Bouda Life, Corporate and Wellness Coaching

Monday's Message #16 - 08 Wellness

2008-08-18T08:00:00.000-05:00

Wellness

#12. Aging is negotiable but death is not – learn to think rationally about your own death and decide to deal with it your way with panache and as much dignity and little pain as possible. Life is about impermanence. Most people die badly, take way too long, get all maudlin about it, make lots of other people miserable and expend resources on silly services. Enjoy your family, relatives, friends and associates when you are in good spirits and active. Don’t wait to tell people you love them. Don’t delay in telling the truth. Live each day and love the life you live or live the life you love.

Thursday's Thoughts #14 - 08 Wellness

2008-08-14T08:00:00.000-05:00

Wellness

#11. Prepare yourself for middle age and any age that might follow – master the keys for compressing senescence and morbidity. Middle age is a myth – it happens only to those who believe in it. Of course, eventually, we all slow down as we become much older but how much we slow at how fast a pace is up to us. Middle age does not occur when you remove the mirror from above your bed and replace it with a poster of the food pyramid. Focus not on life extension but on the quality of life in the extension. This is where the Physician Wellness Coach and Life Coach will enter as partners on your journey.

Monday's Message #14 - 08 Wellness

2008-08-11T09:00:00.000-05:00

Wellness

#10. Favor pleasure seeking over pain avoidance – sustain your motivation for high performance and joy with positive incentives and payoffs. Life coaching will assist you in being coherent in your actions with your intentions. Always look on the bright side when pondering lifestyle investments. The wellness alternative is to do the right thing which is to perform sensible acts of a healthy nature that you know will have positive life enhancing returns

Thursday's Thoughts #13 - 08 Wellness

2008-08-07T08:00:00.000-05:00

Wellness

#9. All forms of contemporary medicine, whether scientific or alternative, establishment or complementary, harbor elements (practitioners, modalities, remedies, procedures and customs) that are ineffective, inappropriate, dangerous, bogus and otherwise ill advised. This is why a Concierge Physician or Physician Wellness Coach is so important in your PDP. Undeveloped reasoning skills and a related predisposition to easy answers and a disdain for science create high levels of credulity and gullibility. This is why you need the Concierge Physician and Physician Wellness Coach to sort out the “new age babble, psychofacts and synthetic truths.”

Five Steps to Maximize Your Healing
Treatment
The art of applying, sequencing and performing remedies with the intent of effecting a healing, often multidisciplinary, and always involving the participation of the patient.
Diet
A regulated selection of food and drink that maintains weight provides adequate nutritional foundation to recover from remedies and gives pleasure to the consumer.
Exercise
Any activity that requires physical and mental exertion that results in some shortness of breath and perspiration performed to develop and maintain physical fitness.
Attitude
A state of mind or feeling arrived at through individual effort that sees the future as positive and the remedy as effective. It is also protective for unwanted interference and harmful emotions.
Spiritual
A non-tangible or material power that pervades all things and a source of comfort and energy for those who join with it to guide, enhance and empower their lives.

Monday's Message #12 - 08 Wellness

2008-08-04T08:00:00.000-05:00

Wellness

#8. Assess and upgrade your personal vital signs. How much you weigh is not very important, at least for your health. It might be for your self concept. What matters far more than fat is body composition and functional capacity, particularly resting heart rates, recovery rates, flexibility, muscle strength and other physical performance parameters. Switch your focus from fat to muscle. Know your waist to hip ratio and BMI as well as your cholesterol and blood pressure. Remember FITT and the Pyramid and become the CEO of your body. ( See the BLC exercise program and tobacco cessation program )

Thursday's Thoughts #11 - 08 Wellness

2008-07-31T09:00:00.000-05:00

Wellness

#7. Choose serenity when you need it. Unmanaged stress is at epidemic levels, you can’t medicate it away, though millions surely try. Coping is impossible – there are simply way too many events and circumstances producing stress. Eventually, you will succumb (get ill, act crazy, wet your pants) to daily pressures, anxieties, fears and so on. Learn lifestyle artistry, beginning with a different mindset about stress that acknowledges that you have a choice as to how to perceive and respond to all events and circumstances that could potentially provoke the stress response Choose an outlook that enables you to be serene at a moment’s notice, no matter what. Be coherent! Learn SAHEMs (Self Applied Health Enhancement Maneuvers) like yoga, meditation, pilates, prayer, exercise, massage or mindfulness of the moment

