Arcticterntalk.org

The blog of a travelling psychiatrist and football lover. Who happens to be a halfway decent photographer. Takes a cynical view of the world

Archive for the tag “USA”

Obesity Begins At 35,000 ft. The USA obesity epidemic in reality. Reflections on USA. Part 1


There is clear recognition that obesity if rife in USA. There is also clear evidence that this has translated into worrying rates of Diabetes a not inconsiderable CVD risk factor. How has this all happened? I like to keep things simple, and mostly they are in life. The USA population eats too much. How does this arise? One easy observation after 3 days in USA, the first time I have visited for many years, is that everyone expects huge amounts of food, and either eats it, takes it away in a box to eat later or leaves it on their plate beaming with delight that ” they have had value for money”. The first place I saw this was in the sky.
At 35,000 ft I can see why USA has an obesity epidemic. Breakfast. American Airlines. The omelette was large enough but hidden inside was a huge amount of high fat cheese. Hiding underneath were about 4 rashers of bacon and the whole lot was swimming around in cubed potatoes. Enough ? No. A huge croissant. Enough now? No. A side order of packet of cheese biscuits and a kit kat and biscuits for cheese and a lump of cheese. There was a look of total horror on the face of the air stewardess when I gave this back. Surely you want to keep it for later? No I do not. One passenger was quite into all this as being asked if she wanted omelette or pancakes replied both….. And I hazard a guess this is not the first time she had eaten like this….
I have also witnessed a curious conversation between two of the air stewards. Discussing what was in the cherry pancakes. And yes they offered cherry pancakes. Quote ‘ what is in those pancakes?’
‘Something like mushrooms?’
‘I thought it was a little like cherries’
I now feel that I have descended into a strange parallel universe. To make matters worse I have spent the last hour thinking he has huge blue earrings. It is only on closer inspection I can see they are earphones which strangely seem to be connected to something and I will not speculate inside the zip of his jeans. I repeat. Parallel universe.
Finally the ending to the food story. Around an hour before we are due to land the next lot of food appears. True to restaurant fashion the meal was both pizza and pasta. Yes both. But if you wanted to pretend you had the healthy option it was pasta salad but oddly without visible salad. And I almost forgot a side order of coconut and orange biscuits.
The second place I saw this was in a Mexican restaurant (maybe one of the worst in the world I have ever visited, but thats a different story), where I ordered a burrito . And that is the operative word ” a”. What arrived was a fairly awful rendition of a burrito and not only that there were two of them. I ate one out of simple hunger, but could not touch the other. The plate was pushed away. My partners plate disappeared but mine stayed. Eventually with a look of disbelief I was asked if I had finished and if I wanted to take this appalling item of food away with me. The third place, was a much better restaurant in Nashville, and just to set the scene more positively you can see what a nice place Nashville is below. But again having ordered a meal that was actually good, chicken and asparagus ( served in a large bun, and one must ask why?. Chicken and cheese and asparagus is a decent meal alone without the need for pounds of bread accompanying it), I was informed in the same way you might be told you had won a prize, that I could have an extra side order. The size of the side order indicated it was either first prize, or was inadvertently given to me but was expected on a table of 8. Nice though it was, coleslaw, it looked like I had not in fact touched it. So cue apologies to Brittany the waitress to explain that it was good but just too much. It would be interesting to do a kitchen audit to see if anyone in a whole day managed to finish their coleslaw and if they did what was their BMI before and after eating this epic side order. So, this story will get continued as the next few days unfold. I plan to have a nice Day and do in fact have a nice Day.

Nashville, Indiana

Nashville, Indiana

Food Photographs Sri Lanka


The food quality in hotels is high. Many foods are offered at all meals including fruit and curry. Some of the best fruits are the pineapples , mangos, watermelon. The bread tends to be of the American type and a little sweet mostly although the basic white and wholemeal loaves contain no additives and taste great. For me the pineaple was the best food, this was available easily and cheaply. The Sri Lankans enjoy their sweet foods too and desserts are essenatially types either of cake with cream in them of various flavours, or mousse like desserts. Sri Lankan coffee is a little of the acquired taste. Can I recommend it? Not really. The tea though is wonderful and like a totally different drink to what we have in UK. There is no need to add milk to tea. Meat is not offered in huge amounts and tends to be used with vegetables in curries rather than served alone. The quality of the meat is also maybe inferior to what is generally served in Uk but is fine. Chicken is rarely served as a breast meat for example, wings, thighs and other less identifiable parts are used. Rice is of many types. Red rice I could not take to but the white rice was excellent. what was the best single food item I ate? Easy. It was the Banana and Coconut Tart!

