• Oct17

    I believe there is a national movement to help you get stronger, leaner and healthier with what you eat.  Knowing what’s in your food, and how it can help you get well or make you sick are the most important steps you can take to transform your life.

    So it was my recent experience in New York City, with Dr. Oz: there, in 3 TV segments over 25 minutes (it airs 10.18.12) and is online. I demonstrated and described the medical magic of

    a. chicken, antibiotic free
    b. oyster sauce
    c. arugula
    d. lime
    e. pumpkin, both fresh and canned
    f.  bulgur
    g. black pepper and oregano
    h. concord grapes
    i. red wine

    I also described how and why hospital food has to change to prevent disease instead of cause it, and medical education as well, and gave my simple acronym of BITES™ of foods you should eat every week. The Little Bites part of my ChefMD book is everyone’s favorite part.

    Boosting immunity and reducing risk for cancer with what you eat is powerful. Obesity is probably the most important cause of cancer, equivalent now with smoking.

    So is the idea that you can do this by choosing the right foods for you that work for you, because of how they work and how they make you feel. I’ll do two up-to-30-minute public tweet-ups about this and the show, 10.18.12 at 4pm EST and 4pm PST with the hashtag #DrJLPapproved: I’m at http://twitter.com/johnlapuma. Please join!

    We used culinary medical tools on the Show: a blender (VitaMix!), a microplane zester (essential creating zest and capturing the phytonutrients in the skin) and a wine aerator (to bring up flavor and aroma in red wines, regardless of price point).  Plus my great Santoku knife for opening and roasting that pumpkin.

    Finally, we made a simple, marinated-for-a-moment (Chris Kimball is right: short marinades of very lean meats especially are as effective as long ones) anxiety-reducing, easy recipe: Honeyed Chinese Chicken.

    You can get the recipe, free, when you sign up for my still-free newsletter, sent once or twice a month, full of information, recommended products and tips, exclusive subscriber benefits, plus more on BITES™.

    Lab and human studies show reduction in cortisol levels (the stress hormone) with chicken essence and bonito broth consumption, and this anxiety-reducing recipe has both.

    But it might actually reduce anxiety because it is so easy and quick, tastes even better the next day and because you can make it in quantity and save it.

    This week and next I teach two nutrition and cooking classes at the Santa Barbara Healing Sanctuary–a beautiful residential wellness retreat for those trying to make sense of how their bodies work and can work better–even heal.

    Yesterday I taught knife skills: I love doing this, and everyone practiced well. (Btw, the best chef’s knife for most people is a smaller, well-made, easy to use and a Santoku, and a paired, greater hardness steel: my favorite Victorinox here, on Amazon).

    I lead a tour of sustainably grown citrus trees: mandarins, lemons and navel oranges, and looked at leaves, trunk and fruit; the processes of growth in these trees all parallel the human body. How they ripen and protect fruit, fight off invaders, and sustain growth. I love doing this too.

    We tasted a tangerine and a lemon, and interestingly, the people with GERD felt better (interesting, as acidic foods have been shown to be alkalinizing in the body).

    We discussed each person’s experience with food and their health conditions, and they varied widely, from thinking it was everything, to loving to cook, to hating it, to not thinking much about it or its relevance.

    We touched on supplements, as multivitamins reduce total cancer in men, especially those with a parental history of cancer, and magnesium is a mineral most people are deficient in, is critical to normal muscle, nerve and cardiac function and regulates normal blood sugar, blood pressure and immune function.

    Everyone had questions, including a recommended multivitamin.

    Cooking and choosing well are fun, but they are also work–fabulous, life-filling work that is rewarded not only by dinner, but by the feeling that you can be in control of your life and health.

    And in an era in which the wrong food or medicine can make you sick in hidden ways, that’s life-changing.

     
  • Sep26

    I recently agreed to be a mentor for Blueprint Health, a NYC residential program that helps very early stage health technology companies get started. With everything I have going on, why this new role?

    One, I get to hang out with the other healthcare mentors. And two, I get to teach.

    Teaching is not just a way to share what I know, but a way to learn. It helps me find out what I really think about new subjects, and make the next leaps to help my business.

    Teaching is one of the most overlooked roles at a start-up. Medicine revolves around the concept of continual investigation and teaching.

