Plum Health Blog

Detroit, Family Medicine Paul Thomas Detroit, Family Medicine Paul Thomas

Most Visited Family Medicine Physician in Detroit

In February, HealthGrades sent us a note informing us that we had one of the most visited Family Medicine Physician pages on their website. 

It was really cool to see that we were in the 97th percentile nationally and the 95th percentile in Detroit, Michigan for page views on HealthGrades in 2017. I think this is due to our services at Plum Health DPC being so highly rated on the HealthGrades website. As of this post, we have 54 Five Star reviews on HealthGrades! 

Because of these rankings, our service is pushed to the top of the HealthGrades algorithm, and that's probably why we have so many page views. 

Thanks for reading!

- Dr. Paul Thomas with Plum Health DPC

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Plum Health Featured on the Detroit Rising Podcast

This week, Plum Health DPC was featured in Crain's Detroit Business in an article by Senior Reporter Chad Livengood. There is an accompanying audio recording of the interview, here

The Detroit Rising Podcast focuses on business and commerce and the intersection of Public Policy in Detroit. It was a pleasure to be featured on the podcast and on the Crain's Detroit website. Additionally, Chad Livengood brings excellent insights along with his investigative reporting. 

In the audio segment, Mr. Livengood states, "one of the biggest challenges to rebuilding Detroit is getting service-based businesses to set up shop after decades of disinvestment." And, Plum Health DPC is one of those service-based businesses, and it was exciting to discuss how we're making health care more affordable and accessible in Detroit.

During the interview, we talk about the Direct Primary Care business model, the availability of primary care physicians in Detroit, and what the City of Detroit is doing to improve the quality of life in the city. 

Thanks for reading and listening, and have a wonderful day,

- Dr. Paul Thomas with Plum Health DPC

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A screenshot from the Crain's Detroit webpage featuring our interview.

On February 20th, we were featured on the front page of the Crain's Detroit Business webpage, you just might have to squint to see us!

On February 20th, we were featured on the front page of the Crain's Detroit Business webpage, you just might have to squint to see us!

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Family Doctor Accepting New Patients in Detroit Michigan

During the busy days and weeks of the year, sometimes we forget to make one thing clear - we are a family medicine service in Detroit, Michigan and we are accepting new patients in our family medicine clinic. 

Family Doctor Accepting New Patients in Detroit Michigan

My name is Dr. Paul Thomas and Plum Health DPC is a family medicine clinic in Southwest Detroit and we are accepting new patients. As a family medicine doctor, I take care of patients of all ages and stages. This means that I can take care of children or pediatric patients as well as adults.

What We Treat

We treat a broad range of conditions, from the acute care concerns like sore throats to coughs and colds as well as influenza. We also treat high blood pressure, diabetes, and other chronic conditions. Additionally, we perform procedures like Pap tests, skin lesion removal and biopsies, as well as rapid strep test, rapid influenza testing, and rapid mono testing.

Why We Are Different

We are different because we're available, affordable, and accessible. Our service is just a click away, so don't hesitate to send us a note here or through any of our other social media channels.

Thank you so much for reading and watching, and have a wonderful day!

– Dr. Paul Thomas, M.D.

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Detroit Medical Students Run a Free Medical Clinic

For the last 6 years I've been volunteering at a free medical clinic on Detroit's East Side called the Robert R. Frank Student Run Free Clinic or the SRFC. The SRFC services Detroit residents who are uninsured, and as their name implies, it is run by medical students.

Last night we had a stakeholders meeting and I am continually impressed by these medical students and their diligence, commitment, and compassion. 

If you'd like to help these students serve more uninsured Detroit citizens, you can donate here, participate in their upcoming 5K, or participate in their upcoming Golf Outing (date TBD)

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Heart Health on SEEN Magazine

Today is Valentine's Day and it's a great time to talk about heart health aka cardiovascular health. We were invited to write a blog post for Detroit's SEEN Magazine and it is now live and currently on their front page! Head over to their website to read the full article, here.

