Photos: Fire Drill Fridays with Jane Fonda, Washington, DC USA – yes, it is a climate emergency

2019.12.06 Fire Drill Fridays, Washington, DC USA 340 60030
2019.12.06 Fire Drill Fridays, Washington, DC USA 340 60030 (View on Flickr.com)

Photgraphs from today’s Fire Drill Fridays (@FireDrilFriday) are below. This week’s topic was immigrant rights

This is a climate and human rights crisis. Climate migrants routinely face life threatening hardship, discrimination and repression in their search for safety for their families, and often those most vulnerable to changing climate and extreme weather lack the resources to migrate, so remain in harm’s way.See: Mobilize for Climate Justice & Immigrant Rights — Fire Drill Fridays

We are in the midst of a climate emergency. And, as humans inhabiting the same planet we have more in common than not:

View this post on Instagram

The gentleman to my left is #vegan. I am not. ⁣ ⁣ We both care about the impact of #climatechange, ethical food production (including moving away from monocropping soy and growing grain to feed to cattle who should eat grass instead). I am so impressed with the fund of knowledge of people in this movement who have an interest in knowing, rather than an interest in being right. More common ground than some realize. 🌎⁣ ⁣ Bayer is an example of a challenging business model for the future of health - it produces glyphosate, a probable carcinogen, which is applied to GMO soybeans that it also produces, as well as the pharmaceuticals that are prescribed for people with disease from these compounds. Its carbon footprint is 4.2 times greater than the rest of the companies in the pharmaceutical sector, which as a sector emits more carbon than the auto industry. 😟⁣ ⁣ The gentleman to my right isn't getting mad, he's helping people get elected 🏳️‍🌈⁣ ⁣ @firedrillfriday ⁣ ⁣ #RealFood #LCHF #MetabolicHealth #HealthyPeopleHealthyPlanet #FamilyMedicine #LessCarbon

A post shared by Ted Eytan, MD, MS, MPH (@tedeytan) on

Additional photos are below. All are @CreativeCommons licensed as usual. Enjoy.

2019.12.06 Fire Drill Fridays, Washington, DC USA 340 60018
2019.12.06 Fire Drill Fridays, Washington, DC USA 340 60018 (View on Flickr.com)
2019.12.06 Fire Drill Fridays, Washington, DC USA 340 60016
2019.12.06 Fire Drill Fridays, Washington, DC USA 340 60016 (View on Flickr.com)
2019.12.06 Fire Drill Fridays, Washington, DC USA 340 60036
2019.12.06 Fire Drill Fridays, Washington, DC USA 340 60036 (View on Flickr.com)

Just Read: Prevalence of Prediabetes Among Adolescents and Young Adults in the United States, 2005-2016 (it’s way too high)

2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001 838
2018.05 Low Carb and Low Carbon – Ted Eytan MD-1001 838 (View on Flickr.com)

This study has been widely shared already, with a significant degree of alarm.

The American Diabetes Association has defined prediabetes as the presence of impaired fasting glucose (IFG; fasting plasma glucose [FPG] concentration between 100 mg/dL to <126 mg/dL; to convert to millimoles per liter, multiply by 0.0555), impaired glucose tolerance (IGT; a 2-hour plasma glucose [2hrPG] concentration after a 75-g oral glucose tolerance test of 140 mg/dL to 199 mg/dL), or glycated hemoglobin A1c (HbA1c) levels between 5.7% and 6.4% (to convert to proportion of total hemoglobin, multiply by 0.01).1 In adults, these 3 phenotypes increase the risk of developing type 2 diabetes2 as well as cardiovascular diseases. Andes LJ, Cheng YJ, Rolka DB, Gregg EW, Imperatore G. Prevalence of Prediabetes Among Adolescents and Young Adults in the United States, 2005-2016. JAMA Pediatr [Internet]. 2019 Dec 2 [cited 2019 Dec 4];e194498. Available from: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2755415

This is especially true since prediabetes is too prevalent even in youth and young adults who are normal weight or underweight.

