It was raining when we woke up - a dreary day with low clouds. There didn't seem much point to getting out on slick roads when we couldn't see the scenery. I had work to do for clients, so I went to the hotel's sitting room with my computer, while HH watched TV.
We had lunch at the Log Cabin Restaurant just outside of Bar Harbor. As we approached the door there was a carving of a black bear in yellow rain gear. I thought it was funny, and took a picture, but I'm afraid the rain has dampened HH's sense of humor. HH had lobster roll and clam chowder for lunch - very New England. I ordered a Western burger. It was Black Angus beef with grilled mushrooms bell peppers and mushrooms. The irony of eating Western burger on the East Coast didn't hit me until later. With my burger I had a side of Cole slaw.
The hotel manager was trying to be positive about things we could do in the rain. One of the famous features in Acadia National Park is called Thunder Hole. The terrain is just right, so that when a wave hits the rocks it sounds like a clap of thunder. The manager said that the bad weather had made the water in the bay choppy, and that Thunder Hole might be exceptionally loud.
HH and I decided that we would like to hear it, even in the rain. So we loaded up our parkas and drove into the National Park. Incredible - the rain stopped. We parked near a beautiful overlook to photograph the rocky Maine coast. There was a trail that led from the overlook to Thunder Hole, so we started walking. Thunder Hole was indeed amazing. We kept walking almost to Otter Cliff, then backtracked to Sand Beach. We walked for a couple of hours photographing on delightful view after another. We got back in our car and the rain returned.
We were blessed, and we knew it. Thank you, Lord, for a break in the rain.
We headed up the coast to Bar Harbor. There is not much fall color in Maine. This is a huge disappointment to HH. I keep telling him that if the color was at its peak on the coast then we would have missed it completely in New Hampshire and Vermont. He is not comforted.
After two sedentary days - one on the plane and one in the car we had planned a long afternoon hike in Acadia National Park. But the sky was cloudy and the mist threatened to turn to rain. I put my parka over my camera and we took several short walks. One was on top of Cadillac Mountain. In spite of the clouds, my pictures of the bay and the islands turned out great. Another was around the Marina in Northeast Harbor.
By far the BTD highlight of the day was lobster for lunch. We stopped at Angler's Restaurant in Seaport, Maine. They had a special on their Lobster dinner. It came with salad, vegetable of the day and potatoes. The vegetable of the day was green beans, so I asked if I could have double green beans instead of potatoes, and they were agreeable.
Every other time I have eaten lobster, it has come on my plate whole. The chef at Angler's separated the lobster in 4 pieces. I joked with our server, saying that I was glad they had pity on a Texan who wasn't experienced with lobsters. I enjoyed every bite.
HH does not like picking food out of shells or off of bones, so he had a crab roll instead.
We are staying at a charming old whiteboard resort that has a gazebo overlooking the bay and an outdoor hot tub. By nightfall the rain had started in earnest, so we didn't get to enjoy the view or relax in the tub. We picnicked in our room. I fixed HH a turkey sandwich with fruit. I enjoyed canned asparagus and salmon.
The good news is that HH's Mom's pain in her neck and her head is much better. The bad news is that she is refusing to eat more than 5-6 bites at a meal. Wednesday the nurses at rehab became so concerned that they ordered tests to see if she was dehydrated. Her mineral levels were so far out of balance that they sent her to the emergency room in an ambulance. After giving her IV fluids, she is now back in her room at rehab.
Months ago HH and I had prepaid for a vacation to see New England fall colors. One of HH's sisters had also prepaid for a vacation to Mexico during the same week. This leaves the other sister with all of the responsibility. That does not seem fair, nonetheless, yesterday morning we were at the airport. To our already high stress level we added airport security, a long layover in Chicago, rounding up luggage, and driving an unfamiliar car in the rain.
Three things we did right on our travel day.
* I packed lunch for both of us in our carry-on bags. Airport food is more BTD friendly than it used to be, but it is expensive.
* I put a wrap around neck pillow in my carry-on. It let me sleep comfortably on the plane.
* When the Southwest Airline flight attendant came to take our drink orders, I asked if I could have water in a bottle. She said that they didn't have bottles, they had cans. I had never had water in a can, but it tastes really good. I stashed a can in my carry-on for our layover, and that helped keep me hydrated all day.
One thing that I should have done was walk around the airport more. I had work to do on my computer for a client, so I spent more time sitting than I should have.
This morning we start up the coast of Maine. We are ready to rest and relax!
About one year ago I woke in the middle of the night with severe pain in my right kidney area. I broke into a sweat and was in pain for about 20 minutes or so. The pain subsided and my body calmed down. I changed clothes and went back to bed. Nothing happened after that, so I just chalked it up to muscle spasms.
