We’re All Picky Eaters

I am seeing a trend in many of the reviews I’ve begun to receive for my forthcoming book, Kitchen Medicine: How I Fed My Daughter out of Failure to Thrive. I’m not completely surprised by it — after all, I included this theme in some of the synopses I wrote both in my book proposal and in the promotional writing I provided for my publisher — but it has been fascinating to see how insidiously we have absorbed this concept. Mostly written by parents who are reading my book via Advanced Reader Copies (aka ARCs), I am seeing these two words come up again and again:

Picky Eater

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There Was Joy

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There are so many things I had to refuse her.

I was newly a mother of two when a doctor – a kind doctor, a thoughtful doctor – told me that my new daughter would almost certainly end up in the hospital with every respiratory infection she got. Not a great idea, he said about twice-a-week daycare. Probably not, he said about baby-and-parent music classes. No, I don’t think so, was his answer to my hopeful questions about baby swimming, a smaller daycare, a playgroup. After two hospitalizations in her first five months, I believed him.

Through that first winter watched through front windows into an empty courtyard or through car windows into big sister’s preschool, my new daughter and I eyed the world with suspicion: me because it contained too many germs and her because nothing in it made her feel quite right. There was no sleep, no break, no time apart for the two of us to learn the beauty of missing each other and being reunited. There was just us, with the world outside the window a mystery.

The winter turned into years, isolated and treading water. Continue Reading…

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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

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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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Being a Child

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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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