Archives

Love Is Love

The dog days of summer barked outside, but inside was chill at Juices for Life, in the Bronx, where Love is Love.

Yes, it was hot. The day when summer first reminds us what really hot is after initially just gloriously warming us up. But, I was on a mission and was not to be deterred. It had already been a year or more since I learned that two hip-hop musicians had opened some juice bars in low-resourced neighborhoods–in Yonkers, the Bronx, and most recently in Brooklyn.

Music coupled with a healthy eating initiative ignited by love sings to my soul. So when this came to my awareness, I was determined to pay a visit to one of their Juices for Life businesses, and an opportunity had finally presented itself.

IMG_4402

Juices for Life

Styles P with Jada’s Kiss, cool inflammation’s heat with nature’s nectars. 

To start with, I had to know who were these guys, Styles P, and Jadakiss? To find out meant calling my son. Once again, he would need to rescue his unhip mother. Apparently, these two Yonker’s natives were founding bandmembers of The Lox. Their hip-hop careers began back in 1994–who knew–while they were still in their teens. Along the way, Styles P abandoned the smoked salmon with bagel and cream cheese and ascribed to a vegan lifestyle–including the preparation of vegetable juices. This he credits for a transformative change in his health and mindset. Jada Kiss was thus also inspired.

In this must-see video, the artists explain that they are constantly asked to invest in various ventures and why they chose to bring healthy food to the hood, committing themselves to access and education. In other interviews, Style P’s message is also infused with his concern for families–with an emphasis on children and elders. And, he urges people to begin finding ways to juice and blend at home.

Finally, the time had come. In the video, a man says that if you don’t know who Styles P and Jadakiss are, then you must be living under a rock. So, a few weeks ago I shoved my rock aside and headed down to Manhattan to visit my son. I’d forewarned him that on the agenda was an outing to the juice bar in the Castle Hill neighborhood in the Bronx. While we’d discussed this before, he was a little surprised that I was really serious.

Off we went and headed deep into the subterranean underbelly of the sweltering city to catch the first subway. Whatever air there was down there was thick and heavy, and the wait for the train on the crowded platform was trying. But things got better as we transferred to the Uptown 6, which would carry us to our destination. Miraculously, it was an express train, adequately air-conditioned and without too many passengers. The train streamed along, and at the far reaches of its tentacled line, it emerged from underground and rose to its elevated height. I looked out the windows as we crossed the Bronx River and was afforded wide views of the urban industrial landscape.

Exiting the station, we found ourselves in the glaring light and searing heat of early afternoon. As we walked the few blocks down a commercial corridor, the streets were pretty deserted either due to the heat, or that it was a Sunday and many of the businesses were closed.

Filling the cracks of lack, helping people to feel good.

However, once we found ourselves inside Juices for Life things were chill and there was some good energy. The set up was simple. A counter, a cooler filled with produce, shelves filled with protein and nutritional powders, and some stool seating. Initially, there were just a handful of customers, so we were able to take our time reviewing the varied menu of juice, smoothie, and shot options and placing our order. The counter person, Akil, was very friendly, and gladly abided my many questions. I was pretty hip to everything on the menu except for its offerings of sea moss and bark.

Our juices came quickly, and we sat to sip. Suddenly the place filled with a wave of people, including a street detective. There were obvious regulars and newbies alike. A woman told us that the place is usually busy and attributed the lull to the heat. I watched as the juicing staff of three plus the veggie prepper who kept the cooler stocked, choreographed their steps, spinning and dosey-doeing with each other. They moved quickly to fill the orders, loading the whirring juicer and blenders, and gracefully catching and pouring the colorful elixirs. Their Juices for Life company T-shirts reminded that Love Is Love. img_4404.jpg

We stayed for about an hour talking with both staff and customers and sampling some shot concoctions. We learned that both rappers visit the store, but Styles P is there more regularly. A wall plaque honors him for his contribution to the community. The Juices for Life website explains its mission of bringing health to ‘poorer communities’ by ‘letting food be its medicine and medicine be its food’. This is a worthy and deeply profound mission. Freshly prepared juices from a bounty of different vegetables and fruits provide our bodies with an easily assimilated and powerful source of essential nutrients. They are a balm to the nutritional needs of our cells required for optimal health, and a salve to the nutritional abuse and violence these cells have been prey to. It was really beautiful to witness the communal toast of good health that each cup of juice provided to all who were there that day.

Training back, I wondered how viable could such enterprises be. Could juice bars become as ubiquitous as the fast food joints, liquor stores and bodegas that are known to populate such communities? Is the five to six dollar price per glass–which is cheaper than at many similar places–still too much for many to make for a sustainable habit? Or is that cost actually cheaper than many other commonly purchased unhealthy products?

