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James K. Abshire, M.D.

Author of Live Love & Let Go

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  • PERSPECTIVES!
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Perspective

June 27, 2016 by Dr. James Abshire 3 Comments

jka car 2 “CRUNCH!”  What was that? I turned to look forward and saw the emergency phone pole. It suddenly became painfully obvious that I had been wrong. I had thought the pole was put there for someone to use the phone in case of emergency. But no, it looks like the pole was actually put there to create an emergency. I got out of the car to survey the damage…and yes, I had just totaled my car going 10mph through an otherwise empty parking lot.

I was angry at myself, but I wanted to blame whoever designed the lousy parking lot. Why on earth would they put FOUR emergency phone poles scattered out in the middle of a parking lot that’s not much bigger than your average supermarket lot? Do they really think that many people are going to have emergencies all at once? For that to occur, something major would have had to happen-like if somebody is bombing the city, in which case nobody would need to be using the emergency phones. I’d be willing to bet nobody has ever used any of the phones. One phone on the side of the fence would have sufficed. Also, they made the parking spaces so narrow that if you aren’t in an end space, then you may only have about six inches to get in and out of the car.

My embarrassment was laid bare when I had to explain the accident to the insurance lady. My responses to her questions went something like this:

“Yes ma’am, it was 7am. I was coming to work. I hit a pole in the middle of the parking lot. No, the pole wasn’t damaged – they make those things to last, but the car – not so much.”

“No ma’am, I had not been drinking any alcohol.”

“No ma’am, I don’t use street drugs.”

“No ma’am, I was not using my cell phone.”

“Yes ma’am, I hit a bright yellow emergency pole that was all by itself out in the middle of the parking lot. Did you know bright yellow poles don’t look so bright yellow with sun glasses on? Anyhow, I had looked to see there were no cars or people in that area of the parking lot, and then I had my head turned while I was looking to circle around to get an end parking space so that I could get out of my car without having to worry about whacking somebody else’s car door when I get out of my car. Next thing I knew was the pole had stopped my car. Do you know that lots of other people have hit that pole, too?”

“No ma’am, I was not doing donuts in the parking lot. Believe it or not, I’m actually a respected physician…, or at least I used to be.”

In my book, Live, Love, and Let Go, I discuss the themes of attitude, focus, and perspective. If you have a problem, whatever the problem may be, then reemphasizing on keeping a positive attitude, focusing on your faith, or looking at it with a different perspective will help with how well you cope with the situation. In the case of my totaled car, it would be easy to remain angry, mad, embarrassed, and get depressed over the situation. Instead I chose to keep a positive attitude and look at the situation from a different perspective:

  • There are a couple hundred people that work in my building. It was amazing that all of them seemed to know all about my car. People I didn’t even know came up to me. Instead of being completely embarrassed, I choose to feel good that so many people know who I am.
  • I could be upset over rising insurance rates. Instead, I’m glad that I have insurance that will give me money to help buy another used car.
  • My car had been a used car (2003). It’s much better to wreck a used car then a new car.
  • My kids are happy. They figure they have a pass in case they ever wreck a car.
  • My wife is happy as I’ve proved to the world that I’m human.
  • I’m happy that I haven’t done anything this dumb in a long, long, time.

This episode also highlighted a couple of valuable concepts to me. The first is that when you make a mistake, it’s best to just fess up and admit it from the outset. Mix in a little self-deprecating humor and people will often identify with you and even give advice. In my case, many people came up to tell me about other people hitting that pole. Advice included suggestions for a replacement car (including not to get a new one), and ‘be careful in parking lots.’ The concept of owning a mistake is something that many politicians would do well to heed.

The second important concept relates back to perspective. We all go through difficult events and times in our lives. From a perspective standpoint, it helps to ask yourself if the problem will matter 5, 10, 50, or even 100 years from now. If you project far enough out into the future, the problem will become trivial. After all, someday in the afterlife, we will be reunited with loved ones in a loving and forgiving environment. Our current problems will be small in comparison. Use this concept to ease your troubles. It will let you let you find humor when relatively small things like trashing your car happen.

