Showing posts with label Mental Diarrhea. Show all posts
Showing posts with label Mental Diarrhea. Show all posts

Monday, August 21, 2017

Perfect Hard Boiled Eggs

It can be tricky to know how long to cook your eggs for when hard-boiling them since you can't see the inside. You want the yolk and white to be solid but there should be no discoloring between the yolk and white (that green/black color). If there is discoloring you over-cooked the eggs (you can still eat them - but I know you want to master this so they look pretty!!) This method always works great for me.

1. Use a small sauce pot (I like one that is ~ 3 cups)
2. Place large eggs in pot and cover with water (doesn't need to be hot water)
3. Put on small burner of stove, turn heat to high, set timer for 14-15 minutes
4. When timer goes off, pour out water boiling water and run cold water over eggs for about 20-30 seconds to shock them.
5. Crack eggs on counter top, and gently peel off shell. You will notice that if you can peel the shell with the membrane attached on the inside, then the shell comes off almost all in one piece, if the membrane is not attached to the shell then you end up with a whole bunch of shell fragments which makes peeling more annoying.

ENJOY!!!


Wednesday, May 4, 2016

Healthy Foods on a Budget diagram

Hopefully this diagram I found in a journal that came to my house will help to end the endless discussions in my office over the "high cost" of healthy foods. Most bariatric patients shouldn't be eating more then 1/2-1 cup food at a time - which would cost you roughly $0.45!!!

Wednesday, April 23, 2014

Fun Fact of the Day

Today's fun fact doesn't have anything (really) to do with food but some of the items on the list still need to be 'cooked'.

You thought gas was expensive check out what some of the most valuable/expensive substances in the world will cost you:

Saffron $11.13/gram ($5,040/pound)
Gold $56.73/gram
Methamphetamine $100/gram
Heroin $131/gram (losing market share to meth thanks to Breaking Bad)
Cocaine $215/gram (for the richie rich folks)
LSD $3000/gram (apparently now the even richier rich are slumming it with cocaine they demand LSD instead)
Plutonium $4,000/gram
Diamonds $55,000/gram (making gold look cheap these days!)

Tuesday, January 14, 2014

Interesting take-aways

Some interesting take-aways from the American College of Sports Medicine Annual Meeting 2013 as printed in SCAN - Sports, Cardiovascular and Wellness Nutrition, Winter 2014.

"Bariatric patients need to be educated to both exercise more and sit less. Among 34 post-bariatric surgery patients, only 12% walked more then 10,000 steps/day and on average spent about 10 hours a day sitting."

"Well trained cyclists who took a supplement of freeze-dried fruit-vegetable juice powder for 17 days saw no anti-inflammatory benefits. Exercise itself was more beneficial for immune function then the supplement. These findings make a case for spending less money on antioxidant pills and more money on health club memberships."

"Having arthritis should not be a reason to stop exercising. Exercise actually helps reduce pain and fatigue associated with osteoarthritis and improves one's ability to sit/stand and walk."

"Are commercial recovery drinks better then homemade ones? That's doubtful. A study comparing a fruit smoothie (made with milk, banana and berries) and a commercial product showed similar outcomes for subjects who endured a muscle damaging exercise test. Both recovery drinks were similar in terms of calories, protein and carbohydrate."

Tuesday, November 26, 2013

Fun Fact of the Day

Before 1913, most Americans had no idea what a banana was. Trade of bananas out of Latin America's banana belt did not begin until early in the 20th century. Today, a banana is something that most everyone eats across the generations and 26 pounds of bananas are consumed per person per year in the USA. Bananas have the highest production volume of any fruit and are in the top 5 fruits consumed across the planet (not just the USA!) So enjoy your 'naner' today!

Tuesday, July 30, 2013

Longevity Debate/Debacle

So we established that three things can increase a person's life expectancy: genetics, activity and natural foods - lets explore those in greater detail.