I believe that such initiatives contribute to sowing the seeds of change. And, that education and empowerment will promote changes in disease prevention and the delivery of healthcare. For now, I would love for there to be the opportunity to allow persons who receive SNAP Benefits to be able to redeem them for juices, similar to their expanded acceptance at Farmer’s Markets. Next, I’d like to see juicing kiosks in more places–such as community markets, health clinics, and hospitals. And, and for more cultural icons to use their celebrity to endorse and support health-promoting activities.

To Styles P, Jadakiss, and all those who are making this happen, I thank you. Just one thing, if I may–it looks like you could use an additional juice machine.

And stay posted, my next trip to the city may include a visit to Brooklyn, to check out Francesca Chaney’s Sol Sips.

As always, I’d love to hear your thoughts, ideas, and comments–and to feel your love.

Love Is Love, Elyn

Related Posts: Nutritional Violins, Dance of Diabetes, Where Has All The Produce Gone?

Jadakiss–Why

MyPlate Rap: The dog days of summer barked outside, But inside was chill at Juices for Life, in the Bronx where Love is Love.

And Styles P with Jada’s Kiss, Cool inflammation’s heat with Nature’s nectars, Filling the cracks of lack, Helping people to feel good.  by Elyn

IMG_4400

MyPlate Plate

 

 

 

 

 

 

 

 

 

Advertisements

a meteorological change of plans

A few weeks ago, I received a call from a student at the college where I had once worked. I had been referred to her as a possible presenter for one of the college’s Eating Disorder Awareness Week activities that the campus group Active Minds was organizing. They asked if I would sit on a panel of professionals on the topic.                                                                                      Butterflies, Tree, Colorful, Color, Ease

I reacted with hesitancy. This stemmed from both my reluctance at public speaking and the fact that I had not done much eating disorder counseling in recent years. And besides, it had been a decade since I served as the Campus Nutritionist.

Still, the chance to participate did call to me. I had dedicated much energy to eating disorder support and other nutritional matters while I was there and still was invested in the cause. After clearing a few details, I offered and agreed to come to the front of the room, not to proffer any specific nutritional strategies, but rather to share my perspectives gleaned from my particular role during four years at this small liberal arts college. I still cherish the time I spent there holding space with so many impressive young adults as they figuratively shifted their seats from the kids’ table to the grown-ups’ one–some more easily than others. The college years are a very vulnerable time for many who pass through them–and, not coincidentally, span the ages when most eating disorders begin.

In preparation for the event, I gathered my thoughts and made some notes for my talking points. Various students I worked with came to mind. They represented the collective of all the forms of eating disorders and disordered types of eating–anorexia nervosa, bulimia nervosa, exercise bulimia, binge eating disorders, stress-induced eating, and orthorexia–an obsession with healthy eating. I tried to recall if orthorexia had even been recognized by the early 2000’s–apparently, it was only coined in 1998–but I encountered it frequently.

I remembered the athletes, the dancers, the student leaders, the artists, and the none of the above. Mainly they were female, with just a handful of males seeking help. Many, ready for graduation while I was there, graduated–and I attended a number of end of year ceremonies. Some did not. There were those who required leaves of absence–from which a few did not return. And, if they did, a close eye on their progress was necessary. Though no cases of eating disorders are easy to manage, I recalled the “really difficult” ones–those which forced immediate hospitalization, panicked roommates and friends and challenged the health providers (and administrators) trying to keep a declining student on campus so they could just finish their education. This was messy. And, the more remote campus bathrooms known to be frequented by those that purged were messy too.

While it was presumed that students would stay active in their physical and emotional care by making and keeping appointments, there was sometimes little to prevent them from elusively slipping out of reach. And, with the prevalence of eating disorders on college campuses estimated to be between about 10-20% for females and 4-10% for males (if not higher), it was certain that there were many who did have disorders that were not receiving any treatment. Eating disorders are masters of disguise.

Despite a significant degree of infirmity, I was continuously amazed at how these high achieving students pushed through at high levels of academic, athletic and/or creative performance. Such success did not equate with health. While everyone does their best, and there are models of care, colleges are not fully equipped to handle these serious disorders, medical illnesses, which breed on their campuses–the mental health conditions with the highest level of mortality.

Remembering both the intensity and tenderness of my time with these students helped me to shape what I would want to share with this current cohort, this next in line generation capable of making some serious change in our world. Nothing necessarily earth-shaking or profoundly professional–just the observations of someone who was up close and personal. Could I possibly impart some, dare I say, wisdom or reflection that might resonate or maybe have some impact on this vulnerable cohort? Well, I was prepared to give it a shot and looked forward to the event.

