Since then scientists have been working their asses off to figure out what caused it. In 1930 it was discovered that influenza was caused by a virus in the ORTHOMYXOVIRIDAE family.

In 1931 Ernest Goodpasture and his colleagues at Vanderbilt University grew the first influenza viral culture in embryonated hens’ eggs. This work lead to the development of the first flu vaccine in the late 1930’s. In 1940 the US military approved their use and they were used in the WWII.

Today’s vaccines are dramatically safer and more refined than those used 50 years ago. In February of every year, Public Health authorities, epidemiologists and molecular virologist look at the three most common Influenza strains from the preceding year. They make their recommendations according to which viruses were most common in their country. In Canada, we rely on Health Canada and the CDC in the U.S.A for these recommendations. These viruses are then ennoculated and grown in fertilized chicken eggs.

The 2011 Influenza vaccine also contains the H1N1 vaccine in addition to the three most common influenza strains from last year.

As of 2009, there were 70 clinical trials on the use of the influenza vaccine.
Realize that most of this science is targeted at the elderly who are in fact at highest risk of dying from the flu.

According to a 2006 Cochrane review, in a non-pandemic year, a person in the United States aged 50–64 is nearly ten times more likely to die an influenza-associated death than a younger person.

A person over age 65 is over ten times more likely to die an influenza-associated death than the 50–64 age group. Vaccination of those over age 65 reduces influenza-associated death by about 50%

However, it is unlikely that the vaccine completely explains the results since you could make the argument that elderly people who get vaccinated are probably more healthy and health-conscious than those who do not.
That being said- nothing is perfect- Just ask my eye concealer. Things let you down all the time.

We do our best in life dear girlfriends. I am still under 65 year old… tick tock. But I do care for those most vulnerable to the influenza virus and let’s be frank- I have to take an ativan just to have my hair done…. Three days in bed with the flu would pretty much kill my spirit more than anything.

So…. Here I am… fully inoculated while my immune system is as busy as the shoe department at Barney’s.

Nothing in life is guaranteed my dear cybersisters… but just as I do with my Visa card limit and the upcoming spring lines…. I try my best to hope for the best and sometimes just BELIEVE.

Tuesday, November 8, 2011

Voltair Was A Vegan... and so am I


Here’s the deal, dear girlfriends…. November is upon us and I have taken a stand. No I am not growing a mustache in the spirit of Movember (thank heavens for laser hair removal- or perhaps I could really take those dudes).

I have decided to spend the month as a vegan. Gasp shock or exclaim WTF?? But yes, for the thirty days of November, I will take lemons and make tofu.

I’ve given up all animal and dairy products and switched to plant based proteins. I have not had a piece of cheese in 8 days and I love cheese almost as much as I love shoes. I am now spending my days eating fruits, vegetables and plant based proteins (such as soy, and grains- the names of which I can not pronounce without a bit of practice.)

You know you are a vegan when the names of the food you eat need phonetics to help speak them properly. (Quinoa= Keen-Wah)

Understand that I have spent the last decade drastically modifying my approach to nutrition and exercise in a systematic pattern that has been anything but a fad.

So why for one month should I drastically change what I eat? Why give up eating anything that had parents. Well- I blame The Half Iron Man.

Here’s the deal- I have signed up for a half iron man race in May. Yes I know I need therapy but I figured after the year I have had with the mountains and the cross-country adventures that I needed something more. So apart from swimming the English Channel (which I did in fact look into- newsflash- it’s a NO GO) I wanted a new challenge for 2012.

In came the Half Iron man. In reading about this crazy motherfucker- yes this is what this endeavor will here-to-for be called – I came upon the writings and nutritional philosophy of Brendan Brazier.

Brendan’s an Iron Man athlete and a Vegan. He’s written a few books- one of which is called the Thrive Diet. This is not an endorsement of Brendan. Make no mistake- dude has a point- but some of his philosophies are a little too herbal for my liking.