From the fruits the pineapple and passion fruit were always good. Papaya is not my favourite so unfair to comment. Many of the set meal type lunches were not only huge but often combined meats ( unneccessarily), such as Gammon and Chicken. image

Banana and Coconut Tart. Copyright Chris Bushe 2014

Banana and Coconut Tart. Copyright Chris Bushe 2014

Chicken and Asparagus. Copyright Chris Bushe

Chicken and Asparagus. Copyright Chris Bushe

Herb Crusted Chicken Breast. A rarity .Copyright Chris Bushe

Herb Crusted Chicken Breast. A rarity .Copyright Chris Bushe

Madeira cake or butter cake!Copyright Chris Bushe

Madeira cake or butter cake!Copyright Chris Bushe

Sri Lankan FruitCopyright Chris Bushe

Sri Lankan FruitCopyright Chris Bushe

Sri Lankan  Lunch. MixtureCopyright Chris Bushe

Sri Lankan Lunch. MixtureCopyright Chris Bushe

Mixture of Gammon and Chicken. Sri Lankan Lunch.Copyright Chris Bushe

Mixture of Gammon and Chicken. Sri Lankan Lunch.Copyright Chris Bushe

Sri Lankan FruitCopyright Chris Bushe

Sri Lankan FruitCopyright Chris Bushe

Breakfast CakesCopyright Chris Bushe

Breakfast CakesCopyright Chris Bushe

PineappleCopyright Chris Bushe

PineappleCopyright Chris Bushe

Sri Lankan Brioche type rollsCopyright Chris Bushe

Sri Lankan Brioche type rollsCopyright Chris Bushe

St Helena Church Austerfield South Yorkshire


St Helena Chruch in Austerfield that sits on the border of South Yorkshire and Nottinghamshire is a small church sitting back from the main road almost hidden by a copse of trees. Inside the church is calm and beautiful and with a lovely mellow feeling not at all at the high end of religion . In short it looks a lovely place to worship. Where however it becomes unique is that William Bradford was baptised there around 1590 and he went on to become one of the most important figures of the 17th century by virtue of becoming one of the founding Pilgrim Fathers. Travelling over in the Mayflower to New England where he became Governor of the Pilgrim Colony.

On Bank holiday monday May 5th 2014 the church hosted an excellent art exhibition by a British artist Ann Wildgust.

IMG_8348 IMG_8348s IMG_8350 IMG_8434j IMG_8435 IMG_8445 IMG_8447 IMG_8484 IMG_8486 IMG_8489 Painting

Turtle Farm Grand Cayman


Farming turtles is a topic that gets a lot of press and opinions that broadly can be guessed at. In Cayman news today is not surprisingly that the water at the  turtle farm contains pathogens that equally guessable can cause infections to visitors if hands do not get washed.  Having been to the turtle farm now for two successive years I can only add my very small opinion. There are plenty of sanitising posts at which one can clean hands and visitors are always encouraged to do so, both by staff and by signs.

Turtle farms will always engender opinions. Our visits however have been nothing other than pleasurable, if a little expensive. Who knows whats best?

IMG_5460 IMG_5459 Turtle

 

 

http://www.compasscayman.com/caycompass/2013/02/11/Study-addresses-visitor-health-concerns-at-Turtle-Farm/#comment_22658

 

Recipe for a Wedding Cayman Islands Style


Going to weddings is not my usual form of entertainment but when they take place publicly on the beach when on holiday then maybe its ok to have a peek. This is how you do it:

  1. Go to an amazing hotel like the Marriott Grand Cayman
  2. Rent a section of the beach
  3. Put some chairs on the beach and set up some small goalposts
  4. Make the bridegroom arrive 15 minutes early and look ever so uncomfortable standing there all alone
  5. Have a group of loud Texans in the swimming pool, yellering and hollerring and making many other noises not immediately recognisable as a language on this planet
  6. Then have your dinner outside by a pool with turtles swimming by
  7. Lastly pray for no rain during this little episode of festivities.
Marriott Grand Cayman

Marriott Grand Cayman

IMG_4264x IMG_4274 IMG_4278 IMG_4288 IMG_4298 IMG_4300 IMG_4305 IMG_4308

 

Ariel Castro


May I humbly comment that when considering the appalling nature of this abduction in Ohio two things are astonishing. Firstly that it could happen in 21st Century. Secondly, that judging by the hairstyles of those originally arrested, there is clear evidence that no abduction took place of either combs nor hairbrushes. Image

Stockholm


SnowAlthough I have been to Stockholm a few times I have never truly appreciated what a pleasant city it is. This time snowbound, everything looked cute but everything worked. Trains and planes and cars were all on time, taxi drivers spoke eloquently and engaged passengers in meaningful conversation. The people all looked young. Maybe the old ones get locked away in some sinister plot. As one arrives at Arlanda Airport, they really do play ABBA music to welcome you and photos of famous people like ABBA and Roxette adorn the walls of the luggage reclaim area. T

There is a price to pay and that is literally true. This city is expensive and is best visited when someone is paying the bill. A Croque Monseiour would cost you over 12£. Coffee usually is around 4-5£. Hotels are pleasant places where receptionists are helpful and smile. They are also warm. One of main complaints this last winter has been arriving at Marriott hotels to find that the room heating has been switched off for seemingly the last millennium. On my arrival it happily gets turned on but then takes the length of my stay to warm the room up.

