Showing posts with label restaurant. Show all posts
Showing posts with label restaurant. Show all posts

Friday, June 19, 2015

Step Four: The Part Where I Have to Feed My New Friends in England

We do a lot of complaining in America when it comes to food. It's too expensive, it's hard to find grass-fed or organic, all I have is a Stop and Shop, I don't want to give Whole Paycheck my whole paycheck, it's so wasteful, the farmers' market is far away and meets at an inconvenient time, etc. etc.

I realize my interpretation of the "difficulties" surrounding acquiring quality food is clouded by the fact that I've always lived in the northeast but chances are that wherever you are in the US, you'll have an easier time eating grain-free real foods there than in the UK.

As evidenced by my ill-fated pursuit of Whole Foods earlier in my trip, they do exist. And they actually had more organic produce selection than the ones I've visited in the US. But unless you live in London or Glasgow, you're out of luck. And I have yet to come across a single health food store or chain that sells produce (there are a couple that sell non-perishables, supplements, and beauty products). Chain supermarkets that cater to the average customer who doesn't care much about the quality of the soil their vegetables came from or that their chicken breast came from a real, live, clucking chicken at all (let alone a happy and healthy one) are the norm.


I can tell myself that everyday I drive past plenty of sheep and cows munching away happily and vibrantly green fields and that European countries don't use the worst of the pesticides that are used in the US, but the fact of the matter is, if you want to eat squeaky clean and feel good about what you're eating (and to me that means organic, small local farms, grass-fed), you might just go hungry or get very bored.

Obviously I don't live here, so I'm speaking from a tourist's perspective. I occasionally passed small farms and if I'd have been there longer, I would have made better mental notes about where they were, turned around, and investigated (easier said than done when the sign's made of cardboard and on the side of the highway and someone's on your tail because you're going too slowly trying to figure out which lane you need to be in for the upcoming roundabout).  I'm sure I could make a life for myself here where I could buy whole animals that lived a suitable life from beginning to end, keep them in a chest freezer, and feel good about my meat choices. Produce is definitely another story, though. And I understand. The growing season is only just getting underway where I live at home, and here it's much cloudier and cooler. I was only able to find local (no mention of organic) cabbage, asparagus, rhubarb, and strawberries. I bought the first three local but I just couldn't justify purchasing the anemic-looking British strawberries. I'm sure they perk up as the summer warms up. Everything else I pretty much was able to buy organic in the supermarket, Waitrose, except for a few things that I got at the market.

I don't have too many meals to share. You're not supposed to go to the treatment hungry or full and you're supposed to be a bit dehydrated. This was hard for me because I usually start my mornings with broth or occasionally herbal tea, and that jumpstarts my digestion so that by the time I'm done making breakfast, I'm usually hungry. That sets me up well to be hungry once or twice more the rest of the day, depending on how large my meals are. The first few days I ate nothing before my appointment, and then the second week I tried having a small snack. Neither made much of a difference on my appetite for the rest of the day. I regularly suffered from gas, bloating, reflux, and insomnia with occasional bouts of nausea, so that definitely dampened my appetite. It's hard to say whether it was the Oxyklenz, the act of having the treatments, the treatments themselves, different water, different food, different schedule, etc. but regardless, my calorie count over the last two weeks has been a bit low. Some of these meals I had to stop eating halfway through and put away for next time so that, in combination with buying produce early on with the intention that my appetite would come back to normal (I don't often feel pleasantly hungry but I at least don't often feel so sick that I can't have a normal-sized meal), I ended up with many leftover vegetables that I tried to consume towards the end despite feeling sick. That's never a good idea.

Two other things may have messed me up a bit, too.  First, I laid the FODMAPs on heavy. I'd been doing this (in addition to more starch) with quite a bit of success through most of April and May (perhaps thanks to the LDN). After the combination of the first colon lavage in MA, Oxyklenz, the stress of finals, and the death of one of my cats, my digestion took a hit. Despite being slightly positive for SIBO, one of my doctors encouraged me to eat lots of prebiotics while I was here. I also couldn't imagine NOT feeding my new friends with their favorite food, no matter what bad stuff was still around there or higher up in my intestines. I figured if I could get them to grow, they would eventually outcompete their rude and unhealthy neighbors and tell my immune system to tell everyone else to simmer the fuck down. I guess that's why I should stop worrying about what's going on now and wait a few months to see what happens. But what I'm trying to say is that I'm eating for my goals, not my current symptoms, right now. And I don't know whether that's what's best for me right now, but it's what I'm doing. I tried to talk this over with the clinic but didn't really get an answer. And I understand. Everyone's different. Not only does everyone respond differently, but we all come from such different places of medical history, current symptoms, and current diets. And then we all do different things and feel different things as the treatments occur. So who knows which variables contribute the most to success? It's a total crapshoot (pun intended).

