mj2t

At 30ish my skin returned to how it should be except for about 10%. It's close, but I prefer to have a shirt on.

I'd say the two things that pulled my tummy flab back in were: * wearing a tighter undershirt to remind me to keep my posture up * core strength exercises to make the ab wall flatter.

As for arms and legs, just fill those up with muscle mass.

OP is not so comfortable answering and probably because of how odd the process is.

In my experience, when I was fatter, I would replace soda with juice or something near as awful and see results. Then I would replace juice with semi-sweet tea and see more results. Ultimately ending up with only drinking unsweetened tea, water, coffee, and beer/wine.

Food is even more difficult to nail down because (in my experience) I did eschew carbs for a period of time to shortcut the process. I also ate much smaller portions and started always eating breakfast. It wasn't the healthiest because every Friday I had milkshakes and burgers and brunch on Saturday morning. But then I'd run 10 to 15 miles Saturday afternoon and the "cheat day" would be gobbled up by the "regret run".

After 6 months I stopped paying attention and now I eat more and less depending on the day, run lots sometimes and run once per week sometimes, stick with the drinks mentioned above, and hover around 175 lbs all the time.

Just to add, a doctor is like a bad small business owner.

If there isn't an insurance form to fill out to get paid for a specific activity, they're not going to spend time on that activity.

If they had more business training, they'd realize that they could see triple the patients and fill out triple the forms after spending a week learning new ways around the old slow methods.

Also having office staff to deal with these things is an expense they see as unavoidable.

Do you work with big systems (Epic, Cerner, Soarian) or little systems for smaller private ptractices?

Do you think there is a single, much superior EMR system? Which is it? Why is it superior?

Alternatively, which system is the best for:

• Clinical workflow
• Business workflow
• Doctor interface
• Office folk interface
• Customer interface (if any, patient portal, etc)
• Integration with other systems

The way we (my organization) deals with merging HIPAA and MU is that we treat it like a traditional Health Info Mgt department approved release of information. This is an insanely difficult and confusing area so we defer to the hospital systems' lawyers and let them figure out what level of risk they're willing to accept.

A lot of EMR systems are cloud hosted already and things in the industry seem to be moving toward a model where HIPAA is treated the same way as PCI compliance or Sarbanes-Oxley. It's more of a risk analysis exercise than a set of real instructions to follow.