Ricardo Almon Lactase Persistence and Lactase Non-Persistence
I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence....
Transcript of I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence....
![Page 1: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/1.jpg)
![Page 2: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/2.jpg)
I have no financial disclosures or conflicts of interest
![Page 3: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/3.jpg)
2018 Most Over-used and Misused Words
Wheelhouse
“Wrap my head around”
Optics
Yeet
Collusion
![Page 4: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/4.jpg)
2018 Most Over-used and Misused Words
Wheelhouse
“Wrap my head around”
Optics
Yeet
Collusion
Burn Out
![Page 5: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/5.jpg)
Burn-out
![Page 6: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/6.jpg)
![Page 7: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/7.jpg)
Burnout
• 40% of physicians admit to Burnout symptoms
• 25 to 30% of U.S. citizens describe Burnout symptoms
• Most common explanations are system related:• Emphasis on productivity
• Loss of autonomy
• Spending < 20% time doing “meaningful” work
• Documentation, EMR
• Another manifestation of our mental anguish?
![Page 8: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/8.jpg)
Signs of Mental Distress in U.S. Society
• Adults - 18% suffer from mental illness• Suicidal ideation 4.04% (up from 3.77%)
• Children – 12.6% suffer from Major Depressive Episodes
• Civility declining and Anger increasing
• Physicians:• 40% screen positive for depressive symptoms
• 400 commit suicide each year
![Page 9: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/9.jpg)
Optimizing Joy in Medicine
![Page 10: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/10.jpg)
“Joy is much deeper than happiness.
While happiness is seen as dependent
on external circumstances, joy is not”
-Desmond Tutu
![Page 11: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/11.jpg)
Bongo Board
![Page 12: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/12.jpg)
![Page 13: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/13.jpg)
Success Happiness
![Page 14: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/14.jpg)
Success Happiness
Lyubomirsky et al. Psychological Bulletin 2005 Meta analysis
![Page 15: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/15.jpg)
“Now that is a TOB” *
* Thing of Beauty
![Page 16: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/16.jpg)
“Top 10 Reasons Why General Surgery is a Great Career”
Rick Thirlby, Western Surgical Association 2006
Archives of Surgery 2007
![Page 17: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/17.jpg)
Thirlby’s Reasons for Gratitude
• Training is fun, and it never ends
• You have job security
• The pay is not bad
• Your mother will be proud of you
• There’s spirituality if you want it
• You will change patients’ lives
• Patients will change your life
![Page 18: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/18.jpg)
“Happiness is what happens to us when we allow ourselves to recognize how
good things really are.”
-Marianne Williamson
![Page 19: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/19.jpg)
Resuscitating the Canary
![Page 20: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/20.jpg)
The Coal Mine or the Canary?
![Page 21: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/21.jpg)
Mindfulness and Surgery
Feasibility of Formal Mindfulness-Based Stress-Resilience Training Among Surgery Interns: A Randomized Clinical Trial
Lebares CC et al. JAMA Surgery, Oct. 2018
• Feasible
• Perceived as valuable
• !2 month follow-up showed persistence
![Page 22: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/22.jpg)
Happiness vs. Joy
Happiness happens to us. Feeling happiness is not entirely a choice that we make. Happiness is fickle.
Joy is an attitude of heart and spirit, present deep inside us. Joy can share its space with other emotions –sadness, shame, or anger. Happiness cannot.
Compassion International
![Page 23: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/23.jpg)
![Page 24: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/24.jpg)
Joy
•Our essential nature of women and men
•Our goal – return to the state of joy
•Everyone can realize through cultivating skills
![Page 25: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/25.jpg)
![Page 26: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/26.jpg)
![Page 27: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/27.jpg)
Tools for Medical Happiness & Joy
• Gratitude
![Page 28: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/28.jpg)
Tools for Medical Happiness & Joy
• Gratitude
“Happiness is not what makes us grateful, it is gratefulness that makes us happy”
– David Steindl-Rast
![Page 29: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/29.jpg)
Tools for Medical Happiness & Joy
• Gratitude
• Humor
![Page 30: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/30.jpg)
Humor
Dalai Lama and Archbishop Desmond Tutu
![Page 31: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/31.jpg)
Tools for Medical Happiness & Joy
• Gratitude
• Humor
• Intention
![Page 32: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/32.jpg)
Tools for Medical Happiness & Joy
• Gratitude
• Humor
• Intention
• Leadership
![Page 33: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/33.jpg)
Joy Through LeadershipIf you’re not the lead dog…
![Page 34: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/34.jpg)
Tools for Medical Happiness & Joy
• Gratitude
• Humor
• Intention
• Leadership
• Teaching
![Page 35: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/35.jpg)
Chicken or Egg?I ordered a chicken and an egg on
Amazon today.
I’ll let you know
![Page 36: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/36.jpg)
Tools for Medical Happiness & Joy
• Gratitude
• Humor
• Intention
• Leadership
• Teaching
• Compassion
![Page 37: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/37.jpg)
Tools for Medical Happiness & Joy
• Gratitude
• Humor
• Intention
• Leadership
• Teaching
• Compassion “A Surgeon’s Reflections on Love”
Am. J. Surgery 2015
![Page 38: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/38.jpg)
Tools for Medical Happiness & Joy
• Gratitude
• Humor
• Intention
• Leadership
• Teaching
• Compassion
• Community
![Page 39: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/39.jpg)
Tools for Medical Happiness & Joy
• Gratitude
• Humor
• Intention
• Leadership
• Teaching
• Compassion
• Community
• Coaching
![Page 40: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/40.jpg)
![Page 41: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/41.jpg)
![Page 42: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/42.jpg)
Finding Joy - Summary
•Acknowledge our gratitude
•Positively re-frame our perspective
•Harness our capacity for compassion
![Page 43: I have no financial disclosures or conflicts of interest...•!2 month follow-up showed persistence. Happiness vs. Joy Happiness happens to us. Feeling happiness is not entirely a](https://reader034.fdocuments.us/reader034/viewer/2022050118/5f4f2cc56259ba4c171d2691/html5/thumbnails/43.jpg)
q