As difficult as it sometimes was for me to keep my posting up to speed with the health-related media, I have missed this blog and have decided to revive it, even though it may no longer have any readers.
I have found less time (and less necessity) to write since the college course for which I started this blog ended in early December 2007. But for the past five months, I have been working full-time at Dana-Farber Cancer Institute and have found myself surrounded by people who have devoted their lives to helping others stay healthy.
I helped process the nearly $500,000 in donations raised by the annual Rally Against Cancer effort. I watched as thousands of runners, among them cancer survivor and Tour de France champion Lance Armstrong, converged on our fabulous city for the 112th Annual Boston Marathon. And just last week, I saw the shock and concern on the faces of many New Englanders when Senator Edward "Ted" Kennedy was diagnosed with brain cancer.
Unlike many of my co-workers and fellow Boston residents, I am not a native New Englander and do not feel any connection to the Kennedy family. But if I've learned one essential lesson from my time at Dana-Farber, it is that everyone, regardless of age, nationality, or social status, understands the evil of cancer. And at Dana-Farber, everyone also understands the power of research and the power of hope. I work in a fairly small unit of the organization, but within our staff of 22 are men and women, from age 22 to age 60, from Liberia, Nigeria, Venezuela, China, and various corners of the United States. The organization as a whole employs people from all corners of the world. Cancer is a universal evil, and it is through the collaboration of such great minds from such a variety of places and perspectives, that organizations like DFCI have been able to make significant breakthroughs in the fight against that evil.
I graduate from college three months from today, and I would love to say for certain that I will return to Dana-Farber at that time. Unfortunately, I can't yet be sure of my career path, but wherever I go, I will be watching and listening for the great achievements that will continue to come out of this wonderful organization.
Wednesday, May 28, 2008
Thursday, December 6, 2007
Boston Rated #2 "Most Walkable"
A University of Michigan survey of America cities found the Washington, D.C. area to be "most walkable," with Boston coming in at second place.
The article cites D.C.'s rail transit system as a contributing factor to its walkability, and Boston has a similarly well-planned transit system. Boston's walkability is also helped by the fact that most of the city is flat.
A D.C.-area resident quoted in the piece mentions that, having gone to college in the city, she genuinely missed "being able to walk everywhere" once she finished college and left the city. Walking everywhere is definitely one of my favorite parts of college, and it's extremely easy in Boston. The city's on-foot accessibility and excellent public transportation make it easy to live without a car, and the high costs of gas and parking are further incentives for students NOT to have one.
Boston has walking covered...now it needs to work on making the city more friendly to bicycle commuters...and maybe, just maybe, teaching its residents how to drive more carefully.
Friday, November 30, 2007
I admire this 9-year-old
Most people would have trouble, even at a much more advanced age, making the decision that Nick Nelson made at the age of nine.
Born with Popliteal Pterygium Syndrome, a disorder that has made him unable to properly straighten his legs, Nick has never been able to stand up straight or walk very well, and as a result, uses a wheelchair to get around most of the time.
There is no simple solution to PPS; it has taken 15 surgeries over the course of his life for Nick's left leg to improve. His right leg, however, never improved at all, making physical therapy difficult and ultimately detracting from progress his left leg could be making.
This is why, just a few weeks ago, Nick voluntarily had his right leg amputated. This is not really discussed in the linked article, from a news station local to where Nick lives, but I saw him appear on a TV morning show after his amputation. At that time, his only regret was that, for the time being, he would not be able to walk at all, even though he could not walk so well when he HAD his right leg. And with time, physical therapy, and a prosthetic leg, he will eventually be able to walk more normally than he ever has before.
I admire this young boy for making such a tough decision. I'm sure will be easier for him to learn to walk with a prosthetic while he's young, as opposed to waiting years, as some people would. Many parents would probably doubt that their young child could make such a mature decision; they might even want to choose for him. But Nick's parents, as expressed both in this article and in the interview I saw, see him as wise beyond his years and know he ultimately made the best choice for himself.
Good luck, Nick Nelson.
Born with Popliteal Pterygium Syndrome, a disorder that has made him unable to properly straighten his legs, Nick has never been able to stand up straight or walk very well, and as a result, uses a wheelchair to get around most of the time.
