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About The Joy Of Stress

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About “The Joy of Stress”:

The Joy of Stress was written originally over three decades ago, and has proven to have lasting and universal appeal.  The concept was started as an information piece for specific questions asked by my patients.  In the course of a busy practice of family medicine and emergency care, I was asked by my patients to simplify the complicated steps to deal with their particular problems.   I heard myself repeating  verbal lists  for management of obesity, high blood pressure, low back pain etc.  However, verbal “core dumps” are very poorly retained (or, worse yet, misremembered), and I would inevitably have to repeat them at intervals.  Initially, I thought I should write these down, and started handing out printed action-items for some of the more common conditions.  Strress was the most common basis for most medical visits, so that was the starting point.  To this was quickly added obesity, high  blood pressure, elevated levels of blood sugar or cholesterol, and pain management.  As I catalogued each new subject brought up by the next patient, the pamphlet idea soon grew to a book. 

The manuscript for the book was turned down by all publishers, as I was an unknown young doctor in the countryside north of Toronto.    I had never written professionally, and knew nothing of editing, illustrating, marketing, and printing.  However, I did know that stress is not always bad, and indeed is a needed ingredient to success.   Mortgaging everything to self-publish, it was indeed a great joy to see the book enter the Canadian Best-Sellers list, rising to number one for over three months. 

The American edition








was then picked up by a real publisher, and translations were done in dozens of countries.  Some of these are shown below.

Since then, I have travelled the world as a professional speaker, yet always remained in active practice.  My millennial patients suggested blogs, which now form the basis of  Along the way, I also rewrote the entire book;  “The Joy of Stress”, now available on Amazon in print or as an e-book. 


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Stress Can Increase The Odds Of Having Left Handed Babies

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Are you one of the thousands of women out there who is desparately trying to have a left handed baby?  I have a little stress trivia that just might help you make that happen.


As I was reading through my medical journals, I found a tiny article burried amongst the back pages.  To paraphrase the wine tasters, it was an amusing little article, making up in pretension what it lacked in content.  

In other words, an article so thoroughly useless that one wonders just how it ever got published.  The headline screams "Older women have more left-handed babies". 

Carried on the Reuters wire service, so that it will appear in every corner of the globe, the article reported that a forty year old woman is twice as likely to give birth to a left-handed child than a twenty year old woman.  The survey done by a University of British Columbia researcher studied more than 2200 college freshmen, or should we say freshpersons.  Compared with women 17 to 24 years old, the likelihood of giving birth to a lefty was 11 percent higher among women 25 to 29, 25% highter in the 30-34 age group, and almost 70% higher in women 35 to 39. 


But here comes the shocker, hang on to your hats: for women over thirty nine, the likelihood of delivering a sinister, rather than a dexter was an amazing 228% greater.  The author, Dr. Stanley Coren, wrote in the New England Journal of Medicine that his findings coincide with previous research suggesting that babies subjected to excess stress during birth tend to be left handed whan they grow up.  Dr. Coren wrote that his findings are consistent with the supposition that older mothers have mores stressful deliveries and gestational periods, and that prenatal and perinatal stress contributes to the appearance of left-handedness. 

Well, I'm sure I can speak for the rest of you when I tell you that this article is certainly going to change my life. 

Here's an action tip:

According to the lastest research, if you are desperately hoping to have a left handed baby, make sure you wait until long after your fortieth birthday, and then try to argue with your spouse throughout the entire pregnancy. With useful applications like this, is it any wonder medical research costs so much...  

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Stress - Use It Wisely and Stay Younger

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Are you at that "golden" age when retirement is looming, or has already loomed?   For years, we have all thought of retirement as the reward for a lifetime of work, but the reality is quite different. 

To be sure, we all know how much we enjoy a surprise day off during a blizzard, or our routine free days on the weekend or on summer holidays.  Well, an idle retirement is not just an endless multiple of these marvelous mini-holidays.  The lack of stress leads to boredom, and a lonely sense that all your working friends have forgotten you, which, after a while is quite true.  Soon one day blends into the next, and, with the absense of any time pressures or deadlines, tasks that you used to do quickly in the middle of a busy schedule now drag on for weeks.  The sense of purpose or mission is gone, paradoxically at the time in life when one needs little sleep, and has the greatest levels of intellectual and experiential resourses. 