Monday's Message #10 - 08 Wellness

2008-07-28T08:00:00.000-05:00

Wellness

#6. Become a bottom feeder on the food pyramid. (See attached Pyramid) Americans eat too much, choose foods unwisely, waste a fortune on unnecessary supplements and are uninformed about how to effectively change their dietary habits. This is not a pretty picture – each year, Americans spend $30 Billion on weight-loss products and services. Hopefully, you are un-American in this respect. Spend more on fruits and vegetables, whole grains, bottled water and less on fat, alcohol and sugary desserts. Dedicate yourself to the production of an award winning fluffy floater every day. (Request the BLC Diet Program

Thursday's Thoughts #9 - 08 Wellness

2008-07-24T08:00:00.000-05:00

Wellness

#5. Laughter. Be resolute in pursuit of your own RDA of DBLU’s. Humorous moments of laughter, delight, play, merriment and all manner of lighthearted joy are seen as luxuries, optional diversions to pursue on weekends when the serious business of work and other responsibilities have been attended. This is a high risk outlook and should be modified. It is hazardous to your health and a barrier to high performance. You need daily pleasures, in fact, hourly smiles and even guffaws are conducive to, necessary for, and compatible with realizing and maintaining your highest potentials for physical and especially psychological, emotional and spiritual well being. Don’t wait for the government to establish and RDA (Recommended Daily Allowance) for DBLU’s (Deep Belly Laugh Units ). Resolve to obtain 20 units per day. Wellness invites more than the minimal standard

Monday's Message #8 - 08 Wellness

2008-07-21T08:00:00.000-05:00

Wellness

#4. Develop your own personal development plan ( PDP ) and make conscious the continuing quest for satisfying meaning and purpose. Are you comfortable articulating ideas about the meaning of life and questions like “Why are you here” or “What’s it all about?’ A lack of interest in or curiosity about these timeless questions may signal a need to reassess the adequacy of your sense of meaning and purpose at work and in everyday life. Lack of delight in these kinds of questions is often due to cultural propaganda, dogmas, group think or norms that don’t encourage free inquiry, curiosity and a search for a new meaning as a fascinating exercise. This could have adverse consequences insofar as maintaining a challenging, healthy lifestyle. Learn to really look, see, tell the truth and take authentic action with focus, clarity, ease and grace

Thursday's Thoughts #7 - 08 Wellness

2008-07-17T08:00:00.001-05:00

Wellness

#3. Shape an environment conducive to great performances. Your best performances are not likely to come about by accident. Most people muddle along unaware of the multiple ways that family, friends, the workplace and other influences inhibit excellence and even discourage exceptional efforts to overcome the customs of complacency and conformity. Design a supportive culture around yourself that encourages, facilitates and otherwise supports you in living a high performance life day in and day out. Remember to draw your own support map and to write your personal affirmations every day to make them part of your fabric

Monday's Message #6 - 08 Wellness

2008-07-14T08:00:00.000-05:00

Wellness

#2. Reject societal limitations, claim your uniqueness, and simplify your life. Surpass and transcend normalcy! Develop a lifestyle worthy of an epic existence! Normalcy is aging people prematurely and robbing them of potentials for vitality, high performance, daily enjoyment and work satisfaction. You can do better than being normal. Identify and develop your talents, commitments and passions and find a way to organize an exciting life that makes some parts of each day highly interesting and worthy of your possibilities. Remind yourself that you don’t have forever to experience a bit of happiness. Remember the number 1 indicator for happiness is personal health.

Thursday Thoughts #5-08 Wellness Introduction

2008-07-10T08:00:00.001-05:00

WELLNESS PROGRAM

Wellness is a positive, fun approach to good health and an enjoyable life. It is a mindset or philosophy for seeking physical, emotional, psychological and spiritual well being beyond the mediocrity of simply not being sick. It means living your life in a coherent fashion so you enjoy maximum freedom. This is freedom from illness, disability and premature death. It is also living in a coherent fashion to enjoy your life, liberty and happiness hassle free. It is a self proclamation for becoming the best person that your potential, genetics, environment, circumstances, family and love enables you. The time has come for personalized wellness medicine and personalized coaching to assure more quality time on this planet earth. It is time for you to relight the fire, ignite your passion and fulfill your lifelong dreams and intentions. You can not accomplish this if you are ill or suffer from faltering energy. Now is the time to take charge of your health and be as discriminating in what you purchase for health and do for health as you are in buying a car or TV. We will discuss 12 steps to achieve wellness beginning today.

