I sat down for few minutes (six to be exact) with my colleague and podiatrist Dr. Jordan DeHaven to talk about foot arthritis, especially in big toe. We also chatted about foot-gear choices we make. Dr. DeHaven is also an educator and that is why when he talks I listen.

Probability of foot issues increases with age and is related to a multitude of factors, like loss of cartilage, previous injuries, weak muscles and tendons among others. And while foot pain is a common complaint to musculoskeletal doctors and their clinics staff, that being rheumatologists, orthopedists who specialize in foot and ankle disorders, and of course podiatrist, it is not the subject that has been thoroughly studied and understood.

I am a rheumatologist and often see new referrals for blue fingers. While the majority of the cases of RP are benign and very common in society running from 10-20%, there are very rare instances that this condition may require additional work up. What is described as RP is the ischemic phenomenon where the small vessels in the end organs, such as fingers, nose, ears, toes sometimes tongue’s vessels get constricted which may be accompanied by unpleasant sensation of pain, numbness, tingling and discoloration from white, blue, blotchy and finally with the warming phase that extremities, hands, toes become red, then pinkish or natural color again.

If you want to find the best what there is in wellness and be kind to yourself do not hesitate and learn to meditate. It may be good to start with a video or an app, but after a while you will realize that there is so many ways to meditate, whether it’s a walk away from busy traffic, closing your eyes at your desk for few minutes, creating an art and getting lost in that project or reading a poem and contemplating its meaning and textures. Go for a walk and listen to the religious service or music. With time it will become such a natural state of being for which you will reach again and again because it feels so good.

Find out more on baking, meditation and delicious plum cake.

I did subscribe to Headspace meditation app this summer as American Medical Association offered it for its members for free. There is so much emphasis on wellness these days, almost like we realized just yesterday that physicians are humans too, prone to stress, breakout, despair and doubt. I admit that the app helped me to dedicate 10 minutes of my time few times a week to a session designed for beginners. I was advised to sit down, look for solitude, close my eyes, take refreshing breaths and the rest of meditation followed. Each session felt very good. At first I was a little frustrated that I keep unfocusing and being distracted, but with practice that becomes a secondary issue and something not to stress about so not to contradict what you try to accomplish with meditation. One session described this sensation as seeing the picture of big blue sky and clouds passing, but not being taken away or overwhelmed by the clouds which will be there, like life events, no matter what and same can be said about thoughts in our heads, let them pass, but do not allow them to control you. Easier said than done, but the moderator of the sessions explains the concept of practice very well and the sessions are simple enough to follow.

There is a renewed interest in vitamin C (ascorbic acid), but in reality the “C” never goes out of style. You hear more about it in cold and flu season, or in relation to treatment of wounds, cold sores and other herpetic infections, protocols to treat urinary tract infections (UTI) among others. It is hard not to mention vitamin C containing skin products, tonics, creams, serums. They promise refreshed and healthier skin by boosting collagen production and cell renewal. In the time of pandemic there is constant talk and ongoing debates (at times supported by science)about possible treatments, supplements and other methods to improve immunity and survival success of those afflicted with Covid19 virus, or those trying to fend it off. The science and clinicians looked again at the vitamin C and ascorbic acid infusions were utilized to treat Covid19, mostly based on prior data of administration in severe infections.