breast cancerIt’s likely that you or someone you know has been affected by breast cancer. Studies indicate that 1 in 8 women will be diagnosed with breast cancer in their lifetime. This staggering number makes breast cancer the second leading cause of death among women, and an important reason to pay attention to your breast health, not just in October…but every day of the year.

Women spend a great deal of time tending to the needs of others. Whether you work full time or are a stay-at-home-mom, there’s always something that needs your attention. If a child or family member gets sick, women are usually on the front lines, ready to take action and care for a loved one in need. If the PTA calls asking for an extra two-dozen cupcakes for an upcoming fundraiser, or your boss needs you to attend an after-hours event with a new client, it’s often difficult to “just say no”. Always with good intentions, women end up neglecting their own health and any warning signs that may go along with an illness because they are helping others. It’s important to know, breast cancer does have a higher success rate for a cure when caught early, so awareness is the first step to a healthy, cancer-free you.

It’s still unknown why people develop breast cancer, however experts do know that breast cancer occurs when cells start to develop abnormally. Dividing more quickly than healthy cells, a “lump” can form within the breast tissue, lymph nodes or other parts of your body. Although it’s more common for women to develop breast cancer, it can affect men as well. Obesity, age, sedentary life, and a family history of breast cancer increase the risk for developing breast cancer. More recently, it’s been discovered that certain genetic gene mutations such as BRCA1 and BRCA2 also increases likelihood. Unfortunately these same genes can also increase the risk of other cancers, such as ovarian cancer.

Genetic testing may be considered if there’s a family history of breast cancer. Simple blood or saliva tests are used to identify any inherited mutations in BRCA or other genes.

Because a new lump or mass is the most common sign of breast cancer, it’s important to be aware of changes to your body. Regular mammogram screenings have decreased the number of advanced breast cancers, making it an important appointment to make when scheduling your well visits. Fifteen percent of breast cancers cannot be detected on mammograms, making self-exams another key component of your wellness routine.

Other breast cancer symptoms to watch for include breast size changes, swelling, skin irritation, breast or nipple pain, or inverted nipples, puckering of the breast skin or discharge from the breasts that is not related to child rearing. Breast cancer treatment has come a long way as more and more research and funds are invested into identifying the cause of breast cancer. As women are becoming more in tune with their bodies, they are learning the importance of   putting themselves first.

It’s important to take your health seriously, and scheduling regular well visits offers optimum health benefits that aren’t just essential for your quality of life, but for your family as well.

Dr. Raman’s Concierge Medical Practice is focused on caring for each patient’s individual needs with comprehensive, individualized treatment options and health programs.

For more information or to schedule an appointment, please CONTACT our office today! You can also learn more by connecting with Dr. Raman on FacebookTwitterLinkedIn, and Pinterest.

healthy snacksHaving been vegetarian for most of my life, nutrition was not always an easy path because of the limited food choices available. There weren’t as many plant-based foods as there is now. Back when I was growing up, there was no such thing as a “veggie burger.”  If you wanted a veggie burger, you ordered “Big Mac minus the meat.” Talk about ‘deer in the headlight stares’ every time I placed my order.

Fast-forward to 2014 when gluten sensitivities entered into my already scant food menu. The reactions were severe enough that even one bite of gluten would leave me inflamed and sick for days.

My love-hate relationship with food ended up being the biggest blessing in disguise. To be honest, I enjoyed the study of fitness and body movements more than I did about the role of nutrition in the healing process. But now, I had no choice but to understand why certain foods affected us the way it did.

As I began to understand the process of how crops were grown to how they made their way onto the shelves, I knew it was time for another change in this journey. It was then that I decided to make a conscious choice to eliminate dairy from my diet.

With no meat, no gluten, and no dairy available on my list, I developed a frustration with nutrition. Initially it was a daily struggle to find something that quenched my hunger and satisfied my cravings.

I knew there were endless combinations that would have allowed me to be creative in whipping up some unique delicacies. There were also certainly no limits on the number of online resources had I just googled “gluten-free vegan food.” But the truth was, I didn’t have enough patience to be creative. This led me back to resorting to all of the processed foods I worked so hard to walk away from.

Don’t get me wrong, I do love to cook and am pretty good at it when I take the time and stay present with the process of creating.

A few weeks of eating from a box left me feeling swollen, tired, anxious and imbalanced.

That was when I accepted that nutrition was more than just eating. Nutrition was life.

I had to be realistic and straight and transparent with myself on how much time I wanted to spend in the kitchen. So, I quickly learned to put together recipes that were easy, nutritionally dense and could be made in batches and stored.

No doubt a huge learning curve for someone who would rather be doing anything else other than spending time in the kitchen. But it was where I needed to be!

I am still learning.  The kitchen may look like a tornado struck the same spot twice, but in the whirlwind of the chaos emerges the essence of healing-nutrition!

Listen, the pandemic has knocked us off of everything we knew to be safe. So if you , like many others, put on a few pounds during this time, don’t sweat it. If your anxiety levels are escalating thinking of the winter days ahead, don’t sweat it.

The body is magnificent and can reset with a little discipline and effort.

