Foody Friday: Eating Affordably

Money is bound to be tight for families dealing with a health crisis or chronic illness. So once hospital visiting hours are over for the day or you're coming home from yet another treatment appointment, you're caught in a trap: too exhausted to cook but too broke to eat out yet again.

Whether you like to cook, or view it as a nothing but a necessary chore, now is not the time to skimp on meals. Sure, your stomach is too tied up in knots to enjoy a meal, but neglecting nutrition is one of the worst things you can do when your energy is already sapped by health worries.

I'm a fan of Rachael Ray (yeah, I know... you either love her or you hate her). But even if you're not, you can find many of her famous 30-minute meals for free online. I also like 30 Day Gourmet for meals that freeze well. If you have some downtime to browse, check out the American Dietetic Association page with tips on eating right affordably.

Meanwhile, try this recipe that's one of my favorites from a long-ago issue of Family Fun magazine. What's great about chili is you can leave out anything you don't like and add what you love. This is the quickest chili recipe I've ever seen - it says to simmer for up to two hours, but I've served it after only 20 minutes on the stove. It's great right out of the pot, even better left over, and freezes beautifully.

Chili (from Family Fun Magazine, circa 19??)

2 15-oz. cans kidney beans
1 medium green pepper
2 medium onions
2 or 3 cloves garlic
4 Tbsp. olive oil
1 ½ lbs. ground beef
1 ½ to 2 Tbsp. chili powder
1 ½ tsp. cumin
1 ½ Tbsp. Flour
3 cups chicken or beef broth
1 28-oz. can crushed tomatoes
1 Tbsp. worcestershire sauce
2 Tbsp. steak sauce
½ to 2 cups additional stock, tomato juice or water, if needed.

1.) Brown ground beef. Remove from pan.

2.) Pour 3 Tbsp. olive oil into skillet and add diced peppers and onions. Saute on medium heat for six minutes. Stir in garlic and cook 2 minutes more.

3.) Sprinkle chili powder, cumin and flour over the vegetables and sauté for one minute more, stirring nonstop. Stir in 1 cup broth and cook for one minute.

4.) Put browned meat in stock pot and add contents of skillet, along with crushed tomatoes, Worcestershire and steak sauce. Stir in remaining 2 cups of broth and beans.

5.) Gradually bring chili to low boil, stirring occasionally. Reduce heat slightly and cook chili, covered, at gentle simmer for 1 ½ to 2 hours, stirring occasionally. When done, the chili should be thick, but still somewhat soupy. If it starts to get too thick, add some extra stock, tomato juice or water.

6.) Serve chili in soup bowls, garnished with a dollop of sour cream, a sprinkle of cheese and jalapeno pepper, if desired. Makes 8 or more servings.

Happy Generosity Day

While taking a break from scavenging for the dark chocolate caramels in the truffle box today, I came across a news item from Time Magazine about rebooting Valentine's Day as Generosity Day. I've always loved the idea of random acts of kindness and paying it forward, and this idea for celebrating today's holiday in a seemingly unexpected way reminds me of caregivers and their loved ones who are already so familiar with giving generously each and every day. Creator Sasha Dichter says "...one day of sharing love with everyone, of being generous to everyone, to see how it feels and to practice saying "Yes." Let's make the day about love, action and human connection..."

So however else you may be observing the modern day Feast of St. Valentine, take a moment to think of a simple way to mark Generosity Day as well.

And to you... the caregiver who strengthens human connection every day; the patient, whose love and perseverance inspires all who know you; the doctor or health professional who incorporates the emotional needs and family ties of patients into every consultation you give...

Happy Valentine's Day from patientlovingcare.com.

Everybody Loves a Freebie

Everybody loves a freebie. And there are times in life when you really deserve a freebie. So today we're sharing a list of giveaways for patients undergoing treatment, and we’ll add more as we come across them.

