Gut Reactions

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MAY 21, 2006

BLAND MEALS OF THE DAMNED


Stay out of the hospital if you can, but if you must go, pack a lunch. 

I’ve never had a hospital meal that deserves kind or even positive adjectives; it sometimes seems to me that the chefs and nutritionists believe they need not adhere to the doctor’s maxim of “First, do no harm.”  My hunch is that hospital food won’t kill you (I’m not entirely certain of this, because I’ve tried not to consume very much of it in one sitting), and it may even be nutritionally sound.  But it tortures the palate and deadens the spirit, ruining what is in normal life a pleasurable experience. 

It’s bad enough that when you get to the hospital, they take away your pants, stick you with needles, fry your brain with painkillers and confine you to a fluorescent-lit room, where the only diversions to take your mind off the sad, pants-less state of your life is a tiny television with bad reception (from which you will learn that, indeed, there are hundreds of channels but nothing worth watching) and a roommate who seems to be auditioning for a lead role in “Moaning, Dying Man — The Musical.” 

But then, approximately twenty seconds before the nurse comes to take you for more tests, an orderly will deliver a tray full of noxious piles of nutrients — “food,” supposedly.  At first sight, the tray makes you salivate, but as it is set down before you, the smell will hit your nostrils, and your mouth will quickly stop watering, and will, in fact, pucker and quiver in fear.  If you are a Responsible Patient, you will dutifully and quickly try a few bites of the trembling masses of calories and nutrients.  With any luck, the greenish stuff will turn out to be vegetables of some sort, the brownish stuff meat, the whitish stuff potatoes.  But they will all taste the same, in the sense that they will all taste tasteless.  Truly, it is a wonder of modern science that something that smells so incredibly awful can taste like nothing. 

If you are me, you will nibble at the Jell-O (available in Orange, Lemon or Red flavors) and wait for the nurse to show up for those additional tests, which, no matter how much poking they do or x-rays they take, will ultimately be less painful and traumatizing than consuming any amount of that steaming Play-Doh on the tray.  Alas, the tray will probably still be waiting for you when you return with your pierced arms and glowing organs. 

The problem is, if you don’t eat what they give you, you don’t eat anything.  You starve.  And this concerns the doctors.  They’re obviously not going to let you out of the hospital until you show signs of health and well-being, and any indication that you are unable to eat — that you’re nauseated or have abdominal pain or other gastrointestinal problems, for example — is essentially a command to them to prolong your stay.  A half-consumed meal will lead to a comment on your chart, a demerit that leads not to study hall but to extended hospitalization. 

I don’t expect them to feed patients chocolate cake or cheeseburgers, but I don’t think a balanced diet ought to consist only of bland, rubbery foodstuffs that look, smell and taste like reheated leftovers from airplane meals.  They could also put a few seconds of consideration into who, exactly, is getting a particular meal, and why, exactly, this person is in the hospital.

They clearly wouldn’t give a peanut butter cookie to someone allergic to nuts, but they seem to have no qualms about feeding lentil soup to someone who has severe gastrointestinal problems.  There is something very wrong with the kitchen’s decision-making process when a request for a “soft diet” is met with a meal that is, texture-wise, soft and yielding.  Indeed, in the strictest sense of the word, lentil soup is soft.  As would be, say, a bowl of hydrochloric acid.  But let’s think about the chemistry and the effects of ingestion.  If I were trying to join the Flatulence Club, I would eat lentils, but if the goal is to give my gut a break, I really think I’ll pass on passing gas.  

The same goes for Chicken Fried In Lard and Doused in Gravy, With More Gravy and a Mound of Butter (with Mashed Potatoes), a more-accurate description of something they tried to feed me once (which they probably called Chicken Dinner).  Great gobs of grease in the gut: not a good thing for those with healing colons and tender stomachs.  

My worst experience with hospital food was almost certainly a watery concoction, ostensibly chicken noodle soup, that smelled positively flatulent, and which my doctor told me none of his patients ever ate.  Needless to say, I did not, either.  My best experience?  Toast.  Seriously.  Toast and ice cream cups, the little kind that you get at a baseball game for four bucks each.  These were what I survived on the last time I was in the hospital, last summer.  I would poke at my meals, pushing things around to make it look like I ate something, and then I would push the call button and ask the nurse to make me some toast.  With butter.  And an ice cream cup chaser.  Please.  Hurry.
 

Next time:  There’s hope!  A recent New York Times article discusses efforts by hospitals to serve food that patients might actually eat and, shockingly, might even enjoy.