Just to have some fun this month and to get you motivated in the process, I want to share with you three of my favorite original recipes. These are by no means an elaborate creation. But for me, they satisfy my sweet cravings and bring comfort to my soul. I hope they do the same for you.

 

  1. Banana Energy Bites:

1 banana

¼ cup chopped nuts of your choice

¼ cup sweetened Baker’s coconut

½ cup peanut butter

½ – ¾ cup mini chocolate chips

1 scoop protein powder (optional)

2 tablespoons maple syrup or honey

Mix all ingredients in large bowl. Spread into greased 9 x 13 pan or make into equal size balls. Place in fridge for 3 hours. Can place in freezer if prefer more crunchier texture. Cut into squares.

Enjoy for breakfast or mid-day snack.

 

  1. Indian lentil soup

1 cup lentils (any variety)

Choice of any vegetables-fresh, chopped

1 onion

2 bay leaves

4 cloves

4 cloves garlic

1 inch piece of ginger grated

½ stick cinnamon

1 tsp fennel seeds

2 tablespoons oil

Curry masala powder (available at any ethnic grocery store)

Red chili powder (optional for spicier variety)

Salt to taste

½ can coconut milk (optional)

Chopped coriander to garnish

Soak lentils for 3-4 hours.

In large pain, heat oil. Once heated, add fennel seeds. Allow it to turn slightly brown. Then add onions, bay leaves, cloves, garlic, ginger, cinnamon. Saute until brown. Add vegetables and saute. Add 2 tsp masala powder and salt. Mix so vegetables are fully coated.

Drain lentils and add to mixture. Mix thoroughly. Add 2 tsp more masala powder (adjust to taste) and red chili powder (if desired) and salt.

Add enough water to cover to top of lentil mixture. Cover with lid on medium heat. Stirring occasionally. Continue to add more water until lentils have cooked.

Add ½ can of coconut milk and allow to boil for 5 minutes.

Turn off stove and garnish with coriander leaves.

Enjoy as a soup, with naan or on top of warm fluffy rice.

 

  1. Cream Cheese Sandwich (Can substitute dairy free spread cheese and gluten free bread)

1 tub cream cheese

1 shredded cucumber

1 finely chopped red bell pepper

¼ cup shredded carrots

Red chili powder

Paparika

Indian Chaat masala (optional. Available at Asian grocery stores)

Salt to taste

Mix cream cheese, cucumber, bell pepper, carrots. Whip until frothy. Add desired taste of chili powder, paparika, chaat masala and salt. Store in refrigerator in air tight container.

Enjoy on bread, dollar rolls, crackers. Or use as your favorite vegetable dip.

 

These are just a few fun creations I enjoy having around and hope it will spark the same for you.

Planning ahead and understanding how important nutrition is in our healing allows for us to live a life that can be enjoyed without having to compromise on some our favorites.

I am by no means a recipe developer. I am just a girl with a sweet tooth who values the meaning of living your best life, but knows it is perfectly ok to have your cake and eat it too!

Dr. Raman’s Concierge Medical Practice is focused on caring for each person as a whole, not just a list of symptoms. Our office is committed to helping our patients stay well and maintain good health rather than treating patients only after they become ill.

For more information or to schedule an appointment with Dr. Raman, please contact us today.

There are so many articles out there about an improperly functioning thyroid, it is hard to know where to begin! Let’s start at the top. How many of these symptoms describe you?Improperly Functioning Thyroid

  • Extreme fatigue
  • Weight gain
  • Irritability
  • Muscle aches
  • Depression
  • Rapid hair graying
  • Decreased libido
  • And too many other “little issues attributed to aging”

These little issues could be caused by a small gland with some big responsibilities. That gland is your thyroid.

The thyroid gland produces and stores hormones through an integral and complex pathway that is directly linked to your hormones and adrenals. The thyroid plays a part in EVERYTHING AND EVERY CELL IN YOUR BODY. It is butterfly-shaped and is found in the lower part of the neck, wrapped around the trachea.

Hypothyroidism: A Common Condition, But Frequently Misdiagnosed

Hypothyroidism is a condition where the body, for various reasons, doesn’t produce enough thyroid hormone or is unable to utilize the thyroid at a cellular level. No matter what the cause, this diagnosis has debilitating and frustrating consequences.

Being diagnosed with hypothyroid myself in 2002, I have spent the last 13 years researching, studying,
and understanding the complexity of this “little gland.”

According to the U.S. Department of Health and Human Services, about 4.6 percent of the U.S. population (approximately 18 million people) age 12 and older has hypothyroidism. As prevalent as hypothyroidism is, most people are not correctly diagnosed when they first present symptoms to their doctors because there is not a standard interpretation criteria for screening tests—meaning that one doctor may think a slight dip below the normal range is acceptable while others would argue otherwise.

Your thyroid can be affected if your adrenals are not balanced or if your hormones are constantly fluctuating. Due to the minute-to-minute variability of ALL the hormones in your body, patients are often under-diagnosed.

A single thyroid level test is insufficient to make the determination of hypothyroidism.