2018.05 Low Carb and Low Carbon - Ted Eytan MD 2-1002 836
2018.05 Low Carb and Low Carbon – Ted Eytan MD 2-1002 836 (View on Flickr.com)

And it tracks other data that’s as alarming.

2018.05 Low Carb and Low Carbon - Ted Eytan MD 3-1003 837
2018.05 Low Carb and Low Carbon – Ted Eytan MD 3-1003 837 (View on Flickr.com)

The authors did not offer any reasons why they think this situation exists other than a rise in obesity rates. However, their data does not conclusively establish obesity as the cause.

Here are some additional ideas.

2018.05 Low Carb and Low Carbon - Ted Eytan MD 3-1003 795
2018.05 Low Carb and Low Carbon – Ted Eytan MD 3-1003 795 (View on Flickr.com)
2018.05 Low Carb and Low Carbon - Ted Eytan MD 4-1004 796
2018.05 Low Carb and Low Carbon – Ted Eytan MD 4-1004 796 (View on Flickr.com)
2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001 803
2018.05 Low Carb and Low Carbon – Ted Eytan MD-1001 803 (View on Flickr.com)

Should we worry? Yes. Is there a way out? Yes.

References

  1. Andes LJ, Cheng YJ, Rolka DB, Gregg EW, Imperatore G. Prevalence of Prediabetes Among Adolescents and Young Adults in the United States, 2005-2016. JAMA Pediatr [Internet]. 2019 Dec 2 [cited 2019 Dec 4];e194498. Available from: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2755415
  2. Babey SH, Wolstein J, Diamant AL, Goldstein H. Prediabetes in California: Nearly Half of California Adults on Path to Diabetes [Internet]. 2016. Available from: http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1472,UCLA Center for Health Policy Research, Copyright © 2006 The Regents of the University of California. All Rights Reserved
  3. Mokdad AH, Ballestros K, Echko M, Glenn S, Olsen HE, Mullany E, et al. The State of US Health, 1990-2016: Burden of Diseases, Injuries, and Risk Factors Among US States. JAMA [Internet]. 2018;319(14):1444–72. Available from: http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2018.0158
  4. Cohen E, Cragg M, DeFonseka J, Hite A, Rosenberg M, Zhou B. Statistical review of US macronutrient consumption data, 1965–2011: Americans have been following dietary guidelines, coincident with the rise in obesity. Nutrition [Internet]. 2015 May 1 [cited 2017 Dec 4];31(5):727–32. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25837220

Thank you for Publishing my Photo, in Hate Crimes in D.C. – D.C. Policy Center

2017.07.02 DC People and Places, Washington, DC USA 7277
2017.07.02 DC People and Places, Washington, DC USA 7277 (View on Flickr.com)

Thank you for publishing my photograph, @DCPolicyCenter, in this excellent analysis performed by @Shirin_Arslan on the state of hate crimes in Washington, DC.

The stark rises in reported hate crimes in D.C. seen in the last several years have been primarily driven by a rapid increase in the number of crimes reported against LGBTQ groups and communities of color, most noticeably since 2015 (Figure 1). Anti-LGBTQ crimes and race-based hate crimes now make up more than two-thirds of all hate crimes reported in the District of Columbia. Other types of hate crimes include those against political affiliation and religion and disability.Source: Hate Crimes in D.C. – D.C. Policy Center

As the article states, the American Medical Association “…recognizes that hate crimes pose a significant threat to the public health and social welfare of the citizens of the United States”

See: Policy Finder | AMA

The photograph was taken in 2017 in the Trinidad neighborhood in Washington, DC.

Hate Crimes in D.C. – D.C. Policy Center

Source: Hate Crimes in D.C. – D.C. Policy Center

Photo Friday: Fire Drill Friday with Jane Fonda, Washington, DC USA

2019.11.29 Fire Drill Fridays with Jane Fonda, Washington, DC USA  333 115114
2019.11.29 Fire Drill Fridays with Jane Fonda, Washington, DC USA 333 115114 (View on Flickr.com)

It’s important, and remarkable, that we’ve arrived to a point in our country where people are getting arrested on the steps of the US Capitol because of fossil fuel use. We couldn’t have imagined this even 10 years ago. Climate change is that urgent.

