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#Valueist Staycation: A Gym Membership or Spa Getaway?

February 18, 2019 //  by PracticeBalance//  Leave a Comment

Is it a ridiculously expensive $300/month gym membership, or a valuable $300/month spa vacation with built-in daily childcare? You be the judge…

Imagine an oasis of a locker room, one with a stone tile floor clean enough to walk on barefoot. Integrated hot tubs, saunas, and steam rooms. A bright cafe with upbeat music and healthy food – where you are welcome to eat, relax, or work. A full-service spa. Indoor and outdoor pools. All the gym equipment you could ever imagine. A heated yoga studio, a pilates studio, and a spacious free area for stretching and mobility work. Multiple group cardio classes every day. Even a Crossfit-style box with racks and bumper plates. Oh… and up to 3 hours per day of daycare with classes for kids!

(Blurry on purpose since they’re not all mine) Is there anything cuter than a kids’ yoga class?

The beauty of working part time in a large, flexible group is that I’m often able to take an extended period of time off after the holidays each winter. No one else seems to care about vacation in January, so no one gets upset by it. The older we get, the less excited we are about snow, so we often spend some time at our condo in Las Vegas. This year, we entertained the idea of going on a bigger vacation out of the country as we did when A was a baby. While travel has gotten easier in some ways as she’s gotten older (no more diapers!), it’s also more difficult with a toddler compared to a small, non-mobile, non-verbal baby. Some locales we’re interested in visiting are difficult to get to, and we just have this aversion to inefficiencies and logistics. While we’d like to go to some far off land with beautiful hiking or climbing, it’s not the right time for our family dynamics. And guaranteed childcare on a trip is an elusive thing. Sometimes you can find kids’ programs for shorter-term travel like a cruise or all inclusive resort stay, but in our frugal/valueist and slow-travel ways, we ideally like to spend a little longer time if we have it.

We decided to stay in Las Vegas the whole time and join the swanky Life Time Fitness. (Before you read on, I want you to know that this post is in no way sponsored, and Life Time has no idea I’m writing about them.) The ivory tower-like building in the heart of the Summerlin area near Red Rocks Preserve had intrigued us for years, but we’d never gone in. The parking lot is full of Mercedes, BMW and Tesla. Women commonly entering the building are clad head to toe in Lululemon Athletica and carry Louis Vuitton Neverfulls. It’s located 15 minutes from our condo, but because of these factors, we always assumed it would be too exclusive and expensive.

The view from the expansive gym windows

Well, it is expensive, but joining was so worth it. First off, their startup and cancellation policies are very transparent. There’s no particular buy-in period, no applications or verification of income, no elitist policies. You pay a startup fee, get charged monthly club dues, and give a 30-day notice when you want to cancel. It’s perfect for a temporary membership, although if we lived in Vegas year-round, I’d be tempted to continue because it’s that good. They also have a very reasonable membership freeze option for a nominal fee. We waited for New Years promotions and got our startup fee waived. Of note, they frequently offer half-off or severely discounted startup specials during the year as well. After that, we paid about $280/month for two adults and a 3 year old.

I know… it seems steep for a gym membership. Obviously, there are many other members who pay these high dues year-round and don’t even necessarily utilize it as much as we have. But keep in mind that we were prepared to go on a month-long trip out of the country and would have spent at least this amount in travel expenses alone. Our condo costs us nothing, so we figured we could at least go out to dinner a few times and still come out ahead compared to financing a big trip. According to Oyster.com, a mid-range all-inclusive week-long vacation in a tropical locale costs $1000-3000 per couple, depending on where exactly you go. And that doesn’t account for a child and childcare (offered at some all-inclusives, but not all). The other factor here that really made this work for us is that we greatly value fitness, and going to a gym has always been a regular part of our lives. If you could care less about exercise, then this “staycation” might not be for you.

Let me talk about the biggest benefit (IMO) – the childcare at Life Time. It is, in a word, AWESOME. Our normal experience with gym childcare is a playroom with some toys, maybe a jungle gym-style structure if lucky, and a big TV blaring Disney movies on the regular. Usually, you can drop off your child during limited hours (not always the ones we like to work out, but we’ve adjusted) for 2 hours max daily. Life Time has all of this and more. In the vast play space, I’ve never once seen the TV on with the zombified eyes of kids glued to it. There’s a fun play apparatus for the bigger kids and lots of imaginative play toys for all ages – play kitchens, blocks, legos, etc. The drop-off hours run all day, and your child can attend for up to 3 HOURS per day (this is huge)! I often spent 1-1.5 hours lifting weights and the rest of the time writing and conducting business in the cafe. If I was too sore to work out, I’d fill the time with a yoga class, sauna, or light cardio. The luxury of a short but dedicated child-free period has been invaluable.

