Viewing blog posts tagged with "Eating Disorders"

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

What To Do With An Affected Parent?

posted by Julie O'Toole on November 5, 2014 at 9:15am
This blog is asking for help from those of you who have a child with anorexia nervosa but who may have experienced an eating disorder yourself. Any clinic or provider who treats pediatric eating disorders will sooner or later see children whose families have more than one affected (or partially affected) family member. This is the fancy way of saying that when you do a careful history you are likely to find other family members who have eating disorders in addition to the child.… Read More

Eating Junk

posted by Julie O'Toole on June 26, 2014 at 1:12am

Recently a patient of ours returned from a treatment setting where she had been presented with “challenge foods”.  In her case she had been given cheetos and soda pop.  Now I ask you, why on earth would someone encourage a child to eat such a thing?

A lot of ink has been spilled on teaching Americans in general and children in particular to make good food choices.  Just because you have anorexia nervosa as a child, and desperately need to gain and maintain adequate weight, does not…

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Can My Child Get Well?

posted by Julie O'Toole on May 14, 2014 at 11:52pm

I am asked this nearly every week by one parent or another, and I answer reflexively “of course”.  In order to do what we do at Kartini Clinic we have to believe our patients can get well, that our efforts and the herculean efforts of the parents can be rewarded.  There are no guarantees in life, but there needs to be hope.  Hope based on real evidence.

It is true that some patients with eating disorders never do get well.  They experience a lifetime of disability and mental illness.…

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Levels of Care

posted by Julie O'Toole on April 17, 2014 at 2:49am

At Kartini Clinic our evolution to the current levels of care we offer has been a long one.  In the first days of the clinic we offered only inpatient (hospital rounds for medical stabilization) and outpatient care.  In 2000 we developed the day treatment (partial hospital) level of care.  This was a big step forward and allowed us to “gently land” patients, who required brief medical stabilization in hospital, to a lower level of care. In day treatment, such patients could get a lot…

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FEAST 2014 and Weight Restoration 2.0

posted by Julie O'Toole on February 5, 2014 at 11:44pm

Morgan and I just returned from the parent-founded and parent-lead F.E.A.S.T. conference, familiar to many of you as an online resource for parents whose children are struggling with an eating disorder.

The conference lasted two days, and we spoke at noon on the second day, to a group of (mainly) parents and a few activist providers.  The following comments are just some of my personal impressions, not necessarily shared by anyone else.

The keynote speaker was Laura Hill, PhD.,…

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Quiet hero, mother, activist dear Charlotte

posted by Julie O'Toole on January 16, 2014 at 2:22am

This is the second time I have blogged about a mother named Charlotte and her brave, sassy and in-your-face crusade to find great care and justice for children with eating disorders.

Only this time it is not only to sing her praise but to mourn her death.

On the website she founded to promote Charlotte’s helix. her bio reads: “Charlotte Bevan is the youngest of three, the mother of two and the wife of a farmer, but definitely not a farmer's wife.  She left school with barely a…

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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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Thank you for this patient

posted by Julie O'Toole on January 1, 2014 at 3:23am

In my life as a pediatrician I have twice now had the astonishing, humbling and even joyous experience I am about to relate.  Only twice.

The first time was many years ago when I was a younger doctor.  I had recently moved to Portland and joined a busy general pediatrics office as the first (and only) female.  It was a busy practice, with each of us seeing about 30 patients a day.  One Friday, after an exhausting week, the nurse handed me the afternoon’s schedule and said “the last…

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Appeasing The Monster

posted by Julie O'Toole on December 18, 2013 at 11:55pm

Some blog topics draw in a continuous trickle of commentary long after they've been published.  One such blog is entitled “Determining Ideal Body Weight”. And little wonder.

 

The other day I answered a comment by a young reader named Charlotte. It started me thinking how urgent her question might be for others who may not have read the original blog (or at least not for some time).  Charlotte wrote:

"I am an 18 year old female with a history of initially EDNOS and then AN B/P…

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