There is no simple solution to PPS; it has taken 15 surgeries over the course of his life for Nick's left leg to improve. His right leg, however, never improved at all, making physical therapy difficult and ultimately detracting from progress his left leg could be making.
This is why, just a few weeks ago, Nick voluntarily had his right leg amputated. This is not really discussed in the linked article, from a news station local to where Nick lives, but I saw him appear on a TV morning show after his amputation. At that time, his only regret was that, for the time being, he would not be able to walk at all, even though he could not walk so well when he HAD his right leg. And with time, physical therapy, and a prosthetic leg, he will eventually be able to walk more normally than he ever has before.
I admire this young boy for making such a tough decision. I'm sure will be easier for him to learn to walk with a prosthetic while he's young, as opposed to waiting years, as some people would. Many parents would probably doubt that their young child could make such a mature decision; they might even want to choose for him. But Nick's parents, as expressed both in this article and in the interview I saw, see him as wise beyond his years and know he ultimately made the best choice for himself.
Good luck, Nick Nelson.
Shake, Shake, Shake
Despite all of the talk of counting calories and fat to lose weight, one of the greatest contributing factors to America's weight issues may be salt.
Americans simply consume too much sodium, and the amount of it that comes from the salt shaker on the kitchen table is relatively small. The culprits for our overconsumption of sodium are prepared foods. Frozen dinners, canned soups and vegetables, boxed mixes for side dishes, dips, and sauces...all contain large amounts of salt. And while the American Heart Association recommends that an adult consume no more than 2,300 milligrams of sodium each day (about one teaspoon), the average American consumes about a thousand more milligrams per day that the recommended amount. Overconsumption of sodium contributes to high blood pressure and an increased risk of heart disease, two conditions for which many overweight Americans are already predisposed.
But with so much salt contained in almost all of the foods most Americans eat, cutting salt from our diets is a downright difficult thing to do. Now, as MSNBC reports, the FDA is considering setting stricter regulations for the amount of salt in food. Among its suggestions: listing certain nutrient values, including sodium, on the front of food packaging rather than the side or back, to make it more easily visible to consumers before they buy the product, as well as lowering the amount of salt a food must contain in order to bear the label "low sodium."
These changes may make some difference in the way Americans think about salt, but to me, they don't sound drastic enough. The FDA needs to set limits on the amount of salt that food manufacturers are allowed to put in one serving of their foods. Manufacturers argue that fewer consumers will want to buy "bland" food, but to those consumers, I say, "deal with it." Americans are so accustomed to the flavors in salt- and fat-filled foods, that they have forgotten that food actually can taste good without all those additives. The FDA should also work harder to educate Americans about the damage that can come to their bodies from eating too much sodium.
MSNBC's piece notes that many menu items at McDonald's restaurants in Britain contain about half as much sodium as the same items in McDonald's American locations. It really seems that Americans do not choose to overconsume sodium -- they simply eat too much of it because it is already in the foods they eat. If British food manufacturers can cult the salt, there's no reason why American ones can't do it, too. Food manufacturers of America, make that your New Year's Resolution.
Americans simply consume too much sodium, and the amount of it that comes from the salt shaker on the kitchen table is relatively small. The culprits for our overconsumption of sodium are prepared foods. Frozen dinners, canned soups and vegetables, boxed mixes for side dishes, dips, and sauces...all contain large amounts of salt. And while the American Heart Association recommends that an adult consume no more than 2,300 milligrams of sodium each day (about one teaspoon), the average American consumes about a thousand more milligrams per day that the recommended amount. Overconsumption of sodium contributes to high blood pressure and an increased risk of heart disease, two conditions for which many overweight Americans are already predisposed.
But with so much salt contained in almost all of the foods most Americans eat, cutting salt from our diets is a downright difficult thing to do. Now, as MSNBC reports, the FDA is considering setting stricter regulations for the amount of salt in food. Among its suggestions: listing certain nutrient values, including sodium, on the front of food packaging rather than the side or back, to make it more easily visible to consumers before they buy the product, as well as lowering the amount of salt a food must contain in order to bear the label "low sodium."
These changes may make some difference in the way Americans think about salt, but to me, they don't sound drastic enough. The FDA needs to set limits on the amount of salt that food manufacturers are allowed to put in one serving of their foods. Manufacturers argue that fewer consumers will want to buy "bland" food, but to those consumers, I say, "deal with it." Americans are so accustomed to the flavors in salt- and fat-filled foods, that they have forgotten that food actually can taste good without all those additives. The FDA should also work harder to educate Americans about the damage that can come to their bodies from eating too much sodium.