The characters in Stockholm also are straight from the Girl with the Dragon Tattoo. I could have cast that film many times just by sitting in a cafe and looking around. Lastly the food. It is good. The restaurants have a kind of laid back attitude where service is good but not to the point of being obsequious. Tables have gingham cloth covers and serve you pretty much what you want. I had Meatballs. I could have had massive Steaks. This is a place to come back to, but please someone invite me and pay my bills while I am there. The street names are right out of the Girl with the Dragon Tattoo like Sodermalm.

Final thoughts on Kingdom of Saudi Arabia (KSA). Do you want to pay 9p for a litre of petrol?


The two days I have been here have been interesting although I am not sure I have seen much if any of the kingdom. My conclusions are simple that I like the people or to be precise I like the men. They are more humble than I would have predicted, not all but most and interesting human beings. I hate the roads they are full of cars and bad driving. Yet astonishingly I have not seen a single accident. The reasons for the roads? Easy. The price of fuel is incredulously cheap and each family has 2-4 cars. Women are not permitted to drive so a second car is needed for the driver who drives the women.

The whole women thing takes some getting used to. In the audience for my talk tonight ( they like the term talk and not the term lecture) were no females. To have allowed them to be present would I was told have needed special governmental permission. I did see around 10 females arrive and sit down, and one was of european origin, but then they vanished. At the end of my ADHD talk I realised where they were, in a separate “womens room” presumably watching the slides on a monitor. Yet on the Saudi Arabian airlines flight this morning the cabin attendants were all female and wore no specific coverings of the face. Maybe I need to understand a little more.

Saudi Arabia is not a small country with a constantly growing population of 28 million inhabitants of whom 8.4million are non-nationals.  The two largest cities are where I have been staying, Riyadh 5 million and Jeddah 3.5 million. The native name for KSA is actually Al-Mamlaka al-‘Arabiyya as-Sa’ūdiyya (I have to admit to copying and pasting that one).

Geography was never my strong point but it is interesting to note the size of Saudi Arabia when compared with the other Gulf countries that surround KSA. The Kingdom of Saudi Arabia is the largest country in the Arabian Peninsula. It occupies an area about the size of the United States east of the Mississippi River. Saudi Arabia’s population is 28 million, including 8.4 million foreign residents (2010 census),  and its capital city is Riyadh.

Saudi Arabia’s geography is diverse, with forests, grasslands, mountain ranges and deserts. The climate varies from region to region. Temperatures can reach over 110 degrees Fahrenheit in the desert in the summer, while in the winter temperatures in the north and central parts of the country can drop below freezing. Saudi Arabia gets very little rain, only about four inches a year on average.

green background, with in white letters the Muslim creed in Arabic: “There is no god but God: Muhammad is the Messenger of God.
I will definitely return and would encourage others to do so.

A Final View on South Korea from Sherlock Holmes


There is no doubt that I would like to come back here. Based only on two days I would say that this is one of the most polite and pleasant nations I have visited. I saw no aggression nor irritation with two exceptions. A Korean man trying to check in for his flight before the counter was open ( the clue for him was a huge queue and the massive sign saying opening at 14.50) and a Korean man paying his executive level room bill with wads of cash. No smile, no communication. Deadpan face. No thanks either and no bowing. Everyone else in Korea bows to everyone else on every occasion. Let me give you an example. When the check-in desks did open at 14.47 the whole team of 7 check-in staff, stood up, said something together to the waiting travellers ( rather like one might address a church congregation ), bowed to us all, and then rapidly motioned for us to come forward. I will not criticise British Airways for not doing this, but maybe a smile instead of a bow? And not one of those sour mouthed ones either.

The other learning in South korea is that in two days with mostly affluent doctors and other souls, I saw only two overweight people ( out of hundreds if not thousands). One of these was a morbidly obese Korean man in the hotel ( BMI>30, maybe >35), and the other a slightly overweight young woman (BMI maybe 27-28). Why? Easy. They eat less. How do I surmise this? Am I Sherlock Holmes? Well, maybe….

The portions served at mealtimes are much smaller than western sized portions. The meal last night in a grand hotel ( Lotte Busan, if you want to look it up. It has a casino and theatre etc, to give context) was 4 courses. Four small courses. Fish as a starter with bread roll about half the size of UK bread rolls a la Co-Operative. Third of a bowl of asparagus soup. Small steak with side salad, other vegetables and small amount of potatoes. Dessert a small slice of a sort of light cheesecake. No alcohol served at all, and in fact only water and coffee. This was a meal served to a group of top physicians in Korea attending an important annual congress. My second observation was actually a secondary one. I was trying to work out why the airports function better and quicker than UK. The answer is essentially no shops ( certainly no unnecessary ones) and few restaurants. So the whole area is not clogged up by people rampaging for their ninth meal of the morning. Compare and contrast with any USA airport where it seems de rigeur to eat a massive meal even though one is going on a 1 hour flight. So, simple deductions,Watson. Eat less and do not get overweight.

I would definitely return here both in a professional capacity and for a holiday. And in fact I am quite taken with South Korea and shall be cheering them on in the olympics!

Busan from the 33rd floor

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