Support for low-fat high-fiber diet
Comments
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This is what I found Theresa!
The probable rationale for the high protein diet is that high carbohydrates increase oxygen consumption. Therefore if you have less lung surface to exchange oxygen, then why stress your decreased lung function with demands for more oxygen by eating more carbohydrates?
There are better liquid supplements for persons with decreased lung capacity. Check with a local Registered Dietitian for names and sources for these supplements. There are ones lower in carbohydrate than Ensure that don't increase the oxygen demand.
As to a decreased appetite, a glass of wine or beer can stimulate appetite before a meal. There are prescriptions that also work to increase appetite. Have your relative ask her doctor.
Eating a lot of meat can suppress your appetite as anyone on a high protein, low carbohydrate diet can attest. Foods high in protein are muscle meats, poultry, fish, eggs, cheese, milk and real eggnog (buy pasteurized only). Liquid dairy products (milk, ice cream, pudding, etc) though do increase phlegm (mucus) and may cause more problems because of that. Milk products, fruit, juice, dried beans, peas, legumes and grains also contain some protein, but also contain a fair amount of carbohydrate (15 grams per serving). Non-starchy vegetables are pretty low in carbohydrate (5 grams per serving).
In eating a higher protein diet, the goal should be to include some protein at each meal. For instance, an egg or two at breakfast (forget about the cholesterol right now as her nutritional health is more important) and 3 - 4 ounces of meat at noon and evening meals would be appropriate. A 3 - 4 ounce portion of meat would be as big as the back of her hand and as thick as her little finger is wide. Use this as a rule to determine portion size. Make sure the meat is moist (add gravy) and well seasoned.
I would suggest your relative contact a Registered Dietitian to help her nutritional recovery. A dietitian could also recommend a good liquid supplement that doesn't stress your relative's oxygen consumption.
Can you just try to help me or put me in touch with some who can advise me give me a meal plan for my mother who is losing weight because of emphysema. She is 70 years old, takes prednisone and atrovert, on 24-hour oxygen. Her rib cage and knees caps are protruding now.
Please help, my computer is slow and I can't navigate the web effectively. Time is crucial. Thank you very much. -
So that points to a high protein diet?
That makes sense because the first thing I thought about was in connection with increasing blood oxygen was iron. Most red muscle meats have that.
I know you want to go into this with all the cards stacked right, but I wouldn't go on a supplement things right now. Eatting high protein can't hurt anything, but doing concentrated supplements might.
I was reading about brain radiation, and they mention that you take a steroid prior to the radiation. I imagine that will pick your appetite up. Perhaps you can try and snack meaty. Do you have any idea when it will start? -
Thanks guys. I'll try to do high protein, high-iron diet. I wasn't looking for a supplement, so much, as a way to naturally do what the trial is doing. Natural is usually better anyway. I am on steriods, but my appetite is still somewhat depressed. I'm working on it, however.
Right now, I'm just waiting for them to finish the simulation. Apparently, it's fairly complicated. Still, I'd like to get started.
Thanks for your help guys!
--Theresa -
This is an interesting way to create oxygen! The way I figure it is if you are not doing a supplement it should help!
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Theresa - what're the search parameters for the study they're doing? Now I'm curious to read about it.
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Rose,
Here's the link to the trial. I don't qualify despite the fact that my primary onc is involved. I got too sick, too fast. But I'm hoping every little thing can help -- even if it's only hope or the illusion of doing something!
--Theresa -
Theresa,
I hope that you carry continued strength and good nature through your hospital stay I think of you endlessly
From the trial:
RSR13 (efaproxiral) is an experimental drug that increases the amount of oxygen released from blood into the tissues . It is well known that certain types of cancer tumors, including those in brain metastases, lack oxygen. Lack of oxygen in a tumor can reduce the effect of radiation therapy (RT). RSR13 may increase the oxygen level in brain tumors so that radiation therapy works better.
Okay, oxgenation the natural way .BREATH deeply enhance the oxygen supply to your body by mindful deep breathing.
"An extensive network of small blood vessels called capillaries feeds the brain. Because every cell is critical to the organs function, oxygen must diffuse from the capillaries to every nook. Current models suggest that, even if the brain needs only a small amount of extra oxygen, it takes a large increase in blood flow to deliver enough to every cell ."
The healthy habit of deep breathing at least 10-20 times a day. This helps to increase the lung capacity, thus enhancing oxygen supply to the body.
