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Viewing blog posts categorized under "General"

Healthism

posted by Julie O'Toole on October 6, 2016 at 11:40am

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.

If,…

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Building a Web of Safety

posted by Julie O'Toole on September 15, 2016 at 11:17am

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…

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Setting Goal Weights

posted by Julie O'Toole on September 1, 2016 at 10:43am

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…

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Animal Assisted Therapy

posted by Julie O'Toole on August 18, 2016 at 11:34am

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…

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Tincture of Time

posted by Julie O'Toole on January 9, 2014 at 2:35am

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…

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Obamacare

posted by Julie O'Toole on October 10, 2013 at 1:42am

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…

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DNA Detective

posted by Julie O'Toole on September 12, 2013 at 1:18am

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…

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The importance of cooking at home

posted by Julie O'Toole on September 4, 2013 at 8:23pm

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…

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Cook, My Darling Daughter!

posted by Julie O'Toole on April 19, 2013 at 9:14am

Cook, My Darling Daughter! is the title of a cookbook from the 1950’s I found in a secondhand bookstore and gave my eldest daughter as a young adult.  She had little experience of cooking, since in our family parents cook for their kids, and even though her brother and at least one of her younger sisters were determined foodies and excellent cooks, she had never been interested.  She was content to be fed, and since this was consistent with the culture of our family, her disinterest…

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License to eat: obesity and longevity

posted by Julie O'Toole on February 22, 2013 at 12:23am

According to Wikipedia Medscape is: a web resource for physicians and other health professionals. It features peer-reviewed original medical journal articles, CME (Continuing Medical Education), a customized version of the National Library of Medicine's MEDLINE database, daily medical news, major conference coverage, and drug information—including a drug database (Medscape Drug Reference, or MDR) and drug interaction checker. All content in Medscape is available free of charge for…

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