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Posts Tagged ‘Ancestral Health Symposium’

It’s been a busy month since my last post.  I’ve studied for and taken the United States Medical Licensing Exams (USMLE) Step 2 CS and (on Friday) USMLE Step 2 CK, two parts of what most people know as “the boards”.  I’ve attended and spoken at the 2013 Ancestral Health Symposium (AHS) and moved out of the apartment I lived in for the last 18 months.  I’m also half way through my “Acting Internship”, a clerkship most medical schools call a Sub-Internship, where I basically function as an intern (a first year medical resident).  I’m doing this rotation at a local community hospital and I’m really enjoying the atmosphere, personnel, and patients.  The hours are long, but not as long as for many of my classmates doing acting internships in Internal Medicine, Surgery, and Ob-Gyn (mine is in Family Medicine, the specialty I am pursuing). Applications for residency programs go live in just over a week which finds me struggling to write (for the fourth time) a personal statement that embodies me

 

Needless to say, things have been hectic , and the last month has been a touch overwhelming at times.  I’m certainly looking forward to some downtime after I finally complete my remaining med school requirements (just 8 more weeks!), have my residency lined up, and am able to catch my breath. 

 

I really shouldn’t complain.  Even in the last, relatively crazy, 6 weeks I’ve still had some good times.  The week of AHS in particular was one for the books.

 

I’ve written before about destinations and journeys.  The destination for AHS was clear- Atlanta Georgia- but the journey I took to get there wasn’t what you might expect. 

 

Many, many, months ago, when the location for AHS was first announced, I made a rather rash statement that Atlanta was almost close enough for a road trip.  While I had no real intention of road tripping to Atlanta, my longtime Twitter friend @PrimalRush (henceforth known as James) said he was keen to tag along for the journey.  At the time I thought an actual road trip was unlikely (it’s a good 13 hour drive and airfare isn’t that expensive), but as the time got closer I realized I would regret turning down the opportunity to create an excellent story (those that know me know all too well that I’m a fan of adventures and stories). 

 

Since I took 4 weeks off from school to prepare for the boards and attend AHS, I was able to take some extra time travelling to AHS.  About a week out, I vaguely mapped a path to Atlanta, made plans to pick up my Canadian travel buddy from the bus stop, and hoped for the best!

 

Three days before we planned to pull into ATL, James and I hit the road with camping gear, a cooler, and a tank of gas.  After making a stop at one of my favorite butchers to fully stock our cooler, we made tracks to Shenandoah National Park in Virginia.  We travelled the length of the park on Skyline Drive, stopping about midway to camp for the night. 

 

At times, we were in the clouds driving on Skyline Drive.  Driving the length of the park added a few extra miles to our trip, and certainly slowed us down a bit (the speed limit is 35mph and you can't help but pull over and ogle at the views), but it is certainly worth it!

At times, we were in the clouds driving on Skyline Drive. Driving the length of the park added a few extra miles to our trip, and certainly slowed us down a bit (the speed limit is 35mph and you can’t help but pull over and ogle at the views), but it was certainly worth it!

 

Without going into detail, our time in Shenandoah involved meeting some mushroomers who confirmed my Chanterelle (and Chicken of the Woods) identification, cooking a truly excellent camp dinner (with Chanterelles), having a run-in with a slightly disgruntled ranger, hiking part of the Appalachian trail in the dark, pitching a tent in the dark, waking up and breaking down camp in the dark, and then scrambling to a 360o viewpoint to watch the sun rise.  When we were finally able to tear ourselves away from our solitude and sunrise we hiked the couple miles back to the car and made tracks through the rest of the park and onto our next destination in Mortimer North Carolina.

 

A delicious addition to our dinner (good thing I had some Kerrygold butter in the cooler!)

A delicious addition to our dinner (good thing I had some Kerrygold butter in the cooler!)

 

I'll take this over dehydrated rice and bean camp dinners any night!

I’ll take this over dehydrated rice and bean camp dinners any night!

 

The view at dawn from Bearfence mountain.

The view at dawn from Bearfence mountain.

 

It was certainly worth waking up at 5, and hiking in the dark, to watch the sun rise over Shenandoah.

It was certainly worth waking up at 5, and hiking in the dark, to watch the sun rise over Shenandoah.

