• May5

    This week I have been teaching the first week of the first clinical elective in culinary medicine in a U.S. Medical School (in Santa Barbara: I love it when students create special circumstances outside of their curriculum). Michael Roizen and I taught the first clinical cooking and nutrition 2 week course onsite at SUNY-Upstate, in winter, and we might have called it culinary medicine, but didn’t. What a blast!

    Other than Des Moines University School of Osteopathic Medicine, I think only Tulane offers an elective in culinary medicine (to first and second year students: they have a super well-endowed teaching kitchen and a supportive dean…so glad they’re doing it.) My alma mater Baylor ColleDay 1 culinary medicine curriculumge of Medicine offers a CHEF elective (a series of cooking classes) to basic science students, as has the University of Maryland, the University of Massachusetts and Vanderbilt. There’s even been a culinary competition at Stanford among med students.

    Culinary medicine means blending the art of cooking and the culinary arts with the science and practice of medicine, and aims to offer delicious menus, recipes, habits and research findings which prevent and treat disease.

    So we’ve spent this week reviewing its basic culinary applications (cooking, shopping, eating, menu design, recipe planning, gardening and eating) with basic medical science (nutrition, physiology, chemistry…and plant and animal nutrition, physiology and chemistry, and their interactions).

    We also looked at the impact of hunger in the community, and efforts to combat hunger, obesity, and their derivative illnesses, especially in underpriviliged and medically indigent populations. We’re using my ChefMD’s Big Book of Culinary Medicine as a primary text, and supplementing with many peer-reviewed articles, websites and recommended apps. I’d like to offer the latter on prescription slips for clinicians, if there is interest.

    Here for example is Day 1: it started with Alice Waters giving a talk on the importance of integration of culinary skill at all levels (I moderated the dialogue afterwards, at UCSB’s Campbell Hall: also a blast); and then, as you can see from my day 1 handwritten curriculum, we moved to scientific paper and book analyses, seeing patients, and visiting the hospital gift shop, where we found food for sale.

    Hospital Gift Shop Food for Sale, Cash Regiester

    We then met up with the hospital’s culinary director (with whom I arranged a rotation, to see what really goes on in a conscious hospital’s kitchen), and mentioned the treats, left: rice krispies, brownies, more.

    They’re working on getting healthier food all around, he said, but people like them…he only had so much say-so.  (Really?  I thought)(The hospital has come a long way in a short time)(It used to offer cheeseburgers after coronary bypass)(Next month, maybe).

    We then cooked for a full day, working on knife skills, the relationship between the garden, orchard, apiary and the kitchen, and creating an entire menu of beverage, appetizer and entree, largely from onsite organic produce.  Below is the Rincon Hass Guacamole with Pink Lemonade Zest and Wild Radish Flowers (below, right).

    Culinary Medicine Guacamole: Senior Elective

    There were no lacerations, I’m happy to report, and we’re entering week 2: stay tuned!

    Balancing flavor in a dish; roasting, steaming and grilling; appropriate communication techniques with patients aiming to solve common problems such as obesity and hypertension; and  an extensive farmer’s market tour with teaching about nutritional content are upcoming.

    Now it’s off to speak to the Next Generation Summit on “The Biology of Weight and Why Women are the Key”: looking forward to these bright entrepreneurs and their ideas.

    This short talk is a tad longer than my The Biology of Weight: What Men Need to Lose the Gut at SXSW which I gave in March.

    I focus both of these talks down into a simple get strong and healthy plan for men in “Refuel”, coming at the end of the year: sneak peek: http://RefuelMen.com

     

     

     

     

     

     

     

     

     

     

     
  • Sep4

    The Annals of Internal Medicine report on the nutritional value of organics is being misinterpreted as “organics have no benefits.

    That’s not what this study of studies showed (and no authors reported a conflict of interest, though their individual funding is not listed: bias exists in scientific publications too).

    The report from Stanford showed that organic foods reduce “consumers’ exposure to pesticide residues and to bacteria-resistant to antibiotics.”  Not to mention boosting omega-3s and phenol (antioxidant) content…the up side.

    If those are not health benefits, I don’t know one when I see one. I do know lots of people who would rather go to the grocery store or farmer’s market than the doctor.

    Here’s what I told Guideposts Magazine several years ago on which foods to buy organic: it’s less than a minute, but makes the points clearly. Do you think I got it right?

     
  • Nov23

    From Babble.com: http://www.babble.com/CS/blogs/strollerderby/archive/tags/BPA/default.aspxSoup is good food. It’s especially good for weight loss. Bob Barnett and Barbara Rolls based the best-selling Volumetrics around the idea that dishes low in calories (i.e., lots of water) and slow-to-eat (i.e., soup!) were the best for losing weight. There’s something to that.

    It’s a cruel paradox, then, that a new JAMA report on BPA shows a level 12x higher (a 1200 percent increase) in eaters 12 hours after they ate 12 ounces of any of 5 Progresso canned vegetable soups, than when they ate homemade vegetable soup.

    It is little known that the obesity epidemic coincides with a similarly linear increase in industrial chemicals–endocrine disruptors that act as estrogens in the body–over the past decades.  Coincidence? I doubt it.

    BPA may be stored in fat.  It interacts with a thyroid hormone receptor, potentially slowing metabolism.  BPA acts as a weak estrogen in the body, causing men to lose some ability to build muscle and metabolize sugar. In the lab and in animals, BPA acts as an androgen receptor antagonist. Men need testosterone to build muscle and keep weight off. In all adults, BPA is associated with heart disease and diabetes.

    Why do we have BPA? It protects plastics and prevents the inside of cans from rusting. But it may also prevent you from losing weight.

    Are there canned alternatives? Yes: you can buy BPA-free Eden beans, Crown Prince salmon and Muir Glen tomatoes; you can buy BPA-free Earth’s Best baby food and travel mugs; you can buy BPA-free espresso makers and jet soda makers.

    But there is no alternative to knowing what’s in your food, and to beginning to look at how what’s in your food changes your weight.

     
  • 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.

     
  • May25

    Food with packaging…so convenient, so easy, so iffy.

    Bisphenol A (BPA) and phthalates (especially DEHP) are endocrine disruptors, especially of male hormone levels.  BPA and phtalates are found in plastics that touch your food and beverages.

    The FDA is trying to reduce consumer exposure to BPA. Canada has declared BPA toxic and outlawed its use in baby bottles; so have China and several European countries.

    30 U.S. states have legislation pending or have banned BPA use in kids foods.

    In Celiac disease, gluten is the culprit and gluten-free food.

    In BPA toxicity, canned food (linings), plastic water bottles and wrap, microwaved plastics and plastic utensils are the culprits.

    I taped a video news release about BPA, because I think it’s an important issue.

    Fresh foods, stainless steel water bottles, certain nonleaching plastics (#s 2, 4 and 5) glass containers and stainless steel, ceramic and cast iron cookware are the cure–together with home cooking.

    In a small BPA study of food packaging of 5 families, just 3 days of home cooking without plastics dropped BPA levels by 66%. Those levels bounced back up once the families went back to their ordinary eating.

    Less food packaging, less soda and fewer frozen dinners, more glass, ceramic and stainless steel, the better chance you have of maintaining a normal hormone levels, protecting your family and avoiding BPA.