I bring my own food to work. Every time. I carry air crew “suitcase” of food. If I leave my suitcase at home, I either have to go hungry or ask a family member to drive 2hr round trip to make up for my lapse in memory. /1
For years I have endured relentless comments that try to decipher my “magical” eating system. I used to engage. Now ignore and eat in silence while nodding. /2
Everybody on American continent thinks that you must follow some “diet” or restriction or food must be “healthy”. So they approach what I eat from their cognitive model that falls on its face no matter how they tackle the issue. /3
I have never been on any diet nor believe in diets. I do not eat healthy. I do not follow any restrictive regiment. I eat everything. /4
If you were familiar with how people construct reality, how they define their reality, you would be inclined to question me with passion and get to the bottom of things. You would have to get into my head and understand food from my perspective. /5
Key words to deconstruct my reality would be “healthy food”, “restriction”, and “eat everything”. Then you would have to understand default set point. /6
Each of us knows what food is. Except what my coworkers eat isn’t codified as food by me. I see it as inedible. What they perceive as “health food” is food for me. It’s baseline./7
Potatoes, rice, bread, meat, dairy, and sugar (what else do we vilify?) all fall into food category for me thus I have no qualms eating everything. Everything that I recognize as food.
/8
Then come multiple levels of further complexity. I buy only single ingredients and cook myself. Thus large parts of “food” become essentially non-edibles for me because I don’t know what it is thus I don’t eat it. I turn a blind eye at restaurants for obvious reasons. /9
At no point in time I feel deprived when others are eating and I am not. Imagine if all were eating a cat and you abstained. You wouldn’t feel one bit deprived. /10
While I don’t formally have any restrictions, limits are built in by fluctuating appetite, knowing when to stop eating, size of plates (I only use small plates like we did in the USSR), what foods go together, daily vs holiday meals, limit on how much I can cook etc. /11
Two years ago I started fasting. My fasting was prompted by mourning and grief. A way to keep sanity. Of course, everybody around who has nothing but weight or metabolic health on their mind, largely miss finer reason of traditional ways of living./12
On a side note, I keep my windows open year round only partly for air flow. The main drivers of open windows was a combination analysis of sealed modern buildings vs older structures, thinking, about evolutionary sleep environment (sounds), and sensory privation d/t grief. /13
I also reduced temperature shock of moving from indoor to outdoor both summer and winter so I was able to easily work in both cold and hot weather mostly all day. /14
Sensory privation was the wrong term. We are deprived of feeling in constant temperature environments. I was inducing physical discomfort on purpose. /15

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More from @Medical_Nemesis

26 Jan
I don’t know if I will ever get into the mind of Ivan Illich but I have all the time allotted to me to do so. I am terribly slow because I read acknowledgements and references and look up some that look interesting and will expand a short statement into a fuller understanding. /1
If some of what he conveys in Medical Nemesis I understand as a carrier of the same culture, all of the religious writings are like speaking Chinese for somebody who was raised in an atheist secular country without God. /2
As a small child I dutifully spat in the direction of a church walking past it. Our books had footnotes to explain basic references to biblical stories because we were raised in a complete vacuum of knowledge of prior Christian civilisation. /3
Read 12 tweets
26 Jan
I am looking at Quoted Tweets of “What a great thread! Yeah, yeah” and imagine a group of villagers with pitchforks and torches. Not that anybody can make sense of this info for it might make sense to the narrowest group of specialists in this subject. /1
New variant news thrown at villagers produces an effect of fear. Not that anybody ever lost sleep at new viral variants of anything ever before but you word it right and believers in science can’t sleep now. “They is al’ ‘cited” /2
Then comes Lord Farquaad to explain things to you and tell you all about many vaccines you can be getting for every strain of any virus that ever comes your way. The villagers “get ‘cited even mo’. They is peein’ theirs pants they is so ‘cited to get dem shots ‘n al’” /3
Read 8 tweets
26 Jan
Western ideas kill not only kinship but even nuclear family. Immigrants infuse hospitals with old ways of relating. An Egyptian adopts me, an immigrant from Ukraine, as his child on the basis of common faith - Orthodoxy. /1
A Liberian calls out a man from Laos “Pop” or “Papa. A Ghanaian calls a White Southern rural woman “Mama”. To a Russian child every stranger is an aunt or uncle. The world of Indians consists of aunties and uncles. /2
A descendent of the people who enslaved my ancestors is the one who comforts me in my grief, offering water and walking me to my car. /3
Read 5 tweets
26 Jan
Isolation rooms are a hassle to go into on a good day. Inception level 8 presents new problems. What used to be an easy to open package with a soft gown in a semblance of my size, now became a tightly sealed thick plastic package that I can’t open. /1
I need to go hunting for scissors to cut it open. Once I extract what seems to be a cover for a small field tank that can fit five of me, two pieces of paper fly out onto the floor. Instructions and inspection tag. /2
I have a terrible habit of reading instructions for fear I miss some important information previously unknown to me. I learn not to use the gown as a raincoat. I’m comforted by two stamps from a Cambodian inspector that this gown works as it’s supposed to. /3 Image
Read 8 tweets
24 Jan
All modern research questions frame your mindset and self-frame research paradigm. Broad thinking: how little of everything can a citizen survive on; how cheap can your upkeep be? /1
When an American patient lands in an Austrian hospital for a back problem, a doctor tells him to perform a set of exercises.

- How many?
- Do you have anything else to do? /2
This interchange illustrates two mindsets colliding at bedside. How little can I get away with vs there is no limit to effort when it comes to your wellness. /3
Read 10 tweets
21 Jan
No matter how much scientists and experts throw words nobody understands around in an attempt to convince us we know something, surgical masks alone and surgical masks worn over N95 masks with visors did not protect from the viral outbreak in the hospital where I work. /1
In Jan-Feb 2020 we had what was called the flu outbreak. We closed units that were affected to control the outbreak. Not once any unit was closed during 4-5 outbreaks of the virus we had so far despite control measures. /2
It is obvious to all on the clinical side, we cannot control the virus. It will spread. You will or will not get sick. For majority we have seen with positive tests, it is an unnoticeable condition. They were well and healthy. We wouldn’t notice it in a regular year. /3
Read 5 tweets

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