The Demise of Guys

Interesting TED talk entitled "The Demise of Guys" by Phillip Zimbardo.  http://www.youtube.com/watch?feature=player_embedded&v=FMJgZ4s2E3w#!

In it he goes through some of the reasoning for the declining performance of males in a variety of aspects.  Guys are 30% more likely to drop out of school.  Girls outperform guys in all academic aspects from elementary school to grad school.  There is now a 10% difference in # of guys getting undergraduate and graduate degrees compared to girls.

According to Zimbardo the cause is excessive internet use, porn use, and video game use.  He has coined this as "Arousal Addiction".  This is so pervasive that the porn industry has now become the fastest growing industry in the U.S.  Made me think of more guys sitting at home watching porn while girls go out and get porn jobs.  An irony given the current economic situation.

Constantly being programmed for high arousal leads to poor performance in the classroom and an ADD or ADHD label.  Lack of interest in real women I would call ADD in the bedroom or ADD-B rather than ED for Erectile Dysfunction.

Many other authors are talking about how growing numbers of women are opting out of marriage, especially the more education they have had.  The data is not entirely clear what is driving it other than possibly a shortage of eligible men for these women that meet their similar demographic criteria.  Many more are predicting that this will get worse as the economic downturn has affected males in greater numbers than females.

Many of the commentators on the video also cite the growing confusion in the roles males play in society.  I agree with it.  We are being simultaneously told "Be a man" and then being told it is not ok to display masculine traits.  Growing up, I felt like I continuously consciously and subconsciously getting the message that being a male was not ok (and definitely being a dark skinned male was downright criminal!).

The book "The Decline of Males" by Lionel Tiger (great name! very manly!) has a section where he links the drop in sperm and testosterone counts in males in the first world to the fact that they are perpetually exposed to pheromones of pregnant women.  Males normally have a drop in sperm counts and testosterone when their partner is pregnant, or they are around lots of pregnant women.  Now with the oral birthcontrol pill, they are constantly around many pregnant women.  No wonder they want to be by themselves and play video games or watch porn!  J/K

The article “Are Men Necessary?” in The Economist December 23, 1995-January 5, 1996 issue has data on how sperm are affected by some chemical components in plastics.  These components encourage the production of estrogen, which causes the birth of feminized offspring with small testicles and low sperm counts.  Another article in March 11, 1996 issue of U.S. News and World Report entitled “Investigating the Next ‘Silent Spring’: Why Are Sperm Counts Falling So Precipitously?” discusses decreases in sperm concentration and motility as well as the quadrupled rate of testicular cancer in industrialized countries post World War II.
    A study cited by CNN correlates this drop in sperm counts and testosterone levels with agricultural chemicals (http://www.cnn.com/2002/HEALTH/11/11/sperm.quality.ap/index.html).  Men in a rural agricultural setting had far lower sperm counts and motility than men in cities.  The data is very preliminary and the scientists are now trying to find if agricultural chemicals may be the factor.

    What if this is really happening?  What if sperm counts and testosterone levels are dropping due to chemicals that act as estrogen mimickers or estrogen stimulators in our environment?  What if girls are having their periods earlier by the same mechanism?  Increases in breast cancer?  The studies for these topics go on and on providing substantial evidence for the hypothesis that chemical contamination of our food, water, and environment is decreasing our fertility and increasing rates of cancer. 

Furthermore, there are many social considerations of low testosterone levels (What if men lose their aggressiveness?  Want to get asked out? Comments ladies at SU, Bastyr?)  Oddly enough, the decrease in fertility may provide a “solution” to the overpopulation problem if sperm production continues to fall. 

I find this all very problematic since from a strictly biological point of view, the meaning of life is to reproduce successfully and ensure future generations of your genetic lineage.  (Just think of all the time we spend each day doing things to ensure our eventual reproductive success…wear stylish clothes, earn money, consume, learn pick up lines, buy Viagra®, and wear cockroaches, as their wings provide an excellent shade of red for the lips!)  

