Search for tag: "holidays"

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Scot: Surviving the holidays. What is your game plan? It seems like when people talk about the holidays and health, it always kind of goes back to, "How do you watch what you eat? How do you keep exercising?" But there are other factors too that we consider.

We talk about the Core Four, which is exercise, nutrition, but it's also sleep and emotional health. Are there some things that the members of the "Who Cares About Health" crew do during the holidays to try to make them a little bit more enjoyable? Whether it is managing the physical aspects of health or emotional aspects of health.

And today on "Who Cares About Men's Health," each of us is going to share our holiday game plans to maintain our health during this holiday season. Just little tweaks we've made, things we've learned, maybe even major changes, how we celebrate the holidays.

This is "Who Cares About Men's health," providing information, inspiration, and a different interpretation of men's health. And on the show today, you've got me. I'm ready to jingle my bells and bring the BS to this holiday season. My name is Scot Singpiel. The MD to my BS and looking sharp in his Santa hat is Dr. Troy Madsen.

Troy: Yeah. I'm here, Scot. Can you say jingle your bells on a podcast? I don't know.

Scot: And standing under the mistletoe by himself as always is . . .

Mitch: Ah, no. But I do appreciate that more than being a Santa's helper elf or something. Good.

Scot: Ladies and gentlemen, Mitch Sears is on the podcast as always, and it's great having you here today.

Mitch: Hello. I'm glad to be here.

Scot: Today, we are going to talk about our little holiday game plans. Are there some things that you have done that have changed your enjoyment of the holidays or that have helped you get through the holidays? And that could include physical stuff or emotional health.

Now, most of mine revolve around emotional health. One of mine is physical health. How about you, Troy? Just in general, your three, how would you categorize them?

Troy: I think emotional health is a big one.

Scot: Okay. And how about you, Mitch?

Mitch: So mine is really focused on nutrition and emotional health.

Scot: Oh, it is? Okay. I feel like sometimes that's all you see, is, "How do you keep your diet through the holidays?" I mean, do you really need to? I don't know. Maybe we'll discuss some of those things.

But one of the things I don't think people think about, and maybe I'm not giving us enough credit, is kind of the mental health aspect. I don't know. What's your guys' perspective on that?

Troy: Yeah, I think the mental health aspect of the holidays is absolutely huge. Some of the worst shifts I've had in the ER have been when I have to work Christmas Day. It's just so depressing because you just see so many people there who are just so sad and miserable. And it may be just they're stressed out or maybe they're just super lonely or whatever it is, but it's a tough day to work in the ER, honestly.

So I think that really drives home to me the emotional health impact of the holidays. It can be great, it can be amazing, or it can really kind of go the other direction.

Scot: Yeah. How about you, Mitch?

Mitch: I guess for me it's kind of interesting because it seems like . . . We talk about how to keep thin during Thanksgiving or whatever the particular holiday is, but very seldom do we talk about the potential an emotional minefield that goes from reconnecting with family that you haven't seen for a while, or the pressures to get the perfect gift, or have the right events, or whatever it is.

There's a lot of self-inflicted stress that happens. You're put into a bunch of situations that are stressful. Travel is terrible, whatever.

But yeah, personally, I've spent some time the last few years really trying to figure out how can I make sure that I get through these holidays and actually enjoy them?

Scot: Yeah. I think that's key, right? And that's the other thing you see in popular media. The mental health things of . . . It's terrible and you should definitely get help for it, but dealing with depression and dealing with this and dealing with that. But the holidays are supposed to be a joyous time of the year where you do enjoy reconnecting with friends and family. And if we're doing things during the holidays that is impeding that, that's not necessarily a good thing. So how can we optimize maybe even?

I don't know. I'm really curious to hear what you guys have to say. I'm going to go ahead and kick mine off with Christmas gifts. Is Christmas gifts on anybody else's list?

Mitch: No. I love gift-giving more than anything in the whole wide world.

Scot: All right. So for you, that works.

Mitch: I love it.

Scot: My experience, especially after I got married, was the in-law gifts, a father, a brother, a mother-in-law, and then my wife. You had to get gifts for all of them. And then their family also did Christmas stockings, which was fun, but it was also stressful to buy all that small stuff. It was a lot of stress thinking about, "What do these people want? What can I get for them?"

And then I have this personal conflict where I don't want to just get something for the point of getting something that a couple years later is going to be a burden and then they're just going to be taking it to Goodwill and I've just wasted resources on the planet. That stresses me out a lot. I want to get something I know somebody is going to use, and it can be hard to get something that somebody is going to use that they're also going to love, right?

But a couple years later, we decided to just get gifts for the kids. So it was just the two kids, and then the rest of us, we didn't get gifts for each other. I truly don't miss it and it makes it so much more enjoyable not to have that stress. So it kind of got us out of the gift rat race, which I really appreciated.

