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Tingling extremities, abdominal pain, and nausea were symptoms that stopped me in my tracks. The catch is, my husband was complaining of these symptoms, not me. He’s a relatively healthy guy, but he does have high cholesterol and glucose numbers that place him into the “almost” diabetic category. Listening to him describe these symptoms, the only thing I could say was, “We’re going to the emergency room.” He denied it was anything serious and mumbled he just wanted to rest. I’m not a doctor or a nurse, but I knew if he was having a heart attack, we didn’t have precious minutes to sit and rest. I gathered up a few things and shoved him out the door. When the emergency room doctor questioned my husband about his symptoms and his health history, he couldn’t remember exact dates or details. That’s when I jumped into the conversation, since I had most of the answers in the binder on my lap. Thankfully, one of the items I thought to bring from home was my husband’s health binder. Documentation of his medications and corresponding dosages, recent lab reports, date and results of his last physical, and names of specialists he’d seen were all neatly filed away in this binder. Okay, maybe not neatly, but nonetheless, filed.

The visit to the emergency room revealed two things: First, my husband has a sound heart. Second, having his health information at our fingertips saved valuable time and reduced the stress of having to accurately recall pertinent information from memory at a critical time. With that said, I can’t emphasize enough the importance of organized medical records.

Request copies of reports each time you have a procedure done. All lab work, diagnostic exams, pathology reports, test results, hospital visits, and other significant documents should be filed. Save copies of referral slips and prescription information. Bring immunization cards to physicals for updates. You think you’ll never forget certain dates or physical conditions you’ve had, but you will. Even though your doctor has everything documented in your patient chart at his office, he may not be around if there’s an emergency.

There are many ways to approach this type of project, but the following way seems to me to be the easiest method to organize and access the information:

1. Purchase a binder for each member of the family and label it with his/her name.

2. Purchase binder dividers with tabs. You might need a dozen per family member; usually younger family members need fewer dividers, because they see fewer specialists. Label the tabs with the following categories and file documents with most recent on top:

Diagnostics – Any diagnostic report such as x-rays, mammograms, scans, MRIs, CTs, ultrasounds, biopsy and pathology reports, etc.

Health History – All documents from previous doctors. Each time you change physicians, get copies of your records. You may have to pay to have copies made, but it’s well worth it.

Labs – All lab work reports go here.

Immunizations – Immunization cards, TB test results, flu shot records, vaccine information, etc.

Name of Your Primary Care Physician – Under my PCP’s divider, I keep notes I make while in his office. If I’ve asked questions and written down his answers, I file that paper. I also keep a copy of any patient information forms I’ve filled out or signed.

Specialists – Each specialist you see should have his own divider. Examples of specialist dividers might be: ob-gyn, dermatology, cardiology, physical therapy, allergy, podiatry, endocrinology, and gastroenterology.

Prescriptions – File prescription information forms you receive from the pharmacy. Besides the name of the medication, these forms should include dose, instructions, and side effects. If you’ve been on a medication for years, always keep the first form received and the most current form in your binder. That way you’ll know how long you’ve been on any particular medication.

Vision and Dental – These categories are optional for inclusion.

For health’s sake, get organized!

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Quinoa and Shrimp Salad

P1080937_1Always on the lookout for healthy recipes, I found several interesting ones that use quinoa. Quinoa, which is pronounced KEEN-WAH, is a tiny Peruvian seed. Although it resembles couscous and can be served like rice, it is far more nutritious than either; quinoa is packed with all the essential amino acids. I saw this recipe by Martha Rose Shulman last year and have made this tasty and nutritious dish several times. Of course, like everything else I do, I had to tweak it a bit. Attractive mounded on a bed of leafy greens, it serves about six.

Here’s my adaptation of Ms. Shulman’s recipe:
Step 1: Basic Quinoa
1 cup quinoa
3 cups water or stock
1/2 teaspoon salt (just a pinch worked for me)

1. Put quinoa in a mesh sieve and run under cold water to remove a bitter and protective coating on the seeds.

2. Bring the water or stock to a boil and put in quinoa seeds and salt. Bring water to a boil again, cover pot, turn down heat to low, and simmer for 15 minutes or until seeds look translucent and tiny curly threads appear.

