Every year Americans get larger. We are getting fatter, and we care less about the health risks. As a physician, I can see the effect on health, but societal pressure is going opposite to the medical evidence. The science is being ignored to spare the feelings of the obese.
As we spare the feelings of the obese, we are doing several things that will harm us all. We are making obesity socially acceptable and have gone further to pretend that highlighting obesity is the same as racist speech. It is not. As obesity increases in prevalence, the conditions that create obesity are becoming normalized. In the long term, this impacts our children and leaves them with a lifetime of obesity. Obesity may become socially acceptable, but it is not medically sustainable. We need to take better care of our citizens and start by telling the truth. Obesity is the most destructive disease to Americans. We will be paying in ways not yet foreseen.
The science is clear. The medical observations are in, and obesity is not an acceptable fashion statement. It is a disease state. Like smoking, no amount of obesity is without consequence. All obesity will cause medical damage. The only question need is, how much. Many will have long lives in spite of their obesity, but the facts are clear. They could have had better lives. The sad news is that obesity is not a personal disease, it is a societal disease. We have an epidemic.
The epidemic is that of the whole organism. The organism is humanity. As the maldistribution of food resources leads to obesity all over the world, the entirety of the planet will suffer. There is a need to clear and plant; rare and kill more animals. This race to produce more food is destroying not just our bodies thru obesity but is destroying the biosphere.
As we destroy our planet’s ability to sustain us, we are killing ourselves. How we handle food is not a personal matter, it is a species matter. The capacity of our planet is finite. We live on a rock covered with a small volume of air and water in a giant vacuum. If the potable water runs out, or the breathable air disappears we have no place of refuge.
All of us can directly impact the planet. We can eat less. The science is clear. If we eat organic or non-organic, there is no difference. We need to eat less. There is no superfood. There is food. No matter the nutrient content, excessive quantity has the same result, obesity.
Eat less and leave a healthier planet for our children. Teach our children to eat less and save the planet for our grandchildren.
I can still remember my first time cooking a full meal. It was summer-time and we wanted soup. Soup was what we had for dinner every Friday. For months I had observed. It was mine time to repeat what I had observed. I followed the recipe as I had seen. I made what I thought was great soup. We enjoyed to the last drop. Since then I have enjoyed cooking. I enjoy cooking and would love my girls to have the same joy from cooking. Cooking is an excellent way of learning science and may help us eat better. By better I mean great tasting food with lower caloric density.
Making breakfast for my girls this morning was a wonderful expression of my love for them and my indirect way of passing unto them great eating habits. I suggest we all cook more. We all should eat more home cooking. Eat more home cooking for better health and family unity. I made what the girls requested, one fried egg with two strips of Turkey Bacon and blueberries. What is on your breakfast menu this morning?
As a parent I want the best for my children. I want them to achieve more than I have. I want them to be fully equipped to take on the challenges ahead. The only lasting thing I can give them is an opportunity to get an education. The education they get will determine their ability to make a living and be productive citizens. Their education will help them avoid the pervasive scams in our society. The education I fight for them to attain will improve their ability to survive. I will continue to fight for their right to be given a competitive education. As such, I am proud to support the goals of common core. It seems I am among the minority of persons who believe that common core is a good thing for the American K-12 system.
The continued attempts to disparage the goals set reflects a fundamental misunderstanding of what education means. It is a reflection of how urgent the need for better education is. The problem is that most Americans know enough to complaint but not enough to assist in the fix. We are a very poorly educated society in spite of the graduated masses. We are a society that prefers quick answers rather than long processes. The truth is that getting the correct answer is less important that understanding how you arrive at it. Every time I see a story decrying the ills of common core I see another example of a parent or teacher who lacks the fundamental understanding of what education means. Our education is lacking and we cannot compete, but we want to go back to the old ways. The old ways have not worked. The old ways have created people who oppose change not because the change is bad, but because they are so poorly educated they do not understand the change.