And then there are a lot of different versions of this, I think. I mean, some people draw a name and put a price limit on it. That would be a good way to kind of get out of that rat race.

I know some people give gifts of things that they have that they no longer found useful, but maybe somebody else might find useful. Or they might give a gift that they made for somebody else, or they give something that they personally like so then that other person can share in that. Or maybe you limit it to books.

But that gift rat race for me was just a miserable part of the season. And now that we're kind of out of that, it has made all the difference.

Troy: No, I agree. I think it can really escalate to where it just becomes so stressful for everyone. We used to have extended family events and everyone was bringing gifts for everyone else there. And you could tell there may have been some people who enjoyed it, but I think for the most part people just found it stressful, and someone finally called a truce, just said, "Let's not do this." It was like, "Okay, good."

Scot: Or just even knowing what the expectation is for gifts. Those extended families, you're going to go to that, "Is cousin Ellie going to bring something? Do I need to get something for cousin Ellie? I better have something for cousin Ellie in case cousin Ellie gives me something."

Maybe there's even something to be said for appreciating this notion that you don't have to get somebody else a gift, and if they give you one, you don't have to feel guilty about it. If somebody gives you a gift, you can just say, "Thank you."

Troy: That's a great point.

Scot: "I really appreciate that." And if that other person is expecting something in return, then they did it for the wrong reasons. But if they truly just wanted to give the gift, you don't have to feel guilty that you didn't get them something.

Troy: That's a great point. Yeah. I think just accept it, be grateful, express your gratitude. Don't feel like you have to reciprocate.

Scot: Yeah. And if you do and something strikes your fancy, then you can, but you don't have to.

Troy: Yeah. You don't have to. And you can be grateful knowing that they feel . . . I think we've talked about it before. I've seen some studies. People giving the gift often experience greater joy than the person receiving the gift. There's actually been research on that. So you can just feel good that you gave them that gift.

Mitch: And as an avid gift giver who loves this stuff, I love being able to find a unique whatever gift for people. I have running lists of every person that I know. As I see things, I keep it. I love this type of stuff.

At the same time, in my last relationship, I was invited to Christmases where basically the in-laws would shower us in gifts. And there were stockings and there had to be 10 boxes. Everyone has to have so many gifts and whatever. That stressed me out.

And so it was very much the situation where it's like, "I'm not going to play this game. I am confident enough in my own skin that I am going to get thoughtful gifts. One thoughtful gift for each person because that's all I can financially afford." The concept of showering one another in gifts and whatever, it was just not for me, not my thing. So I swore off of all of that.

Scot: And that's just a difference of the way that people celebrate Christmas. So maybe even just having that conversation, just saying that this is . . . "I so appreciate it, but this just really is overwhelming to me. Maybe we could downgrade this a little bit."

Mitch: Sure.

Scot: All right. Troy, what's something that you do at Christmastime or during the holidays to . . . What's your holiday game plan?

Troy: My holiday game plan is to keep it simple. And I think that kind of goes along with what you talked about, Scot. I think you can feel obligated, like, "Okay, I've got to have a bunch of lights on our house," or, "I have to send out Christmas cards to family and extended family and friends and all these other things," or I need to reciprocate, like, "Oh, we got cookies from the neighbor. We've got to get them something." Whatever it may be.

I really try not to kind of go down the rabbit hole with a lot of those things and just keep it simple and just say, "Hey, what we're doing, is it something that's bringing me joy, that I'm having fun with, that's making this whole experience this season more enjoyable? Or is it just creating more stress?"

And if it's creating more stress, it's not worth it. And if people think less of you for it, so be it. It's a time I hope we can just enjoy, and I don't want it to be something that just becomes a stressful experience.

Scot: And I love getting homemade cookies and stuff like that. That's simple, right? From anybody. It doesn't matter who. I like those little treats that somebody made. That's fun.

I don't know what that has to do with anything other than maybe telling you it doesn't have to be an extravagant gift. It could be the salsa that you made from the stuff in your garden. My wife does that a lot. She'll give out salsa or jalapeno jam and people look forward to that. And it's a simple thing. Took a little bit of work, but not a lot. Doesn't cost a lot of money. I love it.

Mitch, jump on in with your holiday game plan.

Mitch: All right. The big thing that I'm going to try this year is that I end up putting on significant weight over the holidays. And it has to do with I go to a bunch of events, I host a bunch of events, I do a lot of baking of my own. There's leftovers and I just find myself eating more than . . . I'm not a big eater, I don't come from a family of big eaters, but here we are, holiday time, I get caught up in the lights. I don't know if we've covered this before. I get real gross around the holidays. I get super sappy. I have a big tree. It's bad.

Scot: Sounds great to me. But go ahead.

Mitch: I know, but it's just like . . . I don't know. I'm wearing my leather jacket and singing carols with the people down at the Temple Square. That's the kind of weirdness that I run into.