Best of all, Life Time Kids Academy offers classes several times a day: arts & crafts, yoga, gymnastics, dance, sports agility, Spanish, even Japanese. Our daughter absolutely loved gymnastics and arts & crafts. She learned how to do somersaults, down dog, and jumping jacks (among other things) during her time there. The daycare personnel all learned her name very quickly, and they really seem to engage with the kids.

Proudly showing off her artwork from Arts & Crafts class in the glass elevator (another endless source of entertainment at Life Time)

In addition, we all got some perks with our new membership, of which we took full advantage. We each got two free personal training sessions, a discount for food in the cafe, a discount at the spa (which I used to splurge on a pedicure on my birthday), and – get this – one free MONTH of weekly swimming lessons for A. We’d been wanting to have her try swimming lessons, so this was the perfect opportunity. Because of the date/time we chose, her lessons even ended up being 1:1 with the coach.

Ready for swim lessons

You’d think at a gym like this there’d be a significant amount of pressure to pay for the extras and extend the introductory perks, but that was not the case. The culture at Life Time is refreshingly no-nonsense and very friendly. Everyone, from the cafe workers to the receptionists to the trainers, is seriously so nice (and not in a fake way). They also offer monthly guest passes that you can gift to anyone you wish. You don’t need to be present, and the guest pass gets an entire family into the gym for a day without restriction.

Needless to say, we all had such a great time during our Life Time Vegas Staycation. I even ended up rearranging some of my work shifts to extend it into February. Next time you write off doing something that seems exclusionary or expensive on the surface, take a closer look and you may be surprised at how much value that expense can provide.

What about you? Would you spend almost $300/month on a gym? Have you ever found a great temporary childcare situation while traveling? And what do you think about staycations? Share your thoughts in the comments below-

Category: Community, FamilyTag: childcare, community, family, fitness, money matters, vacation, valueist

Doing Hard Things (Follow Up): My Tactical Strength Challenge Experience

November 6, 2017 //  by PracticeBalance//  Leave a Comment

My max deadlift

Early one recent Saturday morning, we drove to a gym that we had never been to on the other side of town. We entered the Crossfit style training facility, registered and weighed in, then warmed up with Metallica’s Enter Sandman blasting from the speakers. Three hours later, the Tactical Strength Challenge was over! We worked very hard, met some really nice people equally passionate about doing hard things, and learned some good lessons in the process:

Hubby starting his snatch test

Every once in a while, do something with people you don’t know. We had trained on our own for this competition, but most of the people there had trained together. Walking in we knew no one, and the mood was a little tense with anticipation. It seems so childish, but for introverts it can be a challenge just to strike up a conversation in this type of scenario. I complimented a couple of the women on their impressive deadlifts (my go-to tactic for breaking the ice)… By the end of the challenge, we had chatted with many of the other competitors and connected on various topics, both strength and non-strength related.

Strength is both specific and relative. All sorts of body shapes can be strong, and there are many different ways to be strong. This event brought competitors of a wide range of ages and sizes. We were by far the tallest people there, which confers some challenging physics for efficient weight lifting. My best deadlift was worlds lower than most of the other women there. It was inspiring to see these women – some older, some larger and some smaller – powerfully lift so much weight off the ground! And yet my climbing background and strong grip strength allowed me dominate the second event: the flexed arm hang (pullups for the more advanced competitors). I came in second of all of the competitors across the country in the Women’s Novice division (77 seconds)! You can view all the results here.


From the Results page: bold #s = placement in each event,
smaller #’s = actual score with body weight in ( ). My division had 47 people.

I can do more than I think I can. This is probably the most important thing I learned. I’ve written before on my self-limiting beliefs about my athletic abilities, developed extensively during my childhood. One reinforcing memory involved the physical fitness testing all children had to complete in elementary school. I distinctively remember my flexed arm hang score: ZERO seconds. Every year. Now, at age 43 and much heavier, look at me! Not only am I breaking my own paradigm as an “old lady”, I exceeded my expectations during the actual event compared to my performance during training sessions. I may not be built to be a powerlifting competitor or an elite climber, but it brings me great happiness to witness the process of improvement and to continue to dispel old beliefs that don’t serve me. Now the key is to avoid forming new self-limiting beliefs!