We will explore another perspective on life’s difficulties in the next blog. Until next time, peace be with you and watch out for those bright yellow emergency poles…they can be hard to see! – James

Filed Under: Blog Tagged With: admit your mistakes, faith, focusing on your faith, James K. Abshire, keeping a positive attitude, perspective, positive self-talk

Self-Talk… Don’t Loose the Argument

May 17, 2016 by Dr. James Abshire 7 Comments

Man talking to a clone of himself

We all have self-talk. This is our inner talk…what we say to ourselves, usually quietly unless we look around first to make sure no one else is there. We all do it…well, maybe not all of us, but almost all of us. I’m not sure how the famous Marcel Marceau (the pantomime artist) talks to himself. Maybe he just pictures rooms with invisible walls in his mind. It must be weird to think in terms of clownish cartoons, with people in white painted faces moving very slowly and bumping into obstacles that aren’t really there.

But maybe Marcel Marceau is the lucky one with comical inner thoughts, while the rest of us are left dealing with reality, often with accompanying negative self-talk.

Negative self-talk is bad. It can worsen our mood, causing more depression and anxiety. It decreases self-confidence, making it harder for us to perform. This is why athletes try to build themselves up. As boxing champion, Mohammed Ali would say, ‘I am the greatest’, not ‘I’m champ because I got a lucky punch in.’

David Snowden at the University of Kentucky led a research study on aging known as the Nun Study. They followed 678 nuns over time. By choosing nuns to study, they eliminated lifestyle variables such as diet, living conditions, not smoking/drinking etc., as they were all almost identical. They reviewed their life journals that they started writing in the 1930’s at the age of roughly 20. Use of key positive words in the journals showed that some had much more positive thoughts. They found that:blog 8 happy nuns

  • The nuns with positive thoughts had a roughly 10 year longer lifespan on average. TEN YEARS…that is huge.
  • The nuns with positive thoughts had no Alzheimer’s. The negative thinking nuns had a significant incidence of Alzheimer’s.
  • Almost all of the nuns are now deceased. They did autopsies and they did find that one nun with positive thoughts had significant Alzheimer’s disease in her brain. However, that nun showed no signs of Alzheimer’s dementia while alive.

Clearly the ones with positive thoughts have healthier bodies and healthier brains. Like the healthier nuns, we need to get ‘into the habit’ of positive self-talk.

Positive self-talk will be key to recovery if you are battling depression or anxiety. Positive self-talk is also helpful if you are having stress in your life (which is all of us have really as life is inherently stressful).

Positive self-talk can be fostered and increased. Here are some of the ways:

  • Strengthening your faith
  • Building supportive relationships
  • Cultivating gratitude
  • Seeking laughter
  • Prayer and meditation
  • Considering situations from a different perspective (i.e. how will things be in 1, 5, 10, 100 years?)
  • Finding a positive purpose to your life
  • Exercise (to burn off inner anxieties, stress, and negative thoughts)
  • Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy is a type of psychological therapy which has been shown to be very effective in treating problems such as depression, anxiety, and post-traumatic stress. CBT has been shown in studies to be as effective as antidepressant medications. The combination of CBT with antidepressants is even more powerful. Similarly, a combination of all of the above ideas is the best way to keep positive.

CBT relies on your thoughts, behaviors or actions, and emotions all being interrelated. You can improve your emotions (such as decreasing depression and anxiety) by altering your thoughts and behaviors. In other words, a positive activity or thought can improve your mood.

cbtNow I have heard some doctors say that CBT and faith are not really compatible. The reasoning was that faith relies on the spiritual belief while CBT relies on western scientific deduction. They felt CBT was what people should turn to when faith was not working to solve the problem.

Actually, CBT can be used with faith to build the strongest emotional support. Borrowing on reasoning from St. Augustine, CBT fits in quite nicely with God’s plan. Augustine asserted that God exists as a Holy Trinity – Father, Son, and Holy Spirit. God also created man in His own image, and so our essence can be broken down into 3 parts which can be viewed in different ways:

  • Consciousness of self, knowledge, love
  • Memory, understanding, and will
  • Our soul seeks eternity, truth, and love
  • We exist, we know we exist, and we are glad for that

Similarly, we can be thought of as:

  • Behaviors, thoughts, and emotions, which is the basis of CBT. So Augustine would argue that CBT is based in God’s plan and design for us. If we add thoughts of God into that mix, it will obviously be much more powerful.

