Beyond Balancing The Books – by George Marino, CPA, CFP

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We hear a lot about the importance of mindfulness, yet how can Zen-like non-attachment to the material world go well with actually surviving (let alone thriving) in a Capitalist society?

Books that try to connect the two often end up botching it badly to the level of early 2000s motivational posters.

So, what does this book do differently? Mostly it’s because rather than a motivational speech with exhortations to operate on a higher plain and manifest your destiny and all that, it gives practical, down-to-earth advice and offers small simple things you can do or change to mindfully engage with the world of business rather than operating on auto-pilot.

Basically: how to cut out the stress without cutting out your performance.

All in all, we think both your health and your productivity will thank you for it!

Take Your Business (and Brain) “Beyond Balancing The Books” Today

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Recommended

  • Being Mortal – by Dr. Atul Gawande
  • In Defense of Food – by Michael Pollan
    Eat real food, mostly plants, and not too much. In Defense of Food offers a simple, attainable approach to healthy eating.

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  • Is Marine Collagen Worth Taking?

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    Questions and Answers at 10almonds

    Have a question or a request? You can always hit “reply” to any of our emails, or use the feedback widget at the bottom!

    This newsletter has been growing a lot lately, and so have the questions/requests, and we love that! In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!

    As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!

    So, no question/request too big or small

    I wanted to ask if you think marine collagen is decent to take. I’ve heard a lot of bad press about it

    We don’t know what you’ve heard, but generally speaking it’s been found to be very beneficial to bones, joints, and skin! We wrote about it quite recently on a “Research Review Monday”:

    See: We Are Such Stuff As Fish Are Made Of

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  • ‘Free birthing’ and planned home births might sound similar but the risks are very different

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    The death of premature twins in Byron Bay in an apparent “wild birth”, or free birth, last week has prompted fresh concerns about giving birth without a midwife or medical assistance.

    This follows another case from Victoria this year, where a baby was born in a critical condition following a reported free birth.

    It’s unclear how common free birthing is, as data is not collected, but there is some evidence free births increased during the COVID pandemic.

    Planned home births also became more popular during the pandemic, as women preferred to stay away from hospitals and wanted their support people with them.

    But while free births and home births might sound similar, they are a very different practice, with free births much riskier. So what’s the difference, and why might people opt for a free birth?

    What are home births?

    Planned home births involve care from midwives, who are registered experts in childbirth, in a woman’s home.

    These registered midwives work privately, or are part of around 20 publicly funded home birth programs nationally that are attached to hospitals.

    They provide care during the pregnancy, labour and birth, and in the first six weeks following the birth.

    The research shows that for women with low risk pregnancies, planned home births attended by competent midwives (with links to a responsive mainstream maternity system) are safe.

    Home births result in less intervention than hospital births and women perceive their experience more positively.

    What are free births?

    A free birth is when a woman chooses to have a baby, usually at home, without a registered health professional such as a midwife or doctor in attendance.

    Different terms such as unassisted birth or wild pregnancy or birth are also used to refer to free birth.

    The parents may hire an unregulated birth worker or doula to be a support at the birth but they do not have the training or medical equipment needed to manage emergencies.

    Women may have limited or no health care antenatally, meaning risk factors such as twins and breech presentations (the baby coming bottom first) are not detected beforehand and given the right kind of specialist care.

    Why do some people choose to free birth?

    We have been studying the reasons women and their partners choose to free birth for more than a decade. We found a previous traumatic birth and/or feeling coerced into choices that are not what the woman wants were the main drivers for avoiding mainstream maternity care.

    Australia’s childbirth intervention rates – for induction or augmentation of labour, episiotomy (cutting the tissue between the vaginal opening and the anus) and caesarean section – are comparatively high.

    One in ten women report disrespectful or abusive care in childbirth and some decide to make different choices for future births.

    Lack of options for a natural birth and birth choices such as home birth or birth centre birth also played a major role in women’s decision to free birth.

    Publicly funded home birth programs have very strict criteria around who can be accepted into the program, excluding many women.

    In other countries such as the United Kingdom, Netherlands and New Zealand, publicly funded home births are easier to access.

    Newborn baby holds their parent's finger
    It can be difficult to access home birth services in Australia.
    Ink Drop/Shutterstock

    Only around 200 midwives provide private midwifery services for home births nationally. Private midwives are yet to obtain insurance for home births, which means they are risking their livelihoods if something goes wrong and they are sued.

    The cost of a home birth with a private midwife is not covered by Medicare and only some health funds rebate some of the cost. This means women can be out of pocket A$6-8,000.

    Access to home birth is an even greater issue in rural and remote Australia.