Look Good Feel Better
Look Good Feel Better is perhaps the most familiar service donation program for patients - you’ll see it promoted periodically in fashion magazines. Since 1989, this program offers makeovers to women undergoing treatment for any type of cancer. The organization connects patients with volunteer aestheticians who teach them beauty techniques to help manage the appearance-related side effects of cancer. What we didn’t know is the group also offers an informational website for men undergoing treatment and runs a website plus hospital-based group programs in 18 cities for teens of both genders who must deal with the appearance, health and social side effects of cancer treatment.

Cleaning for a Reason
This foundation coordinates with professional residential maid services to offer general cleaning to cancer patients once a month for four months as a way of giving back to their community. Because they are a small operation, the Texas-based Cleaning for a Reason accepts a maximum of 50 applications each day, beginning at noon Central Time, Monday through Friday. Although the organization is represented in all 50 states and Canada, cleaning services are available in limited geographic areas. The group recommends clicking on their interactive map before applying to be sure there is a participating cleaning service in your area.

Stowe Hope
In the highly competitive travel and tourism business, this idea is genius: plan a wellness conference after ski season in Stowe, Vermont, and offer free hotel rooms to cancer patients. This year’s Stowe Hope event is April 29 to May 1, with registration opening March 1. Billed as retreat and outreach experience, it promises education, enlightenment and fun. The weekend is filled with doctor-led seminars, hands-on workshops and other opportunities addressing physical, emotional, spiritual and financial aspects of this broad disease. The area’s lodging association members donate hundreds of rooms each year to new attendees and their loved ones, according to the organization’s website.

Corporate Angel Network
Far fewer people may need a free plane ride to access medical treatment than say, need their kitchen floor mopped (see Cleaning for a Reason, above). But for those who do, this program could be the difference between medical progress and the status quo. The Corporate Angel Network offers empty seats on corporate jets to cancer patients and companions. Patients must be ambulatory and not in need of medical support while traveling. Eligibility is not based on financial need, and patients may travel as often as necessary. Patients must e-mail or call toll-free within three weeks of their appointment at a recognized cancer treatment center, and have back-up plans with a travel agent or airline, as Corporate Angel Network cannot guarantee a flight will be available to match your traveling requirements.

Free Communication Tools… Priceless
And of course there’s this: the Patient Loving Care Doctor’s Memo. We think you can’t put a value on having an effective conversation with your doctor, so patientlovingcare.com offers a free downloadable guide that can be typed in, saved on your computer, printed out and used again and again. The PLC Doctor’s Memo download package will walk you through how to collect your thoughts, jot them down in a clear format and present them to the doctor in a way that will lead to meaningful conversation so you can both understand your condition and find solutions to problems you're encountering.

Do you deserve a freebie? You bet.

Find Your Lifeline, Sailor - It's Out There

It’s been months – probably way over a year – since I’ve logged into the online parent support group that was my lifeline through the worst of my child’s health crisis. During those times, it was a godsend (and an inspiration for beginning this blog).

After really bad days, when my child was finally sleeping peacefully, I would scroll through posts. Drained emotionally, it was somehow comforting to read about other people working through their own daily struggles.

I felt very alone during those years, when friends and neighbors couldn’t fully understand why we could never commit to socializing until we saw how our child felt that day – and even then would likely cancel at the last minute when things took a turn for the worse. At least online, someone else was also home at the computer, having rushed out in the middle of the school play, or abruptly left the ballgame, because of a sick child.

I also felt vindicated to see other parents searching for demanding improved quality of life for their child, over and above simply counteracting the physical symptoms of the illness. That issue alone made the parent message board indispensible. It filled a knowledge gap that our healthcare team didn’t seem to be able to address.

Having help is critical during a health crisis or chronic illness. But even the support of family and friends to cook meals, take a turn sitting with the patient, to lend a shoulder to cry on, doesn’t bring the same comfort as sharing thoughts with someone living the same bad dream. Sharing the experience– even with a stranger online – makes getting through each day (or even each hour) that much easier to accomplish.

