It Was A Big Weekend by Pat Conrad MD

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Back when I had my own website “Doctors For Freedom”, I always dedicated my monthly November entry to celebrating all that is fun about U.S. obesity. Okay, so I didn’t get to it in time for this Thanksgiving, but after mixing all those ridiculous food groups, that nap wasn’t going to take itself.

According to one study, the obesity rate in the 2-4 age range dropped in 31 states. The CDC (federally funded) and the U.S. Department of Agriculture (ditto), inferred that this improvement was in part due to WIC (a federal program), but didn’t specify what happened in in the other non-improved 19 states. To make up for the oversight, the article name drops Michelle Obama (wife of a federal employee, and herself a major advocate for federal programs) because she too opposes toddler porkiness. The best state was Utah (8.2% obesity) while Virginia (20% chub rate) was the worst, oddly so since it is next to D.C. from whence all good things flow. The average obesity rate is 14.5%, up from 8.2% in 1992.

But hold on – another study that prompted First Lady O’ to proclaim being “thrilled at the progress we’ve made over the last few years in obesity rates among our youngest Americans” actually said they got fatter. “Published online in the medical journal JAMA Pediatrics, [it] used the same data source as the CDC, but analyzed obesity rates over a different timeframe. It found increases in obesity for children age 2 to 19, and a marked rise in the percentage who were severely obese.” This study shows an increase to a higher obesity rate of 17.3%. So pick your study.

According to stateofobesity.org, the adult obesity rate now exceeds 30% in half the states. In between going back for thirds and loosening my belt, I tried to find Medicare performance/quality measures and payment penalties for specifically for increased obesity rates. No such luck, and I’d be grateful if anyone could direct me to them. Of course there are penalties for not controlling hypertension, heart disease, and diabetes to approved levels, so …

What it all boils – or fries – down to is that we are a fat society, and after this past weekend I damn sure need to hit the treadmill. But it’s not my fault if my patients don’t do the same. And even as all the larger forces are conspiring to make it my fault, we have this tasty bunch, the National Association to Advance Fat Acceptance and their “Guidelines for therapists who treat fat clients.” The way this cookie really crumbles is that there should be no federal role, no subsidized advocacy, no low-cost food, no mandated do-gooderism, and no associated biscuit toxicity penalties from the federal government. And I didn’t make you take that last slice of pie.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “It Was A Big Weekend by Pat Conrad MD

  1. james
    November 29, 2016 at 11:13 am

    Hi, remember you had posted my food list a couple years ago, in concern about the Food Stamp Challange. I have started a new list now that some time has passed by.
    It will be interesting to see the differences in what we purchased, and the cost per day to eat.
    I previously posted the information with my back story, and combined grocery list for 2 people for 365 days May 21, 2013 through May 20, 2014 and the result  of  $4.00 per day per person to eat.  
    I have started the new analysis on October 2, 2016
     UPDATE ON FOOD COSTS
    Grocery Shopping Trips starting October  2, 2016
    Oct – 2, 9, 11, 13, 16, 18, 23, 24, 25, 30,31
    Nov- 6, 7, 13, 17, 20, 23, 25, 26, 28

    FOOD COST = $505.80
    THE FOOD IS FOR 2 PEOPLE.
    IF WE DO NOT GO SHOPPING AGAIN UNTIL DECEMBER 4
    THEN OCT 2 – DEC 3 = 63 DAYS
    $505.80/ 63  DAYS / 2 PEOPLE
    =$4.014 PER DAY PER PERSON