Girlfriends- you know how I feel about the whole Yoga-Holistic-Organic shit. I take it with a grain of Himalayan red rock salt and call it a day….

Brendan’s got some interesting ideas about the body as a wonderland… and I as open minded about food as I am about fashion. Always worth a new look-see.

So I am trying it out for a month. As my cybersisters will know- I am NOT a Half- assed kind of girl… I am putting Almond Milk in my coffee and coconut water in my smoothies. Needless to say- my fibre content has now surpassed my shoe budget.

I have eaten more “super foods” in the last 8 days than I have worn little black dresses in my lifetime….
It’s been a journey.

It turns out 0.2% of North Americans and 0.4% of people in the UK are vegans. Vegans consume no animal based products including no dairy products. For some vegans- honey is also off the menu (bee vomit that it is).

A study published in the American Journal of Clinical Nutrition compared a vegan diet and a low fat diet over a 74-week period in a randomized pattern. Over 200 diabetic women were randomized to either a vegan diet or a low fat diet. Both diets resulted in similar weight loss but the vegan diet had statistically significant improvements in glycemic control and lipid profiles over the low fat –meat based diet.

A study published in the International Journal of Cancer in 2009 looked at the relationship between vegetarian diets and breast cancer risk in a prospective study. In a population of 37,600 British women with a wide range of diets there was no evidence for a strong association between either a vegetarian diet or total daily isoflavone intake and risk for breast cancer. The same study showed a lower risk of colon cancer in vegan woman than their meat-eating counterparts.

One final study in the British Cancer Journal in 2000 showed that vegan men had a 10-12% increase in testosterone levels and Insulin like peptide in the blood than do meat-eating men. There has been an extrapolation of this data to hypothesize that this may correlate to a lower risk of prostate cancer- the studies however are pending.

This leaves me- maybe a lower risk of colon cancer, no prostate and well… my breasts? Their just small- not safer.

One week down and 3 to go and I must admit I’m feeling pretty good. Perhaps it’s just a placebo effect or perhaps it’s my colon speaking to me in song… Maybe my body is thriving in the absence of the lions and tigers and bears that I normally subject it to. I do love the fruits and veg and I find the walks to Whole Foods with my beloved to “stock up” on Kamut and Hemp seeds and Chia to be some of the best parts of my day.

Eight days down, 22 to go- a nice little adventure that may teach me a thing or two. Maybe I’ll be nutritionally smarter at the end of all this… Maybe my skin will shine and my insides will be better than before. We’ll have to see what happens in December when I may in fact embark upon a cheese-tasting adventure will undoubtedly make the state of Wisconsin very proud….

Or perhaps I’ll just miss meat and that will be all. I’m trying not to read too much into the process. Make no mistakes- dear girlfriends- I’m strong in my beliefs- but I tend to confine my battles to the accessory counters at Barneys rather than the produce section at Whole Foods… Call me shallow? That’s just how I roll.

Tuesday, November 1, 2011

Blood Suckers


I’ve been staying in a lot of hotels these days my girlfriends…. Between the Cross Canada trip this summer and the conferences and work this fall, I am having my bed made more days in a month than not, I must say.

On the plus side, there is something to be said for maid service. Not having to clean up after oneself really is quite the treat.

Let me confess my cycbersisters…. I suck at making a bed. I have tried my best to master this task but my technique is alas subpar and really I can’t get the sheets to sit just right. Overall my hospital corners are in a word, pathetic and really I leave the bed in much of the same mess as I found it unmade to begin with.

So, it can be said that leaving my room in the morning and returning in the afternoon to have it magically transformed, bed made, towels cleaned and bathroom sparkling has become something I am getting frighteningly used to.

This is of course a problem because like a fabulous pair of strappy sandals…. All good things must come to an end.

But it got me thinking about how we tend to get used to certain behaviours in life.

When I was a little girl, my mother made my bed every morning. Even when I wanted to join the work force so to speak, Mama insisted on making the bed. This continued- I kid you not, my cybersisters- until I moved out and went to University.