On a related note to eating my goals, I also had some dairy. I found myself in the health store looking at the fridge and thinking I should've been eating fermented food this whole time. But by the time I had that thought, I didn't have enough days left to finish the large jar of red sauerkraut I saw, so after some hesitation (and disappointment at the ingredients in the other fermented options), I went with something that sounded like milk kefir. Well, that was dumb. I talked up all the stories I'd heard about milk kefir being some magic elixir and forgot the most important argument--my body doesn't like it. Anything with more dairy in it than butter makes turns my moderate allergies severe and just generally makes me feel ill. Last week was no exception. And due to my lack of willpower (or something) towards my ability to waste food, I continued to eat it anyway. I even did the same for some maybe organic, maybe grass-fed cheddar my mom had left. Bad. Bad. Bad. I kept trying to tell myself I was training my new friends, but they weren't ready to be thrown in the deep end just yet.

Without further ado, here's what I've been eating.

Aforementioned allergen-friendly restaurant in Cambridge

Aforementioned allergen-friendly restaurant in Cambridge

Snacks from the health food store in Hitchin, served with dried fruit and/or in coconut yogurt

Breakfast of GF organic pork leek sausage, hard boiled egg, and a cauliflower, onion, zucchini stir-fry 

Salad with mixed greens, olives, avocado, beets, and tuna with oil and vinegar served up with Nom Nom Paleo's podcast

Beef burger with bacon and asparagus and mushrooms

The making of one of the greatest meals I ever made: chicken breasts with onions and dried apricots, deglazed with chicken stock from the grocery store

The finished product with sweet potatoes and broccoli

A light breakfast of honey dew melon and the amazingly clean coconut yogurt

Bad dairy decision #1: kefir-like drink mixed with blackberries and coconut milk yogurt

Brunch of GF organic pork leek pork sausages, spinach, artichokes with butter, coconut yogurt with strawberries and blackberries, a little bit of chicken stock, and herbal tea with a little bit of the kefir

Ground beef, zucchini, cabbage, garlic, and onion stir fry with orange and white sweet potatoes

Light breakfast of honey dew melon drizzled with coconut butter and pumpkin seed butter

The last of the kefir over raspberries and strawberries with pumpkin seed butter and honey

Smoked haddock with steamed orange and black carrots with lots of a big blob of butter and sweet potatoes with fermented and then pasteurized beet juice (only option...)

Dessert of cold cherries dipped in warm coconut butter

Weekend brunch of eggs scrambled with mushrooms, broccoli, garlic, onions, basil, and bad dairy decision #2, cheddar, over sweet potatoes with a side of strawberries and dried blueberries in coconut yogurt with herbal tea 

Organic beef meatballs with very clean, minimal ingredients, steamed kale, carrots, and sweet potatoes

I cooked one pound of English rhubarb with two dried apricots. Here's half of it mixed with coconut butter. 

Big weekend brunch of a zucchini, garlic, onion, mushroom, basil stir-fry with eggs, sweet potatoes, strawberries and dried blueberries in coconut milk yogurt with honey, and herbal tea with coconut butter
Three fresh Turkish figs cooked down with butter, a few strawberries, and a handful of dried blueberries. Served here mixed with coconut yogurt, honey, and pumpkin seed butter. 
Dinner of cabbage, onions, garlic, and Jerusalem artichokes with organic beef meatballs; peas with olive oil; sweet potatoes; and beet juice
Lunch of cabbage, onions, garlic, and jerusalem artichokes with organic beef meatballs, artichokes with butter, and beet juice

Second to last dinner was probably too heavy on the FODMAPs (but not the only one) – cabbage, garlic, onions, Jerusalem artichokes, carrots, and peas topped with beef meatballs and sweet potatoes
Final lunch in Hertfordshire, already trying to tone down the FODMAPs: all the leftover carrots with butter, beef meatballs, baked kale, and sweet potatoes



 And a final dinner: "room service" 

Room service order: a plate, a bowl, and a setting of cutlery

Add to that Scottish smoked salmon, hard boiled eggs, coriander (cilantro?), and cherries

Looks better to me than any of the room service options

Served up with some Ina and herbal tea
A pleasant surprise that I didn't overcook the hard boiled eggs as I had thought

My final breakfast at the hotel: lukewarm chocolate coconut yogurt, dried blueberries, honey, and pumpkin seed butter. The 4:15 am sunrise finally worked in my favor when my alarm went off at this time and it was already bright outside!


Monday, June 8, 2015

Step Four: Game Time! (Part 1)

Day 1

The first trick (after driving on the other side of the road, dealing with a different currency, parking, etc.) is to find the place. They basically have a secret entrance, which I think is pretty cool. They buzzed me upstairs and I met Annie, who gave me some handouts, and then brought me to their second location (across the street, above a health store, also a somewhat secret location) where I would have my final lavage. There, I met my nurses for the day. They were both very nice and professional. 