Someone suggested to me a novel solution. The parents who do not want their children learning in the common core “way” should be allowed to go to their own schools and the rest of us learn a common core based education. That sounds great to me, but the truth is that the educated will continue to suffer at the hands of the stupid. Do not be stupid and destroy your kids ability to compete. If you want to disadvantage your child let me thank you now. Thanks for removing my childs competition.
Can we please wake the fuck up America.
I am happy to be living in a country that affords me the opportunity to succeed. As a parent I am happy that my children will have more opportunities open to them than I did. My job is to guide them into success. As I look around America I am worried for my children in spite of all the opportunity that exists. The recent string of killings of men and women of color has helped to refocus my attention on the details. I, like many people of color in this great country have been lolled into a false sense of achievement. Worst is that we have allowed the wider society to accept the fallacy that racial justice as arrived. We have failed in teaching our children the important details.
As a parent of girls of color I have focused on making sure they are confident and well-educated, that is not enough. Over the last few months I have had to re-evaluate everything I have come to believe about equity in America. The history of people of color in this country is one of brutality and subjugation. There has not been enough change in our situation. In the last several month several studies have shown the depth and pervasiveness of our disenfranchisement. Our girls are 6 times more likely to be harshly punished in school compared to white girls. Americans of African heritage with master degrees are paid the same as whites with bachelors degrees and even doctors of African heritage are paid about 10 % less than similarly educated white doctors. Why is this so? I have come a conclusion, that question is not relevant. It is not relevant because those in power do not care to fix the problem. I have given up on the idea of equity in my country. The continued inequity makes me angry and concerns me for the future of my girls. I am angry but I will not be deceived into violence. Protesting does no good. Voting does almost as little.
So, in my quest to find a better answer I have looked around and think I have found the only viable route in the Jewish experience of World War 2. No one is allowed to forget the Jewish Holocaust and so too no one should be allowed to forget American Slavery and Jim Crow. The end of the Jewish Holocaust is celebrated but the brutality of it is what is referenced most often. This is what we all are reminded of daily. As people of color we need to teach our children about the brutality of the American enslavement of out ancestors and the continued brutality of Jim Crow America and the current discrimination. We need to have them understand that the current celebration of Martin Luther King Jr is fake and serves only to assuage the guilty. It is not a sign of contrition, it is hollow and designed to distract from the ever-present and pervasive discrimination against people of color. Our children need to know about the Martin Luther King Jr struggle before they can appreciated his success. They need to know and see the pictures of America brutality to their ancestors. They need to know the name Emmet Louis TIll along with Martin Luther King Jr. The goal is not anger, it is empowerment. Our children need to understand that things have changed and that we have many opportunities, but they also need to understand that they need to succeed in spite of the many race based road blocks. They need to succeed to honor their ancestors.
Violence is not the answer, it is only a way to continue to enslave us in the prison complex which is designed to strip us of the rights our ancestor died to attain. Our children need to understand the context of their lives in this land of opportunity. We need them to take the opportunities and make progress while making sure no one forgets the brutal treatment of our ancestors. We should honor our ancestors for their willingness to stand up for their rights and we should build on their success by taking the opportunities available and making the most of them. We know that we will not be treated fairly nor paid equitably because this is the current state of America. There is no real hope of progress beyond the eventual death of the merchants of death. As parents of children of color we need to prepare them to survive and thrive until that day of Martin Luther King Jr’s dream arrives. Don’t get violent, get angry and achieve.
The encouragement to take a daily multivitamin continues to be strong. However, the accumulation of data suggests strongly that daily supplementation is not necessary. The reasons for fortification of specific foods with specific nutrients starting in the early twentieth century was deliberate and with good reason. The indications for Folic acid, VItamin D, Iron and Iodine were clear and scientifically proven interventions using prevention as treatment for neural tube defects, Ricketts, iron deficiency and goiter. For these diseases the scientific connection was clear and proven. Forward to today and vitamin and micronutrient fortification is touted as a panacea and treatment for all that ails. The evidence for the addition of most supplements is weak at best. Frankly, it is without merit and almost totally baseless.