#1. Move your body around. Make time for 45 minutes of strenuous daily exercise. Most of us are sick too often, unnecessarily dependent on the medical system, overly fat and given to excessive excuses. Does the idea of 45 minutes seem like too much? It is if mediocrity’s good enough for you. You should enter cardiovascular bankruptcy several times a day. Pursue ways to make some kind of challenging exercise fun and satisfying. Think about FITT = Frequency, Intensity, Time and Type for your exercise

Live Healthy!!

Thursday's Thoughts #4-08 Facts

2008-07-03T08:00:00.000-05:00

Thursday's Thoughts - Little know facts

1. First female medical intern in Paris, France 1/23/1901
2. Dr. Gillman used xrays for breast cancer 11/01/1902
3. Smallpox vaccination mandatory in France 2/19/1902
4. French Academy of Medicine declares alcohol unhealthy 3/10/1903
5. German Roentgen society declares xrays dangerous 4/6/1907
6. First heart surgery at Younkers Hospital 4/6/1907
7. Cancer microbe found found by Dr. Gaston in Odin, France 8/13/1912
8. First EKG of heart malfunction by James B. Herrick 2/18/1919
9. Insulin discovered by Banting and Best 7/27/1921
10. Dr. Rogers in Paris declared smoking beneficial 8/21/1923
11. Smoking condemned by AMA 9/23/1927
12. First blood bank Dr. Fantus at Cook County 3/15/1937
13. First kidney transplant in chicago 6/17/1950
14. Frist mechanical heart in Philadelphia 3/8/1952
15. First sex change operation Christine jorgensen 12/15/1952
16. DNA discovered 4/25/1953
17. Birth control pills banned in Connecticut 4/18/1953
18. Psychoanalysis approved by the Catholic Church 4/15/1953
19. Salk polio vaccine made public 8/1/1956
20. Johnson signs Medicare as law 7/30/1965
21. First CAT scan in London 8/25/1973
22. Heimlich maneuver at Xavier University 6/14/1974
23. AIDS identified 12/15/1981
24. Second hand smoke is deadly by Dr. Koop 5/23/84
25. Obesity is a major killer US government 1/13/1985

Isn't amazing how quickly things change and progress.

Live healthy!

Monday's Message 3-08 Cancer and Coaching

2008-06-30T08:00:00.000-05:00

Coaching for Cancer Patients

Physicians and their therapeutic staff are focused on treatment and side effects of that treatment to affect the best possible response. Often the cancer patient’s and their family’s mental, physical and spiritual distress is overlooked. For these people in distress, coaching offers major benefits, helping them cope with anxiety, stress and family decisions. Over 50% of cancer patients and their families experience some level of anxiety, stress and confusion. These conditions can adversely affect the family and the patient’s response to treatment and the amount of side effects they suffer. Coaching helps improve compliance with the difficult cancer treatment and cuts down on the patient’s anxiety and stress. Lack of family support or understanding of how to give support are major contributors to the anxiety.

How to make good decisions can be clouded in this whirlwind of treatment. Coaching can help remove barriers to receiving the best care and post treatment care. Coaching helps everyone to identify their core values and intentions and gives them tools to face this trauma with focus, clarity, ease and grace. Being able to be in coherence with your values and intentions in this time makes stress and anxieties melt away. Patients are often grieving the things they perceive they are losing and coaching can help people see what they have and have had.

The process of taking small sweet steps each day relieves anxiety and allows the patient and their family to focus on more immediate day to day concerns rather then the overwhelming negative picture they have.

After treatment, re-entry into the normal world can be fraught with pitfalls and a personal coach can help make this a soft landing. Nobody nor family lives through cancer and says their life hasn’t been changed. They are different people and need help in re-establishing relationships. Cancer patients become more compassionate and aware of other’s problems. They get out of unhealthy jobs and relationships. They discover they have another chance at life and they want
to live it as happily as they can. A coach can do this with you.

