EPISODE 10: I Don’t Eat My Apple a Day- Nutrition and Dietary with David Orozco MS, RDN

Today’s guest is David Orozco MS, RDN! Listen in he shares tips on nutrition, dietary, communication with different disciplines and his approach to health!

Today’s Guest

David Orozco MS, RDN

David owns TD Wellness, LLC, a nutrition and wellness practice in Atlanta GA, and he also hosts a podcast called One Small Bite – a podcast to help optimize men’s nutrition and health. David has been in practice for over fourteen years as a Registered Dietitian Nutritionist and he is a Certified Intuitive Eating counselor, he also holds certifications as an Exercise Physiologist from the American College of Sport Medicine, and he is a Quit Smart® Smoking Cessation counselor.

He specializes in weight concerns, diabetes, emotional eating challenges, and eating disorders, and he also provides worksite wellness solutions for various companies and organizations. David was born in Bogota, Colombia, came to the US at the age of three, and is fortunate to be fluent in Spanish and continues to work with the Latino community and see Spanish speaking clients as well. 

David also enjoys cooking. He auditioned for Season 9 and 10 of the MasterChef TV show with celebrity chef Gordon Ramsey. David also enjoys teaching fitness classes, hiking, biking, and holds the rank of degree black belt in the Japanese martial art of Aikido. 

More importantly, David loves fun time with his family, his wife Trisha, daughter Helena, and his dog Fuego. They love to just play at home, travel, explore, cook, binge watch Netflix, Amazon, and streaming TV, and just spend weekends relaxing together. 

Website: https://www.tdwellness.com/ ,
Podcast: One Small Bite
Instagram: @david_tdwellness
https://www.eatright.org/

Key Takeaways

• David discusses intuitive eating and how it can help our wellness and nutrition.
• He brings up the point that we all are working in independent silos.
• David stresses that their is a lack of awareness on how to effectively collaborate.
• He also states being frustrated that he doesn’t receive medical records and how challenging it can be to reach physicians.

“We’re working in silos, we’re not really sure how to collaborate. There’s no real good model for that kind of collaborative care in our healthcare system.”

Resources (Click for Amazon)

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Transcript

Andrew Tisser 0:11
How can dietary and nutrition choices help combat chronic disease? What is intuitive eating? How should shift workers eat at night for optimal performance? We’re in the answers to these questions and many more on this episode of the talk to me doc podcast.

Andrew Tisser 0:41
And now your host, Dr. Andrew Tisser. Hey guys, this is Andrew. Thanks again for listening to the talk to me doc podcast. If this is your first time, welcome. If you’ve listened before, thank you so much for coming back. In this episode, we interview David Roscoe, David owns TD wellness, LLC, a nutrition and wellness practice in Atlanta, Georgia and he hosts a podcast called one small bite, a podcast to help optimize men’s nutrition and health. David has been in practice for over 14 years as a registered dietitian, nutritionist and he is a certified intuitive eating counselor. He also holds certifications as an exercise physiologist from the American College of Sports Medicine, and he is a quit smart smoking cessation counselor. He specializes in a weight concerns diabetes, emotional eating challenges and eating disorders, and he also provides worksite wellness solutions for various companies and organizations.

David was born in Bogota Colombia came to the US at the age of three and is fortunate to be fluent in Spanish and continues to work with the Latino community and see Spanish speaking clients as well. David also enjoys cooking he addition to for season nine and 10 of Master Chef TV show with celebrity chef Gordon Ramsay. David also enjoys teaching fitness classes hiking biking and holds the rank of black belt And the Japanese martial art of Akaido. More importantly, David loves fun time with his family. His wife Trisha, daughter, Elena and his dog fuego. They love just to play at home, travel, explore, cook, binge watch Netflix, Amazon and streaming TV and just spend weekends relaxing together. Well, without further ado, let’s get David on to the show. David Roscoe. Welcome to the talk to me doc podcast.

