Bill 20

In the article entitled Doctors Slam Bill 20, written by Joel Ceascu, Dr. Michael Kalin describes how young female doctors will be penalized in Québec for working part-time.  Family medicine is the ideal work environment for a women who want to practice medicine and raise a family at the same time.  However Québec’s Health Minister, Gaétan Barrette doesn’t seem to want part-time doctors.  He also doesn’t want doctors spending “too” much time with patients.

According to Dr. Louis, president of the FQOM, “bill [20] will impose unrealistic patient quota’s on each family doctor “.  GPs need to spend a reasonable amount of time listening to patient concerns and then provide a proper treatment plan.  Quality care cannot be measured in time spent with a patient. All healthcare professionals, like nurses, dietitians, physiotherapists, occupational therapists, social workers, speech therapists and not just doctors, need time to get to know a patient, assess their needs and then provide a plan.  Imagine if the patient is vulnerable like an elderly person with many health problems or a patient living with a severe mental health issue. These patients cannot be rushed out the door, they need proper and often lengthy care.

Dr. Kalin is concerned that bill 20 will promote what he is calling ‘assembly line medicine’.  This approach is not just a concern for doctors but for all healthcare professionals.  Imagine taking time off work to go visit a professional who can only spend 5 minutes with you.

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Kale Mango Green Smoothie

Two of the newest fads in the food world is kale and green smoothies. Unlike many other food fads, these are ones I can get behind. I want to share with all of you a recipe I learned earlier this year for a Kale (Or Spinach) Green Smoothie.

Kale is a great dark green vegetable that provides vitamin A and K. The high fibre content in kale gives it a really interesting texture that I liken to collard greens. What I love most about kale salads is that unlike lettuce or other salad mixes, the dressing won’t wilt it down in just a couple of hours. It stays vibrantly crisp even after cooking it down in soups.

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I had this smoothie while I was doing my Stage at Royal Victoria College – a McGill residence. They make this smoothie in their dining hall. I immediately told my supervisor, family and friends that I had just drank the best smoothie I’d ever had in my life. A couple of months later, I taught a basic nutrition class at two elementary schools and the kids loved it! They said “ew” and “gross” as they watched me pour all the kale into the blender but soon after, they oo-ed and ah-ed and proceeded to ask me for the recipe to give to mom and dad at home to make for them. I was really pleased with the outcome.

I love kale and spinach. However, I realize that not everyone does. BUT I can assure you that this smoothie may likely change you and your children’s minds about these dark and nutritious vegetables.

So follow this recipe and have a taste. It’s the closest I’ve gotten to the smoothie I had at RVC.

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Kale Mango Soy Smoothie (it’s Vegan!)

Makes 4-5 cups

  • 2 cup vanilla soy milk
  • 1 cup no-added sugar orange juice or apple juice (or even just regular milk or water!)
  • 1 banana
  • 1.5 – 2 cups of kale (or spinach!!) – or more
  • 1 cup of frozen mangos

Directions

Add it all into the blender – I usually go with the exact order I listed (liquids first!). The recipe is approximate, and feel free to have fun with it. Add a lot of kale and spinach! If you like your smoothie thicker – add more frozen mango.

The secret is, the vanilla soy milk. It adds a nutty and sweet flavour to the smoothie that milk or regular soy milk just doesn’t. Try it with other smoothies too! This is great for those who are lactose-intolerant or have dairy allergies.

As the weather in Montreal is getting nicer, try this and let it become a summer staple.

D the Intern

Video

Montreal Dietitian Janna Boloten on Breakfast to go!

http://bit.ly/TAqcTa

Read the story and get the recipes here!

Faux Chocolate Chip Blondies

I am tired of baking with sugar sugar sugar and white flour which is like sugar.  I found a dessert recipe with chickpeas and peanut butter and I modified it and made it for the family.  They were so-so about it but I think it is because of the peanut butter taste. Kids these days just don’t like good ol’ PB. It’s actually kind of sad.

Chick peas are a protein-carbohydrate food and they add the perfect moisture to these faux blondies. You can reduce or omit the chocolate chips altogether for a healthier version.

Nothing like home baked goodness instead of boxed processed junk. (D the Intern made these to bring to work and they were happily devoured!)

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Faux and Flourless 

Chocolate Chip Blondies

1 cup smooth natural peanut butter
1/4 cup honey
2 eggs
1/4 tsp salt
1/2 tsp baking soda
1 can of chick peas (drained and rinsed)
1 tsp vanilla
3/4 cup chocolate chips

Pre heat oven to 350 degrees.

Place all ingredients except chocolate chips into a food processor and blend until very smooth.
Put in chocolate chips and pulse a few times until mixed in.
Pour batter into an 8”x8” greased pan.
Bake for 30 minutes. 


Note: The blondies in these photos were marbled by melting the chocolate chips in a double boiler first and later stirred in. This proved more difficult than expected because the chickpea mixture is very thick. The melted chocolate didn’t marble that nicely. Either way, it ended up being delicious!

Try it and let us know how it turns out and if you liked it!

 

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Coconut Oil and Alzheimer’s

84DE5FFB-AF0F-420A-BB5F-B5C79E404033When I was working in public home care, I used to visit a lot of seniors.  Sadly, many of them had some form of mild to severe dementia.  At one of my home visits, a family member of one of my clients asked me if coconut oil was good for improving the memory of those with Alzheimer’s.  I told them I never heard about that.  I went back to my office and I did a bit of googling and found that there were in fact studies being done on this.  Researchers where looking at the fatty acids in the oil to see of they had any effect.

