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Viewing blog posts categorized under "Nutrition"

Whole Milk and Kartini’s Meal Plan

posted by Julie O'Toole on November 18, 2015 at 3:49pm

I can’t tell you how often a look of horror and surprise crosses parents’ faces when I explain to them that Kartini Clinic’s Meal Plan, in our spirit of real, undoctored (no pun intended) food, uses only full fat dairy products: whole milk, whole milk yogurt, whole milk cottage cheese, etc. “But doctor,” more than one father has said, “I have high cholesterol!”  

“How high?”, I ask. Usually they don’t know, but sometimes say that their doctor told them their cholesterol was “kind of…

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It’s Enough to Make You Crazy

posted by Julie O'Toole on October 2, 2015 at 11:25am

Let’s start with the impetus for my morning study focus: requirements by the American Board of Pediatrics (ABP) for what they call “Maintenance of Certification”.  Those of you reading this who are American physicians know what I mean: we are required to take Board Examinations every ten years, something I have just finished doing (again).  Some of you reading this may be lawyers or therapists—imagine if you had to retake your professional exams every ten years.  I am not talking…

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Wishing Tom Insel Well

posted by Julie O'Toole on September 16, 2015 at 4:35pm

This morning it was announced that Dr. Tom Insel, executive director of the National Institutes of Mental Health (NIMH) since 2002, will be leaving that august institution to join Google (aka Alphabet) in their quest to change the world of health. We have followed Dr. Insel’s blogs and presentations closely for many years on our own Kartini newsletter.

Now that he's leaving I say more power to him (after a moment of panic at the prospect of losing his strong and biology-focused…

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Where Are The Grown-Ups?

posted by Julie O'Toole on August 5, 2015 at 2:00pm

I read an article on Medpage the other day - “Docs have Role in Preventing Childhood Obesity” - about recent recommendations by the American Academy of Pediatrics (AAP), which I found both annoying and discouraging in equal amounts.

First the annoying part: a prominent, almost certainly staged picture of two overweight children with their mouths open, watching TV, a huge spread of take-out food on the coffee table before them.  Who allows their children to be photographed like that?…

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The Suffering of Others

posted by Julie O'Toole on May 8, 2015 at 10:04am

“With what incredible courage we are able to endure the suffering of others” -- My favorite quote from English garden writer Christopher Lloyd.  And nowhere does it apply more than in medicine.  And within the world of medicine, nowhere more than in the world of mental health.

When my neighbor is poor, he deserves it for his sloth and lack of thrift.  When I am poor, I am the victim of unfairness and persecution.  When a young man medicates his abdominal pain with narcotics, he just…

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Obesity: Something You Have, Not Something You Are

posted by Julie O'Toole on April 29, 2015 at 3:32pm

The other day I sent around to our staff at Kartini Clinic an article on the gut microbiome (our intestinal bacteria) which is now thought to have some effect on the increasing rates of obesity worldwide.  This article/video is a discussion between Dr Eric Topol (editor-in-chief of Medscape, and a cardiologist by training) and Dr Martin Blaser, of the Human Microbiome Center.  The article covered new discoveries between increasing rates of human obesity and antibiotics as they affect…

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The Biological Similarities Between Anorexia and Obesity

posted by Morgan O'Toole-Smith on April 15, 2015 at 5:42pm

One thing I believe to have learned over the years is that those readers who are interested in anorexia nervosa seem to have little interest in obesity, which they regard as an lifestyle choice irrelevant to them, while those who study obesity often ask themselves what this rare condition (AN) has to do with their vastly more prevalent (read: important) condition of obesity (OB)? Well, as it turns out, quite a lot.

And by the way, it’s worth repeating at the outset, neither…

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The Surprising Similarities Between Anorexia and Obesity

posted by Julie O'Toole on January 28, 2015 at 10:14am

One thing I've observed over the years is that those readers who are interested in anorexia nervosa seem to have little interest in obesity, which they often seem regard as an lifestyle choice irrelevant to them, while those who study obesity often ask themselves what this rare condition (AN) has to do with their vastly more prevalent (read: important) condition of obesity (OB)? Quite a lot, as it turns out. And by the way, it’s worth repeating at the outset, neither condition is one…

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Taking A Moment To Vent

posted by Julie O'Toole on November 19, 2014 at 9:27am
My good friend and colleague Therese Waterhous, a PhD, RD eating disorder specialist and board member of the parent organization F.E.A.S.T., called me the other day.  She needed to vent, and now, apparently, I do too. It’s not that her annoying experience was rare or new, it’s just the fact that such ignorance persists and that at this point -- given the avalanche of new information about pediatric eating disorders --  such ignorance seems willful. You can update your database.… Read More

Yes, But Where’s The Evidence?

posted by Julie O'Toole on November 13, 2014 at 9:32am
You may have heard me say it before: medicine is as prone to fads as the fashion industry. And worse: tightly held “truths” in medicine can be as entrenched as religious beliefs and providers will respond to being challenged with as much heat and resentment as if you had challenged their religion. Didn’t your grandmother tell you (mine did) to avoid talking politics and religion in polite society? Well… here I go anyway. And sorry for the many citations. If you’re going… Read More
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