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CAREER HEALTH Continued from front page
fight off the virus better if you’re well-rested.
But if you have to go in, it’s not the end of
the world, says Janet O’Mahony, MD, an in-
Leadership Dilemma: Not Enough Band-Aids to Cover Workplace Conflict
ternal medicine physician at Mercy Medical
Because Making Smart Choices About Your Money Impacts The Quality of Your Life
Center in Baltimore. Just steer clear of co-
workers as best you can—the first few days
personal interests, not the best interests of the
Over the years, we have found that there are elements of your life that are more important than money.
of a cold is when you’re most contagious.
company”. Jan made sure to tell the boss that
There has always been workplace conflict; well she “knew instantly” that Mary was trouble and
To keep from sharing your germs, wash your
These elements - Physical Health, Relationship Health, Inner Health and Career Health - cannot be delegated.
before the recent economic crises, the intensity would be glad when the boss finally “saw the light
of information technology, and the coarsening of and Mary would be fired.”
We hope that you find these articles to be of value in improving the quality of your life.
society had a chance to influence our work envi-
Isn’t it strange that we decide so quickly, so in-
Stay hydrated! - Keep drinking plenty of wa-
stinctively, about our feelings for other people
Depictions of workplace tensions are common in when we first meet them? After all, we don’t even
ter, juice, or tea—and have some chicken
literature – for example, in Shakespeare’s Richard
know them. It’s all so irrational, as if some weird
soup for lunch. Grandma’s favorite cure-all
, Dickens’s A Christmas Carol
, and Melville’s system of judgment were grinding away in our
really does ease cold symptoms, research
. Could it be then, that a deeper human
It turns out that is exactly what is happening.
As social psychology teaches us, conflict situations
Because of our family experiences and the roles
Shake it off - If you’re up for a little activ-
can be understood only when viewed through the we are used to playing and seeing our relatives
ity, “light exercise can actually boost the
filter of a vast array of personal variables, includ-
play, we come into new situations at work with
immune system,” Dr. Sadler says. But we
ing family values, gender, culture, past crises, and
unconscious expectations of how the person we
mean light: Keep your heart rate just under
are meeting is supposed to look, sound, and act.
All of us, on a daily basis, transfer our old, out- When our colleagues and bosses don’t match
dated behavior roles from our original organization, our expectations, we realize this in a matter of
Using a saline nasal spray right after cold symp-
seconds, and just like that the seeds of conflict
At the end of the day - A healthy diet can
the family, into our present organization at work
A tickle in your throat? A cloudy head? An achy
toms first appear may reduce their impact, studies
where they no longer serve us well. Because all
body? Yep, you’re coming down with something
suggest. And take a hot shower: “Warm moisture
family systems assign invisible roles to their mem-
Jan could not tolerate Mary; the competition for
- again. The average adult gets three colds per
helps clear nasal passages,” Dr. Schaffner says.
bers and because so few of us deal openly with
foods like lean meat, fish, or beans, with a
being the boss’s favorite took on a life of its own.
these roles and the psychic wounds that accom-
year, each lasting an average of nine days, says
It exploded when Mary was given a promotion to
whole-grain side like brown rice and plenty
pany them, it’s easy to see how conflict at work
Jane Sadler, MD, a family practice physician at
Within the first two hours head to the drugstore
and would have to work even more closely with
of antioxidant-rich vegetables. Take a hot
becomes routine. In fact, it would be surprising if it
Baylor-Garland Hospital in Garland, Texas. But
and grab a pain reliever like acetaminophen to
shower before bed if you’re still feeling
you don’t have to surrender. Here’s how to stop
fight off achiness. Over-the-counter allergy meds,
stuffy. Then get a good night’s sleep.
The destruction to production at work can cost a
a cold before it takes hold—and feel better by
like Zyrtec and Benadryl, help with symptoms like
Leadership development programs rarely touch company both revenue and morale. If this toxic
this dimension of work strife. It stays hidden from
runny nose and watery eyes; allergy meds that
hidden source of co-worker relating is left untend-
The next day, all better? If you feel worse or
view and tumbles through a company unseen until
contain decongestants, like Claritin D or Alavert
ed it could bleed the company into bankruptcy.