It was amazing and inspiring to see icon @JaneFonda take a stand in Washington, DC for one of the most important issues of our time, via @firedrillfriday.

2019.11.29 Fire Drill Fridays with Jane Fonda, Washington, DC USA  333 115040
2019.11.29 Fire Drill Fridays with Jane Fonda, Washington, DC USA 333 115040 (View on Flickr.com)

This week’s theme was food justice. They tweeted this @cbsnews story (link) about farmers and climate change:

“more farmers need to embrace practices like extended crop rotation, conservation tillage… (and) other agricultural methods including putting livestock back on the land, practicing more rotational grazing, and generating green energy on farms.”Can farmers sow their way out of climate change? – CBS News

I agree with this message.

At the same time, I was concerned when I saw an 11-year old child talking about being on a vegan diet. This can be problematic from a growth / brain development perspective, and these diets are not recommended by many physicians and several european countries for children, adolescents, or pregnant women, due to these known risks. I understand these diets can be accommodated safely with proper medical supervision. The promotion of them in at-risk populations without this information takes away from the greater message:

A move away from fossil fuels and toward regenerative agriculture are important messages for #HealthyPeopleHealthyPlanet – we can’t have one without the other.

Thanks for enhancing the public’s understanding of this issue.

Additional photos are below.

2019.11.29 Fire Drill Fridays with Jane Fonda, Washington, DC USA | Flickr

✌️❤️👨‍⚕️ 🌎

Thank you for Publishing my Letter to The Editor: “A meaty issue” | The Economist

2019.11.29 A Meaty Issue, Letter to the Editor of the Economist, Washington, DC USA 333 04012
2019.11.29 A Meaty Issue, Letter to the Editor of the Economist, Washington, DC USA 333 04012 (View on Flickr.com)

Thank you for publishing my letter to the editor in this week’s edition of The Economist (@TheEconomist).

It’s written regarding this published piece in the magazine from November 15, regarding a study about the health and environmental impact of foods.

I’d like to thank the Economist team for a friendly dialogue about my concerns over email. They explained the process they used to generate the visual, in consultation with the study authors. They published my letter in the interest of the audience forming its own conclusions.


They published this text of my letter, and also nicely linked out to the infographic I created, which is also reproduced below.

I wrote a post with more detailed references which you can access here. I am also happy to dialogue about the data points in the letter in the comments.

A meaty issue
* I was dismayed to see your Daily chart on “How much would giving up meat help the environment?” (November 15th). The axes were distorted (from log to linear), and you removed a most concerning datapoint, for sugar-sweetened beverages, from the original that called the paper it referenced into question. The result was that the original figure’s message was distorted to more conveniently serve your headline. This is important, because the environmental impact of health-care use is significant (10% of greenhouse gases in the United States), and food choices that increase health-care use, such as sugary beverages, would mitigate any emissions savings from moving away from unprocessed foods, including meat. The health impact data that the original paper is based on has been largely called into question following the publication of the NutriRECS papers on October 1st. Finally, you did not question the original paper’s use of relative risk measures, versus absolute risk. Relative risk magnifies perceived harms and is often used when the actual increased risk of a behaviour is not as great.

I describe the changes in this graphic. I’d also like to point out that your chart discussion implies that dietary choices are the major determinant of personal emissions. They are not. Transportation and fossil fuel use are far more significant. To support this fact, another study has shown that the elimination of all animal agriculture from the United States would reduce greenhouse gases by 2.6 %, with the resulting widespread malnutrition.

DR TED EYTAN
Washington, DC

On diversity, Palm Beach, America’s army, AI writers, meat, genes, Emmanuel Macron: Letters to the editor: A selection of correspondence

2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001 830
2018.05 Low Carb and Low Carbon – Ted Eytan MD-1001 830 (View on Flickr.com)

See: Health and environmental impacts of foods: How to visually transform a published figure to favor a specific interpretation – Ted Eytan, MD

Recipe: Low Carbohydrate, Healthy Fat Pecan Pie

2019.11.23 Low Carb Healthy Fat Pecan Pie, Washington, DC USA 327 62248
2019.11.23 Low Carb Healthy Fat Pecan Pie, Washington, DC USA 327 62248 (View on Flickr.com)

Recipe time.

