Perfectionism

083 - Weighty Decisions, Biting Back, and Cellular Suicide - HealthHippieMD Week In Review

Are You Doing Too Much

How can you strive for excellence without overworking yourself? Why is perfectionism on the rise? Listen to a fantastic episode of Angela Duckworth's No Stupid Questions: 184. Are You Doing Too Much? on Apple Podcasts

Bullshit Genius

In A Bullshit Genius by Oscar Schwartz, Walter Isaacson's career is scrutinized, revealing a pattern of glorifying tech moguls under the guise of neutral biographies. Once celebrated for his portrayals of historical figures like Benjamin Franklin and Albert Einstein, Isaacson shifted his focus to Silicon Valley icons, notably Steve Jobs and Elon Musk. His depiction of Jobs as a flawed yet visionary genius resonated with the public, aligning with the tech industry's self-image. However, his subsequent biography of Musk exposed the limitations of Isaacson's approach. Despite Musk's erratic behavior and questionable achievements, Isaacson attempts to fit him into the same genius narrative, ultimately failing to assess the darker aspects of Silicon Valley's influence critically. The article suggests that Isaacson's works reflect the tech industry's self-aggrandizement rather than objective analyses of true genius.

AI Coaches in the Game

The coaching industry, which focuses on professional development in critical thinking and leadership skills, is experiencing disruption from generative AI. Platforms like CoachHub are exploring AI coaching to democratize access to coaching services. Dr. Nicky Terblanche, a specialist in coaching programs, sees AI's potential in performance coaching and as a support tool for human coaches. While AI cannot yet replace human coaches in developmental coaching, it can effectively assist in structured, goal-based coaching. However, there is skepticism among coaches about AI's impact on the client-coach relationship, highlighting the need for coach education on AI benefits. Would you trust big work-life decisions to an AI coach?

Power of Prevention

"The earlier a first episode of depression begins, and the more episodes a person suffers, the more serious and disabling the condition is likely to be throughout life." Preemptive Measures highlights the importance of early intervention in preventing depression among teenagers. Esther Oladejo, an 18-year-old from Merseyside, England, shares her experience with the Blues Program, a six-week course developed by psychologist Paul Rohde to teach teens skills to manage emotions and stress. This program is part of a global movement to establish effective depression prevention strategies for young people. Research shows that early intervention can significantly reduce the onset of depression, improving life trajectories and potentially saving healthcare costs. Despite the challenges in implementing these programs widely, their success in improving mental health outcomes for at-risk teens is undeniable, as seen in Esther's story and the growing adoption of such programs in schools and communities.

The Mind's Quiet Orchestra

Your brain's "default mode" network takes the spotlight when you're not actively engaged in a task. This network, which was discovered two decades ago, comprises various brain regions that activate during restful states, offering insights into how the brain operates when not focused on external tasks. Initially thought to facilitate mind wandering or daydreaming primarily, the default mode network is now understood to play a more complex role, including memory recall, future envisioning, and self-referential thinking. This network's interactions with other brain networks, such as the salience network, are crucial in determining what to pay attention to and when to switch focus. Abnormalities in the default mode network have been explored about mental health disorders, although findings are not yet conclusive. Understanding this network and its interactions continues to challenge and refine our understanding of brain function, emphasizing the importance of internal mental activities even without overt tasks. What Your Brain Is Doing When You're Not Doing Anything | Quanta Magazine.

+see also How the Brain Creates Your Physical Sense of Self | Scientific American.

Cellular Suicide

Recent research suggests that apoptosis, a form of programmed cell death, first arose billions of years ago in bacteria. While seemingly counterintuitive, this self-destructive process is an essential and productive mechanism in complex organisms. Apoptosis can be traced back to ancient forms of cell death undertaken by single-celled organisms, which appear to have evolved as a social behavior. The origins of apoptosis might be linked to the mitochondrion, an organelle central to the process, or a long-ago interaction between our ancestors and bacteria. Studies indicate that the last common ancestor of yeast and humans already had the necessary tools for self-destruction around 2 billion years ago. This research challenges the assumption that programmed cell death is unique to multicellular organisms and suggests that it may have evolved as a way for single-celled organisms to benefit their kin or protect their colonies from disease. The discovery of bacterial genes involved in apoptosis in eukaryotic genomes points to a complex evolutionary history of this process, highlighting the interplay between survival, death, and the collective good in the natural world. Cellular Self-Destruction May Be Ancient. But Why? | Quanta Magazine.

