Jami Dulaney MD Plant Based Wellness Jaimela J Dulaney MD

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My favorite lunch is a salad, and not the same salad every day.  I like to change things up.  Restaurants know that a salad is not exciting so they spruce it up with high calorie toppers and dressings.  Often, they have more calories than a sandwich and fries.  But, you can still tell the doctor, you just had a salad for lunch.  I will let you in on my salad secrets on this episode.  I will also give you a some more reasons to lace up your shoes and start walking.  Finally, I will finish with the controversial topic of Vitamin D. 
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Welcome! and Thank you for listening.  
This is the weekend of the Masters Golf Tournament.  To begin there was an honorary start with Tee shots by Gary Player, Jack Nicklaus, and Tom Watson.  Gary is the oldest at 88.  He was the most spry and energetic.  As a student of the game of golf, I would like to share my takes on the sport and how it relates to health.  I believe Gary Player is an outlier, and here is why. 
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Today I have the founder of MamaSezz healthy food company.  As many of you know, MamaSezz began as a plant based whole meal delivery service.  Meg had been in the food industry and retired only to discover the need for easy plant based meals for those not able or ready to prepare them for themselves.  Her mother had developed congestive heart failure and was told to get her affairs in order.  Meg researched how she could help her mom live well and discovered plant based nutrition.  After doing a deep dive MamaSezz was founded.  
Enjoy a recap of her story and how the company has transitioned.  We talk about our vivacious moms who set so many great life examples as well as the obstacles to a healthy life from a nutrition and movement challenges.  I
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This episode features Susan Donnelly.  She has run more 100 mile races than anyone on the planet!  Over 145 one hundred mile races since 1999.  She is the definition of an outlier not only with regard to running, but occupation and nutrition.  Enjoy learning about how mindset during ultra running and how it applies to lifestyle changes.  
Susan Donnelly: https://www.susanidonnelly.com
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Who are you?  What story do you use to answer that question?  Perhaps your story fits who you are but not who you wish to be.  Today's podcast is about changing the story to become more healthy.  Our story can help us accept our circumstances, but we often forget we are the authors of our future selves.  
Changing who you are is about changing your story.  Did a health crisis change your story?  Health care providers are at a very high risk of planting seeds to change people's story.  Perhaps you were active then had an accident.  The doctor said you have bad knees.  You rewrite your story to fit your bad knees.  You cannot run, walk, or do sports.  You gain weight because of your bad knees.  You no longer enjoy travel because of your knees.  Your story totally changes because of what your doctor said about your knees.  
Today's episode is about changing your story.  It certainly is not easy.  But the joy of becoming the Real You is worth a little suffering.  It is not a kick start or quick fix, it is a change in focus.  A change in your story that can lead your to a healthier life.  Have a listen.  Thank you. 
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https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3
 
 

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Telomeres are the end caps on DNA that protect it from unraveling.  They can be measure in white blood cells to determine their length.  The shorter they become, the more likely for the DNA to start to develop errors.  This leads to failure of the bodies organs and functions i.e. aging.  It has recently been linked to the risk of developing heart failure.  
There is another blood test that looks for DNA fragments in the plasma of the blood that is associated with colon cancer.  Detecting advanced cancers is pretty good.  It is not so good at detecting early treatable cancers.  It is just a blood test.  However, it is not perfect so what will you do with the results.  
If a breast cancer tumor expresses estrogen receptors then inhibiting estrogen should decrease the cancer growth.  How much is enough? 
All of the above sound like reasonable tests and solutions.  But do they prolong survival ?  Very few studies actually look at overall survival resulting from an intervention.  They look at disease free survival, or tumor regression, or ability to diagnosis a cancer.  It seems as though a diagnosis could lead to more rapid treatment or more aggressive treatment would lead to a better outcome.  But what are the downsides of a therapy or early diagnosis that might ultimately lead to side effects that shorten lifespan or decrease quality of lifespan.  
Doing something and being aggressive are seen as positive interventions.  Why don't we view lifestyle changes in the same way?
Aerobic exercise and strength training positively affects muscle mass, mitochondrial function, mental well being, and lifespan with very few side effects.  If you are interested in learning how you can positively affect your healthspan, check out our websites at https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing
Email me with questions at jami@doctordulaney.com
A Cell-free DNA Blood-Based Test for Colorectal Cancer screening.  NEJM March 14, 2024. p 973. 
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2816030
https://jamanetwork.com/journals/jamacardiology/fullarticle/2813486
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