You can probably guess that the obesity epidemic has changed the way medicine is practiced, but you may not know that this change has come about more quickly than doctors have been trained to address it. Ever wonder why doctors are clueless about how to address this problem? Because most of us are as stymied by the problem as the next person. If there was a quick fix, we’d all be better off. But there isn’t, and we’re all in the same boat. Continue reading
Category Archives: Strategies
Enjoy Your Meal, Taste Your Food
I like to think that nourishing oneself is actually pretty basic, and I love Michael Pollan’s famous guidelines: “Eat food. Not too much. Mostly plants.” Instead of forbidding yourself an entire food group, or filling your grocery cart with the latest processed food-like sensation, how about just focusing on the basics? Meals were never meant to be about protein bars, diet sodas, fast food, or drive-thru windows. Meals are for taking a break, catching up, sharing food, experiences, stories. It doesn’t have to be fancy, it just needs to be the point of the exercise. Not eating on the run, for example, but eating for purposes of eating. And I would add one more suggestion — enjoying every bite. Continue reading
Lifestyle Literacy
My colleague, Dr. Caldwell Esselstyn uses the phrase “lifestyle literacy” when he talks about inspiring people to take better care of themselves. Wow! Lifestyle literacy! I like that. I especially like the fact that this makes it into a project that gives you the opportunity to improve. Continue reading
Insulin: Like Money in the Bank
Have you ever considered that the amount of insulin you are capable of making over your lifetime is limited? Maybe your pancreas can make, let’s just call it 1000 pounds worth of insulin, and after that it starts to have trouble keeping up with the demand? What would happen if you used up most of your supply by the time you were 40 or 50? Then what? Then your blood sugars would probably start to rise dramatically, and you would need to start taking medicine, whether to make your remaining insulin work more efficiently, to get your pancreas to make more, or to augment your existing supplies. Continue reading
Practice Makes Progress
Let’s lose the never-enough mindset.
It’s okay if you don’t walk as far as you wish you had.
It’s okay if you don’t stretch for as long as you wish you had.
It’s okay if you ate a bag of chips all by yourself last night.
It’s okay if you didn’t keep a promise you made to yourself.
You tried. And that is always good enough for me. Continue reading
What’s for Breakfast?
I really love snow, and last weekend Northeast Ohio finally got its first real snowstorm of the year. As you might guess, I spent a lot of time last weekend shoveling snow, so I needed a breakfast that provided a lot of fuel. That’s what I want to talk about today. Breakfast. So what’s for breakfast? In a word? Protein. In two words? Nourishing fat. In three words? No stripped carbohydrates. I’m going to share some of my favorite ideas for breakfast, but first I’ll tell you about some of the ways I learned to nourish myself when I was younger and traveling. Continue reading
Just a Few Words About Knife Skills
Lately, I’ve been thinking about knife skills. Not just what they are, but why they are. If you take a cooking class, the chef starts by teaching knife skills, so clearly they are foundational to cooking. But why?
Chef Jim, where I work, taught me once that cutting foods into smaller pieces increases the amount of moisture available for tasting. Moisture serves as a vehicle to carry flavor molecules into your taste buds. The more moisture, the more flavor. And that explains the appeal of my dad’s chopped salad. He chops up lettuce, tomato, onion and other ingredients into very small pieces that markedly increase the amount of flavor (and mix of flavors!) released with every bite. And how does Chef Ira create that magic? With his knife. Continue reading
Black Stockings in Vegas
I presented two talks at a conference on Preventive Medicine in Las Vegas a couple of years ago, and awoke the first morning to discover that my black tights had not made it into the suitcase. This did not jive with my plans to present myself as a black-tights-wearing professional. Ugh. Shortly thereafter, at approximately 6 o’clock in the morning, I left my hotel room in search of a new pair of black tights. Continue reading
Thanksgiving Gratitude
Many years ago, when I was eleven years old, my parents bought a Corning Cooktop stove, a fancy new appliance whose coils remained white when they were hot. You just had to take it on faith — or not. No matter how long I stared at that new stovetop, I could not convince myself that the white coils were hot. And that is why I still remember clearly, so many years later, the perfectly oval burn on the tip of my right index finger. I only touched it once, but that was all it took. I couldn’t take anyone else’s word for it. I needed to see for myself. Continue reading
Food with a Capital F
I am thinking about how to refer to real food, as opposed to the “not-food” that is driving the epidemic of chronic disease that doctors see in our offices day after day. You can approach this problem from any number of angles. Continue reading