The Mechanics of Deep Breathing
The top of the diaphragm, located about one and one-half inches up from the bottom of the sternum, actually supports the heart, while the bottom of the diaphragm is attached all the way around our lower ribs and connects also to our lower lumbar vertebrae. When we breathe, the surface of our diaphragm generally moves downward as we inhale and upward as we exhale. (See if you can sense these movements periodically throughout your day.) When we breathe fully and deeply, the diaphragm moves farther down into the abdomen, and our lungs are able to expand more completely into the chest cavity. This means that more oxygen is taken in and more carbon dioxide is released with each breath. Deep breathing takes advantage of the fact that the lungs are larger toward the bottom than the top.
Talk to your doc, but maybe with deep breathing you can enhance your oxygen supply .
This is how I do it
If you can find a way to lay still, relax your body parts one by one and then do some deep breathing by taking deep breaths through the nose visualizing them traveling to the very bottom of your lungs and then releasing the breath through your mouth all the way to a flat empty feeling in your lungs.
It certainly is not going to hurt to practice deep breathing and relaxation is another benefit...maybe they have a tape at the hospital library that can help. I use belleruth napperstak, relive stress tape, but most relaxation tapes are all about deep breathing...
there is a real knack to it. i try and do it a couple of times an hour for general well being but maybe your doc would want you to do at certain times around rad therapy...
also, just one other thing...have your hubby pick you up an arby's when you are ready.
and if you have enough bandwith and quicktime on that hospital puter...check out this hilarious spoof about a new ipod product...the ipod flea...
a good laugh...
breath deep my friend,
laura -
That is great Laura! Deep breathing can help an asthmatic when they are not having an attack because it increases your lung capacity! It couldn't hurt Theresa, and at least you are doing something!
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I like the breathing idea pretty well.
I think high-protein is OK, but I'm afraid to have you messing with your blood chemistry.
I'm all for trials but I want you getting treated pronto.
When my husband had lymphoma the first time his father had a fit because they didn't put him in a trial (they live near NIH and were very NIH-oriented). The docs at Kaiser said, we have a good treatment and we want to get it to him now. He was in remission several years longer than the best estimate with that. When it came back there was a trial that was appropriate and he went into it.
We're all anxious for you to get started.
How are your kids holding out? I think it's one thing for you to be not feeling so good and around the house, but being hospitalized has to have been hard on them. Then you really are sick. -
Rose,
No need to worry Rose. I am waiting for the simulation to be completed and then I will begin whole brain radiation. I would have loved to do the trial but I knew as early as Monday morning that I didn't qualify. Dr. Gradishar is my primary oncologist and he was one of the study sponsors so I knew quickly that I wasn't eligible to participate.
So I thought that I would see if I could find in natural to increase the oxygen supply to my brain in order to simulate the trial parameters and you're right, hopefully this will work and by the time it recurs there will be another trial that's better for me.
The kids are a mixed bag. My son, my baby, is taking it harder than my daughter but then he always does. They have been great though doing things for me especially since my left hand is not functioning properly. In fact I've spent the day learning how to use voice recognition software.
Tomorrow, I go for a blood tests and I will ask again and when whole brain radiation will begin. I hope Friday.
--Theresa -
Did you have much luck with the voice recognition?
My husband has had that, but it didn't seem to get used very much.
Do you have a port? You must be like a prickled cactus. -
Rose,
Well, I just started using the voice recognition software yesterday so it is still getting used to me and I'm still getting used to it. However since I've been able to type 70 words per minute since I was in high school and my useless left-hand brings me down to less than 20 words per minute, even the mistakes that the voice recognition software makes speeds up my typing to more normal speed for me.
And luckily I do have a port. And suppose this is why the nurse and my husband made me get it, especially as I'm needle phobic.
-- Theresa -
It's my understanding that you have to 'train' the voice recognition system. Probably you have more motivation to do that than my husband.
The whole needle thing gets on my nerves, I'm glad you've got the port. Hubby had a PICC line, which is kind of bulky. Sometimes you see people who are staying at NIH around, at the mall etc... You can spot them because they've all got this garish paper tape wrapped around their arms where the line is.
I just finished C++. The .NET class is full so I"ve got to get a book and do that on my own, afterwards I hope to get into C#. Got any favorites? -
Well we did a fun thing last night. My neice brought over my great neice(7 mos old). She is a living doll. The boys fought over of her of course! My SIL, my neice and I all brought something. Then we ate on TV trays and watched Dancing with the Stars! My neice told funny stories about the boys as babies, she was my babysitter a lot of the time. She made this warm asparagus salad! It is very good!
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Warm asparagus salad? Did your boys eat that?
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Rose are you kidding? Heck no they ate the chicken and the rice crispie treats! We were glad it gave us leftovers!!!!