Many other thyroid levels also need to be checked. These could include TSH, Free T4, Free T3, Thyroid Peroxidase Antibody, Thyroglobulin Antibody, Magnesium, Iron, Zinc, Vitamin D, Hormones and Cortisol.

A patient who self-educates and self-advocates is in the best position to work collaboratively with his or her doctor to determine the best course of treatment for the symptoms and diagnosis of hypothyroidism. Self-advocacy is much easier when you choose a doctor who has experience in recognizing the symptoms of hypothyroidism as well as other hormonal conditions such as diabetes and adrenal gland issues.

Treatment of Hypothyroidism

Once hypothyroidism is diagnosed, there are many treatment options that need to be considered. Synthetic thyroid (Synthroid or Levoxyl) medication is not the only option. There are T3-only medications such as Cytomel or combination of T4 and T3 medications such as Armour Thyroid or Nature Thyroid. Patients even have the option of having their thyroid medication compounded with an accredited compounding pharmacy.

Hypothyroidism is not a cookie-cutter diagnosis and neither should be the treatment.

It is extremely important to work closely with your physician to monitor symptoms and continue to regularly check your thyroid levels.

The discussion of thyroid disease is more extensive than I can capture in a single blog post. In my 15 years of practicing primary care, I have diagnosed and corrected misdiagnoses of many patients with hypothyroidism. I understand and have experienced every symptom you may be having. I know the frustrations, I understand the suffering and I continue to live with this diagnosis everyday.

If you are suffering from any symptoms that are interfering with your life, Please contact our office today to schedule an appointment.

Dr. Raman’s Concierge Medical Practice is focused on caring for each person as a whole, not just a list of symptoms. Our office is committed to helping our patients stay well and maintain good health rather than treating patients only after they become ill.

For more information or to schedule an appointment with Dr. Raman, please contact us today.

concierge medicineIt feels like every week the world becomes a little more upside-down and inside out. What do we believe? Who do we believe? How do we make the simple day to day decisions that once took mere seconds have now extended into days? When will the vaccine be ready? Will a vaccine be ready? Where do I go to get tested? Can I have my antibody levels checked? What do I do about sending my kids to school in the fall when I am scared to let them out of my sight? And the list goes on and on……

The truth is, I don’t know that any of us have the answers –  it is okay not to know. It is perfectly okay to be feeling everything you are feeling. Don’t dismiss it. Don’t justify it. Don’t talk yourself out of it. Accept that everything you are feeling is legit and valid.

I have spent a great deal of time during these last four months in meditation and introspection.  My intention for these monthly articles is to always in some small way inspire each of you. But what do I write about that isn’t already out there? How can we have a conversation that doesn’t include a left or right or an up or a down? How can I translate my thoughts into words and hope it will inspire a wave of health and healing?

The only way I know how to do that is to be myself. Raw and authentic.

I thought I would share the story of how I came to practice with the principles and beliefs that I hold.

There was a time in my early years of practice when my patient schedule would be bookmarked with 20+ patients, all spaced in increments of 15 minutes.  I barely had time to say ‘Hi’ to them and next thing I knew, I was walking out the door. There was no time to ask them how they were doing or how the family, kids, or work life was going. We had time to address only one problem at each visit, leaving the rest for a future appointment.

I will never forget the day that I decided I needed to make a change. It was March 2011, and as usual my schedule was double booked with no breaks in sight. As a person who is time conscious, I make it a point to stay on time, but one small set back in the day would put me behind by at least an hour. The day started like any other. I was feeling good that I was on schedule and the stars were aligning.  By late morning, a quick 5 minute break opened. I felt like I hit the jackpot.  I walked into to see my next patient before that break, only to find out her beloved husband had suddenly died.  How could I leave her in the middle of her anguished tears just because the timer on the 15 minutes was ticking down? I couldn’t! So I stayed there to be with her.

I was very well aware of the angry patients that began to line up after her. They also had places to go, things to do, people to see. However, I couldn’t bring myself to tell her that our time was finished. I wanted to give her the respect of my time as she began telling me about the special love she shared with her soulmate for over 50 years.

I also knew it was not fair to the others who were waiting after her because their time was just as important and valuable.

The internal tug-o-war was too much for me to handle. Both pulled at my heart strings and I didn’t know what the right thing to do was. Stay and comfort or politely excuse myself?

It was in that moment I knew I couldn’t do this anymore.  How was I to take care of somebody in 15 minutes when they were placing so much trust in me to help them?

I went home that night 2 hours behind schedule only to collapse into a pool of defeat.

When I graduated from medical school, I took the oath “First Do No Harm,”  NOT  “First Do No Harm but only for 15 minutes!”

This realization left me with no choice except to make the decision to change to Concierge Medicine.

In September 2011, I began my new practice. There was an exponential learning curve during those initial days.  I had to give myself permission to take my time. I had to get used to the fact that there was no reason for me to rush. What a feeling of freedom and joy I had!!  Nine years later, my patients have become like family. I cherish hearing their stories. I relish in their experiences, and I rejoice in their healing.

