The perils of hidden sugar content: interview with Dr Aseem Malhotra and filmmaker Damon Gameau

I recently watched an intriguing Lateline interview that was with a UK Cardiologist called Dr Aseem Malhotra who is leading a public health driven movement to raise awarness about the perils of sugar that is often hidden from us by the food industry. The following interview shared below is between the BCC reporter, Dr Malhotra and the filmmaker of hit documentary “That sugar Film” Damon Gameau. They present data and illustrations of some key points about the food that we eat, that everyone should be aware of;-

This eye-opening interview highlights the perils of sugar contained in common foods (often marketed as healthy foods).

http://doctoraseem.com/time-bring-back-fat/

It is worth reading the article in full and and also watching the YouTube video of the interview, but in brief the closing key points by the Dr Malhotra the health promoting Cardiologist were;-

  • Eat real foods
  • Avoid processed foods
  • Limit yourself to no more than 6 teaspoons per day
  • Eat full fat yoghurt rather than fat freee
  • Having more fat from foods like olive and nuts – reduces risk of many chronic diseases of heart

Also – the salient message

  • Beware of common foods that have hidden sugar content
  • Eg. 1 tablespoon of BBQ sauce has 2 sugars

This article particlarly strikes a chord with me because it highlights the power of preventative health (and in particular health promotion) and knowledge translation used in synchrony, an intersection that is perhaps going to be one of the best way to tackle many different deeply ingrained habits of modern society that are leading to preventable ill health.

The bridge between “treatment” and “prevention”

During my last 10 years of working as a doctor, I have been repeatedly lead to the interest space that lies between the treatment and preventative spheres of health care. In the process of carrying out fieldwork between 2006 and 2010, and writing up a PhD thesis to do with knowledge translation addressing suicide related death prevention in pesticide self poisoning, I became further aware of the integral roles that both preventative health and knowledge translation of existing evidence have in making an impact in the promotion of health at a global level.

After returning to the Australasian health system 5 years ago, to complete my specialist training in Emergency Medicine, I could clearly see one of the most important gaps between treatment driven medicine and preventative medicine was the lack of a “two-way street” between these two worlds of preventative health (or health promotion) and treatment driven specialist medicine. In some cases the connection between these two worlds seemed more like a like a “bridge” between two very separate islands. It is easy to understand why the gap exists because often in the hustle bustle of a busy Emergency Department, treatment is clearly the focus, and there is very little opportunity to address the problems that have lead people turning up to hospital in the first palce. However, the importance of bridging this gap, and enhancing innovative traffic on this two way street seems to be increasingly important if we are to reduce the overall cost and burden on our emerging health systems.

Public Health innitiatives using media as a vehicle

Health promotion is a complex arena of work that will require engagement of multiple players in the arena of health including funders, governments, health workers, and of course the public themselves (ie the stakeholders for preventative health innitiatives). The health promotion work being done either directly or inadvertently both by award-winning Cardiologist Dr Malhotra and Filmmaker Damon Gameau educating the public on the hidden perils of sugar is quite inspirational, and to me it illustrates useful model of how the intersecting modalities of science and cinamatographic art are being  employed in a goal of improving global health.

Return to Kandahar – Benjamin Gilmour Films

Today I received an email from an friend, author and filmaker is continuing to work his artistic magic by creating films with meaning.

Excerpts from the interview:

Return to Kandahar is about hope, it’s about friendship, it’s about hospitality, and its about forgiveness”

we don’t need pro-war, anti-muslim propaganda films anymore”

what we need are films that promote peace, that promote understanding”

if you believe in justice, peace, in dignity, in fairness and equality, than I think this is a project that you should get behind”

please support it – we need your help”

 

About the Filmaker

Ben Gilmour wrote a book called “Paramedico” which was an exposition of short stories about the tales of an international paramedic who cherished the adventure that his job entailed. I was instantly attracted to read the book whose title seem to fall on my lap, as often is the case with books that I’m meant to read, when enjoying a chai in one of my favourite cafes in the world “Gertrude and Alice – café and bookstore” in Bondi, some years back.

I was lucky enough to meet the man behind the printed words his book launch in that very café/bookstore and we instantly became friends, perhaps connected by a shared passion to improve the world in a small way through combining our backgrounds in health care (in his case being a qualified ambulance officer), research, and of course creativity.

Shortly after meeting ben I saw the trailer for his movie “Paramedico” and was further inspired by his aristic achievement.