I’m ready for a change. My body has been telling me to stop training so hard for a little while now. It turns out that I have a labral tear in my shoulder from all the snatching and pullup work (I achieved my first pullup – finally – during this training cycle). All the muscles of my posterior chain feel like a tight, hard sheet extending from my mid-back down to my knees, and my mobility has really gone downhill. I’m psychologically tired of constantly increasing the weight or reps every time I work out. My head and body both need a break from this style of training.

What’s next? I want to spend some time recovering, focusing on mobility and flexibility again, doing more yoga and some fun movement that’s not too serious. Maybe climbing more again!

Category: UncategorizedTag: challenge, exercise, fitness, introvert, self-improvement, strength, weight lifting

The Case For Functional Fitness

May 8, 2017 //  by PracticeBalance//  4 Comments

How low can you go? The “toddler squat” = the perfect squa

Working in an operating room and following my patients postoperatively give me a great appreciation for the role of proper body functioning before and after surgery. I distinctly remember my own postoperative experience after major brain surgery, six years ago this month. I spent days lying in a hospital bed waiting for my fluid status and blood electrolytes to normalize, suffering intense headaches, eating lackluster hospital food, and barely engaging in any physical activity. When I was released, I could barely get out of a seated position without help. Exiting the seat of a car was a huge endeavor, requiring bracing and steadying my hands on the car door and frame. Taking stairs felt like a monumental task. And this was after brain surgery. On an otherwise healthy 37 year old. Who likes to fancy herself as athletic!

After this experience, I could only imagine what was in store for my orthopedic surgery patients, who are usually much older and have many more health issues at baseline. How do they successfully move on from the assault on their limbs? While proper physical therapy is a cornerstone of effective postoperative recovery, range of motion, strength, and balance should ideally be addressed before people undergo a major surgery.

Those of us who engage in regular physical activity like to think that we are “fit”. Yet how functional is our fitness, really? Can you do a pullup, a pushup, a bodyweight squat? How about a one-legged bodyweight squat? These are only some metrics of functional fitness, and I can tell you that currently can’t do any of them except for the pushup. The Sitting-Rising-Test (SRT) was designed and studied in 2000+ patients to inversely correlate longevity with the amount of “points” you require to get your body down to the ground and back up again. I’m pretty good (but not perfect) on that one, needing to use one hand to go from sitting on the ground to standing.

After spending some “me” time lifting weights this spring, I’m turning attention to my mobility as a means to facilitate gaining more strength. I’ve adopted a practice of doing at least 10 bodyweight squats per day in perfect form (which for me, at the present moment, requires grabbing onto something with my hands at the bottom of the squat position due to ankle mobility limitations). Here is a link to the best video I’ve seen on regressions of the squat for poor mobility situations. I’m also still working on achieving a real pullup – the sticking point being the bottom or initiation of the pull – by doing at least one scapular retraction exercise every day.

We all have busy lives. Focusing on functional exercises over other types of activity may benefit us not only for overall fitness but for that moment in the future when we get sick or need an operation.

What about you? Have you considered your functional fitness? What kinds of exercises are you trying lately?

Category: UncategorizedTag: fitness, patient, postoperative, rehabilitation, self, self-care, surgery, weight lifting

Working On Me Again

January 2, 2017 //  by PracticeBalance//  3 Comments

Pretty light for a deadlift, but you have to start somewhere

Fitness and nutrition have played a significant role in my life since my days in Arizona as an undergraduate, a skinnyfat 19 year old who had only ever played music (not sports) as a kid, trying to impress a very tall athletic ex-volleyball player. (I’m now married to that guy!) In over 20 years, I’ve been a climber (still am!), a step aerobics queen, a runner, a triathlete, a yogi, a snowboarder, a P90X-er, a lifter… done vegetarianism, veganism, eaten paleo and IIFYM bodybuilding style. I didn’t do these as fads to lose weight; they mark specific times in my life that involved a certain way of eating and/or a style of movement. To say that thinking about these things is a big part of my life would be an understatement.

