Tag Archives: work

Diet Doctor Discusses Own Struggle with Weight

In the Boston Globe this week, Dr. Suzanne Koven talks about her experience as a “slightly overweight” doctor advising others on weight management.

She writes, “The funny thing is, if I had been a diabetic counseling other diabetics, or an oncologist with cancer, my personal experience might be considered a plus…But, unlike diabetes and cancer, weight issues are not clearly understood as medical. Though obesity is a major individual and public health problem, people become obese because of a mix of genetic, behavioral, environmental, and psychological reasons. And doctors and patients alike still often think an inability to maintain a lean body represents a lack of willpower, a moral failure.”

Though Koven admits she’s never been more than a few pounds over what is considered healthy, she has at times, considered giving up her professional interest in weight, citing shame and musing, “How could I counsel patients to adopt habits I had so much difficulty adopting myself?”

However, over time, she explains, she came to see her experiences as a way to help patients feel more comfortable and even relieved to be counseled by someone who knows firsthand what they’re going through. She writes, “Some of that shame seems to dissolve once I’ve named our common demon.” And from there, Koven and her patients can “move forward together.”

I found this to be an inspiring read. When it comes to health and wellness, we all have our “stuff,” something that we struggle with, whether it’s a physical, mental or emotional ailment or imbalance. I took one grad course on nutrition counseling, and though this topic came up in a discussion on self-disclosure, the class kind of skirted around it.

While I don’t think it’s always appropriate to talk about your “stuff” in a healthcare setting, I find letting someone know you’re listening and not judging can make all the difference. It’s kind of fascinating the way someone’s body language changes when they go from feeling anxious and defensive to feeling safe.  Whether it’s something like a little “Would it help to know what you’re saying doesn’t sound crazy to me?” or just getting a feel for where someone is at so you can figure out where to meet them in the discussion, it’s important.

Anyway, that’s kind of a tangent.

What do you think of healthcare professionals sharing their personal struggles?  

The Benefits of a Nutritious Diet during Cancer Treatment

Good morning, all—Happy Friday. Today I want to bring you a guest post by Jillian McKee, a Complementary Medicine Advocate at the Mesothelioma Cancer Alliance. Diet can have a huge impact on cancer treatment and outcome, and here is a piece from Jillian to explain how. Feel free to leave comments below!

As anyone who has ever undergone cancer treatment can tell you, it is impossible to know how cancer treatments will affect you. Overall health, the type of treatment and the length of cancer treatment all play an important role in your recovery. While a healthy and nutritious diet will not cure cancer, it can give you the strength you need to make it through even the toughest days.

Incorporating a wide variety of nutritious foods into your daily diet will give you a boost of energy, whether you are being treated for mesothelioma, breast cancer or some other form of this disease. Many people suffer few side effects from treatments and continue to enjoy food during this time. Other people find it difficult to eat well-balanced meals due to nausea and fatigue. Try to eat a combination of complex carbohydrates, fresh fruits, vegetables, healthy fats and lean protein at every meal. This will ensure you are getting the nutrients your body needs to fight cancer and repair itself.

One way to ensure you will have plenty of healthy meals to eat even on bad days is to prepare meals ahead of time and freeze them. On days that you have energy and feel good, cook large quantities of lean meats, fish and chicken, a variety of vegetables and complex carbohydrates such as brown rice. Cooking your meat in olive oil will provide a serving of a healthy fat. Combine these cooked ingredients into freezer safe containers and freeze until you need them. By planning ahead, you will always have a well-balanced meal ready to eat in a matter of minutes. Keeping ready-to-eat snacks handy will also help you stay on track. Purchasing pre-washed vegetables such as carrots or small bags of trail mix will provide you with a quick energy boost. Eating foods rich in nutrients is the key to keeping your body as strong as possible during cancer treatment. Avoid eating foods with empty calories such as soda, cookies and chips as these foods provide little nutrients.

If you find you have trouble eating enough protein, consider using a protein powder to supplement your diet. Health food stores carry a wide variety of these powdered supplements that can be mixed with water or milk. You can even purchase ready-to-drink protein, which is portable and convenient. Protein supplements come in a variety of flavors such as chocolate, strawberry and vanilla. Ask your doctor to prescribe you a multi-vitamin if you find it difficult to eat a variety of nutritious foods.  For more nutritional information for cancer patients please visit- The National Cancer Institute.

What I Ate Wednesday #59: Weird dream weather

…and Wednesday manages to sneak up on me once again. You know what that means…another What I Ate Wednesday. As always, thanks to Jenn of Peas & Crayons for hosting the link party! Visit her site to see more bloggers’ WIAW.

Now that we’re at the halfway point of the week, I finally feel like my caffeine withdrawal demons have backed into their cave. I made it through the day with only a few inappropriately-timed yawns and no headache to speak of. Sweet.

