Viewing blog posts categorized under "Recovery"

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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Physiology of Binge Eating and What Motivates Us

posted by Julie O'Toole on January 26, 2013 at 2:26am

On the recommendation of Dr. Rod McClymont, of the Center for Eating and Dieting Disorders, Bathurst, Australia, I have been reading a new book, Animal Models of Eating Disorders (Humana Press 2013) edited by Nicole Avena.  The second chapter, by Mary M Boggiano Ph.D., stopped me in my tracks:  “Binge-Prone Versus Binge-Resistant Rats”.

Don’t laugh.  We are mammals; they are mammals.  We study rats to understand the physiology of cancer.  We study rats to understand the physiology of…

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weight gain and percentiles after weight restoration

posted by Julie O'Toole on December 21, 2012 at 9:56pm

I was recently asked an important question which I was unable to address during my breakout workshop at this year's FEAST Symposium 2012.

The question: does a child who has completed their height growth need to continue to gain weight in order to stay on the same growth percentile “line” until they are 20 years old?

A glance at an average growth chart for girls shows a flattening out of the height curves somewhere around age 15.  This is because the average Caucasian girl achieves…

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Congressional Presentation, November 29, 2012

posted by Julie O'Toole on December 8, 2012 at 2:01am

On Thursday November 29th I went with Laura Collins and the FEAST team to give "testimony" to congressional staffers about the plight of children with anorexia nervosa.  It was an impressive experience to enter the Dirksen building where  many of the senators (including our own Ron Wyden) have their offices.  Senator Schumer (NY) walked past us; the walls and floors were stone and marble and dark wood, the ceilings twenty feet high, the plaster frieze was carved with symbols of the…

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An early warning system for eating disorders

posted by Julie O'Toole on November 2, 2012 at 2:00pm

What would we do without our modern early warning systems?  The terrible weather ravaging New York, New Jersey and all along the East Coast this week has made me reflect a lot on this.  Not only do we at Kartini have treasured colleagues in those places but we also have many patients and former patients there, including one beloved patient currently in a New Jersey hospital.  Our thoughts have been continually with them these past few days.

As terrible as this storm has been, however,…

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Bart Walsh to speak at 20th Annual International Eating Disorder Conference

posted by Julie O'Toole on October 10, 2012 at 1:44am

I am delighted to announce that Bart Walsh, LCSW, Kartini Clinic’s individual and hypnotherapist of many years, will be presenting three workshops at the 20th Annual International Eating Disorder Conference, one of Europe’s leading eating disorders conferences, October 18-20. The conference takes place in the picture perfect alpine village of Alpbach, Austria. Bart's presentations are listed below; hopefully some of you will be able to join him!

Rapid Remission of Eating Disorder…

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Flawed science: scary ramifications

posted by Julie O'Toole on September 29, 2012 at 1:23am

Recently an article was published looking at the caloric intake of children at various ages and the relationship of this intake to their weight.  The article was published in the respected journal Pediatrics and picked up across cyberspace in various medical information processing and reporting sites.  What was not picked up were the little words: “not statistically significant.”

Deeply held beliefs, paradigms, and explanations of the world that make intuitive sense whether or not…

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One more reason to make the diagnosis early

posted by Julie O'Toole on September 7, 2012 at 3:00pm

And one more reason to make the diagnosis early

Professor Richard Crandall of Reed College, himself a renowned scientist, sent me an article he thought I might be interested in.  I have to say, after I read it I was dismayed on several levels.  Read it yourself and see.  The original source is the British Journal of Opthalmology.

The first level of my distress is that I had not known about this complication before.  While it is obvious that anorexia nervosa and attendant starvation is…

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Proud of her

posted by Julie O'Toole on August 10, 2012 at 3:00pm

Today I was seeing a young patient who had just been cleared to resume her sport activities.  At the start of the appointment she was nearly trembling with anxiety, for the results of her labs were to determine whether or not the timing was right for her to return to volleyball.  Fortunately (for all concerned!) the labs were good and I could clear her.

“But I still need to know something,” her dad said nervously “Honey, how will we know if your eating disorder is returning as a…

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What helps children with anorexia nervosa gain weight?

posted by Julie O'Toole on June 22, 2012 at 3:00pm

What helps children with anorexia nervosa gain weight?  How can you tell whose child will do well and whose may not?  Can you tell?

At Kartini Clinic we have always felt that three factors determine outcome in children with anorexia nervosa:  

  1. severity of illness  
  2. parental unity with treatment team 
  3. parental ability to enforce the meal plan/re-nutrition.  


And of those three, we think we have noticed over the years that #2 and #3 can trump severity of illness.  In other words, even…

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