MSNBC's piece notes that many menu items at McDonald's restaurants in Britain contain about half as much sodium as the same items in McDonald's American locations. It really seems that Americans do not choose to overconsume sodium -- they simply eat too much of it because it is already in the foods they eat. If British food manufacturers can cult the salt, there's no reason why American ones can't do it, too. Food manufacturers of America, make that your New Year's Resolution.
Cities with the most Girl Power
Self magazine recently released its 2007 rankings of the 100 healthiest cities for women in America.
Up five notches from it number 24 ranking in 2006, Boston was rated the 19th healthiest city. Boston was named "best place to have a baby," as it has twice as many OB/GYNs as the "average" city. Self also notes that 94 percent of women in Boston have health insurance; this is most likely the partial result of a recent Massachusetts law requiring all residents to have insurance. The rankings also take into account each city's negative aspects; Boston loses points for having 20 percent more violent crime than average.
Also of interest to me is Philadelphia, as I am originally from that area. It falls much lower on the list, at number 81 (although that is an improvement of six slots from its 2006 ranking). Positive aspects of the area include an extremely high relative number of psychiatrists per capita, and lower-than-average rates of property crime and female deaths in motor vehicle accidents. Philadelphia tends to have somewhat of a bad reputation, and the negative aspects Self points out include poor air quality, elevated cancer risk for women, and a violent crime rate 48 percent above average.
When I took a look at the cities I am considering moving to after college, I was pleased to see that San Francisco is apparently the healthiest city for women. It has the best dental care of any city surveyed, the highest number of OB/GYNs per capita, and the lowest rates of diabetes and obesity.
I have also considered Tucson, Ariz., which falls lower on the list at number 41. Tucson's pluses include excellent air quality, healthy eating habits, and a below-average cancer death rate in women. The city's negative qualities are somewhat subjective, and seem avoidable: above-average rates of rape and suicide, as well as a record for women getting pap smears, certainly one thing that is controlled entirely by the choice of the woman involved. I would still be willing to give Tucson a chance.
The same goes for San Diego. It is fairly highly ranked, at number 20, and has high exercise rates, good water quality, and is in the top ten cities with the most green space. The negatives in San Diego are entirely contingent on the decisions of the people involved: high drinking rates, high sunburn rates, and too few women getting mammograms. I don't drink much, I wear sunscreen, and at the age of 21, I am already conscious of breast health. I think I'd fare just fine in San Diego.
To see how your city stacks up, visit Self's interactive map of the survey.
Up five notches from it number 24 ranking in 2006, Boston was rated the 19th healthiest city. Boston was named "best place to have a baby," as it has twice as many OB/GYNs as the "average" city. Self also notes that 94 percent of women in Boston have health insurance; this is most likely the partial result of a recent Massachusetts law requiring all residents to have insurance. The rankings also take into account each city's negative aspects; Boston loses points for having 20 percent more violent crime than average.
Also of interest to me is Philadelphia, as I am originally from that area. It falls much lower on the list, at number 81 (although that is an improvement of six slots from its 2006 ranking). Positive aspects of the area include an extremely high relative number of psychiatrists per capita, and lower-than-average rates of property crime and female deaths in motor vehicle accidents. Philadelphia tends to have somewhat of a bad reputation, and the negative aspects Self points out include poor air quality, elevated cancer risk for women, and a violent crime rate 48 percent above average.
When I took a look at the cities I am considering moving to after college, I was pleased to see that San Francisco is apparently the healthiest city for women. It has the best dental care of any city surveyed, the highest number of OB/GYNs per capita, and the lowest rates of diabetes and obesity.
I have also considered Tucson, Ariz., which falls lower on the list at number 41. Tucson's pluses include excellent air quality, healthy eating habits, and a below-average cancer death rate in women. The city's negative qualities are somewhat subjective, and seem avoidable: above-average rates of rape and suicide, as well as a record for women getting pap smears, certainly one thing that is controlled entirely by the choice of the woman involved. I would still be willing to give Tucson a chance.