Biting Back

Tarsus Pharmaceuticals is developing a groundbreaking pill to protect humans from Lyme disease by killing ticks before they can bite. This innovative drug, derived from the veterinary medicine lotilaner, has shown promising results in early trials, killing up to 97% of ticks within 24 hours and maintaining effectiveness for up to 30 days. The pill targets the ticks, offering potential protection against other tick-borne diseases. As Lyme disease cases continue to rise, this new form of pre-exposure prophylaxis could be a game-changer in preventing the debilitating effects of the disease. A Pill That Kills Ticks Is a Promising New Weapon Against Lyme Disease | WIRED.

Weighty Decisions

Medicare may soon cover the weight loss drug Wegovy following the FDA's approval of its use for reducing serious heart risks in obese or overweight adults. Wegovy, from the same drug class as the diabetes medication Ozempic, has shown a 20% reduction in the risk of severe heart events in clinical trials. The Centers for Medicare and Medicaid Services are reviewing the decision, with the possibility of adding Wegovy to Medicare's prescription plans. However, Novo Nordisk, the maker of Wegovy, needs help to meet the high demand for the drug, with a supply shortage ongoing since May 2023. To address this, Novo Nordisk acquired three facilities for $11 billion to increase production capacity starting from 2026. Weight loss drug Wegovy could be covered by Medicare.

Uncommon Connections

A groundbreaking study led by researchers at the National Institutes of Health has unveiled a significant link between ADHD symptoms and abnormal interactions within the brain. Analyzing over 10,000 functional brain images from youths with and without ADHD reveals enhanced connectivity between the frontal cortex and deeper brain regions responsible for learning, emotion, and behavior control. This large-scale study provides robust evidence of the neural pathways involved in ADHD, surpassing previous smaller studies. The findings not only deepen our understanding of ADHD but also open doors for developing more targeted treatments. Brain Connectivity Breakthrough Sheds New Light on ADHD - Neuroscience News (thanks, Wendy!).

074 - The Yips, Resilience, and Pig-Plant Hybrids - HealthHippieMD Week In Review

Mitochondria: Unmasking the Culprit Behind Long COVID Fatigue

In the article Scientists Pinpoint Key Part of Cells That Could Drive Long Covid Fatigue researchers shed light on the mysterious fatigue that often plagues long COVID sufferers. They reveal how the mitochondria, tiny energy factories within our cells, play a pivotal role. By studying the dysfunctional mitochondria in long COVID patients, scientists hope to uncover new treatment avenues, offering relief and insight into the lingering exhaustion that many survivors face. This research illuminates the cellular culprit behind post-COVID fatigue and opens doors to potential solutions for this debilitating condition.

The Magic of Immersive Tasks

Amid the 6-Day Energy Challenge, the New York Times explores the concept of flow states, where individuals become wholly absorbed in an activity, losing track of time and self-consciousness. These moments of intense focus, as described by positive psychology pioneer Mihaly Csikszentmihalyi, can lead to increased alertness and motivation. The article suggests finding your "low-stakes flow state" by identifying past immersive experiences and hobbies that bring joy. It offers various time-friendly activities, from learning a foreign language to tackling an adult Lego set, emphasizing the rejuvenating power of losing oneself in a task. The Energy Challenge: How Losing Yourself in A Task Can Boost Your Mood - The New York Times. (gift article)

