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

Inside Outside Wellness Center & Medical Spa  



Dec 2022



 Greetings from Dr. Christian & the Staff of Inside Outside



We are finishing our 19th Year!  And What. Another. Year!  Christmas behind us and a (insert your word!) Year around the Corner.  We need to be serious about our Nutrition and Exercise as they can help us fight the Sneaky COVID-19α,δ,ο (alpha, delta, omicron)!  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! "You've Got to Do It!"




in this issue

  • From Dr. Christian: COVID x 3yrs, Lessons we have learned, maybe......
  • In 2023 Dr. Christian and UTSA Interns focused on learning about the "Air Quality Index!"
  • Welcome to our Go Roadrunners!! Spring 2023 Interns, Brooke, Sarah, Joanna, Emily, Olivia & Emily!
  • Inside Outside HIPPA, Privacy Polices and Security Update!
  • Update on our Web Analytics by Revolver, 178 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.!
  • Community Relations:  Silent Auctions, Raffles, Walks & Runs!  33 Donations so far 2021!!
    From Dr. Christian: COVID 19 x 3yrs, Lessons we have learned, maybe......


     Conundrum: noun/ a confusing and difficult problem or question. Autonomy or Mr. Rogers "You've Got to Do It". 


    A long 2 years ago,  few of us could have imagined what has transpired in 2020 and 2021.  First, a year, 2020, of being responsible "social distancing, masks, lockdowns, surface cleaning, hand washing, contact tracing". Followed by a year of hope/freedom/normalcy, 2021,  "vaccinations/booster for many, herd immunity? for some, my Faith/Luck/Trump will protect me for the rest" and it's somehow over.   Well, It's not.  We have a Conundrum.  Two camps, You need Vaccination/Boosters and Please Leave me Alone, AUTONOMY.   Autonomy, to remind you is at the core of all medical ethical decisions in the United States. "Autonomy" or "Self Determination"  means that patients have the right and ability to make their own decisions about the medical care and treatment they receive, as long as those decisions are within the boundary of the law. All health professionals respect this fundamental right each of us has.  For much of our recent history, we have evolved some medical treatment/prevention strategies for many devastating illnesses and most of the population has surrendered to certain restrictions/procedures/vaccinations to solve these scourges.  Witness: Polio and Smallpox are the good examples of how this Conundrum was resolved in favor of "You've Got to Do It" and these two diseases which killed and maimed millions are for the most part "history".   And most, not all, are comfortable with current requirements for Vaccination for Measles, Diphtheria, Pertusis, Tetanus, Hepatitis, Chickenpox, Human Papillomavirus (HPV), Meningitis, Shingles, Pneumococcal Pneumonia and Yearly Flu. As of 23 Dec only 61% of the USA Population has been fully vaccinated against the Covid. Note the Johns Hopkins COVID Tracking Database Comparison between last Christmas and now.  So here we are, still dealing with a virus that is doing its best to kill us and/or drive us broke or crazy and 39% of our population remains very vulnerable to catch and maybe die of this virus.  "Unfortunately", the current vaccination (Pfizer, Moderna, J&J, Astro Zenica) protocols have not created the long lasting immunity that we had hoped for and there have been some acute adverse reactions that continue to make headlines, so I understand the hesitancy.  But, overall, I think those that are vaccinated are better off for the protection that they have received.  There is no question that they are effective and reduce the severity of infection, hospitalizations and death. They are not totally effective in preventing Breakthrough cases and boosters are recommended for almost everyone 6 months after their initial vaccination.  Most of the increasing cases over the course of this year have been in unvaccinated people and easing of restrictions on travel, events and schools plus new more contagious variants Delta and Omicron have helped perpetuate6 Months of Data from 793 Visits at Inside outside. this pandemic.  See CDC Data.  I do believe that vaccination is still the key to making this problem manageable and newer and probably more effective, safer vaccines may be approved in the next year. Our own experience at Inside Outside over the past 6 months is as follows: Botox & DXA 793 Unique visits, only 20% not vaccinated. This iImagine, Not being able to get your Botox!s about 20% better than national figures. THANKS!  We continue to see unvaccinated clients but do not do any open face procedures and wear N95 Masks and Face Shields when dealing with unvaccinated clients. As everyone is aware, there may be more restrictions on the unvaccinated, witness the Military and Federal Employee requirements for vaccination.  Venues in NYC are requiring vaccination and more restrictions

     (?travel) may be on the way. Our medical, social/mental welfare and educational resources are under tremendous stress. Today, the Drudge Headline is hinting at a "Soft Lockdown".  I'm siding with Mr. Rogers, "You've Got to Do It"!   Individually, each of us is a part of the solution to this conundrum, we must do our part and most of us have made many sacrifices to help, but some have not and that's NOT GOOD, and may eventually be against the law.  The crisis in 2020, as today, was shared eloquently by Dr. Craig Smith, Chief of Surgery at Columbia New York Presbyterian, one of the first "hospital hotspots" in the United States in March 2020.  He is one of the Pandemic Poets.  Please re-read his letter of 20 Mar 20 in which he describes the dire situation at his hospital. This was the 3rd week of the crisis in the USA in 2020.  By now, none of us should have a problem understanding what he is writing about.  And a everlasting lesson, we continue to learn "What Men Live By" over again and the Alberta Quadruplets showing us what to do when it is over and Mr. Rogers singing "You've Got to Do It", Nike "Just Do It" and Gary Gilmore's Final words "Let's Do It".  Yes, We Must Mush on....  