Concierge medicine has allowed me to scale down my patient volume from having a panel of 3000 patients to a panel of 300 patients.  This gave me the opportunity to take care of patients in a way I never thought possible. The concept of Concierge Medicine has only come to the forefront in recent years. As more focus is directed towards preventative medicine, concierge practices will soon become mainstream medicine. The last nine years have offered me the opportunity to engage in full dialogue with each one of you. I no longer feel a sense of urgency to stop the appointments in mid-sentence in an effort to stay on time. For me, the most profound experience has been the process of learning together with my patients. I always say I don’t have all the answers, but why not find out together? To engage in dialogue that brings about mutual growth and discovery is the best platform I know how to offer.

The time gives me the chance to earn your trust and I hope it allows you to feel heard.

We don’t always get it right – but we always have something to work towards.

Why I am writing about this now is because everything around us, outside of us and inside of us, is chaos and confusion.  When equal trust spans between physician-patient, you know you have an anchor to always hold onto.

Practicing Concierge Medicine is the reason my bond with each of you allows me the space to say “You know what? I don’t know what is going to happen.  I don’t know when things are going to be okay, but together we will figure it out.”

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health,  CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on FacebookTwitterLinkedIn and Pinterest.

5 reasons to spend more time outsideAs the sun glares over the horizon, the warmth of its rays welcomes us to come be present with nature in the great outdoors.

After nearly 10 weeks of doing what is best for our nation and the people of it, we began to sense the door was cracking just enough to raise our excitement.

However, this doesn’t mean it is business as usual. I caution you not to fall into the patterns of previous behaviors. We are not even close to being out of the woods.

But with what we have learnt about the Coronavirus, making smart and safe decisions can ensure we keep ourselves and others safe while being able to enjoy the summer days ahead.

We are still in the nucleus of a pandemic – and unless safe guidelines are in place, even outdoor fun can put us in a major setback.

When I intended to write on this topic a couple of weeks ago, it looked very different in my mind than it does now.

How can we ignore what is happening in our streets, in every corner of our world and within every community that surrounds our lives. All of this while a virus, known as Covid, continues to silently tear through leaving a painful path of its presence.

How are we to make sense of any of what is happening while continuing to live our day to day lives? I don’t know that we can.

But getting outdoors maybe the best possible thing we can do right now.

Here are just some ideas on how to spend more time outside this summer to get you started while still staying safe.

  1. Family picnics. Go back to the good ole days with a blanket on the ground, homemade sandwiches and the lingering scent of bug spray. After a satisfying meal, just lay back and look at the massive painting of stars, each one waiting for you to make a wish.  Such simplicity.
  2. Ice cream stroll. How fun! Load up the family, after all who can’t be bribed with ice cream, and visit your local ice cream parlor. Make it a to-go order and enjoy the savory summer treats while strolling the streets of your community.  What a wonderful way to support local business, get to know your neighbors and be out in nature. Everyone wins.
  3. Family tag. Ok. You may have a little trouble getting the older ones off their screen for this one, but it may be worth a try. Do you remember the game of freeze tag? The game goes like this, if you are tagged, you have to freeze and cannot move until someone untags you? Oh boy, do I remember.  We played this all the time and I would constantly pull pranks on my friends. Right before we would begin to play, I would tell my friends that the only coolest kid was able to drink five glasses of water in 2 minutes. And I double dared them to do it. And they did. By the time the game started, they all were running around with a full bladder.  When they were tagged, they would lose right away because they were unable to stand still because they had to pee so bad! So, I won most of the time, until they caught on to my ploy. It is a blast. You should try it with the family minus the water prank, unless you are competitive like me and really want to win. It is hilarious to watch and keeps everyone hydrated.
  4. Backyard camping. How much lower maintenance camping can you get than this? Pitch a tent or roll out the sleeping back in the privacy of your own back yard. Take in the cool night breeze and reflect on how the last 10+ weeks have brought us all back to the way life is supposed to be lived.
  5. Car roof chats. If it is just a night with the two of you or you are in need of some alone time, why not climb to the rooftop of the car and enjoy conversations with each other or yourself from a different vantage point? It is amazing how a change in location can bring clarity to thoughts and feelings. It is worth finding out, right?

My friends, this was a challenging task to write this blog.  I wanted to find a way to write on a topic that was light but in no way take away from the reality of the darkness that surrounds us.

I DO NOT want to diminish the magnitude of healing that still awaits us. Our hearts are heavy and our spirits are weary. But if we don’t find ways to take care ourselves, how can we hold up our brothers and sisters?

In the few minutes you spend reading this blog, my hope is you place down all the burdens being carried upon you and remind yourself that the world is good and it will once again become our home.

As we are caught in between the splintered worlds of the unknowns, the only thing I know how to do is extend my hand.

I hope being in the embrace of nature allows you to find the solace within the inertia of more questions and not enough answers.

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health,  CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on FacebookTwitterLinkedIn and Pinterest.

Two months.giving back during COVID-19

That is how long it has been since life threw us into a sea of unknowns.  With the destruction of our normalcy and the alienation of our basic need for human touch, the Coronavirus has left behind a trail of unforgiving reminders of disbelief and shock.  But even still, from the depths of this despair, heroes have emerged. And the human race has once again united into a melting pot of compassion in a fight for global healing.