Yes, dear girlfriends, I had my bed made for me for the first twenty something years of my life.

As such, I suck at making a bed. I mean really suck- my mother ruined me for a good set of hospital corners.

And now when I stay at hotels, I am left in a wonderland where my bed is magically made every day to the perfect maternal specificaltions I once knew.

And then came bedbugs.

I never really thought much about the little buggers until this past weekend while in New York City, me best friend and I had a little girls weekend. The moment we walked into the hotel, she began a bedbug check.

This apparently involves putting your luggage in the bathtub while you lift the sheets at thte corners and basically flip the bed in order to see if in fact you have “company”.

There we were- two fabulous women in a five star hotel (yes I wore heels) flipping a matteress for a vermin check. NONE. YAY.

Not only was I in NYC for the weekend (cue music) I did not have an infestation in my perfectly made bed.

Bedbugs were quite common during the first and second World Wars. They were pretty much eradicated after WWII but since 1995 have seen a resurgence.

The biggest health effect of bed bugs apart are skin rashes and allergic symptoms. Yah THAT and the psychological mine field of knowing a little insect is sucking your blood each night….

Diagnosis involves finding the source of the bugs and the offending rash on your skin. Treatment is purely symptomatic.

According to the CDA approximately 20% of all hotels in the USA have Bedbugs at some point in the year. Fear not dear girlfriends- there is a website of NYC hotels that do and do not have the little suckers….

And so on this day after Halloween, I am home in my own bed- my clothes unpacked, my shoes back in their boxes….

Today I made my own bed and I did a shitty job.

Yet I slept soundly last night knowing that I would not be an unforeseen blood donor to a bunch of pests wanting a free meal. My hotel was not on the bedbug list and yes, I did inspect every inch of my skin on several occasions to rule out the telltale rash…

Turns out this Halloween- I dressed up as neurotic.

Monday, October 24, 2011

The SKIN-E


Oh Girlfriends, it is my firm belief that the age of a woman directly correlates to the price of her face cream. The older you are… the higher the price.

Here’s the deal...

When I was in my twenties- moisturizer was like a mother’s advice…. It was some I used when absolutely necessary and only if in a crisis. I would get a sunburn on my face and find myself at the pharmacy with a jar of “after sun/aloe vera” in my hands ready to lather rinse and repeat.

In my thirties- I began to dabble in moisturizers. I never really knew which one to buy. Do I need to regenerate or should I just use a regular day/night cream? Did cost really mean that I was getting a better product or was my money better spent on footwear? Which company should I choose? Do I go for a French made fancy name that I can have several pronunciations depending on whom you ask or should it be a straightforward Oil of Olay kind of product?

Finally my cybersisters....WHERE should this product be bought? Should I consult a fancy make up counter for advice from some lovely woman who was wearing far too much perfume and equally far too much make up or should I fend for myself in the cosmetics isle at the pharmacy?

Decisions loomed in the air as my thirties whizzed by. I dabbled in one cream or another feeling that time was on my side as promises were made all in the name of youth, beauty and a good few dollars spent.

And then came forty. At 40 I was no longer dabbling. I was not leaving my face’s texture or future to chance. I was spending no less than $100 on something French and something with a name that had both a clinical edge and a bunch of accents over its letter.

There would be Chanel’s REGENERISTE whose price is that of a car payment for 2 fluid ounces of hope in a bottle.

The jar that holds this precious serum (insert sarcasm here) is stunning. It is a champagne coloured glass square with a gold embossed top. It weighs as much as a watermelon and holds only 60ml of cream. My science brain knows that whatever is in this little jar/brick/paperweight of broken dreams really will not keep its promises.

That does not stop me. I happily hand over my credit card and let the dream begin.

There we are in Holt Renfrew at the scene of the crime. The woman helping me at the CHANEL counter is called Maria and she is lovely; sweet, considerate and kissing my ass just enough to make me feel special. She comments on my handbag and tells me I ‘ve lost weight. Yes, somewhere another fairy gets her wings and here I am the latest sucker to be born that minute.

