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Friends Forever - Best Friends Forever. The SpanishFlu is timely with the centenary Such mom jokes, very Miami, wow. God, family, life. Elf troubler. Av: moogiedaisuki, header: manreeree! I don't know wtf I'm doing. Not because she did not have failures or doubts, but because she continued on despite them. Romo, Ph. Viruses in general are just amazing! Let the curiosity lead the way. Via irregolari e fondamentalisti islamici. No Jus Soli. The Waze for navigating pain and health.
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How cool is that? Every Saturday and Sunday after her training rides are done, she sets up a lemonade stand in her front yard and provides water, lemonade, sports drinks, bars, and fruit to passing cyclists. She charges. We commit our collaborative energies to forge a patientprovider partnership that embraces consistent, safe, and respectful care. With an Ivyleague education, we offer the best of comprehensive obstetric, gynecologic, and surgical care in a setting of respect and compassion.
Overall, our goal is to educate women about their bodies so that they are empowered to make their own decisions about their healthcare. We welcome you to our practice and hope that you feel embraced by our unique approach. Traffic at her stand is brisk because she lives in a central Austin neighborhood frequented by training groups and individual cyclists and runners.
At her birthday party last year, she asked not for gifts but for donations. How many not-quite-seven-year-olds would think of doing this, never mind carrying out the plan?
Nolan will pedal the mile route with her, this time solo—no more tandem rides for him either. You can view their page at www. How did someone so young become such a tough, cool, caring athlete? For one thing, when Hall and her mother do their long training rides, they make up stories and songs. They sing long and loud. They also go on destination rides—to get bagels or smoothies, to visit a friend, to play in the park, to go swimming, or to see a movie.
In addition to riding a unicycle and wearing a cool team shirt, Hall shows compassion well beyond her years. Given that one out of every eight women will be diagnosed with breast cancer, the Texas Mamma Jamma organization hopes to spread a message supporting early detection and preventative care and to raise awareness of the services available for those in need.
The Texas Mamma Jamma Ride is a charity bike ride to raise funds for ten local nonprofit agencies that provide services to improve and save lives for the thousands of central Texans diagnosed with breast cancer each year. All levels of riders—from beginners to seasoned cyclists—are.
Children are also invited to be a part of the Kids Jam, a fun-packed afternoon of events such as zip lining, treasure hunting, and water fights, while their parents are riding.
For more information, visit www. All ages and skill levels welcome Visit balletaustin. Because Bandera is such a successful trail race, I was reluctant to add a longer distance and diminish the status of the K. Montrail had come in as a sponsor and promoter for the Montrail Ultra Cup and then the USA K Trail National Championships joined in, so I felt it would be foolish to minimize either competition with another distance.
There were many issues to resolve, so I started going through the mental processes to see how a miler would happen. I knew it would have to be a completely new and separate event in the same park that did not piggyback on top of Bandera, and it would have to stand on its own merits. My company, Tejas Trails, was already stressing our volunteers to their limits with the all-night format at the Bandera K, so I knew that getting them out again for another all-nighter would be asking a lot.
This would be a supported race with every amenity—except people to hand out food and water at the aid stations. A park trail marker above shows hilly and hillier options through the spiny, sotol cactus. Race markers right help runners navigate the course.
Clearly, September was still too hot. Finding the right date would be one of those situations where all the stars had to line up perfectly, so I simply sat on the idea and waited. I had a date; the race was on. Cactus Rose was held for the first time the following year in late October For the first two years, we had only 50 runners and the race was losing money.
My experiment would fail unless I got the numbers up, so I added a mile distance in year three to push the attendance over The mile add-on brought another good increase in year four and, in , I added the 4x25 mile relay as an option for runners who wanted to take on a shorter-than-ultra distance. Today, the Cactus Rose mile trail run remains small and intimate, catering to veteran runners, while the mile event has become a good testing ground for those who want a really tough ultra.
The relay has blossomed into something entirely new and fun. We treat the relay team just like another mile runner with the exception that each runner does only one mile loop. So each of the four runners on the relay follows the same directional rules as everyone else. We give each relay team finisher an individual medal, but the entire team must finish—in sequence—to get credit for the team finish.
