Toxins

Who knew that toxins exist EVERYWHERE? I certainly wasn’t cognizant of my exposure to toxins. Teflon, PABAs, air, water, food, etc. But, I have learned so much and am constantly learning of the dangers of these toxins in our everyday lives. Most recently, all the soaps, lotions, and cleaning products have been updated in our house.

From Union-Bulletin.com

We use (all can be found on Amazon):

  • Puracy natural dish soap
  • Everyone Soap: hand soap and lotion
  • Nature Clean dishwasher detergent
  • Everyone 3 in 1 soap (adult and kids)
  • Everyone lotion
  • Attitude natural shampoo

EWG:

EWG: Skin DEEP:

  • ThinkSport spf 50+ sunscreen
  • Super Goop Play 50+ spf face sunscreen (currently a 3; would consider a better option)
  • Ilia, RMS Beauty, Lawless, Aether Beauty makeups

EWG: Food Scores:

  • Baby purees: Beech Nut, Earth’s Best Organic
From The Good Human

Profound Documentaries on Toxins/Food Industry:

Current Favorite Reads Regarding Health:

The First 100 Days Postpartum

My mom, aunt, and mother-in-law have been coming on the weekends to help meal prep for the week and also help look after the littles (2 under 2 years old).  My aunt mentioned something in Chinese culture re: the first 100 days after a baby as being a time for healing for the mother.  I had heard of this in Korean culture, but didn’t realize it was in my own culture!  Apparently, it’s in other cultures as well (see the wikipedia link below).  Today, I’m on day 18 postpartum and it’s been a roller coaster of emotions, thoughts, lethargy, soreness, and fatigue.

Wikipedia: Postpartum Confinement

NPR: For Chinese Moms, Birth Means 30 Days in Pajamas

Working Mother: I Tried the Chinese Tradition of Postpartum Confinement, and It was SO Worth It. Here’s why other working moms should too.

Nourishing Postpartum: The 40 Day Sacred Window

“‘Doing the Month’: Confinement and Convalescence of Chinese Women After Childbirth” (1978), by Barbara L.K. Pillsbury

After reading several of these articles, I definitely think there should be more pampering and healing in Western culture after the arrival of a baby.  While I disagree with just sitting around without showers… I do believe in having extra help (house chores, cooking, etc) and allowing the mother to bond with baby without these distractions.

 

What do you think?  Have you hired new help or had family members stay for an extended time to help with chores and cooking so you can focus on bonding with your baby?

Why eat organic?

I wasn’t always a huge supporter of eating organic.  I was a poor college student… a poor medical student… and a poor resident.  In fact, I didn’t start thinking about my health seriously until my husband and I were planning to get pregnant.  Maybe this was a little late in the game at 37 years old… but better late than never, right?

In college, I lived off of lean cuisine microwaveable meals with plastic and drinking 3 diet dr. peppers a day.  In medical school, I survived off a protein bar, sandwich, and microwaveable dinners as well.  Did I mention that I experimented with smoking to help me study?  Ick, what horrible habits!  In residency, I continued with protein bars, microwaveable meals, and hospital food that was free for residents around 9p.  Not to forget, that I made sure I went to a bunch of residency interview dinners to meet potential incoming residents.  Fast forward to getting ready for my wedding day, I went 3 months on a paleo diet and felt incredible and saw real changes in my body without feeling deprived or hungry.  We went organic during my first pregnancy.  We’ve placed more importance on sustaining our baby and helping her maximize her growth and learning with a more nutritious diet.  During my second pregnancy, I again ate organic.  But, I was diagnosed with gestational diabetes and moved to a more Whole30 diet — eliminating processed foods as well as sweets.  I was able to really control my blood sugars with diet alone, and I feel better without all the processed food and sweets in my system.

Why do I think about this now?  More and more, I feel the impact of a well-balanced diet on my body.  My AGING body.  Perhaps in our youth, we can fake it and make it by eating crap food and maintaining an unhealthy lifestyle.  But as I’m aging, I feel the effects more and definitely sooner.  Additionally, I care more now about what I put into my body and in my family’s.  I would love to teach my kids the importance of healthy eating and what good food tastes like.  So, enter my quest to eat organic as well as grass-fed, hormone-free meats as well as going more plant-based.


