Julia's Food Manifesto

I, Julia, do hereby promise to follow the set of guidelines listed below as they pertain to my food and my eating habits. Obviously, I don't have a lot of control over this for a while to come but still I believe this needs to be said.

1. eat as local as possible as often as possible (farmer's market, CSA, garden)
   
2. eat organic as often as possible (some farms are organic and sustainable without being certified by USDA, all I have to is ask how they deal with bugs and weeds)
   
3. eat independent as often as possible (although I can make a statement by buying from larger companies, I think we should support your local restaurants, grocers and other merchants instead of the huge global companies)
   
4. avoid any foods processed more than standard kitchen cooking methods (I don't think I will be a raw food person so I will always eat food that has been processed to some degree but I don't want to buy stuff that's been cooked in some giant tubed warehouse, frozen, re-hydrated and whatever else they do to food in those giant processing plants)
   
5. read labels on the food I buy in order to ensure I am avoiding dangerous ingredients (if I don't know what it is I will find out before I buy)
6. read labels on the food I buy in order to ensure I am buying products produced as close to me as possible (there can be two similar items on the shelf, I can see that one came from Canada, China or some other foriegn land and one came from the US, I will choose the one that came from the US)
   
7. share what I know with as many people as I can (I will talk about the food I eat, I will write about the places I eat, etc)
   

There will be exceptions to these rules as I grow older - as a well rounded individual I know I will have to try foods that fall outside of these perimeters - but I will always be mindful of where my food comes from and how it was grown, manufactured or cooked. I want to live a long and healthy life and I want to do my part in making the world around me better and these guidelines are simple things I can do which I believe will have a positive impact.

Please join me in living healthy and eating in a sustainable, nutritious way.

Wow! What a week or two!

I have never been so tired in my life.

As you all saw, I welcomed Aunt Susie back home with footsteps. I'd been working at it for awhile and I thought that was the perfect time to show it off. And you know what? That was just the beginning of a world wind couple of weeks that lead up to a momentous monthiversary, my 11th month, my last monthiversary before we start celebrating my birthday!!!!!! YEEAAAHHH, MEEEE!

So what else? Well, Grandma Bonnie married Poppy (Grandpa Buddy) on Halloween. It was so much fun, we had to go to back and forth to a dorm room on Scarritt's campus. I was an honored guest so Mom and I were escorted into the big Whitman Chapel. It's a lot like "the chapel" (All Saints) at Sewanee, which I visited a couple of weeks ago. There aren't photos of my first Halloween because Dad's hard drive crashed before he could upload them to Flickr. Hopefully somebody else has some to post, I looked cute. I got to meet all sorts of people but it was weird because they didn't look like normal people, they were all different colors and wearing funny clothes and hats and wings! We danced in a big circle outside and I got to eat at the big people table.

Speaking of food I am really exploring big people food. We went to an Indian restaurant the night before the wedding and I ate some rice and some Spinach Paneer. I didn't think much about it but most of the adults were surprised that I was eating the spicy spinach. Dad and I didn't think it was so spicy. I eat a lot of oat bran and soy yogurt but recently dad introduced me to sweet potato and butternut squash (I like orange food - carrots are pretty good too) but you know what I really, REALLY love? Soy Milk. Yup, like my Mom and my cousin, LJ, I love me some soy milk. I sit there with my sippy cup and guzzle it down. I tried drinking it standing up once but I feel and it didn't feel so good when my butt hit the ground and I had a mouthful of milk.

So everybody knows I'm walking but you know what I really like to do and I'm not sure why? I like to carry stuff while I walk. If I'm in my room I love to carry my bunny rabbit and maybe a book or some blocks. When I'm downstairs its all about the yogurt containers. If those things are within eyesight I will waddle over and do my best to grab them. Then I must pull every magazine or book (especially really big ones) off the shelf. Its really fun.

Well, now I've caught you up to where I am at this 11th month celebration.

I think I'll start talking in big people English soon.