Those who are married note that their spouses have to make considerable adjustments to their partners constant proximity, many throwing up their hands in frustration, saying "I married you for better or for worse, but not for lunch".  Arguments increase, and, in many cases, eventually conversation itself becomes extinct.  I have been in many holiday resorts such as in Las Vegas, where thousands of retired couples take vacations, and have observed them in restaurants.  Those who are with friends are quite animated, while an alarming number of those couples who are eating alone will sit in silence, each person eating their meals as if there was no one else at the table.  This is in direct contrast to newly-weds, who are in animated conversations discussing their dreams, aspirations, and the stresses that they face each day.  The retired folks, having reached their dream of stopping work, having aspired to endless free time, and having not one stress or challenge left worth talking about, have simply run out of things to say.  The particularily sad part of this scenario that happens to those who retire idly is that the consequenses are far more dangerous than simple boredom or lonliness.  The medical statistics are truly alarming.  Within a few short years, these idle seniors will become  senile, or even dead.  I've seen it happen time and time again with my patients. 

Count Otto von Bismark was the man who arbitrarily picked 65 as the age of retirement, primarily because few people reached that stage in his era.  But many, such as  Winston Churchill, George Burns, Bob Hope, and Sister Theresa,  have ignored this tradition, and continued to work and face considerable stresses long after this age. As a direct result, they all stay young in spirit, and in body, long after their idle peers have passed on or become senile.  Stress makes us think.  Stress makes us react.  It gives us a mission to achieve.  It gives us the fullest possible range of emotions, from  moments of exhilaration to moments of sadness.  In other words stress makes us feel alive, and when it is removed from our lives we suddenly feel and look old.  For centuries man has looked for ways to prolong our lives, and Ponce de Leon, for one, thought he found it.  But the real fountain of youth has been with us all along, and we have not only ignored it in our elder years, but we have actually sought ways to protect ourselves from it.  It seems that even in this age of miracle cures and laser surgery, common sense isn't very common after all. 

Here's an action tip. 

Benjamin Franklin once said "there's nothing wrong with retirement, as long as it doesn't interfere with your work".  

Wise words.  If company or government policy force you from your job, get busy finding new challenges.  If you are voluntarily  dictating your retirement, think again.  Whether it is in the form of taking courses, learning a new language, sport, or skill, or starting up your own small business, stress, as long as it is handled competently, will keep you younger longer

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Improve Communication With Your Doctor While In The Hospital

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If you are in hospital, don't expect your memory to do all the work for you. If you have a question, write it down, then, when the doctor does come for a visit, you won't forget to ask.

Under the best of circumstances, going into hospital as a patient is stressful, because it invokes great change in your life. You have changed your environment, your daily routine, and your eating habits. There are the intrusions of strangers poking and prodding, and wheeling you down the hall for tests.

An image of a doctors stethoscope

Coordinating the whole scene is your doctor, who usually sees you for just a few minutes each day. If this encounter is not handled well by both parties, it can lead to further anxiety and confusion. That’s why doctors need coaching in bedside manner.

Especially while you are in the hospital, the ability to communicate accurately with your doctor leads to better healing and potentially can even mean the difference between life and death. This has been confirmed in a series of studies performed and published over the past forty years. Good doctor-patient communication makes a difference not only in patient satisfaction but in patient outcomes including resolution of chronic headaches, changes in emotional states, lower blood sugar values in diabetics, improved blood pressure readings in hypertensives, and other important health indicators.

However, in a recent national survey of both doctors and hospitalized patients, effective communication remains elusive.

Only 48% of patients said they were always involved in decisions about their treatment, and 29% of patients didn't know who was in charge of their case while they were in the hospital.

Here's an action tip:

While your doctor's ability to communicate with you will vary by personality and training, you can benefit from a few tips as well. The following suggested questions were compiled by the Mayo Clinic, and serve as a good model for each patient.

  • What do my symptoms mean?
  • Do the medications have any side effects?
  • What is this test for?
  • What risks are involved in my treatment?
  • Do I have any options other than the treatment you've prescribed?
  • How do the benefits of the treatment compare with the risks?
  • What emotional reactions can I expect from my illness?
  • How long do I have to stay in the Hospital?
  • Do I have any limitations on my activity at home?
  • What should I call you about once I'm at home?