Today I read the blur about Ben’s latest movie “Return to Kandahar- one which he is seeking crowd funding support. I instantly watched the 2 minute short film/interview and dontated $15 to the cause and wrote this post.

I hope that 15 minutes of my time can help in one step forward supporting what seems to be an epic film that I would like to watch, as well as a creating a culture of films that the world is so ready for.

Good luck Ben – you’re a legend and inspiration!

Thank you for your work!

2016 reflections and and a some old wisdom for a new year!

Structure is Key

 

Structure is key,

Without out this we cannot be free,

 

From the ups and downs of life,

And the ability to live with a wife, or family,

 

As strife is inherent in all kinds of life,

But it need not cut you like a knife,

 

For when you have an “approach” and a plan,

Whether it be to hang and get a tan,

 

Or follow a career which makes you the man,

That you are seeking to be,

 

You just have to navigate the tides,

And not get lost at sea,
So hold a peace in your mind’s sight,

And let “structure” be the guiding light.

 

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Structure is the key to everything,

No matter how difficult and messy life seems,

There is always a way to handle the challenges peacefully and productively.

Recently I’ve been working in a new rotation called “General Medicine”, I’ve noticed that the same principles of stucture being the key applies here too. I turn up to work and there often seems to be a mountainous list of tasks to do. To get through seeing all the patients, organise consultations, and organise ward rounds with consultants to formulate solid patient management plans. Then on the tricky days I’m also on call, which means that I have to answer the pager which could be emergency patients that are referred, or ones who would benefit from another subspeciality’s input, and ward consults from other hospital teams.

It is the same when I am working in Emergency Medicine. I’ve learned how “structure” is essential to core business of an emergency physician who has to make some sense and bring order to evolving chaos. Here one strategy is going through the “board” (an electronic overview of all the patients in the department) and making sure there is a plan for each patient as well a strategy for staffing and supervision to handle the inevitible surge’s of patients (trauma’s, resucitations etc) that freqent the department.

 

But how about “life”?

Now when it comes to “life” – how does one structure this project? Perhaps the life arena is the hardest one to manage because it is so dynamic and multiple factors involved. Also there are pressing needs that trump any planning such as “getting food into the body”, “doing shopping”, “having rest”, or “spending time with one’s partner” who is otherwise is constantly waiting around for a life, just washing, cooking and cleaning. Perhaps managing the needs and goals of close loved ones (both family and friends) is the most challenging variable of managing “Life”.

We are not given much guidance on how to manage one’s life, or at least I wasn’t’, but what I’ve come to realise now, is that ironically doing less is the key to achieving more. This is easy to realise, but extremely hard to practice in a world where there seems to so many things that need to be done before we can sit in peace.

After working busy shifts in the hospital it is very easy to feel both depleated and defeated. In recent months, and years, I have found that by giving it “your all” to countless patients and their families, and despite simultaneously trying to be the best support senior, junior and other staff and colleagues, one can still easily leave work feeling that there was more that you could have done. This is not only heart breaking, but it is counter productive, because it leaves one ill equipped to then to come home and pick up the pieces of the most important project of all “life”.

As we head into the new year, at challenging time in my life when facing a fellowship exam is on the cards in addition to the usual mix of dream plans, responsibilities and goals – I take heart in reminding myself that “structure” is the key. I also look forward to the year ahead with a motto that I’ve always kept close to my heart – which is to give out what I would hope to get back, after all they say that “the universe is kind to the kindhearted”, and this has proved to be a personal truth that I am very, very grateful for.

Best of luck for your new year! May all you move one step closer to your most heartfelt wishes, hopes and dreams.

See you on the other side:)

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Motivational talk on specialist training and Emergency Medicine

Last month I had the pleasure of talking with the UOW 2015 graduating medical at their “welcome to the real world” workshop lecture series. It was a real honour to be invited to speak about Emergency Medicine with this group of future doctors.

I decided to offer some reflections about my own diverse journey which has spanned several countries and a few different disciplines including surgery (which I embarked on many years ago), research (which led to a PhD that was complted this year) and emergency medicine (which I am currently in the process of completing).

2. My journey

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Some of the highlights of the talk for me was to be able to use a bit of simulation and creative to highlight through direct experience what some of the key elements of Emergency Medicine include. To this end I used a bit of shaking and laughter yoga, an audience surprise, and finally a short guided meditaiton to let the group exeprience the calm within the storm. I was lucky this was such a willing audience.

