About the Chef-Doctor

Photo credit: NPR Morning Edition* 

Growing up poor in rural Iowa, I never dreamed that at I would graduate from both Harvard Medical School and Harvard Kennedy School of Government.  I always did well in school but growing up with divorced parents who had no higher education and valued making due with what you had, I was discouraged from pursuing my dream of becoming a doctor.  My high school guidance counselor agreed. When I met with her to discuss options for my future, she asked, “What do you want to do with your life”? I said that I wanted to be a doctor.  She laughed and told me I, “needed to find something more suitable to do,” and went on to suggest working in a local factory since (before the recession) they offered stable work and benefits.

I ultimately did work in one such factory to save money to move away for college.  If I didn’t have support in my hometown, I planned to escape so at least no one would hold me back.  My first move outside of Iowa was to Minneapolis, Minnesota where I attended one year of college majoring in psychology.  The decision to study psychology grew out of an understanding that if everyone told me I’d never be a doctor, maybe it was true.  I reasoned that I could still help people by doing something that required less school, like being a psychologist or counselor.  The school I attended was a religious school that turned out to be a poor fit given that I found some of the doctrine and actions of officials and attendees of the school morally questionable.  Rather than realize that another college might be a better fit, I thought that maybe everyone had been right. Maybe I really wasn’t cut out for college.  Because I feared becoming another unskilled worker and falling into the same traps that many of my impoverished relatives had, I decided to go to culinary school.  I loved to cook and felt that this would provide a somewhat better quality of life than no training at all.  That fall, I registered for the accelerated two-year degree program at Le Cordon Bleu, Minneapolis/St. Paul (this was before locations popped up all over the United States).  While I did love cooking, halfway through the program, I knew that if I got to the end of my life and looked back, I’d regret never trying to become a doctor. 

This was around the time my culinary classmates and I started planning for our final internships.  After some research and a number of phone interviews, I landed an internship at Chez Panisse, Alice Water’s famous restaurant, in Berkeley, California.  Shortly thereafter, I found a pre-medical program at a Northern California school, Humboldt State University (one of the California State Universities), I could afford with minimal loans once I got in-state residency status.

Once I got to Berkeley and started my internship at Chez Panisse, I knew Northern California was the place for me.  It was the only place I’d ever been that felt like home.  However, it was very different from anything I’d experienced before.  At Chez Panisse, menus were decided each day based on what local people brought to the back door from their farms and gardens and on what the farmer’s markets had to offer.  I’d never tasted or seen such fresh, delicious food!  Growing up in Iowa, I’d seen plenty of farms with miles of scientifically-engineered monoculture and worked picking produce in the summers alongside recent immigrants, but this was totally different.  I also learned about the politics of food and the cultural importance of sitting down with others over a meal.  All of this was a revelation.

Later, to support myself while attending college at Humboldt State, I utilized my culinary skills for a variety of jobs – managing and teaching at a cooking school in a retail outlet (like a privately-owned Williams Sonoma-type store), being on-call for local restaurants in need of last-minute chefs and eventually helping start a culinary and hospitality program at the local community college where I became associate faculty. I also volunteered to do cooking demonstrations at the Arcata Farmer’s Market (probably the most fun farmer’s market I’ve been to) to show people what to do with all that glut of zucchini or the fill-in-the-blank vegetable they’d never seen before. Around this same time, I undertook self-study in nutrition and poured through books and scientific databases to try to figure out what foods and ways of eating were healthy and experimented with cooking techniques to turn that science and local produce into delicious, healthy food. 

I had also taken up running in my free time and transformed myself from the overweight kid with high blood pressure who grew up eating McDonald’s and had soda as a go-to beverage to a healthy, active person (with normal blood pressure) who viewed their body in a new and positive light.  It was while teaching cooking classes that were in no way focused on healthy eating that people asked questions here and there about how they could eat to better control blood sugar or make foods safe for those with celiac disease.  As time went by, students came back to me with stories about no longer needing to be on insulin, improving their cholesterol and losing weight and feeling good without being hungry all the time.  I began teaching healthy cooking classes that were oversubscribed by 200-300%.  This was proof that people didn’t dislike healthy food – they just disliked bad-tasting food.

Fast-forwarding a bit…it wasn’t until I was in my first months at Harvard Medical School that I realized how entrenched the idea was that it was “pointless to waste time counseling patients about diet and exercise because they’re never going to change.”  I had seen first-hand that this wasn’t the case.  This realization is what steered my medical career toward combining what I knew about nutrition and cooking with being active with primary care medicine focused on caring for those in underserved communities.  While not discussed in detail in this autobiographical sketch, I also spent a significant amount of time in college focused on helping other kids from underserved backgrounds learn the skills needed to apply, and matriculate, to college.  Working with the underserved is not only a passion of mine, but also cathartic in the sense that my own background, while I wouldn’t wish it on others, was not for naught.  It has served as a great resource for understanding the nutrition and social problems rampant in underserved communities in the U.S.  It has also helped me to be a better doctor. 

Just knowing about medicine, nutrition and the problems of the underserved wasn’t enough. While in medical school, I elected to take an extra year to obtain a master’s degree in public policy/administration from the Harvard Kennedy School of Government and do concurrent leadership training through the Zuckerman Fellowship.  These experiences helped me learn how to navigate political and social systems to translate knowledge into making social changes for the better.

At the end of June 2014, I finished internal medicine residency at the Harvard-Cambridge Health Alliance Internal Medicine Residency Program along with other activities in the Boston area including teaching nutrition at Harvard Medical School and serving as Co-leader for the Harvard Chapter of Primary Care Progress, a grassroots organization focused on innovation, education and research in primary care. A highlight of the Boston chapter of my life was being awarded an honorable mention for Food Hero by the City of Cambridge, Massachusetts for, "individuals and organizations with a lasting and significant commitment to the fair, healthy and sustainable food culture in the city."

The current chapter in life has brought me back to California for a post-doctoral research fellowship in cardiovascular disease prevention and a master's degree in epidemiology at Stanford University School of Medicine. I am also board certified in internal medicine and practice primary care at a county safety-net clinic that treats underserved patients. In November 2015, I was elected to serve on the Board of Directors for the American College of Lifestyle Medicine.

A more detailed version of my story is featured in Hoda Kotb's book Where We Belong: Stories That Show Us the Way.

Curriculum Vitae

*Photo credit: NPR Morning Edition http://www.npr.org/templates/story/story.php?storyId=89883788