I met a few other families that had heard about this and were cooking with coconut oil and telling me that it was helping their loved ones.  Who was I to tell them there wasn’t yet enough evidence to confirm that coconut oil improves memory? Many seniors especially those over the age of 80 are at risk for malnutrition as evidenced by weight loss secondary to myriad of issues.

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Here is a current article written by a dietitian on the Extenso website that confirms that coconut oil is not the cure for Alzheimer’s.  But coconut oil is fat.  Fat has calories.  Calories are needed for weight gain especially for those who need to increase weight to improve health status.  It would be remiss to tell those clients not to try it.

The placebo effect is a beautiful thing.

Addendum: Dr. Joe posted this on October 10, 2013!

 

 

(Featured image taken off madeofmuscle.net)

 

Food tips for students that help your health- and your wallet by guest blogger Emily Bell

 I’ve just started my seventh year of post-secondary education. I’ve been doing this “student” thing for a decent amount of time now, and am looking forward to (finally) entering the workforce within the next year. That being said, I’ve learned quite a bit in the past six years- and not just in school. As a result of becoming independent and assuming life’s responsibilities, I’ve learned some ways to take control of feeding myself healthily, affordably and efficiently.

Life as a student presents many challenges to eating: time to cook becomes an issue when we become buried in our books, the food we want to eat can seem expensive when it’s you doing the groceries instead of mom and dad, and there are always ample opportunities to indulge on unhealthy, unnecessary extra calories (think of that after-bar-poutine or that study group pizza).

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 Here are some of my ideas to deal with the above challenges:

  • On a less busy day, make a big pot of homemade soup or chili. Once finished, separate it into plastic containers and put them in the freezer. Come midterm season, let the container thaw in the fridge overnight or in the microwave, and have a ready-to-eat meal in no time! You can also cook the equivalent of a few meals on a Sunday night to store in the fridge for some no-prep dinners in the coming week.
  • Plan meals before grocery shopping and think of several different dishes that could use overlapping ingredients. For example, it’s hard to use an entire head of spinach (I opt for the head rather than bagged because its less expensive). To get your moneys worth and prevent waste, find recipes for a main course spinach salad, serve it as a side dish, and add it to soups, omelets, pasta and sandwiches. Getting creative with ingredients makes it possible to use them up and avoid getting sick of them.
  • Buying meat less often also saves money. Try incorporating other inexpensive sources of protein such as beans, lentils, tofu and canned tuna into your diet. This is also an environmentally friendly decision since growing and transporting livestock consumes more energy than produce.
  • Find out the places on campus to get affordable or even free food and ask your grocery store if they have any student discounts. My campus offers a free vegetarian lunch every Thursday, provided the students bring their own dishes to keep the event environmentally friendly. Friends of mine who have been studying in the cafeteria around closing hours have been offered that day’s leftovers. The grocery store near my house offers students a 10% discount at the beginning of the week as well as free delivery. Finding good food deals may be easier than you think!
  • A good way to avoid that heavy late night snack or a spontaneous trip to the corner store for chips and chocolate is to keep tasty yet healthy options on hand. Low-fat low-sodium microwave popcorn satisfies my salty cravings (and provides a generous amount of fiber). Pop-in-your-mouth fruits like grapes or berries please my sweet palate- they’re sort of like nature’s candies anyways!
  • If you’re absolutely craving that pizza, I suggest making your own. Buy a premade multigrain crust or use a whole-wheat pita, add some tomato sauce or pesto, load it with a ton of fresh veggies, and top with some cheese. This is a yummy way to incorporate one or two servings of vegetables, it can last for a few meals, it is healthier than frozen or fast food pizza, and it still manages to hit the spot. 

These tips are simple and easy, but that’s what I think works about them- they are doable! So start today and try one out!

Olive Oil in Texas? I thought they only had bubbling crude, black gold, Texas tea….

On a recent trip to Texas, while staying here, I took a day trip to a real organic olive oil ranch with my family. My Aunt and Uncle, who both live in Austin, adopted a little olive tree. We stopped by the ranch to check on it since Texas is having a drought. It turns out all these beautiful trees are being irrigated regularly and the hope is they will start producing fruit by next year.

Texas Hill Country Olive Oil Ranch is located in the Austin hill country and there is also a thriving olive oil agriculture in California. The climate in Austin is hot, hot, hot in the summer but olive trees love that. Olive trees are one of the toughest trees around and they can handle abuse.

One of the son-in-laws of one the Gambini owners gave us a tour of the orchard and explained the process of raising olive trees. These trees need to be pruned very often to facilitate fruit production. If they don’t get pruned they get lazy and grow all over the place like snakes, and then they don’t produce much fruit.

We learned that the USA regulates the production of olive oil to ensure a top quality rancid free product. I was always under the impression that European olive oil producers were under the same strict regulations. Not so, said our guide. He is convinced the best product stays in their respective countries and lower quality oil gets exported. Well, one taste of the Californian/Texan olive oil and I was convinced too. A a high quality olive oil causes a mild burning sensation when it hits the back of your throat and it has an ever so slight bitterness to it.

While we visited Texas Hill Country Olive Oil Ranch my uncle treated us all to olive oil gelato. What a delicacy! We sampled vanilla, chocolate and rosemary with different flavoured balsamic vinegar. My favourite for the ice cream was blackberry but the fig went well with the kettle chips.

To find out more about Texas Hill Country Olive Oil click here.

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