The same goes for San Diego. It is fairly highly ranked, at number 20, and has high exercise rates, good water quality, and is in the top ten cities with the most green space. The negatives in San Diego are entirely contingent on the decisions of the people involved: high drinking rates, high sunburn rates, and too few women getting mammograms. I don't drink much, I wear sunscreen, and at the age of 21, I am already conscious of breast health. I think I'd fare just fine in San Diego.
To see how your city stacks up, visit Self's interactive map of the survey.
Thursday, November 29, 2007
The Blog Experience
This is my response to assignment #6.
I very much enjoyed keeping this blog. Because I have a great deal of previous blogging experience, I already knew a lot about blogging, but some of the things I know were definitely reinforced by this experience. For one thing, blogging sometimes takes much more work/effort than people might think. It can take a decent amount of time to sit down and write a long post, let alone four or five posts each week. And with a schedule as full as college students' schedules tend to be, it is sometimes hard to keep up with the blogging. There are plenty of days that I want to post to my LiveJournal but don't because I simply don't have time. With this blog, there were days on which I had to post even though I had five other assignments to work on at the same time.
I opted not to share this blog with anyone except for my parents and my boyfriend, and as is sort of expected, all of them loved it. After I posted about and linked to Paul Levy's blog, I was surprised to see that he had noticed the link and left me a comment (he uses a blog statistics program that shows him the locations of everyone who views his blog and the links they use to get to it). I was surprised by some of the health news I found, such as the New York Marathon champion who ran and won the race just nine months after having a child. I was also pleased by some of the news, such as the bicycle-rental trend in Paris. I had never done a podcast before this course, so that was definitely a new and amusing experience.
I wish I had taken this course during a semester that was not as busy and stressful for me as this semester was. I had ridiculous amounts of schoolwork and co-op stress this semester, and at times, it prevented me from blogging as often as I would have liked to. I would have loved to have taken it during a lighter semester so I could have developed my blog even more. I genuinely enjoy blogging and found it to be a unique and fun assignment. I also enjoyed reading my classmates' blogs; it was always interesting to see what everyone else was thinking. I learned from my classmates, since some of them chose topics about which I know very little.
I hope to continue this blog, although I will probably not post as often as I did during the past few months. I will be on co-op for the next six months and will not have any homework to do, so hopefully I will have some more time for blogging.
I very much enjoyed keeping this blog. Because I have a great deal of previous blogging experience, I already knew a lot about blogging, but some of the things I know were definitely reinforced by this experience. For one thing, blogging sometimes takes much more work/effort than people might think. It can take a decent amount of time to sit down and write a long post, let alone four or five posts each week. And with a schedule as full as college students' schedules tend to be, it is sometimes hard to keep up with the blogging. There are plenty of days that I want to post to my LiveJournal but don't because I simply don't have time. With this blog, there were days on which I had to post even though I had five other assignments to work on at the same time.
I opted not to share this blog with anyone except for my parents and my boyfriend, and as is sort of expected, all of them loved it. After I posted about and linked to Paul Levy's blog, I was surprised to see that he had noticed the link and left me a comment (he uses a blog statistics program that shows him the locations of everyone who views his blog and the links they use to get to it). I was surprised by some of the health news I found, such as the New York Marathon champion who ran and won the race just nine months after having a child. I was also pleased by some of the news, such as the bicycle-rental trend in Paris. I had never done a podcast before this course, so that was definitely a new and amusing experience.
I wish I had taken this course during a semester that was not as busy and stressful for me as this semester was. I had ridiculous amounts of schoolwork and co-op stress this semester, and at times, it prevented me from blogging as often as I would have liked to. I would have loved to have taken it during a lighter semester so I could have developed my blog even more. I genuinely enjoy blogging and found it to be a unique and fun assignment. I also enjoyed reading my classmates' blogs; it was always interesting to see what everyone else was thinking. I learned from my classmates, since some of them chose topics about which I know very little.
I hope to continue this blog, although I will probably not post as often as I did during the past few months. I will be on co-op for the next six months and will not have any homework to do, so hopefully I will have some more time for blogging.
College Students Weigh In on Health Issues
(This is my response to Assignment #5.)
I took the original reporting assignment as an opportunity to see what my fellow college students think about their habits...Do they consider themselves healthy?