Have any of us ever seen, experienced or lived through anything like this?

I know for me, the last two months have been an extensive time of reflection, healing and self-expression. It has been the start of a time in my life that has offered me a humble opportunity to serve humanity in ways I couldn’t be more thankful for. But, I still ache to do more. 

Many have told me how helpless they feel and have asked how they could become part of the circle of healing hands that is so desperately needed around the world.

That gave me the idea for this month’s blog.

Although the Internet offers multitudes of organizations looking for volunteers, it can become overwhelming and confusing.  So if are wanting to become a part of this movement of giving back during COVID-19 while #StayingHome and #SavingLives, try some of these simple ideas.

  1. Online tutoring. In a few short days, schools around the US will be closing out the 2019-2020 academic year. We must not forget how this pandemic has affected the youngest of our humans and the adults who care for them. With little warning, teachers were thrust into going from a classroom based curriculum to an online schedule, while still trying to maintain the same level of teaching and discipline. Many students may have struggled with adjusting to computer based learning, causing them to fall behind on their academic potential. In an effort to keep the learning gap small, tutoring is a much needed service to help students stay on track.  Virus or no virus, education must go on. Reach out to your local school district and see how you can help mentor the children of the future.

  2. Sewing. I know many of you are already involved in some form of PPE design and donation. On behalf of all of the essential workers, our most sincere and humble gratitude! Sewing is one of my favorite hobbies. The therapeutic hum of the sewing machine is so cathartic on those stressful days. I belong to a non-for -profit group that has continued to sew masks for various hospitals, homeless shelters, and nursing homes. The need is great! Masks will be part of our lives indefinitely and we can never have enough. If all you can do is thread a needle, we will take it.  Help is needed to order fabric and replenishing sewing supplies. Even help with cutting the fabric is vital. Whatever way you can volunteer, it is going towards something great. Every stitch and every hand brings us together.

  3. Calling all cooks. Are you a genius in the kitchen? Or just love being there? Food is desperately needed all throughout the communities. Various organizations are heading up food deliveries everywhere. Whether you offer to buy the groceries or drop them off, your help is invaluable. Vulnerable, high-risk volunteers who want to help but are afraid of becoming exposed can still help by staying safe and preparing meals in their own kitchen. The prepared meal will then be taken to the needed locations by other volunteers. PBJ sandwiches count. Anything that feeds the soul. #StayHome #SaveLives.

  4. Photography. No doubt, these are milestone moments. Whether you choose to forget them or cherish them, these unforgettable family times maybe worth grabbing that Kodak moment. We can look back and say, “Hey, remember how we spent 24/7 for what felt like a gazillion years?” So if you love looking through the lens, how about offering to take portraits for family, friends or neighbors from across the street maintaining the six-feet distance? This small act of love will do amazing things for families going through hard times.

  5. Online learning. This is absolutely one of my favorite ways to give back. Look, let’s face it. The next few months and maybe years, connection through the cyber portal will be the new normal. We can either choose to wait to go back to “normal” or we can CREATE our normal. With the online platform, learning has exploded into an infinite canvas of creativity.
    I would like to share a small example of this. You see, I absolutely love fashion.  If I didn’t go into medicine, my back up plan was to enter into fashion design, albeit, I can barely draw a stick figure.  One of my friends, who has studied and taught fashion design, knows how crazy I am about this. Out of her generous kindness, she offered to teach me. I can’t tell you what this simple gesture has done for my morale.  This is something I never would have even thought to do in our “old normal.”  

    If you have a talent, share it with the world!! We need it now more than ever.  You can teach someone to draw, paint, cook, sew, sing, dance, speak a language, learn computer programs or play an instrument.   If you are handy, conduct a home repair workshop. Lead your friends through a guided meditation. If organizational skills are your forte, get online with your friend or friends and walk them through the best way to organize their space. The possibilities are endless. We know these services are all available on YouTube. But, wouldn’t it be so much better learning from someone you know and who knows you?   Think of all the things you do in your everyday life that brings you joy. Take that light and spread it to a whole online community that will become a little happier and little healthier just by your sharing.

The actions of each one of us MATTERS! No one service is greater than the other.

You don’t’ have to be on the frontlines of a NY hospital to make an impact. Your simple acts of kindness plays a CRUCIAL role in keeping people out of there. So, don’t underestimate who you are and what you can do.

I don’t think of us as Frontline workers, but rather as FRONTLINE HEALERS.  While this virus has physically distanced us, it can NEVER break the spirit that connects us.

One final note, the virus is still amongst us. Be smart. Be safe.


covid-19 one month laterI can’t believe it has been just ONE month since every conversation, every thought, and every move of our life has fallen mercy to this bully we call COVID-19. Could we have ever imagined this is how we would be living life, at least for a short time anyway? Just when we feel we have understood a minuscule part of this eluding novelty, it reminds us of how little we really do know.

But do we need to standby and take this? Well, yes because it is staring right at us, and no because we have the power to fight back!

