New Page 1

4499 Medical Drive #225, San Antonio, Texas 78229  Call 210.616.0836 Text 210.616.0826 

Inside Outside Wellness Center & Medical Spa  



Jan 2023



 Greetings from Dr. Christian & the Staff of Inside Outside



We are starting our 20th year!   Christmas and New Years Day are behind us and we are all grateful to have struggled through 2022!   We need to be serious about our Nutrition and Exercise as they can help us fight the Sneaky COVID-19 Omicron which has passed it's "stuff" along to XBB.1.5 so it's not through with us yet!  At Inside Outside we have "The Cure" for our Health and Fitness Crisis, never doubt it!! "The Inside Outside Way of Life"! Live It in 2023 & Take it to a New Level! It's Magic! Commit!



in this issue

  • From Dr. Christian: COVID 3yrs, Leo Tolstoy "The Three Questions" & Artificial Intelligence! 
  • In 2022 Dr. Christian and UTSA Interns focused on learning about the "Air Quality Index!"
  • Welcome to our Go Roadrunners!! Spring 2023 Interns, Brooke, Sarah, Joanna, Emily1, Olivia & Emily2!
  • Inside Outside HIPPA, Privacy Practices and Security Update!
  • Update on our Web Analytics by Revolver, 185 Countries! They love us around the World!
  • Check out our UTSA Intern Tribute Displays for 1st Professional Degrees and Pre-COVID
  • Dr. Christian & Inside Outside Host Dinner Reception for 55th Reunion USAFA 15th Sq.
  • Father of Strength Training Arthur Jones Quotes!
  • Member Spotlight: John Yantis, Founder of Yantis Construction Co. and Aggie Legend!
  • Community Relations:  Silent Auctions, Raffles, Walks & Runs!  36 Donations in 2022!!
    From Dr. Christian: COVID 19 x 3yrs & Leo Tolstoy "The Three Questions" & Artificial Intelligence


    Excerpted from Tolstoy's "The Three Questions"  "IT ONCE OCCURRED TO A CERTAIN KING that IF he always knew the right time to begin everything; IF he knew who were the right people to listen to, and whom to avoid; and, above all, IF he always knew what was the most important thing to do, he would never fail in anything he might undertake. And, this thought having occurred to him, he had it proclaimed that throughout his kingdom that he would give a great reward to anyone who could teach him what was the right time for every action, and who were the most necessary people, and how he might know what was the most important thing to do."  Many learned men responded to this challenge, but all had differing opinions. There was one who suggested that to accomplish these three objectives, one must surely need to be able to predict the future.  For this, he suggested, that the King consult only "Magicians", aka our Leaders (National, State, Local) & those entrusted with our Public Health, FDA, CDC, WHO et al....

    Almost every night in 2020, 2021 and 2022 there has been a Tsunami of Magicians on TV and other media sources trying to help us answer these 3 questions about the COVID-19 pandemic. At the end of this article I have included recent Magician thoughts about 2023 from Forbes, Nature Magazine and The Lancet! Each of these, in part, acknowledge that we and the world were not prepared for the challenges COVID-19 gave us.  A few in the Public Health arena had warned of such an event but preparations were inadequate.  The Magicians, trying to figure out the future, initiated a lockdown period on a generally naive public followed by a confusing reopening, followed by a screenings, masking, surface cleaning, hand washing, 6' distancing period, then a glimpse of hope with the first vaccines in late 2020, mass vaccinations (often mandatory) in 2021, followed by emergence of variants, new surges, conflicting recommendations leading to misinformation scenarios, and now a "let's learn to live with it, you have autonomy, make your own decisions, decide how best to protect yourself" recommendations.  We have fumbled through it all, and personal experience of most of us attests to the  tragedies and lives lost but common sense tells us it could have been worse and it could have been better.  So what are the answers to the King's 3 questions applied to our personal responses to protecting ourselves and others from spreading COVID-19.   

    The King finally went to a wise hermit who gave him this answer. "Remember then: there is only one time that is important, Now! It is the most important time because it is the only time we have any power. The most necessary person is the one with whom you are, for no man knows whether he will ever have dealings with anyone else: and the most important affair is to do that person good, because for that purpose alone was man sent into this life." 

    For me, applying this advice to COVID means that I will be aware of my surroundings and who I am with at all times and be mindful of the importance of the moment.  I will try to gauge my risk of contracting COVID from him/her and my risk of transmitting COVID to him/her and I will take precautions if I am able, as I want to do them no harm from our meeting but only good.  The Lancet, Forbes and Nature article are trying to keep us aware that COVID is not through with us and we need to continue to be careful and do our part.  Interestingly, there is emerging interest in Artificial Intelligence to help us as we try our best to make important decisions about the 3 Questions. 

