Daily Gratitude:

Grateful to live in the United States of America.

Happy 4th of July!

July 4th, 2009

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Grandma’s Potato Salad Recipe

July 3rd, 2009

This time of year I have to make potato salad.  It is one of those seasonal menu items that brings me back to my childhood. Sometimes it’s the simplest recipes that taste the best.  My grandma made the best potato salad I have ever had.  This is as close as I can come to her recipe, you add the love.potato salad 005

3  lbs  New Potato

1 Medium Onion minced

2 Celery Stalks diced

4 Eggs

1 1/2 Cup Mayonnaise

1 1/2 Tablespoon Spicy Brown Mustard

1 1/2 Teaspoon Dill

In a large pot place whole potatoes with eggs (in the shell) on top.  I buy new potatoes so I don’t need to peel the potatoes. Cover with cold water.  Heat on high until a vigorous boil.  Reduce heat to medium. Cook until a fork can easily go through the largest of the potatoes. Drain. Cool.  Once the potatoes are cool. Cut into bit size pieces.  Add to a large mixing bowl   Remove the eggs from their shells. Dice the egg add to the potatoes.  Add onion and celery and fold to incorporate.  In a medium size bowl add mayonaise, mustard and dill.  Mix well.  Add mayo mixture to potato mixture. Chill. Serve.

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Rheumatoid Arthritis: 10 Tips for Travel

July 2nd, 2009

Now is the time of year when we pack things up and head out for a relaxing time away from the hustle and bustle of everyday life.  Before you head out here are a few tips to make the trip a little easier with rheumatoid arthritis.suitcase copy

  1. Make sure that you are well rested the night before traveling.
  2. Pack light. If necessary pack two lighter bags instead of one heavy bag. Don’t be afraid to ask for help with the carrying as well.
  3. Make sure to keep a water bottle and healthy snacks along with you.  The water will keep you hydrated and help keep the inflammation down.  The snacks will make sure that you are eating something that will not cause more inflammation.
  4. If traveling by car, take frequent stops to stretch.  Getting there a little bit later that expected is better than getting there sore.
  5. Remember to bring items that make you more comfortable( for example a special pillow or heating pad ) if you start to feel stiff and sore.
  6. If traveling by air, make the reservation early and don’t be afraid to make special requests like a seat up front with plenty of leg room.  Some people like direct flights but it may be better to have a layover that will allow you to get out and walk around a bit and stretch depending on the length of the flight.
  7. Talk to you doctor and get copies of your prescriptions to keep with you in case something happens to your medication when you are far from home.  Make sure you bring plenty of extra medication as well in case the trip lasts longer than originally planned.
  8. Wear comfortable loose clothing and comfortable shoes that are easy to take off and put on especially if you are traveling by air.
  9. Pace yourself.  Make sure there are plenty of periods of activity followed by periods of rest. You don’t want to overdue things and end up sidelined and miss some of the fun.
  10. Relax.  If you have forgotten to pack something there are always shops along the way to pick up whatever you may have missed.  Don’t fret about the hiccups along the way it’s part of the adventure.
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New Trigger in Rheumatoid Arthritis Discovered

June 30th, 2009

bluegreenmicroscopeAccording to new research published June 28, 2009 in Nature Medicine, scientists have uncovered one molecular switch that triggers the immune system to attack the joints in people with rheumatoid arthritis.   The authors of the study from Imperial College London state that blocking this signal may provide effective arthritis treatments in the future. Approximately 1 percent of the population suffers from rheumatoid arthritis the most common autoimmune disease.  About half of all patients are not responding to the current treatments available today.  Research scientists working on this study state that stopping this disease closer to the root of the problem could possibly be the best way to treat the disease.  The results from their study suggest a new direction for therapies.

In healthy people when a microbe invades the body the immune system responds by turning on a molecular switch that sends the immune system into action to protect the body from disease.  In this study, the signal molecule called tenascin-C can trigger the same molecular switch and activate the immune system.  High levels of this signal molecule tenascin-C in joints may cause the activated immune system to attack the joint tissue that leads to persistent inflammation that is common in rheumatoid arthritis.  The molecular switch is called TLR4.  It is found on the surface of the immune cell and in prior research mice without TLR4 do not show chronic joint inflammation.