With these questions in hand, you should be well prepared to take some of the stress out of the hospital stay.

But what about the case where, despite your best attempts, you just can't establish that rapport with your doctor? Here are some resources for helping you decide what to do if you and your doctor don't communicate well.

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Stress and Childhood Obesity

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If you have a child between the ages of 7-13 that experiences rapid weight gain, the reason may well be stress.

I have always maintained that obesity is never a problem; it is only the result of a problem. Until that underlying problem is addressed, whether it is boredom, poor self image, or too much stress, all the diets in the world are not going to work in the long term.

An image depicting a child fighting childhood obesity with exercise

Now a new multi-center European study, headed by Drs. Melbin and Vuille and reported in the Scandinavian Pediatric Journal, has come to the same conclusion. They examined close to a thousand children, and followed them from birth to age 15 years. All children who gained more than fifteen percent in relative weight were analyzed according to age groups. Their psychosocial stress was evaluated according to scholastic health records and school nurses' information, and rated 0 (for no stress), 1, or 2. Between the ages of 7 to 13, the students with the highest stress scores turned out to be the ones most likely to be obese.

In addition, the high levels of stress were manifested in other ways. For example, among the seventy overweight children in the study, they were almost five times as likely to drop out of school beyond the nine year mandatory period. When the stress levels were low, almost half of these overweight children lost weight between the ages of 13 and 15, but when stress was high, only 15 % achieved normal body weights in later adolescence. So the authors concluded that rapid weight gain during the school years may be an indicator of psychosocial problems and the ramifications are obvious. Just signing such a child up for an expensive diet program, or subscribing to radical liquid diets will only work for a very short period of time, if at all. If the stresses are not addressed and dealt with, the obesity will soon return.

The American Heart Association has taken a position on this subject based on scientific evidence:  physical inactivity is a major risk factor for developing coronary artery disease. Inactivity also increases the risk of stroke and such other major cardiovascular risk factors as obesity, high blood pressure, low HDL ("good") cholesterol and diabetes.

The American Heart Association recommends that children and adolescents participate in at least 60 minutes of moderate to vigorous physical activity every day.

Here's an action tip:

If you have a child that has suddenly gained a lot of weight, make sure you don’t just shut down the food lines, but open up the lines of communication. Resolve these stresses by working together and, where appropriate, involve professional help. You will do a lot more to cure the obesity if you listen to the child.

How do I promote physical activity in my child?

  • Reduce the time your child watches TV, talks on the phone, plays computer games or any other activity that does not require vigorous physical activity.
  • Make sure that any physical activity is enjoyable and rewarding - it will help reinforce the idea that exercise is fun and something to be looked forward to, not avoided.
  • Be a role model! If you are active and encourage your child to also be active there's a good chance they'll make exercise a habit!

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Dry Eyes - How to make them less stressful

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Dry eyes are more than a modest problem.  They can be the cause of great stress.

Sufferers wake up with scratchy eyes, and have to take drops frequently just to avoid discomfort.  


When untreated, dry eyes are more likely to get infections or redness, and their owners are more likely to be irritable. 

Let's take a look at the problem, and consider solutions.

1. What are tears?

Tears are really a mixture of three layers over the surface of the eye; water, oil, and mucous.  The water layer is closest to the cornea, while the oil or lipid layer is secreted by the mebomian glands of the lids.  The lipid layer keeps the water from evaporating.  The mucous layer on the top is there to protect the other two layers from blasts of air and particles that might prove irritating.  The final protective layer of the eyeball is the lids, which blink to renew the spread of the three layers, and to refresh the eyeball surface.  Tears are produced inside and along the edges of the lids, and drain out through the punctum or hole in the inner margin of each of our upper and lower lids, close to the nose.  The tear ducts then carry them away into the nose.  This is why crying is also associated with blowing your nose!