 

Next time we’ll look more at how we can use CBT in conjunction with faith to overcome negative thoughts and emotions.

Filed Under: Blog Tagged With: Cognitive Behavioral Therapy (CBT), faith, negative self-talk, positive self-talk, positive thoughts, self-talk

The Benefits of Relationships: Longer Lives

April 23, 2016 by Dr. James Abshire Leave a Comment

Relationships. We live in a fractured society and it seemsblog6 pic2 like that is becoming more and more the case. Families are fractured-single parent homes for instance. Liberals vs conservatives. Red states vs blue states. Politically correct vs incorrect. Everywhere public discourse is becoming less and less civil. Disagreement all over the place. Everybody has their own idea of what they think is important.

We see this in the very bizarre political season that we are going through. I was talking to a patient, “Fred”, about this and he agreed, but added that he couldn’t believe that none of the candidates were talking about the most important thing.

It seems like they have talked about everything including the economy, ISIS, taxes, guns, immigration, nuclear arms, walls vs bridges, emails and even hand size. I couldn’t imagine what he had in mind so I took the bait.

“Why it’s the Great Pacific Garbage Patch!” Fred replied. “It’s a bunch of trash out in the Pacific Ocean, mostly tiny plastic particles. The fish are eating them and it’s killing the fish and destroying the ocean. Some guy sailing across the Pacific discovered it. It’s huge, about the size of Texas.”

Now don’t get me wrong; I’m all in favor of a clean environment, but I’ve got my doubts about The Great Pacific Garbage Patch. I saw a show on it once, and I was skeptical (no pictures and they couldn’t tell us where it was). Based on the show, I have my doubts; In fact, you could call me the Doubting Thomas of The Great Pacific Garbage Patch. Here are my thoughts:

  • I used to live in Texas. Texas is a huge place, hard to miss on your route from New Orleans to LA. Why are there no satellite photos of the garbage patch?
  • I’m told the plastic particles are too small to show a change on a satellite map. If that’s the case, then:
  1. How can a plastic particle be too small to reflect or refract a photon of light? There must be a change of water color or a shadow. Something.
  2. How can some guy in a boat see a particle that is too small to alter light rays?
  3. How can fish see these particles enough to eat them?

There are all sorts of planes, boats and satellites crisscrossing the Pacific 24-7. Why did it take some guy in a sailboat to discover something the size of Texas?

  • How did the guy in the sailboat know he discovered something the size of Texas? Even when I lived in Texas, I couldn’t look out my window and know I was seeing something the size of Texas (especially when I was surrounded by all those small dust particles in west Texas.)
  • Why aren’t all the beaches up and down the West Coast, Alaska, and Japan covered with the stuff?
  • Why is there no Great Atlantic Garbage Patch? No offense to my friends and family on the East Coast but I don’t think you’re any cleaner then us Westerners. Are Europeans inherently neater than Pacific Islanders? I guess Hawaii better clean up its act. Maybe we should send some guy from Florida out in a dinghy to discover the Great Atlantic Patch.
  • Again, it’s the size of TEXAS, for Pete’s sake. We aren’t talking about Yeti here. There should be pictures all over the news and internet.
  • Yes, I am a doubting Thomas and we live in modern times. I WANT PICTURES. Don’t you think that if the original doubting Thomas had modern technology, then he would have taken a selfie with Jesus? If not Thomas, then certainly one of the twelve would have. Why didn’t the guy in the sailboat think of that? And if not him, then what about the thousands of other people crossing the Pacific every day?