What's a guy to do?  No jobs, poor economy, porn wrecking his brain, sperm going awol, and those crazy people at Monsanto continue to wreck the food and water supply.  Better go buy a gun, stockpile food, and download a cashe of porn to the hard drive! 

Stay tuned for my next film (after "The Thirty Year Old Internet Porn Virgin") called "Save the Males, an endangered, but potentially useful species".

Internet Porn Virgin

So my previous post "The Case Against Porn" was quite the hit garnering a record number of hits for me in a short amount of time.  In observing this process I learned a few things:

1. You all are very, VERY interested in the topic of Pornography.
2. You all are very scared to write any comments about the topic.
3. You all have no problem calling me or talking to me in person about said topic.
4. There was very little interest in my lets save the world blog "The Case for Action: The world needs us now" that was released 20 min prior to "The Case Against Porn".  (4x more views and multiple forwards)
5. Several of you thought I should market myself as "the Porn Addict Doc" and make my millions.
6. .XXX website domain names are expensive, I learned this tonight after buying a website for another soon to be blogged about project.  No it is not a porn site...   let's just say  .com was much cheaper than .xxx for the same name.  $8.99 versus $78.99.
7. Multiple females admitted to me that they enjoy porn... They shall remain unnamed.  But for the right price I could make a list.  (For the right price I can keep you off the list too!)  J/K everything will be kept in strict confidentiality as you all were to chicken to comment on the blog.
8. No on argued in favor of Porn.  So maybe I will do one...  "The Case for Porn".
9. One of you thought I should produce "free range, organic, grass fed, loving Porn" and make my millions.
10. One of you claims to be an internet porn virgin (yet clicks and reads the blog), yes they are in the U.S., yes, they have access to the internet, they even have several degrees.  For now I am calling bull$hit, but consequently I am now looking for venture capital to fund my inaugural production "The 30 year old internet porn virgin".  I am casting Christina Ricci in your role unless you want to out yourself and play with yourself.  I mean, play yourself.

The Case Against Porn

Undoubtedly this will be my most read blog ever due to the title.  It is born out of multiple conversations with patients about addictions and consuming a mint Theo bar too late at night.  I have come to view addiction as universal, largely influenced by the work of Gabor Mate, MD http://drgabormate.com/.  His book "In the Realm of Hungry Ghosts" is the best I have read on addiction.

If you are a human, than your life sustaining behaviors are heavily driven by the neurotransmitter dopamine.  Eating, sex, music, bonding, orgasms, novelty, falling in love, ect are all facilitated in the brain by dopamine.  If you are an addict: drugs, love, sex, money, overeating, shopping, gambling, ect then you have developed an aberrant coping mechanism to deal with life's stresses by feeling good temporarily by blasting your brain with dopamine with your favorite mechanism.  This is pretty much all of us.  Some of us have socially acceptable addictions and some of us have socially unacceptable ones.  I also believe that since addiction is universal that it is likely a stage in spiritual development.  (I also believe this to be true of most depression, that it is universal and a stage in spiritual development that some of us get stuck in for a variety of reasons... I no longer treat it using a disease model)

Interestingly, Anorexia may be so hard to treat because they get a dopamine hit from restricting their eating.  Interestingly, marijuana induces dopamine release and thus I have concluded that it does have the capacity to be addictive despite much heated debate that it is not physically addictive.  If I ever return to the world of research it will be to do research on the 1%.  I would bet my left testicle that the majority of them have aberrant dopaminergic function with accumulation of wealth.  I would give my right testicle to do PET scans on them to see if their brain looks like a cocaine addicts when given cocaine.  Since coming to this untested realization, I have had much more compassion for corporate bank CEOs.  They likely need treatment.  1% anonymous or 1%A!  But alas, I like both of my balls and my day job, so this study will have to wait... Unless someone wants to fund it.

Ok, I have digressed and will now get to the porn part of this blog... I remember the first time I ended up on a porn site, I was Googling "Breast Cancer, Images"... now this was the early days of Google before they had all the filters and ability to report unsavory images (they have really cleaned it up now).  My college roommate was not in the room (yeah, I was a late bloomer to the porn world and everything else!)  So I clicked on an image... I didn't know you could do that... click, or that, click, click...  Needless to say, my research on Breast Cancer was hijacked that night.