This low carbohydrate, healthy fat (#LCHF) pecan pie has

  • No grains, refined or whole
  • No added sugar or syrups
  • No vegatable oils

Which gives it the magical (well, science supported) power of not raising blood glucose or stimulating insulin secretion. I was not wearing a continuous glucose monitor for this particular pie, however previous pies have had this same predictable non-response.

2019.11.23 Low Carb Healthy Fat Pecan Pie, Washington, DC USA 327 25225-2
2019.11.23 Low Carb Healthy Fat Pecan Pie, Washington, DC USA 327 25225-2 (View on Flickr.com)

This pie is not vegetarian or vegan, it contains beef gelatin. However, in the link below there is an alternative recipe that uses sugar free maple syrup. I prefer to minimize use of artificial ingredients whenever possible. While the pie is no plant-based, it would be considered grass-based since the plants in it are pre-digested by ruminants.

This was my test pie. I may wear a CGM for pie 2.0 just to confirm. If there are any questions about this, feel free to post in the comments.

Link to recipe

See: Low Carb Pecan Pie – KetoConnect – via @KetoConnect

2019.11.23 Low Carb Healthy Fat Pecan Pie, Washington, DC USA 327 62225
2019.11.23 Low Carb Healthy Fat Pecan Pie, Washington, DC USA 327 62225 (View on Flickr.com)

Just Gifted: 194 Photographs to Orange County Regional History Center’s One Orlando Collection

2018.03.24 March for Our Lives, Washington, DC USA 00847
2018.03.24 March for Our Lives, Washington, DC USA 00847 (View on Flickr.com)

I was recently contacted by the Orange County Regional History Center in Central Florida (@HistoryCenterFL) about donating photographs I’ve taken of memorials for the 49 people who were murdered while living their lives at Orlando’s Pulse nightclub on June 12, 2016.

The answer was yes.

The photograph below is currently included on the Wikipedia page about the tragedy.

2016.06.13 From DC to Orlando Vigils 06103
2016.06.13 From DC to Orlando Vigils 06103 (View on Flickr.com)

The scene in the photograph at the top of this post, produce by Gays Against Guns (@GaGnoguns) at the March for our Lives in 2018 was especially emotionally confrontational and saddening.

The Deed of Gift

Description of Gift:
The gift includes 194 digital photographs taken in Washington DC at Vigils held in remembrance of the Pulse nightclub shooting. The photographs were taken in 2016 and 2018 and include photographs from the 2018 March for our Lives event in Washington DC organized by Gays against Guns.

In the deed, there is a space to indicate what the gift is in memory of. I wrote “In honor of a 🌎 learning to ❤️ better.”

2016.06.13 From DC to Orlando Vigils 06073
2016.06.13 From DC to Orlando Vigils 06073 (View on Flickr.com)

I hope these images help in achieving this goal, as part of the One Orlando collection, now online.

2016.06.13 From DC to Orlando Vigils 06128
2016.06.13 From DC to Orlando Vigils 06128 (View on Flickr.com)

The second museum with my photographs in their collection

As I wrote previously, when I went to visit ONE National Gay & Lesbian Archives at University of Southern California (@OneArchives), the largest of its kind in the world, archivist Erik Adamian said something to me as he showed me Pat Rocco’s photographs from LGBTQ protests in the 1960’s. He said,

“He (photographer Pat Rocco) did what you do today.”Erik Adamian, ONE National Gay & Lesbian Archives at University of Southern California

How Long is Too Long to Wait: Visiting the largest repository of LGBTQ archives in the World | ONE National Gay & Lesbian Archives at University of Southern California

The photographs deeded are below.

I will gladly continue to deed any images to further the cause of humans existing and being accepted as their authentic selves.