The Mediterranean Diet's Heart-Healthy Legacy

The Mediterranean Diet, rooted in decades of research and the lifestyle choices of millions, emerges as a powerhouse for heart health. This lifestyle, emphasizing whole, unprocessed foods and rich in fruits, vegetables, legumes, nuts, and olive oil, showcases an impressive array of benefits, including lowered blood pressure, cholesterol and a reduced risk of Type 2 diabetes. Moderation is key, with occasional indulgences allowed. While not a guaranteed cure, the Mediterranean Diet can substantially enhance heart health with other healthy habits. With the potential for cognitive improvements within days and lasting benefits with commitment, this diet is a delicious and sensible choice. The Mediterranean Diet Is That Good for You. Here's Why. - The New York Times. (gift article)

Ozempic's Potential: Beyond Weight Loss, a Medical Revolution in Progress

The article Can Ozempic and Weight-Loss Drugs Treat Other Diseases? - The New York Times(gift article) explores the groundbreaking impact of drugs like Ozempic, which have revolutionized the treatment of obesity and diabetes. Scientists are now embarking on numerous clinical trials to investigate their potential in treating a wide array of conditions, from alcohol use disorder to polycystic ovary syndrome, liver disease, cardiovascular issues, sleep apnea, and kidney disease. These medications could offer hope to millions of patients with limited treatment options while presenting a lucrative pharmaceutical company market. As researchers unravel the mysteries of these drugs, they promise to reshape the future of medicine.

Reducing Food Waste

"In the United States, most dates consumers see on food items are for freshness, not safety, according to the U.S. Department of Agriculture." "A product past its 'best, if used by' date, may not taste as good as something fresh off the shelf. But it is often perfectly healthy to eat." The Washington Post had some great tips on how to minimize food waste. How to reduce food waste while cooking at home - The Washington Post (gift article).

A Surgeon Faces the Yips

"The principle "everything else is fixable" can apply to so much of life." The Washington Post published an opinion piece on the folly of perfectionism. Opinion | I had the yips as a young surgeon. Here's what it taught me. - The Washington Post (gift article).

Stepping into Creativity

In this article, titled How Walking Fosters Creativity Stanford researchers validate a timeless belief held by philosophers and writers - that walking enhances creativity. The study underscores how strolls can significantly boost creative thinking and problem-solving abilities. By examining participants' cognitive processes and neural activity while walking, the research confirms that walking sparks innovative thoughts and ideas. The findings provide scientific evidence for the age-old practice of "thinking on your feet" and highlight the valuable role of walking in nurturing creative thinking.

Building Resilience: The Recipe for Stress Management

In the article, What is resilience? A psychologist explains the main ingredients that help people manage stress, the author explores the concept of resilience and its vital role in handling stress effectively. Drawing on psychological insights, the article highlights the key components that contribute to resilience, such as adaptability, social support, and a positive mindset. By delving into these main ingredients, the author offers valuable insights into how individuals can cultivate resilience to better cope with life's challenges and stresses, ultimately leading to improved mental well-being and overall success.

Plant-Pig Hybrids Fake Meat Revolution

Moolecs, a cutting-edge biotech company, has unveiled a novel approach to enhance the taste and texture of plant-based meat alternatives. By creating plant-pig hybrids, Moolecs is bridging the gap between plant-based and animal-derived meats, promising consumers a more authentic, meatier experience. Through innovative genetic engineering, they have integrated essential flavor and texture components from pigs into plants, offering a sustainable and ethical solution for meat production. This exciting breakthrough can potentially revolutionize the fake meat industry and satisfy the cravings of even the most devoted carnivores. I have three words: No, thank you. The Plan to Put Pig Genes in Soy Beans for Tastier Fake Meat | WIRED.

011 - CVS, Amazon, and the Disruption of Primary Care, Anxiety Inoculants, Wabi Sabi, and AI. - HealthHippieMD Week In Review

Wabi Sabi - An Inoculant for Perfectionism

Perfectionism can have a devastating effect on mental health. The Japanese concept of wabi-sabi can help: Escape the perfectionist trap with the philosophy of "wabi-sabi"

CVS, Amazon, and the Disruption of Traditional Primary Care

Traditional primary care practices and healthcare systems should be quaking in their boots. The article CVS, Amazon Deals Might Be Good for Patients, Bad for Primary Care, gives the good and bad of the disruption of healthcare. We are in the early days of this transformation that will include technology and place a much greater emphasis on preventative care/wellness. Exciting times!

