Nearly every day I am anxiously asked whether or not our young patients can have rice “milk,” almond “milk,” soy “milk” or coconut “milk” instead of the whole milk that is on our menu. These inaptly named “milks” are about as related to milk as cheese whiz is to cheese, and although not harmful (and even delicious), should not be mistaken for the white beverage given to early mankind by dairy animals as a source of protein, fat, calcium and vitamins. They are perhaps more properly…Read More
Viewing blog posts categorized under "Nutrition"
1) Weight loss in children isn’t normal
Imagine you’re a parent of a bright, active 12 year old boy. He gets good grades and has lots of friends. He excels at sports. Then something changes; he begins to lose weight. At his last checkup his pediatrician registers a heart rate in the low 50s. He starts to withdraw, not doing many things he used to enjoy, with the exception of exercise. He now exercises with a new intensity.
His doctor tells you not to worry. “It’s just a stage”, she…Read More
It’s not every day that I read something forwarded to me by another provider in a related field that just stops me cold. This announcement by Dana Sturdevant, MS, RD was one such. In it Dana was advertising a webinar (How Healthism Overshadows Healing: Ethical Considerations in Treatment Planning) that she and her colleague Hilary Kinavey MS, LPC put together on the subject of “Healthism.” I had never heard the term, but the moment I read it I knew exactly what it must mean.
One of the challenges of swimming against the stream -- as when, for example, one insists that parents don’t cause eating disorders when many providers learn and believe otherwise -- is that you become a bit of a pariah. At a minimum, people will prefer to talk to those of their colleagues who think as they do.
So building a web of safety around our patients once they leave the immediacy of Kartini Clinic has been a challenge. What are the needs of our young patients once they leave…Read More
Setting a goal weight is not simple. And it is never harder than in a growing child, where it is a moving target.
I have written some rather lengthy guidelines for determining ideal body weight in the pediatric patient and about what we at Kartini Clinic call “state not weight.” Today, we use the term “goal weight” rather than “ideal body weight” as “ideal” has so much baggage.
Professor Bryan Lask once asked me to participate in a debate in an international journal about whether…Read More
Kids and animals, it’s magical. Although some researchers have tried to figure out why, exactly, really - who cares? Many a little kid, or even older kid, who refuses to talk to grown ups will happily spend time with an animal. Some find courage through the presence of one.
I remember a little boy who was sent to us from a distant hospital. They’d told us he was “the sickest kid they had ever seen” and that he “refused to talk to anyone.” Indeed, he was curled up into a ball in the…Read More
I was thinking about the notion of healing at our weekly All Staff meeting recently as we went through the recitation of our patients and examined their progress as a group. I can’t tell you how often we need to remind ourselves of that “fifth dimension” to healing: time. There’s a reason old fashioned physicians counseled younger ones to prescribe a “tincture of time” for many of the ills their patients experienced.
It’s actually a bit like baking bread. Bread needs basically five…Read More
As I write this blog it is the first day of the new Affordable Health Care Act. This is a big day, perhaps bigger even than we are able to see right now. Love it or hate it, it is designed to be a game changer for the common man (and woman and child). It is, and has been, subject to intense opposition, much like the initiation of social security in 1936 and medicare in 1965, although now people can scarcely imagine life without the safety net that those two programs provide all of…Read More
I read an article about an artist/scientist who creates models of perfect strangers from bits of their DNA extracted from hair and bodily detritus left behind, inadvertently, by all of us every day. Her name is Heather. An innocuous enough sounding name, right?
Watch this video and you are guaranteed to have your mind blown. And by blown, I mean blown apart, because so many different issues are raised in such a short video that it’s hard to even list them all. And what strikes…Read More
For those of you who remain unconvinced that the value of home cooking goes beyond the cost savings, please be aware of the effects that processed food packaging can have on all of us, especially on infants and children.
An increasing body of research has suggested that obesity may be associated with (triggered by? exacerbated by? caused by?) so-called “obesogens” in our environment, such as known endocrine disruptor Bisphenol-A (aka BPA).
Take the example of green beans. Say you…Read More