SEPTEMBER 23, 2004
VOLUME 1 NO. 17
 

Do as I say and do as I do

This MD thinks patients know if you practise what you preach
about diet and exercise


"There isn't a day that goes by that I don't talk about healthy living," says Dr Arni Sekar, a gastroenterologist at the Ottawa Hospital. "It really is a part of my life." For the past 25 years, besides his hospital duties, he's run a private practice and makes every effort to educate his patients about diet and exercise. "All Canadians should be more fit and we have the resources to achieve this in this great country of ours," he says.

He admits, however, that it isn't exactly easy � or necessary � to counsel every single patient about diet, exercise and lifestyle. With some patients, it's pretty clear they should follow a healthy diet. "But in a select group of patients, since this is the treatment � rather than a prescription � it's important to try and find time to give diet and exercise advice," he explains.

TIME MANAGEMENT MACHINE
For Dr Sekar, well-honed time- management skills can afford busy doctors the opportunity to talk nutrition with patients who don't know the score. This comes with practice and experience. "For patients who need help, such as those who are obese, I make it a point to talk to them and offer my advice and I look to see if they've made any progress on their next visit." But for MDs with heroically heavy patient loads, who are absolutely certain that time is not on their side, Dr Sekar suggests that at the very least, high-risk patients should be referred to a nutritionist or dietician.

You're probably wondering, 'exactly how is busy Dr Sekar able to enjoy his invigorating lifestyle?' To a large extent, this also comes down to astute time management. When he's not with his patients, you can find Dr Sekar at the gym pacing himself on the treadmill or an elliptical trainer about three or four times a week.

"Once you've gone down this route, there's usually no turning back," he says. In addition to working up a sweat at the fitness club, Dr Sekar also takes weekly yoga classes and practises yoga at home as well. "None of this interferes with my very busy work schedule, family life or other fun stuff like dining out or going to the movies," he says. "I realize that some are better at time management than others, but it's clearly something worth striving to improve."

SMALL STEPS
Dr Sekar is always on the lookout for simple ways to fit exercise into his everyday routine. Instead of waiting around for elevators, he tends to take the stairs. And you'll never see him spending his free time loafing at the office or shooting the breeze in hospital corridors � that spare time is precious and he knows just how to put it to good use.

Because he eats well and exercises, Dr Sekar feels fit physically, mentally, and emotionally. He believes that it not only makes him a better physician, but it also helps him establish a good rapport with his patients. "To practise what you preach is certainly not mandatory. However, if you really believe what you are talking about, I suspect you will also do it," he says. And he feels that patients can sense if their doctor isn't being straight with them and cautions that some may not heed the physician's advice if they see that the doctor isn't taking a dose of his own medicine. "We're no different than other people, but we should be," he says. "We should set the example."

Despite his uncommonly healthy lifestyle, Dr Sekar doesn't see himself as a fitness guru. "I would consider myself a recreational athlete � in other words, nothing extraordinary, and my exercise regime is very doable for most, if not all of us."

 

 

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