However, first thing yesterday morning, the day of the event, my phone rang. A monster nor’easter was pummeling the East Coast, dropping a fair amount of snow in our area. The panel would be canceled. Though there was a small touch of relief that I would not have to contend with treacherous roads, I had to process the loss of this opportunity. Not only had I readied myself, but I was eager to hear what the other professionals–mental health clinicians–had to say, and what the audience of students, and possibly faculty or other staff members, wished to ask, as well as to expose or express.

Left alone with my floating ideas, I realized I could deposit them here in my little blog which has been suffering its own neglect. And, I will do so, in a follow-up post. (In the meantime you can visit my previous related posts: Stopping Traffic, Dolls with Faith, Muse of the Girl and Nourish Thyself Well Day.)

In reminiscing, I realized that those who I strove to help nourish during my years at the college, would now be in their early to mid-thirties. Recovery from eating disorders is definitely achievable, and relative to various factors, but not all who suffer are successful. I hope those whose lives touched mine, and who that campus had nurtured in various ways, did emerge from their chrysalis to become the beautiful butterflies they were meant to be. I pray they are doing OK.

Thanks to those who continue to carry the flame.

Most sincerely yours, Elyn

my plate

MyPlate Plate

MyPlate Expression: My great fortune was in meeting people who understood my strange interior life, without judgment and who, at a time when I didn’t feel there was anything to live for, were there to lend me their vision and pull me through the grueling journey of recovery. I’d never been afraid of hard work and perhaps it’s that work ethic that finally worked for me rather than against me.–Excerpted from individuals’ stories of recovery from the book, The Secret Language of Eating Disorders by Peggy Claude-Pierre.

 

The Google Drool

The Google Drool. This is the reaction we may have upon learning about the employee perks at companies like Google, Facebook, and other big startup or tech companies. We may find spit running down our chins when hearing about such things as barista-staffed coffee bars, top-level chef-prepared fare at various campus restaurants, snack bars arranged to foster healthy choices–not to mention arcade game, bowling and ping-pong rooms, mid-day yoga and fitness classes, shower rooms with provided towels, lava lamp decor, and even the ability to bring one’s dog to work!                                                       Orange, Office, Fruit, Juicy, Food, Ripe

Tucked behind the big and small amenities that these large and hip companies are able to provide is a strong employer commitment to employee well- being. Clearly, these business savvy entrepreneurs have recognized the value of recruiting and having happy and healthy workers–and while floating in the tech bubble–have taken time to figure out what promotes such benefit.

For those of us living outside the Google Universe, we may consider ourselves lucky just to have a coffee maker, a vending machine, and maybe a water dispenser; and are giddy when someone brings in a box of donuts to start the day. That’s OK we say. We’ll trudge into work daily loaded down with our necessary sustenance carried in various totes, or use our precious lunch breaks–which we are not paid for–to frantically run out for a sandwich or slice of pizza. We’ll rush to the gym before or after work, if at all, and stuff that soggy or soaked towel back in our bag. We’ll come to work sick because we don’t have sufficient–if any–health care benefits or sick days.

While it may be unrealistic to presume that every business, workplace or employer could even provide a modicum of the level of benefits and types of environments like the Google-type giants, it can still be an important exercise to step back and consider what changes could be implemented in one’s specific setting to enhance the well-being of those who work there–dedicating a big chunk of both their lifetime and energy on another’s behalf.

With the serious state of health care in our nation, and the associated high costs of health insurance premiums burdening both the business sector and individuals, governmental and private entities are trying to find solutions to the problems associated with an increasingly unhealthy populace. While we sit and wait for that to happen, what are some ways employment sites can, on their own, support the health and well-being of the hard-working masses with some small homeopathic doses of supportive care?

If you are responsible for or can affect workplace environments, here are a few little ideas that may just spark the imagination of possibility. They are intended to be relatively easy and hopefully cost permitting. However, each is certainly not applicable or realistic for all settings, in which case, consider them a starting point for what may be for yours.

The Food Culture: The bane of our society. While we seem to understand that what and how we eat really matters, we continuously create apologies for ignoring this, and the workplace is no exception. Foods offered in workplace settings are classically “happy foods”–those which compromise health but which feed the mentality of rewarding everyone for the drudgery at hand. The assumption is that we need these sugary and junk food enticements. But, what if we thought about workplace food as replenishment–and maybe even increased productivity–rather than reward?

  • Beyond the coffee machine, offer a station with a variety of healing teas, good quality water (perhaps an infused water dispenser), a bowl of seasonal fruit or a vegetable platter when possible.
  • Institute Healthy Vending and Healthy Meetings practices. These can send a powerful message to employees, clients and business partners alike.
  • Investigate being a drop-off site for a local Community Supported Agriculture (CSA) program, where local produce boxes are delivered to participants on a weekly basis.
  • Establish relationships with health food vendors and establishments. Hire them to cater any workplace events and see if they can offer an employee discount in return.
  • Model healthy eating behaviors to inspire others.