Thanks for reading,

- Dr. Paul Thomas with Plum Health DPC

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Morris S. Brent Lectureship at Wayne State Medical School

I'm excited to announce that I will be giving a lecture to my medical colleagues at Wayne State University School of Medicine's Sesquicentennial Celebration. A part of that Sesquicentennial Celebration is the Medical Alumni Reunion Weekend, which features the Dr. Morris S. Brent Lectureship. 

Image taken from Wayne State University's website, https://alumni.med.wayne.edu/mard

Image taken from Wayne State University's website, https://alumni.med.wayne.edu/mard

My topic is "WSU SOM - 150 Years of Medical Excellence & Innovation" and I'm proud of the rich history of Wayne State. A few notable facts: 

  • What is now WSU SOM was originally founded as the Detroit Medical College by five US Civil War Veterans in 1868, thus 2018 is the year of the Sesquicentennial Celebration
  • WSU SOM is the birthplace of the mechanical heart pump used in the world's first successful open heart surgery in 1952; it was a collaboration between General Motors and Forest Dodrill, MD
  • In 2015, WSU SOM remains on the forefront of medical research as they opened the Integrative Biosciences Center, which aims to study and eliminate the health disparities affecting Detroit's residents.

After the break, there is a description of the Morris S. Brent Lectureship series in greater detail. Thanks for reading, and have a great day,

- Dr. Paul Thomas with Plum Health DPC

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The Dr. Morris S. Brent Lectureship was established at the Wayne State University School of Medicine in 1989 by Brent General Hospital in honor of the late Morris S. Brent, M.D., to provide quality lecturers for continuing medical education during Medical Alumni Reunion Day. Dr. Brent, grew up in Detroit, attended Cass Technical High School and received two degrees from Wayne State University, a bachelor's degree in 1927 and a medical degree in 1931. He spent much of his career in general practice, specializing in surgery and obstetrics. In 1942, he founded Brent General Hospital, a non-profit corporation, and served as its administrator until his retirement. He married Anne, a dental hygienist, and they had two sons, Burton Brent, a graduate of Chicago Medical School, and Robert Brent, a graduate of the WSU School of Medicine (Class of 1960).

The Dr. Morris S. Brent Lectureship will take place in the Richard J. Mazurek, M.D., Medical Education Commons Margherio Family Conference Center. This year's program provides continuing medical education credits and feature presenters from our own Wayne State family of physicians who will speak on a variety of interesting topics.
 

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Be Safe When you Celebrate

Note: this is sponsored content. If you'd like to sponsor content on our blog, leave us a note, here.

Drunk driving is an action that comes with plenty of potential repercussions. From injury to suspended licenses and financial chaos, the aftermath of drunk driving can be catastrophic. It's a decision that not only directly affects you, but your loved ones, and anyone who happens to be around you on the road. 

Did you know that thirty percent of all fatal Michigan automobile crashes in 2015 involved at least one person who was under the influence? The good news is that drunk driving has generally been on the decline in the past five years. This is most likely due to the popularity of ride share services and professional transportation.

It seems that most people are aware of the negative effects of drunk driving and the consequences that come along with it. Then, why is it still an issue? There are a lot of factors that go into any given decision, but transportation accessibility seems to be the missing link here. However, with ride share services and professional car rentals becoming more affordable and accessible, drunk driving has the potential to continue to decrease dramatically. 

It's simple. The best way to protect yourself and others is to think about your method of transportation when you know you'll be drinking. You should always know your limits and commit to your safety when drinking! Preparing and organizing a plan for safe transportation doesn't have to be a complex process, either. 

It's easier than ever to order a ride share service from your phone when you're in a pinch. Limousines and party buses are another avenue to consider if you'll be in a group setting for a Detroit event or celebration with friends. Splitting the overall cost of a limo or party bus is the perfect way to make safe transportation affordable for everybody involved, and you'll be able to enjoy modern features like stream ready stereo systems and television screens.

In the end, safety should always be your main concern. If you're looking for a ride, check out this Detroit Limo Information.