Happy Living

Thursday's Thoughts from BLC - #2-08 Obesity Risks

2008-06-25T14:29:00.002-05:00

OBESITY RISKS FOR THE PERSON AND THE COMPANY

Commonwealth Fund Study has recently determined that there has been a 60% increase in uninsureds in the USA and 20% of the insured have spent > 10% of gross income on out of pocket medical expenses in the last year. The new Jounal of Obesity confirms that 33% of the USA is obese. Well what is that risk in addition to the expense of being obese or becoming obese?

If you are 30 pounds overweight then your medical expenses increase in the range of $5000 to $21,000 dollars. If you are 70# overweight your medical expenses increase in the range of $15,000 to $29,000. Both categories have a decreased overall survival compared to the national average.

Obese people consume more health care dollars, miss more work, have increased accidents and suffer an overall decreased quality of life.

One concern about working to decrease obesity in your workplace is that your benefits achieved for that employee will be transfered to the new company that the employee may choose. Other than simply doing the "right thing" for your employee, if you actively pursue lifestyle management for your employees you may achieve for yourself and your employee the following:
1. less healthcare dollar expenditure and out of pocket expenses
2. less missed work time
3. less accidents
4. more engaged employees
5. better retention
6. better training experiences
7. lower turover and retraining expense

Simple things like cafeteria retooling, vending machine alterations, stair encouragement and joint gym memberships may start your program and KEEP your employee because of your interest.

Now is the time for you to practice EGDI - Early Goal Directed Intervention - to achieve short and long term expenditures.

Happy Living

Overweight and Obesity

2008-06-23T08:00:00.000-05:00

Monday’s Message from BLC #1- 08 – Overweight and Obesity

When you are out this week in a crowd look to your right and then to your left and one of the three of you are obese and two of the three of you are overweight. 65% of Americans are overweight and 30% are obese. 300,000 Americans die each year from obesity complications. If we do not do something for our selves then at least we ought to do something for our children.

You are overweight if your measurements meet these criteria:
1. a male’s waist to hip ratio in inches is >1 and a female’s waist to hip ratio is > than .8
2. the waist measurement around the belly button is >40 inches in a male and 35 inches in a female
3. the BMI [ Body Mass Index ] found in tables is greater than 26

40% of Americans will be on an unsuccessful diet this next 12 months

What should you be doing? First, DO NOT resort to quick fix diets, pills or “voodoo” prescribed by diet doctors or multi level marketing companies. We will be discussing sensible ways to address weight loss through out the next year.

What should I weigh?
If you are a male then the following equation works for you
For your first 60 inches of height use 107 # and to that add 6# X every inch over 60 inches
EG. 6 feet 2 inch man would be 107 + [ 14 X 6 ] = 191 # for a good body weight
Add 10% for healthy fat and you have 210# for a good weight
If you are a female then the following equation works for you
For your first 60 inches of height use 106 # and to that add 5 # X every inch over 60 inches
EG. 5 feet 6 inch woman would be 106 + [ 6 X 5 ] = 141 # for a good body weight
Add 10% for healthy fat and you have 155# for a good weight

How many calories should I eat to lose weight?

Resting Metabolic Rate is the calories burned for sitting in a chair, awake and doing nothing.
For a male: 900 + [10 X # kg ] = Calories N.B. Kg = weight in pounds divided by 2.2
EG. 220 # man is 900 + [ 10 X 100 ] = 1900 calories
For a female: 800 + [ 7 X # kg ] = Calories
EG. 155# woman is 800 + [ 7 X 70 ] = 1290 calories

To the Resting Metabolic Rate multiply the activity factor
1.2 for sedentary job: Our male would be 2280 calories and female 1540 calories
1.4 for moderate activity: Our male would be 2660 calories and female 1806 calories
1.6 for active life style: Our male would be 3040 calories and female 2064 calories

Now you know your weight and calorie maintenance so JOIN the 250 Club. Eat 250 less calories per day and use / burn 250 more calories per day. Remember to lose a pound of weight then 3500 calories must be lost and the 250 Club would help you lose 52 pounds in a year with out much change in life style.

