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Photo: Matthew Morris
Boston Medical Center’s rooftop farm, spanning 2,658 square feet, is part of a mission to keep patients, especially low-income patients, healthy. 

For many years, visionary physicians and staff at Boston Medical Center (BMC) have been taking a holistic approach to caring for patients — more often than not, desperately poor patients. If a child had asthma from conditions in a suboptimal apartment, BMC enlisted pro bono lawyers to get the landlord to meet legal obligations. If new Americans needed help understanding the forms they were supposed to fill out, BMC rounded up translators and guides. It didn’t have to be medical forms: people could get help with any kind of form.

The story below shows BMC’s ongoing efforts to ensure patients living in food deserts get decent nourishment. Doctors started writing prescriptions for farmers markets. Now they’re supporting a move to grow healthful food on the hospital’s roof.

Lindsay Campbell has the story at Modern Farmer.

“Carrie Golden believes the only reason she’s diabetes free is that she has access to fresh, locally grown food.

“A few years after the Boston resident was diagnosed with prediabetes, she was referred to Boston Medical Center’s Preventative Food Pantry as someone who was food insecure. The food pantry is a free food resource for low-income patients.

“ ‘You become diabetic because when you don’t have good food to eat, you eat whatever you can to survive,’ Golden says. …

“Three years ago, the hospital launched a rooftop farm to grow fresh produce for the pantry. The farm has produced 6,000 pounds of food a year, with 3,500 pounds slated for the pantry. The rest of its produce goes to the hospital’s cafeteria, patients, a teaching kitchen and an in-house portable farmers market. … The facility’s 2,658-square-foot garden houses more than 25 crops, organically grown in a milk crate system.

“ ‘Food is medicine. That’s why we’re doing what we’re doing,’ says David Maffeo, the hospital’s senior director of support services. ‘Most urban environments are food deserts. It’s hard to get locally grown food and I think it’s something that we owe to our patients and our community.’

“Lindsay Allen, a farmer who has been managing the rooftop oasis since its inception, says her farm’s produce is being used for preventative care as well as in reactive care. … What people put in their bodies has a direct link to their health she says, adding that hospitals have a responsibility to give their patients better food. …

“In addition to running the farm, Allen teaches a number of farming workshops to educate patients, employees and their families on how to grow their own food. The hospital’s teaching kitchen employs a number of food technicians and dieticians who offer their expertise to patients on how they can make meals with the local produce they’re given.

“This is part of the medical center’s objective to not only give patients good food, but also provide them the tools to lead a healthy life. Golden, who has used the pantry for the last three years, says the experience has changed the way she looks at food.

“ ‘I’ve gone many days with nothing to eat, so I know what that feels like when you get something like the food pantry that gives you what you need to stay healthy,’ she says. ‘I appreciate all the people that put their heart into working in the garden. If only they knew how we really need them.’ ” Perhaps they do.

More at Modern Farmer.

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Photo: National Institutes of Health via AP
Soprano Renee Fleming looks at a brain scan with NIH neuroscientist David Jangraw after singing in the MRI machine.

To help scientists understand how music helps patients heal, notable musicians like opera’s Renee Fleming are getting brain scans.

Lauran Neergaard writes at the Associated Press, “Music increasingly is becoming a part of patient care — although it’s still pretty unusual to see roving performers captivating entire wards, like at MedStar Georgetown University Hospital one fall morning.

“ ‘It takes them away for just a few minutes to some other place where they don’t have to think about what’s going on,’ said cellist Martha Vance after playing for a patient isolated to avoid spreading infection.

“The challenge: Harnessing music to do more than comfort the sick. Now, moving beyond programs like Georgetown’s, the National Institutes of Health is bringing together musicians, music therapists and neuroscientists to tap into the brain’s circuitry and figure out how.

“ ‘The brain is able to compensate for other deficits sometimes by using music to communicate,’ said NIH Director Dr. Francis Collins, a geneticist who also plays a mean guitar.

“To turn that ability into a successful therapy, ‘it would be a really good thing to know which parts of the brain are still intact to be called into action. To know the circuits well enough to know the backup plan,’ Collins added. …

“ ‘The water is wide, I cannot cross over,’ well-known soprano Renee Fleming belted out, not from a concert stage but from inside an MRI machine at the NIH campus.

“The opera star — who partnered with Collins to start the Sound Health initiative — spent two hours in the scanner to help researchers tease out what brain activity is key for singing. How? First Fleming spoke the lyrics. Then she sang them. Finally, she imagined singing them.

“ ‘We’re trying to understand the brain not just so we can address mental disorders or diseases or injuries, but also so we can understand what happens when a brain’s working right and what happens when it’s performing at a really high level,’ said NIH researcher David Jangraw, who shared the MRI data with The Associated Press.

“To Jangraw’s surprise, several brain regions were more active when Fleming imagined singing than when she actually sang, including the brain’s emotion center and areas involved with motion and vision. One theory: it took more mental effort to keep track of where she was in the song, and to maintain its emotion, without auditory feedback.”

Read how the new insights are being used to study Alzzheimer’s patients and others here.

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