But suddenly, I'm accidentally eating tons and tons and tons, and then I'm usually pretty upset with myself. I've kind of ruined most of the goals that I've been working on.

So this year I am going to commit to making all of my own food as part of it. That way, I know exactly what is going into it. I know it's not just buying a bunch of sweets or candies from the store. It is something that I have made, so I know exactly what's in it. So I can kind of know, "Hey, this is a lot of sugar or not."

And number two, I'm going to keep up the meal prep stuff that I've been doing. I buy some groceries. I make myself some food beforehand so I can make sure that I eat it. Through the day, I always know I have a healthy meal. I'm going to keep that up, right? I'm not going to just rely on leftovers for the next few weeks. I'm going to keep that habit up.

I'm going to eat the good food when it's the day, when it's the time. But this fancy food creep is what I'm going to be trying to kind of fight against this year.

Scot: You're still going to enjoy the good stuff, but you're just going to try to not allow it to creep into every meal.

Mitch: Yes, because that's what happens. You go and it's like, "Hey, you should take some pie home and some of this home and some of this home." And then for the next five or six days, breakfast is pumpkin pie. It's just what happens.

Troy: And here's something too I've had to learn to do, because I grew up learning you don't waste food, you eat food. You've got to feel comfortable throwing stuff away. Graciously accept it when they're like, "Please take this extra pie home." "Oh, no, I really shouldn't." "Yes, please take it." "Okay." Don't be afraid to throw it away.

Scot: Where it almost gets aggressive.

Troy: I know. It's like, "Okay. I'll take it."

Scot: You've said no six times, and eventually you just have to yes because you know you're not going to win.

Troy: Yeah. Exactly. But don't be afraid to throw it away. It's like, "Okay, maybe I'll have a little bit of it. I'm not going to eat this whole pie." You've got to toss it.

Scot: All right. What is your holiday game plan to get through the holidays and maintain the Core Four, maintain your mental health? I've got another one for you. This is going home for Christmas.

Now, this isn't going to work out for everybody, but I was talking with my friend Jay about how going home for Christmas for him was something he didn't enjoy. It was a long distance he had to travel. Then when they'd get there, it was too cold to do anything anyway. So all they did was sit around and eat and that was it. He wasn't enjoying it. He wasn't enjoying time with his family.

And I know, Troy, you're thinking at this point, "Just sit around and eat? What's so bad about that?"

Troy: It sounds awesome.

Scot: Yeah. But he said he just wasn't enjoying that time. He was like, "I'd rather go back during the summer, take that week, go during the summer when we can go out and do things. And also when it's removed from all this stress of holiday meals and just the gifts and all of that." So I'm like, "Well, why can't you do that?"

What is Christmas other than just a day we associate with spending time with family? Why can't we associate that time whenever we want?

Now, again, that might not necessarily work for everybody because sometimes people do have built-in time off around the holidays, and this is such a built-in tradition that . . . In his case, he has brothers and sisters that you've got to kind of convince. But he did convince most of his family members to do that. So now he goes back in the summertime.

My wife and I have decided we're going to adopt that for a lot of the same reasons. We just spend Christmas at home just with us. The time we have off for Christmas, most of it is in our pajamas. Most of it is doing stuff together and it's just a quiet, nice relaxing time.

I mean, that was a game changer for my friend Jay. It's become a game changer for us. And then we can go back and we can enjoy our time with our families at a slower pace, at a time of year where we can actually go out and do some stuff where it's not so hectic.

And then the other thing that we used to do is . . . We used to be so busy because our friends were back home at the same time we'd go visit our family. So it was family day, friends at night. During the pandemic, though, we started Zooming. So then that's kind of filled that need.

Mitch: Interesting.

Scot: So I mean, if you can kind of change up . . . If going home for Christmas is not working out for you, if that's the situation you're in, it might be time to think about if there is an alternative thing you can do that's going to be more enjoyable and get back to the whole spirit of Christmas, which is being with friends and family and spending good quality time with them.

Mitch: I cannot. I guess, for me, I always kind of rolled my eyes at people who were like, "Oh, I have to go back home for Christmas." But it kind of dawned on me that I was very privileged because I live in the same state as my family. I don't need to go through all the hassle of travel.

But again, in that last relationship, I had to drive up to Wyoming multiple . . . to and from, just before the worst storm of the year. I had to worry about, "Will my little Toyota Avalon make it past the Pass? How long am I going to be stuck there? Will I have to take extra PTO?" And then when we get there, there's just a lot of sitting around and it's like, "Why are we here for five days?"

There's this kind of being able to will yourself to be like, "You get space to . . . you get to decide your own emotional wellness, so you get to say, 'Hey, what can we do? This particular part is not working for me.'" And that's really good. I really appreciate the approach that you're taking to it.

