NewFNP is hard pressed to identify anything that separates her from her patients more than does diet, culturally speaking.
Thursday, January 14, 2010
One of newFNP's physical exam preventive health screening questions is: Do you eat fruits and vegetables every day? The answer is generally no. She also asks: Do you drink soda? This answer, in contrast, is generally yes.
But the answer is not so commonly yes to the tune of 60 liters of soda daily. Sixty liters seems, shall we say, excessive. That level of consumption constitutes approximately 2500 calories per day and 100% of them in nutrient-void carbohydrates. In addition, it's doubtful that all remaining calorie source were from broccoli and artichokes.
Her patient very earnestly told newFNP that she was uncomfortable with her weight and wanted to change her diet in order to drop some ell-bee's. Nutritional counseling was not so much of a challenge.
But newFNP wondered what happened to the off switch in someone who consumes that amount of soda. It might meet the DSM-V criteria for soda addiction. It is affecting her health, she continues to use soda despite suffering as a result, she has tried to stop but hasn't been able to yet. NewFNP didn't recommend any specific diet, but she did recommend complete cessation of soda consumption in addition to initiation of physical activity.
Can we incorporate infant and childhood nutrition into prenatal classes? Because this kind of whack diet needs to stop way the hell before it starts!