The extrapolation that since we need small quantities larger quantities will be better is short-sighted and potentially dangerous. The evidence does not support that view. The industrial production and addition of vitamins to every conceivable food item is primarily a marketing tool. It is a waste of money for consumers. If we look at nature we can see a better paradigm to extrapolate from. The concentration of vitamins and micronutrients are small and very large quantities of whole foods would need to be consumed to approach the quantities in many of the marketed items. If there is not a proven deficiency there is no need to add to our foods. The proven need is for small quantities that is more than adequately supplied by a balanced diet. The evidence for benefit beyond that is none existent.
Although, the evidence for potential harm is small we must ask the question. Will super sizing the quantities we ingest be harmful in the long run? Like with the craze for copious quantities of bottled water we have been marketed a hook and we have bitten and are drowning in a sea of misrepresentation. Improve your diet. Make fruits and vegetables the base of all meals and stop wasting your money on bottles of urine coloring.
When was the last time you looked up at the night sky? The beauty of the natural world seems well hidden from us. This weekend I had the opportunity to send my auntie off to the land of painless rest. The sadness and joy of the occasion was not lost on us. Her relief had come. I love my extended family for how we show up for each other in times of difficulties. We came from near and far. I am proud to be a member of the extended James family. I continue to be amazed by the strength of the children of Wilhel and Clarence James. They are my heroes. What does the traditions of a funeral have to do with the night sky? It is about the beauty of the universe and the short time we have to enjoy it.
The night before the funeral is ‘set up’. It is a festive party send off before the day of mourning. As we drove to the setup at the home of my deceased auntie I noticed how dark the roads were. The darkness was intensive and reassuring. No light pollution to distract. It was a wonderful contrast to the intense sunshine of the daytime. Once we arrived at the destination we parked about a third of a mile from the home and walked. As my practice I looked up at the sky and noticed the depth of the darkness. as far as I could see there were stars and the their brightness seemed many fold brighter than the night sky I had grown used to in Florida. I looked up at the Pleiades and counted 8 sisters as opposed to the 6 I usually see in the Florida night sky. I felt an excitement to be under a truly dark sky. As I arrived at her home I hugged many family members and got introduced to some new arrivals. I love my family, because at times like these we are pillars of strength for each other.
The band arrived after 10 PM and the party went into full effect. The street was blocked off and the music rang loudly through the valley. All joined in the dancing, old and young danced. The elders seemed most enthusiastic and I noticed many in their 70’s who danced all night while the youngster exchanged social media details. This was a time of cheer and remembrance. It was a celebration of life. It was the celebration of a wonderful mother, auntie, cousin, grandmother, wife and child of God. The melodic voices of the male and female lead of the band kept us all engaged. The key board player and drummer were excellent compliments. The band played until well after 1 am and we all danced and enjoy the company of family and friends.
A wonderful night and festive remembrance came to a close and we all need some rest before the continuation of auntie’s send off. As I walked back to the car I looked up and again and there it was, an awe-inspiring star filled sky. It reminded me of how often we take life and the people who share it with us for granted. The older I get the more I understand my mortality. The older I get the more I appreciate the wisdom of my elders. The older I get the more I love my family. The older I get the more I realize that my family is not perfect, but that we make up for that with commitment to each other. The older I get the closer I get to the end of my time and the more time I want with my family.
Another one gone but never to be forgotten. I love you auntie Peggy.
The new year is here and I still cannot believe it. 2014 came and went at a seemly quicker pace. The truth is that the speed of time as not changed. What has changed is how we experience it. We continue to allowed procrastination to decrease how much we achieve. We over think and neglect to take the actions that would allow us to attain more of our goals. As we second guess our decisions the universe continues forward at the same pace we found it. We are achieving less and the feeling that time is going by faster is just a reflection of our lack of focus on the important things.