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Plum Health on Jibs Podcast

This week Plum Health DPC was featured on Jibs Podcast, hosted by Jibran Ahmed. On the podcast he will be interviewing movers and shakers in the Detroit community and discussing topics that can move the city forward. 

From Jibran: "I'm hoping to create a platform that showcases the entrepreneurs, creatives, and hustlers that are moving Detroit forward. In order to make Detroit the city of the future, it's important to share with the world that this city embodies gusto, grit, and innovation."

During our conversation we talked about Plum Health and it's origin story. We also talk about why it's important for business people to build relationships in the community and how those early relationships can translate into a prosperous business.

We dove into the difference between Direct Primary Care and traditional or fee-for-service medical practice and discussed why more doctors aren't practicing in the DPC model of care. We also highlight the many community resources in the Detroit ecosystem that enable businesses in the City and region to thrive. 

Thanks for reading and watching!

- Dr. Paul Thomas with Plum Health DPC

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Detroit Businesses are Humming in the Motor City, via Inc.com

This week, Inc.com released a video in collaboration with Fiverr. It featured Detroit businesses, including Shinola, Excelerate America, and Plum Health DPC! They had this to say about the video:

Detroit's entrepreneurial scene is exploding with companies who are growing for good. Which is why this rejuvenating city was the perfect stop on our Doers Across America tour. The energy, vibrancy, and warmth was always present when meeting the incredible Detroit entrepreneurial community. There was so much to celebrate and learn from these resilient doers, and by the end of our time there, it was clear why Detroit is the embodiment of the “comeback kid.” 

You can find the full video, here, or in the YouTube link below:

Yes! Detroit's entrepreneurial scene is thriving and I was happy to be a part of this feature! The crew did a marvelous job filming and editing this piece on a tight time schedule - they brought a high degree of professionalism and the video is informative and interesting.

It's an exciting time to be an entrepreneur in Detroit - there is indeed a ton of energy, excitement and attention paid to this community of growing businesses. However, I would like to acknowledge all of those that make up the Detroit small business ecosystem that weren't featured in this video. I know that I would not be successful were it not for the thriving scene that I have immersed myself in. 

I'm hinting at a greater point here, which is best illustrated in an article by Ron Fournier, published in Crain's Detroit Business from October 2017: "Amid Detroit's post-bankruptcy resurgence, the money and attention heaped upon startups in downtown and Midtown threatens to overshadow long-running businesses in Detroit's neighborhoods. That startups are often run by young, white Detroit transplants arriving at the crest of an economic wave and "been-ups" are often owned by minorities who struggled through the worst of times feeds a "two-Detroits" narrative."

So, to all of those 'start-ups' and 'been-ups' in the community, thank you! Let's keep working together to make Detroit beautiful and prosperous!

- Dr. Paul Thomas with Plum Health DPC

One of the screen shots from the Inc.com and Fiverr video featuring Plum Health DPC

One of the screen shots from the Inc.com and Fiverr video featuring Plum Health DPC

Another still shot from the Fiverr and Inc.com collaboration video!

Another still shot from the Fiverr and Inc.com collaboration video!

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These Mobile Businesses are Changing the Game in Detroit

Running a successful business is tough. Running a successful mobile business can be even more difficult! This week, I participated in a panel discussion that took a deep dive into what it takes to run a successful mobile business in Detroit.

The panel was a part of Build Institute's Open City series, and featured four business owners: Lisa Waud of Pot and Box, Alleah Webb of Drifter Coffee, Ebony Rutherford of Trish's Garage, and Paul Thomas, MD (that's me!) of Plum Health DPC. The panel was expertly moderated by Sarah Donnelly of TechTown Detroit

Build Institute's Open City Panel, featuring Ebony Rutherford, Alleah Webb, Paul Thomas MD, and Lisa Waud. The panel was moderated by Sarah Donnelly. The event was hosted by Build Institute's Christianne Malone.