The individual relay medals are each a part of a metal jigsaw puzzle that all fit together to form one whole. The idea was to utilize a minimalist concept such that we created a full-blown station every five miles on the course, with tents, tables, water, and ice, with an option for runners to put their own stuff clothes, food, crew—whatever they liked at each location.
While this sort of format would not suit many new-tothe-trail runners, it would be a nice throwback to the old school racing where little was asked or expected, and if you wanted something on a course, you brought it. This race format would be just as much work for the race director. But it would be a different format from the other mile races in the United States, and I thought that could be appealing to trail runners.
The next question became the course. Because Cactus Rose would be a self-serve race, I knew it would have a much smaller field that was a lot thinner, meaning there would be long gaps between runners, especially in the later stages of the race So I figured it would be safer if the runners could see one other at regular intervals. That way, they could keep tabs on each other and let me know if someone disappeared or was in trouble. I decided on four mile loops, reversing the direction of the loop every other time.
While my initial thinking was primarily for safety reasons, it turned out that this format provided a certain comfort level for runners. If runners had always gone the same direction, some might not ever see anyone at all during the entire run. With Texas heat being what it is, any other time of the year would not work very well for a mile race.
Batman was no longer at his side but was still nearby. He too was moving much slower than when the evening began. But he had a little extra sugar in his system, and it was temporarily fueling his reserve tank. Well, that coupled with the burdens of her red high-heeled boots and her now quite prevalent pregnant belly. October 31 of last year was our first all-. Davis wanted to be Batman, so we all became superheroes. And we went door-to-door non-stop for what seemed like the entire evening.
We accumulated way more candy than any two toddlers should consume before their next Halloween. Not even Batman and Robin could shoulder such loads of sweet goodness. Batman, his muscle-rippled costume sweat-glued to his torso, repeatedly expressed his eagerness to do it all again tomorrow night. Robin merely murmured something incomprehensible as he tried to keep his head up and his eyes open. Experiencing Halloween this time with young kids, I was reminded why this holiday is so much fun for the young and the youngat-heart.
Using your imagination not only is allowed, it is definitely encouraged. Batman can march into his preschool classroom unabashedly, knowing he will be in the company of Spiderman, pirates, and princesses. Go to as many houses as your little legs will take you.
Introduce yourself to the cowboy crossing the street and race to the next house together. Us parents, we almost just have to take a step back for the night and let it ride within reason, of course. We have to know when to pick our battles with candy suddenly on the menu and the regular bedtime an afterthought.
We only have to decide whether to have the argument over whether the costumes have to be peeled off before bed. Might as well let the superheroes sleep in their superhero beds in their full regalia. We treat injuries of all kinds, whether from sports, everyday accidents, or elite training. Now accepting most major insurance! Unfortunately, the group of Americans this will impact the greatest is our children.
My background as a sportscaster in Dallas and Austin and as the author of Every Town Needs a Trail has afforded me the opportunity to interview thousands of individuals over the years, posing questions about the importance of health. Much of their disconnect has to do with a lack of education, low socioeconomic circumstances, or limited social messaging. When I began filming, I was fortunate to meet a brave young woman named Ashley who, at 19, was a senior at an inner city high school in San Antonio and five feet tall, weighing pounds.
Together, we created an innovative physical education course called PE 3 Physical Education for the Mind, Body, and Spirit to help these at-risk students. Over the course of a year and with the help of PE 3, Ashley shed pounds, ran a marathon, and went to Washington, D. Like Ashley, so many students found success in reversing their obesity that the Texas Education Agency approved PE 3 as an official, statewide elective course and the Department of State Health Services soon after awarded PE 3 its highest honor for effectiveness.
As obesity statistics have soared, the. At the same time, technology use has increased. I started to think about how technology could actually become an asset, both in engaging and motiving students to lead healthier lives as well as adding value to PE classrooms— not to mention providing previously unimaginable tools to physical education specialists who manage health education in schools. This train of thought led to my founding of Interactive Health Technologies IHT , with a mission to develop a complete technological solution for teaching and learning in PE in the twenty first century.
My strategy was simple: use technology and an enhanced curriculum to write about what we all care about the most…ourselves. Students may also utilize a pedometer. Teachers have access to a library of research-based lesson plans and resources.