Troy: Yeah. And it makes me think too, hearing all of this, I wonder if there's value, if you're just finding the holidays are stressful, in doing essentially just a holiday detox, just telling people, "Hey, we're not doing anything this year."

Scot: Well, that's what me and my wife have essentially done. You get the pushback. Or just take an inventory. What are all the things we're doing? Are they adding value or are they not adding value? Can we maybe just have the things that add value? I think you brought up that concept a little bit earlier, Troy.

Troy: Yeah. And I think there's that idea too . . . Again, I'm kind of going with this holiday detox. Just don't do anything. Don't plan anything, don't put up a Christmas tree, and then just ask yourself, "What do I miss? Is there stuff I miss? Okay, I miss this. I miss this. These are the things I want to do."

Scot: I like that. That's good.

Troy: Yeah. Kind of start from the ground up again if you're just finding it's just too stressful.

Scot: Troy, do you have another game plan for the holidays?

Troy: The thing I want to talk about, Scot, and again, I feel like a broken record when I talk about it, but I always have to remind myself as I approach holidays or whatever events that are . . . I don't want to call it distracting, but just something where it's out of your routine. Just keep the routine going, the stuff you want to keep going. And so for me, it's running. I want to keep running, I want to keep doing what I'm doing. Stay consistent with it.

Mitch talked about diet and trying to stay consistent with what he's doing. I want to do that as much as possible. I know there's going to be lots of sweets. Avoid those as much as I can.

So it's more just a reminder to myself just to keep doing what I've been doing and try not to let those things slip up too much over the holidays.

Scot: Yeah. But on the other hand, I don't think you should beat yourself up around the holidays. So here's another one that I have. It's about eating. I take about a quarter serving of each thing that I think I can eat. So I take a look at what I think I can eat and then I take a quarter of that, right? My eyes are always bigger than my stomach.

And it does have a little something to do with weight, but more it has to do with how I feel after, right? And it also has to do with the other things that I like to do. I like to give myself a little bit more grace this time of year because treats are around and it's fun and it's a nice little reward.

So if I can watch what I'm eating and not completely go overboard there, like one tends to do at the holidays, then I feel a little less guilty about having the treat. And part of it is weight, but part of it is just I hate that stuffed feeling that I perpetually feel.

Especially, again, when we used to go home, it was a humongous meal after a humongous meal. All we do is eat, and I just don't feel good. I just feel miserable and don't want to do anything.

So quarter serving of each thing. Try to maybe just not have eyes as big as your stomach. That's my little piece of advice.

Mitch, do you have something you want to throw in?

Mitch: I do. I'm very pro holidays. They're very exciting for me. I really, really get into them. But one of the things that is really easy for me to do is to kind of allow the holidays and the pressure and this idea that I've got to get these events done, whatever, to kind of let my anxiety and let my negative feelings in where they should not be, especially at a time where they should not be.

So to help with emotional stability, or resiliency in particular, one of the things that I've started doing the last few years is at Thanksgiving, I pass out a whole bunch of little strips of colored paper, holiday colored paper. And I have everyone and myself write down a whole bunch of things that they are grateful for. We just did an episode about gratitude. So I kind of get everyone involved and we all write down things that we are grateful for.

And the day after Thanksgiving, I turn those strips of paper into a paper chain, a countdown to Christmas, because that's what I celebrate. And so every single day I open that up and I find out something that either I am grateful for, and I'm reminded of it to start the day with my morning cup of coffee and one thing that I'm grateful for, or something that my friends, my family, someone else is grateful for.

And it's really interesting because it's like, "Hey, I'll send a picture." It's like, "Oh, I drew yours today. Ha-ha-ha, you were grateful for shoes," whatever.

It creates this reminder every day of why I appreciate the holidays and why I am grateful to be able to be a part of it and in a place where I can have people over and have them in my life, when it can sometimes get real easy to be hard on yourself, to let the stress take over, to try to keep up with the Joneses, every single day.

Build that into the holidays. Make gratitude a part of the holidays. And it's worked really well for me.

Troy: That's a cool idea. I've never heard of that before.

Mitch: Yeah. My mom used to do it when we were kids, and these days I thought I'd bring it back.

Troy: That's fun. Yeah, I've made chains at various points. I made a chain counting down to when our baby was born, but it was the chains of my ER shifts and I just felt so much gratitude every time I tore one of those links off the chain.

Mitch: So you make the ritual. You make it something you're doing.

Troy: Yeah. That's kind of fun, though. That's cool. I like that it has the gratitude statements on it and you can kind of look at those every day. That's cool.

Scot: I don't know. That stresses me out.

Mitch: Why?

Scot: All of that sounds like a lot of work. But you know what? We've talked about this on the podcast before. We'll talk about it again. It works for you. It might not work for me. That's cool, right? We pick the things that work for us. Although I do like the gratitude thing.