David Orozco 2:23
Hey, Andrew. Thanks. Thanks for having me on. I’m excited to finally get this started. This is this is a you guys have a great show. I really appreciate you allowing me beyond. Yeah, thanks for saying that. So I recorded a little bio about you for the listeners, but in your own words, could you kind of tell people who you are, what you do, what your role is in health and healthcare and so on? Absolutely. Absolutely. So my name is David Orozco. I have a private practice nutrition private practice in Atlanta, Georgia.

And I’m a registered dietitian, nutritionist I specialize in weight concerns, diabetes and eating disorders. I also have a background or a certification in intuitive eating and certification as an exercise physiologist with the American College of Sports Medicine. I am also fluent in Spanish. I was born in Colombia, and I came to United States when I was three years old. So I’ve been living here almost all my life now my entire life. And, and, and so I also help by serving the Latino community in Atlanta fact I get maybe a handful of Latino clients each week.

Andrew Tisser 3:43
Gotcha. Awesome. So, and I forgot I

David Orozco 3:47
have a podcast. It’s called one small bite. Oh, yeah, that’s

Andrew Tisser 3:51
pretty important. Right? So intuitive eating is that just like I intuitively like the cookies. Like, what does that mean?

David Orozco 4:02
Ah, I love that. That’s great. Yeah, so intuitive eating is essentially a way of getting to understand and become aware of what your body’s needs and wants are. And so I often tell people that intuitive eating is a, a meeting place between the foods that we need and the foods that we enjoy. So chocolate chip cookies are not off the table pizza burgers. And in fact, that’s what my show is mainly about. It’s, you know, it’s it’s form generally for men. And it is trying to get guys to be a little bit more intuitive about their eating. intuitive eating is also essentially a positive relationship to food.

By the way, I once said that to a client, and they said, I don’t have a relationship with food. And I said, Yeah, I know it doesn’t seem like you have a relationship, but you know, when you’re at home alone, and you’re Watching TV and you’re, you’re you’re chowing down on a bag of chips. You do have a relationship with with food and that is sort of the drown your emotions with them sometimes or, or to ignore it or leave it a little bit. Yeah, so so intuitive eating is building that positive relationship with food.

Andrew Tisser 5:17
Very interesting. Yeah, I definitely recognize my relationship with pizza and it’s it’s strong.

David Orozco 5:25
That’s right. That’s right. I do I grew up with pizza and I truly enjoy pizza. I make pizza for my daughter maybe once or twice a week, believe it or not, then So yeah, I get it.

Andrew Tisser 5:36
Well, you know, my wife and I, we like to like make it at home and try to make it on like low carb type thing wraps and you know, still get the craving out of the way but it’s healthier. But I think a lot of that comes from just being rewarded with food as a child, unfortunately, but that’s a whole different discussion.

David Orozco 5:57
You know, your head Private Practice dietitian. Is it? Have you always done that? Did you work in a different setting prior to that? Good question. So I’ve been in practice now for 14 years, I’ve been the dietitian for a little over 16 years. And prior to that, I, before getting my master’s degree in nutrition. I ran my family’s travel agency, believe it or not, yeah. So I ran my family’s travel agency for about nine years before I realized not before, but I had realized early on that that’s not what I really loved in life.

But I did it for nine years. And I actually had a degree or graduated with a biology degree and had planned to go into medicine and, and my family was calling my name and saying, No, you got to come here. You got to come here. So. So So yeah, so my previous life was running a travel business and I enjoyed the travel part. I didn’t enjoy doing it for others.

Andrew Tisser 7:01
Fair enough. Yeah. And then you got your degree and then transitioned into into your own practice as well, right?

David Orozco 7:09
Sort of, I always knew that I wanted to be my own boss. But I did get almost two years of training at Emory bariatric. So it’s a weight loss, both surgical and non Surgical Weight Loss Center. And that’s why I have a strong specialty in weight concerns and, and so I worked with people who were either having surgery or doing what Emory called a non surgical approach which is essentially a diet and fitness program and using a liquid meal supplements and then the transition phase and stuff like that.