 

How could I resist?

How could I resist?

 

Mortimer North Carolina holds a special place in my heart.  One of my longtime friends has a family cabin in Mortimer, and I’ve twice travelled with her for an escape to the mountains and the beauty of Wilson’s Creek.  Mortimer is also home of Betsey’s Ole Country Store an establishment owned by my friend Bruce.  The address to Betsey’s is a little deceiving- let the record show that “Highway 90” is a gravel road where you need to pull over to let oncoming traffic pass. 

 

Anything I say about Betsey’s or the owner/operator of the establishment, Bruce, would sound like a paid advertisement, so I’m not going to even start.  What I will say is, if you want to visit a beautiful part of North Carolina- visit Mortimer. And if you visit Mortimer- visit Bruce.  He’s got cabin rentals, inner tube rentals, and more knowledge of the area than you’ll find anywhere else.  If you ever find yourself that way, tell him Victoria sent you… Seriously!

 

With Bruce’s back yard as our home base (he is a gracious host), we put in many miles of hiking, had numerous dips in local swimming holes, and managed to spot some of the Perseid meteors.  It was hard to tear ourselves away in order to make it to Atlanta on schedule (we actually didn’t make it to Atlanta on schedule because we opted to take a morning hike before we hit the road).

 

Betsey's. "Peace and Love, Y'all"

Betsey’s. “Peace and Love, Y’all”

 

Putting in some miles in Pisgah National Forest...

Putting in some miles in Pisgah National Forest…

 

I was keen to keep my socks dry, and I did! At least for the first half of the hike (darn slippery rocks)...

I was keen to keep my socks dry, and I did! At least for the first half of the hike (darn slippery rocks)…

 

My new favorite swimming hole, at the top of Gragg Prong fall.

My new favorite swimming hole, at the top of Gragg Prong fall.

 

The reason we didn't make it to Atlanta on schedule- I had to introduce James to one of my favorite spots- Big Lost Cove.

The reason we didn’t make it to Atlanta on schedule- I had to introduce James to one of my favorite spots- Big Lost Cove.

 

It goes without saying that Atlanta was a big change of scenery in comparison to the preceding few days.  I actually didn’t see much of the city, save for the inside of the Sheraton Conference center, a few of the fine dining establishments, and Boyd Eaton’s gorgeous house where the presenters dinner was held.  Prior to the official start of AHS, a number of the Physicians and Ancestral Health docs got together for a brief meeting.  It was great to catch up with these like-minded Docs, and I was reminded, again, how refreshing it is to spend time with people who share passions and interests. 

 

AHS itself was fantastic, save for a few AV snafus. I thoroughly enjoyed some of the plenary talks: namely Nassim Taleb’s antifragile talk, Gad Saad’s talk on The Consuming Instinct, and Geoffrey Miller’s talk on Sexual Fitness (not talking about “reps for time”).  I was a bit surprised by Mel Konner’s and Boyd Eaton’s talk on the history of modern “paleo” diets, where they repeatedly said that our modern diet is much higher in saturated fat and lower in polyunsaturated fat than historic diets… I find it hard to believe that any diet that contains modern vegetable oils has anything other than an excess of polyunsaturated fats. 

 

There were many excellent talks over the course of the conference, and it was often hard to pick which talk to attend out of a very tempting schedule.  I look forward to catching some of the ones I missed online when the videos are posted.  On that note, my talk on Dietary Fats and Fatty Liver Disease, went well.  When the video becomes available I’ll try and post it here!

 

As much as I enjoyed the various lectures, workshops, and posters, the highlight of AHS was catching up with friends and making new ones.  There is quite a vibrant online community of those interested in evolutionary and ancestral health, and AHS can sometimes seem like the interwebz in 3D.  As someone who would happily trade days of online interactions for even brief face-to-face encounters, AHS was a social occasion that refilled my tanks and renewed my enthusiasm. 

 

Back in May, on the Wilderness Medicine elective in Utah, our instructors expressed that one of the goals of the elective was to “stock good memories” for the rough times that were to follow in residency (all but 2 of the 12 students would be starting internship in the next month).  I still have quite a bit of time until I start residency (though the march towards June of 2014 soldiers on), and my goal between now and then is to bank as many good memories as I can.

