Toys, Testosterone & Technology

1. Toys, Testosterone & Technology How To: Make Good Nutritional Choices Stop Smoking Lose Weight & Be Physically Active in 2013 Sarah Mildred Gamble, DO Internal Medicine Physician GPD Departmental Surgeon 02/05/13

2. About Me • Police Officer Standards Training Council (POST) Certified Instructor: 2010-Current • Clinical Instructor: Columbia University College of Physicians & Surgeons- NY, NY • Solo Practitioner Wife of 9 years to GPD’s Newest K-9 Officer Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

3. Altos

4. Objectives • Understand how Poor Nutritional Choices, Tobacco, Obesity & Inactivity THREATEN LEO’s • Understand that Poor Nutritional Choices, Tobacco, Obesity & Inactivity cause DISEASE • Learn of New Ways to Stay Fitter & Faster Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

6. Rule Before the Rules Eliminate the Threat Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

7. The LEO Threat Car Crash / Code 20 No Reflective Vest No Seatbelt No Body Armor Unarmed Off Duty Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

8. Threat

9. The LEO Threat Poor Nutritional Choices Tobacco Abuse Obesity Physical Inactivity Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

10. Threat

11. End Result is The SAME

12. Poor Nutritional Choice Related Disease • High Blood Pressure • High Cholesterol • Stroke • Cancer • Sleep Disorders Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

13. Tobacco Related Disease • High Blood Pressure • High Cholesterol • Respiratory Disorders • Stroke • Cancer • Sleep Disorders Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

14. Obesity Related Disease • High Blood Pressure • High Cholesterol • Respiratory Disorders • Stroke • Cancer • Arthritis • Sprains & Strains • Sleep Disorders Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

15. Inactivity Related Disease • High Blood Pressure • High Cholesterol • Cancer? • Sleep Disorders • Sprains & Strains Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

16. Healthy LEO • Good Nutritional Choices • No Tobacco Use • Ideal Body Weight (within 25 lbs.) • Physically Fit Departmental Support for Wellness Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

17. Unhealthy LEO • Poor Nutritional Choices • Smoker • Obese (> 30 lbs. overweight) • Physically Deconditioned No Departmental Support for Wellness Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

18. Healthy Cops Are Productive Cops Are Good Role Models Live QUALITY Lives Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

19. Healthy LEO

20. Unhealthy Cops Are Unproductive Cops Are Publically Mocked Live SHORT Lives Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

21. Unhealthy LEO

22. Root Cause? A Reason Why ‘Something’ Happened Failure of Process

23. Root Causes Depression / Mental Illness Genetics / Addiction Sleep Disorders Hormone / Vitamin Deficiencies Media Distortion Lack of Education Positive Reinforcement Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

24. Rule Before the Rules Eliminate the Threat Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

25. The LEO Threat Poor Nutritional Choices Tobacco Abuse Obesity Physical Inactivity Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

26. Eliminate How? • Toys • Testosterone • Technology Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

27. Toys, Testosterone & Technology • Apps • E-Cig / Quit Line / Texts / Body Bugs • Hormone/Vitamin D Replacement / Maintenance • Bioelectrical Impedance / DEXA Scan • RMR / VO2 Max / Flexibility • Sleep Study / Electronic Monitoring • Blood Work / Supplements • ECT / Deep Brain Stim / Transcranial Stim Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

28. Why The Urgency? Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

29. Root Cause of Poor Nutritional Choices Learned Behavior Depression / Mental Illness Genetics / Addiction Sleep Disorder Lack of Education Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

30. Threat

31. Threat

32. Good Nutritional Choice

33. Good Nutritional Choice Apps!

34. Good Nutritional Choice http://www.hsph.harvard.edu/nutritionsource

35. Good Nutritional Choice

36. Good Nutritional Choice http://www.cigna.com/individualsandfamilies/healthwellness

37. Good Nutritional Choice

38. Good Nutritional Choice

39. Good Nutritional Choice http://blog.greenwichpuremedical.com

40. Good Nutritional Choice

41. Threat

42. Threat

43. Cancer Stick Anyone?

44. Tobacco Kills People #1 preventable cause of disease disability & death Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

45. Root Cause for Smoking Addiction Media Distortion Lack of Education Positive Reinforcement Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

46. Electronic Cigarette Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

47. Latest Safest E-Cig Info • BU School of Public Health 2010: • Safer than real cigarettes • Aid in breaking the habit of smoking • Tox level similar to existing nicotine replacements • Carcinogen is 1,000 times less • May help by simulating a tobacco cigarette Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

48. 1-800-Quit-Now All 50 States Eliminate The Threat: Tobacco, Obesity & Physical Inactivity

49. Tobacco Apps

50. Tobacco Texts Eliminate The Threat: Tobacco, Obesity & Physical Inactivity