    How to make mainstream care more inclusive

    Many women feel constrained by their birth choices in Australia. After years of research and listening to thousands of women, it’s clear more can be done to reduce the desire to free birth.

    As my co-authors and I outline in our book, Birthing Outside the System: The Canary in the Coal Mine, this can be achieved by:

    • making respectful care a reality so women aren’t traumatised and alienated by maternity care and want to engage with it
    • supporting midwifery care. Women are seeking more physiological and social ways of birthing, minimising birth interventions, and midwives are the experts in this space
    • supporting women’s access to their chosen place of birth and model of care and not limiting choice with high out-of-pocket expenses
    • providing more flexible, acceptable options for women experiencing risk factors during pregnancy and/or birth, such as having a previous caesarean birth, having twins or having a baby in breech position. Women experiencing these complications experience pressure to have a caesarean section
    • getting the framework right with policies, guidelines, education, research, regulation and professional leadership.

    Ensuring women’s rights and choices are informed and respected means they’re less likely to feel they’re left with no other option.The Conversation

    Hannah Dahlen, Professor of Midwifery, Associate Dean Research and HDR, Midwifery Discipline Leader, Western Sydney University

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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  • Planning Ahead For Better Sleep

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    Sleep: 6 Dimensions And 24 Hours!

    A woman with dark hair, planning ahead for better sleep, against a white background.

    This is Dr. Lisa Matricciani, a sleep specialist from the University of South Australia, where she teaches in the School of Health Sciences.

    What does she want us to know?

    Healthy sleep begins before breakfast

    The perfect bedtime routine is all well and good, but we need to begin much earlier in the day, Dr. Matricciani advises.

    Specifically, moderate to vigorous activity early in the day plays a big part.

    Before breakfast is best, but even midday/afternoon exercise is associated with better sleep at night.

    Read more: Daytime Physical Activity is Key to Unlocking Better Sleep

    Plan your time well to sleep—but watch out!

    Dr. Matricciani’s research has also found that while it’s important to plan around getting a good night’s sleep (including planning when this will happen), allocating too much time for sleep results in more restless sleep:

    ❝Allocating more time to sleep was associated with earlier sleep onsets, later sleep offsets, less efficient and more consistent sleep patterns for both children and adults.❞

    ~ Dr. Lisa Matricciani et al.

    Read more: Time use and dimensions of healthy sleep: A cross-sectional study of Australian children and adults

    (this was very large study involving 1,168 children and 1.360 adults, mostly women)

    What counts as good sleep quality? Is it just efficiency?

    It is not! Although that’s one part of it. You may remember our previous main feature:

    The 6 Dimensions Of Sleep (And Why They Matter)

    Dr. Matricciani agrees:

    ❝Everyone knows that sleep is important. But when we think about sleep, we mainly focus on how many hours of sleep we get, when we should also be looking at our sleep experience as a whole❞

    ~ Dr. Lisa Matricciani

    Read more: Trouble sleeping? You could be at risk of type 2 diabetes

    That’s not a cheery headline, but here’s her paper about it:

    Multidimensional Sleep and Cardiometabolic Risk Factors for Type 2 Diabetes: Examining Self-Report and Objective Dimensions of Sleep

    And no, we don’t get a free pass on getting less sleep / less good quality sleep as we get older (alas):

    Why You Probably Need More Sleep

    So, time to get planning for the best sleep!

    Enjoy videos?

    Here’s how 7News Australia broke the news of Dr. Matricciani’s more recent work:

    !

    Rest well!

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Related Posts

  • Being Mortal – by Dr. Atul Gawande
  • Healthy Tiramisu

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Tiramisu (literally “pick-me-up”, “tira-mi-su”) is a delightful dish that, in its traditional form, is also a trainwreck for the health, being loaded with inflammatory cream and sugar, not to mention the cholesterol content. Here we recreate the dish in healthy fashion, being loaded with protein, fiber, and healthy fats, not to mention that the optional sweetener is an essential amino acid. The coffee and cocoa, of course, are full of antioxidants too. All in all, what’s not celebrate?

    You will need

    • 2 cups silken tofu (no need to press it) (do not substitute with any other kind of tofu or it will not work)
    • 1 cup oat cream (you can buy this ready-made, or make it yourself by blending oats in water until you get the desired consistency) (you can also just use dairy cream, but that will be less healthy)
    • 1 cup almond flour (also simply called “ground almonds”)
    • 1 cup espresso ristretto, or otherwise the strongest black coffee you have facility to make
    • ¼ cup unsweetened cocoa powder, plus more for dusting
    • 1 pack savoiardi biscuits, also called “ladyfinger” biscuits (this was the only part we couldn’t make healthy—if you figure out a way to make it healthy, let us know!) (if vegan, obviously use a vegan substitute biscuit; this writer uses Lotus/Biscoff biscuits, which work well)
    • 1 tsp vanilla essence
    • ½ tsp almond essence
    • Optional: glycine, per taste
    • Garnish: roasted coffee beans

    Method

    (we suggest you read everything at least once before doing anything)

    1) Add glycine to the coffee first if you want the overall dish to be sweeter. Glycine has approximately the same sweetness as sugar, and can be used as a 1:1 substitution. Use that information as you see fit.