The Physical Environment: Take a walk around the physical space and look and listen. Well-being can be depleted by a flickering fluorescent bulb, a slamming door, or a moldy carpet. And, it can be enhanced by simple attention.

  • Check to ensure that where possible, the walls are nicely painted, there is nice artwork, and the flooring is comfortable and clean.
  • Soften the internal environment with good lighting, some plants, and relaxing sounds. Consider diffusing essential oils. Create some room to provide employees with a quiet area, and make sure you can accommodate nursing moms with a private lactation area–this is the law in many states.
  • Enhance any outdoor areas so employees can take a walk, do some stretching, take breaks or even do their work.
  • Install a bike rack, a ping-pong table, provide a few pieces of fitness equipment and some yoga mats, and display signage encouraging stair climbing and other health-promoting activities.
  • Make sure that No Smoking policies are strictly enforced and restricted areas are fiercely protected.

The Work Day: Here is where it can get fun to elevate the work day to something a little more special for everyone.

  • Create a “quiet hour” encouraging work in silence to mitigate background noise and foster creative thinking.
  • Create a “movement time” encouraging walking or stretching. Promote a “tag” system where a five-minute movement activity, such as a lap around the building is passed from one employee to the next. There can be “play time” as well.
  • Review human resources policies. Can any “rules” be re-visited to ensure they promote caring for all rather than preventing abuse by a few? Can flexible leave time replace specified allocations? Are there ways to promote stress reduction simply by reducing punitive leaning policies or by making up your own nice ones?
  • Take advantage of the array of healing arts practitioners and health educators in your community. Create a monthly wellness schedule bringing in various specialists for some mini-sessions. These specialists might be glad to provide discounted pricing to your employees. Reward dedicated (and lousy) employees with a healing art or healthy food gift certificate.
  • Offer in-house chair massages. Many local massage schools have students eager to practice their skills for free.

Essentially, once you begin to look at the workplace as an environment for health, the possibilities are many. Become your own Google when it comes to employee perks. Even a small investment might yield some large or unexpected returns. The bottom line: let your employees know that your business is committed to health promotion because you care about them.

I would love to hear your ideas. What workplace health perks have you provided or received? What do you wish for?  Can you bring your dog to work? Please leave me a comment. Oh, and Happy Mother’s Day. Here’s to a kinder and gentler world.

In health, Elyn

quinoa cake

Chickpea Quinoa Cakes

My Plate Haiku:  Two restaurants’ menus/ Surprise me on both to find/ Chickpea Quinoa Cakes. by Elyn

Here’s how to make Chickpea Quinoa Cakes: Hench Herbivore’s Chickpea Quinoa Cakes 

 

 

 

where has all the produce gone?

Perhaps it is due to the recent one year anniversary of the passing of Pete Seeger that has this title coming to mind–but this is something I have been thinking about for a while.

I have had a few experiences lately, where a brilliant idea of mine that I have kept gestating in some corner of my mind, waiting for just the right labor to bring forth, is birthed by someone else–and I read about it somewhere. I hate when that happens, especially as brilliance is not my forte and such ideas are few and far between. And, so now I must act quickly to share–and thus take credit–for these rare flashes of genius. 

As you may know, I have been swimming around in this primordial soup for many years–somewhat akin to, um, yes, let me see, ah yes, the great Soviet biologist Alexander Oparin–father of the primordial soup theory–seeking answers to some of life’s most pressing questions. While Mr. Oparin had been searching for the origin of life on Earth, I am anxious to find a solution to this little problem of sanely feeding the carbon-ignited populace of whom he divined the spark.

I was already concocting my own brilliant idea when a friend sent me this article, Can America Learn to Love Misshapen Veggies? by Elizabeth Segran. It is about the vision of Doug Rauch–the former president of Trader Joe’s– to create markets for oft misshapen produce and other food that might otherwise be headed prematurely and unnecessarily into the waste stream. Having seen the high degree of such waste and the exorbitant cost of such a loss while hunger is rampant in our country, he is experimenting with opening grocery stores that would sell such abandoned produce at low-cost in high-need neighborhoods. He seems to know a thing or two about the grocery business, and I am glad to learn of his concern and his efforts. Maybe he’ll like my idea–it is along the same lines.

You see, kind of like Sisyphus, I am among those dedicated to rolling a giant Hubbard squash up to the top of a mountain, only to have it roll back down again–ceaselessly repeating the effort. Sisyphus’ fate “as much through his passions as through his torture”–is similar to the plight of the modern-day nutritionist. “Eat your vegetables!”, we implore. “Three cups a day!” “Eat all the colors of the rainbow!”  We beg, we cajole, we try to be cute. We strive mightily to bring the veggies to the people, but we can’t make them eat. (Horses, on the other hand, accept them rather well.) Undaunted, like Sisyphus, we perforce keep trying.