S is away tonight for his first time in a very long time. My GF that is his art teacher is keeping him overnight with her three young grandsons. He was happy! They are going to work on his art project for the county show. He is entering his Van Gogh painting and a mosiac tile as well. -
I didn't think they'd eat that, but I wasn't sure. One of my father's pipe dreams was to have an asperagus bed. He grew up on a farm, so the thing was you needed good dirt from the barnyard, and then it had to be there for years.
I saw some Goat Milk at Whole Foods yesterday. 1/2 gallon was $6.99. -
I'm working at switchng to more organic foods as I read Waking the Warrior Goddess. Organic butter - $7.50/lb. Whoa!
But the organic oranges I got (which I'm craving), taste really good and different. I guess I didn't think the taste would change.
I also found fresh, organic baby asparaugus yesterday, so I'll probably have that for lunch and dinner. We did spend quite a bit of money, but I'm trying to look at it as an investment.
My RBC rebounded to almost normal last week and I didn't cgange all that much. Now, I just have to work on my platelets!
What does goat's milk taste like?
--Theresa -
I say, stick with the fruits. The paper this morning says the low-fat study was so close to being significant that they think it will bear out with more time. So nix the butter - organic or not.
Cowgirl will have to tell us about Goats' milk. She's the goat lady. I'm guessing it's like periccino cheese? -
A friend of mine sells goat milk, cheese and even ice cream! It really takes good, I would say it tastes better than Soy products but not as "heavy" as cow milk. Goat cheese is a smoother cheese and light tasting. I particularly like it on salads in small chunks, it gives you a creamy feel with lower fat!
Even my kids ate the goat ice cream! They wanted more.
Theresa Butter! Organic or Not no butter my friend! Olive oil is such a better choice. We have a relative that ate all natural butter too now her cholesteral is too high and she has had to have stints!
Okay here is the warm asaragus salad. You take leftover pasta(use whole wheat or spinach for us)1 lb. uncooked. Then you roast 1 1/2 lbs. asparagus with salt and pepper, and olive oil in oven. Then you combine those too. Then you blend 6 Tlbsp of white vinegar, 1/2 c olive oil(could use less)3/4 c. chopped green onions. 2 Tbsp soy sauce, so get that to a smooth texture. Then you put in 6 oz of fresh baby spinach(or whatever is on sale like we do!) and pour over the dressing and toss! Then before you serve you sprinkle fresh parmesan cheese on top! They also added cashews but who needs them?
Okay I am off to do laundry!(Ugh!!!) -
That'll save me some money. I just figured organic was better than trans fats. Still working on getting my kids to eat better.
I'm still amazed by my craving for organic oranges. Strange.
--Theresa -
Update on substitute fats -
This week I tried pureed prunes/bananas instead of 1/2 of the butter in my cookies. (I know I just said we should stay away from butter but I NEED these cookies - otherwise I'm buying horrible snacks in the cafeteria). Overall I liked the banana/prune stuff better than the applesauce I tried last week. I think I need to check my oven because they needed to bake nearly twice as long.
Plus the banana/prune mixutre has more fiber. -
I have heard of people using prune baby food instead of fat, never could quite get the handle on it!
Theresa maybe the vitamin C is helping you! One family member says when you crave natural good foods your body needs that nutrition element! -
It's thick. Now that I've 'tested' a few more of them I think the applesauce ones were cakier.
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I have heard the applesauce recipes are really moist! Nothing like a dry sweet thing.
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There are some other options on the substitute list. Hold on for next weeks try.
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Just got back from lloonngg weekend in vegas. yes i made a small deposit but had a fabulous time with bf and dear friends...
My diet went in the toilet...Even ordered dessert whenever i could!
I am going to get back and get more organic too!
Will try the asparagus salad for sure, thank you...
Organic oranges sound expensively delicious.
I don't see myself baking these days, can't believe how busy i am without even working.
Theresa, are you getting any exercise?
very important to pushing everything through your system, i think...
thinking of everybody here always...
laura -
So I go to the orthoped tomorrow for my shoulder arm. I am happy it is finally here. I am having a lot of nausea at night and no I am not PG. Tubal and lining gone! I really think it is stress, nights are the worst and I am dread going to bed.
Last night all I could stomach is some sprite, tonight I don't have a clue if I can eat. Gotta feed the goats though!
Take care of yourselves!!!!
So glad you fully enjoyed your trip Laura a trip is not the time to diet we do that at home! -
Were the desserts good?
If you're going to splurge then it needs to be for something great. -
I bet they were! Good desserts are really a temptation to me, bad desserts seem to waste my time!
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