Disclaimer: Names have been changed for privacy.
One of the most important lessons I learned in the eating disorder unit came from the lunchroom. Each and every day, the adolescent patients would line up ahead of the adults to wait for the dietitians to read off the exchanges for the meal. A quick background explanation for those who are unfamiliar with the urban dictionary of mental facilities. Exchanges are part of a system to replace calories as the measurement of food. It is through exchanges that one knows what they should be eating for their meal plan. For example, a tamale, instead of being X amount of nutrient of choice, was simplified into one starch and two proteins. The meal plan coincided with the exchanges in that there were a certain number of starches, proteins, fruits, vegetables, and fats that each patient is required to get per meal. Requirement of exchanges varied with each person depending on dietary needs. How the dietitians broke these categories down evades me to this day.
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