Showing posts with label eating disorders. Show all posts
Showing posts with label eating disorders. Show all posts

Sunday, September 13, 2009

A Session With Dr. Whippy



Artist Demitrios Kargotis has invented a soft-serve dispensing machine which uses voice-stress analysis to determine how much soft serve to give to the customer...er...client...er...patient. The more stressed out you are, the more soft serve you get.

But will insurance reimburse?

Saturday, January 12, 2008

Soylent Brown



Dinah wanted me to talk about the alleged Texas cannibal that PETA is using to promote vegetarianism.

I have to say, cannibalism is not nearly as interesting as what's being served on the prison menu these days.

I've eaten in the officer's dining room, and it's an experience. Most of the bugs stay on the walls but occasionally you see a little baby bug crawling along the edge of the salad bar. The inmate workers who serve the food all wear gloves and hair nets. I really don't notice the tattoos anymore. They're friendly and polite. They ask if you want the soggy vegetables or the dry white bread or they'll ladle a few scoops of thick sludgy soup into a styrofoam cup for you. On fried chicken days the line is always long, but they still ask if you want extra fries with that. There's always enough little ketchup packets to go with the fries. On non-chicken days, they have a brown square of some meat-type thingie. I'm still working on that one, trying to figure out if it's from the land, from the sea or from the air. At this point I just call it Soylent Brown.

One of the kitchen cadre workers told me that Soylent Brown is a staple of the inmate diet. It's from the food contractor, who I guess buys it by the truckload. For inmates who want a vegetarian diet I guess they can be reassured---my cadre worker tells me Soylent Brown is 90% soy and ten percent meat flavoring, according to what's listed on the box.

Several years ago there was a science fiction movie called Soylent Green. Like all great science fiction movies it starred Charlton Heston. It was set in the future when human overpopulation and global warming had killed off all the world's resources, and the entire human race was dependent on a type of food called Soylent Green. To make a very long story short, Heston played a detective who eventually discovered that Soylent Green was made out of recycled humans. I've included a UTube link to the crucial scene at the top of this post.

(Incidentally, when people talk about physician-assisted suicide I always free associate to the euthanasia scene from Soylent Green.)

So anyway, most of the civilian staff bring their lunches to work rather than risk the food in the officer's dining room. That worked fine until some unspecified employees (whether civilian or custody staff, I don't know) started smuggling contraband in inside their lunch bags. So then all the employees were required to bring their lunches in using clear plastic containers to make it easier to inspect the food on entry. So fine, everybody gets a clear plastic container.

Then more stuff gets smuggled in. Security rules change. There is a proposal to ban all outside food from coming in to the institution. The civilians are horrified that they might have to choose between starvation (only having a half hour for lunch means you can't really go out to eat) and eating Soylent Brown. We're talking Survivor-type reality show here. We're talking 'I may be forced to eat my co-worker' decisions. Fortunately, the no-outside-food rule gets voted down. Somehow the warden's office still gets to bring in catered food for special events; don't ask.

The bottom line is that news stories about cannibalism aren't nearly as interesting to me as the ever-changing security rules related to prison food. It's one of the things about my job that makes the work consistently challenging.

Sunday, July 22, 2007

My Three Shrinks Podcast 29: Suicidal Breast Implants


[28] . . . [29] . . . [30] . . . [All]


This time we recorded inside Clink's place, away from the buses and the birds and the helicoptors. I also did not use the GarageBand filter ("Female Radio") which I usually use to filter out low-volume background noises during silent periods. Let me know your thoughts about how it sounds. We are *thinking* about maybe getting lapel mikes and an inexpensive little mixer to balance out our voices better (any suggestions on products welcomed).

Also, we recorded this last weekend. Since it is a shrink rule that we must take off in August (I swear, they'll kick you out of the APA if you don't), we prerecorded two more podcasts (actually, more like one-and-a-half) which I will dribble out over the next few weeks, but we will return with fresh bloviating blather towards the end of August. (Can't wait? Listen to some old My Three Shrinks.)
July 22, 2007: #29 Suicidal Breast Implants


Topics include:

  • Brief discussion about iTunes. We hit #6 in the Medicine section in iTunes last week, thanks in part to KevinMD blogging about our last podcast. We are now getting about 8-9000 podcast downloads per month, which we all find rather amazing. Of course, after the U.S., the country we get the most hits from is China, so we figure there must be Chinese people somewhere trying to learn English from us (big mistake). For the handful of psychiatrists out there (Chinese or otherwise), perhaps we'll release one of those Dummies books about how to make podcasts.

  • "Curbing Nocturnal Binges in Sleep-Related Eating Disorder." Clink talks about this article from Current Psychiatry, about eating in your sleep, particularly after taking Ambien, or zolpidem. Clink read us a related poem:

    My Grandma had a habit Of chewing in her sleep. She chewed on Grandpa's whiskers, And called it Shredded Wheat.
    The article lists weird things people eat in their sleep, including coffee grounds, cat food, and buttered cigarettes (yum!). [I don't think it mentioned eating your own placenta.]



  • You're Supposed to Get Better. Dinah's post about how to know when you are making progress in therapy, and when to move on. (On the blog, this led to a series of emotional posts and comments about therapy, the power inequity between therapist and patient, and the differences between docs blogging about pts and vice versa. Go here, here, and there to read more.)

  • Archetypewriting.com. Dinah provides an unsolicited (and unpaid) advertisement for this website ("The Fiction Writer's Guide to Psychology") about injecting believable shrinkiness into your fiction, while Clink shows off her new nerdy book (2000 Most Challenging and Obscure Words, by Norman W. Schur) by declaring the word of the day to be hircine.

  • Cosmetic Breast Augmentation and Suicide. Dinah reviews this article from the July issue of AJP, from David B. Sarwer, et al., which finds "Across the six studies, the suicide rate of women who received cosmetic breast implants is approximately twice the expected rate based on estimates of the general population." I guess we need a black box warning on silicone breast implants now. (We had a post a year ago about the Good Breast; this one is obviously the Bad Breast.)

  • Q&A: "Is chronic antidepressant use harmful in the long term?" We don't really do this topic justice, but Dinah refers to a prior post here.

  • Coming up on the next podcast: 3 AJP articles on suicide and depression treatment; federal parity laws; managing agitated patients in your office.

I haven't been able to get this song out of my head for the last 2 weeks (prompting me to get the song from iTunes and then buy the CD), so I thought I'd share the infection with everyone: Mr. Blue Sky by Electric Light Orchestra (ELO). For a really cute video of this song, check out CurlyLisa's gang on YouTube.






Find show notes with links at: http://mythreeshrinks.com/. The address to send us your Q&A's is there, as well.

This podcast is available on iTunes (feel free to post a review) or as an RSS feed. You can also listen to or download the .mp3 or the MPEG-4 file from mythreeshrinks.com.
Thank you for listening.