Albert Camus, in The Myth of Sisyphus states that the gods had condemned Sisyphus to his labor, reasoning that there is no more dreadful punishment than futile and hopeless labor. But, he continues, “If one believes Homer, Sisyphus was the wisest and most prudent of mortals.” Ah! My personal interpretation of the text provides some vindication for our insanity.

Vegetables can be daunting to buy, prepare and cook. They can be expensive. When they go bad they look quite sad. Certain vegetables require strong muscles, a good set of sharp knives, and a certain finesse to commandeer properly. As a food group they are complex and complicated, and many times a relationship with them must be carefully nurtured. Some challenge the taste buds with a propensity to be bitter or earthy. Plus, they often carry baggage from our collective childhoods.

But, they are so gooooood! And, rich in vitamins, minerals, fiber, Omega-3s, enzymes and phytonutrients to help our hearts, bones, skin, hydration, and mood–they are good for us! The benefits of a plant-rich diet are well established, and with so many different types, including what I might like to think of as a starter kit vegetables for the disinclined, there are plenty for all to enjoy and benefit from–in spite of early experiences. But, with so many real and perceived obstacles, to the chagrin of Mr. Rauch and myself–many march needlessly to their unconsumed demise, after much time, love, care, and commitment were dedicated to their growth by hard-working farmers. Some, just because they do not meet the standard definition of beauty.

So, my basic idea is this: In an effort funded and supported by health care collaborations, corporate and/or governmental subsidies–grocery stores, and other appropriate establishments should create space for the preparation of freshly made, nutrient-blessed vegetable-based juice–oh, and yes, soup–for sale to the public at an affordable cost. Incentives for purchase by SNAP (Supplemental Nutrition Assistance Program formerly known as food stamps) recipients could be implemented, similar to those being offered at Farmer’s Markets. These products can be available year-round in frequented food environments.

Vegetable juices and soups (made with well-prepared broths that can also utilize other ingredients that might otherwise be wasted–such as meat bones) are perhaps the simplest health-promoting and disease-preventing foods available. Increasing the exposure to and ease of access and consumption of these may be a powerful antidote to the scourges of our chronic health ills. Call me naive, but my experience informs me that many appreciate the taste of health–particularly when health has become an elusive concept. Returning health to our food establishments is mildly becoming a not so foreign idea. In my nearby city, a local health insurer and the YMCA has partnered with a food chain–and health classes and services are offered right in the grocery store. And golly, our supermarkets often house pharmacies–so, why not grandma’s penicillin?

The benefits of my little “Primordial Soup and Juice” Program include opportunities to expand vegetable education, improve the visibility of nutrition specialists, eliminate barriers to vegetable purchasing and intake, and affirm the age-old wisdom of food as medicine. Plus, it can contribute to the reduction of food waste and spare the feelings of those poor misshapen vegetables. What well-intentioned juice or soup maker would not warmly welcome them? Right, Mr. Rauch?

Oh, and Pete, Where has all the produce gone? Thirty-one percent of it into the waste stream, everyone. When will we ever learn? When will we ever learn? New verse: Assimilated well into our cells, everyone.

Please drop in and say hello. Any thoughts to help embellish this vision? Send word.

In health, Elyn 

Addendum–March 8, 2015. Just elaborating by suggesting that this idea can be implemented in our schools as well as in all of our subsidized food programs serving both young children and adults in group care facilities.

my plate

My Plate Haiku       Did you really think That you could hide fish in rice?              Oh, the green paste burns!   By a cat            from I Could Pee on This and other poems by cats collected by Francesco Marciuliano

a winning goal

I would feel a little remiss were I to not make mention this year of World Breastfeeding Week (WBW). In previous years I have always made a point to do so. But, it is late. I should already be in bed. Besides, I have to get to work early tomorrow in order to partake in a webinar that is celebrating the week and its important mission. So, I will be more brief than usual. wbw2014-logo-hd

Perhaps after tomorrow’s webinar, I will have something more inspiring or informational to offer with a larger perspective. Tonight, I sit quietly with only my personal experience–the one that reminds me that twenty-six years ago at this very time I was deeply in labor, nestled in my midwife’s quiet birthing room in the foothills of the Catskill Mountains. On the other side of midnight, in the dark of night of the day of my own birthday, my son would make his way into the world. Our breastfeeding relationship would begin immediately thereafter.