So I got my training there for two years and then I started my practice I did I dabbled in corporate wellness. I still do quite a bit of that now. But I essentially right now, the bulk bye bye My, my work is doing one on one nutrition counseling. Any office, I have two dietitians that work with me and I have two therapists, two psychologists, one that specializes in sleep and the other one in anxiety. And so I have a nice clinic with several practitioners and I like that combination care approach.

Andrew Tisser 8:21
Great. Well, you kind of answered my next question for me, which was, who is your team? So, this is a show about team based communication and healthcare. And do you think in general there? Well, I guess my question would be, what do you think the biggest issue is with team based communication right now?

David Orozco 8:42
Oh, that’s a good question. Um, the biggest issue I would say is when I thought about this, I thought about well, so one of the three areas that I always see is a big challenge for me, because I get a good amount of referrals from business. missions and other health professionals. So to me there, there’s there’s three different areas that I see. One is that we’re all trained to do specific type work. So we’re all working in our own fields. And I’m sure you’ve heard this, this terminology before, but we’re all working in our independent silos.

And so I see that as one of the major areas of our challenges with communication is that there is that we’re all working in our independent independent silos. And so we’ve got all of this billing or all of these clients are patient and, and so we’re all you know, sort of stuck in our little worlds and our little microcosms. And so that’s one area where I see there being a big challenge. The other one is, sort of maybe a lack of awareness or a knowing of how to enter de intergate. Or collaborate, collaborate with other health professionals like for example, I’d love to have a physician in my practice, but how do I do that? I’ve never been told that it is their way of doing that. Can I do that? I mean, I know I can, but And could I afford that would you know?

So I’d love to have maybe a nurse practitioner or a PA or an internist or a primary care, some one in the medical establishment that can help triage clients. And then so but again, there’s this ignorance, there’s this not not not there’s no knowing how, and that kind of leads into the third area, which is to me there doesn’t seem to be a good role, not role model, but good models or templates of how to do team healthcare in our work other than maybe the ER and and, you know, I we get as dietitians we get our training in hospitals. For I think we do either six or eight weeks at hospitals and we do a combination of See you.

Diabetes, we see kidney disease, cardiovascular. We do oncology pediatrics. So you know, we’re in the hospital sweat setting quite a bit. But other than the hospital, I don’t know of a good while there are some models. I mean, let me rephrase that there are some good models, but they’re not very common. And so it’s when you’re, you’re trying to get into private practice. I think it’s, it’s difficult to communicate with other physicians and other health practitioners because of those three main areas. You know, we’re working in silos, we’re not really sure how to collaborate. And then, you know, there’s no real good model for that kind of collaborative care in our healthcare system.

Andrew Tisser 11:47
Yeah, no, really a lot of good points there. I mean, I think in the hospital, I think the the impatient team uses dietary a lot and you know what, it is? Be for artificial feeds or for planning or for diabetes or for all the things you mentioned, but then they get discharged. And then that’s kind of like it. Right. Right. And then the patients are just given, like, a loose set of guidelines on what a heart healthy diet is, or what have you, and then kind of kicked out into the world. Right, right.

Exactly. And, you know, I, you know, I’m an emergency doctor, so I don’t really, I don’t necessarily interact with you guys all that often. But I, I’m sure a lot of my colleagues don’t know about some of the services you provide and how to get patients into see you and you know, I think there is a big miscommunication there. They’re not really a miscommunication, but a lack of awareness, I guess a lack of awareness would probably be the best way to put it and some of the so much of our health care issues that are chronic and preventable and so, a lot a lot of these people can be kept out of the hospital if they went and saw you are I’m sure but yeah, it was a good point.

David Orozco 13:02
I remember seeing a presentation one time with a former

Surgeon General talking about that somewhere the statistics is somewhere around 70% of medical issues or or mortality is, is preventable is preventable diseases, things that we can prevent. And I and I thought, Yeah, that’s great, but I wish that I’d have more clients like sort of funneled into where they need to go afterwards. But that’s really, really hard in our in our, in our current healthcare setting. Absolutely. Yeah.