Whatever condition is disrupting your life, do a search for online support. It’s there 24/7 and will open your world to all kinds of possibilities for managing, coping, and healing. Most likely the best place to start is the national non-profit dedicated to your circumstances (and every medical condition has one). Click here for a list – and feel free to drop a line to add any we may have missed.

You Can’t Catch Me, I’m the Gingerbread Man…

Holiday baking is a BIG DEAL in our house. We easily go through twenty-plus pounds of flour with the tradition that anyone who steps through our front door leaves with a plate of homemade cookies.

Recently, a friend who is lactose intolerant has inspired a fun project of researching dairy free recipes. It’s interesting to me that many of these recipes have their origins in the Depression or World War II era, when rationing demanded some pretty creative substitutions for butter, milk and cream. I’ll only try recipes that use common, readily available ingredients – no tofu or sunflower butter (whatever that is), thank you very much. So far, every one of those recipes has been a hit for dairy tolerant and intolerant guests.

As fall has turned to winter, I wondered whether any of my traditional Christmas recipes could be adapted to dairy free. Nope, not a chance. The most popular one is an almond cookie that is basically a bowlful of butter, a few eggs, some sugar and the scantest amount of flour to hold the dough together. For most of us, that’s a temporary spike in cholesterol until we hit the treadmill New Year’s Day. For my friend, well I think it could kill her. So back to Google I went, and found a great gingerbread biscotti recipe at allrecipes.com that’s both festive and dairy free.

My husband, also, has to watch his sugar intake and every year for his Christmas-time birthday I bake a carrot cake recipe my mother passed along when we were newlyweds. So I’m sharing these recipes here, along with an invitation to contribute your own stories and recipes you’ve discovered so loved ones with health issues can share in holiday traditions.

Salud!

(ETA: White flour, or half and half of white and whole wheat, can be substituted. Using all white flour gives a more traditional biscottie taste.)

The Gingerbread Biscotti recipe can be found here:
http://allrecipes.com/Recipe/Gingerbread-Biscotti/Detail.aspx

Gingerbread Biscotti

1/3 cup vegetable oil

1 cup white sugar

3 eggs

1/4 cup molasses

2 1/4 cups all-purpose flour

1 cup whole wheat flour

1 tablespoon baking powder

1 1/2 tablespoons ground ginger

3/4 tablespoon ground cinnamon

1/2 tablespoon ground cloves

1/4 teaspoon ground nutmeg

Preheat the oven to 375 degrees F (190 degrees C). Grease a cookie sheet.

In a large bowl, mix together oil, sugar, eggs, and molasses. In another bowl, combine flours, baking powder, ginger, cinnamon, cloves, and nutmeg; mix into egg mixture to form a stiff dough.

Divide dough in half, and shape each half into a roll the length of the cookie. Place rolls on cookie sheet, and pat down to flatten the dough to 1/2 inch thickness.

Bake in preheated oven for 25 minutes. Remove from oven, and set aside to cool.

When cool enough to touch, cut into 1/2 inch thick diagonal slices. Place sliced biscotti on cookie sheet, and bake an additional 5 to 7 minutes on each side, or until toasted and crispy.

Festive Carrot Cake

2 cups flour 

2 Tbsp. vanilla

1 tsp. salt 

¾ cup frozen apple juice concentrate, unsweetened, thawed

2 tsp. baking soda 

3 cups grated carrots

3 tsp. cinnamon 

1 cup raisins

4 eggs 

1 cup walnuts

1 cup oil

Stir together flour, salt, baking soda and cinnamon. Beat the eggs, add oil and vanilla. Stir egg mixture into dry ingredients, add apple juice concentrate. Fold in carrots, raisins and ½ cup walnuts. Spray 8 ½ x 11 pan with baking spray. Pour batter in pan and top with balance of walnuts. Bake at 325° for 45 minutes or until cake tests done.