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The actual talk was a good chance to highlight the importance of knowing onself when chosing a medical speciality, as well as knowing what that speciality is about, and understanding what the job entails; both positives and negatives. For me the key reasons to chose a speciality is related to inspiration, and taking a path towards following an inner dream. Mentorship is key for this long journey, and I am every grateful to have had many great mentors along the way.

1. Why we chose a career path

The talk ended with a guitar peformance of a song I wrote whilst doing field work for my PhD titled Peaceful Revolution. It’s an interesting song about some of the wisdom I learned in the villages of rural Sri Lanka. Part of the song is about how there seems to be much more harmony between nature and human existing in the rural areas, and in the cities where I’ve spent most of my life it is easy to have so much in material wealth, but at the same time so easy to forget to touch the hearts of others.

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The gratitude List

There are always so many people to thank for every talk I give. First and foremost I am grateful to my many wonderful mentors – without whom a talk of this nature would not be possible. Then there was the audience, not only for being a kind and generous audience, but also for participating with some of the off-the-beaten-track interactions that I had schemed into this particular talk. Thanks also to the new graduates;- Dr Hayley Dyke who helped me out with being an improptu back up guitarist for the performance, and of course to the lovely Dr Beatrice Dowsett, a member of the class and workshop organiser who invited me to speak. Bea is such amazing person, talented both within and outside the medical arena. I’ve had the pleasure of meeting her at the local hospital acting/film/drama forum created by Dr Tony Chu with the help of other keen artistic doctors at Wollongong Hospital, who meet up monthly for the what we call Fry Day Drama (read more to find out).

I am also very thankful for the clinical team of which I am part of at at the Wollongong hospital, for supporting me to get across to the university campus to deliver the talk during a busy – (Thanks Dr Venita Visvalingam, my supervising Consultant Physician and Dr Annie McKean our hard working Intern!).

Thanks to Dr Nemeshi Fernando who was one of class who gave me some feedback (which I put on my You Tube channel) about the talk. It’s always wondeful to get nice feedback from the audience, and to know that your message is understood.

But finally – Congratulations to the UOW 2015 class – Well done – You made it!!

and… “welcome to the real world!”

 

Extra web-links

Please leave your “feedback” below:-

I have included the entire talk above, with some additional slides that include a few medical related poems that I once submitted to an Australasian College of Emergency Medicine (ACEM) conference.

If you are reading this and attended the talk, please leave your feedback in the comments section below. I would love to know what was helpful and what resonated most with you as I endeavour to develop this talk further in the future and your feedback is warmly appreciated.:)

Angels of the Sea

Whales are creatures of the ocean,
Teachers of gentle motion,
That allow us to see,
The meaning of “being free”,
For they are the angels of the sea.

14-10-15 Another week, another rotation, and a week closer to the final exam of emergency medicine. I usually find starting a new rotation is stressful because at the beginning it’s hard to know all the ‘ins and outs’ of the job. This week was no exception, except I was blessed by being supported by some wonderful colleagues, especially my intern Kate who had such a positive outlook on medicine and life in general!

After feeling so tired from the week just gone, spending extra hours studying for my emeregency medicine fellowship exam which I will sit in February 2016, I decided to catch up on sleep and skip the opportunity of a morning surf. Instead, Sanna and I decided to go to our favourite café in Thirroul to have a coffee and do some study. However, before sitting I felt a strong calling to first go for a ‘nature break’. As far as my logical mind could reconcile, this venture was going to be a walk to the ocean, for the purpose of gaining some inspiration before going back to practicing exam questions.

When walking down to the Thirroul beach I saw that familiar splash in the distant ocean that always makes me think “is that a whale?”. My knee-jerk reaction was to say to Sanna “Hey I think I just saw a whale! Did you see it?”. She usually discounts such suggestions because I forever seem to be saying, “hey I think I just saw a whale!?”. Sanna has grown to be slightly dismissive about these suggesions, but the great majority of times that I’ve suggested this it has turned out to be correct. I keep seeing them and they keep appearing in my life. Today was a case in point.

When we got down to beach front, I went straight to edgy and we could clearly see at least two maginificent playful whales periodically jumping out of the water creating quite a splash. It was an amazing scene to encounter. No matter how far away, or close, one is to a whale in the wild, it is a magnificent thing to be around them. Interestingly the previous night I had a beautiful dream where I saw a humpback whale jumping out of the ocean in full breach. I had forgotten about this dream – but it seemed to have come true~!