This experience is likely universal if you have ever been on the internet and thus is erasing any shame I have about typing this blog.  But please prove me wrong as I would like to know if there is a such thing as an internet porn virgin.  I would like to study you, then make a romantic comedy about it and make my millions...

Just like anything else addictive, not everyone gets addicted to porn.  Just like not everyone who tries a line of coke turns to a lever pressing monkey.  But some of us do.  And now that I am asking my patients, I am finding it is prevalent... really prevalent.  And not just guys (it was actually a female patient that got me researching the topic as she was HOOKED).  Interestingly, they are unsure of what the prevalence is in woman as many researchers think that women are much more likely to lie about their consumption of internet porn because it has much more of a stigma.  It is believed that women are much, MUCH, less likely to get addicted to porn because their turn on/ dopamine circuits are less likely to be wired to their visual cortex.  It is a little more complicated...  http://www.scubaboard.com/gallery/data/1540/Man-Woman.gif

Porn as an addiction is likely driven by using it as a coping method... have a bad day at work, click...  sick of writing this f$@#ing paper, click...  fight with the girlfriend, click...  Soon your visual cortex is in high gear, and not just online, but also in life.  And damn those lulu lemon pants that everyone is running around in is not helping, just saying...  (The case for the burqa we will save for another blog)

Long winded, but I will keep this part short.  I have learned the following in researching these cases.  The case against porn:
1.  Slavery still exists and it is largely related to the Porn/sex industry.  Thousands of women are trafficked every year to supply the industry.  http://www.soroptimist.org/trafficking/trafficking.html
2.  For those not trafficked they are paid very poorly except for a few big name stars.  However for those female stars, it is the largest pay discrepancy known between men and women doing the same job... about $4000 a shoot for a female and $50 for the male in the shoot.  (See Susan Faludi's "Stiffed, the Betrayal of the American Man" chapter 10 for a fascinating look into the world and motivation behind male porn stars.)  http://susanfaludi.com/stiffed.html
3.  History of abuse and poor economic situation influence a large number of girls to do porn.  Many of them are very badly abused on the set.  WARNING the following link is very graphic but was probably the largest influence in my "seeing" the way porn is filmed as a problem, images are blurred, but there is graphic violence to the actresses in this clip.  This clip was filmed in the U.S.  No U.S. worker should be treated this way.  Kudos to Ex star Shelly Lubben...  http://nopornnorthampton.org/2011/12/11/shocking_footage_of_women_abused_on_the_porn_set.aspx?ref=rss
4.  Portrayal of graphic violence toward women.  Rampant and needless.  Likely promotes violence toward women.  For a very creepy look into this see serial killer/rapist Ted Bundy's final interview with James Dobson before he was put to death.  http://www.pureintimacy.org/piArticles/A000000433.cfm  He likely got big dopamine hits from hurting women.  A very telling interview where he describes why he thinks his brain formed the way it did... Violent porn played a big role.  And this was before the internet.  (Damn I hope no one on my watch goes on to be the next serial killer)
5.  Porn is addictive.  Very addictive.  Very hard to cure as it is freely available right in your home.  (This should be a warning sign... why is it so free?  Conspiracy anyone?) The best site on this reviewing the science and treatment of porn addiction is http://yourbrainonporn.com
It is an excellent site, they should win an award for it.
6.  Porn addiction is a major cause of erectile dysfunction.  The science is very clear on this... so is the advertising to get you to buy viagra and such on the links on the websites to fix it.  Maybe this should have been #1 on the list, but I found the treatment of women to be much bigger factor than anything else to argue against it.  But then again, alot of men won't go see the doctor until lil willy has gone wonka.  Again see http://yourbrainonporn.com for more information.