    2) Blend the tofu and the cream together in a high-speed blender until smooth. It should have a consistency like cake-batter; if it is too liquidy, add small amounts of almond flour until it is thicker. If it’s too thick, add oat cream until it isn’t. If you want it to be sweeter than it is, add glycine to taste. When happy with its taste and consistency, divide it evenly into two bowls.

    3) Add the vanilla essence and almond essence to one bowl, and the cocoa powder to the other, mixing well (in a food processor, or just by using a whisk)

    4) Coat the base of a glass dish (such as a Pyrex oven dish, but any dish is fine, and any glass dish will allow for viewing the pretty layers we’ll be making) with a very thin layer of almond flour (if you want sweetness there, you can mix some glycine in with the almond flour first).

    4) One by one, soak the biscuits briefly in the coffee, and use them to line to base of the dish.

    5) Add a thin layer of chocolate cream, ensuring the surface is as flat as possible. Dust it with cocoa powder, to increase the surface tension.

    6) Add a thin layer of vanilla-and-almond cream, ensuring the surface is as flat as possible. Dust it with cocoa powder, to increase the surface tension.

    7) Stop and assess: do you have enough ingredients left to repeat these layers? It will depend on the size and shape dish you used. If you do, repeat them, finishing with a vanilla-and-almond cream layer.

    8) Dust the final layer with cocoa powder if you haven’t already, and add the coffee bean garnish, if using.

    9) Refrigerate for at least 8 hours, and if you have time to prepare it the day before you will eat it, that is best of all.

    Enjoy!

    Want to learn more?

    For those interested in some of the science of what we have going on today:

    Take care!

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  • Mediterranean Diet… In A Pill?

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    Does It Come In A Pill?

    For any as yet unfamiliar with the Mediterranean diet, you may be wondering what it involves, beyond a general expectation that it’s a diet popularly enjoyed in the Mediterranean. What image comes to mind?

    We’re willing to bet that tomatoes feature (great source of lycopene, by the way, and if you’re not getting lycopene, you’re missing out), but what else?

    • Salads, perhaps? Vegetables, olives? Olive oil, yea or nay?
    • Bread? Pasta? Prosciutto, salami? Cheese?
    • Pizza but only if it’s Romana style, not Chicago?
    • Pan-seared liver, with some fava beans and a nice Chianti?

    In fact, the Mediterranean diet is quite clear on all these questions, so to read about these and more (including a “this yes, that no” list), see:

    What Is The Mediterranean Diet, And What Is It Good For?

    So, how do we get that in a pill?

    A plucky band of researchers, Dr. Chiara de Lucia et al. (quite a lot of “et al.”; nine listed authors on the study), wondered to what extent the benefits of the Mediterranean diet come from the fact that the Mediterranean diet is very rich in polyphenols, and set about testing that, by putting the same polyphenols in capsule form, and running a randomized, double-blind, placebo-controlled, crossover clinical intervention trial.

    Now, polyphenols are not the only reason the Mediterranean diet is great; there are also other considerations, such as:

    • a great macronutrient balance with lots of fiber, healthy fats, moderate carbs, and protein from select sources
    • the absence or at least very low presence of a lot of harmful substances such as refined seed oils, added sugars, refined carbohydrates, and the like (“but pasta” yes pasta; in moderation and wholegrain and served with extra sources of fiber and healthy fats, all of which slow down the absorption of the carbs)

    …but polyphenols are admittedly very important too; we wrote about some common aspects of them here:

    Tasty Polyphenols: Enjoy Bitter Foods For Your Heart & Brain

    As for what Dr. de Lucia et al. put into the capsule, behold…

    The ingredients:

    1. Apple Extract 10.0%
    2. Pomegranate Extract 10.0%
    3. Tomato Powder 2.5%
    4. Beet, Spray Dried 2.5%
    5. Olive Extract 7.5%
    6. Rosemary Extract 7.5%
    7. Green Coffee Bean Extract (CA) 7.5%
    8. Kale, Freeze Dried 2.5%
    9. Onion Extract 10.0%
    10. Ginger Extract 10.0%
    11. Grapefruit Extract 2.5%
    12. Carrot, Air Dried 2.5%
    13. Grape Skin Extract 17.5%
    14. Blueberry Extract 2.5%
    15. Currant, Freeze Dried 2.5%
    16. Elderberry, Freeze Dried 2.5%