Let's Play Word Association: “Healthcare”

You know what pops into my head if someone says “healthcare?” A smell. That antiseptic scent somewhere between rubbing alcohol and Lysol. I might see in my mind’s eye a shiny hospital floor or imagine the crinkly sound of exam table paper.

But this week in an e-newsletter all about healthcare, I came across a different take on what the term should mean. It involves church. An Episcopal church in northern New Jersey has started offering an “All God’s Children” service on the first and third Sunday of each month. The service is geared toward kids with disabilities, particularly autistic youngsters, those with varying degrees of attention deficit and also pervasive development disorders. It must feel like a miracle to parents of special needs kids looking for some help to feed their children’s souls.

Yes, there’s no doubt in my mind – this church is offering healthcare. Managing an illness or chronic condition can be an exhausting, 24/7 job. And I think especially if it’s a parent managing a child’s condition, there’s often little room for anything social or spiritual. Through the worst of it, even emotions get set aside while mom or dad manages a crisis on autopilot. (How unhealthy is that!) This church is offering families balance in their lives and holistic care. It can’t help but improve outcomes to pray and be embraced by welcoming church volunteers and, just for a short time on a Sunday morning, step away from the constancy of life with special needs.

What I really like is the church’s webpage for this special service. It’s children’s-church-in-a-box for any religious organization that would like to replicate the idea. There’s a full description, video clips of a service, and links to media stories about their novel idea. Anyone can download their 18-page operations manual (page 7- suggested gluten-free snacks; page 13 instructions for Joyful Noise volunteer - “…speak loudly into the microphone, as the kids will likely make noise throughout this segment. Repetition, call-and-response, and simple mimicked movements work well;” page 15- one adult in the Prayer Room and one at the door at all times. Make sure no child leaves the building without their parent.)

So, does your doctor ask how life in general is going? Does the practice offer a list of resources outside of physical healthcare? Does your own house of worship or school or workplace ask how it can accommodate health concerns and include special needs? If not, suggest they take a look at Christ Episcopal Church of Budd Lake, New Jersey. Now there’s a practitioner of good healthcare (without the antiseptic smell).

My Amazing Eye Transplant

No, of course not really. I've still got 20/40 vision and my new best friend, eyeglasses with progressive lenses. But what's taken me away from blogging these past two months has given me the gift of sight – a way of looking out on the world with new eyes and a new sense of wonderment.

It all started because my family needed help. And much to my surprise, asking for help has transformed my thinking.

If you know my family’s story, you know my son has had a long road dealing with neurological problems. My child has overcome some huge obstacles that made the arrival of his college acceptance letter in the spring a great victory for him. But obstacles still remain for him to be successful once he starts college just a few weeks from now. True to his tenacious nature, he got himself accepted into college and also accepted into a selective transition-to-college summer program for disabled students. Great program, big pricetag.

In searching for resources, I stumbled upon ModestNeeds.org and knew right away this was something special. Folks with one-time needs due to trying circumstances can post applications for very specific situations, and donors contribute directly to stories that strike a personal note. Each application is carefully vetted by the organization, which vouches for its authenticity. I had to work up the nerve to submit our application to Modest Needs. Our family has never asked for financial help. From anyone. Ever.

In the end, 44 people – family, friends and strangers – contributed more than $2,500 so that my son could attend the college transition program at Landmark College in Vermont. He just arrived back home with a huge binder full of practical information on how to navigate college coursework and a fabulous taste of dorm life that’s got him itching to move out of our house, like, yesterday.

As wonderful as the college transition program was, the lasting effect for me will be this lesson: that acts of goodwill and generosity can change the course of our lives and our outlook on life forever. For me it's been a lesson in generosity of spirit. I am just overwhelmed to see how much others value what's so important to our family- that our son gain independence and education to live up to his full potential. Anyone who has dealt with disability or chronic illness knows how easy it is to let expectations slip, because keeping them high sometimes feels like climbing Mt. Everest in lead boots.

Thank you to Modest Needs for this gift of sight (insight, actually) that we will never forget.

Click here to learn more about donating to Modest Needs.