Back in March, my right side kidney area flared back up and this time it lasted for a few days. It was very uncomfortable but with ibuprophen and heat, it subsided and life went back to normal.
Three weeks ago, I started having painful urination and my wife and I thought it might be a urinary tract infection or something similar. After a weeks worth of antibiotics the pain had went away but came back even worse within a few days. That’s when the pain in my right kidney area came back. I then went to my doctor to get a urine test which showed blood in my urine. My keytones were high too, but with the O diet, that is to be expected. I started drinking way more water and cranberry juice to see if it would help the possible infection. The extra fluids did the trick but I was urinating every 20 minutes and very urgently at that!
After a couple of days of that, things seemed to get better. The kidney pain died down and the level of blood in my urine dropped to the point it was no longer painful to urinate.
With all of that, we decided to find out if I had a kidney stone and set up a catscan for this past Tuesday to find out for sure.
Well I found out I have a kidney stone that has made its way into my bladder. That would explain the improvement, but I’m not out of the woods yet. I now have to “filter” my urine to try and catch the stone so it can be tested to see what kind of stone it is.
All of this begs the question, why am I making stones? I’ve been following the O Diet for over 12 years now so what could be going on? I might be consuming too much protein which is one of many causes for stones. I do consume my fair share of Sea Salt that I use in my trail mix and put on my burgers. That can also be a cause. Uric acid stones can happen too, but I doubt that is the reason.
If it is because I am consuming too much protein, I am going to have to cut back by 25-50% which is going to complicate my daily food consumption routine. The problem is that when I don’t eat enough protein I get hungry faster and usually make poor food choices. I am weighing my options at this point, but I don’t have any ideas on something that’s easy to make and can take with me for the day for my small frequent meals.
I will report back when the stone passes or something else changes.
Los días otoñales, fresco y chispeantes ya se dejan sentir, recordándonos intensificar nuestro sistema inmune, siguiendo los protocolos para lograr posicionarnos en "modo de lucha".
Pronto se aproxima la bien conocida temporada de gripe y resfriado y tomando algunas medidas preventivas reducimos de manera positiva nuestra probabilidad de contagio.
• Todos sabemos que la inmunidad comienza en nuestro intestino. Ingiriendo aquellos alimentos adecuados y benéficos de acuerdo a su fisiología, están ya tomando un paso importante para mantenerse saludables. Intensificar el consumo de alimentos benéficos, eliminando aquellos a evitar en su dieta.
• El estrés merma la inmunidad. Resulta difícil evitar el estrés, pero tomarse unos momentos para relajarse – encontrar 10 minutos al día para únicamente sentarse y cerrar los ojos, hacer algunas respiraciones profundas alternando el lado izquierdo luego el derecho de la nariz, así como la meditación, han demostrado ser medidas útiles y eficaces.
• El ejercicio aumenta la inmunidad! Encontrar una actividad que sea la adecuada y practicarla rutinariamente. Dar una vuelta a buen paso por la tarde en este clima fresco otoñal es una excelente manera de terminar el día relajado y disfrutar de la belleza de esta temporada.
• Evite los azúcares refinados y grasas saturadas. Aunque usted este comiendo de acuerdo a su tipo, a veces estos encuentran la manera de colarse en nuestra dieta – estar atentos y sobre todo, aprenda a leer ingredientes en todo lo que compra con empaquetado llamativo y con leyendas que engañan.
• Tome sus vitaminas y sus minerales, sin aditivos o derivados químicos así como productos comprobados científicamente para elevar su sistema inmune como ARA o ProBerry.
• Siga los lineamientos de etiqueta en cuanto a toser o estornudar, cubriéndose la boca y la nariz. Lávese las manos con frecuencia y evite tocar su cara.
El sistema inmunitario, cuando se encuentra en perfecto funcionamiento, tiene una capacidad notable para luchar contra la gripe y los resfriados. Incluso si una infección se llegara a manifestar, su sistema inmunitario fortalecido, contra ataca de manera eficaz al poco tiempo!
Desde la antigüedad, el saúco ha sido utilizado en el combate a la gripe. En experimentos realizados, el saúco realmente ha demostrado poder inhibir la réplica de toda cepa de virus de influenza humana, tanto la A como la B.
En estudios científicos utilizando extracto de la fruta del saúco se demostró su eficacia en el tratamiento de la influenza tipo B. Dicha investigación mostró que las personas a quienes se les administro el extracto de saúco mejoraron mucho más rápido que aquellas a las que se les administro un placebo.
¿Por qué funciona el saúco? Pues bien, los investigadores encontraron dos razones realmente. La primera es que las personas que tomaron el saúco fueron capaces de producir títulos más altos de anti-hemaglutinación para la influenza B (lo que significa que su sistema inmunitario funcionó mejor y ahora tienen un nivel más alto de reconocimiento en caso de que les volviera a dar "gripe").