Hear me out. I want to diverge from the normal medical tone that is often written in my blogs to one of motivating the human spirit. Anyone that says they are not scared clearly has not understood the gravity of the situation. But being scared doesn’t mean we have to give into the fear.

What is fear? Fear is when we feel we have lost control of a situation. It is the uncertainty of not knowing where we are going, how long it will last, and whether we will reach the end of a situation safely.  Fear is taking your hands off the steering wheel in a car that is going 100mph.

There truly is so much to be scared of here. It is scary not knowing who the virus will take down next and how it will do it. It is petrifying to know there is not yet a PROVEN treatment or approved vaccine. It is gut-wrenching to watch your friends and colleagues keep a smile while crumbling on the inside.  There is also an overwhelming sense of desperation to want to do more to help, but somehow can’t because the best thing we can do is stay away and stay home.

If any one of the things I mentioned above hit a nerve, join the club. Every single one of those things is exactly what keeps me up at night.

The truth is, neither you nor I can control any of those things! We can’t speed up the vaccine trials. We can’t control when drug testing can safely be completed. And we certainly can’t predict (not yet) how the virus will behave next.

But, we can control our thoughts, our breath, and our actions.

I invite you to take this precious time we have been given and channel it into light, love, and healing while taking your hands off the steering wheel.

This is not about the separation of beliefs or religion. This is not about the polarizing and often times confusing sprays of information coming from our leaders – because the truth is, NO ONE has all the answers.

This is about something so much greater!! It is an urgent plea to come together to help in unifying the spirit of the human heart. Let’s build a wall laid with the bricks of love and compassion and show that bully how tough we really are! #CovidMessedWithTheWrongHumans

FIND YOUR LIGHT AND SHINE BRIGHTER!!

How do we do that? By not giving into the fear! By releasing what we can’t control and by taking back power of what we humans do best: LOVE AND LOVE HARD!

Studies have shown that the thoughts we have carry vibrational frequencies that affect the functioning of our cells and the cells of those that the thoughts reach. Positive thoughts emit higher vibrational frequencies. Negative/fear based thoughts emit lower vibrational frequencies.

If we continue to live in fear and think of only worst case scenarios, we lower our cellular vibrations and the ability to fight off the virus. Our immune defenses become weakened allowing the virus easy entrance into our body.

Don’t get me wrong. We must still do our part and maintain social distancing, hand washing protocols, and follow all other guidelines. But there is so much more we can do!

In my eyes, EVERY SINGLE ONE OF US IS AN ESSENTIAL WORKER! We each have a life-saving role to play.

  • The farmers that work so hard to keep providing their crops.
  • The scientists – trust in their knowledge to experiment in the unknowns to unravel the mysteries and find the long awaited answers.
  • The healthcare workers who serve those that can no longer stand on their own and reach for a desperate hand up.
  •  The custodial services that lovingly sweep the residual reminders on the battlefield so that the healthcare troops can be ready for the next round.
  •  The grocery staff and restaurant owners keep us nourished and fueled because without that, nothing else is possible.
  • The construction crews that keep us protected with a roof over our heads and remind us there is a safe haven to come home to at the end of the day.
  • The postal services that allow us to stay connected to the world during this time of ironic dissociation.
  • The IT folks that keep our grid lines of communication open so that ‘virtual’ togetherness can continue to happen.
  • The artists and art, in any form, that remind us that life will not always be black and white. And that we can paint the town any color we want, because nothing can take away one’s imagination.
  • The teachers, God love them, that create a safe haven for the youngest of our humans so they know that everything is going to be ok and not to mention, keep the parents sane in the process.
  • And to every single human reading this  -the loving thoughts you think, the continued prayers uttered with deep faith, the kind gestures extended and anything you do to help in this global healing is reaching EVERY SINGLE PERSON. Don’t underestimate the power of your light!

However you choose to put forth your positive vibes is just perfect!! At a time when we have more questions than answers, know that your role is just as important as anything else. It is like a puzzle. Every piece matters. Even if one piece is missing, the puzzle is incomplete. Such as is the case with this fight. Your light matters! Humanity is incomplete without it.

I have found affirmational meditation helps me to stay in a positive mindset. These are just some affirmations I have created for myself that brings me comfort and peace when I have no choice but to surrender what it is I cannot control.

“Fear is an illusion for what I cannot control. It is not real! My light offers divine protection to myself and to all those that I share it with. I am greater than the invisible threat that has taken away my sense of security. My power lies not in my ability to understand, but in my willingness to trust. I trust I will guided into making the right decisions when I am confronted with doubt. I stand in faith knowing that having more questions than answers right now will protect me from becoming hasty in my actions. I release the need to understand everything, knowing that clarity will come when I have completely surrendered. And when I sink into moments of fear, I remind myself that it is during times of great darkness that my light shines the brightest.”

I leave you with one final thought.

In this battle of uncertainty, the only thing we can be sure of is that NO enemy can ever touch the spirit of the human race!

Wishing each of you safe and healthy days to come!

 


COVID-19With this surreal reality of life, it would very difficult to not talk about the elephant in the room. Although “this elephant” is invisible to the naked eye, it has made its presence known in all eight corners of the world.