Build Institute's Open City Panel, featuring Ebony Rutherford, Alleah Webb, Paul Thomas MD, and Lisa Waud. The panel was moderated by Sarah Donnelly. The event was hosted by Build Institute's Christianne Malone.

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Ebony Rutherford of Trish's Garage talked about the choosing the right events to attend, citing that it's easy to lose money by purchasing table space at a poorly attended event. However, turning lemons into lemonade, she would take that time at a slower event to work on her social media production and marketing.

Alleah Webb of Drifter Coffee has built a successful business around an Instagram-able/Pinterest-able mobile coffee house. Her business is among the most unique in Detroit, creating a mobile coffee experience for her audience.

2017 Build Institute Alleah.png

Alleah often participates in public events, like Noel Night, Open Streets Detroit, and MoPop Detroit, and she has also found success by catering to private events, like weddings. This all makes for an interesting story, and Drifter Coffee has gotten some great traditional media exposure, as in this Hour Detroit article

Lisa Waud of Pot and Box also created a ton of buzz from not only having a mobile flower shop, but also by creating The Flower House Detroit. In the panel, she talked about the pros and cons of operating out of a truck that can have adverse effects on their inventory. For example, when it's 90 degrees outside, the flowers can wilt in less than 3 hours if they are in the truck

2017 Build Institute Lisa Waud.png

As a business person conscious of profit and loss, she is considering the costs and benefits of continuing the flower truck operation. It's expensive to have insurance for a mobile business and it takes a lot of energy and staffing costs to operate successfully. 

Build Institute's Open City Detroit event, held at the Atwater Brewery, 237 Joseph Campau Ave, Detroit, MI.

Build Institute's Open City Detroit event, held at the Atwater Brewery, 237 Joseph Campau Ave, Detroit, MI.

This was an important point in the conversation! Is a pop-up business/mobile business the end goal or a means to an end? Sometimes, a mobile or pop-up business can lead to a permanent brick-and-mortar establishment. On the other hand, some entrepreneurs prefer the mobile/pop-up business model as it can greatly reduce overhead costs. 

For me, having a mobile offering in the first few months of our operation of Plum Health allowed us to operate with a low overhead while building momentum. The goal was to engage enough customers to justify leasing out an office space. Once we had enough momentum, we were able to lease out our office and build from there. 

At Plum Health, we still offer house calls to our members, but now there is an added cost to these house calls, whereas house calls were standard in the first 2 months of operation. 

All in all, this was a great panel, and I learned a great deal from my fellow panelists and from the moderator, Sarah Donnelly. To the folks at Build Institute, thanks for the invite! And I'm looking forward to the next season of Open City!

- Dr. Paul Thomas with Plum Health DPC

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Paul Thomas MD on Small Talk with Mark S. Lee

This weekend I was featured on Small Talk with Mark S. Lee. The radio broadcast airs on CBS Radio in Detroit! I was last on Small Talk in March 2017, and since that time, Plum Health DPC has grown in size and I've been asked to participate in some speaking and community events. 

In this episode of Small Talk with Mark S Lee, we talk about the TEDxDetroit event that was held on November 9th 2017. We highlight a few of the key points that I spoke about during that event. Foremost, I believe that health care should be affordable and accessible for everyone. Second, we talk about how doctors can be overloaded by their patients' concerns, and those concerns can slip through their fingers, like grains of sand. 

We also give an overview of Direct Primary Care and how you can find a Direct Primary Care doctor near you by using the DPC Mapper online

Mark asks what's wrong with our current system? And I respond by saying that the prices in the health care ecosystem are inflated, which makes health care unaffordable for many people. 

To illustrate, I make an analogy about Health Insurance vs. Auto Insurance. If we used our Auto Insurance policies to pay for tire rotations, oil changes or gasoline, those prices would be significantly inflated. However, that's exactly what we do with our Health Insurance policies. 

It's always enjoyable being on Small Talk with Mark S. Lee, and this time was a unique experience as the Honorable Former Mayor Dave Bing was interviewed just prior to my time slot! Not only is Dave Bing a former mayor, but he's also in the NBA Hall of Fame. He continues to be an example of great leadership as he continues his work with the Bing Youth Institute, so it was an honor to be a part of the show with him.