But something was different right after I gave birth. Thoughts of self-improvement were pushed out by infant caring and feeding. Also, pregnancy and childbirth and a good couple years of IVF limbo really took a toll on my motivation to try hard, to project, to work on my own physical goals. It took a while to resurface, but the part of me that wanted to try hard showed up again in Greece, when we were taking turns watching baby and climbing. I had some great sends out on the rock, and I also got shut down on some difficult routes that made me want to get stronger. I’m finally feeling ready to work on myself again in this realm – to experiment on my body with fitness and nutrition.

As much as some researchers have tried to construct them, good clinical trials for fitness and nutrition regimens don’t really exist. There’s only so far a rat study can be extrapolated to humans, and it’s difficult to design control arms of research for diet and exercise interventions. But we are all our own N=1 experiment. If you have the curiosity and motivation to try new things, and the patience to stick with them for at least a little while (I’d say at least 3-4 weeks), you can perform your own health studies on yourself. How something works for you is the only thing that matters anyway.

So here’s what I’m currently trying:

Eating low carb every day except for one. I’m loosely following a diet protocol referred to as CarbNite or Carb Backloading. It might have a gimmick-y ring to it, but the idea is to eat carbohydrates in a reverse diurnal rhythm to daily cortisol pulsations. In general, it is low-carb eating with punctuated periods of higher carbs (for me, about one evening a week). My husband has been eating this way for years, having higher carb dinners following any workout day. I’ve been wanting to try it with the once/week carb night, and so far I am seeing good results. Since the end of October, I haven’t seen the scale move (which is fine with me), but my clothes have gotten looser and measurements have slightly changed. I have good energy for workouts, I don’t feel the faintiness I often get of from blood sugar fluctuations, and my cravings for sugar have definitely decreased.

Weight lifting 2-3 days per week. Especially now with the mix of motherhood and work, I try to follow this exercise triage:

Remember my self-care triage? 

Well, I made one for exercise types as well but never really expounded on it for the blog.

Weight training is empowering, effective, not generally as burnout-inducing as chronic cardio or tons of high-volume metabolic work (a la Crossfit), and I have come to love it over the years. It’s so good to be doing it again! I’m following a whole body push/pull split, which means that one day I dedicate my workout to pushing exercises such as pushups, squats, hip thrusts, and presses. For the pulling day, I’m falling in love with the deadlift again, and I also do assisted pullups (Nope, still can’t do one!), pullovers, and kettlebell swings.

There are SO MANY weight lifting programs out there to follow – from Wendler 5-3-1 to Westside Barbell to Stronglifts 5×5 to supersets and other bodybuilding-style rep schemes. Trying to choose one can lead to analysis paralysis, so at some point you just have to just go with something and see what happens. For the past couple of months, I’ve been doing own hybrid program for the push/pull schedule. I first work on a compound strength movement in a 5×5 style set and rep scheme. Then I do supersets of upper and lower body exercises for the rest of the time, at a weight where I can complete 8-10 reps usually. I finish off with a couple of core exercises and some mobility work.

If you’re just starting out with weight training, I highly recommend either working with someone or closely following a book format like this with good photos for demonstration. Even if you have some experience making the movements, it can be helpful to hire a trainer. I am planning to do once a week personal training sessions in this new year to help further inspire me to get stronger. Results of that to come…

Still walking as much as possible. While I haven’t been quantifying my steps, I am still trying to take walks as often as I can. My long walks usually correspond to days off, but with our recent move they sometimes got thrown by the wayside. Now that I’ve established the twice weekly weight training habit, I’ll gradually try increasing my walks and yoga/massage/mobility work.

I have some other New Year’s resolutions, but these things are a major focus for me in the new year. How about you? What are you working on in 2017? Share it here!

Category: UncategorizedTag: balance, exercise, fat, fitness, nutrition, self, self-improvement, strength, sugar, walking, weight lifting

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PracticeBalance

Dawn L. Baker MD, MS is the founder of PracticeBalance.com. She became interested in the topics of stress management and wellness when she experienced her own health challenges during residency training. Dawn is dedicated to discussing current issues in self-care and simplicity in the four realms of life balance: work, home, community, and self. Her writing has been featured in national syndicates such as KevinMD and Medpage Today, and she is also a regular contributor to the Mothers in Medicine blog. Dawn is a proud wife and mother to one daughter and one whippet dog. In her leisure time, she enjoys traveling, rock climbing, strength and conditioning exercise, attempts at practicing yoga, and long walks with her family.