One of the things I was thinking about doing this year, and I probably never will because I can kind of be lazy, but I take a lot of photographs. I want to start sending Christmas cards to people that have made a difference in my life over the course of the year. Maybe even go through my gratitude journal and look at the people that I've mentioned and just have a photo that I took as the card and then just let them know how I feel about them.

Mitch: I love that. That's great.

Troy: Yeah. That's really cool. Very personal touch and . . .

Scot: I'd like to test it out on you, Troy. So I'm going to get down on my knee and look up into your eyes and I'm going to tell you what . . .

Troy: Get down on your knee.

Mitch: Send it in the mail.

Troy: You can just send a photo.

Mitch: Yeah, send it in the mail.

Troy: The US Postal Service will be perfectly fine for that, Scot.

Scot: I just don't know if other people would . . . if that would be awkward for other people or other guys.

Troy: I don't know if it would be . . . No, I think it'd be kind of cool. And you don't have to make it super over the top or anything. Just say, "Hey, this holiday season, there's a lot I'm grateful for. I'm really grateful to have you as a friend." Something like that. And it'd be really cool, the personal touch. I love that idea of sharing some of the photos you've taken.

Mitch: Yeah. Well, one of the tests that I've started doing with some of my anxiety issues is if I worry, "Will this be too much? Are they going to like it? Are they going to care about it?" I just think, "How would I feel if I were to receive something like this?" If I'm like, "That would probably feel pretty good," then just do it.

Scot: And if it makes Troy feel awkward when he gets my card, then that's his problem.

Troy: Yeah. If we never speak after that, then so be it.

Scot: Oh, wow.

Mitch: Oh, man.

Troy: I'm just kidding, Scot. I think it's really cool. Like I said, I . . .

Scot: You would enjoy getting a Christmas card?

Troy: I would love to see your photography. I know you do lots of dark sky photography. I would love to see it. I think that's really cool, and it would actually mean a lot to think you're sharing some of your talent and what you've done there and just to have a card like that. Yeah, I've never gotten that before, so it would be cool.

Scot: Cool. All right. Well, maybe you've encouraged me to do it. Have we hit all of our holiday game plans?

Mitch: I think so.

Scot: We good?

Mitch: Yeah.

Troy: :I think so.

Scot: All right. We're in the huddle now. We're ready to break and go out there and play the holiday game.

Troy: Let's see what it brings.

Scot: Okay.

Mitch: Survive.

Scot: Three, two, one, break.

Troy: Break. That's right.

Scot: Guys, as always, thank you so much for being on the show. If you're listening, I hope one of these ideas can help you. We encourage you to try one of these ideas, even if it's just to take a quarter serving of everything you want to eat instead of the serving size you think. Or if it's making a gratitude chain like Mitch likes to do. Or if it's just telling yourself, "I'm going to try to keep as much of my routine that I have going as I can throughout the holidays."

And maybe be kind to yourself if you don't quite do it. But just set that goal, like Troy. Although Troy is going to nail it 100%. He always does. But we don't have to live up to Troy's standards. That's the other thing we learned on this podcast.

Troy: It's always a challenge.

Scot: Guys, thanks for listening and thanks for caring about men's health.
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This content was originally created for audio. Some elements such as tone, sound effects, and music can be hard to translate to text. As such, the following is a summary of the episode and has been edited for clarity. For the full experience, we encourage you to subscribe and listen— it's more fun that way.

Scot: Hey, happy holidays and holiday season from the "Who Cares About Men's Health?" team. Quick little minisode during our hiatus. We'll be back January 7th?

Mitch: Seventh.

Scot: January 7th with a new show. In the meantime, listen to some of these shows from the past. But this is brand-new stuff here. I thought it would be kind of fun from Troy's perspective to think about, like, Christmas presents under Troy's tree.

Troy: That's right, under . . .

Scot: Like, as an ER doctor . . .

Troy: Not in my home. Not under my . . . but yes, the Christmas tree that we have in the ER, the middle of the ER, that we can just distribute gifts to our patients, things that are going to help them and hopefully keep them out of the ER. That's the goal of my Christmas tree is keeping people out of the ER.

Scot: Oh, okay. That's good. All right.

Troy: I love seeing you there but, you know, you don't want to come to the ER, let's face it.

Scot: All right, so Christmas presents under Troy's tree in the emergency room. Let's go ahead and unwrap one right now.

Mitch: Crinkle crinkle crinkle. Crinkle.

Scot: Those are our low-budget sound effects.

Troy: This is low budget, yeah.

Scot: We can't afford real sound effects.

Troy: That's Mitch opening my very poorly wrapped gift to him. And to Mitch, I am gifting you a prescription for Zofran.

Mitch: For Zofran?

Troy: Yeah, it's an anti-nausea . . . are you excited?

Mitch: Yes. Wow, I don't know. What is this?

Troy: Have you ever gotten Zofran before?