I distributed a survey in my philosophy class, a class I chose because it has the largest enrollment of all of my classes, as well as the most equal distribution of male and female students. In all, 14 men and 12 women participated in the survey. The questions asked, and some discussion of the responses, follow. (Despite its relevance to college students, I opted not to ask a question about alcohol, because the idea of what constitutes "frequent alcohol consumption" varies from person to person, and the amount of alcohol that makes a person "drunk" is contingent on his/her size.)
1.) How many times per week do you exercise/work out?
To my great surprise, the men seem to work out more than the women. Of the men who responded, three said they work out 5-6 times a week, four said they work out 1-2 times a week, and the remaining seven work out 3-4 times a week. None of the women chose "5-6 times a week;" all chose lesser numbers. Three of the women even selected "I don't work out," a response I would have expected to see from men instead.
2.) Since starting college, have you (to the best of your knowledge) gained weight, lost weight, stayed mostly the same, or "I have no idea"?
Men were fairly evenly distributed among the first three choices; a slight majority of women said they had gained weight.
3.) Are you happy with your weight/physical appearance?
(Answer choices were "Yes," "No, I think I'm too skinny," "No, I'd like to lose a few pounds," and "Never thought about it.")
A slight majority of men said "Yes," although several also said they would like to lose a few pounds. I was not at all surprised to see that all but one woman polled said, "No, I'd like to lose a few pounds," although three of those who said that also said, "I don't work out." Good luck with that!
4.) Where does the majority of the food you eat come from?
(Answer choices were "Cooked in my own kitchen," "From the dining hall/OutTakes," and "Takeout/Fast food.")
The vast majority of respondents chose "Cooked in my own kitchen," although as I expected, several men did choose "Takeout/fast food." Only four people selected "from the dining hall," and two of them were freshmen, who do not usually have kitchens and are required, if they live on campus, to have a meal plan for the dining hall.
5.) Do you make an effort to eat in a "healthy" way?
Female responses to this question were divided almost evenly between "very much" and "somewhat." The majority of men chose "somewhat;" a few chose "very much." Again, to my surprise, only one chose "No, I just eat what I like." I expected to see more men choose this option; probably because most of the males I grew up with have had that attitude toward food.
6.) Compared to when you lived with your parents, are your college eating habits healthier, the same, or less healthy?
A slight majority of men and a clear majority of women chose "less healthy," which I expected to see from males and females alike. To my surprise, about one-third of the men said "healthier," compared to only two of the women.
7.) Do you smoke?
I was pleased to see only two "Yes" responses, one male and one female.
8.) How many hours do you sleep on a typical weeknight?
Almost all of the men chose "6-7 hours," and two chose "8 or more." The one male who chose "4-5 hours" was a freshman, who may still be in the honeymoon period of college, realizing that he no longer has to listen to what his parents say. The distribution among females was much the same: mostly "6-7 hours," one "8 or more," two "4-5 hours." It looks like college students, at least these college students, are taking better care of themselves than some adults might expect.
9.) Do you worry about how your current lifestyle might affect your health in the future?
Only one female said Yes to this question, compared to six males. (Again, I was surprised to see such a responsible answer from so many males...I suppose I'm not giving them nearly as much credit as they deserve!). The female who responded "Yes" did so understandably, as she circled four of the five illnesses given in question ten as running in her family. Of the men who chose "Yes," three also said that the majority of the food they eat is takeout or fast food -- Maybe changing those eating habits would help improve their future health potential.
10.) To the best of your knowledge, do any of the following run in your family?
(Answer choices were "Cancer (of any kind)," "Heart disease/heart attacks," "Diabetes," "Obesity," "Osteoporosis.")
Every female circled at least one option; most of them circled multiple options. Six men circled nothing at all. In this day and age, it's unlikely that any family could be completely free of all of those illnesses...can is be assumed that young men don't tend to know as much about their family medical history as young women know?
Overall, I was pleased with the responses to my survey. My fellow students seem to have healthier habits and attitudes than I thought they would. College students often have a bad reputation when it comes to staying healthy. As high school students, we imagine college campuses as places where everyone smokes, drinks too much, and eats junk food, thus the legendary "Freshman 15." We hear that we will be so busy with school that we'll barely have time to sleep or fit in a workout. For my classmates, at least, the reality is that it IS possible to live relatively healthfully in college.
I took the original reporting assignment as an opportunity to see what my fellow college students think about their habits...Do they consider themselves healthy?