Thanks for reading and thanks for watching!

Sincerely,

Dr. Paul Thomas with Plum Health DPC

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Health Fair with the Wayne State Physicians Assistants

Over the past 6 months I've been hosting and teaching Physician Assistant students from Wayne State University at the Plum Health office. I've also had a few residents rotate through and a few medical students visit the clinic, some from Wayne State and some from University of Michigan. 

As Plum Health is the only Direct Primary Care practice in Detroit and Wayne County, and only one of less than ten in the State of Michigan, I find that we attract PA students, medical students, residents, doctors and allied health professionals who are thinking differently about health care and it's delivery, especially in the context of health equity and health disparities. 

Anyways, I've loved having these students rotate through Plum Health! They bring a unique perspective, build genuine relationships with our members, and create an atmosphere of teaching and learning in the practice. This last point is important because I practice evidence-based medicine, and having a student helps to keep me up-to-date on the latest recommendations for evidence-based practice. 

So last weekend, we were able to host a health fair at the Plum Health office. "We" being myself and the Physician Assistant students at Wayne State. Their energy was boundless and they put a great deal of time and effort in creating fun health-focused stations that taught participants about being healthier.

All in all, it was a successful day! We reached out to new people in the community, and gave away free medical care. We caught a case of diabetes that was unknown prior to the fair and helped folks gauge their blood pressure, blood sugar, and cholesterol levels (HDL, LDL, Total Cholesterol and Lipid Panel). 

Below are photos from the event! Thanks for reading, and have a great day!

- Dr. Paul Thomas with Plum Health DPC in Detroit, Michigan

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Family Doctor at the Open Streets Detroit Event

Last week I had the opportunity to be on the street level, talking with folks about health care at the Open Streets Detroit event! For those of you who don't know, Open Streets is a global movement. Cities across the country and across the world shut down their streets to cars and buses, and open them up to walkers, joggers, bikers, rollerbladers and community partners. 

This year, I again participated as the "Ask the Doctor!" community partner. Last year I participated as well, but I wanted to make my area more interactive this year. So, I brought out a hockey net, a few sticks and I had people take a few shots on me. I've never been a great goalie, but it was a fun way to interact with folks in Corktown. 

Our station was in front of the Michigan Central Station and I spoke with hundreds of people over the course of the day. There were thousands of participants, and the streets were filled with energy and vibrancy! I'm really looking forward to the 'next time,' but until then, enjoy some pictures of Open Streets Detroit 2017!

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Mentoring Students at Wayne State University School of Medicine

Part of my mission, part of the "why" behind what I do, is to educate medical students and inspire them to choose a career in primary care specialties. Primary care doctors have the greatest impact on their communities, have the most tools at their disposal, and are most able to bend the cost curve in the health care ecosystem.

As a part of that mission, I spend a good amount of time interacting with medical students at Wayne State University School of Medicine (WSUSOM). This week, I took part in two different events at WSUSOM. The first was a mentoring session for first year students and the second was a mock interview session for the fourth year students. 

For the first year students, it's an opportunity to get to know each other, learn from each other, and to be a resource. For the fourth year students, it's an opportunity to help them polish their interviewing skills as they prepare for the next step in their careers - residency! 

This next generation of doctors will face significant changes and challenges in the health care system - from greater automation, to precision medicine, to even Artificial Intelligence. I hope that I can be a part of the foundation along with their formal education at WSUSOM that sets them on the right path to success in medicine. 

Thanks for reading, and have a beautiful day,

- Dr. Paul Thomas with Plum Health DPC

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Drew and Mike on Health Care

I was listening to the Drew and Mike Podcast from September 26th, and Drew and his Crew were talking about how health insurance costs are outrageous! Early in the episode (time 1:16), one of the co-hosts admonished Drew Lane, "you can barely afford insurance for yourself!" This set off a conversation about the cost of health insurance, the little coverage that it affords and Drew Lane's displeasure with the overall system. 