Solutions
1.  Support legislation giving adult websites a .xxx designation so people don't stumble onto it, they have to be looking for it.  I did not care about this till I had a kid.  Now I care!
2. Support legislation for safer working conditions for adult film workers.  As I understand it mandatory condom use on sets has passed but not heavily monitored by Cal OSHA.
3.  If you think you have an addiction, do this simple test... try to abstain for 2 weeks, most will go into withdrawal (moody, jittery, jonesing, ect) in about 3 days or so.  If you are hooked, get help.
4.  Don't watch violent porn.  Period.
5.  Support anti trafficking legislation
6.  Pfizer has enough money, stop ejaculating so much, it will recover... Learn Taoist cultivation.  Mantek Chia books are good http://www.amazon.com/Multi-Orgasmic-Man-Sexual-Secrets-Should/dp/0062513362

I am in awe of my patients and what they feel comfortable in telling me.  Occasionally I am shocked.  I salute them for their bravery, honesty, and willingness to do what it takes to heal.  The least I can do is write this blog and pass on the research and information that we have been learning on this journey.

Stay tuned for "The Case Against Breast Implants" and "The Case Against the 1%" :)

The Case for Action: Our world needs us now!

The last couple weeks have been good for activism.  Protesters won several battles: the Susan G Komen foundation reversed a decision where it had decided to pull funding of breast exams from Planned Parenthood, PIPA and SOPA at least temporarily derailed, Keystone XL pipeline also temporarily dismantled, Health and Human services is now allowing Naturopathic physicians to serve in the Indian Health Service, the Obama administration has stated that it will begin investigating the banks that played a role in the economic and mortgage crises, Washington state is now licensing gay marriage.  It has been a nice respite after months of gloomy news!

Much of the pressure for these changes has come from online petitions such as Credo http://www.credoaction.com/ and move on http://front.moveon.org/  .  These groups have made it extremely easy to add your name to a plethora of online petitions, usually just one or two clicks.  Great for busy folks that want to help but are busy working hard to pay banks for a variety of debt.

Two upcoming battles of utmost importance need to have mass action:
1.  Overturning the Citizens United ruling which has allowed corporations to give money to political campaigns due to being ruled that they too are people (ridiculous i know!).
2.  Banning Natural Gas fracking, it will not solve our energy independence needs and will likely contaminate the water supply for millions of people.  Please see Josh Fox's "Gasland" http://www.gaslandthemovie.com/whats-fracking for a look at how this is a catastrophe in the making.

In honor of those who have gone before and made changes so I can enjoy drinking from the same fountain as everyone else, sit where I like on buses, attend medical school, date who I want, and have reasonable work hours and safe working conditions; I have decided to begin  taking action against the things in the world that need rapid change.  Some changes I have made are big, I am 9 months car free.  Other changes small.  I no longer bank with corporate banks.  I have paid off my credit cards and have not payed a dime of interest to them in 6 months.  I have solar powered lights for reading at night.  I walk to work.  I am attempting to make 25% of my Internet time productive, rather that passive consumption, this blog is part of that project.  Every time I hear a negative news story I try to do something small to affect change, even if it is only signing a petition.

These changes have enabled me to feel empowered in my situation and have begun encouraging my patients to do the same.  You begin to feel less depressed about things and you can sleep at night.  Action releases the pent up emotion that gets trapped in your body from reading about and experiencing that world around us.  For all the negative news that is around us, there are masses of people working on the solutions to all of our problems.  Join them and support them!  You will become a part of a movement bigger than yourself.  Anger is good when used well as it creates energy from within that  can be used to evoke change.  It is two sided in that it can destroy when out of place or context.

Sometimes change is about where we put our money.  Stoneyfield farms is now in Walmart because it is now profitable to do so.  Vote with your pocket book.  Avoid companies with known problems.  I have a retirement plan that does not invest in guns, oil, banks, ect.  A bulk of it is in alternative energy technologies.  If you have a retirement plan and you have not specified it, you likely are investing in things that you may not wish to be.

I will now end with one of my favorite quotes from Chief Seattle;  "This we know: the earth does not belong to man, man belongs to the earth. All things are connected like the blood that unites us all. Man did not weave the web of life, he is merely a strand in it. Whatever he does to the web he does to himself."

Let's turn this thing around... Together we can create a society, economy, and planet that works for all.   But only if we act.  Now.  It is time.