All joking aside, I do know that there is trash in the ocean, and that fish will eat it, and that we should teach people to quit being such slobs. Regardless of whether Fred is right or wrong on the size of the garbage, I did start to think that maybe our politicians are neglecting to discuss a major issue. That issue is our relationships with one another. blog6 pic3

Last century, scientists discovered a phenomenon that they call the Roseto effect.1,2 Roseto is a small town in Pennsylvania that at one time consisted of a close knit migrant community from Italy. They discovered that the town had almost no heart disease compared to other American communities. They could not attribute the improved health to lifestyle as the people of Roseto smoked and drank heavily and ate fatty foods, not the Mediterranean that you might expect.

Scientists attributed the improved health to a strong support system and close family ties. There was often three generations living in a household. There was little stress in the community and almost no crime. Faith was emphasized in the family, and parental support and guidance was solid. You can bet that attachment to family and ethics/morals were taught. I’ll bet they even taught the kids not to throw trash in the ocean.

Genetics was not the answer as when people moved out of the community, the health benefits went away. Improved family and community health improved personal health as well.

Yes, a close knit family and supportive community is an essential ingredient to good overall health. Consider this:

We arguably have the best medical facilities here in the US, and yet our life expectancy lags Japan and about 30 other countries by up to 5 years. I’m sure there are many factors for this, but a big part is probably our fractured families and social communities.

When I was growing up, half a century ago, divorce and out of wedlock childbirth was ostracized. While it’s great that we no longer look down upon single moms, we should be doing more to build up intact families. Possibilities include:

  • Teaching kids to respect their body as well as that of others (including thinking about their partner and the potential unborn). To be effective, this probably requires teaching and enrichment on all levels- family, community, and church- this would mean attending church on a regular basis-if not for your own good, then for the good of your child.
  • Programs such as Marriage Encounter (see www.wwme.org ). This is where couples spend a weekend working on communication and strengthening their marriage.
  • Community Marriage Policies (see www.communitymarriagepolicies.org ). These are policies where clergy hold premarital counselling classes as well as enriching and restoring existing marriages.
  • Public policies such as having unmarried dads pay child support.
  • Having community leaders voice support for such values. This would include clergy, business leaders, journalists, singers/entertainers, sports figures, and even politicians. Hey, is it so wrong to advocate personal responsibility (let’s include not throwing your trash in the ocean here too)?

On a personal note, I have seen many patients live well into their 90’s and even 100’s. Almost invariably they will a strong, supportive family being there for them.blog6family

Let’s work on it. We’ll not only be healthier, but we’ll be happier too.

Next time we’ll continue to look at the benefits of relationships on our health.

 

 

  1. Dr. Mimi Guarneri, The Science of Natural Healing, The Great Courses, The Teaching Company      Lecture 18, 2012.
  1. Egolf, B., The Roseto Effect: A 50 year Comparison of Mortality Rates, Am J of Public Health, 1992, August 82(8): 1089-1092.

Filed Under: Blog Tagged With: benefits of relationships, close family, faith, health benefits of community ties, improve health, James K. Abshire, parental support improves health

Healthy Relationships are Healthy

April 12, 2016 by Dr. James Abshire Leave a Comment

Pblog 4 pic10eople are made to have relationships. The amazing thing is how good relationships can have a positive benefit on our physical health. Let’s look at some of the data1:

  • Married people have fewer doctor’s visits and shorter hospital stays
  • Married people have less depression, substance and alcohol abuse
  • Happily married people have lower blood pressure (unhappily married people have the worst blood pressure)
  • People with loving, stable relationships have less anxiety
  • Long term couples have less headaches and back pain
  • Social support helps stress management
  • People in loving relationships get less colds and flu
  • Wounds on people in positive relationships heal faster
  • Married people live longer
  • Happiness is more positively correlated with strong family relationships than income level
  • People who had warm relationships with their parents have half the major diseases later in mid-life as those who did not have warm parental relationships2
  • Men and women who have heart bypass surgery are over 2-3 times as likely to be alive 15 years later if they are happily married. Even unhappily married men were 1.5 times as likely to survive as unmarried men.3

My wife, Caryl, and I have a very happy marriage, and I’m sure it has supported my mental and physical health on a number of occasions. In 2004, I was in a propane fire that took the skin off my face, arms, and knees. I had to have dressing changes twice a day, and I’m sure that I would have had to be in the hospital or nursing home for weeks without her there to do the care. Throughout that time, I was able to maintain a positive attitude, keep a sense of humor, and get by with a minimum of medicines despite tremendous pain. I credit Caryl for that success.