3. Drain liquid and fluff with fork. Let cool if using for salad.

Note: Cooked quinoa will keep for a couple of days in the refrigerator.

Step 2: Dressing
2 tablespoons freshly squeezed lime juice
1 tablespoon seasoned rice wine vinegar
1 teaspoon minced fresh ginger
1 small garlic clove, minced
pinch of cayenne pepper
salt to taste
2 teaspoons sesame seed oil
1/4 cup canola oil
2 T buttermilk (I used soymilk because that was all I had)
2 teaspoons of sweet soy sauce

Step 3: Salad
3 cups cooked quinoa (use all that was prepared in step 1)
4 scallions, white and green parts, sliced thin
1 small cucumber, peeled, seeded, and diced
1/4 C chopped cilantro
1-2 cups bay shrimp or as much as desired

1. In a small bowl, whisk together the lime juice, vinegar, ginger, garlic, cayenne, salt, sesame seed oil, canola oil, buttermilk, and sweet soy.

2. In a salad bowl, combine the cooked and cooled quinoa, scallions, cucumber, and cilantro. Toss with the dressing. Toss in the shrimp just before serving, so that it does not “cook” in the lime juice.

Here’s to healthy eating!

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P1080452It’s kind of ego-deflating, but my most requested recipe is not for cookies or Chinese dishes, but it’s for my breakfast oatmeal. I always loved it when my mom served me a bowl of hot oatmeal for breakfast. As a child I would look into my bowl and watch little specks of liquid gold (melted butter) float in pools of rich milk that surrounded islands of oats. Decades now, I can still taste the wonderful goodness of hot oatmeal. Of course I can, because I have eaten it everyday for breakfast for the last two years! The catch is my mom gave me something else besides oatmeal. She gave me a genetic propensity for developing high cholesterol. My mom’s a tiny little thing, but her cholesterol numbers are big time. She once had her blood drawn and it looked like milk. The genetic link is strong. My siblings carefully watch their cholesterol and my daughter was diagnosed with high cholesterol at the tender age of five.

“If you were my mother, I would put you on medication.” Those words from my doctor brought me to attention. Vainly, my first thought was, what does he mean if I were his mother? Do I look that old? Then reality set in, my valiant effort to stave off high cholesterol was failing. It was inevitable. My total cholesterol was 255 and my LDL (“L” stands for lousy) was 171. I begged him to give me six months to see if I could turn it around. He consented. Well, I stretched that out to eight months, but it was worth it! After eating steel cut oatmeal every morning for eight months, I managed to bring my total cholesterol down to 225 and my LDL down to 136. That 35 point drop in LDL was amazing and my doctor said some patients don’t even see those kind of results with cholesterol medications.

Two years later I’m still eating steel cut oatmeal every morning. The latest lab results are looking good. My total cholesterol is 212, but my LDL went down to 119! Of course it helped, too, that I got a job that requires a lot of walking.

Once a month I cook a big pot of steel cut oatmeal. Why steel cut versus the other kinds? Steel cut oats are whole grain groats (the inner portion of the oat kernel) which have been cut into two or three pieces. Rolled oats are oats that have been steamed, rolled, re-steamed and toasted. Unfortunately they lose some of their texture and taste in the process. Instant or quick oats have been further processed to break down fiber. The more soluble fiber, the better. Read this article from the Mayo Clinic on the top five foods to lower your cholesterol numbers.

Here’s my most requested recipe:
Rinse 5 cups of steel cut oats, toast them in large pot, add 15 cups of hot water, stir in cinnamon and dried cranberries (optional), and bring to a boil. Turn down heat to a simmer and cook for 25 minutes. No stirring allowed. Let oatmeal cool. Scoop about a 1/2 cup or so into a waxed paper square (hamburger patty squares from Smart and Final) and push into cupcake tins. Cover with plastic wrap and let cool. After they cool down, pop out each cupcake of oatmeal and put into a plastic freezer bag and freeze.

Each morning I reach into the freezer, grab an oatmeal cupcake and place it in a bowl. I microwave it for one minute and then peel off the paper. I place it back in the bowl and add ground flax seed, frozen blueberries, a handful of toasted walnuts, and a sliced banana. This concoction gets microwaved for a little over a minute and it’s ready to eat!

Let me know if this helps you with your cholesterol levels!

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