Drew's first reaction (minute 1:28), "I don't know how people my age, in my position," not yet covered by Medicare, "and self-employed... ...that's a big chunk of money." He goes on to say that his insurance costs roughly $18,000 - 19,000/year and if you were to make $50,000/year, it would cost roughly 30% of your gross income. 

Because of this extremely high cost, Drew and his co-hosts speculate that some folks just choose to "roll the dice," i.e. go without insurance and hope for the best. They do mention that those folks earning less may be eligible for subsidies or tax breaks from the Federal Government. But, still - a huge chunk of our income is going directly to health insurance and health insurance companies. Even worse, the quality and service levels can be low because care is dictated by third party payers like insurance companies or the government. 

Because Drew's dog recently had eye surgery, Drew was talking about how veterinarians discuss charges before providing care, and how that concept should be applied to the human medical field. "Wouldn't that be something?" Drew asks rhetorically. 

Well, it doesn't have to be a rhetorical question. It doesn't have to be a pipe dream. I'm here to tell you that Direct Primary Care doctors make their prices clear and transparent, and it may revolutionize primary care!

Here's how it works: Direct Primary Care (DPC) is a membership model for health care. Prices vary between different DPC practices, but our prices at Plum Health are $10/month for kids, $49/month for young adults 18 - 40, $69/month for adults 40 - 65, and $89/month for older adults 65 and up. 

With that membership, patients or members can come in and see the doctor any time! They can also call, text or email the doctor anytime. 

Further, patients or members can have access to wholesale medications, at-cost labs, and at-cost imaging services. So far we've saved our members tens of thousands of dollars on these ancillary services. 

I shot a video explaining these concepts in more detail, here:

Thanks so much for reading and watching. I hope that I've opened your eyes to the possibility of better health care services with a transparent pricing structure.  Finally, have a wonderful day!

- Dr. Paul Thomas with Plum Health in Detroit, MI

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Motivation to Quit Smoking

We are all on a journey, and at Plum Health we like to guide people to better lifestyle choices. For example, if you're trying to quit smoking, we can help you by reminding you of your commitment. 

How do we do this? It's really simple, actually. We just send you a text message! Here's a real life example, sent to one of our members last week: 

Smoking Cessation in Detroit Text Message.png

These are real text messages, and this is a real patient. Their name has been removed for patient privacy sake, but you get the idea. When you're a part of Plum Health, you are someone who I think about and that I care about and that I want to help. Sincerely, whenever I think about this person, I send them a text and ask - "how's it going?"

And, there is a great deal of evidence to support these types of interventions. There is a systemic review/meta analysis on Text Messaging-Based Interventions for Smoking Cessation in the Journal of Medical Internet Research that came to this conclusion: "The current meta-analytic review provides unequivocal support for the efficacy of text messaging interventions for smoking abstinence."

That's why I send messages like this:

Quit Smoking in Detroit with Text Messages.png

Further, texting patients about their health can have different applications. For example, a text message to a patient regarding their exercise patterns or medication adherence can help them to achieve their goals.

So, what's your goal? How do you want to become healthier? Can I help you get there?

Thanks for reading, and have a great day!

- Dr. Paul with Plum Health 

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Limitless or My Thoughts on Optimizing Productivity

This week I watched the movie "Limitless" starring Bradley Cooper. The film follows a struggling writer who can't seem to get anything done. Even though he has a book deal, he hasn't written a page, not even a word. He finds himself lingering at the bar, talking about what he might do rather than just doing it. 

Then, Bradley Cooper's character meets an old acquaintance who introduces him to a medication - NZT - that improves his brain's capacity to access information, concentrate and focus. Within 4 days, he finishes his book and within a month, he is the lead consultant on the largest corporate merger in American history. 

I found it interesting that the very first thing Bradley Cooper's character does when taking this mental capacity-enhancing medication is to clean his entire apartment. He literally throws away all of the things he doesn't need, washes his dishes, organizes his book shelf, tweaks the layout of his apartment, and sets up a desk that is most conducive to being productive. 

