New Year, Same Short-Sightedness

Clean eating. Boot camp. Paleo diet, no-processed-sugar-January, new year cleanse. Slim down, tone up, burn it off, amp it up! 

To all of this, I say: you’re worse for children than pornography.

I spend a lot of time thinking about the danger of asking people — mostly women — to think so hard about their bodies. I think about it every time I see pseudo-food being peddled near in the grocery store — “low carb” bars and no-calorie salad dressings and lettuce proudly labeled “gluten free!” as if lettuce could ever contain gluten. Once, I did my best to listen respectfully while a member of my family described donuts as “absolute poison.”

Poison.

Donuts.

Around this time of year, the everyday drone of insistence on vilifying foods and hating our bodies gets louder. Every January, the ads on the internet and TV and in magazines and the newspaper start preying on the women who have not managed to set — or follow — new year’s resolutions to love themselves harder, no matter what. I think about it all the time, and fight its imprinting on my brain with my whole heart, but this week, I got involved in a Twitter thread that reminded me — in case I wasn’t anxious enough about how this would all affect ME — that there’s a population even more vulnerable than adult women.

That population is teenagers. Continue Reading…

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No, It Doesn’t Get Old

restaurant

One evening, almost exactly four years ago, I went out to dinner alone with my nine year old daughter, Sammi. Her older sister had religious school from 6pm to 8pm, and sometimes, I couldn’t bear to drive home, cook something, try to get Sammi to eat quickly, and then scoot back out the door again. The local Thai restaurant was easier, and besides, just a month earlier, I’d been left awestruck when Sammi ate an entire plate of pad woon sen in that very booth.

Six months earlier, she’d undergone major cardio-thoracic surgery to move her meandering aorta away from the places where it was smashing her esophagus nearly closed. Before that surgery, an adult portion of any restaurant meal would spoil in the fridge before she could finish the whole thing; she’d sit at a restaurant, fidgeting and chatting, the bite of tofu speared on her fork going cold. Mealtimes were frustrating slogs through her inability to swallow.

Even once the cause had been discovered and her aorta gently moved to the side and sewed to her sternum, eating was still slow and frustrating for her and us. We’d sent her to feeding therapy, a white flag waved at the eight years of labored eating that had conditioned her to chew slowly, fill her belly with water, and avoid the kind of dense food that would help her grow. Over the entire summer, once-per-week therapy over her lunchtime seemed to do little to help her regain the ground she’d lost. I waited for the growth spurt that didn’t come.

Then, one November day at the thai restaurant down the street, I mentally planned for her leftovers to go in her lunch the next day (and the next, and the next), only to look across at the plate of mild glass noodles and vegetables to see it slowly emptying. By the end of the evening, I was so excited that I took a photo of her empty plate and texted to my husband, my mother-in-law, my parents, and several friends. Continue Reading…

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If You Love Your Family, Feed Them

dinner

 

I’ve written ad nauseum about food allergies and sensitivities on this blog. Every time I think I’ve perhaps written too much about those topics, I take a peek at my web traffic statistics and note that the most popular posts on the site, week after week, are the practical ones with guides for either the six-food elimination diet (avoiding dairy, soy, egg, nuts, wheat, and fish) or the chylothorax diet (avoiding fat). I imagine that these posts are most commonly read by people struggling to feed themselves or someone they love. In my heart, I wrote them for a past version of myself, up in the night searching the web for information that, quite simply, didn’t exist.

At the holidays — these winter ones or others throughout all four seasons — it is hardest to be someone with food restrictions. Whether it is my daughter, who had to be on those two diets (among several others!) over the first nine years of her life, or me — dairy intolerant and severely allergic to fish — our family is incredibly aware of the limitations imposed on our social life by these restrictions. In my wider family, I love people who are allergic to nuts, who are on anti-inflammatory diets for auto-immune diseases, who are recovering from eating disorders, and who are diabetic. In all likelihood, there are others in my family with dietary needs that they keep to themselves. Yet somehow, we all manage to eat together, in each other’s homes and at restaurants, without too much disruption.

This happens because we love each other. Continue Reading…

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Being a Child

being-child

More has been written about Atul Gawande’s book Being Mortal than on most other books on medicine and health, combined. It was reviewed in the New York Times, The Guardian, The Wall Street Journal, and dozens of other newspapers, magazines, and other publications large and small.  Its study of how the medical profession handles the process of dying — whether that process comes at the end of a full life or far too soon — has changed the national narrative. Doctors are coming around to the idea of supporting patients on their own terms as the end draws near, a concept which, to many, seems antithetical to their oaths. After all, are they not charged to “do no harm?” Gawande’s Being Mortal forces the discussion and redefinition of “harm.”

In an early chapter of the book, he writes that there are two kinds of courage. “The first,” he says,  “is the courage to confront the reality of mortality—the courage to seek out the truth of what is to be feared and what is to be hoped when one is seriously ill. Such courage is difficult enough, but even more daunting is the second kind of courage—the courage to act on the truth we find.” As he shares the stories of his own patients — choosing between risky surgery and an uncomplicated but speedier end; finding ways to maintain autonomy as they age; managing varying levels of discomfort while remaining lucid and cogent — it is clear that all the scenarios where his courage to “act on the truth we find” are predicated on the first courage to “seek out the truth of what is to be feared.”

In other words, there can be no action toward healing without first determining how his patients define healing. Continue Reading…

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Contrast This

ct-scan

About six weeks ago, I tripped over a bolt jutting out of the floor of my garage and landed, head-first, on a spare car battery. It became clear within a few hours that I had a whopping concussion. In the impossibly bright lights of the emergency room, a friendly young resident told me she was considering whether or not to give me a CT scan.

“It’s just how tender your skull seems to be,” she said, puzzling it over. “I’m a little worried about whether you’ve fractured it, or whether there’s any bleeding in your brain.”

“What are the reasons for and against it?” my husband, ever the pragmatist, asked her.

“Well, if we did it and found out she has bleeding, we’d definitely keep her overnight, just to be able to check her regularly and get another scan in the morning.”

“So, why not do it?” I asked.

“Well, it’s a lot of radiation, is all…hang on a minute,” she mused, paging through my chart. “How old are you, again?”

“Forty-four, last week,” I told her.

She did what looked like some mental calculations in the air above her, then recommended that we do the CT scan. When pressed, she explained that the cancer risk comes about forty years after the exposure to radiation. By then, she calculated, I’d already be pretty old. It was a worthwhile risk, given the math. Continue Reading…

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