What Medical Students Told Me About Nutrition
Sunday, February 18, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Early tomorrow we're traveling to the Great Smokey Mountains of Tennessee to teach for a week at the Wilderness Medical Society medicine elective. I posted about the elective in December.
This year I will teach the medical students the entire curriculum of diving physiology and hyperbaric medicine, and some fun seminars in orthopedics and stretching.
Last year we brought flashlights but no phone, as no cell signal got through there. Before arriving last year, I asked the medical director if we should pack in food. He said, "Not at all, the camp has its own chef." He told us there was plentiful vegetarian food. When we arrived, the breakfasts were sugared, packaged cereal, or sugared processed oatmeal packages, lunchmeats with greasy gloppy potato salad and fruit salad for lunch, meat loaf or other meat for dinner with small sides of vegetables soaked in fat. This is more than innutritious, it is harmful to health. There were many unfermented soy loafs and products. Unfermented soy, popular in protein powders, drinks, bars, and meat substitutes, is not turning out to be healthy as previously thought, and does not have the benefits of fermented soy products. Two previous posts, Is Your Health Food Unhealthy and Exercise is More Important Than Calcium Supplements for Bones explained that unfermented soy is known to slow the thyroid and has estrogen-promoting qualities - increasingly documented to contribute to estrogen-dependent tumors like fibroids, cystic ovary, breast cysts, and endometriosis. Hundreds of thousands of women annually have needless, serious, and painful surgery for conditions they might alleviate by avoiding estrogenic foods and the numerous "women's" supplements sold in "health" food stores. There were plenty of cookies, cakes, and muffins, coffee, and, in fairness, a bowl of fruit.
We were surprised that a medical education program would serve unwholesome food. Should we have been surprised? At the several medical conferences I attend every year, the breakfasts and meals at functions and meetings are bacon or sausage (these are not helpful protein sources; they do more damage than good), cheese Danish, and other junk food. The fruit is served covered with sugar and cream or as a small side. The only vegetables are the decorations. "Break-out" snacks are confections, candy bars, and ice cream. I was once on a committee that decided and promoted national health policy. The box lunches were ham, cheese, and mayonnaise sandwiches on white bread (or processed flour wraps) with a wisp of something green sticking to it, a bag of potato chips, a package of cookies, and a can of soda. I inquired one time about it and was told by the people in charge that it was "perfectly healthy and contained greens." At another conference, I was told they once tried to have healthful food, but were threatened by their physician members with reduced enrollments if they did. These are the physicians and health providers you go to, to safeguard your health. But, they are of the old generation and times have changed, haven't they?
At the Wilderness elective last year, I went believing that the young, "hip," privileged medical students had grown up with all the right information. I queried one student there about the food, and he replied without hesitation that it was no different from what he ate at home because healthy eating, "was too expensive and too time consuming and you need too many special pots and pans to cook that weird healthy stuff." I was taken aback by his misinformation. Several medical students agreed that they couldn't be expected to eat right with their difficult schedules, and that healthful food tastes terrible. Most had candy bars and bags of chips in their packs, or fancy "energy bars," which truthfully, are little more than candy (with unfermented soy and some synthetic vitamins) not the health products that advertising wants us to believe. I always thought that people know what is bad and would be embarrassed if anyone knew they did bad things. But the students didn't know it was unhealthy and flaunted their bad habit. These are the next generation of doctors who will make decisions about your health? Or prescribe drugs and surgery for things they don't know are from bad eating habits?
Our job there as their teachers is to give them information and open doors of insight. But their mind was set, and they did not want to hear how to have easy, inexpensive, and good-tasting healthful food (without needing special pots and pans).
I went to the director, a friend and sensible man, with the great idea to teach a healthful eating course at the next elective. He told me the students wouldn't be interested. I offered the idea to just change the menus to beneficial food at each meal, to live what they learn. The director smiled and told me they had a hard enough time getting enrollments and didn't want anything to decrease numbers. I said, "Don't tell them it's healthy food ahead of time." He winked, "Word would get out!"
I will let you know what happens this year with the students. We're bringing vegetables, fruit, onions, and spices for ourselves. If you're interested in how to make easy, inexpensive, fast, and good-tasting food, see the book Healthy Martial Arts. The interesting information I will be lecturing about this week on diving physiology and hyperbarics, is also on web site books page.
/Addendum: Here is the link to how we did - When Did Health Become Thinking Out Of The Box?
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Read success stories and send your own.
See if your answers are already here - click Fitness Fixer labels, links, archives, and Index.
Limited Class space for personal feedback. Top students may earn certification through DrBookspan.com/Academy. More fun in Dr. Bookspan's Books.
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Labels: fix pain, nutrition, performance enhancing modality, practice of medicine, scuba
7 Comments:
At Sunday, February 18, 2007 1:51:00 PM, Anonymous said…
I read your post re Nutrition Dr Jolie and I would like to comment re how some seem to think it is expensive to eat healthy food, not so and I can speak form experience. I chose to become a vegetarian 18 months ago - no, I do not live on rabbit food as some people seem to think, in fact, my diet is what I call "Whole Food." I surf the internet looking for healthy inexpensive recipes, believe me, when I say there are literally thousands of ideas which is great as I live on a low income, in fact, from my experience, I spend far less than I used to. The added bonus being that I feel like a million dollars - I feel healthy with heaps of energy.