2. What makes eyes go dry?

There are many factors that lead towards dry eyes.  These include staring too long at computers, tablets or cell phones, where the eyes are trying to stay open for focus and concentration.  The same can happen with prolonged study of books, or staring at the road while driving on a long trip.   LASIK surgery (to restore normal vision to people who need glasses) can also be drying in later years.  People with certain skin diseases like acne rosacea and Sjogren's syndrome may suffer from dry eyes.  Even birthdays can cause dry eyes, starting at about the age of 50.  In younger people, makeup and facial soaps can add to the problem, as can wearing contact lenses for excessive periods of time (even if the manufaturer promises you can leave contacts in overnight).  Ambient dust or other small particles can also bedevil the dryness problem.  Certain medications can also cause dryness as a side effect; be wary of drops that "remove redness" as these too can make the problem worse.

3.  What can I do about it?

Try to establish root causes.  If your room air is dusty, try to control it with air filtration or other measures.  If you wake up with dry eyes, make sure your pillow is not a bag of dust by washing or dry-cleaning it.   If makeup is a problem, use hypoallergenic products, and learn how to apply them properly.   If you stare for hours at computers, then try to take your breaks outside, and focus on distant objects to give your eyes a break from the short distance stare.  If non-prescription drops are not sufficient, please see your doctor.  While your family doctor can initiate investigations, including for general health issues, you will need to see a specialist to further examine the eye, including to measure the production of tears with a strip of litmus paper and stained eye drops.  As you will see on our post on the subject, it is important to have the full array of modern tools to examine the eye, not just a hand-held light with an eye chart at the end of the room.  Once the doctor assesses the problem, then a menu of options apply. 

 Punctal plugs can be inserted into the drain holes of each lid, commonly the lower ones.   If you have tried non-prescription drops, make sure you use them often and correctly. (see our article on Eye Drops Made Easy)   

 If the problem is with dry wax in the meibomian glands of the edges of each lid, then try to use warm compresses such as a face-cloth.

Press firmly over each eye for a minute or so, and the dry balls of wax in each gland opening will melt away.  Shampoo in the eyes, (almost!) can also be effective in dissolving the waxy gland material; use a gentle shampoo like Baby Shampoo, and rub it into each eye, almost opening the lids.  After leaving it for a minute, then rinse under the shower. 

Use regular drops like Refresh or Systane, just for lubrication and moistening. 


Above all, make sure you have your eyes examined regularly, and protect them with sunglasses, or appropriate goggles for handywork or sports. 

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GERD: There's a Fire Down Below!

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Is stress getting you right in the breadbasket? Here are some tips to put out that “fire in your belly”!

A generation ago, people would associate stress with stomach ulcers.  In cartoons and family sitcoms, the children would cause some stress of the week, the father would rise to the bait, and the mother would caution: “Henry, watch your ulcer”.  Often, this would be followed by the automatic response of a glass of milk.  Ulcers didn’t seem to be happening to women, and the male victims were always being told to “calm down”, or advised to sidetrack their careers to something less stressful.  If the ulcers persevered, most patients would end up with major surgery to cut the vagus nerve, leaving behind a huge scar on the abdomen.  My, how things have changed!

Now ulcers are diagnosed much more easily, and treated much more simply.  To diagnose one of the common causes, a blood test for helibacter pylori is a good start.  If this bacteria is present in the stomach (its antibodies show up on a regular blood test), then the doctor simply reaches for a prescription of antibiotics to kill the offending organisms for good.

If the ulcer needs images for diagnosis, these can be easily arranged, but often yield to the more definitive scoping down through the esophagus and into the stomach itself.  Here the ulcer can be spotted, photographed, and biopsied to rule out malignancy and check for infections. Once diagnosed, the treatment is done effectively with drugs, such as Nexium and others.  Surgeons have basically been written out of the equation, and, thankfully ulcers are not much of a real threat any more.

But with the routine of scopes inserted down into the stomach, doctors have become very familiar with a previously unheralded inflammation in the lower part of the esophagus.  This is popularly known as GERD, or Gastro-Esophageal-Reflux-Disorder, and it has replaced ulcers as the number one stomach complaint today.