I’ve been having insane dreams, though, but I suppose that’s pretty typical. Last night I dreamed I was a bridesmaid in my sister’s wedding but somehow part of the band too. As all my dreams about weddings, I was the unprepared bridesmaid. Go figure that’s my recurring anxiety dream. In this one, I forgot to dye my white dress tea-colored until the morning of the ceremony. Whoops. The lead guitarist/singer of the band, who was six-foot-something scary and skinny asked if I was like him, “the same but different on the inside.” Then he playfully punched me on the arm. Well all right then. I woke up just as I was reading my own hepatic protein labs.

I’ve been crazy-busy with internship stuff and side projects, but things on the food front has been pretty good, even if the pictures suck. Here’s what Monday looked like…

Breakfast: steel-cut oats with pear, chia, flax, and dried apricots, topped with sunflower seed butter.

Lunch: cafeteria salad that was better than it looked—cabbage, garlicky chickpeas, and random veggies; yogurt

It was either this or pay $2.95 for Greek yogurt.

Snack: an unpictured orange

Dinner: smoked salmon with avocado on an Ezekiel English muffin; massaged kale salad with goat cheese; a piece of chocolate

Snack: Plain yogurt with cocoa powder, berries, and cereal

What’s the best thing you’ve eaten this week? Any weird dreams lately?

Recovery Time

Yesterday was a really nice day. After working on a fun project with some lovely folks in the morning, I spent the afternoon running errands and alternating between napping and pretending to work.

I think I underestimated the effects of caffeine withdrawal. Either that or I’m fighting something off. Nothing a little turmeric tea can’t fix. 

Of course, sparkling wine enjoyed in front of an open window helps too. Early Saturday evening, my friend JR and I grabbed a drink at Wine Escape, a cute little Hells Kitchen wine bar. Go figure I didn’t get around to checking this place out until finding out I’m moving. So it goes. I still have a month and change before it’s time to pack up and head to a new neighborhood.

sparkling pinot noir—why not?

After that I ventured to the east 30′s for a friend’s birthday dinner at Hummus Kitchen. I’d walked by the one in Hells Kitchen a zillion times, so it was funny to finally get around to going to a location in another part of town. I couldn’t decide what I wanted, so I ended up ordering a mazze trio: falafel, salad and roasted cauliflower with green tahini. It was fun to catch up over a meal—normally it’s just rushed conversation at the hospital.

pardon the crappy photo-it was dark

We ended up staying at the restaurant until close to 11. Had my voice been working properly, I’d probably have joined the karaoke party, but my throat was so scratchy it hurt to talk and my eyes were beginning to close.

I feel like maybe I just needed some extra “recovery time” this weekend. Some really big, important stuff happened in the past week (home situation, work stuff, etc), and it’s like my body was just holding on to get through the crazy part. Now that I’m not trying to outrun the fatigue, part of catching my breath involves acknowledging that tiredness. I have to go into action mode soon, but for at least the next few days, I plan to enjoy the downtime and that peaceful feeling of knowing I’m on the right path.

When do you seem to need the most “recovery” time? 

Winds of Change

ImageA conversation at work yesterday reminded me that this time last year, I was a devoted tea drinker. It wasn’t until this fall, when I got my first coffee maker in years, that I got back into the morning coffee habit. Unfortunately, my body reacts a little differently to it now than it did when I was in my early twenties.

Yesterday I had one of those “click” moments when being made aware of how much tension I really do store in my upper back.  How did that get there?

With tomorrow’s solar eclipse already working its magic, it feels like the right time to make a change, however small. So starting with today, I’m going back to drinking green tea in the morning. I think I’ll like it. I certainly didn’t miss the black-coffee jitters before, and I don’t think I’ll miss them now.

So yeah. When I spoke a few weeks ago about 2012 being the beginning of that “whole other ball game,” I didn’t even realize how true that was going to turn out to be. Long story short, it’s all good. For right now, I’m just relaxed and paying attention.

How does caffeine affect you? Do you prefer tea or coffee? 

Mario Batali Tries the Food Stamp Diet

…And for his next trick, chef Mario Batali, along with his wife and two teenage sons, is attempting to live on food stamps for a week in protest of potential cuts pending in Congress that could affect the 46 million Americans who rely on SNAP benefits to obtain food.

At about $31 per person per month, he’s making the $1.48 per person meal budget work by forgoing organic foods and turning to lentils, cheaper cuts of meat, and lots of peanut butter and jelly for the kids. When asked how it’s going, Batali, who is on the board of the food relief agency Food Bank for New York City, says he’s “$#&@#!! starving.”

At least he’s being honest. As described in this Washington Post article, the Food Bank for New York City issued the challenge to celebrities such as Batali and others eager to pull a publicity stunt give this ”conversation starter” a go.

While it makes me roll my eyes a bit, at least Batali’s rolling his eyes at himself a little too. He adds, “We, hopefully, aren’t pretending or being like a bunch of yuppies saying, `Oh yeah, this is how you can do it. Look, we can grind our own oats!’ We want people to think about calling and talking to their representation about cuts to the Farm Bill and the food stamp program.”

Cynic I am, I still hope Mr. Batali gets something meaningful out of this exercise.