La segunda razón es que el saúco inhibe la neuraminidasa (sí, exacto, la misma neuraminidasa contra la cual los científicos están gastando millones de dólares en el diseño de medicamentos).
Una importante pregunta que no ha sido debidamente contestada aun:
¿Sera igualmente eficaz el extracto de saúco contra las cepas de la influenza A?
La respuesta definitiva se basa en su método de acción, su capacidad en vitro y las observaciones clínicas, que ha venido realizando el Dr. D'Adamo, por medio de su suplemento Proberry y la respuesta seria probablemente que sí. Sus pacientes tomando el suplemento Proberry, mezcla de saúco, concentrado de arándano, cereza y manzana, parecen transitar fácilmente a través de la temporada de "gripe".
La palabra de precaución con que dejarles seria que a la hora de suplementar a diario el Proberry, más no siempre es mejor. Altas dosis pudiesen llegar a producir náusea. Si está tratando de evitar una "gripe" una pequeña dosis diaria podría ser muy efectiva. El Dr. D'Adamo recomienda el Proberry a todos y en especial a las personas con sangre tipo B y AB debido a su alta susceptibilidad al virus en general.
Por lo tanto, ahora que se aproxima la época de "gripe" recuerde su benevolente saúco!
How many times do mothers tell their children, "If you do that, you'll break your neck." I know I said those words many times. I'll never forget the day when my Strong Son, a 7th grader at the time, came into the kitchen with his head cocked to one side. He had to confess that he had been jumping on his bed - something that was absolutely against the rules. He couldn't straighten his head. I took him for x-rays, and the radiologist was afraid to make the call. They sent the x-rays to a neurosurgeon who said his vertebrae were fine, but the muscles in his neck were in spasm. The doctor prescribed muscle relaxers, which didn't help his neck but had some weird side effects. So we stopped the medication and he wore a padded neck brace for several days. One morning he woke up and everything was back to normal.
Now I can smile when I think of that story. But my Honorable Husband's mother was not so fortunate.
A week ago she fell in her home and cracked two vertebrae in her neck. Fortunately she was not paralyzed. But she is in lots of pain. She was in the hospital for 5 days. During that time they observed that she was having trouble swallowing. After tests, they put her on a diet of pureed food and thickened liquids. No one knows whether the swallowing is a result of the neck injury or something unrelated.
She has terrible headaches. No one is sure whether the headaches are caused by the fall, the neck injury, or too few calories (because she does not like pureed food). She takes pain medication every 3 hours.
She was released from the hospital to a rehab center where she will get 3 months of physical and occupational therapy. She will also see a speech therapist who will work on her swallowing techniques. The therapists are optimistic about her chances for a full recovery - if she eats enough to keep up her strength and if she works hard in therapy.
HH and I went to stay with her in rehab for 6 days. He was there in the daytime. I was there at night and in the morning. That way we made sure we got to talk to all of the doctors and therapists.
Here are a few things I want to remember as I get older. Perhaps they will help you or someone you love.
* Don't be too ashamed or too busy to use a walker. HH's Mom is 91 and has arthritis. She has a walker. She uses it almost the time. But that particular day she decided to walk across the den without it.
* Pain medication is a mixed blessing. Without it she cannot make it through a therapy session. But there are side effects - noticeably anger and repetitive behavior.
* Nurses and nurses aides respond to kindness. When she smiles at them and says thank you, she gets better care than when she complains. She got better care because family was there to take on a lot of duties ourselves - like feeding her and standing by while she went to the potty.
* A strong, healthy 59 year old woman (like me) is not strong enough to support the weight of a helpless 91 year old. I had to call for assistance when she needed to be moved. I was very aware of the danger that I could wind up in the room next door if I was not careful with my own legs, neck, and back. Injuries can happen fast - and have serious consequences.
* It would be really, really hard to come anywhere close to the BTD diet in a hospital or nursing facility. Everything is sweetened - sometimes with sugar; sometimes with NutraSweet. The theory is that the patients will eat more if sugar is added to the food. There are wheat products everywhere. On the pureed diet, they smash up rolls, pancakes, noodles, cereal, and more. The pureed bread must be pretty bad - HH's Mom usually loves bread, but she refuses to eat it pureed. The thickener in the water and juice is made from corn starch.
Having experienced how much better I feel, and how much faster I heal when I eat right, I'm afraid I would seriously clash with hospital dietitians.
SIL is a seminary student studying to be a minister. He has been called to pastor of a church in a rural community. There are many, many exciting things about this position. One is that the church members are so warm and encouraging to both SIL and DD. The other is that they have a parsonage!