Since its inception and implementation in. It has also allowed teachers and administrators to monitor and assess student performance through an automated system of accountability and correlate that information back to academic and attendance success on a daily and yearly basis. IHT believes that, if we can enable students to realize their own individual path to success in academics, nutrition, and living an overall healthy lifestyle on their own accord during these formative years, they will be more likely to carry those lessons and habits with them for life.
The bottom line is that people have to learn how to do things for themselves and take individual responsibility, all while surrounded by enhanced education and support.
Our purpose is to help write the next chapter of the story: making PE and health the fifth requirement in schools, as important as math, science, English, and social studies. Now that would be a story book ending for our collective future. But in the current environment, with changes in medical reimbursements and decreased payment from insurance companies, multiple other physicians are working in the cosmetic field. However, these doctors are not necessarily plastic surgeons.
To be recognized as a plastic surgeon by the American Board of Plastic Surgery, a physician must have completed medical school, then either a general surgery residency or other surgical residency like ear, nose, and throat before going into a plastic surgery residency. It usually takes nine to 12 years after college to complete this training. Having completed the training, the physician must then pass a written examination approximately a year after entering practice followed by an oral exam, where the physician presents cases while his or her examiners may ask any question related to plastic surgery.
This is the only plastic surgery board that is recognized by the American Medical Association. There are multiple facets to plastic surgery. These include trauma and reconstruc-. The cosmetic area is where other practitioners are coming in with minimal to no plastic surgery training. Any medical doctor can perform plastic surgery or call himself a plastic surgeon regardless of his training. For example, a family practitioner can legally do a facelift with no surgical training for that operation.
I think this is an absurd idea that has worked to the detriment of patients. We, as certified plastic surgeons, feel that most of these physicians do not have adequate surgical training to perform the cosmetic procedures that we perform. It would be wonderful if board certification gave the surgeon the ultimate skill, insight, and three-dimensional concepts to perform perfect plastic surgery.
Unfortunately, this is not always the case. As with. Therefore, how do you find the perfect plastic surgeon for you? I suggest that you get names of plastic surgeons from your friends who have had surgery and who are happy; further, get feedback even from those who were unhappy with their physicians so you can stay away from that particular doctor.
Talk to a family practitioner or physician whom you know in the community, as he or she will have a good idea as to the reputation of various plastic surgeons.
Then, I think a very reasonable thing to do is to have two to three consultations with different plastic surgeons. This gives you the ability to evaluate their skills by seeing their pictures, by testing your comfort with their personalities, and by questioning them to see if you are both on the same page as to what you want to accomplish.
I feel it is extremely important that you feel comfortable with your plastic surgeon because you are putting a lot of faith in his hands and his expertise. In summary, ask your friends, ask your doctor, look at the results that your friends have gotten, and then choose the surgeon who you have visited with and feel the most comfortable with to perform your surgery.
Stephen R. Bunker, MD is offering a free screening by appointment only. Call for your free appointment. Start the process today for better feeling, healthy legs. The gentleman who passed away, Brad Ellis of Dripping Springs, was a healthy yearold man who had been training intensely for the event. He even kept a blog to document his workouts. I was going through a gallon of water every two hours and most people would consume a gallon or less for the entire day.
Everyone who saw the amount of water I had on the canoe for myself told me it was too much, but to me, I need it. Hyponatremia, which is the most common electrolyte disturbance, occurs when there is too much water as compared to salt in the human body. This water-to-salt balancing act is a highly regulated system as we use salt to drive our cells and, thus, all of our bodily functions.
Lately, much has been written about exercised-induced hyponatremia. Particularly since the new book by Tim Noakes, MD, Waterlogged, came out, more and more runners are worrying about drinking fluids while exercising.
And yet, in August, an experienced ultra-. All of this has left many of us confused. We still wish to exercise or run regardless of the heat and to do so in a safe and healthy manner, but who is right when it comes to the correct amount of water to drink? What do we need with regard to salt and water, and how much of it do we need?
I have found that, when there are conflicting opinions on a matter of science, it is always best to simply return to the basics. In this case, that would be the science of the metabolism of salt and water in our bodies. To begin, the brain senses either a decrease in blood volume or a concentrated blood volume, meaning there are more solid particles mostly salt, but it can also be potassium, sugar, chloride, magnesium, calcium and a few other particles that may be present in our blood than water in the blood.