    And the relevant phytochemicals they contain:

    • Quercetin
    • Luteolin
    • Catechins
    • Punicalagins
    • Phloretin
    • Ellagic Acid
    • Naringin
    • Apigenin
    • Isorhamnetin
    • Chlorogenic Acids
    • Rosmarinic Acid
    • Anthocyanins
    • Kaempferol
    • Proanthocyanidins
    • Myricetin
    • Betanin

    And what, you may wonder, did they find? Well, first let’s briefly summarise the setup of the study:

    They took volunteers (n=30), average age 67, BMI >25, without serious health complaints, not taking other supplements, not vegetarian or vegan, not consuming >5 cups of coffee per day, and various other stipulations like that, to create a fairly homogenous study group who were expected to respond well to the intervention. In contrast, someone who takes antioxidant supplements, already eats many different color plants per day, and drinks 10 cups of coffee, probably already has a lot of antioxidant activity going on, and someone with a lower BMI will generally have lower resting levels of inflammatory markers, so it’s harder to see a change, proportionally.

    About those inflammatory markers: that’s what they were testing, to see whether the intervention “worked”; essentially, did the levels of inflammatory markers go up or down (up is bad; down is good).

    For more on inflammation, by the way, see:

    How to Prevent (or Reduce) Inflammation

    …which also explains what it actually is, and some important nuances about it.

    Back to the study…

    They gave half the participants the supplement for a week and the other half placebo; had a week’s gap as a “washout”, then repeated it, switching the groups, taking blood samples before and after each stage.

    What they found:

    The group taking the supplement had lower inflammatory markers after a week of taking it, while the group taking the placebo had relatively higher inflammatory markers after a week of taking it; this trend was preserved across both groups (i.e., when they switched roles for the second half).

    The results were very significant (p=0.01 or thereabouts), and yet at the same time, quite modest (i.e. the supplement made a very reliable, very small difference), probably because of the small dose (150mg) and small intervention period (1 week).

    What the researchers concluded from this

    The researchers concluded that this was a success; the study had been primarily to provide proof of principle, not to rock the world. Now they want the experiment to be repeated with larger sample sizes, greater heterogeneity, larger doses, and longer intervention periods.

    This is all very reasonable and good science.

    Read in full: A Randomised, Double-Blind, Placebo-Controlled, Cross-Over Clinical Trial to Evaluate the Biological Effects and Safety of a Polyphenol Supplement on Healthy Ageing

    What we conclude from this

    That ingredients list makes for a good shopping list!

    Well, not the extracts they listed, necessarily, but rather those actual fruits, vegetables, etc.

    If nine top scientists (anti-aging specialists, neurobiologists, pharmacologists, and at least one professor of applied statistics) came to the conclusion that to get the absolute most bang-for-buck possible, those are the plants to get the phytochemicals from, then we’re not going to ignore that.

    So, take another list above and ask yourself: how many of those 16 foods do you eat regularly, and could you work the others in?

    Want to make your Mediterranean diet even better?

    While the Mediterranean diet is a top-tier catch-all, it can be tweaked for specific areas of health, for example giving it an extra focus on heart health, or brain health, or being anti-inflammatory, or being especially gut healthy:

    Four Ways To Upgrade The Mediterranean

    Enjoy!

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  • The CBT Workbook for Mental Health – by Dr. Simon Rego & Sarah Fader

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    We have often reviewed psychology books here with a note saying “and no, it’s not just a book of the standard CBT techniques that you probably already know”.

    So today, this one’s for anyone who was ever thinking “but I don’t know the standard CBT techniques and I would like to know them!”.

    The authors outline specific solutions to many common quantifiable problems, with simple exercises that are well-explained and easy to implement.

    Cognitive Behavioral Therapy (CBT) is not a panacea, but for the things it can be used for, it’s very effective and is a very good “first thing to reach for” to see if it works, because its success rate for a lot of problems is very high.

    What kinds of things is this book most likely to help with? A lot of common forms of stress, anxiety, self-esteem issues, cravings, shame, and relationship issues. Other things too, but we can’t list everything and that list already covers a lot of very high-incidence stuff.

    Bottom line: if CBT isn’t something already in your toolbox, this book will help you add all its best tips and tricks.

    Click here to check out The CBT Workbook for Mental Health, and get tooled up!

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    Learn to Age Gracefully

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