Photo Friday: My superpower is vision

2019.11.16 Capital Pride Alliance Retreat, Washington, DC USA  320 94103
2019.11.16 Capital Pride Alliance Retreat, Washington, DC USA 320 94103 (View on Flickr.com)

…I use it to support Washington, DC’s Capital Pride (@CapitalPrideDC) and Capital TransPride (@DCTransPride365) in sharing images of the human spirit to a global audience.

In our nation’s capital, we work to celebrate LGBTQ Pride 365 days a year. There’s no limit on human potential when people exist as their authentic selves, in control of their own health and life destiny.

This is what the images show. There will be many more coming, for years and years… ✌️🏳️‍🌈😀❤️

2019.11.16 Capital Pride Alliance Retreat, Washington, DC USA  320 94024
2019.11.16 Capital Pride Alliance Retreat, Washington, DC USA 320 94024 (View on Flickr.com)
2019.06.09 Capital Pride Festival and Concert, Washington, DC USA 1600256
2019.06.09 Capital Pride Festival and Concert, Washington, DC USA 1600256 (View on Flickr.com)
2019.06.09 Capital Pride Festival and Concert, Washington, DC USA 1600056
2019.06.09 Capital Pride Festival and Concert, Washington, DC USA 1600056 (View on Flickr.com)

Photos: 2019 International Transgender Day of Remembrance, Washington, DC USA

2019.11.20 Transgender Day of Remembrance, Washington, DC USA 324 28210
2019.11.20 Transgender Day of Remembrance, Washington, DC USA 324 28210 (View on Flickr.com)

This is my 7th Transgender Day of Remembrance (#TDOR). My first, in 2013, was in San Francisco, CA.

For some of the people in the room with us, it was their last.

We came to remember the people who laid down their lives so we could exist.

We also come to reassure those who have been told by the 🌎 that they are not amazing that they’ve been lied to.

2019.11.20 Transgender Day of Remembrance, Washington, DC USA 324 28205
2019.11.20 Transgender Day of Remembrance, Washington, DC USA 324 28205 (View on Flickr.com)
2019.11.20 Transgender Day of Remembrance, Washington, DC USA 324 28221
2019.11.20 Transgender Day of Remembrance, Washington, DC USA 324 28221 (View on Flickr.com)

Announcing my Retirement (from Kaiser Permanente)

Everything must either last forever or end at some point. There are only two options. Good endings are as important as good beginnings.

This is the announcement of my retirement from Kaiser Permanente, specifically, The Permanente Federation.

An innovator’s definition of “retirement”

As it has been said by modern thinkers, retirement should happen at multiple points in a person’s career, not at the end, with practice and mastery throughout. I have written on this previously: March 2017: What Am I Doing Now? #ADayWithoutTed and mini-retirement.

Therefore, “retirement” = leaving in the happiest, so glad I could serve kind of way. This is not retiring from the workforce, just one workforce …

I’m going to do something new because I can. I love change, continuous learning and unlearning, and being a part of and capturing the human spirit wherever I go:


My last retirement post was written when I began working for Kaiser Permanente (specifically, The Permanente Federation) in Washington, DC. It’s been a great several years. This is a fantastic organization and its members, nurses, doctors, and staff deserve the best. I will always support it and them.

I learned a ton* and affirmed every day that the 🥛 is 3/4 full 😀.

2019.11.16 Capital Pride Alliance Retreat, Washington, DC USA  320 94029
November, 2019 – Equality Equals Health 🏳️‍🌈 (View on Flickr.com)

I’m leaving knowing that life is amazing and the future is as awesome as I thought it would be.

I’m going to continue blogging, staying in Washington, DC, and ….

(help me fill in the rest if you feel like it)

The usual taglines still apply:

  • I love this century
  • Love always wins
  • Equality Equals Health
  • The future has to start somewhere, and it’s usually here


* For people interested in specifics: implementation and operation of digital grass roots systems, Salesforce Sales Cloud and Service Cloud, Adobe Creative Suite (Photoshop finally!), enterprise digital engagement, social media communication, reporting and analytics, and business intelligence. Inquire for more…