Mitch: Yeah.

Troy: I bet you've never . . . oh, you have?

Mitch: Unh-unh.

Troy: Yeah, so you've never gotten this gift before. Zofran's a medication that will keep you out of the ER. It's an anti-nausea medication. If you're traveling, I always recommend to people to talk to your doctor about getting a prescription for Zofran. This is the one thing if you're ever traveling, it can be a lifesaver, because nothing's more disabling than getting sick and throwing up. You take some Zofran, you can keep fluids down, avoid a trip to the ER.

Mitch: Wow, thanks.

Troy: You're welcome, Mitch.

Scot: Oh boy, me next, me next!

Troy: Any day. Scot, what would you like? Do you want to open your gift next?

Scot: I'm going to take that red one right there.

Troy: Okay. Open it up.

Scot: Crinkle crinkle crinkle. Oh, it's super glue.

Troy: It is super glue.

Scot: Thanks, Troy.

Troy: This can keep you out of the ER, too. Again, I'm kind of thinking more in terms of travel. I'm not recommending just putting super glue on yourself randomly. But when you're traveling, super glue can be a great way to fix lacerations. It's the same stuff almost, besides one little chain on this chemical molecule, that we use in the ER. You know, we use this kind of super glue stuff to repair lacerations. If you're traveling, if you have a small laceration, clean it out really well, put a little super glue on it. It can keep you from having to go to the ER.

Scot: Oh, great.

Troy: Yeah.

Scot: Thanks, Troy.

Troy: You're welcome.

Scot: All right, looks like we have one more. I don't know who this is for.

Troy: Okay, well, we're not going to name names here, but this is Naloxone.

Scot: Okay.

Troy: So I don't want to make light of this, because Naloxone is actually the one thing I would love to give everyone who comes to the ER, because Naloxone is an absolute lifesaver in an opioid overdose. If someone has a heroin addiction or if they just have prescription pills, or you have a child who gets a hold of prescription pills, opioids, and takes them, you know, we have one of the top five death rates in the country from opioids. If everyone had access to Naloxone, we could save a lot of lives. So this is one of those things, you can inject Naloxone. There's a nasal spray. It reverses the effects of the opioid, gets the person breathing again. It's a lifesaver.

Scot: And I want to destigmatize it a little bit. Like, for somebody that just even, we've heard stories about grandmas and grandpas who, the kids come over for the holidays, and grandma and grandpa has an opioid pain medication for legitimate reasons, and the little kid gets into it and takes it, it could have a terrible outcome. But with a Naloxone kit, it's the antidote.

Troy: It's the antidote. It is an absolute lifesaver. So this is something everyone should have, and you can pick it up at public libraries. Go down to the Salt Lake City Library. You can come here to University of Utah to the Health Sciences Center to the library. They'll just hand it to you, no questions asked, no prescription needed. I would love just to give this to everyone.

Scot: All right. That's a pretty interesting and cool Christmas tree.

Mitch: I'm glad I got my gift.

Troy: You got your Zofran. You're a happy man.

Scot: Sorry, Troy, we didn't get you anything.

Troy: It's all right. I'll let it go this year.

Scot: Merry Christmas, Troy.

Troy: Thank you, and a happy holidays to you too.

Scot: Time to say the things that we say at the end of podcasts. Troy, don't try to hog the whole thing. Go. Once Troy gets started . . .

Troy: See, you can't get me started, because I'm like, what's the next thing I'm supposed to say here? So if you like us, please give us five stars. If you don't like us, let us know. Tell us directly so we can make changes.

Scot: And then get the five stars.

Troy: And then give the five stars later. So you can contact us at hello@thescoperadio.com.

Scot: All right, and you can also reach out to us at facebook.com/whocaresmenshealth. If you want to find out where you can get the podcast and subscribe, which is awesome, because then we just pop right into your little pod catcher, you can go to whocaresmenshealth.com, and we've got links to all the popular podcast listening apps. And thank you for caring about men's health, and be cool.

Troy: Be cool, man.

Mitch: Be cool.

This content was originally created for audio. Some elements such as tone, sound effects, and music can be hard to translate to text. As such, the following is a summary of the episode and has been edited for clarity. For the full experience, we encourage you to subscribe and listen— it's more fun that way.

One of Troy's biggest frustrations in the ER is patients suffering from pain. He prescribes what he can to help, but the patients often return still in pain. He wants to help, but the recent fears related to the opioid epidemic can cause him to hesitate to prescribe pain medication.

Enter Keith Roper, PT, DPT is a physical therapist that works in the ER at University of Utah health to help patients with their pain without the use of drugs. There are roughly sixty emergency departments in the U.S. that have an embedded physical therapist. These specialists have extensive training that makes them uniquely qualified to treat pain.