But, during that time, the practice of breastfeeding on a larger global scale was diminishing with serious consequences for maternal and child health, with societal and environmental implications as well. In 1981, the World Health Assembly adopted the International Code of the Marketing of Breastmilk Substitutes, to remediate the malnutrition suffered by infants and young children due to the inappropriate marketing of commercial formula.  And, then in 1990, exactly two years after my own bond was formed in connection with the dying art of breastfeeding, the Innocenti Declaration was signed by government policymakers, WHO, UNICEF and other organizations to protect, promote and support breastfeeding. It designated the first week of August as World Breastfeeding Week.

Twenty-four years later, though there have been significant gains made in reversing the declining trend, there is still work to be done. There are also newer nutritional impacts of breastfeeding being investigated as we begin to better understand the myriad functions of the gut microbiome.

This year’s WBW slogan is Breastfeeding: A Winning Goal for Life. I suppose it relates to this year’s Football World Cup. Could that be? That’s a little funny to me because my son has been a soccer player and is a devoted fan of the sport. Though no longer on the field much he is hoping to be working in the field of professional soccer someday. May I also parenthetically add, that throughout and since the World Cup games, I’ve noticed that I have had an almost daily blog reader from Brazil–so apparently not everyone in the country was focused on the sport. A special hello to that reader(s).

The objectives of WBW 2014 are strongly linked to the Millennium Development Goals (MDGs), set by governments and the United Nations to fight poverty and promote healthy and sustainable development in a comprehensive way by 2015. A description of how breastfeeding is linked to the MDGs can be found here. The connections are quite profound.

I am interested to see what I will learn in the course of tomorrow’s session. I will let you know if there is anything particularly interesting. In the meantime, please take a moment if you will and have a look at these powerful photos. They will say much more than my usual thousand words.

In health, Elyn

P.S. The webinar session was yesterday. It was sponsored by the SUNY School of Public Health and entitled, International Code of Marketing of Breastmilk Substitutes and Promoting and Supporting Exclusive Breastfeeding. I applaud the school’s long term commitment to this topic, and recommend the session highly. I believe it will be available soon for viewing online. Dr. Ruth Lawrence, an international breastfeeding authority, and author of Breastfeeding: A Guide for the Medical Profession, whose pioneering work and advocacy for breastfeeding dates back to the 1950s, is on the panel.

In the session I learned about some examples of successful applications as well as egregious violations of the International Code of Marketing.  I also was informed about some exciting outcomes in regard to increasing initiation and exclusivity of breastfeeding in some NYC hospitals and in the Vermont WIC Program due to some dedicated efforts. And, I also learned the term commerciogenic malnutrition. In this context it referred to the marketing of breastmilk substitutes and its impacts on babies, but I may ponder some wider implications as well.

As always, send word, share your thoughts, subscribe and pass along. Thanks.

Today’s MyPlate photo is of the beautiful watermelon cake my office “birthday angel”  made for me to celebrate my birthday! Go make one soon. Send me your MyPlate photo.

Related Posts: Blessed Feeding; To She Who Loves Us Before She Meets Us; Breastfeeding Redux; Oh Mother

photo (3)

Cathy’s Plate

  My Plate Haiku

Are we what we eat

Or do we eat what we are

Are they the same thing?  by Julie

you feed her what?

I asked and have received. In my post, Coming Full Circle, I invited guest writers to my blog. Hillary Savoie has kindly offered this story that deeply reminds how profound, intimate and powerful is the act of feeding ourselves and others. Thank-you, Hillary.

 

The hospital dietitian looks at me surprised, a vague air of concern crossing her face. She’s been called in because the nurse didn’t understand my answer to his question about what Esmé eats.
“Esmé gets a blenderized diet through her g-tube.” I say, slowly. This isn’t my first rodeo, and I know what’s coming.
 “You mean hypoallergenic formula?” Skeptically…
 “No, she’s allergic to the elemental formulas. She gets a blenderized diet. You know, regular food, just blended.”
Hillary and Esme