Ed writes what not to do when on a healthy living plan:
This morning I rowed 7 km which should take care of the cheese on the hamburger and most of the onion rings, walked 2 miles which should take care of the lemon meringue pie and lifted weights which should take care of the hamburger bun. The rest of the hamburger, the coke, a hand full of peanuts and the hot fudge Sunday is still up for grabs. Ed

We will discuss more on healthy living in subsequent additions. Happy Living

Why Use Bouda Life Coaching Wellness

2008-04-13T21:12:00.001-05:00

Bouda Life Coaching’s vision is to transform the aging process, age related morbidity and life’s transitions through the application of our unique model of life coaching and concierge medicine in the health and wellness arena to achieve quality functional time on this planet earth. We will join with your company to analyze your data and create a targeted health and wellness program that supports the willing to alter their life trajectory and draws the doubters into the program because of the infectious success and enthusiasm we will celebrate. You pay for what you receive and not a PMPM or PEPM fee for internet or telephonic prompting without face to face time. Our high touch approach will actually provide the tools to forge the keys to start the engines to change life’s trajectory for a smoother landing at retirement and a better productive work life.

We know from actuarial tables that if you reach 65 you have a 50% chance of making 85, a 33% of making 90 and an 18% chance of making 95. All your employees would love to meet and exceed these numbers. To achieve these numbers we must lessen the life threatening illnesses and the aging morbidity. Also if we build a long lasting internal health and wellness program we can lessen long term and short term disability, absenteeism, worker’s compensation claims and make retirement more meaningful and less expensive.

The purpose of our model’s programs is to provide a breakthrough in an employee’s or company’s fundamental abilities to shift their focus away from self limiting, fear based perceptions, to useful conclusions and thought patterns that will empower their collective health, wellness and productivity. Our education / coaching model draws out and leads forward the innate and often hidden wholeness in each person.

What's Love Got To Do With Anything?

2008-02-11T23:01:00.000-06:00

So, it's February and there's a lot of buzz about 'Valentine's Day" and we begin to wonder what we should do for our loved ones. Well, the question is - why does it matter? In coaching, we are aware that Relationships are a very important form of energy for our everyday lives. So, why not direct the focus of your attention on those loving relationships in your life? The world could us a little more love and afffirmation, so why not take advantage of this special time of year to do something so 'sweet' and loving for some special people in your life. Maybe even for those who aren't always considered the most important. Would it be all right to be generously and genuinely kind and caring with your grocery checker or the clerk who sells you your favorite perfume. Connecting with another in a special way is a gift you give to the other and then you receive a gift right back. Try it - with those you're close to and with those who aren't. The results may just warm your heart and bring a sensse of meaning to everyday events.
For now, I send you the warmest of regards during this rather cold season!

2008-01-21T20:33:00.000-06:00

NEBRASKA LIVING MAGAZINE ARTICLE [ Fall 2007 ]

Concierge Medicine – “One physician, One relationship, Countless Possibilities”

What would it be like if you could relight your fire, ignite your passion and finally fulfill your dreams? You would really have quality time on this planet earth! You cannot accomplish this if you are ill or suffer from faltering energy. NOW is the time to take charge of your health and be as discriminating in what you purchase for health care as you are in buying a car or a TV.

Concierge Medicine is a patient focused, physician guided model of health care management across the many health care services available. Americans want:
1) Access for appropriate health care
2) Choice of quality providers
3) Efficient and effective care
The purpose of health care is an improvement in active functioning life expectancy not increasing life expectancy itself.

Today’s medical complex is plagued by long waiting vigils, brief physician visits, fragmented health care, insurance hassles, competitive health care systems and cost consciousness by insures, providers and government.

To achieve quality, personalized health care you need a Quarterback for your healthcare interactions who is not influenced by insurers, systems nor ancillary service profits (Laboratory, X-ray, Surgicenters, Personal Facilities). As we age, we interact more often with the health care system whether because of the “consumer driven health insurer changes”, living arrangements, or the accumulation of bodily wear and tear.