Pain is a very complex sensation. It is not merely a "tissue issue." Pain is a complete neurophysiological sensation that is more than just a physical injury. How a patient experiences pain is an interplay of factors ranging from emotion to physiology to immunology.

The classical method is for doctors to treat pain as "the fifth vital sign." Patients came in reporting an amount of pain on the pain scale. The doctors then aimed to get that patient's pain to zero. This often included prescribing enough pain medication to reach that goal. Unfortunately, some of these interventions can be counterproductive to actually treating the root cause of pain.

"I know you're in pain, but it's okay," Keith will often tell his patients. The goal is not to get that pain score to zero, but to reassure patients that pain is a part of the healing process and to not assume it's a sign of something severe.

"If it hurts, don't do it," may seem pretty intuitive to most of us, but Keith assures his patients that movement is the best thing a person can do to help an injury heal and manage pain. After a patient is screened for more serious complications from an injury, pain itself is not an indicator of tissue damage.

People often fear that they may cause more damage if they continue to move something that hurts. This is not the case. Activity is the best thing you can do to heal after an injury, and a physical therapist can help you reframe your relationship with pain and prescribe a plan to help you get moving through the pain safely.

Pain is actually a good thing. It's the body's alarm system. Pain tells us to pull our hand away from a hot pan before the burn gets worse. Pain tells us when we've pushed our body too hard and need to rest. Pain keeps us safe. In fact, a rare genetic condition can lead people to be born without the ability to feel pain. Most of these people die before age 20 because their body is unable to express injury and protect itself.

After an acute injury or certain chronic pain conditions, the body's pain system can become too sensitized to stimuli. The simple brush of a feather can cause an excruciating response for an over stimulated nervous system. It's important to remember that the relationship between pain and tissue damage is not linear. Just because something is extremely painful does not mean the physical injury is also severe. It may just be a sensitive nervous system.

Physical therapy can reassure you it's safe to move - even when it's painful - and train you to get moving again safely.

Pain is pretty common for people with desk jobs. Being hunched over computers day in day out can lead to chronic pain in the upper back and shoulders. Troy has personally experienced this with his job for the past 15 years. What causes this pain and how can you get relief?

Keith explains that nerves need three things to be happy:

1. Blood flow
2. Space
3. Movement

If nerves lose blood flow, become compressed, or stationary for too long, they'll start to send pain signals to the brain. The nerves are telling the brain that they need to move.

For example, if you're sitting in a hard chair for a long amount of time, your backside will begin aching. The typical office worker's upper back pain is similar. You are holding your back in the same position for a long time without moving.

What can make the pain even worse is when a person sits in the same static position day in and day out. Every time your body experiences that upper back pain, it becomes more sensitive to the situation. The next time you sit at the computer, your body will tell you sooner. This can get to the point where people will start feeling pain the moment they sit down in their office.

How can someone alleviate their painful back pain?

"Get moving, change your position," says Keith.

Movement allows for the nerves to get the blood, space, and movement they need. Stretch throughout the day. Change positions often. Get up and walk around every hour.

"A lot of people tend to wait until the pain goes away before they move," says Keith, "When actually the most persistent pain needs movement to heal."

Say you're out having some fun swimming. Maybe at a pool or a lake. Suddenly, one of your friends find themselves under water. The struggle a bit and inhale a bunch of water. They get to shore, everything seems fine, but the almost drowned! Should you take them to the ER?

According to Dr. Madsen, it really is a judgement call. The biggest concern with any liquid getting into a patient's lungs is the possibility of aspiration, or getting water in the lungs. There's also a potential for a person to form pneumonia a few days after getting water in the lungs.

That being said, most of the time, an individual with cough up the water and be fine.

However, if the person lost consciousness or required someone to pump the water out of the persons chest, you should take them to the ER to make sure everything is alright.

Remember, no one will ever fault you for going to the emergency department, it's always better to be safe than sorry. When wondering if you should go to the ER, remember your ABC's. If there is any problem with a person's Airway, Breathing, or Circulation, you should go to the ER immediately.

On this episode's Just Going to Leave This Here, Troy finds new faith in humanity after reading a study about people finding a lost wallet and Scot's baby saving blood saves a child in need. Talk to Us

If you have any questions, comments, or thoughts, email us at hello@thescoperadio.com.

Interviewer: Family dinners, holiday parties, jingle bells and presents. It's that joyful time of the year again. But you go feeling depressed and moody. Coming up on The Scope, how to deal with holiday depression.

Announcer: Medical news and research from University Utah physicians and specialists you can use for happier, healthier life. You're listening to The Scope.

Interviewer: We're talking with psychiatrist Dr. Jason Hunziker from the University of Utah. Jason, the holidays are here and you're supposed to be happy. But why are some people depressed?

Dr. Jason Hunziker: Have you ever been to one of those holiday parties before? They can be very stressful, and often we think about families, and we think about our childhood, growing up, and all of those things that are very nostalgic to us. However, as life goes on families change and traditions are thrown away. And some people have a hard time changing those traditions and moving forward.