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A Proposal and Engagement: with imagination, hope and love!

A poem, flower and a ring,
Holding this within our heart,
Even the peasant becomes a king,
Through the land of enchanted love,
Rising above cloud and rain,
Moving beyond the insane,
This is where dreams are made,
Where dues are paid,
In exchange for the hope of “imagination”.

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A few days ago I asked the woman that I love to marry me. She said yes and now we are engaged. We don’t even know what this fully entails. Apparently in Swedish culture, upon discussing this with some Sanna’s family here in Sweden, it is more traditional for both the bride and groom to exchange rings at the time of engagement, and it is only the bride who gets a wedding ring (Hang on a sec! That means we’ve done this backwards as I’ve just given a Sanna a ring, and I figured we would exchange rings at some point in the future when we get married?).

I had no idea of the particulars of how one should propose to a Swede, many questions crossed my mind, like whether I should ask her father beforehand, or even what would be a good thing to say? In fact the only ones who really knew on my side were my two brothers back in Australia and New Zealand, whom I told of my intention at the beginning of the year. However, in terms of this proposal I needed some specific help. Lucky for me, I happened to sit next to a man who looks about my age on the plane from Brussels to Stockholm, who also originated from outside Sweden (ie in Portugal) and married a Swede. I learned from him the Swedish words for “will you marry me?” which gave me much needed confidence in the secret mission that I was about to embark upon, however, this lesson was followed by a subtle warning that if I was not careful with my pronunciation I could easily be stating that I wanted to be poisoned! I thought about telling him that this was a bit ironic as I had recently been awarded a PhD in the field of Toxicology (poisoning) – but perhaps this was going sound a little strange, so I just made a mental note “say “Vill du gifta dig med mig?” (pronounced Vil-du yifta-day-med-may)

The actually proposal was like magic, I had to keep it all secret as I figure I didn’t want to tell anyone. The perfect spot on top of the lookout at Trysunda island where Sanna visited regularly growing up, which was also one of my favourite places on the planet. But still there was so much doubt, with the ring in my backpack, the words in my head. My mind was riddled with a series of “what if” type questions, as it easily can be when taking important decisions about my life. These worries are all to do with the future and completely ignore the wisdom of the present.

Lucky for me the skill of meditation and the craft of writing are two things that came to my rescue in a time of need. A short sit, and a little bit of journal time in the boathouse on Trysunda Island created the space to connect with my heart. It was clear to me in that moment that there really was no right time, So on this occasions, as with almost all the most significant decisions that I have made in my life, the answers have come from within, only if I dare to ask.

On Facebook it looked like a fairytale proposal, and it really was looking back, but what is not shown on these made-over social communications channels like Facebook are ally the not so shiny bits. In addition to the normal fear and trepidation that had to first be overcome, which of course included the fear of her saying “no thanks”, the morning rain had set in. However, I was determined to go for a walk, rain or shine and share a morning moment with Sanna. For some reason in that moment the Angels were showering there blessings upon us and the rain cleared. The was just enough time to pass on a blue-bell flower, and read the romantic poem that I had written the night before, followed by a ring and my line in Swedish (quickly followed by the English translation to avoid any incorrect assumptions). Well let’s just say that she said “yes”, we were elated, and I was very relieved and, well, the rest is history as they say. It seems now, even after a few days that it was so the right thing to do, and all the doubts and fears seemed to quickly disappear into the Trysunda mist.

Leaving Sweden! “Tack” for the wonderful time:)

It is with great gratitude and joy that I now look back on the wonderful week that we have both experienced in Sweden. However, now we have to drive to the airport and say goodbye to those we love and care about. Whilst I know we are not alone in this all too common problem where families are scattered around the country and globe – it still doesn’t make the separation any easier to take.

When I reflect upon the trials and tribulations of even the most happy occasions in life, such as getting engaged – perhaps the real magic lies not in the sun streaming down from the skies when a ring is held out in front of the one you love, but in the ability to see “beyond the clouds” and focus on gold that is always looking at you straight in the eye.

To all our family and friends who have sent such warm congratulatory wishes in phone calls, emails, and in notes on social media. Thank you from the bottom of our hearts.

We don’t know much about when, where or how the wedding will be, but all will become clearer in the months to come. Let’s just say that we both strongly believe that “life is an adventure”, (albeit with plenty of ups and downs), so at some point in the future we really hope to be riding that wave called marriage!

Lots of love from us both!