They both helped perform my lavage, which made me realize I'd had the wrong kind done in Massachusetts before I left. I finally understood what they meant between a closed and open system, even though I could have sworn I had chosen the right one from the website. But no matter. They said I had one of the cleanest colons they'd ever seen! I seemed to mostly be filled with gas, thanks to, for whatever reason, the particularly dramatic reaction my intestines seem to have to the pressure changes that go along with airplane travel. That made me feel pretty good until after it was over and I realized I may have unconsciously been holding things back, so to speak.  I still don't really understand the nitty-gritty logistics of it (how does it get to where it needs to be if you're not fasting and your colon doesn't remain empty the whole time?!), but hopefully I was clean enough and everything will turn out well. 

Luckily, this kind of lavage was relatively more pleasant than the first one, and before I knew it, I was meeting my new friends. There were quite a bit of them, it seemed, all drawn up in a pretty big syringe. This was inserted and followed by a similar amount (55 ml) of saline to push them along. Afterwards, one of the nurses massaged along the length of my colon with the goal of depositing the transplant into the cecum. Again, I'm not sure how enough bypasses what's already there, but she seemed to think she was successful and could feel it moving along (I really need to work on my palpation skills). Afterwards, you lie on your back with your feet above your head, then switch to lying on your right, and then finally they reverse the incline and you're seated, with each of these positions lasting ten minutes. This follows the path of your colon. Supposedly, after twenty minutes, the colonization has taken place, but you're still supposed to retain it as long as possible. 

The retention is something I seem to be struggling with. I managed to go about six hours without having a bowel movement (it was difficult), and after that experienced several episodes of diarrhea that night. The idea is that if you go into the procedure a little dehydrated (which I was), your colon should absorb the liquid in the transplant and the subsequent flush. My colon seems to be struggling with that. In the hours following the procedure, I am definitely very aware that a pure liquid has been inserted directly into my colon. Not the most pleasant experience. 

For the rest of the day, we just wandered around Hitchin (with my mom, who came with me for the first few days) and went into the occasional store. It's a cute little town and there will be a few activities I'll do over the next two weeks, but it's definitely going to be slow. We finished our trip with a stop at the grocers, Waitrose, and headed home to read (my number one activity for the next several days) and cook dinner. 

I experienced the aforementioned diarrhea in addition to quite a bit of rumbling, as I was told might happen. Nothing too major in any direction just yet. 

Day 2

My appointment was later in the day this time, so we checked out Brookman's Place, a town near the apartment I rented. We walked the few blocks and then headed into a butcher store. The butcher was really nice and he had a good selection. There was no real mention of organic or grass-fed (interestingly, in the UK, an organic certification also means the animals have to spend a certain minimum amount of time outside, on grass), but at the very least, everything was cut right there, so there will be less preservatives than what we've found in the grocery stores so far (it's alarming how many fresh meat products in the stores contain ingredient lists at all, let alone lots of bolded allergen information). 

That was our only stop in town, so then we headed to the Royal Veterinary College, which I'd only realized was nearby the night before. We walked around campus, said hi to their horses, and tried to visit their t-shirt shop, only to find that the few hours it opened coincided with when I needed to be at the clinic. 


It was nice to see a whole university campus devoted to a vet school. Their dining options were impressive, they had so much history, there was a big emphasis on mental health, there was plenty of on-campus housing, and there were just so many people (and even lots of males!) lolling about on the grounds in the middle of the day. It made me a little sad for what I missed out on by basically going to a much smaller commuter school. I never applied to the Royal College. Instead I applied to Dublin, Glasgow, and Edinburgh. At the time I was thinking that if I were to go abroad, I wouldn't want to be in London (should've looked into that more--the area's quite rural...) and I would rather be in Ireland or Scotland - somewhere more familiar (and cheaper, if it had been Ireland). I very seriously considered Edinburgh and declined because I would have had to live in the city and commute 45 minutes by bus to the campus in the suburbs every day. Looking back, I wonder if this school could have won me over if I'd applied. Not that I can find enough fault with my school and my experience to regret it, but it's just one of those instances in life where you make one single decision and it funnels your life off in a direction that's so definitively different from any other path you may have taken and you can't help but look back and wonder, what if...?



But back to the reason I'm here. This time I didn't have to go across the street and instead went to their lavage-free treatment rooms. It went much the same as the first time, though they decreased the amount of the saline flush. Most people also take a prebiotic powder packet home with them after each treatment, but due to my on-again, off-again, never really there but never really not there SIBO, they haven't been giving it to me. However, when I spoke with Dr. Amy Nett just before I left, she encouraged me to eat lots of prebiotics while the treatment was occurring and beyond despite coming up slightly positive for SIBO over the winter, so I've just been adding a little bit of my old Biotagen powder (little compared to the recommended dose, lots compared to the smallest dose I could possibly take almost two years ago when I got it that gave me horrible symptoms) to coconut water. 