Going back further in time, Caryl provided the physical and emotional ‘glue’ needed to keep our home together while I was going through medical school and residency. These years were physically and mentally draining with work weeks that were typically 80 to over 100 hours per week. (This was before laws capped the resident work week at 80 hours maximum). I think of these years as mental ‘boot camp’, analogous to how marines and navy seals train, but only for the mind. During this time, Caryl was the life preserver that kept me afloat.   blog 4 pic9

How can people have such a positive relationship? Here are my suggestions:

 

  1. Keep a positive attitude and work towards common goals. Be a team.
  2. Support each other. Give and receive. Above all, show gratitude whenever you receive.
  3. Communication is key. One program that has been very successful is Marriage Encounter.

Now folks reading about these health benefits that are not in a positive relationship may be a little disheartened. This should not be the case as there are also great rewards to having a good support system even if not in a relationship. We’ll look at this next time.

Finally, on another note, I was talking about all this to my wife and she was inspired to pen this little ditty:

blog 4 pic 2

If you’re happy and you know it clap your hands,

If you’re happy and you know it clap your hands,

If your happy and you know it and your spouse will surely know it,

If you’re happy and you know it kiss your spouse!

It doesn’t come close to rhyming, but it works for me. Gotta go now. Bye.

 

  1. Rauh, Sherry, ’10 Surprising Health benefits of Love’, Web MD Health News, 2009. MedicineNet.com.
  1. Russek, Linda G. and Schwartz, Gary E., ‘Feelings of Parental Caring Predict Health Status in Mid-Life: A 35-year follow-upnof the Harvard Mastery of Stress Study’, Journal of Behavioral Medicine, February 1997, Volume 20, Issue 1, pp 1-13.
  1. Consumer Reports News, ‘Happy Marriage, Healthy Heart’, August 22, 2011.

Filed Under: Blog Tagged With: Benefits of Healthy relationships, faith, good support system, health benefits of marriage, James K. Abshire, show gratitude, solve life's problems

Welcome to the Live, Love and Let Go Website and Blog!

February 29, 2016 by Dr. James Abshire Leave a Comment

It’s certainly a crazy world we live in, with tremendous changes in the last half century.

There are:

·        Strange political characters on both the national and international stages

·        Threats of global terrorism and potential chemical, biological and nuclear warfare

·        Financial pressures

·        Pressure to keep up with rapidly advancing technology

·        Changes in social norms

               The way we think, talk and act towards each other changed dramatically over the years. Case in point: Back at the beginning of the American Civil War, prisoners were handled by a ‘parole’ system. Prisoners were allowed to go back to their own side – they just had to promise not to go back to fight against their captors.

             Guess what, men back then kept their word.

             Now days, there has be a legal written contract for even the simplest of deals, and people still try and figure out ways to break the deal. On top of that, government rules and regulations seem to make everything more complicated.

             The only reliable constant in our lives is God, and hopefully our faith in God.

             This blog will discuss various aspects of building faith, as well as the advantages of having faith. Using faith, we will work on developing a positive attitude towards life. We will also look at keeping a proper and positive perspective on life.

            As in the Live, Love and Let Go book, medical and practical knowledge will be given which can be used in conjunction with our faith to develop a positive approach to the gamut of end of life issues, as well as other difficult areas of our lives.

Please feel free to write in with:

·        Stories

·        Tips

·        Questions

·        Comments to Share

·        Look for the positive and humor is always appreciated

Together, we can build a better way to help and support each other in tough times. The way we approach these issues in the best witness for our faith.

               Blog postings will occur roughly once a week. Please share Live, Love and Let Go. The intent is to help as many as we can; it’s purely not for profit as all royalties go to charity.

Filed Under: Blog Tagged With: end of life issues, faith, Health, healthy lifestyle, James K. Abshire, Live Love and Let Go, Prayers, support

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