    Leo Tolstoy, "The Three Questions" 

    The Lancet, 14 Jan 23 "The COVID-19 pandemic in 2023: far from over"

    Forbes, 7 COVID-19 Realities to consider in 2023

    Nature, "There's no room for COVID complacency in 2023"

    British Medical Journal, "Artificial Intelligence and COVID-19"  

    2022 was a year Dr. Christan and the UTSA Interns focused on The "Air Quality Index, AQI"

    With the realization in 2020 that COVID-19 was a airborne pathogen transmitted by aerosols generated by coughing, singing or simply talking, everyone became more aware of the issue of "Air Quality" and many measures to decrease the spread of COVID were directed at minimizing our exposure to these virus laden droplets, eg masks, stay away from people and improved ventilation.  This prompted Dr. Christian and our Interns to take a "Deep Dive" into the critical issue of "Air Quality" in general.  Based on a chart on the IQAir Web Site (IQAir provided some of the first Medical Grade Portable Air Filtration Systems for hospitals in Wuhan, China)  Dr. Christian created a more comprehensive chart to help define in a visual way just what we need to understand about the particles and gases that are in the air around us and how they compare in size and ability to affect human health.  Thus began a year long project involving all of our 2022 UTSA Interns.   Note: Each .pdf file has many clickable links!

    12 topics covered during 2022 by our Interns and Dr. Christian are:

    1. Dr. Christian:  "Pre-Program Slides and AQI, Who is in Charge?" Agencies responsible, National, State and Local.

    Spring 2022 Interns: Presented at 15th Sq Mini-Reunion 29 Apr 22

    Marissa Sinni:  Introduction of Spring Interns 15th Sq Reunion

    2. Jin Kim "What is the AQI & what does it measure"  Components of AQI

    3. Alexis Bradshaw "How is the AQI Measured and Reported"  EPA Air

    4. Julia Wasicek "Health Effects of Poor AQI"  Ozone and pm2.5 Worst!

    5. Hilary Navarro "What is NOT part of the AQI"  LOTS!!

    Summer 2022 Interns:  Presented on 8 Aug 22 to Dr. Christian

    6. Britney Carteret "Ground Level Ozone"  San Antonio is not compliant!

    7. Alexis Grasso "Stratospheric Ozone" Good UpHigh, Bad NearBy!

    8: Kendal Smith "Health Effects of Ground Level Ozone" Very bad for Skin!

    Fall 2022 Interns:  Presented on 1 Dec 22 to Dr. Christian & Britney

    9: Clarissa Munoz "Car Emissions and AQI"  Electric versus Fossil Fuel

    10: Nora Ekpo "Pollution around Public & Private Schools" Houston Worst!

    11. Abigail Garcia "Effects of Wildfires and HeatWaves on the AQI"  

    12. Salma Rangel "Update From World Clean Air Day, 7 Sep 22."  Not Good!

    World Clean Air Day 7 Sep 22    IQAir Web Site, Lot's of Good Information!  

    EPA Proposes to Strengthen Air Quality Standards     EPA AirNow Data for San Antonio!

    Go Roadrunners!! Welcome to our Spring 2023 Interns, Olivia, Brooke, Emily, Joanna, Sarah & EmilyGo Roadrunners!!

    We welcome our Spring 2023 UTSA Interns. Olivia Brown, Brooke Orme, Emily Terrazas, Joanna Baroro, Sarah El Bayeh and Emily Netek are all Public Health Majors. We are excited to have these future health care providers with us for the 2023 Spring Semester and to share with them The Inside Outside Way of Life!  Coming 17 Jan 2023!  All of our Interns have had their COVID Vaccinations and will adhere to all of our COVID precautions.

    UTSA Health and Kinesiology Department Website

    Our Current and Past UTSA Kinesiology Interns 

    Inside Outside HIPPA,  Privacy Practices and Security Update.

    Inside Outside and Dr. Christian are considered healthcare facilities and are covered entities which must adhere to the privacy and security requirements of HIPPA, The Texas Medical Privacy Act HB300, the Texas Data Breach Notification Law and also agencies such as OSHA and the Texas Department of Health and Human Services. The requirements are ever changing as the risk of Cyber attacks increases.  Over the past 6 months we have updated our policies and procedures to ensure compliance with these requirements and formed alliance with multiple partners to insure security and privacy with your electronic personal health (ePHI) and your written records. We have a new Contact Form provided by which allows for encrypted emails and documents to be sent to us.

       Please check out our Privacy Practices Web Page.

    Update on our Web Analytic Reports, The Revolver Map!!  They love us around the world!