1. Genetics
People like to blame a lot of things on genetics: to short, to fat, to hairy etc etc etc, and whether you like it or not, genetics does play into longevity, and a lot of how we live our lives and how we maintain our weight, also plays into how our genetic makeup is portrayed. We have all heard someone talk about so-and-so who can eat whatever he wants and not gain a pound and said they were 'genetically thin'. If you actually watched that person closely and took stock of their behaviors you would notice a very different picture of what was actually going on. While these people may appear to pick more foods that the general dieting population sees as 'forbidden' they don't tend to eat portions equivalent to their dieting counterparts, their portions are smaller, they enjoy what they are eating but then don't worry about what the next meal will be. Studies have shown that many of these people also have 'nervous ticks or twitches' while in the seated position. A constant moving or pumping leg is the most common, but some tap a finger, sway slightly in the chair, rub their fingers together etc. All of this unconscious movement can burn 500-600 calories/day and unknowingly to them, becomes an integral part of their weight maintenance. The question here is, do these people choose to make these movements or are they genetically or biochemically predisposed to make those movements?

2. Activity
Some people hate the word 'exercise' other people thrive on the endorphin rush that accompanies it. However you choose to move doesn't matter, its that you move which is important. Children have lots of energy and they should be allowed to move around and use up that energy, not sit inside and conduct stationary activities. Remember what the human body was made to do: hunt down and kill things slower and stupider then itself. It wasn't made to run 20 miles without stopping, so why bother try to make it? Just get out there and use your parts for 30-60 minutes/day in random intermittent activity or you are doomed to lose them. Succeeding at activity is all about creating a routine and sticking to it. You have to like either the activity itself or the routine, otherwise either option will fail you. For an example here is my routine M-Th to get myself to work:
  • 4am: alarm goes off
  • I hit the snooze button 1x (yes even I hit it - I hit it every morning its just part of the routine!)
  • Pee and brush teeth
  • Put on workout clothes
  • Go downstairs, set up coffee - two scoops decaf, 1 scoop regular, 6 cups water - hit the start button
  • Run outside if warm, if cold use elliptical, then stretches, pushups, squats, situps
  • Pour mug of coffee to sip on while shower and get ready for work
  • Before leaving house pack breakfast - homemade granola, almond milk or ricotta cheese or NF plain Greek yogurt (I will pick up blueberries and cinnamon in the hospital cafeteria)
  • 6am leave for work
I do this every day - how boring am I? But this works for me. If I was to leave exercising to the end of the day, I would be to tired and not want to do it at all. I do it in the morning because it wakes me up and gives me energy for the day which makes me feel good! You have to make a schedule that works for you AND STICK TO IT!

3. 'Natural' Foods
So the paleo people are on the right track with their lists of which foods to eat and which to stay away from but they take it both to far and not far enough at the same time. They allow you to eat some meats, some fruits and some vegetables - their theory being that you eat what you would have been able to find in the early days of humanity; but they also want to limit the sugar intake and have control over the fat content of food which no Neanderthal was concerned with. That is where they take it to far. Where they don't take it far enough, is that much of the problem with the food source is is actually with the production of it. We spray chemicals on the plants, inject them into the animals, and then add more during processing and packaging. All those chemicals have an effect on your body: how it metabolizes food, absorbs nutrients, provides mental function, conducts cellular repair etc etc etc. Those chemicals can make you feel sluggish so you won't exercise and can harm your genetic makeup giving later generations the 'I have bad genes' excuse. So should you try to eat like you were a Neanderthal? Sure, it can't hurt, but just remember it would be very hard to do so. We don't have dinosaur meat and many of the primitive grasses and berries don't exist anymore. Rather, try to eat only what you could kill or pick off a plant. If you can't grow your food yourself, try to purchase it from a small farmer nearby, chances of him using chemicals to the magnitude of the big guys is slim (read: that doesn't mean he doesn't use them). Try not to buy food products which have been genetically modified (GMO). The change in the plant or animals' DNA makes it very hard for your body to process the food item properly. Is it the worst thing in the world for you to eat wheat? Definitely not, but try to find a wheat product that is non-GMO also, it will have minimal health risks compared to its commercially grown counterparts.