I distributed a survey in my philosophy class, a class I chose because it has the largest enrollment of all of my classes, as well as the most equal distribution of male and female students. In all, 14 men and 12 women participated in the survey. The questions asked, and some discussion of the responses, follow. (Despite its relevance to college students, I opted not to ask a question about alcohol, because the idea of what constitutes "frequent alcohol consumption" varies from person to person, and the amount of alcohol that makes a person "drunk" is contingent on his/her size.)
1.) How many times per week do you exercise/work out?
To my great surprise, the men seem to work out more than the women. Of the men who responded, three said they work out 5-6 times a week, four said they work out 1-2 times a week, and the remaining seven work out 3-4 times a week. None of the women chose "5-6 times a week;" all chose lesser numbers. Three of the women even selected "I don't work out," a response I would have expected to see from men instead.
2.) Since starting college, have you (to the best of your knowledge) gained weight, lost weight, stayed mostly the same, or "I have no idea"?
Men were fairly evenly distributed among the first three choices; a slight majority of women said they had gained weight.
3.) Are you happy with your weight/physical appearance?
(Answer choices were "Yes," "No, I think I'm too skinny," "No, I'd like to lose a few pounds," and "Never thought about it.")
A slight majority of men said "Yes," although several also said they would like to lose a few pounds. I was not at all surprised to see that all but one woman polled said, "No, I'd like to lose a few pounds," although three of those who said that also said, "I don't work out." Good luck with that!
4.) Where does the majority of the food you eat come from?
(Answer choices were "Cooked in my own kitchen," "From the dining hall/OutTakes," and "Takeout/Fast food.")
The vast majority of respondents chose "Cooked in my own kitchen," although as I expected, several men did choose "Takeout/fast food." Only four people selected "from the dining hall," and two of them were freshmen, who do not usually have kitchens and are required, if they live on campus, to have a meal plan for the dining hall.
5.) Do you make an effort to eat in a "healthy" way?
Female responses to this question were divided almost evenly between "very much" and "somewhat." The majority of men chose "somewhat;" a few chose "very much." Again, to my surprise, only one chose "No, I just eat what I like." I expected to see more men choose this option; probably because most of the males I grew up with have had that attitude toward food.
6.) Compared to when you lived with your parents, are your college eating habits healthier, the same, or less healthy?
A slight majority of men and a clear majority of women chose "less healthy," which I expected to see from males and females alike. To my surprise, about one-third of the men said "healthier," compared to only two of the women.
7.) Do you smoke?
I was pleased to see only two "Yes" responses, one male and one female.
8.) How many hours do you sleep on a typical weeknight?
Almost all of the men chose "6-7 hours," and two chose "8 or more." The one male who chose "4-5 hours" was a freshman, who may still be in the honeymoon period of college, realizing that he no longer has to listen to what his parents say. The distribution among females was much the same: mostly "6-7 hours," one "8 or more," two "4-5 hours." It looks like college students, at least these college students, are taking better care of themselves than some adults might expect.
9.) Do you worry about how your current lifestyle might affect your health in the future?
Only one female said Yes to this question, compared to six males. (Again, I was surprised to see such a responsible answer from so many males...I suppose I'm not giving them nearly as much credit as they deserve!). The female who responded "Yes" did so understandably, as she circled four of the five illnesses given in question ten as running in her family. Of the men who chose "Yes," three also said that the majority of the food they eat is takeout or fast food -- Maybe changing those eating habits would help improve their future health potential.
10.) To the best of your knowledge, do any of the following run in your family?
(Answer choices were "Cancer (of any kind)," "Heart disease/heart attacks," "Diabetes," "Obesity," "Osteoporosis.")
Every female circled at least one option; most of them circled multiple options. Six men circled nothing at all. In this day and age, it's unlikely that any family could be completely free of all of those illnesses...can is be assumed that young men don't tend to know as much about their family medical history as young women know?
Overall, I was pleased with the responses to my survey. My fellow students seem to have healthier habits and attitudes than I thought they would. College students often have a bad reputation when it comes to staying healthy. As high school students, we imagine college campuses as places where everyone smokes, drinks too much, and eats junk food, thus the legendary "Freshman 15." We hear that we will be so busy with school that we'll barely have time to sleep or fit in a workout. For my classmates, at least, the reality is that it IS possible to live relatively healthfully in college.
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