At Friday, February 23, 2007 9:59:00 AM, Anonymous said…
Yes, these are the same "health providers' who poo-poo the idea of Food as Medicine. I'm convinced that salt, fat, sugars impact not only one's mood but one's health. And I'm just a jeweler with a history degree! What's wrong with these damm doctors?!
At Sunday, February 25, 2007 7:02:00 PM, Jolie Bookspan, M.Ed, PhD, FAWM said…
Ivy and jeweler - you are jewels. You know and apply good medicine to everyday life:
"Children who grow up getting nutrition from plant foods rather than meats have a tremendous health advantage. They are less likely to develop weight problems, diabetes, high blood pressure and some forms of cancer."
Benjamin Spock, M.D.
Dr. Spock was a pioneer American pediatrician. His 1946 book "The Common Sense Book of Baby and Child Care" outsold all other nonfiction books. His nutritional guidance is not trendy overstatement or groundbreaking news. It is long-known important information that revolutionizes health. Stuff you know! Good work.
At Wednesday, March 07, 2007 1:09:00 AM, Anonymous said…
I agree somewhat with your post. I see some unhealthy medical students around me eating pizza and any free food that is offered to them, but I think the majority of students at my school eat healthy foods. This is in California though, so there could be some skewing of the medical student population towards vegetarians and health nuts. I've seen my classmates snacking on carrot sticks, fruit, and granola during class. Most of them exercise regularly too. In fact we had a nutrition lecture last week and I heard several people comment that they thought they already knew all the information presented about healthy eating. Personally I'm trying to cut down on sugar, carbs, and coffee, and eat more veggies but overall I eat very healthy food. I think the weakness while in medical school is the lack of time and needing to grab a quick meal. If you don't pack a lunch, you might be tempted to grab something unhealthy on campus, like pizza. I agree that eating healthy doesn't cost more money and can actually save a lot of money if you cook your own meals. But I think many students try to save money and don't cook everyday, so they go for the cheap quick-fix, which is usually unhealthy.
At Thursday, March 08, 2007 12:34:00 PM, Jolie Bookspan, M.Ed, PhD, FAWM said…
doctorscientist, Good work cutting down on unhealthy practices. Here is a blog entry by MedSkool about other med students not practicing what they are supposed to preach:
I'm A Red Bull Man Myself.
Your observations lead to the next logical question of what constitutes healthful food and the large numbers of people eating unhealthful "health food" -
Is Your Health Food Unhealthy
For example, most granola is not healthful food. People who say they eat healthfully offer me greatly unhealthy things like soydogs, commercial crackers, processed rice crisps, commercial breads with margarine (saying it's better than butter) or butter (saying it's better than margarine), fried rice, bran muffins (or other sweetened processed flour, staining the wrapper with all the hydrogenated fat), fish sticks, bagels with dip, "veggie chips" (little different from potato chips), "organic" nachos (another marketing ploy), processed juice, soy chips, fruit bars, commercial "energy" bars and drinks, most protein powders, non-fat snacks loaded with sugar, and "low-carb" stuff full of rancid oils, all the synthetic vitamin pills and "health" powders that are proving to be unhealthy.
Because I make housecalls, I can see kitchen walls covered in grease from frying (by people insisting they eat healthfully), bottles of corn oil in the cupboard, the bags of sugar and processed flour for cooking and baking, non-dairy creamers, shelves of packaged cereals - all of these are unhealthy.
Then there is more to health than our blood vessels - disposable packaging, litter, factory farming or any meat, dairy, and eggs, including organic - hugely dirty and unhealthful for the Earth. My book Healthy Martial Arts gives simple, cheap, easy ways to know and get good food on the run.
As you correctly point out, there is a lack of simple healthful food for purchase to quickly eat. Medical students can start a whole change. Get famous :-)
At Thursday, March 08, 2007 7:58:00 PM, Anonymous said…
I totally agree with you. I alot of foods that are marketed as "healthy" are in fact not. Natural is the way to do it. It's interesting, when we learned about cardiovascular disease they said that cholesterol begins to deposit on your blood vessel walls as early as your late teens and twenties. There is no way to get rid of these cholesterol plaques, you can only stop their development. Another interesting thing, I met a couple at a blood pressure screening last month who were advertising their support group for overeaters, similiar to alcoholics anonymous. They were telling me all about their eating program- absolute avoidance of flour and sugar, and limited fat intake. Sounded good to me, and they had the lowest blood pressures of the day almost next to being dead ~90/50!
At Sunday, March 11, 2007 3:50:00 PM, Jolie Bookspan, M.Ed, PhD, FAWM said…
It is known that plaque deposition can begin even in pre-teens who eat much fast fod and junk food. Vessel plaque in "late teens and twenties" was verified back in Vietnam era soldiers returning from war.
Have they taught you in school yet that you can reverse plaque formation?
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