So what does all of this really mean? Well it depends on how you look at it. We want people to live a life full of QUALITY years and if they get a few extra years out of it that is awesome. It will be more time to enjoy their families and friends as long as all of those people follow the same lifestyle routine and can live the same length of time. If we could still ask Great-grandmother Rose, she would undoubtedly say that she doesn't regret living that long, that she got to spend a lot of quality time with the future of her family, but that in the end the pain of watching so many that were so close and so dear to you expire before you, is not worth the extra time. This may all seem contradictory, but in reality that is what health care is. We have the science and technology to keep people mechanically alive far past their appropriate expiration date, but is that what is really appropriate for the population as a whole? Just some 'fat to chew on' so to speak.

Tuesday, July 23, 2013

Longevity - what does it really take?

A dinner conversation last night with my father about my great grandmother sparked some thoughts about longevity and when the Kenny Chesney song 'Don't Blink' blasted through the radio this morning on my way to work, I found it more like fate that I should write about it. What is it about longevity that makes it so sought after and yet so hard for many to obtain? Is it the actual fear of dying, and the unknown about what happens the moment after physical death? Is it a fear about not having enough time to see what one wants to see and do what one wants to do? Is it an unconscious desire for immortality ingrained in our heads from super heroes or ancient mythology? Or is it a primitive desire to pass knowledge about survival from one generation to another? Humans are lucky, in the respect that we get to grow up with past generations of family and keep those bonds, unlike many species who perish after reproduction or cut ties with their young.

But what happens to us on all levels if we can achieve life to late 90s or into the 100 years?

My great grandmother died at 98 of 'unknown causes related to old age' yet she was in perfect health, perfectly mobile, and could see and hear fine. Her mental capacity was perfect: she spoke 5 languages (Arabic, Turkish, Armenian, French, English) and was a master of card games. So why did she die at 98 if she was in perfect health and if MDs at that time (mid-80s) thought she would live for another decade? Those closest to her at that point said, "She just gave up. She outlived 1 of her children, 3 of her grandchildren, her 5 siblings and their spouses, her husband, his 5 siblings and all of their spouses, and all of her friends. What a terrible thing to be the only one left."

So how does one get to 98 years old and still be in perfect health? That is a question which has been driving research for decades and it is combination of efforts. One does need to be genetically inclined to live past the average life expectancy period (read: that doesn't mean your lifestyle can't kill you first), one needs to be active throughout life, and one needs to consume as natural a diet as possible (read: I did not say a fat-free and sugar-free diet, I said 'natural'). Which obviously is very easily said and not so easy to execute. Since this will be a super long if I delve into everything here - we will do a part 2.

Saturday, June 8, 2013

Spring Strawberries!

They're here! I went out to the garden today after the rain cleared up to see how the lettuce faired, and to my surprise about 8 new asparagus staulks had shot up through the dirt during the rain and were ready to pick, and as I gazed just beyong them, I noticed the greenery was speckled with red dots.The strawberries were ready! The first harvest of the year! We currently have wild strawberries growing in our garden, they have basically taken over the back part of it, sprawling beyond the bed barriers, and they have tiny berries but they are so sweet, like little bursts of juicy goodness - similar to what I think an all natural, organic gusher candy would be like (if it were actually possible to make such a thing)! I was thinking as I picked them - these would be perfect bari-strawberries because of their mini size! Hope you all have begun to enjoy the first sign of summer - strawberries!

ENJOY!!

Wednesday, May 1, 2013

Need motivation to exercise?

If you haven't caught spring fever yet with the nice weather (unless you're my buddies still in Denver, in which case you are seeing snow today), and are looking for some motivation to exercise, try using these little fellas to help you. On Saturday, May 4, 2013 at 6pm, Churchill Downs will host one of the oldest ongoing athletic contests in organized sports in this country, the 139th running of the Kentucky Derby, the first leg of the triple crown. Currently, 21 horses are entered to start the race though some might scratch come post time (race time) due to injuries or other issues, but there will not be more then 21 contestants. These 3 year old horses will run just over 1 mile in time between 1min 30 seconds and 2minutes. That time makes the fastest man in the world look like a infant crawling to cross the finish line. However, the jockeys are even more amazing. They will fully dress in their uniform (silks), put on their boots, and with helmet on and saddle in hand, most will weigh in between 100-110 pounds. Then each one will climb aboard an animal that weighs between 1200-1400 pounds, maneuver themselves into a perched position, straddling the horse and balancing by putting each foot in a metal stirrup that is about 2" wide, and in that position they will 'ride' that 1300 pound animal running about 35-40mph for just under 2 minutes, hopefully to cross the finish line first and win a purse for the horse owner of about $1million. Oh and did I mention that the jockey also has to weave in and out of the 20 other horses running at roughly the same speed, more densely packed together then the worst, crowded airport terminal you have ever seen, while perched in that position?