After an obnoxious amount on money is spent, I am sent home with my new jar of REGENRISTE (insert French accent here) and the cycle of madness continues.

According to an expose in the British Daily Mail, a jar of Crème de la Mer which retails for 350 British pounds contains only 25 British pounds worth of materials.

The skin care market in the US is a $2 billion dollar annual industry. Sales in 2008 in the premium skin care lines (defined as products over $70 per unit) grew more than 8%. Recession? Not when it comes to the face….

According to Information Resources, Inc. in 2008, Americans spent a total of $605.7 million for facial anti-aging products, $569.6 million for facial cleansers, $345 million for acne treatments, $320.4 million for facial moisturizers and $27.8 million for body anti-aging products.

A study published in Plastic and Reconstructive Surgery in 2010 looked at the ingredients of the high end face creams on the counters today.

Moisturizers are based on occlusive substances (petrolatum and dimethicone) and humectant substances (glycerin) with a variety of sunscreens and botanicals for added functionality and marketing impact.

Among the moisturizers examined (over 200 brands in total) 80 percent of the formulations had remarkably similar products regardless of what was added to the cream. The study found that regardless of whether the product is a facial foundation, an antiaging night cream, a sunscreen, a topical antioxidant, or a skin-lightening serum, the formulation is basically a moisturizer with some added botanicals and sunscreens.

There is no randomized trial in existence that compares one moisturizer to another.

And so my girlfriends this leaves me with my usual leap of faith…. Marketing. Am I weak? Perhaps. Easily influenced? Somewhat. I’m just a girl at the big 4-0 trying to find her way at the cosmetic counter. That being said as with most of my shopping endeavors I am always in search of a better way of life.

Tuesday, October 18, 2011

Fairytale Told


Confession time dear girlfriends… yes it’s Tuesday and I feel the need to spill. Who needs a shrink when you have the Internet I always say? I’m worried that in my older years I may becoming a little bit cynical.

Don’t laugh out loud…. I realize I am not the eternal optimist of our generation. I do have my hopeful qualities nonetheless…. I have faith that my perfect outfit is just around the corner.

Still somehow I have come to believe a fairytale is that bullshit story we tell ourselves in order to go to sleep at night. (Personally, I like to fall asleep to the sound of reality television playing in the background).

Remember when we were kids and the fairytale reigned supreme. Remember our role models growing up? Cinderella and Snow White and Rapunzell?

These bitches messed us up big time.

Good old Cinderella works her ass off for a family unit that treats her like a slave and one night POOF she goes to a ball in a great dress, leave her shoe at the door and walks away two days later as a princess.

Snow White cleaned up after 7 little men in what can only be considered a Disney version of a frat house. One day she meets a witch who poisons her (literally) but is rescued by a prince and with one kiss hits the mother load.

Rapunzel was locked in a castle with the need for a deep condition and sure enough she let her hair down and her world became magical.

Were these the women we were supposed to emulate? Work hard; suffer for the cause and one day your prince will come?

Remember the saying “Shoot for the moon and if you fall, at least you will catch a star’? Who in their right mind tells a child such horseshit?

Thereafter my bedtime fairytales became a series of aspiration indices. I remember from then on instantly thinking that the world owed me big time.

If I worked hard and paid my dues…. The world would stand and deliver. I studied hard in school and made sure I aced most tests. When you are in grade school doing exceptionally well on a scholastic endeavor is really not the sport of champions.

Let’s be honest- as long as you have a decent memory and are not into drugs and alcohol- junior high is pretty much a sure thing. Apart from my big hair, bad fashion choices and chubby misdemeanors, grade 7-10 were mine for the taking.

Years passed and I went on going to bed each night thinking that life was mine for the taking and I should in fact get a return on my investment whatever that may be.

It seemed like a logical thing in my mind- if I tried my best and worked hard and did what I was told…. Life would pay me back big time.

