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Dr. Katrina Miller, MD
Music Therapy PDF Print E-mail
Written by Katrina Miller   
Sunday, 27 May 2012 17:44

“After silence, that which comes nearest to expressing the inexpressible is music.” -Aldous Huxley

What do you think?  How do you feel when you hear your FAVORITE song of all time? When you hear the song that played during the final dance at your homecoming, prom, wedding, breakup? For most people, it makes you feel different.  Maybe not better, maybe sad, maybe angry, but the sounds of the voice and the notes and the rhythm, for most of us, there is something.  Now wouldn't it make sense to try and capture that in a more controlled manner?  Kind of like taking an anti-depressant pill?  There is evidence that this works.  It's not strong evidence and mostly in tough cases like autism and dementia, but benefit has been shown for certain types of music to reduce heart rate, blood pressure and improve "well-being".

You can exercise to it, dance to it, do your housecleaning, and lots of other things.  You could listen to the pumping, energizing beats of techno, house or pop - or relax and do yoga to ambient, new age, or classical.  You can wallow in the blues and frenetic jazz, and become uplifted by souring arena voices like Maria Callas, Celine, or  Christina. You could be transformed by Funkadelic, Zappa or Radiohead and reformed by Pink Floyd, Vagner or NWA.  Now, you could even be reincarnated by Snoop and Dr. Dre.

Besides the professional musicians who amaze me with their technical and creative ability, I am fortunate enough to have friend close to me who are incredible, stupendous musicians. Whenever they are playing anywhere - and I can get to the show, I go.  The music they make changes my world for a few hours, and emotionally I fall in love for that period of time.  I laugh, and cry and hug them, and it is another special exchange between me and my friend in a way that's just a little bit deeper than sitting at a restaurant for dinner.

Music can have amazing effects when you listen to it, and even more amazing effects when you play it.  Do you play any instruments? Piano, guitar, drums?  Triangle, kazoo, harmonica, thumb piano, jawharp?  You can, and you certainly should if you want to experience anything from a little fun to hours of immersion in another dimension. Some of my best and most proud memories are playing music with a group of my friends, in some weird corner of a living room for a party or a soccer stadium in Toronto.  And I am no musician. Technically, I suck.  Creatively, I am passable.  I just did it.  Part of how I felt I could was growing up in DC when bands were coming out of the ether and everyone had a label or was involved with Dischord.  Even the socially maladjusted and less than talented could take their chutzpah and make and perform something.  And we did. Another friend of mine who was in a band called, Staplegun, once said to me, "99% of the game is attitude," and boy, was he right. Believe it and you can do it. Or - just do it.

And keep doing it.  My friends from Hydraulic Clownhead have been playing together for probably 30 years now, and without much financial reimbursement for it. We all know guitar players who can play anything, but never leave their living room. Or maybe you just drown yourself in a drum circle, because even if you have no sense of rhythm, when you blend into a drum circle, it's all good.

So just like we tell you to exercise, eat right and drink water...try playing some music, some rhythm, some sounds. Tap a buddhist prayer bowl or a kundalini gong and feel the sound waves.  Take lessons or scream at the top of a hill the next time you hike.  Sing, sing along, play air guitar or drum on the dashboard. You will be changed.  You will be delivered, and it will sustain you when no one else is around.

“Without music, life would be a mistake.” Friedrich Nietzsche

 
Happy Mother's Day! PDF Print E-mail
Written by Katrina Miller   
Monday, 07 May 2012 03:44

How many mothers do you have?

How many women have been important in your life?

Give them some kudos May 13 and on.

People like to hear good things like thank you and you mean a lot to me.

And in our society today - we don't say it enough.

Try it- it feels good too.

Cheers!

Dr. K

 
The Doctor PDF Print E-mail
Written by Katrina Miller   
Thursday, 09 February 2012 06:28

Hey there folks-

I just saw this movie, "The Doctor" again. Heavy. This is one of those movies they show you nowadays in medical school to teach you about how to be a doctor.  And that's a good thing. Luckily, it is a movie - still removed from reality to help you tolerate the truth in it a bit easier. And yeah, some hokey, caricatured relationships, but it is also William Hurt and Elizabeth Perkins.  I wonder what's up with their health these days.  How they must have felt after having been through just the filming of that movie.

Worth seeing for sure.  Worth my seeing it again.  I forgot why I have come to dislike the competitive and unreal world of medicine. And this helped me remember.  Don't get me wrong - there are a ton of great docs out there, they are just diluted by the unfortunately dim and defensive. Smothered by the business of medicine- only the strong survive.  And I guess I wasn't that strong.  I think I played the part pretty well, and even did some good. But even with not doing OB and trying to manuever call, I was always tired and pretty ornary.  I just didn't want to live like that.  To be like that.

I hope my change of career helped with that.  I hope that if I can help with the computers and systems of medicine, I can impact more people, in a better way than I could do otherwise.  I hope I can continue to look you in your eye and answer your question, and make you feel heard. I don't want to lose that humanity, that empathy. Which is actually ironic because I see less of you than I did before and a lot more computer screen.

We are in a funny spot with medicine here.  Clinicians have the chance to redeem themselves as medicine focuses more on quality of care than quantity.  I think, I hope health care reform and progressive medical business practice takes hold.  I hope it does for my sake.  Because one day I will be sick.  Really sick.  And I don't want to again, cry in the phone on the days before Christmas finding out what my knee surgery would cost.  And how I screwed up and got my MRI in previous calendar year- thus forcing me to pay a second deductible for the rest of the surgical costs. DUH! I'm a doctor - how could I screw that up?

Because, dammit Jack, I'm human.

I don't want to listen to that cold voice I heard on the phone that day. I want a warm blanket that helps me get better.

Peace,

Dr. K

 
How electronic do you want your health? PDF Print E-mail
Written by Katrina Miller   
Monday, 15 November 2010 04:23

Hey folks-

I just talked about this issues on my radio show last week. What do you think?  Do you have your medical records on line?  Accessible?  To whom?  Do you care?

More and more the topic in health care is decreasing costs in any way possible and one option is minimizing paper, and trying to get information electronic.  Although this turns out to be a surprisingly small dent in the US overall health care expenditure, it still has it's benefits. A few perks include - relatively easy and quick access to medical records, effective archiving and retrieval of the data, and ability to use the data for research in de-identifiable chunks.  These process improvements might not seem like much, but they could really create a sea change in quality improvement and with the speed and efficiency of delivery of health care.

 

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