PB on Instagram

“Next time you write off doing something that seems exclusionary or expensive on the surface, take a closer look and you may be surprised at how much value that expense can provide.”
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Today’s #practicebalance #blogpost has us spending almost $300/mo on a gym membership at @lifetimevegas. The idea came from listening to a podcast with @fatfueledmom, who loves the kids’ activities at their Life Time gym. Does it seem worth the $$? Read (link below or in profile) to decide.
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https://practicebalance.com/2019/02/valueist-staycation-a-gym-membership-or-spa-getaway/
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#newblogpostup #notsponsored #somedocs #valueist #moneymatters #frugaldoc #attendinglife #doctorsofinstagram #toddlermomlife #womeninmedicine #doctormom #vacationspots #staycations #parttimedoctor #fulltimemommy #fitdoc #fitdoctorsofinsta
This is me in Thailand looking for cool shells to make into jewelry. Yes, doctors make jewelry, and yes, doctors wear bikinis. We’re human just like our patients, and the only way we’re going to #beatburnout in medicine is to normalize our human-ness, to thus change the culture and the #hiddencurriculum. Thanks to @drcorriel for starting the #docsbeatburnout challenge. @amyn.cowan, I’m sure you have some things and pics to share about this, so I’m tagging you!
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#practicebalance #SoMeDocs #attendinglife #residentlife #medstudentlife #doctormom #mothersinmedicine #womeninmedicine #ladyboss #medstagram #doctorsofinstagram
@tbdslc will be embarrassed by me posting this, but it’s #valentinesday2019. I mean, I got the whole package here: brains & beauty & an awesome father. I’m so lucky he showed up in my freshman engineering class ♥️⚡️😻
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#partnerforlife #thoseabstho #nofilter #nophotoshop #iloveyou #daughterdaddy #toddlermomlife #shello #soluckytohaveyou #vday2019 #bemyvalentine❤️
“Two roads diverged in a wood and I, I took the one less traveled by, and that has made all the difference.” - 🖌Robert Frost
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Life has lots of different paths 🛤 #practicebalance #roadlesstraveled #labyrinth #growingaspen #freerangeparenting #freerangekid #alwayslearn
Are you always trying to reach new heights? How about the height of perfection?
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Today #ontheblog I give my take on self-love and chasing perfection (hint: don’t do it!)... #linkinprofile👆and below:
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https://practicebalance.com/2019/02/be-your-own-valentine/
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#practicebalance #newblogpostalert #selflove #selfimprovement #perfectionism #womenbloggers #womeninmedicine #somedocs #doctormom
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Image credit: stylized AZ sunset by Jim Lowman (my dad)
Getting stronger 💪🏼
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#growingaspen #thatsmygirl #functionalfitness #letthemplay #letthemclimb #outdoorplay #getoutsidemore #climbingtraining #parkplay #toddlermomlife
View of #wasatchmountains sunrise out the airplane window. Headed back to the desert today ❄️🗻➡️☀️🏜
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#parttimedoctor #doctormom #twohomes #homeiswherethe♥️is #blessed🙏🏼
Treacherous conditions today. I had to shovel a foot of snow at 5 am, while it was snowing sideways on me, which then just reaccumulated quickly. Everything is closed... except the hospital of course.
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#thehospitalnevercloses #therewillalwaysbepatients #weareallpatients #attendinglife #residentlife #medstudentlife #doctorlife #womeninmedicine #doctormom #somedocs #anesthesiologist #cantcallinsick #snowsquall #lakeeffect #mountainlife #wintersuckssometimes
Read more from this inspiring woman @frugalphysician on my blog today! #linkinprofile👆or below
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https://practicebalance.com/2019/02/a-balanced-interview-3-the-frugal-physician/
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#practicebalance #newontheblog #womenphysicians #worklifebalance #womenbloggers #doctorblogger #bloginterview #doctormom #womeninmedicine #frugalista #moneymatters #financialfreedom #financialindependence #financialblogger
She’s #mywhy❤️... the reason I #practicebalance, the reason I exercise #selfcare. Even though I had my brush with #burnout and being a patient, she changed the denominator. I’ve simplified my roles in medicine even more. 🌹
Everyone’s balance is different. For me, #resilienceinmedicine means choosing to work part time, have less stuff and less notoriety but more time with her. Thanks to @reflectionsofamillennialdoctor for tagging me! And happy #nationalwomenphysiciansday!
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#nwpd #whatsyourbalance #workhomecommunityself #womeninmedicine #doctormom #parttimedoctor #fulltimemom

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  1. The content on this site is provided for informational purposes only and does not constitute medical advice.
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