Andrew Tisser 13:40
Again, that’s probably another discussion, another discussion. But yeah, it it is is the short answer the so do you think that some of these so with the different practitioners operating in silos and not communicating as well so I mean, I think we touched on this do you think it It goes down to the patients then because of just they’re not pushed in the right direction or they’re not guided in that way or what what do you think about them?

David Orozco 14:07
Yeah, you know, I was always fascinated

by what I thought was the health care model. I don’t know if it was when I was in my graduate program there. I remember learning about maybe the NHS model in England, where there is a, you know, a guardian or a gatekeeper, which is the primary care physician. I think that that’s where the affordable Affordable Care Act was probably going, where you have this gatekeeper and that physician or health practitioner would be the person that connects all of the other specialty areas.

But to answer your question, yes, I think it affects people quite a bit, you know, the like, I’ll give you an example. You know, client will come to me and they might have diabetes, and they’re going to their physician. And because I do a really good job of trying to market to physicians, and agging I’m going to digress a little bit here. But I do get a little bit frustrated with the pharmaceutical industry, not because of the medical medicine, because they sort of ruin the playing field, so to speak for us who want to go into physician practices.

Now, a lot of physician practices closed their doors, they don’t allow us to talk to them because they can’t be influenced by outside services and products. Right. So, but aside from that, again, that’s another discussion. We don’t get a lot of medical information like past medical information, medications, surgeries, hospitalization, mental health issues. I don’t see a good amount of that when I see a client. I have them fill out a form and it asks as much of it is Bunch of that information as possible. But I don’t I don’t know really where the person is I have to get to know that person all over again. And it does a bit of a disservice to the client because it would be easier to get them where we already know what’s going on.

And then it sort of increases the speed at which we can care for them. And so it doesn’t slow down their level of care. I also think that and this is a little bit outside my world but I also see clients like my diabetes clients or some of my renal kidney clients where they have been prescribed one medication by maybe one doctor primary care and then another medication by their nephrologist, and then another medication by their internist. And so then they have like five or six different medications that are trying to get to the same thing, but Quite often I’ll see their blood sugar spike or their they have difficulty remembering to take it or someone’s over.

So there’s, there’s sort of this difficulty or redundancy of care, that makes it a little bit difficult. And then for a lot of clients that don’t have a lot of resources, you know, they they tend to spend a lot of time missing work hours or you know, there’s a lot of demand on transportation and on their time, sometimes going from from visit to visit the visit. Because I also have consults with them either weekly, every other week, maybe once a month and, and so that adds yet another layer. So it would be great to have more of that gatekeeper where the physician would have multiple specialties. Within a practice, that would be you know, an ideal world that would be great but that’s that’s where I see some of the communication problems affecting client and patient care.

Andrew Tisser 18:04
Absolutely. I mean, we’re one of the only industries that still uses a fax machine.

David Orozco 18:09
That’s a good point. Father’s, like, Oh my god, I still have a fax number.

Andrew Tisser 18:15
It’s horrible. Like, I don’t even know how to send a fax. Oh, yeah. Yeah, it’s, it’s really it’s absurd, honestly. But really, there’s a lot of great people trying to work on a lot of those issues. So hopefully, we’ll have some interesting insights in the next number of years. So do you do you think in your own office like because you have a you have a team there? Can you think of an example where either communication, either lack thereof or positive communication really affected a patient’s outcome?

David Orozco 18:46
Or client? Oh, yeah, that’s a good question. There is usually with my eating disorder clients, that’s probably the biggest place where have a higher level of communication but with clients Today that have weight challenges or diabetes or cardiovascular disease. I had one situation where I had a client who this was just recently she was prescribed a birth control medication. And she had been dealing with high blood pressure for a while and, and the medication was driving her blood pressure up a little bit higher and I, I we kept working and working from a nutrition standpoint, and to help improve her eating to control her blood pressure.

