After dinner, Mr. Johnson hit Sam’s Club for supplies.

“I hit the fresh fruit produce section first, the red, green, and black grapes looked delicious, but I left them in the store. The last cherries of the season
were left behind as well. Instead, I picked up a package of mushrooms, a package of spinach, then bags of asparagus, celery, and broccoli florets, a bag
of mini peppers (red, yellow, and orange), and finally something I wanted a bag of mixed baby potatoes.”

“I then went to look for low-fat/non-fat Greek yogurt and even though it was in the same overall cluster of refrigerators with hickory smoked bacon, crescent rolls, and cinnamon buns, I only walked away with the yogurt. And even then, I walked away with the Members Mark yogurt at 6 grams of sugar instead of the Chobani at 16 grams per serving. I am sure my taste buds will know the difference. Oh, how far I have fallen. I then made it to the meat section. I did not pick up the two-pack of 2 rib racks, barely glanced at the leg of lamb, and only checked the price on the porterhouse steaks.”

“I then made it to the meat section. I did not pick up the two-pack of 2 rib racks, barely glanced at the leg of lamb, and only checked the price on the
porterhouse steaks. I did pick up a beautiful 2-1/2 lb cowboy cut ribeye (full bone attached) that had a nice 1/2″ fat cap around the edge and was perfectly marbled such that you knew that with a coating of Kosher salt and crushed black pepper (not ground) on the fat edge with a sprinkle on both sides that when cooked to perfection on the grill that each piece would melt in your mouth. I am sorry to say that there were tears in my eyes when I put that steak back in the cooler. It never made it into my cart. I walked away from that section with no meat. The pork, the lamb, and all the cuts of beef, including that absolutely gorgeous cowboy cut ribeye were left behind, never making it into my cart. I did not even put what poor deluded fools have convinced themselves is meat when they are too weak or scared to try true meat. That is right no chicken made it into my cart. If I could not have that cowboy cut, then I did not want to settle for any imitation.”

“So that’s why my RD is a bad influence.”

Questions

Hey community how do you balance patient preferences with nutritional guidance, especially when they have strong likes and dislikes about certain foods?

In what ways do you help patients make healthier choices while grocery shopping, particularly when meeting tempting options?

How can RD address patient frustrations or misconceptions, especially when a patient perceives guidance as a ‘bad influence’?