    ======
    combined list for the 20 grocery store visits below
    DAIRY
    EGGS – LARGE GRADE A – 138 EGGS
    COTTAGE CHEESE – 3 CONTAINERS – 16 OUNCES PER CONTAINER
    BUTTER – 7 POUNDS
    SHREDDED CHEDDAR CHEESE- 5 PAKS – 8 OUNCES PER PAK
    CHEDDAR CHEESE – 1 CHUNK PAK – 8 OUNCES PER PAK
    BLUE CHEESE – CRUMBLED 2 CONTAINERS – 4 OUNCES PER
    MILK – 3 CONTAINERS – HALF GALLON PER CONTAINER
    CREAM CHEESE – 2 PAKS – 8 OUNCES PER PAK
    ICE CREAM – SUNDAE NUT FOOTBALL- 1 BOX – 1.5 QT PER BOX
    ICEA CREAM – CHOCOLAT ALMOD CHIP – 1 BOX – 1.5 QT PER BOX
    AMERICAN CHEESE – 1 PAK – 12 OUNCES PER PAK
    CHEESE SPREAD – PORT WINE – 2 CONTAINERS – 6.5 OUNCES EACH
    ====
    MEAT
    RUMP ROAST – 3.49 POUNDS
    HAM STEAKS – 5 HAM STEAKS – 8 OUNCES PER HAM STEAK
    TURNEY BREAST – FROZEN – 4.43 POUNDS
    TURKEY – WHOLE – FRESH – 13.85 POUNDS
    BEEF LOIN PORTERHOUSE STEAK – FRESH – 0.97 POUNDS
    NY STRIP STEAKS – BONELESS – FRESH – 8 STEAKS – 4.51 POUNDS
    GROUND BEEF – 80% LEAN – 2.87 POUNDS
    SPLIT CHICKEN BREAST WITH RIBS – 4.99 POUNDS
    CHICKEN LEG QUARTERS – 10.47 POUNDS
    HOT DOGS – 2 PAKS OF 8 – 14 OUNCES PER PAK
    HOT DOGS – 1 PAK OF 8 – 12 OUNCES PER PAK
    BACON – 4 POUNDS
    CHICKEN SAUSAGE – 1 PAK – 12 OUNCES PER PAK
    FRIED CHICKEN – PREPARED HOT – 4 PIECES – 0.38 POUNDS
    CHICKEN LIVERS – 2 CONTAINERS – 20 OUNCES PER CONTAINER
    ITALIAN SAUSAGE – 3.15 POUNDS
    ====
    FISH
    TUNA FISH – 1 CAN – 5 OUNCES PER CAN
    SARDINES – 1 CAN – 3.75 OUNCES PER CAN
    COCONUT SHRIMP – FRZEN – 1 BOX – 18 OZ PER BOX
    SMOKED SALMON – 0.27 POUNDS
    ====
    DELI MEATS
    SALAMI – 1.545 POUNDS
    PROVOLONE – 0.565 POUNDS
    LIVERWURST – 1.970 POUNDS
    BOLOGNA – 0.510 POUNDS
    =====
    FRUIT
    BANANAS – 20 BANANAS – 7.87 POUNDS
    GRAPES – RED – 2.08 POUNDS
    ORANGES – 10 ORANGES – 4 POUNDS
    PRUNES – SUNMAID – 1 CONTAINER – 16 OZ PER CONTAINER
    =====
    VEGETABLES
    SALAD – FRESH EXPRESS – 2 BAGS – 12 OUNCES PER BAG
    SALAD – DOLE – 1 BAG – 5 OUNCES PER BAG
    POTATOS – 5 POUNDS
    SWEET POTATOS – 5 POUNDS
    ONIONS – 6 POUNDS
    GREEN PEPPERS – 7 GREEN PEPPERS – 3.28 POUNDS
    RED PEPPERS – 5 RED PEPPERS – 2.33 POUNDS
    CUCUMBERS – 9 CUCUMBERS – 1.86 POUNDS
    CELERY – 1 PRODUCE STALK
    MUSHROOMS – WHOLE -1 CONTAINER 10 OZ PER CONTAINER