And we just we could for a while we can figure it out and then her husband or somebody close to her mentioned how she was on a new medication for birth control and they started looking at the side effects so they went to the doctor and She Yeah, she she was taken off medication or blood pressure improved quite a bit. Now, that’s a mild case. I’ve had some other more serious situations. For example, I had a situation with a client that had kidney disease, stage two kidney disease, and they also had diabetes. And so just to digress a little bit, if you if the vast majority of people that are on dialysis and or damaging their kidneys, partly because of high blood pressure and diabetes, and so I often see diabetes or high blood pressure in a lot of my kidney or renal clients.

And so one client had been on progesterone for a while, and we had been trying really, really hard to work on lowering their blood sugar and the client didn’t need to be on progesterone and even longer but was never told to be to take to stop taking the progesterone. And so no matter what we did with the diet, it wasn’t working and then we I started looking at her medications again and and I said How long have you been taking progesterone and what are you taking it for? And she couldn’t even remember what she was taking progesterone from she couldn’t remember. And I said all right, well, let me get in touch with your nephrologist.

I called him the frog logist then follow just said Oh, yeah, that wasn’t prescribe that was prescribed by her rheumatologist for something and and then she was either taken off the professor on she didn’t need it anymore. And lo and behold, her blood pressure or blood sugar numbers improved quite a bit. And so that that helped quite a bit. And that that was hard because when when we’re having problems that managing a person’s blood sugar levels, what ends up happening is that if specially they’re on insulin They might have to take more insulin. And in my world when people are going on higher and higher units of insulin, there is a tendency for more weight gain, and, and the weight gain can tend to exasperate blood sugar control. And so it’s very difficult because I’m not a physician.

And so I have to scramble to get in touch with the physician. Now, luckily, because I’m a healthcare professional, and I’ve established good relationships with a lot of my medical practices that refer clients to me, I’m able to mostly talk to the physicians directly, instead of their MBAs or with medical assistants or their nurse practitioners, they usually will be able to communicate it a little bit better, but that’s another area where it’s a little difficult. And it’s not not always the physicians fault, you know,

I mean, you guys are, especially in practice, you’re seeing somewhere between a low number would be 15 to Sometime I’ve seen I’ve heard I’ve had physicians tell me that sometimes their numbers are, are sometimes up to as many as 40 clients a day, depending on their schedule. And so I don’t know how you guys do it, but quite honestly, I’m always surprised that they even remember a client or a patient when I call them but but yeah, so so that that’s where that’s where it’s I’ve seen some some challenges. And that’s not the only situation. I mean, I don’t often get it that much. Because the beautiful part about what I do is, is that in the nutrition world, I’m not seeing people that are in acute conditions, they’re generally in a stable maintenance type of place or not in harm, not in major harm.

Andrew Tisser 23:46
Fair enough. good points. Absolutely. Yeah. Well, David, at this point in the show, I like to transition a little bit to get to know the guests a little bit better. And so why don’t you talk about your podcast a little bit what what do you talk about what what is it about? Where can we find it?

David Orozco 24:02
Yeah, great. So the podcast is called one small bite. And just to let you know, the one small bite is, is a lot of what I do in my practice, but the but the podcast is actually designed more for men. And that’s for two reasons. Number one, I 70% of my consulates are with women, in other words, 70% of my businesses working with women, so I don’t see enough men and so I there’s definitely an under representation of health care for men.

And I think that that speaks the second reason us guys tend to delay care or not seek help. And so I often find guys not asking for help quite often and, and that’s for a variety of reasons. Its cultural, its stereotypical is educational. There is a variety of reasons so The podcast is designed to help men enhance their nutrition and therefore their health. Now, of course, the podcast is designed for men, but if you listen to it, I mean, we all eat, and we all do a lot of the similar things. So it’s very beneficial for for, for both genders.

But it’s designed for men. And I do weekly interviews as well as I do some solos. I have some Friday episodes that I call the Friday food hack. And that’s where I bring in a specific topic on nutrition, health and wellness. And then I also do table talks. And that’s where I get listeners and guests to ask questions specifically about issues regarding their health and their nutrition. So that’s what I do on the podcast. I really enjoyed it have a really good time. The show is published weekly and and again every two times a month I do a Friday episode as well.