In part, it is made worse by eating too much, eating too quickly, eating the wrong inflammatory foods (spices, sugars, junk foods), and by drinking too much (pop or alcohol). Just to make your sleep miserable, it is also made worse by eating too late.  Then the sufferer will be rolling in agony as dinner tries to repeat itself, with an acid backwash  into the throat, accompanied by nausea and sweats, and a racing heart.  This is even worse for the 60% of the population over age 60  who already have a hiatal hernia.   (

 A billion dollar industry has rushed into the breach.   And what a breach this is.  Currently one third of adult Americans suffer symptoms of GERD at least once a month.  That doesn’t get much better in many other western countries, including the UK and Europe.  It basically marches in step with obesity and fast food popularity. 

But note that not one case is caused by the lack of a brand name drug.  Almost all cases can be controlled by addressing the root causes:

1.       SLOW DOWN: Stop wolfing your food, and your GERD will thank you.  Swallowing fast will cause ingestion of air (aerophagia), in the same way that fizzy drinks, or drinks slurped through a straw will do.  For more on eating slower, visit our article here.

2.       SIT UP: This includes slouching at work, and certainly includes post prandial posture.  Obviously we would all expect GERD if we did a head-stand right after a thanksgiving dinner, but even lying flat right after a meal is tempting the stomach to spill its contents easily into the esophagus.  If you are having trouble sleeping, sit up on a “chair” of pillows at the head of your bed, or elevate the feet at the head of the bed on blocks or books to keep the stomach contents from washing back into the gullet.

3.       DON’T SMOKE: well, that is obvious for a dozen other reasons, but here is another good one to add to the litany! For more, read our stop smoking article here.

4.       DON’T OVERFILL:  Even gas stations admonish users to not overfill their tanks, as spillage will predictable follow.  How about trying that for your own stomach, or else it will also become a “gas” tank!

5.       DON’T EAT NAPALM: White sugars, as in that gooey dessert that topped off the meal, are hugely inflammatory.  Also spicy foods, or alcohol, and even good foods that contain gluten, if one is sensitive. If you can’t resist, make sure the portion is very small!

6.       SEE YOUR DOCTOR if the above doesn’t help.  You may indeed need investigations, and, ultimately, appropriate treatment.  But don’t go back to ignoring steps 1 through 5 above, or you will be right back to step 6!

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Adding More Food Fiber To Your Diet May Reduce Your Blood Pressure

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It has long been believed that medical diseases can often be a result of our western diet. Well, it turns out that we now have an even better reason to eat fiber, not just for our bowels, but for our hearts.

An image of blood pressure being taken

We've long heard the expression "you are what you eat". Well, as we are gathering greater scientific knowledge, it turns out that this saying is truer than we imagined. A new study done in Sweden by Dr. Kieth Eliasson of Stockholm's Karolinska Hospital, recruited 63 mild hypertensives with a mean diastolic blood pressure of more than 99.6 mm of Hg. The normal level is about ten points lower, anything up to 90. For the next three months, each volunteer would receive a 7 gram dose of tablets, while their blood pressures were monitored.

One half of the group was given tablets containing mixed dietary food fiber, the other was given identical pills containing placebo. Because blood pressure normally changes with different moods and activities, researchers took several daily readings from each volunteer. Blood pressures were measured at rest, during mental stress (using the Stroop test), and during physical stress (using the cold pressor test). Readings were also taken to assess levels of cholesterol, insulin, glucose, and triglycerides in the blood.

The findings were consistent, and dramatic. The group taking food with fiber lowered their blood pressure, by an average of 5%, and also reduced their levels of cholesterol, glucose, insulin and triglycerides in the blood stream.

Here's an action tip:
The best route to health is not always through drugs, even though that has been our medical tradition. If you have high blood pressure, or for that matter even if you don't but want to help prevent it, try eating more food fiber in your diet. The next time you see your doctor for a blood pressure check, ask him or her for more dietary advice.

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Herbal Remedies for Aches and Pains

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Lets face it, many people are over-medicated, either from over the counter products or from prescription drugs, and many of their complaints could have been better handled with grandmother's old fashioned herbal remedies. An image of useful herbs But that does not mean that drugs from factories are bad, while drugs from plants are safe.

Plants can produce very potent drugs, some of which are the raw materials for medicines such as digitalis, morphine, aspirin, and quinine. When taken in their raw form, it can be a tricky thing to get the dosages right.