       Everyone is aware that Businesses & Organizations use Web Analytic Tracking Services to monitor their web site traffic for marketing purposes.  Inside Outside uses Google Analytics, Clicky and Revolver Maps for tracking services. The Top Ten Countries are United States, Canada, United Kingdom, India, Australia, France, Germany, Philippines, South Korea and Brazil! The map shows hits over the past 10.5 years, monitored by Revolver Maps, 185 Countries & over 127,600 Visits. Recent additions since the last newsletter are Martinique, Faroe Islands, Gabon, Kosovo and Tajikistan!  Popular pages for international visitors are the DXA Body Composition, DXA Bone Density & our Dark Side of the Sun page.   To Checkout our current Revolver Map, click on the 2D Version and Hover over the Red Dots to see Location, Requires Java!

    Check out our Intern Tribute Displays for Our Pre-Covid Interns & 1st Professional Degrees!

    Covid-19 precautions in the USA started in Mid-March 2020 and our Spring 2020 Interns were not allowed to return to their on-site internship after Spring break. These precautions required a 4 Semester pause in our Internship Program and we did not get interns again until Fall 2021.  I thought it would be nice to use this very distinct pause to create a Tribute Board to our Pre-COVID Interns and also a chance to salute the interns who had achieve Advanced Medical Professional Degrees. Inside Outside hosted a total of 81 Pre-Covid Interns and many of them have become valued members of our Medical Community. In May of 2022 we had our First Physician Dr. Mercedes Jolly and our First Doctor of Medical Dentistry Ashnu Rashu Graduate.  Prior to that Laura (Oseghae) Rayburn became our First Doctor Nurse Practitioner and Victoria (Seng) Novack became the First Physician Assistant.  Take a look at the large .pdf files and see what a difference they are making in our Health Care System. Many have gone on to become Registered Nurses, Dieticians and even one Fireman/EMT and many have achieved Masters Degrees in numerous other fields (even a Scrum Master, whatever that it is!). I try to keep up with them through Facebook and always enjoy welcome them to stop by for a visit to update me.   Recent Visit by Hilary Navarro, Spring 2022 Intern.

    Inside Outside UTSA Intern Web Page Saluting all our Interns 2008-2023

     Dr. Christian & Inside Outside Host Reception & Dinner Program for AF Academy 55th Reunion

    When Dr. Christian attended the USAF Academy he was a member of the 15th Squadron "War Eagles".  Due to COVID Restrictions the usual 55th reunion at the USAF Academy for the entire 1966 class was thought to be too risky, so the 15th Squadron decided to have it's own Mini-Reunion the last weekend of April 2022 in San Antonio which was brilliantly organized by Dick Thompson. As part of the weekend event,  Dr. Christian offered to host a special evening at Inside Outside with a wonderful meal prepared by Michele West of 4 Sisters Catering and an educational program provided by our 2022 UTSA Interns, Jin Kim, Alexis Bradshaw, Julia Wasicek and Hilary Navarro. The Topic was "The Air Quality Index" and each intern presented a PowerPoint presentation about some aspect of the AQI (see their presentations in the AQI Article above).   The evening included a traditional "Roll Call" saluting deceased and surviving members of the squadron and several other 1966 classmates from the San Antonio area were invited.   Please see our FaceBook album for more pictures and a link to a 360 Degree Scrollable image of the group acting crazy....

    View our Facebook Album of this Special Evening Friday, 29 Apr 2022!

    Father of Strength Training Arthur Jones Quotes! 

    Many consider Arthur Jones (1926-2007) to have had the most profound influence on the basic principles of strength

    training.  Jones was the founder of Nautilus and later MedEx, producers of some of the initial weight stack machines for strength training.  Many of the principles that he wrote about in Nautilus Bulletin 1 and 2 are promoted by leaders in the strength training arena today.  He was a controversial figure, very opinionated and direct and hard-core in explaining  many of the principles behind our strategy of strength training which we call Hi-Lo or High Intensity, Low Velocity

    Strength training. Our Summer 2022 UTSA Interns created this collage of Jones and some of his most memorable quotes! They are on display in our gym on several machines to remind clients about these basic principles of High Intensity Strength Training.

    "Strength Training and the Work of Arthur Jones"  Smith D et al

    Journal of Exercise Physiology Online, Dec 2004

    Arthur Jones' Writings, Photos, Nautilus Bulletin #1 and #2l

                 Arthur Jones at Wikipedia  

    The Rise of the Machines, New York Times 2 Sep 2007

    Pictures and Quotes from Integrated Fitness Resources (Bill Castro) 

    Member Spotlight: John Yantis,  Founder of Yantis Construction Company & Aggie Legend!