Why Midwifery?

Some people might wonder why we're using a midwife instead of a traditional OB/GYN. One reason is I'm not very traditional. I'm a simple person when it comes to health care. Other than managing my asthma which is fairly mild at this point in my life, I lead a healthy life (eat organic "whole foods" as much as possible, exercise frequently, don't smoke) and usually go to my primary care physician once a year. I rarely use over-the-counter and prescription medications (as needed for my asthma). A drug-free kind of child birth fits my model of health care and midwifery seems like a natural fit. I could go "natural" with an OB/GYN, but the traditional medical model is potentially a lot more intrusive than I want. "You could have complications so let's check on everything rather than seeing me as a normal pregnant person."

Having said all that, it has been fascinating working with the West End Women's Health Center because it seems like a compromise of traditional midwifery and traditional obsterics practices. Throughout June and July I read Ina May Gaskin's Guide to Childbirth which basically tells the story of midwifery. Ina May is famously known from the midwifery practice at The Farm in Summertown, TN. I heard about The Farm often as a child of the 70's & 80's because one of my mom's good friends was a resident and currently is a midwife/instructor in Knoxville, TN. I have always had a positive association with The Farm and its values/tenets of living in community.

However, I didn't know much more about midwifery and this book is very informative and confirms my beliefs about how I want my child birth experience to be. Even at my AMA (advanced maternal age) I am not interested in having many of the diagnostic tests performed and that has been somewhat in conflict with SOP (standard operating procedure) even at WEWHC which surprises me. These tests used to be done for a specific medically driven concern - older age of mother, family history of genetic disorder, or some other genuine reason. With technological and medical developments as well as fear of malpractice, it seems like these tests have become standard and expected for all rather than rare and only truly necessary for a few.

Pregnancy and child birth are a normal part of life; women have been having children for centuries with the assistance of midwives. Actually outside of the United States, midwifery is much more common - something like 90% of women in the world use a midwife, only 5-10% use a different model. In the US, it is the opposite - only about 5-10% of American women use a midwife and most of those are affiliated with a hospital. Ironically that reminds me of the issue of last names when a WOMAN gets married. About 8% of women retain her "maiden" last name or hyphenate - 92% change to her husband's (in a heterosexual model). Once again I'm a non-traditionalist!

There is the convenience of insurance connected with using the WEWHC versus giving birth at The Farm or at home. It is still significantly cheaper to give birth using a midwife, even at the hospital - so I'm told by the WEWHC office manager. However, these lab tests cost money (someone pays for it) as well as being intrusive, possibly painful and potentially harmful to the fetus in addition to any emotional and mental anguish depending on the results.

At the end of my most recent visit to the midwife (not Soheyl again), she mentioned that at my next visit (28 weeks) I would have the test done for gestational diabetes. I said that I wasn't going to do the test and she looked up, seemingly surprised and said "not at all." I didn't understand that comment because I thought you have it or you don't. I said "not at all." Then she said she'd leave a note for my primary midwife who would prepare something for me to sign stating that I was declining the test. Interestingly enough it wasn't presented as a possible test to take and here's some information about why or why not to do it. It was presented as a standard test to have done.

I've read about the test - I don't have any of the symptoms. I haven't had fast weight gain, I don't eat much processed foods, I exercise, I don't have a family history of diabetes, and I eat because I'm hungry. Also I don't want to drink some sugary gunk, wait for an hour for them to take some blood and see if my blood sugar is high. That isn't natural!

I am happy with the WEWHC in general. When I asked the midwife about Labor & Delivery at Vanderbilt - can you move around, what kind of fetal monitoring is used, can you eat & drink, what about bath/showers, limits on labor time before induction, how do they feel about a birth plan, having people at the delivery, etc. - I received pleasing and comforting answers. The number of C-sections performed is low and there isn't pressure to get an epidural; it sounds like a more relaxed attitude about natural child birth which I would expect with midwifery.