Hillary and Esmé

 “Ok. But, what’s in it?” Yeah, now she’s clearly nervous.
This is the point at which I get annoyed. I want to say “Food. Food is what’s in it.” I want to ask if she asks every parent what they feed their child or just those of us who feed our kids through a tube. I want to ask if she understands how much time my husband and I spend obsessing over establishing the perfect balance of nutrients…and if we could talk about something substantive instead. Really, I sort of want to ask her to leave, but I know that this might be helpful if I can hang on a bit longer.
Instead, I look her square in the face and say, deadpan: “We blend a mixture of Oreos, Doritos, and Happy Meals, that should be ok right?” Because most three-year-olds have consumed those things. Mine hasn’t. My child eats a textbook healthy diet: good fats, organic foods, lots of veggies, no sugar…balanced beautifully–for her– every day.
Now that I have passive-aggressively made my point, I say, “I have a spreadsheet outlining her diet and all of the nutritional components. Would you like me to email it to you so you can review it?”
“Yes, I will look it over and we can talk in a bit about it.”
An hour later she is back, “This is actually very good, can we discuss a few items in more detail?”
Now I know we’ve reached the point where we might get somewhere…where I might be able to gather some more information about how best to fine-tune her diet and keep Ez healthy. I know the dietician didn’t mean any harm. She probably had no idea that I am the sort of compulsive and nerdy mom that keeps excel spreadsheets monitoring not only Esmé’s nutrition, but also her seizures, meds, input and output. (Although had she read our chart it would likely have been clear).
Here’s the thing, though, having a child who is medically fragile and developmentally delayed involves letting people into all aspects of your parenting. My interactions with Esmé have been obsessively monitored and analyzed almost from the first time I held her. And it gets exhausting…nowhere more so than with regard to her food. Because it still feels like an assault on my very ability to care for my child–to nourish her properly and safely.
And I get it, my daughter is tiny–like below the first percentile tiny. And she’s medically fragile. She obviously needs optimal nutrition…but she is, first and foremost, my daughter. Feeding her properly is one of the most fundamental things I can do to care for her…and over three years of having our feeding choices questioned by people who do not understand the whole picture has just worn me down.
It seems that at some point everyone has had an opinion. But it is rare that someone can actually grasp all of the elements that come into play regarding how we feed Esmé and why we feed her the way we do. The tube part is easy–she was aspirating her food, likely since birth. She developed severe aspiration pneumonia and had cardio-respiratory arrest as a result. There was no choice but to use a feeding tube for Esmé. It saved her life, plain and simple.
Where it gets more complicated is when we discuss what goes into her tube. The majority of children with feeding tubes are fed some form of commercial formula–in our case originally it was a prescription hypo-allergenic elemental formula. I have nothing but gratitude that these life-sustaining formulas exist…they keep so many children healthy and alive. But they are absolutely not the answer for every child with a feeding tube. In Esmé’s case, these formulas make her ill, causing terrible vomiting, retching, and unhealthy weight gain. Unfortunately, no one could have predicted this–and by the time we had sorted it out I no longer had my stockpile of frozen breast milk. So we started looking for alternatives and found that a number of people who are tube-fed eat a blenderized diet. Blenderized diets can include almost any food you can think of–just blended up so that it can pass through the tiny opening in Esmé’s feeding tube.
When we started giving Esmé puréed fruit in her formula as a trial, we immediately noticed a change in her demeanor, frequency of vomiting/reflux, and strength. When brought our findings to our (then) new gastroenterologist at Boston Children’s, I was worried we would be told that we weren’t allowed to do this. That it was a bad idea. And that we should go back to the status quo.
However, fortunately for us, our doctor not only saw the change we saw in Esmé, but she had experience with blenderized diets and she was completely supportive–helping us find resources on how to approach Ezzy’s diet, encouraging us to experiment with mixing in new foods that Ez might be eating by mouth if she was developing typically, brainstorming with us.
But more than that, she was the first doctor who helped us feel as though WE were driving Esmé’s nutrition, that we were the experts in Esmé and that the doctor’s job was to support us. She handed us back control over what went into our child’s body. She helped us feel like Esmé’s parents, rather than medical assistants carrying out doctor’s orders. And, thankfully, it was a fantastic answer for Esmé’s overall health and well-being.
We love making Esmé’s food. It feels like such a basic and caring thing that we can do for her. We wouldn’t do it if she was healthier on formula. But since she is thriving in this way, we truly relish in it, mixing it up every night with love, monitoring how changes affect her.
I’m actually sort of jealous of Esmé’s diet. It’s filled with high-quality veggies, meat, oils, grains, and in pretty astounding variety. And, who knows, maybe an Oreo or two.
Hillary Savoie is Esmé’s mom, the founder of The Cute Syndrome Foundation (www.thecutesyndrome.com), Chief Communication Maman at the Feeding Tube Awareness Foundation, and a recent PhD in Communication and Rhetoric. She also writes a blog about life with Esmé: thecutesyndrome.blogspot.com.  Please check out her important work that is striving to save lives.

In health, Elyn

my plate

my plate

My Plate Haiku

The farmers’ market

Each egg at the dairy stand

A different color.   by Enki

serenity now

In my last post, Peepin’ Out, I described my encounter with some test bags of Doritos Jacked. Since then, I realized that the incident was still bothering me. I am reluctant to write anything more about it because I do not wish to bring any attention to the product. Neither do I wish to linger in its wake. I am sensitive to being in the proximity of things that have bad energy.