have a fever, start vomiting, or develop an
a momentary upset becomes a bloody battle, one
As soon as you feel symptoms start drinking
D, will help clear your sinuses and keep you alert,
increasingly bad headache, call your doc-
that is systemic and bandages only cover the sur-
What was at the heart of the issue is all too
water or juice. Staying hydrated cuts down on
if you need to be, says Mark Moyad, MD, MPH,
tor—these are signs you’ve got something
common in work settings. People who suffered
symptoms like a sore throat and stuffy nose,
Jenkins/Pokempner director of preventive and al-
through combative relationships with their sib-
Jan is a perfect example. A “model employee” she
says William Schaffner, MD, professor and chair
ternative medicine at the University of Michigan
lings while growing up tend to come to work
or an infection), and you may need antiviral
would show up on time, no, actually she was al-
of the department of preventive medicine at
looking for this behavior in their peers; these are
medication, antibiotics, or other treatment.
ways early. She was one to bring in the treats for
Vanderbilt University School of Medicine.
the ones who express resentment that such and
Otherwise, keep up the routine for the next
coffee break, often muffins she had baked herself such is getting more money, more vacation time,
Skip the OTC cough medicine, good old honey
at three in the morning because she was “solving
few days, just to be sure you kick that cold
a lightened load, preferential treatment from the
Gargle with salt water - To combat a scratchy
works just as well (and tastes better!), says Har-
throat add half a teaspoon of salt to a glass of
ley Rotbart, MD, professor and vice chairman of
Jan was a control freak and had to be the conduit
warm water. “The salt draws out excess water
pediatrics and pediatric infectious diseases at
Fortunately for this company the boil was lanced.
Kimberly Holland. All Rights Reserved.
for every office decision. She made it a practice
in your throat’s tissues, reducing the inflamma-
the University of Colorado School of Medicine.
Sadly for Jan she was unable to dig into the roots
to give the cold shoulder to anyone who did not of her unconscious behavior and when she could
tion, and clears mucous and irritants from the
Have one to two tablespoons straight from the jar
include her in discussions even when they did not
not destroy Mary she decided to quit, claiming a
back of the throat,” notes Philip Hagen, MD,
or stirred into tea. And forget zinc lozenges and
apply to her part of the organization. She would hostile workplace with unfair work expectations.
medical editor in chief of Mayo Clinic Book of
sprays: There’s just not conclusive proof that they
constantly go to the boss with stories about what
went on and would end the conversations with “Re-
Home Remedies. The rinse also flushes out
When last heard, she had just left another job
bacteria and viruses, which may help whether
after a year claiming the same type of situation.
you’re getting a cold or want to prevent one in
Stay home from work if you can. Your body can
Jan was especially upset when Mary began to
gain a strong hold with the boss. She would tell Sylvia Lafair. All Rights Reserved.
the boss to be wary, that Mary was “not loyal, was
a control freak and was only out for her selfish
8380 Miramar Mall, Suite 200 • San Diego, CA 92121
Do It Because It Is the Right Thing!
The Body / Mind Connection to Happiness
Judah’s most successful and respected Being a good person does not mean be-
value within our belief system, e.g., you are life including beliefs obtained through your up-
ing perfect – we all blow it at times. It
faced with the decision about spending Christ- bringing. Your beliefs are responsible for your
mas with your family or your partner’s family. So actions and your psychological stress.
consider to be, or to have been, a re- A good man or woman does not concern
let’s examine what is actually causing the stress
ability to recognize when we blow it and,
Your mind (the psychological realm) and your
Your belief system can not only cause psy-
ally good person? I would imagine that themselves so much with doing the right
if necessary and possible, we do what it
body (the physical realm) exert an influence
chological stress but it can also contribute to
after a few moments of quiet reflection thing as they do with being the right per- takes to make it right.
upon each other. This is known as the Body-
physical stress on your body. Knowing which
you could probably name at least a few. son. Actions alone do not reflect a per-
Mind connection. The psychological realm re-
thoughts/beliefs are in harmony with a healthy
What character traits do you think de- son’s intent or motivation so one’s good The most satisfying and effective rela-
lates to your thoughts, emotions and memo- 1. The fear of making the wrong decision.
functional physical body and which thoughts/
ries. The physical realm relates to your organs,
scribe a good man or a good woman deeds can actually serve selfish ambitions tionships between co-workers, supervi-
beliefs contribute to physical disease is helpful
2. The ‘should’ statement, i.e., ‘I should know in creating a healthy physiology. Beliefs are all
in our society today? Perhaps words or desires. Although we can not always sors and subordinates, family members
of your opinions, views, values, and attitudes
such as kind, thoughtful, generous, giv- accurately perceive a person’s intent or and friends are the result of people who
that you hold as to how factors in life need to
3. The expectation (from yourself and others) to
ing and unselfish top your list. If so, I motivation we can get a pretty good idea choose to develop the attitudes of a good
be. Some of your beliefs are conscious, i.e.,
While genetics and the environment affect your make the right decision.