A virus that has been mocked for being named after a beer, the Coronavirus, also known as COVID-19 has caused the very essence of human living to be turned into fear and panic.

But is there really a need to panic? No!

This is a pandemic, not an apocalypse!

There will be enough food. Miles of toilet paper will be at your disposal. We will be ok!

When I decided that I wanted to write on the Coronavirus, there was nothing more I could add that the CDC and leading health experts haven’t already taught us. Things are changing rapidly. From the time I finish writing this to the time the email goes out, this information will be obsolete.  So rather than regurgitating more factual information, I would like to share my heartfelt views on COVID-19 and its effects on the human spirt.

The following editorial reflects my own personal views and biases.

In the almost 30 years I have been in the medical field, I have never seen nor experienced anything of this caliber. I think it is fair to say neither have any of my colleagues.

In early February before COVID-19 made its way to the US, I had been closely watching the unfolding crisis in China. At that time, my instincts were telling me that this would be us in a few short weeks.  I began to express my “concerns” out loud to anyone who would listen.  Many of family and friends would say to me, “you are in the medical profession and you know that this virus is mild to most of us with a very slim margin of mortality rate. And it is not even in the US, so why are you panicking and getting into a frenzy? Have faith. Stay positive.  You are making too big of a deal of this.”

I have ultimate faith that everything happens for a reason and that all is going to be ok.  Although the circumstances surrounding the situation have been less than optimal with the massive shortage and limited access to testing kits, often times the exaggerated media hype, and the chaos and confusion amongst the healthcare professionals of knowing what to do next while still trying to take care of our patients like they deserve, it has been two weeks of pushing us into unchartered and often times very uncomfortable territories. But, I truly do believe in some remote distant way, all of this has been a gift, a gift of time.

That precious commodity of time we so rarely get to experience these days. With more employees working from home, stores shutting down in an effort to contain and mitigate (my heart aches for small business owners and workers that are unable to work from home), college kids moving back home three months ahead of schedule, families are under one roof with nowhere to go. This is not the way we would have wanted to come together, but this has forced us to step outside of our hectic lives and isolate into self-reflection. It is minutes in the day we now have to look out the window and remember that tree that was planted years ago, but somehow didn’t realize its growth.  It is moments inside the divine structure of our home that becomes our church/temple/mosque where we pray for our neighbors, those that live next door and those that live on the next continent. It is trying to take an impossible situation and look for that single ray of hope while waiting to return to some level of normalcy.

Ultimately this time has given us the space to come into the realization that we will win this, as a global unified team of humanity.

Trust me, there is NOTHING about this that any of us want to be going through. There have been more missteps than one cares to count.  But, the reality is, we are here, in this dark tunnel of unknowns that has us hanging on for the next split second turn, not knowing if it is the way out or just another dead end in this maze of eluding mystery. All I do know is that the only way unto the other side is if each of shines brighter than we ever have.

Learning the facts helps turn panic into knowledge, desperation into reprieve, helplessness into service, and social distancing into remote kindling. It has given us the chance to pick up the phone and ask, “hey, you doing ok? Anything I can get for you?”

Don’t get me wrong. There is a lot yet to come that causes me to lie awake at night praying that I have done whatever I could for my family, friends, patients and anyone who I could be of service too.

I wanted to end with a post that I shared on my personal Facebook page that pretty much sums up my thoughts, feelings and prayers on this elephant known as COVID-19.

March 12, 2020

“Just to be clear, I’m not in a state of panic nor do I live in a state of fear. The reference to the 2% fatality rate includes family and friends I cherish more than my own life. It includes my patients whom I have come to think of as family. That 2% are the humans that deserve for people like you and I to do whatever impractical things that inconvenience us to help save their lives and be a part in helping slow down this life that appears more like a dream than it does a reality. I’m not saying we shut down life. I’m saying think about making different choices for a brief period of time: workout at home instead of the gym. Postpone parties for the time being. If going to the grocery store, wipe down the cart before and after, knowing COVID-19 is present on surfaces for days after. Shutting down my life to save a life is worth the sacrifice. I can’t imagine going to bed at night knowing I selfishly chose my convenience over the 2% of people, knowing that if they contracted a virus that for you and I would mean a 2 week hiatus of life would be a death sentence. I don’t know if the small things I’m doing help in anyway. And frankly, I don’t care to know. I see it as my duty and my humanitarian obligation to be a part of stopping this Tsunami of an unknown enemy that has not only invaded our country, but also our very earthly existence. Are we all going to be ok? Of course we are!!! But only if we do this together. Every time I question if I am doing enough, I keep coming back to the saying, “EVERY VOTE COUNTS.” So when everyone does a little something, it counts in ways we have yet to understand!”

Be safe everyone and rest easy knowing your healthcare team is on the frontlines fighting for you!!


working out at homeSix weeks have passed since ringing in the New Year with all of those promising resolutions to get healthy. We set our intentions and march forward to sign up for those “unbeatable” gym specials. However, Old Man Winter can get in the way of leaving the house so we can keep up with those promising resolutions.

