Ruby Corado – “Society told them that they were not amazing, I reassure them that they were lied to.”

Classic Ruby, who is amazing 🙂 .

From the Immigrants and Refugees episode of United Shades of America, regarding the LGBTQ community.

“My job is to restore dignity. Society told them that they were not beautiful, they were not amazing, that they will never make it. A big part of my job is to reassure them that they were lied to. And once I’m able to do that, I want them to dream.” Ruby Corado, United Shades of America, CNN, May, 2017

Just Watched: Low-Carb High Fat Diet in Type 1 Diabetes

The origin of this post is that I sent a tweet earlier this week regarding the current crisis in insulin pricing referring to the Banting Diet, which is the precursor of the low-carb high fat diet (or LCHF diet). I sometimes do this (sending unclear messages) assuming that people will figure them out, and usually, that’s not the outcome 🙂 . At least it starts conversation (maybe I do this subconsciously, I don’t know).

In any event, I have been interested in nutrition for a long time and more interested recently (see:Just Read: Why Eating Fat May Not Make You Fat (The Big Fat Surprise) ), as more data is being produced about where our dietary guidelines came from. In the case of diabetes, I have been curious about the ways the medical and other professions counsel patients on diets in ways that may actually increase their risk of diabetes and increase their insulin requirement.

My question, therefore, has been whether the need for insulin could be eliminated in some people and reduced in others, which would blunt the impact of pricing and make living with diabetes more affordable. The other question I have is about the whether reducing the use of specialized insulins for some population would have an added effect, making the pricing power, less powerful.

I’ve read a few papers about this. I don’t feel comfortable doing a literature review myself because these days it’s really hard to interpret papers if hidden biases aren’t known. That and I may be a physician, but I do not know what it is like to live with diabetes. I do know what it is like to live as a former fat person so there is some relevance here for me.

Through the magic of YouTube, Dr. Troy Stapleton (@drtroystapleton) explains his own journey as a person with type 1 diabetes and the LCHF diet. He’s going to to have much more credibility than I and this is a good science-based + authentic overview from a patient perspective. Watch:

A person who produces insulin on this diet is going to have an insulin production curve closer to a person with type 1 diabetes (flat) compared to a person without diabetes (insulin spikes), with the idea that insulin and specifically too much insulin is a requirement for obesity.

#ILN innovating in nutrition, too. #LCHF in Chicago. #ketogenic #ketogenicdiet #lessinsulin

A post shared by Ted Eytan (tedeytan) on

I’m planning to do some more study this summer. At the same time, there are far more experienced researchers, journalists, physicians and scientists engaged in this work, so I’m more interested in dialogue than leadership (they are doing just fine). I always say if there’s a better way to do something, I want to know about it.

This is life in the family medicine revolution (#FMrevolution), where unlimited curiosity reigns in the interest of a person, family, community’s long healthy life. Feel fee to let me know your thoughts in the comments.

Video: My intro to my largest walking meeting ever – Walking Summit 2013

I didn’t realize this had been posted until a small bird told me – thanks Kate Ellington (@kateellington)!

How you get 500 people out of a hotel basement in 5 minutes, and not because it's an emergency.
How you get 500 people out of a hotel basement in 5 minutes, and not because it’s an emergency (however, not moving is an emergency in my world)

I am talking really fast because:

  • I had 5 minutes to help 500 people leave a hotel basement to start a walking meeting
  • I needed to get them back on time, otherwise I’d never get to throw a walking meeting again
  • We were running behind on our agenda – it happens, the key to success is flexibility

The slides I show are kind of cool in my mind, because they are then-and-now of my most favorite city, Washington, DC, as it has transitioned to one of the least walkable to the most walkable city in the United States. It can happen.

The actual slides are below, but the video contains some of the images that I was given permission to share only in the presentation but not elsewhere. With great thanks to Michael Horsley.

Presentation at the Walking Summit: Then and Now, Washington, DC – Our Cities are Changing

Great innovation story and the bathroom scene in episode 4 of Transparent explains why gender neutral is the future

I’m standing in the past (a gendered bathroom) that’s going to prototype the future – testing gender neutral multi-stall bathrooms in health care at the Kaiser Permanente Garfield Innovation Center – View on Flickr.com

Jill Soloway (@JillSoloway) is a great storyteller on a stage and in film. Specifically, the bathroom scene in episode 4 of Transparent (@transparent_tv) explains more about why gender neutral is the future for safe bathrooms than 1,000 white papers on the topic.

Speaking of white papers, I’m reading them now and will post my thoughts soon. Until then, watch.


Healthier hospitals don’t just treat patients, they don’t create them in the first place, here’s how

It’s true – operating a health system in an unhealthy way actually creates illness instead of preventing it, and it actually costs more money. So why do it? Check out this video from Healthier Hospitals Initiative (@hhiorg).

Healthier hospitals has catalyzed a lot of change in the 18% of GDP health care industry, I’ve seen it first hand, and anyone can join.

If you’re operating a physician practice, you’ve got a great resource in MyGreenDoctor (@MyGreenDr) as well.