would agree – these are traits we would by looking at the consistency of their at- person.
you are aware of them, whilst most are uncon-
thoughts it is your belief system that determines
all expect a good person to possess, but titude.
how you respond to events and situations and If you can understand that there is no right or
there’s got to be more to it - and there
Todd E. Linaman. All Rights Reserved.
the decisions you make. Many people associ-
wrong decision, this will alleviate some of the Unconscious beliefs are formed as a result of
stress. You make the best decision you can with
“The real things haven’t changed.
ate the word ‘beliefs’ with religion, but the term
your interpretation of the world; they are ways
beliefs encompasses all the various views and the current information you have. If another of trying to explain the world around you. Peo-
It’s still best to be honest and
party reacts to the decision it is simply an in-
opinions that people hold towards any of the
ple take on the attitudes and thought patterns
truthful; to make the most of what
of those around them which then become their
Every perception that a person holds is deter- “Happiness is not a station
also defined as someone who knows the pleasures; and have courage when
mined by a belief and every response a per-
We establish our beliefs as very little children
son makes to a situation is also governed by you arrive at, but a method
and then we move through life creating experi-
that person’s current beliefs. Your beliefs get
chooses to do what is right. Civil Rights
ences to match our beliefs. A belief system can
changed when you receive enough new data to
be what an individual is willing to accept with-
activist, Dr. Martin Luther King summed The attitude of a good person is character-
give you reasons why you should take on that
out direct verification by experience or without
it up well when he said, “Cowardice ized by several distinct features.
new belief. Your mind uses its current belief
system to interpret and assess the event it is
encountering and then it finds possible appro-
ency asks the question - is it political? 1. Desires to help others achieve their
How did you become unhappy? By continuing
priate responses and puts these into action to dication they need to look at their own beliefs. with the same thoughts and ideas, which led to
Vanity asks the question - is it popular? goals in life
respond to what it believes best suits the situ-
the same feelings/emotions, you produced the
But conscience asks the question - is it
‘Should’ statements inevitably cause psycho- same actions which led to the same unfulfilling
right? And there comes a time when one 2. Is willing to put the needs of others be-
logical stress as they imply we must be doing life (results).
We often judge our response to an event as
must take a position that is neither safe, fore their own
something or must know what to do. If you ac-
right or wrong, however, we simply made the cept that you learn new information as a result The simple diagram below shows how you will
nor political, nor popular; but one must 3. Demonstrates respect for others no
decision according to the information/beliefs of whatever you experience from your decision, achieve the same results if you keep thinking
we held at the time. You could not have made it does not matter whether or not you know what the same thoughts. So changing your thoughts
a different decision because the response was you ‘should’ do because you will learn from the is the first step to changing the results!
Doing the right thing, whether in one’s 4. Helps others without expecting any-
only a result of the information you had at the outcome of your decision regardless of what the
personal or professional life, is not al-
time. You can later learn from this situation. outcome is. This way you reduce the stress of Thoughts → Emotions → Actions → Results
ways the easiest thing to do. In the Old
With the new information which was gained you the decision making process.
will then be able to make a different decision
Understanding the body-mind relationship is
Testament, a ruler named King Hezekiah 5. Refuses to compromise values for per-
next time. This is all part of the way we learn Everyone around us is at different levels of the key to optimal health and happiness. If you
decided early in life that he was going sonal or professional gain
development and we only grow and develop continue to replay the same negative thoughts
through experiences. Every person on this and feelings that have burdened you for years
you will continue to have the same physiology
right in the eyes of God. Even though he 6. Possesses a willingness to forgive when
Generally, we have some beliefs which hold planet is both a teacher and a pupil. We are
greater importance than others. For example constantly learning from others and they in turn and life situations. This means your thoughts
was criticized, laughed at and ridiculed, harmed
we may believe that our children’s wellbeing is learn from us. My favorite saying is, “Be the can actually create unpleasant feelings and
he did not compromise his conviction 7. Is committed to doing what is right even
most important. If our children are well we feel change you want to see in the world.”
even cause physical illness in the body.
okay to go out, however, if our children are sick
we prioritize by staying home. What actually The beliefs you hold are a product of the events Yasmin Bartlett. All Rights Reserved.
causes us stress is when two beliefs hold equal you have already encountered or observed in
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Managing inadequate response to treatmentFailure of response to initial therapy or loss of initial BP control occurs due to a wide range of prescriber-related, patient-related and drug-related factors. First, check that treatment has followed recommended prescribing guidelines for achieving BP targets (see Drug treatment , page 19). If BP remains above target despite maximal doses of at least tw