Healing power of stories

I just started reading "Women Who Run with the Wolves" by Clarissa Pinkola Estes. http://www.clarissapinkolaestes.com/women_who_run_with_the_wolves__myths_and_stories_of_the_wild_woman_archetype_101250.htm I am blown away by her ability to both tell a story and then break it down to its psycho-social-spiritual components in a way that leads to the reader (listener) to have a greater view of themselves.

It reminds me of "The Power of Myth" by Bill Moyers and Joseph Campbell http://en.wikipedia.org/wiki/The_Power_of_Myth both a book and a PBS series.

I love how many traditional medicines and indigenous cultures make use of telling a story to help and individual or group heal.  Ultimately we are all telling a story.  Our life is a story and we also tell ourselves a story in our heads that shapes reality based on how we act out our core beliefs.  

I once asked a shaman a question about relationships (close friends are laughing) that I was struggling with, she paused and smiled, an then launched into an animated version of a traditional Inuit story called "Skeleton woman"http://www.redkite-animation.com/index.php?page=skeleton-women  The story so captured the essence of the psychological drama, that I was floored by the ability to capture this and to heal the part that my own mind could not see within myself.  That is the safety and genius of a story, as it manages to sidestep the Ego's defenses and implant a greater consciousness that normally the Ego would put up many defenses to...  After all, it is only a story and what could this possibly have to do with me:)  Perhaps everything.   Now when I patient or couple comes to me in my office asking me a question about relationships, I can't help but pause, get a slight smile, and then launch into a rendition of "Skeleton Women" knowing that they will leave with a smile on their face and the knowledge that this beautiful oral tradition will continue to get passed down for it still contains the capacity to heal.

A Shift in Perspective

I had a great run around Green Lake this morning.  In the vein of trying new things, I decided to run it with no corrective eye wear.  That's right, no contacts and no glasses.  I need to first mention that I am blind as a bat from all the reading from too many degrees and my endless quest to find the end of the internet.  What a spectacular experience! (Minus nearly getting hit by a car in the first block)

It was like running in a derranged Van Gogh painting... Corrupted by cars, they just have no place in my running painting.  After my visual cortex settled in to the fact that it was not going to be overrun with information on this run, it relaxed.  Then I started to notice something...  Shit!  I can smell it, but I can't see it.  Oh there it is!  I was able to smell it far sooner than I normally would have.

Then I noticed that I could hear the symphony of the world around me, the robins, the crows, the ducks,  I-5.  BUT It was different!  I was part of it rather than a separate entity.  I now have a whole different understanding of "The Spell of the Sensous" by David Abrams.  A great book about experiencing the natural world as a part of it.

My feet began transmitting lots of information to my brain.  The quality of the gravel, pavement, the wetness of puddles I could not see.  It helps that I run in Vibram 5 fingers shoes, but still I was getting more feeling out of my feet than I normally would on a run.

I began to "see" that I normally process the world around me using heavy visual clues, while blotting out most other senses.  Cutting down on the amount of visual imput allowed my other senses to come into sharper "focus" to paint/compose a different sensory experience of the same world I have been living in!

I think it would be pretty cool to spend a day blindfolded and be lead around the city to have a different experience... Any takers?  Never a dull moment in my mind!

Human development in traditional cultures

I just came back from a great parenting class by a colleague Georgia Faye http://www.goldenmoonguidance.com/.  She presented a child/adulthood development model developed by Bill Plotkin http://www.animas.org/ that was quite eye opening.  Georgia talked about the ego centric model that we are familiar with in western industrial culture.  She then talked about Plotkin's model of soul centric/ eco centric development from his book "Nature and the Human Soul" http://www.natureandthehumansoul.com/newbook/  It was quite intreguing.

I learned that humans are mystical beings that are not just meant to fill a role as a cog in the industrial system and then die a meaningless death.  All humans have a soul gift that when expressed leads to a greater maturation in their culture and in the global community.  All humans have an innate ability to be a creative visionary whereby they can express themselves authentically without having to abandon themselves to belong in a community.