    MUSHROOMS – WHOLE -1 CONTAINER  6 OZ PER CONTAINER
    MUSHROOMS – SLICED – 8 OUNCES
    PLUM TOMATOS – 8 TOMATOS – 1.64 POUNDS
    GRAPE TOMATOS – 2 CONTAINERS – 1 PINT PER CONTAINER
    CRUSHED TOMATOS – 3 CANS – 28 OUNCES PER CAN
    =====
    FROZEN VEGETABLES
    GREEN+ RED PEPPER +ONIONN STRIPS – 2 BOXES – 12 OZ PER BOX
    WHITE CORN IN BUTTER SAUCE – 1 BOX – 10 OZ PER BOX
    CREAMED SPINACH – 1 BOX – 10 OZ PER BOX
    NIBLETS CORN IN BUTTER SAUCE – 1 BOX – 10 OZ PER BOX
    GREEN BEAN CASSEROLE – 1 BOX – 9 OZ PER BOX
    SWEET POTATOS – CANDIED – FROZEN – 4 BOXES – 20 OZ PER BOX
    PEARL ONIONS – FROZEN – 1 BOX – 9 OUNCES PER BOX
    =====
    RICE
    RICE – WHITE – 1 CONTAINERS – 16 OUNCES PER CONTAINER
    =====
    BREAD
    WHITE BREAD – 1 LOAF – 20 OUNCES PER  LOAF
    WHITE BREAD – 1 LOAF – 18 OUNCES PER  LOAF
    WHITE BREAD – 2 LOAVES    24 OUNCES PER LOAF
    RYE BREAD – 6 LOAVES – 16 OUNCES PER LOAF
    RAISON CINNOMON BREAD –  3 LOAVES – 16 OUNCES PER LOAF
    OLIVE LOAF BREAD – BAKERY FRESH – 3 LOAVES – 10 OZ PER LOAF
    ITALIAN BREAD – BAKERY FRESH – 2 LOAVES – 16 OZ PER LOAF
    BAGLES – 2 PAKS OF 6 BAGLES EACH  – 20 OUNCES PER PAK
    BAGLES – BAKERY FRESH – 1 BAG OF 6
    HOT DOG ROLLS – 3 PAKS OF 8 – 12 OUNCES PER PAK
    GARLIC BREAD – FRESH – 1 LOAF – 10 OUNCES PER LOAF
    ===
    CEREAL
    APPLE JACKS – CEREAL – 2 BOXES – 12.2 OUNCES PER BOX
    ===
    PASTA
    RAVIOLOI – CHICKED GALIC – FRESH – 2 BAGS – 10 OUNCES PER BAG
    ===
    SIDES
    MACARONI SALAD – 1 CONTAINER – 16 OUNCES PER CONTAINER
    ==
    SOUP
    CREAM OF MUSHROOM SOUP – 8 CANS – 10.5 OUNCES PER CAN
    ===
    FROZEN ::  MEALS AND SNACKS AND SIDES
    ELLIOS PIZZA – 2 BOXES – 9 SLICES PER BOX – 18.3 OUNCES PER BOX
    FRENCH BREAD PIZZA – 1 BOX – 11.25 OUNCES
    TURKEY POT PIE – 4 PIES – 16 OUNCES PER PIE
    CHICKEN POT PIE – 4 PIES – 16 OUNCES PER PIE
    ROASTED TURKEY FROZEN DINNER – 14 OUNCES
    CHICKEN PARM FROZEN DINNER 13 OUNCES
    COUNTRY FRIED CHICKEN – FROZEN DINNER – 12.3 OUNCES
    MACARONI AND CHEESE – 1 BOX – 28 OUNCES PER BOX
    BREAKFAT SAUSAGE LINKS – 3 BOXES – 6.4 OZ PER BOX
    BREAKFAST SAUSAGE PATTIES – 3 BOXES – 6.4OZ PER BOX
    ITALIAN MEATBALLS  – 1 BAG  – 26 OUNCES PER BAG
    ====
    SNACKS
    RITZ CRACKERS – 2 BOXES – 13.7 OUNCES PER BOX