For one of my nutrition courses a few years ago, we had to do something similar for a week and keep track of how much our food cost us. I remember it being doable but tricky. Yes, there was a lot of peanut butter involved, and a lot of homemade soup. Not that that’s is so hugely different from my typical fare (especially these days), but it was certainly a valuable learning experience.

Do you follow a particular food budget? How do you make it work for you? 

What I Ate Wednesday #58

Another week, another Wednesday. You know what that means…another What I Ate Wednesday. As always, thanks to Jenn of Peas & Crayons for hosting the link party! Visit her site to see more WIAW from other bloggers. 

I’m someone who can always make time to eat, but for some reason, lately it’s really easy for me to get absorbed in what I’m doing and not realize I’m hungry until I’ve reached that point of no return. Any notes I attempt to write in that half-hour before lunch, I can pretty much guarantee I’ll have to revise them after. But then I eat and it’s all good. Overall, I have a lot more energy this go-around thanks to a kinder schedule. This 8-4 really works for me.

Monday was kind of a weird day but here goes…

Breakfast: Made-ahead steel-cut oats w/ apple, dried apricot, chia & flax and spices, topped with PB and applesauce 

Lunch: A pretty weak cafeteria salad. Later, I had an orange. Meh. 

Dinner: A “what’s still good in the fridge” concoction of spaghetti squash, lentils, veggies, and goat cheese. Seriously, it was like a page out of a clean-eating stoner-food cookbook. So freaking random. But delicious.

Recycled pic thanks to a camera mess-up, but you get the idea

Snack: Yogurt with cereal, banana and berries

Do you ever forget to eat? What’s the best thing you’ve had recently? 

What I Ate Wednesday #57

Another week, another Wednesday. You know what that means…another What I Ate Wednesday.

As always, thanks to Jenn of Peas & Crayons for hosting the link party!

Aside from almost falling asleep while charting on the floor Monday, this week has been pretty good. I think I’ll get a lot out of this rotation. I also think I’ll be packing my lunch a lot more often—some sites have better cafeterias than others. Besides, sometimes it’s nice to change things up a bit.

Of note: I’ve been making a lot of typos lately, thanks mostly to sleep deprivation. Feel free to laugh at me, but don’t be surprised if you come back later to find an edited version. I think all my grammar skills are going to medical records or something. As long as I don’t start writing blog posts in hospital jargon I think we’re good…

“Pt reports participating in ‘What I Ate Wednesday.’ 3 meals/day plus snacks—vegetables, whole grains, eggs, fish, yogurt, etc. Alcohol in moderation…”

Since I’ve been posting mostly Mondays’ eats, here’s what Tuesday looked like this week.

Breakfast: Steel-cut oats w/ chia seeds and plum, topped with PB & fig butter 

Lunch: Packed a massaged kale salad w/ leftover falafel, roasted veggies, goat cheese and miso-tahini dressing; baba ganoush with crackers and baby carrots 

Snack: Apple w/ PB2 & pumpkin mousse (aka weird-good concoction of the moment) 

Dinner: Pumpkin grits (made in the microwave, of course) with leftover roasted veggies, scrambled egg + white (also made in microwave) and cheddar cheese 

Snacks: at writers’ group, an unpictured drink and cookie; later, yogurt w/ cocoa powder and berries 

Yes, I know I use my microwave to make a lot of things these days…

What foods do you make in the microwave? 

What are you cooking this weekend?

Happy Saturday, y’all (not sure what’s up with the ‘y’all,’ but hey…). How’s your weekend going so far? Any fun plans? I spent last night doing karaoke, and this morning, I went to a hot yoga class. I’m just settling in for an afternoon of work.

A gal doing a 40-hour-a-week unpaid dietetic internship still needs to keep the lights on. If you’re thinking it’s strange that one needs to “work for free” to become an RD, you’re not alone, but save for a few exceptions, that’s just how it is. And if you’re wondering what the hell a dietetic internship is, anyway, you can read a little more at the Academy of Nutrition & Dietetics’ website.

Though I really enjoyed a lot of things about my Behavioral Health rotation, I’m glad to be moving on to General Med/Surgery. Nutritionally speaking, you see more challenging cases in the acute care setting, and I’m looking forward to getting more practice. I’d also be lying if I said the shorter commute wasn’t a factor. Still, I’ll miss some of the “you don’t hear that every day”ness.

At some point over the weekend, I’m planning to make some food to get me through the week—roasted veggies, perhaps a batch of seitan, and I need to figure out what to do with these  little potatoes…

Any suggestions? What are you cooking this weekend? 

Things I Am Thankful For

Not gonna lie—life’s been a little  crazy lately. I know I’m going to look back and say that if 2011 was a game-changer, then 2012 was the beginning of that Whole Other Ballgame. For the most part, it’s all to the good, but wow. Sometimes I need to take a step back and just shake my head for a second.

In a way, it’s nice to have a place I have to show up for 40 hours a week and set aside whatever personal stuff I might have going on and just focus on  things like patient interviews, nutrition notes and adjusted desirable body weight equations.   Working with sick people has also made me especially thankful for the small good things in my life right now.  Continue reading