The house has been vacant for about a year - since the former pastor moved out. So there were lots of bugs to be killed and lots of dust to wipe away. Because this will be their first home, they want to make it cute and special. They decided to paint...and to retile the bathroom...and to put shelf paper in all the cabinets. They had a very ambitious project list and not very many days before they had to be out of their apartment.
SIL's family came one weekend and got about half of the house painted. My Honorable Husband and I went last weekend. DD and I tackled the kitchen. HH and SIL laid the tile and continued painting. We worked hard, but it was fun because we were working together.
DD cooked for us Friday night. They have a George Foreman Grill, and she used it to make chicken. I was impressed. The chicken was tender and juicy. She used two salt free Mrs. Dash seasoning mixes on the chicken. One was spicy and the other was mild. Both were delicious. She also served curried green beans, turnip greens with ghee, a relish tray, and millet cornbread.
For lunch on Saturday she had tuna melts. She did a variation on a recipe I used to make which was popular with my children and their friends. She mixed tuna, cilantro, an herbal seasoning, and a neutral creamy dressing. I had always used mayonnaise, but SIL likes dressing better. You put the tuna mixture on top of slices of sprouted bread and top them with grated mozzarella cheese. You put them in the broiler until the cheese melts and starts to bubble.
Saturday night we were all tired and dirty. We drove into town for Mexican food. I had the second best taco salad I've ever eaten. On Sunday we got to hear SIL preach, then had lunch at an Italian restaurant. My chicken Caesar salad was outstanding. They are blessed to have at least two BTD friendly restaurants in their small town.
We worked a little more Sunday afternoon. At the end of the weekend when we looked around, we were amazed at how much progress had been made.
SIL will commute to seminary one day a week and take the rest of his classes on line. DD will continue to work at her job in marketing. She says, "I've been spending 30-45 minutes a day in heavy traffic. Now I'll be spending 45 minutes to an hour driving through the countryside."
Las personas con enfermedad renal crónica (ERC) incluyendo un gran número de no dependientes de la diálisis demuestra en la experiencia de la tasas de mortalidad son bastante altas, entre los predictores que más ayudan al diagnóstico. Son los estudios de los marcadores de deficiencia nutricional y/o inflamación los cuales han sido ampliamente estudiados en pacientes que reciben tratamiento de diálisis y en conjunto se formo el concepto de “malnutrición-inflamación-caquexia”.
Debido a la naturaleza compleja de los procesos de la desnutrición y la inflamación y la nomenclatura se ha adoptado el término de emaciación proteico-energética (PEW), que indica e manera uniforme la constelación de hallazgos asociados a la deficiencia nutricional y el síndrome de desgaste.
La emaciación energético-proteica es altamente común en los pacientes con etapa final de la enfermedad crónica, sometidos a diálisis asociándose a una mayor mortalidad. Existen varias valoraciones que se pueden aplicar para verificar el estado del paciente una de esa y la más fácil es la valoración global subjetiva, aunado a los biomarcadores podría favorecer a un mejor diagnostico y tratamiento en los pacientes.
Encontramos también que esto pacientes maneja dislipidemias principalmente hipocolesterolemia los estudios para medir el colesterol son bastante accesibles en varios aspectos, costo efectividad, cuando la concentración de colesterol, es demasiado alta, puede acumularse en los vasos sanguíneos, esta acumulación puede estrechar los vasos y ocasionar obstrucciones hasta llegar a un infarto.
Entre las personas con enfermedad renal crónica la enfermedad coronaria es muy común. Se recomienda que las personas con insuficiencia renal crónica se hagan análisis para el colesterol por lo menos una vez al año.
Además de las concentraciones altas de colesterol LDL que pueden verse reflejadas en los resultados el riesgo para la enfermedad cardíaca aumenta con; fumar, obesidad , alta concentración de glucosa en sangre, baja concentración de colesterol HDL la edad en los hombres mayor de 45 años y mujeres mayor de 55 años de edad, hipertensión arterial, diabetes mellitus , antecedentes familiares de enfermedad cardíaca, y otras formas de enfermedad que condicionan a los vasos sanguíneos . Los factores de riesgo para las persona con insuficiencia renal son más notorios en: gran ingestión de calcio con la dieta o en medicamentos, concentraciones altas de fósforo en la dieta, concentraciones alta de hormonas paratiroidea y de homocisteina, inflamación generalizada.
Todo lo anterior puede reducir si el estilo de vida del paciente cambia, aumente actividad física, elevar colesterol HDL, reducir colesterol LDL, reducir la presión sanguínea, mejorar el control de la diabetes, obtener un peso saludable , y el plan de alimentación sea el indicado para cada paciente y sus características personales por medio de un reporte SWAMI, diseñado para usted. No deje pasar mas tiempo, la prevención y la salud esta en sus manos. Es su responsabilidad el quererse, respetarse y procurarse, para lograr un bienestar sostenido y mejor su calidad de vida.