Resources:

HelpGuide – Organic Foods: What You Need to Know

HelpGuide – Healthy Food for Kids

Mayo Foundation for Medical Education and Research – Organic vs. Non-Organic PDF

MindBodyGreen – A Doctor’s Top 4 Reasons to Eat Organic

Dr. Axe – Dirty Dozen

EWG – EWG’s 2018 Shopper’s Guide to Pesticides in Produce

Dirty-Dozen-Clean-Fifteen

Time – 4 Science-Backed Health Benefits of Eating Organic

The Organic Center – Bringing you the science behind organic

Food Safety Magazine – 2018 Dirty Dozen and Clean Fifteen Lists Rank Produce Items by Pesticide Level

Association between organic food consumption and metabolic syndrome: cross-sectional results from the NutriNet-Santé study. Eur J Nutr. 2018 Oct;57(7):2477-2488.

Human health implications of organic food and organic agriculture: a comprehensive review.  Environ Health. 2017; 16: 111. 

Organic Food in the Diet: Exposure and Health Implications. Annu Rev Public Health. 2017 Mar 20;38:295-313.

Are organic foods safer or healthier than conventional alternatives?: a systematic review.  Ann Intern Med. 2012 Sep 4;157(5):348-66.

Nutrition-related health effects of organic foods: a systematic review. Am J Clin Nutr. 2010 Jul;92(1):203-10.

blog_image_food

Clean Label Project: Methodology

Center for Ecogenetics and Environmental Health: Health Risks of Pesticides in Food

U.S. Right To Know: Monsanto Papers

U.S. Right To Know: Pesticides

Time: Why Organic is the Right Choice for Parents

NBC News: What a nutritionist wants you to know about pesticides and produce

EH_VENN_GRAPHIC_sm
U of Washington Center for Ecogenetics & Environmental Health


Key Points

  • Eat organic and free-range/cage-free/grass-fed/hormone-free when possible
  • Pesticides are toxic and can lead to health problems later in life
  • Choose organic alternatives to the Dirty Dozen
  • Babies, young children, pregnant women, and breastfeeding women are more susceptible to pesticides and toxins in food.
  • Research the labels and get the facts
  • Consider these Netflix documentaries on Health and Nutrition

Arden’s 1st birthday


Written Jan 2, 2019

I can’t believe Arden is almost a year old! Where did the year go?! I’ve got to start getting ideas for her bday as well as invites, food, party favors, location, etc.
Brainstorming:

The number ‘1’ photo collage of Arden: Ribbet, ShapeCollage, Shutterfly

Electronic invites: Paperless Post

Catering: Yelp Taco catering, Yelp food truck catering

Location: Carmel Valley parks

Carmel Valley Community Park and Recreation Center
3777 Townsgate Drive
San Diego, CA 92130
(858) 552-1616

** Insurance for caterers/vendors/food trucks needed. No glass containers. Alcohol is permitted. If >50 people, then $175 for day use. Tables 1st come, 1st serve.
Things to get:

  • Inflatable swimming pool: Amazon
  • Balls to fill pool: Amazon
  • Bubbles: Amazon
  • Gluten-free Cupcakes
  • sheet cake – Costco?
  • one small cake for Arden
  • decor for Arden high chair: Amazon
  • Plates, silverware, napkins
  • alcohol
  • 529 gifting: https://gift.my529.org/1RU6HD
  • Party favors: bubbles, pinwheels, Amazon
  • Photographer?

Paid Maternity Leave

I had just written a response to a partner’s email regarding outpatient coverage and the focus of work-life balance.  I think it’s a great initiative that she is tackling while brainstorming what could help the group with flexibility as well as some normalcy while raising a family.
This made me think of changes to antiquated practices we currently have in our work environment… primarily, paid maternity leave as well as paid sick leave.  Many of my male colleagues can continue to work and can take as little or much leave as they would like for family bonding or vacation time to spend with their newborns.  This is their option.  Unfortunately, the women physicians in our group are not afforded that same luxury.  There is a 6 week medical leave of absence with a vaginal delivery or an 8 week leave of absence with a C/S as proposed by the OBs.  During this time, we are not paid.  State disability is a joke bc it’s not even enough to cover a mortgage payment.  Look at other large companies, there’s often paid leave or sick leave available to the employees.  Therefore, women who choose to have kids while working as a physician in our group are penalized, especially if they are the breadwinner.
Not only that, even while off on medical leave, we are required to pay into the trust and pay ridiculously high premiums to cover the wide age gap of partners in our practice.  I would be happy to look elsewhere for my medical coverage, but I simply cannot come off our medical insurance plan.
Therefore, I propose there be a fund set aside to create a pool or trust for persons creating families (just as we do for our more distinguished and elderly physician population with our health insurance plans and exorbitant premiums) who will have families and work in our group.
Here are some examples in the news of what is and has been in the pipelines….
Here are examples of companies getting it right:
Please consider updating some or all of the policies for paid maternity leave.  I am open to your thoughts and considerations.