When the brain senses one of these conditions, it signals the pituitary gland to release something called arginine-vasopressin also known as the antidiuretic hormone or ADH. This hormone goes to work in the kidneys and tells them to decrease the flow of water into the urine. At the same time, the hormone signals another portion of the brain to tell you that you are thirsty. When all is well again, the concentration of water to particles in the blood goes back to normal and the hormone signals the brain to stop sending the ADH out into the body.
Without the ADH, the kidney begins to work normally again, freely adding water to the urine. Of course, as you can imagine with all hormone systems in the body, it is not that simple First of all, there are other things that can signal the release of ADH. All of these triggers may be present during a long-distance endurance event.
Nevertheless, as with all properly functioning bodies, the checks and balances in the system will usually keep things from going awry. So, scientific talk aside, where is the harm in your kidneys retaining water and releasing salt? How can this be fatal? Well, as I mentioned before, sodium drives our cells. Sodium moves in and out of the cell as each cell does its respective job.
However, if the solution the cell lives in becomes too dilute, meaning there is too much water as compared to salt , the cell will start to move salt that is needed inside the cell to the outside of the cell in order to keep the salt-to-water Over time, this continual process leaves no salt to drive the cellular functions inside the cells and they become unstable.
Eventually, the cells break down. If this deterioration happens in the lungs, fluid enters into the lungs. If it occurs in the brain, swelling usually follows and this can lead to death in the most extreme cases. This begs the question, however: If the body is so regulated and this system has so many checks and balances, how can people actually drink so much water that they die? As with any system, there are disorders.
Syndrome of the Inappropriate Antidiuretic Hormone SIADH is said to be present to some degree in about seven percent of people in the normal community and about 22 percent of hospitalized patients. People with this condition have an inaccurate barometer for the concentration of liquid to particle in the blood and will be thirsty much more often than someone who does not have this disorder.
While abnormal, this ratio might not be enough to cause symptoms until something else went wrong. Often, this condition is not found until you are quite sick in the hospital. You may also be diagnosed if a routine blood test shows slightly less sodium than normal, but, even then, further tests are needed to sort out what may or may not be done, particularly if you are otherwise healthy.
SIADH is often associated with other chronic medical conditions such as cirrhosis of the liver, congestive heart failure, and certain cancers but it can occur for no particular reason. It can be treated with either water restriction or medication when caught at a mild level but some patients, such as those who fall into unconsciousness as a result, will often need treatment with salt or extra salty water via IV. Which brings us back to our canoe race fatality. He knew he was consuming more water than others but was still thirsty.
If you have a problem with system regulation, you will continue to be thirsty long after your actual need has ceased. The increased incidence of hyponatremia at endurance events has been blamed on the sports drink industry as well as on training mistakes. Yet I believe it is simply a numbers game. If hyponatremia is the most common electrolyte problem and we have at least seven percent of the population walking around with SIADH and no knowledge of the condition, why would we not expect an increase in exercise-induced hyponatremia?
I have seen at least one large review study propose that most who require hospitalization or die from hyponatremia at races started out with SIADH. The added stress of the event combined with the perception of increased thirst tipped these athletes over the scale.
Given how well regulated this balancing mechanism is in an otherwise healthy person competing in these events, this seems to be the only rational explanation. So, then, what is the right thing to do? That being said, if you find that you are significantly thirstier than most other people and you drink more than your training partners, it would certainly be worth going to get this checked out with your physician.
This all leads us back to the hot Texas summers and safely managing exertion in the heat. I have always been a proponent of salt intake when you are sweating. If your kidneys are working properly and you take in a little more salt than you need, your body will get rid of the excess. On the other hand, if you skimp on the salt and only drink water and just happen to have SIADH , you could become one of those people who have trouble.
How will I know during a race? Unfortunately, this is the tough part. You can be either dehydrated, of perfect fluid volume, or you may have too much fluid and have some edema and, in any of these cases, you can still have an imbalance of salt and water.
Confusion is a symptom, but it is also a symptom of low blood sugar or sleep deprivation, so, again, it is very difficult to determine. If you pass out, the medical staff at the scene may think you are dehydrated and start an IV. The problem with this course of action is that if you have hyponatremia, this might not be the best treatment. Depending on the severity of the salt deficit, a normal saline IV, which seems magical when you are dehydrated, could easily make things much worse when the problem is hyponatremia.