Much has been written and claimed about herbs, but here are a few guidelines. The following herbs can be very helpful:

  • Aloe gel from the inner leaves of the aloe plant whose derivatives are natural herbal remedies for the pain of burns, including sunburns.
  • Chamomile tea can relieve indigestion, and act as a mild sedative.
  • Feverfew tea is said to help colds, flu, and migraine-headaches.
  • Gingerroot tea can counter motion sickness.
  • Peppermint and spearmint tea can help heartburn, indigestion, and cold symptoms.
  • Raspberry leaf tea can help alleviate diarrhea and menstrual cramps.

With all of these, as with most medicines, there can be individual allergic reactions. However, others are not herbal remedies at all, and are downright hostile. Calamus and coltsfoot and Sassafras contain suspected carcinogens. Ginseng and licorice, when taken in large amounts, can raise blood pressure, and in the case of licorice, cause fluid retention. Goldenseal and senna can both cause miscarriage and severe stomach pains, and can be fatal in large doses.

Here's an action tip:
Just because a herbal remedy is marketed as natural, organic, or herbal doesn't mean it is free from side effects. Check with your doctor to see if your herbal remedies are appropriate for you, especially if you are on prescription medications or are pregnant or breastfeeding, and don't give them to children.

Because herbal medicines can be so powerful, they deserve all the respect you would give prescription drugs.

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Speech Writing 1.0: How to come up with Power Phrases like a Leader

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For most of us, public speaking is a deep fear, probably dating back to our first “show and tell” command performance in kindergarten. 

How about being put on the spot as a teacher singled us out in class for not paying attention? Everyone’s gaze would turn to the guilty student, his or her mouth would dry up, the mind would go blank, and the most useless gibberish would be all that issued forth. 

But in the age of internet access to video clips, accurate public speaking becomes really important.  (see our article on public speaking).  One wrong word while adlibbing can cause public embarrassment, outrage or anger.  Sometimes the “gotcha” quote comes while the speaker thought the microphone was off; other times it comes during an impromptu scrum with the press.   For the politician, this can mean votes lost.  For the Corporate spokesperson, this can mean loss of product appeal or stock prices. 

That’s why speech writers are turning to technology of the PPSM (Power Phrase Slot Machine).  Adapted from the familiar casino slot machines, each one comes with a large crank handle, and three little windows.  Instead of triads of fruit symbols, these windows are set for VERB, ADJECTIVE, and NOUN.  Run together, this will create a great power-phrase, which can be inserted anywhere into a speech.  The result is inspirational, cannot offend anyone, and is guaranteed to withstand the scrutiny of YouTube.

The samples below were taken by me at a large corporate convention.  I was booked as the key-note speaker, but first all the vice-presidents  got up to make their inspirational plea to rally the troops.  As I took notes, it became apparent that each power phrase must have been generated by the same PPSM.  While the speaker may have had the aid of the teleprompter to make this all look smooth, we could see where the slot machine was inserted.  The audience was indeed spellbound.
























































































So if we drop in on the rehearsals where the speaker gets to use the real crank-handle, we can see what’s behind all the meaningless gibberish we see on the airwaves.  Make sure you leave time for the applause that is guaranteed to follow each phrase.

The permutations of Power-Phrases  become endless:

“Let’s come together and (crank!) MAXIMIZE our MARKET-DRIVEN MATRIX!”

“Its time for us to stand tall and (crank!) OPTIMIZE our INTERDEPENDENT ACCOUNTABLILTY!”

“Tell our children we will (crank!) STREAMLINE their EMERGING FOCUS!”

“Reach out to those less fortunate and (crank!) COMPOUND their ACTIONABLE EXPECTATIONS!”

“Show our enemies that we can (crank!) GENERALIZE our STRATEGIC SPECIFICS!”

“Show the world that we can (crank!) ARTICULATE our PARTICIPATORY EMPHASIS!”

“Remain steadfast in our beliefs and (crank!) INNOVATE our UNIQUE PERFORMANCE!”

“Draw a line in the sand, and let no enemy (crank!) INPUT our TACTICAL SYNERGY!”


So the next time you want to make your own power-speech, you can duplicate the above results without even owning a PPSM.  Just print out the list above, tape it to the wall, then throw three darts. Then you too can (darts!) "ISOLATE all your MARKET-DRIVEN FEEDBACK!".  (...pause for standing ovation...).   



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