Avoiding diabetes for boards

Everyone has their own plan to survive boards. My friend Lauren seems to be the queen of this: she has pre-made healthy homemade meals (vegetable soups, butternut squash mac-and-cheese) in single servings in the freezer, a fashion theme for each day ("On Fridays we wear PINK!") to keep it interesting, and even a customized daily yoga plan from her yoga teacher. All tricks, of course, to get herself to study every day for five weeks. My role model.

My plan for boards is to not get diabetes. I love to snack, especially while studying, and I recently realized that the bowls of free bite-size candy around school could become a problem given the long days sitting in front of a computer. I also realized that I prefer savory snacks to sweet, but that sweet is what's usually easy and available.

So, for week one, I premade a couple of these kale salads from Smitten Kitchen, which are really good (or I wouldn't repost them). I substituted tomato for dried cranberries, skipped the cheese, and used olive oil and balsamic instead of making a salad dressing, but the real "secret ingredients" that make this salad are the lemon zest (not sour or bitter like lemon juice, but complements the kale) and chopped scallion (pretty subtle). Crunchy, refreshing, and yet hearty with the almonds and quinoa!

I also made these whole wheat English muffins from the NY Times Recipes for Health: not particularly healthy, as they had about half a stick of butter for six (large) muffins, but incredibly delicious. Easy to make, I would make them again in a heartbeat (next weekend?).

Finally, tonight I'm planning on filling veggie tacos with this savory/salty/crunchy-looking avocado-cabbage slaw.

Ever feel like you can't muster the energy to be creative? Board studying is leaving little room in my brain for anything else, including even the most minimal decisions... And this is when it's good to have some trusted recipes to turn to. (Or it would be grilled cheese every night...)

Living with uncertainty

I recently met a patient whose credit card wouldn't go through as she was checking out. The problem was with the machine, not her card, but she was instantly on high alert for credit card fraud. "You have to understand," she said, "as a paralegal, I see identity fraud every day, and I'm paranoid that it will happen to me." We (the other students at the clinic and I) got it: we study diseases every day, with signs and symptoms that often appear relatively benign and familiar (fatigue, enlarged lymph nodes, etc.). Thus, med student syndrome. Yes, the possibility exists that one has lymphoma or lupus--but probably, hopefully, not.

Similarly, failing an exam--and with that, losing your summer or having to repeat the year--is always within the realm of possibility. Before med school, "failing" for many of us meant a bad grade; now, passing is a one-shot deal, determined by one exam at the end of the course. There are relatively few questions on that exam, and it's up to your best guess as to what material will be covered. This makes med school is a relatively unique and stressful experience.

So what do we do? One thing we can to is to accept the possibility and let go. Find activities that are pleasurable, soothing, distracting--like cooking! And if you choose to cook, don't worry so much about getting it exactly right: even if it's not perfect, it will likely taste just fine. G = MD.

Refreshing "mud season" salad (before spring veggies have quite hit their stride):

• fresh spinach
• handful of cilantro
• 1/2 apple
• 1/4 lemon
• olive oil or balsamic vinegar optional

Chop the spinach and cilantro. Cut the apple into 1-cm cubes. Pack up with the lemon wedge. Before eating, squeeze the lemon over the leaves and toss together. For added substance, serve with: cheddar or goat cheese, toasted walnuts, pumpkin seeds, lentils, quinoa, or yogurt on the side.

Adds a little bit of sunshine to your day!

Envy-of-the-co-op salad

There are musicians who can play any song by ear. I don't have an ear for music, but I do have a palate for spices and an average ability to read ingredient lists. I also don't really like to pay for prepared food unless it's really good, but occasionally I treat myself and I try to use these opportunities as inspiration for new recipes. A few weeks ago I tried a great tofu-and-quinoa salad (sans spinach) from Albany's Honest Weight Food Co-op; that salad provided the inspiration for tomorrow's lunch (and tonight's late night snack).