If that doesn't give some desire to go out there and do some strength training I am not sure what will!

Tuesday, April 23, 2013

Local Produce, when is that item actually in season?

Ever wonder when your favorite produce item would actually be available if you could only buy it in season from a local grower? Farm Fresh RI has put together a great map, check it out before you head to the grocery store or farmers' market, you might be shocked to learn that some things really have a very short growing season!

Farm Fresh RI Produce Map

Tuesday, January 8, 2013

Recent Survey

In a recent survey Boston became the drunkest city in the US with its residents averaging 15.75 alcoholic drinks per month.

Do the math on yourself, how do you shape up against your resident competitors?

Monday, November 12, 2012

Weight of the Nation

For anyone who didn't get to see the HBO special: Weight of the Nation - here is the link, courtesy of Miriam & Lifespan.

Weight of the Nation

It runs about 50 minutes. ENJOY!

Thursday, November 1, 2012

Bariatric Surgery Tops the Cleveland Clinic List of Medical Innovations

The Cleveland Clinic (OH) released its yearly list of the top 10 medical innovations for improving patient care. Bariatric Surgery topped the list, not because its new, but because its results have shown that it should be used sooner in the treatment of obesity and not as a last result for comorbidity resolution. Also, for the first time legislation actually made the top 10 cut!

To read more:

Cleveland Clinic News Release

Wednesday, October 17, 2012

Why Conservation Compliance Measures are Important to our Health

This webinar came across my desk from the Healthy Food Action Group ...

WEBINAR

Connecting the Dots: Why Conservation Compliance Measures are Important to our Health

What are the links between the Farm Bill's conservation programs and public health?

Join us Wednesday, October 17, 10:30 am to 11:30 am PDT/1:30 pm to 2:30 pm EDT for a web forum to learn about these critical links and why they are important. While the 2008 Farm Bill has expired, the opportunity to make a difference has not!

Click here to register!

Featuring:


• Ryan Stockwell, National Wildlife Federation,What is Conservation Compliance and why is it essential to our agriculture system and the environment?

• Roni Neff, Johns Hopkins Center for a Livable Future, What does Conservation Compliance have to do with health? Why is cutting this program such a concern?

• Ferd Hoefner, National Sustainable Agriculture Coalition, What are the current policy issues surrounding Conservation Compliance--especially in the light of the Farm Bill's expiration and the many unknowns as we move forward?

• Moderated by Rebecca Klein, Johns Hopkins Center for a Livable Future

This edition of the Healthy Farms Healthy People web forum series is being sponsored and organized by Coalition steering committee member, Johns Hopkins Center for a Livable Future through a grant from the National Wildlife Federation.



Just some of the places your tax $$s go...

Things you won't hear the candidates debate about:

*Last year the federal government spent $1.3million producing pennies (as a fun trivia fact - it costs $0.02 to make 1 penny - that doesn't seem cost effective does it?) and who the heck really uses pennies anymore anyway?

*The federal government gave research grant money to a group studying the attractiveness of female fruit flies to male fruit flies as they age

*In Massachusetts and New York state alone, 2000 dead people continued to receive their food stamp benefits.

Friday, October 5, 2012

Still mad you 'only' lost 1 pound?

I have so many patients who don't believe me when I tell them that fat takes up more volume then muscle - a patient sent me these photos today so I thought I would share them for visual reference. Remember muscle and fat weigh the same (think back to the school reference of 'which weighs more 1 pound of feathers or 1 pound of lead') but the amount of space that pound of muscle takes up is much less. Remember you don't want to be as lite as possible, just as small as possible! Enjoy the long weekend!