Humans in development undergo rituals, initiations, and rites of passage throughout life.  Plotkin notes that many get stuck in stages of development due to lack of initiation or a lack of appropriate mentors.  Consequently, we have lots of chaos in our culture as we loose our initiations, our link to the natural world,  and jump through the hoops to become cogs in the industrial complex.  This makes me think of many of the shows on TV "reality" where people do what they want, don't cooperate, and create unnecessary drama.   Basically acting like toddlers prior to parental direction, yet they are in adult bodies.  How can we have a mass initiation in our culture so we can have a culture of adults acting as adults?  Don't get me started on politics... that will come in later blogs!

I feel so grateful to have had so many teachers, mentors, and elders in my life to help walk (or push) me through initiations.  I am particularly grateful to the Lakota people and those in medicine man Black Elk's lineage as their willingness to share their medicine and initiations with me have lead to a great healing for me personally.  A big thank you to all indigenous healers that I have crossed paths with and who were so gracious to share their thoughts and teachings with me.

In summary I learned that we need to reclaim initiation and make new ones to match our changing world.  I also learned that we as humans need to reclaim our role and connection to our place in the natural world to live and thrive.  It is central to our having a future worth living for and passing on to our children a world in better shape than we found it.

Some thoughts on healthcare reform

Not an easy topic to find solutions to.  Billions at stake, lives at stake.  Others have done a good job debating the pros and cons of the current law as it makes its way through the courts, so I will not rehash those, but will just add a few ideas.

Many have an unease in advocating for a single payer system and for some good reasons, the current system Medicare does not pay well for the doctors, and creates many limitations for the patient.  I am interested in the Swiss system where as I understand it, insurance is purchased by the individual (and thus not tied to employment), you can purchase a variety of plans to suit your needs and lifestyle, and the companies while private cannot make a profit.  It is the middleman without the exorbitant middleman pay.  Here are some examples of middleman profit and non-profit in insurance companies in America: (numbers from Wikipedia)

Aetna  net profit 1.28 Billion for fiscal year 2009

Cigna operating income 1.3 Billion for fiscal year 2009

United net profit 3.82 Billion for fiscal year 2009

Regence Blue Cross/Blue Shield is Nonprofit (a favored insurance among many doctors in my area due to higher pay rates)

Premera Blue Cross is Nonprofit (another liked insurance due to paying doctors quickly) (Premera did try to go for profit but was rejected by Washington state insurance commission.)

I would love to go into further detail about how insurance contracts work, how much docs get paid, ect, however it is against the terms of my insurance contracts to discuss these details.  It is also against the terms of my contracts to change my fee on a need basis other than a 25% time of service deduction.  (I did go into it a few years back with some members of congress, that were quite astounded to hear how it all worked... or in our case does not work)

So far in the end I would propose a Swiss style system. Private companies not allowed to make a profit but can still pay CEOs their 6 figure salaries.  States that want to, can put out their own plan as they do now...  in Washington it is Lifewise a subsidary of Premera.  This gives the control at the state level where currently states have the right to control healthcare law.   I see the role of the federal government as two fold: help provide states with funds to build and run hospitals and emergency services, and to offer tax deductions for those purchasing health plans.  Health plans would all be bought by individuals and would not be tied to employer however, and employer can pay an employee more to buy more insurance if they so choose.  Brings alot more competition and free market into the system and does not tie you to a job you hate.

I like the idea of catastrophic plans for young healthy folks tied to a health savings account (HSA).  This is a plan that only covers big medical emergencies and 1 annual visit per year, but allows you to put away tax free several thousands of dollars and rolls over from year to year.  These HSAs can be used for over the medications, over the counter meds, supplements, massages, acupuncture, chiropractors, ect... Many things that conventional plans may not cover.  This is the type of plan I currently have.

Comments, questions?

Welcome to my new blog.  Some of you may be patients, others friends, and some just stumbled here while on your journey to find the end of the internet.  I decided to start this blog as I have alot on my mind and have always turned to writing to explore ideas as well as creative expression.  Thank you for joining me on the journey of my Wandering Mind Calm Heart.  Fasten your safety belts!