And then I learned that the world did NOT owe me and that sometimes…. Despite our best intentions we shoot for the moon and fall on our ass.

Case and point: I turned 16 and went for my drivers test. I had read all the manuals and practiced the drivers test until I was blue in the face. I was ready to be a licensed driver. I could parallel park for Canada. I was number one in my Drivers’ Ed class. I was the best student driver they had ever seen.

I failed my test on the first try. I hit the pylons trying to parallel park and was immediately ejected from the contest so to speak. I was crushed. Life was shit.

I shot for the moon and caught…. Shit. No stars, nothing. The world had officially let me down.

Yes, this was my right of passage and little did I know at the time that my first failure of many would not leave as big a scar on my psych as I thought.

Now a days I am faced with the constant realization that life sometimes does not make sense. Good decent people get really bad cancers and Snooky has her own book deal. Enough said.

I don’t mean to burst your optimistic bubbles… I do still want us all to dream big. I just think it’s time once in a while for us to face the fact that sometimes- our dreams are just that…. DREAMS.

Look- I would love to be a fashion stylist. I would love to spend my days sitting in the front rows of designer shows from Paris to Milan. But try as I might the closest I am going to get to New York City Fashion week is drinking a skinny latte while reading the fashion section of Sunday’s New York Times.

Once we learn that not everyone gets what she deserves in life we can in fact soldier on. I think it’s okay to dream as long as I realize it’s only just that- it’s me in my head and not me planning ahead.

Do remember Barbie? The bitch had everything? She had a great body and a perfect boyfriend and she looked good in polyester sparkles? Hell she even had a pink camper van. Did I want to BE Barbie? Not really…. But for the hour or so each night that I dressed that blonde bombshell up and pranced her around my basement- I was okay with a world where a broad like Barbie just did not exist.

Back then my expectations were suspended and I could just dream.

I wonder when it all went wrong…. When we no longer just wanted to play with the blonde in the sequence ball gown- instead we got it into our heads that we wanted to BE the blonde in the sequence ball gown.

Remember how I told you I failed my drivers’ test the first time out? Three months later- I took the test again and passed. Twenty-five years later- I hate driving and would prefer a driver to a license any day.

As study published in the New York Times in 2010 showed that 70% of women were disillusioned with their sex lives, 30% were disillusioned with their relationships and 45% were disillusioned with motherhood. 65% of women were disenchanted with their jobs and career… there is a unity in what we want to do over, no?

Should we tell our daughters to just settle in or should we still encourage them to “dream big”? I wonder. I have two nieces whom I love to death and I am always telling them that they can be whatever they want to. Am I doing them a big disservice? Should I instead tell them to balance their expectations with their level of commitment taking into account their own limitations from a socioeconomic standpoint?

What the Fuck? I catch myself saying those words out loud; dear girlfriends and I want to smack my own mouth.

Here I am working it through. Most of the time this blog is for my cyber sisters… to learn and be entertained… Today this blog’s for the little girl in all of us who lost her way along the way… for the one who forgot to dress up last week just because she could.

For even I, on this moist cynical of Tuesdays, I have learned that I should still dream. I can still put on a great pair of Dior boots after a bad day and walk around the house and pretend I have somewhere fabulous and important to go. I can forget about matching my expectations with my reality and I can suspend belief for long enough to know that although that skirt is not age or work appropriate…. I am Cinderella and my time is now.

Thanks for listening to my rant, my sisters of mercy. If you will excuse me- I must fetch old Barbie out of storage and go dwell in the possibilities.

Tuesday, October 11, 2011

Dental Damns


Yes, I have been to the Dentist. I do try and go every six months for a good cleaning and check up. Unfortunately as my lovely Dentist will attest to- I suck at keeping appointments. I am forever changing and rescheduling. It’s not that my teeth aren’t a priority…. They are. It’s just… well… I suck at the self maintenance thing.