    PRETZLES – 2 BOXES – 12 OUNCES PER BOX
    PRETZLES – 1 BAG – 16 OUNCES PER BAG
    TORTILLA CHIPS – 1 BAG – 13 OUNCES PER BAG
    REESE PEANUT BUTTER CUPS – 2 BAGS – 10.5 OZ PER BAG
    ALMOND JOY – 3 BAGS – 11.3 OZ PER BAG
    JOLLY RANCHERS – 3 BAGS – 16 OUNCES PER BAG
    PISTACHIOS – 1 BAG – 8 OUNCES PER BAG
    TRISCUTS – DILL AND SALT – 1 BOX – 9 OUNCES PER BOX
    TRISCUTS – OLIVE – 1 BOX – 9 OUNCES PER BOX
    TRISCUTS – PEPPER AND OLIVE OIL – 1 BOX – 9 OUNCES PER BOX
    =====
    DESSERTS
    CRUMB CAKE – 26 OUNCES
    PECAN SANDIES – 2 PAKS – 11.3 OUNCES PER PAK
    APRICOT RASPBERRY COKKIES  2 PAKS  6.75 OUNCES PER PAK
    DONUTS – ENTENMANNS  – 1 BOX – 15 OUNCES PER BOX
    APPLE PUFFS – 1 BOX OF 6 PUFFS – 19 OUNCES PER BOX
    CHEESE DANISH TWIST  1 BOX – 15 OUNCES PER BOX
    CHERRY PIE – FROZEN – 3 PIES – 34 OUNCES PER PIE
    VERY BERRY PIE – FROZEN –  2 PIES – 35 OUNCES PER PIE
    =====
    EXTRAS
    KETCHUP – 2 BOTTLES – 50.5 OUNCES PER BOTTLE
    TACO BOAT SHELLS – 8 SHELLS – 1 BOX – 6.7 OUNCES PER BOX
    TACO SHELLS – 36 SHELLS – 3 BOXES – 4.6 OUNCES PER BOX
    SALAD DRESSING  – RASPBERRY WALNUT – 2 BOTTLES – 16  OZ PER BOTTLE
    EXTRA VIRGIN OPLIVE OIL – 1 BOTTLE – 17 OUNCES PER BOTTLE
    MAYONNAISE – 1 JAR – 30 OUNCES PER JAR
    SAUERKRAUT – 1 POUND
    MEAT MARINADE – GARLIC HERB WINE – 2 PAKS – 0.87 OUNCES PER PAK
    STUFFING – CHICKEN FLAVORED – 5 BOXES – 6 OUNCES PER BOX
    STUFFING – CHICKEN FLAVORED – 1 BOX – 12 OUNCES PER BOX
    SALTINE CRACKERS – FOR STUFFING – 1 BOX – 16 OUNCES PER BOX
    CRANBERRY SAUCE – 2 CANS – 14 OUNCES PER CAN
    ONION SOUP MIX  2 BOXES – 2 OUNCES PER BOX
    GRAVY – BISTRO AU JUS – 1 JAR – 12 OUNCES PER JAR
    GRAVY – ROASTED TURKEY – 2 JARS – 12 OUNCES PER JAR
    ===
    SODA
    SPRITE – 72 CANS – 12 OUNCES PER CAN
    COKE – 24 CANS – 12 OUNCES PER CAN
    DR PEPPER – 24 CANS – 12 OUNCES PER CAN
    =====
    JUICE
    V8 JUICE – 2 BOTTLES – 46 OUNCES PER BOTTLE
    V8 JUICE CARROT AND MANGO – 1 BOTTLE – 46 OZ PER BOTTLE
    APPLE CIDER – 1 BOTTLE – 64 OUNCES PER BOTTLE
    ORANGE JUICE – 6 BOTTLES – 59 OUNCES PER BOTTLE
    =====
    COFFEE, TEA, AND ICE TEA
    ARIZONA ICE TEA – 14 BOTTLES – 128 OUNCES PER BOTTLE
    TEA BAGS – 1 BOX – 100 TEA BAGS
     

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