The researchers in this study are hopeful that scientists can develop new treatments that target the interaction between tenascin-C ( the signal molecule ) and TLR4( the molecular switch ). This may help to combat rheumatoid arthritis.  Dr. Kim Midwood, the head author of this study from the Kennedy Institute of Rheumatology at Imperial College in London states that “We have uncovered on way that the immune system may be triggered to attack the joints in patients with rheumatoid arthritis. We hope our new findings can be used to develop new therapies that interfere with tenascin-C activation of the immune system and that these will reduce the painful inflammation that is a hallmark of this condition.”

The researchers conducted 5 studies.  One study suggests that tenascin-C is needed to sustain inflammation.  They produced joint inflammation in mice with and without the gene for tenascin-C and found that the mice without the gene for tenacin-C showed no swelling or tissue distructions however the mice with the gene that could produce tenascin-c had severe swelling in the joint and bone and cartilage damage.  In a later study, mice joints were injected with the active part of the tenacin-C molecule. Researchers found that it caused the joints of the mice to become inflamed and with higher doses the reaction was more intense. In another study, scientist found that by taking human immune cells called macrophages and fibroglasts from the swollen joints of patients with rheumatoid arthritis and adding tenascin-C the cells produced more molecules that cause inflammation.The study authors are planning on working out the exact mechanism in tenacin-C that increases these levels of inflammation in the joint and explore way to inhibit it.

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President Obama – Your Turn: Join the National Online Discussion on Health Care Reform

June 29th, 2009

The President of the United States of America is inviting us all to join in the National online discussion on health care reform.  This is an issue that will effect all of us at one time or another.  It is especially important for those of us with chronic diseases.  One thing seems very clear as it is right now the health care system does not work for all our citizens equally.  Health insurance cost have risen to almost unattainable rates while coverage for benefits has dwindled over the past ten years.  Whether you agree with President Obama or not this is your opportunity for you to share your ideas and concerns with the President and the American public via youtube

President Obama is asking for us to submit our questions and concerns via youtube by July 1, 2009.  Questions or concerns are limited to a  20 – 30 second submission. The President will address as many questions and concerns as possible in an online Town Hall format.

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Oriental Orange Chicken Salad

June 26th, 2009

oriental chicken salad-smI haven’t added a recipe in a quite a while so today I thought I would share one of my favorite salads.  This is a nice light summertime dish that won’t weigh you down on the hottest of days. We enjoy it  for either lunch or dinner and the kids really love it. On the rheumatoid arthritis front this salad has garlic, ginger, vitamin C, folic acid, omega 3’s and  beta carotene.  All of which are good for fighting inflammation.

Marinade:

1 Tablespoon Minced Ginger

1 Tablespoon Minced Garlic ( about 2-3 cloves depending on the size of the cloves)

1 Tablespoon Soy Sauce ( a good quality soy sauce like Tamari is best )

1 Cup Orange Juice

1 Tablespoon Orange Zest

Put all the above ingredients in a zip close bag ( gallon size is probably best)

Chicken:

Prepare 2 full skinless boneless chicken breast by trimming away any excess fat. Place chicken between 2 pieces of plastic wrap and take out any anger and aggression you have about having  rheumatoid arthritis out on your chicken.  I use a metal mallet so that I don’t have to use a lot of muscle to pound the chicken out.  Pound the chicken to about 1/2 inch thickness. Add chicken to the marinade and zip up plastic bag making sure to squeeze out any excess air and place in refrigerator while preparing the salad.

Salad:

You can use whatever salad greens that make you happy.  When I made this recipe today for lunch.  I used the lettuce and spinach from the garden.  If you don’t feel like cutting up salad greens getting the prepackaged stuff will work just as well.

2 Large Carrot peeled and julienned  ( My son gave me an oxo julienne peeler that makes the process easy with very little effort ) or you can buy prepackaged stuff

2 Cup shredded Red Cabbage

2 Oranges Supremed (How to supreme and orange) or if it is easier for you or your hands are bothering you use a jar of mandarin oranges

1/2 Cup Toasted Slivered Almonds ( just place slivered almonds in a non stick fry pan and heat for about 5 minutes stirring occasionally to make sure that the almonds  release some of  their oils and get crunchy)

Wash and dry all the vegetables. ( My kids like to use the salad spinner so they do that for me ) Tear lettuce into bite sized pieces unless of course you have purchased the ready made stuff.