Would it be helpful if:
1) Your healthcare was more coordinated, understandable and communicated
2) You knew what specialists or hospitals to go to
3) You had some one to go to the doctor with you and explain what was said
4) You had a GPS for your healthcare needs
5) Your medicines were only those necessary
6) You had a personal health care plan

You and your loved ones can accomplish this with Concierge Medicine – a unique way to effectively and efficiently interact with the healthcare systems to optimize your care, minimize your side effects, and reduce your risk. Concierge Medicine helps you discover the:
1) Right care
2) Right time
3) Right Facilities
4) Right providers
5) right support

Concierge Medicine is a new approach for finding health and health is the #1 component of HAPPINESS.
Concierge Medicine provides clarification of a personal health plan that meets your unique needs and continues to evolve as you do. Your Concierge Medicine Physician Coach will support you in these health plans to reduce chronic illness and slow the aging process. They will work with the whole person with time to listen and create a plan for lasting change, personal empowerment in a non-judgemental and non – critical way.

Check us out at www.boudalifecoaching.com or call 402-812-8400 for your appointment to discuss if it fits your needs or your families.

2008-01-18T10:13:00.000-06:00

We are interested in working with your company in 2008 to optimize your health and wellness.

We have partnered with the Academy of Coaching Excellence certified coaches throughout the United States. We also have three additional physicians to Dr. David Bouda, that provide us with a broad spectrum of expertise. JoAnn Bouda has been selected as a Licensed Seminar Leader for the Academy of Coaching Excellence and thus has access to all their tools for seminars, workshops and talks.

We have a plan and an intellectual infrastructure that will allow us to stratify your populations by 11 vital health measures so we can target and focus upon those people most in need of lifestyle interventions. We fit nicely into the growing corporate culture of health and wellness no matter how the company is insured. We are a value added voluntary benefit that can directly affect the bottom line for businesses.

The growing world of consumer driven health care [CDHC] seeks dollar reduction but provides no guidance for cost, quality, procedures, drugs, and medical devices. Our Concierge Medicine component can fit that niche without the cost of disease management programs and provides the value added benefit of direct physician involvement in navigating the healthcare system. Of course, Concierge Medicine is sensitive to HIPAA, confidentiality and can be that privacy buffer for effective health interventions.

We would like to have an opportunity to discuss this with you and your company.

2008-01-18T10:10:00.000-06:00

Meet Dr. Bouda

Over the course of my career, I have been privileged to serve in a variety of roles including that of internist and medical oncologist, Associate Professor at the University of Nebraska Medical Center, Chief of Oncology at the Omaha VAMC, a principal investigator, chief medical officer of an insurer and an integrated health system and a medical consultant. I have been regulated and a regulator and I have led institutions striving to develop and advance healthcare within a heavily regulated environment. These experiences have afforded me a unique view of the various controversies in healthcare and our fundamental obligation to protect the personal interests of patients and families.

2008-01-18T09:59:00.000-06:00

Biographical Sketch - For David W. Bouda, MD, FACP
Dr. David Bouda is a talented physician born and raised in Omaha, Nebraska. He attended Kansas University on a football scholarship. Dr. Bouda graduated from Kansas University Medical School and interned at St. Lukes Hospital in Kansas City, Missouri and completed his residency in internal medicine at Wilford Hall USAF Medical Center in San Antonio, Texas. He completed a medical oncology fellowship at the University of Texas Health Science Center in San Antonio.

Dr. Bouda is board certified in Internal Medicine, Medical Oncology and Quality Assurance Utilization Review and he is a Fellow of the American College of Physicians. He has practiced oncology 28 years. - three years as an Associate Professor of Medicine at the University of Nebraska Medical Center and as Chief of Oncology at the Omaha Veterans Medical Center.

During his career Dr. Bouda has also been a Senior Vice-President for a health insurer, a Chief Medical Officer for an Integrated Hospital System, and a Chief Medical Officer for two national oncology consulting firms. He was the creator of the Integrated Medicine Program and the LIFEstyle Enhancement Center while at the University of Nebraska Medical Center. This was a Complementary / Alternative Medicine research and service program.

Dr. Bouda is a retired USAF Medical Officer and a former Assistant Medical Director for Ortho Biotech, a Johnson and Johnson company. He is now practicing Health and Wellness Coaching and Concierge Medicine in conjunction with his wife’s Life Coaching Business. Please visit www.boudalifecoaching.com.

Welcome!

2008-01-18T08:42:00.000-06:00

Welcome to our blog. You will see posts here from David Bouda, MD and JoAnn Bouda.