Additionally, you see family members that maybe you don't see all the time; you have work parties, and you have to buy Christmas gifts. You have to plan meals and entertain and clean house and everything has to be just right. And it gets very overwhelming, particularly if you don't stop and take time for yourself.

Interviewer: And this might seem like a silly question, but how can you tell if it's getting stressful?

Dr. Jason Hunziker: I think when you can tell that things are getting too overwhelming is when your sleep starts to get disrupted; you are shorter with people in your family or others at work. You start to dread Christmas altogether. You're finding yourself sitting in your room crying occasionally. You are more emotional when you're interacting with others. I think that the time that you need to really pay attention so that that doesn't turn into something else.

Interviewer: When is it to the point where you say, okay, this is getting serious? I have to go see a doctor.

Dr. Jason Hunziker: I think the best predictor of how we're going to do over the holiday season is how we've done during all the holiday seasons. And I think if you know that holidays are very stressful for you, get in early and go see the doctor early so that you can start to feel better and enjoy your holidays rather than feel miserable and can't wait until they're done.

Interviewer: So we'll say it's Christmas; I'm depressed and I don't want to see anyone, which means I obviously don't want to see you. I don't want to go see a doctor. Am I going to get worse?

Dr. Jason Hunziker: It's really important to recognize when you are feeling that way and not pretend that these emotions don't exist and that you are supposed to be happy so you're going to be happy. You need to acknowledge those emotions and those feelings and then get in and do something before it gets to the point where you don't want to do anything. If it gets to the point where you're isolating, that you're contemplating hurting yourself, that you're drinking alone in your bedroom so that you can avoid contact with anybody, those are things you really need to look at and get in and get some help.

Interviewer: Usually I feel like when you're depressed, you don't want to admit that you're depressed. What are some signs and symptoms that close friends and family members can look out for in case someone around them is getting depressed?

Dr. Jason Hunziker: I think one of the big things that families notice is that change in your personality where if you're the type of person who is readily engaged with people, you're always wanting to be at parties, but you start to isolate and you start to avoid conversations; you're not answering your phone; I think people will recognize that, and that's a danger sign. If you're sleep pattern is disrupted, your significant other often will recognize that and be able to say, hey, you were up all night, what's going on. I think that's important to pay attention to.

A lot of people during this time of year will eat more than they normally do when they start to feel depressed. And then they feel guilty about eating so much and that becomes a problem. Alcohol is a huge problem during this time of year because there is alcohol at all of these parties and people who tend to drink more during the holiday season could be somebody who is feeling depressed or sad and that could be the time to get in and talk with somebody.

Interviewer: Okay, so how do I avoid all of this? I'm aware of my problems, but I'm not at the point where I need to go see a doctor. How do I get better and avoid getting worse?

Dr. Jason Hunziker: I think reaching out to other people is really important. I think often times people feel left out during the holiday season, but there is so much going on in the community that you can go volunteer somewhere at a soup kitchen and just giving back to somebody and helping and getting that human contact is very important to help you feel good during the season. I think you need to be realistic about what you expect from the holiday season. You can't expect everything to be the same as it always was, and you can't expect all those traditions to be the same. Traditions change; families change; change your traditions with your family. If your kids are grown and they're out of the house and they're scattered all over the place, have a cell phone conference with them. Enjoy the holiday that way so that you can have a new tradition rather than longing for the old tradition and doing nothing at the same time.

Interviewer: What are some other common issues that could lead to holiday depression?

Dr. Jason Hunziker: Another problem that happens during the holiday season is we don't stick to a holiday budget. We tend to spend a lot of money that we don't have, charge up a lot of credit cards; and then right after Christmas we have this huge remorse. And right in January when we get our first bill from Christmas it gets even worse. So stick to a plan. I think planning ahead is always a good idea as well.

If you're going to entertain or you're going to have a party, plan way ahead so that you're not rushing around at the last minute because you forgot a certain spice that needs to be in your pie. If you have it all lined up and it's all laid out, then the stress level will go down.

And don't abandon your healthy habits. We tend to do that all the time. We stop exercising, and we start drinking more; we eat all the junk food. All of that stuff is going to make you stressed. You're going to be unhappy. You're going to be depressed, because you just ate a whole pie last night.

So be careful to keep exercising; that's another way to keep yourself happy as well. That will help you feel better.

And I think the last thing to do is to make sure you have time for yourself. It goes back to the exercising, but maybe even take in a moment, ten minutes, to meditate and think about why the season is important to you and what is most important about the season so that you don't feel stressed and overwhelmed. And you can remember why it is that you're putting yourself through all of this in the first place, and the importance of that to you and your family.

Announcer: We're your daily dose of science, conversation, medicine. This is The Scope, the University of Utah Health Sciences Radio.