Spinach, quinoa, and tofu salad:

• ~1/3 block firm tofu
• 1/2 cup uncooked quinoa, prepared in a rice cooker
• raw spinach
• 1 carrot
• scallions (few)
• cilantro (handful)
• suggested seasoning for tofu, to taste, using just a drop or a pinch each: canola oil, sesame oil, soy sauce or black vinegar, five spice powder, spoonful of sesame paste or peanut butter (alternate tofu seasoning with fresh spices suggested here)
• dressing: dash of sesame oil and soy sauce

You can either press and marinate the tofu as I do here or, more simply, cube the tofu and toss it in your sauces and spices directly in a pan before baking at 400 degrees. Bake about 10-15 minutes, or longer for crispier cubes. Meanwhile, wash and chop your spinach, peel and grate the carrot, and chop the scallions and cilantro. Once the tofu is done to your liking, toss all ingredients together and dress sparingly with sesame oil and soy sauce, being wary of overdressing the salad. Makes two "side" salads or one large salad.

Super Bowl Sunday salad!

I went to a couple of talks this week that emphasized the importance of protein. While osteoporosis is a well-known public health problem, sarcopenia, or the loss of muscle mass, is less well-understood by both doctors and the general public. Prevention of sarcopenia is perhaps one reason why people who stand or move around at work may be healthier as they age than people who sit all day (like med students). In terms of the obesity epidemic, concentrated protein (as in meat) is lower calorie and more filling than protein stretched across legumes and whole grains (which I generally prefer). Keeping it simple, most adults should aim to eat 1 gram of protein per day for every kilogram (or 2.2 pounds) of body weight.

In January, I made that resolution to eat more protein, and yet I still find myself gravitating towards vegetarian dishes and grains. To compromise, I decided to substitute quinoa for brown rice in a flavorful beans-and-rice salad. Mexican flavors of vinegar, cumin, and cilantro add spice to these dreary, late winter days, and are perfect for Super Bowl Sunday.

Quinoa "rice and beans":

• 1/2 cup dried black beans, reconstituted (or about 1 can of black beans, rinsed)
• 1/2 cup quinoa, cooked with 1 cup water in a rice cooker
• chopped tomatoes to taste (I used half a can instead of fresh tomatoes)
• 1/4 red onion, minced
• handful of cilantro, finely chopped
• 1 garlic clove, finely chopped 
• 1 teaspoon chili flakes (or 1 freshly chopped chili)
• 1-2 teaspoons ground cumin
• 1-3 teaspoons white vinegar
• salt to taste

In a large bowl, toss together your black beans and quinoa, then add tomatoes, onion, and spices to taste. Enjoy as-is, or with salad greens, eggs, or grated cheese (I added some cheese to mine and honestly I'm not sure that it adds much. But up to you.) I doubled the recipe and will have more than enough salad for lunches this week.

Before tossing

After tossing

A pre-spring salad

This winter I have tried to learn the physiology of the nephron as well as how to cook root vegetables, which are cheaper and less egregiously out-of-season than tomatoes. The nephron is a series of parallel tubes in the kidney that filter electrolytes and manage the pH and osmolality of the blood. Root vegetables are starches that grow in the ground. Guess which endeavor met with more success.

Today's lunch:

• 1/2 beet, peeled, steamed, and sliced thin (prepped this over the weekend to have on hand)
• 1 carrot, raw, peeled and sliced thin
• Handful of quinoa (leftover from a Seder last night -- but easy to cook just as you would rice -- my roommate has a small rice cooker that she allows me to commandeer)
• Toasted walnuts, about 1/4 cup or less (a treat! -- also Seder leftovers)
• Arugula
• 1/2 lemon

I pack the quinoa, beet, carrots, and lemon in the bottom of a tupperware with the arugula on top, keeping the walnuts in a separate container to keep them crisp. At lunch I'll squeeze the lemon over everything and toss it all together. The lemon cuts the bitterness of the arugula perfectly.

Today I'll be eating it during an advocacy and service learning meeting on how to do a community needs assessment. What are the needs in my community? What is my community?