    We salute John Yantis in our Member Spotlight this Month!  John has been a faithful member of the Inside Outside Family since 2005.  A 1953 Graduate of Texas A&M, he has been honored with the Distinguished Alumnus Award, the highest honor bestowed on a former student of Texas A&M and awarded since 1962 to only 268 of Texas A&M's nearly 500,000 students.  John was the founder of the family owned Yantis Company in 1965 which has grown to be one of the 10 largest General Contractors in San Antonio. Three generations of the Yantis family have guided this prestigious and respected company and Inside Outside has played a part in the life of most of the "Yantis Clan" over the years.   His Daughter Susan has an embroidery shop and has provided all our embroidery needs for Inside Outside and our UTSA Interns each semester. We celebrated John's 90th birthday last year and he is pictured with Dr. Christian and personal trainer Marissa Sinni.  We are honored to have John as a valued member of the Inside Outside Family.         The Yantis Company, Inc.  

    Community Relations: Donations, Silent Auctions, Raffles, Walks & Runs, 36 Events in 2022!

    Since it's inception, an important mission at Inside Outside has been to make

    a difference in our community.  The best way we have found to do this is to

    make contributions to Non-Profit organizations through silent auctions at their

    annual fund raising events, seminars, health fairs or direct donations.  We would

    consider it an honor for any request for items to be donated or for Dr. Christian to speak to Non-Profit and other organizations/businesses in San Antonio and surrounding cities. Check out our Community Service Page chronicling Inside Outside's Community Service efforts since 2004!

    Inside Outside Community Service, 36 Donations this Year!

    Donations, Silent Auctions, Raffles,

    Over the past 12 months we have made donations for the following Silent Auctions, Raffles or Fund Raisers organized by these fine Non-Profit Organizations!!  this is one of our favorite ways to support them!


    Donation on Big Give Sep 2021The SOLI Musicians!


    A Great Christmas Grinch White Board by our Fall 2022 Interns with Special thanks to talents of Nora Ekpo!



    Inside Outside

    Quick Links

    2023 New Year Greeting

    New Sabotage

    Ducks Image!

    Text Us via Alive5


    Inside Outside

    Virtual Tour


    Inside Outside

    COVID-19 Document Site


    Check out the  Inside Outside

    Star Archive


    "500 Club"


    "Row Your Own Weight Club"


    Monthly Archives Newsletters




    Staff Pictures

    New Fall 2022 Picture with our 

    Fall 2022 Interns

    Salma Rangel

    Abigail Garcia

    Nora Ekpo

    Clarissa Munoz


    Quote of the Month

    Leo Tolstoy

    "The Three Questions"


    Special for the

    Holiday Season

    Leo Tolstoy,1881 

    "What Men Live By"

    Mouse over for the answer of What Men Live By!

    Download .pdf file


    When All this Ends! The Alberta Quadruplets Show Us

    What To Do!


    Inside Outside

    Custom QR Codes by





      Like us as a Fan on



    Quick Links


    Great Gift Certificate Ideas Here!!


    Nutrition Tools

    Body Fat% &

    Basal Metabolic Rate What If? Calculator!


    Alcohol Calorie Calculator and Links


    "Zone Meals

    from the

     Doctor's Lounge"

     Many Good plus a Few Bad Examples

    Dr. Sears Web Site

    Google Map to Inside Outside Wellness Center & Medical Spa


    High Resolution Images of

    Methodist Plaza


    Inside Outside Theme Song

    "Nobody Does

    It Better"

    Carly Simon 1977

    The Spy Who Loved Me


    Best National Anthem Ever

    4 Academy Choirs

    SuperBowl 39 2005



    Inside Outside

    Way of Life"



    This should be your Committment!

    The Poster!



    Videos of Month

    USAF Band

     "Holiday  Flash Performances"

    2013 Air & Space Museum




    WWII Holiday Flashback at

    Union Station

    2016 Smithsonian Museum

    2017 Gaylord National in Maryland

    2018 Washington



    "One Voice"


    National Anthem

    Army Navy Game

    Glee Club 2017

    You are going to Love These!


    Does all the Confusion & Choices about Skin Care Make you Want to


    Check out our

    Basics and Specialty Skin  Products .pdf Presentation!

    Join Us On



    It was always said

    of him, that he

    knew how to keep Christmas well,

    if any man alive possessed the knowledge.

    May that be truly said of us,

    and all of us!

    And so,

    as Tiny Tim observed,

    "God Bless Us, Every One!"

    Charles Dickens




    Do You Realize all the Value Added Benefits Of Living

    "The Inside Outside Way of Life"?

    e -

    w -

    a - 4499 Medical Drive, Suite 225

    s - San Antonio, Texas 78229

    p- 210.616.0836  f - 210.616.0856

    Map Inside Outside Wellness Center & Medical Spa

    Suggestions, Complaints, Comments

    Encrypted Contact Form


    New Page 1