Here’s the deal… between the hair root touch up every six weeks, the hair cuts every 8 weeks and the eyebrow groom (don’t poke fun- have you seen my brows?) every 3 months…. I’m tapped out. Factor in a routine medial exam annually along with time for fasting blood work (I hate going without the coffee in the morning) and I’m fully booked. Then my bike needs a tune up every 6 weeks. Along with all the other duties a girlfriends gotta do and I’m locked up. After a while, the dentist becomes an after thought.

But here’s the thing…. My gums are receding. No shit…. I kid you not. I have spent a lifetime trying to make every other part of my body look smaller (my hair, my uni brow, my ass) and here I am finally getting my shrinking wish. MOTHERFUNHOUSE. What is that? Is God now a girlfriend with shitty cell phone reception.

There I was a hefty little kid lying in bed praying to the goddess for a smaller waist size… Did she finally get the message all these years later only to screw it up? I said BUM God damn it NOT GUMS? What is that?

Yet here I am being told that I have “pockets” between where my teeth should be.

This is not the first time I have heard such news…. When I was in my twenties I had to see a periodontist who did some God Awful gum work surgery on me (the surgery I am sure was excellent- it was god awful in that it was truly unpleasant) because I am told that I have small gums to begin with.

Great. The goddess divides. Big ass… small gums…. Huge hair… no chest…. Big Brain…. Small attention span. Big shoe fettish… small closet space… Lovely.

According to a study published in the American Journal of Orthodontics and Dentofacial Orthopedics in 2008, gingival recession (fancy words for gum shrinkage) is actually quite common. Approximately 15% of young people presenting to a dentist’s office for routine exam have it. It is most commonly related to previous orthodontic treatment or oral piercing.

This study looked at risk factors for gingival recession in a young healhy Israeli population. Of the 303 people randomly selected the most common risks for recession included age and whether or not the subjects had had braces. The average age of people in this study was 32.

There was no correlation in the study between smoking habits or gingivitis and gum recession.

An older population studied in Turkey of 831 people with an average age of 52 showed a much higher rate of gingival recession.

The average rate of recession was 78.2% in this population. The study involved a statistical model that looked at a multiple regression analysis to look at what risk factors contribute to gingival recession. The analysis showed that age, smoking duration and traumatic toothbrushing increased risk of gum shrinkage. Gingival recession has also been linked to a high frenum. ANATOMY ALERT Girlfriends… a frenum is that ridge between your two front teeth that connects your gums to your upper lip.

So there you have it. I’m getting older and maybe I’m brushing a little too hard… either way… one day I will have to have plastic surgery on my… gums. No breast implants, no facial fillers…. Just a small intimate gum enhancement.

Life has a fabulous sense of humor. Doesn’t it my sisters? Have a fabulous week and don’t forget to floss… be good to your gums my girlfriends. You never know when they will disappear on you.

Tuesday, October 4, 2011

A Sunshine State


Greetings from sunny Florida dear girlfriends…. I must admit, I did not think I’d ever find myself in Orlando anytime soon.

Afterall, I am nowhere near retirement (as a work-a-holic, perish the thought) and well, quite frankly, Disney gives me a rash so Florida was never really one of my travel destinations.

You do never know where life will take you and so when the Obesity 2011 conference is being held in the “happiest place on earth” I convinced myself that my Roberto Cavalli caftan needed one last spin before winter and here I am…poolside….learning.

Let’s be clear girlfriends- I’m not going to DisneyWorld. I realize it is not just for children but I’ve never been a big fan of Disney. Never mind the marketing and the weird twisty message (all those sad maidens cleaning houses waiting for their Princes) I just don’t get it. It really is not my scene.

Afterall, the only fairytale character I could ever identify with was the witch in Hansel and Gretel. I know many of you are now horrified, but really… you build a dreamhouse out of gingerbread and some little bitch comes by and takes a bite out of it? Who among us would not stick the little shit in the basement and use her brother for bouille base?