 

Poll on Maternity Leave

What it’s like to be a female anesthesiologist…

Montessori floor bed

As Arden is getting older and bigger, I’m wondering if she will outgrow her pack and play that has been her bassinet and crib since she was born. At school, she naps on a floor bed. The times we have tried to get her to nap at home on a floor mattress, she wanders around her room. That was prior to her really crawling around. Now almost 11 months old, she is so fast at crawling and getting around…I’m worried she’ll wander around her room and not get a good night’s rest. But, maybe the ability to explore and be comfortable in her own space is exactly what she needs…

One family’s Montessori floor bed experience from 2013

How we Montessori – Transitioning to a floor bed

ClockWorkRise – Floor bed transition

Kavanaugh report: realities of a montessori floor bed

CanDoKiddo: Montessori floor bed sleep problems

The Full Montessori: floor bed confidential

The Baby Sleep Site – How and when to transition your toddler from a crib to a bed

YouTube: Live well, Jess – Montessori floor bed experience

YouTube: Why not Montessori – Montessori floor bed and Our Experience

YouTube: Mellow Mama – Montessori floor bed

Gestational Diabetes Mellitus

From my 2nd pregnancy….

Got my glucola test today (11/26) for my 24 week test. This time I stayed NPO. My diet has NOT been good this pregnancy. Everything sweet has been so appealing to me. Sweets and carbs have been my jam. But, I have no real cravings like I did with the first pregnancy.

So I got the results back from the 1 hour glucola test and my BS is 155, and it should be less than 130. Ugh! I read this girl’s blog entry and totally related.

Now, I work on diet, portion control, snacks, and exercise.


Week 25: Dec 4 – 10, 2018

I have been clean eating for the last two weeks since I failed my 1st glucola testing. Today, I did an experiment of doing random blood sugars.

7:00a — fasting since 8pm the night before.
BS = 84
8:58a — done one hour after my last bite of breakfast (1/2 cup greek yogurt, strawberries, paleo granola)
BS = 97
9:22am — last bite of homemade beef and bean paleo chili (1 cup). 1 tbsp unsweetened, unsalted organic crunchy peanut butter.
12:33p — last bite of work soup (1/2 chicken and sausage jambalaya, 1/2 lentil and chickpea, salt load thru the roof).
13:43p — BS 93
16:45p — last bite of grilled chicken, brown rice, veggie bowl from FlameBroiler. 1/2 an orange.
17:36p — BS 120
19:15 — granny smith apple; 1 tbsp natural, organic crunchy peanut butter. 1 piece of dark chocolate.

More info I found on glucola testing and GDM:


On Jan 11, 2018, I took my 3 hour glucola test. It’s as awful as the first time but now there’s a 100g sugary drink (yuck!) and 3 hours of hanging out at the lab. Took my 3 hour glucola test and passed the first two blood draws (fasting, and 1 hr after 100g drink)… then got the call that my glucose was slightly elevated on the last two draws (2 hours after the drink and 3 hours after the drink). I’m disappointed that now I have to go and meet with a diabetic educator. Pretty much since I found out that I had a positive 1 hour glucola test, I have been on a lower carb, no-sweets diet. That’s been about a month and a half. I totally related to what this gal said about her diagnosis of GDM.

So, I did more research on what I actually need to do now before meeting with the diabetic educator.

Northwestern Medicine GDM Meal Planning

Yale Health Sample Menu Plan for Women with GDM

Kaiser Permanente; 2000 calorie meal plan for GDM

Sample meal plans from a nutritionist

Intermountain Health Care: GDM Meal Plan

Diabetic food list

optimal-foods-for-gestational-diabetes

GD-Snack-Meal-Ideas
From https://bluepineappleblog.com/blog/gestational-diabetes-diet-tips/


Wed, Feb 27, 2019

Fasting BS @ 6:45a = 82

37 weeks, 1 day

Took a fasting BS bc the perinatologist said if there was only one fingerstick I could do, that would be the most important one regarding prognosis and future DM.


Fri, Mar 1, 2019

2 hour post meal @ 8:50a = 88

37 weeks, 3 days

Had a protein shake, hard boiled egg, 1 tbsp peanut butter, 1 orange, and 1 small can diet Dr. Pepper.