I was able to retain the treatment for about four hours. After dinner, I experienced some pretty horrid cramping and un-moving gas pains for a couple hours, but then that was it. There was only a little bit of extra rumbling. 

Day 3

My appointment was back in the morning, so we had a lazy morning and then made our way to the clinic. I went through the same routine as the day before, only they decreased the saline even more to 30 ml due to me not being able to retain it for very long. 

After that, we drove to Cambridge. Throughout the treatment, patients are supposed to take it pretty chill and not try to really make a holiday of it and go galavanting about. That said, I really don't handle instructions like that very well. I need at least one or two things to do a day, and the treatments themselves are pretty short. Luckily, Cambridge isn't that far away and with a car it was very easy to get to. Neither of us really looked into what there is to do in Cambridge, so we got there and just wandered. We happened right onto an open air market. We found some locally grown things, nothing expressly organic, and then just some cool things that I didn't mind breaking my local rules for (because really, how much could the UK offer me in spring when I don't eat white potatoes?) and because it didn't feel that extreme, being in Europe -- Turkish figs, I'm looking at you! 




Then we wandered to the river and walked along it. Many of the university buildings were closed for exams (or because it was Friday afternoon, or just because), but otherwise we would've checked out at least one (really I was looking for their gardens). We wandered into some shops and then went to a restaurant called Cau for a late lunch/early dinner that I'd looked up and booked that morning. I'd highly recommend it. Their beef is grass-fed and their allergy accommodation is astounding. Seriously, look at that spreadsheet! While none of the allergies they listed surprised me, I was very surprised that any restaurant would think to cater to them. Of course, they didn't have nightshades listed, but it was very easy to work around that. I had the tapa de cuadril cut of beef, a roasted sweet potato with butter and herbs, and peas with mint. It was probably the cleanest meal I'd ever had in a restaurant--there wasn't even any room for bad oils. If I hadn't been worried about feeding my new friends with refined sugar, I may have even gone ahead and had sorbet for dessert. 



After lunch, we wandered around the old streets some more and looked around a bookstore until they kicked us out because it was nearing 6 pm. After that we drove home and all I had for the rest of the day was some tea (I'm really finding I don't have much of an appetite for more than one meal a day here). Oh, and I read a lot. I'm really burning through my book selection. 


Monday, October 21, 2013

Weekend

This was the first weekend I didn't spend Sunday cooking. Craziness! But I had plans to go out to dinner Saturday night (read: leftovers) and went a couple meals over with my previous batch-cooking days, so that coupled with a histology exam left me with Sunday free (of cooking that is).

Both Saturday and Sunday had some good hikes.


 After hiking, Sunday looked like this:


Sunday night dinner was some vegetable leftovers, plus Italian elk sausage and butternut squash with Indian dessert-flavored ghee. Would I recommend Indian butternut squash and carrots, mustard greens with coconut aminos, and Italian sausage?  It actually wasn't too weird...

I had this for breakfast again Monday morning.


I did my batch cooking Monday night. Hopefully it will be done before I go to bed. I'm in the process of clearing out my freezer in preparation for a half hog so this was...
  • Only half of the biggest cabbage I have ever seen
  • Parsnips
  • Celeriac
  • Apples
  • Onions
  • Pork belly
  • Bacon ends
  • Pork breakfast sausage meatballs
  • Tarragon, caraway seeds, salt
  • Apple cider (because I wanted to save my broth for drinking plain, what with all the illness going around our class, plus I didn't think Merlot would work well)
A weird combination of things, but hopefully it will work out. 



Because I made it so late, dinner was restaurant leftovers. We ate at a restaurant in the Foxwoods casino  in Connecticut. It doesn't sound like a place for real food, but it was surprisingly easy.  The server was great about avoiding gluten and the beef in the menu was broken down into corn-fed, grass-fed, and Wagyu (although the grass-fed meat was from Australia...).  They called themselves a seasonal restaurant though, so maybe the vegetables were relatively local.  Regardless, I had my grass-fed steak with a side of Hen of the Woods mushrooms (eaten Saturday night), spicy ham (aka questionable spices) and Brussels sprouts, and cauliflower and garlic (whole cloves!).  It was the kind of place where the menu was broken down into starters, meats, and sides, so I just had sides for starters, then meat and more vegetable sides.  Sure, I felt a little sicker than usual after, but it could've been a lot worse.


So this week will continue to test my stress management abilities and good sleep hygiene, but at least learning about lipids is invigorating. I appreciate my professor telling us that brains love ketone bodies and that "without cholesterol, there would be no life," though he reminded us of the dark side of too much dietary cholesterol. Ha. If I could, I'd go down five egg yolks right now...