I also worry that I drone on too much regarding matters related to junk food. There are so many more interesting things to focus on and write about in this big world of food and eating to which I devote my attention. Should I not be promoting positive messaging and discussing new and wonderful ways to nourish the body and soul? Can’t I just be perky and progressive? I find and follow so many adorable and inspiring blogs. It seems, however, that I have been assigned to the night shift, enlisted to cover the underbelly of the nutritional world. My beat is often in the neighborhoods of the most vulnerable. So, forgive me this further investigation of the matter.

a summer day at uncle bob's

a summer day at uncle bob’s

My mission is to help the masses achieve both physical harmony and emotional bliss as it relates to what we put in our mouths. Teach people to eat right states my job description. Restore the order of things. Ensure that each generation attains a longer lifespan than the previous one. Put back “adult-onset” into the description of Type 2 Diabetes. Decrease health care expenditures on lifestyle-related chronic diseases and save our economy. Oh, and make us all be sleek and slim.

OK, I say as I don my kale green robe and lemony yellow gloves as part of my requisite super nutritionist uniform. How hard can it be? Humankind has achieved many miraculous things. Solutions to myriad problems have been creatively achieved. Hearing and sight have been restored, outer space has been explored, cars will soon no longer require drivers. All I have to do is make people eat more fruits and vegetables. Onward. And then, damn, I am brought to my knees by my arch nemesis–a bag of chips.

Throughout the past few weeks, I have been swimming in the usual news–efforts by some members of Congress to roll back the Healthy, Hunger-Free Kids Act which set higher standards for school lunches, increases in global obesity, the recent opening of the film Fed Up, and gun violence. Amid these stories, I realized I had not gotten over the chip thing.

Initially, I had presumed that the promotion of those test bags was being carried out only in the convenience store where I was–another strategic plan just to annoy me. It then dawned on me that maybe it was actually part of a larger effort and perhaps there was something more I could learn about it. A quick search led me to an online discussion of these new test flavors. Apparently, Frito-Lay/PepsiCo charges customers to help them develop new sensory stimulating ingredient formulations. I also learned that this jacked variety already existed. Yikes. It was already too late then to intervene with a large-scale letter-writing campaign. The chips were already jacked.

What did jacked even mean? None of the definitions I have found seemed really applicable to a snack food. Is it market speak for GMO corn laden with MSG, seven artificial colors, and 140 calories per six chips? Does it refer to the bigger, bolder, and thicker attributes that the angry-looking packaging boasts? Are regular Doritos tiny, meek and scrawny by comparison? I really have no clue about the answers to any of those questions, but I am certain we have been jacked enough–and certainly hijacked when it comes to feeding the citizenry health-sustaining food.

Recently, Olivier de Schutter, the United Nations’ Special Rapporteur (cool title), submitted his final report to the UN Human Rights Council on the right to food.  Mark Bittman summarized the report which “analyzes a food crisis that is international and systemic. It maintains that the will of the citizens and countries of the world can be powerful tools in making a new food system, one that is smart and sustainable and fair and describes that all over the world food systems are being rebuilt from the bottom up. And, it argues for statutory regulation on the marketing of food products.”

It is worth a look at the company link above to see the extreme global reach of these ill-devised products that find their way into the mouths of babes. An article in the recent issue of periodiCALS (the magazine of Cornell University’s College of Agriculture and Life Sciences) discussed current efforts in India to address malnutrition and growth stunting (which affects an estimated 341 million children worldwide). A researcher described the work being done in an extremely remote village that cannot be reached by land transport for three months a year during the rainy season. There, where such problems are endemic, young children are observed buying shining packets of cheese puffs and potato chips. The infiltration of this junk into this far corner of the world is noted. I am not shocked, though I am disturbed.

What motivates the continued development and insidious promotion of these adulterated and manipulated foodstuffs? When do their makers say, enough already? Let’s lay down our guns and claim our pyrrhic victory for the damage has been done and enough money made at the expense of others. I believe it is time to act upon de Schutter’s assessment that, “Many of us have arrived at the conviction that junk food and sugary drinks are like tobacco and deserve to be treated in the same way.”

There are so many wonderful people promoting incredible efforts to nourish the earth and its inhabitants in a kind and gentle manner, intelligently and respectfully. Their work is beginning to make a difference. No jacking required. I hope to highlight some of the amazing, loving and creative initiatives that have come to my attention in some upcoming posts. I am humbled by and grateful for what they are doing. They are making my job easier.

Well, thanks for letting me get this off my chest. As always, your thoughts are welcomed. Let’s welcome summer,  its bounty and those who grace us with its goodness.

In health,

Elyn 

P.S.  Your MyPlate Photo or Haiku can be right here when you send them to me!

Rose's Plate

Rose’s Plate

MyPlate Haiku

Pick your own today,

Happy kids in wide-brimmed hats,

Sweet summertime fruit.   by Nan