Andrew Tisser 25:59
Yeah. I’ve really enjoyed the show. So I’d recommend all listeners to check it out. And I’ll put some links in the show notes for you.

Andrew Tisser 26:09
Yeah, of course, the next question I have for you. Do you have a book recommendation for the listeners? Either a favorite book ever or a current recommendation or both?

David Orozco 26:19
Yeah, yeah. Well, so there are two and and unfortunately, or I don’t know, fortunately, they’re there. They’re both nonfiction. And so the first one is what we talked about early on, and that is intuitive eating a revolutionary program that works. And that’s from a colleague of mine, Evelyn Tripoli, and her co co author was also a dietitian Elise rush. So intuitive eating has transformed my approach and my way of working with people quite a bit.

And so that’s one book that I’ve enjoyed. I think they’re coming out with a new edition this June 2020. And then the second book that I have really, really enjoyed that, again, links, a lot of what I do to my practice is called atomic habits. I don’t know if you’ve heard of it, but it’s from James clear. And he really gets to the nitty gritty of how we can make some habit changes. And, by the way, just as a spoiler alert, it has a lot to do with one small bite. So, one small step at a time, right. But those are the two books that I really, really enjoyed. But I if I can say a third book that has inspired me my whole life, and that was Joseph Campbell’s hero with 1000 faces.

This was the book that I believe

George Lucas was inspired by to write Star Wars, and I’m a big star wars geek. I love Star Wars. So Hero with 1000 faces has always been something that’s mythical and interesting and I’ve enjoyed a lot quite a bit

Andrew Tisser 28:09
yeah I I’m a big Star Wars fan myself so I gotta read that one and it’s funny we did not plan this but I started reading atomic habits yesterday oh yeah

David Orozco 28:20
what what do you think so far

Andrew Tisser 28:22
I really I’m enjoying it I mean yeah, I just got into it but yeah that’s

David Orozco 28:27
funny. Yeah yeah I love I love I love his approach the research his novel his but I mean, I think he just put it down in a way that’s that makes a lot of sense. And and it is there. There’s a good amount of research behind the two which is,

Andrew Tisser 28:40
which is what I like so yeah, but it doesn’t it doesn’t feel like a research II academic count. Yeah. Is he’s got away with words. I really I’m liking it.

David Orozco 28:49
Yeah, yeah. And I like his story to your former baseball player. And so I like his journey as well. So I’m always trying to tie in the hero’s journey and a lot of things that I do so

Andrew Tisser 29:00
Yes, absolutely. Okay. Well, David, what do you like to do for fun besides the podcast?

David Orozco 29:06
Well, good question. So the outdoors are my jam. I love being outdoors. I love biking. So I bike my daughter to school almost every day I biked to work every so often. I also really enjoy long walks in the morning. I’m an early bird, I get up between 445 and five, and I’ll do some writing. So that’s another thing that I enjoy doing is I’ll write I’m writing a book already. And then I’ll do long walks. That’s where I listened to podcasts. And it just kind of get my mind straight, get it ready for the day. And then I love cooking. I mean, that’s really another area that I enjoy quite a bit.

You know, I’m true to my practice. I love cooking my wife and I enjoy making some fun foods. And those Yeah, those are probably the big ones reading books and writing. Awesome if you could give physicians and other clinicians just a single piece advice in the area of communication, David, what would that be teamed up with a registered dietician. seek us out. Look, look for us. There are several areas that you can find us, you’re more than happy to get in touch with me. I’m more than happy to connect you with the dietitian in your area.

You can find me either on my podcast, one small bite.net or you can find me on TD wellness. com. That’s my private practice. There’s also the Academy of Nutrition and Dietetics has a find a dietitian in your area. And then each state has an affiliate of our national organization. And they can connect you with a registered dietitian nutritionist as well. So that’s my big takeaway is that’s build that community a little bit more and so teaming up with a dietitian would be great.

Andrew Tisser 30:51
Absolutely. Great advice. I have just one last question for you. So as an emergency room, Doc, I go a lot. Do days do night, switch back and forth all the time. And what the heck do I eat in the middle of the night?