No, this afternoon I will not be going to Epcot centre to tour the world…. If I want to see the world, I can be sure it will not find me in Florida. Florida is for sunworship and oranges. So here I sit pooliside (yes I was at the conference ALL day Sunday and Monday) with an orange Margharita , some sunblock and a very good book.

SO! I thought I’d take this break from learning for a little bit of my own research…

Do you ever notice dear girlfriends that at a pool or beach, you are never the one with that fabulous deep tan? Are you? No worries, I am not THAT one either. Make no mistake- I AM the one with the fabulous sunglasses and an unrealistic sense of self esteem when it comes to being in a bathing suit… (I blame my parents, by the by, for instilling in me too much of the “you can do anything” attitude- yes, that and the margarita I usually have on an empty stomach…. In a woman who has the alcohol tolerance of an eight year old…. Put it all together and I think I’m waaaaay too okay for being a chubby white girl in a bikini.)

But here’s the deal with tanning….

As I get older I’m starting to get just a little bit sun shy. Not enough “sun shy” to keep me out of the sun entirely… I am an ethnic girl after all and we do look better when our olive skin is in fact more olive. But I have noticed that once you start tanning- you find it a challenge to stop.

I had a wicked tan this summer. I did after all spend three weeks on a bike and sunscreen be damned I got me some colour. It is now almost a month since my “days in the sun” and I notice my healthy glow is starting to fade.

SO here I sit poolside…. On a mission. Darken it up one last time before I settle in for a long winter. It is like a Vitamin D binge fest before hybernation, No?

No. According to a study published in 2005 in the Journal of Addiction Biology… I may indeed have a problem. A substance abuse problem. And to think my shoe issue was not enough to handle.

The evidence suggests that frequent exposure to Ultraviolet radiation has the potential to become addictive. The researchers looked at Magnetic resonance Imagery and PET scans of people exposed to UV light through tanning bed before and after a treatment and found that the brain “lights up” in the reward centres of the brain in response to regular UV exposure. The results are similar to when a person is given a drug or a dessert.

The subjects in this study were repeated tanning bed users. The subjects were also subjected to study questionairres. Based on their answers more than 75% of the “frequent tanners” met criteria for a substance abuse disorder based on their answers. The investigators decided to go a step further.

They recruited a small group of people from tanning salons who frequent tanners (meaning they liked to go three times a week to maintain their tan… yes… think Jersey Shores). These subjects agreed to be injected with a radioisotope and then were subjected to both PET scans and MRI’s to look at where the brain activity was most stimulated after tanning. This allowed researchers to monitor how tanning affected their subjects’ brain activity.
On one occasion, the study subjects experienced a normal tanning session. But on another occasion, the researchers used a special filter that blocked only the UV light, although the tanners weren’t told of the change.

Brain images later showed that during regular tanning sessions, when the study subjects were exposed to UV rays, several key areas of the brain lighted up. Among those areas were the dorsal striatum, the left anterior insula and part of the orbitofrontal cortex – all areas that have been implicated in addiction. But when the UV light was filtered out, those areas of the brain showed far less activity.

The researchers also found evidence that the tanners appeared to know — on a subconscious level, at least — when they had undergone sham tanning sessions and not received their usual dose of UV rays. The tanners, questioned after each session, expressed less desire to tan after the real sessions, indicating they had gotten their fill. But on days when the tanners were unknowingly deprived of the UV rays, their desire to tan after the session remained as high as it was before the session began.
Where does that leave me? It leaves me poolside battling a new addiction that I am less than comfortable with. Never mind the skin cancer risks…. I’m forty for Shit’s sake. My skin can’t handle the pressure.

And so dear girlfriednds… figuring my Dorsal Striatum has enough to deal with and is already pre-conditioned, you will excuse me if I go upstairs to my room and change out of my Roberto Cavalli caftan and into my shoe shopping outfit…. I hear there is a fabulous outlet mall just a short cab ride away from my hotel that should do just fine to appease my midbrain’s need for addiction….. Screw Disneyworld, my cybersisters…. THAT mall is the happiest place on earth.