The only way to be certain of what the problem actually is would be to do a blood test. Fainting at the finish line is often neither dehydration nor hyponatremia but rather brief cardiovascular collapse.
While this sounds far worse than anything yet discussed, it basically means your blood vessels were shunting blood to your muscles during your exercise. When you crossed the finish line, you stopped pushing so hard and your blood pressure simply dropped, which kept blood from getting up to your brain. Generally, folks feel better after just lying down for about 15 minutes without anything further than reassurance and monitoring.
I realize this is confusing. It is hard to put all of this into layperson terms without either accidentally scaring someone or boring them to death. But it is a fact that hormones and their regulation is complicated. At present, there are many conflicting opinions about hyponatremia, so even getting someone to a basic understanding takes more than a cursory article.
It is hard to combat three-second headline grabbers with a long discussion of the hows and whys. Which is why, as always, if you have any questions about your own particular case, you should have a thoughtful discussion with your doctor. Decrease inflammation, recover faster, feel better, train harder. As part of the US Health Care Reform Bill, chain restaurants with 20 or more locations are required to list the calorie content for standard items on their menus total fat, cholesterol, sodium, total carbohydrates, sugars, fiber, and total protein must be made available in writing upon request.
This wrap is a tasty option for a nutritious lunch at work or school. Pack it with some fresh fruit, and the kids will love it. What You Need 1 15 oz. How You Make it 1. Place roasted chicken, mayonnaise, celery, curry powder, and salt and pepper in a medium bowl.
Mix with two forks to shred chicken and blend seasonings. Fold in dried cranberries. Line tortilla with spinach leaves. Cut in half and serve chilled. Registered and licensed dietitians Alexa Sparkman and Anne Wilfong can provide reliable, objective nutrition information, separate facts from fads, and translate the latest scientific findings into easy-to-understand nutrition information.
For more information about their nutrition counseling practice, contact Alexa or Anne at As a personal trainer, Mario Mendias saw the same scenarios play out with his clients on a daily basis: They would commit to following a fitness program, drag themselves to the gym five days a week, but ultimately become discouraged by their lack of results.
The time constraints of their busy lives rendered them unable to cook healthy meals for themselves, and their energy levels were low. Mendias believed that the problem lay with what his clients were eating—too much of the wrong kinds of foods—but his lack of nutritional expertise left him guessing at solutions. When a client called him out for being nutritionally ignorant, Mendias began to research in earnest what truly constitutes a healthy diet.
His selfstudy led to a business idea that resulted in My Fit Foods—an exploding chain of stores that sells healthy, prepared meals with scores of customers who have improved the quality of their lives through food and fitness. When he was 12 years old, his next-door neighbor, a personal trainer, sparked his interest in health and fitness.
I thought it was a good job, and that thought stuck with me over the next decade. Mendias ended his military career at the age of 23 and found a job making minimum wage as a tire boy in Santa Monica. He eventually worked his way up to mechanic and made the decision to move back to Texas, settling in Houston. Fight for Survival t was a life-or-death struggle on December 10, , that caused Mendias to re-evaluate… everything.
While attending a party with a friend, he suddenly found himself involved in an altercation with a group of gang members who had crashed the event.
The situation immediately escalated. It was a fight for survival. Miraculously, he survived. As he recovered in the hospital, he had plenty of time for reflection. As one might expect, the experience had profoundly affected him—as had the words of the man in the hospital bed next to him. I was in a new city with one friend, and it was a pretty lonely time in my. A Life With No Regrets ather than return to his job as a mechanic, once he was discharged from the hospital, Mendias walked into a Hour Fitness gym, determined to get a job as a personal trainer.
After spending time with his clients, Mendias began to notice that some of them were not getting the results they wanted because they were not making the necessary changes to their diets. After all, you can be a fit, fat person. Knowing that diet accounts for nearly 80 percent of weight loss, Mendias began making—with the best of intentions—nutritional suggestions to his clients.
Nutrition sing his embarrassment as motivation, Mendias began to self-educate, reading more than 50 books on diet and nutrition in a six-month period.
Eating right taps your true potential. When you take away wheat, gluten, soy, and dairy, the body is not in an inflamed state. He explained that olive oil, for example, has a smoke point of degrees—well below the average cooking temperature for most food preparation.