David Orozco 31:06
I just add a podcast that is coming out that I interviewed this woman. She’s a sleep psychologist, and we talked about shift workers. And we actually brought the subject of shift workers that include physicians and nurses and healthcare professionals. And so one of the things that and you’ll hear here at on that episode as well comes out this Wednesday. So what I tell physicians are people that do not ship is try to mimic the way you eat during the day when you’re working at night.

It’s a bit challenging, but you want to have two or three meals just like you would during the day, right two or three meals and then maybe a snack in between, especially if you’re going longer than five hours between meals or you didn’t get enough of your food groups in each meal. And and so that’s one major comment that I make is trying to make Believe that you’re doing a nine to five, regardless, if you’re doing a seven to, you know, seven to seven, or if you’re doing a, an 11 to seven, overnight, your your, your your first meal time is within an hour from waking up, your next meal is around four or five hours after that, of course, if it’s balanced, and then your next meal is four or five hours after that as well.

It’s no different than if you’re, you’re if I was talking to somebody who needed to improve their way of eating during the day. So that’s the main takeaway. That’s the second one would be the balance piece is if you can try to get at least three food groups three to four food groups in a meal that can really help with at least one of them being fruit or vegetables that will really give you a good balance on the way you’re eating. So again, let’s make believe it’s pizza. Alright, have a slice of pizza that if you can have a salad along with it then complements the bread, the P the cheese and then with some veggies, maybe some nuts to to the salad and so you get a nice rounded, balanced meal.

So those are the two main messages that I tell people with, with shift work is try to mimic what they’re doing. And then the only the third thing that I tell people which have work to do is is not to rely so heavily on on coffee. But try to get a little bit more water but it you know that that’s a little bit more challenging because you’re trying to stay awake against your body’s natural circadian rhythms. So coffee has has been a very easy go to to a lot of people.

So yeah, I’m glad that you asked me a little nutrition question. I love that put me on the spot. That was good. Yeah,

Andrew Tisser 33:33
I just really wanted to know!

David Orozco 33:36
I love it. I love it. I think that’s great. I’m gonna use that piece there to to entice people to listen to that episode tomorrow.

Andrew Tisser 33:43
Absolutely. I’m going to listen to it for sure now. David, thank you so much. It’s really it’s been a lot of fun. And thanks for all you do and helping our patients improve their life and reduce chronic disease and just get healthier in general. Hopefully physicians out there will Get more in contact with the end. Send patients your way.

David Orozco 34:02
Yeah, I’d love to. Thanks. I really appreciate this. Andrew, this is really great. It’s an honor to be on your show. And I’m really excited that I’ll have you on my show one of these days too.

Andrew Tisser 34:12
Absolutely Can’t wait, dude. Well, we’ll talk soon.

Unknown Speaker 34:15
Thanks again. You’re welcome. Thank you.

Andrew Tisser 34:19
Wow, what an awesome show we had with David Orozco. I really enjoyed learning about intuitive eating, and learning that it didn’t just mean intuitively eating whatever you want. I also thought his point about how all different healthcare workers work in silos, and they’re Specialists of their own area, but maybe don’t collaborate as well.

David also spoke about the lack of awareness of dietary nutrition and how to collaborate with people like him. He states there’s no model of how to do team based healthcare and we’re really not taught it in school. David also thinks it’s frustrating that he doesn’t get medical records and it is a challenge and reaching physician sometimes his advice for clinicians is to seek them out and look for them and buy them meaning dietary and nutrition. Talk to me doc listeners, thank you again so much for listening.

This marks the 10th episode of the talk to me doc podcast and I am so very grateful for each and every one of you. I have decided to split the show into focus areas, not quite seasons because I don’t want to say something like that was so last season. The first topic area focused on different perspectives from different members of the healthcare team on how to communicate the second focus area. Well look towards why some physicians have difficulty communicating and explore workplace dissatisfaction, burnout, and work life balance, especially in the early career physician. I will also be sharing some of my own stories in this regard. Until next time, keep talking Thank you for listening and please subscribe if you haven’t already.