Whatever the reason that kept you from using that newly minted membership card, look no further. Here are my suggestions on ways to stay active without having to leave your home.

The benefits of incorporating resistance training far surpasses hours on a cardio machine.  Resistance bands have become one of my absolute favorite tools to have.  The versatility as well as the safety and ease of use are suitable to almost all fitness levels.

Bands are available online or at any retail store. Depending on the brand, prices can range from $5-$30+, a very worthwhile investment.

If you have any medical concerns that may preclude you from exercising, be sure to discuss it with your physician before beginning any exercise regimen.

My Band Resistant Workout: Recommend 3x/week

Warm-up: 7 minutes

Block 1: Repeat 2x rounds.  Tie band around a sturdy structure so that both ends are available to hold. (ie a wall pillar, couch leg, a tree etc)

  1. Band squats. Extend arms straight holding on to end of the band, squat, one sec pause at the bottom and then stand. Repeat 15x reps.
  2. Alternating lunges. Extend arms straight holding on to end of band, alternate reverse lunges

Repeat 15x reps each side.

  1. Squat jack. Extend arms straight holding on to end of the band, sit low in a squat and begin jumping jacks. Repeat 30x low squat jack.

Cardio:  2 minutes high knees

Block 2: Repeat 2x rounds. Free up band from structure.

  1. Lateral pulldown. Hold band in the center with approximately 12 inches between each hand, then raise band overhead and while pulling down to chest, pull the bands apart. Stop mid chest and slowly extend back overhead. Repeat 15x reps.
  2. Bicep curls. With hands in same position as 1st exercise, rest the hands on the thighs palms facing up. Next, create tension on the band by pulling it apart in opposite direction as you flex the elbows to the foreheard. Lower back down slowly. Repeat 15x reps.
  3. Chest pull aparts. Keeping band at chest level, begin pulling the band in opposite directions to outside of chest, 3 sec pause, slowly return to center. Repeat 15x reps.

Cardio: 2 minutes run in place

Cool down/Stretch: 7 minutes.

This format is only a starting point to get you motivated to stay focused on your health. There are any number of resources (online videos, books or magazines, personal trainers) that maybe utilized to take these few exercises and transform them into a consistent way of life, no matter what the outside circumstance maybe.

Be greater than your excuses!

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health,  CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on FacebookTwitterLinkedIn and Pinterest.


hair skin & NailsThe quest for great hair, skin and nails seems a lot more difficult to achieve in the winter months. Dry itchy skin, brittle fly-away whispys, chipped nails – sound familiar? The tell tale signs of winter are in the air! Understanding why colder temps affect our skin can go a long way to help remedy the problem areas, but it is important to understand the role a balanced endocrine system plays as well.

Inflammation is the single most important contributor that affects our skin, hair and nails due to the stimulation of free radicals, which accelerates aging by attaching to and damaging cells. In addition, studies have shown that there is a connection between sugar and inflammation in the body.

The main hormones that play a direct role in contributing to the decline from inflammation include:

  1. Estrogen
  2. Progesterone
  3. Testosterone
  4. Thyroid
  5. Cortisol

I have written in the past about how these hormones become imbalanced, which leads to external changes we see. But for this month, I would like to focus specifically on how colder temperatures become a factor.

As we have understood, the fundamental rudimentary cause for the external changes we see is due to hormonal imbalances. The same carries true during winter months.

The longer, darker days lowers our Vitamin D levels. The waxing and waning of the temperatures directly impacts our thyroid levels. Estrogen, Progesterone and Testosterone levels ebb and flow to try and keep the body in balance. This endless cycle causes a rise in cortisol, therefore triggering an inflammatory response which leads to cellular inflammation, disruption and malfunction.

Other contributing factors include:

  1. Drier air from vents
  2. Poor hydration
  3. Increase in consumption of comfort foods (mainly sugar)
  4. Lack of exercise
  5. Prolonged hot showers/baths
  6. Irregular sleep patterns

Until Spring can shine upon us, here are some simple tips to help :

  1. Increase hydration. It is vital to keep the body hydrated with at least 90 oz/water/day. Without the essence of water, cellular healing cannot begin.
  2. Humidifier. Worth the investment. Having one by the bedside and in rooms that are frequently occupied helps prevent skin dry out.
  3. Limit hot showers/baths. Skin that is immersed for prolonged periods of time in hot water strips the natural oils causing hair and skin to become dry. It does feel great to stay for extended time in that warmth, but that causes more harm that good. Limit showers to 7 minutes at most.
  4. Coconut oil/butter. Nothing like solid saturated fats to hydrate the skin. Apply to hair and skin and allow it to soak for 45 minutes to an hour and shower afterwards. Or leave it on overnight for better absorption.
  5. Limit sugar intake. This is not specific to winter only! Refined sugar causes insulin levels to spike thereby leading to inflammation. Be mindful of this hidden culprit.

These are very simple, yet effective means to help control and possibly prevent winter skin ailments.

As the saying goes, we can’t stop the clock. Spring will be here before we know it as soon as we get through the craziness of St. Louis winter swings!

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health,  CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on FacebookTwitterLinkedIn and Pinterest.