+For some of the challenges, see this article extracted from a recent Harvard Business Review: Amazon's Foray into Primary Care Won't Be Easy "....a fundamental question looms: Can profit-driven entrepreneurship and bottom-up innovation make the U.S. health care system work anywhere nearly as well as those in places like France, Sweden, Norway, Australia, the Netherlands, New Zealand, Germany, and Switzerland? They may be relatively dull, but they keep people healthy at an affordable cost.".

How to be Bold

Anxiety short-circuits many decision-making processes for a wide range of the population. The article How to Be Bold discusses the implications and how to overcome anxiety inertia. Thanks, Laura!

Fasting and Cancer

I am interested in extending lifespan and health span, so I have read many papers on caloric restriction. Fasting to combat cancer is somewhat controversial but gaining momentum. Dr. Michael Gregor over at NutritionFacts has a great series of introductory videos for you:

+For a decent scientific review on caloric restriction and cancer, see this 2018 paper from Valter Longo's Lab: Starvation, Stress Resistance, and Cancer

Immersive Rights in the Metaverse

The Metaverse, "a broad societal shift in how we engage digital content, going from flat media viewed in the 3rd person to immersive experiences engaged in the 1st person," is coming, ready or not. As with all powerful technologies, we must consider their use and implications. The article The case for demanding "immersive rights" in the Metaverse touches on many of the potential issues. This article reminded me of some of the early warnings on the use and potential abuse of social media.

Immersive Virtual Environments Eases Pain During Hand Surgery

The article, Gaming tech could ease pain during surgery, reports the findings of a recent preliminary study looking at the effects of immersive VR on surgical pain: Virtual reality immersion compared to monitored anesthesia care for hand surgery. Adding this to my reading list.

Life Lessons Gleaned from Free Soloing El Capitan

The advice and life lessons came rapidly in the podcast, How free solo climber Alex Honnold faces fear. The interviewer, Adam Grant, an organizational psychologist at Penn, was positively giddy during the interview. This episode is well worth your time.

Rethinking Alzheimers

Last week I mentioned the re-examination of a foundational paper whose findings have been questioned. That re-examination, coupled with the little to no progress in the prevention or treatment of the disease, has led to renewed interest in alternate theories. The article Alzheimer's Might Not Be Primarily a Brain Disease, examines some of the leading alternate views.

A panel of experts gathered by the U.S. Department of Health and Human Services issued a draft guidance this week recommending all adults 65 and younger are screened for anxiety: Health Panel Recommends Anxiety Screening for All Adults Under 65. One of the issues mentioned is what the U.S. will do with the increased volume of newly diagnosed anxious adults. The mental health infrastructure was inadequate before the pandemic. During the pandemic, the existing volume of patients struggled to find licensed mental health providers. It is unlikely the system will be able to keep up with all the newly diagnosed patients in need of services.

Stool Banking - Your Poop May Hold the Secret to Longevity

As we learn more about the microbiome and the aging process, the two are intertwined--especially around inflammation. Ten years ago, when trying to convince my chairman about the importance of this emerging area, I remember telling him that as we learn how important the microbiome is to health and wellbeing, the inevitable outcome would be the prevalence of personal stool banking. The article Your Poop May Hold the Secret to Long Life focuses on the logistical and ethical questions surrounding storing your stool.

Eric Topol

Eric Topol is constantly tweeting out fantastic resources. My favorite finds from this week:

Humans Evolved with their Microbiomes

The gut microbiome plays many vital roles in health and well-being. Humans evolved with their microbiomes, and like genes, gut microbes pass from one generation to the next discusses the co-evolution of humans and their microbial passengers.

The Search for New Pain Medication

The Economist had a great article on the search for new analgesics: Better medicines are needed to relieve pain

Quote of the Week

"Blind belief in authority is the greatest enemy of truth." - Albert Einstein.