For the new year we all should stop thinking and start doing. I am a parent and want to leave a better planet for my children. What are you planing to leave to your children? The discussion about climate change is just one of those issues where we could improve the world for our children. The facts are not in dispute, the climate of earth is changing. I do not dispute that human activity is the cause. If you dispute that I hope we can at least agree that the climate is changing.
With that in mind I would ask you, how do you think climate change will affect your children or grand children? I would suggest that the most likely direct effect will be on the quality and quantity of food and water available. The current estimate of people around the world going hungry is about one billion annually. Concurrent with that is the fact that some of the most productive agricultural areas are in regions whose water supply is dependent on seasonal rain and snow falls. It is already evident from current objective measurable data that these regions are close to breaking point in their water balance. The drought in California, which is the current bread basket of the United States is worrying. The gravity of the danger is not being addressed. But if the level of the water in Lake Mead Nevada is any example we should all be much more concerned.
Our water usage patterns are unsustainable and more forthrightly has led us to a very dangerous place. Agriculture is the primary user of water both for plant and animal production. Animal production is an especially egregious drain on our every decreasing available water sources. The continuing willful deafness of many of our leaders to the coming and already present crisis is criminal. The low intelligence of many of the people on mass media discussing the topic is genocidal in their effect. As we continue to neglect the obvious the problem worsens and the solutions become evermore burdensome. The unfortunate consequence is that the poor all around the world are already experiencing the trauma of food and water insecurity. Even the wealthier among us are being affected. The difference is that most of us can afford the increasing cost of our basic supplies. The larger question needs to be asked, what will happen when the squeeze truly gets to the richer among us?
I am of the scientific persuasion and believe that all the evidence points to mans central impact in leading to climate change. However, I will acquiesce to those who have not attain that clarity. I need only you agree that no matter the cause climate change is occurring and that we need to act to protect our global society.
I would suggest that we start by examining our consumption patterns. Change your lifestyle and change the world. We are all apart of the change that we need.
Once more our country is focused on the aftermath of the death of a young black man. The frequency with which this scenario occurs is alarming, disgraceful and is not likely to change in my life time. I am a 40-year-old physician without a criminal record. I have a brother who is a Veterinarian and another an Airline pilot. Neither has a criminal record, but we all have experienced the brutality of American racism. We do not often talk about it. We live it and pray that our children will have a better experience. We want them to get a good education and not be killed by the police. That is our American dream.
The truth of what happened in Ferguson is irreverent to us because we live the brutally of knowing that at any moment we could be killed for no reason. As black Americans we have come a far way, but the fundamental problem for us has changed very little. We are not seen as humans, we are seen as murderers waiting for an opportunity. We are determined to survive so we try standing up for ourselves. However, standing up for yourself as a black man is seen as threatening. Success for us is about surviving the constant attempt to institutional us. If that can be avoided material success is possible, but only if you are not convinced to give up before you have had a chance to try. Material success is about picking your battles.
As a Physician I see the contempt patients show towards me at times, I swallow and still provide them the best care possible. I love taking care of patients and that care is not about anything but my pride in doing the best job I can. Because I provide you with care supported by the best evidence I am comfortable. In spite of providing excellent care I am challenged but nurses and patients. I often wonder what I am doing wrong, but it does not matter. I am of the wrong completion, so my care is subject to review. I need to justify my decisions with evidence, while others provide poor care and are not challenged. This is my life as a black physician.
I am strong enough because I was brought up in a culture that expected me to succeed. My early years in Jamaica has given me a belief in myself that is difficult to shake. It has been shaken, but I have recovered. Unfortunately my girls are growing up in a society that does not expect them to succeed. I will push them hard because their mistakes, no matter how insignificant, will be judged and punished harshly. I need to build in them confidence that is based on competence because our country will not give them the chances they deserve. I will teach them about how not to get killed.