 

Stashing good memories (and looking for Hobbitses).

Stashing good memories (and looking for Hobbitses).

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I always get excited when I meet a fellow student in the medical world who has an interest in evolutionary and ancestral thinking. It doesn’t happen often, but I’ve twice run into students who, by subtle hints, have let on that they think our current thoughts on health and nutrition are seriously broken. The back-and-forth as we suss out whether we’re on the same team is like an ever-escalating dance. First someone drops the line “nutrient dense food”, then the other says something along the lines of “I don’t think saturated fats are evil”, and before you know it we’re lauding the benefits of egg yolks and liver. 

 

In a culture that tends to focus on treating illness rather than preventing it, and in an environment where we’re frequently so busy trying to fix something that we don’t take the time to step back and wonder why it broke in the first place, it is refreshing to find people who like to think deeply about human evolution and ancestry when talking about health and disease. These people are rare in most clinical settings. When I find others who share these interests I generally wish I’d discovered our common interests earlier- I wish we’d had a secret handshake to tip each other off.

 

In just over a week I’m heading to Atlanta Georgia for the 2013 Ancestral Health Symposium.  There, no secret handshake will be needed to ID those who are interested in evolutionary and ancestral health, as interest in this subject is a prerequisite for attending the symposium.  I’m excited to catch up with old friends, meet new ones, and also to speak at this year’s symposium. 

 

I’ve written before about alcoholic fatty liver disease (the subject of my PhD research), and I’m looking forward to talking about the role of dietary fats in fatty liver disease at this year’s symposium (though the time slot is shared with some other interesting talks, so I’m not sure I’ll garner much of an audience).  I’m also hosting a panel of ancestrally minded physicians who will be talking about the successes and challenges of using evolutionary and ancestral thinking in their own clinical practice.  They’ll be taking questions from the audience, so if you’re in attendance come prepared- it should be fun!

 

If you’ll be at the symposium, please say hello!

 

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A good morning of Wilderness Medicine out in Canyonlands National Park,

 

 

Here’s the short abstract for my presentation:

 

Fatty liver disease is a growing epidemic in the developed world, with some estimating that over 40% of the US population have some amount of disease.  The general recommendations for those with fatty liver disease include avoiding saturated fats, though research does not support this recommendation. In fact, saturated fats have been shown to be protective against fatty liver disease with some even having a therapeutic effect. Conversely, consumption of large amounts of polyunsaturated fats that have only recently become abundant in western diets plays a key role in disease development.

 

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Sorry for the slow rate of posts these days.  I’m reaching the end of my final year or medical school (I actually graduate in December), and while fourth year clerkships aren’t nearly as arduous as those undertaken as a third year medical student, all the other loose ends of medical school are piling up on me at the moment. I take the Clinical Skills portion of the boards next week, the Clinical Knowledge portion of the boards at the beginning of September, and I have to get my residency applications ready to go in the near future (which, of course, includes figuring out WHERE I want to submit applications to!).  Of course I also have a presentation to prepare and a trip to Atlanta to plan!  I have a long list of things I want to write about, but at the moment other things are taking precedence.  Thank you for your patience! 

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1-year Blogiversary

 

It has officially been one year since I started blogging (1 year and 4 days if you’re being exact).  Starting blogging as I started third year medical school was probably not one of my smartest moves.  Third year medical is tough, mainly by being incredibly demanding of your time and sanity. All the same, I’m really glad that I finally started putting words-to-website and getting some of my thoughts out there for others to read.  Blogging is something I had wanted to do for a while, but wonderful people though they are, I think my parents might have disowned me if I’d started writing a blog before I’d finished writing my thesis!

 

Starting blogging during my clinical years has led to a couple things. First- I haven’t been able to put the requisite time into a number of the topics I originally wanted to write about (though I plan to get to these topics eventually!). Second- I’m surprised by how much I want to write about clinical situations and my general experiences on the floors. Together, this means that my blog is slightly different that I had initially imagined and that I have a long list of potential future blog posts (as well as a folder on my desktop with a significant number of “started posts” that may never see the light of day or the glint of a readers eye).