    Mr. Rogers "You've Got to Do It!" 

    Dr. Craig Smith, 20 Mar 20 "We Mush On"

    Institute for Health Metrics COVID-19 Projections

    Mr. Rogers, "How he would handle dealing with the Coronovirus Quarantine"  

    2023 was a year Dr. Christan and the UTSA Interns focused on The "Air Quality Intex"!

    Dr. Christian was asked by Dr. Susan Blackwood (long time friend and Inside Outside Client) and Founder of the Global Pain Association to present a Webinar for the Saturday Edition of GPALive on 5 Jun 21. It was a timely opportunity to inform those who suffer from Chronic Pain about the contribution that ongoing low grade Inflammation adds to their symptoms.  Global Pain Association is a Non-Profit dedicated to exploration of non opioid methods of pain control for those that suffer from Chronic Pain. The deleterious impact that Opioids have had on the management of Chronic Pain is well recognized and almost everyone knows someone personally someone who has died of an opioid overdose. Recently legal decisions have highlighted the responsibility that makers and distributors of opioids have had in propagating this serious public health problem. The presentation focused on the definition of chronic inflammation, how it contributes to chronic pain, how we can measure it and what measures we can take with diet, skin care and Omega-3 (See Dec 2020 Newsletter for More Details about Omega-3) to create less inflammation in our bodies. Unfortunately, one of the most important risk factors for the development of chronic pain are "Adverse Childhood Experiences" (ACE). See ACES Too High.

    ACES are well defined and there are 3 categories. Abuse, Neglect and Household Dysfunction.  It is shocking to recognize that we now have 80% more people in refugee camps, war zones or in migration than 10 years ago.  Many of them are children, suffering ACES every day.  Our Surgeon General Dr. Vivek Murthy has issued an Advisory pointing out the Mental Health Crisis that will be a consequence of the COVID-19.  This Pandemic, added to the "routine" issues of war, famine and persecution do not bode well for the mental and physical health of a whole generation of our children. 

    Read This, if nothing else! Great Article (Inflammation) Harvard Magazine "Raw & Red Hot"

    Global Pain Association Website!

    Dr. Christian, Webinar for Global Pain Association

    Dr. Christian, PowerPoint Presentation "Inflammation and Chronic Pain"

    Dr. Vivek Murthy, Surgeon General,  Advisory on Youth Mental Health Crisis

    "ACES Too High" Website.

    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 Policies and Security Update.

    Inside Outside Virtual Tour!!

    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 achieved Masters Degrees in many 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.

    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.  The evening included a traditional "Roll Call" saluting deceased and surviving members of the squadron and included several other 1966 classmates from the San Antonio area.  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!

    We have Gift Certificates for all of our products and services!

     Gift Certificates for Any Occasion

    Christmas, Birthday, Valentines, Mother's Day, New Bride, Graduation

     We can Personalize Gift Certificate

    for any Product or Service We Offer!

    Great Gift Certificate Ideas Here!!

    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: Silent Auctions, Raffles, Walks & Runs, 33 Events so far 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, 33 Donations this Year!

    Thanks to our Community Service Director Lora Lane!

    Silent Auctions, Raffles, Donations

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


    Impact Support Grant for Blessed Sacrament Academy

    Big Give 2021 Donation to the San Antonio Blood and Tissue Foundation

    Donation on Big Give Sep 2021The SOLI Musicians!


    A Great White Board by Sativa Martinez Promoting Omega 3 Fats & Measuring the Omega-3 Index



    Inside Outside

    Quick Links

    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"

    New Member

    Marissa Sinni


    Monthly Archives Newsletters




    Staff Pictures

    New Fall 2022 Picture with our 

    Fall 2022 Interns

    Salma Rangel

    Abigail Garcia

    Nora Ekpo

    Clarissa Munoz


    Quote and Video of the Month

    Mr. Rogers

    "You've Got to

    Do It


    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


    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!


    Wellness Products We Recommend


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


    Check out our

    Basics and Specialty Skin  Products .pdf Presentation!


    Article of the Month "The Role of Inflammation in Age-Related Sarcopenia" Dalle S et al Frontiers in Physiology Dec 2017

    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 - contact@insideoutsidespa.com

    w - https://insideoutsidespa.com

    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

    Contact Us at e - iocontact@insideoutsidespa.com


    New Page 1