He began to research which healthy fats have higher smoke points, and experimented cooking with macadamia, sunflower, and coconut oil.
The same thing goes for your body. A frowning, right-side up triangle—small at the top and wider at the bottom—represents the exact opposite. Taking His Own Advice ealizing that he needed to be an example for his clients, Mendias began to implement these nutritional recommendations himself: cooking with lean proteins as well as low-glycemic and allergen-free foods, using healthy oils with high smoke points, and eating strategically throughout the day.
He credited his dietary changes with feeling better, having more energy—and finally being able to achieve a six-pack. Excited about his newfound knowledge, Mendias once again began talking to his clients about what they were eating. However, Mendias noticed that a common. Late-Night Breakthrough he frustration of wanting to do more to help his clients, combined with the fatigue of working six days a week, began to wear on Mendias.
One night, unsure how he would sustain such a hectic pace for the rest of his life, he got on his hands and knees. I could see Houston, Austin, and San Antonio, and the next thing you knew, it was all over the world.
Undaunted, he began to cook meals out of his apartment kitchen for test clients—a small group of secretaries who worked for his friends. So enthusiastic was Mendias about his idea, however, he had overlooked one significant detail: Taste. Drawing from his reading on diet and nutrition, Mendias showed her which proteins, carbs, spices, and fats he wanted to use, and together the two of them cooked and packaged meals for delivery twice a week.
Mendias soon began cooking for some of his clients in the gym, and they began seeing results: Their. They were also getting desirable side benefits. She was an executive and said her work had never been easier and she had never felt so clear.
He rented a catering kitchen that allowed him to cook from 5 p. After dropping off the food, he would return to the gym to work until 8 p. Once the food was done, his cooks would leave, leaving him to package the meals on his own.
From noon to 4 p. I would make home deliveries, go back to the gym to train, then head to the catering kitchen from 6 to 10 p. And then I would sleep, the next day getting up at 4 a. Let me tell you, those six hours [of sleep] were wonderful.
Small Business Woes endias sustained this grueling pace from April to November of , all the while witnessing the remarkable results of his clients. In spite of the success of his product, however, the business was in serious financial trouble. Trusting the business in the hands of his catering kitchen, Mendias returned from his trip to discover that the cooks had cut meal portions in half in an effort to save money.
The result was a group of very angry customers. With no money to pay his employees, and three months behind on his bills, Mendias once more reached out for help—this time to his mother, with whom he had a strained relationship.
The very next day, however, a check arrived from his mother, who had pooled her money with two of her friends. Mendias was also able to buy out his original business partner and take sole ownership of the company, which he renamed My Fit Foods. He would later give this former partner 3 percent of the company as a thank you for helping him get started. Blood, Sweat, and Tears ebruary marked—finally—a positive turning point for Mendias when he met his future business partner, Anthony Milton.
It was a modest location: square feet, a bench from IKEA that sank under the weight of their computer, and a used cooler from a florist shop whose broken handle had been replaced with a suction cup and a piece of rope.
Mendias recounted the hours of preparation leading up to the opening. The Long Reach of Success nd successful they were: Today there are My Fit Foods stores in four states and 22 cities, with plans underway for more expansion.
I always returned their investment money within 36 months. Impressively, the store has succeeded primarily by word-of-mouth advertising. Customers work with a nutritional consultant who identifies their goals and helps guide them through the three-week program.
Part health coach, part cheerleader, the nutritional consultants are trained to educate their clients about. Over the years, Mendias has witnessed countless success stories of clients who have dropped weight and gone off of their medications for blood pressure, diabetes, and anxiety. Our programs really work, and we have walking and talking testimonials spreading the word for us every day. Grains, such as pasta, rice, and quinoa are organic, as are some of their inseason fruits and vegetables.
According to Mendias, customers can taste the difference, and that quality is what makes them return. Our employees care about taking care of customers. He reiterated that although diet accounts for 80 percent of results in any weight loss program, physical fitness still plays an essential role.
And the first week of training is percent on the house. There is really no excuse not to give it your all. He hopes to open a My Fit Foods in every major market and to eventually create a nationwide mail-order program that delivers fresh, unfrozen food with a day shelf life. My Fit Foods has already partnered with H.
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