The sad story is that my girls and my nieces and nephews will be at risk from violence from all sides. There is more violence in black communities both from cops and criminals alike. There is nowhere to hide, there is only learning how to manage the risk. Our treatment as black Americans is dependent on the complexion of our company. While out with my brothers and nephews we are treated like predators and undesirables. The excuses for treating us like monsters are varied but none are credible. In spite of the despicable treatment I often experience, I will still treat you well. I will still give you the best health care, although I will not be given the same treatment.
Rioting will not help nor will talking. Sorry Martin, I no longer have a dream, just a reality, ” Do Not Give Them an Excuse To Kill You”.
Be safe America.
As a parent I believe that there is no greater task than making sure your children are successful. The obvious next question must be asked, what is your definition of success? I would define success as “knowing what you don’t know”, simply I need them to be self-aware. I have a philosophy about how to get them there. Many disagree with me, but I have my parents to thank for their great example. One of the great things my parents did was the gentle subliminal push toward and appreciation of education as the route to achievement. I remember the extra lessons in grade school, and going to the clinic with my mother. I remember helping sterilize the supplies in her delivery bag. What I don’t remember is any discussion of college or which college or even getting better grades.
My parents were very generous with opportunity. They allowed my brothers and I the freedom to decide our interests. Expectations were high but were not overtly discussed. We were required to read aloud at daily devotion. We were not allowed to work outside of the home. Our only responsibility was to complete chores and go to school. We filled our down time by dreaming of the world that could be and taking control of what was around us. We learned to cook, hand wash and iron our clothes. I learned to tailor and one brother learned upholstery. We learned to manage our money, by managing our daily school money. This collection of activities may not seem very significant, but my brothers and I have extraordinarily similar outlook on the world. We believe that our children must be allowed the chance to attain the highest pinnacle of education because they can, not because they must. We believe that our responsibility to our children is paramount and no one comes before them. We may live far apart, but would give the same general answer to 9 out of 10 questions.
We learned from out parents that living the example is more important that showing it. We saw our parents reading and watching the news. We saw their drive to continue their education. We watched them solve problems creatively. They allowed us to explore the world freely but the boundaries were clear.
My view of the world is shaped by my family. My parents and grandparents created an outlook on the world that as given us a never give in attitude. I want to give my girls that same attitude. I will never clip their wings. I will allow them to fly. I will always be there to catch them if needed. I will be supportive. I will provide the means for them to have a platform for success. I will always support my girls, because they are equal to the challenge no matter what it may be.
I thank my village for giving me the strength to allow my princesses to fly.
As Americans we expect to be the best in every field. Our expectations have been built on both historic experience and much self-delusion. We have achieved much because of a long history of focusing on our challenges and working together to solve them. There is no golden era, just a time when Americans expected much and worked harder to achieve. Today we have gotten used to the idea of achievement, but lack the vision or leadership to achieve. Long after we have done anything to declare us better than the rest we still believe ourselves to be.
This delusion is killing us slowly. It is allowing us the luxury of contentment. It is allowing us to believe the delusion that our children are getting a world-class education. It has allowed us to believe that our kids do not need to be the best in maths or science, but that they are more creative and will still be the winners of the next generation. We will one day find out the truth. Winning as a nation means setting high expectations for all our citizens. Ensuring the continued success of our nation will depend on ensuring a second-to-none education for all.
Expecting little from the majority of our students is a recipe for disaster. All of our children deserve to be pushed hard, because they will not break. I believe all of America’s children can excel, but only if we expect them to and begin giving them a shot at a world-class education.
Rigorous and challenging classrooms are what we need more than ever. Fun and education focused homes is where we need to start. Along with car seat education every parent should be given a blueprint as to how to start their child’s education. From birth to kindergarten is where the real focus needs to be. Parents need to be guided as how to challenge their prized little ones. It is that challenge and example that will determine their trajectory in life. Let us focus some pennies on our children’s education. It will be well worth the investment.