Just had a 20 min convo with patient about culture of McDonald's. How growing up in certain rural areas it was seen as an absolute treat. How I still go to McDonald's 1x per month bc it reminds me of my grandparents.

A classmate looked at me w/ disdain.

I then opened my McDonald's app to show patient how they can get free meals.

Pt was obese & homeless.

Classmate said to me "I don't think telling them to go to McDonald's is a good strategy considering the sodium & fat content."

I said to them, "yeah. Funny how obese people still need to eat huh?"

Then I reminded them that McDonald's has free wifi, rarely kicks out homeless individuals, and the one near my place allows people to freshen up in their bathroom in the AM.

They also have a path to employment.

If you honestly can think of a place that has more affordable food, conveniently located in rural areas, and hires individuals with disabilities, veterans, and homeless please let me know.

McDonald's provides a LOTTTTTT of jobs in rural communities.

Med students need to understand this. Saying "cut back on the sodium, limit fast food, eat smarter meal choices" while wearing $250 outfit and shopping exclusively at Trader Joes is just not going to cut it.

Peer brought up organic peaches as an option. REALLY Organic peaches?!

Patient interview ended with me showing them how to get healthier options (Like milk, juices, apples, etc.) for free on McDonald's app making it same price or cheaper than their fries & Soda.

Guess what? They were elated to know that. Also went over menu choices to limit GERD.