Take the marinading chicken out of the refrigerator and grill until fully cooked. Cooking times will vary based on the grill size and the amount of btu’s that it puts out.  It usually only takes me about 15 minutes flipping the chicken halfway though the cooking process. When the chicken is fully cooked place on a cutting board to rest while you prepare the dressing.

Dressing:

1 Tablespoon Dijon Mustard

1 Tablespoon Soy Sauce ( a good quality soy sauce like Tamari is preferable )

1 Tablespoon Sesame Oil

1 Tablespoon Rice Wine Vinegar

1/4 Cup Orange Juice

2 Tablespoon Honey

2 Teaspoon Grated Ginger

Whisk all ingredient together in a mixing bowl. ( You can also just throw everything together in the blender and mix )

Place the lettuce, cabbage and carrot in a large salad bowl or serving platter and toss until well mixed.  Place oranges randomly about the bowl or plate.  Slice grilled chicken and place warm chicken on top of lettuce mixure. Top with slivered almonds and drizzle with dressing. Serves 4 – 6

Enjoy!

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Rheumatoid Arthritis: Redirecting My Focus.

June 24th, 2009

I have watched the Star Wars movies over the years many times.  At one time or another each one of my boys has gone through a Star Wars faze when they want to watch all of the Star Wars movies over and over again.  I have seen them all many times. The past few times I have to admit I probably was doing something else while one of the boys was watching.  Kind of a been there done that attitude.  They are all good movies but my attitude was I know how it all ends so maybe I’ll direct my attention to other things while he (which ever boy that may be at the time ) enjoys the movie. This morning was no different  when the sky was gray and it was still raining outside my youngest, Kevin asked if he could watch Star Wars – Episode I – The Phantom Menace. Not a problem. In the movie went. My thought was the house will be quiet for a few hours with the two younger boys being separated while Kevin watches this movie.

I was sitting in the room with him paying some bills and tending to some email’s that needed my attention when I heard the most profound words…..The character Qui Gon is speaking to Anikan Skywalker and he says “Just remember,  your focus determines your reality”.  I stopped what I was doing and just sat there.  I repeated the words “your focus determines your reality”  All I could think at the time was. Yes. That’s it. That is exactly what has happened for me.

There was a time in the early days of the disease when my focus was on my limitations . That was all I could see, what I could no longer do.  I spent a great deal of time feeling sorry for myself and worrying if I would end up in a wheelchair or bed-ridden.  It was a really dark period of time for me and the more that I focused my energies on fear and pain the worse it seemed to get.  I had very little confidence in my rheumatologist at the time and it certainly didn’t help my state of mind whenever I questioned him about my course of treatment he would say things like “We don’t want to see you in a wheelchair, do we?  He seemed to be echoing my worst fears.

I took me several years to work up the courage to take my life back.  I read really good books that helped to change my perception of myself.  I did something that at the time was very uncomfortable for me and accepted help from anyone and everyone who offered it.  I slowly changed my thinking from what I could no longer do to what I can still do.  Every day I had to make a conscience effort to focus on the good in my life so that goodness started to become my reality.

It was not an easy transition.  I had to take a hard look at what was really important to me and I had to address what it would mean if my worst fears were realized.  Would it change who I am as a human being if I did end up in a wheelchair?  It would certainly change my reality. Things would be very different for me and my family. But would I as a woman, as a mother, as a life partner be different?  The answer came back yes and no.  Physical changes would limit my ability to do things and because of that my life would change, but fundamentally who I am would not.  I would still love my family with abundance and still share with them all my joy and happiness.  And when I really, really thought about it I came to realize that this body, my body,  is just a vessel.  Sometimes it is a little rough around the edges but still just a vessel housing the who that I am.  And most importantly I am so much more than this body that I have been given.

I still wake up every morning stiff and sore.  But my immediate thoughts are not on how the stiffness will limit my day.  My first thoughts are what will today bring? What is on the agenda for the day?  Where is my husband so I can give him a kiss?  What a nice morning hug from my Kevin  that was. Most importantly  I am so grateful for having been given this day. It has made monumental effects on my life and how I live it.

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    All information is intended for your general knowledge only and is not a substitute for medical advice or treatment. You should consult your physician for any health issues.

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