    Every day, residents and attending physicians do “rounds” on patients, which are both teaching and modeling sessions.

    Imagine if at your business, your managers at your company spent 10 minutes presenting a new concept or recent article to employees.

    In medicine, everyone is expected to teach, from medical students to attending physicians. I still look at most of my own roles that way.

    My first love in medicine is medical ethics, and my most important mentor is Mark Siegler, MD. Mark recently accepted the leadership of the newly endowed, with a $43 million gift, University of Chicago’s Bucksbaum Institute for Clinical Excellence, which focuses on the MD-Patient relationship. Mark is a superb teacher.

    Companies at the intersection of health and technology that can provide a blueprint for the next generation to do it better will be leaders.  Blueprint will provide teams with $20,000, office space and mentorship for 3 months. The program begins January 9.  Apply now.

     
  • Apr6

    Return-to-work (RTW) coordination programs are successful in reducing long-term work disability.  But they vary a lot from one employer to the next.

    What doesn’t vary is why employers undertake them: to save money and boost productivity.  And they do save money: 94% of savings coming from reduced medical expenditures, with even a modest effort at coordination.

    Coordination is the key–not medical training or medical assessment. Caring, job accommodation, communication and conflict resolution are part of successful RTW coordination. It’s about problem solving much more than diagnosis and treatment.

    It’s well known that a brief psychological intervention can reframe a person’s impression of the heart attack they just had, and make it less severe: fonder, in a way.

    It’s less well known that functional restoration significantly and consistently reduces sick-leave days, much more than for physical therapy for chronic back pain.

    Or that cancer interventions for RTW are being seriously studied.

    Absence (short term disability, long term disability, workers’ compensation, Family Medical Leave and absenteeism) is even more of a hot button with job insecurity rampant in America.

    Millions of Americans have lost their jobs, and many of those who have had a long absence want to return to productivity.  And their employers want them to.

    The core questions are “What will most help them do so, cost-effectively?” and “How should employers keep employees healthy and safe at work, so they don’t become disabled?

     
  • Sep28

    New exciting food is the new pharma initiatives seem to be fighting with an equally new governmental crack-down on food with pharma claims.

    Who should you believe?

    On the one hand, Nestle is about to invest $500m in a new company to create food-based solutions to diabetes, obesity, Alzheimers and more.

    I think this is brilliant–Kit-Kats aside–and will bring much of the global interest in the health effects of foods front and center.  And it’s about time.

    On the other hand, the FDA doesn’t like Walgreen’s/CVS/Johnson and Johnson claiming that their mouthwash improves oral health because it contains flouride.  The FTC doesn’t like POM Wonderful’s claims that it improves prostate cancer (or its CEO’s claims that it is “40 percent as effective as Viagra“)…or a dozen other issues in the warning letter.  Cheerios don’t lower cholesterol, Mini-Wheats don’t improve kids attention, and there is more to come.

    How does a consumer make sense of this?  Does food work like medicine, or is it just food?

    I’m going to talk about this, and our way out, at TEDx American Riviera in Santa Barbara next month: the NYTimes covered TEDx talks this weekend. Expect 12 intense and hopefully entertaining minutes.

     
  • Jun4

    Food as medicine has had a long history, but until recently in the U.S., it’s been seen as a sort of fringe element. A little scruffy, not very tasty, and honestly, a bit weird.

    Foodies often don’t like the idea because food should be about flavor, love, aroma, authenticity, personality and nuance. Or boldness. But certainly not clinical work. Sadly, only 1% of the attendees of the 2010 IACP’s Annual Conference identified themselves as nutritionists (I spoke…it was great!)

    And medical types often don’t like the idea because it seems too squishy, scientifically speaking. Pharmaceuticals are single, usually short-acting chemical compounds honed down to FDA approval. Food is so much more complicated, biochemically, than pharmaceuticals that it’s hard for even the sharpest scientists to identify the single variable which is causing the effect in food.

    And yet, the science has evolved dramatically over the past 15 years. The really great news is that physicians and scientists are getting it, and finally catching up to the public’s interest. Here, for example, is a TED lecture on cancer and food…just what the doctor ordered (culinary medicine, if you will!).