Hollywood hyperbole aside, I think this movie touches on some really important take-aways. First, how do you organize your life? What does your physical space look like? Are you able to be productive in that space? What about your schedule? Are you creating space in your schedule so that you can capitalize on your peak brain capacity, your peak productivity?

For me, I am most effective when I exercise first thing in the morning and then schedule myself 2 - 3 hours of un-interrupted work. I can really zero-in on the one or two most difficult tasks for the day. This is the time that I'm "in the zone" or experiencing a "flow state" - I am engrossed in my work and able to interact with complex thoughts and decisions. 

The time of day and how you mentally prepare for your peak productivity may be different for you. For example, you may be more productive in the night-time hours, after everyone else in your family has gone to bed. The point is this: it is incredibly important to think critically about how you structure your day and your life for optimal productivity, and even happiness. 

I believe that this has important applications for medical conditions, namely depression, anxiety and ADHD. Let's tackle ADHD, for example. With ADHD, the two mainstays of treatment are medications and cognitive behavioral therapy (CBT). And, in CBT, the focus is on time management, organization, and making short- and long-term plans. 

Here's why CBT is relevant for patients with ADHD, taken from CHADD, the national resource on ADHD: "CBT is relevant for adults with ADHD in two ways. First, in recent years, CBT programs have been developed specifically for adults with ADHD. Some of these programs aim to help adults overcome their difficulties in everyday executive functions that are needed to effectively manage time, organize and plan in the short term and the long term. Other programs focus on emotional self-regulation, impulse control and stress management".

As for Depression, if you are dealing with depression, and you are not structuring your day to include exercise, you may be missing out on a powerful form of treatment. Exercise can be a powerful antidepressant. However, the evidence is limited at this time. According to an article in the American College of Sports Medicine's Health and Fitness Journal, "Only two studies, both from researchers at Duke University, compared the effectiveness of exercise with pharmacotherapy. No differences between exercise and antidepressant medication were noted". 

Final takeaways, you have the power to improve your mood and your productivity by organizing your life. Think critically about how you structure your schedule, physical space, and mental space, and create your schedule around your peak productivity.

Thanks for reading, and have a great day!

- Dr. Paul with Plum Health in Detroit, MI

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Volunteer Doctor at Tour de Troit 2017

One of my favorite events in Detroit is the Tour de Troit, a friendly 25 mile bike ride through Detroit and some of its beautiful neighborhoods. For the last 5 years, I've been participating as a volunteer medic, starting during my medical school training and continuing through residency, and now as a doctor. 

I love the ride because I get to see so many people who I know! There are so many people and businesses that support this ride and who make it a really special event. From the Great Lakes Coffee that's served with food from the Detroit Institute of Bagels, to the lunch after the ride from local restaurants, to all of the people from the community who come out and either volunteer or ride. It all adds up to a great time. 

Biking is also a super healthy way to see the city, and during the ride we have police barricades and police escorts, so it makes for a very safe environment for everyone who participates. A big thank you to the Detroit Police Department for keeping everyone safe again this year!

When I talk about health, I'm not only talking about physiological health, but also social health - I believe that events that bring together people from different communities and backgrounds can serve to strengthen our region and make us better. That's why I love Tour de Troit, because it is this space where people from across Metro Detroit come together. For future events in this same vein, check out Slow Roll or Open Streets Detroit

It's always a great ride, but it comes with a few injuries every year. This year the head count was about 7,000 riders and we had a handful of accidents and injuries to attend to throughout the day. There were about 20 of us medical volunteers, mostly medical students, and we delivered basic first aid for riders after minor injuries. For more major events, Emergency Medical Services were used. 

So, with fall and cooler weather fast approaching, make it a point to get out today, tomorrow, and the next day on a bike ride or a walk or a run - this is a great time to be active and healthy, and your body, mind, and spirit will thank you for the effort. 

Thanks for reading, and have a great day!

- Dr. Paul with Plum Health

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