 

I sincerely want to thank everyone who has joined me over the past year on my blogging journey. I deeply appreciate that you take the time to read my musings. I really enjoy getting comments and I apologize that I sometimes get too caught up to reply to all the thoughtful responses.

 

I also want to thank everyone who has shared my blog and my posts.  I’ve had a couple big days when some rather “big shot” bloggers have shared my posts (most recently Mark Sisson gave me a big bump when he shared my snuggling post in last week’s “Link Love”) but I really appreciate (and am humbled) that readers like my posts enough to share them on facebook and twitter . One of the fun elements of having a blog (at least for those with a significant nerdy streak) is keeping an eye on the statistics generated by your blog host… more on that later!

 

Exciting News…

 

I’m very excited to announce that I have been invited to speak at the 2013 Ancestral Health Symposium this August in Atlanta.  I attended the last year’s conference in Boston, and am excited to be speaking on one of my favorite subjects, lipids and liver, at this year’s event.  Tickets are already on sale for society members and early registration starts for non-members on March 15th. The symposium sold out the last two years, so if you plan to attend make sure you reserve your tickets early!

 

In addition to giving a talk on liver and lipids, I’ll also be heading up a panel of ancestrally minded physicians.  The details are yet to be settled, but with a panel including Dr. Emily Deans (of Evolutionary Psychiatry), Dr. Anastasia Boulais (of Primal Med Ed), Dr. Jacob Egbert, and Dr. Don Wilson, I’m sure there will be some interesting discussion exploring how to use ancestral and evolutionary thinking in a variety of clinical fields including psychiatry, hospitalist practice, physiatry, and ob/gyn respectively.  More details to follow!

 

Fun with Stats…

 

As I mentioned above, one of the joys of having a blog (at least for those of us with a nerdish interest in numbers) is keeping an eye on the blog’s stat page.  In addition to showing me which posts are popular and why, it also shows me the search terms that navigate people to my page.  “Principle Into Practice” is a popular google search that navigate people to my page.  Some of the more obscure ones are a little more puzzling (and amusing).  Here are some favorites:

Help me, I’m dating a medical resident

– “Dating in medical school”, “dating a medical student”… some variation on this theme is one of the more popular phrases that gets people to my blog, no doubt linking them to this post . I’m sure that’s not the kind of dating advice the googlers were looking for- sorry!  As for actually dating a med student? Good luck… the first two years are probably more “dating friendly” as the schedule (at least at my school) is quite flexible, but my experience with third year is that your time is generally spent in the hospital or sleeping.  Date a med student at your own peril- they will undoubtedly want to practice physical exam skills on you and they’re probably a bit short on time for making much of a relationship. Also, if you think dating a medical student is bad, I can only imagine the horror that is “dating a medical intern”. Their schedule makes a med-student’s schedule look like a walk in the park!

Can you burst your appendix by eating a lot of pickles

-Umm… no

Can you get out of the country if you have c difficile

– Actually, a lot of people are walking around with C. diff in their system. Problems arise when you have an overgrowth, at which point you probably can’t be anywhere too far from a toilet… (and you need prompt medical attention)

Victoria Principle nude

-This web-surfer undoubtably went away disappointed…

 

Asparagus therapy and human parasites

also

C. diff and asparagus

-I got nothing…

How to sleep during medical school

– My answer? As much as you can, whenever you can.  Refer back to “dating a medical student” if you’d like.

What speciality [sic] in medicine combines clinical practice and evolutionary theory

– I’m not sure, but if you figure it out, please let me know! (Actually, as I’ve argued before, I think there’s a need for an evolutionary perspective in ALL fields of medicine, though perhaps some have more opportunities for evolutionary thinking than others.)

 

Most search terms guide the seeker to appropriate pages, and I hope that my posts enlighten and entertain.  Many of my favorite posts, some of which are also my most popular posts, can be found here on my “Favorites” page, if you’re ever looking for some interesting posts you might have missed!

 

A final thanks….

 

I said it before; I’ll say it again.  Thank you to everyone who reads, shares, and/or comments on my blog.  It’s been a fun year of blogging and I’m looking forward to more posts, speaking at AHS 2013, and continuing to interact with readers, friends, and those who share an interest in ancestral health and evolutionary medicine… and also those who are curious about dating in med school! 🙂

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